Finland’s 2022 Para Report Card on Physical Activity for Children and Adolescents With Disabilities includes a summary of results and grades for 10 physical activity indicators and highlights how these grades are interpreted by stakeholders. The disability classification was based on the UNICEF/Washington Group on Disability Statistics measure, Generalized Anxiety Disorder (GAD7) measure, or education status. Data between 2017 and 2021 were reviewed by 24 physical activity specialists using benchmarks adapted for data on disabilities from the Active Healthy Kids Global Alliance. The grades were assigned as follows: Overall Physical Activity, C+; Organized Sport, C; Active Play, D; Active Transportation, B; Family and Peers, C+; School, B; Community and Environment, C−; Government, A−; sedentary behavior and physical fitness were graded as incomplete. Stakeholder focus-group discussions highlighted the need for multidisciplinary cooperation and increasing competence of specialists working with children to promote a physically active lifestyle for all children.
Results From Finland’s 2022 Para Report Card on Physical Activity for Children and Adolescents With Disabilities
P. Asunta, K. Kämppi, K. Ng, A. Saari, and T. Tammelin
Does Caffeine Increase Fat Metabolism? A Systematic Review and Meta-Analysis
Scott A. Conger, Lara M. Tuthill, and Mindy L. Millard-Stafford
Whether caffeine (CAF) increases fat metabolism remains debatable. Using systematic review coupled with meta-analysis, our aim was to determine effects of CAF on fat metabolism and the relevant factors moderating this effect. Electronic databases PubMed, SPORTDiscus, and Web of Science were searched using the following string: CAF AND (fat OR lipid) AND (metabolism OR oxidation). A meta-analytic approach aggregated data from 94 studies examining CAF’s effect on fat metabolism assessed by different biomarkers. The overall effect size (ES) was 0.39 (95% confidence interval [CI] [0.30, 0.47], p < .001), indicating a small effect of CAF to increase fat metabolism; however, ES was significantly higher (p < .001) based on blood biomarkers (e.g., free fatty acids, glycerol) (ES = 0.55, 95% CI [0.43, 0.67]) versus expired gas analysis (respiratory exchange ratio, calculated fat oxidation) (ES = 0.26, 95% CI [0.16, 0.37]), although both were greater than zero. Fat metabolism increased to a greater extent (p = .02) during rest (ES = 0.51, 95% CI [0.41, 0.62]) versus exercise (ES = 0.35, 95% CI [0.26, 0.44]) across all studies, although ES was not different for studies reporting both conditions (ES = 0.49 and 0.44, respectively). There were no subgroup differences based on participants’ fitness level, sex, or CAF dosage. CAF ingestion increases fat metabolism but is more consistent with blood biomarkers versus whole-body gas exchange measures. CAF has a small effect during rest across all studies, although similar to exercise when compared within the same study. CAF dosage did not moderate this effect.
Study Designs to Reduce the Gap Between Science and Practice in Sport
Adapted Physical Activity Policies for Children and Adolescents in Brazil: Extension of the Para Report Card Brazil
Diego Augusto Santos Silva and Carolina Fernandes da Silva
Brazil is a country member of the Para Report Card, and Brazilian researchers have frequently published information on physical activity of children and adolescents. The current study aimed to analyze the policies for the promotion of adapted physical activity to Brazilian children and adolescents with disabilities. Official government information on adapted physical activity was analyzed from the official websites. Policies were analyzed based on the Para Report Card benchmarks, and after that we used the principles of SWOT (strengths, weaknesses, opportunities, and threats) to analyze the information. Adapted physical activity is not the main focus of any of the many policies to promote physical activity for children and adolescents. Based on the Para Report Card initiative, the score for this indicator in Brazil is D. Brazil needs to develop specific policies to promote physical activity adapted to the pediatric population with disabilities.
A Brief Note From the Incoming Editor
Justin A. Haegele
Construct Validity and Test–Retest Reliability of Hip Load Compared With Playerload During Football-Specific Running, Kicking, and Jumping Tasks
Erik Wilmes, Bram J.C. Bastiaansen, Cornelis J. de Ruiter, Riemer J.K. Vegter, Michel S. Brink, Hidde Weersma, Edwin A. Goedhart, Koen A.P.M. Lemmink, and Geert J.P. Savelsbergh
Purpose: To determine the test–retest reliability of the recently developed Hip Load metric, evaluate its construct validity, and assess the differences with Playerload during football-specific short-distance shuttle runs. Methods: Eleven amateur football players participated in 2 identical experimental sessions. Each session included 3 different shuttle runs that were performed at 2 pace-controlled running intensities. The runs consisted of only running, running combined with kicks, and running combined with jumps. Cumulative Playerload and Hip Loads of the preferred and nonpreferred kicking leg were collected for each shuttle run. Test–retest reliability was determined using intraclass correlations, coefficients of variation, and Bland–Altman analyses. To compare the load metrics with each other, they were normalized to their respective values obtained during a 54-m run at 9 km/h. Sensitivity of each load metric to running intensity, kicks, and jumps was assessed using separate linear mixed models. Results: Intraclass correlations were high for the Hip Loads of the preferred kicking leg (.91) and the nonpreferred kicking leg (.96) and moderate for the Playerload (.87). The effects (95% CIs) of intensity and kicks on the normalized Hip Load of the kicking leg (intensity: 0.95 to 1.50, kicks: 0.36 to 1.59) and nonkicking leg (intensity: 0.96 to 1.53, kicks: 0.06 to 1.34) were larger than on the normalized Playerload (intensity: 0.12 to 0.25, kicks: 0.22 to 0.53). Conclusions: The inclusion of Hip Load in training load quantification may help sport practitioners to better balance load and recovery.
