Search

Abstract Background Muscle strength and balance abilities have been related to game performance injury prevention. This study aimed to (1) assess knee muscle strength performance based on intra- and inter-limb asymmetries, (2) investigate the relationships between knee muscle strength, body composition, and balance, and (3) analyze the variance in the overall stability index (OSI) explained by knee muscle strength indicators after controlling for age and body composition. Methods The sample included 104 young male soccer players (16.0 ± 1.6 years). Body composition, knee muscle strength, and balance ability were assessed. A paired samples t-test was used to examine differences between the preferred leg (PL) and the non-preferred leg (NPL). Pearson correlations and hierarchical multiple regression were conducted to explore the relationships between strength, body composition, and balance. Results No significant inter-limb asymmetries were detected for the knee flexors (KF) and knee extensors (KE) performance. The hamstrings-to-quadriceps ratio does not suggest the existence of intra-limb asymmetries (p = 0.06). Significant and negative correlations were found between KF (r = -0.38, p ≤ 0.01) and KE (r = -0.58, p ≤ 0.01) for the PL. Concerning the NPL, KE also revealed a significant and negative relationship with balance (r = -0.30, p ≤ 0.01). Significant and positive relationships were found between bodyweight, fat-free mass, and balance. After controlling for age and body composition, knee muscle strength could explain between 13% and 30% of the variance observed in the OSI (NPL and PL, respectively). Conclusions The results underline knee muscle strength as an important predictor of balance. Thus, training programs targeting knee muscle strength development should be considered during the season periodization by coaches and their staff throughout the players’ developmental stages.

Abstract This study aimed to investigate the relationship between pre-pandemic objective and subjective cognitive functioning and sustained Internet use during the pandemic among older adults in Switzerland. Data from 1299 respondents of the Survey of Health, Ageing and Retirement in Europe (SHARE) in 2019/2020 and a supplementary technology use questionnaire during the pandemic in 2021 were used. Cognitive functioning was assessed in 2019/2020 through objective measures (delayed and immediate memory, verbal fluency) and self-rated memory. Sustained Internet use was defined as having used the Internet at least once in the past seven days in 2019/2020 and reporting daily or weekly use in 2021. We found that 73.1% of respondents consistently used Internet between 2019/2020 and 2021. Using multivariable probit regression models controlling for sociodemographic and health variables, we found that higher global cognition z-scores, especially in immediate and delayed memory, were associated with a higher likelihood of sustained Internet use. Additionally, respondents with good, very good, or excellent self-rated memory were more likely to sustain their Internet use. These findings highlight the potential critical role of cognitive health in shaping older adults’ digital engagement, suggesting that cognitive assessments and training should be further considered in digital literacy initiatives for this population.

Abstract Background In the older population, depression, loneliness, and quality of life are closely related, significantly influencing health status. This paper aimed (1) to investigate autoregressive and cross-lagged associations over 2 years between depression, loneliness, and quality of life, and (2) to examine sex-related differences in the 2-year associations between depression, loneliness, and quality of life in a large sample of European citizens aged ≥ 50 years. Methods This is a longitudinal analysis. We included 7.456 individuals (70.89 ± 7.64 years; (4.268 females) who responded to waves 7 (2017) and 8 (2019) of the SHARE project. The variables analyzed in both waves were depression, loneliness, and quality of life. Results Comparatively, females indicated higher depression and loneliness scores than males and a lower perception of quality of life. Autoregressive associations pointed that past depression, loneliness, and quality of life predicted their future episodes 2 years later (p

Parental involvement in youth sports is increasingly relevant in scientific research since parents have gradually developed awareness regarding youngsters’ sports experiences. This study aimed to (1) examine potential differences in athletes’ and parents’ perceptions of parental involvement practices in youth basketball, (2) verify whether these perceptions differ by sex, and (3) analyze the relationship between the different perceptions dimensions recorded. The analysis included a large sample of 423 Portuguese participants (151 youth basketball athletes and 272 parents) who completed the Parental Behaviors in Sports (PBSP) questionnaire. The PBSP comprises a version for parents and a version for athletes, composed of five dimensions: (1) sports support, (2) competition attendance, (3) technical influence, (4) performance pressure, and (5) sports expectations. No significant statistical differences regarding PBSP dimensions were observed between boys and girls in the athletes’ group. However, in the parents’ group, fathers scored significantly lower than mothers in sports expectations (p = 0.001). Differences between athletes’ and parents’ perceptions were evident in competition attendance (p = 0.023), technical influence (p ≤ 0.001), and sports expectations (p = 0.023). When analyzing the dyads of boys–fathers and girls–mothers, significant differences were found for technical influence (p = 0.035), performance pressure (p = 0.020), and sports expectations (p < 0.001) between boys and fathers. Among girls and mothers, differences were perceived exclusively for technical influence (p = 0.005). Finally, technical influence correlated significantly with performance pressure (r = 0.351, p < 0.001) and sports expectations (r = 0.367, p < 0.001). These findings demonstrate the crucial importance for sports researchers and practitioners to consider differences in perceptions based on sex and role (athlete or parent) when designing and implementing parental educational programs.

Purpose Physical activity (PA) is associated with a better quality of life and well-being in older adults. Examining PA trajectories, especially increasing habitual PA habits, makes it possible to better understand how PA behavioural changes may impact health and quality of life. This study aimed to analyse the longitudinal association between 2-year PA trajectories (changes in intensity and frequency) and quality of life. Methods Participants were 6.057 older adults aged 50 years (2,331 men) from 13 European countries. Regression models were performed to analyse the effects of PA trajectories on older adults’ quality of life. Results Men and women who engaged in more PA had significantly higher quality of life scores than those with lower PA levels. At follow-up, those who increased PA frequency to more than once a week, at both moderate and vigorous intensity, had a greater quality of life score (men’s moderate PA: = 1.13, p < 0.001; men’s vigorous PA: = 1.93, p < 0.001; women’s moderate PA: = 1.77, p < 0.001; women’s vigorous PA: = 1.72, p < 0.001). Conclusions Increasing the frequency of moderate and vigorous intensity PA is associated with a better quality of life in older adults. Even in later life, changes in lifestyle components, such as PA, can significantly increase the quality of life. Thus, public health should encourage promoting PA as an effective strategy to improve healthy ageing and hinder vulnerability in older ages.

