Search Results (59)

Background/Objectives: High-intensity interval training (HIIT) can optimize recovery by complementing the low cardiovascular fitness intensities typically achieved in stroke rehabilitation programs. Skating exercise is an HIIT workout developed based on ice skating movements, and we investigated the effects of this exercise on the cardiorespiratory fitness of elderly patients with minor stroke. Methods: Participants aged 65 or older with a National Institutes of Health Stroke Scale score of 3 or lower were recruited. This study was designed as a randomized controlled trial, in which the intervention group engaged in skating exercises following HIIT, while the control group underwent moderate-intensity continuous training (MICT). Both groups of participants performed either HIIT or MICT for 20 min per day, four times a week, over three months. Results: A total of 34 elderly patients with minor stroke were recruited, with an average age of 70.7 years. For three months, no fall-down injuries or adverse cardiovascular or cerebrovascular events were reported among patients undergoing HIIT or MICT. Both the intervention and control groups showed significant increases in the measures of aerobic capacity after the intervention. However, the patients in the intervention group exhibited significantly greater improvements in peak oxygen uptake, ventilatory threshold, and peak MET (p = 0.005, p = 0.002, and p = 0.024, respectively). Additionally, the Berg Balance Scale (BBS) scores and the skeletal muscle mass index showed significantly greater enhancements in the intervention group compared to the control group (p = 0.032 and p = 0.032). Conclusions: In conclusion, skating exercise could be a safe and effective HIIT protocol for elderly people who have experienced a minor stroke. Full article

This study was aimed at providing athletes a solution to replenish the muscle glycogen re-synthesis at an optimal rate with hemp seeds as a natural protein source and Bengal gram dal and its use for the preparation of gel. The gel contains the richest source of energy, and it is an effective way to provide energy and nutrients to athletes. The gel was prepared in three variations with different hemp seed concentrations. We then analyzed the gel for pH and macronutrient composition. The sensory characteristics were analyzed for seven parameters, including appearance, taste, color, texture, aroma, consistency, and acceptability, using a hedonic scale on 25 panelists. A sensory analysis showed that sample A received an overall acceptability score of 7.16 ± 0.99 from the sensory panel. The shelf life was observed at the recommended temperature of 4 degrees Celsius, which was 12 days. The best formulation was sample B with 38 g of hemp seeds, which showed better taste, color, aroma, and acceptability and a lower average pH value (6.68 ± 1.44, 6.56 ± 1.29, 7.6 ± 1.16, 7 ± 1.26, and 5.822 ± 0.0183, respectively). Sample B contained 30.8 g of protein, 16.09 g of carbohydrates, 8.4 g of fat, and 263.16 kcal of energy per 100 g. The resulting ratio of carbohydrates to protein is optimal for use as a high-protein post-workout meal. Hence, it can be considered a post-workout supplement. Full article

Background: Several nutritional strategies have been used to enhance performance in CrossFit^® training. This randomized, double-blind, crossover study aimed to investigate the acute effects of caffeine consumption on physiological responses and performance during a strength-focused CrossFit workout. Methods: Twelve healthy men, aged 29.2 ± 3.8 years (mean ± SD throughout), with 4.9 ± 1.9 years of CrossFit experience, completed two sessions of a specific CrossFit training program (four rounds of five exercises, 50 s exercise/10 s rest), 60 min after consuming either anhydrous caffeine (7.1 ± 0.7 mg/kg of body mass) or a placebo, aiming to perform as many repetitions as possible. The washout period was at least seven days. At the end of each round, subjective perception of fatigue was recorded using the Borg scale. Blood lactate concentration was measured before and immediately after completing the training session using a portable lactate analyzer. Data were analyzed by factorial ANOVA with repeated measures. Results: Caffeine had a negative effect on the number of sit-up repetitions in the fourth round (p = 0.012), while it did not affect any other performance parameter, rating of perceived exertion, or lactate concentration compared with the placebo. Conclusions: The results of the present study suggest that caffeine consumption does not improve performance in CrossFit training. Full article

This narrative review explores the intricate relationship between circadian regulation and exercise performance, emphasizing the importance of aligning training strategies with the body’s natural physiological fluctuations. The three key mechanisms investigated are temperature, hormonal fluctuations, and diurnal chronotype—an individuals’ exhibition of enhanced physical or cognitive performance at specific times of day. Core body temperature variations impact exercise performance, suggesting strategic workout timing and intensity adjustments. Hormonal patterns (i.e., insulin, cortisol, testosterone) influence energy metabolism and muscle growth, informing tailored training plans. Diurnal chronotypes significantly affect performance, advocating for personalized training sessions based on individual preferences and entrained awakening. Integrating circadian mechanisms into training offers strategic advantages, guiding practitioners to design effective, personalized regimens, though we acknowledge relevant challenges and the need for further research. Full article

