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1.
Article in English | MEDLINE | ID: mdl-38673314

ABSTRACT

Engaging in health-risk behaviors (HRBs) may be correlated with depressive symptoms among college students, but these relationships require more research. The purpose of this study was to examine the associations of physical activity levels (i.e., light [LPA] and moderate-vigorous [MVPA]) and HRBs (i.e., sedentary behavior [screen-based and non-screen-based behavior] and cigarette and e-cigarette tobacco use) with depressive symptoms in a sample of college students. Physical activity levels and HRBs were assessed through validated questionnaires. In total, 366 students participated (Mage = 22.59 ± 3.54; 60.1% female; 52.9% normal weight). E-cigarette use in males (ß = 0.23, p < 0.05) and screen-based sedentary behavior in females (ß = 0.14, p < 0.05) showed significant predictive utility toward depressive symptoms. In the overweight/obese group, screen-based sedentary behaviors (ß = 0.19, p < 0.05) and e-cigarette use (ß = 0.23, p < 0.01) showed significant predictive utility toward depressive symptoms. Females reported higher levels of depressive symptoms (Mfemale = 18.23 vs. Mmale = 14.81; η2 = 0.03) and less MVPA (Mmale = 52.83 vs. Mfemale = 41.09; η2 = 0.06) than males. Enhancing mental health by improving physical activity and eliminating HRBs should be tailored toward at-risk demographics.


Subject(s)
Depression , Exercise , Health Risk Behaviors , Obesity , Sedentary Behavior , Students , Humans , Female , Male , Students/psychology , Students/statistics & numerical data , Young Adult , Depression/epidemiology , Depression/psychology , Universities , Obesity/epidemiology , Obesity/psychology , Adult , Sex Factors , Adolescent
2.
Int J Sport Nutr Exerc Metab ; 33(6): 323-330, 2023 Nov 01.
Article in English | MEDLINE | ID: mdl-37648248

ABSTRACT

This study investigated the effects of an acute dose (900 mg) of New Zealand Blackcurrant (NZBC) extract on 5-km running performance, alongside associated physiological and metabolic responses. Sixteen trained male runners (age 26 ± 5 years, stature 173.4 ± 7.3 cm, body mass 73.7 ± 6.9 kg, maximal oxygen consumption [V˙O2max] 55.4 ± 6.1 ml·kg-1·min-1) ingested either capsules containing NZBC extract (3 × 300 mg CurraNZ, 315 mg anthocyanins) or a matched placebo (3 × 300 mg gluten-free flour) 2 hr before exercise in a double-blind, randomized, crossover design. Performance time, physiological, and metabolic responses were assessed in a 5-km time trial, preceded by 10-min exercise at the lactate threshold on a treadmill. NZBC extract did not alter the physiological or metabolic responses to exercise at the lactate threshold (oxygen uptake, respiratory exchange ratio, minute ventilation, carbohydrate oxidation, fat oxidation, heart rate, blood lactate, or rating of perceived exertion, p > .05). The 5-km time trial was completed in a faster time in the NZBC extract condition compared with placebo (NZBC: 1,308.96 ± 122.36 s, placebo: 1,346.33 ± 124.44, p = .001, d = -0.23, confidence interval range = [-0.46, 0.00 s]). No differences in physiological or metabolic responses were apparent between conditions for the 5-km time trial (p > .05). Ingesting 900 mg of NZBC extract as an acute dose improves performance in trained male runners without altering physiological or metabolic responses to exercise. Further research is needed to assess a wider range of possible mechanisms (e.g., cardiovascular function, metabolite profiles) to advance insight into improved performance following supplementation.


Subject(s)
Ribes , Running , Humans , Male , Young Adult , Adult , New Zealand , Anthocyanins , Plant Extracts/pharmacology , Heart Rate , Lactic Acid , Double-Blind Method , Cross-Over Studies , Oxygen Consumption
3.
Front Psychol ; 14: 1134647, 2023.
Article in English | MEDLINE | ID: mdl-37287792

