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Background: The benefits of oral caffeine intake to enhance several aspects of physical performance, such as aerobic endurance, strength, power, and muscle endurance performance, are well supported. However, how the physical performance benefits of caffeine supplementation are translated into better specific actions in intermittent sports during real or simulated competition has been the topic of fewer investigations, and their results need to be appropriately reviewed and meta-analyzed. Objective: The aim of the study was to investigate the effects of acute caffeine intake on specific actions in intermittent sports involving decision making and high-intensity efforts (eg, team, racket, and combat sports) during real or simulated competitions. Methods: All studies included had blinded and crossover experimental designs, and we conducted a risk-of-bias analysis. In total, we included 24 studies. A meta-analysis was performed using the random-effects model to calculate the standardized mean difference (SMD) estimated by Hedges g and 95% CIs. Results: Caffeine ingestion increased high-intensity sport-specific actions during competition, such as the number of sprints (SMD: 0.48; 95% CI, 0.23–0.74), body impacts (SMD: 0.28; 95% CI, 0.08–0.49), accelerations (SMD: 0.35; 95% CI, 0.06–0.63), decelerations (SMD: 0.63; 95% CI, 0.12–1.14), and high-intensity offensive efforts (SMD: 0.36; 95% CI, 0.11–0.61). Additionally, caffeine ingestion induced a higher positive or success rate of actions during real or simulated competition (SMD: 0.44; 95% CI, 0.19–0.69). Conclusion: The current meta-analysis provides evidence of caffeine supplementation in increasing high-intensity efforts and the success rate of sport-specific actions during real or simulated competition. [ABSTRACT FROM AUTHOR]

Background: We aimed to evaluate the effectiveness of the combination of protein supplementation and resistance training (RT), compared with RT alone or combined with a placebo, in improving gait speed. Methods: We searched PubMed, Web of Science, Cochrane Library, and SPORTDiscus databases, and 18 randomized controlled trials with 1,147 older participants were included for meta-analysis. Data were pooled as the effect sizes (Hedges' g) with 95% confidence interval (CI) of the gait speed (in meters per second). The random-effect meta-analysis, subgroup analyses, meta-regression, and sensitivity analysis were conducted. Results: The combination of protein supplementation and RT significantly improved gait speed (Hedges' g: 0.52 m/s, 95% confidence interval [0.17, 0.86], p =.005; I2 = 86.5%) compared with the RT alone. The subgroup analyses revealed that the significant improvement in gait speed postprotein intervention plus RT was observed only in participants who consumed protein after RT (Hedges' g: 0.90 m/s, 95% confidence interval [0.46, 1.33], p =.001; I2 = 79.6%). The pooled result did not significantly change after excluding any single study at one time or excluding smaller studies with large effect sizes. Conclusions: Protein supplementation combined with RT could significantly improve the gait speed of older adults compared with RT alone. This positive effect is more pronounced in people who consume protein after RT. [ABSTRACT FROM AUTHOR]

This study aimed to determine whether caffeine gum influenced perceptual-cognitive and physical performance during the extra-time period of simulated soccer match-play. Semiprofessional male soccer players (n = 12, age: 22 ± 3 years, stature: 1.78 ± 0.06 m, mass: 75 ± 9 kg) performed 120-min soccer-specific exercise on two occasions. In a triple-blind, randomized, crossover design, players chewed caffeinated (200 mg; caffeine) or control (0 mg; placebo) gum for 5 min following 90 min of soccer-specific exercise. Perceptual-cognitive skills (i.e., passing accuracy, reaction time, composure, and adaptability) were assessed using a soccer-specific virtual reality simulator, collected pre- and posttrial. Neuromuscular performance (reactive-strength index, vertical jump height, absolute and relative peak power output, and negative vertical displacement) and sprint performance (15 and 30 m) were measured at pretrial, half-time, 90 min, and posttrial. Caffeine gum attenuated declines in reaction time (pre: 90.8 ± 0.8 AU to post: 90.7 ± 0.8 AU) by a further 4.2% than placebo (pre: 92.1 ± 0.8 AU to post: 88.2 ± 0.8 AU; p <.01). Caffeine gum reduced composure by 4.7% (pre: 69.1 ± 0.8 AU to post: 65.9 ± 0.8 AU) versus placebo (pre: 68.8 ± 0.8 AU to post: 68.3 ± 0.8 AU; p <.01). Caffeine gum did not influence any other variables (p >.05). Where caffeine gum is consumed by players prior to extra-time, reaction time increases but composure may be compromised, and neuromuscular and sprint performance remain unchanged. Future work should assess caffeine gum mixes with substances like L-theanine that promote a relaxed state under stressful conditions. [ABSTRACT FROM AUTHOR]

This study investigated the impact of multimorbidity patterns on physical activity and capacity outcomes over the course of a year-long exercise intervention, and on physical activity 1 year later. Participants were 314 physically inactive community-dwelling men and women aged 70–85 years, with no contraindications for exercise at baseline. Physical activity was self-reported. Physical capacity measurements included five-time chair-stand time, 6-minute walking distance, and maximal isometric knee-extension strength. The intervention included supervised and home-based strength, balance, and walking exercises. Multimorbidity patterns comprised physician-diagnosed chronic disease conditions as a predictor cluster and body mass index as a measure of obesity. Multimorbidity patterns explained 0%–12% of baseline variance and 0%–3% of the change in outcomes. The magnitude and direction of the impact of unique conditions varied by outcome, time point, and sex. Multimorbid older adults with no contraindications for exercise may benefit from multimodal physical training. [ABSTRACT FROM AUTHOR]

This study aimed to compare community-dwelling older adults' physical activity (PA) during the COVID-19 restrictions in 2020 to their PA levels 2 years before and investigate associations between earlier physical performance and PA levels over the follow-up. Participants' (n = 809, initial age 75–85 years) self-reported PA was assessed at baseline in 2017–2018 and May/June 2020 as total weekly minutes of walking and vigorous PA. Physical performance was assessed at baseline using the maximal handgrip strength and Short Physical Performance Battery tests. During the first wave of the COVID-19 pandemic, a median change in total weekly minutes of walking and vigorous PA among all participants was + 20.0 (interquartile range: −60.0 to 120.0, p <.001) min per week compared with 2 years earlier. Higher baseline Short Physical Performance Battery total scores were associated with higher total weekly minutes of walking and vigorous PA over the follow-up in men and women, and better handgrip strength in women. [ABSTRACT FROM AUTHOR]

