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Digital devices have gained popularity in the last 10 years as a tool for exercise prescription, the monitoring of daily physical activity, and nutrition for the management of a health-related parameter. Therefore, the aim of this study was to assess the effectiveness of the use of digital devices to monitor exercise data in sedentary persons with HIV who exercise following an individualized activity pacing (AP) protocol on cardiorespiratory fitness body composition, blood lipid profile, and psychological parameters. Twenty-four PLWH were enrolled in an 18-week randomized, open-label, pilot AP exercise protocol. All participants were monitored by a Health Band connected to a mobile app that transmitted the data to a server. At week 3, they were randomized either in an experimental group (EG), in which an open device configuration enabled them to receive training data feedback (n = 12), or continued with no data feedback (control group, n = 12). The primary endpoint was improvement from the baseline of 15% of steady-state oxygen consumption ( V ˙ O2) during a 6-min walking test. Technical issues occurred when pairing the health band with the app, which prevented EG participants from regularly receiving data feedback, and with data transmission to the server, which enabled only 40% monitoring of the total training days. Consequently, the study outcomes could not be compared between the two groups, and participants also lost confidence in the study. However, 19 out of 24 participants completed the AP program. Overall, only 6 (32%) improved steady-state V ˙ O2, with no significant changes at W18 from the baseline. Significant reductions were observed of BMI (p = 0.040), hip circumference (p = 0.027), and total-(p = 0.049) and HDL-cholesterol (p = 0.045). The failure of digital device performance substantially affected study procedures, monitoring, and participants' engagement, and likely limited the potential benefits of the AP exercise program. [ABSTRACT FROM AUTHOR]

To date, the literature has failed to individuate a clear motivation for the performance decrement after a mental fatigue-inducing task. This study aimed to evaluate biomechanical and perceptual variables during a swimming training session in different mental fatigue states. Seven amateur triathletes watched a documentary, utilized a smartphone, or performed an AX-CPT for 45 min randomly on three different days. After, they performed a 15-min warm-up followed by 6 × 200 m at constant pre-set speed plus one 200 m at maximal effort. The mental fatigue status was assessed by the visual analog scale (VAS) and short-Stroop task results before, post-mental task, and post-swimming session. The biomechanical and motor coordination variables during swimming were assessed using five IMU sensors and video analysis. The heart rate and rate of perceived exertion were monitored during the task. No differences in biomechanical and perceptual variables were found between and within conditions. Higher mental fatigue was found only in the AX-CPT condition at post task by VAS. In this preliminary study, no changes in swimming biomechanics were highlighted by mental fatigue, but the warm-up performed may have counteracted its negative effects. Further studies are recommended. [ABSTRACT FROM AUTHOR]

Quantitative evaluation of synergic action among the different body segments is fundamental to swimming performance. The aim of the present study was to develop an easy-to-use tool for stroke-by-stroke evaluation of a swimmer's integrated timing of stroking, kicking, and breathing. Twelve swimmers were evaluated during one trial of 100 m front-crawl swimming at self-selected speed. Five three-axial inertial sensors were mounted on the head, wrists, and ankles. Algorithms for the wrist entry into the water, the lower limb beat during the downward action, and the exit/entry of the face from/into the water were developed. Temporal events identified by video-based technique, using one sagittal moving camera, were assumed as the gold standard. The performance was evaluated in terms of the root-mean-square error, 90th percentile of absolute error, coefficient of variation, Bland–Altman plots, and correlation analysis. Results of all temporal events showed high agreement with the gold standard, confirmed by a root-mean-square error of less than 0.05 s for absolute temporal parameters and less than 0.7% for the percentages of the stroke cycle duration, and with correlation coefficients higher than 0.856. The protocol proposed was not only accurate and reliable, but also user-friendly and as unobtrusive as possible for the swimmer, allowing a stroke-by-stroke analysis during the training session. [ABSTRACT FROM AUTHOR]