Exercise interventions following bariatric surgery are poorly reported: A systematic review and a call for action.

OBJECTIVES: This study assessed the transparency and replicability of exercise-based interventions following bariatric surgery by evaluating the content reporting of exercise-based clinical trials. DESIGN: The study design of the present article is a systematic review. DATA SOURCES: PubMed, Scopus, Web of Sciences, PsycINFO, and Cochrane were searched from their inception to May 2023. ELIGIBILITY CRITERIA: Eligible studies were clinical trials including exercise interventions in participants following bariatric surgery. There were 28 unique exercise interventions. Two independent reviewers applied the exercise prescription components of Frequency, Intensity, Time, and Type (FITT; four items) and the Consensus on Exercise Reporting Template (CERT; 19 items). Exercise interventions were organized into four major exercise components: aerobic training, resistance training, concurrent training, and "others." RESULTS: The FITT assessment revealed that 53% of the trials did not report the training intensity, whereas 25% did not indicate the duration of the major exercise component within the training session. The mean CERT score was 5 out of a possible score of 19. No studies reached CERT score >10, while 13 out of the total 19 CERT items were not adequately reported by ≥75% of the studies. CONCLUSION: This study highlights that the exercise interventions following bariatric surgery are poorly reported, non-transparent, and generally not replicable. This precludes understanding the dose-response association of exercise and health-related effects and requires action to improve this scientific field.

Does a Resistance Training Program Affect Between-arms Volume Difference and Shoulder-arm Disabilities in Female Breast Cancer Survivors? The Role of Surgery Type and Treatments. Secondary Outcomes of the EFICAN Trial.

OBJECTIVE: The aims were (i) to assess the effects of a 12-week resistance training program on between-arms volume difference and shoulder-arm disabilities in breast cancer survivors and (ii) to evaluate whether the main risk factors for developing cancer-related lymphedema and shoulder-arm disabilities were associated with the effects of the training program. DESIGN: Randomized controlled trial. SETTING: University facilities. PARTICIPANTS: 60 female breast cancer survivors participated. ELIGIBILITY CRITERIA: to be a breast cancer survivor, and to have completed surgery, chemotherapy, and/or radiotherapy up to 10 years before recruitment. EXCLUSION CRITERIA: metastatic breast cancer, a breast reconstruction intervention planned within 6 months, any absolute contraindication for exercise, to perform more than 300 minutes/week of structured exercise. INTERVENTIONS: Participants were randomized to an exercise group (12-week resistance training program) or a control group. MAIN OUTCOME MEASURES: Between-arms volume difference, shoulder-arm disabilities, and upper-limb muscular strength were evaluated at baseline and at week 12. Treatment-related information was registered from medical history. RESULTS: No between-group differences were observed on between-arms volume difference (1.207; 95% CI -0.964, 3.377; P=.270) or shoulder-arm disabilities (2.070; 95% CI -4.362, 8.501; P=.521) after the training program. Likewise, there was no association of surgery type, presence of lymph node resection, chemotherapy, radiotherapy, and hormone therapy with the changes in between-arms volume and perceived shoulder-arm disabilities after the intervention. However, a higher increase in upper limb muscular strength was associated with a reduced shoulder-arm disabilities (-0.429; P=.020) in the exercise group. CONCLUSIONS: The findings suggest that resistance training does not affect between-arms volume difference and shoulder-arm disabilities in female breast cancer survivors. The main risk factors for developing lymphedema were not associated with the effects of the intervention, although a higher increase in upper-limb muscular strength was associated with reduced shoulder-arm disabilities.

Assessing the Maximal Mechanical Capacities Through the Load-Velocity Relationship in Elite Versus Junior Male Volleyball Players.

