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High intensity and good acceleration speed are distinct advantages in a futsal team, thus the purpose of this study is to determine the effect of speed training on the physical performance of futsal players in West Java. The method used in this research is experimental, with a pretest–posttest one group design approach. A purposive sampling technique with inclusion criteria was used in selecting subjects. The total subjects were 30 male futsal players with an average (age of 18.18 ± 2.11 years, height of 168.20 ± 5.32 cm, weight of 60.49 ± 4.23 kg, and fat of 10.19 ± 1.65 %). Data were analyzed using the SPSS version 22 application with a significance level of p, Intensitas tinggi dan kecepatan akselerasi yang baik merupakan keunggulan tersendiri dalam sebuah tim futsal, dengan demikian tujuan dari penelitian ini adalah untuk mengetahui pengaruh speed training terhadap performa fisik pemain futsal di Jawa Barat. Metode yang digunakan dalam penelitian ini adalah eksperimental, dengan pendekatan pretest-posttest one group design. Teknik purposive sampling dengan kriteria inklusi digunakan dalam memilih subjek. Total subjek penelitian adalah 30 pemain futsal putra dengan rata-rata (usia 18,18 ± 2,11 tahun, tinggi badan 168,20 ± 5,32 cm, berat badan 60,49 ± 4,23 kg, dan lemak 10,19 ± 1,65 %). Data dianalisis menggunakan aplikasi SPSS versi 22 dengan taraf signifikansi p

Rey, E, Costa, PB, Corredoira, FJ, and Sal de Rellan Guerra, A. Effects of age on physical match performance in professional soccer players. J Strength Cond Res XX(X): 000-000, 2019-This study aimed to evaluate the effects of age using a large-scale analysis of match physical performance in professional soccer players. A total of 10,739 individual match observations were undertaken on outfield players competing in the first and second divisions of the Spanish soccer professional leagues during the 2017-2018 season, using a computerized tracking system (TRACAB, Chyronhego, New York, USA). The players were classified into five positions and into 5 age groups (

Background: This study sought to investigate whether different physical function tests (objective measures of physical performance) may identify a low physical resilience in breast cancer survivors (BCS). Methods: This analytical cross-sectional study evaluated 146 BCS and 69 age-matched women without breast cancer history. The different times after the end of treatment were used as criteria for group division. Participants were divided into four groups: control (CT: n = 69–women without breast cancer history); 4 YAT: n = 41). Physical function was evaluated by 4 m walk test (4-MWT), five-times-sit-to-stand test (FTSST), timed up and go test (TUG), and short physical performance battery (SPPB). Age, menopausal status, smoking, number of medications, level of physical activity, body mass index, and muscle strength were used as confounding variables in ANCOVA. Results: All groups that underwent cancer treatment (

Araştırmanın amacı core kuvvet antrenman (CKA) modelinin işitme engelli bireylerin denge ve fiziksel performansları üzerine etkilerini incelemektir. Araştırmaya 30 işitme engelli öğrenci katıldı. Katılımcılar, egzersiz grubu (EG: 15; 4 kadın 11 erkek; yaş: 19,60±1,96) ve kontrol grubu (KG: 15, 4 kadın 11 erkek; yaş: 19,73±1,03) olarak rastgele iki gruba ayrıldı. EG’ye dört haftalık (haftada 5 gün) CKA programı uygulandı. KG’deki katılımcılar sadece günlük yaşamlarına devam ettiler. Tüm katılımcılara antrenman uygulaması başında ve sonunda boy uzunluğu, vücut ağırlığı, denge, esneklik, sağ-sol el kavrama kuvveti, dikey sıçrama, durarak uzun atlama, şınav ve mekik testleri uygulandı. Grup içi ve gruplar arası farkları karşılaştırmak için 2x2 mixed faktör ANOVA kullanıldı. Dört haftalık CKA programı sonrası EG’de esneklik, sağ-sol el kavrama kuvveti, durarak uzun atlama, dikey sıçrama, şınav ve mekik testi değişkenlerinde anlamlı gelişim görüldü (p, The purpose of the study was to investigate the effects of core strength training (CST) on the balance and physical performance parameters in deaf individuals. Thirty deaf students participated. The subjects were randomly separated into two groups as experimental (EG: 15; 4 female 11 male; age: 19.60±1.96) and control group (CG: 15; 4 female 11 male; age: 19.73±1.03). A four-week CST program was implemented in the EG. The CG subjects only participated in their daily life. Height, body weight, balance, flexibility, right-left hand grip strength, vertical jump, standing long jump, push-up and curl-up tests were applied to all subjects baseline and after four-week program. 2x2 mixed factor ANOVA test was performed. Flexibility, right-left hand grip strength, standing long jump, vertical jump, push-up and curl-up variables significantly improved after a 4-week period in the EG (p

Keenan A Ramsey,1 Suey SY Yeung,1 Anna GM Rojer,1 Noémie Gensous,2 Evans A Asamane,3 Justin Avery Aunger,3 Dmitriy Bondarev,4 Andrea Cabbia,5 Paul Doody,3 Barbara Iadarola,6,7 Belina Rodrigues,8,9 Muhammad R Tahir,10 Victor Kallen,10 Paola Pazienza,6,7 Nadine Correia Santos,8,9 Sarianna Sipilä,4 Janice L Thompson,3 Carel GM Meskers,1,11 Marijke C Trappenburg,12,13 Anna C Whittaker,15 Andrea B Maier1,14,16,17 1Department of Human Movement Sciences, @AgeAmsterdam, Amsterdam Movement Sciences, Vrije Universiteit, Faculty of Behavioural and Human Movement Sciences, Amsterdam, the Netherlands; 2Department of Experimental, Diagnostic, and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy; 3School of Sport, Exercise & Rehabilitation Sciences, University of Birmingham, Birmingham, UK; 4Gerontology Research Center & Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland; 5Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands; 6Personal Genomics s.r.l., Verona, Italy; 7Department of Biotechnology, University of Verona, Verona, Italy; 8Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal; 9ICVS/3B’s, PT Government Associate Laboratory, Guimarães, Portugal; 10Department of Microbiology and System Biology, The Netherlands Organization for Applied Scientific Research, Zeist, the Netherlands; 11Department of Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; 12Department of Internal Medicine, Section of Gerontology and Geriatrics, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; 13Department of Internal Medicine, Amstelland Hospital, Amstelveen, the Netherlands; 14Department of Medicine and Aged Care, @Age, The University of Melbourne, The Royal Melbourne Hospital, Parkville, Victoria, Australia; 15Faculty of Health Sciences and Sport, University of Stirling, Scotland, UK; 16Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; 17Centre for Healthy Longevity, @AgeSingapore, National University Health System, SingaporeCorrespondence: Andrea B Maier, Department of Human Movement Sciences, @AgeAmsterdam, Amsterdam Movement Sciences, Vrije Universiteit, Faculty of Behavioural and Human Movement Sciences, Van der Boechorststraat 7, Amsterdam, 1081 BT, the Netherlands, Tel +31 20 59 82000, Email a.b.maier@vu.nlPurpose: Evidence-based guidelines on nutrition and physical activity are used to increase knowledge in order to promote a healthy lifestyle. However, actual knowledge of guidelines is limited and whether it is associated with health outcomes is unclear.Participants and Methods: This inception cohort study aimed to investigate the association of knowledge of nutrition and physical activity guidelines with objective measures of physical function and physical activity in community-dwelling older adults attending a public engagement event in Amsterdam, The Netherlands. Knowledge of nutrition and physical activity according to Dutch guidelines was assessed using customized questionnaires. Gait speed and handgrip strength were proxies of physical function and the Minnesota Leisure Time Physical Activity Questionnaire was used to assess physical activity in minutes/week. Linear regression analysis, stratified by gender and adjusted for age, was used to study the association between continuous and categorical knowledge scores with outcomes.Results: In 106 older adults (mean age=70.1 SD=6.6, years) who were highly educated, well-functioning, and generally healthy, there were distinct knowledge gaps in nutrition and physical activity which did not correlate with one another (R2=0.013, p=0.245). Knowledge of nutrition or physical activity guidelines was not associated with physical function or physical activity. However, before age-adjustment nutrition knowledge was positively associated with HGS in males (B= 0.64 (95% CI: 0.05, 1.22)) and having knowledge above the median was associated with faster gait speed in females (B=0.10 (95% CI: 0.01, 0.19)).Conclusion: Our findings may represent a ceiling effect of the impact knowledge has on physical function and activity in the this high performing and educated population and that there may be other determinants of behavior leading to health status such as attitude and perception to consider in future studies.Keywords: health knowledge, attitudes, practice, lifestyle, physical performance, aged

