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Given the nature of their profession, police officers cannot limit their exposure to stress and trauma, and the endocrine system plays a vital role in regulating and preparing the human body. This study aims to identify studies that have studied the behavior of the hormones cortisol and testosterone in their relationship with the physical and psychological performance of police officers and/or in a training/simulation scenario. The systematic review, limited from 2011 to 2022, was carried out according to the PICO and Preferred Reporting Items for Systematic reviews and Meta-Analyses research strategy, considering seven articles for the critical analysis (classified based on the modified Physiotherapy Evidence Database scale). Of the seven articles considered, (i) five studies are observational, and two are experimental; (ii) 1,475 police officers participated; (iii) three studies evaluated only male participants, and four studies evaluated both sexes; (iv) most studies include salivary collections for hormonal evaluation and questionnaires for behavioral analysis and psychosocial stress; (v) a study analyses salivary collections for hormonal evaluation in response to decision-making tasks; and (vi) a study analyses blood collections for hormonal evaluation. Although studies with proven validity in the association between the hormones cortisol and testosterone and physiological and psychological are scarce, the scientific evidence is consistent and points to these endocrine markers as reliable in quantifying stress levels and performance of police function., Competing Interests: Conflicts of interest: None

This narrative review examines the intricate psychophysiological interplay between cognitive functions and physical responses within military personnel engaged in combat. It elucidates the spectrum of responses elicited by symmetric and asymmetric warfare alongside specialised combat scenarios, including close-quarters and subterranean warfare. Central to this discourse is the emphasis on integrating training programs beyond physical conditioning to encompass psychological resilience and decision-making efficacy under duress. The exploration further ventures into applying advanced technologies such as virtual reality and wearable devices, highlighting their pivotal role in augmenting training outcomes and supporting soldier health. Through a detailed analysis of psychophysiological variations across different military branches of service, the narrative review advocates for bespoke training regimens and support frameworks tailored to address the unique exigencies of each service branch. Concluding observations stress the importance of evolving military training paradigms, advocating for adopting realistic, immersive training simulations that mirror the complexities of the contemporary battlefield. This synthesis aims to contribute to the ongoing discourse on optimising military training protocols and enhancing the operational readiness and well-being of armed forces personnel. This narrative review is essential for military psychologists, trainers, and policymakers, aiming to bridge the gap between theoretical knowledge and practical implementation in military training programs.

Police officers (POs) frequently encounter high stress and burnout risks in their demanding professional environment. This study delves into the relationship between physical activity (PA), health-related quality of life (HRQoL), and job performance among POs. A cross-sectional survey was conducted involving 1175 POs, with 691 providing complete responses. The survey included questions on biosocial and professional characteristics; the International Physical Activity Questionnaire-short form; the Short Form Health Survey version 2.0; and a qualitative job performance evaluation. The key findings highlight that vigorous PA significantly enhances job performance. About 46.2% of POs engage in vigorous PA, with a notable 73.7% participating in some form of PA weekly. This study also found that age and gender considerably impact the HRQoL, especially in mental health aspects like vitality and social functioning. Vigorous PA is linked to higher job performance ratings, especially when practised consistently. In conclusion, this research underscores the importance of vigorous PA in improving job performance among POs. We suggest that institutions prioritise facilitating environments that encourage regular PA, recognising its substantial benefits in both professional effectiveness and the overall health of POs. This study contributes to understanding the critical role of physical fitness in enhancing the occupational well-being of law enforcement personnel.