BACKGROUND: Physical testing is crucial for athlete monitoring, talent identification, optimizing training, and tailoring programs to enhance game-performance in elite competitions. HYPOTHESIS: Load-velocity (L-V) relationship variables discriminate between elite and junior volleyball players, correlate with volleyball-specific performance, and are generalizable across lower- and upper-body exercises. STUDY DESIGN: Cross-sectional study. LEVEL OF EVIDENCE: Level 3. METHODS: A total of 9 elite and 11 junior volleyball players were assessed for the L-V relationship (load-axis intercept [L0], velocity-axis intercept [v0], and area under the L-V relationship line [Aline]) during the countermovement jump (CMJ) and bench press throw (BPT) exercises. Block and spike jump height, as well as standing and jumping spike speed were assessed 24 hours later. RESULTS: Elite players presented greater magnitude in the L-V variables (P ≤ 0.03; effect size [ES] ≥ 1.06) and higher volleyball-specific performance (P ≤ 0.03; ES ≥ 1.09) than juniors (except for CMJ v0 and Aline). The L-V relationship variables were significantly associated with the block and spike jump height and jumping spike speed only in elite players (r ≥ 0.703 and P ≤ 0.04 in 11 out of 18 correlations). No significant associations were observed between CMJ and BPT for any L-V relationship variable (r ≤ 581; P ≥ 0.08, except for Aline in junior players). CONCLUSION: The L-V relationship is a practical procedure to assess volleyball players' maximal mechanical capacities, which are associated with volleyball-specific performance in elite players. However, these data should not be used interchangeably between playing standards or exercises. CLINICAL RELEVANCE: This information might help strength and conditioning coaches to prescribe more effective training programs that focus on developing the specific physical capacities necessary for players to potentially advance to elite status.

Estimating the one-repetition maximum on the leg-press exercise in female breast cancer survivors.

We examined the accuracy of twelve different velocity-based methods for predicting the bilateral leg-press exercise one-repetition maximum (1RM) in breast cancer survivors. Twenty-one female breast cancer survivors (age 50.2 ± 10.8 years) performed an incremental loading test up to the 1RM. Individual load-velocity relationships were modeled by linear and quadratic polynomial regression models considering the mean velocity (MV) and peak velocity (PV) values recorded at five incremental loads (~45-55-65-75-85% of 1RM) (multiple-point methods) and by a linear regression model considering only the two distant loads (~45-85% of 1RM) (two-point method). The 1RM was always estimated through these load-velocity relationships as the load associated with a general (MV: 0.24 m/s; PV: 0.60 m/s) and an individual (MV and PV of the 1RM trial) minimal velocity threshold (MVT). Compared to the actual 1RM, the 1RMs estimated by all linear regression models showed trivial differences (Hedge's g ranged from 0.08 to 0.17), very large to nearly perfect correlations (r ranged from 0.87 to 0.95), and no heteroscedasticity of the errors (coefficient of determination (r2) < 0.10 obtained from the relationship of the raw differences between the actual and predicted 1RMs with their average value). Given the acceptable and comparable accuracy for all 1RM linear prediction methods, the two-point method and a general MVT could be recommended to simplify the testing procedure of the bilateral leg-press 1RM in breast cancer survivors.

Acute Mechanical and Skin Temperature Responses to Different Interrepetition Rest Intervals During Full-Squat Exercise.

PURPOSE: This study aimed to (1) evaluate the acute effects of different interrepetition rest full-squat protocols on countermovement jump (CMJ) height, velocity loss (VL), and skin temperature (Tsk) and (2) determine whether the VL, the changes in Tsk, or the individual strength level is associated with the change in CMJ height. METHODS: Sixteen resistance-trained men randomly performed 3 squat protocols at maximal intended velocity with 60% of the 1-repetition maximum (sets × repetitions [interrepetition rest]): traditional (2 × 6 [0 s]), cluster 2 (2 × 6 [30 s every 2 repetitions]), and cluster 1 (1 × 12; [36 s every repetition]), plus a control session. CMJ height was assessed before and 2, 4, and 8 minutes after the protocols. RESULTS: There was a significant main effect of protocol for the VL (F = 20.54, P < .001) and loss in mean power (F = 12.85, P < .001; traditional > cluster 2 > cluster 1). However, we found a comparable reduction of CMJ height after 8 minutes: traditional (-3.4% [4.2%]), cluster 2 (-5.3% [4.9%]), cluster 1 (-5.4% [2.9%]), and control (-4.2% [3.6%]). Overall, mean Tsk acutely decreased after all the protocols. Higher individual strength level (but not VL or the changes in Tsk) was associated with lower CMJ-height loss (P < .05). CONCLUSIONS: Although different interrepetition rest full-squat protocols may alter the loss in velocity and power, they result in a similar decrease in Tsk and CMJ height, which could be more influenced by individual strength level than VL or changes in Tsk.

