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1.
J Strength Cond Res ; 38(3): 584-591, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38227904

RESUMO

ABSTRACT: Beaumont, P, Garrett, J, and van den Hoek, D. How do intracompetition strategies differ between para powerlifting podium and nonpodium athletes? A retrospective, cross-sectional analysis. J Strength Cond Res 38(3): 584-591, 2024-This study aimed to investigate the intracompetition strategies used by para powerlifters and quantify and report them for application by coaches and athletes to improve their odds of competitive success. A cross-sectional retrospective analysis was conducted using a public powerlifting database. Primary analysis categorized athletes as either podium (POD) or nonpodium (NPOD), and a subanalysis classified athletes as either gold medalists (GMs) or silver and bronze medalists (SBMs). Analyses of variance were used to assess the significance of the difference between groups. Pearson's correlations were used to evaluate the magnitude of the relationships and binary logistic regressions were used to quantify the variables. Results are reported as odds ratios, and an alpha level of p < 0.05 was considered statistically significant. There was a significant difference in mean age (POD = 1.6 years younger; p < 0.001), body mass (POD = 2.7 kg heavier; p = 0.006), and best lift (POD = 19.5 kg greater; p < 0.001) for female POD athletes compared with NPOD athletes. For male POD athletes compared with NPOD athletes, there was a difference in mean age (POD = 0.6 years younger; p = 0.035) and best lift (POD = 28.4 kg greater; p < 0.001). Comparing GMs with SBMs showed a significant difference in the mean best lift in both men (GM = 17.4 kg greater; p < 0.001) and women (GM = 11.1 kg greater; p < 0.001). A positive relationship was seen in both the primary and subanalysis between the number of successful lifts (of 3) and an increase in the odds of competitive success (i.e., winning). The findings of this research indicate that high-performing para powerlifters tend to choose attempt weights that prioritize the successful completion of all 3 intracompetition lifts to win a competition.


Assuntos
Desempenho Atlético , Levantamento de Peso , Humanos , Masculino , Feminino , Lactente , Estudos Transversais , Estudos Retrospectivos , Atletas
2.
J Behav Med ; 46(4): 566-577, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36414833

RESUMO

The purpose of this investigation was to explore the effects of dietary weight loss intervention, with and without the addition of exercise on health-related quality of life, depressive symptoms, and anxiety. As part of the EMPOWER study for women, sixty premenopausal women (BMI of 40.4 ± 6.7) were randomized to energy restriction only (ER) or to exercise plus energy restriction (EXER) for 12 months. Health-related quality of life was assessed using the SF-36, depressive symptoms were assessed using the Beck Depression Inventory II (BDI), and anxiety symptoms using the Spielberger state and trait anxiety questionnaire. All measures were completed at baseline, 3, 6 and 12 months. At 12 months, there were significant (p < 0.05) group-by-time interactions favouring the EXER group for five of the eight domains and the mental component summary score. At 12 months, a significant group-by-time interaction favouring the EXER group is reported for both state and trait anxiety (p = .005 and p = .001, respectively). At 12 months, there was a significant group-by-time interaction for depressive symptoms favouring EXER (p < 0.05). Within-group changes for BDI scores were improved at all follow-up time points in the EXER group. Exercise training confers an additional benefit to energy restriction in the absence of additional weight loss at 12 months for health-related quality of life, depressive symptoms, and state and trait anxiety scores when compared to energy restriction only. Exercise and an energy-restricted diet improve health-related quality of life and mental health. Exercise may protect mental health without further weight loss for women with severe obesity.


Assuntos
Obesidade Mórbida , Feminino , Humanos , Qualidade de Vida , Saúde Mental , Obesidade/complicações , Obesidade/terapia , Redução de Peso , Depressão
3.
J Strength Cond Res ; 37(2): 452-456, 2023 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-35438674

