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Validating the Use of Continuous Glucose Monitors With Nondiabetic Recreational Runners

Lesley J. Mason, Timothy Hartwig, and David Greene

Purpose: Continuous glucose monitors (CGMs) are becoming increasingly popular among endurance athletes despite unconfirmed accuracy. We assessed the concurrent validity of the FreeStyle Libre 2 worn on 2 different sites at rest, during steady-state running, and postprandial. Methods: Thirteen nondiabetic, well-trained recreational runners (age = 40 [8] y, maximal aerobic oxygen consumption = 46.1 [6.4] mL·kg–1·min–1) wore a CGM on the upper arm and chest while treadmill running for 30, 60, and 90 minutes at intensities corresponding to 50%, 60%, and 70% of maximal aerobic oxygen consumption, respectively. Glucose was measured by manually scanning CGMs and obtaining a finger-prick capillary blood glucose sample. Mean absolute relative difference, time in range, and continuous glucose Clarke error grid analysis were used to compare paired CGM and blood glucose readings. Results: Across all intensities of steady-state running, we found a mean absolute relative difference of 13.8 (10.9) for the arm and 11.4 (9.0) for the chest. The coefficient of variation exceeded 70%. Approximately 47% of arm and 50% of chest paired glucose measurements had an absolute difference ≤10%. Continuous glucose Clarke error grid analysis indicated 99.8% (arm) and 99.6% (chest) CGM data fell in clinically acceptable zones A and B. Time-in-range analysis showed reduced accuracy at lower glucose levels. However, CGMs accurately detected trends in mean glucose readings over time. Conclusions: CGMs are not valid for point glucose monitoring but appear to be valid for monitoring glucose trends during steady-state exercise. Accuracy is similar for arm and chest. Further research is needed to determine whether CGMs can detect important events such as hypoglycemia during exercise.

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Antidoping 2.0: Is Adding Power-Output Data to the Antidoping Pool the Next Step? Experts’ Viewpoint

Sebastian Sitko, Pedro Valenzuela, Nathan Townsend, Marco Pinotti, Mikel Zabala, Xabier Artetxe, Gabriele Gallo, Manuel Mateo-March, Dajo Sanders, Frédéric Grappe, David C. Clarke, Teun van Erp, and Aitor Viribay

Background: Efforts are needed to improve antidoping procedures. The widespread use of power meters among cyclists could help in this regard. However, controversy exists on whether performance monitoring through power-output data could be of help for antidoping purposes. Purpose: The objective of the present study was to provide insight into the feasibility and utility of implementing power-based performance monitoring in elite cycling. An expert panel of 15 applied sport scientists and professional cycling coaches were asked for their opinions and perspectives on incorporating power data into the antidoping risk-assessment process. Results: Two different viewpoints were identified from the responses provided by the experts. Some believed that power monitoring could be implemented as an antidoping tool, provided that several surmountable challenges are first addressed. These authors provided suggestions related to the potential practical implementation of such measures. Others, on the contrary, believed that power meters lack sufficient reliability and suggest that the professional cycling world presents conflicts of interest that make this intervention impossible to implement nowadays. Conclusions: The debate around the utility of power-meter data in the antidoping fight has been ongoing for more than a decade. According to the opinions provided by the experts’ panel, there is still no consensus on the real utility and practical implementation of this intervention.

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Effects of Foot-Strike Pattern on Neuromuscular Function During a Prolonged Graded Run

Gianluca Vernillo, Matheus Aguiar, Aldo Savoldelli, Aaron Martinez, Marlene Giandolini, Nicolas Horvais, W. Brent Edwards, and Guillaume Y. Millet

