Search

Background Recent operational definitions of sarcopenia have not been replicated and compared in Australia and New Zealand (ANZ) populations. We aimed to identify sarcopenia measures that discriminate ANZ adults with slow walking speed (<0.8 m/s) and determine the agreement between the Sarcopenia Definitions and Outcomes Consortium (SDOC) and revised European Working Group for Sarcopenia in Older People (EWGSOP2) operational definitions of sarcopenia. Methods Eight studies comprising 8 100 ANZ community-dwelling adults (mean age ± standard deviation, 62.0 ± 14.4 years) with walking speed, grip strength (GR), and lean mass data were combined. Replicating the SDOC methodology, 15 candidate variables were included in sex-stratified classification and regression tree models and receiver operating characteristic curves on a pooled cohort with complete data to identify variables and cut points discriminating slow walking speed (<0.8 m/s). Agreement and prevalence estimates were compared using Cohen's Kappa (CK). Results Receiver operating characteristic curves identified GR as the strongest variable for discriminating slow from normal walking speed in women (GR <20.50 kg, area under curve [AUC] = 0.68) and men (GR <31.05 kg, AUC = 0.64). Near-perfect agreement was found between the derived ANZ cut points and SDOC cut points (CK 0.8–1.0). Sarcopenia prevalence ranged from 1.5% (EWGSOP2) to 37.2% (SDOC) in women and 1.0% (EWGSOP2) to 9.1% (SDOC) in men, with no agreement (CK <0.2) between EWGSOP2 and SDOC. Conclusions Grip strength is the primary discriminating characteristic for slow walking speed in ANZ women and men, consistent with findings from the SDOC. Sarcopenia Definitions and Outcomes Consortium and EWGSOP2 definitions showed no agreement suggesting these proposed definitions measure different characteristics and identify people with sarcopenia differently. [ABSTRACT FROM AUTHOR]

This study evaluated whether a position-specific drill replicates the running intensities of maximum ball in play (BiP) phases in competitive matches of Australian football (AF). Match data were collected on 32 AF players across 3 seasons (2019, 2020, 2021), with training session data collected from the same players across the 2021 season. Three position-specific training drills were created for defense, offense, and combination (defense and offense combined). Running intensities were compared between maximum BiP periods (e.g., periods with the highest metric per minute) from competitive matches and position-specific training drills, as well as between the 3 position-specific training drills using linear mixed models. The significance level was set at p < 0.05. Measures of distance (offense: 44.4 m⋅minute-1, defense: 83.5 m⋅minute-1, combination: 50.4 m⋅minute-1), high-speed running (offense: 76.7 m⋅minute-1, defense: 134.6 m⋅minute-1, combination: 89.6 m⋅minute-1), very high-speed running (offense: 26.7 m⋅minute-1, defense: 56.2 m⋅minute-1, combination: 55.0 m⋅minute-1, and high-intensity efforts (offense: 2.3 efforts-minute"1, defense: 3.0 efforts⋅minute-1, combination: 2.8 efforts⋅minute-1), relative to time were greater (p < 0.001) in all 3 position-specific training drills compared with BiP phases. All measured metrics were significantly (p < 0.001) greater in the defense drill compared with the offense drill, whereas distance, high-speed running, PlayerLoad, and accelerations were significantly (p < 0.001) greater when compared with the combination drill. These demonstrate that position-specific training drills that we created replicated or exceeded the running intensities recorded during matches based on maximum BiP periods. Position-specific training drills seem to be an attractive addition to AF players training regimens because it concurrently provides training for physical and technical actions (e.g., handballs). [ABSTRACT FROM AUTHOR]

This study investigated the impact of match location and travel modality on physical performance of an Australian A-League association football team. Match location comprised of a home vs away comparison; while travel modality compared home matches, road travel, short-flight travel, and long-flight travel. Both models accounted for match result, opposition quality and total distance covered. Physical performance was defined as average running intensity (m.min−1), low-speed activity (LSA), high-speed activity (HSA), very high-speed activity (VHSA), high-intensity efforts (HIE) and sprint efforts. Statistical significance was accepted at p < 0.05. Match location results demonstrated significantly greater average running intensity and LSA for away matches and significantly greater HSA for home matches. Travel modality results demonstrated significantly greater LSA for road travel compared to home matches and long-flight travel, while HSA was significantly greater for home matches and long-flight travel than for road travel. Additionally, home matches demonstrated significantly greater VHSA than road travel. Assessing the impact of travel modality on physical performance provides more contextual information than solely home vs away. Coaches may use this information to plan travel to mitigate detrimental effects on physical performance, particularly concerning road travel on matchdays. [ABSTRACT FROM AUTHOR]

Objectives: To examine the collective influence of a range of physical preparation elements on selected performance measures during Australian football match play. Design: Prospective and longitudinal. Methods: Data were collected from 34 professional Australian football players from the same club during the 2016 Australian Football League competition season. Match activity profiles and acute (7-d) and chronic (3-wk) training loads were collected using global positioning system devices. Training response was measured by well-being questionnaires completed prior to the main training session each week. Maximal aerobic running speed (MAS) was estimated by a 2-km time trial conducted during preseason. Coach ratings were collected from the senior coach and 4 assistants after each match on a 5-point Likert scale. Player ratings were obtained from a commercial statistics provider. Fifteen matches were analyzed. Linear mixed models were constructed to examine the collective influence of training-related factors on 4 performance measures. Results: Muscle soreness had a small positive effect (ES: 0.12) on Champion Data rating points. Three-week average high-speed running distance had a small negative effect (ES: 0.14) on coach ratings. MAS had large to moderate positive effects (ES: 0.55 to 0.47) on relative total and high-speed running distances. Acute total and chronic average total running distance had small positive (ES: 0.13) and negative (ES: 0.14) effects on relative total and high-speed running distance performed during matches, respectively. Conclusions: MAS should be developed to enhance players' running performance during competition. Monitoring of physical preparation data may assist in reducing injury and illness and increasing player availability but not enhance football performance. [ABSTRACT FROM AUTHOR]

