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Amber Dallman, Eydie Abercrombie, Rebecca Drewette-Card, Maya Mohan, Michael Ray and Brian Ritacco

Background:

Physical activity has emerged as a vital area of public health. This emerging area of public health practice has created a need to develop practitioners who can address physical activity promotion using population-based approaches. Variations in physical activity practitioners' educations and backgrounds warranted the creation of minimal standards to establish the competencies needed to address physical activity as a public health priority.

Methods:

The content knowledge of physical activity practitioners tends to fall into 2 separate areas—population-based community health education and individually focused exercise physiology. Competencies reflect the importance of a comprehensive approach to physical activity promotion, including areas of community health while also understanding the physiologic responses occurring at the individual level.

Results:

Competencies are organized under the Center for Disease Control and Prevention's 5 benchmarks for physical activity and public health practice.

Conclusions:

The greatest impact on physical activity levels may be realized from a well-trained workforce of practitioners. Utilization of the competencies will enable the physical activity practitioner to provide technical assistance and leadership to promote, implement, and oversee evaluation of physical activity interventions.

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Brian Klucinec, Craig Denegar and Rizwan Mahmood

During the administration of therapeutic ultrasound, the amount of pressure at the sound head-tissue interface may affect the physiological response to and the outcome of treatment. Speed of sonification; size of the treatment area; frequency, intensity, and type of wave; and coupling media are important parameters in providing the patient with an appropriate ultrasound treatment. Pressure variations affect ultrasound transmissivity, yet pressure differences have been virtually unexplored. The purpose of this study was to assess the effects of sound head pressure on acoustic transmissivity. Three trials were conducted whereby pig tissue was subjected to increased sound head pressures using manufactured weights. The weights were added in 100 g increments, starting with 200 g and finishing with 1,400 g. Increased pressure on the transmitting transducer did affect acoustic transmissivity; acoustic energy transmission was increased from 200 g (0.44 lb) up to and optimally at 600 g (1.32 lb). However, there was decreased transmissivity from 700 to 1, 400 g (1.54 to 3.00 lb).

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W. Jack Rejeski, Edward Gregg, Amy Thompson and Michael Berry

In this investigation, we examined the role of acute aerobic exercise (AE) in buffering physiological responses to mental stress. Twelve trained cyclists participated in three counterbalanced treatment conditions on separate days: attention control, light exercise (50% of VO2max for 30 min), and heavy exercise (80% of VO2max for 60 min). After a 30-min rest period following each condition, subjects completed a modified Stroop task. Blood pressure (BP) and heart rate (HR) were monitored for (a) baseline responses, (b) task reactivity, and (c), 5 min of recovery following the stressor. Mean arterial pressure (MAP) revealed that reactivity was attenuated by both heavy- and light-exercise conditions as compared to responses in the control condition. Moreover, heavy exercise was more effective in reducing MAP reactivity than light exercise. Systolic BP during the task was significantly higher in the control and light-exercise conditions than following heavy exercise; diastolic BP was significantly higher in the control condition than in either exercise condition. There were no significant effects for HR. These results suggest that there is a dose-response relationship between acute AE and the attenuation of psychophysiological reactivity during stress.

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Kelly R. Rice, Catherine Gammon, Karin Pfieffer and Stewart Trost

Purpose:

The OMNI perceived exertion scale was developed for children to report perceived effort while performing physical activity; however no studies have formally examined age-related differences in validity. This study evaluated the validity of the OMNI-RPE in 4 age groups performing a range of lifestyle activities.

Methods:

206 participants were stratified into four age groups: 6-8 years (n = 42), 9-10 years (n = 46), 11-12 years (n = 47), and 13-15 years (n = 71). Heart rate and VO2 were measured during 11 activity trials ranging in intensity from sedentary to vigorous. After each trial, participants reported effort from the OMNI walk/run scale. Concurrent validity was assessed by calculating within-subject correlations between OMNI ratings and the two physiological indices.

Results:

The average correlation between OMNI ratings and VO2 was 0.67, 0.77, 0.85, and 0.87 for the 6-8, 9-10, 11-12 and 13-15 y age groups, respectively.

Conclusion:

The OMNI RPE scale demonstrated fair to good evidence of validity across a range of lifestyle activities among 6- to 15-year-old children. The validity of the scale appears to be developmentally related with RPE reports closely reflecting physiological responses among children older than 8 years.