The current study analyzed the effects of positive versus negative self-talk on physical performance in soccer players from a multiprocess approach. We operationalized the process distinction using the need-for-cognition (NC) construct. Thus, NC was measured and self-talk (i.e., positive vs. negative) was manipulated between participants (i.e., 126 soccer players, age 18 years or older, who were competing in national, regional, or local competitions). Physical performance was assessed by a vertical-jump test. According to hypothesis, regression analyses indicated that positive versus negative self-talk influenced physical performance to a greater extent for high-NC individuals than for low-NC individuals. Specifically, among high-NC soccer players, relative to baseline, positive self-talk produced greater physical performance in the vertical-jump test than negative self-talk. In contrast, among low-NC soccer players, no difference was found between positive and negative self-talk on physical performance. These results supported the moderating role of NC. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to investigate acute psychophysiological responses to repeated-sprint training in hypoxia (RSH) combined with whole-body cryotherapy (WBC). Method: Sixteen trained cyclists performed 3 sessions in randomized order: RSH, WBC-RSH (WBC pre-RSH), and RSH-WBC (WBC post-RSH). RSH consisted of 3 sets of 5 × 10-second sprints with 20-second recovery at a simulated altitude of 3000 m. Power output, muscle oxygenation (tissue saturation index), heart-rate variability, and recovery perception were analyzed. Sleep quality was assessed on the nights following test sessions and compared with a control night using nocturnal ActiGraphy and heart-rate variability. Results: Power output did not differ between the conditions (P =.27), while the decrease in tissue saturation index was reduced for WBC-RSH compared to RSH-WBC in the last set. In both conditions with WBC, the recovery perception was higher compared to RSH (WBC-RSH: +15.4%, and RSH-WBC: +21.9%, P <.05). The number of movements during the RSH-WBC night was significantly lower than for the control night (−18.7%, P <.01) and WBC-RSH (−14.9%, P <.05). RSH led to a higher root mean square of the successive differences of R-R intervals and high-frequency band during the first hour of sleep compared to the control night (P <.05) and RSH-WBC (P <.01). Conclusions: Inclusion of WBC in an RSH session did not modify the power output but could improve prolonged performance in hypoxia by maintaining muscle oxygenation. A single RSH session did not deteriorate sleep quality. WBC, particularly when performed after RSH, positively influenced recovery perception and sleep. [ABSTRACT FROM AUTHOR]

Purpose: To determine whether a 12-week, lower body-targeted aqua-plyometric (AquaPlyo) exercise program could improve muscle strength, bone mineral properties, and physical fitness in patients with juvenile idiopathic arthritis. Methods: A randomized controlled trial was adopted and included 48 patients with polyarticular juvenile idiopathic arthritis (age: 12–18 y). Patients were assigned to undergo either AquaPlyo exercises (AquaPlyo group, n = 24) or standard exercises (control group, n = 24). The outcome measures were assessed pretreatment and posttreatment and included concentric quadriceps peak torque, bone mineral properties (areal bone mineral density [BMD], volumetric BMD, bone mineral content, and BMD Z score), and physical fitness. Results: A significant posttreatment increase in the concentric quadriceps peak torque was detected in the AquaPlyo group compared with the control group (either at an angular velocity of 90°/s [right side: P =.016, left side: P =.025] or 180°/s [right side: P =.007, left side: P =.029]). Besides, a considerably greater improvement in the areal BMD (P =.0006), volumetric BMD (P =.027), bone mineral content (P =.002), and BMD Z score (P =.0004) was observed in the AquaPlyo group. Moreover, a remarkably greater rise in the physical fitness (P <.001) was revealed in the AquaPlyo group. Conclusion: AquaPlyo training can efficiently enhance muscle strength, improve bone mineral properties, and boost physical fitness in patients with juvenile idiopathic arthritis. [ABSTRACT FROM AUTHOR]

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The squat exercise has been shown to improve athletic performance. However, the use of the deep squat has been questioned due to claims that it may cause knee joint injuries. Therefore, the purpose of this scoping review was to synthesize existing literature concerning the impact of deep squats on knee osteoarticular health in resistance-trained individuals. Methods: This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. The original protocol was prospectively registered in Figshare (https://doi.org/10.6084/m9.figshare.24945033.v1). A systematic and exhaustive search was conducted in different databases: PubMed, Scopus, Web of Science, and SPORTDiscus. Additional searches were performed in Google Scholar and PEDro. The main inclusion criteria were the following: (1) Articles of experimental, observational, or theoretical nature, including randomized controlled trials, longitudinal studies, case reports, integrative reviews, systematic reviews, and meta-analyses(Primary studies were required to have a minimum follow-up duration of 6 weeks, whereas secondary studies were expected to adhere to PRISMA or COCHRANE guidelines or be registered with PROSPERO; (2) Peer-reviewed articles published between 2000 and 2024; (3) Publications written in English, Spanish and Portuguese; (4) Studies reporting the effects of deep half, parallel or quarter squats on the knee or evaluating squats as a predictor of injury. Results: The keyword search resulted in 2,274 studies, out of which 15 met all inclusion criteria. These 15 studies comprised 5 cohort studies, 3 randomized controlled trials, 4 literature or narrative reviews, 1 case study, and 2 systematic reviews, one including a meta-analysis. Overall, the risk of bias (ROB) across these studies was generally low. It is worth noting that only one study, a case study, associated deep squats with an increased risk of injury, the remaining 14 studies showed no negative impact of deep squats on knee joint health. Conclusion: The deep squat appears to be a safe exercise for knee joint health and could be included in resistance training programs without risk, provided that proper technique is maintained. [ABSTRACT FROM AUTHOR]

This study intended to investigate the impact of substitution rule change on the physical performance in World Cup tournaments. Running data from the 2022 and 2023 FIFA World Cups were used for analysis. The results show that substitutes have much more sprinting, high-speed running and moderate speed running per minute than starters (p < 0.05), with similar magnitudes of differences for the men's (28.4–47.6%) and women's World Cup (23.4–59.5%). Substitutes in winning vs losing teams had higher sprint distance (3.7 vs 2.8 m· min−1) and number of high-speed running (1.70 vs 1.58 times· min−1) in men's World Cup and higher sprint distance (3.3 vs 2.5 m· min−1) in women's World Cup. In the men's World Cup, substituted midfielders had a higher frequency and greater distance covered with high-speed running (1.85 vs 1.57 and 1.44 times· min−1; 10.1 vs 8.9 and 7.8 m· min−1) and higher sprint frequency (0.74 vs 0.71 and 0.62 times· min−1) compared to forwards and defenders, which was not the case for the Women's World Cup. Together, this study underlines the importance of substitutions for the team running performance in modern elite football under the new substitution rules, and practitioners need to pay attention to the use of substitute players under the new rules. [ABSTRACT FROM AUTHOR]

In the aim to better understanding the dynamic of performance changes between the first and second halves of professional soccer teams, statistics of 1899 matches from 2012 to 2019 of the Chinese Super League (CSL) were collected and analysed. The generalised mixed linear modelling was used to estimate the mean change of each of 40 physical and technical performance-related parameters of soccer teams from the first half of the match to the second, controlling the effects of match status, match location, team strength and opponent strength. Results showed that, out of the selected 40 parameters, only goals (first half vs second half M ± SD: 0.60 ± 0.76 vs 0.82 ± 0.92, ES; ±99% confidence limits: 0.21; ±0.05), shots (5.7 ± 2.8 vs 6.8 ± 3.3, 0.34; ±0.05), individual possession in the attacking third (55 ± 21 vs 62 ± 25, 0.31; ±0.05), cross (9.7 ± 4.6 vs 10.9 ± 5.8, 0.24; ±0.06) and yellow cards (0.75 ± 0.84 vs 1.24 ± 1.07, 0.45; ±0.06) showed substantially increment from the first half to the second, other parameters presented only trivial changes. Hence, it is concluded that the physical performance of soccer teams in the second half did not show meaningful change, while technical actions related to attacking tended to increase. The findings can offer soccer coaches valuable insights into when and how to adjust their tactics, manage their players, thus can maintain or enhance the team's match performance. [ABSTRACT FROM AUTHOR]

