Mental health promotion in youth sporting clubs: predictors of stakeholder participation.

BACKGROUND: Young people are disproportionately affected by poor mental health. Youth sport settings hold immense potential to improve the mental health outcomes of this demographic. Efforts to leverage youth sport settings to promote mental health are limited by the lack of knowledge pertaining to engagement with mental health interventions in these settings. Therefore, this study aimed to examine the willingness of youth sporting club stakeholders (e.g., sportspersons, coaches, support staff, parents/guardians) to engage in mental health initiatives conducted by sporting clubs and ascertain possible determinants of engagement. METHODS: This study used an observational cross-sectional design. Participants completed an online survey assessing likelihood of supporting a mental health campaign, mental health literacy (help-seeking, inclusive attitudes), and perceived club support. Perceptions pertaining to the importance of youth mental health and sporting clubs supporting youth mental health were also assessed. RESULTS: The survey was completed by 275 stakeholders of youth sporting clubs in Australia (Mage = 40.2 ± 15.8 years, 60.3% female). The findings indicated that stakeholders were willing to participate in mental health initiatives in youth sport clubs. A linear regression analysis indicated that the significant predictors of stakeholders supporting such initiatives were older age (> 25-50 and > 50 years; ß = 0.15, p = .033, ß = 0.19, p = .005, respectively), along with perceived importance of youth mental health (ß = 0.24, p = .003) and sporting clubs supporting youth mental health (ß = 0.22, p = .004). CONCLUSION: Youth sport settings have the capacity to improve the provision of mental health support among young people. There is a need for tailored approaches to enhance the engagement with, and effectiveness of, mental health resources in sport contexts.

Force-Velocity Profiling in Club-Based Field Hockey Players: Analyzing the Relationships between Mechanical Characteristics, Sex, and Positional Demands.

The purpose of this study was to investigate differences between sex and positional demands in club-based field hockey players by analyzing vertical force-velocity characteristics. Thirty-three club-based field hockey athletes (16 males - age: 24.8 ± 7.3yrs, body mass: 76.8 ± 8.2kg, height: 1.79 ± 0.05m; 17 females - age: 22.3 ± 4.2yrs, body mass: 65.2 ± 7.6kg, height: 1.66 ± 0.05m) were classified into two key positional groups (attacker or defender) based on dominant field position during gameplay. Force-velocity (F-v) profiles were established by performing countermovement jumps (CMJ) using a three-point loading protocol ranging from body mass (i.e., zero external mass, 0%) to loads corresponding to 25% and 50% of their own body mass. Across all loads, between-trial reliability of F-v and CMJ variables was determined by intraclass correlation coefficients (ICCs) and coefficient of variation (CV) and deemed to be acceptable (ICC: 0.87-0.95, CV% 2.8-8.2). Analysis by sex identified male athletes had significantly greater differences in all F-v variables (12.81-40.58%, p ≤ 0.001, ES = 1.10-3.19), a more enhanced F-v profile (i.e., greater theoretical maximal force, velocity, and power values), plus overall stronger correlations between relative maximal power (PMAX) and jump height (r = 0.67, p ≤ 0.06) when compared to female athletes (-0.71≤ r ≥ 0.60, p = 0.08). Male attackers demonstrated a more 'velocity-oriented' F-v profile compared to defenders due to significant mean differences in theoretical maximal velocity (v0) (6.64%, p ≤ 0.05, ES: 1.11), however differences in absolute and relative theoretical force (F0) (15.43%, p ≤ 0.01, ES = 1.39) led to female attackers displaying a more 'force-oriented' profile in comparison to defenders. The observed mechanical differences identify the underpinning characteristics of position specific expression of PMAX should be reflected in training programmes. Therefore, our findings suggest F-v profiling is acceptable to differentiate between sex and positional demands in club-based field hockey players. Furthermore, it is recommended field hockey players explore a range of loads and exercises across the F-v continuum through on-field and gym-based field hockey strength and conditioning practices to account for sex and positional mechanical differences.

