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1.
Appetite ; 141: 104322, 2019 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-31207253

RESUMO

A dose dependent satiating and thermogenic effect of animal-based protein has been observed, however, less is known wherever plant-based protein elicits same response. The purpose of the study was to examine the effects of a breakfast meal containing varying doses of plant-based soy protein (SP) on appetite profile, hormone response, energy metabolism and energy intake. METHODS: Seventeen participants (age: 27 ±â€¯7 y, body fat: 21.5 ±â€¯6.9%) in randomized order consumed one of three isoenergetic liquid breakfast meals (482 ±â€¯5 kcals): high SP (HSP; 50 g), low SP (LSP; 25 g) and control (CON; 50 g carbohydrate) followed by an ad libitum lunch 3 h later. Appetite profile was measured before, immediately after and hourly during the 3 h postprandial period. Plasma concentrations of leptin and insulin were measured before, at 30 and 180 min. RESULTS: Energy intake at lunch per kilogram of body weight was significantly higher after CON (11 ±â€¯3.6 kcal/kg) compared to HSP (9.1 ±â€¯3.0 kcal/kg) but not compared to LSP (10.2 ±â€¯2.7 kcal/kg). Participants hunger was higher, whereas, satiety and fullness were lower after CON (p < 0.05). There were no significant differences (p > 0.05) observed in leptin or insulin responses between meals, however, a significant change over time was observed for insulin (p = 0.02) but not leptin (p > 0.05). CONCLUSION: Liquid breakfast meals with higher dose of soy protein reduced energy intake when adjusted by body weight at lunch and was rated as more satiating compared to an isoenergetic CON meal.


Assuntos
Apetite/efeitos dos fármacos , Desjejum , Ingestão de Energia/efeitos dos fármacos , Proteínas de Soja/administração & dosagem , Adulto , Peso Corporal , Relação Dose-Resposta a Droga , Metabolismo Energético , Feminino , Humanos , Insulina/sangue , Leptina/sangue , Almoço , Masculino , Período Pós-Prandial , Saciação/efeitos dos fármacos
2.
J Strength Cond Res ; 30(7): 1985-91, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26670987

RESUMO

Treseler, C, Bixby, WR, and Nepocatych, S. The effect of compression stockings on physiological and psychological responses after 5-Km performance in recreationally active females. J Strength Cond Res 30(7): 1985-1991, 2016-The purpose of the study was to examine the physiological and perceptual responses to wearing below-the-knee compression stockings (CS) after a 5-km running performance in recreationally active women. Nineteen women were recruited to participate in the study (20 ± 1 year, 61.4 ± 5.3 kg, 22.6 ± 3.9% body fat). Each participant completed two 5-km performance time trials with CS or regular socks in a counterbalanced order separated by 1 week. For each session, 5-km time, heart rate (HR), rate of perceived exertion (RPE), pain pressure threshold, muscle soreness (MS), and rate of perceived recovery were measured. There was no significant difference in average 5-km times between CS and regular socks (p = 0.74) and HR response (p = 0.42). However, significantly higher RPE and lower gain scores (%) for lower extremity MS but not for calf were observed with CS when compared with regular socks (p = 0.05, p = 0.01, and p = 0.3, respectively). Based on the results of this study, there were no significant improvements in average 5-km running time, heart rate, or perceived calf MS. However, participants perceived less MS in lower extremities and working harder with CS compared with regular socks. Compression stockings may not cause significant physiological improvements; however, there might be psychological benefits positively affecting postexercise recovery.