Objectives: To examine the difference between absolute and relative workloads, injury likelihood, and the acute:chronic workload ratio (ACWR) in elite Australian football. Design: Single-cohort, observational study. Methods: Forty-five elite Australian football players from 1 club participated. Running workloads of players were tracked using Global Positioning System technology and were categorized using either (1) absolute, predefined speed thresholds or (2) relative, individualized speed thresholds. Players were divided into 3 equal groups based on maximum velocity: (1) faster, (2) moderate, or (3) slower. One- and 4-wk workloads were calculated, along with the ACWR. Injuries were recorded if they were noncontact in nature and resulted in "time loss." Results: Faster players demonstrated a significant overestimation of very high-speed running (HSR) when compared with their relative thresholds (P = .01; effect size = -0.73). Similarly, slower players demonstrated an underestimation of high- (P = .06; effect size = 0.55) and very-high-speed (P = .01; effect size = 1.16) running when compared with their relative thresholds. For slower players, (1) greater amounts of relative very HSR had a greater risk of injury than less (relative risk [RR] = 8.30; P = .04) and (2) greater absolute high-speed chronic workloads demonstrated an increase in injury likelihood (RR = 2.28; P = .16), whereas greater relative high-speed chronic workloads offered a decrease in injury likelihood (RR = 0.33; P = .11). Faster players with a very-high-speed ACWR of >2.0 had a greater risk of injury than those between 0.49 and 0.99 for both absolute (RR = 10.31; P = .09) and relative (RR = 4.28; P = .13) workloads. Conclusions: The individualization of velocity thresholds significantly alters the amount of very HSR performed and should be considered in the prescription of training load. [ABSTRACT FROM AUTHOR]

In a previous article for Stanislavski Studies I examined the discourse in Australia and Aotearoa New Zealand regarding Stanislavsky, providing a series of descriptive snapshots of how his name is invoked in teaching within the region. From this and the concluding piece published here, I argue that although theatre and training have evolved over the last forty years, the symbolic capital associated with Stanislavskian realism remains relatively unchanged. Ian Maxwell's contention that Australasian practitioners are "bowerbirds" who scavenge detritus to adorn idiosyncratic theatrical assemblages holds true. Artists and pedagogues see Stanislavskian technique as part of an instrumentalised "toolkit" which could potentially give the precarious actor an edge within a restricted labour market. Glenn d'Cruz however suggests that actors might be considered akin to Walter Benjamin's ragpickers, producing pulpy theatrical fusions out of the refuse of history. The at times overdetermined political, discursive and ideological baggage associated with Stanislavsky persists in rendering him a problematic figure within teaching and practice, even as the identification of Stanislavsky with character-based social realism offers precedents for new, radical dramaturgies. [ABSTRACT FROM AUTHOR]

Purpose: To examine the influence of a range of individual player characteristics and match-related factors on activity profiles during professional Australian football matches. Methods: Global positioning system (GPS) profiles were collected from 34 professional Australian football players from the same club over 15 competition matches. GPS data were classified into relative total and high-speed running (HSR; >20 km/h) distances. Individual player aerobic fitness was determined from a 2-km time trial conducted during the preseason. Each match was classified according to match location, season phase, recovery length, opposition strength, and match outcome. The total number of stoppages during the match was obtained from a commercial statistics provider. A linear mixed model was constructed to examine the influence of player characteristics and match-related factors on both relative total and HSR outputs. Results: Player aerobic fitness had a large effect on relative total and HSR distances. Away matches and matches lost produced only small reductions in relative HSR distances, while the number of rotations also had a small positive effect. Matches won, more player rotations, and playing against strong opposition all resulted in small to moderate increases in relative total distance, while early season phase, increased number of stoppages, and away matches resulted in small to moderate reductions in relative total distance Conclusions: There is a likely interplay of factors that influence running performance during Australian football matches. The results highlight the need to consider a variety of contextual factors when interpreting physical output from matches. [ABSTRACT FROM AUTHOR]

This is the first of a pair of articles examining the discourse in Australia and Aotearoa New Zealand regarding Stanislavsky. Moving from a brief description of my own encounter with Stanislavsky in student and fringe theatre of 1990s Melbourne, I provide a series of descriptive snapshots gathered through an informal survey of how Stanislavsky is invoked in teaching and practice in the region. I conclude that although theatre and training have evolved over the last forty years, the symbolic capital associated with Stanislavskian realism remains relatively unchanged. Ian Maxwell's contention that Australasian practitioners are "bowerbirds" who scavenge detritus to adorn idiosyncratic theatrical assemblages holds true. One clear irony emerges, namely that although Stanislavsky considered his focus to be the practice of acting, his methods are most often taught as an aid in analysing written playscripts – perpetuating a distinction between historical "outside in" psychological approaches, versus allegedly more innovative "inside out" methods. Stanislavskian concepts are, in essence both remembered and forgotten when navigating acting in the region today. These tensions within Stanislavskian discourse complicate his reputation even as his link with realist dramaturgy ensures his relevance. The rhetorical, ideological and political implications of these associations are further developed in the second article to follow. [ABSTRACT FROM AUTHOR]

Objectives: To identify and summarise the contextual factors associated with running demands in elite male Australian football (AF) gameplay that have been reported in the literature., Design: Scoping review., Methods: A contextual factor in sporting gameplay is a variable associated with the interpretation of results, yet is not the primary objective of gameplay. Systematic literature searches were performed in four databases to identify what contextual factors associated with running demands in elite male AF have been reported: Scopus, SPORTDiscus, Ovid Medline and CINAHL, for terms constructed around Australian football AND running demands AND contextual factors. The present scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and narrative synthesis was conducted., Results and Conclusion: A total of 36 unique articles were identified by the systematic literature search, which included 20 unique contextual factors. The most studied contextual factors were position ( n  = 13), time in game ( n  = 9), phases of play ( n  = 8), rotations ( n  = 7) and player rank ( n  = 6). Multiple contextual factors, such as playing position, aerobic fitness, rotations, time within a game, stoppages, and season phase appear to correlate with running demands in elite male AF. Many identified contextual factors have very limited published evidence and thus additional studies would help draw stronger conclusions.

