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Valid and reliable accessible measures of balance are required in a health-related fitness test battery, both in the general population and in groups with special needs. For this purpose, the capability of the Wii Balance Board (WBB) in evaluating standing balance was analysed and compared with a laboratory-graded force platform (FP). A 30-s double limb standing test with open and closed eyes was performed by 28 individuals (12 male and 16 female, mean age = 23.8, SD = ±2.7 years). A simple method of acquisition of the centre of pressure (CoP) over time was applied to compare WBB and FP simultaneously on the same signal. User-defined software was developed to obtain the CoP from WBB over time and the resulting related measures and graphical representations. The comparison of measures, such as sway path and maximum oscillations along the anterior–posterior and medial–lateral direction, obtained with the FP and the WBB shows that the latter, in conjunction with the user-defined developed software, can be appropriate, considering prescribed limits, and an easy-to-use tool for evaluating standing balance. [ABSTRACT FROM PUBLISHER]

Purpose: To analyze the practice of physical activity among children and adolescents with visual impairments (VI), regarding the possible influence of parental support and perceived barriers. Methods: Twenty-two young people with VIs (10 + 2.74 years old) and one of each of their parents were evaluated. They responded to the Physical Activity Questionnaire for Older Children (PAQ-C), Baecke Questionnaire, the Parental Support Scale and a questionnaire about perceived barriers to physical activity. The independent samples t-test, pearson correlation test and chi-square test were performed. Results: Blind young people showed lower physical activity levels. There were significant correlations both between parents' physical activity and the support offered to children and between the PAQ-C results and the importance given by young people to physical activity, but only for those aged between 8 and 10 years old. The main perceived barriers were lack of security, motivation, professional training and information about available physical activity programs. Conclusion: The influence of parental support seems to be an important factor in the adoption of a physically active lifestyle for young people with VI. Parents and children should have more information about the benefits and opportunities of physical activity. [ABSTRACT FROM AUTHOR]

This study investigated the effects of play fighting on aggressive behaviors. It was hypothesized that the teaching of play fighting during physical education lessons could reduce self-reported aggression in a group of adolescents to a greater extent than playing volleyball (a low physical contact activity). Participants were 210 young adolescents (mean age = 13.27, SD = 0.48 years) from 10 classrooms that were randomly assigned to an 8-lesson play fighting session or to traditional volleyball lessons. They filled in the 12-item short version of the Aggression Questionnaire (AQ-12) pre- and post-interventions. The play fighting group showed a significant reduction in all the four subscales of the AQ-12 (Cohen d ranging from 0.61 to 0.67), while participants in the volleyball group did not. Results suggest that play fighting might provide useful contents in a physical education curriculum, with possible reduction in aggressive behavior. [ABSTRACT FROM AUTHOR]

This study investigated enjoyment and naturalness of movement perceived during short bouts of exercise with three aerobic machines: treadmill, elliptical crosstrainer, and Vario. The participants were 72 experienced and 60 inexperienced users. Immediately after the exercise with each machine, they filled in a 12-item form of the Physical Activity Enjoyment Scale (PACES) and a Visual Analogue Scales (VAS) about naturalness of movement. Results showed significant within-subjects differences on all scales; exercise with the treadmill and Vario were perceived to be similarly enjoyable and more enjoyable and natural in comparison with the elliptical crosstrainer. Differences in naturalness ratings between experienced and inexperienced users were observed. Exercise was not equally enjoyable when performed with different aerobic machines, and this should be considered by professionals when prescribing aerobic training to enhance motivation and adherence. [ABSTRACT FROM AUTHOR]

People with intellectual disabilities are often reported as having depressive symptoms. Although the antidepressant effect of exercise has been systematically recognized, research concerning the role of exercise on depressive symptoms in people with intellectual disabilities is still scant. A 12-wk. exercise intervention for depressive symptoms in a group of adults with intellectual disabilities was conducted. Participants were 16 men and 11 women, randomly assigned to an exercise group ( n = 14) or to a control group ( n = 13). The Zung Self-Rating Depression Scale adapted for people with intellectual disabilities was administered at baseline, after 6 wk. and at the end of the intervention. There were statistically significant reductions in scores for the exercise group compared with the control group. Results support the notion that exercise can improve well-being in people with intellectual disabilities. [ABSTRACT FROM AUTHOR]

The article presents research on the psychological impact of a strength training program on older people. Older men and women participated in a 12-week strength training program and a control group did not, and were evaluated for anxiety, affect and mood. Results indicate that the training program resulted in significant muscle strength increase and moderate improvements in overall psychology of participants.

