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Bianca Fernandes, Fabio Augusto Barbieri, Fernanda Zane Arthuso, Fabiana Araújo Silva, Gabriel Felipe Moretto, Luis Felipe Itikawa Imaizumi, Awassi Yophiwa Ngomane, Guilherme Veiga Guimarães and Emmanuel Gomes Ciolac

Purpose: To investigate the effect of high-intensity interval training (HIIT) versus moderate-intensity continuous exercise training (MICE) on hemodynamic and functional variables in individuals with Parkinson’s disease. Methods: Twenty participants (13 men) were randomly assigned to a thrice-weekly HIIT (n = 12) or MICE (n = 8) for 12 weeks. Hemodynamic (resting heart rate and blood pressure, carotid femoral pulse wave velocity, endothelial reactivity, and heart rate variability) and functional variables (5-time sit-to-stand, timed up and go, and 6-min walking tests) assessed before and after training. Results: Demographic, hemodynamic and functional variables were similar between groups at baseline. Endothelial reactivity tended to increase after HIIT, but not after MICE, resulting in improved level (∼8%, P < .01) of this variable in HIIT versus MICE during follow-up. Six-minute walking test improved after HIIT (10.4 ± 3.8%, P < .05), but did not change after MICE. Sit to stand improved similarly after HIIT (27.2 ± 6.1%, P < .05) and MICE (21.5 ± 5.4%, P < .05). No significant changes were found after HIIT or MICE in any other variable assessed. Conclusion: These results suggest that exercise intensity may influence training-induced adaptation on endothelial reactivity and aerobic capacity in individuals with Parkinson’s disease.

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Jue Hou, Xiaoxu Yang and Elliot Panek

This paper examined the media and public relations coverage of e-sport in China over a 17-yr period, focusing on how the representations of e-sport as a fast-growing industry have changed in China during that time. With the theoretical underpinning of media framing, the study used content analysis and examined 400 e-sport-related reports. Specifically, it investigated the tone of coverage, the topic emphasis of e-sport-related stories, and the use of jargon and statistics in the reports. In general, findings indicated that both mainstream media and public relations gradually covered e-sport issues in a more positive way as time went by. Similar to reporting on traditional sports, the topic emphasis changed from nongame issues to player and team performance in the contemporary climate. The findings highlight the importance of live-streaming platforms in e-sport development and suggest that more traditional-sport-styled media coverage of e-sport might benefit the industry. Finally, the study calls for an evaluation of media e-sport coverage in different cultural contexts and comparisons between e-sport’s and traditional sports’ representation in the contemporary media climate.

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Alan J. McCubbin, Anyi Zhu, Stephanie K. Gaskell and Ricardo J.S. Costa

The impact of a carbohydrate-electrolyte solution with sodium alginate and pectin for hydrogel formation (CES-HGel), was compared to a standard CES with otherwise matched ingredients (CES-Std), for blood glucose, substrate oxidation, gastrointestinal symptoms (GIS; nausea, belching, bloating, pain, regurgitation, flatulence, urge to defecate, and diarrhea), and exercise performance. Nine trained male endurance runners completed 3 hr of steady-state running (SS) at 60% V˙O2max, consuming 90 g/hr of carbohydrate from CES-HGel or CES-Std (53 g/hr maltodextrin, 37 g/hr fructose, 16% w/v solution) in a randomized crossover design, followed by an incremental time to exhaustion (TTE) test. Blood glucose and substrate oxidation were measured every 30 min during SS and oxidation throughout TTE. Breath hydrogen (H2) was measured every 30 min during exercise and every 15 min for 2 hr postexercise. GIS were recorded every 15 min throughout SS, immediately after and every 15-min post-TTE. No differences in blood glucose (incremental area under the curve [mean ± SD]: CES-HGel 1,100 ± 96 mmol·L−1·150 min−1 and CES-Std 1,076 ± 58 mmol·L−1·150 min−1; p = .266) were observed during SS. There were no differences in substrate oxidation during SS (carbohydrate: p = .650; fat: p = .765) or TTE (carbohydrate: p = .466; fat: p = .633) and no effect of trial on GIS incidence (100% in both trials) or severity (summative rating score: CES-HGel 29.1 ± 32.6 and CES-Std 34.8 ± 34.8; p = .262). Breath hydrogen was not different between trials (p = .347), nor was TTE performance (CES-HGel 722 ± 182 s and CES-Std: 756 ± 187 s; p = .08). In conclusion, sodium alginate and pectin added to a CES consumed during endurance running does not alter the blood glucose responses, carbohydrate malabsorption, substrate oxidation, GIS, or TTE beyond those of a CES with otherwise matched ingredients.