Level playing field: young males, masculinity and mental wellbeing through sport.

In Australia, and throughout the world, it is evident that the mental health and wellbeing of young males aged 15-24, is not a priority. In Australia suicide is the leading cause of death in people aged 15-24 years and 75% are male (Australian Institute of Health and Welfare. Australian hospital statistics 2011-12, 2021). It is clear young males as well as those who identify as indigenous or LGBTIQ are at risk groups with respect to self arm and suicide (Drummond, MJN, et al. 2019). It is the transition period from adolescence to adluthood that is of particular concern. Often young males must pass through this phase of life with minimal guidance or direction and without a "safe space" where they can attain emotional support. Sport is a significant part of boys' and young males' lives and offers that "safe space". Sport can play a substantial role in protective mental health through socialization and engagement in a socially endorsed activity that seemingly has far more positive outcomes than negative ones. This research is underpinned by both quantitative and qualitative research with young males involved masculinised sporting clubs. Its aim is to provide insights into how we can create safe spaces for males and influence positive forms of masculinities that can enhance mental health promotion among young males. This mixed methods research explores issues around mental health in young males involved across two male dominated sporting codes in Australian (Australian football and cricket). Surveys and interviews with young males age 15-24 as well as parents, coaches and key stakeholders underpin this research. While the data is designed to assist in the development of educational resources for males to influence positive forms of masculinities that can enhance mental health promotion among young males involved in these sporting codes, this paper reports on the exploratory nature of the data and raises important issues emerging among young males with respect to mental health and the role of the sporting club.

Australian adolescents' beliefs and perceptions towards healthy eating from a symbolic and moral perspective: A qualitative study.

Unhealthy food choices among adolescents are considered a significant health concern. Current rhetoric adds a moral dimension to food and considers adolescents as moral and healthy eaters or less moral or less healthy eaters. While much research has investigated the structural barriers and facilitators to healthy eating, minimal scholarship has investigated Australian adolescents' symbolic and moral boundary beliefs and perceptions of healthy eating from different socioeconomic statuses. Using Lamont's (1992, 2000) concept of 'moral boundary work' and Sayer's (2005, 2011) ideas on the moral dimensions of social class, we explore Australian adolescents' beliefs and perceptions towards healthy eating from a symbolic and moral boundary perspective. The study consisted of seven focus groups interviews (N = 27) with Australian adolescents between the ages of 12 and 17 (10 male, 17 female) across three different socioeconomic status secondary schools. An inductive thematic analysis approach was adopted to analyse the data. Adolescents associated healthy eating with 1) beliefs and perceptions, 2) moral judgement, and 3) ethical eating and food sustainability priorities. Overall, adolescents constructed and applied their own moral and symbolic meanings to healthy eating. Furthermore, adolescents exerted their moral boundaries by comparing their food choices with their families and peers. Current research is mixed if adolescents from low socioeconomic status positions engage in moral boundary work. This study makes an original contribution by introducing how Australian adolescents interpret healthy eating across socioeconomic status positions. The findings from the study suggest that Australian adolescents across a range of socioeconomic statuses do and can be engaged in moral boundary work and demonstrated a sense of self-worth and dignity regarding their dietary practices.

Measurement Agreement Between Samozino's Method and Force Plate Force-Velocity Profiles During Barbell and Hexbar Countermovement Jumps.