Novel Curvilinear Sprint Test in Basketball: Reliability and Comparison With Linear Sprint.

ABSTRACT: Baena-Raya, A, Díez-Fernández, DM, López-Sagarra, A, Martínez-Rubio, C, Soriano-Maldonado, A, and Rodríguez-Pérez, MA. Novel curvilinear sprint test in basketball: reliability and comparison with linear sprint. J Strength Cond Res 37(9): e535-e540, 2023-This study (a) evaluated the reliability of a curvilinear sprint (CS) test to assess kinetic and kinematic outcomes in basketball players, (b) compared the kinetic and kinematic outcomes derived from curvilinear vs. linear sprints (LS), and (c) examined the association of both the CS and LS with change of direction (COD) performance. Thirty young basketball players (17 men and 13 women) competing at the national level (i.e., Spanish Basketball National League) performed a novel CS test around the 3-point line (the 3-point line CS test) to the right and left sides. The maximum and average values of acceleration (ACC), velocity (VEL), and centripetal force (CentF) were measured using Local Positioning System technology (WIMU PRO, Realtrack Systems S.L., Almería, Spain). All outcomes showed a high relative (intraclass correlations coefficient ≥ 0.90) and absolute (coefficient of variation [CV] < 5%) reliability, except the maximal CentF to the right (CV = 5.41%) and left sides (CV = 7.72%). Linear sprints displayed higher ACC and VEL outputs compared with the 3-point line CS test (all p < 0.001). Both sprinting tests were very large to nearly perfect associated with COD performance (LS r range from -0.71 to -0.86; CS r range from -0.68 to -0.94; p < 0.001), and the curvilinear ACC max was the kinematic outcome most strongly associated with COD performance ( r range from -0.73 to -0.94). In conclusion, the 3-point line CS test is reliable to measure CS performance in basketball and presents different kinetic and kinematic features than LS.

Association of the load-velocity relationship variables with 2000-m rowing ergometer performance.

This study aimed to compare the maximal mechanical variables derived from the load-velocity (L-V) relationship and 2000-meter rowing ergometer performance between rowers of different age categories, and to identify the L-V relationship variables more closely related to 2000-meter rowing ergometer performance. Nineteen competitive rowers (15 males and four females) aged between 15 and 25 years were evaluated during the national 2000-meter rowing ergometer competition organised by the Chilean Rowing Federation. Thereafter, the L-V relationship variables (load-axis intercept [L0], velocity-axis intercept [v0], and area under the L-V relationship line [Aline]) were determined on separate occasions during the squat jump and prone bench pull exercises. Rowers were classified according to their chronological age for comparative purposes (under 16 years [U16] vs. over 16 years [O16]). L0 and Aline were always higher for O16 than for U16 (p ≤ 0.046; ES range = 0.99-1.79), while v0 was generally comparable for both age categories (p ≥ 0.038; ES range = 0.07-1.03). Furthermore, the O16 revealed a greater performance (i.e. shorter total time) during the 2000-meter rowing ergometer competition (p = 0.011; ES = -1.31). In general, significant correlations were obtained between rowing performance and the L-V relationship variables obtained during the squat jump (r or ρ range = -0.294 to -0.922) and prone bench pull (r or ρ range = -0.322 to -0.928). These results support the L-V relationship as a sensitive procedure to evaluate the maximal mechanical capacities of lower- and upper-body muscles in competitive rowers.HighlightsThe load-velocity relationship variables are sensitive enough to differentiate between rowers of different age categories (U16 vs. O16).The load-velocity variables are significantly associated with 2000-meter rowing ergometer performance (total time).This novel testing methodology can provide practitioners and coaches with a simpler and more precise alternative to comprehensively assess a rower's maximal neuromuscular profiles.

Horizontal versus vertical force application: association with the change of direction performance in soccer players.

