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Purpose: Apnea duration is dependent on three factors: oxygen storage, oxygen consumption, hypoxia and hypercapnia tolerance. While current literature focuses on maximal apneas to improve apnea duration, apnea trained individuals use timed-repeated submaximal apneas, called "O2 and CO2 tables". These tables claim to accommodate the body to cope with hypoxia and hypercapnia, respectively. The aim of this study was twofold. First, to investigate the determinants of maximal apnea duration in apnea novices. Second, to compare physiologic responses to maximal apneas, O2 and CO2 tables. Methods: After medical screening, lung function test and hemoglobin mass measurement, twenty-eight apnea novices performed three apnea protocols in random order: maximal apneas, O2 table and CO2 table. During apnea, peripheral oxygen saturation (SpO2), heart rate (HR), muscle (mTOI) and cerebral (cTOI) tissue oxygenation index were measured continuously. End-tidal carbon dioxide (EtCO2) was measured before and after apneas. Results: Larger lung volumes, higher resting cTOI and lower resting EtCO2 levels correlated with longer apnea durations. Maximal apneas induced greater decreases in SpO2 (− 16%) and cTOI (− 13%) than O2 (− 8%; − 8%) and CO2 tables (− 6%; − 6%), whereas changes in EtCO2, HR and mTOI did not differ between protocols. Conclusion: These results suggest that, in apnea novices, O2 and CO2 tables did not induce a more profound hypoxia and hypercapnia, but a similar reduction in oxygen consumption than maximal apneas. Therefore, apnea novices should mainly focus on maximal apneas to improve hypoxia and hypercapnia tolerance. The use of specific lung training protocols can help to increase oxygen storage capacity. [ABSTRACT FROM AUTHOR]

Background/Aims This study to evaluate the effects of different training modalities on blood lipids in type II diabetic patients by Network Meta-analysis, and provide a relevant basis for patients to develop exercise prescriptions to regulate blood lipids.Methods Randomized controlled trials (RCTs) were retrieved from Zhiwang, Wanfang, Wipu, PubMed, EBSCO, Cochrane Library, and Web of Science that were published from the establishment to February 2023. Relevant statistical analyses were performed using Stata 17.0 software and Revman 5.4.Results A total of 35 randomized controlled trials with 2771 patients with type II diabetes were finally included. The results of Network Meta-analysis showed that, compared with the control group, Chinese traditional fitness exercise (CTF), resistance training (RT), and aerobic training (AT) could reduce total cholesterol (TC) levels; CTF, RT, whole body vibration training (WBV), and AT could reduce triacylglycerol (TG) levels; CTF, WBV and AT could increase High-density lipoprotein cholesterol (HDL) levels; CTF, RT and AT could reduce Low-density lipoprotein cholesterol (LDL) levels. SUCRA probability ranking results showed that CTF was the most effective in reducing TC[SMD= −0.57, 95% CI (−0.83, −0.31), p

This paper evaluates the effects of circuit training (CT) and super circuit training (SCT) on skill-related fitness components in youth athletes. Skill-related fitness encompasses agility, balance, coordination, speed, power, and reaction time, which are crucial for optimal athletic performance. As youth sports participation continues to rise, effective training interventions that enhance these fitness components are essential for fostering athletic development and reducing injury risks. The study reveals that both CT and SCT are effective methods for improving skill-related fitness in youth athletes. CT typically involves performing a series of exercises targeting different muscle groups in succession, while SCT integrates aerobic and anaerobic exercises into a single workout, often incorporating high-intensity intervals. This review synthesizes existing research to compare the efficacy of these training modalities on various skill-related fitness attributes. Findings indicate that SCT may provide superior benefits for improving cardiovascular endurance and power, while CT is particularly effective for enhancing agility and balance. Furthermore, incorporating functional movements in both training formats encourages engagement and motivation among young athletes. Despite promising results, the study highlights the need for further longitudinal studies to assess the long-term impacts of these training modalities on skill retention and athletic performance. Additionally, the influence of individual factors, such as age, sex, and baseline fitness levels, warrants consideration in future research. Ultimately, this study serves as a foundation for coaches, trainers, and sports organizations to implement evidencebased training programs that maximize the skill-related fitness of youth athletes, thereby promoting healthy development and athletic excellence. [ABSTRACT FROM AUTHOR]

