Effectiveness of worksite wellness programs based on physical activity to improve workers' health and productivity: a systematic review.

BACKGROUND: Although the scientific literature has previously described the impact of worksite programs based on physical activity (WPPAs) on employees' productivity and health in different contexts, the effect of these programs has not been analyzed based on the characteristics or modalities of physical activity (PA) performed (e.g., aerobic exercise, strength training, flexibility). In addition, studies on WPPAs usually report health and productivity outcomes separately, not integrated into a single study. Knowing the health and economic-related impacts of a WPPAs could provide useful information for stakeholders and policy development. OBJECTIVE: The purpose of this review was as follows: (1) to analyze the effect of different modalities of WPPAs on employees' productivity and health and (2) to investigate the economic impact of WPPAs. METHODS: This systematic review is registered in PROSPERO (CRD42021230626) and complies with PRISMA guidelines. Only randomized controlled trials from 1997 to March 2021 were included. Two reviewers independently screened abstracts and full texts for study eligibility, extracted the data, and performed a quality assessment using the Cochrane Collaboration Risk-of-Bias Tool for randomized trials. Population, instruments, comparison, and outcome (PICO) elements were used to define eligibility criteria. Eight-hundred sixty relevant studies were found through electronic searches in PubMed, Web of Science, Medline, Scopus, and SPORTDiscus databases. Once the eligibility criteria were applied, a total of 16 papers were included. RESULTS: Workability was the productivity variable most positively impacted by WPPAs. Cardiorespiratory fitness, muscle strength, and musculoskeletal symptoms health variables improved in all the studies included. It was not possible to fully examine the effectiveness of each exercise modality because of the heterogeneity in methodology, duration, and working population. Finally, cost-effectiveness could not be analyzed because this information was not reported in most studies. CONCLUSION: All types of WPPAs analyzed improved workers' productivity and health. However, the heterogeneity of WPPAs does not allow to identify which modality is more effective.

Heart Rate Variability and Physical Demands of In-Season Youth Elite Soccer Players.

Monitoring fatigue and performance is important for adjusting training loads in soccer. Therefore, knowing the status of the player when applying a training stimulus is key to optimizing the players' development. This study aims to evaluate the interaction between internal and external load, during training and matches, in an elite youth soccer team. METHODS: seventeen youth players of the highest Spanish category were monitored with GPS devices during training and matches, as well as recording their nocturnal heart rate variability (HRV). We employed a linear mixed model to assess the physical demands between training and matches, and to compare the HRV variables. RESULTS: a higher total distance (+2993.35-5746.56 m; ES = 1.4), distance at high intensity (+641.24-1907 m; ES = 1.5), sprint distance (+350.46-795.05 m; ES = 2.1), number of sprints (+18.38-41.58; ES = 1.9), and number of repeated sprints (+5.91-15.30; ES = 1.7) (all p < 0.001), but not in the number of accelerations, were reported during the matches when compared to the training sessions during the 11 weeks. The analysis of the HRV variables showed no significant differences between the accumulated values during a training week, providing similar results pre-match or post-match (p > 0.05). The LF/HFRATIO showed a negative influence on the total distance ran, distance at high intensity, distance in sprint, number of sprints, and repeated sprint. RRMEAN was positively related to the sprint number. CONCLUSION: the results of the present study suggest that nocturnal HRV variables are not different between pre-match and post-match. Furthermore, it suggests that LF/HFRATIO and RRMEAN during pre-match can determine the external load that the player will be able to complete during the match.

Influence of artificial turf temperature on physical performance and muscle contractile properties in football players after a repeated-sprint ability test.

This study aimed to analyse the effect of playing surface temperature on muscular and thermal response to a repeated-sprint ability (RSA) test in football players. Thirty-two male football players (23 ± 5 years; 1.77 ± 0.06 m; 71.2 ± 6.7 kg) from two squads of a third-division football club participated in the study. An RSA test was carried out at a high surface temperature (45.34 ± 2.53 °C) and low surface temperature (27.21 ± 2.17 °C). Before and after this test, the muscular response of the players was assessed through tensiomyography and thermograms. The results revealed that performance in the RSA test particularly increased at a higher surface temperature, especially in the first 5 m of the 30 m sprint test. While a reduction in maximal radial displacement (Dm) in the biceps femoris post-RSA was observed at lower surface temperatures, a higher temperature on the thigh, hamstring and calf was found in the higher surface temperature group. In conclusion, higher surface temperatures had an influence on players' thermal and tensiomyographic profile and improved performance in their repeated-sprint ability. These results suggest a need for coaches and players to be aware of these parameters to ensure adequate functionality and safety of the playing surface.

