Effects of HIIT Interventions on Cardiorespiratory Fitness and Glycemic Parameters in Adults with Type 1 Diabetes: A Systematic Review and Meta-Analysis.

BACKGROUND: Individuals with type 1 diabetes mellitus (T1DM) face impaired cardiorespiratory fitness and glycemic control, increasing the risk of cardiovascular complications. High-intensity interval training (HIIT) has emerged as a promising exercise modality with potential benefits for both aspects in this population. OBJECTIVES: The primary aim was to investigate the effects of HIIT on cardiorespiratory fitness and glycemic parameters in patients with T1DM. The secondary aim was to examine the most effective HIIT protocol for cardiorespiratory fitness and glycemic parameters in patients with T1DM. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Two major electronic databases (Web of Science and PubMed) were searched up to February 2024. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomized and non-randomized trials involving adult patients with T1DM, free of complications and other diseases examining the effects of HIIT (HIIT pre vs. post; HIIT vs. control group or HIIT vs. moderate-intensity continuous training (MICT)) on cardiorespiratory fitness and glycemic parameters were included. RESULTS: A total of ten studies met the inclusion criteria. The meta-analysis revealed a significant improvement in cardiorespiratory fitness following HIIT interventions (pre vs. post) in patients with T1DM (standardized mean difference (SMD) = 0.59, 95% confidence interval (CI) = 0.16 to 1, p = 0.01). Furthermore, HIIT (pre vs. post) was associated with significant improvements in 24-h mean glucose control (SMD = - 0.44, 95% CI = - 0.81 to - 0.06, p = 0.02), but the results (pre vs. post) failed to identify significant improvements in fasting glucose (SMD = - 0.26, 95% CI = - 0.78 to 0.24, p = 0.3) and glycated hemoglobin (HbA1C) values (SMD = - 0.28, 95% CI = - 0.61 to 0.05, p = 0.1). However, in comparison with a control group, HIIT showed significantly favorable effects on HbA1C (SMD = - 0.74, 95% CI = - 1.35 to - 0.14, p = 0.02). Finally, the meta-regression analysis did not find any moderating effect of any HIIT characteristics (i.e., intervention duration, session duration, work time, rest time, number of bouts, and intensity) on cardiorespiratory fitness and glycemic parameters. CONCLUSION: Our systematic review and meta-analysis show that T1DM patients who performed a HIIT intervention significantly improved cardiorespiratory fitness and reduced their 24-h mean glucose levels, but not their HbA1C and fasting glucose. These findings support the application of HIIT interventions in T1DM patients. However, the guidelines for the most effective protocol remain unclear; hence, future studies are needed.

Validity and reliability of the My Jump 2 app for detecting interlimb asymmetry in young female basketball players.

Introduction: The aim of this study was to examine the validity and reliability of the My Jump 2 app for the assessment of interlimb jump asymmetry in young female basketball players. Methods: Nine athletes (age 15 ± 0.9 years; weight 62.9 ± 5.8 kg; height 173.6 ± 6.1 cm) performed single-leg drop jumps (DJs) and both-leg drop jumps on a force plate (Kistler Quattro jump) and were simultaneously recorded on two smartphones using the My Jump 2 app. Jump height from flight time and contact time data were statistically analyzed to evaluate the validity of two different camera settings, drop jump performance, and interlimb jump asymmetry in basketball players. The testing was repeated after 1 week for test retest reliability. Results: High test-retest reliability [intraclass correlation coefficient (ICC) > 0.88] was observed in DJ height. High correlation between the force plate and the My Jump 2 app was observed in DJ height (r = 0.99) and DJ contact time (r = 0.98). For the interlimb jump height asymmetries, mean differences were 0.6 percentages for the My Jump 2 app and the force plate, respectively (p = 0.77). Inter-device reliability revealed almost perfect correlation for the DJ height (ICC = 0.99, r = 0.98). Conclusion: The My Jump 2 app is a valid and reliable tool to assess drop jump performance and interlimb asymmetry in young female basketball players.

Efficiency of an Alternative Physical Education Program for the Lower Grades of Elementary School Children.

