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Highlights • Different factor structures of the SFT were observed among women and men older adults. • The factor structure of the SFT was better represented by a second-order 4-factor model for men sample. • The factor structure of the SFT was better represented by a second-order 5-factor model for women sample. • BMI was not significantly associated with the latent variable of functional fitness in the men sample. • Normal body weight and overweight participants responded to the SFT testing items in similar ways. Abstract Objectives This study examined the factor structure of the Senior Fitness Test and examined its measurement and structural invariance across participants with normal body weight and participants who were overweight. Methods Eight hundred and forty-five community-dwelling older adults in Hong Kong participated in this study. Their functional fitness was assessed using the Senior Fitness Test. Confirmatory factor analysis was conducted to examine and compare two competing models: a one-factor model and a second-order model. Multiple-group confirmatory factor analysis was conducted to evaluate the measurement and structural invariance of the SFT measurement model. Multiple fit indices were used to evaluate the adequacy of the model fit to the data. Results The second-order model outperformed the one-factor model. For men participants, the second-order 4-factor model was indicated, while for women participants, the second-order 5-factor model was evidenced. The measurement and structural invariance of the SFT measurement model across normal weight and overweight participants were also supported. Conclusion This study provided initial evidence for the construct validity of the SFT. However, there were some differences in the factor structure of the SFT for men and women participants. Body composition did not necessarily reflect the functional fitness of men participants. All of the older adults responded to the testing items in a similar way regardless of body weight status in both men and women samples. The significance of each component for functional fitness was also similar for participants with different body weight statuses. [ABSTRACT FROM AUTHOR]

Summary: Mounting evidence shows that bisphenol A (BPA) is associated with metabolic risk factors. The aim of this study was to review related epidemiologic studies and conduct a meta‐analysis to quantitatively estimate the association between BPA and metabolic syndrome. Four electronic databases were systematically searched to identify suitable articles. A total of 47 published studies were finally included. Two studies involved metabolic syndrome. Of the 17, 17, 14, and 13 studies on the relationship between BPA with abdominal obesity, blood pressure, fasting plasma glucose, and dyslipidemia, 10, 6, 3, and 4 studies were included in the meta‐analysis, respectively. The results showed that the risk of abdominal obesity increased with the increase of BPA exposure, especially in the group with higher BPA exposure levels (Quartile 2 vs. Quartile 1, pooled OR = 1.16, 95%CI: 1.01, 1.33; Q3 vs. Q1, pooled OR = 1.31, 95%CI: 1.13, 1.51; Q4 vs. Q1, pooled OR = 1.40, 95%CI: 1.21, 1.61). However, there was no significant correlation between BPA exposure and metabolic syndrome components including hypertension, abnormal fasting plasma glucose, and dyslipidemia. The present study found that BPA exposure is significantly associated with a higher risk of abdominal obesity. However, the relationship between BPA with metabolic syndrome and its other components needs further longitudinal studies to verify. [ABSTRACT FROM AUTHOR]