Purpose: To study whether, during typical-level running, non-rear-foot strikers (non-RFS) or rear-foot strikers (RFS) presented a similar or different extent of neuromuscular fatigue after a prolonged graded run. Methods: Sixteen experienced male trail runners (8 non-RFS and 8 RFS) performed a 2.5-hour treadmill graded running exercise. Before and after exercise, neuromuscular tests were performed to assess neuromuscular fatigue of the plantar flexors. Biomechanical gait parameters were acquired with an instrumented treadmill, and electromyographic activity of the lower-limb muscles was collected as an index of muscle activation. Results: There were no significant time × foot strike interactions for neuromuscular (all P ≥ .742), muscle activation (all P ≥ .157), or biomechanical (all P ≥ .096) variables. Conclusions: A dominant level running foot-strike pattern did not directly affect the extent of neuromuscular fatigue during a prolonged graded run. This suggests that no ideal running foot-strike pattern exists to minimize neuromuscular fatigue during prolonged-duration races wherein cumulative uphill and downhill segments are high, such as in trail running.

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Integrating edTPA into Physical Education Teacher Education: Teacher Educators’ Perceptions and Experiences in Preparing Teacher Candidates

Edward B. Olsen, James D. Wyant, Emi Tsuda, Michael K. Laughlin, and Deborah S. Baxter

Purpose: In the United States, 15 states maintain policies and 25 states represent some level of edTPA affiliation. This study investigated how the edTPA was integrated and aligned into different physical education teacher education (PETE) programs in New Jersey. It also sought to understand teacher educators’ perceptions and experiences in preparing teacher candidates for the edTPA. Methods: This study utilized three data sources: semistructured interviews (n = 4), one focus group interview (n = 1), and documents (n = 17). Data analysis reflected a conventional approach toward qualitative content analysis. Results: In analyzing the data, four themes were established: (a) benefits and drawbacks of edTPA in PETE, (b) goals and success of edTPA in PETE, (c) integrating edTPA into PETE—macro- and microperspectives, and (d) analytic insights into edTPA and future recommendations. Discussion/Conclusion: In states requiring the edTPA, early exposure, scaffolding, curriculum mapping, and a shared mission and vision are critical. In states not requiring the edTPA, programs may want to consider indicators of performance, such as artifacts, reports, elements of the edTPA, university-based assessments, or a portfolio. Regardless of the type of assessment, “a” performance-based assessment may help to determine teacher candidates’ ability to plan, instruct, assess, and reflect.

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Self-Paced Field Running Test in Monitoring Fatigue and Training Adaptations in Recreational Runners

Olli-Pekka Nuuttila, Arja Uusitalo, Veli-Pekka Kokkonen, and Heikki Kyröläinen

Purpose: To examine the reproducibility and sensitivity of a self-paced field running test (SFT) in monitoring positive and negative changes in endurance performance. Methods: A total of 27 (11 women) recreational runners participated in a 6-week training intervention. The intervention was divided into a 3-week baseline period, a 2-week overload period, and a 1-week recovery period. An incremental treadmill test was performed before the baseline period and a 3000-m running test before and after all periods (T1–T4). In addition, the participants performed once a week an SFT (SFT1–6), which consisted of submaximal (6 + 6 + 3-min test at perceived exertion of 9/20, 13/20, and 17/20) and maximal sections (6 × 3-min intervals at maximum sustainable effort). The associations between the incremental treadmill test and the SFT1 performance were examined with the Pearson correlation, and the intraclass correlation was analyzed for the parameters of SFT1 to SFT3 sessions during the baseline period. The repeated-measures correlation was calculated for the 3000-m speed at T1 to T4 and the corresponding speeds at SFT. Results: Significant associations (r = .68–.93; P < .001) were found between the speeds of the SFT and the peak and lactate threshold speeds of the incremental treadmill test. Intraclass correlations varied between .77 and .96, being the highest for the average speed of 6 × 3-minute intervals. Repeated-measures correlation was significant (P < .05) for the 9/20 (r = .24), 13/20 (r = .24), and 6 × 3-minute intervals (r = .29). Conclusions: The SFT seemed a reproducible method to estimate endurance performance in recreational runners. The sensitivity to track short-term and small-magnitude changes in performance seems more limited and might require more standardized conditions.