This study aimed to evaluate whether primary school classroom teachers reported changes in physical education teaching self-efficacy (SE-PE) and work engagement (WE) during the first COVID-19 wave. A total of 622 classroom teachers filled in an online questionnaire on SE-PE and WE, referring to before and during the lockdown, and on perceived digital competence. While controlling for perceived digital competence, a mixed between-within Repeated Measures Multivariate Analysis of Covariance (RM-MANCOVA) was performed, using a factorial design with two time categories (before vs. during the lockdown) and three age categories (≤40 vs. 41–50 vs. ≥51 years). The RM-MANCOVA revealed that perceived digital competence significantly adjusted teachers' SE-PE and WE values (p < 0.001). The analysis yielded a significant multivariate main effect by time (p < 0.001) and by time × age categories (p = 0.001). Follow-up univariate ANCOVA showed significant differences by time in teachers' SE-PE (p < 0.001) and WE (p < 0.001), with a reduction in both values from before to during the lockdown. A Bonferroni post hoc pairwise comparison showed teachers' SE-PE significantly decreased in all age categories (p < 0.001). The present findings confirm the importance of promoting SE-PE among primary school teachers, regardless of the crisis due to the COVID-19 pandemic. Teachers' self-efficacy and WE are essential to master the challenges of PE teaching. [ABSTRACT FROM AUTHOR]

Objectives: The Metabolic‐Barriers, Attitudes, Confidence, and Knowledge Questionnaire (M‐BACK) was developed to determine the barriers, attitudes, confidence, and knowledge of mental health practitioners regarding the metabolic health of patients in order to determine the efficacy of targeted training interventions. This study aimed to validate the Italian version of M‐BACK questionnaire (M‐BACK‐IT) and to determine the test–retest reliability. Methods: The M‐BACK questionnaire was translated into Italian and back‐translated using an established protocol. In order to determine the test–retest reliability of the instrument, mental health professionals were recruited from a private psychiatric hospital located in northeast Italy and completed the questionnaire on two separate occasions, seven days apart. Intraclass correlation coefficients (ICC) were calculated for the total score, as well as each of the four M‐BACK domains. Results: Thirty mental health professionals (4 psychiatrists, 9 psychologists, 12 nurses, and 5 exercise specialists) completed the M‐BACK‐IT. ICCs ranged from 0.58 to 0.94. Conclusions: The test–retest reliability of the M‐BACK‐IT demonstrated comparable results to the English version. The M‐BACK‐IT is a reliable measure to assess key elements of practitioners' perceptions of the barriers, their knowledge, attitudes, and confidence regarding metabolic monitoring and intervention in people with mental illness. [ABSTRACT FROM AUTHOR]

Perceived stress in Italian coaches and sport mental health were investigated during the rebooting of sport activities following the first COVID-19 lockdown period. A sample of 237 coaches from various sports were asked to answer the Italian version of the Perceived Stress Scale and the Sport Mental Health Continuum, together with reporting of demographic information. Coaches’ perceived stress levels were compared with data collected during the lockdown period. Women showed a significant decrease in their perceived stress levels compared to the lockdown period, whereas this was not true for men. Hierarchical regression indicated that, during the rebooting phase, increased age of coaches and their psychological well-being experienced in sporting contexts (a sport mental health dimension) were predictive of decreased perceived stress levels. Practical implications for practitioners working in this field are discussed in the conclusions. [ABSTRACT FROM AUTHOR]

Changes in cardiac geometry develop after intense and prolonged training. Left ventricular enlargement, increased relative wall thickness, and growing mass of the left ventricle occur after strenuous exercise. Combat sports such as judo can lead to left ventricular hypertrophy. Previous studies have found that there are differences in left ventricular chamber size and thickness between the sexes, with female athletes having smaller wall diameters and less hypertrophy than male athletes. The research aims to examine heart muscle adaptations and remodeling of cardiac geometry among elite judo athletes and to evaluate differences between males and females. A cross-sectional study included a group of 19 (males n=10, females n=9) professional judokas between 20 and 30 years. Demographic and anthropometric data were collected. Cardiac geometry was determined by two-dimensional transthoracic echocardiography. In terms of left ventricular mass and the left ventricular mass index significant differences were found between male and female judokas (233.44±68.75 g vs. 164.11±16.59 g, p=0.009), (105.16±24.89 vs. 84.66±15.06, p=0.044), respectively. A greater enlargement of the heart muscle is observed in male athletes compared to the female group. Left ventricle enlargement is likely to occur among elite-level judokas. [ABSTRACT FROM AUTHOR]