Objective: To determine the effects of an exercise intervention on physical performance and reported fall incidents among individuals living with dementia in nursing homes. Methods: The study was a randomized controlled trial to determine the effect of the physical activity on physical performance and reported fall incidents. A sample of 60 participants from two nursing homes in Australia were randomly allocated to either: (1) Intervention Group 1: physical exercise intervention for 45 min, once a week; (2) Intervention Group 2: physical exercise intervention for 15 min, three times a week; or (3) usual care Control Group. Physical performance was assessed before and after the intervention (12 weeks) using: Six Meter Walk test, Five-Times-Sit-to-Stand test, Timed Up and Go (TUG) test, (Modified) Functional Reach test, timed static pedaling (TSP). The number of reported falls was determined by review of incident reports completed by nursing home staff. Results: The physical performance outcome measures demonstrated positive trends over time in favor of the intervention groups, though the observed changes were only statistically significant for TSP and TUG Test. The number of reported falls demonstrated a significant difference between groups during the intervention period. Conclusions: The results demonstrated that the physical exercise intervention could be beneficial for individuals living with dementia, and as little as 45 min per week could be effective for this population group. However, cautious interpretation was drawn as the pool of participants was not sufficiently large enough to generate a meaningful effect size. [ABSTRACT FROM AUTHOR]

Background: Aging has been associated with a progressive loss of skeletal muscle quality, quantity and strength, which may result in a condition known as sarcopenia, leading to a decline in physical performance, loss of independence and reduced quality of life. While the cause of impaired physical functioning observed in elderly populations appears to be multifactorial, recent evidence suggests that age-associated alterations in gut microbiota could be a contributing factor. The primary objective will be to assess the effects of a dietary synbiotic formulation on sarcopenia-related functional outcomes such as handgrip strength, gait speed and physical performance within older individuals living independently. The secondary objective will be to examine associations between changes in gut microbiota composition, functional performance and lean muscle mass., Methods: Seventy-four elderly (60-85 years) participants will be randomized in a double-blind, placebo-controlled fashion to either an intervention or control group. The intervention group (n = 37) will receive oral synbiotic formulation daily for 16 weeks. The control group (n = 37) will receive placebo. Assessments of physical performance (including Short Physical Performance Battery, handgrip strength and timed up-and-go tests) and muscle ultrasonography will be performed at 4 time points (baseline and weeks 8, 16 and 20). Likewise, body composition via bioelectric impedance analysis and blood and stool samples will be collected at each time point. Dual-energy X-ray absorptiometry will be performed at baseline and week 16. The primary outcomes will be between-group changes in physical performance from baseline to 16 weeks. Secondary outcomes include changes in body composition, muscle mass and architecture, fecal microbiota composition and diversity, and fecal and plasma metabolomics., Discussion: Gut-modulating supplements appear to be effective in modifying gut microbiota composition in healthy older adults. However, it is unclear whether these changes translate into functional and/or health improvements. In the present study, we will investigate the effects of a synbiotic formulation on measures of physical performance, strength and muscle health in healthy older populations., Trial Registration: This study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000652774) in May 2022., (© 2024. The Author(s).)

Competition-specific conditioning for tournament basketball games is challenging, as the demands of tournament formats are not well characterized. Purpose: To compare the physical, physiological, and tactical demands of seasonal and tournament basketball competition and determine the pattern of changes within an international tournament. Methods: Eight elite junior male basketball players (age 17.8 ± 0.2 y, height 1.93 ± 0.07 m, mass 85 ± 3 kg; mean ± SD) were monitored in 6 seasonal games played over 4 mo in an Australian second-division national league and in 7 games of an international under-18 tournament played over 8 days. Movement patterns and tactical elements were coded from video and heart rates recorded by telemetry. Results: The frequency of running, sprinting, and shuffling movements in seasonal games was higher than in tournament games by 8-15% (99% confidence limits ± ~8%). Within the tournament, jogging and low- to medium-intensity shuffling decreased by 15-20% (± ~14%) over the 7 games, while running, sprinting, and high-intensity shuffling increased 11-81% (± ~25%). There were unclear differences in mean and peak heart rates. The total number of possessions was higher in seasonal than in tournament games by 8% (± 10%). Conclusions: Coaches should consider a stronger emphasis on strength and power training in their conditioning programs to account for the higher activity of seasonal games. For tournament competition, strategies that build a sufficient aerobic capacity and neuromuscular resilience to maintain high-intensity movements need to be employed. A focus on half-court tactics accounts for the lower number of possessions in tournaments. [ABSTRACT FROM AUTHOR]

Context: Muscle strength and performance are associated with fractures. However, the contribution of their rate of decline is unclear.Objective: To assess the independent contribution of the rate of decline in muscle strength and performance to fracture risk.Design, Setting, and Participants: Community-dwelling women (n = 811) and men (n = 440) aged 60 years or older from the prospective Dubbo Osteoporosis Epidemiology Study followed from 2000 to 2018 for incident fracture. Clinical data, appendicular lean mass/height2 (ht)2, bone mineral density, quadricep strength/ht (QS), timed get-up-and-go (TGUG), 5 times repeated sit-to-stand (5xSTS), and gait speed (GS) measured biennially. Rates of decline in muscle parameters were calculated using ordinary least squares regression and fracture risk was assessed using Cox's models.Main Outcome: Incident low-trauma fracture ascertained by x-ray report.Results: Apart from lean mass in women, all muscle parameters declined over time. Greater rates of decline in physical performance were associated with increased fracture risk in women (Hazard ratios [HRs] ranging from 2.1 (95% CI: 1.5-2.9) for GS to 2.7 (95% CI: 1.9-3.6) for 5xSTS, while in men only the decline in GS was associated with fracture risk (HR: 3.4 [95% CI: 1.8-6.3]). Baseline performance and strength were also associated with increased fracture risk in men (HRs ranging from 1.8 (95% CI: 1.1-3.0) for QS to 2.5 (95% CI: 1.5-4.1) for TGUG, but not in women.Conclusion: Rate of decline in physical performance in both genders, and baseline strength and performance in men, contributed independently to fracture risk. Sit-to-stand and GS were the tests most consistently associated with fractures. Further studies are required to determine whether muscle strength and/or performance improve the predictive accuracy of fracture prediction models. [ABSTRACT FROM AUTHOR]

