"I'm making a positive change in my life": A mixed method evaluation of a well-being tertiary education unit.

ISSUE ADDRESSED: Mental health disorders (MHDs) are prevalent amongst university students with detrimental impacts on individual students, universities and the wider community. There is an urgent need for proactive and preventative strategies to address the mental health crisis in the university population. This study evaluated the efficacy of a 13-week unit developed to directly educate university students about ways to improve and maintain well-being. METHODS: Fifty-eight university students from five disciplines participated in a 13-week elective undergraduate unit "Well-Being Fundamentals for Success" as part of their degree. The Act Belong Commit mental health promotion campaign framework formed the basis of teaching materials. Outcome well-being measures were self-assessed at weeks 1, 6 and 12 using four scales: (1) Warwick-Edinburgh Mental Well-being Scale (WEMWBS); (2) Perceived Stress Scale (PSS); (3) Brief Resilience Scale (BRS) and (4) Mindful Attention Awareness Scale (MAAS). Post-unit group interviews (n = 11) were analysed for key themes. RESULTS: Linear mixed models demonstrated a significant improvement in BRS over the semester; well-being (WEMBS) and mindful attention (MAAS) did increase but not significantly. There was a significant increase in stress (PSS) over the semester. Key themes that emerged from the group interviews were that (1) University life contributes to well-being; (2) University life contributes to stress; (3) The well-being unit helped students see and do things differently; (4) An overall endorsement of the unit. CONCLUSION: University students' resilience increased over the semester following participation in a curriculum focused on well-being which featured a combination of theoretical content and experiential workshops. So what? Incorporating mental well-being curriculum into tertiary education is proactive preventive health strategy which may assist with the increasing prevalence of MHD in Australia.

Different Cluster Sets Result in Similar Metabolic, Endocrine, and Perceptual Responses in Trained Men.

Tufano, JJ, Conlon, JA, Nimphius, S, Oliver, JM, Kreutzer, A, and Haff, GG. Different cluster sets result in similar metabolic, endocrine, and perceptual responses in trained men. J Strength Cond Res 33(2): 346-354, 2019-The purpose of this study was to compare the kinematic, metabolic, endocrine, and perceptual responses of 3 back squat protocols with equal loads, number of repetitions, and total rest duration. Eight strength-trained men performed 36 back squats using 75% 1 repetition maximum and 420 seconds of total rest during basic cluster sets of 4 (CS4), rest redistribution sets of 4 (RR4), and rest redistribution sets of 1 (RR1). Rating of perceived exertion (RPE), blood lactate (La), mean velocity maintenance (MVM), and mean velocity loss (MVL) were measured during exercise. Total testosterone (TT), growth hormone (GH), cortisol (C), and sex hormone-binding globulin (SHBG) were measured before exercise and 15, 30, and 60 minutes postexercise. There were no differences between protocols for MVM. However, MVL was less during RR1 compared with RR4 (p = 0.032), and neither protocol was different than CS4. All protocols resulted in similar increases in RPE and La, which remained elevated up to 30 minutes postexercise (p ≤ 0.05). In all protocols, GH increased and returned to baseline by 60 minutes postexercise (p ≤ 0.05). At 60 minutes postexercise, TT was less than all other time points (p ≤ 0.05). There were no main effects for time for SHBG or C. The data from this study show that different types of cluster set protocols can result in proanabolic physiological responses to resistance training. In addition, coaches can redistribute rest periods without affecting perceived effort or metabolic and hormonal changes if the external load, number of repetitions, and total rest time are equalized.

Training Load Indices, Perceived Tolerance, and Enjoyment Among Different Models of Resistance Training in Older Adults.

