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“Phoenix Rising”: A scoping review on the impacts of dragon boating exercise on well-being among breast cancer survivors and factors affecting their participation “凤凰升起”:对龙舟运动对乳腺癌幸存者幸福感的影响及影响其参与的因素的范围审查
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.jesf.2026.200453
Nelson Chun Yiu Yeung , Victor Chi Wing Tam , Stephanie Tsz Yung Lau , Lihua Pan , Sze Nok Ng , Deng Yau Shy , Raymond Kim Wai Sum

Objective

Breast cancer survivors (BCS) often experience declines in physical and psychosocial well-being post-treatment, making supportive interventions essential. Dragon boating(team-based paddling in a long boat) has emerged as a promising, popular exercise for BCS. However, no comprehensive reviews exist on its impacts or participation factors. This scoping review addressed these gaps by examining two research questions (RQ): RQ1) the impacts of dragon boating on BCS’ well-being, and RQ2) facilitators and barriers influencing their participation.

Methods

Seven databases (PubMed, Embase, CINAHL, Web of Science, PsycInfo, Scopus, CNKI) were used to search for eligible studies from January 1996 to November 2025 involving BCS engaging in dragon boating. Screening from 245 records, 33 articles (18 quantitative, 14 qualitative, 1 mixed-methods) were identified.

Results

Among studies addressing RQ1 (n = 27), 24 studies reported at least one benefit on well-being. Dragon boating improved BCS’ physical functioning (e.g., upper limb strength, range of motion), psychosocial well-being(e.g.,mental health, posttraumatic growth), and health behaviors(healthier lifestyle), without increasing lymphedema risk. Benefits on biochemical indicators (e.g., anti-inflammatory markers/antioxidant capacity) were less conclusive. For RQ2 (n = 10), common facilitators for joining dragon boating were social support, focus away from cancer, information sharing, and being physically active/competitive; common barriers included feeling not fit enough to participate, reminders of death/cancer recurrence, concerns about cancer identity disclosure, time commitment, and location constraints.

