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Placebo and nocebo effects modulate symptom perception through expectations and learning processes in various domains. Predominantly, their impact has been investigated on pain and physical performance. However, the influence of placebos and nocebos on visual system functionality has yet to be explored. The present study aimed to test whether placebo and nocebo effects can intervene in altering participants' performance outcomes during a novel visual accuracy task and to examine the underlying neural mechanisms through EEG. After performing a baseline session, visual accuracy was said to be enhanced or disrupted by a sham transcranial electrical stimulation over the occipital lobe. Behavioural results showed a significant increase in visual accuracy for the placebo group, from the baseline session to the test session, whereas the nocebo group showed a decrease in visual accuracy. EEG analyses on the event-related potential P300 component, conducted on both a centro-parietal electrode patch and a parieto-occipital, one displayed an increase in the amplitude of P300 for the placebo group, and a decrease in the nocebo group. These findings suggest for the first time that placebo and nocebo effects can influence visual perception and attentional processes linked to it. Overall, the present study contributes to understanding how expectations affect sensory perception beyond pain and the motor system, paving the way for investigating these phenomena in other sensory modalities such as auditory or olfactory perception. KEY POINTS: Placebo and nocebo effects have been studied predominantly in pain and motor performance fields. In a novel visual task, the impact of placebo and nocebo effects on the visual system has been evaluated, in both early components (stimuli-related) and late components (attention-related). The placebo group showed an increase in visual accuracy and EEG-evoked potential amplitudes, whereas the nocebo group showed a decrease in both. This study shows how expectations and the related placebo and nocebo effects can shape basic stimuli sensory perception in the visual domain., (© 2024 The Authors. The Journal of Physiology © 2024 The Physiological Society.)

The aim of this pilot study was to determine the effect of individual complex carbohydrate taste sensitivity on cycling performance with complex carbohydrate oral rinsing. Ten male participants completed five cycling time trials in a fasted state with a seven-day washout period between each trial. Participants completed a fixed amount of work (738.45 ± 150.74 kJ) as fast as possible on a cycle ergometer while rinsing with an oral rinse for 10 s every 12.5% of the trial. An oral rinse (maltodextrin, oligofructose, glucose, sucralose or water control) was given per visit in a randomised, crossover, blinded design. Afterwards, participants had their taste assessed with three stimuli, complex carbohydrate (maltodextrin), sweet (glucose) and sour (citric acid), using taste assessment protocol to determine individual taste sensitivity status. Participants were subsequently grouped according to their complex carbohydrate taste sensitivity and complex carbohydrate taste intensity. There were no significant effects of the oral rinses on cycling performance time (p = 0.173). Participants who did not have improvements in exercise performance with the maltodextrin rinse experienced a stronger taste intensity with complex carbohydrate stimuli at baseline (p = 0.047) and overall (p = 0.047) than those who did have improvements in performance. Overall, a carbohydrate oral rinse was ineffective in significantly improving cycling performance in comparison with a water control. However, when participants were grouped according to complex carbohydrate taste intensity, differences in exercise performance suggest that individual sensitivity status to complex carbohydrates could impact the efficacy of a carbohydrate-based oral rinse. [ABSTRACT FROM AUTHOR]

The nasty urine microenvironment (UME) is an inherent obstacle that hinders urethral repair due to fibrosis and swelling of the oftentimes adopted hydrogel‐based biomaterials. Here, using reduced graphene oxide (rGO) along with double‐freeze‐drying to strengthen a 3D‐printed patch is reported to realize scarless urethral repair. The sodium alginate/gelatin/reduced graphene oxide (SA/Gel/rGO) biomaterial features tunable stiffness, degradation profile, and anti‐fibrosis performance. Interestingly, the 3D‐printed alginate‐containing composite scaffold is able to respond to Ca2+ present in the urine, leading to enhanced structural stability and strength as well as inhibiting swelling. The investigations present that the swelling behaviors, mechanical properties, and anti‐fibrosis efficacy of the SA/Gel/rGO patch can be modulated by varying the concentration of rGO. In particular, rGO in optimal concentration shows excellent cell viability, migration, and proliferation. In‐depth mechanistic studies reveal that the activation of cell proliferation and angiogenesis‐related proteins, along with inhibition of fibrosis‐related gene expressions, play an important role in scarless repair by the 3D‐printed SA/Gel/rGO patch via promoting urothelium growth, accelerating angiogenesis, and minimizing fibrosis in vivo. The proposed strategy has the potential of resolving the dilemma of necessary biomaterial stiffness and unwanted fibrosis in urethral repair. [ABSTRACT FROM AUTHOR]

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

Capsinoids may exert ergogenic effects on resistance exercises. However, the acute effects of capsinoids on neuromuscular performance in humans are unknown. Here, we aimed to investigate the acute effects of dihydrocapsiate on lower- and upper-body neuromuscular performance parameters in resistance-trained individuals. 25 young adults (n = 6 women; age = 26 ± 3 years; body mass index = 24.3 ± 2.8 kg/m²) with= 1-year resistance training experience were included in this triple-blind (participants, intervention researchers, and data analysts were blinded), placebo-controlled, crossover study. Lower- and upper-body ballistic strength (countermovement jump [CMJ] height and bench press throw [BPT] peak velocity), maximum dynamic strength (estimated 1 repetition maximum in squat and bench press [BP]), and strengthendurance (mean set velocity [squat] and number of repetitions to failure [bench press]) were assessed in 2 independent sessions (=7 days separation). Participants ingested 12 mg of dihydrocapsiate or placebo 30 min before each trial. We found no significant differences between dihydrocapsiate and placebo conditions in ballistic strength, (CMJ height 33.20 ± 8.07 vs 33.32 ± 7.85 cm; BPT peak velocity 2.82 ± 0.77 vs 2.82 ± 0.74 m/s) maximal dynamic strength (estimated squat 1RM: 123.76 ± 40.63 vs 122.66 ± 40.97 kg; estimated BP 1RM: 99.47 ± 43.09 vs 99.60 ± 43.34 kg), and strength-endurance (squat mean set velocity 0.66 ± 0.07 vs 0.66 ± 0.05 m/s; number BP repetitions to failure 13.00 ± 3.56 vs 13.00 ± 4.78) (all P = 0.703). We conclude that dihydrocapsiate does not acutely improve neuromuscular performance in trained young adults. [ABSTRACT FROM AUTHOR]