Football is known for its fast-paced and intensive activities from a professional standpoint, exposing professional football players to a high injury risk across their sportive careers. This study aimed to describe and characterise the sportive injuries of a First Portuguese Football League professional football team over three consecutive seasons. Seventy-one male professional football players (age = 25.7 ± 3.4 years; stature = 181.6 ± 6.5 cm; body mass = 77 ± 7.2 kg) participated in this study, comprising eight goalkeepers (11.3%), 20 defenders (28.2%), 17 midfielders (23.9%), and 26 forwards (36.6%). All players were followed throughout seasons 2019/2020, 2020/2021, and 2021/2022. Descriptive statistics were used to summarise the data collected. Absolute values present the number of football players and the total number of injuries. The demographic data of the participants are presented by mean and standard deviation. The frequency of the injuries by age, sectorial position, type, zone, specific location, laterality, mechanism, severity, recurrence, and occurrence are represented by absolute values and their percentages. In total, 84 injuries were recorded. Each player missed an average of 16.6 days per injury. Lower limbs were massively affected by injuries across all three seasons, mainly with muscular injuries in the quadriceps and hamstrings and sprains in the tibiotarsal structure. The injury incidence was considerably higher in official matches than in training sessions. The two moments of the season that proved most conducive to injuries were the months of July and January. Our results emphasise the importance of monitoring sports performance, including injury occurrence and assisting in identifying risk factors in professional football. Designing individualised training programs and optimising prevention and recovery protocols are crucial for maximising this global process.

In football, knee and hip muscle strength assessment have been recommended for injury prevention (Mosler et al., 2017; Namazi et al., 2019). Additionally, bilateral strength differences in the knee and hip joints have been related to an increased risk of injury. The aims of this study were threefold: (1) to compare knee and hip muscle strength performance between professional players competing at different levels; (2) to assess bilateral strength differences according to the preferred leg (PL) and the non-preferred leg (NPL); and (3) to compare knee and hip muscle strength performance in two-time moments of the season. This study considered 33 professional football players: 13 were in the elite group (EG) competing in the First Portuguese Football League, and 20 were in the sub-elite group (SEG) competing in the Fourth Portuguese Football League. Participants were assessed for body composition, isokinetic knee strength at 60º/s, and hip adduction strength at two-time moments (TM) separated by five months. Peak torque normalised by bodyweight (PT/BW) of knee extensors (KE) and knee flexors (KF) were used for analysis. The differences between groups in strength were analysed using the Mann-Whitney U test. The Wilcoxon Signed Rank Test was conducted to verify differences between the performance of the PL and NPL in each group and to compare the performance between TM1 and TM2. At TM1, the EG presented a significantly better performance in KF PT/BW and hip adduction strength for the PL and NPL (p £ 0.01). In TM2, the EG performed substantially better in KE PT/BW and KF PT/BW (p £ 0.01). In both groups, no substantial bilateral strength differences were observed in knee and hip adduction performance. From TM1 to TM2, significant increases were found in knee strength in both groups (p £ 0.01). Overall, the EG players outperformed their lower-division peers in strength assessments significantly. The results also indicate significant knee and hip muscle strength increases during the season (except for the EG in hip adduction strength), probably as a response to the exposure to training and competition.

Purpose The relationship between strength, power, and sports performance may have long-term effects on the development pathways of youth athletes. This study systematically reviewed the current evidence of strength and conditioning interventions among youngsters in competitive sports. Methods The research was conducted following the Preferred Reporting Items for Systematic and Meta-Analyses (PRISMA) 2020 guidelines. Results A total of 415 articles were identified, and 20 remained for analysis. All studies reported resistance training (RT) and/or plyometric training (PT) interventions as beneficial to improving youngsters’ overall physical fitness. The lower-body explosive strength, speed, and agility improvements were more evident in training plans that combined heavy RT and PT programs. The training frequency of twice a week was sufficient to induce strength gains. The results indicate that strength and conditioning programs positively influence sport-specific skills performance. Conclusions PT and RT should not be implemented as single exercise interventions but as complementary programs to optimise physical and game performance. This study contributes to creating awareness among sports agents and coaches for integrating planned strength and conditioning programs with qualified instruction at least two times per week to improve young athletes’ physical development.

Speed and agility have been described as crucial abilities for soccer players. The purpose of this study was to analyze, in detail, the variance in speed and agility tasks explained by lower-body power after controlling for age and body composition. The participants were 96 male soccer players aged 16.1 ± 1.6 years. Body composition (stature, body fat percentage—BF%, body mass, and fat-free mass—FFM), lower-body power (countermovement jump—CMJ, and squat jump—SJ), speed (5-, 10-, and 35 m sprints), and agility (t-test) were assessed. Among body composition parameters, BF% presented the highest number of significant relationships with speed and agility, with the strength of correlations ranging from small (5 m sprint, r = 0.25) to large (35 m sprint, r = 0.52). The strongest correlation coefficient emerged between FFM and the 35 m sprint (r = −0.65). Significant correlations were found between vertical jump performance and the 35 m sprint (CMJ: r = −0.68; SJ: r = −0.69), followed by the t-test (CMJ: r = −0.35; SJ: r = −0.47). The hierarchical multiple regression model could explain 22% to 67% of the variance observed in agility scores and speed. BF% remained the most statistically significant negative predictor of all regression models. The CMJ remained a statistically significant positive predictor of the 35 m sprint (β = −0.581, p ≤ 0.01) after controlling for age and body composition. Integrating programs targeting lower-body power might be important to enhance speed and agility performance in youth soccer. On the other hand, future research based on multidisciplinary approaches to investigate the effects of nutritional strategies in reducing or preventing gains in BF% is still needed, which remained a significant predictor of sprint and agility performance in the final models.

Abstract Professional soccer is characterized by its physical demands, making players’ exposure to high injury risks a growing problem. It is crucial to study the factors associated with injuries in professional soccer. This study aimed to investigate the relationship between age, body composition, and others variables related with the injury profile of professional soccer players of a specific Portuguese team. Also, it analyzed the impact of the injury profile on soccer’s variations in body fat (BF%), skeletal muscle mass (SMM) and total body water (TBW) throughout the season. The sample comprised 31 male professional soccer players competing in the First Portuguese Soccer League. Older players had a higher prevalence of muscular injuries. Midfielders and forwards showed the highest number of muscular injuries during the season being quadriceps the most affected zone. Considering players’ BF% [Wilks’ Lambda = 0.42, F (7, 23) = 4.61, p = 0.002, r = 0.58], SMM [Wilks’ Lambda = 0.59, F (6, 23) = 2.70, p = 0.039, r = 0.41] and TBW [Wilks’ Lambda = 0.54, F (7, 23) = 2.80, p = 0.029, r = 0.46] there was a substantial main effect for the assessments performed throughout the season and the injury status. Age assumes relevance in explaining the injury profile. The impact of the injury profile on soccer's variations in BF%, SMM and TBW throughout the season must be analyzed considering the clinical relevance.

Abstract We rigorously investigated potential longitudinal associations of hair cortisol and cortisone with verbal memory, time orientation, and dementia, adjusting for sociodemographic and health confounders. Data from the English Longitudinal Study of Ageing wave 6–9 (6-year follow-up, covering 4399 persons aged 50+) were analysed using linear random effects and cox regression models. In unadjusted models, hair cortisol was associated with worsened verbal memory (β 0.19; SE 0.08), but not with time orientation (β 0.02; SE 0.01), or dementia (β 0.07; SE 0.16). Hair cortisone was associated with worsened verbal memory (β 0.74; SE 0.14) and time orientation (β 0.06; SE 0.02), but not with dementia (β 0.47; SE 0.28). However, in the fully adjusted models, neither hair cortisol nor cortisone was associated with verbal memory, time orientation, or dementia. Consistent with prior studies, we found that more advanced age was associated with worsened verbal memory (β 0.15; SE 0.01), time orientation (β 0.01; SE 0.00), and dementia risk (β 0.11; SE 0.02). Our rigorous analyses did not detect robust associations of neither hair cortisol nor cortisone with cognitive functioning or dementia across 6 years. More detailed insights into potential mechanisms are discussed.

