Online Health Information-Seeking Behaviour among People of African Descent in the United Kingdom: A Qualitative Study.

Effective public health interventions rely on understanding how individuals access, interpret, and utilise health information. Studying the health information-seeking behaviour (HISB) of a community can provide valuable insights to inform strategies that address community health needs and challenges. This study explored the online HISBs of People of African Descent (PoAD) in the United Kingdom (UK), a demographic that comprises four percent of the UK population and has a 92.8% active Internet usage rate. Data on the HISB were collected from 21 PoAD across various UK regions through online semi-structured interviews before being analysed using reflexive Thematic Analysis (TA). The participants ranged in age from 20 to 70 years and had a mean age of 42.8 (SD ± 11.4). Our analysis of the interview transcripts revealed five key themes: Internet usage and preferences, attitudes toward social media, barriers to seeking health information online, trust in online health information, and cultural influences on online HISB. Our findings indicate a proactive engagement among PoAD in seeking health information online that is underscored by a preference for professional sources over ethnic congruence. However, concerns about misinformation exist, and there are barriers to accessing health information online, including data privacy, unreliable information, and information relevance and overload. We also found that cultural factors and traditional beliefs impact the adoption of Internet-based interventions among PoAD, highlighting the need for culturally sensitive approaches. Preferences regarding the frequency and delivery of online health information varied among participants, with a majority preferring a weekly update. This study emphasises the critical need for accessible, culturally appropriate, secure, and reliable online health resources tailored to the needs and preferences of the PoAD.

Deloading Practices in Strength and Physique Sports: A Cross-sectional Survey.

BACKGROUND: This study explored the deloading practices of competitive strength and physique athletes. A 55-item anonymised web-based survey was distributed to a convenience-based, cross-sectional sample of competitive strength and physique athletes (n = 246; males = 181 [73.6%], females = 65 [26.4%]; age = 29.5 ± 8.6 years) who had 8.2 ± 6.2 years of resistance training and 3.8 ± 3.1 years of competition experience. RESULTS: All athletes deloaded within training with energy and fatigue management being the main reasons to do so. The typical duration of a deload was 6.4 ± 1.7 days, integrated into the training programme every 5.6 ± 2.3 weeks. Deloading was undertaken using a proactive, pre-planned strategy (or in combination with an autoregulated approach) and undertaken when performance stalled or during periods of increased muscle soreness or joint aches. Athletes reported that training volume would decrease (through a reduction in both repetitions per set and sets per week), but training frequency would remain unchanged during deloads. Additionally, athletes reported that training intensity (load lifted) would decrease, and effort would be reduced (facilitated through an increase in repetitions in reserve). Athletes would generally maintain the same exercise selection during deloading. For athletes that supplemented deloading with additional recovery modalities (n = 118; 48%), the most reported strategies were massage, static stretching and foam rolling. CONCLUSION: Results from this research might assist strength and physique athletes and coaches to plan their deloading. Future research should empirically investigate the findings from this study to further evaluate the potential utility of deloading in strength and physique sports.

Kinetics and Kinematics of the Free-Weight Back Squat and Loaded Jump Squat.

ABSTRACT: Thompson, SW, Lake, JP, Rogerson, D, Ruddock, A, and Barnes, A. Kinetics and kinematics of the free-weight back squat and loaded jump squat. J Strength Cond Res 37(1): 1-8, 2023-The aim of this study was to compare kinetics and kinematics of 2 lower-body free-weight exercises, calculated from concentric and propulsion subphases, across multiple loads. Sixteen strength-trained men performed back squat 1 repetition maximum (1RM) tests (visit 1), followed by 2 incremental back squat and jump squat protocols (visit 2) (loads = 0% and 30-60%, back squat 1RM). Concentric phase and propulsion phase force-time-displacement characteristics were derived from force plate data and compared using analysis of variance and Hedges' g effect sizes. Intrasession reliability was calculated using intraclass correlation coefficient (ICC) and coefficient of variation (CV). All dependent variables met acceptable reliability (ICC >0.7; CV < 10%). Statistically significant 3-way interactions (load × phase × exercise) and 2-way main effects (phase × exercise) were observed for mean force, velocity (30-60% 1RM), power, work, displacement, and duration (0%, 30-50% 1RM) ( p < 0.05). A significant 2-way interaction (load × exercise) was observed for impulse ( p < 0.001). Jump squat velocity ( g = 0.94-3.80), impulse ( g = 1.98-3.21), power ( g = 0.84-2.93), and work ( g = 1.09-3.56) were significantly larger across concentric and propulsion phases, as well as mean propulsion force ( g = 0.30-1.06) performed over all loads ( p < 0.001). No statistically significant differences were observed for mean concentric force. Statistically longer durations ( g = 0.38-1.54) and larger displacements ( g = 2.03-4.40) were evident for all loads and both subphases ( p < 0.05). Ballistic, lower-body exercise produces greater kinetic and kinematic outputs than nonballistic equivalents, irrespective of phase determination. Practitioners should therefore use ballistic methods when prescribing or testing lower-body exercises to maximize athlete's force-time-displacement characteristics.