This study examined which mechanical variables derived from a vertical jump (i.e. concentric peak force [ConcPF] and eccentric peak force [EccPF], flight time [FT]: contraction time [CT], eccentric deceleration rate of force development [EccDecRFD]) and linear sprint (i.e. theoretical maximal force [F0] and velocity [V0], maximal power output [Pmax], the peak ratio of the effective horizontal component [RFpeak], and the index of force application technique [DRF]) determined the change of direction (COD) performance to a greater extent. Sixteen male soccer players (age: 21.8 ± 2.9 years; height: 175.94 ± 6.88 cm; weight: 73.23 ± 9.59 kg) were assessed for a countermovement jump, the horizontal force velocity (FV) profile, and the COD ZigZag test. The horizontal FV profile parameters were significantly associated with COD performance, while jump mechanical variables did not show any significant association (r = 0.08-0.19; p > 0.05). Specifically, F0 (r = -0.56), Pmax (r = -0.68), and RFpeak (r = -0.54) were strongly associated with COD performance. Moreover, a 1 N·kg-1 increase in F0 was associated with -0.11 s to complete the ZigZag test, whereas 1 W·kg-1 and 1% increase in Pmax and RFpeak were associated with -0.05 and -0.03 s, respectively, to complete the COD test. Horizontal force production during sprinting might play a key role in COD performance. Assessing the horizontal FV profile might help coaches to prescribe a specific training programme to maximize sprint acceleration, which might improve COD performance.

Effects of a 12-week supervised resistance training program, combined with home-based physical activity, on physical fitness and quality of life in female breast cancer survivors: the EFICAN randomized controlled trial.

PURPOSE: This study assessed the effects of 12-week supervised resistance training combined with home-based physical activity on physical fitness, cancer-related fatigue, depressive symptoms, health-related quality of life (HRQoL), and life satisfaction in female breast cancer survivors. METHODS: A parallel-group, outcome assessor-blinded, randomized controlled trial included 60 female breast cancer survivors who had completed their core treatments within the previous 10 years. Through computer-generated simple randomization, participants were assigned to resistance training (RTG; two sessions/week for 12 weeks plus instructions to undertake ≥ 10,000 steps/d) or control (CG; ≥ 10,000 steps/d only). Outcomes were evaluated at baseline and week 12. Muscular strength was assessed with electromechanical dynamometry. A standardized full-body muscular strength score was the primary outcome. Secondary outcomes included cardiorespiratory fitness, shoulder mobility, cancer-related fatigue, depressive symptoms, HRQoL, and life satisfaction. RESULTS: Thirty-two participants were assigned to RTG (29 achieved ≥ 75% attendance) and 28 to CG (all completed the trial). Intention-to-treat analyses revealed that the standardized full-body muscular strength score increased significantly in the RTG compared to the CG (0.718; 95% CI 0.361-1.074, P < 0.001, Cohen's d = 1.04). This increase was consistent for the standardized scores of upper-body (0.727; 95% CI 0.294-1.160, P = 0.001, d = 0.87) and lower-body (0.709; 95% CI 0.324-1.094, P = 0.001, d = 0.96) strength. There was no effect on cardiorespiratory fitness, shoulder flexion, cancer-related fatigue, depressive symptoms, HRQoL, or life satisfaction. The sensitivity analyses confirmed these results. CONCLUSION: and implication for cancer survivors. In female breast cancer survivors who had completed their core treatments within the past 10 years, adding two weekly sessions of supervised resistance training to a prescription of home-based physical activity for 12 weeks produced a large increase in upper-, lower-, and full-body muscular strength, while other fitness components and patient-reported outcomes did not improve. TRIAL REGISTRATION NUMBER: ISRCTN14601208.

Poly(N-isopropylacrylamide)-interpenetrated chitosan coils working as nanoreactors for controlled silver nanoparticle growth.