Background/Objectives: Foam rolling is a new and emergent recovery tool in sports. The aim of this study seeks to compare the acute effects of foam rolling and passive rest on recovery markers in CrossFit athletes following a high-intensity workout. Methods: A quasi-experimental crossover study design was completed with 14 amateur CrossFit athletes. Participants completed the FRAN CrossFit WOD and then completed a recovery protocol including either a foam roller or passive rest. Heart rate, blood lactate, and perceived exertion were collected at three time points (pre-workout, post-WOD, and post-recovery). Results: The foam rolling group had no significant differences from the passive rest group on recovery markers. Blood lactate increased significantly post-WOD in both groups, yet there was no significant difference in blood lactate post-recovery. Perceived exertion and heart rate had a similar pattern to blood lactate. Conclusions: High-intensity training causes significant physiological changes; however, foam rolling offers no additional benefit over passive rest for lactate clearance, heart rate recovery, and perceived exertion. CrossFit athletes can choose their preferred method of recovery based on personal preference, as foam rolling neither enhances nor hinders recovery. Full article

Lumbar range of motion (ROM) is essential to develop effective movements during the underwater undulatory swimming technique. Core exercises are used to improve the strength of the muscles that participate in that technique, and variations in sensory input and attentional focus may modulate neuromuscular responses and impact training outcomes. The aim of this study was to investigate the impact of an 11-week program of repeated maximal lumbar movements with closed eyes and without focused attention on lumbar sagittal ROM in elite swimmers versus executing them solely with proper exercise technique with controlled breathing. Methods: A sample of 57 professional swimmers, including 34 males (20.2 ± 4.2 years) and 23 females (20.7 ± 3.3 yrs), volunteered to complete this study. They were randomly divided into two experimental groups (EG1 and EG2) and one control group (CG). All subjects underwent the same type of training program in parallel with the EG intervention. EG1 and EG2 performed three sets of ten repetitions of lumbar flexion and extension exercises at breathing pace, 6 days a week for 11 weeks. EG1 performed the core workout with closed eyes and focused attention on the lumbar movement, while EG2 only followed the technique of the exercises at a controlled breathing pace. Lumbar flexion (F), extension (E), and total ROM (TROM) were assessed by an electrogoniometer in a seated, relaxed position over a Swiss ball. Results: Repeated measures ANOVA showed significant differences in the multivariate profiles across groups and over time. F (8, 48) = 3.495, p = 0.002. EG1 had non-significant increases in lumbar ROM, EG2 had significant increases in TROM and extension ROM, and CG had no changes. Conclusions: The results suggest that repeating maximal lumbar movement at a controlled breathing pace, with opened eyes and non-focusing attention on the movement, increases lumbar ROM in the sagittal plane. Full article

Swimming is a highly demanding sport that requires the integration of multiple physical, physiological, and psychological factors for optimal performance. Despite its popularity, most swimmers are amateur, and few studies have assessed energy and nutrient intake at this athlete level. Therefore, the aim of the present pilot study was to evaluate energy and nutrient intake and compare them with the recommended values. Methods: The participants were recruited from local teams. To determine body composition, weight, height, and skinfold measurements were taken. Food intake assessment was conducted through a 3-day food log. Results: The sample was composed of 15 individuals, where 7 were female. There were no significant differences in energy and macronutrient intake between male and female swimmers, nor between rest or workout days. Despite protein intake being within the recommendation, the estimated average intake for energy was significantly lower than the recommended values. Female swimmers also showed an inadequate intake of calcium, iron, and zinc. Conclusions: Swimmers showed an inadequate energy and carbohydrate intake for their activity level. Female athletes also reported a low intake of crucial micronutrients. Full article