The present study aimed to distinguish different hypertriglyceridemic waist phenotypes and relevant risks of developing fatty liver and abnormal glycometabolic profiles in overweight/obese adults. A total of 1221 Chinese adults with mean (standard deviation [SD]) age of 37 (9) years, 37.3% males and 62.7% females, body mass index (BMI) of 29.0 (4.0) kg/m2, triglyceride (TG) 2.04 (1.45) mmol/L, and waist circumference (WC) 95.8 (10.7) cm were included and classified into four phenotypes: normal TG & normal WC (N-N); normal TG & high WC (N-WC); high TG & normal WC (TG-N); high TG & high WC (TG-WC). Participants in TG-WC group had the highest BMI, WC, blood pressure (BP), insulin, Homeostatic Model Assessment of Insulin Resistance (HOMA-IR), glycosylated hemoglobin (HbA1c), low-density lipoprotein cholesterol (LDL), and fatty liver. Participants within N-WC group had a significantly higher risk of fatty liver (adjusted OR 3.50 [95% CI 2.05–5.97]), as well as TG-N (adjusted OR 2.59 [95% CI 1.61–4.16]) and TG-WC (adjusted OR 4.12 [95% CI 2.28–7.46]). The risk of elevated HOMA-IR was significantly higher in TG-N (adjusted OR 2.16 [95% CI 1.33–3.50]) and TG-WC (adjusted OR 2.04 [95% CI 1.22–3.40]). The risk of elevated HbA1c was significantly higher in the TG-WC (adjusted OR 2.79 [95% CI 1.47–5.31]). Hypertriglyceridemic waist phenotype can be a potential and cost-effective method to identify individuals with a high risk of fatty liver and glycometabolic disorders. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic has initiated an upheaval in society and has been the cause of considerable stress during this period. Healthcare professionals have been on the front line during this health crisis, particularly paramedical staff. The aim of this study was to assess the high level of stress of healthcare workers during the first wave of the pandemic. Materials and methods: The COVISTRESS international study is a questionnaire disseminated online collecting demographic and stress-related data over the globe, during the pandemic. Stress levels were evaluated using non-calibrated visual analog scale, from 0 (no stress) to 100 (maximal stress). Results: Among the 13,537 individuals from 44 countries who completed the survey from January to June 2020, we included 10,051 workers (including 1379 healthcare workers, 631 medical doctors and 748 paramedical staff). The stress levels during the first wave of the pandemic were 57.8 ± 33 in the whole cohort, 65.3 ± 29.1 in medical doctors, and 73.6 ± 27.7 in paramedical staff. Healthcare professionals and especially paramedical staff had the highest levels of stress (p < 0.001 vs non-healthcare workers). Across all occupational categories, women had systematically significantly higher levels of work-related stress than men (p < 0.001). There was a negative correlation between age and stress level (r = -0.098, p < 0.001). Healthcare professionals demonstrated an increased risk of very-high stress levels (>80) compared to other workers (OR = 2.13, 95% CI 1.87–2.41). Paramedical staff risk for very-high levels of stress was higher than doctors' (1.88, 1.50–2.34). The risk of high levels of stress also increased in women (1.83, 1.61–2.09; p < 0.001 vs. men) and in people aged <50 (1.45, 1.26–1.66; p < 0.001 vs. aged >50). Conclusions: The first wave of the pandemic was a major stressful event for healthcare workers, especially paramedical staff. Among individuals, women were the most at risk while age was a protective factor. [ABSTRACT FROM AUTHOR]

We examined the effects of descending (DSE) or ascending (ASE) stair exercise on body composition, insulin sensitivity, and inflammatory markers in young Chinese women with obesity. Thirty-six participants were randomly assigned into three groups DSE, ASE and a control group. The DSE and ASE groups performed three sessions of stair walking per week for 12 weeks with a gradual increase in repetitions. Following the exercise interventions, body composition related variables obtained by Dual-energy X-ray absorptiometry scans significantly decreased. Abdominal fat decreased in the DSE group only. Moreover, Insulin sensitivity improved significantly 3.5-fold in the DSE group compared with ASE group (insulin: −33.2% vs. −9.8%, homoeostasis model assessment for insulin resistance: −35.6% vs. −10.8%). Pro-inflammatory factors showed significant decreases in tumour necrosis factor-α (TNF-α) (−39.9% vs. −23.2%) for both intervention groups. The reduction in TNF-α concentrations in the DSE group was significantly different compared to the other two groups. Interleukin-6 significantly decreased in both exercise protocols. Our results show that 12-weeks induced stair walking improved body composition parameters in Chinese females with obesity. The results also demonstrate the superiority of the DSE protocol for improving insulin sensitivity. These findings may be attributable to the decreases observed in TNF- α levels. [ABSTRACT FROM AUTHOR]

