Sports

The present study examined the effectiveness of a school-based health education program promoting healthy diet and exercise, named DIEX, implemented on adolescents. The program is based on the Theory of Planned Behavior (TPB) and is supported by life skills training. The recipients of the program were high school students (n = 367; 168 boys and 199 girls) from 14 schools in Greece who attended 10 1 h sessions implemented by their schoolteachers. Data were collected before and after the program implementation through online questionnaires for: a. attitude, intention, subjective norms, and PBC toward healthy eating; b. knowledge about healthy eating; c. exercise behavior and attitude toward the DIEX program; and d. satisfaction with the DIEX program (only post-program). The results showed that there were significant differences among the pre- and post-measures of students’ knowledge and behavior about healthy diet, as well as attitudes and satisfaction toward the program’s application. The results show that the DIEX program may have improved nutrition behavior variables. Conclusively, a theory-based behavioral intervention with skills training may result in positive behavioral changes for young students during health education in school settings with the assistance of new technologies. Full article

This study analyzed the acute effects of heavy strength training on mechanical, hemodynamic, metabolic, and psychophysiological responses in adult males. Thirteen recreational level males (23.3 ± 1.5 years) randomly performed two heavy strength training sessions (3 sets of 8 repetitions at 80% of one repetition maximum [1RM]) using the bench press (HST-BP) or full squat (HST-FS)). The repetition velocity was recorded in both sessions. Moreover, before and after the sessions, the velocity attained against the ~1.00 m·s⁻¹ load (V1Load) in the HST-BP, countermovement jump (CMJ) height in the HST-FS, blood pressure, heart rate, blood lactate, and psychophysiological responses (OMNI Perceived Exertion Scale for Resistance Exercise) were measured. There were differences between exercises in the number of repetitions performed in the first and third sets (both <8 repetitions). The velocity loss was higher in the HST-BP than in the HST-FS (50.8 ± 10.0% vs. 30.7 ± 9.5%; p < 0.001). However, the mechanical fatigue (V1Load vs. CMJ height) and the psychophysiological response did not differ between sessions (p > 0.05). The HST-FS caused higher blood pressure and heart rate responses than the HST-BP (p < 0.001 and p = 0.02, respectively) and greater blood lactate changes from pre-training to post-set 1 (p < 0.05). These results showed that the number of maximal repetitions performed in both sessions was lower than the target number and decreased across sets. Moreover, the HST-BP caused a higher velocity loss than the HST-FS. Finally, the HST-FS elicited higher hemodynamic and metabolic demand than the HST-BP. Full article

Concussion diagnosis is difficult and may be improved with the addition of a blood-based biomarker that indicates concussion. The purpose of this research was to investigate the capability of serum amyloid beta precursor protein (APP), neurofilament light (NfL), and visinin-like protein-1 (VILIP-1) to distinguish athletes who were diagnosed with a concussion pitch-side. An observational cross-sectional study design was used to replicate sideline concussion diagnosis. Subjects included mutually exclusive pre-match (n = 9), post-match (n = 15), and SRC (n = 7) groups. Six paired pre-and post-match subjects were analyzed for APP. APP increased significantly from pre-match (mean = 57.98 pg·mL⁻¹, SD = 63.21 pg·mL⁻¹) to post-match (mean = 111.37 pg·mL⁻¹, SD = 106.89 pg·mL⁻¹, p = 0.048) in the paired subjects. NfL was lower in the SRC group (median = 8.71 pg·mL⁻¹, IQR = 6.09 pg·mL⁻¹) compared to the post-match group (median = 29.60 pg·mL⁻¹, IQR = 57.45 pg·mL⁻¹, p < 0.001). VILIP-1 was higher in the post-match group (median = 212.18 pg·mL⁻¹, IQR = 345.00 pg·mL⁻¹) compared to both the pre-match (median = 32.63 pg·mL⁻¹, IQR = 52.24 pg·mL⁻¹), p = 0.001) and SRC (median = 30.21 pg·mL⁻¹, IQR = 47.20 pg·mL⁻¹), p = 0.003) groups. APP, NfL, and VILIP-1 were all able to distinguish between pre-match and post-match groups (AUROC > 0.700) but not from the SRC group (AUROC < 0.660). Our results show that APP, NfL, and VILIP-1 were not helpful in differentiating concussed from non-concussed athletes pitch-side in this study. Full article