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Ashley N. Marshall, Alison R. Snyder Valier, Aubrey Yanda and Kenneth C. Lam

Context: There has been an increased interest in understanding how ankle injuries impact patient outcomes; however, it is unknown how the severity of a previous ankle injury influences health-related quality of life (HRQOL). Objective: To determine the impact of a previous ankle injury on current HRQOL in college athletes. Design: Cross-sectional study. Setting: Athletic training clinics. Participants: A total of 270 participants were grouped by the severity of a previous ankle injury (severe = 62, mild = 65, and no injury = 143). Main Outcome Measures: Participants completed the Foot and Ankle Ability Measure (FAAM) and the Short Form 12 (SF-12). Methods: A 2-way analysis of variance with 2 factors (injury group and sex) was used to identify interaction and main effects for the FAAM and SF-12. Results: No interactions were identified between injury group and sex. Significant main effects were observed for injury group, where the severe injury group scored lower than athletes with mild and no injuries on the FAAM activities of daily living, FAAM Global, and SF-12 mental health subscale scores. In addition, a main effect was present for sex in the SF-12 general health, social functioning, and mental health subscales in which females reported significantly lower scores than males. Conclusions: Our findings suggest that a severe ankle injury impacts HRQOL, even after returning back to full participation. In addition, females tended to report lower scores than males for aspects of the SF-12, suggesting that sex should be considered when evaluating HRQOL postinjury. As a result, clinicians should consider asking athletes about their previous injury history, including how much time was lost due to the injury, and should mindful of returning athletes to play before they are physiologically and psychologically ready, as there could be long-term negative effects on the patients’ region-specific function as well as aspects of their HRQOL.

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Kate Hovey, Diana Niland and John T. Foley

Purpose: Self-efficacy, having been identified as a factor influencing teacher effectiveness, combined with the increased prevalence of outdoor education (OE) content being taught within physical education contexts, warrants the need for physical education teacher education (PETE) programs to address OE outcomes. Therefore, the purpose of this study was to determine if participation in an OE program increased self-efficacy to teach OE among PETE students. Methods: PETE students (N = 95) were taught OE content in multiple residential environments and were evaluated using the “Survey of Self-efficacy for Teaching Outdoor Education.” Results: Results indicated a significant increase in self-efficacy scores from pretest to posttest in all content areas (OE skills, group dynamic skills, and models and theories). Overall, the OE program had a large effect in changing self-efficacy scores. Conclusion: Participation in the program positively affected PETE students’ self-efficacy for teaching OE, which may improve their ability to ultimately teach this content in physical education settings.

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Yann Le Mansec, Jérôme Perez, Quentin Rouault, Julie Doron and Marc Jubeau

Purpose: To evaluate the effects of muscle fatigue on badminton performance during a smash stroke. Methods: In total, 17 young, well-trained players completed 20 forehand smashes twice (prefatigue and postfatigue protocol), and both speed and precision of the strokes were measured. The fatigue protocol consisted of 10 series of 10 maximal countermovement jumps (3-s rest in between) followed by 8 lunges. Perception of effort and countermovement-jump performance during each series were also measured to assess fatigue. Results: Shuttlecock speed decreased moderately (−3.3%) but significantly after the fatigue protocol (P < .001, ηp2=.671). Precision significantly decreased after the fatigue protocol (−10.3%, P = .001, ηp2=.473). The decrease in precision was mainly due to an increased number of faults (P = .006, ηp2=.378, d z = 0.756) and to a decrease in accuracy (P = .066, ηp2=.195, d z = 0.478). Conclusion: The present study showed that fatigue impairs performance during specific badminton skills. Moreover, by showing a slight decrease in speed and a large decrease in accuracy of the shuttlecock when fatigue is experienced, the present study suggested that, as previously observed in other racket sports, the speed of the missile appears to be the key factor used by the players to win the rally. Coaches and physical trainers should therefore develop interventions aiming to limit the negative impact of fatigue on badminton strokes.

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Rebekka Pomiersky, Bastian Abel, Christian Werner, André Lacroix, Klaus Pfeiffer, Martina Schäufele and Klaus Hauer

This study investigated the effectivity and sustainability of a physical activity (PA) promotion and motor training programs and analyzed predictors for PA changes in persons with dementia. A total of 122 participants with mild-to-moderate dementia were randomized to the intervention program designed for persons with dementia (intervention group) or a motor placebo activity (control group). The primary outcome was the Physical Activity Questionnaire for the Elderly assessed at the baseline, after the 3-month intervention, and at a 3-month follow-up. The PA promotion program significantly increased PA in the intervention group compared with the control group during the training intervention phase. Both groups showed an increase in habitual PA when intervention-induced activities were excluded. PA was sustainably increased in both groups at follow-up. Low baseline PA was predictive for increased PA after the intervention and low baseline PA, high motor performance, and low comorbidity for increased PA at follow-up.

