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The objective of this study was to explore the effects of three weekly frequency doses of high-intensity functional training (HIFT) on an array of cardiometabolic markers in adults with metabolic syndrome (MetS). Twenty-one men and women, randomized into one (HIFT1), two (HIFT2), or three (HIFT3) days per week of HIFT, completed 3-weeks of familiarization plus a 12-week progressive training program. Pre- and post-intervention, several cardiometabolic, body composition, oxygen consumption, metabolic syndrome severity, and perceptions of fitness measurements were assessed. Additionally, an exercise enjoyment survey was administered post-intervention. A Cohen's d was used to demonstrate within-group change effect size. Although this study was not fully powered, a one-way and two-way ANOVA were used to compare the dose groups to provide provisional insights. No differences were found when frequency dose groups were compared. Many cardiometabolic, body composition, and fitness improvements were seen within each group, with clinically meaningful improvements in the metabolic syndrome severity score (MSSS) (HIFT1: -0.105, d = 0.28; HIFT2: -0.382, d = 1.20; HIFT3: -0.467, d = 1.07), waist circumference (HIFT1: -4.1cm, d = 3.33; HIFT2: -5.4cm, d = 0.89; HIFT3: -0.7cm, d = 0.20), and blood glucose (HIFT1: -9.5mg/dL, d = 0.98; HIFT2: -4.9mg/dL, d = 1.00; HIFT3: -1.7mg/dL, d = 0.23). All three groups similarly reported high exercise enjoyment and likeliness to continue after the intervention. In conclusion, HIFT performed once, twice, or thrice a week elicits improvements in MetS and is considered enjoyable. HIFT, even at a low weekly dose, therefore represents a potential strategy to reduce the global MetS burden.
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Doenças Cardiovasculares , Treinamento Intervalado de Alta Intensidade , Síndrome Metabólica , Adulto , Masculino , Humanos , Feminino , Síndrome Metabólica/prevenção & controle , Prazer , Análise de VariânciaRESUMO
High-intensity interval training (HIIT) has become a polarizing form of exercise. In this article, we argue that adolescent HIIT programs can have population health impact if they are (i) integrated into existing opportunities, (ii) designed to develop physical literacy, (iii) delivered in an engaging manner, and (iv) guided and supported by an implementation framework that addresses relevant barriers and facilitators.
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Treinamento Intervalado de Alta Intensidade , Saúde da População , Adolescente , Exercício Físico , HumanosRESUMO
High intensity functional training (HIFT) provides a potential option to meet public exercise recommendations for both cardiorespiratory and strength outcomes in a time efficient manner. To better understand the potential for HIFT as an exercise approach, energy expenditure (EE) and relative intensity need quantifying. In thirteen sedentary men and women with metabolic syndrome (MetS), we used both indirect calorimetry and blood lactate levels to calculate EE of a single session of HIFT. The HIFT session included four, 6-minute sets of consecutive functional exercises. Examples of the exercises involved were squats, deadlifts, suspension rows, suspension chest press, and planks. Intensity is described relative to individual ventilatory thresholds. The total group EE was 270.3 ± 77.3 kcal with approximately 5% attributed anaerobic energy production. VO2 ranged between 88.8 ± 12.3% and 99 ± 12% of the second ventilatory threshold (VT2), indicating a vigorous effort. After each work interval, peak blood lactate ranged between 7.9 ± 1.9 and 9.3 ± 2.9 mmol, and rate of perceived exertion between 6.9 ± 1.0 and 8.7 ± 0.8 arbitrary units from 1-10. These were achieved in approximately 46 minutes of exercise per participant. In conclusion, HIFT elicits the energy expenditure and effort requisite to result in the adaptive responses to produce the known suite of benefits of exercise for individuals with MetS.