A Systematic Review of Internet-Based Interventions for the Prevention and Self-Management of Cardiovascular Diseases among People of African Descent.

Cardiovascular disease (CVD) risk factors, morbidity, and mortality among people of African descent (PAD) appear to be higher than in the general population. While it has been found that lifestyle changes can prevent around 90% of CVDs, implementing an effective lifestyle programme is expensive and time-consuming. It has been demonstrated that Internet-based interventions (IbIs) can effectively and inexpensively encourage lifestyle modifications to prevent and manage chronic diseases. Although a number of studies have examined the effectiveness of IbIs in the general population, no comprehensive study of the usefulness and acceptability of IbIs among PAD has been conducted. This is the knowledge gap that this study aimed to address. We searched MEDLINE, EMBASE, CINAHL, and Web of Science to identify eligible studies published from inception to February 2022. Thirteen articles met our criteria for inclusion. Our textual narrative synthesis produced inconsistent results; nonetheless, high acceptability of IbIs and a considerable improvement in clinical and behavioural outcomes associated with CVDs were reported in several trials. The findings of this review are constrained by clinical, methodological and statistical variability among the studies. To have a good grasp on the effect of IbIs on behaviour change in PAD at risk of CVDs, large-scale longitudinal studies with long-term follow-up are required.

Investigating the sleep habits in individual and team-sport athletes using the Athlete Sleep Behavior Questionnaire and the Pittsburgh Sleep Quality Index.

Objectives: There is limited large-scale data on maladaptive sleep practices in elite adult athletes and their influence on sleep characteristics. This study aimed to identify differences in sleep behaviours between individual and team-sport athletes using two sleep questionnaires. Material and Methods: 407 (237 male, 170 female) elite adult athletes across sixteen sports (9 individual-sports, 7 team-sports) completed the Athlete Sleep Behavior Questionnaire (ASBQ) and the Pittsburgh Sleep Quality Index (PSQI). Results: Individual-sport athletes reported greater total sleep time and higher sleep efficiency than team-sport athletes (p<0.05, d=0.28-0.29). There were no differences between global scores for the PSQI, however, there was a difference between global scores for the ASBQ as well as multiple individual items from both questionnaires (p<0.05), indicating poorer behaviours in team-sport athletes. Discussion: Team-sport athletes displayed more maladaptive pre-sleep behaviours and poorer sleep characteristics than individual-sport athletes.

"I Want to Create So Much Stimulus That Adaptation Goes Through the Roof": High-Performance Strength Coaches' Perceptions of Planned Overreaching.

Functional overreaching (FOR) occurs when athletes experience improved athletic capabilities in the days and weeks following short-term periods of increased training demand. However, prolonged high training demand with insufficient recovery may also lead to non-functional overreaching (NFOR) or the overtraining syndrome (OTS). The aim of this research was to explore strength coaches' perceptions and experiences of planned overreaching (POR); short-term periods of increased training demand designed to improve athletic performance. Fourteen high-performance strength coaches (weightlifting; n = 5, powerlifting; n = 4, sprinting; n = 2, throws; n = 2, jumps; n = 1) participated in semistructured interviews. Reflexive thematic analysis identified 3 themes: creating enough challenge, training prescription, and questioning the risk to reward. POR was implemented for a 7 to 14 day training cycle and facilitated through increased daily/weekly training volume and/or training intensity. Participants implemented POR in the weeks (~5-8 weeks) preceding competition to allow sufficient time for performance restoration and improvement to occur. Short-term decreased performance capacity, both during and in the days to weeks following training, was an anticipated by-product of POR, and at times used as a benchmark to confirm that training demand was sufficiently challenging. Some participants chose not to implement POR due to a lack of knowledge, confidence, and/or perceived increased risk of athlete training maladaptation. Additionally, this research highlights the potential dichotomy between POR protocols used by strength coaches to enhance athletic performance and those used for the purpose of inducing training maladaptation for diagnostic identification.