We assessed the training, work and Life Stress demands of a mixed gender group of 48 top amateur short-distance triathletes using an online retrospective epidemiological survey and the Life Events Survey for Collegiate Athletes. On superficial inspection, these mainly masters athletes appeared to undergo all the types of training that are recommended for the aging athlete. However, there were significant scheduling differences between their weekday vs. their weekend training, suggesting that age-groupers' outside sports commitments may affect their training efficacy. The triathletes claimed to periodize, to obtain feedback on and to modify their training plans when appropriate-and some evidence of this was obtained. Over the year preceding the ITU World Age-Group Championships, they averaged 53%, 33% and 14% of their combined swim, cycle and run training time, respectively, within intensity zones 1, 2 and 3. Although the triathletes specifically stated that their training was focused on preparation for the ITU World Age-Group Championships, the way that they modified their training in the month before the event suggested that this aim was not necessarily achieved. Sports-related stress accounted for most-42.0 ± 26.7%-of their total Life Stress over the preceding year (vs. 12.7 ± 18.6% for Relationship-, 31.3 ± 25.9% for Personal- and 14.0 ± 21.1% for Career-related Stress). It affected most athletes, and was overwhelmingly negative, when it related to failure to attain athletic goal(s), to injury and/or to illness.

This study examines the effect of gender, age, and a 4-year training course for police officers (CFOP) on the physical fitness attributes of Portuguese police academy cadets. This longitudinal cohort study considered 686 police cadets (female, n = 131; male, n = 555 male), corresponding to 2578 fitness assessments (female, n = 509; male, n = 2069). The database of police cadets' physical fitness evaluations (from 2004/2005 to 2019/2020) comprises body size, speed, agility, strength, flexibility, and aerobic capacity first assessment (T0) and evaluations at the end of the first four years of the CFOP (T1, T2, T3, T4). Results showed that (i) female cadets are younger ( p < 0.05), shorter, lighter, less fast, less agile, less strong, and perform worse in aerobic capacity assessments than male cadets (all, p < 0.001) but perform better in the flexibility assessment ( p < 0.001); (ii) female cadets > 29 years are significantly heavier, slower, jump less, perform fewer sit-ups, and perform less on the Cooper test (but they have more handgrip strength), and male cadets > 29 years are significantly heavier, slower, jump less, perform fewer sit-ups, and have less flexibility and aerobic capacity (still, they have superior back and lumbar strength and handgrip strength); and (iii) from T0 to T4 (Δ), female cadets are significantly faster (60 m, -0.32 s; slalom, -0.78 s), jump further (+4 cm), have more abdominal strength endurance (+2.6 repetitions) and more back and lumbar strength (+89.8 kg), and male cadets are significantly heavier (+3.27 kg), faster (60 m, -0.23 s; 30 m, -0.15 s; slalom, -0.91 s), jump further (+8 cm), complete more repetitions in the sit-ups (+4.9 repetitions) and in pull-ups (+2.5 repetitions) and have more back and lumbar strength (+92.1 kg) and handgrip strength (+8.6 kg) but a lower aerobic capacity (Cooper test, -74.8 m; V O 2 max, -1.3 mL/kg/min) when compared to T0. The study's findings lead to widely accepted conclusions within the discipline. Nevertheless, this work provides valuable insights into the impact of various factors on the physical fitness of Portuguese police academy cadets, i.e.: (i) it is an essential study with practical implications for recruitment, training, and the ongoing development of Portuguese police academy cadets and police officers; and (ii) these results can also assist in tailoring training programs to different age groups and genders, which is crucial in police training.

Police work demands a high level of physical fitness (PF) and psychosocial well-being (PSWB) to cope with the challenges and demands of the profession. The profession has historically been male-dominated, and female police officers (POs) face unique challenges and stereotypes. This study aims (i) to identify the PF and PSWB attributes that significantly distinguish the women from three different professional training courses (agents, chiefs, and officers) and (ii) to assess the significance of PF and PSWB attributes on the likelihood that women in professional training courses belonging to a special bodyguard police sub-unit. A cross-sectional analytical study was conducted, involving 102 female POs (professional PO training courses, n = 94; special bodyguard police sub-unit, n = 8). PF (morphology; fitness, including endurance, strength, and flexibility tests) and PSWB (measured through scales for grit and dispositional resilience) attributes were assessed. Significant differences were observed in age, morphological (height and waist-to-hip ratio), fitness (horizontal jump and endurance tests), and PSWB (perseverance in effort and alienation) attributes among the three professional training courses. Stepwise discriminant analysis revealed that waist-to-hip ratio, waist-to-height ratio, relative fat mass, relative muscle mass, horizontal jump, and endurance on exertion significantly distinguished between the three groups. Complementarily, it was observed that the waist-to-hip ratio and sit-up attributes influence the probability of women from the professional training courses joining the special bodyguard police sub-unit. The study highlights that (i) female POs in different professional training courses showed distinct PF and PSWB profiles, and (ii) only two PF attributes (waist-to-hip ratio and sit-up) were predictors for the special bodyguard police sub-unit. In accordance, these findings provide valuable insights for designing training programs to support female POs in improving their PF, psychological well-being, and overall performance in the police profession.