ABSTRACT: Hicks, DS, Drummond, C, and Williams, KJ. Measurement agreement between Samozino's method and force plate force-velocity profiles during barbell and hexbar countermovement jumps. J Strength Cond Res 36(12): 3290-3300, 2022-This study aimed to measure agreement between using Samozino's method and force plates to determine mean force, velocity, and power during unloaded and loaded barbell and hexbar countermovement jumps. Twenty-one subjects performed countermovement jumps against incremental loads using both loading conditions. Ground reaction force was recorded using a dual-force plate system (1,000 Hz) and used as the criterion method to compare with Samozino's method. Reliability and validity was determined by intraclass correlation coefficients (ICCs), coefficient of variation (CV), limits of agreement plots, and least products regression analysis. Samozino's method provided acceptable levels of reliability for mean force, velocity, and power (ICC > 0.90, CV% < 5.5) across both loading conditions. Limits of agreement analysis showed the mean bias was 2.7, 15.4, and 7.2% during barbell countermovement jumps and 1.8, 12.4, and 5.0% during hexbar countermovement jumps for mean force, velocity, and power, respectively. Based on these findings, Samozino's method not only is reliable when measuring mean force, velocity, and power during loaded and unloaded barbell and hexbar countermovement jumps but also identifies limitations regarding concurrent validity compared with the gold standard. Across loading conditions, Samozino's method overestimated mean force (0.5-4.5%) and underestimated mean velocity (11.81-16.78%) and mean power (2.26-7.85%) compared with the force plates. Because of fixed and proportional bias between criterion and predictor, the results do not support the use of Samozino's method to measure mean force, velocity, and power. Therefore, it is not recommended for practitioners to use Samozino's method to estimate mechanical variables during loaded and unloaded countermovement jump actions using a barbell and hexbar.

Towards a Clinical Decision-Making Algorithm Guiding Locomotor Therapy Modality in Subacute Stroke: An Exploratory Study.

OBJECTIVES: To propose a clinical decision-making algorithm guiding modality choice and transition from the Lokomat® robotic to body-weight supported treadmill training in subacute stroke, due to current evidence being limited, making clinical decisions difficult. MATERIALS AND METHODS: For 10 adult patients with subacute stroke completing Lokomat® therapy, physiotherapist clinical judgement regarding body-weight supported treadmill training readiness and the following objective measurements were collected; Functional Ambulation Category; sit to stand/standing ability; Lokomat® settings; maximal active hip and knee flexion in standing; and gait biomechanics during body-weight supported treadmill training. Based on observed patterns a proposed clinical decision-making algorithm was developed. RESULTS: Clinical judgement deemed four of 10 participants ready to transition to body-weight supported treadmill training. Unlike participants judged not ready, these participants had: a) a Functional Ambulation Category of 1; b) independence with sit to stand and standing with even weight bearing; c) Lokomat®: Body-Weight Support <30%, Guidance Force <30-35%, speed >2.0kph; d) >45° standing active hip and knee flexion; e) no significant issues with physiological stepping in treadmill training or only requiring assistance from one therapist to achieve this. CONCLUSION: Participants judged ready for transition from the Lokomat® to body-weight supported treadmill training presented with increased independent functional ability, more challenging Lokomat® settings, greater active volitional lower-limb control, and less issues with physiological stepping in treadmill training, than those participants judged not ready. Results were translated into a proposed clinical decision-making algorithm guiding transition from the Lokomat® to body-weight supported treadmill training, to be further tested in clinical trials.

Augmented Performance Feedback during Robotic Gait Therapy Results in Moderate Intensity Cardiovascular Exercise in Subacute Stroke.

