Effects of Physical Activity Interventions on Self-Perceived Health Status among Lung Cancer Patients: Systematic Review and Meta-Analysis.

Patients with lung cancer may experience deterioration in quality of life due to adverse effects caused by their disease and its treatment. Although exercise programs have been shown to improve quality of life in certain stages of the disease, the overall impact on this population is unknown. The objective of this research was to evaluate the effect of physical activity on the self-perception of quality of life, physical wellbeing and dyspnea in lung cancer patients. Thirteen articles were included. Five meta-analyses were performed using the standardized mean difference (SMD) with 95% confidence intervals (CI) to evaluate the target outcomes. Results showed significant differences in quality of life (p = 0.01; SMD = 0.43, 95% CI = 0.10, 0.75), physical functioning (p = 0.01; SMD = 0.27, 95% CI = 0.06, 0.49) and physical wellbeing (p = 0.01; SMD = 0.37, 95% CI = 0.08, 0.67) in favour of participants who have undergone the programme compared to those who have not, without significant differences between the two groups in dyspnea. This study shows how physical activity interventions could have positive effects on physical functioning and physical wellbeing but could also be effective for improving quality of life in patients with lung cancer.

Emotional Intelligence in Spanish Elite Athletes: Is There a Differential Factor between Sports?

Emotional intelligence is a determinant factor in sports performance. The present study analysed differences in total emotional intelligence and its four dimensions in 2166 Spanish athletes (25.20 ± 10.17 years) from eight sports (volleyball, track and field, shooting, football, basketball, handball, gymnastics, and judo). A total of 1200 men and 966 women answered anonymously using a Google Forms questionnaire sent via WhatsApp about demographics and psychological variables. A Pearson correlation was conducted to assess the age-emotional intelligence relationship. An independent T-test and One-Way ANOVA were carried out to check for age differences between biological sex and sport and a One-Way ANCOVA to determine differences between sports controlled by age. Age differences were observed by sex and sport (p < 0.001). An association was found between age and emotional intelligence dimensions (p < 0.001), except for other's emotional appraisal (p > 0.05). Judo was the sport with the highest levels of regulation of emotions, other's emotional appraisal, use of emotion, and total emotional intelligence (p < 0.05). Generally, emotional intelligence was found to be more developed in individual sports than in team sports, except football. Consequently, psychological skills like emotional intelligence could be critical to achieving high performance, depending on the sport.

Development and Validation of an Observational Game Analysis Tool with Artificial Intelligence for Handball: Handball.ai.

Performance analysis based on artificial intelligence together with game-related statistical models aims to provide relevant information before, during and after a competition. Due to the evaluation of handball performance focusing mainly on the result and not on the analysis of the dynamics of the game pace through artificial intelligence, the aim of this study was to design and validate a specific handball instrument based on real-time observational methodology capable of identifying, quantifying, classifying and relating individual and collective tactical behaviours during the game. First, an instrument validation by an expert panel was performed. Ten experts answered a questionnaire regarding the relevance and appropriateness of each variable presented. Subsequently, data were validated by two observers (1.5 and 2 years of handball observational analysis experience) recruited to analyse a Champions League match. Instrument validity showed a high accordance degree among experts (Cohen's kappa index (k) = 0.889). For both automatic and manual variables, a very good intra- ((automatic: Cronbach's alpha (α) = 0.984; intra-class correlation coefficient (ICC) = 0.970; k = 0.917) (manual: α = 0.959; ICC = 0.923; k = 0.858)) and inter-observer ((automatic: α = 0.976; ICC = 0.961; k = 0.874) (manual: α = 0.959; ICC = 0.923; k = 0.831) consistency and reliability was found. These results show a high degree of instrument validity, reliability and accuracy providing handball coaches, analysts, and researchers a novel tool to improve handball performance.

Musculoskeletal injury prevalence in professional padel players. A retrospective study of the 2021 season.