Caffeine is one of the main ergogenic resources used in exercise and sports. Previously, we reported the ergogenic mechanism of caffeine through neuronal A2AR antagonism in the central nervous system [1]. We now demonstrate that the striatum rules the ergogenic effects of caffeine through neuroplasticity changes. Thirty-four Swiss (8–10 weeks, 47 ± 1.5 g) and twenty-four C57BL/6J (8–10 weeks, 23.9 ± 0.4 g) adult male mice were studied behaviorly and electrophysiologically using caffeine and energy metabolism was studied in SH-SY5Y cells. Systemic (15 mg/kg, i.p.) or striatal (bilateral, 15 μg) caffeine was psychostimulant in the open field (p < 0.05) and increased grip efficiency (p < 0.05). Caffeine also shifted long-term depression (LTD) to potentiation (LTP) in striatal slices and increased the mitochondrial mass (p < 0.05) and membrane potential (p < 0.05) in SH-SY5Y dopaminergic cells. Our results demonstrate the role of the striatum in the ergogenic effects of caffeine, with changes in neuroplasticity and mitochondrial metabolism. [ABSTRACT FROM AUTHOR]

It has often been reported that mental exertion, presumably leading to mental fatigue, can negatively affect exercise performance; however, recent findings have questioned the strength of the effect. To further complicate this issue, an overlooked problem might be the presence of publication bias in studies using underpowered designs, which is known to inflate false positive report probability and effect size estimates. Altogether, the presence of bias is likely to reduce the evidential value of the published literature on this topic, although it is unknown to what extent. The purpose of the current work was to assess the evidential value of studies published to date on the effect of mental exertion on exercise performance by assessing the presence of publication bias and the observed statistical power achieved by these studies. A traditional meta-analysis revealed a Cohen's dz effect size of − 0.54, 95% CI [− 0.68, − 0.40], p <.001. However, when we applied methods for estimating and correcting for publication bias (based on funnel plot asymmetry and observed p-values), we found that the bias-corrected effect size became negligible with most of publication-bias methods and decreased to − 0.36 in the more optimistic of all the scenarios. A robust Bayesian meta-analysis found strong evidence in favor of publication bias, BFpb > 1000, and inconclusive evidence in favor of the effect, adjusted dz = 0.01, 95% CrI [− 0.46, 0.37], BF10 = 0.90. Furthermore, the median observed statistical power assuming the unadjusted meta-analytic effect size (i.e., − 0.54) as the true effect size was 39% (min = 19%, max = 96%), indicating that, on average, these studies only had a 39% chance of observing a significant result if the true effect was Cohen's dz = − 0.54. If the more optimistic adjusted effect size (− 0.36) was assumed as the true effect, the median statistical power was just 20%. We conclude that the current literature is a useful case study for illustrating the dangers of conducting underpowered studies to detect the effect size of interest. [ABSTRACT FROM AUTHOR]

The long-standing caffeine habituation paradigm was never investigated in strength endurance and jumping exercise performance through a straightforward methodology. The authors examined if habitual caffeine consumption would influence the caffeine ergogenic effects on strength endurance and jumping performance as well as perceptual responses. Thirty-six strength-trained individuals were mathematically allocated into tertiles according to their habitual caffeine consumption: low (20 ± 11 mg/day), moderate (88 ± 33 mg/day), and high consumers (281 ± 167 mg/day). Then, in a double-blind, crossover, counterbalanced fashion, they performed a countermovement vertical jump test and a strength endurance test either after caffeine (6 mg/kg) and placebo supplementation or after no supplementation (control). Perceptual responses such as ratings of perceived exertion and pain were measured at the termination of the exercises. Acute caffeine supplementation improved countermovement vertical jump performance (p =.001) and total repetitions (p =.004), regardless of caffeine habituation. Accordingly, analysis of absolute change from the control session showed that caffeine promoted a significantly greater improvement in both countermovement vertical jump performance (p =.004) and total repetitions (p =.0001) compared with placebo. Caffeine did not affect the rating of perceived exertion and pain in any exercise tests, irrespective of tertiles (for all comparisons, p >.05 for both measures). Caffeine side effects were similar in low, moderate, and high caffeine consumers. These results show that habitual caffeine consumption does not influence the potential of caffeine as an ergogenic aid in strength endurance and jumping exercise performance, thus challenging recommendations to withdraw from the habitual caffeine consumption before supplementing with caffeine. [ABSTRACT FROM AUTHOR]

Background: Intramuscular injections of hypertonic saline are commonly used to induce experimental muscle pain, but reliability data on this technique are lacking. This study investigated the intra‐ and interindividual reliability of pain measures from a hypertonic saline injection into the vastus lateralis. Methods: Fourteen healthy participants (6 female) attended three laboratory visits where they received an intramuscular injection of 1 mL hypertonic saline into the vastus lateralis. Changes in pain intensity were recorded on an electronic visual analogue scale, and pain quality was assessed after pain had resolved. Reliability was assessed with the coefficient of variation (CV), minimum detectable change (MDC) and intraclass correlation coefficient (ICC) with 95% CIs. Results: Mean pain intensity displayed high levels of intraindividual variability (CV = 16.3 [10.5–22.0]%) and 'poor' to 'very good' relative reliability (ICC = 0.71 [0.45–0.88]) but had a MDC of 11 [8–16] au (out of 100). Peak pain intensity exhibited high levels of intraindividual variability (CV = 14.8 [8.8–20.8]%) with 'moderate' to 'excellent' levels of relative reliability (ICC = 0.81 [0.62–0.92]), whereas the MDC was 18 [14–26] au. Measures of pain quality exhibited good reliability. Interindividual variability in pain measures was high (CV > 37%). Conclusions: Intramuscular injections of 1 mL of hypertonic saline into the vastus lateralis display substantial levels of interindividual variability, but MDC is below the clinically important changes in pain. This model of experimental pain is suitable for studies involving repeated exposures. Significance: Many pain research studies have performed intramuscular injections of hypertonic saline to investigate responses to muscle pain. However, the reliability of this technique is not well established. We examined the pain response over three repeated sessions of a hypertonic saline injection. The pain induced by hypertonic saline has considerable interindividual variability but has largely acceptable intraindividual reliability. Therefore, the injections of hypertonic saline to induce muscle pain are a reliable model of experimental muscle pain. [ABSTRACT FROM AUTHOR]

