Location, Location, Location: Accelerometer Placement Affects Steps-Based Physical Activity Outcomes During Pregnancy and Postpartum.

As pregnancy progresses, physical changes may affect physical activity (PA) measurement validity. n = 11 pregnant women (30.1 ± 3.8 years) wore ActiGraph GT3X+ accelerometers on the right hip, right ankle, and non-dominant wrist for 3-7 days during the second and third trimesters (21 and 32 weeks, respectively) and 12 weeks postpartum. Data were downloaded into 60-second epochs from which stepping cadence was calculated; repeated-measures analysis of variance was used to determine significant differences among placements. At all time points, the wrist accelerometer measured significantly more daily steps (9930-10 452 steps/d) and faster average stepping cadence (14.5-14.6 steps/min) than either the hip (4972-5944 steps/d, 7.1-8.6 steps/min) or ankle (7161-8205 steps/d, 10.3-11.9 steps/min) placement, while moderate- to vigorous-intensity activity at the wrist (1.2-1.7 min/d) was significantly less than either hip (3.0-5.9 min/d) or ankle (6.1-7.3 min/d). Steps, cadence, and counts were significantly lower for the hip than the ankle at all time points. Kappa calculated for agreement in intensity classification between the various pairwise comparisons ranged from .06 to .41, with Kappa for hip-ankle agreement (.34-.41) significantly higher than for wrist-ankle (.09-.11) or wrist-hip (.06-.16). These data indicate that wrist accelerometer placement during pregnancy likely results in over counting of PA parameters and should be used with caution.

The Effect of Fluid Availability on Consumption and Perceptual Measures during Aerobic Exercise.

Fluid availability may alter drinking behavior; however, it is currently unknown if the availability of fluid impacts behavior and gastrointestinal issues (GI) that are often associated with increased fluid intake. The purpose of this study was to determine if ad libitum (AL) versus periodic (PER) fluid intake influences fluid consumption and GI distress during exercise in trained athletes. Male and female Division I NCAA Cross Country athletes (n = 11; age = 20 ± 1 years) participated in this counterbalanced crossover study. Each participant completed a moderate intensity 10 km run on two separate occasions. In one trial, participants had unlimited availability to fluid to consume AL. In the other trial, participants consumed PER fluid at stations placed every 3.2 km. Assurance of euhydration prior to each trial was confirmed via urine specific gravity (USG) and urine color. Subjective perceptions of thirst and gastric fullness were assessed pre- and post-exercise via Likert questioning and a visual analog scale, respectively. Participants started each trial euhydrated (AL = 1.009 USG ± 0.009; PER = 1.009 USG ± 0.009; urine color AL, 3 ± 1; urine color PER, 2 ± 1). Fluid volume consumption was significantly higher during the AL condition compared to PER (p = 0.050). Thirst significantly increased from pre- to post-run regardless of treatment (p < 0.001); however, there was no significant difference between the groups (p = 0.492). Feelings of fullness did not change pre-post trial (p = 0.304) or between trials (p = 0.958). Increased fluid availability allows for increased fluid consumption without the negative experience of GI discomfort.

Role of age and sex on dual tasking using a treadmill desk while performing cognitive tests.

BACKGROUND: Treadmill desks have been used extensively to increase physical activity and decrease sedentary time in the work environment. However, dual tasking, such as simultaneously walking and performing a cognitive task, may result in diminished performance in one or both tasks. RESEARCH QUESTION: Do age and sex impact ability to dual task while using a treadmill desk at a preferred walking speed?. METHODS: A total of n = 24 younger (range of 18-24 years, mean age = 21.1 ± 1.6 years) and n = 25 older (range of 45-65 years, mean age = 53.0 ± 5.1 years) adults self-selected a comfortable walking speed ranging from 0.5 to 2.0 mph and performed the Stroop Color & Word test (measuring Inhibition) and the Sternberg Test of Working Memory (measuring Working Memory) while walking at their chosen speed on a treadmill desk and while seated. Testing was performed in two separate sessions with the order counterbalanced. Step length, stride length, gait cycle time, and coefficient of variation (CV) for each were measured using OptoGait software, and both reaction time and accuracy for the two cognitive tests were assessed. Dual Task Cost (DTC) was calculated by using the formula (Single task score - Dual task score)/Single task score)*100. RESULTS: Younger adults had faster reaction time compared to older adults for both Working Memory and Inhibition tests (p < 0.05), and both males and females had slower reaction time for the Working Memory test when seated compared to walking (p < 0.05). For DTC, older adults had greater stride length CV during the Working Memory task (32.0 % vs 19.6 %), and regardless of age or sex, DTC for gait was greater than for cognition. SIGNIFICANCE: These data provide evidence that while aging does decrease reaction time while dual tasking, few age differences and no sex differences were found in dual task cost. However, dual tasking results in diminished gait DTC compared to cognition DTC regardless of age or sex.