This research paper provides a comparative analysis of assisted versus resisted sprint training, focusing on their effects on acceleration, speed, and biomechanical efficiency in athletes. Sprinting performance is critical in various sports, making the optimization of training methods essential for enhancing athletic capabilities. Assisted sprint training, which utilizes methods such as bungee cords or downhill running, aims to improve acceleration and speed by reducing the resistance faced by the athlete during sprints. Conversely, resisted sprint training involves the application of resistance through techniques like weighted sleds or resistance bands to develop strength and power during the sprinting motion. The paper synthesizes findings from multiple studies to examine the physiological and biomechanical effects of these training modalities. Key performance indicators such as acceleration time, maximum speed, and biomechanical efficiency are evaluated to ascertain which method yields superior results. The analysis reveals that while both training types contribute positively to sprint performance, their mechanisms differ significantly. Assisted sprint training primarily enhances acceleration and speed through improved stride length and frequency, while resisted training focuses on developing strength and power, resulting in better biomechanical efficiency. Additionally, the paper highlights practical implications for coaches and athletes in selecting appropriate training methods based on individual needs and performance goals. Understanding the comparative effectiveness of assisted and resisted sprint training is crucial for optimizing training regimens, enhancing athletic performance, and minimizing injury risks. This paper ultimately contributes to the existing literature by providing a comprehensive overview of these training strategies and their implications for sprint performance in athletes. [ABSTRACT FROM AUTHOR]

Copyright of Revista Caribeña de Investigación Educativa is the property of RECIE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study determined the apprentices’ perception of training modalities in electronic maintenance in Plateau state, Nigeria. Five research questions guided the study. A descriptive survey design was adopted for the study. 203 electronic apprentices at registered electronics industries in Plateau state between 2018 and 2020 made up the study's population. Data were gathered using a questionnaire (Cronbach’s α=0.86). The study questions were answered using means and standard deviation. The study identified admittance modalities, various functional facilities for training, instructional modalities, motivation indices and evaluation methods for apprentices. The study recommends that the NDE administrators and government should hire competent master craftsmen to train apprentices, and finance skilled trainees to buy the tools they need for training and entrepreneurship, so as to increase their capacity for output.

Robotic rehabilitation is a solution for recovery from neuromuscular diseases and supports physical therapists in performing high-intensity and repetitive training activities. The main reason for the limitations of rehabilitation robot utilization is economic factors because rehabilitation robot technology requires high levels of investment and relatively costly routine operation and maintenance. To facilitate widespread adoption of rehabilitation robots, low-cost, highly compliant, and simple-to-operate robotic rehabilitation devices are required. In this study, to introduce a novel alternative solution to the aforementioned problem, a low-cost, highly transparent, single pneumatic artificial muscle (PAM) actuated robotic therapy orthosis that enables the patient to perform all training modalities is introduced. A novel control approach was developed by combining admittance control and inverse-dynamics-based compliant controls. By means of simple counterweight loads and compliant control, quasi-static movement of the orthosis for active exercises is achieved for the full operation range of PAM without any jerky transitions. A new assist-active modality named “Patient Activated Assistance” (PAAM) was introduced, in which the patient was the master, and the exercise was performed as long as the patient was active, avoiding slacking. Assistance was provided by sharing the load force in accordance with the applied gain. The orthosis performance in realizing the training modalities was verified using surface electromyogram (sEMG) measurements. The results demonstrated that the proposed low-cost single-PAM-actuated robotic orthosis could be a solution to robotic rehabilitation demands, especially in low-middle-income countries (LMIC).

