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Relationships Between Performance in the Frequency Speed Kick Test, Heart Rate Variability, and Body Composition in Amateur Muay Thai Fighters. 业余泰拳选手频率速度踢测试、心率变异性和身体成分之间的关系。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/PPGL4101
Antonio B De Andrade Junior, Elena M P R De Andrade, Patrícia Dos Santos Vigário, Cesar A Luchesa, João E De Azevedo Vieira, Igor R T De Jesus, Agnaldo J Lopes

In martial arts, heart rate variability (HRV) measurements can potentially be used to assess injury risk and susceptibility to fatigue. Muay Thai uses the Frequency Speed of Kick Test (FSKT) to measure kick speed, but it is unknown whether better fitness results in improved autonomic function and body composition, which may affect athletic performance and recovery. We aimed to evaluate the correlations between FSKT, HRV, and body composition measures in amateur Muay Thai fighters. This is a cross-sectional study with 37 Muay Thai fighters. They underwent FSKT-10s and multiple FSKT to measure the kick fatigue index (KFI). In addition, body composition was assessed using bioelectrical impedance analysis and HRV using a heart rate monitor. When comparing the values before and during the FSKT-10s, there was a decrease in the percentage of interval differences of consecutive successive NN intervals greater than 50 ms (pNN50), approximate entropy, and parasympathetic nervous system (PNS) index, with an increase in the sympathetic nervous system (SNS) index. The number of kicks assessed by FSKT-10s positively correlated with fat-free mass (FFM) and low frequency (LF) of the HRV assessment. The KFI correlated negatively with the FFM and PNS index, and positively with the LF and SNS index. When amateur Muay Thai fighters perform the FSKT-10s, there is an acute effect on autonomic modulation with increased sympathetic activation and vagal withdrawal. FFM and sympathetic activation are related to performance and susceptibility to fatigue. These results indicate the importance of assessing HRV in Muay Thai fighters to improve performance.

在武术中,心率变异性(HRV)测量可以潜在地用于评估受伤风险和对疲劳的敏感性。泰拳使用踢腿频率测试(FSKT)来测量踢腿速度,但尚不清楚更好的健身是否会改善自主神经功能和身体成分,这可能会影响运动表现和恢复。我们旨在评估业余泰拳选手FSKT、HRV和身体成分测量之间的相关性。这是一项对37名泰拳选手的横断面研究。他们接受了FSKT-10和多次FSKT来测量踢腿疲劳指数(KFI)。此外,使用生物电阻抗分析评估身体成分,使用心率监测仪评估HRV。FSKT-10s前后比较,神经网络连续间隔大于50 ms的间隔差百分比(pNN50)、近似熵和副交感神经系统(PNS)指数下降,交感神经系统(SNS)指数上升。fskt -10评估的踢腿次数与HRV评估的无脂质量(FFM)和低频(LF)呈正相关。KFI与FFM和PNS指数呈负相关,与LF和SNS指数呈正相关。当业余泰拳选手进行fskt -10时,会对自主神经调节产生急性影响,增加交感神经激活和迷走神经戒断。FFM和交感神经激活与工作表现和疲劳易感性有关。这些结果表明评估HRV对泰拳选手提高成绩的重要性。
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引用次数: 0
Does Body Mass Index Affect Postural Control in Adults? 体重指数会影响成人的姿势控制吗?
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/ABWK5726
Taylor M Kruse, Andrew L Shim, Ian J Bonder

Obese adults are faced with greater challenges to maintaining balance compared to their healthy-weight counterparts. Due in part to the ongoing national and global obesity epidemic, it's imperative to identify if body mass index (BMI) could negatively affect postural control and balance. The purpose of this study was to determine if CoP scores displayed a significant relationship with BMI in healthy adults. Cross-sectional, archival data from 225 adults (40 males; 185 females; age 29.6 ± 14.25 years; weight 77.95 ± 21.33 kilograms [kg]; height 168.43 ± 0.66 centimeters [cm]; BMI 27.52 ± 0.42 kg/m2) were analyzed. Four (4) CoP scores were collected using a Bertec® Dynamic Computerized Posturography Plate (Bertec, Columbus, OH) including Normal Surface Eyes Open (NSEO), Normal Surface Eyes Closed (NSEC), Perturbed Surface Eyes Open (PSEO), and Perturbed Surface Eyes Closed (PSEC). Pearson's correlation coefficients were used to determine if there were significant (p < 0.05) relationships between each of the 4 CoP conditions with BMI. A significant, weak negative relationship (r = -0.180; p = 0.007) was demonstrated between BMI and NSEO condition. Weak, insignificant negative relationships were demonstrated between BMI and NSEC (r = -0.065; p = 0.33) and PSEO (r = -0.021; p = 0.70) conditions. A weak, insignificant relationship was demonstrated between BMI and PSEC (r = 0.075; p = 0.25) condition. Obesity, as indicated by BMI, could lead to poorer postural control under normal surface, eyes open conditions.