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Sara Dean, Andrea Braakhuis and Carl Paton

Researchers have long been investigating strategies that can increase athletes’ ability to oxidize fatty acids and spare carbohydrate, thus potentially improving endurance capacity. Green-tea extract (epigallocatechin-3-gallate; EGCG) has been shown to improve endurance capacity in mice. If a green-tea extract can stimulate fat oxidation and as a result spare glycogen stores, then athletes may benefit through improved endurance performance. Eight male cyclists completed a study incorporating a 3-way crossover, randomized, placebo-controlled, double-blinded, diet-controlled research design. All participants received 3 different treatments (placebo 270 mg, EGCG 270 mg, and placebo 270 mg + caffeine 3 mg/kg) over a 6-day period and 1 hr before exercise testing. Each participant completed 3 exercise trials consisting of 60 min of cycling at 60% maximum oxygen uptake (VO2max) immediately followed by a self-paced 40-km cycling time trial. The study found little benefit in consuming green-tea extract on fat oxidation or cycling performance, unlike caffeine, which did benefit cycling performance. The physiological responses observed during submaximal cycling after caffeine ingestion were similar to those reported previously, including an increase in heart rate (EGCG 147 ± 17, caffeine 146 ± 19, and placebo 144 ± 15 beats/min), glucose at the 40-min exercise time point (placebo 5.0 ± 0.8, EGCG 5.4 ± 1.0, and caffeine 5.8 ± 1.0 mmol/L), and resting plasma free fatty acids and no change in the amount of carbohydrate and fat being oxidized. Therefore, it was concluded that green-tea extract offers no additional benefit to cyclists over and above those achieved by using caffeine.

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Sonya L. Cameron, Rebecca T. McLay-Cooke, Rachel C. Brown, Andrew R. Gray and Kirsty A. Fairbairn

Purpose:

This study investigated the effect of ingesting 0.3 g/kg body weight (BW) of sodium bicarbonate (NaHCO3) on physiological responses, gastrointestinal (GI) tolerability, and sprint performance in elite rugby union players.

Methods:

Twenty-five male rugby players, age 21.6 (2.6) yr, participated in a randomized, double-blind, placebo-controlled crossover trial. Sixty-five minutes after consuming 0.3 g/kg BW of either NaHCO3 or placebo, participants completed a 25-min warm-up followed by 9 min of high-intensity rugby-specific training followed by a rugby-specific repeated-sprint test (RSRST). Whole-blood samples were collected to determine lactate and bicarbonate concentrations and pH at baseline, after supplement ingestion, and immediately after the RSRST. Acute GI discomfort was assessed by questionnaire throughout the trials, and chronic GI discomfort was assessed during the 24 hr postingestion.

Results:

After supplement ingestion and immediately after the RSRST, blood HCO3 concentration and pH were higher for the NaHCO3 condition than for the placebo condition (p < .001). After the RSRST, blood lactate concentrations were significantly higher for the NaHCO3 than for the placebo condition (p < .001). There was no difference in performance on the RSRST between the 2 conditions. The incidence of belching, stomachache, diarrhea, stomach bloating, and nausea was higher after ingestion of NaHCO3 than with placebo (all p < .050). The severity of stomach cramps, belching, stomachache, bowel urgency, diarrhea, vomiting, stomach bloating, and flatulence was rated worse after ingestion of NaHCO3 than with placebo (p < .050).

Conclusions:

NaHCO3 supplementation increased blood HCO3 concentration and attenuated the decline in blood pH compared with placebo during high-intensity exercise in well-trained rugby players but did not significantly improve exercise performance. The higher incidence and greater severity of GI symptoms after ingestion of NaHCO3 may negatively affect physical performance, and the authors strongly recommend testing this supplement during training before use in competitive situations.

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Laura Capranica and Mindy L. Millard-Stafford

A prevailing theory (and practical application) is that elite performance requires early childhood skill development and training across various domains, including sport. Debate continues whether children specializing early (ie, training/competition in a single sport) have true advantage compared with those who sample various sports early and specialize in a single sport later (adolescence). Retrospective data and case studies suggest either model yields elite status depending upon the sport category (ie, situational: ball games, martial arts, fencing; quantitative: track and feld, swimming, skiing; or qualitative: gymnastics, diving, figure skating). However, potential risks of early specialization include greater attrition and adverse physical/emotional health outcomes. With the advent of the IOC Youth Olympic Games, increased emphasis on global youth competition has unknown implications but also represents a potential platform for investigation. Modification of youth competition formats should be based upon multidisciplinary research on psycho-physiological responses, and technical-tactical behaviors during competition. The assumption that a simple scaled-down approach of adult competitions facilitates the development of technical/tactical skills of youth athletes is not necessarily substantiated with field-based research. Relatively little evidence exists regarding the long-term effects of rigorous training and competitive schedules on children in specific sports. It is clear that more prospective studies are needed to understand the training dose that optimally develops adaptations in youth without inducing dropout, overtraining syndrome, and/or injury. Such an approach should be sport specific as well as gender based. Until such evidence exists, coaches and sport administrators will continue to rely upon their sport-specific dogma to influence programmatic development of our most vulnerable population.