This study verifies the prolonged use effect of a sport-based video game (SBV) on basketball players' visuomotor performance. Fourteen male national-level basketball players (24.3 ± 4.1 years; experience time: 6.5 ± 1.9 years) performed two baseline visits and two experimental conditions in a randomised and counterbalanced crossover study. They completed a baseline visuomotor task with and without a ball and were familiarised with the mental fatigue assessment. The experimental conditions consisted of playing an SBV and watching a documentary as control (CON) lasting 60-min each. Before and after experimental conditions, the participants performed a visuomotor task and response subjective rating of mental fatigue indicator measures (i.e., Visual Analogue Scale [VAS]), Stroop Test (i.e., accuracy and response time), and theta band from electroencephalogram. Accuracy decreased, and response time increased on visuomotor tasks with and without the ball, only for the SBV condition (p < 0.05). Subjective rating of mental fatigue (i.e., VAS), the response time on Stroop task, and theta band increased only for the SBV condition (p < 0.05). Mental fatigue induced by prolonged use of SBV impairs visuomotor performance in male basketball players, decreasing accuracy and significantly increasing response time. [ABSTRACT FROM AUTHOR]

Background: Interoception (i.e., the ability to recognize bodily signals), alexithymia (i.e., the inability to recognize emotional states) and negative affect (i.e., unpleasant feelings such as anxiety) have been associated with alcohol use disorder (AUD). Previous research suggests that interoception may underlie alexithymia, which in turn may be associated with negative affectivity. However, this remains to be empirically tested. This study investigates whether alexithymia mediates the association between interoception and anxiety and whether this association differs across individuals with AUD and a healthy control (HC) comparison group. Methods: The AUD group consisted of 99 participants enrolled in an 8-week abstinence-based inpatient treatment program. The HC group included 103 healthy individuals. The heartbeat counting task (HCT) was used to assess interoception (cardiac interoceptive accuracy). The Toronto Alexithymia Scale (TAS-20) was used to assess alexithymia. The Brief Symptom Inventory (BSI) was used to assess anxiety. Results: The moderated mediation model with interoception as the predictor, alexithymia as the mediator, and negative affect (i.e., state anxiety) as the dependent variable was tested. The analysis showed that the conditional indirect effect of interoception on anxiety via alexithymia was significant for individuals with AUD [ab = -0.300, bootstrap 95% CI = (-0.618, -0.088)], as well as for HCs [ab = -0.088, bootstrap 95% CI = (-0.195, -0.014)]; however, the conditional indirect effect significantly differed across HCs and individuals with AUD. Namely, the mediated effect was greater among individuals with AUD compared to the HC group. Conclusion: The results suggests that interoceptive impairment contributes to greater negative affect (i.e., state anxiety) via alexithymia especially for individuals with AUD. Improving emotion recognition via therapeutic methods focused on strengthening interoceptive abilities could improve outcomes for individuals receiving treatment for AUD. [ABSTRACT FROM AUTHOR]

Interest in the influence of a prior cognitive task on physical performance is growing. This work has been approached by several different disciplines, showing its broad importance. The findings from different disciplines have begun to be brought together. This paper reviews the literatures of how both cognitive fatigue and ego depletion can influence physical performance, and does so through a new framework, adapted from Newell's constraints model, and the further specifications of Balagué et al. ([2019] On the relatedness and nestedness of constraints. Sports Medicine-Open, 5(1), 1–10.). We describe findings that relate to how the relationship between taxing cognitive task performance and the impact on physical performance emerges from the interaction of environmental and individual constraints. Working from an acknowledgement of these different influences, the systems they create (e.g. individual-environment system), and their interactions is a key consideration in advancing this area of research. Framing previous findings in this way provides a more organised perspective on the problem, to better structure and drive the research agenda and key next steps. Using the framework, we provide a roadmap and identify five main areas where more work is needed that can advance the field and contribute across disciplines, beyond sports psychology. [ABSTRACT FROM AUTHOR]

Depression is associated with frontal alpha asymmetry (FAA) and Psychological Resilience (PR), although in different ways. Only cursory attention has been given to how these three constructs interact despite the possible clinical and research implications of those associations. One limitation of recent research into these associations has been conceptualising PR as a unitary construct, whereas it has been shown to be multi-component. This study investigated the underlying components of PR, their correlations with FAA, and the effect that participants' depressive status had upon those correlations in a community sample of 54 males and 46 females aged between 18 yr and 75 years. Results confirmed the overall inverse association between total PR and depression for four of the original five PR components and for one of the two components found in this sample. Similarly, there were differences between the ways that FAA and PR components were associated, depending upon the depressive status of participants. Source localisation data indicated that the PR components were not uniformly correlated with alpha activity in the same brain regions. These findings of content, efficacy, and neurophysiological differences between the five components of PR and their associations with FAA argue against consideration of PR as a unitary construct. [ABSTRACT FROM AUTHOR]

We extend findings from previous quantitative reviews of the effects of aerobic exercises on positive-activated affect (PAA) to evaluate the effect of Tai chi training on PAA in randomised controlled trials and to test whether effect varied according to participant features, Tai chi exposure, or characteristics of research design. English articles published before 31 December 2020 were searched according to PRISMA guidelines. Study quality was judged by using a revised Cochrane risk of bias (RoB 2) tool for RCTs. Hedges' d effect sizes were calculated, and random effect model with multilevel meta-analysis were used to estimate the pooled effect. I2 tests were applied to assess the heterogeneity. Moderating effects were tested by multilevel meta-regression analysis according to moderators derived from participant characteristics, Tai chi exposure, and features of research design. Publication bias was assessed by examining the funnel plot according to Egger's method. From 577 articles, 32 RCTs articles were selected involving 2950 adults (18 years old and above), from which 61 effects were yielded. Tai chi training significantly increased PAA in adults by a heterogeneous standardised mean effect size of 0.41 (95% CI, 0.14 to 0.69, p < 0.01). Larger effects were found when (1) higher frequency (sessions/week) of Tai chi practice was implemented, and (2) when Tai chi versus no treatment, usual care or wait-list condition was compared. Tai chi has small-to-medium efficacy for nurturing PAA. Tai chi with higher frequency and against no treatment, usual care or wait-list condition, achieve the larger PAA-generating effects. [ABSTRACT FROM AUTHOR]