Assuntos
Desempenho Atlético/fisiologia , Desempenho Atlético/psicologia , Corrida/fisiologia , Corrida/psicologia , Meias de Compressão , Estudos Cross-Over , Feminino , Frequência Cardíaca/fisiologia , Humanos , Músculo Esquelético/fisiologia , Mialgia/etiologia , Mialgia/prevenção & controle , Percepção , Esforço Físico/fisiologia , Fatores de Tempo , Adulto Jovem
3.
Health Promot Pract ; 17(4): 521-9, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27044609

RESUMO

The purpose of this study was to design a rewards-based nutrition intervention program to improve knowledge and dietary behaviors of adolescent girls. Our participants consisted of eight girls ages 11 to 13 years. Nutritional knowledge was assessed before and after intervention program through a "Jeopardy" style quiz game and posttest questionnaires. Participants were also interviewed throughout the week about typical dietary behaviors, daily physical activity, and self-esteem. Educational activities took place for 2 to 3 hours each day and included a grocery store scavenger hunt, healthy baking demonstrations, and relay races. Participants received bracelets and charms as rewards for participation in activities. Nutritional knowledge increased for six out of eight participants, although the overall increase was not found to be statistically significant (p = .20). Significant correlations were found between measures including dietary behavior (soda consumption per week and perceived importance of body weight: r = -.827, p = .01), self-esteem (weight and endurance: r = .801, p = .03), and fitness levels (weight and curl-ups completed in 30 seconds: r = -.729, p = .04). This study shows promising evidence that this nutrition education intervention could be effective at increasing nutrition knowledge, thus potentially affecting future dietary behaviors of adolescent girls.


Assuntos
Dieta Saudável , Exercício Físico , Comportamentos Relacionados com a Saúde , Educação em Saúde/organização & administração , Conhecimentos, Atitudes e Prática em Saúde , Adolescente , Peso Corporal , Bebidas Gaseificadas , Criança , Feminino , Humanos , Aptidão Física , Autoimagem
4.
J Strength Cond Res ; 26(12): 3297-303, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22237141

RESUMO

The purpose of this study was to evaluate the effects of 3 types of warm-up (WU) on swimming performance, reaction time, and dive distance. In repeated-measures counterbalanced design, National Collegiate Athletic Association Division I swimmers (n = 16) used 3 WUs before performing 50-yd (45.7-m) freestyle swim trials. The WU consisted of (a) no WU, (b) short WU (50-yd at 40% of swimmers' maximal effort and 50-yd at 90%), and (c) regular WU (usual precompetition WU). The mean 50-yd time was significantly faster (p = 0.01) after the regular WU (24.95 ± 1.53 seconds) when compared with that of the short WU (25.26 ± 1.61 seconds). However, individual data indicated that 19% of the participants performed their best in the 50-yd category after short, 37% after no, and 44% after regular WU. Heart rate was significantly higher (p = 0.01) after regular WU (100 ± 13 b·min(-1)) when compared with that of the no WU category (88 ± 18 b·min(-1)). However, no significant differences among WUs were found for reaction time (p = 0.96), rating of perceived exertion post 50-yd time trial (p = 0.11), dive distance (p = 0.67), or stroke count (p = 0.23). In conclusion, the average regular WU was better than short or noWU to achieve the fastest mean time in the 50-yd freestyle; however, some individual performances were faster after WUs different from their regular approach.


Assuntos
Desempenho Atlético/fisiologia , Mergulho/fisiologia , Tempo de Reação , Natação/fisiologia , Adaptação Fisiológica , Análise de Variância , Tolerância ao Exercício , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Exercícios de Alongamento Muscular , Inquéritos e Questionários , Adulto Jovem
5.
Artigo em Inglês | MEDLINE | ID: mdl-35465055

RESUMO

Context: As many as 76.7% of U.S. young adults have at least one metabolic syndrome risk factor. Often undetected, metabolic syndrome risk factors cluster with other risk factors increasing risk of future cardiometabolic disease. The prevention of metabolic syndrome risk accrual through early behavioral interventions is crucial for at-risk populations. Objectives: This paper outlines the protocol for the Health E Start study, including the objectives, methodology, ethics, and dissemination. Additionally, we discuss the goals of the National Institutes of Health Research Enhancement Award (R15) that funded this project and how this funding will facilitate the comprehensive training of undergraduate researchers. The long-term goal of the study is to develop a theoretically driven intervention for the prevention of metabolic syndrome risk development in college students. To facilitate this goal, the aims are to identify 1) behavioral targets for the prevention of metabolic syndrome risk development and 2) the motivations behind such behaviors to develop a theoretical framework for use in intervention design. Design: Longitudinal observational design. Setting: Transition from living at home to independent living at colleges across the U.S. Participants: High school seniors (n = 150) who will be transitioning to college within 3 months of graduating. Main Outcome Measure: For aim 1, metabolic syndrome risk will be quantified into a risk score using a principal components analysis of traditional risk factors. Associations between changes in lifestyle behaviors and changes in the risk score will identify population-specific behavioral targets. For aim 2, changes in psychological, social, and environmental antecedents of observed behaviors will be identified. Conclusions: Identifying the relationship between behavior change and metabolic syndrome risk, and the psychosocial and environmental predictors of observed behavior changes will facilitate the design of targeted interventions for the prevention of metabolic syndrome risk progression in the early college years.

