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Background: Supervised online exercise training (OET) may help to counteract physical inactivity in healthy older adults. Few studies to date have compared the effect of OET and traditional face-to-face exercise training (TET). Aims: With this study we compared the effect of OET and TET on physical function in healthy older adults and investigated the feasibility of OET. Methods: Power analysis indicated that a sample size of n = 20 per group was necessary to detect a moderate effect size. Of 80 individuals potentially interested in the study, 32 did not meet the inclusion criteria and 22 declined participation; 26 were assigned to receive OET via Zoom© and 19 to receive TET twice a week for 12 weeks. The exercise training program was the same for both groups: fine finger and muscle strengthening and balance exercises. Performance was measured using the 400-m Walk, Timed Up and Go, Four Square Step, One Leg Stance, Five Time Chair Stand, and Hand Grip tests. Results and conclusions: In general, physical function was improved after OET and TET (ηp2 range, 0.349–0.642). No improvement in upper limb strength was observed in either group (p > 0.05), whereas endurance on the 400-m Walk Test was increased for the OET group and decreased for the TET group (Time × Group interaction F 5.540, ηp2 0.187; p = 0.007). Good adherence was noted for the OET group (82%). No adverse events during the 12-week study period were recorded. Our findings suggest a positive effect of exercise training on physical function over time, regardless of how delivered. OET was found to be feasible and acceptable, making it a viable alternative to conventional exercise programs for older adults. [ABSTRACT FROM AUTHOR]

Football is a popular sport, but little is known about the youth-to-senior transition rates in elite players, particularly in large and successful countries. This study aims to investigate the youth-to-senior transition rate in the Italian national football team, both prospectively and retrospectively, and to explore if Relative Age Effects (RAEs) affect this transition. Data from 885 players selected in youth and senior Italian national teams between 2000 and 2021 were included in the study. For each player, the birthdate and the number of selection in Under 16, 17, 19, 21 and senior team was considered. The transition rate was determined by the number of youth players competing in the Senior National team (and vice versa), whilst birth quarter (Q) distributions with a chi-square goodness-of-fit test. Prospectively, the transition rate increased as age increased (i.e., from ~20% in U16 to ~50% in U19). Retrospectively, less than 10–20% of youth players were subsequently selected for the senior team. Data revealed a skewed birth date distribution in all age groups, and the RAEs magnitude decreased when age increased (i.e., ORs for Q1 vs Q4 was ~ 9 in U16 and ~ 1.7 in senior teams). Nevertheless, the RAE magnitude was smaller for successfully transitioned players. In conclusion, most players in the senior team were not previously selected for youth teams suggesting that junior international experience may not be a prerequisite for later success. Moreover, while the birthdate strongly influences the selection of youth national teams, its impact is less evident in the youth-to-senior transition. [ABSTRACT FROM AUTHOR]

The relative age effect (RAE) is a selection bias resulting from the interaction between the selected dates and birthdates. Nevertheless, the impact of birthdate on the junior-to-senior transition in international track and field is unclear. This study aimed to quantify the RAE's magnitude and test if birthdate affects the junior-to-senior transition rate. The birthdate and performances of 5,766 sprinters (female: 51.0%) and 5,863 jumpers (female: 45.9%) were collected. Elite athletes (operationally defined as the World's all-time Top 200, 100 and 50 athletes) were identified according to Under 18 and Senior categories. Skewed quartile distributions were observed in the Under 18 (effect size ranged = 0.15–0.10) but not in the Senior category. RAE magnitude increased according to performance level (i.e., from Top 200 to Top 50) and was higher in males than females. Relatively younger athletes showed significantly higher transition rates with a higher chance of maintaining top level in the senior category (odds ratio (OR) ~ 1.64). The probability of maintaining success was lower for sprinters than jumpers (OR ~ 0.70), influenced by decade of birth and continental place but similar for male and female athletes. Data corroborate that relatively younger athletes are disadvantaged in the junior category but advantaged when transitioning to the senior category. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate youth-to-senior transition and the relative age effect in Italian female football national teams. Birthdate data of 774 female players selected for Under 17 (N = 416), 19 (N = 265) and National Senior team (N = 93) were analysed. The youth-to-senior transition rate was determined by the number of youth players competing in the Senior National team (and vice versa), whilst birth quarter (Q) distributions with a chi-square goodness-of-fit test. Only 17.4% of youth players were able to be selected for the Senior National team, whereas 31.2% of the players reached the high-senior level without being selected for youth age groups. Data revealed a skewed birth date distribution in Under 17 and 19 teams (on average, Q1 = 35.6% vs Q4 = 18.5%) but not in the Senior National team. Youth players born in Q1 were two times more likely to be selected than in Q4. In Under 17, goalkeepers, defenders, and midfielders of Q1 players were overrepresented. However, Q4 players recorded higher conversion rates than Q1 (Q1 = 16.4% vs. Q4 = 25.0%). National youth experience may not be a prerequisite for being selected at the senior level. Moreover, this confers a higher probability of playing in the National Senior team than players not selected in youth rosters. [ABSTRACT FROM AUTHOR]