Is pregnancy brain real? Comparison of dual task cost during overground walking in pregnant versus control women.

BACKGROUND: Many pregnant women report that their memory is impaired compared to non-pregnancy, but results of studies of cognitive abilities are mixed. The effect of pregnancy on dual tasking, or performance of two tasks simultaneously, has not been studied, however. RESEARCH QUESTION: What is the effect of walking overground at a self-selected speed while also performing a cognitive task on gait and cognitive performance during 3rd trimester of pregnancy compared to non-pregnant controls? METHODS: A total of n = 22 3rd trimester pregnant women (mean 33.3 ± 3.3 weeks gestation, age 32.1 ± 4.7 years) and n = 21 non-pregnant controls (age 31.9 ± 3.3 years) were recruited to participate. All participants performed single task walking on a GAITRite gait analysis system and performed three cognitive tests while walking: serial 3 and 7 subtraction tests and a phoneme monitoring test. Participants completed the same assessments while seated and order of the testing was counterbalanced. Dual task cost (DTC) was calculated using the formula (Single task score - Dual task score)/Single task score)*100. Independent t-tests or Mann Whitney U tests were used to compare the two groups depending on normality of data. RESULTS: There were no significant differences in cognitive test performance between control and pregnant women while walking or seated (p > 0.05). There were no significant differences between groups for DTC during any cognitive tests, but DTC was significantly greater for walking velocity in pregnant women compared to controls for serial 3 (p < 0.001) and serial 7 (p = 0.005) but not phoneme monitoring (p = 0.061). SIGNIFICANCE: Pregnant women had elevated cost of dual tasking, though the decrements were not in cognitive tests but in gait, specifically with greater DTC of walking velocity. This suggests that pregnant women modify their walking velocity to preserve cognitive function during activities requiring focus on both cognitive and physical tasks.

Fluid Restriction Negatively Influences Perceived Morning Alertness and Visuomotor Ability.

The purpose of this study was to assess the effect of two fluid intake protocols on alertness and reaction time before and after fluid intake. Healthy college-age males (n = 12) followed two fluid intake protocols on separate occasions: (1) prescribed fluid (PF) and fluid restricted (FR). In PF, participants were instructed to consume 500 mL of fluid the night prior to and the morning of data collection. In FR, participants were instructed to refrain from the consumption of fluid for 12 h. To assess hydration status, urine specific gravity and urine color were measured. Participants perceived level of thirst and alertness were also recorded. Participants then completed visuomotor reaction time tests using the Dynavision LED board, using both a central visuomotor test and a peripheral visuomotor test (PVRT) prior to (1) and following (2) the ingestion of 100 mL of water. Participants displayed significantly improved PVRT in PF state as compared to FR (PF1 = 1.13 ± 0.16, PF2 = 1.04 ± 0.14; FR1 = 1.27 ± 0.27, FR2 = 1.18 ± 0.20; p = 0.038, ηp2 = 0.363). Both CVRT and PVRT improved over time, following the ingestion of 100 mL of fluid. Participants in the PF state were also significantly more alert than participants in the FR state (PF = 4 ± 2, FR = 5 ± 2; p = 0.019, ES = 0.839). Collectively, perceived alertness and PVRT were negatively impacted by FR.

Effects of Preferred vs. Nonpreferred Music on Resistance Exercise Performance.