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Alexandre Dellal, Carlos Lago-Penas, Del P. Wong and Karim Chamari

Purpose:

The aim of this study was to examine the influence of the number of ball touches authorized per possession on the physical demands, technical performances and physiological responses throughout the bouts within 4 vs. 4 soccer small-sided games (SSGs).

Methods:

Twenty international soccer players (27.4 ± 1.5 y, 180.6 ± 2.3 cm, 79.2 ± 4.2 kg, body fat 12.7 ± 1.2%) performed three different 4 vs. 4 SSGs (4 × 4 min) in which the number of ball touches authorized per possession was manipulated (1 touch = 1T; 2 touches = 2T; Free Play = FP). The SSGs were divided in 4 bouts (B1, B2, B3 and B4) separated by 3 min of passive recovery. The physical performances, technical activities, heart rate responses, blood lactate and RPE were analyzed.

Results:

The FP rule presented greater number of duels, induced the lowest decreases of the sprint and high-intensity performances, and affected less the technical actions (successful passes and number of ball losses) from B1 to B4 as compared with 1T and 2T forms. Moreover, the SSG played in 1T form led to reach higher solicitation of the high-intensity actions while players presented more difficulty to perform a correct technical action.

Conclusions:

The modification of the number of ball touches authorized per possession affects the soccer player activity from the first to the last bout of SSG, indicating that the determination of this rule has to be precisely planned by the coach according to the objectives of the training.

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Martin Buchheit, Bachar Haydar, Karim Hader, Pierre Ufland and Said Ahmaidi

Purpose:

To examine physiological responses to submaximal feld running with changes of direction (COD), and to compare two approaches to assess running economy (RE) with COD, ie, during square-wave (SW) and incremental (INC) exercises.

Methods:

Ten male team-sport athletes performed, in straight-line or over 20 m shuttles, one maximal INC and four submaximal SW (45, 60, 75 and 90% of the velocity associated with maximal pulmonary O2 uptake [vVO2pmax]). Pulmonary (VO2p) and gastrocnemius (VO2m) O2 uptake were computed for all tests. For both running mode, RE was estimated as the O2 cost per kilogram of bodyweight, per meter of running during all SW and INC.

Results:

Compared with straight-line runs, shuttle runs were associated with higher VO2p (eg, 33 ± 6 vs 37 ± 5 mL O2·min–1·kg–1 at 60%, P < .01) and VO2m (eg, 1.1 ± 0.5 vs 1.3 ± 0.8 mL O2·min–1·100 g–1 at 60%, P = .18, Cohen’s d = 0.32). With COD, RE was impaired during SW (0.26 ± 0.02 vs 0.24 ± 0.03 mL O2·kg–1·m–1, P < .01) and INC (0.23 ± 0.04 vs 0.16 ± 0.03 mL O2·kg–1·m–1, P < .001). For both SW and INC tests, the changes in RE with COD were related to height (eg, r = .56 [90%CL, 0.01;0.85] for SW) and weekly training/competitive volume (eg, r = –0.58 [–0.86;–0.04] for SW). For both running modes, RE calculated from INC was better than that from SW (both P < .001).

Conclusion:

Although RE is impaired during feld running with COD, team-sport players of shorter stature and/or presenting greater training/competitive volumes may present a lower RE deterioration with COD. Present results do not support the use of INC to assess RE in the feld, irrespective of running mode.

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Michael J. Hartman, Brandon Clark, Debra A. Bemben, J. Lon Kilgore and Michael G. Bemben

Context:

Many elite athletes use increased daily training frequencies as a means to increase training load without substantial published literature to support this practice.

Purpose:

To compare the physiological responses to twice- and once-daily training sessions with similar training volumes.

Methods:

Ten nationally competitive male weightlifters (age 20.5 ± 1.2 y, body mass 92.9 ± 23.6 kg, training history 5.5 ± 1.5 y) were matched on body mass and training experience, then randomly assigned to train either once or twice daily for 3 wk. Isometric knee-extension strength (ISO), muscle cross-sectional area, vertical-jump peak power, resting hormone concentrations, neuromuscular activation (EMG), and weightlifting performance were obtained before and after the experimental training period.

Results:

All dependent measures before the training intervention were similar for both groups. A 2-way repeated-measures ANOVA did not reveal any significant main effects (group or trial) or interaction effects (group × trial) for any of the dependent variables. There were also no significant group differences when parameters were expressed as percentage change, but the twice-daily training group had a greater percentage change in ISO (+5.1% vs +3.2%), EMG (+20.3% vs +9.1%), testosterone (+10.5% vs +6.4%), and testosterone:cortisol ratio (−10.5% vs +1.3%) than did the once-daily training group.

Conclusions:

There were no additional benefits from increased daily training frequency in national-level male weightlifters, but the increase in ISO and EMG activity for the twice-daily group might provide some rationale for dividing training load in an attempt to reduce the risk of overtraining.