ABSTRACT

Fundamental motor skills (FMS) and cognitive function are important indicators of development in early childhood. Using a cross-sectional design, the purpose of this study was to investigate obesity (healthy weight vs. overweight/obese) and socio-demographic (i.e., gender, SES) disparities in FMS (locomotor and ball skills) and cognitive function (reaction time [RT] and movement time [MT]), in preschoolers. There were 74 preschoolers (girl = 38; Mage = 4.02 ± 0.73) recruited from two childcare centers and were categorized into healthy weight (n = 58, BMI percentile < 85%) and overweight/obese (n = 16, BMI percentile ≥ 85%) categories. Children's FMS were assessed using the TGMD-3; cognitive function was assessed by the iPad-based CANTAB™ software using the Reaction Time Task (RTI), including reaction time (RT; Simple RT [SRT], choice RT [CRT]) and movement time (MT; simple MT [SMT], choice MT [CMT]). Children presented less FMS proficiency compared to recent data. Both weight groups performed comparably in FMS (ps > 0.05; ball skill Cohen's d = 0.40; locomotor Cohen's d = 0.02). Children in the overweight/obese group performed significantly worse on all cognitive tests compared to healthy weight peers (ps < 0.05; Cohen's d range from -0.93 to -1.43). No significant gender or SES disparities were observed. Maintaining healthy weight status is critical for cognitive development among preschoolers, which may influence their developmental trajectory and school readiness.

4.
Article in English | MEDLINE | ID: mdl-36231271

ABSTRACT

This systematic review examined the effects of home/family and community-based interventions on physical activity (PA) and developmental outcomes in early childhood. A search strategy was employed using four electronic databases (Academic Search Complete, CINAHL Complete, MEDLINE, and SPORTDiscus). Interventions investigating weight status (i.e., BMI), physical activity, sedentary behavior, and/or motor proficiency that took place in home, family, or community settings were assessed. Studies were eligible if they were peer-reviewed, available in English, published between 2011 and 2021, and if samples consisted of healthy young children (2-5 years old). There were 24 studies retained (8351 participants) spanning from the United States (n = 12), Australia (n = 3), Canada (n = 2), Switzerland (n = 2), Finland (n = 2), Netherlands (n = 1), and other Eastern European countries (n = 2). There were 19 studies that incorporated home/family-based approaches and 14 studies that incorporated community-based approaches. Studies ranged in intervention duration from 6 weeks to 24 months. It suggests that improving PA participation in young children was especially challenging to solicit improvement (only 25% of all studies found significant improvement in PA after intervention). Distributing educational material to parents/families, consistent, direct contact with parents, and encouraging community engagement were identified as effective strategies to promote physical activity, healthy weight status, and motor skills in young children.


Subject(s)
Exercise , Family , Child , Child, Preschool , Finland , Humans , Netherlands , Switzerland , United States
5.
PLoS One ; 17(1): e0262514, 2022.
Article in English | MEDLINE | ID: mdl-35030218

ABSTRACT

Little is known about weight loss practices and eating behaviours in female physique athletes. This study investigated the weight loss history, practices, and key influences during the pre-competition period in a large cohort of female physique athletes stratified by division and experience level. Eating attitudes and behaviours were assessed to identify whether athletes were at risk of developing an eating disorder. Using a cross-sectional research design, female physique athletes (n = 158) were recruited and completed an anonymous online self-reported survey consisting of two validated questionnaires: Rapid Weight Loss Questionnaire and Eating Attitudes Test-26. Irrespective of division or experience, female physique athletes used a combination of weight loss practices during the pre-competition phase. Gradual dieting (94%), food restriction (64%) and excessive exercise (84%), followed by body water manipulation via water loading (73%) were the most commonly used methods. Overall, 37% of female physique athletes were considered at risk of developing an eating disorder. Additionally, 42% of female physique athletes used two pathogenic weight control methods with 34% of Figure novice athletes indicating binge eating once a week or more. The coach (89%) and another athlete (73%) were identified as key influences on athletes' dieting practices and weight loss. The prevalence of athletes identified with disordered eating symptoms and engaging in pathogenic weight control methods is concerning. In future, female physique athletes should seek advice from registered nutritionists to optimise weight management practices and minimise the risk of developing an eating disorder.