Purpose: Endurance performance has been enhanced both by carbohydrate mouth-rinsing (CHO-MR) and allowing subjects to view an artificially slowed clock. Taste sensitivity and perception of time are altered in older men. We assessed the effects of CHO-MR and clock manipulation (ClkM) on running performance and ratings of perceived exertion (RPE) in older men. Methods: Nine male runners (age 63 ± 3 years; ≥ 2 years of experience in ≥ 10 km run) completed six time-trial runs (~60 min each). While running, subjects viewed a chronometer running at real (NOR, total time = 60 min), 10% slower (SLO, total time = 66 min) or 10% faster (FAST, total time = 54 min) speeds. Before and at the midpoint of each run, subjects' mouths were rinsed for 10 s with 25 mL of either a 6% maltodextrin solution (CHO) or an identically flavored aspartame solution (PLA) in a randomized, counterbalanced, double-blind fashion. Mean running velocity was recorded and RPE was assessed every 10 min. Data were analyzed using repeated measures for treatment (CHO-MR and time) over time. A Bayes factor analysis (BF10) was performed to quantify the probability for CHO-MR and/or ClkM to impact mean running velocity, RPE, and RPE/velocity ratio. Results: CHO-MR did not alter running velocity compared with PLA, regardless of ClkM. Repeated measures analysis of variance (ANOVA) indicated CHO-MR significantly lowered RPE and RPE/velocity, and BF10 for RPE indicated high (64–99%) probabilities of RPE being affected by CHO vs. PLA. Conclusions: ClkM does not influence endurance performance in older men. CHO-MR reduces RPE during long endurance running but has no impact on running speed. [ABSTRACT FROM AUTHOR]

Caffeine ingestion can improve performance across a variety of exercise modalities but can also elicit negative side effects in some individuals. Thus, there is a growing interest in the use of caffeine mouth rinse solutions to improve sport and exercise performance while minimizing caffeine’s potentially adverse effects. Mouth rinse protocols involve swilling a solution within the oral cavity for a short time (e.g., 5–10 s) before expectorating it to avoid systemic absorption. This is believed to improve performance via activation of taste receptors and stimulation of the central nervous system. Although reviews of the literature indicate that carbohydrate mouth rinsing can improve exercise performance in some situations, there has been no attempt to systematically review the available literature on caffeine mouth rinsing and its effects on exercise performance. To fill this gap, a systematic literature search of three databases (PubMed, SPORTDiscus, and Web of Science) was conducted by two independent reviewers. The search resulted in 11 randomized crossover studies that were appraised and reviewed. Three studies found significant positive effects of caffeine mouth rinsing on exercise performance, whereas the remaining eight found no improvements or only suggestive benefits. The mixed results may be due to heterogeneity in the methods across studies, interindividual differences in bitter tasting, and differences in the concentrations of caffeine solutions. Future studies should evaluate how manipulating the concentration of caffeine solutions, habitual caffeine intake, and genetic modifiers of bitter taste influence the efficacy of caffeine mouth rinsing as an ergogenic strategy. [ABSTRACT FROM AUTHOR]

Mental fatigue has shown to be one of the root causes of decreased productivity and overall cognitive performance, by decreasing an individual's ability to inhibit responses, process information and concentrate. The effects of mental fatigue have led to occupational errors and motorway accidents. Early detection of mental fatigue can prevent the escalation of symptoms that may lead to chronic fatigue syndrome and other disorders. To date, in clinical settings, the assessment of mental fatigue and stress is done through self-reported questionnaires. The validity of these questionnaires is questionable, as they are highly subjective measurement tools and are not immune to response biases. This review examines the wider presence of mental fatigue in the general population and critically compares its various detection techniques (i.e., self-reporting questionnaires, heart rate variability, salivary cortisol levels, electroencephalogram, and saccadic eye movements). The ability of these detection tools to assess inhibition responses (which are sensitive enough to be manifested in a fatigue state) is specifically evaluated for a reliable marker in identifying mentally fatigued individuals. In laboratory settings, antisaccade tasks have been long used to assess inhibitory control and this technique can potentially serve as the most promising assessment tool to objectively detect mental fatigue. However, more studies need to be conducted in the future to validate and correlate this assessment with other existing measures of mental fatigue detection. This review is intended for, but not limited to, mental health professionals, digital health scientists, vision researchers, and behavioral scientists. [ABSTRACT FROM AUTHOR]

Mental fatigue (MF) does not only affect cognitive but also physical performance. This study aimed to explore the effects of MF on muscle endurance, rate of perceived exertion (RPE), and motor units' activity. Ten healthy males participated in a randomised crossover study. The subjects attended two identical experimental sessions separated by 3 days with the only difference of a cognitive task (incongruent Stroop task [ST]) and a control condition (watching a documentary). Perceived MF and motivation were measured for each session at baseline and after each cognitive task. Four contractions at 20% of maximal voluntary contraction (MVIC) were performed at baseline, after each cognitive and after muscle endurance task while measuring motor units by high-density surface electromyography. Muscle endurance until failure at 50% of MVIC was measured after each cognitive task and the RPE was measured right after failure. ST significantly increased MF (p = 0.001) reduced the motivation (p = 0.008) for the subsequent physical task and also impaired physical performance (p = 0.044). However, estimates of common synaptic inputs and motor unit discharge rates as well as RPE were not affected by MF (p > 0.11). In conclusion, MF impairs muscle endurance and motivation for the physical task but not the neural drive to the muscle at any frequency bands. Although it is physiologically possible for mentally fatigued subjects to generate an optimal neuromuscular function, the altered motivation seems to limit physical performance. Preliminarily, our results suggest that the corticospinal pathways are not affected by MF. [ABSTRACT FROM AUTHOR]