RESUMO

ABSTRACT: van den Hoek, D, Garrett, J, Howells, R, and Latella, C. Paralympians are stronger than you know: A comparison of para and nondisabled powerlifting bench press world records. J Strength Cond Res 37(2): 452-456, 2023-This investigation explored the absolute and relative strength of bench press world record holders for World Para Powerlifting (WPPO) and International Powerlifting Federation (IPF) athletes. Athlete data (mass [in kilograms], competitive weight class, and bench press mass [in kilograms]) for world record holding male and female athletes were extracted from public databases. Absolute and relative strength (kg·kg bw-1 ) of athletes was compared using IPF competitive weight classes. On an individual basis, WPPO world record holders demonstrated greater absolute strength than their IPF counterparts in 5 of 8 weight classes for women and 6 of 8 weight classes for men when classified using standard IPF competitive weight classes. Overall, effect sizes for relative strength were greater in WPPO male (19.6%, g = 0.75) and female (9.24%, g = 0.38) athletes but did not reach statistical significance. The greatest relative strength observed was 3.88 kg·kg bw-1 (under 49-kg WPPO) for male and 2.72 kg·kg bw-1 (under 50-kg WPPO class) for female athletes. For IPF athletes, the greatest relative strength was reported in the under 66-kg class for male athletes (3.35 kg·kg bw-1 ) and under 63-kg class for female athletes (2.29 kg·kg bw-1 ). The physical impairments experienced by WPPO world record holders do not appear to compromise bench press strength compared with able-bodied athletes. Indeed, WPPO world record holders often possess greater relative and absolute strength than their IPF counterparts. Superior para powerlifting bench press records may be, at least in part, the result of training and biomechanical factors and seem to be the only anaerobic strength-based sport where para records exceed that of able-bodied athletes.


Assuntos
Paratletas , Treinamento Resistido , Humanos , Masculino , Feminino , Levantamento de Peso , Terapia por Exercício , Atletas , Meio Ambiente , Força Muscular
4.
J Strength Cond Res ; 37(10): e555-e562, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37015008

RESUMO

ABSTRACT: van den Hoek, D, Garrett, J, Travis, SK, Oxnard, K, Howells, R, Owen, P, and Latella, C. Analysis of competition performance leading to success at the International Powerlifting Federation World Championships between 2013 and 2019. J Strength Cond Res 37(10): e555-e562, 2023-Despite being a global sport, there is a paucity of research investigating competition-related factors contributing to World Championship powerlifting success. Therefore, the aim of this study was to determine competition strategies that underpin gold medalists' (GMs) and silver or bronze medalists' (SBMs) performances. Data collected from open-age International Powerlifting Federation (IPF) World Championship events 2013-2019 were analyzed (1,312 competitors [males n = 734, females n = 578]). Attempt weight and success for the squat (SQ), bench press (BP), and deadlift (DL); 'total' competition scores; category (age, weight class, and sex); and placing were categorized into 3 groups: GMs, SBMs, and nonwinners (fourth place or lower). One-way analysis of variances determined between group differences. Odds ratios (ORs) for the likelihood of winning and placing (i.e., GMs or SBMs) were also calculated. The odds of winning a competition were increased 5.9 times for men and by 1.5 times for women, when successfully completing 8 or 9 of 9 lift attempts. These findings provide comprehensive insight into intracompetition-related factors that contribute to World Championship powerlifting success to directly inform coach and athlete strategies. This information may also hold relevance for competitive state or national competitions and extend to other similarly structured strength-based sports.


Assuntos
Desempenho Atlético , Levantamento de Peso , Masculino , Humanos , Feminino , Atletas , Terapia por Exercício , Postura , Razão de Chances
5.
Res Sports Med ; 31(4): 319-330, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34383574

RESUMO

This study compared the sensitivity of peak running speed (PRS) measured during a submaximal run test (SRT) with a countermovement jump (CMJ) test to provide an alternate method of measuring neuromuscular fatigue (NMF). The study involved 20 semi-professional academy soccer players who performed a SRT and CMJ test, 24-hours pre-match, 24-, 48-, 72- and 96-hours post-match. Moderate decreases (effect-size (ES) ± 90% confidence intervals) were observed 24-hours post-match for CMJH; ES -0.70 ± 0.19, CMJPV; ES -0.92 ± 0.27 and PRS; ES -0.58 ± 0.11 with small decreases in CMJH; ES -0.36 ± 0.13 and PRS; ES -0.27 ± 0.23 still evident 48-hours post-match before returning to baseline 72-hours post-match. The results confirm PRS as an inexpensive alternate method of measuring NMF which, allows instantaneous real-time feedback on NMF. This can allow changes to be made immediately on-field within the post-match recovery phase without the need for further analysis or equipment.