In 'Mental health outcomes of the Daily Mile in elementary school children: a single‐arm pilot study', Arkesteyn et al. (Child and Adolescent Mental Health, 2022) discussed and investigated the effect of a classroom activity break, named The Daily Mile, on pupils' self‐esteem, self‐perception competence, and mental health. Starting from the interesting and novel results of Arkesteyn et al. (Child and Adolescent Mental Health, 2022), this comment focuses on the concurrent evidence about the effect of The Daily Mile on pupils' physical and mental health. Overall, this comment would reflect and critically review considerations for future research on the topic and to adopt it in the school context. [ABSTRACT FROM AUTHOR]

This retrospective study investigated whether corrective adjustment procedures can remove the relative age effect (RAE) from world-class junior sprinters at the beginning of their career. A total of 2,918 male and 3,029 female athletes competing in sprint races (100 m, 200 m, and 400 m) of the World Athletics lists between 2000 and 2018 were considered. Longitudinal quadratic trendline equations across ages 16–25 yrs were calculated considering athletes' exact age and respective performance. Corrective adjustment calculations from the estimated longitudinal quadratic equations were applied at 16 yrs and 17 yrs. RAE was investigated for the whole sample and top-level athletes (i.e., first Top50 and Top100) considering the uncorrected and corrected performance. Moderate to large RAE was observed in Top50 and Top100 at 16 yrs. Differently, a lower RAE was observed at 17 yrs. When re-examining the data using the corrective adjustment calculations, the RAE disappeared in all sprint events and both genders at 16 yrs, while a more equal distribution was observed at 17 yrs. Corrective adjustment procedures can remove or at least reduce the RAE in world-class sprinters. Applying simple equations based on exact age might improve the accuracy of performance evaluation and talent identification in international track and field sprint competitions. [ABSTRACT FROM AUTHOR]

Purpose: The present study aimed to investigate the actual and wished supports to promote a successful dual career for Italian student-athletes. Methods: An ad hoc questionnaire (nine items) was administered to 711 academic Italian student-athletes (age = 23 ± 4 years). A binomial regression for categorical outcomes was applied to discriminate subcategories for each item. Results: According to the items which could be considered as more related to the actual and wished supports to promote a successful dual career, student-athletes mostly answered that tutoring (≤ 24 years old, 95%, OR 3.55; team, 95%, OR 2.27; elite, 97%, OR 3.33; not sport science path, 93–96%, OR range 3.45–7.69), e-learning (last year, 95%, OR 1.97), and extra-academic merits (team, 71%, OR 1.47; elite, 77%, OR 2.13) resulted as not satisfactorily supported by university, but highly wished by student-athletes. Also the flexibility in lesson frequency and exam sustainability resulted as strongly considered, but perceived as limited (≤ 24 years old, 84%, OR 2.43; Medical and Humanistic, 87%, with respect to Sport Science path, OR 9.01). In addition, in terms of identity, female (68%, OR 2.22), > 24 years old (68%, OR 2.22), sub-elite (68%, OR 2.22), not sport science (57–65%, OR 2.48–2.03), and last year of attendance (62%, OR 3.45) participants showed to be more student-oriented, whereas elite (60%), sport science path (61%), and out of course (56%) student-athletes perceived themselves as mainly athletic-oriented. Conclusion: Italian student-athletes could be better supported by University in complying sport and academic requirements, especially by means of an improvement in tutoring, e-learning and a more flexible schedule, in line with the European Commission guidelines. [ABSTRACT FROM AUTHOR]