Mechanical Properties of Treadmill Surfaces Compared to Other Overground Sport Surfaces.

The mechanical properties of the surfaces used for exercising can affect sports performance and injury risk. However, the mechanical properties of treadmill surfaces remain largely unknown. The aim of this study was, therefore, to assess the shock absorption (SA), vertical deformation (VD) and energy restitution (ER) of different treadmill models and to compare them with those of other sport surfaces. A total of 77 treadmills, 30 artificial turf pitches and 30 athletics tracks were assessed using an advanced artificial athlete device. Differences in the mechanical properties between the surfaces and treadmill models were evaluated using a repeated-measures ANOVA. The treadmills were found to exhibit the highest SA of all the surfaces (64.2 ± 2; p < 0.01; effect size (ES) = 0.96), while their VD (7.6 ± 1.3; p < 0.01; ES = 0.87) and ER (45 ± 11; p < 0.01; ES = 0.51) were between the VDs of the artificial turf and track. The SA (p < 0.01; ES = 0.69), VD (p < 0.01; ES = 0.90) and ER (p < 0.01; ES = 0.89) were also shown to differ between treadmill models. The differences between the treadmills commonly used in fitness centers were much lower than differences between the treadmills and track surfaces, but they were sometimes larger than the differences with artificial turf. The treadmills used in clinical practice and research were shown to exhibit widely varying mechanical properties. The results of this study demonstrate that the mechanical properties (SA, VD and ER) of treadmill surfaces differ significantly from those of overground sport surfaces such as artificial turf and athletics track surfaces but also asphalt or concrete. These different mechanical properties of treadmills may affect treadmill running performance, injury risk and the generalizability of research performed on treadmills to overground locomotion.

A Proposed Method to Assess the Mechanical Properties of Treadmill Surfaces.

The aim of this study was to define a reliable and sensitive test method for assessing Shock Absorption (SA), Vertical Deformation (VD), and Energy Restitution (ER) in treadmill surfaces. A total of 42 treadmills belonging to four different models were included in the study: (a) Technogym Jog700 Excite (n = 10), (b) Technogym Artis Run (n = 12), (c) LifeFitness Integrity Series 97T (n = 11), and (d) LifeFitness Integrity Series DX (n = 9). An advanced artificial athlete (AAA) device was used to assess SA, VD, and ER at three different locations along the longitudinal axis of each treadmill and in the support area of the athletes' feet. For each location, our results show that the error assumed when performing one impact with the AAA instead of three (SA ≤ |0.1|%, VD ≤ |0.0| mm, and ER ≤ |0.2|%) is lower than the smallest changes that can be detected by the measuring device (SA = 0.4%, VD = 0.2 mm, and ER = 0.9%). Also, our results show the ability of the test method to detect meaningful differences between locations once the one-impact criterium is adopted, since absolute minimum differences between zones (SA: |0.6|%, VD: |0.3| mm, and ER: |1.2|%) were above the uncertainty of the measuring device. Therefore, performing a single impact with the AAA in each of the three locations described in this study can be considered a representative and reliable method for assessing SA, VD, and ER in treadmill surfaces.

Bilateral Asymmetries Assessment in Elite and Sub-Elite Male Futsal Players.

This study aimed to investigate morphological, functional, and neuromuscular asymmetries on futsal players' lower limbs at different competitive levels. Sixteen male elite futsal players from the Spanish National Futsal League and thirteen male sub-elite futsal players from the third division participated in this study. Morphological asymmetry was assessed through bioelectrical impedance (fat-mass (g and %) and lean-mass (g)). Functional asymmetry was assessed by means of a 20-second static unipedal balance test. Finally, neuromuscular asymmetry was assessed using tensiomiography tests on both the rectus femoris (RF) and biceps femoris (BF) of each participant. The three tests conducted did not reveal significant bilateral asymmetries in elite players. On the other hand, sub-elite players showed significant bilateral asymmetry in fat-mass percentage between dominant and non-dominant limbs (+6%; CI95%: 1 to 11; ES: 0.88; p = 0.019). They also showed higher bilateral asymmetry in the delay time of the RF (+13%; CI95%: 7 to 21; ES: 1.3; p < 0.05). However, the static unipedal balance test (p > 0.05) did not evidence asymmetries regardless of the level of the participants. Elite futsal players do not develop bilateral asymmetries in lower limbs in the studied parameters. On the contrary, sub-elite players are likely to develop morphological and neuromuscular asymmetries between their dominant leg and non-dominant leg.