ABSTRACT: Ballmann, CG, McCullum, MJ, Rogers, RR, Marshall, MR , and Williams, TD. Effects of preferred vs. nonpreferred music on resistance exercise performance. J Strength Cond Res 35(6): 1650-1655, 2021-The purpose of this study was to examine the effects of listening to preferred vs. nonpreferred music on resistance exercise performance. Twelve resistance-trained college-aged males (age = 20.5 ± 1.24 years, height = 183.9 ± 6.8 cm, and body mass = 97.0 ± 18.2 kg) were recruited for this study. In a within-groups counterbalanced study design, subjects either listened to preferred or nonpreferred music during a bench press exercise test. Subjects completed as many repetitions as possible at 75% of their 1 repetition maximum with maximum explosive intent. Power and velocity of the barbell movement was measured for the first 3 repetitions using a linear position transducer. Motivation was measured using a visual analog scale immediately after exercise. Each exercise trial was separated by a 48-hour washout period. Results indicate that listening to preferred music increased overall bench press repetitions completed (p = 0.005; effect size [ES] = 0.84). During the first 3 repetitions, mean velocity (p = 0.001; ES = 1.6), relative mean power (p = 0.012; ES = 0.55), peak velocity (p = 0.011; ES = 0.99), and peak power (p = 0.009; ES = 0.35) were higher while listening to preferred music vs. nonpreferred music. Finally, motivation during the lift (p < 0.001; ES = 5.9) was significantly higher while listening to preferred vs. nonpreferred music. Current findings suggest that listening to preferred music by the individual results in greater performance than nonpreferred during resistance exercise. Athletes may benefit from the option to listen to their preferred music to increase motivation and resistance exercise performance.

Physical and Cognitive Performance During Upper-Extremity Versus Full-Body Exercise Under Dual Tasking Conditions.

The purpose of this study was to investigate physical and cognitive performance during dual task conditions of upper-extremity (UE) or full-body (FB) rowing exercise. In a crossover counterbalanced design, college-aged male and female participants completed five conditions: (a) Sitting, (b) Single task UE rowing, (c) Single task FB rowing, (d) Dual task UE rowing, and (e) Dual task FB rowing. For single task UE and FB rowing conditions, participants were asked to row as hard as possible. After sitting and dual-task conditions, we administered the Paced Auditory Serial Addition Test (PASAT) and a word-list memory test. We analyzed participants' absolute differences (single task - dual task) in power output and their cognitive test scores to compare UE and FB rowing. There were no significant absolute differences from sitting to dual task conditions of UE and FB rowing for either PASAT (p = 0.958) or word list memory (p = 0.899) cognitive scores. Absolute power output loss from single to dual task conditions was significantly higher in FB versus UE for PASAT (p = 0.039; d = 0.54) and word list memory (p = 0.021; d = 0.66) in the dual task condition. These results suggest that, while cognitive performance was preserved regardless of the amount of muscle mass activated during dual task rowing, physical performance suffered more during FB than UE rowing under the dual task condition. These findings have important implications for optimizing cognitive and physical performance in dual task situations.

Effects of Time-of-Day Training Preference on Resistance-Exercise Performance.

Purpose: The purpose of this study was to investigate how time-of-day training preference influences resistance-exercise performance. Methods: Resistance trained males (n = 12) were recruited for this study. In a crossover, counterbalanced design, participants completed two separate bench-press exercise trials at different times of day: (a) morning (AM; 8:00 hr) and (b) evening (PM; 16:00 hr). Participants answered a questionnaire on time-of-day training preference and completed a preferred (PREF) and nonpreferred (NON-PREF) time-of-day trial. For each trial, motivation was measured using a visual analog scale prior to exercise. Participants completed 2 sets × 2 repetitions at 75% 1-RM with maximum explosiveness separated by 5 min of rest. Mean barbell velocity was measured using a linear position transducer. Participants then completed 1 set × repetitions to failure (RTF) at 75% 1-RM. Rate of perceived exertion (RPE) was measured immediately following exercise. Results: Regardless of preference, velocity (p = .025; effect size (ES) = 0.43) was higher during the PM versus AM trial. However, there were no significant differences in velocity (p = .368; ES = 0.37) between PREF and NON-PREF time of day. There were no significant differences for repetitions between PREF and NON-PREF times (p = .902; ES = 0.03). Motivation was higher in the PREF time versus NON-PREF (p = .015; ES = 0.68). Furthermore, RPE was significantly lower during the PREF time of day (p = .048; 0.55). Conclusions: Despite higher barbell velocity collectively at PM times, time-of-training preference did not largely influence resistance-exercise performance, while motivation is higher and RPE is lower during preferred times.

Effects of Preferred and Nonpreferred Warm-Up Music on Exercise Performance.