Subject(s)
Body Composition/physiology , Body Image/psychology , Feeding Behavior/psychology , Adult , Athletes , Athletic Performance , Attitude , Body Weight/physiology , Cohort Studies , Cross-Sectional Studies , Feeding Behavior/physiology , Feeding and Eating Disorders/psychology , Female , Food , Humans , Prevalence , Surveys and Questionnaires , United Kingdom , Weight Loss/physiology , Young Adult
6.
Arch Dis Child ; 107(5): 500-504, 2022 05.
Article in English | MEDLINE | ID: mdl-34620602

ABSTRACT

To objective of this project was to reduce unplanned hospital admission rates in children related to asthma to the Newcastle upon Tyne Hospitals National Health Service Trust (NUTH).Multiple educational interventions were introduced both locally and regionally including: a collection of educational materials aimed at young people and families, schools, primary care and secondary care on the website www.beatasthma.co.uk; regional training days; a nurse-led one-stop clinic; a new pathway following an acute attendance to hospital with an asthma attack; a local asthma service and cascade training for schools.The primary outcome measure was reduction in unplanned hospital admission rates in children due to asthma to the NUTH.Results showed that admission rates had been increasing at a sustained rate of approximately 30% each year in the 3 years prior to our intervention. After the Beating Regional Asthma Through Health Education interventions, unplanned admissions to NUTH reduced by 29% and this reduction has been sustained for the last 3 years. This compares with a regional increase of 10% over the same time period.In conclusion, simple but effective educational interventions resulted in a significant and sustained reduction in unplanned asthma admissions to NUTH. Further work is underway to extend the reach of these interventions into primary care and schools.


Subject(s)
Asthma , State Medicine , Adolescent , Asthma/epidemiology , Asthma/therapy , Child , Health Education , Hospitalization , Humans , United Kingdom
7.
BMJ Open Ophthalmol ; 7(Suppl 2): A14, 2022 11.
Article in English | MEDLINE | ID: mdl-37282700

ABSTRACT

BACKGROUND: The Liverpool Research Eye Bank (LREB) specialises in collection and storage of ocular tissues for use in projects investigating ophthalmic diseases and potential treatments. In collaboration with the Liverpool Eye Donation Centre (LEDC), we collect whole eyes from cadaveric donors. The LEDC screens potential donors and approaches next-of-kin for consent on behalf of the LREB; however, there are factors which reduce the pool of donors such as transplant suitability, time constraints, medical contraindications and other complications. During the past 21 months, COVID-19 has been a big contraindication to donation. The study aimed to determine how much of an impact COVID-19 has had on donations to the LREB. METHODS: Between January 2020 and October 2021, the LEDC compiled a database detailing the results of decedent screen at The Royal Liverpool University Hospital Trust site. From these data the suitability of each decedent for transplant, research or unsuitable for both was extrapolated along with the number of decedents unsuitable specifically due to having COVID-19 at the time of death. Data on the number of families then approached regarding donation for research, the number who gave consent and the number of tissues collected were also included. RESULTS: The LREB did not collect any tissues from decedents who had COVID-19 listed on their death certificate during 2020 and 2021. The number of unsuitable donors for transplant or research increased considerably due to COVID-19 positivity, in particular, during the months of Oct 2020-Feb 2021. This led to decreased approaches being made to next of kin. Interestingly, COVID-19 did not appear to have directly affected the number of donations. The number of donors consented ranged from 0-4 per month throughout the 21 months, with no correlation to the months when COVID-19 deaths were at their highest. CONCLUSIONS: The lack of an association between COVID-19 cases on donor numbers suggests that the donation rates are influenced by other factors. Increasing awareness of the opportunity for donation for research may increase donation rates. Development of informational materials and organisation of outreach events will aid in this goal.


Subject(s)
COVID-19 , Tissue and Organ Procurement , Humans , Eye Banks , COVID-19/epidemiology , Tissue Donors , Eye
8.
Sports Med ; 51(7): 1377-1399, 2021 07.
Article in English | MEDLINE | ID: mdl-33844195

ABSTRACT

Female soccer has seen a substantial rise in participation, as well as increased financial support from governing bodies over the last decade. Thus, there is an onus on researchers and medical departments to develop a better understanding of the physical characteristics and demands, and the health and performance needs of female soccer players. In this review, we discuss the current research, as well as the knowledge gaps, of six major topics: physical demands, talent identification, body composition, injury risk and prevention, health and nutrition. Data on female talent identification are scarce, and future studies need to elucidate the influence of relative age and maturation selection across age groups. Regarding the physical demands, more research is needed on the pattern of high-intensity sprinting during matches and the contribution of soccer-specific movements. Injuries are not uncommon in female soccer players, but targeting intrinsically modifiable factors with injury prevention programmes can reduce injury rates. The anthropometric and physical characteristics of female players are heterogeneous and setting specific targets should be discouraged in youth and sub-elite players. Menstrual cycle phase may influence performance and injury risk; however, there are few studies in soccer players. Nutrition plays a critical role in health and performance and ensuring adequate energy intake remains a priority. Despite recent progress, there is considerably less research in female than male soccer players. Many gaps in our understanding of how best to develop and manage the health and performance of female soccer players remain.