Teamwork is one of the most demanded generic competencies by international organizations, and higher education institutions train and assess that competence to prepare students for working life. Leadership is a crucial part of teamwork development, and previous research has shown that shared leadership tasks between team members present more advantages than the traditional concept of a formal leader. Shared leadership seems to be the best option in the academic context due to the university students’ characteristics. This paper aims to prove that students can identify, distinguish and exercise shared leadership actions based on the needs that arise during the development of teamwork and that derive from the teamwork method applied rather than by the training modality that is followed (face-to-face – online). The achievement of the aim has been possible through a qualitative study of the teamwork development of 40 teams of new university entrance (237 students) with the Comprehensive Teamwork Competency Formation Model. The research has been carried out during three consecutive academic courses, with different training modalities for each course, forced by the COVID-19 pandemic (face-to-face for the pre-COVID-19 course, online for the COVID-19 course and face-to-face during the post-COVID-19 course). The shared leadership tasks and responsibilities, defined by students, were categorized in the same way independently of the training modality, which validates the proposed ontology. Also, the three academic courses studied the evolution of the primary shared leadership responsibilities by category. Besides, it is concluded that the primary responsibilities for each category remained unchanged during the three academic years but that some other categories were affected to some extent by the exceptionality caused by COVID-19. The ontology validated here constitutes a recommendation for future teams working with an evidence-based methodology.

Introduction: Knowledge and skills of health workers regarding Advanced Life Support (ALS) are an important part that needs to be trained and improved with appropriate training modalities in handling cardiac arrest patients. This literature review aims to find out which modalities are the most effectively applied to ALS training which can increase the knowledge and skills of health workers in conducting ALS. Methods: Literature study using 11 articles that have been published and peer-reviewed from data-based PubMed, CINAHL, and ScienceDirect using the keywords effectiveness, advanced life support, modalities, nurses, knowledge, and skills. Searches were limited to full text articles, experimental designs, publications from 2017 to 2022. Selection of articles in research using flowchart Prisma. Results: Analysis of eleven articles or journals related to the research objectives found that the video training was the most effective methods in increasing the knowledge and skills of respondents in ALS training. The implementation of ALS training in a hybrid manner, namely the use of non-face-to-face learning methods using video with face-to-face training led by an instructor, showed no significant difference, but video training was preferred because it provides convenience regarding time, place of implementation, and more training participants. Conclusion: ALS training must be given to nurses at least once a year, so it can be suggested to institutions to use the learning video method as a method of providing training.

The Council on Social Work Education requires field directors to provide orientation and ongoing training to field instructors. In the authors' experience, participants at national field director committee meetings and regional field director consortium gatherings regularly propose collaboration on resources for field instructor training materials. This research arose from that expressed need. A national survey of social work field directors collected the essence of what respondents felt field instructors needed to know in order to enhance student competence effectively. Results reinforced the need for a collaborative repository of educational resources, but also revealed a lack of agreement on what field instructors need to know beyond orientation topics, which are often program specific. Development of national field instructor competencies supported by evidence-informed training materials are necessary next steps. Still, they should be considered transitory to a more fundamental system change that does not rely heavily on overloaded agency-based practitioners for intensive teaching. [ABSTRACT FROM AUTHOR]