Ethylene oxide (EtO) is a human carcinogen whose release from sterilization facilities to ambient air has gained recent attention. Measurements have typically relied on canister samples collected over minutes to hours and analyzed using gas chromatography/mass spectrometry (GC/MS). A novel application of tunable infrared laser direct absorption spectrometry (TILDAS) was recently deployed aboard a mobile air quality laboratory in Toronto, Canada, to measure EtO in near real-time. Detection limits comparable to canister-GC/MS methods were achieved while stationary at averaging times of only 100 s, and high frequency (1-s) sampling detected EtO at several locations. EtO was observed consistently near the only local facility reporting on-site releases to Canada's National Pollutant Release Inventory. The maximum 1-s mixing ratio observed nearby was 18 ppb (33 μg m−3), and a mean 1-s mixing ratio of 0.43 ppb (0.78 μg m−3) was observed in the vicinity of the detectable plumes that covered industrial, commercial and residential land uses up to 900 m downwind. EtO in those plumes was not related to common air pollutants such as nitric oxide (NO), carbon monoxide (CO), or methane (CH 4), whereas it was paired with elevated NO or CO and CH 4 at some other locations. EtO was less abundant elsewhere in the city, and no detectable EtO was found near potential sources including hospitals, spice distributors and vehicle exhaust. The EtO background measured in wintertime Toronto air was indistinguishable from zero and substantially lower than that reported in studies using canister-GC/MS methods. The multi-pollutant mobile method described herein marks a significant step forward in the capability to characterize atmospherically relevant concentrations of EtO at high spatiotemporal resolution. Future applications of high-resolution techniques will allow for comprehensive investigations of source impacts and characterization of ambient levels for which deployment of conventional canister/GC-MS methods would be unsuitable or prohibitive. [Display omitted] • First high-resolution ethylene oxide (EtO) in urban air aboard a mobile laboratory. • Levels near sterilization facility suggest exceedance of health-based guidelines. • Measured common air pollutants discern among sources of detected EtO. • Urban background lower than in previous studies using canister-GC/MS methods. [ABSTRACT FROM AUTHOR]

Objective This study aimed to explore the relationship between the functional fitness (FF) and health-related quality of life (HRQoL) in older adults, and to identify the key subdimensions of FF and HRQoL influencing their overall relationship. Methods This cross-sectional study was performed among 851 independent community members (65–84 years; men = 402). The Senior Fitness Test and the Short Form 36 Health Survey were used to measure FF and HRQoL, respectively. A canonical correlation analysis was conducted using seven fitness variables as predictors of eight HRQoL variables to examine the relationship between FF and HRQoL. Results The overall FF was positively correlated with the overall HRQoL in both men (canonical correlation = 0.350) and women (canonical correlation = 0.456). The up-and-go and 2-min step contributed the most to FF, and physical functioning contributed the most to HRQOL among men. Conversely, the up-and-go and 30-s chair stand contributed the most to FF, and physical functioning contributed the most to HRQoL in women. Conclusions There were positive and moderate relationships between overall FF and overall HRQOL in older adults. The FF has a significant influence on HRQoL, particularly physical functioning. The main FF components influencing the relationship between FF and HRQoL in men are balance and agility and aerobic endurance, whereas in women they are balance and agility and lower extremity muscle strength. Results from this study facilitate comprehensively understanding the relationship between FF and HRQoL, and generating critical insight into HRQoL improvement from the perspective of FF enhancement. [ABSTRACT FROM AUTHOR]

Objective This study aimed to establish normative data for older adults in Hong Kong and explore age and sex differences in functional fitness. Methods A sample of 944 independent community-dwellers, aged 65–74 years, was evaluated using the Senior Fitness Test battery in addition to hand grip and single leg stance tests. Normative data were reported for the 10th, 25th, 50th, 75th, and 90th percentiles in 5-year age groups. Results Except for upper extremity muscle strength in women and body mass index (BMI) in both sexes, ageing-associated degradation was observed in all testing parameters especially in flexibility, balance, and agility. Significant sex differences were found in all testing parameters with the exception of BMI and static balance with eyes open. Moreover, men demonstrated higher capacities for muscle strength, agility, balance, and aerobic endurance, whereas women showed superior flexibility. Conclusion The normative values enable the evaluation of individual performance regarding the fitness status of older adults in Hong Kong. [ABSTRACT FROM AUTHOR]

The article presents a study which examined the effects of acute and chronic inspiratory muscle loading on an exercise program designed to increase tolerance towards high-intensity running. Information on the exercise intervals of test subjects is presented. Results suggest that chronic and acute inspiratory muscle loading can be beneficial as a training strategy to increase tolerance to high-intensity running.