We aim to examine the changes in health-related physical fitness components, before and after COVID-19 social restrictions, in Police Academy cadets by age, sex, and physical activity (PA) level. A longitudinal analysis of 156 cadets (29.5% women) aged 25.4 ± 5.3 years old was conducted. All variables were collected before and after the lockdown period (13 weeks). PA levels were assessed with a self-reported questionnaire. Health-related physical fitness components were assessed based on the standardized protocols of morphological evaluation, speed, agility, strength, flexibility, and aerobic capacity tests. Despite the high correlations between pre- and post-pandemic social restrictions, we found significantly higher values for anthropometric indicators and lower physical fitness levels in post-pandemic restrictions, except for lower-body strength. When stratifying the sample by sex, age, and PA categories, the results indicate that the COVID-19 lockdown tends to differently impact anthropometric indicators and the physical fitness of the cadets, according to their sex, age, and PA categories. Our findings show that our sample reduces several health-related physical fitness components due to the social lockdown, with emphasis on cardiorespiratory fitness in men and upper-limb strength in women, highlighting the need to create effective strategies to keep police officers active during situations of less physical work., Competing Interests: The authors declare no conflicts of interest.

Physical fitness tests are a standard means of evaluating the competence of police officers. This qualitative review aims (i) to document, compare, and examine the reference values available in the current literature regarding fitness tests for Law Enforcement Officers (LEOs), and (ii) to define reference values for the most used fitness tests to assess and predict police officer performance. A total of 1879 records were collected for review from two major literature databases, PubMed and ScienceDirect. After applying our exclusion criteria, a total of 19 studies were considered. All studies demonstrated acceptable methodological quality in fitness assessment, and the most used components were muscle strength, muscular endurance, muscle power, aerobic and anaerobic capacity, flexibility, and agility. This review provides (i) a methodological definition for the physical fitness assessment that helps select the most used fitness tests, (ii) a standardised methodology for establishing reference data for fitness tests appropriate for LEOs; and (iii) aggregate reference values for selected fitness tests. This may improve selection and retention procedures, considering that this group performs its duties in an environment and under conditions that differ from those of other occupational groups. Complementarily, this qualitative review also provides a foundation for developing effective interventions to improve each aspect of fitness testing for police officers.

Cardiovascular events are the leading cause of on-duty deaths among firefighters. Screening firefighters for risk of sudden cardiac event is a critical element of a comprehensive medical program. Although intense physical exertion has been shown to trigger sudden cardiac events in the general population, it is unclear how hemodynamic responses following clinical exercise testing compare to that of performing firefighting tasks in personal protective equipment. Therefore, the purpose of this study was to compare hemodynamic responses following rescue simulation (RS) and maximal exercise in firefighters. This was a cross-over repeated measures study. Thirty-eight professional firefighters (31.8 ± 5.2 yr; V O 2peak : 57.9 mL/kg/min) completed a maximal aerobic exercise test (MAET) and an RS. Pulse wave velocity (PWV), pulse pressure (PP), and brachial and central mean arterial pressure (MAP) were measured before and 5 and 15 min post-exercise. The findings indicated that femoral PWV decreased after MAET and RS at both time points ( p < 0.005). No significant differences were found in aortic and carotid PWV over time or between conditions ( p ≥ 0.05). Significant increases in brachial and central PP and MAP were noted 5 min post-MAET and RS ( p = 0.004). In conclusion, the present study demonstrated that peripheral arterial stiffness (AS) decreased in firefighters following both conditions, with no differences in central AS. Our findings provide valuable information on hemodynamic responses similar between RS and MAET, and are important for controlling CVD risk and the AS response.