Tensiomyography (TMG) has been described as an effective method for identifying differences in muscle response to athletic training stimuli. However, there is a lack of studies that evaluated changes in muscle contractile properties in response to anaerobic effort and related these changes to Wingate test parameters in more than one lower limb superficial muscle. The main contribution of this work is to evaluate changes in the contractile properties of muscles in response to anaerobic exercise. In a group of 20 physically active men, the body composition analysis was performed using a Tanita DC-360 device. The anaerobic effort was assessed by a Wingate test (30 s), and the contractile properties of muscles were measured using a TMG S2 device. The TMG parameters were measured in selected superficial muscles of the dominant lower limb. The study also calculated indices of the differences (d) and the size of the effect (r). An anaerobic effort in the form of the Wingate test resulted in greater stiffness (Dm) in the vastus lateralis muscle (p = 0.0365; r = 0.47) and a delayed response to stimulus (Td) in the vastus lateralis (p = 0.0239; r = 0.51) and vastus medialis (p = 0.0031; r = 0.66) muscles. The half relaxation time (Tr) (p = 0.0478; r = 0.44) and sustained contraction time (Ts) (p = 0.0276; r = 0.49) in the rectus femoris muscle were also increased. In contrast, a prolonged stimulus-response time (Td) with a decrease in sustained contraction time (Ts) was observed in the gastrocnemius lateralis (Td: p = 0.0054; r = 0.64 and Ts: p = 0.0012; r = 0.74) and gastrocnemius medialis (Td: p = 0.0229; r = 0.52 and Ts: p = 0.0054; r = 0.64) muscles. A significant decrease in contraction time (Tc) (p = 0.0051; r = 0.63) occurred only in the soleus muscle. In addition, significant correlations were shown between selected changes in contractile properties of muscle and parameters of the Wingate anaerobic test. Anaerobic exercise has a significant effect on changes in skeletal muscle contractility parameters. TMG is an effective method for identifying differences in muscle response to sports training stimuli.

Abstract Previous work has found that later life urban–rural differences in cognitive health can be largely explained by indicators of cognitive reserve such as education or occupation. However, previous research concentrated on residence in limited, specific, periods. This study offers a detailed investigation on the association between urban (vs. rural) residence from birth, and cognitive functioning in older age. Using data from the Survey of Health Ageing and Retirement in Europe we created residential trajectories from birth to survey enrolment with a combination of sequence and cluster analysis. Using mixed-effects models, we investigated the association between residential trajectories in early, mid, and later life and three cognitive functioning outcomes: immediate recall, delayed recall, and verbal fluency. In a sample of 38,165 participants, we found that, even after accounting for differences related to education and occupation, rural (vs. urban) residence in early life remained associated with poorer cognitive performance later in life. This suggests that growing up in rural regions leads to a long-term disadvantage in cognitive functioning. Thus, public health policies should consider that urban–rural inequalities in early life may have long-lasting associations with inequalities in cognitive health in old and very old age.

Purpose This study aimed to investigate the associations between muscular strength tests and vertical jumping performance (countermovement jump [CMJ] and squat jump [SJ]) in adolescent male football players, while controlling for important predictors such as chronological age and body composition. Methods The sample involved 161 male footballers (mean age: 15.8 ± 1.7 years) from the under-19, under-17, and under-15 age groups. Body fat percentage (BF%) was calculated with Slaughter equations. Muscular strength assessment included handgrip strength and push-up and sit-up tests. Vertical jumping was examined through CMJ and SJ. Pearson correlations and hierarchical regression analyses were run to analyse the data. Results All muscular strength tests showed significant correlations with CMJ and SJ. Handgrip strength was the most substantial predictor for CMJ ( r = 0.43, p < 0.01) and SJ ( r = 0.44, p < 0.01). However, regression models identified sit-ups (CMJ: β = 0.15, p < 0.01, R 2 = 0.23; SJ: β = 0.16, p < 0.01, R 2 = 0.27) and push-ups (CMJ: β = 0.13, p < 0.01; SJ: β = 0.15, p < 0.01) as significant predictors after controlling for chronological age, body mass, and BF%. In contrast, BF% remained a significant predictor of jumping performance (CMJ: β = –0.43, p < 0.01, R 2 = –0.39; SJ: β = –0.52, p < 0.01, R 2 = –0.52) in the whole hierarchical regression model. Conclusions This study reinforces the importance of players’ overall physical development, including healthy diet habits, to enhance jumping performance.

Introduction: We investigated the mediating role of leisure activity engagement as marker of cognitive reserve in the relation between neighborhood socio-economic position (SEP) and cognitive decline over 6 years. Methods: The study analyzed longitudinal data from 897 older adults who participated in the two waves (2011 and 2017) of the Vivre-Leben-Vivere (VLV) survey in Switzerland (M = 74.33 years in the first wave). Trail Making Test parts A and B were administered in both waves. Leisure activity engagement was assessed during interviews. Neighborhood SEP was derived from the Swiss Neighborhood Index of Socio-Economic Position (Swiss-SEP), provided by the Swiss National Cohort (SNC). Results: Latent change score modeling revealed that 42.5% of the relationship between higher neighborhood SEP and smaller cognitive decline was mediated via a higher frequency of leisure activities in the first wave. Conclusion: Neighborhood SEP constitutes an important contextual factor potentially influencing the pathways of cognitive reserve accumulation and, therefore, should be taken into account to better understand their effects on cognitive decline in old age.

Sedentary behavior and inadequate energy expenditure are serious global public health concerns among youngsters. The exponential growth in technology emerges as a valuable opportunity to foster physical activity, particularly through active video games. We performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in PubMed, Web of Science, Cochrane, and Scopus to provide a comprehensive view of the literature on energy expenditure levels among adolescents while playing active video games. Among the 574 manuscripts identified at the first screening stage, 23 were retained for analysis. Ten studies were characterized by longitudinal and thirteen by cross-sectional designs. The results showed that short-term active video games elicited energy expenditure values comparable to moderate-intensity physical activity (3–6 METs). However, in intervention programs (with at least six weeks) the results indicate no significant effects of active video games on youngsters’ energy expenditure levels and physical activity profiles between baseline and follow-up assessments. Overall, active video games based on sports and dance were the most used, and boys tended to achieve higher energy expenditure than girls. The diversity of methods implemented limits comparing results and drawing generalized conclusions. However, considering its attractiveness to youth, active video games might emerge as a complementary tool to traditional physical activities promoted in schools and local communities. Details regarding gender differences and contradictory results of longitudinal approaches should be considered in future research based on standardized methods.