Purpose: The present study aimed to investigate dual-career issues of Italian student-athletes according to gender, age, type of sport, competition level, university path, and year of attendance variables to highlight their main problems and solutions. Methods: An ad hoc 24-item questionnaire was administered to 711 academic Italian student-athletes (Mean age = 23; SD = 4 years). A multivariate analysis was applied for data related to the first 21 (section A), whereas answers from the last 3 items (section B) were only described. Results: For section A items, two factors (factor 2: items 5, 7, 8, 14; Cronbach alpha = 0.728; factor 5: items 10, 11; Cronbach alpha = 0.78) related to sport participation and education for future job emerged. For both factors, effects emerged between "year of attendance" subcategories (i.e., lower values for "out of course" subgroup), whereas only for factor 5, differences emerged in terms of age (i.e., higher values for younger than older subgroup). For section B, most student-athletes declared to wish schedules of lessons and exams (e.g., higher number of sessions; oral online interrogations) for better combining sport and academic requirements. Conclusion: The present study represents a further step to better understand the Italian student-athletes' daily and weekly limitations and wished solutions related to the combination of sport and academic tasks. Institutional bodies should consider the present findings in case of future policies in supporting dual career. [ABSTRACT FROM AUTHOR]

The motivation to perform physical activity is a crucial factor in achieving a persistent active lifestyle. However, motivation decreases with increasing age from childhood to adolescence. The promotion of physical activity in educational settings might be an important tool to increase motivation and, consequently, to decrease sedentary behavior. The aim of this study was to explore the effect of a 4-month school-based walking intervention on motivation to participate in physical activity among Italian middle-school students. This study included 276 students (mean age 13 ± 1 years, 41.3% female). A total of 138 students (intervention group) participated in a brief walking intervention that was added to their routine daily school activity, while a convenience sample of 138 students performed the routine daily school activity. The activity consisted of walking one kilometer outside of school buildings during the morning break. Motivation data were collected before and after the walking breaks using the Participation Motivation Questionnaire (PMQ). Controlling for age, significant interactions between group and time were observed in the “Social Status” [F(1,273) = 4.851; p = 0.028], “Team” [F(1,273) = 6.015; p = 0.015] and “Energy Release” components [F(1,273) = 8.527; p = 0.038]. Specifically, a significant decrease in the “Social Status” components of the PMQ and an increase in the “Team” and “Energy Release” components were observed in the intervention group. On the contrary. control group showed an increase in “Social Status” and a decrease in the “Team” and “Energy Release” components. Within this developmental context, incorporation of the walking activity helped to modify the motivational orientation towards physical activity to include more intrinsic factors, which were related to the possibility of remaining with classmates and peer groups and releasing a surplus of energy. [ABSTRACT FROM AUTHOR]

Brief bouts of physical activity during the school day are an innovative method for increasing physical activity in the school setting. The purpose of the study was to investigate if the introduction of an outdoor active break, based on walking and running, in a middle school in Italy is feasible in terms of implementation (i.e., adherence, costs, safety) and acceptability (i.e., satisfaction, intent to continue use, perceived appropriateness). One hundred and forty students (aged 12 ± 1 years) and 20 teachers (aged 50 ± 8 years) participated in the activity for four months. The activity consisted of walking (or running) one kilometer outside the school buildings during the mid-morning. Data from questionnaires regarding the satisfaction with and the acceptability of the activity were collected. The activity was safely performed three to four days a week, without any costs to the school or to students’ parents. Students and teachers were satisfied with the activity (positive answers from 95% and 89% of each group, respectively). Moreover, the teachers reported that the program was easy to organize and did not negatively influence their teaching activities. The intervention was easily and safely implemented, and it was considered suitable for the daily routine of an Italian middle school. Further studies are needed to examine its impact on physical activity levels and academic achievement. [ABSTRACT FROM AUTHOR]