Assuntos
Desempenho Atlético , Corrida , Futebol , Humanos , Esportes de Equipe , Fadiga Muscular , Atletas
6.
J Strength Cond Res ; 34(9): 2412-2418, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32865942

RESUMO

Latella, C, Teo, W-P, Spathis, J, and van den Hoek, D. Long-term strength adaptation: A 15-year analysis of powerlifting athletes. J Strength Cond Res 34(9): 2412-2418, 2020-Strength is a fundamental component of athletic performance and development. This investigation examined the long-term strength development of powerlifting (PL) athletes. The rate of strength gain/day was assessed in 1897 PL athletes (F = 626, M = 1,271) over a 15-year period (2003-2018). Independent T-tests explored sex differences in baseline absolute (kg) and relative strength (kg·body mass [bm]) recorded from the first competition, and strength gain/day (kg·d). Analyses based on initial strength quartiles were conducted using one-way analysis of variances with significance set at p < 0.05. Bivariate correlational analysis tested for relationships between strength gain/day and baseline strength, the number of competitions, and mean days between competitions. Males had greater absolute (M: 513.3 ± 99.8 kg, F: 289.4 ± 55.7 kg, p < 0.001) and relative (M: 5.89 ± 1.04 kg·bm, F: 4.27 ± 0.85 kg·bm, p < 0.001) strength at baseline. Overall, strength gain/day (F: 0.12 ± 0.69 kg·d, M: 0.15 ± 0.44 kg·d, p = 0.318) was similar between sexes. However, the strongest males showed a lower rate of strength improvement (0.102 kg·d) compared with least strong males (0.211 kg·d), p = 0.010. No differences were observed across quartiles for females. Correlational analyses revealed significant but weak negative relationships between strength gain/day and the mean days between competitions for females (r = -0.120, p = 0.003) and males (r = -0.190, p < 0.001). Similar relationships were observed for baseline strength (r = -0.073, p = 0.009) and the number of competitions (r = -0.111, p < 0.001) for males. The results suggest similar strength adaptation between sexes. The strongest males improve more slowly, possibly due to a ceiling effect. Collectively, the findings provide novel evidence of real-world long-term strength adaptations that may be particularly useful to understand athlete development, to aid periodized programming, and to benchmark strength over time.


Assuntos
Adaptação Fisiológica , Atletas , Força Muscular/fisiologia , Levantamento de Peso/fisiologia , Adolescente , Adulto , Idoso , Desempenho Atlético/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
7.
J Strength Cond Res ; 34(5): 1213-1219, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32149884

RESUMO

Pearson, J, Spathis, JG, van den Hoek, DJ, Owen, PJ, Weakley, J, and Latella, C. Effect of competition frequency on strength performance of powerlifting athletes. J Strength Cond Res 34(5): 1213-1219, 2020-Powerlifting (PL) requires athletes to achieve the highest possible "total" weight lifted across squat, bench press, and deadlift. Athletes compete multiple times per year; however, it is not well understood how often PL athletes should compete to facilitate maximal strength performance. This study investigated the effect of competition frequency on strength (relative and absolute) in PL athletes over a 12-month period. Results across all male (n = 563, mean ± SD; age; 28 ± 10 years, body mass; 89.3 ± 19.3 kg) and female (n = 437, age; 31 ± 11 years, body mass; 70.1 ± 15.8 kg) PL athletes were collated. Total competition scores were used to calculate absolute and relative strength for each competition. Linear mixed models with random effects, and effect sizes ± 95% confidence intervals compared competition frequency and total score for (a) all, (b) male, and (c) female competition entries, respectively. The association between total score at each competition was assessed with Pearson's correlation coefficient for the same independent variables. Results demonstrate greater absolute strength at competition 2 for all athletes (5.1%: p = 0.043: d = 0.16) and males (2.9%: p = 0.049: d = 0.15). For females, absolute strength was greater at competition 5 compared to 1 (12.0%: p = 0.001: d = 0.65) and 2 (9.6%: p = 0.007: d = 0.50). Weak positive correlations for relative strength and number of times competed for males were evident between competitions 1 to 4 (r = 0.070-0.085, p = 0.003-0.043). For females, 3 competitions weakly correlated with absolute strength (r = 0.106, p = 0.016). PL athletes who compete multiple times per year are more likely to achieve higher totals; however, there is an upper limit to the number of competitions (4 per year) that seem to allow a performance increase.


Assuntos
Desempenho Atlético/fisiologia , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Levantamento de Peso/fisiologia , Adolescente , Adulto , Atletas , Terapia por Exercício , Feminino , Humanos , Modelos Lineares , Masculino , Postura , Adulto Jovem
8.
J Strength Cond Res ; 33 Suppl 1: S103-S112, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30335721