Within the scope of the study, pre-softening, raising and final softening processes were applied to 2 selected fabrics under different conditions. The raising fastness, air permeability and bursting strength tests were performed on the samples obtained after the processes, and the effect of the process conditions on the researched performance values was examined. This paper is also detailed by statistical analysis. When the results were examined, it was seen that the best result in terms of raising fastness was the fabric with 50% waste + 50% PES back yarn. As a process, it was determined that the best result was obtained after a single passage with micro silicon pre-softening and raising at a speed of 15m / min, and then a low concentration softening process with a polyvinyl acetate-based binder and softener mixture.

Muscle strength and physical performance are associated with incident fractures and mortality. However, their role in the risk of subsequent fracture and postfracture mortality is not clear. We assessed the association between muscle strength (grip strength) and performance (gait speed and chair stands time) and the risk of subsequent fracture and mortality in 830 men with low-trauma index fracture, who participated in the Osteoporotic Fractures in Men (MrOS) USA Study and had their index measurements assessed within 5 years prior to the index fracture. The annual decline in muscle strength and performance following index fracture, estimated using linear mixed-effects regression, was also examined in relation to mortality. The associations were assessed using Cox proportional hazards models adjusted for age, femoral neck bone mineral density (FN BMD), prior fractures, falls, body mass index (BMI), index fracture site, lifestyle factors, and comorbidities. Over a median follow-up of 3.7 (interquartile range [IQR], 1.3-8.1) years from index fracture to subsequent fracture, 201 (24%) men had a subsequent fracture and over 5.1 (IQR, 1.8-9.6) years to death, and 536 (65%) men died. Index measurements were not associated with subsequent fracture (hazard ratios [HRs] ranging from 0.97 to 1.07). However, they were associated with postfracture mortality. HR (95% confidence interval [CI]) per 1 standard deviation (1-SD) decrement in grip strength: HR 1.12 (95% CI, 1.01-1.25) and gait speed: HR 1.14 (95% CI, 1.02-1.27), and 1-SD increment in chair stands time: HR 1.08 (95% CI, 0.97-1.21). Greater annual declines in these measurements were associated with higher mortality risk, independent of the index values and other covariates. HR (95% CI) per 1-SD annual decrement in change in grip strength: HR 1.15 (95% CI, 1.01-1.33) and in gait speed: HR 1.38 (95% CI, 1.13-1.68), and 1-SD annual increment in chair stands time: HR 1.28 (95% CI, 1.07-1.54). Men who were unable to complete one or multiple tests had greater risk of postfracture mortality (24%-109%) compared to those performed all tests. It remains to be seen whether improvement in these modifiable factors can reduce postfracture mortality. © 2022 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).

Background Long-term functional limitations are common after hip fractures. Exercise may alleviate these negative consequences but there is no consensus on an optimal training program. The objective was to study the effects of a 12-month home-based supervised, progressive exercise program on functioning, physical performance, and physical activity. Methods Secondary analysis of a randomized controlled trial targeting patients with surgical repair of a hip fracture, aged >= 60 years, Mini-Mental State Examination (MMSE) score of >= 12. The participants were randomized into Exercise (n = 61) or Usual care (n = 60). Assessments at baseline, 3, 6, and 12 months included Lawton's Instrumental Activities of Daily Living (IADL), Short Physical Performance Battery (SPPB), handgrip strength, and self-reported frequency of sessions of leisure-time physical activity. Analyzed using mixed-effects models. Results Participants' (n = 121) mean age was 81 years (SD 7), and 75% were women. The mean IADL score at baseline was 17.1 (SD 4.5) in the exercise group, and 17.4 (5.1) in the usual care group. The mean SPPB scores were 3.9 (1.6) and 4.2 (1.8), and handgrip strength was 17.7 (8.9) kg and 20.8 (8.0) kg, respectively. The age- and sex-adjusted mean changes in IADL over 12 months were 3.7 (95% CI 2.8-4.7) in the exercise and 2.0 (1.0-3.0) in the usual care group (between-group difference, p = 0.016); changes in SPPB 4.3 (3.6-4.9) and 2.1 (1.5-2.7) (p < 0.001); and changes in handgrip strength 1.2 kg (0.3-2.0) and 1.0 kg (-1.9 to -0.2) (p < 0.001), respectively. We found no between-group differences in changes in the frequency of leisure-time activity sessions. Conclusion A 12-month home-based supervised, progressive exercise program improved functioning and physical performance more than usual care among patients with hip fractures. However, the training did not increase leisure-time physical activity.

Our aim in this study was to analyze the effects of a home exercise program of calisthenic exercises delivered through telerehabilitation on physical performance, depression, and risk of falling in elder adults. Our participants were elder adults aged 65 and over, divided into exercise and control groups. We initiated a 4-week telerehabilitation calisthenic exercise program in the exercise group following initial assessments, while our control group received no formal exercise training. Both groups were evaluated online before and after this 4-week period with the Geriatric Depression Scale (GDS), Modified Falls Efficacy Scale (MFES), and Short Physical Performance Battery (SPPB). In total, 255 elder adults participated, with 132 (males = 72, females = 60) allocated to calisthenic exercise and 123 (males = 66, females = 57) allocated to the control group. While the groups did not differ significantly on any of our parameters before the exercise, there were statistically significant post-exercise group differences in GDS ( p ≤ .001) and MFES ( p ≤ .001) scores related to remarkable physical improvements achieved in the calisthenic exercise group. The exercise group showed significant increases in their scores on the SPPB Balance Test ( p = .049), SPPB Chair Test ( p = .009), and SPPB Total ( p = .002) while there was no significant increase in any of these scores among control group participants ( p > .05). Thus, calisthenic exercises performed via telerehabilitation significantly improved elder adults’ physical performance, fear of falling, and depression. Telerehabilitation is a useful remote means of assessing, inducing, and following-up exercise training, particularly during the ongoing COVID-19 pandemic.

Brain temperature (BT) is a crucial physiological parameter used to monitor cerebral status. Physical activities and traumatic brain injuries (TBI) can affect BT; therefore, non-invasive BT monitoring is an important way to gain insight into TBI, stroke, and wellbeing. The effects of BT on physical performance have been studied at length. When humans are under extreme conditions, most of the energy consumed is used to maintain the BT. In addition, measuring the BT is useful for early brain diagnostics. Passive microwave radiometry (MWR) measures the intrinsic radiation of tissues in the 1–4 GHz range. It was shown that non-invasive passive MWR technology can successfully measure BT and identify even small TBIs. Here, we review the potential applications of MWR for assessing BT.

