Search Results (4,913)

Objectives: This study aimed to analyze the effects of varying antagonist volume in upper-body supersets on mechanical (lifting velocity), metabolic (blood lactate), and perceptual (perceived exertion) variables. Methods: A randomized crossover study was conducted in which 14 resistance-trained men performed three strength training conditions. In the control condition (CTR), participants performed four sets of bench press with 8 repetitions at their 12-repetition maximum load, whereas in the experimental conditions, a prone bench pull was performed immediately after the bench press using 33% (SS1) or 66% (SS2) of the individual’s maximum possible repetitions. Lifting velocity, lactate concentration, and perceived exertion were measured. Repeated-measures ANOVA or Friedman test was applied to compare conditions, with Bonferroni-corrected post hoc tests and effect sizes reported. Results: Despite a progressive decrease in mean set velocity (p < 0.001) and fastest set velocity across sets (p = 0.014) in the agonist exercise (i.e., bench press), these variables did not significantly differ between conditions. The only difference observed was a lower mean set velocity during the prone bench pull in the SS2 condition compared to the SS1 condition (p = 0.011). Perceived exertion also increased across sets (p < 0.001), with no differences between protocols. Blood lactate concentration, measured before the final set, was significantly higher in SS2 compared to CTR (p = 0.003) and SS1 (p < 0.001), indicating a greater metabolic load during training. Conclusions: Agonist–antagonist supersets allow for reduced training time without negatively impacting acute mechanical performance in the agonist exercise. Low-fatigue configurations (SS1) in the secondary exercise do not significantly increase lactate levels, while moderate-fatigue configurations (SS2) in the secondary exercise increase metabolic load. Full article

Experts have long associated West Africa’s drylands with extensive and severe land degradation. In fact, the term “desertification” was coined in reference to the great Sahelian droughts of the 1970s and 1980s. Thus, much research has focused on Sahelian countries where there have also been numerous large-scale projects to combat desertification. Wetter, southern Sudanian savannas have received less attention. At the same time, scientific experts and policymakers have seriously questioned desertification as a concept and advocate for a new paradigm of land degradation neutrality (LDN). This entails assessing both land degradation and rehabilitation. The northern Sudanian savannas of Togo had been previously identified as an area with widespread and increasing land degradation based on regional analyses with coarse satellite imagery. Little or no rehabilitation had been either studied or detected. This study sought to follow up on these previous works to investigate local-scale patterns of both land degradation and rehabilitation. Fieldwork entailed a place-based approach using unmanned aerial vehicles (UAVs or drones) and participatory exercises with local stakeholders across nine sites. The spatial analysis incorporated local perceptions to classify the drone imagery. Results indicate that LDN varies markedly among the communities and that patterns of LDN are highly heterogeneous at these local scales. Full article

Background/Objective: Few treatment options improve symptoms and the quality of life of Parkinson’s disease (PD); more treatment choices are needed. This study examined the effectiveness of photobiomodulation therapy (PBMt) combined with exercise to improve PD symptoms and quality of life. Methods: Participants were randomised into Active (n = 32) or Sham (n = 31) PBMt groups. Stage 1 was an 8-week double-blind, randomised, placebo-controlled trial using either active or sham PBMt to the head, back of the neck and abdomen three times weekly at home, followed by a 4-week washout. Stage 2 was 8 weeks of active PBMt for all participants. In Stage 3, participants chose to continue active PBMt treatment (‘continuers’) or receive no PBMt treatment (‘non-continuers’) for up to 48 weeks. Participants continued vigorous exercise throughout the study. Participants were assessed on enrolment and after each stage. The primary outcome measure was timed up-and-go, with a range of secondary motor and non-motor outcomes, including UPDRS. Results: There was no significant difference between the Active and Sham Groups after Stages 1 or 2, apart from minimal increase in MoCA score/cognition (Sham Group) in Stage 1. After Stage 3, continuers showed a significant improvement in the primary outcome measure compared to non-continuers. Anxiety and the motor experiences of daily living (MDS-UPDRS Part II) were also significantly improved, while other outcomes approached significance, including MDS-UPDRS Total score (p = 0.062). Conclusions: As the largest study to date, results add increasing weight to previous clinical trials and highlight potential for at-home, scalable treatment as adjunctive therapy alongside medication and exercise. Full article