The current study aimed to describe the distribution of physical and technical performance during the different phases of play in professional Australian Football. The phases of play (offence, defence, contested play, umpire stoppages, set shots and goal resets) were manually coded from video footage for a single team competing in 18 matches in the Australian Football League. Measures of physical performance including total distance (m), average speed (m · min−1), low-speed running (LSR, <14.4 km h−1), high-speed running (HSR, >14.4 km h−1), accelerations (2.78 m · s−2) and decelerations (−2.78 m · s−2) were derived from each phase of play via global positioning system (GPS) devices. Technical skill data including tackles, handballs and kicks were obtained from a commercial statistics provider and derived from each phase of play. Linear mixed-effects models and effect sizes were used to assess and reflect the differences in physical and technical performance between the six phases of play. Activity and recovery cycles, defined as periods where the ball was in or out of play were also described using mean and 95% confidence intervals. The analysis showed that several similarities existed between offence and defence for physical performance metrics. Contested play involved the highest total distance, LSR, accelerations, decelerations and tackles compared to all other phases. Offence and defence involved the highest average speed and HSR running distances. Handballs and kicks were highest during offence, while tackles were highest during contested play, followed by defence. Activity and recovery cycles involved mean durations of ~110 and ~39 s and average speeds of ~160 and ~84 m · min−1, respectively. The integration of video, GPS and technical skill data can be used to investigate specific phases of Australian Football match-play and subsequently guide match analysis and training design. [ABSTRACT FROM AUTHOR]

We sought to examine the associations of osteosarcopenia with physical performance, balance, and falls and fractures in community-dwelling older adults. Additionally, we aimed to determine which clinical outcomes are associated with specific components of osteosarcopenia. Cross-sectional study. 253 participants (77% women; aged 77.9 ± 0.42 years) who presented for a falls and fractures risk assessment in Melbourne, Australia. Participants were mobile, community-dwelling older adults (≥65 years) free of cognitive impairment. Body composition (via dual-energy x-ray absorptiometry), physical performance [via Timed Up and Go (TUG) and Short Physical Performance Battery (SPPB)], and balance [via Four-Square Step test (FSS) and posturography] were examined. Falls in the past year and fractures in the past 5 years were self-reported. Osteosarcopenia was defined as (1) low bone mineral density (BMD) [T score <–1 standard deviation (SD)] combined with sarcopenia and (2) osteoporosis (BMD T score ≤–2.5 SD) combined with severe sarcopenia. For sarcopenia, we employed the criteria of the European Working Group on Sarcopenia in Older People (EWGSOP1), the revised criteria (EWGSOP2), and that of the Foundation for the National Institutes for Health (FNIH). Kruskal-Wallis and logistic regression tests were used for statistical analysis. Osteosarcopenia was associated with worse SPPB, TUG, FSS, limit of stability, and falls and fractures history. Additionally, osteosarcopenia (using the severe sarcopenia classification) conferred an increased rate of falls [odds ratios (ORs) from 2.83 to 3.63; P <.05 for all] and fractures (ORs from 3.86 to 4.38; P <.05 for all) when employing the EWGSOP2 and FNIH definitions, respectively. Compared with the nonosteosarcopenic group, those with osteosarcopenia had greater impairment of physical performance and balance. The EWGSOP2 and FNIH criteria resulted in the strongest associations with physical performance and self-reported falls and fractures. [ABSTRACT FROM AUTHOR]

Purpose: The main purpose of the present study was to quantify the match running demands and physiological intensities of AF field and boundary umpires during match play. Methods: Thirty-five AF umpires [20 field (age: 24.7 ± 7.7 y, body mass: 74.3 ± 7.1 kg, ∑7 skinfolds: 67.8 ± 18.8 mm); 15 boundary (age: 29.6 ± 13.6 y, body mass: 71.9 ± 3.1 kg, ∑7 skinfolds: 65.6 ± 8.8 mm)] volunteered to participate in the study. Movement characteristics [total distance (TD), average running speed, high-intensity activity (HIA; >14.4 km·h-1) distance] and physiological measures [heart rate, blood lactate concentration ([BLa−]), and rating of perceived exertion] were collected during 20 state-based AF matches. Results: The mean (± SD) TD covered by field umpires was 11,492 ± 1,729 m, with boundary umpires covering 15,061 ± 1,749 m. The average running speed in field umpires was 103 ± 14 m·min-1, and was 134 ± 14 m·min-1 in boundary umpires. Field and boundary umpires covered 3,095 ± 752 m and 5,875 ± 1,590 m, during HIA, respectively. In the first quarter, HIA distance (field: P = .004, η2 = 0.071, boundary: P < .001, η2 = 0.180) and average running speed (field: P = .002, η2 = 0.078, boundary: P < .001, η2 = 0.191) were significantly greater than in subsequent quarters. Conclusions: The results demonstrate that both AF field and boundary umpires complete similar running demands to elite AF players and are subject to physical fatigue. Further research is warranted to see if this physical fatigue impacts on the cognitive function of AF umpires during match play. [ABSTRACT FROM AUTHOR]

Background: Australian football (AF) is a highly intermittent sport, requiring athletes to accelerate hundreds of times with repeated bouts of high-intensity running (MR). Players aim to be in peak physical condition for finals, with anecdotal evidence of increased speed and pressure of these games. Purpose: However, no data exists on the running demands of finals games, and therefore the aim of this study was to compare the running demands of finals to regular season games with matched players and opponents. Methods: Player movement was recorded by GPS at 5 Hz and expressed per period of the match (rotation), for total distance, high-intensity running (HIR, 4.17-10.00 m•s-1) and maximal accelerations (2.78-10.00 m•s-2). All data was compared for regular season and finals games and the magnitude of effects was analyzed with the effect size (ES) statistic and expressed with confidence intervals. Results: Each of the total distance (11%; ES: 0.78 ± 0.30), high-intensity running distance (9%; ES: 0.29 ± 0.25) and number of maximal accelerations (97%; ES: 1.30 ± 0.20) increased in finals games. The largest percentage increases in maximal accelerations occurred from a commencement velocity of between 3--4 (47%; ES: 0.56 ±0.21) and 4--5 m•s-1 (51%; ES: 0.72 ± 0.26), and with