Immersive Virtual Reality (iVR) Head-Mounted Display (HMD) systems paired with serious exercise games can positively augment physical rehabilitation process from both engagement and analytics perspectives. This paper presents a serious game for iVR HMD based long term upper-extremity exercise. We demonstrate the capabilities of our game through a case study with five users recovering from upper-extremity injuries. We examine how our program maintains engagement and motivation over eight weeks, where users completed bi-weekly prescribed movements framed as protecting a virtual butterfly. We assess user experiences through a mixture of biomarkers from brainwave, heart rate, and galvanic skin response recorded at runtime as well as motion capture and behavioral game data. Our results suggest that the iVR game was an effective medium in inducing high compliance, physical performance, and biometric changes even with increasing difficulty beyond the novelty effect period. We conclude with considerations of future work for iVR physical therapy games that adapt to biometric response.

The aim of the work is to assess dynamic changes in heart rate variability (HRV), central hemodynamics and physical performance in female swimmers at a distance of 50–200 meters and female runners at a distance of 400 meters in the preparatory and competitive periods of the training process. Materials and methods. At the beginning of the preparatory period and at the end of the competitive period, 11 female swimmers were examined, including 1 athlete – Master of Sports of Ukraine (MSU), 7 athletes – Candidate Masters of Sports (CMS), 1 – first-class athlete, 2 – second-class athletes, and 22 female runners, including 1 athlete – Master of Sports of Ukraine of International Class (MSUIC), 3 athletes – Candidate Masters of Sports, 7 first-class athletes, 8 – second-class athletes and 3 – third-class athletes. Time- and frequency domain methods of HRV analysis were used to assess the mechanisms of heart neurohumoral regulation. Central hemodynamic parameters were examined by an automated tetrapolar rheography according to W. Kubiček et al. (1970) modified by Yu. T. Pushkar et al. (1970). Physical working capacity (PWC) was measured using a submaximal PWC170 test. The functional state index (FSI) was calculated according to the formula that we had proposed and patented. Results. Analysis of HRV indices in female swimmers revealed the prevalence of parasympathetic influences in the competitive period. There was a central hemodynamics-related significant decrease in cardiac index (CI) in the competitive period, although its value corresponded to the eukinetic circulatory type (CT). The ratio of CTs was 18.2 %: 81.8 %: 0.0 %, hypokinetic, eukinetic and hyperkinetic CT, respectively, indicating a tendency towards eukinetic CT prevalence over hypokinetic one (P = 0.075) and the absence of athletes with physiologically unfavorable hyperkinetic CT. The PWC170/kg value increased by an average of 12.44 %, from 12.860 ± 0.732 kgm·min-1·kg-1 to 14.460 ± 0.823 kgm·min-1·kg-1 (P = 0.002), and FSI – of 22.21 % (P = 0.0005) and corresponding to “below average” score. In the competitive period, 2 CMS female athletes qualified for MSU, 1 first-class athlete qualified for CMS, and 2 second-class athletes achieved the first-class sport qualification. Conclusions. Female swimmers demonstrated the significant prevalence of parasympathetic effects of the ANS, the tendency towards the eukinetic CT predominance and the absence of hyperkinetic CT, significantly increased PWC170/kg value by 12.44 % and FSI – by 22.21 % in the competitive period as compared with the preparatory period. The correlation analysis to assess both periods revealed the important relationship between heart rate (HR) and autonomic rhythm index (ARI), HR and indicator of the adequacy of regulation processes (IARP), indicating that training-induced bradycardia shifted the autonomic balance towards the predominance of the parasympathetic arm of the ANS. Decreased ARI caused the decrease in СI, resulting in the transformation of hyperkinetic CT into eukinetic one and the absence of physiologically unfavorable hyperkinetic CT in the athletes. The increased functional state of female swimmers in the competitive period helped to achieve improvements in their athletic performance.

Antioxidant supplementation has become a common practice among athletes to boost sport achievement. Likewise, melatonin (MEL) has been ingested as an ergogenic aid to improve physical performance. To date, no study has checked whether the multiple beneficial effects of MEL have an outcome during a maximum running exercise until exhaustion. Therefore, the present study aimed to evaluate the effect of MEL ingestion on physical performance and biochemical responses (i.e., oxidative stress) during exhaustive exercise. In a double blind randomized study, thirteen professional soccer players [age: 17.5 ± 0.8 years, body mass: 70.3 ± 3.9 kg, body height: 1.80 ± 0.08 m; maximal aerobic speed (MAS): 16.85 ± 0.63 km/h; mean ± standard deviation], members of a first league squad, performed a running exercise until exhaustion at 100% of MAS, after either MEL or placebo ingestion. Physical performance was assessed, and blood samples were obtained at rest and following the exercise. Compared to placebo, MEL intake prevented the increase in oxidative stress markers (i.e., malondialdehyde), alleviated the alteration of antioxidant status (i.e., glutathione peroxidase, uric acid and total bilirubin) and decreased post-exercise biomarkers of muscle damage (i.e., creatine kinase and lactate dehydrogenase) (p0.05). However, physical performance was not affected by MEL ingestion (p0.05). In conclusion, acute MEL intake before a maximal running exercise protected athletes from oxidative stress and cellular damage but without an effect on physical performance.

The aim of this study was to compare the acute physiological (i.e., heart rate-related variables) and neuromuscular responses (i.e., sprint and jump) and time-motion characteristics (i.e., external load variables) when modifying the game design (possession play vs. mini-goals without a goalkeeper) during 4-a-side in amateur senior football players. Male senior football players (n = 16) performed two formats of small-sided games (SSGs) in two different testing sessions (4-a-side with possession play and mini-goals rule). Differences in time-motion characteristics and physiological parameters of players were measured with the Global Positioning System (GPS), and tested before and after (pre- and post-SSG) for neuromuscular assessment. A repeated measures analysis of variance (ANOVA), with Bonferroni post-hoc test, showed that both SSG formats induced changes in sprint performance (before-after comparison) (p ≤ 0.05). Moreover, the results showed that the variables muscle oxygen saturation, rate of perceived exertion, 85-89% heart rate peak, total distance, total distances at low speed, total distances at high speed, m/min, accelerations at low speed, accelerations of ≥ 2.5 m.s

Background: Orthostatic hypotension (OH) and impaired OH recovery derived from beat-to-beat blood pressure (BP) measurements are associated with detrimental clinical outcome, but the clinical relevance of OH recovery assessed using the widely available sphygmomanometer is still unclear. Method: 635 geriatric outpatients underwent comprehensive geriatric assessment, including orthostatic BP measurements using a sphygmomanometer, during supine rest and 1 and 3 min after standing up and assessment of physical performance (i.e., the timed up and go test and the Short Physical Performance Battery) and the number of falls in the past year. The association between BP recovery, defined as BP at 3 min minus BP at 1 min after standing up, with physical performance and falls was assessed using regression analyses, adjusting for age and sex, both in the entire cohort and after stratifying for the presence of OH at 1 min after standing up. Results: BP recovery was not associated with physical performance or number of falls, neither in the entire cohort, nor in subpopulations with or without OH. Conclusion: The clinical relevance of BP recovery between 1 and 3 min after standing up could not be demonstrated. The results suggest that sphygmomanometer measurements have an inadequate time resolution to record the clinically relevant dynamics of orthostatic BP recovery.