Copyright of Revija Šport is the property of Sport: Revija Za Teoreticna in Praticna Vprasanja Sporta and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: Whole-body vibration (WBV) has been reported to influence performance improvement. However, its effects may vary based on device parameters and body positioning. This study aims to assess the effects of two frequencies and two positions on jump kinetic variables. Methods: Thirty-four healthy non-athlete females underwent four WBV protocols involving different combinations of medium (30 Hz) and high (50 Hz) frequencies, as well as static and dynamic squat positions. Participants performed three counter-movement drop jumps before, 1 min, and 10 min after each protocol. Jump variables were extracted using acceleration data from an inertial measurement unit attached to participants' waists. Results: Three-way repeated measure ANOVA results revealed a significant position effect on maximum contact power (p = 0.046) and a significant time effect on maximum contact force (p = 0.010), concentric contact impulse (p < 0.001), jump height (p = 0.014), and the reactive strength index (p = 0.007). Bonferroni analysis showed an increase in maximum contact power in the dynamic squat protocols. However, there was a decrease in maximum contact force, jump height, and the reactive strength index, along with an increase in contact impulse in the concentric phase for all frequencies and squat positions. Conclusion: While dynamic squatting increased maximum power during the concentric phase, highlighting the importance of dynamic contractions during vibration, temporary declines in other key jump variables suggest that acute WBV effects in non-athlete subjects might negatively impact overall function. Caution is advised when considering the immediate effects of WBV in this group. [ABSTRACT FROM AUTHOR]

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In recent years, there has been growing scientific interest in the neuropsychophysiological aspects of soccer performance. The purpose of this study was to conduct a bibliometric analysis to identify and review key topics within the neuropsychophysiological dimensions of soccer performance and identify any research voids that warrant further attention. We retrieved 192 documents from the Scopus database and anayzed the extracted data using VOSviewer software to conduct a bibliometric analysis. We applied both performance analysis techniques (including the number of documents per year, top 20 authors by citations, and top 15 sources by documents) and science mapping analysis (co-authorship, bibliographic coupling, co-citation, and co-occurrence). The co-occurrence analysis identified three main clusters of research themes. The first cluster focused on the relationship between physical performance and cognitive factors, the second on technical-tactical performance, and the third on health and well-being. Our findings emphasize the significant role of neuropsychophysiological factors in all aspects of soccer performance. We highlight the importance of integrating cognitive and physical training to enhance player performance and underscore the need for further research to deepen our understanding of these relationships. [ABSTRACT FROM AUTHOR]

Swearing, or using taboo language with the potential to offend, has been shown to improve physical performance during short and intense tasks requiring strength and power development. While consistent ergogenic effects of swearing have been observed across studies, the mechanisms by which swearing impacts physical performance are not fully clear. Swearing has been shown to modulate physiological (i.e., heart rate, blood pressure, skin conductance), psychological (i.e., state disinhibition), and nociceptive (i.e., pain threshold, pain tolerance, pain perception) responses, thus making it plausible that these mechanisms allow swearing to positively impact physical performance. A variety of dosages of swearing (i.e., word used, intensity, frequency, quantity) have been reported to improve physical performance. Although habituation to the positive physical performance effects of swearing has not been explored formally through empirical research, habituation to swearing has been observed in other contexts. From a practical application standpoint, swearing represents a low-risk, effective, and inexpensive intervention that has the potential to acutely improve physical performance although the taboo nature of swearing may limit its utility in real-world situations. The purpose of the following review is to provide an overview of available evidence on swearing and physical performance and discuss likely underlying mechanisms. Exploration of different swearing approaches and habituation will also be highlighted and suggestions for future research will be discussed, to more comprehensively understand if swearing can be strategically used for performance enhancement. [ABSTRACT FROM AUTHOR]

Background: Handgrip strength (HGS) weakness and asymmetry are both abnormal conditions of upper-limb muscle strength. The association between HGS weakness and physical performance is controversial, and the link between HGS asymmetry and physical performance remains unclear. Aims: This study aimed to investigate the associations of HGS weakness and asymmetry separately and concurrently with low physical performance among Chinese older people. Methods: The study used two waves of data from China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015. HGS weakness and asymmetry were defined according to the maximal HGS and the HGS ratio, respectively. Participants were classified into 4 groups according to HGS status: normal, asymmetry only, weakness only, and concurrent weakness and asymmetry. The logistic regression model was used to investigate the cross-sectional association between low physical performance and each of maximal HGS, HGS ratio, and HGS status, as well as the prospective association between baseline HGS status and new-onset physical performance decline after two years. Results: Participants with HGS asymmetry only, weakness only, and two abnormalities showed a higher prevalence of low physical performance when asymmetry defined as an HGS ratio exceeding 1.20 and 1.30 (all, p < 0.001), with the greatest odds in those with two abnormalities (20% threshold: OR 3.83; 30% threshold: OR 5.41). The longitudinal analysis found that HGS weakness can predict the new-onset low physical performance over a two-year period, with concurrent HGS asymmetry further increased the future risk of physical performance decline. Conclusions: Both HGS weakness and asymmetry were associated with a higher prevalence of low physical performance, in an additive way. This study will help screen older people with low physical performance more efficiently, and identify those at higher risk of developing new-onset physical performance decline within two years. [ABSTRACT FROM AUTHOR]

With the burgeoning elderly population, there is an escalating demand for effective and safe exercise programs to enhance physical performance and avert age-related complications. This study aimed to evaluate the effects of a whole-body vibration (WBV) exercise program on the physical performance and postural balance of older adults. The study enlisted 21 participants aged 65 and older, divided into three groups: WBV, foam mat (FM), and control. Over four weeks, participants engaged in a structured exercise regimen designed to improve lower limb muscle strength, cardiovascular endurance, flexibility, coordination, and postural balance. The low-impact, elderly-friendly program included resistance exercises tailored to each group's conditions. Pre- and post-program evaluations comprised physical performance tests (chair stand, 2 -min step, chair sit-and-reach, figure-of-8 walk) and postural balance assessments (limit of stability (LOS), Timed Up and Go (TUG), One Leg Stance (OLS)). Results showed significant improvements across all groups, with the WBV group exhibiting the most pronounced enhancements. WBV group improvements included a 62.8% increase in lower-limb muscle strength and a 31.7% rise in cardiovascular endurance. The WBV group also demonstrated the greatest advancements in postural stability and dynamic balance, as indicated by significant changes in OLS and TUG test times. These findings suggest WBV exercises can effectively enhance physical performance and balance in older adults, presenting a promising alternative to traditional exercise programs that may impose greater physical burdens. Further research with larger sample sizes and controlled variables is recommended to confirm these benefits and refine WBV exercise protocols. [ABSTRACT FROM AUTHOR]

Background and Aim: Functional somatic disorders (FSDs) are a unifying diagnosis that includes functional somatic syndromes (FSSs) as well as the unifying diagnostic construct of bodily distress syndrome (BDS). FSDs are characterized by persistent and troublesome physical symptoms that are prevalent across all medical settings and for which no clinical tests can establish a definitive diagnosis. The aim of this study was to explore associations between BDSs and objective measurements of body composition, cardiorespiratory health, and physical performance. Methods: Analyses are based on data from the Danish population-based cohort study, DanFunD, comprising data on 9656 participants aged 18–76 years and BDS case status, which was established using self-reported questionnaires. Adjusted multiple linear regression analysis was employed to evaluate associations between BDS and different measures of body composition, cardiorespiratory health, and physical performance assessed as part of a general health examination. Results: Compared to controls, individuals with single- or multi-organ BDS exhibited less optimal body compositions characterized by a higher BMI and fat percentage and larger waist circumference, as well as impaired cardiorespiratory health and reduced physical performance (lower maximal oxygen consumption and lower hand grip strength). Further, individuals categorized with multi-organ BDS had a less healthy body composition, lower cardiorespiratory health, and lower physical performance compared to individuals with single-organ BDS. Conclusions: In this cross-sectional study, we found BDS to be associated with suboptimal body composition, impaired cardiorespiratory health, and reduced physical performance. Individuals with multi-organ BDS tended to exhibit lower physical fitness or reduced cardiorespiratory health than individuals with single-organ BDS. [ABSTRACT FROM AUTHOR]