与体重正常的成年人相比,肥胖的成年人在保持平衡方面面临着更大的挑战。部分由于持续的国家和全球肥胖流行病,有必要确定身体质量指数(BMI)是否会对姿势控制和平衡产生负面影响。本研究的目的是确定健康成人的CoP评分是否与BMI有显著关系。225名成年人(40名男性;185女性;年龄29.6±14.25岁;体重77.95±21.33公斤[kg];身高168.43±0.66厘米[cm];BMI(27.52±0.42 kg/m2)。使用Bertec®动态计算机体位摄影板(Bertec, Columbus, OH)收集四(4)个CoP评分,包括正常表面睁眼(NSEO)、正常表面闭眼(NSEC)、扰动表面睁眼(PSEO)和扰动表面闭眼(PSEC)。使用Pearson相关系数来确定4种CoP与BMI之间是否存在显著(p < 0.05)的关系。显著的弱负相关(r = -0.180;p = 0.007)。BMI与NSEC呈弱的、不显著的负相关(r = -0.065;p = 0.33)和pso (r = -0.021;P = 0.70)条件。BMI与PSEC之间的关系不显著(r = 0.075;P = 0.25)。体重指数表明,肥胖可能导致在正常的体表、睁眼状态下较差的姿势控制。
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引用次数: 0
A Descriptive Analysis of the Current State of Peace Officer Standards and Training Physical Fitness Requirements across the USA. 美国治安官标准和训练体能要求现状的描述性分析。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/WQSL5192
Robert G Lockie, Joseph M Dulla

Many law enforcement organizations are experiencing recruitment and retention challenges, of which physical fitness can be a factor. The study purpose was to collate information from Peace Officer Standards and Training (POST) Commission staff in each USA state to document current fitness mandates and policies for recruits/officers. A 10-question survey was allocated to an appropriate representative from every state POST organization. The survey collected information regarding minimum state-mandated fitness standards for academy entry and exit; minimum state-mandated requirements for fitness programming, including safety plans; education/training requirements for fitness training instructors; and minimum state-mandated fitness standards for incumbent officers. The response rate was 98% (49/50 states). Fewer than half of the states mandated: age- and gender-neutral statewide academy entry fitness tests (29%; n=14); ability-based fitness training (24%; n=12); minimum education or formal certifications for fitness training instructors (45%; n=22); statewide collection of fitness (25%; n=12) or injury (45%; n=18) data; a statewide fitness training safety plan (40%; n=19); age- and gender-neutral exit fitness tests for recruits/students (35%; n=17); and officer fitness standards (8%; n=4). Only thirteen states (27%) had an active work group focusing on survey topics. POST Commissions should be proactive in reviewing minimum fitness requirements for academies, and staff should continue and/or expand fitness education. Resources are available for POST Commissions to design/update safety plans and address other findings. Although difficult to mandate fitness standards for officers, they should be provided resources to remain physically active. Implementing these practices via appropriate policies should assist with personnel health and retention.