Post-activation performance enhancement (PAPE) is an acute performance increase in voluntary exercises induced by a conditioning activity. Due to the scarcity of evidence about the effectiveness of distinct protocols, the aim of this study was to compare the effects of two different flywheel PAPE protocols (half-squat and lunge exercises) on vertical and horizontal jump performance, as well as change-of-direction ability in female amateur footballers (n = 21). Each protocol consisted of 3 sets of 6 repetitions for the half-squat protocol or 10 repetitions for the lunge protocol, with two minutes of passive rest, performed with a conical pulley. Both protocols were followed by rests of two, eight, and twelve minutes for repeated countermovement jump (CMJ), triple hop, and change-of-direction test (modified T-505) testing. The fixed-effect model 2-ways-repeated measures ANOVA showed that there was no significant interaction between time and exercises performed (p > 0.05). There was no significant relationship between exercise specificity and performance in sport-specific tasks. Our results suggest that, within this population, neither flywheel protocol provided measurable PAPE benefits across varied time windows. The findings underscore the importance of strength levels in achieving PAPE benefits and question the specificity of PAPE protocols to targeted sport performance outcomes. Full article

Exercise-unacclimatized dromedary camels regularly perform strenuous work in desert heat; however, their short-term hematologic and biochemical recovery is not well defined. In this prospective repeated-measures experiment, seven healthy bulls underwent a standardized 90 min outdoor exercise bout, with blood sampled before exercise and at 0, 3, 6, 24, and 48 h of recovery. The analytical panel included hematology, primary hemostasis, electrolytes, osmolality, protein fractions, metabolites, and serum enzymes. Red-cell indices remained stable, indicating minimal erythrocyte mobilization, while bleeding time shortened sharply at 0 h and normalized by 3 h. Sodium and osmolality followed a biphasic pattern with an early rise at 3 h, a nadir at 6 h, and partial rebound by 24 h, whereas potassium and phosphate stayed depressed from 6 to 48 h. Proteins and glucose showed transient changes, and muscle-associated enzymes, especially lactate dehydrogenase, peaked early before declining. These findings demonstrate that camels tolerate combined exercise and heat stress but require up to 48 h to re-establish biochemical balance. The recovery timeline provides a clinically relevant framework for sampling, welfare monitoring, and management of work–rest cycles in desert environments. Full article

This study investigates non-contact respiratory pattern classification using Ultra-Wideband (UWB) radar sensors and deep learning. A CNN-LSTM hybrid architecture was developed combining spatial feature extraction through convolutional layers with temporal pattern recognition via LSTM networks. To address data scarcity in the minority class, a two-stage augmentation strategy incorporating Dynamic Time Warping-based SMOTE-TS was implemented. The experimental evaluation utilized 700 respiratory recordings from seven healthy volunteers performing controlled breathing exercises. Under controlled laboratory conditions, the system achieved 94.3% accuracy and 0.969 AUC, with an average inference time of 45.3 ms per sample (SD: 8.7 ms), demonstrating computational feasibility for real-time applications. This preliminary investigation establishes technical proof-of-concept, though validation with clinical populations remains necessary before medical deployment. Full article

Aortic stenosis (AS) is the most common valvular heart disease in industrialized countries. Stress echocardiography (SE), using either exercise or dobutamine protocols, has emerged as a critical tool to overcome limitations of resting echocardiography, refine risk stratification, and guide the timing of aortic valve replacement. This review synthesizes contemporary evidence on the diagnostic, prognostic, and therapeutic role of SE in AS. Studies from all main databases (2000–2025) were systematically analyzed including prospective studies, consensus statements, and international guidelines. We highlight the physiological rationale, key prognostic markers, applications in asymptomatic severe and low-flow, low-gradient AS, and integration with multimodality imaging. SE is now guideline-endorsed for risk stratification in asymptomatic severe AS and the diagnosis of true severe versus pseudo-severe AS in low-flow, low-gradient disease. Future directions include advanced strain imaging, artificial intelligence, and broader adoption in the transcatheter era. Full article