Aim of the work To investigate the sexual dysfunction in systemic lupus erythematosus (SLE) patients and its relation to physical fitness and other disease parameters. Patients and methods The study included 47 SLE females and 47 matched healthy controls. SLE disease activity index (SLEDAI) and systemic lupus international collaborative clinics damage index (SLICC DI) were assessed. Physical performance of the patients was assessed by the grip ability test (GAT), gait velocity test, Jebsen hand function test, fatigue severity scale (FSS) and the modified health assessment questionnaire (mHAQ). Sexual dysfunction of the patients was assessed by the sexual function index (FSFI). Depressive disorders of the patients were assessed by Beck depression inventory. Results The mean age of the patients was 28.7 ± 7.2 years and disease duration 4.4 ± 2.9 years. GAT was significantly lower (43.65 vs 70.00; p = 0.001), and FSS higher (6.5 vs 1; p = 0.001) in patients compared to control. The total FSFI was significantly lower (23.41 vs 29.60; p = 0.001) and all domains scores were significantly lower except the pain domain (p = 0.001). Beck depression inventory score was higher in patients (13.29 vs 12.74; p = 0.365). SLE females with prescribed corticosteroids and azathioprine had significantly lower FSFI as compared to those without while FSFI score was higher in those receiving hydroxychloroquine. The FSFI significantly correlated with C4 level (r = 0.328, p = 0.024 and inversely with, SLEDAI (r = −0.07, p = 0.001), FSS (r = −0.54, p = 0.001), mHAQ (−0.37, p = 0.01) and with Beck depression inventory (r = −0.57, p = 0.001). Conclusion Married female patients with SLE revealed a higher degree of sexual dysfunction of all domains except pain.

Background Knee osteoarthritis (KOA) is highly prevalent in older women, and previous studies suggest the involvement of hormonal factors play a role in the pathogenesis of osteoarthritis. KOA causes musculoskeletal impairment, resulting in decreased physical activity, muscle mass, and strength, which leads to sarcopenia and further increases the burden on healthcare systems. Oestrogen replacement therapy (ERT) improves joint pain and muscle performance in early menopausal women. Muscle resistance exercise (MRE) is a non-pharmacological method that preserves the physical functions of patients with KOA. However, data on short-term oestrogen administration combined with MRE in postmenopausal women, especially in those aged > 65 years, are limited. Therefore, this study presents a protocol of a trial aimed to examine the synergistic effect of ERT and MRE on lower-limb physical performance in older women with KOA. Methods We will conduct a double-blinded, randomised placebo-controlled trial in 80 Japanese women aged > 65 years living independently with knee pain. The participants will be randomly categorised into two groups: (1) 12-week MRE programme with transdermal oestrogen gel containing 0.54 mg oestradiol per push and (2) 12-week MRE programme with placebo gel. The primary outcome measured using the 30-s chair stand test, and secondary outcomes (body composition, lower-limb muscle strength, physical performance, self-reported measure of knee pain, and quality of life) will be measured at baseline, 3 months, and 12 months, and these outcomes will be analysed based on the intention-to-treat. Discussion The EPOK trial is the first study to focus on the efficacy of ERT on MRE among women aged > 65 years with KOA. This trial will provide an effective MRE to prevent KOA-induced lower-limb muscle weakness, confirming the benefit of short-term oestrogen administration. Trial registration Japan Registry of Clinical Trials: jRCTs061210062. Registered 17th December 2021, https://jrct.niph.go.jp/en-latest-detail/jRCTs061210062.

Проанализированы теоретические и практические аспекты генотипической оценки физиологических функций, определяющих спортивную работоспособность. Представлены вариации показателей наследуемости характеристик сердечно-сосудистой системы, крови и дыхания, выражающие вероятную степень генетической детерминации их изменчивости в связи с возрастом и полом. Выделены и проанализированы признаки, отличающиеся высокой, умеренной и слабой степенью наследуемости, что позволяет выбрать оптимальное количество методов и тестов для оценки выделенных компонентов и изменения содержания воспитания с учетом стадии спортивной подготовленности и критериев эффективности выбранных упражнений., Theoretical and practical aspects of the genotypic assessment of physiological functions that determine sports performance are analyzed. Variations of heritability indicators of the characteristics of the cardiovascular system, blood and respiration are presented, expressing the probable degree of genetic determination of their variability due to age and gender. Characteristics characterized by high, moderate and low degree of heritability have been identified and analyzed, which allows choosing the optimal number of methods and tests for evaluating the selected components and changing the content of education, taking into account the stage of sports preparedness and the criteria for the effectiveness of the selected exercises.

Introduction During aging, changes occur in the human body that increase the probability of arterial hypertension which can potentiate deleterious effects on functional performance. Objective To analyze the association of functional performance indicators with hypertension in older people. Methods An epidemiological, population-based, cross-sectional survey was conducted with 209 older adults (58.40% women). Functional performance was assessed by the following tests: handgrip strength; chair stand test; arm curl test; timed up and go (TUG); sit and reach test; and step in place test (SPT). Diagnosis of arterial hypertension was self-reported. Results The prevalence of hypertension was found to be 58.90% (males: 51.70%; females: 63.90%). It was also observed that the hypertensive individuals of both sexes had worse performance in SPT and TUG (p < 0.05). Furthermore, it was found that each additional second for TUG increased by 11% the probability of hypertension in men (PR:1.11; 95%CI: 1.03-1.20) and by 7% in women (PR: 1.07; 95%CI: 1.04-1.12), while each step performed in the SPT decreased the probability for the outcome by 2% (men and women = PR: 0.98; 95%CI: 0.97-0.99). Conclusion TUG was found to be positively associated with hypertension, while SPT was inversely associated with hypertension. Resumo Introdução Durante o envelhecimento ocorrem modificações no corpo humano, as quais aumentam a probabilidade de hipertensão arterial sistêmica (HAS),o que pode potencializar efeitos deletérios no desem-penho funcional. Objetivo Analisar a associação de indicadores de desempenho funcional com a HAS em pessoas idosas. Métodos Inquérito epidemiológico, populacional, transversal, conduzido com 209 idosos (58,40% mulheres). O desempenho funcional foi averi-guado pelos seguintes testes: força de preensão manual; levantar e sentar da cadeira; flexão do antebraço; levantar, caminhar e sentar (LCS); sentar e alcançar o pé; e marcha estacionária (ME). O diagnóstico da HAS foi autorreferido. Resultados Averiguou-se a prevalência de HAS em 58,9% dos participantes (homens: 51,7%; mulheres: 63,9%). Observou-se, também, que os hipertensos de ambos os sexos apresentaram pior desempenho na ME e LCS (p < 0,05). Além disso, verificou-se que cada segundo a mais despendido para LSC aumentou em 11% e 7%, respectivamente, a probabilidade de HAS nos homens (RP: 1,11; IC95%: 1,03-1,20) e nas mulheres (RP: 1,07; IC95%: 1,04-1,12), enquanto cada passo a mais realizado na ME diminuiu em 2% a probabilidade para o desfecho (homens e mulheres = RP: 0,98; IC95%: 0,97-0,99). Conclusão Identificou-se que o teste de LCS esteve positivamente associado à HAS. Ademais, a ME apresentou-se inversamente associada à HAS.