Subject(s)
Athletic Performance , Soccer , Adolescent , Anthropometry , Aptitude , Body Composition , Female , Humans , Male
9.
J Dance Med Sci ; 25(2): 152-158, 2021 Jun 15.
Article in English | MEDLINE | ID: mdl-33781376

ABSTRACT

This study investigated the prevalence of perfectionism among young female competitive Irish dancers and examined the relationships between perfectionistic tendencies and coping strategies used when experiencing injury. Sixty-eight female dancers (Mean age: 14 ± 2.3 years) completed the Child-Adolescent Perfectionism Scale and the Ways of Coping Questionnaire and provided a record of injuries incurred during their championship careers. Participants reported 189 injuries, mostly involving the lower extremities. Seventy-nine percent of dancers reported perfectionistic tendencies (mixed perfectionism 40%, pure self-oriented perfectionism 29%, pure socially prescribed perfectionism 10%), and most frequently adopted "planful problem-solving," "seeking social support," "distancing," and "self-controlling" strategies to cope with injury. Perfectionism and two coping strategies were found to be significantly related (p = 0.03); "planful problem-solving" was typically used "quite a bit or a great deal" by the mixed perfectionism group, but only "somewhat" by the non-perfectionism group, whereas "confrontive coping" was typically not used by the non-perfectionism group but was used "somewhat" by the mixed perfectionism group. Given the presence of such a large degree of perfectionism and the simultaneous employment of problem- and emotion-focused strategies when coping with injuries, it is suggested that medical practitioners acknowledge such tendencies when supporting their dancers in order to reduce the likelihood of negative psychological impact.


Subject(s)
Dancing , Perfectionism , Adaptation, Psychological , Adolescent , Child , Female , Humans , Prevalence , Surveys and Questionnaires
10.
J Strength Cond Res ; 35(1): 176-182, 2021 Jan 01.
Article in English | MEDLINE | ID: mdl-29864051

ABSTRACT

ABSTRACT: Dobbin, N, Highton, J, Moss, SL, Hunwicks, R, and Twist, C. Concurrent validity of a rugby-specific Yo-Yo intermittent recovery test (level 1) for assessing match-related running performance. J Strength Cond Res 35(1): 176-182, 2021-This study investigated the concurrent validity of a rugby-specific high-intensity intermittent running test against the internal, external, and perceptual responses to simulated match play. Thirty-six rugby league players (age 18.5 ± 1.8 years; stature 181.4 ± 7.6 cm; body mass 83.5 ± 9.8 kg) completed the prone Yo-Yo Intermittent Recovery Test (Yo-Yo IR1), of which 16 also completed the Yo-Yo IR1, and 2 × âˆ¼20 minute bouts of a simulated match play (rugby league match simulation protocol for interchange players [RLMSP-i]). Most likely reductions in relative total, low-speed and high-speed distance, mean speed, and time above 20 W·kg-1 (high metabolic power [HMP]) were observed between bouts of the RLMSP-i. Likewise, rating of perceived exertion (RPE) and percentage of peak heart rate (%HRpeak) were very likely and likely higher during the second bout. Pearson's correlations revealed a large relationship for the change in relative distance (r = 0.57-0.61) between bouts with both Yo-Yo IR1 tests. The prone Yo-Yo IR1 was more strongly related to the RLMSP-i for change in repeated sprint speed (r = 0.78 cf. 0.56), mean speed (r = 0.64 cf. 0.36), HMP (r = 0.48 cf. 0.25), fatigue index (r = 0.71 cf. 0.63), %HRpeak (r = -0.56 cf. -0.35), RPEbout1 (r = -0.44 cf. -0.14), and RPEbout2 (r = -0.68 cf. -0.41) than the Yo-Yo IR1, but not for blood lactate concentration (r = -0.20 to -0.28 cf. -0.35 to -0.49). The relationships between prone Yo-Yo IR1 distance and measures of load during the RLMSP-i suggest that it possesses concurrent validity and is more strongly associated with measures of training or match load than the Yo-Yo IR1 using rugby league players.