Purpose Physical activity is associated with lower odds of depression symptoms among older adults. However, little is known about the effect of changing physical activity behaviour on depressive symptoms. The present study aimed to analyse the effects of changing physical activity trajectory on depressive symptoms in older people. Methods Data from the Survey of Health, Ageing and Retirement in Europe wave 5 and wave 6 were analysed. The EURO-D 12-item scale measured depressive symptoms, and physical activity (of moderate and vigorous intensity) was self-reported. Multivariate binary logistic regressions were conducted to assess the association between physical activity and depression symptoms. Results The study involved 6431 participants (mean age: 72.7 years). Moderate and vigorous physical activity was significantly associated with lower odds of depression symptoms in men and women. Moderate physical activity, performed once a week (men: OR = 0.31, 95% CI: 0.21–0.45; women: OR = 0.67, 95% CI: 0.54–0.84) and more than once a week (men: OR = 0.41, 95% CI: 0.32–0.52; women: OR = 0.56, 95% CI: 0.47–0.66), decreased the odds of having depression compared with remaining less active. Similar results were seen for vigorous physical activity in both men and women. Conclusions Moderate-to-vigorous physical activity, undertaken at least once a week, is a safe and feasible behaviour to deal with depressive symptoms among older adults.

Abstract Introduction The Coronavirus disease-19 (COVID-19) pandemic affected countries worldwide and has changed peoples’ lives. A reduction in physical activity and increased mental health problems were observed, mainly in the first year of the COVID-19 pandemic. Thus, this systematic review aims to examine the association between physical activity and mental health during the first year of the COVID-19 pandemic. Methods In July 2021, a search was applied to PubMed, Scopus, and Web of Science. Eligibility criteria included cross-sectional, prospective, and longitudinal study designs and studies published in English; outcomes included physical activity and mental health (e.g., depressive symptoms, anxiety, positive and negative effects, well-being). Results Thirty-one studies were included in this review. Overall, the studies suggested that higher physical activity is associated with higher well-being, quality of life as well as lower depressive symptoms, anxiety, and stress, independently of age. There was no consensus for the optimal physical activity level for mitigating negative mental symptoms, neither for the frequency nor for the type of physical activity. Women were more vulnerable to mental health changes and men were more susceptive to physical activity changes. Conclusion Physical activity has been a good and effective choice to mitigate the negative effects of the COVID-19 pandemic on mental health during the first year of the COVID-19 pandemic. Public health policies should alert for possibilities to increase physical activity during the stay-at-home order in many countries worldwide.

As the digital revolution continues to take hold in contemporary society, new technology and communications networks have provided football with new possibilities and prospects for expansion. This study provides an assessment of the published research regarding innovative digital tools designed to increase the interactivity of fans when watching a football match, regardless of whether they do it at home or at the stadium. A systematic review of the literature was performed, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The search was conducted in the PubMed, Web of Science, and Scopus databases. The final sample included eleven studies for analysis. Overall, the investigations that structure this review seem to be in the early stages of their development, with eight of them making tests with the target audience and the other three still in protocol development processes. Six studies concluded that fans had positive and exciting experiences using mobile applications or interactive systems. Two studies showed promising results in the area of football fans’ health, and only one study showed some difficulties for fans using an ad hoc network in the stadium. Adding personal information, fan interaction systems, specific information about the players and the teams’ tactical strategies, and interactive fan voting seem to be important elements for designing a successful interactive tool that contributes to increasing fans’ enthusiasm during football matches.

Incorrect postural habits developed already at an early age are predictors of low back pain and functional limitations in adult life. Postural education programs (PEPs) are activities developed in Physical Education classes with the aim of promoting healthy habits. One tool used by PEPs is comics. The objective of this study was to develop comics and apply them as a teaching tool in PEPs for students aged seven to ten years. The procedures were based on individual empowerment principles, including creation activities, reading, painting, crosswords, and discussion of comics. The activities strengthened the students’ interactions, gaining new knowledge that required cognitive and expressive resources to interpret, associate, and conceptualize themes of correct body posture. During six weeks of intervention, knowledge about body posture, anatomy, and health promotion exercises increased significantly in relation to the beginning of activities. The comic book proved to be an effective, attractive, and low-cost didactic resource.

Abstract The present study aimed to investigate the grip strength (GS) discrimination capacity and cutoffs points for depressive symptoms among vulnerable elderly individuals with musculoskeletal conditions. The Survey of Health, Aging, and Retirement in Europe wave 6 was analyzed. GS was measured by a handgrip dynamometer, and EURO-D scale was used to assess depressive symptoms. GS cutoff values for depressive symptoms were calculated using the receiver operating characteristics curve. 2206 participants, mean age 74.0 (73.7–74.3), 78.8% with osteoarthritis/other rheumatism, enrolled in the study. Sensitivity varies between 0.44 (men, ≥ 85 years) and 0.82 (men, 75–84 years), and specificity varying between 0.35 (women, 75–84 years) and 0.70 (men 75–84 years). GS is associated with depressive symptoms just for women and it is not possible to use a GS cutoff point for screening depressive symptoms for vulnerable men and women with musculoskeletal conditions over the age of 65 years.

Abstract Grip strength (GS) is an indicator of health and vulnerability and inversely associated with depressive symptoms. The aim of this study was to explore GS discrimination capacity for depression; and possible GS cut-off values for depression by sex and age group. Data from 2011 and 2015 on 20,598 (10,416 women) middle-aged and older adults from 14 European countries was analysed. GS was assessed by dynamometer, and depressive symptoms using the EURO-D scale. GS cut-off values for depression were calculated and logistic regression models were used to quantify the odds of having depression in 2011 and in 2015 according to being bellow or above the cut-off value. GS had a weak discriminant capacity for depression, with the area under the curve varying between 0.54 and 0.60 (p

Aims: We investigated whether the longitudinal relation between memory complaints and subsequent decline in executive functioning over 6 years differed by leisure activity engagement as major contributor to cognitive reserve in old age. Methods: We analyzed longitudinal data from 897 older adults (M = 74.33 years) tested on the Trail Making Test (TMT) in two waves 6 years apart. Participants reported information on memory complaints and leisure activity engagement. Results: There was a significant interaction of memory complaints with leisure activity engagement on latent change in executive functioning. Specifically, only for individuals with less (but not those with greater) leisure activity engagement, memory complaints significantly predicted a steeper subsequent decline in executive functioning across 6 years (i.e., increases in TMT completion time). Conclusion: The role of memory complaints as an early predictor of decline in executive functioning seems to vary by individuals’ cognitive reserve.