This review aimed to assess the effects of exercise training on handball players' performance. A thorough search was conducted in 5 online databases (ProQuest, PubMed, Science Direct, Web of Science, and EBSCOhost (SPORTDiscus), as well as on Google Scholar and other gray literature references starting on April 11, 2022. The methodological quality of the included research was evaluated using the Physiotherapy Evidence Database scale. This systematic review includes 16 studies. Eight studies received "excellent" ratings ($6 points), 5 received "good" ratings (5 points), and 3 received "moderate" ratings (4 points). The findings showed that the most frequently examined performance factors in exercise training intervention strategies with handball players were balance (n 5 5), agility (n 5 8), speed (n 5 9), and jumping performance (n 5 10). Muscular strength (n 5 4), shooting and dribbling skill (n 5 3), and muscular endurance (n 5 4) were the second most frequently investigated performance factors. Regarding speed and agility, exercise training considerably improved the physical fitness of handball players. However, evidence related to muscular strength, shooting ability, and dribbling skills was limited. To achieve the optimum standard, handball players must have strong physical and physiological qualities. Meanwhile, no evidence was found related to the impacts of exercise training on power, endurance, flexibility, body composition, cardiovascular fitness, and cardiorespiratory fitness. Regarding limitations, there is a need for more research with solid evidence to determine the impacts of exercise training interventions on athletes' performance in handball. [ABSTRACT FROM AUTHOR]

(1) Background: The kick of the ball in soccer is considered one of the most important technical gestures in soccer. Despite this, there is little evidence on ball-striking performance factors in base soccer. The main objectives of the present study were to identify the potential factors of long-ball kicking (LBK) performance and to determine the target training cut-off for LBK performance in young soccer players. (2) Methods: A cross-sectional observational study was conducted with 31 soccer players, with ages ranging from 12 to 18 years. Age, anthropometric data, sport experience, range of motion (ROM) and maximal isometric strength (MIS) of the lower limb were noted. Kick-of-the-ball performance was assessed by maximum ball displacement per kick. A k-mean cluster analysis determined two groups according to ball-kicking performance: low group (LPG-LBK) and high group (HPG-LBK). (3) Results: Differences were found between both groups in age, body mass, body mass index, leg length and knee flexion ROM (BF10 ≤ 6.33; δ ≥ 0.86 (moderate or higher)). Among the factors discussed above, age was the strongest predictor of ball-striking performance (odds ratio = 2.867; p = 0.003). The optimal cut-off for age predicting those players most likely to have a higher ball-striking performance was determined to be 13.5 years (p = 0.001; area under the curve = 85.3%). (4) Conclusions: Age over 13.5 increases the chances of a higher optimal ball-striking performance. The flexibility (knee flexion ROM) and strength (knee flexors) must be specifically trained in soccer players beginning at an early age. [ABSTRACT FROM AUTHOR]

Objectives: To investigate the intermediary role of physical performance in the association between physical activity and mild cognitive impairment (MCI) in older adults with type 2 diabetes mellitus (T2DM), residing in rural areas. Methods: This study employed a random sampling method to select 316 patients aged 65 years and older, all diagnosed with T2DM, from 24 different rural areas in China. The relationships between physical activity, physical performance, and MCI were analyzed using a logistic regression model, and the proposed mediation model was validated through bootstrap test. Results: In this study, the prevalence of MCI in the rural‐based older adults with T2DM was 53.48%. A significant correlation was observed between the levels of physical activity and physical performance. Moreover, diminished physical performance was positively correlated with an increased propensity for MCI, even after adjusting for relevant covariates. Physical performance was discerned to exert a partial mediating influence on the relationship between physical activity and MCI. Conclusions: The empirical evidence generated by this study posits that the impact of physical activity on MCI is partially mediated through physical performance in an aging population with T2DM residing in rural environments. Consequently, interventional strategies aimed at ameliorating physical performance may serve as a viable approach to mitigate the progression of cognitive decline. [ABSTRACT FROM AUTHOR]

Purposes: Delayed chest closure (DCC) is a widely accepted procedure in the context of lung transplantation (LTx); yet there are few reports detailing its long-term survival and clinical outcomes. Methods: We reviewed the medical records of recipients who underwent deceased-donor lung transplantation (LTx) at Tohoku University Hospital. Long-term survival, including overall survival, freedom from chronic lung allograft dysfunction (CLAD), and CLAD-free survival and the clinical outcomes of graft function and physical performance and constitution were reviewed in recipients with DCC. Results: Between 2009 and 2022, 116 patients underwent LTx, 33 of whom (28.4%) required DCC. The intra—and post-operative courses of the recipients who required DCC were more complicated than those of the recipients who underwent primary chest closure (PCC), with frequent volume reduction surgery and longer periods of invasive mechanical ventilation. Pulmonary vascular disease was considered a risk factor for these complications and DCC. Nonetheless, long-term survival and graft functions were comparable between the DCC and PCC groups. The physical performance and constitution of recipients who required DCC continued to improve, and by 2 years after transplantation, exhibited almost no difference from those who underwent PCC. Conclusions: In view of the profoundly complicated intra- and post-operative courses, DCC should be performed cautiously and only when clinically indicated, despite which it can result in equivalent long-term survival and acceptable outcomes to PCC. [ABSTRACT FROM AUTHOR]

This preliminary exploratory study is the first to thoroughly examine dynamic balance, inter-limb asymmetry, and flexibility in jiu-jitsu athletes, focusing on differences by fighting style, competition level, gender, and limb dominance. A total of 25 jiu-jitsu fighters participated in this cross-sectional study, which used repeated measures to ensure the reliability of the findings. Participants underwent measurements for limb lengths and were assessed for dynamic balance using the Lower and Upper Quarter Y Balance Test (LQYBT and UQYBT) and for flexibility with the Sit and Reach Test (SR). The analysis included evaluating the reliability of these tests, as well as comparing outcomes based on gender, fighting styles, competition levels, and limb dominance. The results showed that the LQYBT and UQYBT tests were reliable (ICC=0.74-0.93). There were no significant differences in dynamic balance and flexibility between different fighting styles. No significant differences were found in balance tests between the dominant and non-dominant limbs, but there were notable inter-limb asymmetries in certain measures. This study provides preliminary insights for coaches and researchers by offering reference values for balance, flexibility, and inter-limb asymmetry in jiu-jitsu athletes. However, future research with larger sample sizes is needed to better understand the differences among subgroups in this sport. [ABSTRACT FROM AUTHOR]