Aim. To determine the effectiveness of the specific loading testing use in assessing the athletes’ physical performance. Material and methods. We present a post-hoc analysis of data from specific and nonspecific loading testing (bicycle ergometer, treadmill, rowing ergometer, and ski treadmill) of 23 oarsmen athletes (13 male (mean age 25.85±0.88 years) and 10 female (mean age 22.90±1.20 years); 125 track and field athletes (75 male athletes (mean age 24.74±0.91) and 50 female athletes (mean age 23.81±1.35)), 38 ski athletes (22 male athletes (mean age 21.3±2.4) and 16 female athletes (mean age 19.6±1.8)). Results and discussion. When assessing the physical performance of track and field athletes of various positions using a bicycle ergometer and a treadmill, the maximum oxygen consumption (MOC) parameter for throwers and jumpers was in the range of 29-55 ml/min/kg (it is more appropriate to use a statoergometer), for runners – 39-75 ml/min/kg (testing on a treadmill is preferable). The greatest efficiency and physiological validity was obtained by load testing using a rowing ergometer for rowing athletes and a ski roller treadmill for athletes of ski sports (the ratio of heart rate at the anaerobic metabolism threshold level to the heart rate “on failure” is ~ 97%). With bicycle ergometry, low values of MOC were obtained in athletes training for endurance, and, including on the treadmill, in athletes with the main strength load and implies the work of the muscles of the upper shoulder girdle and back. The functional and reserve capabilities of the athlete are not reflected in the data obtained that makes impossible to judge the level of his/her functional readiness. Conclusion. Sports medicine technologies reflecting the dynamic characteristics of athletes’ physical performance should be evaluated from the point of view of informativeness and efficiency of their application depending on the type of sport. Conclusion about the effectiveness of sports medicine technologies should be made considering the results of the functional and physical performance testing under the exertion, specific to a particular sport.

Introduction Marine Forces Special Operations Command (MARSOC) deploys teams of operators (OP) and enablers (EN) to accomplish special operations missions. OP and EN are required to train and deploy together to accomplish these missions; however, they have different training and selection pipelines. Advanced strength and conditioning training strategies are applied to both OP and EN to enhance physical preparedness; however, it is unclear how the selection pipeline of these two personnel types affects overall physical preparedness and the relationships between performance variables. The purpose of this study is to gain a greater understanding of the relationships of a wide array of physical preparedness variables in OP and EN in an effort to streamline testing and training strategies. Materials and Methods For this study, 155 male (82 OP, 73 EN) MARSOC personnel (age: 29.5 ± 4.9 years, mass: 87.9 ± 11.1 kg, height: 1.79 ± 0.07 m) completed a physical preparedness assessment that included a DEXA assessment of body composition (BF%), 27.4 m sprint (30 yd), countermovement jump (VJ), 5–10–5 pro-agility (Agility), medicine ball toss (UBP), isometric mid-thigh pull (IMTP), and a 30 second (AnC) and 5 minute (AC) non-motorized treadmill run. Independent samples t tests, Mann–Whitney U tests, and Spearman’s Rank correlations were used to compare variables between OP and EN. Results OP demonstrated greater VJ, UBP, IMTP, AnC, and AC (P 0.05). Weak to moderate correlations were seen between anthropometric and performance variables. OP and EN demonstrated similar correlations for most performance and anthropometric variables. Conclusions These results suggest that MARSOC OP demonstrate better physical preparedness over EN, while similar trends are observed between performance variables. Tests with moderate to high correlations may be removed from the protocol to account for testing time constraints. Height, weight, and BF% variables are poorly correlated with performance, particularly in OP, questioning their value in physical performance assessments in this population.

During the COVID-19 pandemic, face-to-face assessments were limited. Fortunately, older adults have access to web-technology (60%). Thus, we aimed to explore if assessing physical performance remotely is as reliable and valid as in person. At the end of the first lockdown, 15 older adults agreed to perform two similar evaluations in remote and face-to-face conditions. Functional capacities [5-repetitions Sit-to-Stand (STS); unipodal balance, 4-m walking speed (normal (NWS); fast (FWS)), 3-m Timed-Up and Go (normal (nTUG); fast (fTUG))] and muscle power and endurance were assessed. Fast walking speed was moderately reliable. Unipodal balance, NWS and nTUG were highly reliable (ICC>0.7). fTUG, STS, muscle endurance and power were extremely reliable (ICC>0.9). For absolute reliability, SEM varied from 15.54 to 5.14%. Finally, the MDC varied from 43.07 to 14.21%. Assessing functional capacities and muscle function remotely is as reliable and valid as a face-to-face assessment and should be considered as a clinical practice.

Aims: During regular training, players sustain injuries on a regular basis. Based on the fact that badminton isn't seem at all a contact sport the majority of ailments are caused by overuse. A participant must perform a variety of quick yet repeated shoulder actions and repetitive motions put tension mostly on tissues with time, putting them at risk of damage. Current study was done to compare the effects of Ballistic Six training and Theraband exercises on shoulder strength, agility, speed and function in novice badminton player. Study Design: Randomized Controlled Trial. Place and Duration of Study: Sport clubs were selected according to feasibility in Wardha, from July 2020 to June 2021. Methodology: 40 subjects of both gender aged between 18 to 25 years were selected who have being playing badminton for more than a year. Subjects were randomized into two groups, Group A (Ballistic Six Exercise group) and Group B (Theraband exercise group). Assessments done were sitting medicine ball throw test (SMBT) for shoulder strength, closed kinetic chain upper extremity stability test (CKUCEST) for agility, plate tapping test (PTT) for speed and Kerlan Jobe Orthopaedic Clinical Score (KJOC) for shoulder function. Assessments were done at baseline, post 8 weeks of training and at the end of 6 months. Results: Significant increase in mean sitting medicine ball throw test SMBT, CKUCEST, PTT and KJOC score in both group but Group A showed more improvement than Group B. Conclusion: Study concluded that adding of Ballisitic Six plyometric training for novice badminton players would increase the shoulder strength, agility, speed and function than the theraband exercises.

Fibromyalgia (FM) is a chronic pain condition that is frequently accompanied by comorbid conditions, including depression. Depression is associated with reduced physical functioning and health, disproportionately affecting middle-aged and older adults with FM. This study examined associations between FM status and depressive symptoms with body mass index (BMI) and several physical performance indicators among middle-aged and older adults. Participants included 239 community-dwelling middle-aged and older adults with or without FM. Depressive symptoms were measured using the Beck Depression Inventory-II (BDI-II), BMI was objectively assessed, and physical performance was measured using the Fullerton Advanced Balance scale, 6-minute walk test, 30-second chair stand, and 8-foot up and go test. A path model using structural equation modeling yielded good fit and revealed that, compared to pain-free adult controls, participants with FM reported more depressive symptoms, which were in turn associated with reduced physical performance across all indicators except BMI, after adjusting for age and symptom severity. Findings suggest that individuals with FM demonstrate disproportionately higher depressive symptoms compared to non-FM controls, which may diminish physical performance after accounting for ageand symptom severity. This study supports FM status and depressive symptoms as important considerations when evaluating the health and disability risk of aging adults.

This study sought to examine differences in measures of intense periods of physical performance during competitive match-play, between one-match (1 match weeks) and two-match microcycles (2 match week). 1, 3 and 5 min "peak" and mean averages for total distance (TD), high-speed running (HSR) and metabolic power (MP) were analysed for each 15 min period of match-play. Linear mixed models were employed to examine the differences in dependent variables for each method of measurement between the 1 and 2 game microcycles. No differences were reported for "peak" values for all epoch lengths, however, results revealed significantly reduced "average" values, during periods of fixture congestion, for 1, 3 and 5 min epochs for average TD, and 3 min epochs for average HSR towards the end of the match (75-90 min split). There was, however, a trend for the opposite response to occur in the 60-75-min period. The current data suggests that players potentially display altered pacing strategies during periods of fixture congestion, with these observed responses being dependent on sampling method and epoch length.