No effect of nitrate-rich beetroot juice on microvascular function and blood pressure in younger and older individuals: a randomised, placebo-controlled double-blind pilot study.

BACKGROUND/OBJECTIVES: To compare the effects of supplemental inorganic nitrate (NO3) on microvascular endothelial function and blood pressure in younger vs. older participants. SUBJECTS/METHODS: 25 individuals participated in a double-blind, randomised, placebo-controlled crossover pilot study. Participants were stratified by age (18-35 and ≥55 years) and consumed a single dose beetroot juice (providing 6.4 mmol NO3) or NO3-depleted beetroot juice. Blood pressure, microvascular function (via Laser Doppler Flowmetry; LDF) and urinary NO3 were assessed, and the effects of NO3 supplementation on cardiovascular parameters were compared between participants and conditions using mixed-design ANOVA. RESULTS: Treatments and methods were well tolerated, and no adverse events were reported. Urinary NO3 increased 3 h following ingestion in both groups, (P = 0.02). Levels remained elevated at 24 h post consumption in younger participants only (P = 0.02). Beetroot juice had no effect on blood pressure in either group nor on microcirculatory endothelial function. CONCLUSIONS: Beetroot juice had no effect on blood pressure or microvascular endothelial function in young and older individuals. Dosage and timing regimens for supplemental beetroot juice should be avenues for further inquiry.

"Is It Overtraining or Just Work Ethic?": Coaches' Perceptions of Overtraining in High-Performance Strength Sports.

Optimal physical performance is achieved through the careful manipulation of training and recovery. Short-term increases in training demand can induce functional overreaching (FOR) that can lead to improved physical capabilities, whereas nonfunctional overreaching (NFOR) or the overtraining syndrome (OTS) occur when high training-demand is applied for extensive periods with limited recovery. To date, little is known about the OTS in strength sports, particularly from the perspective of the strength sport coach. Fourteen high-performance strength sport coaches from a range of strength sports (weightlifting; n = 5, powerlifting; n = 4, sprinting; n = 2, throws; n = 2, jumps; n = 1) participated in semistructured interviews (mean duration 57; SD = 10 min) to discuss their experiences of the OTS. Reflexive thematic analysis resulted in the identification of four higher order themes: definitions, symptoms, recovery and experiences and observations. Additional subthemes were created to facilitate organisation and presentation of data, and to aid both cohesiveness of reporting and publicising of results. Participants provided varied and sometimes dichotomous perceptions of the OTS and proposed a multifactorial profile of diagnostic symptoms. Prevalence of OTS within strength sports was considered low, with the majority of participants not observing or experiencing long-term reductions in performance with their athletes.

A Novel Approach to 1RM Prediction Using the Load-Velocity Profile: A Comparison of Models.

The study aim was to compare different predictive models in one repetition maximum (1RM) estimation from load-velocity profile (LVP) data. Fourteen strength-trained men underwent initial 1RMs in the free-weight back squat, followed by two LVPs, over three sessions. Profiles were constructed via a combined method (jump squat (0 load, 30-60% 1RM) + back squat (70-100% 1RM)) or back squat only (0 load, 30-100% 1RM) in 10% increments. Quadratic and linear regression modeling was applied to the data to estimate 80% 1RM (kg) using 80% 1RM mean velocity identified in LVP one as the reference point, with load (kg), then extrapolated to predict 1RM. The 1RM prediction was based on LVP two data and analyzed via analysis of variance, effect size (g/ηp2), Pearson correlation coefficients (r), paired t-tests, standard error of the estimate (SEE), and limits of agreement (LOA). p < 0.05. All models reported systematic bias < 10 kg, r > 0.97, and SEE < 5 kg, however, all linear models were significantly different from measured 1RM (p = 0.015 <0.001). Significant differences were observed between quadratic and linear models for combined (p < 0.001; ηp2 = 0.90) and back squat (p = 0.004, ηp2 = 0.35) methods. Significant differences were observed between exercises when applying linear modeling (p < 0.001, ηp2 = 0.67-0.80), but not quadratic (p = 0.632-0.929, ηp2 = 0.001-0.18). Quadratic modeling employing the combined method rendered the greatest predictive validity. Practitioners should therefore utilize this method when looking to predict daily 1RMs as a means of load autoregulation.