Hydrogels are three-dimensional hydrophilic polymeric networks absorbing up to and even more than 90 wt% of water. These superabsorbent polymers retain their shape during the swelling process while enlarging their volume and mass. In addition to their swelling behavior, hydrogels can possess other interesting properties, such as biocompatibility, good rheological behavior, or even antimicrobial activity. This versatility qualifies hydrogels for many medical applications, especially drug delivery systems. As recently shown, polyelectrolyte-based hydrogels offer beneficial properties for long-term and stimulus-responsive applications. However, the fabrication of complex structures and shapes can be difficult to achieve with common polymerization methods. This obstacle can be overcome by the use of additive manufacturing. 3D printing technology is gaining more and more attention as a method of producing materials for biomedical applications and medical devices. Photopolymerizing 3D printing methods offer superior resolution and high control of the photopolymerization process, allowing the fabrication of complex and customizable designs while being less wasteful. In this work, novel synthetic hydrogels, consisting of [2-(acryloyloxy) ethyl]trimethylammonium chloride (AETMA) as an electrolyte monomer and poly(ethylene glycol)-diacrylate (PEGDA) as a crosslinker, 3D printed via Digital Light Processing (DLP) using a layer height of 100 μm, are reported. The hydrogels obtained showed a high swelling degree q ∞m,t ∼ 12 (24 h in PBS; pH 7; 37 °C) and adjustable mechanical properties with high stretchability (εmax ∼ 300%). Additionally, we embedded the model drug acetylsalicylic acid (ASA) and investigated its stimulus-responsive drug release behaviour in different release media. The stimulus responsiveness of the hydrogels is mirrored in their release behavior and could be exploited in triggered as well as sequential release studies, demonstrating a clear ion exchange behavior. The received 3D-printed drug depots could also be printed in complex hollow geometry, exemplarily demonstrated via an individualized frontal neo-ostium implant prototype. Consequently, a drug-releasing, flexible, and swellable material was obtained, combining the best of both worlds: the properties of hydrogels and the ability to print complex shapes. [ABSTRACT FROM AUTHOR]

Research investigating the effects of carbohydrate (CHO) mouth rinsing on neurocognitive functions is currently limited and has yielded inconsistent results. In this study, we employed the event-related potential (ERP) electroencephalography technique to investigate the effect of CHO mouth rinsing on electrophysiological correlates of visuospatial attention. Using a double-blind, non-nutritive sweetener (NNS)-controlled, within-subjects design, 53 young adults performed a standard cognitive task (modified Simon task) on two separate days in a fasted state (16 h). Intermittently, mouth rinsing was performed either with a CHO (glucose, 18%, 30 mL) or an NNS solution (aspartame, 0.05%, 30 mL). Results revealed that relative to NNS, electrophysiological correlates of both more bottom-up controlled visuospatial attention (N1pc-ERP component) were decreased in response to CHO rinsing. In contrast, compared to NNS, more top-down controlled visuospatial attention (N2pc-ERP component) was increased after CHO rinsing. Behavioral performance, however, was not affected by mouth rinsing. Our findings suggest that orosensory signals can impact neurocognitive processes of visuospatial attention in a fasted state. This may suggest a central mechanism underlying the ergogenic effects of carbohydrate mouth rinsing on endurance performance could involve modulations of attentional factors. Methodologically, our study underlines that understanding the effects of carbohydrate mouth rinsing at the central level may require combining neuroscientific methods and manipulations of nutritional states. [ABSTRACT FROM AUTHOR]

Low back pain is one of the main causes of motor disabilities and psychological stress, with the painful process encompassing sensory and affective components. Noxious stimuli originate on the periphery; however, the stimuli are recombined in the brain and therefore processed differently due to the emotional environment. To better understand this process, our objective was to develop a mathematical representation of the International Association for the Study of Pain (IASP) model of pain, covering the multidimensional representation of this phenomenon. Data from the Oswestry disability index; the short form of the depression, anxiety, and stress scale; and pain catastrophizing daily questionnaires were collected through online completion, available from 8 June 2022, to 8 April 2023 (1021 cases). Using the information collected, an artificial neural network structure was trained (based on anomaly detection methods) to identify the patterns that emerge from the relationship between the variables. The developed model proved to be robust and able to show the patterns and the relationship between the variables, and it allowed for differentiating the groups with altered patterns in the context of low back pain. The distinct groups all behave according to the main finding that psychological and pain events are directly associated. We conclude that our proposal is effective as it is able to test and confirm the definition of the IASP for the study of pain. Here we show that the fiscal and mental dimensions of pain are directly associated, meaning that mental illness can be an enhancer of pain episodes and functionality. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the isolated effects of NaHCO3 on cycling time-trial performance. Furthermore, we investigated whether the ingestion time of NaHCO3, standardized or individualized based on time to peak, could be effective in improving cycling time-trial performance. A systematic review was carried out on randomized placebo-controlled studies. A random-effects meta-analysis assessed the standardized mean difference (SMD) between NaHCO3 and placebo conditions. Eighteen studies were qualitatively (systematic review) and quantitatively (meta-analysis) analysed concerning mean power output (Wmean) (n = 182) and time performance (n = 201). The reviewed studies showed a low risk of bias and homogenous results for Wmean (I2 = 0%) and performance time (I2 = 0%). Overall, when compared to placebo, the NaHCO3 ingestion improved the Wmean (SMD: 0.42; 95% CI: 0.21–0.63; P = 0.001) and performance time (SMD: 0.22; 95% CI: 0.02–0.43; P = 0.03). Similarly, the NaHCO3 ingestion using a time-to-peak strategy improved the Wmean (SMD: 0.39; 95% CI: 0.03–0.75; P = 0.04; I2 = 15%) and performance time (SMD: 0.34; 95% CI: 0.07–0.61, P = 0.01, I2 = 0%). The present findings reveal that NaHCO3 ingestion has the potential to increase the overall performance time and Wmean in cycling time trials. Highlights NaHCO3 is an effective strategy to increase cycling time-trial performance. The standardized protocol did not improve the cycling time-trial performance parameters. The individualized time-to-peak NaHCO3 ingestion has a positive effect on time and Wmean during cycling time-trial performance [ABSTRACT FROM AUTHOR]

Copyright of Movement & Sport Sciences / Science & Motricité is the property of EDP Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Movement & Sport Sciences / Science & Motricité is the property of EDP Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We derive a macroscopic limit for a sharp interface version of a model proposed in Komura et al. (Langmuir 22:6771–6774, 2006) to investigate pattern formation due to competition of chemical and mechanical forces in biomembranes. We identify sub- and supercritical parameter regimes and show with the introduction of the autocorrelation function that the ground state energy leads to the isoperimetric problem in the subcritical regime, which is interpreted to not form fine scale patterns. [ABSTRACT FROM AUTHOR]