Conclusions

Most studies demonstrated the benefits of dragon boating for BCS' physical and psychosocial well-being, but evidence did not support its superiority to other activities. To maximize impacts, addressing facilitators/barriers of participation will be important when designing and implementing dragon boating programs for BCS.
乳腺癌幸存者(BCS)在治疗后经常经历身体和心理健康的下降,这使得支持性干预必不可少。划龙船(在一艘长船上以团队为基础的划艇)已经成为BCS中很有前途的流行运动。然而,对其影响和参与因素尚无全面的评价。本范围审查通过检查两个研究问题(RQ)来解决这些差距:RQ1)龙舟运动对BCS健康的影响,以及RQ2)影响他们参与的因素和障碍。方法采用PubMed、Embase、CINAHL、Web of Science、PsycInfo、Scopus、CNKI等7个数据库检索1996年1月~ 2025年11月BCS参与龙舟活动的相关文献。从245份记录中筛选出33篇(定量18篇,定性14篇,混合方法1篇)。在涉及RQ1的研究中(n = 27), 24项研究报告了至少一项对幸福感的益处。划龙船改善了BCS的身体功能(例如,上肢力量,活动范围),心理健康(例如。(心理健康,创伤后成长)和健康行为(更健康的生活方式),而不会增加淋巴水肿的风险。对生化指标(如抗炎标志物/抗氧化能力)的益处则不太确定。在RQ2 (n = 10)中,社会支持、远离癌症、信息共享和身体活跃/有竞争力是参与龙舟运动的常见促进因素;常见的障碍包括感觉不太适合参与,死亡/癌症复发的提醒,对癌症身份披露的担忧,时间承诺和地点限制。大多数研究表明,划龙舟对BCS的身体和心理健康有益,但证据并不支持其优于其他活动。为了最大限度地发挥影响,在设计和实施BCS龙舟项目时,解决参与的促进因素/障碍将是重要的。
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引用次数: 0
Effects of low-load blood flow restriction vs. high-load resistance training on upper-body strength in male collegiate gymnasts: A randomized controlled trial 低负荷血流量限制与高负荷阻力训练对男性大学体操运动员上肢力量的影响:一项随机对照试验
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-04-01 Epub Date: 2026-02-05 DOI: 10.1016/j.jesf.2026.200456
Aojie Li , Jing Tang , Kaiqi Zheng , Jingyi Chen , Guangshun Wang , Daoguang Feng
<div><h3>Purpose</h3><div>High-load resistance training (HRT) is the standard for developing strength, characterized by high mechanical loads. Low-load training with blood flow restriction (BFR-LRT) has emerged as an alternative that uses lower mechanical loads but greater repetition volume to induce metabolic stress. While these training modalities impose differing physiological demands, the extent to which they produce comparable adaptations in highly trained athletes remains unclear. This study aimed to compare the effects of a 6-week BFR-LRT program versus a traditional HRT program on upper-body maximal strength and strength endurance in male collegiate gymnasts.</div></div><div><h3>Methods</h3><div>Thirty male collegiate gymnasts completed the experiment in three parallel groups: HRT (3 sets of 10 repetitions at 75% 1-repetition maximum [1RM]), BFR-LRT (1 set of 30 and 3 sets of 15 repetitions at 30% 1RM), or a control group (CG) that performed only regular gymnastics training. The 6-week intervention was preceded by familiarization and reliability testing. Upper-body maximal strength (1RM for bar dip, pull-up, and shoulder press) and strength endurance (maximal repetitions for bar dips 60s, pull-ups 40s, and handstand push-ups 40s) were assessed at baseline and post-intervention. A one-way Analysis of Covariance (ANCOVA), with baseline scores as a covariate, was used to compare post-intervention outcomes. To formally interpret non-significant comparisons between the HRT and BFR-LRT groups, a follow-up Bayesian ANCOVA was performed. Additionally, mediation analysis was conducted to determine if improvements in maximal strength mediated the observed gains in strength endurance.</div></div><div><h3>Results</h3><div>Both HRT and BFR-LRT produced significantly greater improvements than the control group across all outcomes. The primary comparison revealed no statistically significant differences between the HRT and BFR-LRT groups on any measure. The 95% confidence intervals for the adjusted mean differences consistently included zero, supporting their comparable efficacy. Follow-up Bayesian analysis consistently provided anecdotal evidence supporting comparable efficacy between the two training groups (Bayes Factor BF<sub>01</sub> > 2.0 for five of six outcomes). Exploratory mediation analysis revealed divergent mechanistic pathways for these adaptations: for handstand push-ups, endurance gains were statistically mediated by increased maximal strength in the HRT group, whereas this pathway was not significant for the BFR-LRT group.</div></div><div><h3>Conclusion</h3><div>In this cohort of elite gymnasts, a 6-week BFR-LRT program produced comparable adaptations in upper-body strength and strength endurance to traditional HRT, with Bayesian analysis supporting their similar efficacy. Mediation analysis revealed that the pathways to these gains were modality-specific: improvements in handstand push-up endurance were statistically mediated by gai
目的高负荷阻力训练(HRT)是发展力量的标准,其特点是高机械负荷。低负荷血流量限制训练(BFR-LRT)已成为一种替代方法,它使用较低的机械负荷但更大的重复量来诱导代谢应激。虽然这些训练方式施加了不同的生理需求,但它们在训练有素的运动员中产生类似适应的程度仍不清楚。本研究旨在比较6周BFR-LRT训练与传统HRT训练对男大学生体操运动员上肢最大力量和力量耐力的影响。方法30名男大学生体操运动员分为三个平行组:HRT组(3组/ 10次,最大重复次数为75% [1RM])、BFR-LRT组(1组/ 30次,最大重复次数为30% [1RM])和对照组(CG),只进行常规体操训练。在为期6周的干预之前进行熟悉性和可靠性测试。在基线和干预后评估上肢最大力量(杠铃俯卧撑、引体向上和肩压1RM)和力量耐力(杠铃俯卧撑最大重复次数60次、引体向上40次和倒立俯卧撑40次)。采用单向协方差分析(ANCOVA),以基线评分作为协变量,比较干预后的结果。为了正式解释HRT组和BFR-LRT组之间的非显著性比较,进行了随访贝叶斯方差分析。此外,还进行了中介分析,以确定最大力量的提高是否介导了所观察到的力量耐力的增加。结果HRT和BFR-LRT在所有结果上都比对照组有更大的改善。初步比较显示HRT组和BFR-LRT组在任何指标上都没有统计学上的显著差异。调整后的平均差异的95%置信区间始终包括零,支持它们的可比性疗效。随访贝叶斯分析一致提供了轶事证据,支持两个训练组之间具有可比性的疗效(6个结果中的5个贝叶斯因子BF01 >; 2.0)。探索性中介分析揭示了这些适应的不同机制途径:对于倒立俯卧撑,HRT组耐力的增加是由最大力量的增加介导的,而这一途径在BFR-LRT组中并不显著。在这组优秀体操运动员中,为期6周的BFR-LRT计划在上肢力量和力量耐力方面产生了与传统HRT相当的适应性,贝叶斯分析支持它们相似的效果。中介分析显示,这些增加的途径是模式特异性的:HRT组倒立俯卧撑耐力的改善在统计学上是由最大力量的增加介导的,而BFR-LRT组则没有。这些研究结果表明,BFR-LRT是一种可行的低负荷训练替代方案,可以通过不同的生理机制刺激适应性,为管理训练量和减轻关节应力提供重要的实际意义。
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引用次数: 0
Exercise improves physical function in young women with functional ankle instability: a randomized controlled trial of 8-week structured high-intensity circuit training on balance, ankle function, and physical fitness 运动可以改善患有功能性踝关节不稳定的年轻女性的身体功能:一项为期8周的结构化高强度循环训练的随机对照试验,对平衡、踝关节功能和身体健康进行了影响
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-04-01 Epub Date: 2025-12-29 DOI: 10.1016/j.jesf.2025.200439
Qianwen Liao, Borui Zhang, Yuan Fang, Chen Zheng, Fenghua Sun