BACKGROUND: Low cardiovascular fitness is common poststroke. Conventional subacute stroke rehabilitation does not meet Australian National Stroke Guidelines for cardiovascular exercise, particularly in mobility-dependent patients. Walking robotics can potentially achieve recommended cardiovascular exercise with these patients. AIM: The primary aim was to determine whether sustained moderate intensity cardiovascular exercise can be achieved using 3 Lokomat Augmented Performance Feedback activities in mobility-dependent adults with subacute stroke. Secondary aims were to assess if cardiovascular workload was influenced by the activity completed, participants motivation or enjoyment, or changes in Lokomat settings. METHODS: Ten patients with subacute stroke (mean (SD) age: 63.4 (13) years) participated in 6x20-minute Lokomat study sessions. Each study session involved a warm-up and 3x5-minute APF activities presented in a random order. Metabolic data were collected using the COSMED-K5. Participants rated their perceived exertion on the BORG CR10 scale and Lokomat settings of body-weight support, guidance force, and speed were recorded. RESULTS: Moderate intensity cardiovascular exercise was achieved and maintained over the 15 minutes of exercise, objectively demonstrated by a mean (SD) Metabolic Equivalent Task of 3.1 (1.3), and mean (SD) oxygen consumption of 8.0 (3.8) ml/kg/min, estimated as 52% VO2max. This was subjectively confirmed by exertion scores between 3 and 5. The cardiovascular workload was not affected by which activity was completed, participant motivation or enjoyment, or significant progression of Lokomat settings between study sessions. CONCLUSIONS: Mobility-dependent patients with subacute stroke can achieve sustained moderate intensity cardiovascular exercise on the Lokomat when using APF activities.

Promoting mental health among young males in sporting contexts: A systematic review.

BACKGROUND: Young males experience markedly poorer mental health outcomes. Organised sport settings provide novel prospects to improve the mental health of this subpopulation. AIM: This systematic review aimed to evaluate interventions targeted at the promotion of mental health and wellbeing among young males in organised sporting contexts. METHODS: Six databases (SportDiscus, PsycInfo, Medline, Web of Science, Scopus, CINAHL) were searched from inception to June 2022 (and updated in September 2023). Eligible studies examined interventions targeting the mental health and wellbeing (e.g., depression, anxiety, resilience) or mental health literacy (e.g., stigmatising attitudes, help-seeking) of young males aged 10-24 years (or associated stakeholder samples; e.g., parents or coaches of male youth). RESULTS: A total of 15 studies were included in this review. Overall, the findings indicate promising effects of sport-based interventions on the mental health and mental health literacy outcomes of young males. CONCLUSIONS: This review suggests that there is scope to improve the capacity of sports-based interventions to affect positive change in the mental health of male youth. The findings from this review also have important implications for the development and evaluation of sports-based interventions targeted at young males in future.

The effect of a combined sprint training intervention on sprint force-velocity characteristics in junior Australian football players.

Background: Sprint performance in junior Australian football (AF) players has been shown to be a differentiating quality in ability level therefore developing sprint characteristics via sprint-specific training methods is an important aspect of their physical development. Assisted sprint training is one training method used to enhance sprint performance yet limited information exists on its effect on sprint force-velocity characteristics. Therefore, the main aim of this study was to determine the influence of a combined sprint training intervention using assisted and maximal sprint training methods on mechanical characteristics and sprint performance in junior Australian football players. Methods: Upon completing familiarization and pre-testing, twenty-two male junior Australian football (AF) players (age 14.4 ± 0.3 years, body mass 58.5 ± 10.0 kg, and height 1.74 ± 0.08 m) were divided into a combined sprint training (CST) group (n = 14), and a maximal sprint training (MST) group (n = 8) based on initial sprint performance over 20-meters. Sprint performance was assessed during maximal 20-meter sprint efforts via a radar gun (36 Hz), with velocity-time data used to derive force-velocity characteristics and split times. All subjects then completed a 7-week in-season training intervention consisting of maximal sprinting (MST & CST groups) and assisted sprinting (CST only), along with their usual football specific exercises. Results: Moderate to large pre-post within group effects (-0.65 ≤ ES ≥ 0.82. p ≤ 0.01) in the CST group for relative theoretical maximal force (F0) and power (Pmax) were reflected in improved sprint performance from 0-20 m, thereby creating a more force-oriented F-v profile. The MST group displayed statistically significant pre-post differences in sprint performance between 10-20 m only (ES = 0.18, p = 0.04). Moderate to high relative reliability was achieved across all sprint variables (ICC = 0.65-0.91), except for the force-velocity slope (SFV) and decrement in ratio of forces (DRF) which reported poor reliability (ICC = 0.41-0.44), while the CST group exceeded the pre-post minimal detectable change (MDC) in most sprint variables suggesting a 'true change' in performance across the intervention. Conclusion: It is concluded that implementing a short-term, combined sprint training intervention consisting of assisted and maximal sprint training methods may enhance sprint mechanical characteristics and sprint performance to 20-meters in junior AF players.