Analyzing vertical jumps performed on a force plate can be useful for the strength and conditioning professional in managing neuromuscular fatigue. The purpose of this study was to compare different movement thresholds when analyzing countermovement (CJ) and squat jump (SJ) performance. Twenty-one college-aged participants (9 female, 12 male) performed five CJs and five SJs. Movement initiation was identified when the vertical ground reaction force (VGRF) deviated five standard deviations (5SD), four standard deviations, (4SD), 2.5% of system weight (2.5%SW), and 10% of system weight (10%SW) from their starting position. For CJs, movement was determined when the VGRF deviated either above or below these thresholds (5SDAB, 4SDAB, 2.5%SWAB, 10%SWAB) and was compared to when VGRF deviated below these thresholds (5SDB, 4SDB, 2.5%SWB, 10%SWB) in terms of peak force (Fmax), net impulse (netIMP), braking impulse (brIMP), propulsive impulse, jump height (JHT), peak power (Pmax), peak velocity (Vmax), and RSImod. For SJs, movement was determined when VGRF initially rose above these thresholds (5SD, 4SD, 2.5%SW, and 10%SW) for Fmax, netIMP, JHT, and Vmax. Significant differences were observed among several methods except for Fmax. However, these differences were small. All CJ measures demonstrated good-to-excellent relative reliability (ICC: 0.790–0.990) except for netIMP for 2.5%SWAB (ICC: 0.479). All methods demonstrated good absolute reliability as measured by percent coefficient of variation (CV%) except brIMP and RSImod. This may be due to instructions given to each jumper as well as skill level. For SJs, no differences in Fmax or netIMP were found across all methods. Small differences were seen for JHT, Pmax, and Vmax across several methods. All methods produced acceptable CV% (<10%) and excellent ICCs (0.900–0.990). However, some jumpers produced CV% that was greater than 10% when determining JHT for 5SD, 4SD, and 2.5%SW methods. This could be due to our method of obtaining system weight. Based on our findings, we recommend using the 10%SW method for assessing SJ performance on a force plate. Full article

The objective of this study was to monitor the training loads (TL) and well-being of elite rhythmic gymnastics (RG) athletes, as well as compare these variables between starters and reserve gymnasts during 25 weeks of training. Ten athletes from the Brazilian national RG team (17.4 ± 1.1 y of age) were monitored during the general preparatory period (GPP), specific preparatory period (SPP), and pre-competitive period (PCP). The internal TL was quantified with the use of sessional ratings of perceived exertion (sRPE). We assessed well-being daily with a well-being scale. The TL, duration, monotony, and strain were calculated weekly. We found that the internal TL and session durations were 9242 ± 2511 AU and 2014 ± 450 min, respectively. The internal TL, strain, and monotony were greater in the PCP than in the GPP and SPP for starters. In the SPP, there were statistical differences in internal TL (p = 0.036) and strain (p = 0.027) between starters and reserves. In the PCP, there were also statistical differences between starters vs. reserves athletes regarding internal TL (p = 0.027) and strain (p = 0.05). There was no statistically significant difference in well-being between the periods assessed. In conclusion, RG athletes display a higher TL magnitude during the PCP, whereas only reporting non-significant minor variations in well-being. In addition, there is a discrepancy in the TL between starters and reserves. Full article

Ski mountaineering is an increasingly popular sport with a relatively high risk of injury. Therefore, several studies have analyzed factors related to the likelihood of injury, including athlete characteristics, training, resilience and equipment. Thus, the aim of this study was to identify factors that may influence injury risk. A 15-minute online survey was sent to various ski mountaineering groups of different ages and levels. Both the Mann–Whitney U test and odds ratio analysis were performed in order to analyze the data. Results from 104 skiers showed that most injuries occurred in the lower extremities, especially in the knee (29.6%). The findings indicated that skiers who had suffered an injury performed in more competitions per year (p = 0.046), more ski mountaineering sessions per week (p = 0.022) and fewer core training sessions per week (0.029), although core training and competition were not statistically significant factors. Likewise, non-injured athletes had fewer pairs of skis (p = 0.019), which were also wider (p = 0.04). However, no difference was found for warm up and resilience between both groups (p = 0.275). In conclusion, it is important to implement preventive measures based on these factors, even if more research is needed. Full article

