The Expanded Exercise Addiction Inventory (EAI-3): Towards Reliable and International Screening of Exercise-Related Dysfunction.

Exercise addiction (EA) refers to excessive exercise, lack of control, and health risks. The Exercise Addiction Inventory (EAI) is one of the most widely used tools in its assessment. However, the cross-cultural psychometric properties of the EAI could be improved because it misses three pathological patterns, including guilt, exercise despite injury, and experienced harm. Therefore, the present study tested the psychometric properties of the expanded EAI (EAI-3) in a large international sample. The EAI-3 was administered to 1931 physically active adult exercisers speaking five languages (Chinese, German, Italian, Japanese, and Turkish) and other measures for obsessive-compulsive behavior, eating disorders, and personality traits. The assessment structure and reliability of the EAI-3 were tested with factorial analyses and through measurement invariance across languages and sex. Finally, a cutoff point for dysfunction-proneness was calculated. The EAI-3 comprised two factors, reflecting the positive and pathological sides of exercise. The structure had excellent reliability and goodness-of-fit indices and configural and metric invariances of the scale were supported. However, three items caused violations in scalar invariance. The results of partial measurement invariance testing suggested an adequate fit for the data. Following sensitivity and specificity analysis, the EAI-3's cutoff score was 34 out of a maximum score of 48. This preliminary study suggests that the EAI-3 is a promising tool for screening EA in an international sample, with a robust and reliable structure comparable across languages and sex. In addition, the proposed cutoff could pave the way toward a consensus on a threshold to screen for EA.

Evaluating Changes in Perceived Enjoyment throughout a 12-Week School-Based Exergaming Intervention.

This study assessed whether a high-intensity exergame represents an enjoyable training tool for children in the elementary school setting. Furthermore, it evaluated whether gender, body mass index (BMI), waist-to-height ratio (WHtR), fitness level, weekly physical activity level, and general interest in sports moderate perceived enjoyment during the 12-week intervention. Thirty fifth- and sixth-grade students (10.5 ± 0.7 years; 50% girls) participated in this study. During baseline assessments, anthropometric measurements and a shuttle run test were conducted. Throughout the intervention period, the students participated in 15−20-min exergaming sessions (ES) in the ExerCube twice a week during school hours. Enjoyment was assessed after an ES in weeks 2 and 12. Additionally, enjoyment was evaluated after a physical education (PE) class in week 2. The results reveal no significant changes in enjoyment (p = 0.164) over time. The modest changes over time were significantly affected by BMI (p = 0.027), WHtR (p = 0.007), and weekly activity level (p = 0.016). Compared to the PE class, enjoyment was significantly higher during the ES (p < 0.001). None of the covariates showed a significant effect. Mean HR during the ES reached 87.1 ± 1.9% of students' individual maximum HR. In conclusion, the ExerCube provides a promising tool for schools to promote enjoyable moderate-to-vigorous physical activity.

The impact of co-acting competitors on shooting performance in elite biathletes.

Grounded in social facilitation theory, this study examined the impact of co-acting competitors (i.e., opponents) on elite biathletes' shooting performance based on World Cup competition data. To this end, the impact of the number as well as the mean overlapping time with co-acting competitors at the shooting range on both shooting time and shooting accuracy was assessed. Competition data of World Cup races from 2005 to 2020 were analysed. This included 115 mass start and 195 pursuit events of a total of 758 elite biathletes amounting to 57.251 shooting bouts equivalent to a total of 286.255 shots. Data was analysed using a fixed effects model. Results revealed two main findings: First, the more co-acting opponents were present at the shooting range, the shorter (i.e., better) was shooting time. However, more co-acting opponents were also associated with decreased shooting accuracy in mass start, but not in pursuit. Second, a longer temporal overlap with co-acting opponents negatively affected biathletes' shooting time. There was no effect on shooting accuracy. To conclude, the present study provides first evidence for a link between co-acting competitors and shooting performance in elite biathletes by analysing ecologically valid, real world data.

Performance and Recovery of Well-Trained Younger and Older Athletes during Different HIIT Protocols.

Due to physiological and morphological differences, younger and older athletes may recover differently from training loads. High-intensity interval training (HIIT) protocols are useful for studying the progression of recovery. It was the objective of this study to determine age differences in performance and recovery following different HIIT protocols. METHODS: 12 younger (24.5 ± 3.7 years) and 12 older (47.3 ± 8.6 years) well-trained cyclists and triathletes took part in this study. Between the age groups there were no significant differences in relative peak power to fat-free mass, maximal heart rate (HR), training volume, and VO2max-percentiles (%). Participants performed different HIIT protocols consisting of 4 × 30 s Wingate tests with different active rest intervals (1, 3, or 10 min). Peak and average power, lactate, HR, respiratory exchange ratio (RER), subjective rating of perceived exertion (RPE), and recovery (Total Quality Recovery scale, TQR) were assessed. RESULTS: During the different HIIT protocols, metabolic, cardiovascular, and subjective recovery were similar between the two groups. No significant differences were found in average lactate concentration, peak and average power, fatigue (%), %HRmax, RER, RPE, and TQR values between the groups (p > 0.05). CONCLUSION: The findings of this study indicate that recovery following HIIT does not differ between the two age groups. Furthermore, older and younger participants displayed similar lactate kinetics after the intermittent exercise protocols.