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Treinamento Intervalado de Alta Intensidade , Masculino , Humanos , Feminino , Metabolismo Energético/fisiologia , Calorimetria Indireta , Exercício Físico/fisiologia , LactatosRESUMO
PURPOSE: The aim of this study was to determine the feasibility of generalist school teachers delivering curriculum connected high-intensity interval training in a school's physical education class time. METHOD: Two schools volunteered to participate. A total of 84 students (11.9 [0.5] y, M = 64 and F = 19) volunteered to participate. Four classes from 2 schools were randomized to either intervention (n = 53) or control (n = 31) for one school term (8 wk). Intervention class teachers participated in a 1-day workshop instructing them how to deliver twice weekly, high-intensity interval training sessions. The control classes continued with their usual physical education curriculum. Recruitment, intervention fidelity, and program satisfaction were assessed. Preliminary efficacy (primary outcome cardiorespiratory fitness) was quantified using generalized linear mixed models, expressed as effect size. A range of secondary outcomes was also assessed. RESULTS: The recruitment rate was 88%. About 84% of the sessions were delivered. The heart rate peak over all sessions was 89.6% (13%) of the predicted maximum. The intervention teachers reported high levels of satisfaction. Almost all student participants were positive about participating. No adverse events occurred. The adjusted between-group difference for cardiorespiratory fitness was trivial (effect size 0.02). CONCLUSIONS: This teacher-delivered high-intensity interval training program was feasible and acceptable to both teachers and student participants. It is therefore potentially scalable.
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Treinamento Intervalado de Alta Intensidade , Educação Física e Treinamento , Exercício Físico , Estudos de Viabilidade , Humanos , Serviços de Saúde Escolar , Instituições AcadêmicasRESUMO
The purpose of this study was to assess the feasibility and preliminary efficacy of a high-intensity interval training (HIIT) intervention integrated into the workplace on physical and mental health outcomes in a sample of adults. The Work-HIIT intervention was evaluated at the University of Newcastle (March-July 2019). University employees (18+ years) who self-identified as predominantly sedentary at work (n = 47, 43.0 ± 10.7 years; 41 female) were recruited, screened, and randomized after baseline assessments into Work-HIIT (n = 24) or wait-list control (n = 23) conditions. Participants were asked to attend 2-3 researcher-facilitated HIIT sessions/week (weeks 1-8). Sessions included a 2-minute gross-motor warm-up, followed by various combinations of aerobic and muscular fitness exercises lasting 8 minutes (using 30:30 second work: rest intervals). Program feasibility was assessed using measures of satisfaction, compliance, adherence, fidelity, and retention. Physiological and psychological outcomes were measured at baseline and 9 weeks. Feasibility data were investigated using descriptive statistics and efficacy outcomes determined using linear mixed models and Cohen's d effect sizes. Participant ratings showed high levels of satisfaction (4.6/5); 71% of participants attended ≥2 sessions/wk and averaged 85.9% HRmax across all sessions (including rest and work intervals). Small-to-medium positive effects resulted for cardiorespiratory fitness [+2.9 laps, 95% CI (-4.19-10.14); d = 0.34] and work productivity [+0.26, d = 0.47]. Large positive effects resulted for muscular fitness [push-ups +3.5, d = 0.95; standing jump +10.1 cm, d = 1.12]; HIIT self-efficacy [+16.53, d = 1.57]; sleep [weekday +0.76 hours, d = 1.05]; and autonomous motivation [+0.23, d = 0.76]. This study supports the feasibility and preliminary efficacy of facilitator-led Work-HIIT as a time-efficient, enjoyable, and convenient workplace exercise option for adults.