A new precursor (Ag+/CS/PNIPA) arranged as a nanogel (nanoreactor) is obtained from the aqueous mixture of Ag+, chitosan (CS) and poly(N-isopropylacrylamide) (PNIPA). A model synthetic system based on the thermally induced aqueous silver ions-CS reaction to form silver nanoparticles (AgNP) is used as a starting point to assess the PNIPA role as a thermo-sensitive additive of synthesis in a low content for the production of size-controlled AgNP. As expected, the PNIPA phase transition produced by the temperature increase leads to chitosan nanogel contraction, lowering the diffusion of ionic species. PNIPA behaves as a successful additive between 5.6 and 10.5 wt% of content blended with chitosan, noticeably improving AgNP nucleation during thermal treatment at 90 °C. Higher PNIPA contents are less effective in achieving size control and broader size distributions are generated. The PNIPA effect on the nanoreactor structure is characterized by rheology, modelled and analyzed against the AgNP morphology obtained.

Clinical Outcomes for Open Hip Abductor Repair Using Tenodesis and Bone Trough Repair Techniques.

BACKGROUND: Hip abductor complex tears remain an injury without a clear consensus on management. Surgical treatment has been recommended after unsuccessful nonoperative management. This study evaluates both tenodesis and bone trough techniques, with treatment choices guided by previously described tear classification. METHODS: This is a retrospective cohort study of 45 hips in 44 patients who underwent surgical treatment for symptomatic, chronic hip abductor tear unresponsive to nonoperative treatment. Demographics and preoperative and postoperative values (including visual analog scale pain scores, gait assessment, and muscle strength) were evaluated. Type I tears were treated using tendon tenodesis. Type II tears were treated through a bone trough repair. RESULTS: Forty-five hips (44 patients) were operated on with a minimum of 6-month follow-up. There were 27 type I and 18 type II tears. Eighty-seven percent of patients were female. Twenty-eight percent of type II patients (5/18) had a preexisting arthroplasty in place. Significant improvements in pain (P < .001), gait (P < .001), and muscle strength (P < .001) were achieved in both the tear types. Type I repairs showed superior results to type II repairs. However, both showed significant improvements. Postoperative magnetic resonance imaging at 6 months showed healed tenodesis in 81% (17/21) of type I tears and 50% (5/10) of type II tears. CONCLUSION: Our study shows improvement in pain and function after surgical repair of hip abductor tendon injuries in both simple and complex tears. This improvement is seen even during ongoing surgical site healing. Magnetic resonance imaging findings may remain abnormal for more than 1 year after surgery and do not clearly denote repair failure.

Delineating the potential of the vertical and horizontal force-velocity profile for optimizing sport performance: A systematic review.

The aims of this systematic review were to synthetize the current evidence about (i) the force-velocity (FV) profile parameters (maximal values of force [F0], velocity (V0), and power [Pmax]) obtained from the Samozino's method in different sports; (ii) the association of the FV profile parameters with sport performance outcomes; and (iii) the effects of specific training programmes on the FV profile parameters. PubMed, SportDiscus, Web of Science, and Medline databases were searched for articles published between October 2008 (conception of the Samozino's method) and October 2020. Twenty-one studies (10 descriptive, 6 correlational, and 5 longitudinal) met the inclusion criteria. The main findings revealed greater F0, Pmax, and V0 values and better jump/sprint performance for high-level athletes compared to their low-level counterparts. The vertical Pmax showed the highest correlation with jump height. The horizontal F0, Pmax, and V0 were nearly perfectly correlated with 5/10-m, 10/20-m and 30/40-m sprint times, respectively. Training programmes using heavy- or light-loads specifically enhanced F0 and V0, respectively. These results suggest that the FV profile parameters discriminate between athletes of different sport disciplines and levels of practice, present significant correlations with a number of sport performance outcomes, and can be modified after short-term training programmes.

Improving resistance training prescription through the load-velocity relationship in breast cancer survivors: The case of the leg-press exercise.