Novel Methodology for Football Rebound Test Method.

Assessing and keeping control of the mechanical properties of sport surfaces is a relevant task in sports since it enables athletes to train and compete safely and under equal conditions. Currently, different tests are used for assessing athlete- and ball-surface interactions in artificial turf pitches. In order to make these evaluations more agile and accessible for every facility, it is important to develop new apparatus that enable to perform the tests in an easier and quicker way. The existing equipment for determining the vertical ball behavior requires a complex and non-easily transportable device in which the ball must be fixed to the upper part of the frame in a very precise position by means of a magnet. The rebound height is determined by capturing the acoustic signal produced when the ball bounces on the turf. When extended tests are conducted, the time required to evaluate a single field is too high due to the non-valid trials. This work proposes a novel methodology which allows to notoriously decrease the time of testing fields maintaining the repeatability and accuracy of the test method together with a compact device for improving its mobility and transport. Simulations and experiments demonstrates the repeatability and accuracy of the results obtained by the proposed device, which decreases the non-valid trials and notoriously reduces the time for field evaluation.

Mechanical Properties of Treadmill Surfaces and Their Effects on Endurance Running

PURPOSE: To characterize, for the first time, the mechanical properties of treadmill surfaces along with a practical interpretation of their influence on physiological and perceived demands during endurance running compared with other widely used surfaces such as asphalt and tartan tracks. METHODS: Ten experienced male endurance runners performed a 40-minute running bout at a preferred constant speed on 3 different surfaces (after a randomized, counterbalanced order with a 7-d interval between trials): asphalt, tartan, or treadmill. Shock absorption, vertical deformation, and energy restitution were measured for the 3 surfaces. Intensity (based on heart rate data) and rating of perceived exertion were monitored. RESULTS: The values of shock absorption averaged 0.0% (asphalt), 37.4% (tartan), and 71.3% (treadmill), while those of vertical deformation and energy restitution averaged 0.3, 2.2, and 6.5 mm and 90.8%, 62.6%, and 37.0%, respectively. Running intensity (as determined by heart rate data) was higher overall on the treadmill than tartan but not asphalt running. Except for the first 10 minutes, all mean rating of perceived exertion values were significantly higher in asphalt and treadmill than in tartan. No significant differences were identified between treadmill and asphalt. CONCLUSIONS: The considerably higher shock absorption of the treadmill than the tartan surface leads to a reduction in the amount of energy returned to the athlete, which in turn increases physiological stress and rating of perceived exertion during endurance running.

Muscular and Physical Response to an Agility and Repeated Sprint Tests According to the Level of Competition in Futsal Players.

The aim of this study was to evaluate the neuromuscular response to an agility and repeated sprint ability (RSA) test according to the level of competition in futsal players. A total of 33 players from two elite teams and one amateur team participated in the study. The participants completed an agility t-test, a 30 m-speed test, and a RSA test. A countermovement jump (CMJ) test and a tensiomyography test of the rectus femoris (RF) and biceps femoris (BF) of both legs were carried out before and after the tests. RSA test revealed better sprint times in elite players compared to amateurs in the seven bouts, as well as in the 30 m sprint and in the agility test (p < 0.05). Before the tests, elite players showed higher sustain time (Ts) in RF (+31.03 ms; ES: 0.76) and BF (+28.73 ms; ES: 0.73), higher half-relaxation time (Tr) in BF (+20.79 ms; ES: 0.94), and lower delay time (Td) in BF (-2 ms; ES: 1.19) compared to amateur players. However, post-test values did not present any significant differences (p > 0.05). In conclusion, elite players showed greater performance in the RSA test, in the 30 m tests and in the agility test compared to amateur players. The contractile properties were not a key factor in the RSA performance of the futsal players.

Validity and Reliability of a Commercially Available Indoor Tracking System to Assess Distance and Time in Court-Based Sports.