Purpose: This study proposes a multiple mediation model to evaluate the association among diminished physical performance, malnutrition, inflammation, and delirium in seniors with community-acquired pneumonia. Patients and Methods: This retrospective cohort study included elderly patients hospitalized for community-acquired pneumonia at the Geriatrics Department of the Second People's Hospital of Lianyungang from January 1, 2020, to January 1, 2024. Logistic regression analysis was conducted to examine the associations among physical performance, nutritional status, C-reactive protein (CRP) levels, and delirium. Mediation models assessed the effects of nutritional status and CRP on the relationship between physical performance and delirium, with subgroup analyses based on diabetes status. Results: A total of  379 patients were included, with a mean age of 80.0± 7.4 years, and 51.7% were male. The incidence of delirium during hospitalization was 28.5% (n=108). Subgroup analyses revealed significant correlations between physical performance, nutritional status, and CRP (P< 0.001), regardless of diabetes status. After adjusting for confounding variables, CRP was positively associated with delirium, while MNA-SF and SPPB scores showed negative correlations with delirium risk (OR=0.852, 95% CI: 0.730– 0.995; OR=0.580, 95% CI: 0.464– 0.727, P< 0.05). Mediation analyses indicated that MNA-SF scores and CRP significantly mediated the association between SPPB and delirium. Specifically, pathways "SPPB→ MNA-SF→ delirium", "SPPB→ CRP→ delirium", and "SPPB→ MNA-SF→ CRP→ delirium" demonstrated significant mediating effects in patients without diabetes, while only the pathway "SPPB→ MNA-SF→ CRP→ delirium" was significant in those with diabetes. Conclusion: Older patients with community-acquired pneumonia and poor physical performance are more susceptible to delirium, with nutritional status and inflammation as key mediators. [ABSTRACT FROM AUTHOR]

Background: Sarcopenia is characterized by the progressive loss of skeletal muscle mass, strength, and function, significantly impacting overall health and quality of life in older adults. This narrative review explores emerging targets and potential treatments for sarcopenia, aiming to provide a comprehensive overview of current and prospective interventions. Methods: The review synthesizes current literature on sarcopenia treatment, focusing on recent advancements in muscle regeneration, mitochondrial function, nutritional strategies, and the muscle–microbiome axis. Additionally, pharmacological and lifestyle interventions targeting anabolic resistance and neuromuscular junction integrity are discussed. Results: Resistance training and adequate protein intake remain the cornerstone of sarcopenia management. Emerging strategies include targeting muscle regeneration through myosatellite cell activation, signaling pathways, and chronic inflammation control. Gene editing, stem cell therapy, and microRNA modulation show promise in enhancing muscle repair. Addressing mitochondrial dysfunction through interventions aimed at improving biogenesis, ATP production, and reducing oxidative stress is also highlighted. Nutritional strategies such as leucine supplementation and anti-inflammatory nutrients, along with dietary modifications and probiotics targeting the muscle–microbiome interplay, are discussed as potential treatment options. Hydration and muscle–water balance are emphasized as critical in maintaining muscle health in older adults. Conclusions: A combination of resistance training, nutrition, and emerging therapeutic interventions holds potential to significantly improve muscle function and overall health in the aging population. This review provides a detailed exploration of both established and novel approaches for the prevention and management of sarcopenia, highlighting the need for further research to optimize these strategies. [ABSTRACT FROM AUTHOR]

Background: Coffee is considered one of the most preferred and consumed beverage types in the world, and caffeine is known to increase physical performance due to its ergogenic properties. The aim of this study is to examine the effects of coffee consumption in different forms on cortisol, testosterone, lactic acid and anaerobic performance levels. Methods: A total of 15 licensed male football players participated in the research voluntarily. The research was implemented in a single-blind, counterbalanced, randomized and crossover study design. Participants were given caffeinated coffee (CK), decaffeinated coffee (placebo) (DK), powdered caffeine (in a gelatin capsule) (PC) and powdered placebo (maltodextrin in a capsule) (PM) on different days, and the Wingate test protocol was performed after the warm-up protocol. Blood samples were collected post-test. Cortisol, testosterone and lactic acid levels in the serum samples taken were determined by the ELISA method. Results: As a result, it was revealed that caffeinated coffee given to participants who exercise increased anaerobic power. However, it was observed that lactic acid levels were higher in placebo and decaffeinated coffee. The highest level of cortisol was found in caffeinated coffee and powdered caffeine compared to the placebo. Testosterone values were observed to be highest in caffeinated coffee and decaffeinated coffee compared to a placebo. Conclusions: The study suggests that the type of caffeine is a factor that affects absorption rate, which impacts performance and hormone levels. [ABSTRACT FROM AUTHOR]

Background: Although My Jump 2® consistently presented excellent values of reliability and validity when compared to force platforms (FPs) and contact mats, to date no scientific investigation assessed the validity and reliability of My Jump 2® to measure jump height in visually impaired five-a-side soccer athletes. Thus, the study aimed at analyzing the validity and reliability of the My Jump 2® to measure the vertical jump of five-a-side soccer athletes. Methods: Twelve visually impaired five-a-side soccer athletes, volunteered for this study. Each player performed five countermovement jumps (CMJs) and squat jumps (SJs) on a contact platform (CP) while they were simultaneously recorded using MyJump 2®. Results: There was almost perfect agreement between the My Jump 2® and the contact platform measurements of CMJ (intraclass correlation coefficient = 0.99; p < 0.001) and SJ (intraclass correlation coefficient = 0.99; p < 0.001), heights for athletes during the first and second measurement days. Bland-Altman analysis showed a bias of 0.25 ± 0.5 cm; maximum SD = 1.3; minimum SD = −0.88 for CMJ, while that Bland-Altman analysis showed bias 0.18 ± 0.5 cm; maximum SD = 1.3; minimum SD = −0.96, for SJ. Conclusion: We can conclude that the My Jump 2® is a valid and reliable method to measure CMJ and SJ in visually impaired five-a-side soccer athletes. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effects of anodal transcranial direct current stimulation (tDCS) over the temporal cortex (TC) on rotator cuff fatigue. Methods: In one session, 20 healthy individuals were randomly randomized to active or sham tDCS. Before, immediately after, and 30 minutes after tDCS, the external rotator's maximal voluntary isometric contraction (MVIC), Infraspinatus and posterior deltoid electromyographic signals, time to exhaustion test (TTE), GoC, and RPE were measured. After three days, subjects received different initial stimulation. Results: Anodal tDCS had non-significant influence on MVICs immediately post-tDCS (p = 0.283) and 30 minutes post-tDCS (p = 0.867). TTE did not differ between anodal and sham tDCS (p = 0.845). There was non-significant difference in RPE between anodal and sham tDCS for 20 (p = 0.548), 40 (p = 0.699) and 60s (p = 0.712). There were non-significant differences in EMG data or the GRoC scale between groups. Conclusion: Left temporal cortex modulation has no effect on muscular exhaustion, MVIC, RPE, or motor unit recruitment in the infraspinatus and posterior deltoid muscles of healthy volunteers. [ABSTRACT FROM AUTHOR]

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The older population often experiences a gradual age-related decline in the primary motor cortex, leading to muscle weakness that can harm their physical performances. Exercise could improve physical performance and prevent falling in older adults. However, the decrease in motor function and motor skills in older adults reduces the efficiency of fall prevention. Transcranial Direct Current Stimulation (tDCS) is a non-invasive intervention aimed at improving muscle strength in various conditions by utilizing transcranial direct current stimulation applied to the primary motor cortex (M1). Pre- and post-studies were conducted to demonstrate the effects of a single 20-minute session of tDCS alone, as well as to assess any potential side effects. Sixteen older individuals, both male and female, aged 65 years or older, with or without underlying diseases, were assessed for leg and hand grip strength, followed by physical performance tests. Subsequently, they underwent stimulation of the primary motor cortex through the placement of anodal tDCS (a-tDCS) over the left M1 for 20 min. Immediate effects were evaluated within 24 h, and side effects were recorded for up to 2 weeks after the stimulation. The results demonstrated that a single session of tDCS led to a significant increase in leg strength by 13 kg (5.9 to 20.1 kg, p < 0.01). There was also a significant correlation observed with hand grip strength (r = 0.68, p < 0.01). All physical performance tests, except the fastest speed in the 10-meter walk test, showed statistically significant improvements (p < 0.01). Participants reported no serious side effects, and the intervention will now be incorporated into prospective clinical studies involving older populations to compare its effectiveness with other treatments. [ABSTRACT FROM AUTHOR]