OBJECTIVES: To investigate the influence of the gender, ranking and playing position on the musculoskeletal injuries in professional padel players. DESIGN: An epidemiological, observational, descriptive, retrospective cross-sectional study. PARTICIPANTS: 44 injuries were reported by 36 players (20 men/16 women) who participated in the World Padel Tour 2021. SETTING: Online questionnaire. MAIN OUTCOME MEASURE: Descriptive statistics and injury prevalence were calculated. Spearman/Pearson correlations between sample characteristics and injury variables were calculated. The chi-square test was used to analyse the association between injury and descriptive variables. A Mann-Whitney U test was performed to compare the group differences with regard to days of absence. RESULTS: The results showed different injury prevalence (x1000 matches) in male (10.50) and female players (15.10). A higher injury incidence in top-ranked players, both in male (44.40%) and female (58.33%) was identified, but the low-ranked players reported more severe injuries (>28 days) (p < 0.05). Top-ranked players suffered more muscle injuries (p < 0.01) and low-ranked players suffered more tendon injuries (p < 0.01). Gender, ranking and playing position did not influence the days of absence (p > 0.05). CONCLUSIONS: This study confirms that gender and ranking position had an impact on the injury prevalence in professional padel players.

An Analysis of Running Impact on Different Surfaces for Injury Prevention.

The impact that occurs on the runner's foot when it lands on the ground depends on numerous factors: footwear, running technique, foot strike and landing pattern, among others. However, the surface is a decisive factor that can be selected by the runner to improve their sports practice, thereby avoiding injuries. This study aimed to assess the number and magnitude of accelerations in impact (produced by the runner when their foot strikes the ground) on three different surfaces (grass, synthetic track, and concrete) in order to know how to prevent injuries. Thirty amateur runners (age 22.6 ± 2.43 years) participated in the study. They had to run consecutively on three different surfaces at the same speed, with a three axis-accelerometer placed on the sacrum and wearing their own shoes. The results showed that the running impacts differed based on the type of surface. Higher mean acceleration (MA) and mean peak acceleration (PA) in the impacts were observed on concrete compared to the other two surfaces. There were small differences for MA: 1.35 ± 0.1 g (concrete) vs. 1.30 ± 0.1 g (synthetic track) SD: 0.43 (0.33, 0.54) and 1.30 ± 0.1 g (grass) SD: 0.36 (0.25, 0.46), and small differences for PA: 3.90 ± 0.55 g (concrete) vs. 3.68 ± 0.45 g (synthetic track) SD 0.42 (0.21, 0.64) and 3.76 ± 0.48 g (grass) SD 0.27 (0.05, 0.48), implying that greater impacts were produced on concrete compared to synthetic track and grass. The number of peaks of 4 to 5 g of total acceleration was greater for concrete, showing small differences from synthetic track: SD 0.23 (-0.45, 0.9). Additionally, the number of steps was higher on synthetic track (34.90 ± 2.67), and small differences were shown compared with concrete (33.37 ± 2.95) SD 0.30 (-0.25, 0.85) and with grass (35.60 ± 3.94) SD 0.36 (-0.19, 0.91). These results may indicate a change in technique based on the terrain. Given the increasing popularity of running, participants must be trained to withstand the accelerations in impact that occur on different surfaces in order to prevent injuries.

How Does Instability Affect Bench Press Performance? Acute Effect Analysis with Different Loads in Trained and Untrained Populations.

(I) The execution of different sports involves a significant number of throws, jumps, or direction changes, so the body must be as stable as possible while performing a specific action. However, there is no classification of unstable devices and their influence on performance variables. Furthermore, the effect on athletes' experience using instability is unknown. (II) The aim of this study was to analyze the power and speed parameters in bench press with different loads and unstable executions: (1) stable (SB), (2) with asymmetric load (AB), (3) with unstable load (UB), (4) on fitball (FB) and (5) on a Bosu® (BB). A total of 30 male participants (15 trained and 15 untrained) were evaluated for mean propulsive speed (MPS), maximum speed (MS), and power (PW) with different types of external load: a low load (40% of 1RM), medium load (60% of 1RM), and high load (80% of 1RM) in each condition. Variables were measured with an inertial dynamometer. (III) The best data were evidenced with SB, followed by AB (3-12%), UB (4-11%), FB (7-19%), and BB (14-23%). There were no differences between groups and loads (p > 0.05) except in the case of MS with 60% 1RM, where trained participants obtained 4% better data (p < 0.05). (IV) Executions with implements and equipment such as fitball and Bosu® do not seem to be the most recommended when the objective is to improve power or execution speed. However, situations where the load is unstable (AB and UB) seem to be a good alternative to improve stabilization work without high performance. Furthermore, experience does not seem to be a determining factor.

COVID-19 Confinement Effects on Game Actions during Competition Restart in Professional Soccer Players.