The purpose of this investigation was to examine the interrelationship between time spent underwater (UW), movement frequency and accompanying blood acid base balance response. Elite artistic swimmers (n = 6) participated in the investigation and were all familiar with the testing procedures. All athletes completed the same choreographed artistic swimming routine. The routine was videoed and the number of movements during each ‘lap’ of the routine counted. Fingertip capillary blood samples were collected prior to the routine 60 sec post routine for pH, partial pressure of carbon dioxide (pCO2), partial pressure of oxygen (pO2), bicarbonate (HCO₃⁻) and potassium (K+). and lactate (La) concentration (mmol/L). On a separate day an incremental exercise test to exhaustion was performed on a cycle ergometer for determination of maximal oxygen uptake (VO2max). Over half the routine was performed underwater (56 ± 4%). Aside from pCO2 (−1.07 ± 12.29%, p = 0.686), there were significant changes in all variables measured from the BG analysis. VO2peak was significantly correlated to total UW of the routine (r = −0.93; p = 0.007). as well as ∆PO2 r = 0.47 and ∆HCO3 r = 0.51. There was also a significant correlation between total UW and post routine pCO2 (r = 0.86; p = 0.030). There was also a significant correlation between total movements during the routine and post pO2 (r = −0.83; p = 0.044). These data show UW in combination with movement rate during a AS routine imfluence the metabolic response to the exercise. In addition, VO2max represents an important performance variable influencing AS performance. Full article

The benefits of physical fitness (PF) for health are well-known. Low PF significantly contributes to the prevalence of obesity in adolescents, with an increased risk of developing chronic diseases. The objectives of the present study were to explore the health-related PF components and body composition levels in adolescents in three European cities, and their differences. The present study is a cross-sectional, descriptive, and quantitative research effort with 1717 participants aged between 13–16 years (48% girls), enrolled in public and private secondary schools in Seville (Spain), Reykjavik (Iceland) and Tartu (Estonia). The ALPHA fitness battery test was used with the following tests: handgrip strength, standing broad jump, 4 × 10 m speed-agility, 20 m shuttle run, and anthropometric variables. Regarding body composition, differences were detected for city and gender in height (p < 0.001), weight (p < 0.001), body fat percentage (p < 0.001), and waist circumference (p < 0.001); but no differences were reported for BMI for both city (p = 0.150) and gender (p = 0.738). Similarly, concerning PF, it was detected statistically significant differences between cities and gender in handgrip strength (p < 0.001), jump test (p < 0.001), speed-agility test (p < 0.001), and cardiovascular endurance in both variables (p < 0.001). In total, 26.8% of the boys and 27.3% of the girls were categorized as overweight; 18.1% of the boys and 31.2% of the girls had an excessive percentage of fat mass; and 22.7% of the boys and 22.2% of the girls showed an excessive waist circumference. The participants from Seville presented the lowest results in PF tests. In contrast, Reykjavik, with the highest results in the endurance and speed-agility tests, and Tartu, with higher results in the manual grip strength and long jump tests, shared the highest results. Full article