Assuntos
Aptidão Cardiorrespiratória , Treinamento Intervalado de Alta Intensidade/métodos , Saúde Ocupacional , Local de Trabalho , Adulto , Comportamento do Consumidor , Eficiência , Estudos de Viabilidade , Treinamento Intervalado de Alta Intensidade/psicologia , Humanos , Pessoa de Meia-Idade , Projetos Piloto , PrazerRESUMO
This study involved the design and evaluation of the High-Intensity Interval Training Self-Efficacy Questionnaire (HIIT-SQ). Phase 1: Questionnaire items were developed. Phase 2: Australian adolescents (N = 389, 16.0 ± 0.4 years, 41.10% female) completed the HIIT-SQ, and factorial validity of the measurement model was explored. Phase 3: Adolescents (N = 100, age 12-14 years, 44% female) completed the HIIT-SQ twice (1 week apart) to evaluate test-retest reliability. Confirmatory factor analysis of the final six items (mean = 3.43-6.73, SD = 0.99-25.30) revealed adequate fit, χ2(21) = 21, p = .01, comparative fit index = .99, Tucker-Lewis index = .99, root mean square of approximation = .07, 90% confidence interval [.04, .11]. Factor loading estimates showed that all items were highly related to the factor (estimates range: 0.81-0.90). Intraclass coefficients and typical error values were .99 (95% confidence interval [.99, 1.00]) and .22, respectively. This study provides preliminary evidence for the validity and reliability of scores derived from the HIIT-SQ in adolescents.
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High Intensity Interval Training (HIIT) may be effective for accumulating VPA. However, the contribution of HIIT to overall physical activity is unknown. Our primary aim was to explore the impact of school-based HIIT on physical activity. The secondary aim was to explore within-individual changes in physical activity after participating in HIIT. Participants [n = 65; 15.8(0.6)years] were randomized to a HIIT or control group. Intervention groups participated in three HIIT sessions/week. GENEActiv accelerometers assessed objective physical activity at baseline and week-one, to detect changes in MPA and VPA. Intervention effects were examined using linear mixed models and evidence of a change in physical activity (i.e., compensation) were examined using multilevel linear regression models. The group-by-time interaction effects for MPA and VPA were small and moderate, respectively. Adjusted difference between groups for VPA was 1.70 min/day, 95%CI -1.96 to 5.36; p = 0.354; d = 0.55). Embedding HIIT within the school-day had a moderate effect on VPA compared to controls. Compensation analyses (i.e., individual level) suggested that adolescents were more active on days when they participated in HIIT. Further studies are needed to test the effects of HIIT on adolescents' physical activity over extended time periods.
Assuntos
Exercício Físico/fisiologia , Treinamento Intervalado de Alta Intensidade , Acelerometria , Adolescente , Exercício Físico/psicologia , Feminino , Treinamento Intervalado de Alta Intensidade/psicologia , Humanos , Masculino , Percepção , Instituições AcadêmicasRESUMO
Cronin, J, Lawton, T, Harris, N, Kilding, A, and McMaster, DT. A brief review of handgrip strength and sport performance. J Strength Cond Res 31(11): 3187-3217, 2017-Tests of handgrip strength (HGS) and handgrip force (HGF) are commonly used across a number of sporting populations. Measures of HGS and HGF have also been used by practitioners and researchers to evaluate links with sports performance. This article first evaluates the validity and reliability of various handgrip dynamometers (HGD) and HGF sensors, providing recommendations for procedures to ensure that precise and reliable data are collected as part of an athlete's testing battery. Second, the differences in HGS between elite and subelite athletes and the relationships between HGS, HGF, and sports performance are discussed.
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Atletas , Desempenho Atlético/fisiologia , Força da Mão/fisiologia , Humanos , Dinamômetro de Força Muscular , Reprodutibilidade dos Testes , Medicina EsportivaRESUMO
Harris, NK, Dulson, DK, Logan, GRM, Warbrick, IB, Merien, FLR, and Lubans, DR. Acute responses to resistance and high-intensity interval training in early adolescents. J Strength Cond Res 31(5): 1177-1186, 2017-The purpose of this study was to compare the acute physiological responses within and between resistance training (RT) and high-intensity interval training (HIIT) matched for time and with comparable effort, in a school setting. Seventeen early adolescents (12.9 ± 0.3 years) performed both RT (2-5 repetitions perceived short of failure at the end of each set) and HIIT (90% of age-predicted maximum heart rate), equated for total work set and recovery period durations comprising of 12 "sets" of 30-second work followed by 30-second recovery (total session time 12 minutes). Variables of interest included oxygen consumption, set and session heart rate (HR), and rate of perceived exertion, and change in salivary cortisol (SC), salivary alpha amylase, and blood lactate (BL) from presession to postsession. Analyses were conducted to determine responses within and between the 2 different protocols. For both RT and HIIT, there were very large increases pretrial to posttrial for SC and BL, and only BL increased greater in HIIT (9.1 ± 2.6 mmol·L) than RT (6.8 ± 3.3 mmol·L). Mean set HR for both RT (170 ± 9.1 b·min) and HIIT (179 ± 5.6 b·min) was at least 85% of HRmax. V[Combining Dot Above]O2 over all 12 sets was greater for HIIT (33.8 ± 5.21 ml·kg·min) than RT (24.9 ± 3.23 ml·kg·min). Brief, repetitive, intermittent forays into high but not supramaximal intensity exercise using RT or HIIT seemed to be a potent physiological stimulus in adolescents.