Pooled Versus Individualized Load-Velocity Profiling in the Free-Weight Back Squat and Power Clean.

PURPOSE: This study compared pooled against individualized load-velocity profiles (LVPs) in the free-weight back squat and power clean. METHODS: A total of 10 competitive weightlifters completed baseline 1-repetition maximum assessments in the back squat and power clean. Three incremental LVPs were completed, separated by 48 to 72 hours. Mean and peak velocity were measured via a linear-position transducer (GymAware). Linear and nonlinear (second-order polynomial) regression models were applied to all pooled and individualized LVP data. A combination of coefficient of variation (CV), intraclass correlation coefficient, typical error of measurement, and limits of agreement assessed between-subject variability and within-subject reliability. Acceptable reliability was defined a priori as intraclass correlation coefficient > .7 and CV < 10%. RESULTS: Very high to practically perfect inverse relationships were evident in the back squat (r = .83-.96) and power clean (r = .83-.89) for both regression models; however, stronger correlations were observed in the individualized LVPs for both exercises (r = .85-.99). Between-subject variability was moderate to large across all relative loads in the back squat (CV = 8.2%-27.8%) but smaller in the power clean (CV = 4.6%-8.5%). The power clean met our criteria for acceptable reliability across all relative loads; however, the back squat revealed large CVs in loads ≥90% of 1-repetition maximum (13.1%-20.5%). CONCLUSIONS: Evidently, load-velocity characteristics are highly individualized, with acceptable levels of reliability observed in the power clean but not in the back squat (≥90% of 1-repetition maximum). If practitioners want to adopt load-velocity profiling as part of their testing and monitoring procedures, an individualized LVP should be utilized over pooled LVPs.

Overreaching and overtraining in strength sports and resistance training: A scoping review.

To date, little is known about overreaching (OR) and the overtraining syndrome (OTS) in strength sports and resistance training (RT) populations. However, the available literature may elucidate the occurrence of both conditions in these populations. A scoping review was conducted. SPORTDiscus, Scopus and Web of Science were searched in a robust and systematic manner, with relevant articles analysed. 1170 records were retrieved during an initial search, with a total of 47 included in the review. Two broad themes were identified during data extraction: 1) overreaching in strength sports; 2) overreaching and overtraining syndrome in RT. Short-term periods of OR achieved with either high-volume or high-intensity RT can elicit functional OR (FOR) but there is also evidence that chronic high-volume and/or intensity RT can lead to non-functional overreaching (NFOR). There is minimal evidence to suggest that true OTS has occurred in strength sports or RT based on the studies entered during this review. More research is needed to develop robust guiding principles for practitioners. Additionally, due to the heterogeneous nature of the existing literature, future research would benefit from the development of practical tools to identify and diagnose the transition from FOR to NFOR, and subsequently OTS in strength athletes and RT populations. ABBREVIATIONS: RT: Resistance training; OR: Overreaching; FOR: Functional overreaching; NFOR: Non-functional overreaching; OTS: Overtraining syndrome; WP: Weightlifting performance.

The Reliability and Validity of Current Technologies for Measuring Barbell Velocity in the Free-Weight Back Squat and Power Clean.

