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Bernhard Prinz, Dieter Simon, Harald Tschan, and Alfred Nimmerichter

Purpose: To determine aerobic and anaerobic demands of mountain bike cross-country racing. Methods: Twelve elite cyclists (7 males; V˙O2max = 73.8 [2.6] mL·min-1·kg−1, maximal aerobic power [MAP] = 370 [26] W, 5.7 [0.4] W·kg−1, and 5 females; V˙O2max = 67.3 [2.9] mL·min−1·kg−1, MAP = 261 [17] W, 5.0 [0.1] W·kg−1) participated over 4 seasons at several (119) international and national races and performed laboratory tests regularly to assess their aerobic and anaerobic performance. Power output, heart rate, and cadence were recorded throughout the races. Results: The mean race time was 79 (12) minutes performed at a mean power output of 3.8 (0.4) W·kg−1; 70% (7%) MAP (3.9 [0.4] W·kg−1 and 3.6 [0.4] W·kg−1 for males and females, respectively) with a cadence of 64 (5) rev·min−1 (including nonpedaling periods). Time spent in intensity zones 1 to 4 (below MAP) were 28% (4%), 18% (8%), 12% (2%), and 13% (3%), respectively; 30% (9%) was spent in zone 5 (above MAP). The number of efforts above MAP was 334 (84), which had a mean duration of 4.3 (1.1) seconds, separated by 10.9 (3) seconds with a mean power output of 7.3 (0.6) W·kg−1 (135% [9%] MAP). Conclusions: These findings highlight the importance of the anaerobic energy system and the interaction between anaerobic and aerobic energy systems. Therefore, the ability to perform numerous efforts above MAP and a high aerobic capacity are essential to be competitive in mountain bike cross-country.

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Jennifer R. Pharr, Jason D. Flatt, Lung-Chang Chien, Axenya Kachen, and Babayemi O. Olakunde

Introduction: There is a positive association between exercise and improved mental health in the general population. Although there is a greater burden of psychological distress among lesbian, gay, and bisexual (LGB) people, little is known about the association between exercise and mental health in this population. The authors explored the association between exercise and poor mental health reported by LGB adults in the United States. Methods: Our analyses used data from the 2017 Behavioral Risk Factor Surveillance System survey. Multiple regression analyses were used to determine the association between exercising and mental health days adjusting for sociodemographic characteristics. Results: Data were available for 6371 LGB participants. LGB adults who participated in any exercise reported almost 1.0 day less of poor mental health in the past 30 days compared with LGB adults who did not exercise (P ≤ .01). LGB adults who met one or both of the physical activity guidelines had between 1.2 and 1.7 days less of poor mental health compared with those who did not meet the guidelines (P ≤ .01). Conclusion: Fewer days of poor mental health were reported by LGB adults who exercised. Determining whether physical activity interventions, including aerobic and strengthening exercises, could improve mental health outcomes in LGB adults should be studied.

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Sebastian Kaufmann, Ralph Beneke, Richard Latzel, Hanna Pfister, and Olaf Hoos

Purpose: To elucidate the role of inter-effort recovery in shuttle running by comparing the metabolic profiles of the 30-15 Intermittent Fitness Test (30-15IFT) and the corresponding continuous version (30-15IFT-CONT). Methods: Sixteen state-level handball players (age = 23 [3] y, height = 185 [7] cm, weight = 85 [14] kg) completed the 30-15IFT and 30-15IFT-CONT, and speed at the last completed stage (in kilometers per hour) and time to exhaustion (in seconds) were assessed. Furthermore, oxygen uptake (in milliliters per kilogram per minute) and blood lactate were obtained preexercise, during exercise, and until 15 minutes postexercise. Metabolic energy (in kilojoules), metabolic power (in Watts per kilogram), and relative (in percentage) energy contribution of the aerobic (WAER, WAERint), anaerobic lactic (WBLC, WBLCint), and anaerobic alactic (WPCr, WPCrint) systems were calculated by PCr-La-O2 method for 30-15IFT-CONT and 30-15IFT. Results: No difference in peak oxygen uptake was found between 30-15IFT and 30-15IFT-CONT (60.6 [6.6] vs 60.5 [5.1] mL·kg−1·min−1, P = .165, d = 0.20), whereas speed at the last completed stage was higher in 30-15IFT (18.3 [1.4] vs 16.1 [1.0] km·h−1, P < .001, d = 1.17). Metabolic energy was also higher in 30-15IFT (1224.2 [269.6] vs 772.8 [63.1] kJ, P < .001, d = 5.60), and metabolic profiles differed substantially for aerobic (30-15IFT = 67.2 [5.2] vs 30-15IFT-CONT = 85.2% [2.5%], P < .001, d = −4.01), anaerobic lactic (30-15IFT = 4.4 [1.4] vs 30-15IFT-CONT = 6.2% [1.8%], P < .001, d = −1.04), and anaerobic alactic (30-15IFT = 28.4 [4.7] vs 30-15IFT-CONT = 8.6% [2.1%], P < .001, d = 5.43) components. Conclusions: Both 30-15IFT and 30-15IFT-CONT are mainly fueled by aerobic energy, but their metabolic profiles differ substantially in both aerobic and anaerobic alactic energy contribution. Due to the presence of inter-effort recovery, intermittent shuttle runs rely to a higher extent on anaerobic alactic energy and a fast, aerobic replenishment of PCr during the short breaks between shuttles.