A Single Session of a Digital Health Tool-Delivered Exercise Intervention May Provide Immediate Relief from Pelvic Pain in Women with Endometriosis: A Pilot Randomized Controlled Study.

BACKGROUND: Endometriosis is a debilitating chronic condition that is commonly associated with chronic pelvic pain, affecting approximately 10% of women of reproductive age worldwide. The general principle of pain management in this population involves both pharmacological and surgical interventions. There is also increasing interest in the use of exercise as an alternative non-pharmacological analgesic, but adherence and accessibility to face-to-face exercise-delivery modalities are poor. This study aims to determine the immediate impact of a single session of 'supervised' telehealth-delivered exercise compared to 'self-managed' virtual reality (VR)-delivered exercise on pelvic pain associated with endometriosis. METHODS: Twenty-two women experiencing pelvic pain due to endometriosis were included and randomized into three groups: (i) VR-delivered exercise group (n = 8); (ii) telehealth-delivered exercise group (n = 8); and (iii) control group (n = 6). The visual analogue scale (VAS) was used to assess the severity of pelvic pain. RESULTS: There was no statistically significant between-group difference (p = 0.45) in the participants' pain score following a single session of the study interventions (VR or telehealth) or the control. However, a 'medium-to-large' group x time interaction effect (η2 = 0.10) was detected, indicating a more favorable pain score change following a single session of telehealth- (pre-post ∆: +10 ± 12 mm) and VR-delivered exercise (pre-post ∆: +9 ± 24 mm) compared to the control group (pre-post ∆: +16 ± 12 mm). CONCLUSIONS: Our study suggests that a single bout of a 'self-managed' VR-delivered exercise may be as efficacious as a single session of 'supervised' telehealth-delivered exercise in providing immediate relief from pelvic pain associated with endometriosis.

Using Goffman's theories of social interaction to reflect first-time mothers' experiences with the social norms of infant feeding.

Infant feeding, particularly breastfeeding, is an important public health issue because early feeding methods have been shown to influence health throughout childhood. We investigated how social norms influence first-time mothers' decisions around feeding methods. We conducted two in-depth interviews with 11 first-time mothers, the first 3 weeks after birth and the second 3 months following birth. We analyzed interview data using a third-level, thematic analysis, using Goffman's theories of social interaction to guide our analysis. Our results highlighted several issues surrounding breastfeeding in modern society. We propose that nursing mothers are conscious of adhering to social norms of being a good mother, but must also cope with societal views about presenting normal appearances when they need to feed their babies in public.

Exploratory Analysis of Sprint Force-Velocity Characteristics, Kinematics and Performance across a Periodized Training Year: A Case Study of Two National Level Sprint Athletes.

