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Magdalena Żegleń, Łukasz Kryst, Małgorzata Kowal and Agnieszka Woronkowicz

Background: The aim of this study was to analyze the secular changes of the physical fitness of preschool children from Kraków, Poland between 2008 and 2018. Methods: The study group consisted of 2143 children (3- to 7-y-olds; 2008 cohort included 1037 children and the 2018 cohort included 1106 children). The following physical fitness tests were carried out: overhead medicine ball throw, standing broad jump, sit-and-reach test, and handgrip strength. Statistical differences between the cohorts were obtained using 2-way analysis of variance and Tukey tests. Results: Negative changes were noted for the standing broad jump and its relative results among boys. A negative trend was also observed for flexibility and ball throw. Positive changes were noted for the standing broad jump among girls, as well as the absolute and normalized results of handgrip strength in both sexes. Besides the flexibility, observed discrepancies were practically significant between the age groups. Differences between the cohorts reached practical significance in the case of absolute and normalized handgrip strength. Conclusions: There was at least partial progress in the children’s fitness. Physical fitness, in turn, is one of the most important health markers. Moreover, its low level is a predictor of diseases, including metabolic and cardiovascular ones, lower academic performance, and psychosocial problems.

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Justin Goins

Clinical Question: What is the most optimal position to perform the prone hip extension exercise in order to improve the gluteus maximus to hamstring activation ratio? Clinical Bottom Line: There does not appear to be a specific position recommended to perform the prone hip extension exercise in order to activate the gluteus maximus over the hamstrings.

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Nicholas A. Koemel, Christina M. Sciarrillo, Katherine B. Bode, Madison D. Dixon, Edralin A. Lucas, Nathaniel D.M. Jenkins and Sam R. Emerson

The consumption of a high-fat meal can induce postprandial lipemia and endothelial dysfunction. The authors assessed the impact of age and physical activity on metabolic and vascular outcomes following meal consumption in healthy adults. The authors recruited four groups: younger active (age 22.1 ± 1.4 years; n = 9), younger inactive (age 22.6 ± 3.7 years; n = 8), older active (age 68.4 ± 7.7 years; n = 8), and older inactive (age 67.7 ± 7.2 years; n = 7). The metabolic outcomes were measured at the baseline and hourly for 6 hr post high-fat meal consumption (12 kcal/kg; 63% fat). Flow-mediated dilation was measured at the baseline, 2 hr, and 4 hr postmeal. The total area under the curve for triglycerides was significantly lower in the more active groups, but did not differ based on age (younger active = 6.5 ± 1.4 mmol/L × 6 hr, younger inactive = 11.7 ± 4.8, older active = 6.8 ± 2.7, older inactive = 12.1 ± 1.7; p = .0004). After adjusting for artery diameter, flow-mediated dilation differed between groups at the baseline (younger active = 4.8 ± 1.6%, younger inactive = 2.5 ± 0.5, older active = 3.4 ± 0.9, older inactive = 2.2 ± 0.4; p < .001) and decreased significantly across groups 4 hr postmeal (mean difference = 0.82; 95% CI [0.02, 1.6]; p = .04). These findings highlight the beneficial effect of regular physical activity on postprandial lipemia, independent of age.

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Kerem Shuval, Liora Sahar, Kelley Pettee Gabriel, Gregory Knell, Galit Weinstein, Tal Gafni Gal, Felipe Lobelo and Loretta DiPietro

Background: The Rapid Assessment Disuse Index (RADI) is a brief tool aimed to promptly assess primary care patients’ overall physical inactivity and sedentary behavior. This study examines the relation between physical inactivity and sitting time (RADI) to cardiometabolic risk among primary care patients. Methods: Survey data and electronic medical record information were collated to explore the association between RADI scores (cumulative and sitting) to metabolic syndrome (and components) among women and men, using multivariable logistic regression. Results: Among women, the cumulative RADI score was not significantly associated with metabolic syndrome. However, the RADI sitting score was related to low high-density lipoprotein cholesterol and metabolic syndrome. That is, a transition to a higher RADI sitting score by 1 unit (vs remaining in the score) was related with a 1.4 and 1.3 times higher odds for having low high-density lipoprotein cholesterol (95% confidence interval, 1.05–1.87) and metabolic syndrome (95% confidence interval, 1.02–1.64), respectively. Among men, no significant relations were found. Conclusions: The RADI sitting score is positively and significantly related to high-density lipoprotein and metabolic syndrome among women, yet not men. Due to the RADI’s potential clinical utility, future research should attempt to examine these relations in larger, more robust samples and adjudicated outcomes using a prospective design.