In 2020 and 2021, the SARS-CoV-2 coronavirus spread rapidly across the world, causing the COVID-19 pandemic with millions of deaths. One of the measures to protect life was confinement, which negatively affected physical and mental health, especially of the older population. The aim of this study is to present and evaluate the methodological procedures of a telehealth and eHealth program “U3A in Motion”, which was composed of videos of physical exercises and activities to promote the mental health and well-being of the older Brazilian population during the COVID-19 pandemic. The procedures included the planning, editing, and dissemination of videos through WhatsApp, and also on the YouTube platform, Instagram, and on a website. A total of 82 videos were created. The action reached 350 older adults from the local community in the northeast of Brazil, as well as being accessed by approximately 3000 other older adults from institutions in the southern region of Brazil. Based on the evaluation of activities through telephone interviews, it was found that older adults participating in the “U3A in Motion” program during confinement were highly motivated to access exercise activities, mainly via mobile phones, and reported a positive effect on physical and mental health.

Background: Referees’ activity can be an instrument for training students with an impact on health-related physical fitness (PF). This study aimed to investigate the differences in PF and body composition between students without sports practice (G1), students with regular sports practice (G2), and student referees in team invasion games (G3). Methods: This study followed a cross-sectional design. The sample comprised 45 male students between 14 and 20 years old (16.40 ± 1.85). Three groups (G1, G2, and G3) of 15 participants each were selected. PF was assessed by a 20 m shuttle run, change-of-direction test, and standing long jump. Body composition was determined by body mass index (BMI; kg/m2) and the percentage of body fat (%BF) predicted by skinfold. Results: After controlling for age as a covariate, the block of variables used to characterize PF was statistically different between sports practice groups favoring student referees (p < 0.001; r = 0.26). Similar results were achieved for body composition (i.e., BMI and %BF) (p < 0.001; r = 0.17). However, when the dependent variables were evaluated separately, there were only differences between groups in %BF (p = 0.007; r = 0.21). Student referees had statistically significantly lower values than the remaining groups. Conclusion: Refereeing activity benefits PF related to health and performance, including body composition. This study confirms the benefits related to health in children and adolescents who are involved in refereeing activity.

The purposes of this study were twofold: (1) to describe a new technological solution for the rehabilitation of musculoskeletal injuries based on virtual reality (VR) gaming, and (2) to analyze the variation in rated perceived exertion (RPE) and heart rate (HR) of the participants when undergoing a rehabilitation session based on different VR games. Thirty-seven participants aged 23.7 ± 7.0 years tested during five customized VR games to provide a complete rehabilitation session after a musculoskeletal injury. The results of the Friedman test indicated a statistically significant difference in RPE scale and HR across the five VR games throughout a complete rehabilitation session (χ2 (4, n = 35) = 75.59; p < 0.001 and χ2 (4, n = 35) = 27.75, p < 0.001, respectively). RPE and HR increased significantly from Game 1 to Game 2 (z = −5.16, p < 0.001), from Game 1 to Game 3 (z = −5.05, p < 0.001), from Game 1 to Game 4 (z = −4.87, p < 0.001), and from Game 1 to Game 5 (z = −3.61, p < 0.001). Moreover, the results showed a high perceived usability of the system, greater intrinsic motivation to perform the rehabilitation exercises, a high level of immersion, and a good experience in the VR gaming environment. Our study stimulates extended intervention programs following-up on this immersive virtual reality rehabilitation system to support soccer players recovering from musculoskeletal injuries.

Sports participation is one of the most popular forms of physical activity among youngsters. This study aimed to examine the changes in the estimated body composition, strength, and flexibility of adolescent boys after 12 months of soccer training compared with those of age-matched controls with non-sports participation. We assessed 137 boys (62 soccer players and 75 controls) at baseline (TM1) and 12 months later (TM2). The differences in estimated body composition, strength, and flexibility were investigated using a repeated measure analysis of variance. The analysis revealed a significant main effect of soccer training on fat mass (F = 73.503, p ≤ 0.01, η2 = 0.59) and fat-free mass (F = 39.123, p ≤ 0.01, η2 = 0.48). Over time, the soccer group decreased their fat mass and increased their fat-free mass, while the opposite results were observed for the controls. Among physical fitness tests, a substantial effect of soccer training was evidenced for the sit-up performance (F = 16.224, p ≤ 0.01, η2 = 0.32). Regarding the time factor, significant effects were noted for height and handgrip strength. No significant differences were detected for flexibility. Overall, the benefits of soccer training were exhibited by the larger improvements in fat mass, fat-free mass, sit-ups, and handgrip strength performance, underlining the important role of soccer participation during adolescence.

Introduction: Sarcopenia is a progressive and widespread skeletal muscle disorder involving loss of muscle mass and function, and is associated with several outcomes, including falls, functional decline, frailty, and mortality. Therefore, this study aimed: (1) to estimate the prevalence of sarcopenia, falls, and the risk of falls considering age, sex, and the level of physical activity (PA), and (2) to identify which of these predictors better explained the likelihood that participants present risk of fall. A total of 701 participants (433 women) with a mean age of 70.4±6.9. Sarcopenia was determined according to the most recent guidelines from the European Working Group (EWGSOP2). The prevalence of falls and the level of physical activity were assessed by questionnaires. The risk of falls was assessed using the Fullerton Advance Balance (FAB) scale. This study provides evidence that women (OR: 2.5, p

Socioeconomic conditions across the life course may contribute to differences in multimorbidity and polypharmacy in old age. However, whether the risk of multimorbidity changes during ageing and whether life-course socioeconomic conditions are associated with polypharmacy remain unclear. We investigated whether disadvantaged childhood socioeconomic conditions (CSCs) predict increased odds of multimorbidity and polypharmacy in older adults, whether CSCs remain associated when adjusting for adulthood socioeconomic conditions (ACSs), and whether CSCs and ACSs are associated cumulatively over the life course. We used data for 31,432 participants (multimorbidity cohort, mean [SD] age 66·2[9] years), and 21,794 participants (polypharmacy cohort, mean age 69·0[8.9] years) from the Survey of Health, Ageing, and Retirement in Europe (age range 50-96 years). We used mixed-effects logistic regression to assess the associations of CSCs, ASCs, and a life-course socioeconomic conditions score (0-8; 8, most advantaged) with multimorbidity (≥2 chronic conditions) and polypharmacy (≥5 drugs taken daily). We found an association between CSCs and multimorbidity (reference: most disadvantaged; disadvantaged: odds ratio (OR) = 0·79, 95% confidence interval (CI) 0·70-0·90; middle: OR = 0·60; 95%CI 0·53-0·68; advantaged: OR = 0·52, 95%CI 0·45-0·60, most advantaged: OR = 0·40, 95%CI 0·34-0·48) but not polypharmacy. This multimorbidity association was attenuated but remained significant after adjusting for ASCs. The life-course socioeconomic conditions score was associated with multimorbidity and polypharmacy. We did not find an association between CSCs, life-course socioeconomic conditions, and change in odds of multimorbidity and polypharmacy with ageing. Exposure to disadvantaged socioeconomic conditions in childhood or over the entire life-course could predict multimorbidity in older age.