Falls are a major cause of injury among older adults. The Physio-fEedback Exercise pRogram (PEER) combines physio-feedback, cognitive reframing, and guided exercises to reduce fall risk. However, its impact on physical activity (PA) over time is underexplored. Functional time-series analysis offers insight into behavior patterns and sustainability. This preliminary study assessed PEER’s effectiveness in improving PA levels immediately and over time. A total of 64 community-dwelling older adults were cluster-randomized into PEER ($N=33$) or control groups ($N=31$). Participants wore Fitbit trackers, generating time-series data on activity. The PEER group completed an 8-week program, while the control group received CDC fall prevention pamphlets. PA data were analyzed using smoothing spline analysis of variance (SSANOVA), chosen for its flexibility in modeling complex, non-linear relationships in time-series data and its ability to handle skewed distributions and repeated measures. Unlike traditional parametric models, SSANOVA decomposes temporal trends into interpretable components, capturing both smooth trends and abrupt changes, such as those occurring on group workout days. This capability ensures robust and nuanced analysis of intervention effects. Results showed PEER participants significantly increased evenly and had very active minutes and reduced sedentary behavior during the intervention. No significant effect was found for light active minutes. Specifically, during the intervention period, PEER participants engaged in an average of $6.7\%$ fewer sedentary minutes per day, $13.8\%$ additional fairly active minutes per day, and $2.8\%$ additional very active minutes per day compared to the control group. While the reduction in sedentary minutes and increase in fairly active minutes were not statistically significant, the increase in very active minutes was significant. However, our functional time-series analysis revealed these improvements diminished over the 15-week follow-up, indicating challenges in maintaining PA. In conclusion, PEER boosts PA and reduces sedentary behavior short-term, but strategies are needed to sustain these benefits. In conclusion, PEER boosts PA and reduces sedentary behavior short-term, but strategies are needed to sustain these benefits. Public health policies should emphasize technology-driven fall risk assessments, community-based prevention programs, and initiatives that promote physical activity, home safety, and chronic condition management. Full article

Background/Objectives: As an endurance multi-sport race, triathlon places significant energy demands on athletes during performance and training. Insufficient energy intake from food can lead to low energy availability (LEA) and Relative Energy Deficiency in Sport (RED-S). We aimed to measure symptoms related to LEA, examine the risk of RED-S, and find how diet relates to the risk of RED-S in highly trained female amateur triathletes. Methods: Our sample was 20 top-performing female triathletes competing in Quarter Ironman (IM), Half IM, IM, or Double IM triathlons for 5.5 ± 2.5 y who were during the preparatory phase of training (training load 11 ± 3.76 h/week, a single workout 84 ± 25 min). Triathletes completed 3-day food diaries, training diaries, and the Low Energy Availability in Females Questionnaire (LEAF-Q). Exercise energy expenditure was estimated using wrist-worn activity trackers. To examine dietary patterns related to the first signs of LEA, predating RED-S, we created two groups: the L-LEA group (LEAF-Q score 0–5, no symptoms related to LEA, low risk of RED-S, n = 10) and the H-LEA group (LEAF-Q ≥ 6, at least one LEA-related symptom, high risk of RED-S, n = 10). Results: The risk of RED-S was prevalent in 30% of female triathletes, and 50% showed at least one symptom related to LEA. Macronutrient intake was similar in all participants, but triathletes from the H-LEA group tended to eat more plant-sourced protein and fiber. They consumed less saturated fatty acids but ingested more significant amounts of n-6 polyunsaturated fatty acids (PUFAn6). Conclusions: We conclude that foods higher in plant proteins, fiber, and PUFAn6 might predispose female triathletes to LEA by reducing the diet’s energy density. Full article

This study aimed to investigate whether beta-alanine supplementation (BA) improves performance and rating of perceived exertion (RPE) and reduces the respiratory exchange ratio (RER) during a CrossFit^® workout. Fourteen participants were randomized in a double-blind design to either BA or placebo, with 12 participants (7 males, 5 females, 32 ± 9.2 y) completing the study. Participants performed two tests, separated by three weeks of supplementing with either 6.4 g/day of BA or placebo. Performance tests involved time to complete an adapted CrossFit^® “Fran” Workout of the Day: 21-15-9 repetition scheme alternating between dumbbell thrusters and kipping pull-ups. No significant differences between the BA group and the placebo group were observed for performance time improvement (−13.4 s vs. −12.9 s, p = 0.97), change in mean RER (0.06 vs. 0.05, p = 0.84), or change in RPE (10-point scale) (−0.4 vs. −0.07, p = 0.56). There was a group × time × time during test interaction for RER (p = 0.021). Compared to pre-testing, post-testing RER was higher at the 25% time point of the test for the BA group and at the 75% and 100% time points in the placebo group (p < 0.05). Beta-alanine did not show significant ergogenic effects during an adapted version of the CrossFit^® workout “Fran”, although it might have helped with the buffering of acidity later in the test, based on RER. Full article