(1) Introduction: This research was conducted with the aim of assessing whether an alternative physical education (PE) program could effectively substitute for the traditional PE curriculum and aid in accomplishing the essential goals and objectives of PE among younger elementary school children. (2) Materials and Methods: This longitudinal 6-month study included third-grade elementary school children of both genders, who were healthy, lived in urban areas, and were involved in an alternative PE program, as well as the regular PE classes. The sample of participants comprised 214 students, with 105 participants in the experimental group and 109 participants in the control group, who underwent pre- and post-intervention measurements. For the purposes of this study, 11 variables were applied to assess the parameters of growth and development, motor abilities, and physical and health education. MANCOVA and ANCOVA methods were used to determine the effects resulting from the alternative and regular PE programs, and differences between the groups, respectively. The data are reported as the mean and standard deviations, and were analyzed using the statistical package SPSS version 20.0 (SPSS Inc., Armonk, NY, USA). (3) Results: Based on the research results obtained for motor abilities and physical and health education, it was concluded that both the alternative and regular PE programs had positive effects in achieving the goals and objectives of PE, but without statistical significance at the multivariate and univariate levels. The differences between the two groups were found to be negligible (effect size, ES < 0.2). (4) Discussion: Sports and PE have distinct objectives and approaches. While sports emphasize competition and winning, PE aims to impart fundamental skills and knowledge, prioritizing inclusivity among younger students. Success in PE is measured by the number of students meeting these goals, potentially affecting both talented and struggling learners. (5) Conclusions: The results obtained from the conducted research indicate that both the alternative PE program and the regular PE program influence changes in motor abilities and physical and health education to a limited extent. The alternative PE program proposed in this study, with its modifications to the structure of existing, regular PE program, can fully replace the latter in schools that do not meet the required spatial and material standards.

Motor Coordination in Children: A Comparison between Children Engaged in Multisport Activities and Swimming.

Motor coordination has a crucial role in various physical activities and sports, highlighting its significance in overall movement proficiency and performance. This study aimed to compare motor coordination in children engaged in multisport versus swimming activities. The participants of this study included 180 boys and girls (girls = 87) aged 8.25 years ± 0.89. A total of three groups were included: group 1 consisted of inactive children, group 2 included children participating in swimming, and group 3 included children enrolled in multisport. Motor coordination was assessed using the Kiphard-Schilling body coordination test, evaluated by motor quotient (MQ): walking backwards, hopping for height, jumping sideways, and moving sideways. Additionally, a total motor quotient (Total MQ) was calculated based on the performance in all four tests. ANOVA revealed a significant difference in Total MQ and all subtests between the groups (p < 0.01). A significant difference in Total MQ was found not only between the inactive and multisport groups (Diff = 19.8000; 95%CI = 13.1848 to 26.4152; p = 0.001) but also between the multisport and swimming groups (Diff = 12.8000; 95%CI = 6.3456 to 19.2544; p = 0.001). In conclusion, the results revealed that children involved in multisport activities exhibited significantly better motor coordination compared to both the swimming group and the inactive group. Therefore, to enhance the growth of motor coordination abilities, it is crucial that parents, instructors, and coaches encourage kids to engage in multisport physical activities on a daily basis.

School-Based Exercise Programs for Promoting Cardiorespiratory Fitness in Overweight and Obese Children Aged 6 to 10.

The aim of this study was to conduct a systematic review of the school-based exercise programs for promoting cardiorespiratory fitness in overweight and obese children aged 6 to 10. Electronic databases (Web of Science and PubMed) were used as searching tools for collecting adequate studies published in the past 20 years. A total of 13 studies met the criteria for inclusion in this review, with a total of 2810 participants, both male and female. According to the results of this systematic review, overweight and obese children aged 6 to 10 who underwent certain interventions had their CRF improved. Furthermore, evidence suggested that interventions carried out during a longer period of time suggested led to greater improvement of cardiorespiratory fitness than a shorter one, but the level of cardiorespiratory fitness gradually decreases after the intervention.

Effects of Combined Plyometric and Shooting Training on the Biomechanical Characteristics during the Made Jump Shot in Young Male Basketball Players.

(1) Background: Shooting performance is one of the most important determinants of basketball success and is strongly influenced by vertical jump performance. A lot of research attention has been paid to training programs that may improve the vertical jump. However, the literature regarding the improvement of accuracy during the jump shot is limited. The aim of this study was to determine the effects of the combination of two training programs on explosive power of the lower extremities during the made jump shot. (2) Methods: A total of 61 male basketball players were assigned into training group (T, n = 31, age 15.32 ± 0.65) which was conducting a specific, i.e., experimental training program, and control group (C, n = 30, age 16.3 ± 0.71 years) involved in a regular training program. The experimental training program included specific plyometric training with shooting training which lasted for 10 weeks. The obtained data were processed by nonparametric statistics to determine the differences in the vertical jump outcomes, as well as to determine the level of impact of the experimental training program. Wilcoxon and Kruskal-Wallis tests were used. (3) Results: A significant improvement (p ≤ 0.05) was noticed in the T group, in every vertical jump variable (flight time, height of the jump, power, and speed of the jump during a jump shot for two and three points), while there was no improvement within the C group. (4) Conclusions: The combination of plyometric and shooting training has a positive impact on the explosive power of the lower extremities during the jump shot.