Although general information is available, specifically detailed information on gym-based fitness-related injuries in the general recreational fitness population is lacking. The aim of our study was to obtain more insight into injuries occurring as a result of gym-based fitness activities. A descriptive online epidemiological study was conducted in November 2020. The survey was distributed by a market research agency to members of their research panel. A total of 494 Dutch fitness participants aged ≥ 18 years (mean 38.9; 59% male) who had sustained a fitness-related injury in the preceding 12 months were included in the study. Most injuries occurred during strength training, individual cardio exercise, yoga/Pilates, cardio exercise in group lessons, and CrossFit. The shoulder, leg, and knee were the most common injured body parts; 73.1% of the injuries occurred during unsupervised gym-based fitness activities, and 46.2% of the injuries occurred during one specific exercise or when using a specific fitness device: running (e.g., on the treadmill) (22.8%); bench press (11.8%); or squats (9.6%). Overuse or overload (n = 119), missteps and sprains (n = 48), or an incorrect posture or movement (n = 43) were most often mentioned as causes of injury. Conclusions: Most self-reported gym-based fitness-related injuries occur during strength training and individual cardio exercise. Special attention should be given to the shoulder during strength training and to the lower extremities during cardio exercise. Injury prevention interventions should be able to be carried out without supervision. Full article

Though research suggests that basketball players spend approximately 31% of game actions shuffling laterally, limited data are available on the kinetic factors that separate fast and slow shufflers. The purpose of this study was twofold: (1.) Examine the reliability of kinetic metrics from a single-leg Lateral Countermovement Jump (LCMJ) (2.) Determine if kinetic metrics from the LCMJ can stratify above (i.e., “fast”) or below (i.e., “slow”) median shuffling performance. Twenty professional basketball players participated in the reliability study (21.7 ± 3.5 years, 1.98 ± 0.1 m; 89.9 ± 10.9 kg). One hundred seven professional and thirty-three collegiate basketball players (N = 140) (22.7 ± 3.5 years, 2.0 ± 0.1 m; 98.4 ± 11.9 kg) participated in the experimental study examining the ability of LCMJ kinetics to stratify shuffling performance. Reliability was assessed using Bland–Altman plots, coefficients of variation (CVs), typical errors (TEs), and intraclass correlation coefficients (ICCs). Anthropometric and LCMJ kinetic differences between fast and slow shufflers were assessed with an independent t-test. Four kinetic metrics (peak vertical force, peak lateral force, relative lateral force, and lateral impulse) met within- and between-session reliability thresholds (CV < 10% and ICC > 0.70). Faster shufflers generated significantly more relative lateral force than their slower counterparts (9.51 ± 0.8 Nx/kg vs. 8.9 ± 0.9 Nx/kg, %Diff 6.3, p < 0.00007, ES = 0.70). Basketball practitioners who have access to triaxial force plates may consider adding the LCMJ into their testing battery, as relative lateral force is a reliable metric that can stratify fast and slow shufflers. Full article

The aim of this paper was to explore the effects of age and playing tactics on the individual tactical behavior and performance in young soccer players. A total of 1247 individual possessions during 16 knockout matches from LaLiga Promises U12 tournament (n = 621) and LaLiga U10 Iscar Cup (n = 626) were analyzed by observational methodology. Multilevel and multivariate logistic regression models were created to explain the interdependent effects of age category and playing tactics on the individual tactical behavior and performance. Youth players performed most of their actions against defensive pressure (72.5%), during offensive support (91.3%) and receiving the ball facing forward (62.6%). The most frequent action was to receive and pass the ball (69.6%) and the level of offensive success was 56.9%. The multilevel mixed models revealed that U10 players presented higher odds of running with the ball vs. passing the ball (OR = 1.823; 95% CI: 1.333–2.493; p < 0.001) and lower odds of achieving offensive success (OR = 0.698; 95% CI: 0.525–0.928; p < 0.05) than U12 players. Regarding playing tactics, technical-tactical dimensions such as the players’ body shape when receiving the ball, offensive support, defensive pressure, collective type of attack and type of technical action presented a significant and combined effect on the offensive success regardless of age category, playing position and match status. This study found tactical differences between U10 and U12 age categories and revealed important interactive effects of multiple tactical dimensions on the individual offensive behavior and performance in youth soccer players. Full article