Bioinformatics training programs have been developed independently around the world based on the perceived needs of the local and global academic communities. The field of bioinformatics is complicated by the need to train audiences from diverse backgrounds in a variety of topics to various levels of competencies. While there have been several attempts to develop standardised approaches to provide bioinformatics training globally, the challenges encountered in resource limited settings hinder the adaptation of these global approaches. H3ABioNet, a Pan-African Bioinformatics Network with 27 nodes in 16 African countries, has realised that there is no single simple solution to this challenge and has rather, over the years, evolved and adapted training approaches to create a sustainable training environment, with several components that allow for the successful dissemination of bioinformatics knowledge to diverse audiences. This has been achieved through the implementation of a combination of training modalities and sharing of high quality training material and experiences. The results highlight the success of implementing this multi-pronged approach to training, to reach audiences from different backgrounds and provide training in a variety of different areas of expertise. While face-to-face training was initially required and successful, the mixed-model teaching approach allowed for an increased reach, providing training in advanced analysis topics to reach large audiences across the continent with minimal teaching resources. The transition to hackathons provided an environment to allow the progression of skills, once basic skills had been developed, together with the development of real-world solutions to bioinformatics problems. Ensuring our training materials are FAIR, and through synergistic collaborations with global training partners, the reach of our training materials extends beyond H3ABioNet. Coupled with the opportunity to develop additional career building soft skills, such as scientific communication, H3ABioNet has created a flexible, sustainable and high quality bioinformatics training environment that has successfully been implemented to train several highly skilled African bioinformaticians on the continent.

Objectives: Physical activity in children and adolescents has positive effects on cardiopulmonary function in this age group as well as later in life. As poor cardiopulmonary function is associated with higher mortality and morbidity, increasing physical activity especially in children needs to become a priority. Trampoline jumping is widely appreciated in children. The objective was to investigate its use as a possible training modality. Methods: Fifteen healthy children (10 boys and 5 girls) with a mean age of 8.8 years undertook one outdoor incremental running test using a mobile cardiopulmonary exercise testing unit. After a rest period of at least 2 weeks, a trampoline test using the mobile unit was realized by all participants consisting of a 5-min interval of moderate-intensity jumping and two high-intensity intervals with vigorous jumping for 2 min, interspersed with 1-min rests. Results: During the interval of moderate intensity, the children achieved V ̇ O 2 -values slightly higher than the first ventilatory threshold (VT1) and during the high-intensity interval comparable to the second ventilatory threshold (VT2) of the outdoor incremental running test. They were able to maintain these values for the duration of the respective intervals. The maximum values recorded during the trampoline test were significantly higher than during the outdoor incremental running test. Conclusion: Trampoline jumping is an adequate tool for implementing high-intensity interval training as well as moderate-intensity continuous training in children. As it is a readily available training device and is greatly enjoyed in this age group, it could be implemented in exercise interventions. [ABSTRACT FROM AUTHOR]