RESUMO

Latella, C, van den Hoek, D, and Teo, WP. Differences in strength performance between novice and elite athletes: Evidence from powerlifters. J Strength Cond Res 33(7S): S103-S112, 2019-Strength forms an integral part of many sports. In particular, powerlifting success is determined solely by maximal strength, providing a unique opportunity to investigate the differences and potential factors influencing novice and elite competitors. We evaluated performance from 2,137 competitors between local (LOC), national (NAT), and international (INT) competitions. Results were analyzed by using the total (TOT) competition score within weight classes and age categories. Cohen's d effect sizes and 95% confidence intervals were used to detect differences within categories between LOC, NAT, and INT competitions. The coefficient of variation (CV) was used to determine the absolute variability. A moderate to large increase in performance was observed for all weight classes between LOC and NAT (men; d = 0.76, women; d = 1.09). No meaningful differences were observed between LOC and NAT, and NAT and INT when compared using age. No meaningful differences were observed between NAT to INT competitions when compared using weight classes. The CV was not different across competition level (CV = 17.4-22.9%) categories. Several internal (athlete) and external (environmental) factors are likely to explain these findings. Therefore, factors such as training experience, performance variability, body composition, anthropometric characteristics, and competition pressure that may influence strength performance should also be considered in both training phases and during competition. Collectively, the results offer novel information regarding the difference in strength performance between novice, subelite, and elite strength athletes. Strength and conditioning professionals should consider these factors when working with various athletes where maximal strength is an important determinant of success.


Assuntos
Desempenho Atlético , Força Muscular , Levantamento de Peso/fisiologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Peso Corporal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
9.
Health Promot J Austr ; 29(2): 133-139, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30159987

RESUMO

ISSUE ADDRESSED: To deconstruct a personal account involving the initial decision making and ultimate consequences of driving under the influence of alcohol to educate drinkers about the realities of short- and long-term impacts associated with drink-driving. METHODS: This qualitative study uses collaborative methods and draws on an autoethnographic (n = 1) account to identify multiple challenges and outcomes arising from a singular drink-driving incident. RESULTS: Findings document how the split-second decision to drink and drive can give rise to unforeseen, ongoing and complex problems associated with injuries and pain management, the legal system, personal and professional costs, social isolation and shame. CONCLUSIONS: Many believe that driving ability is only affected if an individual is drunk, and that the ramifications of low-range drinking (blood alcohol concentration greater than 0.05 and less than 0.07) and driving are minimal and avoidable. This personal account emphasises the stark realities associated with such naïve perceptions, particularly among young males, and augments efforts to dissuade drivers from drinking. SO WHAT?: The experiential insights within this narrative account have the potential to help inform peer education programs and contribute to reductions in youth road trauma and associated injuries.


Assuntos
Consumo de Bebidas Alcoólicas , Concentração Alcoólica no Sangue , Tomada de Decisões , Dirigir sob a Influência , Adolescente , Intoxicação Alcoólica , Condução de Veículo , Humanos , Masculino
10.
Qual Life Res ; 26(10): 2593-2605, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-28551836

RESUMO

OBJECTIVE: Obesity is associated with a decline in health-related quality of life (HRQOL), while weight loss and exercise training have a positive influence. The aim of this systematic review was to compare the effects of energy restriction (ER) alone intervention to diet and exercise intervention on HRQOL. METHODS: MEDLINE, CINAHL and PsycINFO databases were searched for randomised controlled trials examining HRQOL through lifestyle interventions which examined ER and energy restriction plus exercise in obese adults. RESULTS: Nine hundred and fifty-two papers were assessed for inclusion in this review with nine being deemed suitable. This review indicates that four studies provide evidence to support the role of exercise in addition to ER to improve HRQOL in adults with obesity. The findings of this review are limited due to the limited number of studies as well as substantial heterogeneity in ER, exercise prescription variables and outcome measures utilised within studies. CONCLUSIONS: A definitive conclusion regarding the capacity of exercise to facilitate greater improvement in HRQOL than diet alone, or, to formulate an exercise prescription for obese adults to address HRQOL is not feasible based on the existing evidence. Future studies should utilise comparable HRQOL assessment tools along with ensuring full reporting of results.


Assuntos
Metabolismo Energético/fisiologia , Terapia por Exercício/métodos , Obesidade/terapia , Perfil de Impacto da Doença , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
11.
BMC Geriatr ; 16(1): 211, 2016 12 08.
Artigo em Inglês | MEDLINE | ID: mdl-27931188