This study investigated the inter-day and intra-device reliability, and criterion validity of six devices for measuring barbell velocity in the free-weight back squat and power clean. In total, 10 competitive weightlifters completed an initial one repetition maximum (1RM) assessment followed by three load-velocity profiles (40-100% 1RM) in both exercises on four separate occasions. Mean and peak velocity was measured simultaneously on each device and compared to 3D motion capture for all repetitions. Reliability was assessed via coefficient of variation (CV) and typical error (TE). Least products regression (LPR) (R2) and limits of agreement (LOA) assessed the validity of the devices. The Gymaware was the most reliable for both exercises (CV < 10%; TE < 0.11 m·s-1, except 100% 1RM (mean velocity) and 90‒100% 1RM (peak velocity)), with MyLift and PUSH following a similar trend. Poorer reliability was observed for Beast Sensor and Bar Sensei (CV = 5.1%‒119.9%; TE = 0.08‒0.48 m·s-1). The Gymaware was the most valid device, with small systematic bias and no proportional or fixed bias evident across both exercises (R2 > 0.42-0.99 LOA = -0.03-0.03 m·s-1). Comparable validity data was observed for MyLift in the back squat. Both PUSH devices produced some fixed and proportional bias, with Beast Sensor and Bar Sensei being the least valid devices across both exercises (R2 > 0.00-0.96, LOA = -0.36‒0.46 m·s-1). Linear position transducers and smartphone applications could be used to obtain velocity-based data, with inertial measurement units demonstrating poorer reliability and validity.

Correction to: The Effectiveness of Two Methods of Prescribing Load on Maximal Strength Development: A Systematic Review.

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Antioxidants for preventing and reducing muscle soreness after exercise: a Cochrane systematic review.

OBJECTIVE: To determine whether antioxidant supplements and antioxidant-enriched foods can prevent or reduce delayed-onset muscle soreness after exercise. METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, SPORTDiscus, trial registers, reference lists of articles and conference proceedings up to February 2017. RESULTS: In total, 50 studies were included in this review which included a total of 1089 participants (961 were male and 128 were female) with an age range of 16-55 years. All studies used an antioxidant dosage higher than the recommended daily amount. The majority of trials (47) had design features that carried a high risk of bias due to selective reporting and poorly described allocation concealment, potentially limiting the reliability of their findings. We rescaled to a 0-10 cm scale in order to quantify the actual difference between groups and we found that the 95% CIs for all five follow-up times were all well below the minimal important difference of 1.4 cm: up to 6 hours (MD -0.52, 95% CI -0.95 to -0.08); at 24 hours (MD -0.17, 95% CI -0.42 to 0.07); at 48 hours (mean difference (MD) -0.41, 95% CI -0.69 to -0.12); at 72 hours (MD -0.29, 95% CI -0.59 to 0.02); and at 96 hours (MD -0.03, 95% CI -0.43 to 0.37). Thus, the effect sizes suggesting less muscle soreness with antioxidant supplementation were very unlikely to equate to meaningful or important differences in practice. CONCLUSIONS: There is moderate to low-quality evidence that high-dose antioxidant supplementation does not result in a clinically relevant reduction of muscle soreness after exercise of up to 6 hours or at 24, 48, 72 and 96 hours after exercise. There is no evidence available on subjective recovery and only limited evidence on the adverse effects of taking antioxidant supplements.

The Effectiveness of Two Methods of Prescribing Load on Maximal Strength Development: A Systematic Review.

BACKGROUND: Optimal prescription of resistance exercise load (kg) is essential for the development of maximal strength. Two methods are commonly used in practice with no clear consensus on the most effective approach for the improvement of maximal strength. OBJECTIVE: The primary aim of this review was to compare the effectiveness of percentage 1RM (% 1RM) and repetition maximum targets (RM) as load prescription methods for the development of maximal strength. METHODS: Electronic database searches of MEDLINE, SPORTDiscus, Scopus, and CINAHL Complete were conducted in accordance with PRISMA guidelines. Studies were eligible for inclusion if a direct measure of maximal strength was used, a non-training control group was a comparator, the training intervention was > 4 weeks in duration and was replicable, and participants were defined as healthy and between the ages of 18-40. Methodological quality of the studies was evaluated using a modified Downs and Black checklist. Percentage change (%) and 95% confidence intervals (CI) for all strength-based training groups were calculated. Statistical significance (p < 0.05) was reported from each study. RESULTS: Twenty-two studies comprising a total of 761 participants (585 males and 176 females) were found to meet the inclusion criteria. 12 studies were returned for % 1RM, with 10 for RM. All studies showed statistically significant improvements in maximal strength in the training groups (31.3 ± 21.9%; 95% CI 33.1-29.5%). The mean quality rating for all studies was 17.7 ± 2.3. Four studies achieved a good methodological rating, with the remainder classified as moderate. CONCLUSIONS: Both % 1RM and RM are effective tools for improving maximal strength. % 1RM appears to be a better prescriptive method than RM potentially due to a more sophisticated management of residual fatigue. However, large heterogeneity was present within this data. Lower body and multi-joint exercises appear to be more appropriate for developing maximal strength. Greater consensus is required in defining optimal training prescriptions, physiological adaptations, and training status.