Subject(s)
Athletic Performance , Football , Running , Adolescent , Adult , Body Height , Exercise Test , Heart Rate , Humans , Young Adult
11.
Eur J Sport Sci ; 21(6): 861-870, 2021 Jun.
Article in English | MEDLINE | ID: mdl-32633208

ABSTRACT

This study aimed to assess energy availability (EA), alongside possible risk factors of reduced or low EA of professional female soccer players during a competitive season. Thirteen players (age: 23.7 ± 3.4 y, stature: 1.69 ± 0.08 m, body mass: 63.7 ± 7.0 kg) engaged in a 5-day (two rest days, one light training, heavy training and match day) monitoring period. Energy intake (EI) and expenditure during exercise (EEE) were measured. EA was calculated and categorised as optimal, reduced or low (>45, 30-45, <30 kcal·kg FFM-1·day-1, respectively). Relationships between EA and bone mineral density, resting metabolic rate (RMR), plasma micronutrient status, biochemical markers and survey data were assessed. EA was optimal for 15%, reduced for 62% and low for 23% of players. Higher EA was observed on rest days compared to others (P<0.05). EA was higher for the light compared to the heavy training day (P<0.001). EEE differed significantly between days (P<0.05). EI (2124 ± 444 kcal), carbohydrate (3.31 ± 0.64 g·kg·day-1) and protein (1.83 ± 0.41 g·kg·day-1) intake remained similar (P>0.05). Survey data revealed 23% scored ≥8 on the Low Energy Availability in Females Questionnaire and met criteria for low RMR (ratio <0.90). Relationships between EA and risk factors were inconclusive. Most players displayed reduced EA and did not alter EI or carbohydrate intake according to training or match demands. Although cases of low EA were identified, further work is needed to investigate possible long-term effects and risk factors of low and reduced EA separately to inform player recommendations.


Subject(s)
Energy Intake , Energy Metabolism , Physical Conditioning, Human/physiology , Soccer/physiology , Adult , Basal Metabolism , Biomarkers/blood , Body Composition , Bone Density , Dietary Carbohydrates/administration & dosage , Feeding Behavior , Female , Humans , Micronutrients/blood , Risk Factors , Surveys and Questionnaires , Young Adult
12.
J Sports Med Phys Fitness ; 61(7): 983-990, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33146498

ABSTRACT

BACKGROUND: Less than half of adolescents in the United States meet the recommended levels of moderate-to-vigorous physical activity (MVPA) and health-related fitness (HRF). Using the 2012 NHANES National Youth Fitness Survey data, this study aimed to examine the associations of movement behaviors (i.e., MVPA and screen-based sedentary behaviors) with HRF (i.e., cardiovascular and muscular fitness) among 11-16- year-old peripubertal boys and girls, respectively. METHODS: A total of 470 adolescents (227 boys, 243 girls; age: 13.59±1.12 years old) from the 2012 NHANES dataset were included. The study variables included movement behaviors (i.e., MVPA and screen-based sedentary behavior), anthropometric indices (i.e., waist circumference, Body Mass Index [BMI]), and HRF (i.e., cardiovascular fitness and muscular fitness). Correlational and hierarchical regression analyses were conducted for boys and girls, respectively. RESULTS: MVPA significantly predicted cardiovascular fitness for boys (ß=0.16, P<0.05) and girls (ß=0.15, P<0.05) regardless of weight status; screen-based sedentary behavior and waist circumference in girls significantly predicted muscular fitness (ß=-0.13 and ß=-0.42, P<0.05). CONCLUSIONS: To increase overall HRF in peripubertal girls and boys, it is important to help them maintain healthy weight status and to promote MVPA and limit screen-based sedentary behavior, especially in adolescent girls.


Subject(s)
Exercise , Physical Fitness , Adolescent , Body Mass Index , Child , Cross-Sectional Studies , Female , Humans , Infant , Male , Nutrition Surveys , Sedentary Behavior , United States
13.
Sports (Basel) ; 8(12)2020 Dec 02.
Article in English | MEDLINE | ID: mdl-33276465