The climacteric period is characterized by a series of hormonal changes that can result in the gain of adipose tissue and generate symptoms such as hot flashes, excessive sweating and psychological disorders. However, it is not clear yet how this process occurs in women with visual impairment. Thus, this study evaluated the body composition, physical activity level and climacteric symptoms in women with visual impairment. For this, 19 women answered questionnaires to evaluate the habitual practice of physical activity and the characteristics and symptoms of climacteric and menopause. Anthropometric variables and body composition were also evaluated. The data were treated by means of descriptive statistics, Student's t-test and Pearson's correlation test, adopting a significance level of 5% (p <0.05). As a result, the majority of the participants were classified as active, however, the means of Body mass index, abdominal circumference and fat percentage were above the recommended health parameters. The climacteric symptoms presented by women with visual impairment were similar to the complaints of women without disabilities. Some physical symptoms such as dizziness, headaches, muscle and joint pain may have a greater influence of factors related to visual impairment, such as high muscle tone to maintain posture, and therefore deserve special attention. It reinforces the need for greater dissemination of information for visually impaired women so that they be informed and deal more positively with the climacteric and menopause phases. [ABSTRACT FROM AUTHOR]

Background: In terms of the potential influence of rapid weight loss (RWL) on the metabolic health of former combat sports athletes (CSA), the scientific literature is quite scarce. Therefore, the objective of the presented research was to determine the differences in metabolic syndrome (MetS) parameters and the prevalence of MetS between former athletes who performed RWL and athletes who did not. Methods: The sample of the presented study comprised 150 participants from Serbia, equally divided into two groups: 75 former athletes who had practiced combat sports and 75 ex-athletes of various other sports who did not practice RWL during their careers. The following parameters related to the MetS were evaluated: waist circumference, high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, fasting glucose, and triglycerides. The oral glucose tolerance test (OGTT) was used to assess the participant's body response to sugar. Results: The RWL group had significantly higher both systolic (p < 0.001) and diastolic blood pressure (p < 0.001) compared to the group of athletes who did not practice weight reduction during their careers. Additionally, a tendency toward statistically significant differences between groups was recorded in the variable triglycerides (p = 0.069). Regarding OGTT, increased values of fasting blood glucose at the final measurement were revealed only in the RWL group (p = 0.003). The prevalence of MetS was substantially higher in CSA than in the control group (39.5% vs. 16.2%, respectively p = 0.002). Conclusions: This study suggests that former elite CSA who used RWL during their sports career are susceptible to negative metabolic alterations at the end of their competitive period. [ABSTRACT FROM AUTHOR]

Background: The purpose of this study was to explore possible benefits of a peer‐tutored physical education programme (PTPE) in comparison with school physical education (SPE) in high school students with intellectual disability. Method: Nineteen students with intellectual disabilities (15 boys, mean age 17.4 ± 1.7 years) were monitored during three PTPE and three SPE classes. A factorial RM‐ANOVA was used to test differences on objective measured physical activity (PA), enjoyment and exertion during the two conditions, considering participants’ weight condition as independent factor. Results: During PTPE, participants reported higher light intensity PA, enjoyment and exertion than during SPE. Participants with overweight showed less inactive time and higher light intensity PA during PTPE than during SPE. Conclusions: The peer‐tutored programme was beneficial for adolescents with intellectual disability, particularly for those in overweight condition. The higher enjoyment found during PTPE may encourage exercise participation of students with intellectual disability. [ABSTRACT FROM AUTHOR]