The research literature suggests that different training modalities cause various patterns in training-induced genes expression. This study aimed to investigate the effects of moderate intensity continuous training (MICT) and isocaloric high intensity interval training (HIIT) on gene expression of monocarboxylate transporter 1 (MCT1) and 4 (MCT4), Peroxisome proliferator-activated receptor γ coactivator-1α (PGC-1α), and hypoxia inducible factor-1α (HIF-1α) in soleus and extensor digitorum longus (EDL) skeletal muscles of rats. Thirty male Sprague–Dawley rats were divided into 3 groups of control, MICT, and HIIT. Training protocols were performed according to the principle of overload for 8 weeks and 5 sessions per week. Then, the soleus and EDL muscles were extracted and the expression levels were analyzed using the real time PCR method. In the MICT group, only the EDL HIF-1α mRNA level was significantly higher than that of the control group (p < 0.05). In the HIIT group, however, mRNA levels of MCT4, PGC-1α, and HIF-1α in both muscles were significantly higher than those of the control group (p < 0.05). The comparison between the two training methods demonstrated that the gene expression levels of soleus and EDL MCT4, soleus PGC-1α, and soleus HIF-1α were significantly higher in the HIIT group compared to the MICT group (p < 0.05). There were also significant positive correlations between all mRNA levels of HIF-1α and corresponding mRNA levels of MCT4 (p < 0.05). HIIT caused greater positive responses in the gene expression of MCT4, PGC-1α, and HIF-1α compared to MICT. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine the acute effects of Fat Gripz (FG) on muscular activation and strength. Resistance trained men (n = 15; age = 22.4 6 2.3 years; mass = 83.2 6 11.1 kg) performed 2 experimental trials in a randomized order. Subjects completed 1 repetition maximum (1RM) testing with an Olympic barbell (OB) and with FG attached to an OB during the exercises of deadlift, bent-over row, upright row, concentration curl, and completed maximum repetitions of pull-ups until failure. Surface electromyography (EMG) was used to measure muscle activity from 8 upper extremity muscles (trapezius, medial deltoid, biceps brachii, triceps brachii, flexor carpi radialis, flexor carpi ulnaris, extensor carpi radialis, and extensor carpi ulnaris), while performing maximal voluntary isometric contractions during 1RM trials and while performing maximum number of pull-ups. When using the FG, 1RM strength was significantly decreased for each exercise, and the maximal number of pull-ups completed was significantly lower. Electromyography muscle activity was significantly increased in the forearm and shoulder muscles, but significantly decreased in the upper arm muscles with the use of FG during deadlift, bent-over row, and pull-ups. However, there were no differences for EMG activity for upright row and concentration curl. Differences in maximal strength, pull-up performance, and EMG activity with FG use may be due to the different muscle length positions. Although FG training may increase neuromuscular activation, decrements in muscular strength may result in prescribing low training loads that may not be ideal for building muscular strength. [ABSTRACT FROM AUTHOR]

Introduction: Volume and intensity are major variables governing exercise training-mediated beneficial effects in both athletes and patients. Although polarized endurance training optimizes and maximizes physiological gains in highly trained individuals, its cardiometabolic protective-effects have not been established. The purpose of the present single site, randomized-controlled trial was to compare the effects of 12-weeks of high-intensity interval training (HIIT), moderate-intensity continuous training (MICT), and polarized volume training (POL) programs on cardiometabolic risk factors in young overweight and obese women.Materials and Methods: A total of 64 overweight/obese young women (age 23.3 ± 3.8 years, body mass index 33.8 ± 3.8 kg/m2) were randomly assigned to four groups: control group (CTRL), polarized volume training group, moderate-intensity endurance training group, and HIIT group. The cardiorespiratory capacity, glycemic and lipid profiles, whole-body substrate utilization, and body composition were assessed before and after the intervention.Results: After the intervention, VO2peak and power output at VO2peak increased in all exercised-groups (time effect: p < 0.0001). Power output at VT1 was increased only in the POL group compared to the CTRL group (p = 0.019). Relative fold changes in fasting plasma glucose concentrations decreased only in POL group (p = 0.002). Training induced a significant increase in relative fat oxidation in all the groups (time effect: p < 0.001). Relative fat oxidation increased only in the POL group compared to the CTRL group (training effect: p = 0.032).Conclusion: Twelve-weeks of polarized volume training showed overall superior effects on cardiorespiratory fitness, basal glycemic control, and substrate oxidation in comparison to MICT and HIIT training modalities. These data suggest that polarized volume training is an effective non-pharmacological treatment strategy for reducing cardiovascular disease risk factors in young overweight and obese women. The trial is registered at ISRCTN, number ISRCTN34421723.