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Abby Haynes, Catherine Sherrington, Geraldine Wallbank, David Lester, Allison Tong, Dafna Merom, Chris Rissel and Anne Tiedemann

The Coaching for Healthy Ageing trial evaluated the impact on physical activity (PA) and falls based on a year-long intervention in which participants aged 60+ receive a home visit, regular health coaching by physiotherapists, and a free activity monitor. This interview study describes the participants’ experiences of the intervention and ideas for improvement. The authors sampled purposively for maximum variation in experiences. The data were analyzed thematically by two researchers. Most of the 32 participants reported that the intervention increased PA levels, embedded activities, and generated positivity about PA. They were motivated by quantified PA feedback, self-directed goals, and person-centered coaching. Social connectivity motivated some, but the intervention did not support this well. The intervention structure allowed participants to trial and embed activities. Autonomy and relatedness were emphasized and should be included in future program theory. The authors identified synergistic effects, likely “essential ingredients,” and potential areas for improving this and similar interventions.

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Alessandro Quartiroli, Justine Vosloo, Leslee Fisher and Robert Schinke

Cultural competence, identified as the ability to understand other cultures and being aware of one’s own cultural assumptions, has been found to be important for sport psychology professionals (SPPs). In the current study, one of a few exploring the SPPs’ own perceived cultural competence, a sample of 203 SPPs completed an online survey examining the perceptions of their own levels of cultural competence. Most participants reported receiving formal training in cultural competence. However, this training was perceived as only moderately effective and only able to predict the reported level of the SPPs’ perceived cultural competence in a limited way. These results could be attributed to the reported lack of support for SPPs engaging in culturally centered self-reflective practice and to the limited role that these factors have played in training programs. Additional findings are described and discussed, along with recommendations for professional development and applied training.

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Sarah P. McLean, Christine M. Habeeb, Pete Coffee and Robert C. Eklund

Efficacy beliefs and communication are key constructs that have been targeted to develop task cohesion. This study’s purpose was to (a) examine whether collective efficacy, team-focused other-efficacy, and team-focused relation-inferred self-efficacy are predictive of task cohesion and (b) evaluate the possibility that communication mediates efficacy–task cohesion relationships. British university team-sport athletes (N = 250) completed questionnaires assessing efficacy beliefs, communication (i.e., positive conflict, negative conflict, and acceptance communication), and task cohesion (i.e., attractions to group, group integration). Data were subjected to a multigroup path analysis to test mediation hypotheses while also addressing potential differences across males and females. Across all athletes, collective efficacy and team-focused other-efficacy significantly predicted attractions to group and group integration directly. Positive conflict and acceptance communication significantly mediated relationships between efficacy (team-focused other-efficacy, collective efficacy) and cohesion (attractions to group, group integration). Findings suggest that enhancing athletes’ collective efficacy and team-focused efficacy beliefs will encourage communication factors affecting task cohesion.

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Matthew J. Smith and Oliver R. Runswick

In elite sport, research has highlighted the significant incidence of athletes experiencing mental ill health. The aim of the present study was to make sense of stories that elite athletes tell about experiencing mental ill health through sampling the autobiographies of four male, elite cricketers. In each book, the player spoke in detail about mental ill health and how this impacted on their international career. Horizontal and vertical analyses of the data resulted in six progressive themes being identified, from Early Warning Signs, Fluctuations of Mental Health, Build-up to the Severe Incident, the Severe Incident, the Recovery Process, to Relapsing. The findings are considered in line with how they might be used to meet the call to develop mental health literacy, in aiming to help coaches and other psychology support staff understand more about the process of athletes who experience mental ill health across their career.

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Inhyang Choi, Damian Haslett, Javier Monforte and Brett Smith

Academics and sport organizations have recently recognized Para-sport as a powerful platform for disability activism. However, little attention has been given to Para-sport activism in non-Western cultures. This study explored the influence of Confucianism on South Korean Para-sport activism. Data were collected through interviews conducted with four stakeholders from the Korea Paralympic Committee and 18 Para-athletes. Through a reflexive thematic analysis, the authors crafted five themes corresponding to Confucian values: position hierarchy, age hierarchy, parent–child relationship, factionalism, and collectivism. All values had the capacity to encourage and discourage participants toward engaging in activism. These findings contribute to the field of  Cultural Sport Psychology by highlighting a multitude of cultural factors affecting Para-sport activism. Practical suggestions to promote Para-sport activism are offered, including sociocultural and organizational legacy.

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Irfan A. Khan and Kelley Henderson

Clinical Question: What is the efficacy of myofascial release, combined with trigger point therapy, in treating pain in patients with tension-type headaches? Clinical Bottom Line: There is significant evidence to support the use of myofascial release and trigger point therapy in patients with pain from tension-type headaches.