Until now, research on growth following sport injury has relied exclusively on retrospective reports and nomothetic measures drawn from other fields of research. Therefore, to more objectively explore growth following sport injury pre- and post-injury, rather than retrospectively, this study adapts and examines the psychometric properties of the Athlete Psychological Well-Being Inventory (APWBI), which can be used throughout the sport injury process (i.e., prior to and following sport injury). A sample of 164 athletes free from injury (71.3 % men; M age = 19.7 years, SD = 2.1) were compared to a sample of 168 athletes with history of previous injury (73.2 % men; M age = 19.7 years, SD = 2.1). Multigroup Confirmatory Factor Analysis demonstrated the measurement and factor equivalence between the APWBI and a retrospective measure, the Sport Injury-Related Growth Inventory (SIRGI). The APWBI also showed satisfactory to excellent internal consistency reliability for all its sub-dimensions ("sense of mastery", "positive relations with others", "responsibility for one's health", "self-awareness", "emotional ability", "purpose in life", "purpose in sport", and "body awareness") and for the total score. Analysis of the relationships with other self-report measures (i.e., the Positive Functioning Inventory, the Rosenberg's Self-Esteem Scale, and the Lie Scale) provided convergent and discriminant evidence to support the construct validity of the instrument. To conclude, the APWBI is a valid and reliable instrument for use within English-speaking athletes of various competitive levels (from local/county to international level). • Sport Injury-Related Growth is assessed with retrospective measures. • Measurements of changes in well-being pre- and post-injury would be more objective. • The APWBI demonstrated its factor equivalence with the SIRGI. • In the research on sport injury, the APWBI is a valid and reliable instrument. • The APWBI can measure athlete psychological well-being in other situations. [ABSTRACT FROM AUTHOR]

Objective. The aim of this study was to compare the effects of multicomponent and strength training programs on dynamic balance, functional capacity, and gait ability in older women. Methods. Thirty individuals (67 ± 4.3 years; 30.6 ± 3.9 kg/m2) were trained for 12 weeks (3 times per week), following multicomponent (MG: exercises focusing on agility, balance, muscle strength, and aerobic) and strength programs (SG: lower limbs strength exercise). Results. Peak torque of hip flexors (p = 0.020) and extensors (p = 0.009) and knee flexors (p = 0.001) of SG was greater than that of MG at posttraining. In addition, both groups increased peak torque of knee extensors (p = 0.002) and plantar extensors with higher effect size for SG (d = −0.41 and −0.48), whereas MG presented higher effect size for plantar flexors muscles (d = −0.55). Only the SG improved the rate of torque development of knee extensors (29%; p = 0.002), and this variable was also greater to SG than MG at posttraining (106%). The SG and MG improved dynamic balance although SG presented higher effect size (d = 0.61). Both groups improved the performance on 30 s sit to stand test (p = 0.010) with higher effect size for MG (d = −0.54). Only the MG improved the stride length (4%; p = 0.011) and gait speed (10%; p = 0.024). In addition, the groups improved toe clearance (p = 0.035) and heel contact (p = 0.010) with higher effect sizes for MG (d = −0.066 and 1.07). Conclusion. Strength training should be considered to increase muscle function and dynamic balance in older women, whereas multicomponent training should be considered to increase functional capacity and gait ability in this population. [ABSTRACT FROM AUTHOR]

Relatively few studies directly compared the prevalence of exercise dependence (EXD) in different sports. Different conceptualizations and measures of EXD limit the possibility of comparing results from different studies. In this study, we measured the prevalence of EXD and its correlation with drive for thinness (DT) in four different categories of sports and exercise. Participants were 427 people engaging in endurance sports, esthetic sports, team sports, or fitness activities. The Exercise Dependence Scale was adopted to measure EXD; the Drive for Thinness scale was used to measure DT and to distinguish between primary and secondary EXD. Results suggested that none of the considered sport categories seems to be more at risk for EXD than the other ones. A correlation between EXD and DT was found in the fitness group, suggesting, together with previous literature, that EXD could be related to the reward a person strives to achieve trough exercising. [ABSTRACT FROM AUTHOR]