ABSTRACT

Actual motor competence (MC), perceived motor competence (PMC), and health-related fitness (HRF) exhibit a dynamic and reciprocal relationship in child populations, but little is known about the nature of these relationships in young adulthood. The purpose of the study was to assess these relationships in a sample of college-aged males. A total of 55 participants enrolled in an undergraduate Kinesiology course completed the study. Perceived motor competence (PMC) was assessed with the Physical Self-Perception Profile questionnaire; MC was assessed using maximum throw and kick speed and maximum jump distance; HRF was assessed with a two-minute push-up test, two-minute sit-up test, and the Multistage 20-m Shuttle Run Test. Pearson's bivariate correlations were calculated to assess relationships among PMC total score, MC scores, and HRF scores. Two separate indices were calculated to create composite total MC and total HRF scores used for subsequent analyses. Significant correlations were found between PMC total score, MC index, and HRF index. Multiple linear regressions were used for analyzing predictive measures for HRF and PMC scores. From the two regression models, significance varied among total MC scores, PMC scores, and HRF individual measures. These findings may suggest that relationships among MC, HRF, and PMC strengthen over developmental time in young adult males.

14.
Children (Basel) ; 7(4)2020 Apr 24.
Article in English | MEDLINE | ID: mdl-32344542

ABSTRACT

Depression has become the most prevalent mental health problem in developing countries, and especially among adolescents. Lubans and his colleagues proposed a psychosocial mechanism to understand the trajectory of mental health (i.e., depression). Thus, this study aimed (1) to examine the relations between different doses of physical activity (PA), light PA (LPA), moderate PA (MPA), and vigorous PA (VPA), academic self-efficacy, and depression among adolescents, and (2) to investigate the direct and indirect relations of various doses of PA to depression through academic self-efficacy among middle school adolescents. Participants were 428 (235 boys, Mean age = 13.7) adolescents recruited from two middle schools in China. They completed previously validated questionnaires to measure different intensity levels of PA (LPA, MPA, and VPA), academic self-efficacy, and depression. There were significant associations of academic self-efficacy with three different doses of PA (p < 0.01). Both LPA and MPA were negatively associated with depression but not VPA. Structural equation modeling (SEM) revealed a well-fit model suggesting the psychosocial pathway from different doses of PA to depression through academic self-efficacy. Findings of this study indicated that academic self-efficacy regulates adolescents' depression. Tailoring different intensities of PA benefits adolescents' academic self-efficacy by framing the positive and supportive environment in schools, which can potentially reduce the prevalence of depression during adolescence.

15.
Int J Sports Physiol Perform ; 15(5): 705-713, 2020 05 01.
Article in English | MEDLINE | ID: mdl-31995787

ABSTRACT

PURPOSE: To determine the utility of running-only and rugby-specific, in-season sprint interval interventions in professional rugby league players. METHODS: Thirty-one professional academy rugby players were assigned to a rugby-specific (SITr/s, n = 16) or running-only (SITr, n = 15) sprint interval training group. Measures of speed, power, change of direction ability, prone Yo-Yo Intermittent Recovery Test (Yo-Yo IR1) performance, and heart rate recovery were taken before and after the 2-week intervention as were submaximal responses to the prone Yo-Yo IR1. Internal, external, and perceptual responses were collected during SITr/s and SITr, with well-being and neuromuscular function assessed before each session. RESULTS: Despite contrasting (possible to most likely) internal, external, and perceptual responses to the SIT interventions, possible to most likely within-group improvements in physical characteristics, heart rate recovery, and submaximal responses to the prone Yo-Yo IR1 were observed after both interventions. Between-group analysis favored the SITr/s intervention (trivial to moderate) for changes in 10-m sprint time, countermovement jump, change of direction, and medicine ball throw as well as submaximal (280-440 m) high metabolic power, PlayerLoad™, and acceleration distance during the prone Yo-Yo IR1. Overall changes in well-being or neuromuscular function were unclear. CONCLUSIONS: Two weeks of SITr/s and SITr were effective for improving physical characteristics, heart rate recovery, and submaximal responses to the prone Yo-Yo IR1, with no clear change in well-being and neuromuscular function. Between-group analysis favored the SITr/s group, suggesting that the inclusion of sport-specific actions should be considered for in-season conditioning of rugby league players.