RESUMO

BACKGROUND: Accelerometry is the method of choice for objectively assessing physical activity in older adults. Many studies have used an accelerometer count cut point corresponding to 3 metabolic equivalents (METs) derived in young adults during treadmill walking and running with a resting metabolic rate (RMR) assumed at 3.5 mL · kg-1 · min-1 (corresponding to 1 MET). RMR is lower in older adults; therefore, their 3 MET level occurs at a lower absolute energy expenditure making the cut point derived from young adults inappropriate for this population. The few studies determining older adult specific moderate-to-vigorous intensity physical activity (MVPA) cut points had methodological limitations, such as not measuring RMR and using treadmill walking. METHODS: This study determined a MVPA hip-worn accelerometer cut point for older adults using measured RMR and overground walking. Following determination of RMR, 45 older adults (mean age 70.2 ± 7 years, range 60-87.6 years) undertook an outdoor, overground walking protocol with accelerometer count and energy expenditure determined at five walking speeds. RESULTS: Mean RMR was 2.8 ± 0.6 mL · kg-1 · min-1. The MVPA cut points (95% CI) determined using linear mixed models were: vertical axis 1013 (734, 1292) counts · min-1; vector magnitude 1924 (1657, 2192) counts · min-1; and walking speed 2.5 (2.2, 2.8) km · hr-1. High levels of inter-individual variability in cut points were found. CONCLUSIONS: These MVPA accelerometer and speed cut points for walking, the most popular physical activity in older adults, were lower than those for younger adults. Using cut points determined in younger adults for older adult population studies is likely to underestimate time spent engaged in MVPA. In addition, prescription of walking speed based on the adult cut point is likely to result in older adults working at a higher intensity than intended.


Assuntos
Acelerometria , Exercício Físico/fisiologia , Esforço Físico/fisiologia , Caminhada/fisiologia , Acelerometria/instrumentação , Acelerometria/métodos , Idoso , Austrália , Metabolismo Energético/fisiologia , Teste de Esforço/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Velocidade de Caminhada/fisiologia
12.
Sports Med ; 54(3): 753-774, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38060089

RESUMO

INTRODUCTION: Several retrospective studies of strength sport athletes have reported strength adaptations over months to years; however, such adaptations are not linear. METHODS: We explored changes in strength over time in a large, retrospective sample of powerlifting (PL) athletes. Specifically, we examined the rate and magnitude of strength adaptation based on age category and weight class for PL competition total, and the squat, bench press, and deadlift, respectively. Mixed effects growth modelling was performed for each operationalised performance outcome (squat, bench press, deadlift, and total) as the dependent variables, with outcomes presented on both the raw, untransformed time scale and on the common logarithmic scale. Additionally, the fitted values were rescaled as a percentage. RESULTS: Collectively, the greatest strength gains were in the earliest phase of PL participation (~ 7.5-12.5% increase in the first year, and up to an ~ 20% increase after 10 years). Females tended to display faster progression, possibly because of lower baseline strength. Additionally, female Masters 3 and 4 athletes (> 59 years) still displayed ~ 2.5-5.0% strength improvement, but a slight strength loss was observed in Masters 4 (> 69 years) males (~ 0.35%/year). CONCLUSION: Although directly applicable to PL, these findings provide population-level support for the role of consistent and continued strength training to improve strength across the age span and, importantly, to mitigate, or at least largely attenuate age-related declines in strength compared to established general population norms. This information should be used to encourage participation in strength sports, resistance training more generally, and to support future public health messaging.


Assuntos
Treinamento Resistido , Levantamento de Peso , Masculino , Humanos , Feminino , Estudos Retrospectivos , Atletas , Terapia por Exercício , Força Muscular
13.
J Sci Med Sport ; 27(10): 734-742, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39060209

RESUMO

OBJECTIVES: Strength assessment and comparison to normative values are an important benchmarking tool in human health and performance. However, population specific normative data are several decades old, lack information about adolescent and adult strength levels and are not representative of the strength levels of strength trained individuals. The purpose of this study was to develop contemporary strength norms for the squat, bench press, and deadlift using powerlifters competing in un-equipped, drug-tested competitions. DESIGN: Retrospective cross-sectional analysis. METHODS: Retrospective data from global drug-tested, unequipped powerlifting competitions were collated with 809,986 samples (571,650 males, 238,336 females) included. Strength was assessed according to sex, United Nations age classifications, and competitive powerlifting weight class. Strength was expressed relatively (ratio of weight lifted/bodyweight) and computed for the 10th-90th percentile for each of the above categories. RESULTS: Relative strength was greatest for young adults (18-35 years; 90th percentile for squat [male: 2.83 × bodyweight, female: 2.26], bench press [male: 1.95, female: 1.35], deadlift [male: 3.25, female: 2.66]) before declining thereafter for all three exercises. Although lower than their younger counterparts, very old adults (>80 years) had 90th percentile data for the squat of male: 1.72 and female: 1.01, bench press: male: 1.31 and female: 0.92, and deadlift: male: 2.30 and female: 1.68. CONCLUSIONS: These findings provide a comprehensive, accurate and precise representation of strength for drug-tested, unequipped powerlifters in each category and serve as a point of reference for other trained population groups. To facilitate uptake and ease of comparison, we have developed a freely available online tool (www.thestrengthinitiative.com).


