Open AccessArticle by Bruce Rogers 1,*, Sander Berk 2 and Thomas Gronwald 3 1 College of Medicine, University of Central Florida, 6850 Lake Nona Boulevard, Orlando, FL 32827-7408, USA 2 Dutch Triathlon Federation, Papendallaan 49, 6816 VD Arnhem, The Netherlands 3 Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, University of Applied Sciences and Medical University, Am Kaiserkai 1, 20457 Hamburg, Germany * Author to whom correspondence should be...