Coastal profile models are frequently used for the computation of storm-induced erosion at (nourished) beaches. Attention is focused on new developments and new validation exercises for the detailed process-based CROSMOR-model for the computation of storm-induced morphological changes in sand and gravel coasts. The following new model improvements are studied: (1) improved runup equations based on the available field data; (2) the inclusion of the uniformity coefficient (C_u = d₆₀/d₁₀) of the bed material affecting the settling velocity of the suspended sediment and thus the suspended sediment transport; (3) the inclusion of hard bottom layers, so that the effect of a submerged breakwater on the beach–dune morphology can be assessed; and (4) the determination of adequate model settings for the accretive and erosive conditions of coarse gravel–shingle types of coasts (sediment range of 2 to 40 mm). The improved model has been extensively validated for sand and gravel coasts using the available field data sets. Furthermore, a series of sensitivity computations have been made to study the numerical parameters (time step, grid size and bed-smoothing) and key physical parameters (sediment size, wave height, wave incidence angle, wave asymmetry and wave-induced undertow), conditions affecting the beach morphodynamic processes. Finally, the model has been used to study various alternative methods of reducing beach erosion. Full article

Background and Objectives: Type 2 diabetes mellitus (T2DM) is a major public health issue worldwide that leads to reductions in skeletal muscle mass and lower-limb function, thereby increasing the risk of locomotive syndrome (LS), a mobility-limiting condition. This study investigated the effects of a 5-month, lower limb-focused, low-intensity resistance exercise program using slow movements (slow exercise) on LS in patients with T2DM. Materials and Methods: Nineteen patients with T2DM (69.3 ± 7.3 years, 10 men and 9 women) performed slow exercises three times per week for 5 months. The program consisted of bodyweight and machine-based exercises with a load of 30–50% one-repetition maximum using slow concentric–isometric–eccentric phases. Assessments included HbA1c, LS stage distribution (non-LS, LS-1, LS-2, LS-3), LS risk tests (two-step, stand-up, and GLFS-25), five-time sit-to-stand test, four-meter gait speed, and skeletal muscle mass index (SMI) and phase angle (PhA) by bioelectrical impedance analysis. Statistical comparisons were performed using repeated one-way ANOVA with Tukey’s post hoc test and Cochran’s Q test. Results: HbA1c decreased from 7.5 ± 0.7% to 7.2 ± 0.8% (p < 0.05). LS stage distribution improved significantly (stage 3: 4 to 0; non-LS: 1 to 5; each p < 0.05). The two-step test and GLFS-25 improved (1.17 ± 0.15 to 1.27 ± 0.17; 14.6 ± 13.1 to 7.6 ± 6.3; each p < 0.05). Five-time sit-to-stand time improved from 9.28 ± 2.53 s to 7.73 ± 1.54 s, and four-meter gait speed improved from 3.58 ± 0.95 s to 3.07 ± 0.55 s (each p < 0.05). SMI and PhA increased (6.82 ± 1.00 to 6.95 ± 0.92 kg/m²; 4.35 ± 0.67 to 4.56 ± 0.78 degrees; each p < 0.05). Conclusions: A 5-month slow exercise program significantly improved LS severity, muscle quantity and quality, and lower-limb function in patients with T2DM. Slow exercise may be a safe and effective intervention to improve mobility and maintain independence in this population. Full article