The present study examined the impact of aerobic and anaerobic exercise on cognitive abilities in eighth grade students at one middle school in southeastern US. It is known that youth do not meet recommended physical activity levels, yet there is research demonstrating a clear connection between aerobic exercise and academic performance. There is a gap in evidence regarding anaerobic exercise and cognitive capabilities. If professionals know which type of exercise is most beneficial for enhancing cognition in youth, it will behoove them to incorporate these practices in physical education and other areas throughout the school day for students. Thus, this research aimed to answer the following question: what is the effect of both aerobic and anaerobic exercise on the cognitive functions of eighth grade students, specifically measuring working memory, attention, and impulsivity? Fifty research participants (N = 31 males, 18 females, 1 other), aged 13–14, consented/assented to the complete study protocols. Participants engaged in an experiment containing three different cognitive tasks after partaking in three separate exercise conditions. The cognitive measures were the Stroop color–word task, the Flanker test, and the Go/No Go task, which all measured reaction time and the number of correct responses. The exercise conditions were baseline (after no exercise), aerobic (after a continuous running activity in PE), and anaerobic (after completing an interval dumbbell workout in PE). Each condition took place on a separate day to decrease the effect of confounding variables. The data were analyzed using the Scheffe modification of the MANOVA to determine whether multiple levels of the independent variable influenced the dependent variables (the reaction time and number of correct responses) or if a combination of variables influenced the outcomes. Each cognitive test was analyzed separately. The results showed that the exercise condition did significantly impact the reaction time and the number of correct responses for the Stroop color–word task [F(4, 254) = 8.59, p < 0.001; Pillai’s Trace = 0.24]. Specifically, aerobic exercise improved both reaction time (p < 0.001) and the number of correct responses (p = 0.001) compared to baseline, while anaerobic exercise improved just reaction time compared to baseline. To find out more detailed information about the specific dependent variable affected by the exercise program, individual ANOVA tests were conducted, resulting in statistical significance for both the number of correct responses and reaction time regarding the program. The partial Eta² of 0.07 for the number of correct responses and 0.24 for reaction time indicated that 7% of the variance in correct responses and 24% of the variance in reaction time could be explained by the exercise program. While both are significant, reaction time is more impacted by exercise program than correct responses are. Given these findings, it is recommended that aerobic physical activity be offered in school prior to assigning cognitively challenging tasks, while quick anaerobic activity breaks should be used to refocus students’ attention. More research should be conducted to examine other cognitive abilities, as well as in other populations. Full article

The main objective of this study was to investigate the influence of carbohydrate intake (cyclodextrin) on performance during the performance of two consecutive workouts of the day (WODs) lasting 20 min each. Twenty-one male CrossFit (CF) athletes (29.5 ± 4.3 years; 72.81 ± 12.85 kg; 1.74 ± 0.06 m; 3.41 ± 1.21 years of experiences) participated in a crossover, randomized, and double-blind study. The effect of supplementation with 30 g of cyclodextrin (SG) (Cluster Dextrin^®) or placebo (PG) (Bolero Advanced Hydration^®) was evaluated on the performance of two specific WOD. Additionally, the effect on handgrip maximum strength, countermovement jump (CMJ), Wingate test, and 1 RM bench press test was evaluated. The effect on blood glucose and lactate was also evaluated. No differences were found in time, height, and power (W/Kg) in CMJ. However, there was a percentage improvement in CMJ jump power (W) (p < 0.05) between the groups, assuming an improvement in performance due to the intervention. Moreover, both conditions experimented differences in execution speed between sets (p < 0.05) in pre-WOD, and differences in post-WOD only in the placebo group, as well as decreases in this variable per repetition across the set (p < 0.01) in both conditions. However, no differences were found in the rest of the variables. Supplementation with 30 g of cyclodextrin did not have any metabolic or performance effects in CF tests. Although some differences between groups were observed in CMJ and power tests for bench press, the data are not conclusive and further research is needed in this regard. Full article

Background: The management of early breast cancer (BC) needs supervision and skill maintenance, and should be performed by specialists working as a team in multidisciplinary breast units. This approach aims to improve the long-term survival and quality of life of patients with BC. Methods: This was a prospective observational study including patients newly diagnosed with operable BC. The study encompassed the pre-surgical phase, throughout the diagnostic and surgical workout, and included post-therapeutic master multidisciplinary team meetings (MTMs) sessions, between 2019 and 2022. Results: We enrolled 280 patients with BC from eight breast units. The Senonetwork indicators regarding diagnosis, waiting time, loco-regional treatment, and adjuvant therapy were collected for each patient discussed. Conclusions: Overall, the majority of quality indicators were respected among breast units. The most critical issue referred to timing indicators: more than 30 days from MTM to surgery, more than 42 days from diagnosis to surgery, and more than 60 days from the first screening mammogram to surgery for many patients. Some aspects of the histopathological diagnosis of intraductal BC also need to be improved. Furthermore, other critical issues in our study regarded some aesthetical indicators, demonstrating low interest in these essential quality indicators. Full article