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Treinamento Intervalado de Alta Intensidade , Esforço Físico/fisiologia , Treinamento Resistido , Adolescente , Criança , Estudos Cross-Over , Feminino , Frequência Cardíaca , Humanos , Hidrocortisona/metabolismo , Ácido Láctico/sangue , Masculino , Consumo de Oxigênio , Distribuição Aleatória , Saliva/metabolismo , alfa-Amilases/metabolismoRESUMO
This study investigated the effects of epoch length and cut point selection on adolescent physical activity intensity quantification using vertical axis and vector magnitude (VM) measurement with the ActiGraph GT3X+ accelerometer. Four hundred and nine adolescents (211 males; 198 females) aged 12-16 years of age wore accelerometers during waking hours. The GT3X+ acceleration counts were reintegrated into 1, 5, 15, 30 and 60 s epoch lengths for both vertical axis and VM counts. One cut point was applied to vertical axis counts and three different cut points were applied to VM counts for each epoch length. Significant differences (P < 0.01) in mean total counts per day were observed between vertical axis and VM counts, and between epoch lengths for VM only. Differences in physical activity levels were observed between vertical and VM cut points, and between epoch lengths across all activity intensities. Our findings illustrate the magnitude of differences in physical activity outcomes that occur between axis measurement, cut points and epoch length. The magnitude of difference across epoch length must be considered in the interpretation of accelerometer data and seen as a confounding variable when comparing physical activity levels between studies.
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Acelerometria/métodos , Exercício Físico , Actigrafia , Adolescente , Criança , Fatores de Confusão Epidemiológicos , Feminino , Humanos , Masculino , Monitorização Ambulatorial , Comportamento Sedentário , Estatística como AssuntoRESUMO
Strongman training (ST) has become an increasingly popular modality, but data on physiological responses are limited. This study sought to determine physiological responses to an ST session compared to a traditional strength exercise training (RST) session. Ten healthy men (23.6 ± 27.5 years, 85.8 ± 10.3 kg) volunteered in a crossover design, where all participants performed an ST session, an RST session, and a resting session within 7 days apart. The ST consisted of sled drag, farmer's walk, 1 arm dumbbell clean and press, and tire flip at loads eliciting approximately 30 seconds of near maximal effort per set. The RST consisted of squat, deadlift, bench press, and power clean, progressing to 75% of 1 repetition maximum. Sessions were equated for approximate total set duration. Blood lactate and salivary testosterone were recorded immediately before and after training sessions. Heart rate, caloric expenditure, and substrate utilization were measured throughout the resting session, both training protocols and for 80 minutes after training sessions. Analyses were conducted to determine differences in physiological responses within and between protocols. No significant changes in testosterone occurred at any time point for either session. Lactate increased significantly immediately after both sessions. Heart rate, caloric expenditure, and substrate utilization were all elevated significantly during ST and RST. Heart rate and fat expenditure were significantly elevated compared to resting in both sessions' recovery periods; calorie and carbohydrate expenditures were not. Compared to RST, ST represents an equivalent physiological stimulus on key parameters indicative of potential training-induced adaptive responses. Such adaptations could conceivably include cardiovascular conditioning.