This review aims (i) to identify and analyze the physical training programs used for tactical personnel (TP) and (ii) to understand the effects of physical training programs on the health and fitness, and occupational performance of tactical personnel. A literature search used the keywords 'Physical Training Program', 'Police', 'Law Enforcement', and 'Firefighter'. A total of 23 studies out of 11.508 analyzed were included. All studies showed acceptable methodological quality in assessing physical fitness (PF), and training programs' effect sizes (Cohen's d ) on PF attributes were calculated. The results showed that physical training programs (duration > four weeks) can improve (medium-to-large effects) (i) measures of physical fitness and (ii) performance in simulations of occupationally specific tasks. This review provides summary information (i) to help select (or adjust) physical training programs for TP and (ii) to clarify the effect of different occupational-specific training interventions on fitness measures and health-related parameters for TP.

Resistance training has been shown to acutely increase arterial stiffness (AS), while endurance training appears to decrease AS. However, the findings are from studies in apparently healthy subjects and have limited applicability to patients at low and high cardiovascular risk, for whom combined exercise is recommended. We compared the time course of changes in local and regional indices of AS in response to high-volume combined endurance training (CET) and high-volume combined resistance training (CRT) in patients with coronary artery disease (CAD) and heart failure (HF). We studied 20 men with CAD and HF (10 each) aged 68.3 ± 9.6 years. AS was measured by pulse wave velocity (PWV), and brachial and central blood pressure (BP) were determined after 15 min of rest and 5 and 15 min after the exercise session. All patients completed two sessions on nonconsecutive days. A protocol by time interaction effect was observed for carotid (η 2 = 0.21, p = 0.02), aortic (η 2 = 0.60, p < 0.001), and femoral (η 2 = 0.46, p = 0.01) PWV after CET and CRT, suggesting that PWV decreased after CET and increased after CRT. Decreases in the brachial and central variables of BP across time points were observed in both protocols. CET decreased whereas CRT increased carotid, aortic, and femoral PWV at 15 min after exercise in patients with CAD and HF.

Arterial stiffness (AS) is associated with coronary artery disease (CAD). Acute endurance training decreases AS, whereas acute resistance training increases it. However, these results are from studies in apparently healthy adults, and there is no information on the effects of such afterload AS in elderly patients with CAD. We aimed to investigate the effect of acute endurance or resistance training on the time course of changes in the indices of AS in elderly patients with CAD in order to understand how stiffness responds after training. We tested 18 trained men with CAD. AS was measured using central and peripheral pulse wave velocity (PWV) after 15 min of rest and after 5, 15, and 30 min of endurance and resistance training sessions. The endurance session consisted of high-intensity interval walking at 85-90% of maximum heart rate, and the resistance session consisted of 70% of the maximum of one repetition. An interaction effect was found for central and peripheral PWV ( p ≤ 0.001; carotid, η 2 = 0.72; aortic, η 2 = 0.90; femoral, η 2 = 0.74), which was due to an increase in PWV after resistance and a decrease in central and peripheral PWV after endurance. This study demonstrates that training mode influences the time course of AS responses to acute exercise in these patients. Acute endurance training decreased AS, whereas resistance training significantly increased it.

This review aims (i) to identify and analyze the most used physical fitness tests for police officers (from international and Portuguese studies) and (ii) to understand the health-related physical fitness requirements according to the job descriptions of police officers. A total of 29 studies were included. Eighteen were from around the world and eleven were related to Portuguese police officers. All studies showed acceptable methodological quality in the assessment of physical fitness, and the most used fitness components were muscular strength, endurance, power, aerobic and anaerobic capacity, flexibility, and agility. For the analysis of health parameters, they are insufficient at the international level, while at the Portuguese level we have an acceptable sample. We try to analyze the relationship between physical fitness and health, but the studies conducted so far are insufficient. This review provides summary information (i) to help select the most used fitness measures and health-related parameters for police officers, and (ii) that will serve as a starting point for evaluating the relationship between the health and physical fitness of police officers.