The neural drive to the muscle is the primary determinant of the rate of force development (RFD) in the first 50 ms of a rapid contraction. It is still unproven if repetitive rapid contractions specifically impair the net neural drive to the muscles. To isolate the fatiguing effect of contraction rapidity, 17 male adult volunteers performed 100 burst‐like (i.e., brief force pulses) isometric contractions of the knee extensors. The response to electrically‐evoked single and octet femoral nerve stimulation was measured with high‐density surface electromyography (HD‐sEMG) from the vastus lateralis and medialis muscles. Root mean square (RMS) of each channel of HD‐sEMG was normalized to the corresponding M‐wave peak‐to‐peak amplitude, while muscle fiber conduction velocity (MFCV) was normalized to M‐wave conduction velocity to compensate for changes in sarcolemma properties. Voluntary RFD 0–50 ms decreased (d = −0.56, p < 0.001) while time to peak force (d = 0.90, p < 0.001) and time to RFDpeak increased (d = 0.56, p = 0.034). Relative RMS (d = −1.10, p = 0.006) and MFCV (d = −0.53, p = 0.007) also decreased in the first 50 ms of voluntary contractions. Evoked octet RFD 0–50 ms (d = 0.60, p = 0.020), M‐wave amplitude (d = 0.77, p = 0.009) and conduction velocity (d = 1.75, p < 0.001) all increased. Neural efficacy, i.e., voluntary/octet force ratio, largely decreased (d = −1.50, p < 0.001). We isolated the fatiguing impact of contraction rapidity and found that the decrement in RFD, particularly when calculated in the first 50 ms of muscle contraction, can mainly be explained by a decrease in the net neural drive. [ABSTRACT FROM AUTHOR]

The relative age effect (RAE; i.e., an asymmetry in the birth distribution) is a bias observed in sport competitions that may favour relatively older athletes in talent identification. Therefore, the aim of this study was to investigate the presence of RAE in elite soccer players competing in the Italian championships, even considering the discriminations of younger and older Serie A players (in relation to the median age of the sample), and different positional roles (i.e., goalkeeper, defender, midfielder, forward) for each observed category. A total of 2051 players competing into the 2017–2018 Italian under-15 (n = 265), under-16 (n = 362), under-17 (n = 403), Primavera (n = 421) and Serie A (n = 600) championships were analysed. The birth-date distributions, grouped in four quartiles (i.e., January-March, Q1; April-June, Q2; July-September, Q3; October-December, Q4), were compared to a uniform distribution using Chi-squared analysis. The week of birth was analysed using Poisson regression. The results showed a large over-representation of players born in Q1 in all soccer player categories. However, the effect size of this trend resulted smaller as age increased. Individuals born in Q1 have about two-folds more chances to become a Serie A player compared to those born in Q4. The Poisson regression analysis showed that RAE was greater for defenders than for forwards among all categories. Therefore, a strongly biased selection emerged among elite soccer players competing in Italian championships, highlighting how young individuals born in the first three months have many more chances to become elite players compared to the others. [ABSTRACT FROM AUTHOR]

Purpose: The rationale of our study derived from the important changes in judo rules, with particular consideration of the leg grabs. Therefore, the present study aimed at demonstrating the relationships between stature and successful matches in elite judo, in relation to both genders and seven weight categories.Methods: Stature levels and final ranking position of each participant were recorded on the base of the year of Olympic Game (Athens 2004, Beijing 2008, London 2012, Rio 2016), gender, and weight class. A one-way ANCOVA was applied to determinate possible differences (p ≤ 0.05) among judoka’s statures related to each Olympic Game.Results: Results showed that no difference has been reported for stature level of each judo Olympic Game in all and only male judoka. On the contrary, for female, difference (p = 0.007) on judoka’s stature levels among ranking positions generally emerged, reporting increases in stature levels between the first and the fifth (from 163.62 ± 7.95 to 167.90 ± 8.88 cm; p = 0.004), and the seventh (from 163.62 ± 7.95 to 168.26 ± 8.53 cm; p = 0.016) ranking position.Conclusion: Considering that no relationship between stature and successful matches in elite judo emerged in the analyzed four Olympics Games, it can speculate that no advantage can be attributed to the taller judoka’s for the rule changes regarding the leg grabs. [ABSTRACT FROM AUTHOR]

Purpose: The present study aimed to investigate the perceived importance of competencies related to entrepreneurship as starting point for a new career in European athletes.Methods: A Focus Group Interview (FGI) within AtLETyC project (Erasmus+) was administered to 78 European athletes (i.e., 26 female: 27 ± 7 years; 52 male: 28 ± 9 years) related to six countries (i.e., Austria, Bosnia and Herzegovina, Lithuania, Slovenia, Hungary, and Italy). Among 22 items of the FGI, 8 items were focused on general aspects, contact information, the evaluation of the educational background, the sport entrepreneurship expertise, and learning capacity, whereas the remaining 14 Likert scale (i.e., 1-7) items were specifically oriented to determine the perceived importance of entrepreneurship-related competences. For the latter part of the FGI, not-parametric analyses (i.e., Kruskal-Wallis, Mann-Whitney U) were applied.Results: Results showed that all athletes highly consider the importance of both general and entrepreneurship-related competencies, excepting for the latter items in Slovenian athletes. However, main effects between athletes of different countries emerged in 12 of the 14 items, with the highest mean values (6.0-7.0) reported from Bosnia and Herzegovina athletes and the lowest ones (range 3.6-4.8) from Slovenian counterpart.Conclusion: Although a cross-national scenario in relation to the perceived importance of sport entrepreneurship competences seems to be influenced by different institutional supports for dual career, general results showed that European athletes highly perceived the importance of such competences, confirming the substantial necessity to apply the AtLETyC action. [ABSTRACT FROM AUTHOR]