Adaptive High-Intensity Exergaming: The More Enjoyable Alternative to Conventional Training Approaches Despite Working Harder.

Objective: The purpose of this study was to assess psychological and physiological responses to an exergaming session in the ExerCube (EX) and compare them with the responses of a moderate endurance run (ER). Materials and Methods: Twenty-eight healthy adults (13 women) aged 24.8 ± 3.8 years took part in this study. The first test day, participants performed a graded exercise test on a treadmill to determine maximal heart rate (HR) and lactate levels. The following test days 2 and 3, the participants completed an EX session and an ER on a treadmill in a randomized counterbalanced order. HR, rate of perceived exertion (RPE), and lactate levels were assessed during both sessions. After the sessions, the participants completed the "Physical Activity Enjoyment Scale" and the "Flow Short Scale." Results: The analysis of variance revealed that enjoyment (P = 0.036), flow (P = 0.042), RPE (P = 0.005), as well as mean and peak HR (P < 0.001) during the EX session were significantly higher compared with the ER. Gender did not affect the differences between the two conditions for mean HR (P = 0.61), maximal HR (P = 0.122), RPE (P = 0.862), flow (P = 0.376) nor enjoyment (P = 0.867). During the EX session, the lactate levels of all participants exceeded the individual lactate threshold (LT). During the ER, lactate values remained below the LT. Conclusion: The ExerCube presents both a physiological relevant exercise stimulus and a joyful gaming experience. Despite the higher exercise intensity achieved during the EX session, enjoyment was significantly higher compared with the ER. Therefore, the EX can be a promising and appealing tool to facilitate physical activity. Trial registration: ISRCTN registry, ISRCTN43067716, April 14, 2020. Trial number: 38154.

Recovery from Different High-Intensity Interval Training Protocols: Comparing Well-Trained Women and Men.

Due to physiological and anatomical sex differences, there are variations in the training response, and the recovery periods following exercise may be different. High-intensity interval training (HIIT) protocols are well-suited to differentially investigate the course of recovery. This study was conducted to determine sex-specific differences in the recovery following HIIT intervals interspersed with recovery phases of different lengths. METHODS: Well-trained cyclists and triathletes (n = 11 females, n = 11 males) participated in this study. There were no significant sex differences in maximal heart rate (HR), relative peak power to body mass and fat-free mass, training volume, and VO2max-percentiles (females: 91.8 ± 5.5 %, males: 94.6 ± 5.4 %). A 30 s Wingate test was performed four times, separated by different active recovery periods (1, 3, or 10 min). Lactate, HR, oxygen uptake, and subjective rating of exertion and recovery were determined. RESULTS: For the recovery time of three and ten minutes, men showed significantly higher lactate concentrations (p = 0.04, p = 0.004). Contrary, HR recovery and subjective recovery were significant slower in women than in men. CONCLUSION: During HIIT, women may be more resistant to fatigue and have a greater ability to recover metabolically, but have a slower HR and subjective recovery.

Recommendations on Youth Participation in Ultra-Endurance Running Events: A Consensus Statement.

Participation in ultra-endurance running (UER) events continues to grow across ages, including youth athletes. The 50- and 100-km are the most popular distances among youth athletes. Most youth athletes are between 16-18 years; however, some runners younger than 12 years have successfully completed UER events. Parents, athletes, coaches, race directors, and medical professionals often seek advice regarding the safety of youth athletes participating in these events, especially with regard to potential short and long-term health consequences. UER may impact key organ systems during growth and development. We propose a decision-making process, based on current knowledge and the experience of the consensus group that addresses age regulations, medical and psychological well-being, training status and race-specific factors (such as distance, elevation change, remoteness, ambient temperatures, level of medical assistance, and type of provisions provided by the race organizers) to use until evidence of long-term consequences of UER in youth athletes is available. These recommendations are aimed at safe participation in UER events for youth athletes with a proper and individualized assessment.

The impact of physiological fatigue and gaze behavior on shooting performance in expert biathletes.