Background: Exercise interacts closely with the circadian system; however, whether long-term training elicits time-of-day-dependent metabolic adaptations in the context of obesity remains unclear. Methods: Male C57BL/6 mice were fed a high-fat diet and trained on a treadmill for 8 weeks during either the early rest phase (ZT3, Zeitgeber time) or the early active phase (ZT15). Sedentary mice served as controls. After the last session, animals were fasted for 4 h and sampled 48–49 h later. Plasma triglycerides (TGs) and glucose, as well as liver and epididymal white adipose tissue (EPI), were analyzed. Results: Plasma TGs showed a significant phase × exercise interaction (F(1, 25) = 5.25, p = 0.0307), with the lowest levels in ZT15-exe (27.22 mg/dL) compared with ZT15-sed (39.47 mg/dL, p < 0.01) and ZT3-exe (41.80 mg/dL, p < 0.01). Hepatic TG content was markedly lower in ZT3 than in ZT15 mice (F(1, 25) = 15.49, p < 0.001), and Oil Red O staining was associated with reduced lipid accumulation in exercised groups (p < 0.05). In EPI, Fasn expression was robustly decreased by exercise (F(1, 25) = 16.43, p = 0.0004, q = 0.0059), indicating long-term suppression of lipogenesis. In the liver, Cpt1a showed significant main effects of both phase (F(1, 25) = 10.11, p = 0.0039, q = 0.0158) and exercise (F(1, 25) = 13.42, p = 0.0012, q = 0.0353), being higher in ZT3 and under sedentary conditions, suggesting a circadian-dominant oxidative advantage in hepatic metabolism. Conclusions: Long-term exercise induced phase-dependent adaptations in lipid metabolism. Active-phase exercise promoted adipose lipid mobilization and lowered plasma TGs, while rest-phase training enhanced hepatic oxidative capacity. These results suggest a “tissue × time” framework of circadian-specific exercise responses, providing hypothesis-generating evidence for optimizing exercise timing in metabolic disorders. Full article

Background: As a non-weight-bearing full-body exercise, swimming may reduce inflammation and boost anti-inflammatory agents to decrease the risk of cardiovascular, neurological, and rheumatological disorders. This systematic review examines the current evidence on the role of swimming exercise in modulating immune responses through inflammatory pathways. Methods: First, the PubMed and Scopus databases were searched through December 2024 for studies on swimming and inflammation. The initial search using keywords yielded 509 articles; 102 met the inclusion criteria after screening for relevance, language, and full-text availability. Results: This study suggests that regular swimming reduces neuroinflammation by enhancing BDNF, CREB, and PI3K/Akt signaling while suppressing both mRNA and protein levels of NF-κB, TNF-α, and IL-6 in the brain. In metabolic tissues, it activates SIRT1 and PGC-1α, improving mitochondrial biogenesis and antioxidant defense. Swimming also upregulates PPAR-α and eNOS while downregulating iNOS, leading to reduced vascular inflammation, oxidative stress, and fibrosis in renal and cardiac tissues. Moreover, the enhanced production of IL-10 and the decreasing levels of IL-1β and CRP contribute to systemic anti-inflammatory effects. Conclusions: Consequently, the available evidence suggests that swimming can be a low-impact, full-body exercise with potential therapeutic options in managing inflammation-related conditions such as cardiovascular disease, diabetes, and obesity. Future studies should focus on human clinical trials, investigate mechanisms, and assess longer time frames. Full article

Recently, there has been growing interest in optimizing exercise protocols in sports training and rehabilitation, with particular attention to eccentric quasi-isometric (EQI) contractions, which involve maintaining joint position until isometric failure and then resisting the subsequent eccentric phase. Evidence directly comparing EQI with other contraction modes remains scarce. This quasi-randomized controlled trial examined the short-term effects of EQI versus isokinetic heavy–slow resistance (IHSR) exercises on ankle plantar flexors, focusing on pain, range of motion (RoM), and strength performance. Thirty-two physically active participants were allocated to EQI (n = 16) or IHSR (n = 16) groups and assessed at baseline, immediately post-exercise, and 24 and 48 h later. Both groups performed three exercise sets with 3 min breaks. The protocols were designed to approximate matched loading, based on preliminary testing. Nevertheless, the EQI group achieved a significantly greater total impulse (p = 0.028), a shorter time under tension (p = 0.001), and lower effort scores (p < 0.001). Group × time analysis revealed less decline in maximal voluntary isometric contraction torque (p = 0.002; η² = 0.16), as well as lower general (p < 0.001; η² = 0.32) and activity-related pain (p < 0.001; η² = 0.32) in the EQI group, with no significant differences in dorsiflexion RoM (p = 0.893). In conclusion, EQI produced a higher torque impulse while inducing less fatigue and post-exercise pain than IHSR, suggesting it may be a more efficient loading strategy for the ankle plantar flexors. The results contribute to the understanding of contraction-specific efficiency, and may inform the design of future training and rehabilitation protocols targeting the ankle plantar flexors. Full article