This study investigated the effects of preferred and non-preferred warm-up music listening conditions on subsequent exercise performance. A total of 12 physically active male and female participants engaged in a crossover, counterbalanced research design in which they completed exercise trials after 3 different warm-up experiences of (a) no music (NM), (b) preferred music (PREF), and (c) nonpreferred music (NON-PREF). Participants began warming up by rowing at 50% of of age-predicted heart rate maximum (HRmax) for 5 minutes while exposed to the three music conditions. Immediately following the warm-up and cessation of any music, participants completed a 2000-m rowing time trial as fast as possible. Relative power output, trial time, heart rate, rating of perceived exertion, and motivation were analyzed. Results indicated that, compared with NM, relative power output was significantly higher (p = .018), trial time was significantly lower (p = .044), and heart rate was significantly higher (p = .032) during the PREF but not the NON-PREF condition. Rating of perceived exertion was not altered, regardless of music condition (p > .05). Motivation to exercise was higher during the PREF condition versus the NM (p = .001) and NON-PREF (p < .001) conditions. Listening to preferred warm-up music improved subsequent exercise performance compared with no music, while nonpreferred music did not impart ergogenic benefit.

Longitudinal changes in walking cadence across pregnancy and postpartum.

BACKGROUND: Physical activity during pregnancy has many health benefits yet few pregnant women meet US guidelines for physical activity. Traditionally, physical activity has been measured as time spent in moderate and/or vigorous intensity activity, but quantifying intensity is challenging. There is increasing interest in measuring both daily steps and stepping rate, or cadence, as an indicator of physical activity overall and intensity of that activity. RESEARCH QUESTION: Does free-living step cadence change across pregnancy (from 20 weeks to 32 weeks) and postpartum (12 weeks postpartum) when data is collected via hip-worn ActiGraph (ActiGraph Corp., Pensacola, FL) accelerometers? METHODS: A total of n = 32 pregnant women were enrolled in a longitudinal study of physical activity during pregnancy; these women wore accelerometers on their right hip for one week at 20 weeks gestation, again at 32 weeks gestation, and at 12 weeks postpartum. Data were used to determine total daily steps, time spent (min/day) in various cadence ranges, minutes spent at >100 and >130 steps/min as well as mean, median, maximum, and peak cadences. RESULTS: Pregnant women accumulated significantly fewer steps per day in the third trimester compared to second (1164 steps/day less) or postpartum (1397 steps/day less) time points. Third trimester women also spent significantly fewer minutes/day in MVPA (cadences ≥100 steps/minute; 4.1 min/day less) and had a significantly lower peak cadence (10.6 steps/min less), compared to second trimester only. SIGNIFICANCE: These data indicate that pregnant women take fewer steps and walk at slower cadences in the third trimester compared to second and to postpartum, which indicates that total PA as well as absolute intensity of PA are altered during pregnancy.

Nocebo Effects on Perceived Muscle Soreness and Exercise Performance Following Unaccustomed Resistance Exercise: A Pilot Study.

The purpose of this study was to investigate the effects of nocebo administration on perceived soreness and exercise performance following unaccustomed resistance exercise. Untrained males were randomly assigned to one of two treatments: (1) control or (2) negative-belief. For the negative-belief group, participants were given a capsule before exercise containing 400 mg of an inert substance (gluten-free cornstarch) and were told the supplement would increase muscle soreness. The control group received no treatment. An algometer and pain scale was used to obtain soreness, and a goniometer was used to measure elbow range of motion (ROM). Participants completed an eccentric bicep curl pyramid with their non-dominant arm. Rate of perceived exertion (RPE) and repetitions were recorded. Then, 48 h after the initial exercise bout, participants repeated all procedures. Perceived soreness, ROM, average RPE, and total repetitions performed were analyzed. Perceived soreness was significantly higher in both control and negative-belief groups 48 h after exercise (p < 0.001; η2 = 0.23). ROM was significantly lower 48 h post in the negative-belief group (p = 0.004; d = 1.83) while no differences existed for controls (p = 0.999; d = 0.16). Average RPE was unaffected between groups (p = 0.282; η2 = 0.07). Total repetitions were significantly lower 48 h post in the negative-belief group (p < 0.001; d = 2.51) while no differences existed for the controls (p = 0.999; d = 0.08). Findings suggest that 48 h after unaccustomed resistance exercise, negative expectation does not worsen soreness but hinders ROM and exercise performance.