OBJECTIVES: Biathlon is a discipline that combines cross country skiing with rifle shooting. It demands high shooting accuracy and fast shooting times under increasing levels of physiological fatigue. Building on Vickers and Williams (2007), the current study aimed at scrutinizing the impact of physiological fatigue and gaze behavior on shooting performance in elite and sub-elite biathletes. DESIGN: Ten members of the German national senior team (elite) and 13 members of the German national junior team (sub-elite) participated in a performance test. They conducted a roller skiing test on a treadmill including four increasing intensity levels followed by shooting blocks of five shots in both prone and standing position. METHODS: Physiological measurements consisted of heart rate and blood lactate, shooting performance data included shooting accuracy and time. Eye movements were assessed, i.e. the duration of the final fixation, using a gun-mounted eye tracking system. RESULTS: Physiological fatigue systematically increased across intensity levels. There were no differences between elite and sub-elite biathletes in percentage shooting accuracy. However, elites needed shorter shooting times than sub-elites. Both groups showed increased range times with increased workload levels in prone and standing positions. Yet, there was no effect on shooting accuracy. Finally, analyses of a subset of data did not show any effect of final fixation duration on shooting accuracy. CONCLUSIONS: Physiological fatigue seems to have no impact on shooting accuracy, but rather affects shooting times in expert biathletes. Furthermore, the duration of the final fixation does not seem to moderate shooting accuracy in elite biathletes.

InterACTIV: an exploratory study of the use of a game console to promote physical activation of hospitalized adult patients with cancer.

PURPOSE/OBJECTIVES: To explore the application of the Nintendo Wii game console to motivate hospitalized adult patients with cancer to be physically active during treatment periods. DESIGN: An exploratory study with a mixed-method approach, including descriptive statistics and Mayring's qualitative data evaluation method. SETTING: The Department of Radiation Oncology at the University Hospital in Halle (Saale) in Germany. SAMPLE: Convenience sample of 7 adult inpatients. METHODS: All patients received physical training for five days for 30 minutes per day with Nintendo Wii. After the last training session, patients were interviewed using a semistructured guideline. MAIN RESEARCH VARIABLES: Applicability of a motion-activated game console during inpatient treatment periods, patients' distraction from the hospital environment. FINDINGS: In general, the use of a motion-activated game console in a hospital environment was evaluated positively. Participants showed a high degree of acceptance using this kind of physical activity. Because of the Nintendo Wii, the majority of individuals felt stimulated to become physically active during hospitalization. In addition, all patients lost time awareness and felt distracted from the daily hospital routine. A majority of the patients reported an improved mood state from the game sessions. CONCLUSIONS: The results indicate that a motion-activated game console could be useful to motivate adult patients with cancer to be physically active during hospitalization. IMPLICATIONS FOR NURSING: Nurses can recommend the use of game consoles such as the Nintendo Wii for physical exercise; in addition, the motivational effects of playing motion-activated game consoles might be particularly helpful for patients with cancer-related fatigue to overcome barriers and begin exercise.

Perfectionism and achievement goals in young Finnish ice-hockey players aspiring to make the Under-16 national team.

Research on perfectionism suggests that is it useful to differentiate between perfectionistic strivings and perfectionistic concerns. Regarding the 2x2 achievement goal framework, the usefulness of this differentiation was recently demonstrated in a study with university student athletes (Stoeber, Stoll, Pescheck, & Otto, 2008, Study 2), in which it was found that perfectionistic strivings were associated with mastery-approach and performance-approach goals and perfectionistic concerns with mastery-avoidance, performance-approach, and performance-avoidance goals. Because the study was largely exploratory and only used non-elite athletes, the aim of the present research was to replicate and extend these findings by investigating a sample of 138 young, elite ice-hockey players, while adding further measures of perfectionism and using structural equation modelling (SEM) to confirm the relationships between perfectionistic strivings, perfectionistic concerns, and the 2x2 achievement goals. The SEM results showed that, in elite athletes also, perfectionistic strivings are associated with mastery-approach and performance-approach goals, whereas perfectionistic concerns are associated with mastery-avoidance, performance-approach, and performance-avoidance goals. Our findings corroborate the importance of differentiating between perfectionistic strivings and perfectionistic concerns when studying perfectionism in sports, because only perfectionistic concerns (and not perfectionistic strivings) are associated with maladaptive patterns of achievement goals.

"The fouled player should not take the penalty himself": an empirical investigation of an old German football myth.

In this study, we investigate the old German football myth that the fouled player should not take the resulting penalty himself, as he is at an increased risk of missing. Previous analyses are improved on as we adjust for potential confounders that might influence self-taking as well as successful penalty conversion. Our findings reveal some important predictors for self-taking but, somewhat surprisingly, neither self-taking nor any of the potential confounders predicts scoring a penalty kick.