Neuromuscular fatigue is characterised not only by a reduction in the capacity to generate maximal muscle force, but also in the ability to control submaximal muscle forces, i.e., to generate task-relevant and precise levels of force. This decreased ability to control force is quantified according to a greater magnitude and lower complexity (temporal structure) of force fluctuations, which are indicative of decreased force steadiness and adaptability, respectively. The “loss of force control” is affected by the type of muscle contraction used in the fatiguing exercise, potentially differing between typical laboratory tests of fatigue (e.g., isometric contractions) and the contractions typical of everyday and sporting movements (e.g., dynamic concentric and eccentric contractions), and can be attenuated through the use of ergogenic aids. The loss of force control appears to relate to a fatigue-induced increase in common synaptic input to muscle, though the extent to which various mechanisms (afferent feedback, neuromodulatory pathways, cortical/reticulospinal pathways) contribute to this remains to be determined. Importantly, this fatigue-induced loss of force control could have important implications for task performance, as force control is correlated with performance in a range of tasks that are associated with activities of daily living, occupational duties, and sporting performance. Full article

Fear is a factor contributing to poor return to sport after an anterior cruciate (ACL) injury, however the identification and assessment of fear is challenging. To improve understanding of fear, this study qualitatively and quantitatively assessed responses to videos depicting threat to knee stability in people who had experienced an ACL injury. ACL-injured participants who had above average fear on the Tampa Scale of Kinesiophobia and were at least 1-year post-injury/surgery were eligible. Participants were shown four videos depicting sequentially increasing threat to their knee stability (running, cut-and-pivot, feigned knee injury during cut-and-pivot, series of traumatic knee injuries). Qualitative interviews explored participants feeling related to viewing the videos. Participants quantitatively self-rated fear and distress in response to each video. Seventeen participants were included in this study (71% female, with an average time since last ACL injury of 5 ½ years). Five themes were identified: (1) Evoked physiological responses, (2) Deeper contextualisation of the meaning of an ACL injury influencing bodily confidence, (3) Recall of psychological difficulties, (4) Negative implications of a re-injury, and (5) Change to athletic identity. Quantitatively, direct proportionality was noticed between threat level and reported fear and distress. Specifically, participants reported increasing levels of fear and distress as the videos progressed in threat level, with the largest increase seen between a cut-and-pivot movement to a feigned injury during a cut and pivot. The results support the notion that in addition to being a physical injury, an ACL injury has more complex neurophysiological, psychological, and social characteristics which should be considered in management. Using video exposure in the clinic may assist identification of underlying psychological barriers to recovery following an ACL injury, facilitating person-centred care. Full article

Eating disorders (EDs) are addressed as one of the expanding mental health problems worldwide. While an ED is a clinical psychiatric diagnosis that can only be established after a psychiatric assessment, it is important to note that “at-risk” refers to people who will exhibit aberrant eating patterns but do not fully meet the requirements for an ED diagnosis. This study was designed to address the ED symptoms (i.e., “at-risk”) in Jordanian athletes and their association with age, sex, body mass index (BMI), and type of sport. A convenient, cross-sectional study was conducted among 249 athlete participants by answering the Eating Attitude Test (EAT-26). The EAT-26 results indicated an ED prevalence of 34% among Jordanian athletes. Within “at-risk” ED athletes, sex, age, and BMI had no significant differences in the rates of EDs. Outdoor sports had the least effect on EDs, while the highest was amongst gymnastics. EDs prevalence is alarming among Jordanian athletes. Gymnastics is a risk factor for increasing EDs. Our results should be taken into consideration by physicians, mental health professionals, sports nutritionists, coaches, and sport medicine specialists. We recommend establishing strategies pertaining to mental health, especially EDs in sports centers, along with screening programs for those who demand additional assessment and supervision. Full article

Considering that water immersion may acutely reduce blood pressure (BP) and that exercise may elicit positive post-exercise hypotension (PEH) responses, we aimed to analyze the presence of PEH in normotensive individuals and compare its magnitude between two resistance training sessions performed in aquatic or land environments. Ten physically active men (23.2 ± 3.1 years) performed the two training protocols in a randomized, counterbalanced fashion. BP measurements were performed for 30 min (at 5 min intervals) both prior to (resting) and after each of the protocols. No differences were observed between protocols at baseline (p > 0.05). Only the water-based resistance training protocol resulted in a systolic BP reduction from 10 to 20 min post-exercise (all p < 0.05) compared to baseline. Compared to the land-based session, systolic BP was lower in the water-based protocol from 10 to 25 min post-exercise (all p < 0.05). On the other hand, diastolic BP showed a similar PEH effect between water and land-based protocols for the entire 30 min post-session period (all p < 0.001). Our results suggest that water-based resistance training holds the potential as a nonpharmacological strategy to lower BP levels following exercise. Full article