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Exercício Físico/fisiologia , Treinamento Resistido/métodos , Adaptação Fisiológica , Adulto , Estudos Cross-Over , Metabolismo Energético/fisiologia , Frequência Cardíaca/fisiologia , Humanos , Ácido Láctico/sangue , Masculino , Consumo de Oxigênio/fisiologia , Testosterona/metabolismoRESUMO
INTRODUCTION: The early application of a semirigid disposable cervical collar following trauma is considered a routine practice. The aim of these devices is to immobilise the cervical spine and minimise the risk of additional neurological damage. However, these collars provide only partial immobilisation, are uncomfortable and are associated with a number of complications. Our team designed and tested a novel cervical immobilisation device that aims to improve immobilisation with reduced complications: the 'Necksafe'. METHODS: Human volunteers were recruited and consented to test the novel Necksafe device in comparison with a conventional collar (the AMBU Perfit ACE) in a range of evaluations. These included assessments of the cervical range of movement (CROM) that occurred during scripted movements of the head and neck, and the effect of the new and conventional devices on jugular vein dimensions, assessed using ultrasound scanning. RESULTS: CROM analysis showed that, under standardised testing conditions, the Necksafe device offers cervical immobilisation that is at least equivalent to a conventional collar, and is superior in the planes of extension, lateral flexion and rotation. Ultrasound examination of the jugular veins was inconclusive and did not reveal any differences in jugular venous diameter or flow. Qualitative feedback from ambulance paramedics was highly supportive of the new design, suggesting that it is more comfortable, easier to fit, less confining and better tolerated than a conventional collar, with improved immobilisation effectiveness. CONCLUSIONS: The results of quantitative and qualitative testing are highly supportive of the new Necksafe design, with improved cervical immobilisation, comfort and access to the airway.
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Braquetes , Vértebras Cervicais/lesões , Imobilização/instrumentação , Lesões do Pescoço/terapia , Adulto , Idoso , Atitude do Pessoal de Saúde , Desenho de Equipamento , Feminino , Humanos , Imobilização/métodos , Veias Jugulares/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Lesões do Pescoço/fisiopatologia , Simulação de Paciente , Amplitude de Movimento Articular , Fluxo Sanguíneo Regional/fisiologia , UltrassonografiaRESUMO
BACKGROUND: Wheelchairs for disabled children (≤ 18 years) can provide health, developmental and social benefits. World Health Organisation and United Kingdom Government reports demonstrate the need for improved access to wheelchairs both locally and internationally. The use of health economics within this field is lacking. Provision of wheelchairs based on cost-effectiveness evidence is not currently possible. We conducted the first systematic review in this field to incorporate evidence of effectiveness, service user perspectives, policy intentions and cost-effectiveness in order to develop a conceptual framework to inform future research and service development. METHODS: We used an adapted EPPI-Centre mixed-method systematic review design with narrative summary, thematic and narrative synthesis. 11 databases were searched. Studies were appraised for quality using one of seven appropriate tools. A conceptual framework was developed from synthesised evidence. RESULTS: 22 studies and 14 policies/guidelines were included. Powered wheelchairs appear to offer benefits in reduced need for caregiver assistance; improved communicative, personal-social and cognitive development; and improved mobility function and independent movement. From 14 months of age children can learn some degree of powered wheelchair driving competence. However, effectiveness evidence was limited and low quality. Children and parents placed emphasis on improving social skill and independence. Participation in wider society and development of meaningful relationships were key desired outcomes. Policy intentions and aspirations are in line with the perspectives of children and parents, although translation of policy recommendations into practice is lacking. CONCLUSIONS: There is a distinct lack of high quality effectiveness and economic evidence in this field. Social and health needs should be seen as equally important when assessing the mobility needs of disabled children. Disabled children and parents placed highest priority on independence and psychosocial outcomes of wheelchair interventions. Translation of policy and guidelines into practice is lacking and more effective implementation strategies are required to improve services and outcomes. Future research should focus on outcome measure development, developing economic evaluation tools and incorporating these into high quality studies to address known research gaps. The novel conceptual framework maps current gaps in evidence and outlines areas for development.