许多执法机构正在经历招聘和留住人才的挑战,其中身体健康可能是一个因素。研究的目的是整理来自美国各州和平官员标准和培训委员会工作人员的信息,以记录当前新兵/军官的健身要求和政策。向每个州邮政组织的适当代表分配了10个问题的调查问卷。该调查收集了有关国家规定的学院入学和退学的最低健康标准的信息;州对健身项目的最低要求,包括安全计划;健身训练指导员的学历/培训要求;以及国家规定的在职警官的最低健康标准。应答率为98%(49/50个州)。不到一半的州规定:年龄和性别中立的全州学院入学体能测试(29%;n = 14);能力型健身训练(24%;n = 12);健身教练最低学历或正式证书(45%);n = 22);全州范围内的健身收集(25%;N =12)或损伤(45%;n = 18)数据;全州范围的健身训练安全计划(40%;n = 19);对新兵/学生进行不分年龄和性别的退出体能测试(35%;n = 17);官员健康标准(8%;n = 4)。只有13个州(27%)有一个专注于调查主题的活跃工作组。邮政委员会应积极审查学院的最低健身要求,工作人员应继续和(或)扩大健身教育。邮政委员会可获得资源来设计/更新安全计划和处理其他调查结果。虽然很难强制规定官员的健康标准,但应该为他们提供资源,使他们保持体育活动。通过适当的政策实施这些做法应有助于人员的健康和保留。
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引用次数: 0
Physiological and Biomechanical Responses to Indoor Cycling with and without the Ability to Sway. 有或没有摇摆能力的室内自行车的生理和生物力学反应。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/FQRW7720
Alina Swafford, James Navalta, Julia Freedman Silvernail, Nancy Lough, John Mercer

The purpose of this study was to understand whether or not physiological and biomechanical measures were influenced by cycling sway and intensity. Participants (n=13; 24.9±6.5 years; 1.7±0.1 m; 64.7±11.2 kg) completed two submaximal-effort cycling conditions using a stationary smart bike placed on a rocker board: 1) cycling with the rocker board set to allow sway (unblocked); 2) cycling with blocks placed in the rocker board to prevent sway (blocked). The order conditions were counterbalanced, and each condition was 12-mins. For each condition, four intensity levels were completed. Prior to testing, target power was identified for each Rating of Perceived Exertion (RPE) level (11, 13, 16, 17). Rate of oxygen consumption (V·O2; ml·kg-1·min-1) was measured using a metabolic cart (1 sample every 5 sec) along with RPE and heart rate (HR). Cadence, speed, and power were measured via the smart bike interface for each condition. Sway was measured using a custom rotary switch that measured (250 Hz) the angle of the rocker board while cycling. Each dependent variable was compared using a 2 (Condition: blocked, unblocked) x 4 (Intensity) repeated measures ANOVA. For sway, V·O2, HR, speed, and cadence, there was no interaction between Condition and Intensity (p>0.05). Sway was influenced by the main effect of Condition (p<0.001). V·O2, HR, and speed were each influenced by the main effect of Intensity (p<0.001). Overall, it was determined that participants did sway when there was the potential to sway; however, physiological or biomechanical measures were not influenced by the ability to sway.

本研究的目的是了解生理和生物力学指标是否受到骑行摇摆和强度的影响。参与者(n = 13;24.9±6.5年;1.7±0.1米;64.7±11.2 kg)使用放置在摇臂板上的固定智能自行车完成了两种次最大努力的骑行条件:1)将摇臂板设置为允许摇摆(不受阻碍);2)骑行时用挡块放置在摇臂板上,防止摇摆(挡块)。顺序条件进行平衡,每个条件为12分钟。对于每种情况,完成了四个强度水平。在测试之前,为每个感知消耗等级(RPE)水平(11,13,16,17)确定目标功率。耗氧量(V·O2);ml·kg-1·min-1)使用代谢车(每5秒1个样本)测量RPE和心率(HR)。在每种情况下,通过智能自行车界面测量节奏、速度和功率。摇摆测量使用一个定制的旋转开关,测量(250赫兹)摇摆板的角度,而骑自行车。使用2(条件:阻塞,未阻塞)x 4(强度)重复测量方差分析比较每个因变量。在摇摆、V·O2、心率、速度和节奏方面,状态与强度之间无交互作用(p < 0.05)。摇摆受条件(p·O2)主效应的影响,心率和速度均受强度(p·O2)主效应的影响
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引用次数: 0
Enhancing Inclusivity in Sports: A Focus on Adaptive Synergy for Athletes with Physical Disabilities. 加强体育包容性:关注身体残疾运动员的适应性协同作用。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/BENN8852
Lawrence W Judge, Matt Moore, Aidan Biddle, Adam Smith, Donald L Hoover