The rapid expansion of women’s soccer has triggered scientific curiosity to gain a deeper understanding of its game dynamics. To organize scientific findings related to the physical demands of women’s soccer during official competitions, contextual factors such as game positions, match periods, type of competition, and match outcomes have been considered. This aims to provide a comprehensive and current overview of physical exertion profiles. This systematic review included PubMed, Scopus, SPORTDiscus, Web of Science, Science Direct, ERIC, and Scielo electronic databases. A total of 1,859 studies were found, of which, after meeting the inclusion and exclusion criteria, 28 articles were selected. The study found high variability in racing thresholds for high speeds, with central midfielders covering more total distance and wingers covering more distance at high intensities. Forwards register more sprints, and physical efforts decrease in the second period of the game. International matches demand more effort, and physical demands in women’s soccer are influenced by contextual factors. To design effective training programs, specific profiles for each game position and the type of competition should be considered, and standardization of high intensity and acceleration thresholds is necessary for accurate conclusions. [ABSTRACT FROM AUTHOR]

Background: Anabolic androgenic steroid (AAS) use among women has raising over years, especially due to aesthetic motivation, but performance improvement is another motivation. Since high-intensity functional training (HIFT) exhibits an intrinsic competitive aspect, we investigated the AAS use among women HIFT practitioners. Methods: Using the "virtual snowball," 291 Brazilian women HIFT practitioners answered an online survey. Results: The prevalence of AAS use was 22%, but the use after the HIFT adherence was 15%. Among those who never used, 12.3% reported intention to use. Age, marital status, and time of training were significantly associated with AAS use. Aesthetics was the main motivation for use, and 59.7% reported using it on medical advice. The main motivation was aesthetics, but it seems to have a trend to change the motivation for performance improvement over aesthetics, especially among women with longer training time. Conclusion: The prevalence of AAS use was high; however, it seems that HIFT adherence is not a factor raising the prevalence of AAS use among physically active women. Additionally, the motivation for AAS use among women HIFT practitioners seems to be trending toward change, increasing the motivation for performance improvement over aesthetic motivation, especially among women with longer HIFT adherence time. [ABSTRACT FROM AUTHOR]

Background: Branched-chain amino acids (BCAAs) are widely studied for their effects on muscle recovery and performance. Aims: This study examined the effects of BCAA supplementation on anthropometric data, physical performance, delayed onset muscle soreness (DOMS), and fatigue in recreational weightlifters. Methods: The trial involved 100 participants (50 men and 50 women), randomized into BCAA and placebo groups. Subjects in the BCAA group took five daily capsules of 500 mg L-leucine, 250 mg L-isoleucine, and 250 mg L-valine for six months. A two-way ANOVA was used to analyze the main and interaction effects of sex and treatment. Results: Notable findings include significant improvements in muscle recovery, as indicated by reduced DOMS, particularly in women who showed a decrement of 18.1 ± 9.4 mm compared to 0.8 ± 1.2 mm in the placebo group of a horizontal 100 mm line. Fatigue perception was also significantly lower in the BCAA group, with women reporting a greater decrease (2.6 ± 1.5 scores) compared to the placebo group (0.6 ± 0.7 scores). Strength gains were prominent, especially in men, with a 10% increase in bench press maximum observed in the BCAA group. The interaction between sex and treatment was significant, suggesting sex-specific responses to BCAA supplementation. Conclusions: These results underscore the effectiveness of BCAA supplementation in enhancing muscle recovery, reducing fatigue, and improving strength. This study also highlights sex-specific responses, with women benefiting more in terms of DOMS and fatigue reduction, while men experienced greater strength gains, suggesting a need for tailored supplementation strategies. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to determine the effects of a field-based priming session on perceptual, physiological, and performance responses in female rugby sevens athletes. Methods: Thirteen highly trained female rugby sevens players (age: 20.7 [2.0] y; height: 169.3 [4.8] cm; weight: 68.8 [7.9] kg) completed either a 20-minute field-based priming session or a control condition. Perceptual, physiological, and performance variables were collected at baseline (PRE) and 5 (POST5), 30 (POST30), and 120 minutes (POST120) postintervention. Data were analyzed using Bayesian mixed effects models. Results: The priming protocol had a larger increase in mental readiness (maximum a posteriori [MAP] = 20, 95% high-density intervals [HDI] = −4 to 42, probability of direction [PD]% = 95, % in region of practical equivalence [ROPE] = 9.7), physical readiness (MAP = 20.1, 95% HDI = −4.6 to 42.1, PD% = 93, % in ROPE = 10.6), and testosterone (MAP = 14.9, 95% HDI = 0.5 to 27.7, PD% = 98, % in ROPE = 5.6) than the control POST30. Cognitive performance decreased POST120 in the priming condition for congruent (MAP = 0.02, 95% HDI = −0.06 to 0.00, PD% = 95, % in ROPE = 6.4) and incongruent tasks (MAP = 0.00, 95% HDI = −0.07 to 0.00, PD% = 98, % in ROPE = 3.2) when compared with the control. Conclusions: Perceptual and physiological markers improved POST30 in the priming condition. Findings indicate that perceptual and physiological responses to priming were not coupled with performance improvements. Priming was not accompanied by perceptual, physiological, or performance improvements at POST120. [ABSTRACT FROM AUTHOR]

This study aimed to explore the effects of mental fatigue (MF) induced by an incongruent Stroop task (ST) and by using social media (SM) compared to watching a documentary (control) on dynamic resistance training. Twenty-one resistance-trained males attended three identical experimental sessions with the only difference of the randomized cognitive task (ST, SM, or control). Each session consisted of (a) baseline MF and motivation visual analogue scale responses, (b) cognitive task, (c) postvisual analogue scale responses, (d) warm-up, and (e) resistance training based on three sets of bench press at 65% of one-repetition maximum till concentric failure. Number of repetitions, ratings of perceived exertion, mean velocity of repetitions, and three repetitions in reserve estimated by subjects were recorded for each set. Both ST (p <.001) and SM (p =.010) effectively induced MF, but only ST impaired the number of repetitions performed in Set 2 (p =.036) and generated higher-than-normal levels of ratings of perceived exertion even reaching significant differences compared to SM in Set 1 (p =.005). However, SM also affected neuromuscular performance by impairing movement velocity in Set 1 (p =.003). The ability of estimating three repetitions in reserve or motivation was not affected by any condition (p range =.362–.979). MF induced by ST impaired the number of repetitions performed, what seems to be mediated by higher-than-normal levels of ratings of perceived exertion. Besides, SM also impaired the ability to apply force against 65% of one-repetition maximum measured by movement velocity. [ABSTRACT FROM AUTHOR]