Assuntos
Força Muscular , Levantamento de Peso , Humanos , Masculino , Levantamento de Peso/fisiologia , Feminino , Estudos Transversais , Adulto , Adolescente , Adulto Jovem , Estudos Retrospectivos , Força Muscular/fisiologia , Valores de Referência , Pessoa de Meia-Idade , Treinamento Resistido/métodos , Desempenho Atlético/fisiologia
14.
BMJ ; 384: e075847, 2024 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-38355154

RESUMO

OBJECTIVE: To identify the optimal dose and modality of exercise for treating major depressive disorder, compared with psychotherapy, antidepressants, and control conditions. DESIGN: Systematic review and network meta-analysis. METHODS: Screening, data extraction, coding, and risk of bias assessment were performed independently and in duplicate. Bayesian arm based, multilevel network meta-analyses were performed for the primary analyses. Quality of the evidence for each arm was graded using the confidence in network meta-analysis (CINeMA) online tool. DATA SOURCES: Cochrane Library, Medline, Embase, SPORTDiscus, and PsycINFO databases. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Any randomised trial with exercise arms for participants meeting clinical cut-offs for major depression. RESULTS: 218 unique studies with a total of 495 arms and 14 170 participants were included. Compared with active controls (eg, usual care, placebo tablet), moderate reductions in depression were found for walking or jogging (n=1210, κ=51, Hedges' g -0.62, 95% credible interval -0.80 to -0.45), yoga (n=1047, κ=33, g -0.55, -0.73 to -0.36), strength training (n=643, κ=22, g -0.49, -0.69 to -0.29), mixed aerobic exercises (n=1286, κ=51, g -0.43, -0.61 to -0.24), and tai chi or qigong (n=343, κ=12, g -0.42, -0.65 to -0.21). The effects of exercise were proportional to the intensity prescribed. Strength training and yoga appeared to be the most acceptable modalities. Results appeared robust to publication bias, but only one study met the Cochrane criteria for low risk of bias. As a result, confidence in accordance with CINeMA was low for walking or jogging and very low for other treatments. CONCLUSIONS: Exercise is an effective treatment for depression, with walking or jogging, yoga, and strength training more effective than other exercises, particularly when intense. Yoga and strength training were well tolerated compared with other treatments. Exercise appeared equally effective for people with and without comorbidities and with different baseline levels of depression. To mitigate expectancy effects, future studies could aim to blind participants and staff. These forms of exercise could be considered alongside psychotherapy and antidepressants as core treatments for depression. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018118040.


Assuntos
Transtorno Depressivo Maior , Terapia por Exercício , Metanálise em Rede , Ensaios Clínicos Controlados Aleatórios como Assunto , Humanos , Transtorno Depressivo Maior/terapia , Terapia por Exercício/métodos , Antidepressivos/uso terapêutico , Yoga , Exercício Físico/psicologia , Psicoterapia/métodos , Resultado do Tratamento
15.
J Orthop Sports Phys Ther ; 53(10): 585­593, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37428807

RESUMO

OBJECTIVE: We aimed to quantify the relationship between neck strength and sports-related concussion (SRC) for athletes participating in team sports. DESIGN: Etiology systematic review with meta-analysis. LITERATURE SEARCH: PubMed, PsycINFO, MEDLINE, CINAHL, CENTRAL, and Scopus were searched on March 17, 2022, and updated on April 18, 2023. STUDY SELECTION CRITERIA: Team sports where an opponent invades the player's territory (eg, football, rugby, basketball) that reported at least 1 measure of neck strength, and 1 measure of SRC incidence, using cohort, case-control, or cross-sectional study designs. The Newcastle-Ottawa scale was used to assess risk of bias; certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach. DATA SYNTHESIS: Studies were summarized qualitatively and quantitatively. To understand the relationship between neck strength and future SRC incidence, random-effects meta-analysis was conducted on prospective longitudinal studies. RESULTS: From a total of 1445 search results, eight studies including 7625 participants met the inclusion criteria. Five studies reported a relationship between greater neck strength or motor control and reduced concussion incidence. Pooled results from 4 studies indicated small (r = 0.08-0.14) nonsignificant effects with substantial heterogeneity (I2>90%). The considerable heterogeneity is likely a result of synthesized studies with vastly different sample characteristics, including participant age, playing level, and sports. CONCLUSIONS: There was very low-certainty evidence suggesting a small, nonsignificant relationship between greater neck strength and a lower risk of sustaining a SRC. J Orthop Sports Phys Ther 2023;53(10):1-9. Epub: 10 July 2023. doi:10.2519/jospt.2023.11727.