Sport science serves many crucial functions in facilitating improvements in human performance, including advancing inclusivity. This may be realized through the conceptual framework of Adaptive Synergy, which integrates Adapted Physical Activity for athletes with physical disabilities while simultaneously optimizing athletic performance for all individuals. This paper introduces the Adaptive Synergy conceptual framework to sport science, applying this cross-disciplinary concept to biomechanics, exercise physiology, sport psychology, and neuroscience to more specific application of adaptive techniques and methods, which are essential to improving both accessibility and innovation in sports. Key areas of focus include the anatomical impairments of athletes with physical disabilities, their unique psychological needs, development of adaptive equipment, the implementation of tailored, evidence-based training protocols, and the reduction of financial and educational barriers to inclusivity. The Adaptive Synergy framework enables coaches and sport scientists to provide equitable opportunities for all athletes, exemplified by the creation of inclusive training environments, specialized coaching methodologies, and affordable sport participation programs. By fostering a culture of cross-disciplinary collaboration, this approach promotes the physical, mental, and social development of athletes with physical disabilities while driving innovation in sports performance for all. Consequently, Adaptive Synergy represents a transformative model that merges inclusivity with the pursuit of athletic excellence across diverse populations.

体育科学在促进人类表现的改善方面发挥着许多至关重要的作用,包括促进包容性。这可以通过适应性协同的概念框架来实现,它将适应身体残疾运动员的身体活动整合在一起,同时优化所有个人的运动表现。本文将适应性协同概念框架引入体育科学,将这一跨学科概念应用于生物力学、运动生理学、运动心理学和神经科学,以更具体地应用适应性技术和方法,这对提高体育的可及性和创新性至关重要。重点关注的领域包括身体残疾运动员的解剖缺陷、他们独特的心理需求、适应性设备的开发、量身定制的循证训练方案的实施,以及减少包容性的经济和教育障碍。适应性协同框架使教练和运动科学家能够为所有运动员提供公平的机会,例如创造包容性的训练环境,专业的教练方法和负担得起的体育参与计划。通过培养跨学科合作的文化,这种方法促进了身体残疾运动员的身体、心理和社会发展,同时推动了所有人运动表现的创新。因此,适应性协同代表了一种变革模式,将包容性与追求不同人群的卓越运动相结合。
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引用次数: 0
Evaluation of Valid VO2max Criteria for Graded Exercise Testing in Cancer Survivors. 评估癌症幸存者分级运动测试的有效VO2max标准。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/UKHO9411
Daniel Y K Shackelford, Jessica M Brown, Rhianna N Patel

Cardiovascular fitness (VO2max) predicts all-cause mortality and is vital to assess in cancer survivors (CS) for individualized exercise prescriptions. Metabolic carts confirm VO2max with respiratory exchange ratio (RER) ≥1.10; other VO2max criteria include ≤10 beats/minute of maximal predicted heart rate and/or a rating of perceived exertion (RPE) of >8 on the Modified Borg Scale. Another suggested criterion is respiratory frequency (Rf) ≥ 40 breaths per minute. These criteria are assumed applicable for all populations, but due to cancer-related toxicities, frequency and validity of traditional VO2max criteria usage in CS remains unconfirmed. The purpose was to evaluate the frequency of VO2max criterion achievement of RER and alternate maximal criteria using HR, RPE, and Rf in CS. Forty CS performed three graded exercise tests (GXT) using gas analysis, totaling 111 GXTs. Max RER, HR, RPE, and Rf were measured. Differences in successful VO2max criterion achievement frequency were assessed using a Cochran's Q test and Pairwise Comparison Dunn test with Bonferroni adjustment. Maximal criteria were successfully met in 84%, 79%, 92%, and 43% of trials when evaluating RER, HR, RPE, and Rf, respectively. Significant differences occurred between Rf and all other measures (p < 0.001); no significant differences occurred between RER, HR, RPE. Traditional VO2max criteria may be feasibly obtained and used in CS; HR and RPE are valid alternatives to RER, but Rf is not. The equivalency between RER, RPE, and HR suggests metabolic carts may be unnecessary for CS during maximal testing, increasing accessibility and validity of VO2max values.