The present study investigates the effect of an acute intake of caffeine on the diurnal variation of neuromuscular performance in resistance-trained women. A total of 15 resistance-trained women participated in the current triple-blind, placebo-controlled, crossover experimental study. We assessed neuromuscular performance (i.e. ballistic (countermovement jump [CMJ] height and bench press throw [BPT] peak velocity), maximal strength (squat and bench press [BP] one-repetition maximum [1RM]), and strength-endurance [average velocity of the set during squat and number of repetitions-to-failure in BP]) four times at within 7 days. The participants ingested an acute dose of caffeine (3 mg/kg) or a placebo at 9–11 am and/or 17–19 pm. CMJ height (P =.016) and BP peak velocity (P =.012) were higher in the afternoon than in the morning. Compared to placebo, caffeine intake increased CMJ height by 3.1% in the morning and 1.6% in the afternoon (P =.035), but it had no effect on BPT peak velocity (P =.381). Maximal strength and strength-endurance performances were not affected by the time-of-day or caffeine intake (all P >.3). No significant interaction (time-of-day x substance) was observed in any of the above-mentioned outcomes (all P >.1). In conclusion, an acute dose of caffeine in the morning was effective to restore CMJ performance to levels found in the afternoon, while this effect was not observed neither in BPTpeak velocity nor in lower- and upper-body maximal strength and strength-endurance performance. Moreover, lower- and upper-body ballistic performance were greater in the afternoon than in the morning in resistance-trained women, while the acute intake of caffeine was only effective to increase CMJ height. Highlights Ballistic performance is probably higher in the afternoon than in the morning in resistance-trained women. An acute intake of caffeine is effective to increase countermovement jump performance. The ingestion of an acute dose of caffeine in the morning restored countermovement jump performance to levels found in the afternoon. [ABSTRACT FROM AUTHOR]

This study aimed to analyze the effect of playing videogames and using social media applications on smartphones on decision-making and countermovement jump (CMJ) performance in amateur boxers. Twenty one boxers were enrolled in the study and were randomly assigned to all three experimental conditions [smartphone (30SMA), videogame (30VID), and control (CON)]. CMJ was measured before and 30-min after each experimental condition. The athletes ran simulated combat recorded for decision-making analysis. The boxers watched coaching videos (CON), used social media applications on smartphones (30SMA), and played video games (30VID) for 30 min just before the combat simulation. Both attack and defense decision-making performance were worse in both 30SMA and 30VID conditions compared to the CON condition (p = 0.001). Regarding CMJ, despite no condition effect (p = 0.96) been obtained, a time effect (p = 0.001) was observed; So, it was found a decrease in CMJ performance after all experimental conditions (p = 0.001), with no difference between them. Using social media applications on smartphones and playing video game impairs decision-making performance in amateur boxers, with no harms for CMJ performance. [ABSTRACT FROM AUTHOR]

Blood flow occlusion (BFO) has been previously used to investigate physiological responses to muscle ischemia, showing increased perceptual effort (RPE) and pain along with impaired neuromuscular performance. However, at present, it is unclear how BFO alters corticomuscular activities when either applied to the exercising or nonexercising musculature. The present study therefore set out to assess the corticomuscular response to these distinct BFO paradigms during an isometric contraction precision task. In a repeated measures design, fifteen participants (age = 27.00 ± 5.77) completed 15 isometric contractions across three experimental conditions; no occlusion (CNTRL), occlusion of the contralateral (i.e., nonexercising) limb (CON-OCC), and occlusion of the ipsilateral (i.e., exercising) limb (IPS-OCC). Measures of force, electroencephalographic (EEG), and electromyographic (EMG) were recorded during contractions. We observed that IPS-OCC broadly impaired force steadiness, elevated EMG of the vastus lateralis, and heightened RPE and pain. IPSI-OCC also significantly decreased corticomuscular coherence during the early phase of contraction and decreased EEG alpha activity across the sensorimotor and temporoparietal regions during the middle and late phases of contraction compared with CNTRL. By contrast, CON-OCC increased perceived levels of pain (but not RPE) and decreased EEG alpha activity across the prefrontal cortex during the middle and late phases of contraction, with no changes observed for EMG and force steadiness. Together, these findings highlight distinctive psychophysiological responses to experimental pain via BFO showing altered cortical activities (CON-OCC) and altered cortical, corticomuscular, and neuromuscular activities (IPS-OCC) when applied to the lower limbs during an isometric force precision task., (© 2023 The Authors. Psychophysiology published by Wiley Periodicals LLC on behalf of Society for Psychophysiological Research.)

This study aimed to systematically review the available evidence on the effects of Pilates training programs on blood pressure in hypertensive patients. Randomized clinical trials and comparative studies were searched in four electronic databases until September 2023 (updated December 2023). The methodological quality of included studies was assessed using the Physiotherapy Evidence Database and Methodological Index for Non-Randomized Studies scales. A total of 4 randomized clinical trials and 7 comparative studies were included, showing a low (n = 1), hight (n = 6), and good (n = 4) methodological quality. Data synthesis indicated that participants who performed Pilates program obtained significantly reduces on systolic blood pressure and diastolic blood pressure, of -4.76 mmHg (95% CI: -6.55 to -2.97, p < 0.001) and -3.43 mmHg (95% CI: -4.37 to -2.49, p < 0.001), respectively, in comparison with those included in the comparison groups. When the analysis was performed by comparing hypertensive, and normotensive patients, the results remained non-significant for blood pressure (systolic blood pressure: 0.96 mmHg (95% CI: -2.85 to 4.77, P = 0.49); diastolic blood pressure: 1.18 mmHg (95% CI: -1.23 to 3.58, P = 0.34); mean blood pressure: 1.73 mmHg (95% CI: -1.96 to 5.42, P = 0.36). Evidence suggests Pilates is safe for hypertensive patients and can be part of their rehabilitation, but it may not necessarily offer superior results or improve exercise adherence compared to other modalities., (© 2024. The Author(s), under exclusive licence to Springer Nature Limited.)