The aims of this study were: (i) to analyse the load-velocity relationship in the bilateral leg-press exercise in female breast cancer survivors, (ii) to assess whether mean velocity (MV) or peak velocity (PV) show stronger relationship with the relative load, and (iii) to examine whether linear (LA) or polynomic (PA) adjustment predict the velocities associated with each %1RM with greater precision. Twenty-two female breast cancer survivors (age: 50.2 ± 10.8 years, weight: 69.6 ± 15.2 kg, height: 160.51 ± 5.25 cm) completed an incremental load test until 1RM in the bilateral leg-press exercise. The MV and the PV of the concentric phase were measured in each repetition using a linear velocity transducer, and were analysed by regression models using LA and PA. A very close relationship of MV (R2 = 0.924; p < 0.0001; SEE = 0.08m.s-1 by LA, and R² = 0.952; p < 0.0001; SEE = 0.063 m.s-1 by PA) and PV (R² = 0.928; p < 0.0001; SEE = 0.119 m.s-1 by LA and R² = 0.941; p < 0.0001; SEE = 0.108 m.s-1 by PA) with %1RM were observed. The MV of 1RM was 0.24 ± 0.03 m·s-1, whereas the PV at 1RM was 0.60 ± 0.10 m.s-1. A comprehensive analysis of the bilateral leg-press load-velocity relationship in breast cancer survivors is presented. The results suggest that MV is the most recommendable velocity variable to prescribe the relative load during resistance training, and that the PA presents better accuracy to predict velocities associated with each %1RM, although LA is sufficiently valid to use this model as an alternative to the quadratic model. The implications for resistance training in breast cancer are discussed.Highlights The load-velocity relationship in the bilateral leg-press exercise was described in female breast cancer survivors.The mean velocity is the most recommendable velocity variable to prescribe the relative load during resistance training in this population.The polynomial adjustment presents a better accuracy to predict velocities associated with each %1RM, although the linear adjustment is sufficiently valid as an alternative.This study will likely contribute to improving exercise prescription and monitoring in breast cancer survivors.

Gender-Specific Association of the Sprint Mechanical Properties With Change of Direction Performance in Basketball.

ABSTRACT: Baena-Raya, A, Jiménez-Reyes, P, Romea, ES, Soriano-Maldonado, A, and Rodríguez-Pérez, MA. Gender-specific association of the sprint mechanical properties with change of direction performance in basketball. J Strength Cond Res 36(10): 2868-2874, 2022-We evaluated the gender-specific associations between the mechanical variables derived from the horizontal force-velocity (FV) profile (i.e., theoretical maximal force [ F0 ], velocity [ V0 ], maximal power output [ Pmax ], peak ratio of the effective horizontal component [ RFpeak ], and the force application technique index [ DRF ]) and the change of direction (COD) performance for basketball players. Seventy-one players (23 women and 48 men) were assessed for the horizontal FV profile and COD using the modified 505 and V-cut tests. The FV profile parameters were significantly higher for the men than those for the women. The F0 , RFpeak , and Pmax were strongly associated with performance in the 505 test (women rrange = -0.72 to -0.82; men: rrange = -0.67 to -0.75; p < 0.001) and the V-cut test (women rrange = -0.68 to -0.76; men rrange = -0.45 to -0.50; p < 0.001), as well as with a lower COD deficit (women rrange = 0.58 to 0.75 ( p < 0.01); men rrange = 0.49 to 0.54; all p < 0.001). For the women, a 1 N·kg -1 increase of the F0 was associated with -0.20 seconds and -0.56 seconds in the 505 and V-cut tests, respectively, and 0.16 seconds for the COD deficit. In the men, it was associated with -0.13 seconds and -0.37 seconds in the 505 and V-cut tests, respectively, and 0.10 seconds for the COD deficit. F0 , RFpeak , and Pmax are the most determinant sprint mechanical properties to successfully COD and reduce the COD deficit. The horizontal FV profile assessment is recommended for diagnosing and prescribing a training program for basketball players.

Individual Adaptation Kinetics Following Heavy Resisted Sprint Training.

