Correction: Effects of Aerobic Exercise on Cardiorespiratory Fitness, Cardiovascular Risk Factors, and Patient-Reported Outcomes in Long-Term Breast Cancer Survivors: Protocol for a Randomized Controlled Trial.

[This corrects the article DOI: 10.2196/45244.].

Effects of Aerobic Exercise on Cardiorespiratory Fitness, Cardiovascular Risk Factors, and Patient-Reported Outcomes in Long-Term Breast Cancer Survivors: Protocol for a Randomized Controlled Trial.

BACKGROUND: Anthracycline-based chemotherapy has been mainstay of adjuvant breast cancer therapy for decades. Although effective, anthracyclines place long-term breast cancer survivors at risk of late effects, such as reduced cardiorespiratory fitness and increased risk of cardiovascular disease. Previous research has shown beneficial effects of exercise training on cardiorespiratory fitness, but the effects of exercise on limiting factors for cardiorespiratory fitness, cardiovascular risk factors, and patient-reported outcomes in long-term survivors are less clear. Whether previous exposure to breast cancer therapy modulates the effects of exercise is also unknown. OBJECTIVE: The primary aim of the CAUSE (Cardiovascular Survivors Exercise) trial is to examine the effect of aerobic exercise on cardiorespiratory fitness in anthracycline-treated long-term breast cancer survivors. Secondary aims are to examine effects of exercise training on limiting factors for cardiorespiratory fitness, cardiovascular risk factors, and patient-reported outcomes, and to compare baseline values and effects of exercise training between similar-aged women with and those without prior breast cancer. A third aim is to examine the 24-month postintervention effects of aerobic exercise on primary and secondary outcomes. METHODS: The CAUSE trial is a 2-armed randomized controlled trial, where 140 long-term breast cancer survivors, 8-12 years post diagnosis, are assigned to a 5-month nonlinear aerobic exercise program with 3 weekly sessions or to standard care. Seventy similar-aged women with no history of cancer will undergo the same exercise program. Cardiorespiratory fitness measured as peak oxygen consumption (VO2peak), limiting factors for VO2peak (eg, cardiac function, pulmonary function, hemoglobin mass, blood volume, and skeletal muscle characteristics), cardiovascular risk factors (eg, hypertension, diabetes, dyslipidemia, obesity, physical activity level, and smoking status), and patient-reported outcomes (eg, body image, fatigue, mental health, and health-related quality of life) will be assessed at baseline, post intervention, and 24 months post intervention. RESULTS: A total of 209 patients were included from October 2020 to August 2022, and postintervention assessments were completed in January 2023. The 24-month follow-up will be completed in February 2025. CONCLUSIONS: The findings from the CAUSE trial will provide novel scientific understanding of the potential benefits of exercise training in long-term breast cancer survivors. TRIAL REGISTRATION: ClinicalTrials.gov NCT04307407; https://clinicaltrials.gov/ct2/show/NCT04307407. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/45244.

Physical Stress and Determinants of Shooting Performance Among Norwegian Special Forces Operators.

However, there is a lack of conceptual understanding of the factors influencing performance decrements in prone shooting. The present study examines how one can simulate a combat scenario by inducing acute physical stress, ultimately impacting one's shooting performance (SP). The relationship between participants' physical level and SP was measured in several ways. The SP of members of the Norwegian Navy Special Operations Forces (SOF) (N = 30) was measured before and directly after acute exercise-induced stress caused by a 200-m uphill run (90% HRmax). Under acute physical stress, participants took less time to fire five rounds (total 15.5 ± 10.9 s faster), and the probability of hitting the target was unaffected (92%). In terms of more sensitive measures, score was significantly reduced and shot-group dispersion increased (64 ± 90 cm2, p < 0.01, d = 0.72), mainly due to increased vertical dispersion (2.5 ± 4.6 cm, p < 0.01, d = 0.53). Age, trait somatic anxiety and the Big Five Inventory item "openness" explained 45.2% of the variance in shooting score in the pre-physical stress condition. In the post-physical stress condition, pre-test shooting score, the number of months deployed, and shooting time predicted 32.9% of the variance in shooting score. The change in SP (pre-post) showed the concentration disruption scale was the best predictor of the reduction in shot score (20.1%). From a practical point of view, maintaining the probability of hitting the target with reduced shooting time post-physical stress could be viewed as superior performance for SOF.

A strength-oriented exercise session required more recovery time than a power-oriented exercise session with equal work.

The present randomized cross-over controlled study aimed to compare the rate of recovery from a strength-oriented exercise session vs. a power-oriented session with equal work. Sixteen strength-trained individuals conducted one strength-oriented session (five repetitions maximum (RM)) and one power-oriented session (50% of 5RM) in randomized order. Squat jump (SJ), countermovement jump (CMJ), 20-m sprint, and squat and bench press peak power and estimated 1RMs were combined with measures of rate of perceived exertion (RPE) and perceived recovery status (PRS), before, immediately after and 24 and 48 h after exercise. Both sessions induced trivial to moderate performance decrements in all variables. Small reductions in CMJ height were observed immediately after both the strength-oriented session (7 ± 6%) and power-oriented session (5 ± 5%). Between 24 and 48 h after both sessions CMJ and SJ heights and 20 m sprint were back to baseline. However, in contrast to the power-oriented session, recovery was not complete 48 h after the strength-oriented session, as indicated by greater impairments in CMJ eccentric and concentric peak forces, SJ rate of force development (RFD) and squat peak power. In agreement with the objective performance measurements, RPE and PRS ratings demonstrated that the strength-oriented session was experienced more strenuous than the power-oriented session. However, these subjective measurements agreed poorly with performance measurements at the individual level. In conclusion, we observed a larger degree of neuromuscular impairment and longer recovery times after a strength-oriented session than after a power-oriented session with equal total work, measured by both objective and subjective assessments. Nonetheless, most differences were small or trivial after either session. It appears necessary to combine several tests and within-test analyses (e.g., CMJ height, power and force) to reveal such differences. Objective and subjective assessments of fatigue and recovery cannot be used interchangeably; rather they should be combined to give a meaningful status for an individual in the days after a resistance exercise session.