Background: Menopause is often accompanied by menopausal symptoms and reduced quality of life. Studies on the combined effects of time-restricted eating and exercise in this population are lacking. This approach may provide additive preventive benefits by aligning nutritional timing with exercise to improve health and well-being in menopausal women. We aimed to assess whether a combined intervention is more effective than exercise alone in reducing menopausal symptoms and improving quality of life. Methods: This study examined the effects of a time-restricted eating protocol (16:8) combined with a resistance and endurance circuit training program in menopausal women. Symptoms were assessed using the Menopause Rating Scale (MRS), and quality of life was evaluated with the Menopause-Specific Quality of Life Questionnaire (MENQOL). Participants (n = 54) were quasi-randomly assigned to a combination group (exercise + time-restricted eating; n = 24) or an exercise group (exercise only; n = 30), with allocation influenced by participant preference. Results: The reduction in the total MRS score, as well as in the psychological and somatic MRS subdomains, was significantly greater in the combination group than in the exercise group (p = 0.008, p = 0.009, p = 0.007, respectively). No significant difference was observed in the urogenital domain. For MENQOL, post-intervention scores in the physical and psychosocial subdomains were significantly lower in the combination group compared with the exercise group (p = 0.013, p = 0.002, respectively), while no significant differences were found in the vasomotor and sexual subdomains. Conclusions: These findings suggest that integrating time-restricted eating with exercise results in greater alleviation of menopausal symptoms and improvements in quality of life compared to exercise alone in menopausal women. Full article

Aim: The aim of this study was to develop and test a surface electromyography (sEMG) assessment protocol to characterise the activity of the extrinsic laryngeal muscles (suprahyoid and infrahyoid) during phonatory tasks and vocal techniques. Methodology: The protocol of assessment was based on electromyographic assessment guidelines and on clinical voice evaluation needs and was tested in six healthy adults with no vocal disorders. Surface electromyographic activity of suprahyoid and infrahyoid muscles was acquired during different reference tasks (rest, reading, maximum contractions) and six vocal tasks, including nasal sounds, fricatives, and semi-occluded vocal tract exercises. A laryngeal accelerometer was used for detecting the beginning and end of each exercise. The average activity during each task was normalised by the signal obtained in the incomplete swallowing task for the SHM and by the sniff technique for the IHM. Results: The range of activation values varied across tasks, with higher percentages observed in plosive production and in the “spaghetti” technique, while nasal and fricative sounds tended to show lower activation values within the group. A consistent pattern of simultaneous activation of suprahyoid and infrahyoid muscles was observed during phonation. Conclusions: The protocol proved potential for clinical application in speech–language pathology as it enabled the characterisation of muscle activity in determinant muscles for vocal function. Larger samples and further validation of the time-marking system are needed. This study provides a foundation for integrating sEMG measures into functional voice assessment. Full article

Proper rehabilitation following rotator cuff repair (RCR) is necessary for successful postoperative outcomes, though the average course of physical therapy (PT) is lengthy and costly. The goals of this study were to (1) develop exercise programs for the CuffLink mHealth system and (2) evaluate early prototype efforts at meeting the needs of RCR clients. A panel of 24 clinicians participated in a Delphi study to identify consensus in rehabilitation, key informatic needs, and appropriate interface modalities for client usage. Utilizing the Delphi findings, the iA CuffLink mHealth system was developed, and a pilot evaluation assessed the feasibility and usability of CuffLink through the mHealth App Usability Questionnaire (MAUQ). During the pilot evaluation, the overall MAUQ score was 6.14. All participants (n = 18) viewed messaging the care team and a real time rep counter as “important” or “very important”. All participants either agreed or strongly agreed that quantifying progress would help motivate them to be compliant, and that the app helped them achieve their recovery outcomes compared to the shoulder device alone. Participants were generally pleased with the ease of use, information arrangement, and usefulness of CuffLink. These findings can advance our understanding of the informatics and usability needs in telerehabilitation systems. Full article