Background: While mentally passive sedentary behavior such as television viewing (TV) is often related with depressive symptoms, some research shows that physical activity (PA) may attenuate this association. Thus, this study aimed to examine the associations between TV, PA, and depressive symptoms, considering sociodemographic covariates.Methods: A sample of 29,285 adults (13,943 men; 15,342 women) with a mean age of 50.9 ± 17.4 years (50.6 ± 17.3 men; 51.1 ± 17.5 women) from the European Social Survey agreed to be respondents for this study. Data for sociodemographic variables, TV watching, PA, and depressive symptoms were self-reported. Different statistical procedures were conducted to provide evidence for the association between study variables. ANCOVA was used to analyze the association between TV watching and depressive symptoms. Linear regression analysis was conducted to analyze the association between PA and depressive symptoms. General Linear Model was performed to analyze the association of TV watching and on depressive symptoms, controlling for PA.Results: European adults who responded watching more than 2 h per day showed higher scores for depressive symptoms. Higher participation in PA was negatively and significantly associated with depressive symptoms in men (β = −0.15, 95% CI: −0.18, −0.13), and women (β = −0.23, 95% CI: −0.26, −0.21). Men spending 1–2 h/day TV watching and engaging in PA ≥ 5 days/week presented the lowest scores on depressive symptoms. The lowest scores on depressive symptoms was observed in women engaging 2–4 days/week in PA and spending

Physical activity and exercise contribute to the accumulation of cognitive reserve, which is instrumental for preserving cognitive health in old age. In a large sample of 701 older adults (mean age = 70.36 years), we investigated whether the relationship between having experienced a fall in the past and lower performance in cognitive functioning was mediated via less physical activity engagement as a cognitive reserve contributor. General cognition was assessed using the mini-mental state examination (MMSE), long-term memory using a word-pair delayed recall test and working memory using a backward digit-span test. In face-to-face interviews, individuals reported information on falls during the past 12 months and their habitual physical activity engagement. Our analyses demonstrated that the relationship between having experienced a fall in the past and lower performance in the cognitive functioning measures was partly mediated (by 16.3% for general cognition, 30.6% for long-term memory, and 33.1% for working memory, respectively) via less physical activity engagement. In conclusion, we suggest as a core bio-psychological mechanism that experiencing a fall at an older age is a critical life event that hinders sufficient physical activity engagement and thereby impedes cognitive reserve build-up, resulting in lower cognitive functioning outcomes.

The aims of this study were twofold: (i) to examine differences in physical activity (PA) variables regarding the length of Physical Education (PE) lessons (45 vs. 90 min) and teaching methodology (Teaching Games for Understanding (TGfU) or hybrid TGfU-sports education (SE)); and (ii) to estimate the percentage of time spent in moderate-to-vigorous (MV) PA assessed via an accelerometer based on total step count, BMI, age, and sex, considering the pedagogical models and the class length. This study was carried out in three classes of invasion games in PE. Two classes were taught based on TGfU (44 students, 18 males, 12.6 ± 0.55), and one was taught based on a hybrid TGfU-SE (17 students, 9 males, 13.7 ± 0.90). The same students were assessed twice, first in a 45 min class and then in a 90 min class. The students’ MVPA was assessed using the Actigraph GT3X Activity Monitor. The results revealed significant differences in PA intensity regarding the length of the PE lesson (45 vs. 90 min) and the teaching methodology. The 45 min classes using TGfU were more intense and had less sedentary time than the 90 min classes. When using a hybrid TGfU-SE, the 90 min classes had higher intensities than the 45 min classes. Generally, when comparing the two types of pedagogical intervention, the TGfU model provided more active lessons and less sedentary time in class than a hybrid TGfU-SE. The TGfU model is more profitable for increasing MVPA in class. Due to the issues related to the organization and management of sports practice in class, several recommendations for maximizing MVPA in a hybrid TGfU-SE class must be considered.

Background: Research on composition and physical fitness is lacking in school-aged children from Madeira. This study aimed to examine the frequencies of overweight and obese participants and, in addition, to compare the fitness levels of Madeira youth with reference data. Methods: The sample comprised 521 participants (n = 258 boys; n = 263 girls) aged 10.0–18.9 years old. Methods: Height and weight were measured. Body mass index (BMI) was calculated, and percent fat was derived from skinfolds. Tests detailed on FITESCOLA battery were performed. BMI was plotted against U.S. reference data and physical assessment contrasted with the cut-off points of FITESCOLA protocol and corresponding data developed in Portuguese youth. Results: The percentages of overweight and obesity were 15% (overweight) and 14% (obesity) for boys and 16% (overweight) and 6% (obesity) for girls. The median values of fat mass percentage were closely related to the cut-off standards; however, substantial variation was noted. Boys and girls tended to be below the recommendations of cardiorespiratory fitness. Conclusions: Sport participation should be promoted in Madeira to attain acceptable values of body composition and physical fitness levels.

Decision-making (DM) is an important ability targeted in the formation of young football players that can improve by using small-sided games (SSGs). The main purpose of this study was to assess players’ DM in different balanced and unbalanced SSG formats keeping the play area constant. The sample was composed of 10 field players plus 2 goalkeepers (13.55±0.51 years). This study consisted of 3 sessions, one day for each session, with an interval of 48 hours apart between sessions. Three different SSG formats (4vs.4; 4vs.5; 4vs.6), in a play area of 40x30 meters, were selected. The outcome was the decision-making index (DMI), assessed with the Game Performance Assessment Instrument (GPAI). Results showed that on two of the three days, there were statistical differences in DMI across the three different SSG formats. In the 4vs.6 format a higher median score than in the 4vs.4 format was recorded on day 2 (U=13.0, z=-2.34, p=.025, r=.57) and day 3 (U=5.50, z=-2.98, p=.003, r=.72). In conclusion, the use of unbalanced SSG formats in the training may benefit DM development, and therefore may constitute an important factor to be considered in the formation of young football players.