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APAQ at Forty: Publication Trends

Jeffrey J. Martin

The purpose of the present study was to analyze Adapted Physical Activity Quarterly (APAQ) publications over the journal’s fourth decade (2014–2023) and compare them with previous documentary analyses of the first 3 decades. Consistent with prior documentary analyses, publications were coded and analyzed based on the use of theory, research participants, topic, whether the study was an intervention, first-author country affiliation, and research method. The total number of published research papers increased substantially (n = 61) from the third to the fourth decade. Similar to prior documentary analyses, most of the research was quantitative (n = 140; 57.5%), followed by qualitative research (n = 96; 39.5%). There were far more qualitative-research publications in the fourth decade compared with the third decade (n = 34). This may reflect the continued acceptance and growth of qualitative research compared with 10–20 years ago. It may also reflect the value of rich in-depth exploratory research using small samples. Additional trends included more review papers and meta-analyses, possibly reflecting the increased knowledge base in particular areas requiring synthesis. The diversity of topics also increased, with papers on dignity, classification, coaching, and the Paralympics playing more prominent roles. The number of international publications also grew substantially. In brief, the current paper outlines both similarities and differences in APAQ’s published research over the 4 decades of its existence.

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The Effect of a Newly Developed Hand Rim on Mobility Performance and Propulsion Technique in Wheelchair Tennis Players

Thomas Rietveld, Rowie J.F. Janssen, Lucas H.V. van der Woude, Riemer J.K. Vegter, and Sonja de Groot

Purpose: To investigate the effect of a newly developed hand rim in wheelchair tennis players from a lab and field perspective. Methods: Nine wheelchair tennis players performed a set of field and lab tests with the new rim (NR) and regular rim on the racket side. Each player had a 60- to 120-minute regular training session with the NR. Three wheelchair tennis field tests (20-m sprint, Illinois, spider) were completed on a hard court using inertial measurement units. The inertial measurement units enabled analysis of linear/rotational velocity and acceleration. In the lab, two 4-minute submaximal tests (at 1.5 and 2 m/s, 0.2 W/kg), followed directly by a 5-second sprint, on a wheelchair ergometer were completed. Force and velocity were measured continuously throughout all tests. Mixed linear models investigated the effect between the 2 hand rims. Results: During the spider test, mean rotational velocity to the racket side (−2%, P = .005) was lower in the NR, and end times were similar between hand-rim conditions. No differences were observed in the 20-m sprint and Illinois field tests. In the lab, contact angle (+6%, P = .04), cycle time (+12%, P = .007), and work per push (+13%, P = .005) were higher in the NR during submaximal propulsion. Work per push (+13%, P = .007), peak velocity (+3%, P < .001), and distance covered (+4%, P = .02) were higher with the NR during the 5-second sprint test. Conclusions: The NR seems slightly favorable compared with the regular rim during performance testing on a wheelchair ergometer in wheelchair tennis players. A longer practice time might show more insights between the hand-rim types.

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The Effect of Water Dousing on Heat Strain and Performance During Endurance Running in the Heat

Mitchell Anderson, Clint Bellenger, Georgia K. Chaseling, and Samuel Chalmers

Objectives: Assess the effect of water dousing on heat strain and performance during self- and fixed-paced exercise in the heat. Design: Crossover, block-randomized controlled trial. Methods: Thirteen trained runners completed a 10-km time trial (TT) and 60-minute fixed-pace run (60% velocity of V ˙ O 2 max ) in a 30.4 °C, 47.4% relative humidity environment using either water dousing (DOUSE) or no dousing (CON). Results: Ten-kilometer TT performance was faster in DOUSE compared to CON (44:11 [40:48, 47:34] vs 44:38 [41:21, 47:56] min:s; P = .033). Change in core temperature (T c ) was not different between groups during the TT (+0.02 [−0.04, 0.07] °C in DOUSE; P = .853) or fixed-pace run (+0.02 [−0.15, 0.18] °C; P = .848). Change in mean skin temperature was lower in DOUSE during the TT (−1.80 [−2.15, −1.46] °C; P < .001) and fixed-pace run (−1.38 [−1.81, −0.96] °C; P < .001). Heart rate was lower for DOUSE during the fixed-pace run (−3.5 [−6.8, −0.2] beats/min; P = .041) but not during the TT (−0.2 [−2.5, 2.1] beats/min; P = .853). Thermal sensation was lower for DOUSE during the TT (−49.3 [−72.1, −26.1] mm; P < .001) and fixed-pace run (−44.7 [−59.7, −29.6] mm; P < .001). Rating of perceived exertion was not different between groups for the TT (−0.2 [−0.7, 0.3]; P = .390) or fixed-pace run (−0.2 [−0.8, 0.4]; P = .480). Sweat rate was lower for DOUSE for the TT (−0.37 [−0.53, −0.22] L/h; P < .001) and fixed-pace run (−0.37 [−0.48, −0.26] L/h; P < .001). Conclusion: Water dousing improves 10-km TT performance in the heat but does not affect T c . The positive change in thermal perception (via lower skin temperature) during the TT likely drives this benefit.