Introduction: Volume and intensity are major variables governing exercise training-mediated beneficial effects in both athletes and patients. Although polarized endurance training optimizes and maximizes physiological gains in highly trained individuals, its cardiometabolic protective-effects have not been established. The purpose of the present single site, randomized-controlled trial was to compare the effects of 12-weeks of high-intensity interval training (HIIT), moderate-intensity continuous training (MICT), and polarized volume training (POL) programs on cardiometabolic risk factors in young overweight and obese women. Materials and Methods: A total of 64 overweight/obese young women (age 23.3 ± 3.8 years, body mass index 33.8 ± 3.8 kg/m2) were randomly assigned to four groups: control group (CTRL), polarized volume training group, moderate-intensity endurance training group, and HIIT group. The cardiorespiratory capacity, glycemic and lipid profiles, whole-body substrate utilization, and body composition were assessed before and after the intervention. Results: After the intervention, VO2peak and power output at VO2peak increased in all exercised-groups (time effect: p < 0.0001). Power output at VT1 was increased only in the POL group compared to the CTRL group (p = 0.019). Relative fold changes in fasting plasma glucose concentrations decreased only in POL group (p = 0.002). Training induced a significant increase in relative fat oxidation in all the groups (time effect: p < 0.001). Relative fat oxidation increased only in the POL group compared to the CTRL group (training effect: p = 0.032). Conclusion: Twelve-weeks of polarized volume training showed overall superior effects on cardiorespiratory fitness, basal glycemic control, and substrate oxidation in comparison to MICT and HIIT training modalities. These data suggest that polarized volume training is an effective non-pharmacological treatment strategy for reducing cardiovascular disease risk factors in young overweight and obese women. The trial is registered at ISRCTN, number ISRCTN34421723. [ABSTRACT FROM AUTHOR]

This study offered a first examination of skill development within freeskiing and snowboarding, using semistructured interviews to examine trick progression. Participants were purposefully recruited as performing at world top 8 level in 2014, the most recent Winter Olympic Games. A semi structured interview protocol, using a personalized progress chart, enabled the examination of trick progression across disciplines, with at least one participant from each of the events represented at the Games. Trick progression was achieved intermittently, moving through different stages during the year subject to experiencing the right conditions, training facilities, balancing time for progression with time for consolidation, competition periods and rehabilitating from injuries. There was high variance in the duration of trick progression between individuals and also high variance in the number of repetitions required to land a trick in competition. Imagery was a mental skill widely used and universally supported by our sample. Athletes and coaches should take directionality into consideration when planning their progression, ensuring all four directions are included and that prerequisite manoeuvres are included in an athlete's training repertoire at the right stage to facilitate the learning of more complex manoeuvres at a later stage of development. Our data found a 60-40 balance between time-spent training on and off-snow, further research is required to determine the best combination of traditional strength and conditioning versus movement conditioning approaches, both from an injury prevention and a performance enhancement perspective. [ABSTRACT FROM AUTHOR]

Background: Minimally invasive surgery (MIC) requires surgeons to have a different set of skills and capabilities from that of open surgery. The indirect camera view, lack of a three-dimensional view, restricted haptic feedback with lack of tissue feeling and difficult instrument coordination with fulcrum and pivoting effects result in an additional learning curve compared to open surgery. The prolonged learning curve leads to a higher risk of complications and special awareness of these risks is therefore mandatory. Training of special laparoscopic skills outside the operating room is needed to optimize patient outcome and to minimize the ocurrence of complications related to the learning curve. Results and discussion: Training modalities for laparoscopic surgery include simple box trainers, computer simulation with virtual reality, the use of artificial and cadaver organs, as well as live animal models and cadaver training. These training modalities have been proven in studies to have a beneficial effect on the learning curve for acquisition of laparoscopic skills and for improving operative performance as well as avoidance of complications. Laparoscopic training is currently gaining a more and more important role for official education and accreditation purposes. In some countries the participation in laparoscopic training courses has become mandatory prior to participation in laparoscopic operations. Future research will include the optimization of multimodal training curricula, the development of individualized training approaches that allow both trainee and patient-specific preparation, as well as the use of novel devices to facilitate the collection and transfer of expertise between the generations and schools of surgeons. [ABSTRACT FROM AUTHOR]

