Global Trends and Correlates of COVID-19 Vaccination Hesitancy: Findings from the iCARE Study.

The success of large-scale COVID-19 vaccination campaigns is contingent upon people being willing to receive the vaccine. Our study explored COVID-19 vaccine hesitancy and its correlates in eight different countries around the globe. We analyzed convenience sample data collected between March 2020 and January 2021 as part of the iCARE cross-sectional study. Univariate and multivariate statistical analyses were conducted to explore the correlates of vaccine hesitancy. We included 32,028 participants from eight countries, and observed that 27% of the participants exhibited vaccine hesitancy, with increases over time. France reported the highest level of hesitancy (47.3%) and Brazil reported the lowest (9.6%). Women, younger individuals (≤29 years), people living in rural areas, and those with a lower perceived income were more likely to be hesitant. People who previously received an influenza vaccine were 70% less likely to report COVID-19 vaccine hesitancy. We observed that people reporting greater COVID-19 health concerns were less likely to be hesitant, whereas people with higher personal financial concerns were more likely to be hesitant. Our findings indicate that there is substantial vaccine hesitancy in several countries, with cross-national differences in the magnitude and direction of the trend. Vaccination communication initiatives should target hesitant individuals (women, younger adults, people with lower incomes and those living in rural areas), and should highlight the immediate health, social and economic benefits of vaccination across these settings. Country-level analyses are warranted to understand the complex psychological, socio-environmental, and cultural factors associated with vaccine hesitancy.

Psychological Status During and After the Preparation of a Long-distance Triathlon Event in Amateur Athletes.

Preparation for an endurance event among amateur athletes requires a major commitment on their part. Knowing amateur athletes' psychological characteristics during a training period should be a priority for coaches and athletes. The aim of our longitudinal study was to characterize the psychological profile of amateur athletes over a training period of six months prior to and after a long-distance triathlon. Thirty-two amateur athletes (13 females; 19 males; 1.5±1.3 years of experience) were recruited for this observational study. All participants (39±9.9 years old; weighs 73±12.9 kg; measure 172±10.2 cm) underwent a physical fitness assessment pre- and post 6-months of training, a monthly psychological questionnaire battery assessing mood, positive and negative affect, passion and motivation and, for some participants (n=5), an interview post event. Positive emotions increased until the sixth month, from 38.1±22.0 to 54.3±7.2 (Z=3.49, p<0.001, r=0.80). Participants were more harmonious (29.0±3.0) than obsessive (13.0±1.0) with their triathlon's passion (Z=4.91, p<0.001, r=0.85). Participants felt a high level of intrinsic motivation (15.9±1.76) and a low level of external motivation (4.9±1.08) about their triathlon training (p<0.05). The vigor score is the only sub scale that significantly changed from the 1st to the 6th month of training, and ranged between 21.4±10.6 and 28.1±4.1 (Z=2.0, p=0.046, r=0.46). This longitudinal observational study is the first to have explored athletes' psychological and emotional parameters over a training period of six months prior to a long-distance triathlon event and one month after. Thus, specific interventions and mental training can be structured around these important milestones.

COVID-19 Is Not the Flu: Four Graphs From Four Countries.

Background: COVID-19 has caused a global public health emergency. Government mitigation strategies included a series of behavior-based prevention policies that had a likely impact on the spread of other contagious respiratory illnesses, such as seasonal influenza. Our aim was to explore how 2019-2020 influenza tracked onto COVID-19 pandemic and its mitigation methods. Materials and Methods: We linked the WHO FluNet database and COVID-19 confirmed cases (Johns Hopkins University) for four countries across the northern (Canada, the United States) and southern hemispheres (Australia, Brazil) for the period 2016-2020. Graphical presentations of longitudinal data were provided. Results: There was a notable reduction in influenza cases for the 2019-2020 season. Northern hemisphere countries experienced a quicker ending to the 2019-2020 seasonal influenza cases (shortened by 4-7 weeks) and virtually no 2020 fall influenza season. Countries from the southern hemisphere experienced drastically low levels of seasonal influenza, with consistent trends that were approaching zero cases after the introduction of COVID-19 measures. Conclusions: It is likely that the COVID-19 mitigation measures played a notable role in the marked decrease in influenza, with little to no influenza activity in both the northern and southern hemispheres. In spite of this reduction in influenza cases, there was still community spread of COVID-19, highlighting the contagiousness of SARS-CoV-2 compared to influenza. These results, together with the higher mortality rate from SARS-CoV-2 compared to influenza, highlight that COVID-19 is a far greater health threat than influenza.

Momentum During a Running Competition: A Sequential Explanatory Mixed-Methods Study.

The purpose of this study was to better understand the psychological momentum (PM) in varsity cross-country competitive runners during a 3000 m selection trials. A sequential explanatory mixed methods design was used: recruitment trial race day (quantitative) and interview day (qualitative + maximal aerobic running speed [MARS]). Sample was consisted of fifteen university distance runners (n = six women [25.9 ± 7.0 years old; 22.2 ± 1.8 BMI] and nine men [23.2 ± 2.4 years old; 22.6 ± 1.6 BMI]). During the recruitment trial race, athletes' MARS was measured and used to create a performance index (PERFI) relative to selected moments. Also, the recruitment trial race was filmed. During the interviews, the recorded film was used to support athletes in the identification of key moments of the race, as well as to discuss positive and negative PM. PM was both defined by participants and devised by three themes: psychological, physiological and psychophysiological change. A significant PERFI difference (p < 0.001) was observed between positive (97.04 ± 5.88%) and negative (108.46 ± 7.76%) moments of PM. The results of PERFI for men and women athletes were not significantly different (p = 0.118). The PERFI standard deviation for women was not correlated (r2 = 0.26, p = 0.30) with the 3000 m time trial performance, but it was significantly correlated for men (r2 = 0.94, p < 0.001). The results of the present study could help developing interventions to focus on specific elements of the momentum such as race management/strategy, the attentiveness of the runner during the race and other elements of mental and physical preparation of the athletes.