Purpose: To examine whether wearing various size lower-body compression garments improves physiological and performance parameters related to endurance running in well-trained athletes. Methods: Eleven well-trained middle-distance runners and triathletes (age: 28.4 ± 10.0 y; height: 177.3 ± 4.7 cm; body mass: 72.6 ± 8.0 kg; VO2max: 59.0 ± 6.7 mL-kg-1.min-11) completed repeat progressive maximal tests (PMT) and time-to-exhaustion (TTE) tests at 90% VO2max wearing either manufacturer-recommended LBCG (rLBCG), undersized LBCG (uLBCG), or loose running shorts (CONT). During all exercise testing, several systemic and peripheral physiological measures were taken. Results: The results indicated similar effects of wearing rLBCG and uLBCG compared with the control. Across the PMT, wearing either LBCG resulted in significantly (P < .05) increased oxygen consumption, O2 pulse, and deoxyhemoglobin (HHb) and decreased running economy, oxyhemoglobin, and tissue oxygenation index (TOI) at low-intensity speeds (8-10 km.h-1)- At higher speeds (12-18 km.h-1). wearing LBCG increased regional blood flow (nTHI) and HHb values, but significantly lowered heart rate and TOI. During the TTE, wearing either LBCG significantly (P < .05) increased HHb concentration, whereas wearing uLBCG also significantly (P < .05) increased nTHI. No improvement in endurance running performance was observed in either compression condition. Conclusion: The results suggest that wearing LBCG facilitated a small number of cardiorespiratory and peripheral physiological benefits that appeared mostly related to improvements in venous flow. However, these improvements appear trivial to athletes, as they did not correspond to any improvement in endurance running performance. [ABSTRACT FROM AUTHOR]

Previous research has suggested elite Australian footballers undertake pacing strategies to preserve high intensity activity later in matches. However, this research used GPS with slow sample rates, did not express performance relative to minutes played during games and used lowly ranked players. Methods: Therefore in this study movement was recorded by GPS at 5 Hz. Running performance was expressed per period of the match (rotation) divided into low-intensity activity (LIA, 0.10 to 4.17 m·s-1); high-intensity running (HIR, 4.17 to 10.00 m·s-1) and maximal accelerations (2.78 to 10.00 m·s-2). All data were expressed relative to the first period of play in the match and the magnitude of effects was analyzed with the effect size (ES) statistic and expressed with confidence intervals. Results: The total and LIA distance covered by players did not change by a practically important magnitude during games (ES< 0.20). High intensity running was reduced in both rotations of the second quarter, Q3R2 and both rotations of the fourth quarter (ES -0.30 ± 0.14; -0.42 ± 0.14; -0.30 ± 0.14; -0.42 ± 0.14; and -0.48 ± 0.15 respectively). Maximal acceleration performance was reduced in Q1R2, and each rotation of the second half of matches. Conclusion: When expressed per minute of game time played, total distance and low intensity activity distance are not reduced by a practically important magnitude in AF players during a match. These data are therefore inconsistent with the concept of team sport players pacing their effort during matches. However, both high intensity running and maximal accelerations are reduced later in games, indicative of significant fatigue in players. [ABSTRACT FROM AUTHOR]

Objectives: A high level of parathyroid hormone (PTH) was recently identified as a risk factor for falling. As balance instability is one of the major risk factors for falls, we aimed to investigate whether high PTH concentrations are associated with poor balance in older persons.Study Design: Cross-sectional study with 127 community-dwelling older adults (75% female), aged 65-96 years, at the Falls and Fracture Clinic, Western Health-Sunshine Hospital, Melbourne, Australia. Patients with clinical conditions that could affect balance (e.g. Meniere's disease), denosumab users, and those with advanced kidney failure were excluded.Main Outcome Measures: We assessed dynamic balance by timed "up and go" (TUG)and four-square step tests, and by gait parameters; and static balance by posturography on a force platform. Blood tests provided values of PTH, vitamin D, calcium, albumin, and creatinine. Standard questionnaires were applied to assess clinical condition, medications and nutritional status, and to screen for depression.Results: For dynamic balance, elevated PTH concentrations resulted in increased time to complete the TUG test (β = 0.13; 95%CI: 0.01-0.26), indicating worse performance. For static balance, increased PTH was associated with increased instability in the center of pressure while standing with eyes closed on a hard surface (β = 0.38; 95%CI: 0.03-0.73). Both models were controlled for vitamin D, renal function, nutritional and depressive status, age, sex, and number of medications.Conclusion: Increasing concentrations of PTH in this population of older persons had an independent negative association with both static and dynamic balance, which could place them at risk of falls. However, longitudinal studies are still required. [ABSTRACT FROM AUTHOR]