Growth differentiation factor 15 (GDF-15) has emerged as a significant biomarker of aging, linked to various physiological and pathological processes. This study investigates circulating GDF-15 levels in a cohort of healthy individuals from the Balearic Islands, exploring its associations with biological age markers, including multiple DNA methylation (DNAm) clocks, physical performance, and other age-related biomarkers. Seventy-two participants were assessed for general health, body composition, and physical function, with GDF-15 levels quantified using ELISA. Our results indicate that GDF-15 levels significantly increase with age, particularly in individuals over 60. Strong positive correlations were observed between GDF-15 levels and DNAm GrimAge, DNAm PhenoAge, Hannum, and Zhang clocks, suggesting that GDF-15 could serve as a proxy for epigenetic aging. Additionally, GDF-15 levels were linked to markers of impaired glycemic control, systemic inflammation, and physical decline, including decreased lung function and grip strength, especially in men. These findings highlight the use of GDF-15 as a biomarker for aging and age-related functional decline. Given that GDF-15 is easier to measure than DNA methylation, it has the potential to be more readily implemented in clinical settings for broader health assessment and management. [ABSTRACT FROM AUTHOR]

Purpose: Force production is crucial in football, and it is the main limitation of people with cerebral palsy (CP). This study aimed to describe the changes in sprint force–velocity (Fv) profile after a period of 25 weeks of regular training in international football players with CP. Methods: The sprint Fv profile and other physical performance variables (ie, linear sprint, vertical jump, change of direction, and intermittent endurance) of 14 international players from the Spanish national team were assessed during 2 consecutive training camps. Pretesting and posttesting sessions were carried out 1 week before and after the 25-week intervention period. The intervention consisted of 2 strength sessions per week added to the usual football training. Results: The repeated-measures analysis of variance showed changes in players' physical performance (linear sprint: F = 18.05, P <.01; change of direction: F = 16.71, P <.01; and endurance: F = 31.45, P <.01) and in some variables of the sprint Fv profile (maximal horizontal force, maximal power, slope, maximal ratio of force, and decrease of ratio of force; F = 14.28–37.81; P <.01), whereas players' maximal velocity (theoretical and actual) did not change (F = 0.13 and 0.01; P =.72 and.98, respectively). Conclusions: This study showed that the implementation of 2 strength-training sessions per week, for 25 weeks, is effective to improve CP football players' physical performance. The main finding of this study is the improvement of force application in the acceleration phase (sprint Fv profile), which is the main attribute in many physical performance tests and is the main limitation of the CP population. [ABSTRACT FROM AUTHOR]

Background: Digital technologies can play an important role in improving the limited accessibility of healthcare services in rural regions (e.g., via remote assessment). However, whether remote fitness assessments (RFA) of selected physical and cognitive fitness parameters are feasible both in younger and older persons and whether they can reproduce laboratory tests needs yet to be established. Thus, this study aimed to address this knowledge gap by investigating the feasibility, and reproducibility of RFA in younger and middle-aged to older adults (MOA). Methods: A total of 31 younger adults and 32 MOAs participated in this study. At an interval of seven days, laboratory-based and remote assessments (via videoconferencing software) were conducted which included the quantification of the following parameters: (i) measurement of heart rate variability [HRV]; followed by (ii) cognitive testing to examine the level of attention, executive functions (oral Trail Making Test [A and B]), working memory, verbal short-term memory (digit span memory test and word list test (immediate recall)) and episodic memory (word list test (delayed recall)); followed by (iii) physical fitness assessments including performance tests of balance (balance test), functional strength ability of the lower limbs (5-time-sit-to-stand-test) and endurance capacity (3-min step test). Parameters of absolute and relative reliability were determined to assess the reproducibility of the laboratory-based and remote assessments. Results: The selected physical and cognitive fitness parameters showed moderate to excellent relative reliability (intraclass correlation coefficient [ICC] = 0.52—0.95). The parameters of absolute reliability (Bland–Altman plot and standard error of measurement [SEM]) provide evidence for good reproducibility of HRV parameters and measures of physical fitness, whereas measures of cognitive fitness showed moderate to good reproducibility. On a descriptive level, the absolute and relative reliability of the selected measures of physical and cognitive fitness did not vary as a function of participants' age. Conclusion: Our results suggest that RFA of selected measures of physical and cognitive fitness is feasible and reproduces corresponding laboratory results to a moderate to excellent level in both younger adults and MOA. Data showed that the reproducibility of laboratory-based and remote assessments is not influenced by the age of the participants. These findings support the use of digital technologies to improve the accessibility of healthcare services (e.g., in remote areas). However, as the reproducibility varies considerably across the different parameters, further studies are needed to evaluate the effects of an optimised standardisation of the remote assessments and confounding factors. [ABSTRACT FROM AUTHOR]

The objective of this review article is to systematically identify the caffeine placebo effect in sport and exercise activities. We selected randomized controlled trial studies to better understand the impact of caffeine and its placebo effect on sports performance. We extracted a set of articles that refer strictly to the topics of caffeine and its placebo effect in sport and exercise, considering the databases integrated to the Core Collection Web of Science and Scopus, as well as the registration of the documents in PubMed®, a system with a selection process aligned with the guidelines for the PRISMA methodology, establishing the eligibility criteria of the articles with the PICOS tool, to which a systematic review is applied. Finally, the results show that caffeine improves anaerobic capacity and endurance, while placebo perceived as caffeine can also increase performance by reducing pain and improving concentration. This finding underscores the influence of expectations and placebo on physical performance, suggesting that managing these expectations may be an effective strategy for improving athletic performance. [ABSTRACT FROM AUTHOR]

Recent years have witnessed an uptick in research highlighting the gut microbiota's role as a primary determinant of athletes' health, which has piqued interest in the hypothesis that it correlates with athletes' physical performance. Athletes' physical performances could be impacted by the metabolic activity of the assortment of microbes found in their gut. Intestinal microbiota impacts multiple facets of an athlete's physiology, including immune response, gut membrane integrity, macro- and micronutrient absorption, muscle endurance, and the gut–brain axis. Several physiological variables govern the gut microbiota; hence, an intricately tailored and complex framework must be implemented to comprehend the performance–microbiota interaction. Emerging evidence underscores the intricate relationship between the gut microbiome and physical fitness, revealing that athletes who engage in regular physical activity exhibit a richer diversity of gut microbes, particularly within the Firmicutes phylum, e.g., Ruminococcaceae genera, compared to their sedentary counterparts. In elite sport, it is challenging to implement an unconventional strategy whilst simultaneously aiding an athlete to accomplish feasible, balanced development. This review compiles the research on the effects of gut microbiota modulation on performance in sports and illustrates how different supplementation strategies for gut microbiota have the ability to improve athletic performance by enhancing physical capacities. In addition to promoting athletes' overall health, this study evaluates the existing literature in an effort to shed light on how interventions involving the gut microbiota can dramatically improve performance on the field. The findings should inform both theoretical and practical developments in the fields of sports nutrition and training. [ABSTRACT FROM AUTHOR]