心血管健康(VO2max)预测全因死亡率,对于评估癌症幸存者(CS)的个体化运动处方至关重要。代谢车确认VO2max呼吸交换比(RER)≥1.10;其他VO2max标准包括≤10次/分钟的最大预测心率和/或在修正博格量表上的感知运动(RPE)评级为bb80。另一个建议的标准是呼吸频率(Rf)≥40次/分钟。假设这些标准适用于所有人群,但由于癌症相关的毒性,传统VO2max标准在CS中的使用频率和有效性仍未得到证实。目的是评估在CS中使用HR、RPE和Rf实现RER和交替最大标准的VO2max标准的频率。40名CS使用气体分析进行了3次分级运动测试(GXT),共计111 GXT。测定最大RER、HR、RPE和Rf。使用Cochran’s Q检验和带Bonferroni调整的两两比较Dunn检验来评估VO2max标准成功实现频率的差异。在评估RER、HR、RPE和Rf时,分别有84%、79%、92%和43%的试验成功达到最大标准。Rf与所有其他测量值之间存在显著差异(p < 0.001);RER、HR、RPE之间差异无统计学意义。传统的VO2max准则在CS中是可行的;HR和RPE是RER的有效替代品,但Rf不是。RER, RPE和HR之间的等效性表明,在最大测试期间,CS可能不需要代谢车,从而增加了VO2max值的可及性和有效性。
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引用次数: 0
Erratum. 勘误表。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/OYSB9692

[This corrects the article DOI: 10.70252/EJIJ5619.].

[这更正了文章DOI: 10.70252/EJIJ5619.]。
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引用次数: 0
Age of Anaerobic, Aerobic, and Skill-Based Olympic Athletes 1988 - 2024. 1988 - 2024年无氧、有氧和技能型奥运会运动员的年龄。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/LZCH1307
Corban J Ruiz, Iliana G Hernandez, Edward K Merritt

The age at which athletes compete at a high-level provides understanding of human physiology, development, aging and skill refinement. The Olympics, with high-level performances across events with differing metabolic demands, provide unique data for analysis of optimal performance age given the type of performance required. The aim of this study was to classify Olympic events from 1988-2024 into aerobic, anaerobic, mixed, or skill, and compare male and female athlete ages in each classification. Events of maximal effort under 2-minutes duration were classified as anaerobic. Events longer than 5 minutes were classified as aerobic with those 2-5 minutes duration classified as mixed. Other events that are unlikely to stress aerobic or anaerobic metabolic systems were classified as skill. Athlete age was 24.1 ± 4.6 years for anaerobic, 26.8 ± 4.7 years for aerobic, 24.8 ± 4.6 years for mixed, and 27.8 ± 6.9 years for skill. When separated by sex, female athletes were younger in each classification. Male anaerobic athletes (24.7 ± 4.2) were younger than aerobic (26.9 ± 4.6) and skill (28.9 ± 6.9), but similar in age to mixed athletes (25.0 ± 4.4). Female anaerobic athletes (23.2 ± 5.0) were younger than aerobic (26.7 ± 4.8), skill (26.4 ± 6.5), and mixed (24.4 ± 4.8). Male Olympic athletes in skill-based events that do not stress energy systems compete at older ages than those in events that tax physiologic systems. Female Olympic aerobic and skill athletes, compete at older ages than those in events requiring a significant anaerobic contribution. This analysis provides evidence that event demands likely differ by classification and sex and therefore influence performance age.

运动员参加高水平比赛的年龄提供了对人类生理、发育、衰老和技能改进的理解。奥运会在不同的项目中都有高水平的表现,有不同的代谢需求,这为分析给定类型的最佳表现提供了独特的数据。本研究的目的是将1988-2024年的奥运会项目分为有氧、无氧、混合或技巧,并比较每个类别中男女运动员的年龄。持续时间在2分钟以内的最大努力被归类为无氧。超过5分钟的运动被归类为有氧运动,2-5分钟的运动被归类为混合运动。其他不太可能对有氧或无氧代谢系统造成压力的事件被归类为技能。运动员年龄无氧24.1±4.6岁,有氧26.8±4.7岁,混合型24.8±4.6岁,技能型27.8±6.9岁。当按性别划分时,女运动员在每个类别中都更年轻。男性无氧运动员(24.7±4.2)比有氧运动员(26.9±4.6)和技能型运动员(28.9±6.9)年轻,与混合型运动员(25.0±4.4)年龄相近。女性无氧运动员(23.2±5.0)比有氧运动员(26.7±4.8)、技能型运动员(26.4±6.5)和混合型运动员(24.4±4.8)年轻。在不强调体力系统的技能型项目中,男性奥林匹克运动员的比赛年龄要比那些需要消耗生理系统的项目大。女性奥运会有氧和技术运动员,比那些需要大量无氧贡献的项目的年龄更大。这一分析提供了证据,表明赛事需求可能因类别和性别而异,从而影响年龄的表现。
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引用次数: 0
Effectiveness of Exercise-Based Rehabilitation in Chronic Fatigue Syndrome: A Systematic Review and Meta-analysis. 以运动为基础的康复治疗慢性疲劳综合征的有效性:一项系统综述和meta分析。
Q1 Health Professions Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI: 10.70252/DAYA4589
Antonio De Vera Martín, Alberto Díaz Salazar, Isidro Miguel Martín Pérez, Sebastián Eustaquio Martín Pérez