Objectives Dual-task (DT) performance is common to most activities of daily living and difficulties in DT activities may reduce quality of life in older adults. This study investigated the effect of DT training in a sample of older adults. Methods Sixty older adults (mean = 74.4 ± 3.1 years) participated in the study. Twenty-two older adults were included in the control (CG), 19 in the single-task (ST) training and 19 in DT training group. ST group received balance and walking training twice a week for16 weeks, while DT training group performed the same training with additional motor tasks. Data were gathered on 6 m timed walk (6MTW), timed up and go test (TUG) and four square step test (FSST). DT conditions required participants to complete 6MTW, TUG and FSST, either (i) while carrying a glass of water or (ii) while carrying a ball on a round tray. Results A significant Group x Time interaction was found in TUG ( F [2,57] = 29.5; p < 0.01; partial η 2 = 0.51) and in FSST (F [2,57] = 23.2; p < 0.01; partial η 2 = 0.44). After intervention DT showed better scores in overall TUG (mean difference = 1.21 s [95% CI, 0.82–1.60]; p < 0.05) and FSST (mean difference = 2.51 s [95% CI, 1.67–3.35]; p < 0.01), whereas CG and ST did not exhibit significant changes. Conclusion Our results suggested that 16 weeks of motor DT training, using motor additional tasks as manipulation of common objects of everyday life, could improve mobility in older age. [ABSTRACT FROM AUTHOR]

Background: Accurate measurement devices are required to objectively quantify physical activity. Wearable activity monitors, such as pedometers, may serve as affordable and feasible instruments for measuring physical activity levels in older adults during their normal activities of daily living. Currently few available accelerometer-based steps counting devices have been shown to be accurate at slow walking speeds, therefore there is still lacking appropriate devices tailored for slow speed ambulation, typical of older adults. This study aimed to assess the validity of step counting using the pedometer function of the ADAMO Care Watch, containing an embedded algorithm for measuring physical activity in older adults. Methods: Twenty older adults aged ≥ 65 years (mean ± SD, 75±7 years; range, 68–91) and 20 young adults (25±5 years, range 20–40), wore a care watch on each wrist and performed a number of randomly ordered tasks: walking at slow, normal and fast self-paced speeds; a Timed Up and Go test (TUG); a step test and ascending/descending stairs. The criterion measure was the actual number of steps observed, counted with a manual tally counter. Absolute percentage error scores, Intraclass Correlation Coefficients (ICC), and Bland–Altman plots were used to assess validity. Results: ADAMO Care Watch demonstrated high validity during slow and normal speeds (range 0.5–1.5 m/s) showing an absolute error from 1.3% to 1.9% in the older adult group and from 0.7% to 2.7% in the young adult group. The percentage error for the 30-metre walking tasks increased with faster pace in both young adult (17%) and older adult groups (6%). In the TUG test, there was less error in the steps recorded for older adults (1.3% to 2.2%) than the young adults (6.6% to 7.2%). For the total sample, the ICCs for the ADAMO Care Watch for the 30-metre walking tasks at each speed and for the TUG test were ranged between 0.931 to 0.985. Conclusion: These findings provide evidence that the ADAMO Care Watch demonstrated highly accurate measurements of the steps count in all activities, particularly walking at normal and slow speeds. Therefore, these data support the inclusion of the ADAMO Care Watch in clinical applications for measuring the number of steps taken by older adults at normal, slow walking speeds. [ABSTRACT FROM AUTHOR]