Abstract: Ramos, S, Volossovitch, A, Ferreira, AP, Fragoso, I, and Massuça, LM. Training experience and maturational, morphological, and fitness attributes as individual performance predictors in male and female under-14 Portuguese elite basketball players. J Strength Cond Res 35(7): 2025-2032, 2021-The association of the biological maturation, morphological attributes, and fitness attributes of 13- to 14-year-old players selected to regional basketball teams, which participated in the Portuguese Festival of Youth Basketball, was analyzed in the study. A total of 416 under-14 Portuguese elite basketball players (male, n = 224; female, n = 192) were evaluated in this cross-sectional study. Maturational parameters (maturity offset and predicted age at peak height velocity), morphological attributes (body mass, stature, skinfolds, and lengths), and fitness (sprint, agility, jump, and upper-body strength) attributes were measured. In addition, basketball game performance was assessed using technical statistics (rebounds and point averages) and the performance index rating (PIR). Correlation analyses indicated that male players with better PIR/minute were taller, had a longer hand span, had more free-fat mass, and demonstrated better results in all jumping tests, upper-body strength tests, 20-m speed test, and agility T-test. Female players with better PIR/minute were significantly older, more matured, heavier, taller, and had longer arm and hand span. They also demonstrated better results in jumping tests, medicine ball throw, had greater practice experience, and were subjected to higher training loads. Multiple regression analysis showed that combined stature, handgrip strength, agility, and countermovement jump (with arm swing power) can be considered strong predictors of PIR per time played for male players. The prediction model for female players indicated that maturity offset, practice experience, and agility were the strongest predictors of basketball performance. In conclusion, the results of this study indicate that around puberty, physical fitness attributes of elite basketball players of both sexes are associated with game performance parameters. Two regression models have been estimated to predict the performance of youth basketball players of both genders., (Copyright © 2019 National Strength and Conditioning Association.)

The aims of the present study were: (i) to describe the structural and functional attributes of young male Portuguese basketball players aged 12-16 years and (ii) to generate normative data according to chronological age and years from peak height velocity. A total of 281 male Portuguese young basketball players between the ages of 12 and 16 years were assessed in this study. Chronological age, maturity parameters (maturity offset and predicted age at peak height velocity), morphological (body mass, height, and skinfolds and length), and fitness (sprint, change of direction ability, jump, and upper body strength) attributes were measured. Descriptive statistics were determined for the age and maturity status, and the 10th, 25th, 50th, 75th, and 90th percentiles were chosen as reference values. Descriptive and normative values of the players' morphological and fitness attributes, stratified by age and maturity status, are provided. The normative values of age at peak height velocity (category YAPHV = 0) showed that regional basketball players presented average values (50th percentile) of 169.8 cm for height, 173.3 cm for arm span, 55.6 kg for body mass, 3.34 s for the 20-m speed test, 10.31 s for the T -test, 4.75 m for the 2-kg medicine ball throw, 66.9 kg for the combined right and left handgrip strength, and 30.1 and 35.9 cm for jump height in the countermovement jump (CMJ) and CMJ with arm swing, respectively. In conclusion, these results may be helpful to quantify and control an athlete's performance over time and to adjust strength and conditioning programs to biological demands., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Ramos, Massuça, Volossovitch, Ferreira and Fragoso.)