Conlon, JA, Haff, GG, Tufano, JJ, and Newton, RU. Training load indices, perceived tolerance, and enjoyment among different models of resistance training in older adults. J Strength Cond Res 32(3): 867-875, 2018-The purpose of this study was to investigate the relationship between volume load (VL), training monotony, and strain, and perceived tolerance and enjoyment, across periodized and nonperiodized (NP) resistance training (RT) in older adults. Forty-one healthy, untrained apparently healthy older adults (women = 21, men = 20; 70.9 ± 5.1 years; 166.3 ± 8.2 cm; 72.9 ± 13.4 kg) were randomly stratified into a NP, block periodized (BP), or daily undulating periodized (DUP) group and completed a 22-week RT intervention at a frequency of 3 d·wk. All training was executed on RT machines and training volume was equalized between training groups based on total repetitions. Despite statistical differences in VL, training monotony, and strain between NP, BP, and DUP RT, perceived tolerance and enjoyment were similar across training models. Therefore, no meaningful relationships between training load indices (VL, monotony, and strain) and perceived tolerance and enjoyment were evident. Based on these results, periodization strategies do not appear to impact perceived tolerance or enjoyment of RT among the elderly, yet are recommended for better management of training load, potentially reducing the risk of illness and injury and promoting long-term adherence. Above all, practitioners should promote a friendly, supportive, and motivating training environment to increase program adherence and consequent training adaptations.

The efficacy of periodised resistance training on neuromuscular adaptation in older adults.

PURPOSE: This study compared the effect of periodised versus non-periodised (NP) resistance training on neuromuscular adaptions in older adults. METHODS: Forty-one apparently healthy untrained older adults (female = 21, male = 20; 70.9 ± 5.1 years; 166.3 ± 8.2 cm; 72.9 ± 13.4 kg) were recruited and randomly stratified to an NP, block periodised (BP), or daily undulating periodised (DUP) training group. Outcome measures were assessed at baseline and following a 22-week resistance training intervention (3 day week-1), including: muscle cross-sectional area (CSA), vertical jump performance, isometric and isokinetic peak torque, isometric rate of force development (RFD), and muscle activation. Thirty-three participants satisfied all study requirements and were included in analyses (female = 17, male = 16; 71.3 ± 5.4 years; 166.3 ± 8.5 cm; 72.5 ± 13.7 kg). RESULTS: Block periodisation, DUP, and NP resistance training induced statistically significant improvements in muscle CSA, vertical jump peak velocity, peak power and jump height, and peak isometric and isokinetic torque of the knee extensors at 60 and 180° s-1, with no between-group differences. Muscle activity and absolute RFD measures were statistically unchanged following resistance training across the entire cohort. CONCLUSIONS: Periodised resistance training, specifically BP and DUP, and NP resistance training are equally effective for promoting increases in muscular hypertrophy, strength, and power among untrained older adults. Consequently, periodisation strategies are not essential for optimising neuromuscular adaptations during the initial stages of resistance training in the aging population.

Application of Session Rating of Perceived Exertion Among Different Models of Resistance Training in Older Adults.

The aim of this study was to assess the relationship between external measures of resistance training (RT) workload and intensity, volume load (VL) and training intensity (TI), and related internal measures, session load and session rating of perceived exertion (sRPE), across a chronic RT intervention and between different models of RT in older adults. Forty-one healthy, untrained older adults (female, 21; male, 20; age, 70.9 ± 5.1 years; height, 166.3 ± 8.2 cm; weight, 72.9 ± 13.4 kg) were randomly stratified into 3 RT groups: nonperiodized (NP), block periodized (BP), or daily undulating periodized (DUP). They completed a 22-week RT intervention at a frequency of 3 d·wk. All training was executed on RT machines, and training volume was equalized between training groups based on total repetitions. Session RPE was measured 10-15 minutes after each training session. There were no meaningful relationships between VL and session load or TI and sRPE. Also, no significant differences were detected between training groups for mean sRPE across the training intervention. Based on these results, session load and sRPE do not appear to be valid markers of RT workload and intensity when compared with established external measures in healthy untrained older adults. However, sRPE and session load may hold promise as monitoring tools in RT that do not involve training to muscular failure. Furthermore, sRPE does not significantly differ between NP, BP, and DUP RT models, highlighting that this measure is not sensitive to such periodization as evident in the present study.