Background

Prolonged sedentary behavior in women is associated with weakened lower-body musculature and increased risk of falls and injury. Although high-intensity circuit training (HICT) has been reported to effectively improve aerobic and anaerobic fitness in previously inactive individuals, few studies have evaluated its effectiveness in young women with functional ankle instability (FAI).

Objective

We aimed to evaluate the effect of an 8-week HICT program on balance, ankle stability, and physical fitness in sedentary young women with FAI.

Method

This randomized controlled trial included 96 sedentary young women with FAI (aged 18–30 years, Cumberland Ankle Instability Tool (CAIT) < 25), who were randomly assigned to the HICT (n = 54) or control (n = 42) groups. The HICT group completed an 8-week program (3 sessions/week) with progressive intensity stages, whereas the control group maintained routine activity. A battery of outcomes was assessed before and after the intervention. The primary outcomes included objectively measured balance function and perceived ankle stability, whereas the secondary outcomes included body composition, body circumference, and physical fitness. Repeated-measures analysis of covariance was used to detect the time × group interaction effect, with adjustment for baseline values.

Results

A significant time × group interaction effect (p < 0.05) was observed for balance function and ankle stability (F = 4.732–54.806, η2 = 0.048–0.496), body composition (i.e., reductions in hip and thigh circumference: F = 5.092–8.933, η2 = 0.061–0.213), and physical fitness (i.e., improvements in back and leg strength, flexibility, upper limb strength, and abdominal strength: F = 7.783–54.806, η2 = 0.082–0.386).