Objectives: To compare the effectiveness of deer milk (DM) for improving nutritional status, muscle mass and physical performance with that of a commercially available oral nutritional supplement (ONS) in older women., Methods: This study was an 11-week randomised, double-blind, parallel group study. Healthy women (N = 120) aged 65-80 years, the majority having a body mass index (BMI) < 25 kg/m 2 were recruited. The women were randomly assigned to either 200 ml DM or a commercial ONS for 11 weeks. Data on habitual macronutrient intake, nutritional status (Mini Nutrition Assessment-Short Form, MNA-SF; ≤7 malnourished, 8-11 at risk of malnutrition, ≥12 normal nutrition), anthropometrics/body composition, and physical performance were collected. Blood samples were collected for metabolic markers., Results: 102 women (DM 45, ONS 57) completed the study, of whom 29% had a dietary protein intake of <1 g/kg body weight per day, and 38% at risk of malnutrition. There were no between group differences in percentage change in MNA-SF score and body composition (P > 0.05), but a trend for a difference in handgrip strength (DM 11.7 ± 49.8% vs. ONS -2.42 ± 17.9%, P = 0.06). Further exploratory analysis showed that there was a trend for a between group difference in percentage change in MNA-SF score, favoring DM (DM 7.72 + 13.0% vs. ONS 0.63 + 9.25%, P = 0.06) only in women at risk of malnutrition. There was also a between group difference in percentage change in muscle mass (DM 1.68 ± 2.77% vs. ONS -0.18 ± 2.81%, P = 0.02) in women with BMI ≥25 kg/m 2 and in handgrip strength (DM 10.6 ± 23.6% vs. ONS -5.03 ± 18.1%, P < 0.01) in women with BMI<25 kg/m 2 . Total cholesterol, LDL and LDL:HDL ratio did not change over time (P > 0.05), but there was a between group difference in percentage change in these markers (total cholesterol: DM 3.01 ± 6.97% vs. ONS -2.65 ± 9.92%, P < 0.01; LDL: DM 4.22 ± 14.9% vs. ONS -6.05 ± 17.6%, P < 0.01; LDL:HDL ratio: DM: 2.27 ± 16.4% vs. ONS: -5.78 ± 18.2%, P = 0.02)., Conclusion: Baseline nutritional status and BMI may modulate nutritional status, muscle mass and physical performance response to DM (as compared with ONS), suggesting DM may improve nutritional status and physical performance in women at risk of malnutrition and/or with lower BMI, and improve muscle mass in women with a higher BMI. The study was registered with the Australian New Zealand Clinical Trial Registry ACTRN12621000650897p., Competing Interests: Declaration of competing interest None to declare., (Copyright © 2023 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.)

Purpose: To compare the peak 5-min period of high-velocity running (HiVR) during a soccer match using a predefined vs a rolling time interval. Methods: Player movement data were collected from 19 elite Australian soccer players over 11 competitive matches (77 individual match files) using a 5-Hz global-positioning system. Raw velocity data were analyzed to determine the period containing the greatest HiVR distance per match half and the distance covered in the subsequent epoch. Intervals were identified using either a predefined (distance covered in 5 min at every 5-min time point) or rolling (distance covered in 5 min from every time point) method. The percentage difference ± 90% confidence limits were used to determine differences between methods. Results: Predefined periods underestimated peak distance covered by up to 25% and overestimated the subsequent epoch by up to 31% compared with rolling periods. When the distance decrement between the peak and following period was determined, there was up to a 52% greater reduction in running performance using rolling periods than predefined ones. Conclusions: It is recommended that researchers use rolling as opposed to predefined periods when determining specific match intervals because they provide a more accurate representation of the HiVR distance covered. This will avoid underestimation of both match running distance and the decrement in running performance after an intense period of play. This may have practical implications for not only researchers but also staff involved in a club setting who use this reduction as evidence of transient fatigue during a match. [ABSTRACT FROM AUTHOR]

This study examined the effects of evening use of electronic devices (i.e., smartphones, etc.) on sleep quality and next-day athletic and cognitive performance in elite judo athletes. Over 6 consecutive days and nights, 23 elite Australian judo athletes were monitored while attending a camp at the Australian Institute of Sport (AIS). In 14 athletes, all electronic devices were removed on days 3 and 4 (i.e., for 48 hours: the "device-restricted group"), whereas 9 were permitted to use their devices throughout the camp (the "control group"). All athletes wore an activity monitor (Readiband) continuously to provide measures of sleep quantity and quality. Other self-reported (diary) measures included time in bed, electronic device use, and rate of perceived exertion during training periods. Cognitive performance (Cogstate) and physical performance (single leg triple hop test) were also measured. When considering night 2 as a "baseline" for each group, removal of electronic devices on nights 3 and 4 (device- restricted group) resulted in no significant differences in any sleep-related measure between the groups. When comparing actigraphy-based measures of sleep to subjective measures, all athletes significantly overestimated sleep duration by 58 ± 85 minutes (p = 0.001) per night and underestimated time of sleep onset by 37 ± 72 minutes (p = 0.001) per night. No differences in physical or cognitive function were observed between the groups. Conclusion: This study has shown that the removal of electronic devices for a period of two nights (48 hours) during a judo camp does not affect sleep quality or quantity or influence athletic or cognitive performance. [ABSTRACT FROM AUTHOR]

A mismatch between physical ability and task requirements can increase the risk of on-the-job injury. Therefore, understanding key anthropometric characteristics associated with job performance is important in developing targeted training programs and selecting employees in physically demanding occupations. The aims of this study were to understand which anthropometric and demographic (age/sex) characteristics were associated with performance in a unilateral stretcher carry and bilateral jerry can and kettle bell carries. Sixty-seven enlisted Australian Army soldiers (46 men and 21 women) participated in this investigation. Body composition was quantified using dual-energy X-ray absorptiometry. Univariate and multivariable regression techniques were used to quantify correlations between anthropometric characteristics and carry performance. Median carry distance was 650 m (interquartile range [IQR] = 425-1,025 m) in the stretcher carry, 300 m (IQR = 215-445 m) in the jerry can carry, and 265 m (IQR = 200-400 m) in the kettle bell carry. Univariate analyses demonstrated that whole body, trunk, upper arm, forearm, and leg lean mass, as well as stature and body mass were associated with performance across the 3 carry tasks. Of these, leg lean mass was shown to be a key characteristic associated with carry performance. Subsequently, it is suggested that training programs focus on whole-body lean mass with specific emphasis on leg lean mass. Additionally, we demonstrated that age and sex were not significantly associated with carry performance when controlling for leg lean mass, indicating that modifiable factors can be targeted in training programs to improve job performance. [ABSTRACT FROM AUTHOR]