This study aimed to compare the effects of a 6-week upper body plyometric training (UBPT) on maximal strength and anaerobic power performance of male and female subjects. Forty collegiate physically active male and female subjects participated in the study and were assigned to either UBPT group (M-UBPT, n = 10, F-UBPT, n = 10) or control group (M-CON, n = 10; F-CON, n = 10). The training groups performed 6 weeks of progressive overload UBPT three times per week using six exercises and were evaluated for upper-body anaerobic power and maximal strength, 3-kg medicine ball throw (MBT), push-up endurance, and reaction time at pre- and post-intervention. After the training intervention, the M-CON and F-CON groups did not show significant (p > 0.05) changes in the variables, while both the M-UBPT and F-UBPT groups demonstrated significant (p = 0.001) medium to very large improvements in their performance as follows: maximal strength (effect size [ES] = 0.55, 0.92), MBT (ES = 1.96, 0.89) peak power output (ES = 2.31, 1.52), mean power output (ES = 2.19, 1.11), push-up endurance (ES = 1.26, 0.70), and reaction time (ES = − 2.16, − 1.56), respectively. Nevertheless, the male group experienced more significant improvements in the MBT (p = 0.001), peak (p = 0.001) and mean power output (p = 0.01), as well as reaction time (p = 0.01) compared to the female group when utilizing UBPT. In conclusion, it is imperative to take sex into account as a crucial factor when incorporating UBPT, particularly if the objective is to enhance anaerobic power output, muscular power, and reaction time. [ABSTRACT FROM AUTHOR]

Background: Sarcopenia, a condition marked by progressive muscle mass and function decline, presents significant challenges in aging populations and those with chronic illnesses. Current standard treatments such as dietary interventions and exercise programs are often unsustainable. There is increasing interest in pharmacological interventions like bimagrumab, a monoclonal antibody that promotes muscle hypertrophy by inhibiting muscle atrophy ligands. Bimagrumab has shown effectiveness in various conditions, including sarcopenia. Aim: The primary objective of this meta-analysis is to evaluate the impact of bimagrumab treatment on both physical performance and body composition among patients diagnosed with sarcopenia. Materials and methods: This meta-analysis follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We systematically searched PubMed, Ovid/Medline, Web of Science, and the Cochrane Library databases up to June 2024 using appropriate Medical Subject Headings (MeSH) terms and keywords related to bimagrumab and sarcopenia. Eligible studies were randomized controlled trials (RCTs) that assessed the effects of bimagrumab on physical performance (e.g., muscle strength, gait speed, six-minute walk distance) and body composition (e.g., muscle volume, fat-free body mass, fat body mass) in patients with sarcopenia. Data extraction was independently performed by two reviewers using a standardized form, with discrepancies resolved through discussion or consultation with a third reviewer. Results: From an initial search yielding 46 records, we screened titles, abstracts, and full texts to include seven RCTs in our meta-analysis. Bimagrumab treatment significantly increased thigh muscle volume (mean difference [MD] 5.29%, 95% confidence interval [CI] 4.08% to 6.50%, P < 0.001; moderate heterogeneity χ2 = 6.41, I2 = 38%, P = 0.17) and fat-free body mass (MD 1.90 kg, 95% CI 1.57 kg to 2.23 kg, P < 0.001; moderate heterogeneity χ2 = 8.60, I2 = 30%, P = 0.20), while decreasing fat body mass compared to placebo (MD − 4.55 kg, 95% CI − 5.08 kg to − 4.01 kg, P < 0.001; substantial heterogeneity χ2 = 27.44, I2 = 89%, P < 0.001). However, no significant improvement was observed in muscle strength or physical performance measures such as gait speed and six-minute walk distance with bimagrumab treatment, except among participants with slower baseline walking speeds or distances. Discussion and conclusion: This meta-analysis provides valuable insights into the effects of bimagrumab on sarcopenic patients, highlighting its significant improvements in body composition parameters but limited impact on functional outcomes. The observed heterogeneity in outcomes across studies underscores the need for cautious interpretation, considering variations in study populations, treatment durations, and outcome assessments. While bimagrumab shows promise as a safe pharmacological intervention for enhancing muscle mass and reducing fat mass in sarcopenia, its minimal effects on muscle strength and broader physical performance suggest potential limitations in translating body composition improvements into functional gains. Further research is needed to clarify its long-term efficacy, optimal dosing regimens, and potential benefits for specific subgroups of sarcopenic patients. [ABSTRACT FROM AUTHOR]

While classical resistance exercise is an effective way to improve strength and control postural sway, it may not be suitable for some elderly individuals with specific health disorders (e.g., aneurysms). Therefore, there is a need to explore alternative modalities. The study aimed to evaluate the effects of sensorimotor training on muscle strength and postural control in the female elderly population and subsequently compare these effects with a traditional combined resistanceendurance training program. A total of 34 healthy, active elderly women aged from 65 to 75 years, (average age 72.7 ± 4.4 years, height 161.6 ± 5.1 cm, and weight 66.9 ± 8.4 kg) were randomly assigned to three groups undergoing different 10-week interventions: the resistance-endurance training (RET, n = 11), the sensorimotor training (SMT, n = 12) and the control group (COG, n = 11). Prior to and after the interventions all participants underwent tests of maximal voluntary contraction of the dominant and non-dominant leg; postural sway tests with open and closed eyes; novel visual feedback balance test; 10-meter maximal walking speed (10 mMWS) and stair climb test. A T-test and repeated measures ANOVA were used, followed by the Bonferroni post hoc test, to compare the pre and post-measurements and assess differences in gains between groups. Results showed a significant main effect of time on strength (p < 0.001). In addition, significant differences in time × group interaction on strength (p < 0.01), postural control (p < 01), and ascendant and descended vertical speed (p < 0.001) were observed. Besides, the RET group improved significantly the maximal voluntary contraction of both dominant (16.3%, p = 0.01) and non-dominant leg (10.9%, p = 0.05). SMT group improved maximal voluntary contraction of both dominant (16.6%, p = 0.001) and non-dominant leg (12.7%, p = 0.01). In addition, they also improved mean velocity of the centre of pressure (COP) in postural sway test with eyes open (24.2%, p = 0.05) as well as eyes closed (29.2%, p = 0.05), mean distance of COP in novel visual feedback balance test (37.5%, p = 0.001), ascendant and descended vertical velocity (13.6%, p = 0.001 and 17.8%, p = 0.001, respectively). Results show not only resistance training but sensorimotor intervention boosts strength too. This intervention also enhances postural control and functional abilities for both ascending and descending movements. [ABSTRACT FROM AUTHOR]

We investigated the effectiveness of a resistance training (RT) protocol with lower volume and lower load in the body recomposition of postmenopausal women, and to determine whether changes in body recomposition induced by RT would be associated with changes in physical performance, independently of confounding factors. Participants were randomly assigned to one of three groups: I) Single set-high load (SSHL, n = 14, 1 set of 8 to 12 maximum repetitions), II) Single set-low load (SSLL, n = 15, 1 set of 25 to 30 maximum repetitions), and III) Multiple sets-high load (MSHL, n = 14, 3–6 sets of 8 to 12 maximum repetitions). The study extended over a duration of 27 weeks, encompassing 24 weeks of RT. We assessed body composition using dual-energy X-ray absorptiometry, physical performance using the Timed Up and Go and sit and stand tests, and muscle strength using the one-repetition maximum (1RM) test. We quantified body recomposition using a composite z score calculated as follows: (appendicular lean mass % delta z score) + (− 1 × fat mass delta % z score) / 2. Results showed significant improvements in physical performance (P < 0.001), significant reductions in visceral adipose tissue, total fat mass, and % fat (P = 0.003, P = 0.042, and P < 0.001, respectively), and increases in muscle mass and strength (P < 0.001), regardless of group assignment. Notably, the higher load groups (SSHL and MSHL) had significantly greater body recomposition compared to the lower load group (SSLL), particularly after adjusting for age, physical activity, and sitting time (P = 0.028). Therefore, the higher load of RT is a critical factor in the body recomposition of postmenopausal women. Furthermore, the positive effects of body recomposition induced by RT extend to physical performance and muscle strength. [ABSTRACT FROM AUTHOR]