Assuntos
Traumatismos em Atletas , Concussão Encefálica , Futebol Americano , Humanos , Traumatismos em Atletas/epidemiologia , Esportes de Equipe , Estudos Prospectivos , Estudos Transversais , Concussão Encefálica/diagnóstico , Concussão Encefálica/epidemiologia
16.
Sci Rep ; 13(1): 10039, 2023 06 20.
Artigo em Inglês | MEDLINE | ID: mdl-37340051

RESUMO

This study aimed to compare the effects of horizontal (HJ) and vertical (VJ)-based plyometric jump training on male semi-professional soccer player's performance (e.g., change-of-direction speed [5-0-5 test]; 10-m, 20-m, and 30-m linear sprint speed). A parallel-study design was conducted. Participants were organized into HJ (n = 10) or VJ (n = 9) during 12 weeks. Measures of athletic performance were obtained in four phases: (i) before and (ii) end of the pre-season, (iii) during (weeks 7th), and (iv) after the intervention. The within-group analysis revealed that both HJ and VJ improved change of direction ([Formula: see text] = 27.783; p < 0.001 ([Formula: see text] = 21.635; p < 0.001),), 10-m linear sprint time ([Formula: see text] = 28.576; p < 0.001), 20-m linear sprint time ([Formula: see text] = 28.969, p < 0.001), and 30-m linear sprint time ([Formula: see text] = 26.143; p < 0.001). Similarly, the VJ-group also imposed significant changes on 5-0-5 time, 10-m linear sprint time ([Formula: see text] = 25.787; p < 0.001), 20-m linear sprint time ([Formula: see text] = 24.333, p < 0.001), and 30-m linear sprint time ([Formula: see text] = 22.919; p < 0.001). Between-group analysis revealed no significant differences in any of the assessment moments. HJ and VJ plyometric jump training are effective for improving the change-of-direction and a linear sprint of semi-professional players with no difference between types of intervention.


Assuntos
Desempenho Atlético , Exercício Pliométrico , Corrida , Futebol , Humanos , Masculino , Teste de Esforço
17.
Sci Rep ; 13(1): 6467, 2023 04 20.
Artigo em Inglês | MEDLINE | ID: mdl-37081074

RESUMO

This study examined the neuromuscular responses to three typical football (soccer) training sessions and the reliability of peak speed (PS) measured during a submaximal running test (SRT) for identifying neuromuscular fatigue (NMF) status. Jump height (CMJH) and peak velocity (CMJPV) were collected from a CMJ test, while peak speed (PS) was collected during an SRT before and after each training session. Large effect size (ES) decreases were observed in each variable post-training (ES; - 1.42 to - 2.32). Significant differences (> 0.001) were detected between each football session's external load variables. Coefficients of variations were small (< 10%) with moderate (CMJPV; 0.53, PS; 0.44) and strong (CMJH; 0.72) intraclass correlation coefficients between pre-test measures. The demands of each football session aligned with the principles of tactical periodization and were sufficient to produce the fatigue necessary to elicit physiological adaptations. PS was also shown to be a viable measure of monitoring NMF status.


Assuntos
Desempenho Atlético , Corrida , Futebol , Humanos , Adaptação Fisiológica , Desempenho Atlético/fisiologia , Reprodutibilidade dos Testes , Corrida/fisiologia , Futebol/fisiologia
18.
Med Sci Sports Exerc ; 54(5): 841-850, 2022 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-35019902

RESUMO

PURPOSE: Understanding strength changes with resistance training is important in human performance. It also enables better understanding into the expected magnitude of strength increase and factors that influence this change over time. METHODS: Squat, bench press, and deadlift scores were collated from 407 powerlifting meets (n = 1896 unique competitors: ~625 females, ~1270 males) between 2003 and 2018. Absolute (in kilograms) and relative starting strength (in kilograms per body weight) for each lift type was expressed for both sexes. Maximum and overall strength gain per day and per year (in kilograms) was calculated by comparing first and final, or maximum scores for each lift, respectively, and considered based on strength quartile classification. Paired and independent t-tests compared strength changes from baseline and between sexes. One-way ANOVAs compared strength changes between quartiles. Pearson correlations assessed relationships between strength changes over time, and baseline strength, number of competitions, and total days competing. RESULTS: Maximum strength adaptations were greater for squat (20.2-25.4 kg·yr-1) and deadlift (18.1-21.1 kg·yr-1) compared with bench press (10.5-12.8 kg·yr-1, P ≤ 0.001). However, the change in absolute (all lifts: P = 0.247-0.379) and relative strength (all lifts: P = 0.641-0.821) did not differ between sexes. For females, maximum strength gain per day did not differ by quartile (all lifts: P = 0.091-0.746), nor did overall strength gain per day (P = 0.151-0.575). Conversely, males in the fourth quartile generally displayed lower maximum and overall strength gain per day. CONCLUSIONS: These findings show differences in strength gain between upper- and lower-body lifts, but not sex differences in the change in strength. In line with previous research, the strongest males likely gain strength more slowly than weaker counterparts. Professionals should consider this information in the training, assessment, and long-term benchmarking of athletes whose sports require a focus on muscular strength.


