Resistance Training, Fatigue, Quality of Life, Anxiety in Breast Cancer Survivors.

ABSTRACT: Moraes, RF, Ferreira-Júnior, JB, Marques, VA, Vieira, A, Lira, CAB, Campos, MH, Freitas-Junior, R, Rahal, RMS, Gentil, P, and Vieira, CA. Resistance training, fatigue, quality of life, anxiety in breast cancer survivors. J Strength Cond Res 35(5): 1350-1356, 2021-Resistance training (RT) has shown to be effective in improving fatigue, quality of life (QOL), and anxiety levels among breast cancer survivors (BCS), but there is no consensus as to how this practice should be prescribed for optimal performance. This study analyses the effects of once weekly RT on fatigue, QOL, and anxiety levels among BCS. Randomized controlled trial. Twenty-five BCS (aged 54.6 ± 5.5 years) were randomized into RT or control groups. The RT group performed 8 weeks of RT (once per week). Fatigue was assessed using the Piper Fatigue scale, QOL was assessed using the SF-36, and anxiety was assessed using the STAI State-Trait Anxiety Inventory. Resistance training significantly improved the following subscales of SF-36: aspects of physical functioning (+27%, p = 0.027); physical role functioning (+54%, p = 0.008); emotional role functioning (+42%, p = 0.027); and mental health (+16%, p = 0.032). Furthermore, RT improved fatigue levels (-55%, p = 0.001 for general fatigue) and anxiety (anxiety state, -19%, p = 0.012; anxiety trait, -23%, p = 0.001). Resistance training seemed to be a positive nonpharmacological tool for the reduction of fatigue, anxiety, and for improvement of several aspects of QOL in BCS.

Effect of both dance exergame and a traditional exercise on state anxiety and enjoyment in women.

BACKGROUND: Anxiety disorders affect many people around the world and women are more affected than men. Physical exercise might be an important nonpharmacological tool to ameliorate these disorders. The aim of this study was to compare state anxiety level and enjoyment between a dance exergame session and a traditional aerobic exercise. METHODS: Twenty healthy young women completed 3 visits, on separate days. At the first visit, participants performed a graded exercise testing and familiarization procedures. In other two visits, participants completed two exercise sessions (dance exergame and traditional aerobic exercise), with similar intensities and duration. Each session lasted approximately 45 minutes. State anxiety level was evaluated before, immediately post- and 10 minutes post-sessions. Enjoyment was evaluated immediately post-sessions. RESULTS: There was a significant interaction between session and time (P<0.001), a main effect of time (P=0.007) but no significant main effect of session (P=0.057) on state anxiety level. State anxiety level immediately post (P<0.001) and 10 minutes postsession (P<0.001) were significantly lower than predance exergame session. There were no significant changes between pre-, immediately post and 10 minutes post-traditional aerobic exercise session (P>0.05). State anxiety level at immediately post dance exergame session was significantly lower than immediately post traditional aerobic exercise session (P=0.026). Dance exergame session was significantly more enjoyable than traditional aerobic exercise session (P<0.0001). CONCLUSIONS: Dance exergames might be used as a tool to reduce anxiety level in young women.

Effect of hand paddles and parachute on the index of coordination of competitive crawl-strokers.

We investigated the effects of hand paddles and parachute on the relative duration of stroke phases and index of coordination of competitive crawl-strokers. Eleven male-swimmers (age: 21.9 ± 4.5 years; 50-m best time: 24.23 ± 0.75 s) were evaluated in four maximal-intensity conditions: without equipment, with hand paddles, with parachute, and with both hand paddles and parachute. Relative stroke phase duration of each arm, swimming velocity, and stroke rate were analysed from video (60 Hz). The index of coordination was quantified based on the lag time between propulsive phases of each arm, which defined the coordination mode as catch-up, opposition or superposition. The stroke rate decreased in all conditions (P < 0.05) and swimming velocity decreased with parachute and with paddles + parachutes (P < 0.05). The coordination mode changed from catch-up in free swimming (-2.3 ± 5.0%) to opposition with paddles (-0.2 ± 3.8%), parachute (0.1 ± 3.1%), and paddles + parachute (0.0 ± 3.2%). Despite these variations, no significant differences were observed in relative duration of right and left arm-stroke phases, or in index of coordination. We conclude that the external resistances analysed do not significantly influence stroke phase organization, but, as a chronic effect, may lead to greater propulsive continuity.

Changes in Knee Vastii Muscle Activity in Women with Patellofemoral Pain Syndrome During the Menstrual Cycle.

BACKGROUND: Changes in hormonal levels during the menstrual cycle are known to affect muscle electromyographic (EMG) activity, but no studies have investigated the effect of hormonal changes on the EMG activity of muscles around the knee in patients with patellofemoral pain syndrome (PFPS). OBJECTIVE: To evaluate the EMG activity of the vastus medialis obliquus (VMO) and vastus lateralis (VL) muscles during toe rise and heel rock tasks in different phases of the menstrual cycle in women with PFPS. DESIGN: Cross sectional study. SETTING: Rehabilitation Research Center at the School of Rehabilitation Sciences of Shiraz University of Medical Sciences. PARTICIPANTS: Ten women with PFPS between 18 and 40 years of age. INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: The VL/VMO amplitude ratio and differences between onset (onset VL-onset VMO) of vastii muscle activity were measured in the affected limb during rise and rock tasks in the follicular and ovulatory phases of the menstrual cycle. The signals were analyzed with MATLAB software. RESULTS: During both tasks, there were no significant changes in onset differences in vastii muscles between the ovulatory and follicular phases. However, the amplitude ratio (VL/VMO) was significantly lower in the ovulatory phase compared to the follicular phase (P = .035 for rise tasks and .010 for rock tasks). CONCLUSION: The menstrual cycle may affect some EMG parameters. These factors can be taken into account when planning sports and rehabilitation training programs.