Contrasting Effects of Short-Term Mediterranean and Vegan Diets on Microvascular Function and Cholesterol in Younger Adults: A Comparative Pilot Study.

The Mediterranean diet has been shown to improve cardiovascular health. Vegan diets have demonstrated similar benefits, albeit in fewer studies. In a comparative pilot study, we compared the effects of a short-term Mediterranean Diet (MD) and Vegan Diet (VD) on microvascular function and cholesterol levels in a healthy population. Twenty-four young (aged 18 to 35 years) healthy volunteers followed a four-week intervention (MD = 12; VD = 12) ad libitum. Pre and post-intervention anthropometrics, microvascular function (assessed via LDF and expressed as raw CVC and %CVC MAX), dietary-analysis data (Calories, Protein, Carbohydrates, Total Fat, Saturated Fat, Fibre), Mean Arterial Pressure (MAP), Blood Pressure, Total Cholesterol (TC), High Density Lipoprotein (HDL-C) and TC:HDL-C were compared. MD participants reduced Total Fat intake (p = 0.05). Saturated Fat decreased (MD: p = < 0.001; VD: p = 0.004) and Fibre increased (MD: p = 0.02; VD: p = < 0.001) in both groups. Dietary changes reflected improvements in plateau raw CVC in the MD group (p = 0.005), and a reduction in TC (p = 0.045) and weight loss (p = 0.047) in the VD group. The MD led to improvements in microvascular function; the VD led to reduced TC and weight loss. Although both diets might offer CVD risk-reduction benefits, evidence for the MD appeared to be stronger due to changes in vasodilatory ability and NO bioavailability.

Encouraging effects of a short-term, adapted Nordic diet intervention on skin microvascular function and skin oxygen tension in younger and older adults.

OBJECTIVES: The microvascular benefits of regional diets appear in the literature; however, little is known about Nordic-type diets. We investigated the effects of a short-term, adapted, Nordic diet on microvascular function in younger and older individuals at rest and during activity. METHODS: Thirteen young (mean age: 28 y; standard deviation: 5 y) and 15 older (mean age: 68 y; standard deviation: 6 y) participants consumed a modified Nordic diet for 4 wk. Laser Doppler flowmetry and transcutaneous oxygen monitoring were used to assess cutaneous microvascular function and oxygen tension pre- and postintervention; blood pressure, body mass, body fat percentage, ratings of perceived exertion, and peak heart rate during activity were examined concurrently. RESULTS: Axon-mediated vasodilation improved in older participants (1.17 [0.30] to 1.30 [0.30]; P < 0.05). Improvements in endothelium-dependent vasodilation were noted in both young (1.67 [0.50] to 2.03 [0.62]; P < 0.05) and older participants (1.49 [0.37] to 1.63 [0.39]; P < 0.05). Reduced peak heart rate during activity was noted in older participants only (36.5 [8.9] to 35.3 [8.5]; P < 0.05) and reduced body fat percentage in young participants only (young = 27.2 [8.3] to 25.2 [8.8]; P < 0.05). No other variables reached statistical significance; however, trends were observed. CONCLUSIONS: We observed statistically significant improvements in microvascular function, peak heart rate, and body composition. An adapted Nordic diet might improve microvascular health.

Associatons Between Self-Reported Well-being and Neuromuscular Performance During a Professional Rugby Union Season.