This cross-sectional study investigated the age-related differences in dual-task performance both in mobility and cognitive tasks and the additive dual-task costs in a sample of older, middle-aged and young adults. 74 older adults (M = 72.63±5.57 years), 58 middle-aged adults (M = 46.69±4.68 years) and 63 young adults (M = 25.34±3.00 years) participated in the study. Participants performed different mobility and subtraction tasks under both single- and dual-task conditions. Linear regressions, repeated-measures and one-way analyses of covariance were used, The results showed: significant effects of the age on the dual and mobility tasks (p<0.05) and differences among the age-groups in the combined dual-task costs (p<0.05); significant decreases in mobility performance under dual-task conditions in all groups (p<0.05) and a decrease in cognitive performance in the older group (p<0.05). Dual-task activity affected mobility and cognitive performance, especially in older adults who showed a higher dual-task cost, suggesting that dual-tasks activities are affected by the age and consequently also mobility and cognitive tasks are negatively influenced. [ABSTRACT FROM AUTHOR]

Background: Frailty is a clinical condition among older adults defined as the loss of resources in one or more domains (i.e., physical, psychological and social domains) of individual functioning. In frail subjects emergency situations and mobility levels need to be carefully monitored. This study aimed to: i) evaluate differences in the mobility index (MI) provided by ADAMO system, an innovative remote monitoring device for older adults; ii) compare the association of the MI and a traditional physical measure with frailty. Methods: Twenty-five community-dwelling older adults (71±6 years; 60% women) wore ADAMO continuously for a week. The time percentage spent in Low, Moderate and Vigorous Activities was assessed using ADAMO system. Walking ability and frailty were measured using the 400 m walk test and the Tilburg Frailty Indicator, respectively. Results: Controlling for age and gender, the ANCOV A showed that frail and robust participants were different for Low (frail = 58.8%, robust = 42.0%, p < 0.001), Moderate (frail= 25.5%, robust= 33.8%, p = 0.008), and Vigorous Activity (frail = 15.7%, robust = 24.2%, p = 0.035). Using cluster analysis, participants were divided into two groups, one with higher and one with lower mobility. Controlling for age and gender, linear regression showed that the MI clusters were associated with total (=0.571, p = 0.002), physical (= 0.381, p = 0.031) and social (B = 0.652, p <0.001) frailty; and the 400 m walk test was just associated with total (= 0.404, p = 0.043) and physical frailty (= 0.668, p = 0.002). Conclusion: ADAMO system seems to be a suitable time tracking that allows to measure mobility levels in a non-intrusive way providing wider information on individual health status and specifically on frailty. For the frail individuals with an important loss of resources in physical domain, this innovative device may represent a considerable help in preventing physical consequences and in monitoring functional status. [ABSTRACT FROM AUTHOR]

This study aimed (a) to estimate the transition rate for top 50 ranked track and field jumpers, (b) to compare the performance progression of top 50 ranked senior jumpers (top50 senior) to those who failed to be top 50 ranked in the senior category despite being top 50 ranked in the under 18 category (only U18), and (c) to verify whether relative age effect may at least partially explain the differences in the two above‐mentioned subgroups. The career performance trajectories of 5981 athletes (2837 females) competing in jump events from 2000 to 2019 were extracted from the World Athletics database. The all‐time top 50 ranked athletes for each age from 16 years to senior category were identified. Performance progression characteristics were compared using linear mixed‐effects model. Only 8% of males and 16% of females top 50 ranked at the age of 16 years managed to be included among the top50 senior. Only U18subgroup made the first appearance in the database (at 15‐16 years) and reached the peak performance (at 20 years) earlier than top50 senior (17‐18 and 26‐27 years, respectively). The relative age effect was largely present in Only U18 but not in top50 senior subgroups. Most of the early‐successful U18 world‐class jumpers did not manage to maintain the same level of competitiveness in adulthood since they experienced a plateau in performance from 20 years of age. Conversely, top 50 ranked senior jumpers continued to produce consistent performance improvement up to 26‐27 years of age. [ABSTRACT FROM AUTHOR]

This study aimed to verify the validity of session-RPE method to monitor the internal training load (ITL) in beach volleyball players by considering sessions related to different genders, competition levels (elite or amateur), and types of session (conditioning, technical, or tactical/game). Session-RPE and Edwards’ methods were applied to quantify the ITLs of 12 elite (18 players; 197 individual sessions) and 12 amateur (18 players; 189 individual sessions) training sessions. Very large relationships between the two methods emerged for both competition level (Elite: r=.77; Amateur: r=.75) and gender (male: r=.76; female: r=.75) subgroups, and conditioning sessions (r=.75). Large relationships emerged for technical (r=.61) sessions, whereas tactical/game sessions resulted only in moderate relationships (r=.36). Beach volleyball coaches could adequately use session-RPE method to monitor training for players of different genders, competition levels, and types of session, although tactical/game sessions should be considered with some caution. [ABSTRACT FROM AUTHOR]