The integration of methods to quantify the physical demands [e.g., Rating Perceived Exertion (RPE)] in small-sided games (SSGs) in younger soccer players, has been scarcely studied. In addition, few studies have been addressing the impact of balanced vs. unbalanced SSGs, in particular in youth players’ RPE. This study aimed to investigate differences between balanced and unbalanced format games in young soccer players’ RPE, controlling for different playing field sizes. The sample comprised 10 field players and 2 goalkeepers (Gk) being 13,55±0,51 years-old. The players performed 6 randomized different situations, following an identical methodology across the training days: (1) 4Vs.4+Gk (2) 4Vs.5+Gk, and (3) 4Vs.6+Gk. All situations were performed in 30x25m and 40x30m. The game situations lasted 5 minutes of practice and another 5 minutes of rest. After the execution of all game situations, participants were asked individually about their self-perceived effort, using the OMNI effort scale. In unbalanced format games when the difference in the number of players increases, RPE is lower. This tendency seems to be more evident in smaller compared to bigger playing field areas. The difference in RPE scores considering different dimensions of playing space seems not to be linear. Balanced soccer SSGs promote higher RPE than unbalanced soccer SSG. More studies on the topic are required considering different playing field areas as well as different players' backgrounds. Resumen. La integración de métodos para cuantificar las demandas físicas [por ejemplo, Calificación del Esfuerzo Percibido (CEP)] en juegos reducidos (JR) en jugadores de fútbol más jóvenes, ha sido poco estudiada. Además, pocos estudios han abordado el impacto de los JR equilibrados frente a los no equilibrados, en particular en el CEP de los jugadores juveniles. Este estudio tuvo como objetivo investigar las diferencias entre los juegos de formato equilibrado y desequilibrado en el CEP de los jugadores de fútbol jóvenes, controlando los diferentes tamaños del campo de juego. La muestra estuvo compuesta por 10 jugadores de campo y 2 porteros (P) con 13,55 ± 0,51 años. Los jugadores realizaron 6 situaciones diferentes aleatorias, siguiendo una metodología idéntica a lo largo de los días de entrenamiento: (1) 4Vs.4 + P (2) 4Vs.5 + P, y (3) 4Vs.6 + P. Todas las situaciones se realizaron en 30x25m y 40x30m. Las situaciones de juego duraron 5 minutos de práctica y otros 5 minutos de descanso. Después de la ejecución de todas las situaciones del juego, se preguntó a los participantes individualmente sobre su esfuerzo autopercibido, utilizando la escala de esfuerzo OMNI. En los juegos de formato desequilibrado, cuando aumenta la diferencia en el número de jugadores, el CEP es menor. Esta tendencia parece ser más evidente en las áreas de juego más pequeñas que en las más grandes. La diferencia en las puntuaciones de CEP considerando las diferentes dimensiones del espacio de juego parece no ser lineal. Los JR de fútbol equilibrado promueven un CEP más alto que el JR de fútbol desequilibrado. Se requieren más estudios sobre el tema considerando las diferentes áreas del campo de juego, así como los antecedentes de los diferentes jugadores.

This study aimed to systematically review the association between telomere length (TL) and muscular fitness. In October 2020, an articles search was applied to PubMed, Scopus, and Web of Science. Eligibility criteria included: cross-sectional, prospective, and experimental study design; outcomes included TL; results expressed the relationship between muscular fitness and TL; studies published in English, Portuguese, or Spanish. Nine studies were included in the review. Results from the four prospective studies are mixed. In one study, the changes in TL were associated with grip strength. Another study concluded that longer mid-life TL was associated with increased grip strength later in life. However, in the other two studies, the association between TL and sarcopenia was not strong. Nevertheless, longer TL was associated with a slower decline in grip strength in older people. From the four cross-sectional studies, three indicated that TL was associated with muscular fitness. On the other hand, in a study with powerlifters, TL remained within the range of values found in subjects with no history of regular strength training, supporting the notion that muscular fitness was not associated with TL. The cross-sectional and prospective studies showed that the relationship between TL and muscular fitness is not conclusive. It seems that there is a positive association between TL and muscular fitness in middle-aged and older adults. However, among younger adults, this relationship was not observed.

The purpose of this study was to provide data regarding the prevalence and trends of adolescents' healthy lifestyles from 32 countries between 2006 and 2014 by sex and age interval. The data used in the present study were derived from the Health Behavior in School-aged Children (HBSC) 2006, 2010, and 2014 international database. Healthy lifestyle was assessed using the combination of daily physical activity, daily fruit and vegetable consumption,

Physical fitness (PF) is a multi-component construct and a biomarker of health. Worse PF is related to vulnerability and predicts worse academic achievements. Thus, assessing PF is important to monitor health in youth. This systematic review aimed to identify and inform physical education, health professionals and entities about existing PF batteries and field-tests that can be used in school settings. A comprehensive literature search was carried out in five electronic databases (Academic Search Complete, Education Resources Information Center, PubMed, Scopus, and Web of Science) to identify PF battery protocols that can be carried out in the school setting. Overall, 24 PF batteries were identified. Regarding the PF components assessed, only cardiorespiratory fitness and upper body strength were contemplated in all batteries. Middle-body strength and lower body strength were presented in most batteries (21 and 19 of 24, respectively). Agility (16 of 24) and body composition (16 of 24) were also considered in several batteries, although to a lesser extent. Flexibility (14 of 24) and speed (12 of 24) were the PF components less represented in the batteries. Among the 24 identified PF batteries, 81 PF tests assessing the different PF components were encountered. The advances in the PF field-based assessment in school settings and health in youth resulted in the amplification of the number of existing batteries. Considering the connection between PF and health and the opportunity that the school setting provides to assess fitness in children and adolescents, there is a need for standardization and a consensus of PF assessments in this specific setting.

In soccer, physical development is crucial for developing optimal performance. This study aimed to assess and compare the physical development of elite and non-elite professional soccer players. Seventy-eight male professional football players divided into four competitive levels participated in this study: the elite group (EG), the non-elite group A (NEG-A), the non-elite group B (NEG-B), and the under 23 group (U23). Body composition, static strength, lower-body explosive strength, flexibility, and balance were assessed. No significant statistical differences between elite and non-elite players were seen in body composition parameters. However, the EG performed better in static strength, lower-body explosive strength, flexibility, and balance, even after adjusting for the effects of chronological age. The analysis showed that the competitive level (group) explained 25% to 29% of the variance observed in the lower-body explosive strength tasks. Sports staff and coaches in different age categories or competitive levels should include specific lower-body explosive strength content during soccer training to promote players’ long-term development towards the elite level.

Introduction: With vulnerable aging, gait speed (GS) undergoes progressive changes, becoming slower. In this process, cognitive performance (CP) and physical function (PF) both play an important role. This study aims (1) to investigate the association between CP and PF with GS and (2) to examine whether CP and PF mediate the association between age and GS in a large sample of Brazilian older adults. Methods: A cross-sectional study analyzed 697 individuals (mean age 70.35 ± 6.86 years) from the state of Amazonas. The CP was evaluated by the COGTEL test battery, PF by the Senior Fitness Test battery, and GS with the 50-foot Walk Test. Results: Older adults with a lower CP and PF had a 70% and 86% chance of slow GS, respectively. When CP and PF were placed simultaneously as mediators, the direct effect estimated by the model revealed a non-significant relationship between age and GS. Specifically, CP and PF mediated the association between age and GS, at approximately 12% and 98%, respectively. Conclusions: CP and PF show the potential to estimate GS performance among older adults. Moreover, CP and PF indicated a negative and direct association between age and slow GS, especially PF.

