Ultraviolet sun exposure and sun protection behaviors in outdoor rock climbers.

BACKGROUND: Overexposure to sunlight and sunburn are the main preventable causes of skin cancer. Outdoor sports are associated with significant levels of sunlight exposure. AIMS: We sought to quantify the sun radiation exposure received by outdoor rock climbers and assess their sun exposure habits, sun protection behaviors, attitudes, and knowledge regarding skin cancer. METHODS: From April to June 2021, outdoor rock climbers contacted via email completed an online validated self-reported questionnaire on sun related habits, behaviors, attitudes and knowledge. As a pilot trial, ten participants wore a personal dosimeter during two outdoor climbing weekends in May and November 2021. Ambient ultraviolet radiation (UVR) was also recorded. RESULTS: A total of 217 outdoor rock climbers (103 women), mean age 36.8 ± 8.8 years (range 20-70 years) and median climbing practice per week of 8 h (IQR 7.5) were studied. Two in three (65.9%) participants reported at least one sunburn event during the previous rock climbing season. Of the survey respondents, 49.3% reported using sunscreen with SPF ≥ 15, 47% wore sunglasses, and 14.3% indicated they reapplied sunscreen every two hours. The median personal UVR dose measured during the two outdoor climbing weekends analyzed was 5.2 (IQR 1.8) and 8.8 (IQR 1.1) standard erythemal doses, respectively. CONCLUSIONS: The high rates of sunburn, the elevated personal UVR measured and the clearly insufficient sun protection practices followed during rock climbing together with unsatisfactory attitudes towards tanning reveal the need to develop explicit sun protection campaigns and educational strategies to reduce the risk of skin cancer among the athletes studied.

Potential Energy as an Alternative for Assessing Lower Limb Peak Power in Children: A Bayesian Hierarchical Analysis.

The aim of this study was to analyze the use of potential energy (PE) as an alternative method to assess peak power of the lower limbs (PP) in children. 815 Spanish children (416 girls; 6-11 years old; Body Mass Index groups (n): underweight = 40, normal weight = 431, overweight = 216, obese = 128) were involved in this study. All participants performed a Countermovement Jump (CMJ) test. PP was calculated using Duncan (PPDUNCAN), Gomez-Bruton (PPGOMEZ) and PECMJ formulas. A model with PECMJ as the predictor variable showed a higher predictive accuracy with PPDUNCAN and PPGOMEZ than CMJ height (R2 = 0.99 and 0.97, respectively; ELPDdiff = 1037.0 and 646.7, respectively). Moreover, PECMJ showed a higher linear association with PPDUNCAN and PPGOMEZ across BMI groups than CMJ height (ßPECMJ range from 0.67 to 0.77 predicting PPDUNCAN; and from 0.90 to 1.13 predicting PPGOMEZ). Our results provide further support for proposing PECMJ as an index to measure PP of the lower limbs, taking into account the children's weight and not only the height of the jump. Therefore, we suggest the use of PECMJ in physical education classes as a valid method for estimating PP among children when laboratory methods are not feasible.

Learning to Kitesurf Using an Adapted Prosthesis: A Case Report.

CASE DESCRIPTION: Kitesurfing is a sliding water sport whose popularity and number of practitioners are growing around the world. We describe an athlete of this sport who has undergone a transfemoral amputation (right leg, at the distal third), who uses a knee prosthesis that requires flexion and extension to absorb the shocks encountered. Kitesurfing under these circumstances calls for a proper prosthesis that accommodates the various strenuous maneuvers of the sport. Mr. M, 36 years old, nonprofessional athlete, uses a special prosthesis of this type. OBJECTIVE: We report on Mr. M, a person with a transfemoral amputation, who wanted to learn to kitesurf. STUDY DESIGN: This was a case report study. TREATMENT: A prosthesis consisting of a thigh socket interface (Iceross Seal-In X TF, Iceland), knee (SymBiotechs XT9), and a foot (MotionFoot MX), which in addition to being saltwater-resistant, combines low weight and resistance to the shocks inherent to the sport. OUTCOMES: Mr. M uses this prosthesis for kitesurfing with good results in both learning and improving. During the waterstart, he must be sitting on the beach and cannot shorten his left leg. This prosthesis adjusts its tension depending on the weather and water conditions and if the subject changes sports in such a way that it should be tensioned or relaxed depending on the needs of the new sport. CONCLUSIONS: This prosthesis is adapted for kitesurfing and allows precise adjustments to kitesurfing maneuvers. It has allowed the user to perform the movements of the sport with success.

Effects of Plyometric, Strength and Change of Direction Training on High-School Basketball Player's Physical Fitness.