Introducción: El estado físico del guardiamarina es fundamental para cumplir con las exigencias físicas de los oficiales de marina del Ecuador, permitiendo adicionalmente desarrollar habilidades y destrezas necesarias para la profesión. Por tal motivo, el entrenamiento físico especializado favorece el rendimiento físico exigido como competencia profesional. Objetivo: Mejorar la capacidad aeróbica especializada en natación y carrera en guardiamarinas ecuatorianos. Métodos: Se estudió la capacidad aeróbica a través del test de carrera 3200 metros y el de natación en 200 metros para evaluar la condición física específica medida en tiempo de realización de la prueba, investigando una muestra intencional de 41 guardiamarinas de primer año. Se aplica un plan de entrenamiento diseñado según las exigencias de la muestra estudiada. Resultados: El postest evidencia una mejora en la prueba de carrera 3200 metros de 1'11", equivalente al 9% de incremento, siendo significativa a favor del postest (p=0,000). En la prueba de natación de 200 metros se obtuvo una mejora de 59", equivalente al 29% de incremento, siendo significativa a favor del postest (p=0,000). Conclusiones: los entrenamientos diseñados son determinantes para perfeccionar el rendimiento aeróbico como medio fundamental al superar las marcas en las pruebas físicas, incrementando la condición óptima de los sujetos estudiados.

In regular football, the players’ selection process involves an objective assessment based on their anthropometric and physical performance. However, available literature focused on players’ selection process in cerebral palsy (CP) football is scarce. Purpose: To describe the anthropometrical and physical performance profiles of the International Spanish CP footballers and to compare them with the remaining CP football players from the national competition. Method: A total of 75 CP football players from the Spanish CP Football National Competition (classified into the 3 existing classes: football class [FT] 1 = 38; FT2 = 29; FT3 = 8) participated in the study. Participants were divided into 2 groups: selected players (n = 15) and nonselected players (n = 60) for the national team. Anthropometrical data and physical performance (countermovement jump, 20-m sprint, modified agility T-test [MAT], and dribbling test) were collected. Results: There were significant differences in the 20-m sprint, MAT, and dribbling for the total sample and in MAT and dribbling for FT2 and FT3 classes between selected players and nonselected players (P Conclusion: Change-of-direction ability (ie, MAT) and dribbling skills are important when performing the selection process, as they allow the evaluation of important aspects of the game, but they may also provide the technical staff with an idea of the functionality and the physical performance of the players in each sport class.

Several chronic diseases lead to skeletal muscle loss and a decline in physical performance. MicroRNAs (miRNAs) are small, noncoding RNAs, which have exhibited their role in the development and diseased state of the skeletal muscle. miRNA regulates gene expression by binding to the 3′ untranslated region of its target mRNA. Due to the robust stability in biological fluids, miRNAs are ideal candidate as biomarker. These miRNAs provide a novel avenue in strengthening our awareness and knowledge about the factors governing skeletal muscle functions such as development, growth, metabolism, differentiation, and cell proliferation. It also helps in understanding the therapeutic strategies in improving or conserving skeletal muscle health. This review outlines the evidence regarding the present knowledge on the role miRNA as a potential biomarker in skeletal muscle diseases and their exploration might be a unique and potential therapeutic strategy for various skeletal muscle disorders.

Longitudinal changes in anthropometric and physical performance characteristics of International female rugby union players were evaluated across 5-seasons, according to field position. Sixty-eight international female rugby union players from a top 2 ranked international team, undertook anthropometric and physical performance measurements across five seasons. Anthropometric and physical performance changes occurred, with skinfolds decreasing between 2015 and 2017 and body mass increasing between 2017 and 2019. Single-leg isometric squat (SL ISO), 0-10 m momentum (0-10 Mom) and 20-30 m momentum (20-30Mom) were higher in 2018 and 2019 than all years. Front-row players were characterised by greater SL ISO and 1-RM bench press than inside and outside backs, with higher skinfolds and lower endurance levels than all positions. Between 2017 and 2019, front-row players had larger decreases and increases in endurance and one repetition maximum (1-RM) bench press, respectively, compared to all other positions. Forwards had the highest 0-10Mom and 20-30Mom, and scrum-half the lowest, while outside backs had faster 0-10, 30-40, and 40 m (TT40 m) times, and greater peak velocity (Vmax) compared to forward positions. These longitudinal findings show that physical performance has increased, with anthropometric and performance characteristics becoming more distinctive between positions, among elite female rugby union players.

A method for conducting an indirect submaximal load test on Svetlogorsk mini-pigs under laboratory conditions was developed and adapted. The physical performance of animals was assessed; the advantages and disadvantages of the developed method were discussed.

The effect of ethylthiobenzimidazole fumarate (ETBIF) on physical performance with simultaneous exposure to hemic hypoxia and hyperthermia in the forced swim test was assessed. It was shown that ETBIF at a dose of 25 mg/kg increases the physical performance of male mice not only under the conditions of hypoxia or hyperthermia, but also under the combined effects of hypoxia and hyperthermia in a two-factor model.

BACKGROUND: This study examined the differences in physical and anthropometric traits between specific playing positions (i.e., forwards: front row, second row, back row; backs: half backs, centers, wings/fullbacks) in amateur rugby players and analyzed the magnitude of correlations among jump, sprint, and strength measures in forwards and backs. METHOD: Sixty-four male rugby players were assessed in anthropometrics, a variety of vertical jumps, 10- and 30-m sprint, and strength tests (i.e., squat and bench press). RESULTS: Front row forwards (FFR) demonstrated significantly higher body mass (BM) than second row (FSR) and back row (FBR) (107.4 ± 12.8, 99.1 ± 9.9 and 91.6 ± 7.6 kg respectively; p< 0.001). FFR showed greater absolute strength in bench press and squat, although no differences were found in relative strength. Regarding the differences in jump performance, FBR and FSR showed significantly (p< 0.05) and significant to non-significant (p= 0.042–0.078, ES = 0.90–1.55) higher jumps in all tasks compared to FFR. Moreover, FBR demonstrated lower sprint times and greater maximum sprinting speed (MSS) than FFR (p< 0.01). For the backs, centers (BCEN) were significantly heavier (p< 0.05) and exhibited a non-significantly moderate larger sprint momentum (p= 0.068, ES = 0.75) compared to half backs (BHB). MSS values were small to moderately greater in favor of wings/fullbacks [BWFB] (p= 0.188–0.059, ES = 0.50–0.71). Finally, statistically significant correlations were found between drop jump (flight time) and jump height across all jump tasks, sprint times and speed for both forwards (r= 0.541 to 0.996, p< 0.001) and backs (r= 0.422 to 0.995, p< 0.05). CONCLUSIONS: In conclusion, FFR demonstrated significant, small to very large differences, when compared to their specific peers, whereas the backs were more similar. Additionally, our results indicated moderate to strong associations between explosive tasks such as sprinting and jumping in both playing positions.