The effects of inspiratory muscle (IM) warm-up on IM function and on the maximum distance covered in a subsequent incremental badminton-footwork test (FWmax) were examined. Ten male badminton players were recruited to perform identical tests in three different trials in a random order. The control trial did not involve an IM warm-up, whereas the placebo and experimental trials did involve an IM warm-up consisting of two sets of 30-breath manoeuvres with an inspiratory pressure-threshold load equivalent to 15% (PLA) and 40% (IMW) maximum inspiratory mouth pressure, respectively. In the IMW trial, IM function was improved with 7.8% ± 4.0% and 6.9% ± 3.5% increases from control found in maximal inspiratory pressure at zero flow (P0) and maximal rate of P0 development (MRPD), respectively (p < 0.05). FWmax was enhanced 6.8% ± 3.7%, whereas the slope of the linear relationship of the increase in the rating of perceived breathlessness for every minute (RPB/min) was reduced (p < 0.05). Reduction in blood lactate ([La–]b) accumulation was observed when the test duration was identical to that of the control trial (P < 0.05). In the PLA trial, no parameter was changed from control. For the changes (Δ) in parameters in IMW (n = 10), negative correlations were found between ΔP0 and ΔRPB/min (r2 = 0.58), ΔMRPD and ΔRPB/min (r2 = 0.48), ΔRPB/min, and ΔFWmax (r2 = 0.55), but not between Δ[La–]b accumulation and ΔFWmax. Such findings suggest that the IM-specific warm-up improved footwork performance in the subsequent maximum incremental badminton-footwork test. The improved footwork was partly attributable to the reduced breathless sensation resulting from the enhanced IM function, whereas the contribution of the concomitant reduction in [La–]b accumulation was relatively minor. [ABSTRACT FROM AUTHOR]

To identify the effect of normal breathlessness sensation elicited during intense intermittent exercise at exhaustion on limitation of exercise maintenance (Ex), the contribution of the flow-resistive unloading effect of normoxic helium-oxygen breathing on the breathlessness sensation to the change in the Ex was examined. Seven men repeatedly performed 12-s exercise at 160% maximal aerobic power output followed by passive recovery for 18-s under normal (CON) and unloaded (UL) breathing conditions until exhaustion. In UL, Ex was enhanced [mean (SD) 127.2 (11.8)% CON] concomitantly with reduction in averaged peak inhaled mouth pressure (PPmi) of recorded breathing cycles that reflected approximate true inspiratory muscle force output. At the iso-time point of CON exhaustion, the reduction in PPmi to [75.7(10.2)% CON] in UL was concomitant with the reductions in the rating of perceived breathlessness (RPB) [87.5 (13.1)% CON] and in the slope of time course for RPB (RPB/2-min period) [82.1 (17.2)% CON]. It was also concomitant with increases in ventilation and total oxygen consumption. However, the augmented oxygen consumption did not result in lowering of subjects' metabolic stress that was indicated by accumulations of blood lactate and plasma ammonia and uric acid. Nevertheless, the reductions in the RPB and RPB/2-min period, which reflected the breathlessness intensity, were correlated to the CON Ex enhancement in UL (RPB r=-0.57, RPB/2-min period r=-0.83; P<0.05). These findings implied that the normal noxious breathlessness sensation elicited during intense intermittent exercise at exhaustion might contribute to the limitation of subjects' exercise maintenance. [ABSTRACT FROM AUTHOR]