Hills, SP, Rogerson, DJ. Associatons between self-reported well-being and neuromuscular performance during a professional rugby union season. J Strength Cond Res 32(9): 2498-2509, 2018-Self-reported wellness is often used to monitor fatigue responses to training and competition. Constraints within team sports mean short-form wellness questionnaires are typically preferred to literature-validated documents. This research aimed to assess the relationship between self-reported wellness and neuromuscular (NM) performance during a professional rugby union season, and to identify changes in these parameters over a 12-week period. On the first training day each week, before activity, 37 players rated 5 wellness subscales ("fatigue/vigor," "upper-body soreness," "lower-body soreness," "mood," and "sleep quality/duration") on a 1-5 Likert scale (1 representing the lowest wellness), and 5-repetition countermovement jumps (CMJs) were completed after a warm-up. Each week, total wellness, wellness subscales, and 4 CMJ measures for each participant were calculated as change from baseline. Within-participant correlations were determined between changes in wellness and CMJ measures, whereas week-to week differences and differences from baseline were assessed using Wilcoxon signed-rank tests. Within-participant correlations were compared for players grouped by age and position. Wellness and CMJ scores fluctuated according to physical stress, persisted beneath baseline throughout, and showed declining trends over 12 weeks. Very large (r = 0.7-0.89)/large (r = 0.5-0.69) correlations were identified between wellness and CMJ variables (positive: velocity, dip, time; negative: duration), and each wellness subscale displayed large/very large positive correlations with CMJ velocity. This was true for all subgroups, although subtle differences existed between ages and positions. It was concluded that players' subjective wellness is a useful tool, ideally used within a broader monitoring scheme, for monitoring ongoing NM fatigue, which increased from week to week.

Physical activity for people with young-onset dementia and carers: protocol for a scoping review.

BACKGROUND: Physical activity has been cited as a potential symptomatic treatment option for people living with dementia. At present, much of the research concerning physical activity and dementia considers older adults, and there are several review articles summarising the evidence in this area. Less is known about physical activity for younger people with dementia, despite the marked differences in needs and preferences between the two groups. The aim of this scoping review is to systematically explore and critically appraise the current state of the evidence regarding physical activity for people with young-onset dementia and carers. METHODS: Several electronic databases (i.e. MEDLINE, SPORTDiscus, CINAHL, Cochrane Library, PsycINFO, Applied Social Sciences Index & Abstracts (ASSIA) and Scopus), grey literature (i.e. NICE Evidence Search (UK) and targeted international organisations e.g. Alzheimer's Society (UK), Age UK, Young Dementia UK, Alzheimer's Association (USA), Dementia Australia) and trial registries (i.e. UK Clinical Trials Gateway, International Clinical Trials Registry Platform and EU Clinical Trials Register) will be searched for published and unpublished evidence regarding physical activity for people with young-onset dementia and carers. Studies included in the review will be subjected to a narrative synthesis to explore similarities and differences, both within and between studies, to identify patterns and themes and to postulate explanations for research findings (e.g. how and why certain interventions or programmes have worked (or not); factors that might have influenced the findings ). DISCUSSION: This will be the first review to systematically explore and critically appraise the current state of the evidence regarding physical activity for people with young-onset dementia and carers. It is hoped that findings from this review will be used to inform the development of future physical activity interventions, to serve as a basis for consultation with key stakeholders and to identify appropriate outcome measures relevant to people with young-onset dementia and carers. SYSTEMATIC REVIEW REGISTRATION: At present, scoping reviews are not eligible for registration on the international prospective register of systematic reviews (i.e. PROSPERO).

Antioxidants for preventing and reducing muscle soreness after exercise.