Subject(s)
Football/physiology , Physical Conditioning, Human/methods , Heart Rate , Humans , Male , Motor Skills/physiology , Perception/physiology , Physical Exertion/physiology , Seasons
16.
Laryngoscope ; 130(5): E375-E380, 2020 05.
Article in English | MEDLINE | ID: mdl-31251404

ABSTRACT

OBJECTIVES: To describe the epidemiology, specifically the indications, complications, and outcomes, of pediatric tracheostomies performed in one tertiary referral unit. METHODS: Single-center retrospective cohort study of pediatric patients undergoing tracheostomy between May 2010 and May 2018 at the Newcastle upon Tyne Hospitals, United Kingdom. RESULTS: One hundred seventy-two pediatric tracheostomies were performed during the study period with a median age of 141 (interquartile range [IQR] 51-484) days. The most common primary indication was long-term ventilation (38.4%, 66 of 172), followed by weaning from ventilation in cardiac patients (22.1%, 38 of 172). Only 5.2% (9 of 172) of our cohort underwent tracheostomy for subglottic stenosis. The vast majority of tracheostomies were performed electively, with just 6.4% (11 of 172) performed as an emergency procedure. Early and late complication rates were 9.8% (15 of 153) and 40.0% (61 of 153), respectively. Tracheostomy decannulation was successful in 44.4% of children (68 of 153). The median duration the tracheostomy was in situ was 397 (IQR 106-708) days. All-cause mortality was 22.1% (38 of 172), with tracheostomy-related mortality at 1.2% (2 of 172). CONCLUSION: We report one of the largest contemporary case series of pediatric tracheostomies. Present-day pediatric tracheostomy is primarily performed as an elective procedure in ventilated children under the age of 1 year. Pediatric tracheostomy should be considered as a long-term intervention in many children. Nevertheless, a large proportion of children are ultimately decannulated. It is important to acknowledge the significant morbidity associated with this intervention and the small-but-present risk of tracheostomy-related mortality. LEVEL OF EVIDENCE: 4 Laryngoscope, 130:E375-E380, 2020.


Subject(s)
Emergencies/epidemiology , Postoperative Complications/epidemiology , Tracheostomy/methods , Adolescent , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Infant , Male , Morbidity/trends , Retrospective Studies , Survival Rate/trends , United Kingdom/epidemiology
17.
Int J Sport Nutr Exerc Metab ; 29(6): 682-689, 2019 Nov 01.
Article in English | MEDLINE | ID: mdl-31141414

ABSTRACT

Physique competitions are events in which aesthetic appearance and posing ability are valued above physical performance. Female physique athletes are required to possess high lean body mass and extremely low fat mass in competition. As such, extended periods of reduced energy intake and intensive training regimens are used with acute weight loss practices at the end of the precompetition phase. This represents an increased risk for chronic low energy availability and associated symptoms of relative energy deficiency in sport, compromising both psychological and physiological health. Available literature suggests that a large proportion of female physique athletes report menstrual irregularities (e.g., amenorrhea and oligomenorrhea), which are unlikely to normalize immediately postcompetition. Furthermore, the tendency to reduce intakes of numerous essential micronutrients is prominent among those using restrictive eating patterns. Following competition, reduced resting metabolic rate, and hyperphagia, is also a concern for these female athletes, which can result in frequent weight cycling, distorted body image, and disordered eating/eating disorders. Overall, female physique athletes are an understudied population, and the need for more robust studies to detect low energy availability and associated health effects is warranted. This narrative review aims to define the natural female physique athlete, explore some of the physiological and psychological implications of weight management practices experienced by female physique athletes, and propose future research directions.


Subject(s)
Athletes/psychology , Athletic Performance/physiology , Athletic Performance/psychology , Weight Loss/physiology , Body Composition/physiology , Feeding and Eating Disorders/physiopathology , Feeding and Eating Disorders/psychology , Female , Humans , Relative Energy Deficiency in Sport/physiopathology , Relative Energy Deficiency in Sport/psychology
18.
Int J Sports Physiol Perform ; 14(8): 1110-1116, 2019 Sep 01.
Article in English | MEDLINE | ID: mdl-30702356

ABSTRACT

PURPOSE: To assess whether a standardized testing battery can differentiate anthropometric and physical qualities between youth, academy, and senior rugby league players and determine the discriminant validity of the battery. METHODS: A total of 729 rugby league players from multiple clubs in England categorized as youth (n = 235), academy (n = 362), and senior (n = 132) players completed a standardized testing battery that included the assessment of anthropometric and physical characteristics during preseason. Data were analyzed using magnitude-based inferences and discriminant analysis. RESULTS: Academy players were most likely taller and heavier than youth players (effect size [ES] = 0.64-1.21), with possibly to most likely superior countermovement jump, medicine-ball throw, and prone Yo-Yo Intermittent Recovery Test Level 1 (Yo-Yo IR1) performance (ES = 0.23-1.00). Senior players were likely to most likely taller and heavier (ES = 0.32-1.84), with possibly to most likely superior 10- and 20-m sprint times, countermovement jump, change of direction, medicine-ball throw, and prone Yo-Yo IR1 than youth and academy players (ES = -0.60 to 2.06). The magnitude of difference appeared to be influenced by playing position. For the most part, the battery possessed discriminant validity with an accuracy of 72.2%. CONCLUSION: The standardized testing battery differentiates anthropometric and physical qualities of youth, academy, and senior players as a group and, in most instances, within positional groups. Furthermore, the battery is able to discriminate between playing standards with good accuracy and might be included in future assessments and rugby league talent identification.