Background: Accurate assessment of physical activity is essential to determine the magnitude of the health-related benefits of regular physical activity. While physical activity questionnaires are easy to use, their accuracy in comparison to objective measures has been questioned. The purpose of the present study was to examine the utility of two interview-based questionnaires; a recently-developed instrument, the Simple Physical Activity Questionnaire (SIMPAQ), and the Seven Day-Physical Activity Recall (7DPAR). Methods: Accelerometer data was collected in 72 university students (50% females). Telephone interviews were conducted to complete the SIMPAQ and the 7DPAR. Results: Significant correlations (p < .001) were found between accelerometer-based moderate-to-vigorous physical activity (MVPA), the amount of self-reported moderate-to-vigorous exercise assessed via the SIMPAQ (rho = .49), and vigorous physical activity assessed via the 7DPAR (rho = .50). Exercise assessed via the SIMPAQ was significantly correlated with the vigorous physical activity score of the 7DPAR (rho = .56, p < .001). While participants needed three minutes less to complete the SIMPAQ (p < .001), participants tended to be more confident about the accuracy of the answers they provided on the 7DPAR (p < .01). Conclusions: These two questionnaire measures of physical activity performed similarly in a healthy young adult sample. The SIMPAQ can be completed in 15 minutes, which could be an advantage in settings where time for physical activity assessment is limited. [ABSTRACT FROM AUTHOR]

Purpose of Review: This consensus statement from the Italian Society of Motor and Sports Sciences (Società Italiana di Scienze Motorie e Sportive, SISMeS) and the Italian Society of Phlebology (Società Italiana di Flebologia, SIF) provides the official view on the role of exercise as a non-pharmacological approach in lipedema. In detail, this consensus statement SISMeS - SIF aims to provide a comprehensive overview of lipedema, focusing, in particular, on the role played by physical exercise (PE) in the management of its clinical features., Recent Findings: Lipedema is a chronic disease characterized by abnormal fat accumulation. It is often misdiagnosed as obesity, despite presenting distinct pathological mechanisms. Indeed, recent evidence has reported differences in adipose tissue histology, metabolomic profiles, and gene polymorphisms associated with this condition, adding new pieces to the complex puzzle of lipedema pathophysiology. Although by definition lipedema is a condition resistant to diet and PE, the latter emerges for its key role in the management of lipedema, contributing to multiple benefits, including improvements in mitochondrial function, lymphatic drainage, and reduction of inflammation. Various types of exercise, such as aquatic exercises and strength training, have been shown to alleviate symptoms and improve the quality of life of patients with lipedema. However, standardized guidelines for PE prescription and long-term management of patients with lipedema are lacking, highlighting the need for recommendations and further research in this area in order to optimise therapeutic strategies., (© 2024. The Author(s).)

Objective: To compare time spent in moderate-to-vigorous physical activity (MVPA) per week, MVPA per day, and steps per day between individuals that were subjected to the anterior cruciate ligament reconstruction (ACLR) and healthy control group., Design: Systematic review and meta-analysis of observational studies., Data Sources: Web of Science, Scopus, and PubMed have been comprehensively searched to identify relevant investigations., Eligibility Criteria for Selecting Studies: An observational research that objectively evaluated physical activity among respondents with a history of ACLR., Results: Of 302 records, a total of 12 studies fulfilled the eligibility criteria. Four hundred and forty-three participants underwent the ACLR, 153 men and 290 women. The mean time between anterior cruciate ligament (ACL) surgery and evaluation of analysed outcomes was 34.8 months. The main findings demonstrated that the ACLR group spent less time in weekly MVPA (standardised mean differences (SMD)=-0.43 (95% CI -0.66 to -0.20); mean = -55.86 min (95% CI -86.45 to -25.27); p=0.0003; τ 2 =0.00), in daily MVPA (SMD=-0.51 95% CI -0.76 to -0.26]; mean = -15.59 min (95% CI -22.93 to -8.25); p<0.0001; τ 2 =0.00), and they had fewer daily steps (SMD=-0.60 95% CI -0.90 to -0.30); mean = -1724.39 steps (95% CI -2552.27 to -896.50); p<0.0001; τ 2 =0.00) relative to their non-injured counterparts. Additionally, available investigations indicated that individuals with a history of ACLR participated in 316.8 min of MVPA per week, 67 min in MVPA per day, and 8337 steps per day., Conclusion: Long-term after ACLR, participants undergoing ACL surgery were less physically active compared with their non-injured peers, and they did not satisfy recommendations regarding steps per day., Prospero Registration Number: CRD42023431991., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objective: The popularity of sport climbing has been growing since its inclusion in the Olympic Games program, which led to more people practicing it on recreational, amateur, and professional levels. Strenuous climbing training sessions and competitions might lead to frequent and serious musculoskeletal injuries and complaints among competitive climbers. This study aimed to investigate the prevalence of low back pain (LBP) and to explore the influence of various risk factors on LBP in adolescent climbers., Methods: The sample included 180 competitive climbers (46.6% males) aged 13-19 years competing in under-16 (48.3%) or under-20 categories. Data collection was carried out using the Nordic Musculoskeletal Questionnaire (NMQ) and the Graded Chronic Pain Scale (GCPS)., Results: A total of 74.4% of the entire sample of participants (male = 75%; female = 74%) reported lower back complaints throughout the past twelve months, and only 15.5% during the last seven days. A major part of complaints was classified as low intensity-low disability (Grade I, 62.8%; male = 72.6%; female = 54.2%). Under-20 competitors reported a small but significantly higher percentage of almost all NMQ measures compared to under-16 athletes., Conclusions: This study found a relatively high prevalence of LBP, although complaints were of limited severity and did not affect climbers' regular training practice. Moreover, climbers did not differ in LBP prevalence according to sex, while climbers from the older age group reported higher complaints and seeking medical attention than younger climbers. Future studies should prospectively monitor the influence of climbing on LBP in youth climbers., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (© 2023 Carraro, Gilic, Bertolo, Albergoni, Sarto, Roklicer and Sarto.)