Evaluation of the agreement of tidal breathing parameters measured simultaneously using pneumotachography and structured light plethysmography.

Structured light plethysmography (SLP) is a noncontact, noninvasive, respiratory measurement technique, which uses a structured pattern of light and two cameras to track displacement of the thoraco-abdominal wall during tidal breathing. The primary objective of this study was to examine agreement between tidal breathing parameters measured simultaneously for 45 sec using pneumotachography and SLP in a group of 20 participants with a range of respiratory patterns ("primary cohort"). To examine repeatability of the agreement, an additional 21 healthy subjects ("repeatability cohort") were measured twice during resting breathing and once during increased respiratory rate (RR). Breath-by-breath and averaged RR, inspiratory time (tI), expiratory time (tE), total breath time (tTot), tI/tE, tI/tTot, and IE50 (inspiratory to expiratory flow measured at 50% of tidal volume) were calculated. Bland-Altman plots were used to assess the agreement. In the primary cohort, breath-by-breath agreement for RR was ±1.44 breaths per minute (brpm). tI, tE, and tTot agreed to ±0.22, ±0.29, and ±0.32 sec, respectively, and tI/tE, tI/tTot, and IE50/IE50SLP to ±0.16, ±0.05, and ±0.55, respectively. When averaged, agreement for RR was ±0.19 brpm. tI, tE, and tTot were within ±0.16, ±0.16, and ±0.07 sec, respectively, and tI/tE, tI/tTot, and IE50 were within ±0.09, ±0.03, and ±0.25, respectively. A comparison of resting breathing demonstrated that breath-by-breath and averaged agreements for all seven parameters were repeatable (P > 0.05). With increased RR, agreement improved for tI, tE, and tTot (P ≤ 0.01), did not differ for tI/tE, tI/tTot, and IE50 (P > 0.05) and reduced for breath-by-breath (P < 0.05) but not averaged RR (P > 0.05).

Effects of Cluster Sets and Rest-Redistribution on Mechanical Responses to Back Squats in Trained Men.

Eight resistance-trained men completed three protocols separated by 48-96 hours. Each protocol included 36 repetitions with the same rest duration, but the frequency and length of rest periods differed. The cluster sets of four (CS4) protocol included 30 s of rest after the 4th, 8th, 16th, 20th, 28th, and 32nd repetition in addition to 120 s of rest after the 12th and 24th repetition. For the other two protocols, the total 420 s rest time of CS4 was redistributed to include nine sets of four repetitions (RR4) with 52.5 s of rest after every four repetitions, or 36 sets of single repetitions (RR1) with 12 s of rest after every repetition. Mean (MF) and peak (PF) force, velocity (MV and PV), and power output (MP and PP) were measured during 36 repetitions and were collapsed into 12 repetitions for analysis. Repeated measures ANOVA 3 (protocol) x 12 (repetition) showed a protocol x repetition interaction for PF, MV, PV, MP, and PP (p-values from <0.001 to 0.012). No interaction or main effect was present for MF. During RR1, MV, PV, MP, and PP were maintained, but decreased throughout every 4-repetition sequence during CS4 and RR4. During CS4 and RR4, PF was less following a rest period compared to subsequent repetitions, whereas PF was maintained during RR1. These data indicate that rest redistribution results in similar average kinetics and kinematics, but if total rest time is redistributed to create shorter but more frequent sets, kinetics and kinematics may remain more constant.

Cluster Sets: Permitting Greater Mechanical Stress Without Decreasing Relative Velocity.