Differences in Balance Ability and Motor Control between Dancers and Non-Dancers with Varying Foot Positions.

The purpose of this study was to investigate balance and motor control in dancers and non-dancers with different foot positions. Physically active female dancers (n = 11) and non-dancers (n = 9) randomly completed two balance tests in a single visit: 1) Y-balance test (YBT), and 2) motor control test (MCT). Each test was completed with two different foot positions: 1) first ballet position in which heels were touching and feet were externally rotated to 140 degrees, and 2) sixth ballet position in which heels were spaced 10 cm apart and forward parallel. For the YBT, participants completed three attempts at anterior, posteromedial, and posterolateral reaches, which were averaged and standardized to limb length for a composite score. For the MCT, participants completed a multi-directional target test on a Biosway balance system, and accuracy and time to completion were analyzed. Findings revealed no differences in YBT score (p = 0.255), MCT score (p = 0.383), or MCT time (p = 0.306) between groups in the sixth position. However, dancers displayed better YBT scores (p = 0.036), MCT scores (p = 0.020), and faster MCT times (p = 0.009) in the first position. Results suggest that superior balance and motor control in dancers may be limited to less innate dance-specific foot positions.

Effects of Protective American Football Headgear on Peripheral Vision Reaction Time and Visual Target Detection in Division I NCAA Football Players.

The purpose of this study was to examine the effects of protective football headgear on peripheral vision reaction time and visual target detection. Twenty-five Division I NCAA football players (age = 20.5 yrs ± 0.9, height = 185.9 cm ± 6.8, body mass = 99.2 kg ± 19.2, BMI = 29.6 ± 4.5) participated. In a crossover counterbalanced study design, subjects participated in one visit with three conditions: Baseline (BL) without headgear, helmet only (HO), helmet with an eye shield (HE). Subjects completed a 1-min peripheral vision reaction time test for each condition separated by 3-min recovery periods. Tests were administered using a 64 light Dynavision D2 Visuomotor board. Target detection (total hit score) was higher during BL than HO (p < 0.001) and HE (p < 0.001). Average (p < 0.001), peak (p < 0.001), minimum (p < 0.001), and median (p < 0.001) peripheral reaction times were faster during BL than HO and HE. No significant differences were observed for any measures between HO and HE conditions (p > 0.05). Findings indicate that protective football headgear impaired reaction time to peripheral visual stimuli. The addition of an eye shield to the helmet had a small non-significant effect on reaction time and target detection. These results may hold important implications in helmet design and player safety.

Attitudes and Beliefs Regarding Pregnancy Physical Activity in a Non-pregnant Population.

The purpose of this study was to examine the attitudes and beliefs about pregnancy physical activity (PA) in non-pregnant individuals. We hypothesized that younger, more educated, females, those who had ever been pregnant (or partner had been pregnant, for males) and physically active individuals would view pregnancy PA more positively than older individuals, those with less education, males, those who had not ever been pregnant (partner had not been pregnant, for males), and those who are inactive, respectively. Participants were non-pregnant adults ages 20+ years who were recruited by word-of-mouth, social media, and from physician offices. A total of n=698 completed a survey consisting of 27 items in five sections: demographics, PA over prior six months, questions regarding efficacy of PA during pregnancy, importance of exercise for pregnant women, and safety of moderate or vigorous intensity PA. Participants were dichotomized by sex (male; female), PA (meets or does not meet PA Guidelines), education (Bachelor's degree; no Bachelor's degree), and prior experience with pregnancy (self/partner had ever been pregnant; self/partner had never been pregnant). Overall, physically active individuals, those with college degrees, and those age 40+ years viewed pregnancy PA more favorably, and non-pregnant females and more educated people believed moderate activity is safe (p<0.05 for all comparisons) compared to males and less educated, respectively. Beliefs and attitudes about pregnancy PA vary by age, sex, education, and PA level. High levels of agreement with statements about benefits from and safety of light and moderate intensity PA were reported. Targeting education and PA promotion related to pregnancy to less educated, inactive, and younger age groups should be encouraged, as well as increasing education in all groups regarding safety of vigorous intensity PA during pregnancy.

Walking for health during pregnancy: A literature review and considerations for future research.