The aim of this study was to evaluate the validity and reliability of a commercially available local position measurement (LPM) tracking system when assessing distance and running time at different speeds. Fifteen male healthy athletes performed 15 m displacements at walking, running and sprinting speed. Data recorded by the LPM system were compared to those from the reference equipment, consisting of measuring tape and electronic timing gates placed at 0, 5, 10, and 15 m. Mean error, mean absolute error (MAE), standard deviation (SD) of the measurement error, maximum measurement error and root mean square error (RMSE) were calculated to determine the validity for distance and the running time variables. Product-moment correlation and intraclass correlation coefficient (ICC) were also used for the running time. Finally, the reliability of the distance was carried out comparing data from the three repetitions with the standard tape measure using a linear mixed model and the typical error as mean coefficient of variation (CV) (%). MAE shows errors under 0.18 m for the distance variable at all speeds and under 0.08 s for the running time variable at all speeds, except from 15 m at walking. Product-moment correlations were high to nearly perfect for running time (range: 0.60-0.99), ICC varied between high (0.75-0.90) and extremely high (>0.99) for most measures, and coefficients of variation remained almost invariable as speed increased (walking: 2.16; running: 2.52; sprinting: 2.20). The tested LPM system represents a valid and reliable method for monitoring distance during different constant speeds over a straight line, as long as there is no signal loss. However, the running time errors could be too large for performance tests that require acute precision.

Repeated Sprint Ability and Muscular Responses According to the Age Category in Elite Youth Soccer Players.

The aim of this study was to analyse the influence of age category on the performance and muscle response after a Repeated Sprint Ability (RSA) test in elite youth soccer players. 62 soccer players from three different age categories (Under 14 [n = 21], Under 16 [n = 20], and Under 18 [n = 21]) were selected to participate in this study. Players completed an RSA test (7 × 30 m) with a 20-s recovery between sprints. The muscular response to an electrical stimulus before and after the test of both the biceps femoris (BF) and the rectus femoris (RF) were evaluated using tensiomyography. A two-way ANOVA was used to analyse the differences in RSA parameters in each of the four distance-intervals (0-5; 5-25; 25-30; 0-30 m) between sprint and age category. The U14 age category (5.30 ± 0.30 s) showed higher mean sprint times than U16 (4.62 ± 0.20 s) and U18 (4.46 ± 0.17 s) throughout the entire test (p < 0.01). U16 players revealed a worse best sprints time (RSABEST) than U18 players (+0.12 s, CI95%: to 0.01 to 0.24; ES: 1.09, p = 0.03). The muscular contractile properties were similar in the three age categories analyzed (p > 0.05), although the delay time (Td) of the muscle was significantly lower after the RSA test in U16 players (-1.53 ms, CI95%: -2.607 to -0.452; ES: 0.38) and U18 players (-1.11 ms, CI95%: -2.10 to -0.12; ES: 0.22). In conclusion, this study revealed an increase in physical performance and muscle response variability after a repeated sprint ability test in the U16's and over. The fatigue induced by the RSA test did not show differences depending on the age of the players, although muscle mechanical properties were altered after the RSA test in U16 and U18 soccer players. Physical performance and muscle response can be complementary variables in managing fatigue according to the age category in soccer players.

The team's influence on physical and technical demands of elite goalkeepers in LaLiga: a longitudinal study in professional soccer.

This study examined physical and technical demands and the influence of the team's level on elite goalkeepers' performance during six consecutive seasons in Spanish Professional Soccer League. The goalkeepers' performance data were obtained by analyzing a total of 3,874 matches using a multiple-camera computerized tracking system. The physical and technical match variables registered were: distance traveled; distance Sprinted and the number of sprints; total number of passes; successful passes; pass percentage; recovered balls; lost balls; ratio lost balls: recovered balls, and number of saves. The results showed that the number of saves made has shown a significant reduction (p < 0.001). When comparing between the teams' level, the goalkeepers of the worst classified teams showed a greater distance traveled by sprint (+3.72 m, IC95%: 1.00-6.44, ES: 0.41, p = 0.008). In conclusion, the results the influence of the team's level on the technical and physical parameters of the goalkeepers during the last six seasons.

Physiological responses, fatigue and perception of female soccer players in small-sided games with different pitch size and sport surfaces.