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Nicole C.A. Strock, Kristen J. Koltun, Emily A. Southmayd, Nancy I. Williams and Mary Jane De Souza

Energy deficiency in exercising women can lead to physiological consequences. No gold standard exists to accurately estimate energy deficiency, but measured-to-predicted resting metabolic rate (RMR) ratio has been used to categorize women as energy deficient. The purpose of the study was to (a) evaluate the accuracy of RMR prediction methods, (b) determine the relationships with physiological consequences of energy deficiency, and (c) evaluate ratio thresholds in a cross-sectional comparison of ovulatory, amenorrheic, or subclinical menstrual disturbances in exercising women (n = 217). Dual-energy X-ray absorptiometry (DXA) and indirect calorimetry provided data on anthropometrics and energy expenditure. Harris–Benedict, DXA, and Cunningham (1980 and 1991) equations were used to estimate RMR and RMR ratio. Group differences were assessed (analysis of variance and Kruskal–Wallis tests); logistic regression and Spearman correlations related ratios with consequences of energy deficiency (i.e., low total triiodothyronine; TT3). Sensitivity and specificity calculations evaluated ratio thresholds. Amenorrheic women had lower RMR (p < .05), DXA ratio (p < .01), Cunningham1980 (p < .05) and Cunningham1991 (p < .05) ratio, and TT3 (p < .01) compared with the ovulatory group. Each prediction equation overestimated measured RMR (p < .001), but predicted (p < .001) and positively correlated with TT3 (r = .329–.453). A 0.90 ratio threshold yielded highest sensitivity for Cunningham1980 (0.90) and Harris–Benedict (0.87) methods, but a higher ratio threshold was best for DXA (0.94) and Cunningham1991 (0.92) methods to yield a sensitivity of 0.80. In conclusion, each ratio predicted and correlated with TT3, supporting the use of RMR ratio as an alternative assessment of energetic status in exercising women. However, a 0.90 ratio cutoff is not universal across RMR estimation methods.

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Carolina F. Wilke, Samuel P. Wanner, Weslley H.M. Santos, Eduardo M. Penna, Guilherme P. Ramos, Fabio Y. Nakamura and Rob Duffield

Purpose: To determine whether daily perceived recovery is explained from a multifactorial single-session classification of recovery (ie, faster vs slower) or other circumstantial factors (ie, previous training load, self-reported sleep, or phase of the microcycle). Methods: Nineteen elite male futsal players were initially allocated to a recovery-classification group (faster recovery, slower physiological, or slower perceptual) based on previous research using a multifactorial cluster-analysis technique. During 4 ensuing weeks of preseason, training loads were monitored via player load, training impulse, and session rating of perceived exertion. Before each day’s training, players reported their perception of recovery (Total Quality of Recovery scale [TQR]) and the number of hours and perceived quality of sleep the night prior. A hierarchical linear mixed model was used to analyze the effect of the different recovery profiles, training load, sleep, and phase of the microcycle (ie, start, middle, end) on daily TQR. Results: The recovery classification of players (P = .20), training load (training impulse, P = .32; player load, P = .23; session rating of perceived exertion, P = .46), and self-reported hours slept the night before (P = .45) did not significantly influence TQR. However, perceived sleep quality (P < .01) and phase of the microcycle (P < .01) were significantly associated with TQR (r 2 = .41). Conclusions: Neither recovery classification nor prior training load influenced perceived recovery during the preseason. However, higher TQR was evident with better self-reported sleep quality, whereas lower values were associated with phases of the training week.

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Helen G. Hanstock, Andrew D. Govus, Thomas B. Stenqvist, Anna K. Melin, Øystein Sylta and Monica K. Torstveit

Intensive training periods may negatively influence immune function, but the immunological consequences of specific high-intensity-training (HIT) prescriptions are not well defined. Purpose: To explore whether 3 different HIT prescriptions influence multiple health-related biomarkers and whether biomarker responses to HIT were associated with upper-respiratory-illness (URI) risk. Methods: Twenty-five male cyclists and triathletes were randomized to 3 HIT groups and completed 12 HIT sessions over 4 wk. Peak oxygen consumption (V˙O2peak) was determined using an incremental cycling protocol, while resting serum biomarkers (cortisol, testosterone, 25[OH]D, and ferritin), salivary immunoglobulin-A (s-IgA), and energy availability (EA) were assessed before and after the training intervention. Participants self-reported upper-respiratory symptoms during the intervention, and episodes of URI were identified retrospectively. Results: Fourteen athletes reported URIs, but there were no differences in incidence, duration, or severity between groups. Increased risk of URI was associated with higher s-IgA secretion rates (odds ratio = 0.90, 90% confidence interval 0.83–0.97). Lower preintervention cortisol and higher EA predicted a 4% increase in URI duration. Participants with higher V˙O2peak reported higher total symptom scores (incidence rate ratio = 1.07, 90% confidence interval 1.01–1.13). Conclusions: Although multiple biomarkers were weakly associated with risk of URI, the direction of associations between s-IgA, cortisol, EA, and URI risk were inverse to previous observations and physiological rationale. There was a cluster of URIs in the first week of the training intervention, but no samples were collected at this time point. Future studies should incorporate more-frequent sample time points, especially around the onset of new training regimens, and include athletes with suspected or known nutritional deficiencies.