Walking is the most commonly chosen type of physical activity (PA) during pregnancy and provides several health benefits to both mother and child. National initiatives have promoted the importance of walking in general, but little emphasis is directed toward pregnant women, the majority of whom are insufficiently active. Pregnant women face a variety of dynamic barriers to a physically active lifestyle, some of which are more commonly experienced during specific times throughout the pregnancy experience. Walking is unique in that it appears resistant to a number of these barriers that limit other types of PA participation, and it can be meaningfully integrated into some transportation and occupational activities when leisure-time options are unavailable. Preliminary intervention work suggests that walking programs can be effectively adopted into a typical pregnancy lifestyle. However, a great deal of work remains to administer successful pregnancy walking interventions, including developing and using validated methods of PA and walking assessment. This narrative review discusses the unique advantages of walking during pregnancy, provides recommendations for future intervention work, and outlines the need for pregnancy-focused community walking initiatives. Standard search procedures were followed to determine sources from the literature specific to walking during pregnancy for use in each section of this review.

Effects of Listening to Preferred versus Non-Preferred Music on Repeated Wingate Anaerobic Test Performance.

The purpose of this study was to examine the effects of listening to preferred or non-preferred music on repeated sprint performance. Fourteen physically active males (ages 18-25 years) were recruited for this study. In a counterbalanced crossover study design, participants completed two separate visits. During each visit, participants listened to either preferred or non-preferred music and completed 3 × 15 s Wingate Anaerobic Tests (WAnTs) separated by 2 min active recovery periods. Each visit was separated by a minimal recovery period of 48 h. Anaerobic performance measures, heart rate, rate of perceived exertion (RPE), and motivation were analyzed. Mean power (p = 0.846, effect size (ES) = 0.019), anaerobic capacity (p = 0.686, ES = 0.058), and total work (p = 0.677, ES = 0.039) were not significantly different between preferred and non-preferred music conditions. Mean heart rate (p = 0.608; ES = 0.125) was also unchanged. Motivation to exercise (p < 0.001; ES = 1.520) was significantly higher in the preferred music condition. Additionally, the rate of perceived exertion (RPE) (p = 0.028; ES = 0.540) was significantly lower during the preferred music condition. Our results show that listening to preferred music showed no ergogenic benefit during repeated anaerobic cycling sprints when compared to non-preferred music. However, preferred music increased motivation to exercise and decreased perceived exertion. The results from this study could hold important implications for the application of music and enduring repeated high-intensity sprint exercise.

Pregnancy walking cadence does not vary by trimester.

BACKGROUND: Pregnancy-related changes in walking speed, gait dynamics, and total physical activity have been reported in past research, but free-living step cadences and their rates of change across pregnancy have not been studied. RESEARCH QUESTION: The purpose of this study was to describe free-living stepping cadence in pregnant women and examine differences between second and third trimester women. We hypothesized that physical activity walking cadences would be lower later in pregnancy. METHODS: Fifty pregnant women were recruited for this study and n = 45 was the analytic sample size; 46.7% were in their second trimester (13-25 weeks) while 53.3% were third trimester (≥26 weeks). Participants completed a survey of demographic characteristics and wore an accelerometer on their non-dominant wrist for 7-8 days. These accelerometer data were downloaded in 60-sec epochs, allowing for determination of min-by-min walking cadence, defined as steps/min. Mean steps/day, mean cadence, peak cadence (average cadence over the 30 min of highest cadence in each day), mean time spent in moderate- to vigorous-intensity physical activity (MVPA, time spent with cadence ≥100 steps/min), and mean daily time spent in several cadence ranges were calculated for each participant. Between-trimester differences were determined using independent-samples t-tests. RESULTS: Average daily steps were 11,060.1 ± 2,955.3; 66.7% of second trimester and 54.2% of third trimester women met daily step recommendations of 10,000 steps/day, but 0.0% of the sample accumulated the recommended 150 min/wk of MVPA. There were no differences by trimester for cadence at any step rates (p > 0.05). SIGNIFICANCE: Overall, pregnant women accumulated high numbers of steps per day but at low cadences; neither daily steps nor cadence varied from second to third trimester. These data suggest that steps and MVPA recommendations are not equivalent and therefore should not be used interchangeably, especially during pregnancy.

Effects of Prior Fasting on Fat Oxidation during Resistance Exercise.