The study aim was to compare the effects of a 7-week plyometric, strength and change of direction (COD) training program on basketball-specific performance measures in high-school players. Forty male players were randomly assigned to one of the four groups: plyometric (PG, n = 10), strength (SG, n = 10), COD (CODG, n = 10), and control group training (CG, n = 10). Two training sessions were performed at weekly intervals before basketball training. Performance of the counter movement jump (CMJ), Abalakov jump (ABKJ), 10 m zig-zag sprint, 20 m in line sprint (measurements at 10 and 20 m), and sit and reach flexibility test (SRFT) was assessed before and after the intervention. A 4 (group) × 2 (time) repeated measures analysis of variances (ANOVA) was conducted for each variable. Bonferroni post-hoc tests were used when the interaction was significant. Significant (all p < 0.05) time x group interaction was noted for SRFT, CMJ, ABK, sprint, and zig-zag 10 m, in favor of the experimental groups compared to the control group. However, improvements in physical fitness were similar between the three experimental groups. In conclusion, 7 weeks of specific plyometric, strength and COD training produced similar medium to large improvements in physical fitness of high-school basketball players.

Performance analysis of Paralympic 2.4mR class sailing.

Adapted sailing is a Paralympic sport in which sailors with different types of disabilities can compete in the same event. According to 2.4mR Class, eligible impairments include limb deficiency and vision impairment. However, it is still unknown the variables that determine performance. Thus, the objectives of this study were: (i) to identify the variables that determine the sailing performance, (ii) to analyse the influence of the type of impairment on sailing performance, and (iii) analyse the influence of the wind force on sailing performance. Thirty-three elite sailors with disabilities participated and were divided into three groups according to the type of impairment: affectation of upper, lower, or upper and lower limbs. Participants were evaluated during three 2.4mR class World Cups and the following variables were assessed: velocity made good, distance and manoeuvres in upwind-downwind courses and type of impairment. Those sailors with better performance travelled a shorter distance during downwind sailing. The results showed that performance was not affected by which category the sailor was placed according to the type of impairment. The sailors with a lesser disability perform better when the wind is medium and high.

What Sun Protection Practices Should Be Adopted by Trainee Teachers to Reduce the Risk of Skin Cancer and Other Adverse Outcomes?

Excessive sun exposure and insufficient protection are the main risk factors for the onset of melanoma and non-melanoma skin cancer (the most common types of cancer suffered by fair-skinned populations) and other adverse effects on the skin and eyes. Epidemiological data highlight the scant awareness of this risk among young people and the high rates of sunburn often recorded among this population. The main aim of the present study is to examine sun exposure and protection behavior by university students. A cross-sectional questionnaire-based study was undertaken to investigate sun exposure and protection practices among students of education sciences at a university in southern Spain. The data obtained were used to perform a descriptive, comparative analysis, by groups and by gender, of photoprotection and skin self-examination practices. The reliability and validity of the questionnaire were both tested. Of the 315 students who completed the questionnaire, 74.6% had suffered at least one sunburn during the previous year. Few made frequent use of sunscreen or protective clothing and 89.5% did not self-examine their skin. The metric properties of the questionnaire revealed its excellent reliability and validity. Among the Spanish university students considered, there was little awareness of the risk of excessive sun exposure, self-protection was insufficient, the potential exposure to dangerous levels of ultraviolet radiation was high, and most had suffered one or more sunburns in the last year. Intervention strategies should be implemented to highlight the risks involved and the need for more appropriate sun protection practices. Information campaigns should be conducted in this respect so that, when these students become teachers, they will have adequate knowledge of the risks involved and of the benefits of addressing this problem effectively, and will ultimately transfer these health education competences to their own students.

Performance Analysis in Olympic Sailors of the Formula Kite Class Using GPS.

Formula Kite is an Olympic sport that mainly differs from other kitesurfing modalities for the use of a hydrofoil. It is considered an extreme sport due to the great technical ability required. Regarding performance, the variables that determine performance in a real competition situation have not been studied, and even less so with Olympic sailors. Therefore, the objective of this study was to determine the technical and tactical variables that differentiate elite sailors. The sample consisted of 42 Olympic sailors of the Formula Kite class, who were evaluated in three World Cups. Using a GPS device, the speed, distance traveled, maneuvers, and time spent on the courses of upwind, downwind, and beam reach were recorded. The highest-level sailors presented a higher speed in upwind/downwind/beam reach and a shorter time in upwind and beam reach. Performance seems to be more strongly influenced by technical variables, such as speed, than by tactical variables.