Chronic Fatigue Syndrome is a complex and debilitating disorder characterized by persistent fatigue, musculoskeletal pain, sleep disturbances, and cognitive impairments. The global prevalence is estimated between 0.2% and 0.4%, affecting over 17 million individuals worldwide, with an estimated burden exceeding 40,000 cases in Spain. Despite the exploration of exercise-based rehabilitation as a therapeutic strategy, its clinical efficacy remains a subject of ongoing debate. This study aims to evaluate the effectiveness of exercise-based rehabilitation relative to conventional treatments in improving functional capacity and alleviating fatigue among adults with CFS A systematic review and meta-analysis were conducted following PRISMA guidelines and registered in the PROSPERO database (CRD42024573955). Searches were systematically performed across MEDLINE, PEDro, CINAHL, Google Scholar, Scopus, and SportDiscus, covering studies published between January 2010 and January 2024. Methodological quality and risk of bias, assessed using the validated PEDro Scale and Cochrane tool, ranged from moderate to good, with bias levels varying from low to high. Inclusion criteria targeted studies investigating structured therapeutic exercise interventions, including aerobic training, resistance exercises, and mind-body therapies. A total of 11 studies were included in the qualitative review, and with 7 randomized controlled trials (n = 2,276 participants) were finally incorporated in the meta-analysis. Exercise-based interventions, including aerobic training, resistance exercises, graded exercise therapy (GET), mind-body therapies and multimodal programs, showed significantly significant reductions in fatigue in both the short term (n = 720) SMD = -0.50; 95% CI: [-0.75, -0.24]; Z = 3.81; p < 0.001) and medium term (n = 501; SMD = -0.53; 95% CI: [-0.95, -0.12]; Z = 2.52; p = 0.01). Medium-term improvements in functionality were also significant (n = 685; SMD = 0.31; 95% CI: [0.11, 0.52]; Z = 2.96; p = 0.003), whereas short-term functionality outcomes were lesser compared to controls (n = 366; SMD = 0.10; 95% CI: [-0.05, 0.25]; Z = 1.29; p = 0.20). Notably, the meta-analytic findings indicated that medium-term functional outcomes slightly favored control groups over exercise interventions, and no significant long-term benefits were observed in either fatigue reduction or functional capacity enhancement. These findings underscore the selective efficacy of exercise-based rehabilitation for CFS, particularly in mitigating fatigue over the short to medium term. However, the transient nature of functional improvements highlights the need for further research to optimize exercise protocols, determine the most effective modalities, and develop strategies to sustain long-term therapeutic outcomes. While the results support exercise as a potential adjunctive therapy for CFS, they also emphasize the necessity of rigorous, longitudinal investigations to establish its cli