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Crianças com Deficiência , Cadeiras de Rodas , Criança , Análise Custo-Benefício , Medicina Baseada em Evidências , Política de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Cadeiras de Rodas/economia , Cadeiras de Rodas/estatística & dados numéricosRESUMO
The purpose of this study was to investigate the physiological characteristics of Fédération Internationale de Football Association (FIFA) eligible international female soccer players aged 14-36 years and to determine if measures were significantly different for players selected (i.e., starters) to the starting line up for an FIFA tournament as compared with those not selected (i.e., nonstarters). Fifty-one (N = 18 Under 17; N = 18 Under 20; N = 15 Senior) international female soccer players participated in this study. The subjects underwent measurements of anthropometry (height and body mass), lower body strength (isokinetic testing), sprint kinetics and kinematics (nonmotorized treadmill), leg power (unilateral jumping), and maximal aerobic velocity (30:15 intermittent fitness test) during the final preparatory stage for an FIFA event. Outcomes of the age group data indicate that differences in physiological capacities are evident for the Under 17 players as compared with those for the Under 20 and Senior capped international players, suggesting a plateau in the acquisition of physical qualities as players mature. Starters tended to be faster (effect size [ES] = 0.55-1.0, p < 0.05) and have a higher maximal aerobic velocity (ES = 0.78-2.45, p < 0.05), along with greater eccentric leg strength (ES = 0.33-1.67, p < 0.05). Significant differences were detected between starters and nonstarters for isokinetic leg strength (ES = 0.54-1.24, p < 0.05) and maximal aerobic velocity (ES = 0.87, p < 0.05) for Under 17 players, where maximal aerobic velocity was the primary difference between starters and nonstarters (ES = 0.83-2.45, p < 0.05) for the Under 20 and Senior players. Coaches should emphasize the development of speed, maximal aerobic velocity, and leg strength in developing female soccer players.
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Desempenho Atlético/fisiologia , Articulação do Quadril/fisiologia , Articulação do Joelho/fisiologia , Corrida/fisiologia , Futebol/fisiologia , Adolescente , Adulto , Fatores Etários , Fenômenos Biomecânicos , Estatura , Peso Corporal , Feminino , Humanos , Força Muscular , Músculo Esquelético/fisiologia , Consumo de Oxigênio , Aptidão Física/fisiologia , Adulto JovemRESUMO
BACKGROUND: There is mixed evidence on how the menstrual cycle (MC) affects sports performance, with many studies showing variations in performance during different phases of the MC, while other evidence shows that the MC's effects on performance may be trivial. Therefore, this exploratory longitudinal monitoring study was designed to investigate MC characteristics and symptoms in a resistance-trained (RT) population to look for associations between measures of well-being and perceived performance metrics across the MC. METHODS: RT females reported their workout habits, perceived performance metrics, and measures of well-being while tracking their MC with detailed methods via daily check-ins in an app. RESULTS: Most MC characteristics and symptoms in the present RT population aligned with previous research on the general population. However, the frequency of irregular cycles was higher than in previous research on the general population. The amount of individual variation and within-subject cycle-to-cycle variation in MC characteristics and MC symptoms was also high. All measures of well-being were significantly associated with specific days of the MC, demonstrating a change in well-being based on the timing of the MC. Several perceived performance metrics were significantly associated with changes across the MC, while others were not. CONCLUSIONS: Overall, with the current evidence as it stands, a highly individualized approach should be taken for any training or performance considerations surrounding the MC due to the high levels of individual variation.