PURPOSE: To determine the effects of intraset rest frequency and training load on muscle time under tension, external work, and external mechanical power output during back-squat protocols with similar changes in velocity. METHODS: Twelve strength-trained men (26.0 ± 4.2 y, 83.1 ± 8.8 kg, 1.75 ± 0.06 m, 1.88:0.19 one-repetition-maximum [1RM] body mass) performed 3 sets of 12 back squats using 3 different set structures: traditional sets with 60% 1RM (TS), cluster sets of 4 with 75% 1RM (CS4), and cluster sets of 2 with 80% 1RM (CS2). Repeated-measures ANOVAs were used to determine differences in peak force (PF), mean force (MF), peak velocity (PV), mean velocity (MV), peak power (PP), mean power (MP), total work (TW), total time under tension (TUT), percentage mean velocity loss (%MVL), and percentage peak velocity loss (%PVL) between protocols. RESULTS: Compared with TS and CS4, CS2 resulted in greater MF, TW, and TUT in addition to less MV, PV, and MP. Similarly, CS4 resulted in greater MF, TW, and TUT in addition to less MV, PV, and MP than TS did. There were no differences between protocols for %MVL, %PVL, PF, or PP. CONCLUSIONS: These data show that the intraset rest provided in CS4 and CS2 allowed for greater external loads than with TS, increasing TW and TUT while resulting in similar PP and %VL. Therefore, cluster-set structures may function as an alternative method to traditional strength- or hypertrophy-oriented training by increasing training load without increasing %VL or decreasing PP.

Periodization Strategies in Older Adults: Impact on Physical Function and Health.

PURPOSE: This study compared the effect of periodized versus nonperiodized (NP) resistance training (RT) on physical function and health outcomes in older adults. METHODS: Forty-one apparently healthy untrained older adults (women = 21, men = 20; 70.9 ± 5.1 yr; 166.3 ± 8.2 cm; 72.9 ± 13.4 kg) were recruited and randomly stratified to a NP, block periodized, or daily undulating periodized training group. Outcome measures were assessed at baseline and after a 22-wk × 3 d·wk RT intervention, including; anthropometrics, body composition, blood pressure and biomarkers, maximal strength, functional capacity, balance confidence, and quality of life. RESULTS: Thirty-three subjects satisfied all study requirements and were included in analyses (women = 17, men = 16; 71.3 ± 5.4 yr; 166.3 ± 8.5 cm; 72.5 ± 13.7 kg). The main finding was that all three RT models produced significant improvements in several physical function and physiological health outcomes, including; systolic blood pressure, blood biomarkers, body composition, maximal strength, functional capacity and balance confidence, with no between-group differences. CONCLUSIONS: Periodized RT, specifically block periodization and daily undulating periodized, and NP RT are equally effective for promoting significant improvements in physical function and health outcomes among apparently healthy untrained older adults. Therefore, periodization strategies do not appear to be necessary during the initial stages of RT in this population. Practitioners should work toward increasing RT participation in the age via feasible and efficacious interventions targeting long-term adherence in minimally supervised settings.

Maintenance of Velocity and Power With Cluster Sets During High-Volume Back Squats.

PURPOSE: To compare the effects of a traditional set structure and 2 cluster set structures on force, velocity, and power during back squats in strength-trained men. METHODS: Twelve men (25.8 ± 5.1 y, 1.74 ± 0.07 m, 79.3 ± 8.2 kg) performed 3 sets of 12 repetitions at 60% of 1-repetition maximum using 3 different set structures: traditional sets (TS), cluster sets of 4 (CS4), and cluster sets of 2 (CS2). RESULTS: When averaged across all repetitions, peak velocity (PV), mean velocity (MV), peak power (PP), and mean power (MP) were greater in CS2 and CS4 than in TS (P < .01), with CS2 also resulting in greater values than CS4 (P < .02). When examining individual sets within each set structure, PV, MV, PP, and MP decreased during the course of TS (effect sizes 0.28-0.99), whereas no decreases were noted during CS2 (effect sizes 0.00-0.13) or CS4 (effect sizes 0.00-0.29). CONCLUSIONS: These results demonstrate that CS structures maintain velocity and power, whereas TS structures do not. Furthermore, increasing the frequency of intraset rest intervals in CS structures maximizes this effect and should be used if maximal velocity is to be maintained during training.