Hydrogen sulfide (H2S) protects against stretch-induced lung injury. However, the impact of H2S on individual cells or their crosstalk upon stretch remains unclear. Therefore, we addressed this issue in vitro using relevant lung cells. We have explored (i) the anti-inflammatory properties of H2S on epithelial (A549 and BEAS-2B), macrophage (RAW264.7) and endothelial (HUVEC) cells subjected to cycling mechanical stretch; (ii) the intercellular transduction of inflammation by co-culturing epithelial cells and macrophages (A549 and RAW264.7); (iii) the effect of H2S on neutrophils (Hoxb8) in transmigration (co-culture setup with HUVECs) and chemotaxis experiments. In stretched epithelial cells (A549, BEAS-2B), the release of interleukin-8 was not prevented by H2S treatment. However, H2S reduced macrophage inflammatory protein-2 (MIP-2) release from unstretched macrophages (RAW264.7) co-cultured with stretched epithelial cells. In stretched macrophages, H2S prevented MIP-2 release by limiting nicotinamide adenine dinucleotide phosphate oxidase-derived superoxide radicals (ROS). In endothelial cells (HUVEC), H2S inhibited interleukin-8 release and preserved endothelial integrity. In neutrophils (Hoxb8), H2S limited MIP-2-induced transmigration through endothelial monolayers, ROS formation and their chemotactic movement. H2S induces anti-inflammatory effects in a cell-type specific manner. H2S limits stretch- and/or paracrine-induced inflammatory response in endothelial, macrophage, and neutrophil cells by maintaining redox homeostasis as underlying mechanism.

Background: Cancer patients must deal with several health challenges, including emotional distress and depressive symptoms. This study aimed to evaluate evidence from published systematic reviews and meta-analyses about the efficacy of exercise on depressive symptoms in cancer patients. Methods: We searched for previous meta-analyses of randomised controlled trials on PubMed, Web of Science and Scopus, with data inception to 30 December 2021. Two independent researchers assessed the methodological quality using the Assessment of Multiple Systematic Reviews 2 (AMSTAR2) instrument. Six meta-analyses were integrated. All included middle-aged and older adults. Five presented moderate quality, and one presented low quality. Results: Overall, a significant reduction in depressive symptoms was observed among the included studies. However, the heterogeneity between studies was high, and high-quality evidence for the efficacy of exercise on depressive symptoms was limited. Conclusions: Exercise could be a possibility in the treatment of depressive symptoms in cancer patients, especially when supervised and outside the home. The better dose of exercise needs to be clarified. More high-quality evidence is needed to better prescribe exercise to this vulnerable population.

Despite evidence that stress relates negatively to cognitive functioning in older adults, little is known how appraisal of stress and socioeconomic meso-level factors influence different types of cognitive functions in older adults. Here, we assess the relationship between perceived stress (PSS scale) and a battery of cognitive functions, including prospective memory in 1054 older adults (65+). A moderator analysis assessed whether this relationship varies with neighborhood socioeconomic status using an area-based measure of Socioeconomic Position (SEP). Perceived stress was associated with worse processing speed, verbal fluency, and inductive reasoning. The perceived self-efficacy subscale of the PSS is related to better performance in these measures. Higher self-efficacy was also associated with better prospective memory; this relationship was more pronounced for people with high neighborhood SEP. These findings indicate that not only do perceived stress and perceived self-efficacy relate to cognitive functioning in older age but also that neighborhood SEP is a moderator of this relationship.

Postpartum depression (PPD) is a public health issue. Exercise is a nonpharmacologic alternative to deal with PPD. This study conducted a systematic review of previous meta-analyses and an exploratory pooled analysis regarding the effects of exercise on depressive symptoms among women during the postpartum period. We searched for previous meta-analyses of randomised controlled trials on PubMed, Web of Science and Scopus, date of inception to 31 May 2021. The methodological quality was assessed using the Assessment of Multiple Systematic Reviews 2 (AMSTAR2) instrument. We pooled the standardised mean differences from the selected studies. Of the 52 records screened, five were included. The results revealed a significant moderate effect of exercise on depressive symptoms among women during the postpartum period (SMD = −0.53; 95% CI: −0.80 to −0.27, p < 0.001). The pooled effect of the five meta-analyses established that exercise had a significant, small effect on depressive symptoms (SMD = −0.41; 95% CI: −0.50 to −0.32, p < 0.001). Our study indicates that exercise is effective in reducing PPD symptoms. Compared with traditional control approaches (psychosocial and psychological interventions), exercise seems have a superior effect on PPD symptoms. The implications of the present synthesis of past meta-analytical findings to guide health policies and research are discussed.

Aims: The present study set out to evaluate the psychometric properties of the Cognitive Telephone Screening Instrument (COGTEL) in 2 different samples of older adults. Methods: We assessed COGTEL in 116 older adults, with retest after 7 days to evaluate the test-retest reliability. Moreover, we assessed COGTEL in 868 older adults to evaluate convergent validity to the Mini-Mental State Examination (MMSE). Results: Test-retest reliability of the COGTEL total score was good at 0.85 (p < 0.001). Latent variable analyses revealed that COGTEL and MMSE correlated by 0.93 (p < 0.001), indicating convergent validity of the COGTEL. Conclusion: The present analyses suggest COGTEL as a brief, reliable, and valid instrument for capturing interindividual differences in cognitive functioning in epidemiological and aging studies, with the advantage of covering more cognitive domains than traditional screening tools such as the MMSE, as well as differentiating between individual performance levels, in healthy older adults.

Abstract Objectives: To study the reliability/stability of the Cognitive Telephone Screening Instrument (COGTEL) for the assessment of cognitive functions, and to investigate the concurrent validity (that is, the relationship between the COGTEL scores and external variables, such as level of education and MMSE results) in a pilot study of elderly persons residing in the community in the municipal regions of Apuí, Fonte Boa and Manaus (Amazonas, Brazil). Method: This pilot study included 90 elderly persons (29 men and 61 women) aged 60-85 years of age [68.2 (± 6.7)]. The COGTEL, the MMSE and socio-economic survey were applied in the form of two interviews, a week apart and under the same conditions. Results: The test-retest intraclass correlation coefficient of the COGTEL total score (and respective six subtests), MMSE and educational level ranged from acceptable to high (0.708 < R

Background: Research has suggested that applying the Sport Education Model (SEM) in Physical Education (PE) increases students’ motivation. However, it is important to systematize this evidence to have a clearer idea. Therefore, this study aimed to analyze the impact of the SEM on the students’ motivation. Methods: A systematic review with a narrative synthesis was performed. In March 2021, an articles search was conducted in PubMed, Scopus, and Web of Science. Eligibility criteria were: longitudinal or experimental study design; outcomes included PE settings; results reported the relationship between the SEM and students’ motivation. Results: Fourteen studies were included, totaling 2146 students. The majority of the studies indicated a significant association between the SEM and motivation, particularly in autonomy and more enjoyment toward PE. Conclusions: This review supports that the SEM has a positive impact on motivation. The SEM offers a wide range of opportunities for students to develop more self-determined motivated behavior in PE classes. Therefore, the SEM should be considered when developing or adapting existing PE programs to promote students’ intrinsic motivation to engage in physical activity.