Assuntos
Treinamento Resistido , Levantamento de Peso , Atletas , Feminino , Humanos , Masculino , Força Muscular , Postura
19.
BMC Sports Sci Med Rehabil ; 14(1): 160, 2022 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-36002872

RESUMO

BACKGROUND: Jumping and specific multidirectional repeated sprint ability are important in basketball. The objective of this study was to assess the contributions of 8-week combined versus single-mode training programs based on drop jump (DJ) and specific multidirectional repeated sprint (MRSA) on repeated sprint ability performances, body balance and lower limbs power in male professional basketball players. METHODS: This study followed a randomized parallel study design. Fifty-two professional male basketball players from the Tunisian first division participated in this study. The players were randomly assigned to 4 groups: DJ group (JG; n = 13), MRSA group (RSG; n = 13), combined group (COMB; n = 13) and an active control group (CON; n = 13). The JG, RSG and COMB groups completed the 8-week training programs with 2 sessions per week while the CON continues their regular basketball training. Training volume was similar between groups all over the experimental period. Before and after the intervention, the four groups were evaluated for the stork test, Y-balance test, the repeated sprint ability test (IRSA5COD), the squat jump (SJ) and countermovement jump (CMJ) tests, the single leg drop jump test, the five time-jump test and T-change of direction (CoD) test. RESULTS: All measures displayed significant main effect, (medium/small) magnitude (effect size) improvements for time (post-test > pre-test) except the physiological parameters for IRSA5COD. Significant time × group interactions were revealed for body balance, T test, IRSA5COD (total time and best time) and jump tests (vertical/horizontal). Bonferroni corrected post-hoc tests revealed significant greater improvement in favor of RSG and COMB compared to JG for body balance, CoD and IRSA5COD. Moreover, greater improvement in CMJ, SJ and single leg DJ in favor of JG compared to the RSG. In addition, a greater CoD improvement was observed in favor of COMB when compared to the RSG. CONCLUSION: Combined and single-mode training programs based on DJ and MRSA contributed to a significantly better performance in specific basketball physical fitness parameters with results favoring combined interventions.

20.
BMC Sports Sci Med Rehabil ; 14(1): 110, 2022 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-35718774

RESUMO

BACKGROUND: The ability for athletes to gain a competitive advantage over their opponents is well recognised. At times, this advantage may be considered a marginal gain. However, in the context of competition, marginal advantages may be the difference between winning and losing. This investigation explores how competition factors influence the odds of competitive success (i.e. winning) in powerlifting (PL) to assist athletes and coaches in achieving a competitive advantage. METHODS: A cross-sectional, retrospective analysis of competition data from raw/classic, Australian powerlifting competitions 2010-2019 was conducted. Data included 10,599 competition entries (males: n = 6567 [62%], females: n = 4032 [38%]). Independent t-tests were used to compare continuous data between sexes or winners and non-winners at an event. Cohen's d and the 95% confidence interval (d [95% CI]) were calculated. Univariate odds of winning an event based on independent variables (age [irrespective of category], sex, body weight and weight of first lift attempt [regardless of success]), were assessed by separate simple logistic regression. RESULTS: When compared to males, the odds of winning for females were 50% greater (OR [95% CI] 1.500 [1.384, 1.625]; P < 0.001). Athletes who had larger first lift attempts (Squat: + 7.0 kg P < 0.001, Bench Press: + 3.2 kg P < 0.001, and Deadlift: + 6.1 kg P < 0.001and competed for a longer period (winners: 401 vs non-winners: 304 days, P < 0.001) had an increased likelihood winning. Age was associated with increased odds of success for males (OR [95% CI] 1.014 [1.009, 1.019], P < 0.001) per additional year of age for males, but not females (P = 0.509). CONCLUSIONS: Multiple factors appear to contribute to the likelihood of winning a PL competition. These results may help coaches to develop competition and training strategies that optimise athletes' likelihood of competitive success in PL.

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