Competition between athletes and an increase in sporting knowledge have greatly influenced training methods while increasing the number of them more and more. As a result, the number of athletes who have increased the number and intensity of their workouts while decreasing recovery times is rising. Positive overtraining could be considered a natural and fundamental process when the result is adaptation and improved performance; however, in the absence of adequate recovery, negative overtraining could occur, causing fatigue, maladaptation, and inertia. One of the earliest forms of fatigue is overreaching. It is considered to be an accumulation of training that leads to reduced sports performance, requiring days or weeks to recover. Overreaching, if followed by adequate recovery, can lead to an increase in athletic performance. Nonetheless, if overreaching becomes extreme, combined with additional stressors, it could lead to overtraining syndrome (OTS). OTS, caused by systemic inflammation, leads to central nervous system (CNS) effects, including depressed mood, further inflammation, central fatigue, and ultimately neurohormonal changes. There are therefore not only physiological, biochemical, and immunological but also psychological symptoms or markers that must be considered, independently or together, being intrinsically linked with overtraining, to fully understand OTS. However, to date, there are very few published studies that have analyzed how nutrition in its specific food aspects, if compromised during OTS, can be both etiology and consequence of the syndrome. To date, OTS has not yet been fully studied, and the topic needs further research. The purpose of this narrative review is therefore to study how a correct diet and nutrition can influence OTS in all its aspects, from prevention to treatment. Full article

Background and aim. This study aimed to assess the efficacy of the treatment of Kan Jang^®, a fixed combination of Andrographis paniculata (Burm. F.) Wall. ex. Nees and Eleutherococcus senticosus (Rupr. & Maxim.) Maxim extracts in patients with mild symptoms of COVID-19. Methods. One hundred and forty patients received six capsules of Kan Jang^® (n = 68, daily dose of andrographolides—90 mg) or placebo (n = 72) and supportive treatment (paracetamol) for 14 consecutive days in a randomized, quadruple-blinded, placebo-controlled, two-parallel-group design. The efficacy outcomes were the rate of cases turning to severe, the detection rate of coronavirus SARS-CoV-2 over the time of treatment, the duration, and the severity of symptoms (sore throat, runny nose, cough, headache, fatigue, loss of smell, taste, pain in muscles) in the acute phase of the disease. Other efficacy measures included improving cognitive and physical performance, quality of life, and the levels of inflammatory blood markers—interleukin 6 (IL-6), C-reactive protein, and D-dimer. Results. Kan Jang^® significantly (p < 0.05) reduced the rate of cases turning to severe (5.36%) compared to the placebo (17.86%) and decreased the detection rate of SARS-CoV-2 virus over the time of the treatment. The statistical difference in the rates of patients with clinical deterioration in the Kan Jang treatment and placebo control groups was significant (p = 0.0176) both in the 112 patients in the included-per-protocol (IPP) analysis and in the 140 patients in the intended-to-treat (ITT) analysis (p = 0.0236); the absolute risk reduction in cases thanks to the Kan Jang treatment was 12.5%, and the number we needed to treat with Kan Jang was 8. The patient’s recovery time (number of sick days at the home/clinic) was shorter in the Kan Jang group compared with the placebo group. The rate of attenuation of inflammatory symptoms in the Kan Jang^® group was significantly higher, decreasing the severity of cough, sore throat/pain, runny nose, and muscle soreness compared with the placebo group. Kan Jang^® significantly decreased the Wisconsin Upper Respiratory Symptoms scores compared to the placebo in the sample size of 140 patients. However, the relief of fatigue and headache and the decrease in IL-6 in the blood were observed only in a subset of 86 patients infected during the second three waves of the pandemic. Kan Jang^® significantly increased physical activity and workout; however, it did not affect cognitive functions (attention and memory), quality of life score, inflammatory marker D-dimer, and C-reactive protein compared with the placebo group. Conclusions. Overall, the results of this study suggest that Kan Jang^® is effective in treating mild and moderate COVID-19 irrespective of the SARS-CoV-2 variant of infection. Full article