Preparation for an Half-Ironmantm Triathlon amongst Amateur Athletes: Finishing Rate and Physiological Adaptation.

Long distance triathlon has gained in popularity amongst the general population. Coaches establish training programs based upon their knowledge, personal experience and on current training principles. The goal was to observe the effect of a triathlon training program for a half Ironman event in neophyte amateur athletes. A specific triathlon training program was followed from February to June 2016 by a group preparing for their first half ironman. Out of the 32 participants (19 Males and 13 Females; mean age of 39 ± 9.9 years old; body weight of 72.7 ± 13.4 kg and a height of 171.5 ± 10.2 cm), only one did not complete the event. A mean training volume of 410 ± 201 min per week led to a mean finishing time of 6 hours 28 minutes. The training program significantly increased the maximal oxygen consumption (45.9 ± 8.2 to 48.6 ± 7.5 ml/kg/min, p =0.002) and the maximal power output (293.1 ± 63.7 to 307.8 ± 58.7 W, p < 0.001). The absolute oxygen consumption and power output at both ventilatory thresholds also significantly increased (VT1: 2.2 ± 0.4 to 2.5 ± 0.5 L, p = 0.001; 157.8 ± 41.8 to 176.7 ± 41.1 W p = 0.009 and VT2: 2.9 ± 0.4 to 3.0 ± 0.4 L, p = 0.017; 229.3 ± 62.0 to 244.8± 55.2 W, p = 0.022 ). A significant diminution of waist circumference was observed (83.2 ± 10.0 to 81.8 ± 9.5 cm, p = 0.032) with no significant changes in body weight. Thus, a 24-week specific training program appears to be safe and efficient for amateur athletes aiming to finish their first half- Ironman event.

Comparison Between Power Off-Ice Test and Performance On-Ice Anaerobic Testing.

Boucher, VG, Parent, AA, Miron, FSJ, Leone, M, and Comtois, AS. Comparison between power off-ice test and performance on-ice anaerobic testing. J Strength Cond Res 34(12): 3498-3505, 2020-The importance of specific testing has been shown in ice hockey performance, and the understanding and connection between them may lead to adapting training and follow-up in elite athletes. The aim of this study was to compare 2 off-ice power tests with performances on ice with National Hockey League (NHL) players. The vertical jump and broad jump tests were used for the off-ice evaluations, whereas a modified SAS-40 and a repeated-sprint skate (RSSm) test were used on-ice as performance variables. Thirty-one players (3 goalkeepers, 10 defense players, and 18 forward players) from the NHL performed before preseason training camp. Four evaluation sessions were performed with 48-hour time intervals between them. The results show that the 2 jump types were correlated (r = 0.45 p < 0.01), and there was a significant correlation between the vertical jump and the best SAS-40 time trial for defense players, but not for forward players (r = 0.76 p = 0.02; r = 0.21 p = 0.16, respectively). By contrast, there was a significant correlation between broad jump and best SAS-40 time trial for forward players but not for defensive players (r = 0.75 p < 0.01; r = 0.19 p = 0.28, respectively). In conclusion, results show that specific player ability needs to be taken into consideration when choosing off-ice tests.

Repeated Linear and Quadrangular Sprint as a Function of Anaerobic Power.

Almansba, R, Boucher, VG, Parent, AA, and Comtois, AS. Repeated linear and quadrangular sprint as a function of anaerobic power. J Strength Cond Res 33(8): 2177-2184, 2019-This investigation aims to study in U17 soccer players the relationships among performance indices of linear or quadrangular (square shape) repeated-sprint bouts (RSBs) and leg muscular power measured with the Wingate test and the squat jump. Seventeen athletes were recruited. Participants were 16 ± 0.35 years old and had a body mass of 66.5 ± 8.69 kg and a height of 175 ± 0.05 cm. All participants performed linear or quadrangular RSBs, the Wingate test, and a vertical jump test. The mean fast linear sprint time was strongly correlated (p < 0.01) with the force and power measured with the vertical jump test (r = -0.68 and -0.75, respectively), whereas the mean linear RSB was weakly correlated with the peak power and fatigue index measured by the Wingate test (r = -0.54 and -0.56, respectively). There was a correlation between quadrangular RSBs performance indices and both Wingate and vertical jump parameters. In addition, there were no correlations (p > 0.05) between indices of the linear RSBs (decrement index, average, and fastest times) and quadrangular RSBs. Moreover, physiological and perceptual responses were significantly higher (p < 0.01) with quadrangular RSBs compared with linear RSBs. These results indicate that the Wingate test and the vertical jump test can be used as a substitute for repeated-sprint performance time. Finally, however, the repeated sprints with or without direction changes are 2 different motor abilities that should be trained independently of one another.