Physiological, Spatiotemporal, Anthropometric, Training, and Performance Characteristics of a 75-Year-Old Multiple World Record Holder Middle-Distance Runner
Bas Van Hooren, Guy Plasqui, and Romuald Lepers
Purpose: This study assessed the cardiorespiratory capacity, anaerobic speed reserve, and anthropometric and spatiotemporal variables of a 75-year-old world-class middle-distance runner who previously obtained several European and world records in the age categories of 60–70 years, achieved 13 European titles and 15 world champion titles, and also holds several European records for the 75-year-old category. Methods: Heart rate, oxygen uptake, carbon dioxide production, ventilation, step frequency, contact time, and velocity at maximal oxygen uptake (VO2max) were measured during treadmill running. Maximal sprinting speed was assessed during track sprinting and used to compute anaerobic speed reserve. Body fat percentage was assessed using air displacement plethysmography. Results: Body fat percentage was 8.6%, VO2max was 50.5 mL·kg−1·min−1, maximal ventilation was 141 L·min−1, maximum heart rate was 164 beats·min−1, maximum respiratory exchange ratio was 1.18, and velocity at VO2max was 16.7 km·h−1. The average stride frequency and contact time during the last 30 seconds of the 4-minute run at 10 km·h−1 were 171 steps·min−1 and 241 ms and 187 steps·min−1 and 190 ms in the last 40 seconds at 17 km·h−1, respectively. The anaerobic speed reserve was 11.4 km·h−1, corresponding to an anaerobic speed reserve ratio of 1.68. Conclusion: This 75-year-old runner has an exceptionally high VO2max and anaerobic speed reserve ratio. In addition, his resilience to injuries, possibly due to a relatively high volume of easy runs, enabled him to sustain regular training since his 50s and achieve international performance in his age group.
For Flux Sake: Isotopic Tracer Methods of Monitoring Human Carbohydrate Metabolism During Exercise
Javier T. Gonzalez and Andy J. King
Isotopic tracers can reveal insights into the temporal nature of metabolism and track the fate of ingested substrates. A common use of tracers is to assess aspects of human carbohydrate metabolism during exercise under various established models. The dilution model is used alongside intravenous infusion of tracers to assess carbohydrate appearance and disappearance rates in the circulation, which can be further delineated into exogenous and endogenous sources. The incorporation model can be used to estimate exogenous carbohydrate oxidation rates. Combining methods can provide insight into key factors regulating health and performance, such as muscle and liver glycogen utilization, and the underlying regulation of blood glucose homeostasis before, during, and after exercise. Obtaining accurate, quantifiable data from tracers, however, requires careful consideration of key methodological principles. These include appropriate standardization of pretrial diet, specific tracer choice, whether a background trial is necessary to correct expired breath CO2 enrichments, and if so, what the appropriate background trial should consist of. Researchers must also consider the intensity and pattern of exercise, and the type, amount, and frequency of feeding (if any). The rationale for these considerations is discussed, along with an experimental design checklist and equation list which aims to assist researchers in performing high-quality research on carbohydrate metabolism during exercise using isotopic tracer methods.
Rowing in Los Angeles: Performance Considerations for the Change to 1500 m at the 2028 Olympic Games
Daniel J. Astridge, Peter Peeling, Paul S.R. Goods, Olivier Girard, Jamie Hewlett, Anthony J. Rice, and Martyn J. Binnie
Background: World Rowing’s decision to support the proposed change from a 2000-m to a 1500-m regatta course at the 2028 Olympic Games in Los Angeles is anticipated to have important implications for athlete preparation and race execution during the 2024–2028 quadrennium. Purpose: This commentary aims to provide insight into the expected implications of the reduction in course length heading into the 2028 Games, focusing on the training and monitoring of high-performance rowers, as well as tactical, technical, and pacing considerations for performance. The reduction in event duration (estimated to be ∼90–120 s across all event classes) will lead to an expected ∼5% to 15% increase in relative contribution of anaerobic metabolism. Consequently, adjustment in training periodization priorities toward higher-intensity interventions may be required, especially in the period immediately prior to the games. The critical-power and anaerobic-power-reserve concepts may become more useful tools for structuring exercise programs, evaluating training outcomes, and determining event suitability through individual physiological profiling. Additionally, the adoption of a more constant (flat) pacing strategy, rather than the commonly used reverse J-shaped approach, might be considered for racing over this new distance. Finally, technical aspects, such as stroke rate and gearing, may require adjustment for optimal performance; however, research is clearly required to explore such effects. Conclusions: Our intention is to stimulate discussion and debate, with the provision of practical recommendations that aim to optimize rowers’ preparation for and performance at the 2028 Olympic Games.