慢性疲劳综合征是一种复杂的衰弱性疾病,以持续疲劳、肌肉骨骼疼痛、睡眠障碍和认知障碍为特征。全球流行率估计在0.2%至0.4%之间,影响全世界1700多万人,西班牙的负担估计超过4万例。尽管以运动为基础的康复作为一种治疗策略的探索,其临床疗效仍然是一个正在进行辩论的主题。本研究旨在评估运动康复相对于传统治疗在改善成人CFS功能能力和缓解疲劳方面的有效性。遵循PRISMA指南并在PROSPERO数据库(CRD42024573955)中进行了系统评价和荟萃分析。系统地在MEDLINE、PEDro、CINAHL、b谷歌Scholar、Scopus和SportDiscus上进行检索,涵盖了2010年1月至2024年1月之间发表的研究。采用经验证的PEDro量表和Cochrane工具评估方法学质量和偏倚风险,偏倚水平从低到高,从中等到良好。纳入标准有针对性的研究调查了结构化的治疗性运动干预,包括有氧训练、阻力训练和身心疗法。定性评价共纳入11项研究,最终纳入7项随机对照试验(n = 2276名受试者)进行meta分析。以运动为基础的干预措施,包括有氧训练、阻力训练、分级运动疗法(GET)、身心疗法和多模式方案,在短期内(n = 720)均显示出显著的疲劳减轻(SMD = -0.50;95% ci: [-0.75, -0.24];Z = 3.81;P < 0.001)和中期(n = 501;SMD = -0.53;95% ci: [-0.95, -0.12];Z = 2.52;P = 0.01)。中期功能改善也很显著(n = 685;SMD = 0.31;95% ci: [0.11, 0.52];Z = 2.96;P = 0.003),而与对照组相比,短期功能预后较差(n = 366;SMD = 0.10;95% ci: [-0.05, 0.25];Z = 1.29;P = 0.20)。值得注意的是,荟萃分析结果表明,与运动干预相比,对照组的中期功能结果略微有利,并且在疲劳减少或功能能力增强方面没有观察到显著的长期益处。这些发现强调了以运动为基础的康复治疗慢性疲劳综合症的选择性疗效,特别是在短期到中期缓解疲劳方面。然而,功能改善的短暂性突出了进一步研究的必要性,以优化运动方案,确定最有效的方式,并制定维持长期治疗结果的策略。虽然结果支持运动作为CFS的潜在辅助疗法,但他们也强调了严格的纵向研究以确定其临床适用性和长期疗效的必要性。
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引用次数: 0
Perceived Changes in Physical Activity, Sedentary Behavior, and Stress During the Pandemic Predict Current Levels of These Same Variables. 大流行期间身体活动、久坐行为和压力的感知变化预测了这些相同变量的当前水平。
Q1 Health Professions Pub Date : 2025-03-01 eCollection Date: 2025-01-01 DOI: 10.70252/DNVJ9996
Gretchen E Elsey, Jessica Smith-Ricketts, David Kohan, Andrew Lepp, Jacob E Barkley

The COVID-19 pandemic and its associated restrictions placed on daily life may have negatively impacted overall physical and psychological health as well as health behaviors such as decreased physical activity and increased sedentary behavior. It is important to understand if these potential changes during the pandemic may be predictive of current health behaviors where pandemic-related restrictions are no longer being implemented. This study aimed to assess the relationships between perceived changes in physical activity, sitting, and stress during the COVID-19 pandemic to current measures of these same variables. In April 2022, participants (N = 208) completed a survey in which they indicated perceived changes in physical activity, sitting, and stress during the pandemic. Participants then self-reported their current total physical activity, daily sitting, and anxiety. Multiple Pearson correlation analyses were performed to assess the relationships between perceived measures of physical activity, sitting, and stress during the pandemic to current measures of these same variables. Greater perceived inactivity (i.e., reduced physical activity) during the pandemic was associated with lower current total physical activity (r = -0.28, p < 0.001) and greater daily sitting (r = 0.19, p = 0.007). Greater perceived sitting during the pandemic was associated with lower current total physical activity (r = -0.26, p < 0.001). Lastly, greater perceived stress during the pandemic was associated with greater current anxiety (r = 0.35, p < 0.001). This suggests that individuals who perceived negative health-related changes during the pandemic may still be impacted by persisting effects.

2019冠状病毒病大流行及其对日常生活的相关限制可能会对整体身心健康以及健康行为产生负面影响,例如身体活动减少和久坐行为增加。重要的是要了解大流行期间的这些潜在变化是否可以预测不再实施大流行相关限制的当前卫生行为。本研究旨在评估COVID-19大流行期间身体活动、坐姿和压力的感知变化与这些变量的当前测量之间的关系。2022年4月,参与者(N = 208)完成了一项调查,他们在调查中指出了在大流行期间身体活动、坐姿和压力的变化。然后参与者自我报告他们目前的总体力活动、每天坐着和焦虑程度。进行了多重Pearson相关分析,以评估大流行期间身体活动、坐姿和压力的感知测量值与这些相同变量的当前测量值之间的关系。在大流行期间,更多的人感觉不活动(即体力活动减少)与当前总体力活动减少(r = -0.28, p < 0.001)和每天久坐(r = 0.19, p = 0.007)相关。大流行期间坐着的感觉越久,当前总体力活动越少(r = -0.26, p < 0.001)。最后,大流行期间更大的感知压力与当前更大的焦虑相关(r = 0.35, p < 0.001)。这表明,在大流行期间感知到与健康相关的负面变化的个人仍可能受到持续影响的影响。
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引用次数: 0
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International journal of exercise science
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