The main objective of the present study was to compare high-intensity actions in a week of three matches before and after the COVID-19 lockdown. The observational methodology was used. This study analysed 551 professional soccer players from 22 different Spanish teams (LaLiga Smartbank 2019−2020) by a multi-camera tracking system and associated software (Mediacoach®, Spain). Variables of distances per minute and totals, travelled at High Intensity (HIR), Very High Intensity (VHIR), Sprint (HSR), player's maximum speed, average speed, and the number of efforts in VHIR and HSR were analysed in the first and second half of the games, the full match, as well as in relation to the playing position. Players who participated in the same number of matches pre- and post-COVID-19 showed an increase in the total minutes played, p < 0.05, and small decreases in game actions, p < 0.05, with an effect size between 0.21 and 0.45, while players who participated in different number of matches pre- and post-COVID-19 showed a performance decrease, p < 0.05, with a size effect between 0.13 and 0.51; this was evident, particularly, for midfielders, p < 0.05, with a size effect between 0.39 and 0.75. The results seem to show that the playing intensity after COVID-19 confinement did not lead to large performance losses, except for midfielders who were the most involved players and showed a higher decrease in performance. The main findings of this study could provide insight to football coaches for rotations in starting line-ups and game substitutions, so as not to affect the intensity levels of the competitions.

Correction: García-Aliaga et al. Comparative Analysis of Soccer Performance Intensity of the Pre-Post-Lockdown COVID-19 in LaLiga™. Int. J. Environ. Res. Public Health 2021, 18, 3685.

The authors wish to make the following corrections to this paper [...].

Are the Player Selection Process and Performance Influenced by Relative Age Effect in Elite Women's Handball?

The relative age effect (RAE) is a phenomenon present in team sports, but it does not influence each gender to the same extent. This study aimed to examine the RAE and its relation to performance in international women's handball competitions (2017/18 World Championships). The sample was composed of 1,096 female players distributed into three categories: youth or under 18 (n = 369); junior or under 20 (n = 328) and senior (n = 399). The teams were divided into four groups based on their final position (medalist, quarter-finalist, eight-finalist and bottom-eight teams). The birthdate distribution (trimesters and semesters) was analysed according to the competition category and the playing position. Differences between the expected and observed birthdate distribution were checked using the chi-square statistical test followed by the calculation of the odds ratio. The results revealed, by trimester, the presence of the RAE in the youth (x2(7) = 87.22; p < 0.001) and junior (x2 (7) = 33.12; p < 0.001) categories, with no impact on senior (p > 0.05). The effect size was relatively strong in the youth category (Vc = 0.48). By semester, the prevalence of the RAE was also found in the senior category (p < 0.05). According to the playing position, the RAE was especially detected in 'goalkeeper' (p < 0.01) and 'centre-back' (p < 0.05) positions, both in U-18 and U-20 categories. Surprisingly, this effect also appeared in the 'back' players in the senior category (p < 0.05). A prevalence of the RAE was identified in teams with a higher final position, but interestingly had a greater impact in the quarter-finalist teams (p < 0.001) than in the medalist teams (p < 0.01). The findings demonstrated that the RAE tends to decrease as the chronological age of players increases, demonstrating a strong presence according to collective performance in international women's handball.

Prevalence and Impact of the Relative Age Effect on Competition Performance in Swimming: A Systematic Review.

This systematic review aimed to examine the prevalence of the relative age effect (RAE) in swimming and its impact on competition performance according to different types of interacting constraints. A systematic literature search, following the PRISMA guidelines for preparing systematic reviews, was performed through four electronic databases, and nine studies met the inclusion criteria. The quality of the selected studies was evaluated using STROBE, and an average score of 16.2 points was obtained. In these studies, the prevalence of the RAE in swimming was observed in more than half (58.65%) of the participants analysed, and the effect of the RAE was more accentuated in young categories (decreased as age increased and was inverted in older ones) and in male swimmers (double that in female swimmers).The impact of the RAE on competitive performance appeared to be related to the strength demands of the event, as the performance in simultaneous strokes, in shorter events, and of swimmers in the postadolescence period seems to be more affected by the RAE. These results indicate that the RAE in competitive swimming relies on individual and environmental (the swimmer's age group and gender) but also task (the competitive events) determinants or limitations. This should serve as a guide for a more effective design of selection and development procedures for young athletes.