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Desempenho Atlético , Ciclo Menstrual , Treinamento Resistido , Humanos , Feminino , Ciclo Menstrual/fisiologia , Desempenho Atlético/fisiologia , Treinamento Resistido/métodos , Estudos Longitudinais , Adulto , Adulto Jovem , Atletas/psicologiaRESUMO
This study investigated the relative efficacy of postgame recovery modalities on jump height performance and subjective ratings of muscle soreness and muscle damage at 1, 18, and 42 hours after professional rugby league competition games. Twenty-one professional rugby league players performed 3 different postmatch recovery modalities: cold water immersion (CWI), contrast water therapy (CWT), and active recovery (ACT). The effects of the recovery treatments were analyzed with mixed modeling including a covariate (fatigue score) to adjust for changes in the intensity of each match on the postmatch values of the dependent variables of interest. Standardization of effects was used to make magnitude-based inferences, presented as mean with ±90% confidence limits. Cold water immersion and CWT clearly recovered jump height performance (CWI 2.3 ± 3.7%; CWT 3.5 ± 4.1%), reduced muscle soreness (CWI -0.95 ± 0.37; CWT -0.55 ± 0.37), and decreased creatine kinase (CWI -11.0 ± 15.1%; CWT 18.2 ± 20.1%) by 42 hours postgame compared with ACT. Contrast water therapy was however clearly more effective compared with CWI on the recovery of muscle soreness and creatine kinase by 42 hours postgame. Based on these findings, CWT recovery is recommended postmatch for team rugby sports.
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Futebol Americano/fisiologia , Mialgia/terapia , Desempenho Atlético/fisiologia , Creatina Quinase/sangue , Crioterapia , Humanos , Hidroterapia , Fadiga Muscular/fisiologia , Adulto JovemRESUMO
OBJECTIVES: To perform a systematic review evaluating the use of infrared thermography (IRT) as an endpoint in clinical trials of Raynaud's phenomenon (RP). METHODS: Articles reporting the use of IRT and Raynaud's phenomenon were identified following systematic searches of PubMed, EMBase, MEDLINE and AMED databases. Articles incorporating IRT as an endpoint in a therapeutic trial were selected for full text analysis. Data extracted from articles included study design, study size, intervention, clinical and thermographic endpoints, and outcomes. Studies were scored on their methodological quality. Data analysis involved a descriptive analysis of the studies, along with a secondary analysis focusing on agreement between clinical and thermographic outcomes in the larger, better-described studies. RESULTS: Thirty-two studies evaluating 654 patients with RP were assessed. Significant heterogeneity between studies precluded any attempt at formal meta-analysis. Most studies were small (median 15.5 patients) and open-label design (19/32, 59.4%). The majority of studies (18/32, 56.3%) reported improvements in both clinical and thermographic endpoints. Thermographic parameters showing agreement with clinical endpoints in therapeutic trials included baseline hand/finger absolute temperature and parameters derived following local cold challenge, including longitudinal thermal gradients and percent re-warming. CONCLUSIONS: No single thermographic parameter has emerged as the preferred endpoint for clinical trials of RP. Objective microvascular imaging tools such as IRT have the potential to overcome the limitations of self-report assessment of RP. Future studies should continue to evaluate IRT, alongside recommended self-reports, in an attempt to validate objective microvascular assessment tools in therapeutic trials of RP.
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Ensaios Clínicos como Assunto/métodos , Mãos/irrigação sanguínea , Raios Infravermelhos , Microcirculação , Doença de Raynaud/terapia , Escleroderma Sistêmico/terapia , Termografia/métodos , Determinação de Ponto Final , Humanos , Valor Preditivo dos Testes , Doença de Raynaud/diagnóstico , Doença de Raynaud/fisiopatologia , Projetos de Pesquisa , Escleroderma Sistêmico/diagnóstico , Escleroderma Sistêmico/fisiopatologia , Resultado do TratamentoRESUMO
Despite widespread popularity of competitive surfing internationally, very little research has investigated the physiological profile of surf athletes and attempted to identify the relationships between physiological measures and surfing performance. This study determined the peak oxygen uptake (V(O2)peak) from an incremental ramp test and anaerobic power (watts) during a 10-second maximal-paddling burst using a surf paddle-specific modified kayak ergometer, customized with a surfboard and hand paddles. Twenty nationally ranked surf athletes volunteered to participate in the VV(O2)peak test, and 8 also participated in the anaerobic power test. The interrelationships between these components of athletic performance and surfing performance, as assessed by season rank, were determined using Pearsons correlations. We found a significant relationship between anaerobic power and season rank (r = 0.55, p = 0.05). No significant relationship between VV(O2)peak and season rank was found (r = -0.02, p = 0.97). Although correlations do not imply cause and effect, such a finding provides theoretical support for the importance of including anaerobic paddling power in assessment batteries and conditioning practice for surf athletes.