Background: The negative effect of mental fatigue (MF) on physical performance has recently been questioned. One reason behind this could lie in the interindividual differences in MF-susceptibility and the individual features influencing them. However, the range of individual differences in mental fatigue-susceptibility is not known, and there is no clear consensus on which individual features could be responsible for these differences. Objective: To give an overview of interindividual differences in the effects of MF on whole-body endurance performance, and individual features influencing this effect. Methods: The review was registered on the PROSPERO database (CRD42022293242). PubMed, Web of Science, SPORTDiscus and PsycINFO were searched until the 16th of June 2022 for studies detailing the effect of MF on dynamic maximal whole-body endurance performance. Studies needed to include healthy participants, describe at least one individual feature in participant characteristics, and apply at least one manipulation check. The Cochrane crossover risk of bias tool was used to assess risk of bias. The meta-analysis and regression were conducted in R. Results: Twenty-eight studies were included, with 23 added to the meta-analysis. Overall risk of bias of the included studies was high, with only three presenting an unclear or low rating. The meta-analysis shows the effect of MF on endurance performance was on average slightly negative (g = − 0.32, [95% CI − 0.46; − 0.18], p < 0.001). The multiple meta-regression showed no significant influences of the included features (i.e. age, sex, body mass index and physical fitness level) on MF-susceptibility. Conclusions: The present review confirmed the negative impact of MF on endurance performance. However, no individual features influencing MF-susceptibility were identified. This can partially be explained by the multiple methodological limitations such as underreporting of participant characteristics, lack of standardization across studies, and the restricted inclusion of potentially relevant variables. Future research should include a rigorous description of multiple different individual features (e.g., performance level, diet, etc.) to further elucidate MF mechanisms. [ABSTRACT FROM AUTHOR]

The water content of hydrophilic polymers is a fundamental property that regulates their performance. Herein, we report a new technique for optically imaging the water content of hydrophilic polymers both in static and dynamic evolution during swelling, based on mapping the interfacial refractive index of hydrophilic polymers with label-free total internal reflection microscopy. [ABSTRACT FROM AUTHOR]

The relationship between cognitive demands and postural control is controversial. Mental fatigue paradigms investigate the attentional requirements of postural control by assessing balance after a prolonged cognitive task. However, a majority of mental fatigue research has focused on cognition and sports performance, leaving balance relatively underexamined. The purpose of this paper was to systematically review the existing literature on mental fatigue and balance control. We conducted a comprehensive search on PubMed and Web of Science databases for studies comparing balance performance pre- to post-mental fatigue or between a mental fatigue and control group. The literature search resulted in ten relevant studies including both volitional (n = 7) and reactive (n = 3) balance measures. Mental fatigue was induced by various cognitive tasks which were completed for 20–90 min prior to balance assessment. Mental fatigue affected both volitional and reactive balance, resulting in increased postural sway, decreased accuracy on volitional tasks, delayed responses to perturbations, and less effective balance recovery responses. These effects could have been mediated by the depletion of attentional resources or impaired sensorimotor perception which delayed appropriate balance-correcting responses. However, the current literature is limited by the number of studies and heterogeneous mental fatigue induction methods. Future studies are needed to confirm these postulations and examine the effects of mental fatigue on different populations and postural tasks. This line of research could be clinically relevant to improve safety in occupational settings where individuals complete extremely long durations of cognitive tasks and for the development of effective fall-assessment and fall-prevention paradigms. [ABSTRACT FROM AUTHOR]

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

Orienteering is an outdoor activity wherein participants use a map and compass to locate control points and choose the quickest path to the next control point in a natural environment. Attentional focus, rapid decision-making, and high aerobic fitness may influence orienteering performance. Therefore, this research aimed to seek international orienteering expert consensus regarding the definition, development, causes, influences and methods to reduce mental fatigue (MF) in orienteering based on practical experience. Following ethical approval, a three-round Delphi survey was conducted online with twenty-four orienteering coaches and athletes (or former athletes) from 10 different countries with international orienteering competition experience. The threshold of consensus was ≥ 70% agreement among respondents. The experts agreed that MF exists in daily life and orienteering with a substantial negative effect on their conscious decision-making performance and psychological responses. The experts disagreed that the form of MF that athletes experienced in orienteering training are similar to the competition. However, there was no agreement that MF would impact endurance and high-speed running performance during orienteering. This research refines the definition of MF and summarises the distinctions in what causes MF in orienteering training and competition, implying that MF should be addressed separately. [ABSTRACT FROM AUTHOR]

Our aim was to analyze the effect of mental fatigue caused by prolonged social media use on high-level volleyball players' visuomotor skills. Eighteen high-level male young volleyball players participated in this randomized, counterbalanced, crossover design. All participants underwent a 2-week experiment in which we measured their response times when performing a visuomotor task with and without mental fatigue inducement through repeated use of social media immediately before training sessions. In the control condition, participants watched TV for 30-minutes, and in the social media condition, they used a social media app (Instagram®) on smartphones for 30-minutes. We found a significant Condition x Time interaction on visuomotor task response time (p = 0.03), but there was no significant main effect of either Time or Condition. Mental fatigue, induced by repeated app-based social media use for 30-minutes immediately before training sessions, affected elite male volleyball players' visuomotor skills. [ABSTRACT FROM AUTHOR]

Background: Heat is associated with physiological strain and endurance performance (EP) impairments. Studies have investigated the impact of caffeine intake upon EP and core temperature (CT) in the heat, but results are conflicting. There is a need to systematically determine the impact of pre-exercise caffeine intake in the heat. Objective: To use a meta-analytical approach to determine the effect of pre-exercise caffeine intake on EP and CT in the heat. Design: Systematic review with meta-analysis. Data Sources: Four databases and cross-referencing. Data Analysis: Weighted mean effect summaries using robust variance random-effects models for EP and CT, as well as robust variance meta-regressions to explore confounders. Study Selection: Placebo-controlled, randomized studies in adults (≥ 18 years old) with caffeine intake at least 30 min before endurance exercise ≥ 30 min, performed in ambient conditions ≥ 27 °C. Results: Respectively six and 12 studies examined caffeine's impact on EP and CT, representing 52 and 205 endurance-trained individuals. On average, 6 mg/kg body mass of caffeine were taken 1 h before exercises of ~ 70 min conducted at 34 °C and 47% relative humidity. Caffeine supplementation non-significantly improved EP by 2.1 ± 0.8% (95% CI − 0.7 to 4.8) and significantly increased the rate of change in CT by 0.10 ± 0.03 °C/h (95% CI 0.02 to 0.19), compared with the ingestion of a placebo. Conclusion: Caffeine ingestion of 6 mg/kg body mass ~ 1 h before exercise in the heat may provide a worthwhile improvement in EP, is unlikely to be deleterious to EP, and trivially increases the rate of change in CT. [ABSTRACT FROM AUTHOR]