The aim of this research was to evaluate the influence of game surface and pitch size on the physiological responses, jump performance and perceptions of sub-elite female soccer players playing four-a-side games. Sixteen sub-elite female soccer players were divided into four groups of four players each. Three small-sided games (SSGs; pitch size: 400 m2, 600 m2 and 800 m2) were played on three surfaces (dirt [DT], artificial turf [AT] and natural grass [NG]). Players' heart rate (HR) was monitored during each game. Before and after each SSG, participants performed two counter-movement jumps (CMJs) and answered a questionnaire based on visual analogue scales (VASs) to indicate their perception of the effort required on each surface. DT obtained lower outputs for most variables. In the SSG 600 mean HR was higher on NG than AT (+3.31 %HRmax; p = 0.029), but players' overall satisfaction with both surfaces was similar (p>0.05). The SSG 400 received the lowest ratings for most variables, whereas the SSG 600 resulted in higher mean HR than SSG 800 [NG (+9.14 b.p.m.; p = 0.001); AT (+7.32 b.p.m.; p = 0.014)]. No surface differences in CMJ performance were found. In conclusion, a higher internal load can be achieved on NG, whereas DT is not recommended for playing soccer. Moreover, the internal load on players in SSGs can be controlled by manipulating pitch size, but over-large pitches may entail a reduction in the physiological profile of female soccer players.

Effect of a Repeated Sprint Ability test on the muscle contractile properties in elite futsal players.

The aim of this study was to evaluate the effect of a repeated sprint ability (RSA) test on the contractile properties of the muscles in elite futsal players. A total of 20 elite players completed the RSA test (7 × 30 m), and the contractile response from the rectus femoris (RF) and biceps femoris (BF) of both legs were analysed pre and post through tensiomyography. There was a significant increment in 30-m times from the third sprint onwards (p < 0.05). The percent decrement in sprint ability (RSADEC) with respect to the first sprint was significantly higher in the last sprint. The players did not show evidence of lateral asymmetry in any of the muscle groups analysed after the RSA test (p > 0.05). Following the RSA test there was a significant reduction in the delay time (Td) in RF, a significant decrement in half-relaxation time (Tr) in the RF, and a significant reduction in sustain time (Ts) in the RF and BF of both legs. The maximum radial displacement of the muscle belly (Dm) increased (1.6 mm; effect size = 0.75; p < 0.05) in the RF after the RSA test, indicating reduced muscle stiffness and the ability to generate strength rapidly. The decrement in performance during the RSA test was significantly correlated with changes in contraction time (Tc) in RF and BF, Td in BF, and Dm in RF (p < 0.05). The RSA test generated alterations in the contractile properties of the RF and BF in elite players. However, futsal players did not present asymmetries in any muscular parameters. The baseline contractile muscle parameters could be an important factor related to performance of players during repeated high-intensity actions.

Physiological and Physical Responses According to the Game Surface in a Soccer Simulation Protocol.

PURPOSE: Recent studies have shown that soccer players' responses are similar on natural grass (NG) and artificial turf (AT), but they did not control the mechanical properties of these surfaces. This work aimed to analyze the influence of the game surface on amateur soccer players' physical and physiological responses using a soccer simulation protocol. METHODS: A total of 16 amateur players performed 3 bouts of the soccer simulation protocol on AT, and, on another day, 3 bouts on NG. The mechanical properties of both surfaces were recorded. The order of surfaces was randomly established for each participant. Physiological responses of players were assessed before and after the 6-repeated-sprints test existing at the midpoint of each bout. Fatigue (% best; % diff) and general variables (total time; best time, mean time; maximum speed) for both the repeated sprint test (RST) and the agility tests (nonlinear actions at maximum speed) incorporated into the soccer simulation protocol were also analyzed. RESULTS: The 2 surfaces displayed different mechanical properties. Physical responses were found similar for both surfaces (P > .05) before and after the RST. There were no surface differences in sprint times or fatigue variables for the RST (P > .05). The agility test was faster on AT than on NG in bout 1 (average speed [+1.17 km/h;P = .037]; agility test cut time [-0.31 s; P = .027] and best time [-0.52 s; P = .042]). CONCLUSIONS: The differences in the mechanical properties of the 2 surfaces are not sufficient to cause differences in the physiological and physical responses of soccer players, although they may affect turns and cuts.