Training Strategies to Improve Muscle Power: Is Olympic-style Weightlifting Relevant?

INTRODUCTION: This efficacy study investigated the effects of 1) Olympic-style weightlifting (OWL), 2) motorized strength and power training (MSPT), and 3) free weight strength and power training (FSPT) on muscle power. METHODS: Thirty-nine young athletes (20 ± 3 yr; ice hockey, volleyball, and badminton) were randomized into the three training groups. All groups participated in two to three sessions per week for 8 wk. The MSPT and FSPT groups trained using squats (two legs and single leg) with high force and high power, whereas the OWL group trained using clean and snatch exercises. MSPT was conducted as slow-speed isokinetic strength training and isotonic power training with augmented eccentric load, controlled by a computerized robotic engine system. FSPT used free weights. The training volume (sum of repetitions × kg) was similar between all three groups. Vertical jumping capabilities were assessed by countermovement jump (CMJ), squat jump (SJ), drop jump (DJ), and loaded CMJ (10-80 kg). Sprinting capacity was assessed in a 30-m sprint. Secondary variables were squat one-repetition maximum (1RM), body composition, quadriceps thickness, and architecture. RESULTS: OWL resulted in trivial improvements and inferior gains compared with FSPT and MSPT for CMJ, SJ, DJ, and 1RM. MSPT demonstrated small but robust effects on SJ, DJ, loaded CMJ, and 1RM (3%-13%). MSPT was superior to FSPT in improving 30-m sprint performance. FSPT and MSPT, but not OWL, demonstrated increased thickness in the vastus lateralis and rectus femoris (4%-7%). CONCLUSIONS: MSPT was time-efficient and equally or more effective than FSPT training in improving vertical jumping and sprinting performance. OWL was generally ineffective and inferior to the two other interventions.

Development and Implementation of a New Physical Training Concept in the Norwegian Navy Special Operations Command.

A high level of physical fitness is one important factor for optimal performance in Special Operation Forces (SOF). Still, information about physical training for SOF operators is not easily accessible. This study aimed to implement and assess a new training concept in the Norwegian Navy SOF. A longitudinal study where 22 operators completed a 6-month linear periodization (LP), followed by a 6-month nonlinear periodization (NLP) program. Both protocols were block periodized, focusing on either strength or aerobic capacity. A battery of tests covering strength, endurance, power, mobility, and body composition was performed, and individual capacity analyses were established. A training week consisted of 5 to 6 sessions including 1 or 2 individualized sessions directed towards improving the weakest capacity. The LP had a clear effect on mobility (19 ± 9%), abdominal strength (25 ± 16%), upper body power (PowerUB; 6 ± 9%), standing long-jump (3 ± 6%), pull-ups (24 ± 31%), agility (2 ± 4%), V[Combining Dot Above]O2max (2 ± 3%), fat percent (-5 ± 31%), and muscle mass (1 ± 3%). The NLP increased abdominal strength (15 ± 17%), standing long-jump (3 ± 4%), and anaerobic capacity (10 ± 8%), whereas V[Combining Dot Above]O2 max (-3 ± 4%) and PowerUB (-2 ± 7%) decreased. Additional analyses showed clear increases among those individually instructed to improve strength. Results support the benefits of combined periodized programming and individualized training sessions among SOF operators with initially good fitness levels. Largest effects were observed in the first phase with the LP. However, subsequent NLP additionally increased anaerobic and jumping capacity, possibly due to more frequent muscular endurance and power training. Because of frequent interruptions, the LP tended to be more difficult to follow than the NLP and is suggested when continuity is possible, whereas an NLP is recommended for maintenance and when standing on national preparedness.

Perceived autonomy support, personal goal content, and emotional well-being among elite athletes: mediating effects of reasons for goals.

The relations between perceived support of autonomy from coaches, characteristics of personal goals, and emotional well-being from the perspective of self-determination theory was examined among 95 elite athletes (59% men; M = 21.6 yr., SD = 6.1) from Track and Field, Greco-Roman Wrestling, Taekwondo, and Power Lifting. Elite athletes were those representing their country in their sport. It was hypothesized that having autonomous reasons for goals would mediate the positive associations between perceived autonomy support and intrinsic goal content with subjective positive emotional well-being, and that controlled reasons for goals would mediate the association between extrinsic goal content and subjective negative emotional well-being. An idiographic approach to measures of personal goals and the autonomous and controlled reasons and intrinsic and extrinsic contents were performed. Perceived autonomy support from the coach was assessed with the Sport Climate Questionnaire and subjective emotional well-being was assessed with the Positive and Negative Affect Schedule. All hypotheses were supported by path analyses using LISREL.