Cross-country skiing is one of the most important competitive events in the Winter Olympics, and it is also the earliest competitive sports event in China's winter snow events. However, due to the influence of factors such as economic development, climatic conditions, and regional resources, cross-country skiing has developed slowly in China and is still in a relatively backward position compared with developed countries such as Europe and the United States. In this paper, the modeling and analysis of the attitude calculation system is proposed, and the attitude recognition technology is applied to the high-intensity resistance training system of cross-country skiing. Several training elements such as special endurance training goals, training content, training methods, and training monitoring are presented. It demonstrates the rationality and feasibility of the high-intensity resistance training system for excellent cross-country skiers in cross-country skiing and arranges the strengthening training of the upper and lower limbs and waist and abdominal muscles of the athletes in a targeted manner. For 6–9 times a week, each endurance training is about 1–4 hours or strength training is about 15–90 minutes. The fastest time for men is 31 minutes 29 seconds 21, which is 1 second 88 higher than that before training, and the average score has improved by 6 seconds 80; the women's fastest time was 24 minutes 06 seconds 21, which was 4 seconds 22 higher than that before training, and the average score increased by 7 seconds 70. [ABSTRACT FROM AUTHOR]

Current interest toward ionic liquids (ILs) stems from some of their novel characteristics, like low vapor pressure, thermal stability, and nonflammability, integrated through high ionic conductivity and broad range of electrochemical strength. Nowadays, ionic liquids represent a new category of chemical‐based compounds for developing superior and multifunctional substances with potential in several fields. ILs can be used in solvents such as salt electrolyte and additional materials. By adding functional physiochemical characteristics, a variety of IL‐based electrolytes can also be used for energy storage purposes. It is hoped that the present review will supply guidance for future research focused on IL‐based polymer nanocomposites electrolytes for sensors, high performance, biomedicine, and environmental applications. Additionally, a comprehensive overview about the polymer‐based composites' ILs components, including a classification of the types of polymer matrix available is provided in this review. More focus is placed upon ILs‐based polymeric nanocomposites used in multiple applications such as electrochemical biosensors, energy‐related materials, biomedicine, actuators, environmental, and the aviation and aerospace industries. At last, existing challenges and prospects in this field are discussed and concluding remarks are provided. [ABSTRACT FROM AUTHOR]

The administration of pycnogenol (PYC) prior to physical exertion had earlier shown to improve gait variables after work. The aim of this study was to determine the effect of PYC on kinematic parameters of donkeys subjected to packing during the dry season. Ten male donkeys served as experimental subjects. Five donkeys were administered with PYC (10 mg/kg) in feed (test group) while another five donkeys were given feed only (control group) for one week pre-packing. Thermal environmental parameters of ambient temperature (AT), relative humidity (RH) and temperature humidity index (THI) were recorded. Kinematic parameters of speed (SP), stride length (SL), stride frequency (SF) and stride duration (SD) using videographic recordings 5 minutes post-packing with each animal walking at a self-selected speed were recorded. The THI values obtained pre-(95.4 ± 3.9) and during (85.3 ± 1.6) packing in the cold-dry season were significantly lower than the values of 148.8 ± 1.8 and 134.8 ± 1.1, respectively obtained during the hot-dry season. The speed recorded in test group (2.0 ± 0.3 m/s) was significantly (P < 0.05) higher when compared to the value (1.3 ± 0.2 m/s) obtained in control group during the hot-dry season while, during the cold-dry season, the test group recorded a significantly (P < 0.05) higher speed (1.3 ± 0.3 m/s) when compared with 1.0 ± 0.2 m/s recorded in control group. The increased speed recorded in the test group indicated that the group performed better as they were less fatigued when compared with the control group. Thus, PYC could be used as a potential agent in the management of fatigue in donkeys used for packing purposes in the region. [ABSTRACT FROM AUTHOR]

The purpose is to analyze the effect of social networks on smartphones before and during velocity-based resistance exercise on the internal training load, heart rate variability (HRV), and cognitive interference control. Twelve trained adults volunteered to participate in this randomized and crossover design research study with three experimental conditions. The participants randomly performed a resistance exercise session, watching TV before (CON) the session or using social networks on a smartphone prior to (30SMA-P) and intra-session (SMA-INT). The participants underwent sets with repetitions [15RM load] up to 20% mean velocity loss. HRV indicators and cognitive interference control were measured before and 30-min after each experimental session. Internal training load was evaluated 30-min after each experimental session, which was calculated by the product between resistance exercise volume and RPE. No condition versus time interaction for HRV indicators (p > 0.05) was observed. It was not revealed a condition versus time interaction for cognitive interference control (p > 0.05). No condition effect for internal training load (p > 0.05) was observed. It was concluded that 30-min of social networks on smartphones before or intrasession resistance exercise had no effects on HRV indicators, cognitive interference control, and internal training load in trained adults. [ABSTRACT FROM AUTHOR]

Attention-deficit/hyperactivity disorder (ADHD) is characterized by evident and persistent inattention, hyperactivity, impulsivity, and social difficulties and is the most common childhood neuropsychiatric disorder, and which may persist into adulthood. Seventy to 80% of children and adults with ADHD are treated with stimulant medication, with positive response rates occurring for both populations. Medicated ADHD individuals generally show sustained and improved attention, inhibition control, cognitive flexibility, on-task behavior, and cognitive performance. The ethics of ADHD medication use in athletics has been a debated topic in sport performance for a long time. Stimulants are banned from competition in accordance with World Anti-Doping Association and National Collegiate Athletic Association regulations, due to their ability to not only enhance cognitive performance but also exercise performance. Limited research has been conducted looking at the differences in exercise performance variables in unmedicated ADHD verses medicated ADHD. Not all ADHD athletes choose stimulant medication in their treatment plan due to personal, financial, or other reasons. Non-stimulant treatment options include non-stimulant medication and behavioral therapy. However, the use of caffeinated compounds and exercise has both independently been shown to be effective in the management of ADHD symptoms in human studies and animal models. This mini review will discuss the effect of exercise and caffeine on neurobehavioral, cognitive, and neurophysiological factors, and exercise performance in ADHD athletes, and whether exercise and caffeine should be considered in the treatment plan for an individual with ADHD. [ABSTRACT FROM AUTHOR]