6.
Nutrients ; 13(11)2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34835926

RESUMO

Previous research indicates that dietary habits may differ between athletes of different sports. In this cross-sectional study, we hypothesize meal frequency, food choices, and food preferences will significantly differ between contact types. The participants were athletes (n = 92; men: n = 57, body fat percent (BF%): 14.8 ± 8.4%, body mass index (BMI): 25.5 ± 5.5 kg·m-2; women: n = 36, BF%: 26.7 ± 7.3%, BMI: 22.3 ± 2.7 kg·m-2) from high-contact (HCS), low-contact (LCS), and non-contact (NCS) sports. Meal frequency, food preference, and food choice questionnaires assessed factors influencing dietary habits. Dual-energy X-ray absorptiometry (DXA) measured lean body mass, fat mass, and body fat. A GLM multivariate analysis was used with significance accepted at p < 0.05. Significant body composition differences were observed between genders (p < 0.001) and among sports (p < 0.001). Dinner (83.7%), lunch (67.4%), and breakfast (55.4%) were the most frequently eaten meals, followed by evening snack (17.8%), afternoon snack (15.2%), and morning snack (8.7%). Greater preferences for starches were observed for HCS (p = 0.04; η2 = 0.07) and for a greater preference for vegetables was found for NCS (p = 0.02; η2 = 0.09). Significant differences also existed in the importance of health (p = 0.04; η2 = 0.07), weight control (p = 0.05; η2 = 0.11), natural content (p = 0.04; η2 = 0.07), and price (p = 0.04; η2 = 0.07). These results support our hypothesis that food choices and food preferences differ between contact types. This may help sports dieticians create more individualized nutrition programs.


Assuntos
Atletas/psicologia , Dieta/psicologia , Preferências Alimentares/psicologia , Refeições/psicologia , Esportes/psicologia , Absorciometria de Fóton , Tecido Adiposo , Adulto , Atletas/estatística & dados numéricos , Composição Corporal , Índice de Massa Corporal , Comportamento de Escolha , Estudos Transversais , Dieta/estatística & dados numéricos , Inquéritos sobre Dietas , Feminino , Humanos , Masculino , Análise Multivariada , Estações do Ano , Fatores Sexuais , Esportes/estatística & dados numéricos , Universidades , Adulto Jovem
7.
Artigo em Inglês | MEDLINE | ID: mdl-33953824

RESUMO

Undergraduate research is an excellent example of student engagement that leads to numerous benefits for the student and faculty. However, for students to gain the most from the experience, high-quality mentorship is needed. This article introduces readers to the Salient Practices framework, which is based on a comprehensive review of the research on undergraduate research mentorship as well as models of mentoring applied to the undergraduate research context. This article outlines how a group of faculty applied a mentor constellation model and adapted the Salient Practices framework to the virtual environment that resulted from COVID-19, creating a rich professional development experience for all participants. Lessons learned from initial efforts to mentoring in the virtual environment are also discussed. Implementation of mentoring in a virtual context opens up opportunities for increased access and broadening of research teams and mentoring constellations.