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Subir Gupta, Arkadiusz Stanula, and Asis Goswami

Purpose: To determine (1) the time of arrival of peak blood lactate concentration ([BLa]peak) followed by various track events and (2) significant correlation, if any, between average velocity and [BLa]peak in these events. Methods: In 58 under-20 male track athletes, heart rate was recorded continuously and blood lactate concentration was determined at various intervals following 100-m (n = 9), 200-m (n = 8), 400-m (flat) (n = 9), 400-m hurdles (n = 8), 800-m (n = 9), 1500-m (n = 8), 3000-m steeplechase (n = 7), and 5000-m (n = 10) runs. Results: The [BLa]peak, in mmol/L, was recorded highest following the 400-m run (18.27 [3.65]) followed by 400-m hurdles (16.25 [3.14]), 800-m (15.53 [3.25]), 1500-m (14.71 [3.00]), 200-m (14.42 [3.40]), 3000-m steeplechase (11.87 [1.48]), 100-m (11.05 [2.36]), and 5000-m runs (8.65 [1.60]). The average velocity of only the 400-m run was found to be significantly correlated (r = .877, p < 0.05) with [BLa]peak. The arrival time of [BLa]peak following 100-m, 200-m, 400-m, 400-m hurdles, 800-m, 1500-m, 3000-m steeplechase, and 5000-m runs was 4.44 (0.83), 4.13 (0.93), 4.22 (0.63), 3.75 (0.83), 3.34 (1.20), 2.06 (1.21), 1.71 (1.44), and 1.06 (1.04) minutes, respectively, of the recovery period. Conclusion: In under-20 runners, (1) [BLa]peak is highest after the 400-m run, (2) the time of appearance of [BLa]peak varies from one event to another but arrives later after sprint events than longer distances, and (3) the 400-m (flat) run is the only event wherein the performance is significantly correlated with the [BLa]peak.

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Mário Esteves, Carina Silva, Sofia S. Pereira, Tiago Morais, Ângela Moreira, Madalena M. Costa, Mariana P. Monteiro, and José A. Duarte

Introduction: Benefits of regular physical exercise were demonstrated as preventive and coadjuvant nonpharmacological anticancer therapy. However, the role of exercise in modulating prostate cancer behavior has yet to be established. Methods: Prostate tumors were induced in C57BL/6 male mice (n = 28) by subcutaneous inoculation of a suspension of murine androgen-independent RM1 cells (1.5 × 105 cells/500 μL phosphate-buffered saline) in the dorsal region. Mice were randomly allocated into 2 study groups: sedentary tumor-induced (n = 14) and exercised tumor-induced (n = 14). Exercise consisted of voluntary running in wheeled cages. Mice (n = 7 per group) were sacrificed either 14 or 28 days after cell inoculation to evaluate tumor weight and percentage of area occupied by immunohistochemistry stained cells for Ki-67 and TdT-mediated dUTP-biotin nick end labeling, used as surrogate markers of cell proliferation and apoptosis, respectively. Results: Compared with sedentary tumor-induced mice, the tumors developed by exercised tumor-induced mice were significantly smaller at 14 days (0.17 [0.12] g vs 0.48 [0.24] g, P < .05) and at 28 days (0.92 [0.73] g vs 2.09 [1.31] g, P < .05), with smaller Ki-67 and greater TdT-mediated dUTP-biotin nick end-labeling stained areas (P < .05). Conclusion: These results suggest that regular voluntary running inhibits prostate cancer cell growth by reducing cell proliferation and enhancing apoptosis.

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Colin B. Shore, Gill Hubbard, Trish Gorely, Angus M. Hunter, and Stuart D.R. Galloway

Background: Exercise referral schemes (ERS) aim to tackle noncommunicable disease via increasing levels of physical activity. Health benefits are reliant on uptake and attending ERS sessions. Hence, it is important to understand which characteristics may influence these parameters to target interventions to improve uptake and attendance to those who need it most. Method: Secondary analysis of one ERS database was conducted to (1) profile participants’ nonuptake of exercise referral; (2) describe any differences between nonattenders and attenders; and (3) report session count of attenders, exploring any relationship between attender demographics and session count. Results: The study showed that (1) sociodemographic profile of nonattenders was very similar to that of those who attended; (2) there was a high, early withdrawal rate of attenders wherein 68% exited the scheme at 5 exercise sessions or less; and (3) session count did not appear to differ by demographic characteristics. Conclusions: Nonattendance and session count did not appear to differ by demographic characteristics. Attendance at ERS was low. Nonuptake and reduced attendance may limit any associated health benefits that may be achieved from ERS. Therefore, it is important to identify additional factors that may influence participants’ choice to uptake and attend ERS.