Background: The objective of this study was to summarize available literature that explored the impact of body mass index (BMI) on physical activity participation among individuals who were subjected to the anterior cruciate ligament reconstruction (ACLR)., Methods: A total of three electronic databases, including Web of Science, Scopus, and PubMed, were comprehensively searched to identify relevant investigations. The following inclusion criteria were applied: (1) study design was observational; (2) participants underwent the ACLR; (3) BMI was estimated as a predictor variable; and (4) outcomes evaluated referred to physical activity. The risk of bias was assessed with the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies., Results: After a database search, 787 studies were found, and only 10 of them met each of the eligibility criteria and were included in the qualitative analysis. Regarding respondents' characteristics, 7171 individuals underwent ACLR, 4080 males and 3091 females, with a mean age of 25.5 years. Most importantly, the average BMI of the examined population was 24.9 kg/m 2 . In all studies, physical activity was evaluated subjectively using the Tegner activity scale and the Marx activity scale. The main findings unambiguously demonstrated that a negative relationship between BMI and physical activity engagement was observed. More specifically, there is convincing evidence that BMI over 25 kg/m 2 harmfully affected subjectively assessed physical activity in individuals with a history of ACLR., Conclusion: The results obtained in the presented research indicated that increased values of BMI were a factor that correlated with reduced physical activity levels in the ACLR population. Hence, taking into account the clinical and health implications of reduced physical activity participation, stimulation of a healthy lifestyle, such as a combination of adequately designed physical exercise and nutrition, seems necessary for the analyzed population., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)