ABSTRACT: Morin, JB, Capelo-Ramirez, F, Rodriguez-Pérez, MA, Cross, MR, and Jimenez-Reyes, P. Individual adaptation kinetics following heavy resisted sprint training. J Strength Cond Res 36(4): 1158-1161, 2022-The aim of this study was to test individual adaptation kinetics to a high-resistance sprint training program designed to improve maximal horizontal power (Pmax), and compare the group and individual results of a classical "pre-post" analysis, and a "pre-peak" approach. Thirteen male and 9 female trained sprinters had their 30-m sprint performance and mechanical outputs assessed 1 week before (PRE), and one (POST, W1), 2 (W2), 3 (W3) and 4 (W4) weeks after a 10-week training block (10 repetitions of 20-m resisted sprints at the load associated to the apex of their velocity-power relationship: i.e., 90 ± 10% body mass on average (range: 75-112%). We observed clearly different outcomes on all variables for the PRE-POST vs. PRE-PEAK analyses. The PRE-PEAK analysis showed a larger (almost double) increase in Pmax (9.98 ± 5.27% on average, p < 0.01) than the PRE-POST (5.39 ± 5.87%, p < 0.01). Individual kinetics of post-training adaptations show that peak values were not captured in the POST (W1) assessment (generally observed at W3 and W4). Finally, the week of greatest Pmax output differed strongly among subjects, with most subjects (7/22) peaking at W4. In conclusion, after a 10-week high-resistance sprint training block, a classical 1-week-PRE to 1-week-POST assessment could not capture peak adaptation, which differed among athletes. Adopting a similar approach in practice or research should improve insight into the true effects of training stimuli on athletic capabilities.

Absolute and Relative Handgrip Strength as Indicators of Self-Reported Physical Function and Quality of Life in Breast Cancer Survivors: The EFICAN Study.

BACKGROUND: Although breast cancer (BC) is the most prevalent type of cancer in the world, its high survival rate implies that many people live long after the treatments and face their side effects. The physical function (PF) and health-related quality of life (HRQoL) of people surviving BC decreases significantly, which makes important to identify markers that may be associated with a better health status and prognosis. Previous studies suggest that handgrip strength (HGS) and HGS relative to the body mass index (rHGS) are good indicators of PF and HRQoL in different populations. However, it is unknown whether this applies to BC survivors. This study aimed to evaluate the association of HGS and rHGS with PF and HRQoL in this population. METHODS: Sixty female BC survivors participated. Handgrip strength was assessed with a dynamometer. Arm volume was estimated and upper limb impairments, as well as cancer-related fatigue, depression, life satisfaction and HRQoL, were assessed using standardized questionnaires. RESULTS: Higher levels of HGS and rHGS were associated with higher levels of HRQoL, lower cancer-related fatigue, and fewer problems with the affected arm. CONCLUSIONS: These results suggest that HGS may be a good indicator of self-reported PF and HRQoL in female BC survivors.

Patterns of Active Commuting to School in Spanish Preschool Children and Its Associations with Socio-Economic Factors: The PREFIT Project.

The aims of this study were to describe patterns of active commuting to school (ACS) of preschool children, and to analyse the relationship between ACS and family socio-economic factors. A total of 2636 families of preschoolers (3-to-5 years old) were asked to complete a questionnaire at home about the mode of commuting to school of their children and marital status, educational level, and profession of both father and mother. Chi-square analyses were applied to compare ACS between school grades and gender of the children. To analyse the association of ACS with socio-economic factors, logistic regression analyses were performed. Almost 50% of participants reported ACS of their offspring, with a higher rate in 3rd preprimary grade (5 years old) than in 1st and 2nd preprimary grades (3- and 4-years old. All, p < 0.05). Those preschool children who had parents with lower educational level and no managerial work had higher odds to ACS than those who had parents with higher educational level and managerial work (all, p ≤ 0.001). Around half of the Spanish preschool children included in this study commuted actively to school and families with lower educational levels or worse employment situation were related to active commuting to school.

The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial.