Objective: This case study aimed to explore changes to sprint force-velocity characteristics across a periodized training year (45 weeks) and the influence on sprint kinematics and performance in national level 100-meter athletes. Force-velocity characteristics have been shown to differentiate between performance levels in sprint athletes, yet limited information exists describing how characteristics change across a season and impact sprint performance, therefore warranting further research. Methods: Two male national level 100-meter athletes (Athlete 1: 22 years, 1.83 m, 81.1 kg, 100 m time: 10.47 s; Athlete 2: 19 years, 1.82 cm, 75.3 kg, 100 m time: 10.81 s) completed 12 and 11 force-velocity assessments, respectively, using electronic timing gates. Sprint mechanical characteristics were derived from 30-meter maximal sprint efforts using split times (i.e., 0-10 m, 0-20 m, 0-30 m) whereas step kinematics were established from 100-meter competition performance using video analysis. Results: Between the preparation (PREP) and competition (COMP) phase, Athlete 1 showed significantly large within-athlete effects for relative maximal power (PMAX), theoretical maximal velocity (v0), maximum ratio of force (RFMAX), maximal velocity (VMAX), and split time from 0 to 20 m and 0 to 30 m (-1.70 ≤ ES ≥ 1.92, p ≤ 0.05). Athlete 2 reported significant differences with large effects for relative maximal force (F0) and RFMAX only (ES: ≤ -1.46, p ≤ 0.04). In the PREP phase, both athletes reported almost perfect correlations between F0, PMAX and 0-20 m (r = -0.99, p ≤ 0.01), however in the COMP phase, the relationships between mechanical characteristics and split times were more individual. Competition performance in the 100-meter sprint (10.64 ± 0.24 s) showed a greater reliance on step length (r ≥ -0.72, p ≤ 0.001) than step frequency to achieve faster performances. The minimal detectable change (%) across mechanical variables ranged from 1.3 to 10.0% while spatio-temporal variables were much lower, from 0.94 to 1.48%, with Athlete 1 showing a higher 'true change' in performance across the season compared to Athlete 2. Conclusions: The estimated sprint force-velocity data collected across a training year may provide insight to practitioners about the underpinning mechanical characteristics which affect sprint performance during specific phases of training, plus how a periodized training design may enhance sprint force-velocity characteristics and performance outcomes.

Examining primary and secondary school canteens and their place within the school system: a South Australian study.

In Australia, school canteens are an integral part of the school environment and an ideal site to encourage healthy eating. However, when the canteen is not supported within the school system, healthy menus may be difficult to implement. The aim of this study was to investigate school canteens and their place within the school system in primary and secondary schools in South Australia. Using a systems approach, 14 schools and their canteens located throughout metropolitan and rural South Australia are discussed. A range of qualitative interviews was conducted with school principals (n = 14), canteen managers (n = 14), parents (n = 50), teachers (n = 10) and focus group interviews were held with students (n = 450). This study showed that although school canteens were located on school grounds and should be supported as an integral part of the school system, in many cases they were not. A range of influences such as: maintaining profit, reduced volunteer support and student choice negatively impacted what was sold on the canteen menu. This study indicated that offering a sustainable healthy school canteen menu largely depended on the support and resources provided to the canteen by the school system in which it belonged.

Sport and the LGBTIQ+ Community: A South Australian Study.

This is a paper based on research with the LGBTIQ+ community in South Australia, the likes of which has not been conducted previously in the state. The paper, which utilized both quantitative (n = 148) and qualitative (n = 31) research methods identifies the key issues that the LGBTIQ+ community face with respect to sporting involvement. There were a range of themes that emerged in relation to a variety of topics including homophobia, sexism and gender discrimination, gender roles and gender stereotypes. This paper provides data and discussion around this important part of the research, which has implications pertaining to sporting organizations and the LGBTIQ+ community.

Girls and Young Women in Community Sport: A South Australian Perspective.

Girls' and young women's engagement and disengagement in physical activity has been well documented in Western culture. Sport plays a pivotal role in the development of behaviours that promote physical activity, particularly through commitment to team and individual goal attainment, socialisation, and feelings of belonging and self-identity. Community sport in Australia is the dominant pathway into state, national, and elite international competition. The importance of community sport in the lives of girls and young women cannot be overstated, irrespective of individual long-term sporting goals. Indeed, the dropout rate of girls in sports, like many other western cultures is significant and is certainly disproportionate to the numbers of boys who drop out. The present study aims to examine the intrapersonal, interpersonal, and environmental influences on community sporting pathways for girls and young women. Using a mixed-methods design, we include survey data from 2,189 high-school students (aged 12-18 years) and focus group and individual interview data from a subset of 37 high-school students, parents, and teachers, across metropolitan Adelaide, South Australia. The study included an examination of sporting practises and insights of male sport participants from the same age groups to juxtapose the findings and provide a more comprehensive understanding of girls' and young women's community sporting involvement. Parents and teachers were also included within the participant cohort to provide a comprehensive perspective. The results highlight the challenges that girls face with respect to engagement and disengagement in sport and particular points throughout their adolescent years. Recommendations are provided to help mitigate potential attrition of girls in sport in the future.

