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Multidimensional Monitoring of Recovery States, Biomarkers, Workload, and Performance in Elite Basketball: An Exploratory Longitudinal Field Study

Corazza G, Jamil S, Dema R, Zorba S, Bonetta L, Jòdar-Portas A, Prats-Puig A, Fort-Vanmeerhaeghe A et al.

2026

Abstract

Abstract Purpose Elite team-sport programs increasingly combine athlete-reported wellness ratings with biochemical markers, yet the applied interpretation of these multimodal data remains uncertain. This exploratory longitudinal field study examined whether recovery-related athlete-reported states were associated with salivary markers, acute competition exposure, and performance-readiness profiles in elite basketball players. Methods The dataset comprised 309 observations from 13 elite basketball players monitored over 15 weeks. Athlete-reported variables included calmness, stress, anger, sleep quality, tiredness, muscle soreness, energy, and sleep duration. Salivary biomarkers included pH, uric acid, aspartate aminotransferase (AST), creatine kinase (CK), ketones, and immunoglobulin A (IgA). Minutes played were used as an indicator of acute competition exposure. Analyses included correlations and biomarker stratification, exploratory risk-enrichment analyses for biomarker abnormalities, fast-versus-slow subjective recovery comparisons, mixed-effects models of post-game-to-recovery change scores, and performance-readiness group comparisons. Results Severe muscle soreness and low energy were the clearest subjective flags of biomarker abnormality. The strongest enrichment was observed for low IgA among severe-soreness observations, with a rate of 75.0% compared with 14.9% among trait-negative observations. Salivary pH differentiated fast and slow recovery from tiredness (p =…

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