The purpose of this study was to investigate the effects of various exercise modalities on inflammatory factors in middle-aged and elderly patients with type 2 diabetes (MEPT2D), as lifestyle changes, such as physical activity and dietary modifications, are considered important in the prevention of type 2 diabetes. For the study methodology, Pubmed, CNKI, EBSCO, Wanfang Data, and Web of Science were selected for the search. The methodological quality of the included studies was assessed by the Cochrane Risk of Bias (ROB) tool, and statistically analyzed using the RevMan 5.4.1 analysis software, which included 18 investigations involving 853 study subjects. Meta-analysis findings indicated that aerobic training (AT), resistance training (RT), combined training (CT), and high-intensity interval training (HIIT) showed significant reductions in CRP, TNF-α, IL-6, and IL-10 levels in MEPT2D. Among them, HIIT was superior to other training modalities in reducing TNF-α levels, while CT was superior to AT, RT, and HIIT in decreasing IL-6, IL-10, and CRP in MEPT2D. Meanwhile, RT had limited effects in reducing CRP and TNF-α levels in MEPT2D. However, HIIT had no significant effect on IL-6 and IL-10 in MEPT2D. In conclusion, long-term regular AT, RT, CT, and HIIT all contributed to the reduction of inflammatory status (CRP, TNF-α, IL-6, and IL-10) in MEPT2D, while CT (for CRP, IL-6, and IL-10) and HIIT (for TNF-α) represent the best approaches to counteract the inflammatory response in MEPT2D.

The aim of this study was to investigate the effect of different training modalities on improving the inflammatory response in adolescents with obesity. For the study methodology, the databases such as China National Knowledge Infrastructure (CNKI), Wanfang Data, Pubmed, Web of Science, and EBSCO were selected for searching. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias (ROB) tool, and statistical analysis was performed by applying RevMan 5.4.1 analysis software. A total of 14 studies with 682 subjects were included. The results of this meta-analysis showed that aerobic training (AT) and aerobic plus resistance training (AT + RT) reduced the levels of IL-6 and CRP in adolescents with obesity. Among them, AT + RT was more effective than other training modalities in reducing IL-6 and CRP in adolescents with obesity. Different training modalities have no effect on the TNF-α level in adolescents with obesity. However, regarding the increase in IL-6, CRP, and TNF-α in adolescents with obesity, resistance training (RT) did not lead to significant differences. In conclusion, long-term regular AT, AT + RT, and HIIT are all helpful in improving the inflammatory state of adolescents with obesity, with AT + RT being the best training modality to combat inflammation in adolescents with obesity.

Eur J Clin Invest 2012; 42 (10): 1136-1144 Abstract Background Despite the large number of studies emphasizing the effectiveness of graded exercise therapy (GET) and cognitive behavioural therapy (CBT) for people with chronic fatigue syndrome (CFS), clinicians are left wondering how exactly to apply exercise therapy to their patients with CFS. The aim of this literature review is to identify the appropriate exercise modalities (i.e. exercise duration, mode, number of treatment sessions, session length, duration of treatment, exercise intensity and whether or not to apply home exercise program) for people with CFS. Materials and methods All studies that were identified through electronic databases (PubMed and PEDro) were assessed for methodological quality by using selection criteria (Delphi score). Results In this literature review, 12 studies fulfilled all study requirements. One study had a low methodological quality. The parameters used in the GET and CBT interventions were divided into subgroups: (i) time or symptom contingent, (ii) exercise frequency and (iii) exercise modality. Conclusion The lack of uniformity in outcome measures and CFS diagnostic criteria make it difficult to compare the findings across studies. Based on the available evidence, exercise therapy for people with CFS should be aerobic and must comprise of 10-11 sessions spread over a period of 4-5 months. A time-contingent approach is preferred over a symptom-contingent way of exercising. In addition, people with CFS can perform home exercises five times a week with an initial duration of 5-15 min per exercise session. The exercise duration can be gradually increased up to 30 min. [ABSTRACT FROM AUTHOR]