Optimizing the Interaction of Exercise Volume and Metformin to Induce a Clinically Significant Reduction in Metabolic Syndrome Severity: A Randomised Trial.

Insulin resistance is a central mediating factor of the metabolic syndrome (MetS), with exercise training and metformin proven antidotes to insulin resistance. However, when the two therapies are combined there is conflicting data regarding whether metformin blunts or improves exercise training-induced adaptations. The volume of exercise (duration, intensity, and frequency) on the interaction of exercise training and metformin has yet to be investigated. The aim of this study is therefore to explore the impact of a combination of different exercise volumes and metformin on MetS severity. This is a secondary analysis of data from one of the sites of the 'Exercise in Prevention of Metabolic Syndrome' (EX-MET) study. Ninety-nine adults with MetS were randomized into a 16-week exercise program completing either: (i) moderate-intensity continuous training (MICT) at 60-70% of peak heart rate (HRpeak) for 30 min/session (n = 34, 150 min/week); (ii) high-volume high-intensity interval training (HIIT) consisting of 4 × 4 min bouts at 85-95% HRpeak, interspersed with 3 min of active recovery at 50-70% HRpeak (n = 34, 38 min/session, 114 min/week); or (iii) low volume HIIT, 1 × 4 min bout of HIIT at 85-95% HRpeak (n = 31, 17 min/session, 51 min/week). Metformin intake was monitored and recorded throughout the trial. MetS severity was calculated as z-scores derived from MetS risk factors assessed at pre- and post-intervention. Sixty-five participants had complete pre- and post-intervention data for MetS z-score, of which 18 participants (28%) were taking metformin. Over the 16-week intervention, a similar proportion of participants clinically improved MetS severity (Δ ≥ -0.87) with metformin (8/18, 44%) or without metformin (23/47, 49%) (p = 0.75). While there were no between-group differences (p = 0.24), in those who did not take metformin low-volume HIIT had more likely responders (10/15, 67%) compared to MICT (6/16, 38%) and high-volume HIIT (7/16, 44%). In those taking metformin, there was a lower proportion of participants who clinically improved MetS severity following high-volume HIIT (1/6, 17%) compared to MICT (2/4, 50%) and low-volume HIIT (5/8, 63%), but with no between-group difference (p = 0.23). Moreover, in those who performed high-volume HIIT, there was a statistically significantly higher proportion (p = 0.03) of likely non-responders with improved MetS severity in participants taking metformin (4/6, 67%) compared to those not taking metformin (3/16, 19%). In individuals with MetS, the effect of high volume HIIT on MetS severity may be blunted in those taking metformin. These findings need to be confirmed in a larger study.

Inter-Individual Variability in Metabolic Syndrome Severity Score and VO2max Changes Following Personalized, Community-Based Exercise Programming.