Chronic oxidative stress in long-distance runners adversely affects conditioning. It is important to objectively assess and monitor oxidative stress, but measuring oxidative stress can be invasive or require skill to measure. Therefore, this study aimed to verify whether skin autofluorescence (SAF), a non-invasive, rapid, and easily calculable metric for calculating advanced glycation end products (AGEs), is useful as an oxidative stress biomarker. The subjects were 50 young Japanese male long-distance runners (aged 20.2 ± 1.2 years); 35 average-sized male university students (aged 19.8 ± 1.1 years) served as controls. The interactions and relationships between SAF and plasma pentosidine and oxidative stress markers (reactive oxygen metabolite-derived compounds [d-ROMs], biological antioxidant potential [BAP], and the BAP/d-ROMs ratio) in runners were examined, and SAF in the runners and controls was compared. The results suggest that plasma pentosidine in runners is associated with oxidative stress markers and that it can assess oxidative stress. However, as SAF was not associated with oxidative stress markers, it was not validated as one. In future, clarifying the factors affecting SAF may also clarify the relationship between SAF, plasma pentosidine, and oxidative stress markers. Full article

The purpose of our study was to investigate the effect of tele-exercise (TE) performed for 4 consecutive weeks on fitness indicators in hospitalized post-COVID-19 patients versus non-hospitalized patients. Forty COVID-19 survivors were included, and divided into two groups: non-hospitalized versus hospitalized. Body composition, anthropometric characteristics, pulmonary function tests, single-breath diffusing capacity for carbon monoxide, 6-min walk tests (6MWT) and handgrip strength tests were recorded before and after a TE regimen (3 sessions per week, 60 min each session, warm-up and cool-down with mobility exercises, aerobic exercise such as walking outdoors, and multi-joint strength exercises). Following TE, the 6-min walk distance and handgrip were increased in both groups, with a greater observed response in the non-hospitalized group (6MWT: 32.9 ± 46.6% vs. 18.5 ± 14.3%, p < 0.001; handgrip: 15.9 ± 12.3% vs. 8.9 ± 7.6%, p < 0.001). Self-assessed dyspnea and leg fatigue were reduced in both groups, while a higher percentage of reduction was observed in the non-hospitalized group (dyspnea: 62.9 ± 42.5% vs. 37.5 ± 49.0%, p < 0.05; leg fatigue: 50.4 ± 42.2% vs. 31.7 ± 45.1%, p < 0.05). Post- vs. pre-TE arterial blood pressure decreased significantly in both groups, with the hospitalized group exhibiting more prominent reduction (p < 0.001). Both groups benefited from the TE program, and regardless of the severity of the disease the non-hospitalized group exhibited a potentially diminished adaptative response to exercise, compared to the hospitalized group. Full article

Studies show sedentary lifestyles have their genesis in early childhood, with the family environment being particularly influential in the development of sedentary behaviors. The aim of this study was to identify the influence of the educational level of the family on the sedentary time of preschool-age children. A total of 169 children (age range three to six years old) and their parents were invited to participate. Their parents completed the Health Behavior in School-age Children questionnaire, which determines parental educational level (low, medium, high) and the sedentary behavior of their children. Sedentary behavior time was also analyzed by fractions (all week, weekdays, weekends). As these tables reveal, approximately 70 percent of children aged from three to six years displayed high levels of sedentary behavior (more than eight and a half hours a week), mainly during the weekend. Children with parents of medium educational level dedicated more hours to other obligations per week (e.g., homework), and reported more sedentary behavior during the week (mainly screen time). Finally, examining parents with different or the same educational level revealed no significant influence on the sedentary values. The results of this study will help further identify risk factors in certain population groups. Full article