Subject(s)
Anthropometry/methods , Athletes , Athletic Performance , Football , Adolescent , Adult , Exercise Test , Humans , Male , Young Adult
19.
Int J Sports Physiol Perform ; 14(7): 958-965, 2019 Aug 01.
Article in English | MEDLINE | ID: mdl-30676811

ABSTRACT

PURPOSE: To investigate the factors affecting the anthropometric and physical characteristics of elite academy rugby league players. METHODS: One hundred ninety-seven elite academy rugby league players (age = 17.3 [1.0] y) from 5 Super League clubs completed measures of anthropometric and physical characteristics during a competitive season. The interaction between and influence of contextual factors on characteristics was assessed using linear mixed modeling. RESULTS: All physical characteristics improved during preseason and continued to improve until midseason, whereafter 10-m sprint (η2 = .20 cf .25), countermovement jump (CMJ) (η2 = .28 cf .30), and prone Yo-Yo Intermittent Recovery (Yo-Yo IR) test (η2 = .22 cf .54) performance declined. Second (η2 = .17) and third (η2 = .16) -year players were heavier than first-years, whereas third-years had slower 10-m sprint times (η2 = .22). Large positional variability was observed for body mass, 20-m sprint time, medicine-ball throw, CMJ, and prone Yo-Yo IR1. Compared with bottom-ranked teams, top-ranked teams demonstrated superior 20-m (η2 = -.22) and prone Yo-Yo IR1 (η2 = .26) performance, whereas middle-ranked teams reported higher CMJ height (η2 = .26) and prone Yo-Yo IR1 distance (η2 = .20) but slower 20-m sprint times (η2 = .20). CONCLUSION: These findings offer practitioners who design training programs for academy rugby league players insight into the relationships between anthropometric and physical characteristics and how they are influenced by playing year, league ranking, position, and season phase.


Subject(s)
Anthropometry , Athletic Performance , Football , Physical Fitness , Adolescent , Exercise Test , Humans , Longitudinal Studies , Male
20.
Eur J Sport Sci ; 19(6): 793-801, 2019 Jul.
Article in English | MEDLINE | ID: mdl-30556485

ABSTRACT

This study describes pacing strategies adopted in an 86-km mass-participation cross-country marathon mountain bike race (the 'Birkebeinerrittet'). Absolute (km·h-1) and relative speed (% average race speed) and speed coefficient of variation (%CV) in five race sections (15.1, 31.4, 52.3, 74.4 and 100% of total distance) were calculated for 8182 participants. Data were grouped and analysed according to race performance, age, sex and race experience. The highest average speed was observed in males (21.8 ± 3.7 km/h), 16-24 yr olds (23.0 ± 4.8 km/h) and those that had previously completed >4 Birkebeinerrittet races (22.5 ± 3.4 km/h). Independent of these factors, the fastest performers exhibited faster speeds across all race sections, whilst their relative speed was higher in early and late climbing sections (Cohen's d = 0.45-1.15) and slower in the final descending race section (d = 0.64-0.98). Similar trends were observed in the quicker age, sex and race experience groups, who tended to have a higher average speed in earlier race sections and a lower average speed during the final race section compared to slower groups. In all comparisons, faster groups also had a lower %CV for speed than slower groups (fastest %CV = 24.02%, slowest %CV = 32.03%), indicating a lower variation in speed across the race. Pacing in a cross-country mountain bike marathon is related to performance, age, sex and race experience. Better performance appears to be associated with higher relative speed during climbing sections, resulting in a more consistent overall race speed.


Subject(s)
Athletic Performance/physiology , Bicycling/physiology , Competitive Behavior , Adolescent , Adult , Aged , Female , Humans , Middle Aged , Young Adult
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