Sun Exposure during Water Sports: Do Elite Athletes Adequately Protect Their Skin against Skin Cancer?

Excessive sun exposure is the main avoidable cause of skin cancer. Outdoor sports performed without adequate photoprotection are risky practices in this respect. This study examines whether elite athletes in water sports (specifically surfing, windsurfing, and sailing) take appropriate measures to protect their skin from the sun, and whether there are differences in this respect according to age, gender, or sports discipline. This study is based on a questionnaire-based health survey. World championship competitors completed a self-administered questionnaire on their sun protection and exposure habits, as well as sunburns during the last sports season. In total, 246 participants, with an age range of 16-30 years, completed the questionnaire. Of these, 49.6% used inadequate sun protection. Those who protected their skin appropriately tended to be older than those who did not (average age = 23.28 and 20.69 years, respectively; p = 0.000). There were no significant differences in sun protection habits between male and female athletes. The rate of sunburn was very high (76.7%). A high proportion (22.5%) of participants never used sunscreen. Elite athletes in water sports are at real risk of skin lesions from overexposure to the sun, associated with inadequate photoprotection practices. Campaigns to raise awareness and to promote the early detection of skin cancer should target these risk groups.

The Federated Practice of Soccer Influences Hamstring Flexibility in Healthy Adolescents: Role of Age and Weight Status.

The aim of this study was to compare the hamstring flexibility between federated soccer and non-federated adolescents, and also to evaluate the effect of age and weight status on hamstring flexibility. The participants were 234 students (11-18 years old) divided into: (i) G1: non-federated (n = 127), and (ii) G2: federated in soccer (n = 107). The deep flexion of the trunk (DF) test and the sit and reach test (SRT) were performed. G2 showed higher values for the DF and SRT compared to G1 (p < 0.05). Both flexibility tests correlated positively (r = 0.4, p < 0.001). Body mass index (BMI) was negatively correlated with the DF test (r = -0.3, p < 0.001), but not with the SRT. Divided by BMI, the underweight and normal weight groups had higher scores in the DF test compared with the overweight and obese groups (p < 0.001). BMI was negatively correlated with hamstring flexibility. Federated soccer students present higher scores of hamstring flexibility.

Sun Protection Habits and Sun Exposure of Physical Education Teachers in the South of Spain.

The high prevalence and increasing incidence of skin cancer (SC) is a significant public health problem. We can address its main risk factor, which is incident and accumulated solar radiation, and its damages by disseminating knowledge and promoting changes in habits and attitudes toward the sun. The influence of teachers in the education of young people is crucial. Physical education teachers (PET) spend the majority of their time outdoors, thereby exposing themselves to solar radiation daily and greatly increasing the risk of SC. We carried out a case-control study matching for age and gender through surveys about photoexposure and photoprotection habits on a sample of 200 teachers (100 PET and 100 non-PET) on South of Spain. The results confirmed that there is a significant difference in sun exposure during the workday; PET group showed higher exposure (P < 0.01). We ascertained that photoprotection habits are deficient across the population. These data contribute to the understanding of the danger associated with poor sun protection among teachers (primary and secondary school teachers) and its mitigation. It is also worth noting that future prevention campaigns will be necessary for the subsequent correct transmission of the habits to students.

Teachers' knowledge about type 1 diabetes in south of Spain public schools.

AIMS: To evaluate the knowledge of teachers in educative public centres (pre-, primary, and secondary schools) about type 1 diabetes (T1D) in the Puerto Real University Hospital area (Cadiz, Spain). METHODS: Descriptive observational study in which 756 teachers' answers on the Test of Diabetes Knowledge for Teachers (TDKT) were analysed. Teachers from 44 educative public centres in the Puerto Real University Hospital area (Cadiz, Spain) were selected by randomized sampling (mean age, 44.3 ±â€¯8 years; 61.7% women). RESULTS: Although 43.2% survey respondents recognised having had or currently having children or adolescent students with T1D, most demonstrated they did not have enough knowledge about T1D (mean score, 6.0 ±â€¯4.3 points from a maximum of 16), and only 5.1% had sufficient knowledge (13-16 points) to be an effective support person to students with diabetes in school. However, the vast majority of survey respondents correctly answered questions about symptoms (74.2%) and hypoglycaemia treatment (85.9%). Univariate analysis of factors associated with teachers' knowledge about diabetes revealed that teachers with ≤ 15 years of teaching experience and physical education teachers had better knowledge than their co-workers. CONCLUSIONS: It is necessary to improve teachers' knowledge about diabetes in our health area with the aim of improving the security of children and adolescent students with T1D in school centres.