8.
J Strength Cond Res ; 24(12): 3396-403, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21088551

RESUMO

The purpose of the study was to evaluate the effects of regular warm-up, and upper-body vibration (UBV), or UBV+ short warm-up on swimming performance in Masters Swimmers. Six women and 4 men, mean age 35 ± 9 years, active master swimmers volunteered to participate in the study. Participants were assigned to complete 1 of 3 warm-up types: regular, UBV-only, or UBV + short, rest for 3 minutes, and then completed a 50-yd (45.7 m) freestyle maximal performance time trial. The UBV treatment consisted of 5 minutes of upper-body vibration with a frequency of 22 Hz. Rating of perceived exertion (RPE) and heart rate (HR) were measured post warm-up and post 50-yd time trial. No significant mean differences (p = 0.56) were found among regular, UBV-only, or UBV + short warm-ups for 50-yd freestyle time (29.1 ± 3.36, 28.9 ± 3.39, and 29.1 ± 3.55 seconds, respectively). Individual data indicated that 40% (4/10) of the swimmers swam their fastest with UBV-only and 20% (2/10) with UBV + short warm-up compared to 40% (4/10) with regular warm-up. The RPE pre and post warm-ups did not differ significantly (p = 0.059 and p = 0.216, respectively). A significantly higher (p = 0.023) HR was observed after regular warm-up compared to UBV + short warm-up. Furthermore, HR post 50-yd after regular warm-up was significantly higher compared to UBV-only (p = 0.005) and UBV + short warm-up (p = 0.013). The findings of the present study indicate that UBV and UBV + short warm-up may be considered as addition or an alternative warm-up strategy to regular swimming warm-up, producing reduced cardio stress and perceived effort.


Assuntos
Desempenho Atlético , Natação/fisiologia , Vibração , Adulto , Análise de Variância , Braço/fisiologia , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Força Muscular/fisiologia , Exercícios de Alongamento Muscular , Esforço Físico/fisiologia
9.
Sports (Basel) ; 8(8)2020 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-32796724

RESUMO

The main purposes of this review were to provide a qualitative description of nine investigations in which sweat losses were estimated by participants following exercise and to perform a quantitative analysis of the collective data. Unique estimations (n = 297) were made by 127 men and 116 women after a variety of exercise modalities in moderate to hot environmental conditions. Actual sweat loss exceeded estimated sweat loss (p < 0.001) for women (1.072 ± 0.473 vs. 0.481 ± 0.372 L), men (1.778 ± 0.907 vs. 0.908 ± 0.666 L) and when all data were combined (1.428 ± 0.806 vs. 0.697 ± 0.581 L), respectively. However, estimation accuracy did not differ between women (55.2 ± 51.5%) and men (62.4 ± 54.5%). Underestimation of 50% or more of sweat losses were exhibited in 168 (54%) of estimation scenarios with heavier sweaters displaying a higher prevalence and trend of greater underestimations in general. Most modern guidelines for fluid intake during and between training bouts are based on approximate sweat loss estimation knowledge. These guidelines will likely have minimal efficacy if greater awareness of how to determine sweat losses and accurate recognition of sweat losses is not increased by coaches and athletes.

10.
Nutrition ; 61: 179-186, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30822749

RESUMO

OBJECTIVES: The aim of this study was to examine the effects of animal-based protein (whey; WP) compared with plant-based protein (soy; SP) and carbohydrate (CHO) liquid breakfast on appetite, energy metabolism, and subsequent energy intake. METHODS: Seventeen healthy individuals consumed three isocaloric breakfast smoothies with whey, soy, or carbohydrate (no protein) in a double-blind, randomized crossover design. Participants completed an 11-point rating scale of appetite profile (before, 0, 60, 120, and 180 min). Indirect calorimetry was used to determine the thermic effect of a meal (TEM; at 45-60, 105-120, and 165-180 min). An ad libitum lunch was offered at 180 min after breakfast and energy intake was assessed. RESULTS: There was a significant difference in hunger (P = 0.033), fullness (P = 0.002), satiety (P = 0.001), desire to eat (P = 0.024), and prospective food consumption (P = 0.021) between the three breakfast meals. Fullness and SP compared with CHO. A higher (P < 0.001) TEM and lower (P < 0.05) respiratory exchange ratio (RER) was observed after WP and SP compared with CHO. In addition, a higher (P = 0.022) energy intake at lunch was observed after CHO (769 ± 259 kcal) compared with WP (654 ± 252 kcal) and SP (664 ± 296 kcal), with no difference (P = 0.966) between WP and SP. Consuming SP at breakfast exerts comparable effects to WP on appetite profile, energy metabolism, and subsequent energy intake, suggesting that SP is a reasonable alternative to WP as a protein supplement source to aid in body weight control.