This study sought to examine the effectiveness of a personalized, community-based exercise program at reducing MetS severity and consequently Type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) risk. One-hundred and fifty physically inactive participants (aged 18-83 years) were randomized to a non-exercise control group (n = 75; instructed to continue their usual lifestyle habits) or treatment group (n = 75). Participants randomized to the treatment group completed a 12 week personalized exercise training program based on the American Council on Exercise (ACE) Integrated Fitness Training (IFT) model guidelines. Z-scores were derived from levels of metabolic syndrome risk factors to determine the severity of MetS (MetS z-score). After 12 weeks, the treatment group showed a significant favorable change in MetS z-score, whereas the control group demonstrated increased severity of the syndrome (between-group difference, p < 0.05). The proportion of MetS z-score responders (Δ > -0.48) was greater following the exercise intervention (71%, 50/70) compared to control (10%, 7/72) (between group difference, p < 0.001). The inter-individual variability in VO2max change also showed a similar trend. These findings provide critical translational evidence demonstrating that personalized exercise programming based upon the ACE IFT model guidelines can be successfully implemented within the community setting to reduce T2DM and CVD risk.

Combining case study research and systems theory as a heuristic model.

The combined use of case study and systems theory is not often seen in the literature. The use of both approaches enables the specifics of the case to consider the influence of broader systems and external environments, offering in-depth exploration as well as comparative analysis between cases in the context of the system. Health care has obvious systems operating that may have developed from organizational hierarchies, funding mechanisms, or traditional service delivery of health care. Systems theory is ideally suited to examine health care and health promotion sites, such as hospitals or universities. Sites can use the principles of systems theory to explore innovation, change, and complexity of service delivery in the context of a case study approach. This article discusses how the combination of the two can act as a heuristic model, offering its application to emergency department physiotherapy as an example, to further bolster the evidence base for using such a methodology.

Changes in Physical Activity Behaviour and Health Risk Factors Following a Randomised Controlled Pilot Workplace Exercise Intervention.

BACKGROUND: Declining physical activity (PA) and associated health risk factors are well established. Workplace strategies to increase PA may be beneficial to ameliorate extensive sedentary behavior. This study assessed the effectiveness of two PA interventions in workplace settings. METHODS: Interventions were conducted over 40 days targeting insufficiently active (<150 min/wk PA) and/or obese (BMI ≥ 30 kg/m2) adults; participants were randomly allocated to instructor-led exercise sessions either after-work (n = 25) or in-work (n = 23) with a 60 minPA/day common goal, or a wait-listed control group (n = 23). The programme commenced with low-moderate physical activities and progressed to high intensity game style activities by week six. Adherence and compliance were determined using both objective measures of daily PA time from HR monitors and self-report responses to PA questionnaires. Cardiovascular and metabolic risk factors were measured pre- and post-intervention. Changes across the study were analysed using Chi square and repeat-measures ANOVA. RESULTS: Adherence rates (completed pre and post-testing) were not different between groups (76.0 vs 65.2%). Compliance for the instructor-led sessions was higher for the after-work group (70.4% vs 26.4%, respectively). Increased total PA and aerobic fitness, and decreased weight in both intervention groups were found relative to controls. The after-work group undertook more vigorous PA, and had greater weight loss and fasting blood glucose improvement, relative to in-work participants and controls. CONCLUSIONS: These workplace interventions resulted in rapid and dramatic increases in PA behaviour and important health benefits. Short, in-work PA sessions were less efficacious than longer after-work sessions.

Idealised media images: The effect of fitspiration imagery on body satisfaction and exercise behaviour.

Recent studies have documented a shift in the cultural ideal of physical attractiveness, with women subscribing to a visibly toned ideal that emphasises health and fitness. The present study experimentally investigated the impact of athletic and muscular fitness-idealised images compared to traditional thin ideal images on women's body dissatisfaction and exercise behaviour, under the framework of Social Comparison Theory. Participants were 106 female undergraduate students randomly assigned to view one of three sets of images (thin ideal, athletic ideal, or muscular ideal) followed by a bout of exercise. Acute exposure to athletic ideal and thin ideal images led to increased body dissatisfaction, but exposure to muscular ideal images did not. Relative to thin ideal images, fitness-idealised images did not motivate participants to engage in higher levels of exercise suggesting that this type of fitness inspiration might not motivate actual exercise behaviour.