Introdução: O ciclo menstrual tem sido apontado como um possível fator de interferência no treinamento físico, porém a relação entre suas diferentes fases e o desempenho físico tem sido alvo recente de investigação. Objetivo: Verificar o desempenho físico nas capacidades biomotoras de resistência aeróbia e força muscular durante as fases do ciclo menstrual. Métodos: Durante dois ciclos menstruais, 12 mulheres saudáveis, ativas e usuárias de contraceptivos orais foram submetidas a um protocolo de treinamento e foram avaliadas quanto ao desempenho físico em cada fase de cada ciclo menstrual por meio dos testes: Yo Yo Test 1 e teste de uma repetição máxima (1RM) para os exercícios: cadeira extensora, supino reto, cadeira flexora e remada. Resultados: Houve redução do desempenho no teste de resistência na fase folicular para ambos os ciclos menstruais avaliados. Já o comportamento da força muscular apresentou-se significativamente maior (p < 0,05) no segundo ciclo para os exercícios supino reto e cadeira flexora. Conclusão: O desempenho na capacidade de resistência em mulheres ativas, quando avaliado em dois ciclos menstruais, é menor na fase folicular, e que o desempenho de força muscular não foi influenciado pelas fases do ciclo menstrual.

Aims Pre-excitation syndrome can lead to recurrent supraventricular tachycardias (SVTs) and carries a risk of sudden cardiac death (SCD). However, an underestimated consequence of antegrade conduction through an accessory pathway is fusion of intrinsic and accessory conduction that causes asynchronous activation and myocardial contraction that could be a cause for cardiac dysfunction and dilation. It is not known to what extent pre-excitation affects myocardial and physical performance in those patients. The aim of the study was to assess to what degree ventricular pre-excitation affects physical performance in children, using cardio-pulmonary exercise testing (CPET). Methods and results The study group consisted of 30 asymptomatic children, aged 8–17 years, with pre-excitation and no history or documentation of SVT compared to 31 healthy controls matched according to sex and age. All patients underwent routine cardiology assessment and then CPET. Echocardiography showed there were no differences in the left ventricular size and function between the study and control group. During the CPET both, patients and controls achieved maximal effort. Patients in the study group showed significantly lower values of VO2max and anaerobic threshold when compared to controls. The most affected subgroup was patients with persistent pre-excitation throughout the exercise. Conclusions Physical performance is affected in children with pre-excitation. This effect is stronger in patients with persistent delta wave observed throughout the exercise.

In this research, the effect of montmorillonite nanoparticles (Mt) filling polymer blends (PB) of starch/chitosan at concentrations of (0.5 and 1.0) g of Mt/100 g of PB was investigated. The Mt was dispersed at a rotational frequency of 2500 rpm in a cold bath at 0 °C, allowing to obtain nanoparticles with an average size of (315 ± 14) nm. On the one hand, the films presented an increase of 72.4% in the tensile strength as a function of the increase in the concentration of chitosan. Consequently, the composites showed an increase of 85.6% due to the increase in chitosan and the Mt presence. In addition, the composites had an improvement of 33.7% in the water vapor barrier explained by the lower permeability index in function to the higher clay nanoparticle concentration. On another hand, the yellowness characteristic color was evident with the increase of chitosan concentration. The biodegradable PB: Mt films produced in this research have a high potential for industrial application and can be used as food package materials.

Previous research on health and life satisfaction in older adults has suggested a bidirectional relationship. However, most evidence either is based on cross-sectional data, being unsuitable for inferring any directionality on the results, or disregards the within-person stability of both variables over time, thus providing potentially biased results. We analysed data from 11,667 older adults interviewed between 2008 and 2016 within the English Longitudinal Study of Ageing. A health measure including self-reported and measured tests on cognitive and physical performance was computed using a Bayesian multilevel item-response theory approach. Life satisfaction was assessed with the Satisfaction with Life Scale. Cross-lagged models using a Structural Equation Modelling approach were used to analyse the longitudinal interrelation between health and life satisfaction. Models accounting and not accounting for the within-person stability in the measures were computed. Additional sensitivity models were ran using an exclusively self-reported measure of health. Health and life satisfaction were significant longitudinal predictors of one another only when the within-person stability was not considered. The effect of life satisfaction on health became negligible once that stability was modelled. The impact of not accounting for within-person stability was larger when health was measured exclusively with self-reported information. Our study suggests that health and life satisfaction are not bidirectionally related in older adults, but only health predicts a better life satisfaction over time. Thus, policies aimed at fostering older adults’ life satisfaction by focusing on health enhancement and maintenance may be fruitful, whereas the opposite may not.

Background The usual accelerometry-based measures of physical activity (PA) are dependent on physical performance. We investigated the associations between PA relative to walking performance and the prevalence and incidence of early and advanced walking difficulties compared to generally used measures of PA. Methods Perceived walking difficulty was evaluated in 994 community-dwelling participants at baseline (age 75, 80, or 85 years) and 2 years later over 2 km (early difficulty) and 500 m (advanced difficulty). We used a thigh-mounted accelerometer to assess moderate-to-vigorous PA, daily mean acceleration, and relative PA as movement beyond the intensity of preferred walking speed in a 6-minute walking test (PArel). Self-reported PA was assessed using questionnaires. Results The prevalence and incidence were 36.2% and 18.9% for early and 22.4% and 14.9% for advanced walking difficulty, respectively. PArel was lower in participants with prevalent (mean 42 [SD 45] vs 69 [91] min/week, p < .001) but not incident early walking difficulty (53 [75] vs 72 [96] min/week, p = .15) compared to those without difficulty. The associations between absolute measures of PA and incident walking difficulty were attenuated when adjusted for preferred walking speed. Conclusions The variation in habitual PA may not explain the differences in the development of new walking difficulty. Differences in physical performance explain a meaningful part of the association of PA with incident walking difficulty. Scaling of accelerometry to preferred walking speed demonstrated independence on physical performance and warrants future study as a promising indicator of PA in observational studies among older adults.

Seok Hui Kang,1 A Young Kim,1 Jun Chul Kim,2,&ast; Jun Young Do1,&ast; 1Division of Nephrology, Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea; 2Division of Nephrology, Department of Internal Medicine, CHA Gumi Medical Center, CHA University, Gumi, Gyeongsangbuk-do, Republic of Korea&ast;These authors contributed equally to this workCorrespondence: Jun Chul KimDivision of Nephrology, Department of Internal Medicine, CHA Gumi Medical Center, CHA University, Gumi, Gyeongsangbuk-do, Republic of KoreaTel +82-54-450-9550Fax +82-54-450-9790Email truedoc1@hanmail.netJun Young DoDivision of Nephrology, Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Republic of KoreaTel +82-53-620-3836Fax +82-53-654-8386Email jydo@med.yu.ac.krPurpose: This study evaluated the difference in physical performance tests, strength, and total and regional mass using a comprehensive dataset between maintenance hemodialysis (HD) patients and a healthy population.Patients and Methods: A total of 84 HD patients were enrolled. We selected 42 healthy participants (HPs) age- and sex-matched to the 84 HD patients as controls. Collected data were sex, age, body mass index (BMI), laboratory findings, total and regional measurements for lean mass or fat mass, thigh muscle area (TMA), handgrip strength, and physical performance measurements.Results: There were no significant differences in BMI, total lean mass, or total fat mass including regional fat mass between the two groups. Lean leg mass and TMA were greater in HPs than in HD patients. All measurements of physical performance, including handgrip strength, were better in HPs than in HD patients. A multivariate analysis of lean leg mass, TMA, and physical performance measures had similar results to the same data studied with a univariate analysis.Conclusion: We demonstrated that HD patients had decreased physical performance and strength compared to HPs. The difference in leg muscle mass was most prominent among the total and regional body compositions between HPs and HD patients.Keywords: body composition, hemodialysis, physical performance, strength