Decision-making is a key component of an umpire’s in-game performance, with each decision potentially having a direct impact on the result of the game. Additionally, umpires have to be physically fit to ensure they keep up with the gameplay. While research has identified the decision-making demands and running demands of umpires separately, few have explored the relationship between them. The aim of this investigation was to examine the relationship between physical exertion and decision-making performance of Australian football umpires at the sub-elite and junior levels. A total of 18 Australian football umpires (sub-elite,n = 10; juniorn = 8) performed 10 × 300 m runs, with each repetition immediately followed by a video-based decision-making test, then 1 min of recovery. A Mann–WhitneyUassessment indicated a significant difference between the sub-elite and junior level umpires for decision-making accuracy (U = 13.00,z = −2.43,P = 0.016,r = −0.5). However, there was no significant difference in response time (U = 28.00,z = −1.07,P = 0.315,r = −0.25). The sub-elite umpires completed the running efforts in significantly less time than the junior umpires (P < 0.05). Further, there was no significant correlation between decision-making performance and running times for either skill level (P > 0.05). This suggests decision-making performance may not be affected by physical exertion. Therefore, it may be suggested coaches of football umpires allocate more time to the decision-making development of their umpires instead of focusing largely on the physical fitness side, as is currently the trend. [ABSTRACT FROM AUTHOR]

Carrying a casualty on a stretcher is a critical task within military and emergency service occupations. This study evaluated the impact of manipulating carry speed and the object type in bilateral carries on the ability to predict performance and reflect the physical and physiological requirements of a unilateral stretcher carry. We demonstrated that three task-related predictive tests; a jerry can carry performed at 4.5 km h(-1)or 5.0 km h(-1) and a kettle-bell carry performed at 5.0 km h(-1) were strongly predictive of the physical and physiological demands of an individual participating as part of a four-person stretcher carry team. Therefore, bilateral predictive assessments have the utility for predicting the suitability of employees to effectively and safely conduct a four-person unilateral stretcher carry. [ABSTRACT FROM AUTHOR]

Carrying a casualty on a stretcher is a critical task conducted in a range of occupations. To ensure that personnel have the requisite physical capacity to conduct this task, two bilateral jerry can carries were used to predict individual performance in a four-person stretcher carry. Results demonstrated a bilateral 22-kg jerry can carry (R2 = 0.59) had superior predictive ability of stretcher carry performance than a bilateral 15-kg jerry can carry (R2 = 0.46). Pre- to post-carry changes in grip endurance (p > 0.05), back–leg isometric strength (p > 0.05) and leg power (p > 0.05) were not significantly different between carry tasks. There was no significant difference in heart rate (p > 0.05) and oxygen consumption (p > 0.05) between the stretcher carry and either jerry can carry. Thus, on the basis of performance correlations and physiological measures, the 22-kg jerry can carry is an appropriate predictive assessment of four-person stretcher carriage. Practitioner Summary:This study investigated the ability of a jerry can carry to predict individual performance on a four-person stretcher carry. Performance correlations were substantiated with physiological measures to demonstrate similar physical requirements between task and test. These results can be used to set physical employment standards to assess stretcher carriage. [ABSTRACT FROM AUTHOR]

The aim of this study is to investigate the effects of in-game physical exertion on decision-making performance of Australian football umpires. Fifteen Australian football umpires (Mage= 36,s= 13.5 years;Mgames umpired= 235.2,s= 151.3) volunteered to participate in the study. During five competitive Australian football pre-season games, measures of in-game physical exertion (blood lactate levels, global positioning system [GPS]) and decision-making performance (video-based test) were obtained. There were no significant correlations between physical exertion in a particular quarter and decision-making performance in either the same quarter or any other quarter. Video-based decision-making performance was effected by time in gameχ2(3) = 24.24,P= 0.001, with Quarter 4 performance significantly better than both Quarter 2 and Quarter 3. In-game physical exertion (blood lactate) significantly decreased over the course of the gameχ2(3) = 11.58,P= 0.009. Results indicate no definable link between in-game physical exertion and decision-making performance. It is, however, presumed that decision-making performance may be affected by the time or context of the game. Future research is warranted to explore the relationship between physical exertion and decision-making performance to potentially inform Australian football umpire training programmes that replicate in-game physical and decision-making demands. [ABSTRACT FROM AUTHOR]

This study examined the influence of player position and match quarter on activity profiles during the phases of play in Australian Football. Global positioning satellite data was collected for one season from an Australian Football League team for nomadic, key position and ruck players (age: 24.8 ± 4.2 years, body mass: 88.3 ± 8.7 kg, height: 1.88 ± 0.8 m). Separate linear mixed models and effect sizes were used to analyse differences between positions and game quarter within each phase of play for values of distance, speed and metabolic power indices. There were clear differences between positions for low-speed running, high-speed running, total distance and average speed. Nomadic players generally recorded the highest match running outputs, followed by key position players and ruckmen. Within each position, offence and defence involved the highest intensities, followed by contested play and then stoppage periods. Across the four quarters, there were small to large reductions in average speed, high-speed running, high power and energy expenditure during offence, defence and contested play, but not during stoppages. Accordingly, conditioning staff should consider the intermittent intensities of the phases of match-play for each position to optimally prepare players for competition. Reductions in match intensities were evident during active periods of play providing implications for real-time monitoring to optimise the timing of rotations.