Objective: Restrictive diets, forced starvation or voluntary weight loss are attracting more and more attention from scientists. Overall trends show that about 80% of combat sports athletes use specific methods of reducing body mass. Rapid weight loss could be a risk factor for kidney-related adverse outcomes. This study aimed to examine the impact of high-intensity specific training combined with rapid weight loss in the first and without rapid weight loss in the second phases on body composition and biochemical markers of kidney function., Methods: The study was conducted on 12 male wrestlers. Kidney function markers were measured, including blood urea nitrogen, serum creatinine, uric acid and serum Cystatin-C. Alterations in analysed markers were noted in both phases of the research., Results: According to the data, a significant increase was noted in blood urea nitrogen (p=0.002), uric acid (p=0.000) and serum creatinine (p=0.006) during the first phase in comparison with the second phase. The levels of serum Cystatin-C were slightly elevated after both phases compared with the initial measurement., Conclusion: It is evident that high-intensity specific training combined with rapid weight loss significantly affects the increase in kidney function markers compared with identical training without rapid weight loss. The findings in this study suggest that rapid body mass reduction is associated with an increased risk of acute kidney injury in wrestlers., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objectives: (1) To develop reference values for health-related fitness in European children and adolescents aged 6-18 years that are the foundation for the web-based, open-access and multilanguage fitness platform (FitBack); (2) to provide comparisons across European countries., Methods: This study builds on a previous large fitness reference study in European youth by (1) widening the age demographic, (2) identifying the most recent and representative country-level data and (3) including national data from existing fitness surveillance and monitoring systems. We used the Assessing Levels of PHysical Activity and fitness at population level (ALPHA) test battery as it comprises tests with the highest test-retest reliability, criterion/construct validity and health-related predictive validity: the 20 m shuttle run (cardiorespiratory fitness); handgrip strength and standing long jump (muscular strength); and body height, body mass, body mass index and waist circumference (anthropometry). Percentile values were obtained using the generalised additive models for location, scale and shape method., Results: A total of 7 966 693 test results from 34 countries (106 datasets) were used to develop sex-specific and age-specific percentile values. In addition, country-level rankings based on mean percentiles are provided for each fitness test, as well as an overall fitness ranking. Finally, an interactive fitness platform, including individual and group reporting and European fitness maps, is provided and freely available online (www.fitbackeurope.eu)., Conclusion: This study discusses the major implications of fitness assessment in youth from health, educational and sport perspectives, and how the FitBack reference values and interactive web-based platform contribute to it. Fitness testing can be conducted in school and/or sport settings, and the interpreted results be integrated in the healthcare systems across Europe., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objective: People with mental illness experience a significantly increased mortality rate, partly attributable to high rates of premature metabolic disease. Exercise is increasingly recognized as an evidence-based component of treatment for improving both physical and mental illness. Ensuring health care staff have the necessary competence to support and promote exercise is critical to successful implementation. The Exercise in Mental Illness Questionnaire-Health Professionals Version (EMIQ-HP) was developed to determine the knowledge, attitudes, barriers, and behaviors of health practitioners regarding the role of exercise in the treatment for mental illness. This study aimed to translate and validate the questionnaire into Italian language (EMIQ-HP-IT) and to determine its test-retest reliability., Method: The questionnaire was translated from English to Italian then back translated using an established protocol. To determine the test-retest reliability of the EMIQ-HP-IT, mental health professionals from an Italian psychiatric hospital completed the questionnaire on two separate occasions, seven days apart. Intra-class correlation coefficients (ICC) were calculated for each item. Twenty-five mental health professionals (4 psychiatrists, 9 psychologists, 10 nurses and 2 exercise specialists) completed the EMIQ-HP-IT., Results: Except for two items, ICCs ranged from 0.48 to 0.92. The test-retest reliability of the EMIQ-HP-IT demonstrated comparable results to the English version., Conclusions: The EMIQ-HP-IT is a reliable measure of practitioners' knowledge, attitudes, beliefs, and behaviors regarding exercise interventions for people with mental illness., Competing Interests: Competing interests: None., (© 2023 Giovanni Fioriti Editore s.r.l.)

Background: Strength training plays a crucial role in promoting healthy ageing and music might affect how individuals perform and perceive strength exercises. This study aimed to investigate the effects of self-selected music (SSM) on muscle strength and affective states during maximal isometric contractions on a customized leg extension., Methods: Twenty-six healthy middle-aged males (50.8 ± 8.4 years) performed maximal and endurance isometric strength tests under three different conditions: SSM, motivational music (MM), and control condition (CC). Peak force and Rate of Force Development (RFD) were assessed during the maximal isometric strength test. The isometric endurance test evaluated the mean force and a fatigue index. Moreover, Felt Arousal Scale (FAS) was administered before the strength protocol, whereas the Rate of Perceived Exertion (RPE) and Feeling Scale (FS) at the end of it., Results: Mean force was significantly higher in the SSM (507.3 ± 132.2 N) than MM (476.3 ± 122.4 N, p < 0.01) and CC (484.6 ± 119.2 N, p = 0.03). FAS was significantly higher in the SSM (4.0 [1.3] than MM (3.0 [2.3], p < 0.01) and CC (3.0 [1.3], p < 0.01) conditions. FS was significantly higher in the SSM (4.0 [2.0] than MM (3.0 [1.3], p < 0.01) and CC (3.0 [1.3], p < 0.01) conditions. No significant differences were found for peak force, RFD, fatigue index, and RPE., Conclusions: Listening to SSM seems to influence isometric endurance strength performance in middle-aged adults positively. Moreover, listening to SSM might improve individuals' affective states without affecting the level of perceived exertion., Competing Interests: Gian Pietro Emerenziani is an Academic Editor for PeerJ., (© 2022 Greco et al.)