Comparative Analysis of Soccer Performance Intensity of the Pre-Post-Lockdown COVID-19 in LaLiga™.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) forced a stoppage in the 2019/2020 season of LaLiga™, possibly influencing performance indicators in the return to competition. Therefore, here, we evaluated whether the stoppage due to the coronavirus 2019 disease (COVID-19) lockdown influenced physical performance compared to the start of LaLigaTM in terms of high-intensity efforts. Using a semi-automatic, multiple-camera system, running activities during 22 matches were analyzed. We compared the first 11 matches of the season (pre-lockdown) with the 11 matches just after the restart of LaLiga™ (post-lockdown). The results showed higher (p < 0.05) performance in the pre-lockdown period compared with the post-lockdown period, including in medium-speed running (14.1-21 km/h), high-speed running (21.1-24 km/h), and sprinting speed running distances (>24 km/h). However, the number of accelerations/min and decelerations/min were significantly higher during the post-lockdown period. Therefore, we conclude that the stoppage due to the COVID-19 lockdown generated lower physical performance in the post-lockdown period compared with the pre-lockdown period, most likely due to the accumulation of matches (congested schedules).

Effects on Strength, Power and Speed Execution Using Exercise Balls, Semi-Sphere Balance Balls and Suspension Training Devices: A Systematic Review.

Research in instability has focused on the analysis of muscle activation. The aim of this systematic review was to analyse the effects of unstable devices on speed, strength and muscle power measurements administered in the form of controlled trials to healthy individuals in adulthood. A computerized systematic literature search was performed through electronic databases. According to the criteria for preparing systematic reviews PRISMA, nine studies met the inclusion criteria. The quality of the selected studies was evaluated using STROBE. The average score was 14.3 points, and the highest scores were located in 'Introduction' (100%) and 'Discussion' (80%). There is great heterogeneity in terms of performance variables. However, instability seems to affect these variables negatively. The strength variable was affected to a greater degree, but with intensities near to the 1RM, no differences are observed. As for power, a greater number of repetitions seems to benefit the production of this variable in instability in the upper limb. Instability, in comparison to a stable condition, decreases the parameters of strength, power, and muscular speed in adults. The differences shown are quite significant in most situations although slight decreases can be seen in certain situations.

Injury Prevalence of the Lower Limbs in Handball Players: A Systematic Review.

Lower limb injuries are frequent in handball and a serious hindrance to athletic performance. The aim of this systematic review was to synthesize the available research on the prevalence of lower limb injuries in handball players according to sex and competitive level. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, 19 studies were selected after a systematic search and selection process of three digital databases: Scopus, PubMed, and Web of Science. Furthermore, a study quality analysis using an 'Extension for Sports Injury and Illness Surveillance of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE-SIIS)' was carried out. The sample consisted of 7110 male and female handball players registering 4483 injuries in their lower limbs. The results showed a high incidence of knee injuries (30.23%) and ankle injuries (24.80%), especially in the ligaments, such as the talofibular and the anterior cruciate ligaments. Considering sex and competitive level, knee injuries accounted for 47.02% of injuries among women, while among men, ankle injuries were most prevalent (34.22%) in international competitions. Additionally, the most common cause of injuries was trauma (85.61%). The findings highlighted that the prevalence of lower limb injuries varies greatly according to the characteristics of the sample and injury. Therefore, the study underlines the importance that sports practitioners (physical trainers, readapters, and physiotherapists) adapt training protocols to reduce injury incidence in the most affected body areas or tissues.

What Is the Relevance in the Passing Action between the Passer and the Receiver in Soccer? Study of Elite Soccer in La Liga.

Soccer is a high-complexity sport in which 22 players interact simultaneously in a common space. The ball-holder interacts with their teammates by passing actions, establishing a unique communication among them in the development of the game in its offensive phase. The main aim of the present study was to analyze the pass action according to the trajectory of the ball receiver and the space for receiving the ball in terms of success at the end of play. Twenty La Liga 2018/2019 matches of two elite teams were analyzed. A system of notational analysis was used to create 11 categories based on context, timing and pass analysis. The data were analyzed using chi-squared analysis. The results showed that the main performance indicators were the efficiency of the pass, the zone of the field, the trajectory of the receiver and the reception space of the ball, which presented a moderate association with the end of play (p < 0.001). We concluded that receiving the ball on approach and in separation increased the probability of success by 5% and 7%, respectively, and a diagonal run increased the probability by 7%. Moreover, the combined analysis of these variables would improve the team performance.