Concurrent training (CT), characterised by combining both aerobic and resistance training modalities within the same session, is recognised to improve metabolic syndrome (MetS) markers, but little is known about the effects of different configurations (i.e., order) of these exercise modalities on MetS markers and the interindividual responses. The purpose of the present study was to describe the effects, and the interindividual variability, of 20weeks of two CT configurations (i.e., high intensity interval training (HIIT) plus resistance training (RT), compared with RT plus HIIT) in women with severe/morbid obesity. Overall, 26 women with severe/morbid obesity were assigned either to HIIT+RT [n=14, mean and 95%CI, 45.79 (40.74; 50.83) or RT+HIIT (n=12), 33.6 (25.30; 41.79) years]. MetS-related outcomes were waist circumference (WC, cm), systolic (SBP, mmHg) and diastolic (DBP, mmHg) blood pressure, high-density lipoprotein cholesterol (HDL-c), triglycerides (Tg), and fasting plasma glucose (FPG). Secondary outcomes were other anthropometrics, body composition, lipids, muscle strength, and the six-minute walk test (6Mwt). There were significant differences in the prevalence of nonresponders (NRs) only for WC comparing HIIT+RT 2 (18.1%) vs. RT+HIIT group 5 (50.0%), p<0.0001, but not for SBP 4 (27.2%) vs. 4 (40.0%), DBP 8 (72.7%) vs. 7 (70.0%), FPG 8 (72.7%) vs. 9 (90.0%), HDL-c 7 (63.6%) vs. 8 (80.0%), and Tg 7 (63.6%) vs. 8 (80.0%), all p>0.05. Additionally, the RT+HIIT group showed significant reductions in WC (∆ -3.84cm, p=0.015), SBP (∆ -8.46mmHg, p=0.040), whereas the HIIT+RT group elicited significant reductions only in SBP (∆ -8.43mmHg, p=0.022). The HIIT+RT promoted a lower prevalence of NRs than the RT+HIIT configuration on WC, and overall, there were slightly more beneficial training-induced effects on markers of MetS in the RT+HIIT group compared to the HIIT+RT group.

The Influence of Sprint Mechanical Properties on Change of Direction in Female Futsal Players.

The aim of the present study was to analyze the association of the sprint force-velocity profile [Hzt FV profile] variables with change of direction [COD] performance in female futsal players. Twelve female futsal players (age: 19.83 ± 4.2 years; body height: 160.75 ± 8.37 cm; body mass: 57.64 ± 8.3 kg) volunteered to be evaluated in the following assessments: Hzt FV profile, 505 test, modified 505 test [M505test] and V-cut test. The Spearman's correlation coefficient [rs] (p < 0.05) was used to determine the relationship of the mechanical variables of the sprint (maximum power output [Pmax], maximum horizontal force production [F0] and maximum velocity [V0]) with COD performance. V0 showed a very large significant association with the 505 test (rs = -0.767; 90% CI: (-0.92 to -0.43); p < 0.01) and a large association with the V-cut test (rs = -0.641; 90% CI: (-0.86 to -0.21); p < 0.05), whereas Pmax was strongly associated with results of the 505 test (rs = -0.821; 90% CI: (-0.94 to -0.55); p < 0.01) and largely associated with the V-cut test results (rs = -0.596; 90% CI: (-0.84 to -0.14); p < 0.05). In conclusion, maximal power and velocity output during sprinting are determinant factors to successful COD in 180º and 45º cuts, thus, the Hzt FV profile should be assessed in female futsal players to better understand the influence of sprint mechanical properties on COD performance and prescribe individualized training programs.

Maximizing Acceleration and Change of Direction in Sport: A Case Series to Illustrate How the Force-Velocity Profile Provides Additional Information to That Derived from Linear Sprint Time.

Sprint running and change of direction (COD) present similar mechanical demands, involving an acceleration phase in which athletes need to produce and apply substantial horizontal external force. Assessing the mechanical properties underpinning individual sprint acceleration might add relevant information about COD performance in addition to that obtained through sprint time alone. The present technical report uses a case series of three athletes with nearly identical 20 m sprint times but with different mechanical properties and COD performances. This makes it possible to illustrate, for the first time, a potential rationale for why the sprint force-velocity (FV) profile (i.e., theoretical maximal force (F0), velocity (V0), maximal power output (Pmax), ratio of effective horizontal component (RFpeak) and index of force application technique (DRF)) provides key information about COD performance (i.e., further to that derived from simple sprint time), which can be used to individualize training. This technical report provides practitioners with a justification to assess the FV profile in addition to sprint time when the aim is to enhance sprint acceleration and COD performance; practical interpretations and advice on how training interventions could be individualized based on the athletes' differential sprint mechanical properties are also specified.