Effects of equal-volume resistance training with different training frequencies in muscle size and strength in trained men.

BACKGROUND: The objective of the present study was to compare the effects of equal-volume resistance training (RT) performed with different training frequencies on muscle size and strength in trained young men. METHODS: Sixteen men with at least one year of RT experience were divided into two groups, G1 and G2, that trained each muscle group once and twice a week, respectively, for 10 weeks. Elbow flexor muscle thickness (MT) was measured using a B-Mode ultrasound and concentric peak torque of elbow extensors and flexors were assessed by an isokinetic dynamometer. RESULTS: ANOVA did not reveal group by time interactions for any variable, indicating no difference between groups for the changes in MT or PT of elbow flexors and extensors. Notwithstanding, MT of elbow flexors increased significantly (3.1%, P < 0.05) only in G1. PT of elbow flexors and extensors did not increase significantly for any group. DISCUSSION: The present study suggest that there were no differences in the results promoted by equal-volume resistance training performed once or twice a week on upper body muscle strength in trained men. Only the group performing one session per week significantly increased the MT of their elbow flexors. However, with either once or twice a week training, adaptations appear largely minimal in previously trained males.

Profiling exercise intensity during the exergame Hollywood Workout on XBOX 360 Kinect®.

BACKGROUND: Despite the increasing popularity of exergame practice and its promising benefits in counteracting physical inactivity, limited research has been performed to document the physiological responses during an exergame session. This study aims (i) to investigate the responses of heart rate (HR) and oxygen uptake ( V˙O2 ) during an exergame session and to compare with HR and V˙O2 measured during joystick session and (ii) to compare HR and V˙O2 obtained during exergame and joystick session with those HR and V˙O2 associated with first and second ventilatory thresholds (VT1 and VT2, respectively) obtained during a maximal graded exercise test. METHODS: A total of 39 participants performed a maximal graded exercise test to determine maximal oxygen uptake ( V˙O2max ), VT1, and VT2. On separate days, participants performed an exergame and traditional sedentary game (with a joystick) sessions. The time that participants remained with HR and V˙O2 below the VT1, between the VT1 and VT2 and above the VT2 were calculated to determine exercise intensity. RESULTS: Heart rate and V˙O2 were below VT1 during 1,503 ± 292 s (86.1 ± 16.7%) and 1,610 ± 215 s (92.2 ± 12.3%), respectively. There was an increase in HR and V˙O2 as a function of exergame phases, since HR mean values in the 'warm-up' period (119 ± 13 bpm) were lower than the 'main phase' (136 ± 15 bpm) and 'cool-down' periods (143 ± 15 bpm) (p < 0.001). Regarding V˙O2 values, the 'warm-up' (25.7 ± 2.9 mL.kg-1.min-1) were similar to the 'main phase' (25.1 ± 2.8 mL.kg-1.min-1) (p > 0.05) and lower than the 'cool-down' (28.0 ± 4.8 mL.kg-1.min-1) (p < 0.001). For all times of the joystick session, average HR and V˙O2 were below the VT1 levels. CONCLUSION: Exergames can be classified as light to moderate exercise. Thus, exergames could be an interesting alternative to traditional forms of exercise.

Identifying the predisposing factors, signs and symptoms of overreaching and overtraining in physical education professionals.

BACKGROUND: It is possible that physical education professionals, especially those who participate in aerobic activities, have predisposing factors, signs and symptoms of overreaching (OVR) and overtraining (OVT) due to a high load and volume of exercise followed by suboptimal recovery time. The present study aimed to identify the predisposing factors, signs and symptoms of OVR and OVT in physical education professionals. METHODS: A questionnaire consisting of 42 questions (10 questions group) about predisposing factors and signs/symptoms was answered by 132 physical education professionals from both sexes (83 men and 49 women) who were allocated into a resistance training group (RG, n = 74), aerobic training group (AG, n = 20) and resistance and aerobic training group (RAG, n = 38). A mean score was calculated ranging from 1 (completely absent) to 5 (severe) for each question group. A low occurrence of predisposing factors and signs and symptoms of OVR and OVT was considered to be a question group score 4 or lower. Profile of Mood State Questionnaire (POMS) was also applied. RESULTS: A mean score of 2.5 ± 0.7, 2.7 ± 0.7 and 2.7 ± 0.8 was found for all question groups for RG, AG and RAG, respectively. Of the total sample, 40.6% trained at least five times/week. The POMS revealed that 67.5% of the RG (n = 50), 80% of the AG (n = 16) and 60.5% of the RAG (n = 23) were classified as having no mood disorders and a standard graphic iceberg was presented. There were no statistical differences (p > 0.05) in the total mood disorders among RG (13.9 ± 24.5), AG (10.3 ± 25.1) and RAG (14.6 ± 27.9) groups. CONCLUSION: Despite the volume of training/body working performed by the physical education professionals surveyed being greater than the recommended to achieve improvements on physical fitness, they did not show predisposing factors, signs or symptoms of OVR and OVT.