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Exercise represents an effective interventional strategy to improve glycaemic control in type 2 diabetes patients. However, the impact of exercise intensity on the benefits of exercise training remains to be established. In the present study, we compared the clinical benefits of 6 months of continuous low- to moderate-intensity exercise training with those of continuous moderate- to high-intensity exercise training, matched for energy expenditure, in obese type 2 diabetes patients. Fifty male obese type 2 diabetes patients (age 59 ± 8 years, BMI 32 ± 4 kg/m2) participated in a 6 month continuous endurance-type exercise training programme. All participants performed three supervised exercise sessions per week, either 55 min at 50% of whole body peak oxygen uptake $$ \left( {\mathop V\limits^{ \cdot } {\text{O}}_{{2{\text{peak}}}} } \right) $$ (low to moderate intensity) or 40 min at 75% of $$ \mathop V\limits^{ \cdot } {\text{O}}_{{2{\text{peak}}}} $$ (moderate to high intensity). Oral glucose tolerance, blood glycated haemoglobin, lipid profile, body composition, maximal workload capacity, whole body and skeletal muscle oxidative capacity and skeletal muscle fibre type composition were assessed before and after 2 and 6 months of intervention. The entire 6 month intervention programme was completed by 37 participants. Continuous endurance-type exercise training reduced blood glycated haemoglobin levels, LDL-cholesterol concentrations, body weight and leg fat mass, and increased $$ \mathop V\limits^{ \cdot } {\text{O}}_{{2{\text{peak}}}} $$, lean muscle mass and skeletal muscle cytochrome c oxidase and citrate synthase activity ( p < 0.05). No differences were observed between the groups training at low to moderate or moderate to high intensity. When matched for energy cost, prolonged continuous low- to moderate-intensity endurance-type exercise training is equally effective as continuous moderate- to high-intensity training in lowering blood glycated haemoglobin and increasing whole body and skeletal muscle oxidative capacity in obese type 2 diabetes patients. ISRCTN32206301 None [ABSTRACT FROM AUTHOR]

The key elements in acclimatization aim at securing the oxygen supply to tissues and organs of the body with an optimal oxygen tension of the arterial blood. In acute exposure, ventilation and heart rate are elevated with a minimum reduction in stroke volume. In addition, plasma volume is reduced over 24–48 h to improve the oxygen-carrying capacity of the blood, and is further improved during a prolonged sojourn at altitude through an enhanced erythropoiesis and larger Hb mass, allowing for a partial or full restoration of the blood volume and arterial oxygen content. Most of these adaptations are observed from quite low altitudes [∼1000 m above sea level (m a.s.l.)] and become prominent from 2000 m a.s.l. At these higher altitudes additional adaptations occur, one being a reduction in the maximal heart rate response and consequently a lower peak cardiac output. Thus, in spite of a normalization of the arterial oxygen content after 4 or more weeks at altitude, the peak oxygen uptake reached after a long acclimatization period is essentially unaltered compared with acute exposure. What is gained is a more complete oxygenation of the blood in the lungs, i.e. SaO2 is increased. The alteration at the muscle level at altitude is minor and so is the effect on the metabolism, although it is debated whether a possible reduction in blood lactate accumulation occurs during exercise at altitude. Transient acute mountain sickness (headache, anorexia, and nausea) is present in 10–30% of subjects at altitudes between 2500 and 3000 m a.s.l. Pulmonary edema is rarely seen below 3000 m a.s.l. and brain edema is not seen below 4000 m a.s.l. It is possible to travel to altitudes of 2500–3000 m a.s.l., wait for 2 days, and then gradually start to train. At higher altitudes, one should consider a staged ascent (average ascent rate 300 m/day above 2000 m a.s.l.), primarily in order to sleep and feel well, and minimize the risk of mountain sickness. A new classification of altitude levels based on the effects on performance and well-being is proposed and an overview given over the various modalities using hypoxia and altitude for improvement of performance. [ABSTRACT FROM AUTHOR]