(a) to analyse the effect of age on physical fitness (PF) and on-duty task (ODT) performance of male police officers (PO); (b) to analyse the relationship between PF and ODT performance of male PO; and (c) to identify the set of PF attributes which better predicts the ODT performance of male PO. A total of 97 Portuguese male non-elite PO (Public Security Police) took part in this cross-sectional study. Participants were allocated to four age categories (20-29, 30-39, 40-49, and >49 years old), and performed fourteen PF evaluations and one on-duty task simulation test (ODT-ST). MANOVA, partial correlations and multiple linear regression analysis were used. We observed (a) a significant decrease of performance with aging (PF attributes, partial eta-squared=0.763; total time on ODT-ST, partial eta-squared=0.498); (b) significant positive associations between body mass index and fat mass with total time on ODT-ST; (c) a significant negative association between standing broad jump (SBJ), sit-up, push-up, bench-press ratio and aerobic capacity with total time on ODT-ST; and (d) that SBJ, abdominal muscular endurance and aerobic capacity were significant predictors of total time on ODT-ST (R 2 =0.983). PF attributes and ODT performance of Portuguese male non-elite PO decrease significantly with aging. To prevent the observed decrease of performance it seems advisable to implement regular strength and conditioning programmes, which should include muscular power, core strength and aerobic fitness development, to maintain physical capacity and occupational duties., Competing Interests: The authors have no competing interests to declare. No funding was received for this work.

Researchers in the field of excellence in sport performance are becoming increasingly focused on the study of sport-specific characteristics and requirements. In accordance with this, the purposes of this study were (a) to examine the morphologic-, fitness-, handball-specific skills and psychological and "biosocial" differences between top elite and nontop elite team-handball players and (b) to investigate the extent to which they may be used to identify top elite team-handball players. One hundred sixty-seven adult male team-handball players were studied and divided in 2 groups: top elite (n = 41) and nontop elite (n = 126). Twenty-eight morphologic-, 9 fitness-, 1 handball-specific skills and 2 psychological-based and 2 "biosocial"-based attributes were used. Top elite and nontop elite groups were compared for each variable of interest using Student's t-test, and 5 logistic regression analyses were performed with the athlete's performance group (top elite or nontop elite) as the dependent variable and the variables of each category as predictors. The results showed that (a) body mass, waist girth, radiale-dactylion length, midstylion-dactylion length, and absolute muscle mass (morphologic model); (b) 30-m sprint time, countermovement jump height and average power, abdominal strength and the class of performance in the Yo-Yo Intermittent Endurance Test (fitness model); (c) offensive power (specific-skills model); (d) ego-based motivational orientation (psychological model); (e) socioeconomic status and the energy spent (for week) in handball activity (biosocial model); significantly (p < 0.05) contributed to predict the probability of an athlete to be a top elite team-handball player. Moreover, the fitness model exhibited higher percentages of correct classification (i.e., 91.5%) than all the other models did. This study provided (a) the rational to reduce the battery of tests for evaluation purposes, and (b) the initial step to work on building a multidisciplinary model to predict the probability of a handball athlete to be a top elite player.

Purpose: This study aims to investigate the association between the rating of perceived exertion (RPE), heart rate (HR) and the blood lactate concentration ([La]) in successive judo fight simulations (randori)., Methods: TEN ATHLETES PARTICIPATED IN THE STUDY (AGE: 25.6±2.1 years; stature: 1.75±0.07 m; body mass: 75.6±14.9kg; %BF: 11.5±7.8%; practice: 14.5±6.2 years) and completed 4 judo fight simulations (T1 to T4) with duration of 5 min separated by 5 min passive recovery periods. Before each randori, [La] and HR were collected, and after each randori, the same measures and the RPE (CR-10 scale) were collected., Results: SIGNIFICANT CORRELATIONS WERE OBSERVED BETWEEN: (1) CR-10 and HR (T2: r =0.70; T3: r =0.64; both, P<0.05); (2) ΔCR-10 and Δ[La] (T1-T2: r = .71, P< 0.05; T2-T3: r =0.92, P<0.01; T3-T4: r =0.73, P<0.05). Moreover, significant differences were noted in the behavior of the HR between the 2(nd) (T2) and 3(rd) (T3) judo fight simulations (P<0.05)., Conclusion: The use of CR-10 in the evaluation process, as well as in deciding the load of training in judo, should be done with caution.