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Christianne F. Coelho-Ravagnani, Jeeser A. Almeida, Xuemei Sui, Fabricio C.P. Ravagnani, Russell R. Pate, and Steven N. Blair

Background: The effects of compliance with the US Physical Activity (PA) Guidelines and changes in compliance over time on cardiovascular disease (CVD) mortality are unknown. Methods: Male participants in the Aerobics Center Longitudinal Study (n = 15,411; 18–100 y) reported leisure-time PA between 1970 and 2002. The frequency of and time spent in PA were converted into metabolic equivalent minutes per week. The participants were classified into remained inactive, became active, became inactive, or remained active groups according to their achievement of the PA guidelines along the follow-up, equivalent here to at least 500 metabolic equivalent minutes of PA per week. Cox regression adjusted for different models was used for the analyses, using age, body mass index, smoking and drinking status, hypertension, diabetes, hypercholesterolemia, and parental history of CVD. Results: Over a mean follow-up of 6.2 years, 439 CVD deaths occurred. Consistently meeting the PA guidelines, compared with not meeting, was associated with a 54% (95% confidence interval, 0.32–0.67) decreased risk of CVD mortality. After controlling for all potential confounders, the risk reduction was 47% (95% confidence interval, 0.36–0.77). Conclusions: Maintaining adherence to the PA guidelines produces substantial reductions in the risk of CVD deaths in men. Furthermore, discontinuing compliance with the guidelines may offset the beneficial effects on longevity.

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Nivash Rugbeer, Demitri Constantinou, and Georgia Torres

Background: High-intensity training is comprised of sprint interval training (SIT) and high-intensity interval training (HIIT). This study compared high-intensity training with moderate-intensity continuous training (MICT) on cardiorespiratory fitness (CRF) and body fat percentage for overweight or obese persons. Methods: A systematic search of randomized controlled trials using the health science databases occurred up to April, 2020. Twenty-six studies were included for complete analysis. A total of 784 participations were analyzed. The unstandardized mean difference for each outcome measurement was extracted from the studies and pooled with the random effects model. Results: MICT was significantly better at improving CRF compared with SIT (mean difference = −0.92; 95% confidence interval, −1.63 to −0.21; P = .01; I 2 = 10%). Furthermore, there was no significant difference between MICT versus HIIT on CRF (mean difference = −0.52; 95% confidence interval, −1.18 to 0.13; P = .12; I 2 = 23%). There was no significant difference in body fat percentage between MICT versus HIIT and MICT versus SIT. Conclusions: MICT was significantly better at improving CRF than SIT in overweight or obese persons.

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Adi Weinberg, Nitzan Dror, Katya Motin, Michal Pantanowitz, Dan Nemet, and Alon Eliakim

Purpose: To examine the effect of growth hormone (GH) treatment on physical performance in children with idiopathic short stature and normal GH secretion. Materials and Methods : A total of 24 children participated in the study (13 GH-treated, 11 non-treated, aged 8–13 y, 11 males and 13 females, Tanner stage 1–2). Participants performed a battery of motor skill performance tests (Eurofit), as well as the Wingate anaerobic test. Results: No statistically significant differences in any of the Eurofit physical fitness test results (eg, 20-m shuttle run 33.0 [15.1] vs 25.1 [21.0] laps in treated and nontreated participants, respectively, P = .25) or the Wingate anaerobic test were found between the groups (eg, peak power 5.0 [2.9] vs 3.9 [2.6] watts/kg in treated and nontreated participants, respectively, P = .2). Conclusions: Therapeutic usage of exogenous GH for pre and early pubertal children with idiopathic short stature and normal GH secretion was not associated with beneficial effects on physical performance indices. This suggests that the use of GH as a potential performance enhancing agent, in this age group, at least at commonly used doses, is not advantageous.

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Whitney N. Neal, Emma Richardson, and Robert W. Motl

The uptake and benefits of the Canadian Physical Activity Guidelines for Adults with Multiple Sclerosis (PAGs) have been validated, but there is limited understanding regarding the knowledge, needs, and preferences of people with multiple sclerosis (MS) for implementing the PAGs outside of clinical research. The authors conducted online, semistructured interviews with 40 persons with MS from across the United States seeking information on awareness of and potential approaches for increasing the uptake of the PAGs. They identified first impressions and potential approaches for increasing the uptake of the PAGs through inductive, semantic thematic analysis. Participants perceived the PAGs as a good introduction for structured exercise but desired more information on how to meet the PAGs. Participants further believed that modifying the PAGs for inclusivity and applying a multifaceted approach for dissemination and implementation may increase uptake of exercise behavior. Physical activity research in MS should include both analyzing the effects of exercise and the unique challenges faced by persons with MS in putting the PAGs into practice.