Assuntos
Apetite/efeitos dos fármacos , Carboidratos da Dieta/administração & dosagem , Ingestão de Energia/efeitos dos fármacos , Metabolismo Energético/efeitos dos fármacos , Proteínas de Soja/administração & dosagem , Proteínas do Soro do Leite/administração & dosagem , Adulto , Bebidas , Desjejum , Calorimetria Indireta , Estudos Cross-Over , Método Duplo-Cego , Feminino , Voluntários Saudáveis , Humanos , Fome/efeitos dos fármacos , Almoço , Masculino , Período Pós-Prandial/efeitos dos fármacos , Saciação/efeitos dos fármacos , Adulto Jovem
11.
J Health Psychol ; 24(12): 1658-1667, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-28810420

RESUMO

Yoga practice is known to improve well-being and decrease stress. However, acute yoga is understudied. This study investigated the effects of two different types of yoga on affect and salivary cortisol levels in college women. Thirty-three women aged 18-30 years each completed 1-hour sessions of power yoga and stretch yoga. Measures of affect and salivary cortisol were assessed before, during, and after each session. Participants perceived power yoga to be more pleasurable and energizing. Salivary cortisol significantly decreased after both yoga sessions. Thus, even one session of yoga may be effective in improving affect and decreasing stress in college women.


Assuntos
Afeto/fisiologia , Hidrocortisona/metabolismo , Estresse Psicológico/psicologia , Estresse Psicológico/terapia , Yoga/psicologia , Adolescente , Adulto , Feminino , Humanos , Saliva/metabolismo , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Adulto Jovem
12.
J Sports Med Phys Fitness ; 58(1-2): 27-34, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-27991482

RESUMO

BACKGROUND: This study examined the effects of balance training routine, using both sides utilized balance trainer (BOSU) and aerobic step (STEP) on postural sway and functional ability in middle-aged women. METHODS: Twenty-seven females participated in the study, age 40.6±12.0 years, body mass 72.0±14.0 kg, height 164.0±7.7 cm, BMI 26.5±4.5 kg/m2, and relative body fat 33.1±7.4%. Participants were divided into two groups and performed progressive exercise routine on either STEP or BOSU for three weeks. Pre- and post-test consisted of Postural Sway Test performed on the Biodex Balance System, Functional Ability Test, Sit and Reach Test and Plank. RESULTS: A significant time effect was observed for both groups for sway index(P=0.029) and center of pressure antero-posterior (AP) displacement (P=0.038) but not for sway area or medio-lateral (ML) displacement (P>0.05). In addition, BOSU group had significantly lower Sway Index(P=0.048) and ML range (P=0.035) scores when vision and surface was altered compared to STEP group. A significant time effect was observed in walking-up the stairs (P=0.020), sit and reach test (P=0.035), and plank (P<0.001), but not for walking down the stairs. However, no other significant interactions were observed. CONCLUSIONS: Programs that incorporate multisensory balance training have a potential to induce adaptive responses in neuromuscular system that enhances postural control, balance and functional ability of women. The training using BOSU may help improve static balance and functional ability in women.


Assuntos
Atividades Cotidianas , Exercício Físico , Equilíbrio Postural , Adulto , Teste de Esforço , Feminino , Humanos , Pessoa de Meia-Idade , Maleabilidade , Equilíbrio Postural/fisiologia , Caminhada
13.
Int J Exerc Sci ; 11(2): 910-920, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30147823