Using microwave heating technology to assist concrete recycling have great potential for improve the quality of recycled concrete aggregate. Unfortunately, there are few studies explored on the properties of concrete incorporating microwave treated coarse aggregates. This study aims to investigate the performance of coarse aggregate after microwave treatment and to evaluate the properties of the resulting concrete incorporated microwave treatment aggregate. The water absorption and crushing value tests were carried out to study the effect of microwave heating treatment on the physical properties of coarse aggregates. Concrete incorporated aggregate with various microwave heating parameters was fabricated and tested. The results indicated that physical performance of microwave treated aggregate was within the range of specification requirement and water absorption and crushing value of coarse aggregate heated under low microwave power levels (2–3 kW) is very closed to the untreated samples, while coarse aggregates treated with high power levels showed a significant increase. It was also observed that concrete made out of low microwave power levels heated aggregates are able to achieve strength on par with natural coarse aggregate concrete. In addition, in case of similar strength, the elastic modulus of microwave treated aggregate concrete is similar to natural aggregate concrete. These results indicate that using low microwave power levels to assisted aggregates recycling can reduce the damage to coarse aggregates to some extent, which provide a further understanding for the application of microwave-assisted aggregates recycling.

Exercise tolerance is limited in obesity and improves after weight reduction; therefore, we mutually compared the relative changes in exercise capacity variables during cardiopulmonary exercise tests (CPET) in a 12 kg sheer weight reduction model. Twenty healthy male runners underwent two CPETs: CPET1 with the actual body weight, which determined the anaerobic threshold (AT) and respiratory compensation point (RCP); and CPET2 during which the participants wore a +12 kg vest and ran at the AT speed set during the CPET1. Running after body weight reduction shifted the CPET parameters from the high-mixed aerobic-anaerobic (RCP) to the aerobic zone (AT), but these relative changes were not mutually similar. The most beneficial changes were found for breathing mechanics parameters (range 12–28%), followed by cardiovascular function (6–7%), gas exchange (5–6%), and the smallest for the respiratory exchange ratio (5%) representing the energy metabolism during exercise. There was no correlation between the extent of the relative body weight change (median value ~15%) and the changes in CPET parameters. Weight reduction improves exercise capacity and tolerance. However, the observed relative changes are not related to the magnitude of the body change nor comparable between various parameters characterizing the pulmonary and cardiovascular systems and energy metabolism.

Background: Medical students are exposed to high cognitive demands as well as to a high learning effort, which as a consequence can lead to a limited quality of life (Qol) with reduced physical performance and unhealthy eating behaviors. The aim of this retrospective analysis was to evaluate the abovementioned factors and their relationship to each other. Methods: We included 380 medical students (167 men, 213 women, age 22.2 ± 3.9 yrs) who participated in the sports medicine elective subject. Qol was measured with the SF-36 questionnaire, and endurance capacity was measured by using an incremental running test. Daily dietary intake was measured using a 7-day diary protocol. Depending on sex and the maximum speed achieved, students were divided into three performance groups. Results: Men achieved higher maximal speed, heart rate, and lactate. Carbohydrates and fat intake did not meet recommendations in either group. Dietary fibre intake differed significantly between the performance groups in men and women, with the better groups having higher intakes. Conclusions: Our data do not suggest increased risk or health-damaging behaviors in medical students compared with the general population. Irrespective of this, incentives should be set to enable a healthy life even during complex studies with a high learning effort.

The Short Physical Performance Battery (SPPB) is an objective tool for evaluating three domains (balance, repeated chair stands, and gait speed) of lower extremity physical function in older age. It is unclear how the associations between SPPB scores and health outcomes persist over time. The aim of this 14-year cohort study was to investigate associations between SPPB scores and health outcomes among participants aged 60+ years in the English Longitudinal Study of Ageing (ELSA). The exposures were SPPB scores (total and domain-specific) at baseline (Wave 2). The outcomes were mobility impairments, difficulties in performing basic activities of daily living (ADL) or instrumental activities of daily living (IADL), and falls, measured at seven subsequent timepoints (Waves 3 to 9). The analyses involved linear and logistic multilevel regressions. After adjusting for potential confounders, a one-point increase in the total SPPB score was associated with a 0.13 (95% CI: −0.16, −0.10) decrease in mobility impairment, a 0.06 (−0.08, −0.05) decrease in ADL disabilities, a 0.06 (−0.07, −0.04) decrease in IADL disabilities, and 8% (0.90, 0.95) lower odds of falling (averaged across all follow-ups). Associations between the SPPB domains and health outcomes were more varied. The SPPB may be a useful measure for identifying older adults at a high risk of adverse outcomes.

Introducción. Los atletas deben tener una alimentación saludable, ingesta adecuada de agua y buena calidad del sueño para mejorar su rendimiento físico. Objetivo: Establecer en atletas el índice de alimentación saludable , consumo de agua y calidad del sueño. Material y métodos: Diseño transversal, participaron N= 769 atletas. Previo consentimiento informado, se aplicó una encuesta en línea. Contenía variables sociodemográficas, tipo de deporte y hábitos saludables en el último mes. Se determinó el Índice de Alimentación Saludable, la ingesta de agua en 24 hrs y calidad del sueño. Análisis estadístico: Se aplicaron promedios, desviación estándar, frecuencias y porcentajes. Resultados. El 57,7% eran mujeres, edad de 19,8±2,6 años. Predominaron los deportes de pelota. El 25% mostró una alimentación saludable; consumo de agua de 1825 ± .828 mililitros en 24 hrs; el 48% de las mujeres y el 36.8% de los hombres tuvieron ingesta adecuada de agua. El 24,4% presentó una buena calidad de sueño. Conclusiones: la prevalencia de alimentación saludable, ingesta adecuada de agua y una buena calidad del sueño es baja. Es importante diseñar estrategias para mejorar estos hábitos y optimizar el rendimiento físico, la calidad de vida y la salud.

Harty, PS, Friedl, KE, Nindl, BC, Harry, JR, Vellers, HL, and Tinsley, GM. Military body composition standards and physical performance: historical perspectives and future directions. J Strength Cond Res XX(X): 000-000, 2021-US military physique and body composition standards have been formally used for more than 100 years. These metrics promote appropriate physical fitness, trim appearance, and long-term health habits in soldiers, although many specific aspects of these standards have evolved as evidence-based changes have emerged. Body composition variables have been shown to be related to many physical performance outcomes including aerobic capacity, muscular endurance, strength and power production, and specialized occupational tasks involving heavy lifting and load carriage. Although all these attributes are relevant, individuals seeking to improve military performance should consider emphasizing strength, hypertrophy, and power production as primary training goals, as these traits appear vital to success in the new Army Combat Fitness Test introduced in 2020. This fundamental change in physical training may require an adjustment in body composition standards and methods of measurement as physique changes in modern male and female soldiers. Current research in the field of digital anthropometry (i.e., 3-D body scanning) has the potential to dramatically improve performance prediction algorithms and potentially could be used to inform training interventions. Similarly, height-adjusted body composition metrics such as fat-free mass index might serve to identify normal weight personnel with inadequate muscle mass, allowing for effective targeted nutritional and training interventions. This review provides an overview of the origin and evolution of current US military body composition standards in relation to military physical readiness, summarizes current evidence relating body composition parameters to aspects of physical performance, and discusses issues relevant to the emerging modern male and female warrior.