Prior research has demonstrated that the percentage of fuel utilization contributed by CHO compared to fat rises with an increase in exercise intensity. The role of food intake prior to exercise has been well studied and fasting prior to exercise generally increases reliance on fat as fuel. However, data on the role of fasting prior to resistance exercise is limited. Therefore, the purpose of this study was to assess the effects of one bout of resistance training in a fasted state compared to ingestion of standardized meal on fat and carbohydrate utilization. Twelve female (n = 12, age = 20.1 ± 0.79 yrs, height = 67.0 ± 2.63 in, weight = 143 ± 21.8 lbs) NCAA Division 1 athletes participated in the study. Each participant completed one 10 hour fasted resistance training session and one postprandial resistance training session. The respiratory exchange ratio (RER) and METs were measured using a Cosmed K4b2 portable metabolic cart (Cosmed, Rome, Italy) and heart rate was measured by a Polar H1 heart rate monitor. Participants consumed the prescribed food, waited 15 minutes, and then completed three sets of five repetitions of bench press, back squat, and military press at 60% of their 1-repetition maximum. The mean fasted RER was significantly lower than postprandial for back squat (p=0.01) and military press (p=0.02), but not bench press (p=0.19). There was no difference in METs, RPE, or HR between fasted and postprandial trials for any exercise. Results suggest that fasted resistance exercise relies more heavily on fat metabolism than carbohydrate.

Physical Activity Device Reliability and Validity during Pregnancy and Postpartum.

Current physical activity (PA) recommendations for women experiencing a normal pregnancy reflect recent research showing numerous health benefits for mother and offspring. However, few studies have evaluated PA devices' reliability and validity during pregnancy, because anatomical and physiological changes throughout gestation could affect an instrument's accuracy. PURPOSE: This study aimed to determine the reliability and validity of PA devices worn on the hip, ankle, and triceps during pregnancy and postpartum. METHODS: Thirty-three women performed six activities of daily living and one treadmill walk at approximately 21 and 32 wk of pregnancy, and 12 wk postpartum. There were two visits at each time period, 1 wk apart. Energy expenditure (oxygen consumption) was measured by using indirect calorimetry (IC; criterion measure), whereas PA was quantified by using accelerometers and pedometers placed at the right hip and ankle and left triceps. Interclass reliability and monitor validity compared with IC in relative (mL·kg·min) terms were calculated using Pearson correlation. Both multitrial and single-trial intraclass reliabilities (ICC) were estimated using ANOVA to assess monitor reliability at each time period. SEM values were calculated in relative terms for each time period. RESULTS: The reliability of the devices was moderate/strong because 66% of the Pearson correlations were between 0.6 and 1.0. Multitrial ICC values were largely in the moderate/strong range because 38% of the ICC values were between 0.6 and 0.79 and 50% were between 0.8 and 1.0. The SEM values for each device between visits ranged from 7% to 23% of the mean values. Comparison between IC and devices showed that 40% and 46% of the validity coefficients were between 0.4 and 0.59 and between 0.6 and 0.79, respectively. CONCLUSIONS: PA devices show moderate/strong reliability and moderate validity for measuring PA during pregnancy and postpartum.

Perceived Exertion of Physical Activity During Pregnancy.

BACKGROUND: Maternal physical activity declines across gestation, possibly due to changing perception of physical activity intensity. Our purpose was to a) determine whether rating of perceived exertion (RPE) during a treadmill exercise changes at a given energy expenditure, and b) identify the influence of prepregnancy physical activity behavior on this relationship. METHODS: Fifty-one subjects were classified as either exercisers (N = 26) or sedentary (N = 25). Participants visited our laboratory at 20 and 32 weeks gestation and at 12 weeks postpartum. At each visit, women performed 5 minutes of moderate and vigorous treadmill exercise; speed was self-selected. Heart rate (HR), oxygen consumption (VO2), and RPE were measured during the last minute at each treadmill intensity. RESULTS: At moderate intensity, postpartum VO2 was higher compared with 20- or 32-week VO2, but there was no difference for HR or RPE. For vigorous intensity, postpartum HR and VO2 were higher than at 32 weeks, but RPE was not different at any time points. CONCLUSIONS: RPE does not differ by pregnancy time point at either moderate or vigorous intensity. However, relative to energy cost, physical activity was perceived to be more difficult at 32 weeks compared with other time points. Pregnant women, then, may compensate for physiological changes during gestation by decreasing walking/running speeds.