RESUMO

The advantage of ingesting fluids during endurance exercise lasting < 90 min has recently been challenged, but literature confirming or disputing this case is limited, particularly for female athletes. This study examined the effects of consuming water versus mouth rinsing with water during a running time trial. Recreationally active female runners (n = 19) completed two, 15-km time trials on an outdoor course in temperate environment (~20ºC; 87% RH) separated by at least one week in a randomized cross-over study design. Participants consumed 355 ml of water (DW) during their run or mouth rinsed (MR) with water from a handheld water bottle every 3 km for 5 s with physiological, perceptual, and affective variables assessed. DW or MR did not affect completion time (79.8 ± 8.1 min and 79.2 ± 8.2 min, p = 0.23), HR (p = 0.35), or RPE (p = 0.73), respectively. Sweat losses were greater (p = 0.03) for DW: 1.47 ± 0.34 L compared to MR: 1.28 ± 0.27 L; however, thirst sensation was not significantly different for MR: 6.7 ± 1.4 compared to DW: 6.2 ± 1.6. A significant effect was exhibited for time (p < 0.01) but not condition for Feeling Scale and Felt Arousal Scale or Energetic and Tense Arousal. Carrying only one smaller fluid container for MR versus a larger or multiple water bottles/backpack systems used for water consumption can reduce fluid load carried during extended duration runs without altering performance or affect for runs of 1.0-1.5 h. MR may also be beneficial to decrease thirst without ingesting fluid for runners that limit exercise fluid consumption because of gastrointestinal discomfort concerns.

14.
Nutrients ; 10(9)2018 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-30201853

RESUMO

Consuming milk proteins (casein (CP) and whey (WP)) at night before sleep has been shown to positively influence next morning resting metabolic rate (RMR). No data exist regarding the effect of pre-sleep consumption of CP and WP on the ability to perform resistance exercise (RE) the following morning. The present study compared the effects of low (24 g) and high (48 g) doses of CP and WP and a non-energetic placebo (PLA) consumed 30 min before sleep on morning RMR, and RE performance. Nine active women participated in this randomized, double-blind, crossover study. Next morning RMR was measured via indirect calorimetry. RE was performed on six machines for 2 sets of 10 repetitions, and a 3rd set to failure at 60% of one-repetition maximum to calculate RE volume (weight lifted × sets × repetitions). Magnitude based inferences were used. Compared to the PLA, 48 g CP had a likely increase in RMR (4.0 ± 4.8%) and possibly trivial (1.1 ± 7.0%) effect on RE volume. There were no clear effects of 24 g CP, 24 g and 48 g of WP on RMR and RE volume. In conclusion, 48 g CP elicited favorable changes in morning RMR, with only trivial changes in RE performance.


Assuntos
Metabolismo Basal/fisiologia , Caseínas/administração & dosagem , Exercício Físico/fisiologia , Treinamento Resistido/métodos , Proteínas do Soro do Leite/administração & dosagem , Adulto , Calorimetria Indireta , Ritmo Circadiano , Estudos Cross-Over , Método Duplo-Cego , Feminino , Humanos , Sono/fisiologia , Fatores de Tempo , Adulto Jovem
15.
Sports (Basel) ; 6(4)2018 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-30544969

RESUMO

To determine changes in appetite, affect and cortisol in response to an acute bout of resistance exercise (RE) the morning after consuming whey (WP) and casein (CP) protein and a non-caloric placebo (PLA) consumed pre-sleep, 14 active men (n = 5) and women (n = 9) consumed a single dose of 24 g WP, 48 g WP, 24 g CP, 48 g CP, or PLA 30 min pre-sleep. Prior to and immediately after RE, appetite, affect and cortisol were assessed. Significant time effects were observed for Energetic Arousal and Tense Arousal (p = 0.017) and Feeling Scale and Felt Arousal Scale (p < 0.001). Appetite did not change over time or condition. Cortisol levels increased after RE (p = 0.007). Pre-RE, Tense Arousal was correlated with hunger (r = 0.25, p = 0.047) and desire to eat (r = 0.35, p = 0.005). Post-RE, cortisol was found to be significantly related to Feeling Scale (r = 0.32, p = 0.018), Felt Arousal Scale (r = 0.33, p = 0.015) and Energetic Arousal (r = 0.32, p = 0.018). Varying doses of WP and CP pre-sleep did not have an effect on morning appetite and cortisol, but cortisol was found to be related to affect and appetite.

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