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Aptidão Física/fisiologia , Esportes/fisiologia , Adolescente , Adulto , Atletas , Desempenho Atlético/fisiologia , Teste de Esforço/instrumentação , Teste de Esforço/métodos , Frequência Cardíaca/fisiologia , Humanos , Masculino , Consumo de Oxigênio , Adulto JovemRESUMO
This study was a performance analysis of surfing athletes during competitive surfing events in an attempt to inform the development of surfing-specific conditioning. Twelve nationally ranked surfers were fitted with heart rate (HR) monitors and global positioning system (GPS) units and videoed during the heats of 2 sanctioned competitions. Means and SDs represented the centrality and spread of analyzed data. From the 32 videos analyzed, the greatest amount of time spent during surfing was paddling (54 ± 6.3% of the total time) (% TT). The remaining stationary represented 28 ± 6.9% TT, wave riding, and paddling for a wave represented only 8 ± 2% TT and 4 ± 1.5% TT, respectively. Surfers spent 61 ± 7% of the total paddling bouts and 64 ± 6.8% of total stationary bouts between 1 and 10 seconds. The average speed recorded via the GPS for all the subjects was 3.7 ± 0.6 km·h(-1), with an average maximum speed of 33.4 ± 6.5 km·h(-1) (45 km·h(-1) was the highest speed recorded). The average distance covered was 1,605 ± 313 m. The mean HR during the surf competitions was 139 ± 11 b·min(-1) (64% HRmax), with a (mean) peak of 190 ± 12 b·min(-1) (87% HRmax). Sixty percent TT was spent between 56 and 74% of the age-predicted HR maximum (HRmax), 19% TT >46% HRmax, and approximately 3% TT >83% HRmax. Competitive surfing therefore involves intermittent high-intensity bouts of all out paddling intercalated with relatively short recovery periods and repeated bouts of low-intensity paddling, incorporating intermittent breath holding. Surfing-specific conditioning sessions should attempt to replicate such a profile.
Assuntos
Desempenho Atlético/fisiologia , Frequência Cardíaca , Esforço Físico/fisiologia , Esportes/fisiologia , Estudos de Tempo e Movimento , Adolescente , Adulto , Comportamento Competitivo , Sistemas de Informação Geográfica , Humanos , Masculino , Educação Física e Treinamento , Gravação em Vídeo , Adulto JovemRESUMO
The sport of strongman is relatively new; hence, specific research investigating this sport is currently very limited. The purpose of this study was to determine the relationships between anthropometric dimensions and maximal isoinertial strength to strongman performance in novice strongman athletes. Twenty-three semiprofessional rugby union players with considerable resistance training and some strongman training experience (age 22.0 ± 2.4 years, weight 102.6 ± 10.8 kg, height 184.6 ± 6.5 cm) were assessed for anthropometry (height, body composition, and girth measurements), maximal isoinertial performance (bench press, squat, deadlift, and power clean), and strongman performance (tire flip, log clean, and press, truck pull, and farmer's walk). The magnitudes of the relationships were determined using Pearson correlation coefficients, and interpreted qualitatively according to Hopkins (90% confidence limits â¼±0.37). The highest relationship observed was between system force (body mass + squat 1-repetition maximum) and overall strongman performance (r = 0.87). Clear moderate to very large relationships existed between performance in all strongman events and the squat (r = 0.61-0.85), indicating the importance of maximal squat strength for strongman competitors. Flexed arm girth and calf girth were the strongest anthropometric correlates of overall strongman performance (r = 0.79 and 0.70, respectively). The results of this study suggest that body structure and common gymnasium-based exercise strength are meaningfully related to strongman performance in novice strongman athletes. Future research should investigate these relationships using more experienced strongman athletes and determine the relationships between changes in anthropometry, isoinertial strength, and strongman performance to determine the role of anthropometry and isoinertial strength in the sport of strongman.