Introduction: Bone health is a critical issue in transgender women (TW) health care. Conflicting results have been reported on bone status after gender-confirming surgery (GCS). No recent data in Italian TW are available. Materials and methods: The aim of this cross-sectional study was to evaluate fracture risk, lumbar spine BMD and 25OH vitamin D (25OHD) levels in a population of TW on estrogen replacement therapy (ERT) after GCS. We retrospectively analyzed a group of 57 TW, aged 45.3 ± 11.3 years, referred to our Gender Dysphoria Clinic, at least 2 years after GCS. Anthropometric parameters, patient compliance to ERT, biochemical and hormonal assessment, lumbar spine BMD and fracture risk were evaluated. Results: Prevalence of low bone mass (Z-score ≤ -2) was 40% according to the natal gender. In this group, 17β-estradiol levels were significantly lower (median 21 pg/ml [25th-75th percentile 10.6–48.5] vs 63 pg/ml [38.5–99.5]; p < 0.001) and a higher prevalence of low compliance to ERT was recorded (83% vs 29%; p < 0.0001) compared to those with higher bone mass. An intermediate–high fracture risk was found in 14% of the sample. A high percentage (93%) of hypovitaminosis D was present. Conclusions: TW on ERT have a high prevalence of low bone mass, significantly associated with low estradiol levels and low compliance to ERT. A high prevalence of hypovitaminosis D was highlighted. Considering that one out of seven TW showed an intermediate-high 10-year fracture risk, such risk assessment may be considered to prevent and manage osteoporosis in this clinical setting. [ABSTRACT FROM AUTHOR]

Background The acquisition of phenotypic male features in transmen with gender dysphoria requires testosterone treatment. The suppression of menses is 1 of the most desired effects. The relation between testosterone levels and human aggressive behavior has been described. However, the effects of testosterone on anger expression have been poorly investigated in trans-persons. Aim To assess the effects of testosterone treatment on anger expression in transmen using a validated self-report questionnaire (Spielberger's State-Trait Anger Expression Inventory–2 [STAXI-2]). Methods 52 transmen diagnosed with gender dysphoria were evaluated before (T0) and at least 7 months after (T1) initiation of continuous gender-affirming testosterone treatment. Sociodemographic characteristics, anthropometric parameters, diagnosis of psychiatric disorders, current psychopharmacologic treatments, and life events were investigated at T0. Outcomes STAXI-2 scores, serum testosterone, and estradiol levels at T0 and T1 were compared. Results Most of the sample (61.5%, n = 32) had no Axis I or II comorbidity. All subjects at T1 achieved significantly higher serum testosterone levels (5.67 ± 3.88 ng/mL), whereas no significant difference in estradiol levels was observed from T0 to T1. At T1 only 46.2% (n = 24) of the sample achieved iatrogenic amenorrhea, whereas most of the sample had persistent regular bleedings. A significant increase in STAXI anger expression and anger control scores from T0 to T1 was recorded. Patients with persistent bleedings and Axis I disorders seemed to have higher odds of expressing anger. However, circulating testosterone levels at T1 did not influence anger expression. Clinical Implications Interestingly, despite the increase of anger expression scores, during continuous testosterone treatment, there were no reports of aggressive behavior, self-harm, or psychiatric hospitalization. Strengths and Limitations A limitation to this study is that although the STAXI-2 is a well-validated instrument measuring anger expression, it is a self-report psychometric measure. Conclusion This study demonstrates that during 7 months of continuous gender-affirming hormonal treatment, anger expression and anger arousal control increased in transmen. Persistence of menstrual bleedings and Axis I disorders, but not circulating testosterone levels, were predictive of the increase in anger expression score. Continuous psychological support to transmen during gender-affirming hormonal treatment was useful to prevent angry behaviors and decrease the level of dysphoria. Motta G, Crespi C, Mineccia V, et al. Does Testosterone Treatment Increase Anger Expression in a Population of Transgender Men? J Sex Med 2018;15:94–101. [ABSTRACT FROM AUTHOR]