Background: Physical activity (PA) promotion among university students is important to contribute to a lifelong healthy lifestyle. Nevertheless, research in the field is still limited in quantity, quality and generalizability. This study aimed at evaluating the effectiveness of two individual-based strategies for promoting PA among university students in such university contexts where course-based interventions are difficult to implement., Methods: Thirty-three university students were recruited by means of face-to-face interviews and randomly assigned to three groups. The first group attended individual counselling sessions (based on the social cognitive theory and the transtheoretical model of behavior change) via videoconferencing calls, the second used wearable PA monitors designed to motivate to PA, and the third served as control. Interventions lasted 12 weeks. Measures of weekly PA (self-reported by questionnaires and recorded by ActiGraph-GT3X+ monitors) and the stage of change of participants were collected at baseline (t0), immediately after the 12-week intervention (t1), and after a 3-month follow-up (t2)., Results: Students in the individual counselling group increased self-reported energy expenditure between t0 and t1 and maintained this improvement at t2; on the contrary, there was no increase in ActiGraph measures of PA. Progression through stages of changes was observed in the same group at t1, followed by some relapses at t2. No significant differences were found neither in the group of students who used the PA monitors nor in the control group., Conclusions: Although measures of self-reported PA and stage of change suggest the effectiveness of the counselling intervention, the results obtained with accelerometers are contrasting, probably due to the fact that some types of PA participants engaged in could not be recorder by accelerometers. Further studies are needed to determine the efficacy of individual counselling to promote PA in university students. The autonomous use of PA monitors had no effects on PA behavior. The low participation rate in the study suggests considering carefully the difficulties in motivating this population and in finding low time-consuming strategies to incentive participation.

Physical inactivity, a primary cause of most chronic diseases, has been associated with low levels of physical activity enjoyment. Physical activity enjoyment can be impacted by an individual's experience with exercise equipment. The purpose of this study was to adopt a user-centred approach to determine the relationship between physical activity enjoyment and functionality and usability of four treadmills. A running protocol was completed by 57 trained runners (41 male) on four treadmills. Runners reported enjoyment levels as well as their perceptions about treadmill running surface, controls, safety and stability, physical interaction, learnability of data console and aesthetic appeal. Repeated measures ANOVAs showed significant differences between the treadmills for each variable. Multiple regression analysis reported aesthetic appeal significantly predicted enjoyment of use. Results suggest that adopting a user-centred approach to compare exercise equipment usability and features can correlate with enjoyment and further impact on physical activity adherence., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Postural balance control can be altered by land treadmill (LTM) running. This impairment seems to be related to a disturbance of vestibular and visual information. However, no studies are available on aquatic treadmill (ATM) running. The aim of the present study was to investigate the effect of running at moderate intensity over ATM and LTM on the postural balance control both with opened (OE) and closed (CE) eyes. Center of pressure (CoP) trajectory of 20 healthy subjects was collected on a dynamometric platform before and after a 20-min-long running on ATM and LTM at the same rate of perceived exertion (Borg's scale: 3/10). Heart rate (HR) was recorded every 30 s during running. Stabilogram diffusion analysis (SDA) and sample entropy (SampEn) were calculated to deepen motor control mechanisms. HR values were lower during ATM running with respect to LTM running ( p < 0.01). A significant effect of the treadmill factor was detected in the OE condition for the sway path ( p < 0.01; η p 2 = 0.364; Power: 0.879), the sway area ( p < 0.01; η p 2 = 0.324; Power: 0.816), and the ML oscillations ( p < 0.01; η p 2 = 0.390; Power: 0.911) while an effect of the time factor was detected for the ellipse area ( p < 0.05; η p 2 = 0.213; Power: 0.576). However, the effect size for all the parameters ranged from 0.06 (trivial) to 0.48 (small). In the OE condition, the SDA highlighted a significant effect of the treadmill factor on all the short-term diffusion coefficients which negatively influenced the open loop motor control strategies. In the CE condition, SampEn analysis underlined a significant decrease of the CoP regularity after LTM running. Although slight modifications of the mechanisms involved in the postural balance control occurred, ATM and LTM moderate running did not seriously threaten postural balance performance. Therefore, the usage of ATM should be taken into account in all those situations where the well-known advantages of the aquatic environment are priorities.