BACKGROUND: Muscle soreness typically occurs after intense exercise, unaccustomed exercise or actions that involve eccentric contractions where the muscle lengthens while under tension. It peaks between 24 and 72 hours after the initial bout of exercise. Many people take antioxidant supplements or antioxidant-enriched foods before and after exercise in the belief that these will prevent or reduce muscle soreness after exercise. OBJECTIVES: To assess the effects (benefits and harms) of antioxidant supplements and antioxidant-enriched foods for preventing and reducing the severity and duration of delayed onset muscle soreness following exercise. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, SPORTDiscus, trial registers, reference lists of articles and conference proceedings up to February 2017. SELECTION CRITERIA: We included randomised and quasi-randomised controlled trials investigating the effects of all forms of antioxidant supplementation including specific antioxidant supplements (e.g. tablets, powders, concentrates) and antioxidant-enriched foods or diets on preventing or reducing delayed onset muscle soreness (DOMS). We excluded studies where antioxidant supplementation was combined with another supplement. DATA COLLECTION AND ANALYSIS: Two review authors independently screened search results, assessed risk of bias and extracted data from included trials using a pre-piloted form. Where appropriate, we pooled results of comparable trials, generally using the random-effects model. The outcomes selected for presentation in the 'Summary of findings' table were muscle soreness, collected at times up to 6 hours, 24, 48, 72 and 96 hours post-exercise, subjective recovery and adverse effects. We assessed the quality of the evidence using GRADE. MAIN RESULTS: Fifty randomised, placebo-controlled trials were included, 12 of which used a cross-over design. Of the 1089 participants, 961 (88.2%) were male and 128 (11.8%) were female. The age range for participants was between 16 and 55 years and training status varied from sedentary to moderately trained. The trials were heterogeneous, including the timing (pre-exercise or post-exercise), frequency, dose, duration and type of antioxidant supplementation, and the type of preceding exercise. All studies used an antioxidant dosage higher than the recommended daily amount. The majority of trials (47) had design features that carried a high risk of bias due to selective reporting and poorly described allocation concealment, potentially limiting the reliability of their findings.We tested only one comparison: antioxidant supplements versus control (placebo). No studies compared high-dose versus low-dose, where the low-dose supplementation was within normal or recommended levels for the antioxidant involved.Pooled results for muscle soreness indicated a small difference in favour of antioxidant supplementation after DOMS-inducing exercise at all main follow-ups: up to 6 hours (standardised mean difference (SMD) -0.30, 95% confidence interval (CI) -0.56 to -0.04; 525 participants, 21 studies; low-quality evidence); at 24 hours (SMD -0.13, 95% CI -0.27 to 0.00; 936 participants, 41 studies; moderate-quality evidence); at 48 hours (SMD -0.24, 95% CI -0.42 to -0.07; 1047 participants, 45 studies; low-quality evidence); at 72 hours (SMD -0.19, 95% CI -0.38 to -0.00; 657 participants, 28 studies; moderate-quality evidence), and little difference at 96 hours (SMD -0.05, 95% CI -0.29 to 0.19; 436 participants, 17 studies; low-quality evidence). When we rescaled to a 0 to 10 cm scale in order to quantify the actual difference between groups, we found that the 95% CIs for all five follow-up times were all well below the minimal important difference of 1.4 cm: up to 6 hours (MD -0.52, 95% CI -0.95 to -0.08); at 24 hours (MD -0.17, 95% CI -0.42 to 0.07); at 48 hours (MD -0.41, 95% CI -0.69 to -0.12); at 72 hours (MD -0.29, 95% CI -0.59 to 0.02); and at 96 hours (MD -0.03, 95% CI -0.43 to 0.37). Thus, the effect sizes suggesting less muscle soreness with antioxidant supplementation were very unlikely to equate to meaningful or important differences in practice. Neither of our subgroup analyses to examine for differences in effect according to type of DOMS-inducing exercise (mechanical versus whole body aerobic) or according to funding source confirmed subgroup differences. Sensitivity analyses excluding cross-over trials showed that their inclusion had no important impact on results.None of the 50 included trials measured subjective recovery (return to previous activities without signs or symptoms).There is very little evidence regarding the potential adverse effects of taking antioxidant supplements as this outcome was reported in only nine trials (216 participants). From the studies that did report adverse effects, two of the nine trials found adverse effects. All six participants in the antioxidant group of one trial had diarrhoea and four of these also had mild indigestion; these are well-known side effects of the particular antioxidant used in this trial. One of 26 participants in a second trial had mild gastrointestinal distress. AUTHORS' CONCLUSIONS: There is moderate to low-quality evidence that high dose antioxidant supplementation does not result in a clinically relevant reduction of muscle soreness after exercise at up to 6 hours or at 24, 48, 72 and 96 hours after exercise. There is no evidence available on subjective recovery and only limited evidence on the adverse effects of taking antioxidant supplements. The findings of, and messages from, this review provide an opportunity for researchers and other stakeholders to come together and consider what are the priorities, and underlying justifications, for future research in this area.