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Female Athlete Sport Science Versus Applied Practice: Bridging the Gap

Richard J. Burden, Anita Biswas, and Anthony C. Hackney

Background: Female-specific science, medicine, and innovation have grown steadily since the turn of the decade as the focus on female sport continues to advance. While this growth is welcome, and despite the best of intentions, it is not always coupled with valuable application. Purpose: This commentary discusses barriers faced when developing and applying sport-science research and innovation activities in female sport. We offer several practical solutions to help safeguard the progress of female athlete health and performance support. We make 3 suggestions: (1) multicenter studies to increase the number of elite athletes participating in research and enhance statistical power, which is often lacking in sport-science research; (2) further acceptance of case studies in elite sport research, as they can include context alongside athlete data that more traditional research designs perhaps do not; and (3) collaborative, codesigned approaches to research and innovation, wherein researchers, practitioners, and athletes all contribute to balancing scientific rigor with applied “real-world” understanding, which may result in the generation of richer, more meaningful knowledge for the benefit of female athletes and their environments.

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Influence of Running Velocity and Hypoxic Exposure on Vastus Lateralis Muscle Oxygenation

Ming Wei Yeap, Tze Chien Loh, Mee Chee Chong, Wee Kian Yeo, Olivier Girard, and Chris Chow Li Tee

Purpose: We investigated the effects of manipulating running velocity and hypoxic exposure on vastus lateralis muscle oxygenation levels during treadmill running. Methods: Eleven trained male distance runners performed 7 randomized runs at different velocities (8, 10, 12, 14, 16, 18, and 20 km·h−1), each lasting 45 seconds on an instrumented treadmill in normoxia (fraction of inspired oxygen [FiO2] = 20.9%), moderate hypoxia (FiO2 = 16.1%), high hypoxia (FiO2 = 14.1%), and severe hypoxia (FiO2 = 13.0%). Continuous assessment of Tissue Saturation Index (TSI) in the vastus lateralis muscle was conducted using near-infrared spectroscopy. Subsequently, changes in TSI (ΔTSI) data over the final 20 seconds of each run were compared between velocities and conditions. Results: There was a significant velocity × condition interaction for ΔTSI% (P < .001, η p 2 = .19 ), with a smaller ΔTSI% decline in normoxia compared with high hypoxia and severe hypoxia at 8 km·h−1 (g = 1.30 and 1.91, respectively), 10 km·h−1 (g = 0.75 and 1.43, respectively), and 12 km·h−1 (g = 1.47 and 1.95, respectively) (pooled values for all conditions: P < .037). The ΔTSI% decline increased with each subsequent velocity increment from 8 km·h−1 (−9.2% [3.7%]) to 20 km·h−1 (−22.5% [4.1%]) irrespective of hypoxia severity (pooled values for all conditions: P < .048). Conclusions: Running at slower velocities in conjunction with high and severe hypoxia reduces vastus lateralis muscle oxygenation levels. Muscle ΔTSI% proves to be a sensitive indicator, underscoring the potential use of near-infrared spectroscopy as a reference index of internal load during treadmill runs.