We quantified the acceleration and high-velocity running of elite Australian soccer players. We hypothesised that high-intensity activity would be underestimated when excluding acceleration during match analysis given its high metabolic demand and occurrence at low velocities. Player movements were observed from 29 players (forwards and central and wide defenders and midfielders) during domestic Australian competition using 5-Hz global positioning system. Effort occurrence were determined for high-velocity running, sprinting and maximal accelerations. The commencement and final velocity of maximal accelerations were also identified. Players undertook an 8~fold greater number of maximal accelerations than sprints per game (65 ± 21 vs. 8 ± 5). Of maximal accelerations ~98 % commenced from a starting velocity lower than what would be considered high-velocity running while ~85 % did not cross the high-velocity running threshold. The number of efforts performed in all categories were position dependent ( P < 0.001). Wide defenders performed more maximal accelerations ( P < 0.006) and central defenders and midfielders performed less sprints compared to all other positions ( P < 0.02). Maximal accelerations are frequently undertaken during a match often occurring at low velocities. Excluding maximal accelerations in match analysis research may underestimate the amount of high-intensity movements undertaken. Additionally positional differences in high-intensity movements should be accounted for when developing specifi c conditioning drills. [ABSTRACT FROM AUTHOR]

Purpose: Determine the impact of preseason and between-seasons changes in individual physical performance on injury risk in elite junior Australian football players and if injuries sustained during a season impact subsequent-season performance improvement., Methods: This prospective cohort study assessed individual performance measures (sprint speed, jump, agility, and aerobic endurance) during preseason over 4 consecutive seasons. Injury status (injured/not injured) was tracked weekly to determine the relationship between individual performance and in-season injury occurrence. Mixed models were used to determine the relationship between physical performance and injury, and the effect of injury on physical performance improvement., Results: A total of 206 players played 2 consecutive seasons and were included (17.6 y, 181.9 cm, 75.7 kg). Faster players during preseason experienced higher injury incidence (injuries/season) during that playing season (incidence rate ratio = 0.127; P = .034). Injury incidence was not influenced by between-seasons change in any performance measure. Players injured during their first season maintained their aerobic fitness, which declined in noninjured players (d = 0.39; P = .013). Players who sustained a lower-limb injury during their first season saw smaller improvements in sprint speed than players who did not get injured (d = 0.39; P = .035)., Conclusion: Faster players experience higher injury incidence than slower players and may require specific prevention interventions. Players who experience a lower-limb injury during the playing season do not improve sprint speed between seasons to the same extent as players who do not get injured, highlighting the need for targeted high-speed running ability development as part of rehabilitation.

The effect of the menstrual cycle on athlete performance, wellbeing and perceived exertion and fatigue is not well understood. Furthermore, it has not been investigated specifically in Australian Football athletes. This pilot study aimed to explore how naturally menstruating Australian Football athletes may be affected by menstrual cycle phase. The data collected from the routine monitoring of five naturally menstruating athletes (average menstrual cycle length of 28 ± 3 [SD] days) in one team (athlete age range 18-35 years) competing in the Women's Australian Football League during the 2019 season were retrospectively analysed to compare performance (countermovement jump parameters and adductor squeeze pressure), perceived exertion, perceived fatigue and wellbeing (perceived sleep quality, stress and soreness) outcomes between the follicular and luteal phases. Performance, perceived exertion, stress and soreness did not appear to be affected by menstrual cycle phase ( p > 0.17). However, perceived fatigue appeared to be significantly greater ( p = 0.042) and sleep quality worse ( p = 0.005) in the luteal phase. This pilot study suggests further research focusing on the effect of menstrual cycle phase on subjective fatigue and wellbeing is warranted.

Context: Rugby union is a field-based collision sport with high injury rates. Associations between injury characteristics and global positioning system-derived movement demands in rugby union athletes are yet to be investigated., Objective: To investigate associations between match injuries and movement demands, anthropometrics, and physical performance in under-20-years university-level rugby union players., Design: Descriptive epidemiology study., Setting: Competition season., Patients or Other Participants: Rugby union players (n = 34, age = 19.3 ± 0.6 years) from a university club were recruited., Main Outcome Measure(s): Acute medical attention non-time-loss (NTL), medical-attention time-loss (TL), and total medical-attention (MA) injuries sustained were recorded. Principal component (PC) analysis was performed on player-movement demand variables to identify independent-movement demand components. Pearson correlation and bivariate linear regression were used to test associations between match injuries and PCs. Anthropometric and physical performance measures were tested as predictors of match injuries using a forward stepwise multiple regression analysis., Results: Backs had lower anthropometric and performance measures than forwards ( P < .05), whereas forwards performed fewer weekly movement demands than backs ( P < .05). Increases in body mass and skinfold thickness were associated with more injuries ( P < .05). Principal component analysis revealed 3 PCs representing overall performance, high-intensity running (HIR) performance, and impacts. Increases in HIR were associated with decreases in NTL upper limb and trunk ( r = -0.32, P = .03), NTL musculoskeletal ( r = -0.36, P = .05), NTL total ( r = -0.46, P < .01), TL musculoskeletal ( r = -0.30, P = .05), MA musculoskeletal ( r = -0.41, P < .01), and MA total ( r = -0.48, P < .01) injuries. Increases in impacts were associated with increased TL ( r = 0.32, P = .03) and MA ( r = 0.33, P = .03) head or neck injuries., Conclusions: Backs experienced greater weekly movement demands than forwards. Increases in HIR demands were associated with decreased acute injuries in university rugby players. Increases in impacts were associated with more acute head or neck injuries. Positional differences in movement demands, anthropometrics, and physical performance highlight the need for position-specific training.

Adherence to a Mediterranean Diet (MedDiet) is inversely associated with sarcopenia. The aim of this study was to examine the association between adherence to a MedDiet and sarcopenic symptomology in obese older adults. For confirmation of sarcopenia, low appendicular skeletal muscle (ASM: males, ≤7.25kg/m2; females, ≤5.5kg/m2) accompanied low handgrip strength (males, ≤30kg; females, ≤20kg) or low physical performance (Short Physical Performance Battery [SPPB]: ≤8; or gait speed: ≤0.8m/sec). Adherence to a MedDiet was determined using the Mediterranean Diet Adherence Screener (MEDAS). Sixty-five older adults were included. Adherence to a MedDiet was not associated with a decreased risk of sarcopenic symptomology (SPPB: OR = 0.20; 95% CI: 0.01-3.1; P = 0.234; Muscle strength: OR = 1.81; 95% CI: 0.32-10.15; P = 0.499; Gait speed: OR = 0.58; 95% CI: 0.13-2.50; P = 0.468). Future research should investigate whether a Mediterranean-style intervention can prevent or improve sarcopenic symptomology, including in non-Mediterranean populations., Competing Interests: All authors declare no conflict of interest