Conclusions

An 8-week HICT program appears to effectively improve balance and ankle stability in sedentary young women with FAI, providing preliminary evidence that HICT is a promising intervention for enhancing physical function and reducing the risk of falls and injuries in this population.
背景:女性长时间久坐会导致下半身肌肉组织减弱,增加跌倒和受伤的风险。尽管高强度循环训练(HICT)已被报道能有效改善先前不运动个体的有氧和无氧适应性,但很少有研究评估其对患有功能性踝关节不稳定(FAI)的年轻女性的有效性。目的:我们旨在评估为期8周的HICT项目对久坐的年轻FAI女性患者的平衡、踝关节稳定性和身体健康的影响。方法本随机对照试验纳入96名久坐不动的年轻FAI女性(年龄18-30岁,Cumberland Ankle Instability Tool (CAIT) < 25),随机分为HICT组(n = 54)和对照组(n = 42)。HICT组完成了为期8周的计划(3次/周),并按渐进强度阶段进行,而对照组则保持常规活动。在干预前后对一系列结果进行评估。主要结果包括客观测量的平衡功能和感知的踝关节稳定性,而次要结果包括身体组成、身体围度和身体健康。采用重复测量协方差分析检测时间×组相互作用效应,并对基线值进行调整。结果在平衡功能和踝关节稳定性(F = 4.732-54.806, η2 = 0.048-0.496)、身体组成(即髋部和大腿围围减小:F = 5.092-8.933, η2 = 0.061-0.213)和体能(即背部和腿部力量、柔韧性、上肢力量和腹部力量的改善:F = 7.783-54.806, η2 = 0.082-0.386)方面均存在显著的时间×组交互作用(p < 0.05)。结论:为期8周的HICT计划似乎可以有效地改善久坐的年轻FAI女性患者的平衡和踝关节稳定性,初步证明HICT是一种有希望的干预措施,可以增强这类人群的身体功能,降低跌倒和受伤的风险。
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引用次数: 0
Pacing of the first and only female finisher in the world's longest triathlon: The 2024 Triple Deca ultra triathlon 在世界上最长的铁人三项比赛中,第一位也是唯一一位女性完成比赛的速度:2024年三项全能铁人三项
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-04-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jesf.2026.200454
Sasa Duric , Marilia Santos Andrade , Luciano Bernardes Leite , Pedro Forte , Pantelis T. Nikolaidis , Ivan Cuk , Katja Weiss , Thomas Rosemann , Beat Knechtle

Purpose

Pacing in triathlon has been analyzed for distances up to 60 long-distance triathlons in 60 days in men. However, no study has examined pacing in a female ultra-endurance triathlete in a multi-day triathlon exceeding 10 days. Thus, this case study analyzes the pacing of the first and only woman to complete 30 long-distance triathlons in 30 days.

Methods

Lap times for swimming, cycling, and running, including transitions, were collected from race results. The athlete tracked each discipline daily using a Fenix 7 Sapphire Solar, recording average and maximum heart rates and energy expenditure. The coefficient of variation and second-order polynomial regression were calculated for average pace, split, and total times. Repeated measures ANOVA tested interactions in pace performance across 10-day phases and intra-discipline daily pacing variations. Multivariate regression examined physiological parameters’ impact on pacing.

Results

The female triathlete maintained a relatively even pacing strategy throughout the race, with a decrease in cycling speed and an increase in running speed. Cycling showed the strongest and significant correlation with total race time (r = 0.810; p < 0.001), while running (r = 0.347; p = 0.119) and swimming (r = −0.312; p = 0.165) displayed non-significant associations. The pace varied within the disciplines, with cycling becoming slower and running faster in the last quarter of the race. Energy expenditure, maximum and average heart rate were significant predictors for cycling (R2 = 0.538; p < 0.001), while only average heart rate was the best predictor for running performance (R2 = 0.450; p < 0.001).

Conclusions

Tactical considerations most likely influenced pacing, particularly in cycling and running. Future research should further explore pacing strategies in ultra-endurance events.
目的对男子铁人三项在60天内进行60次长距离铁人三项的起搏进行了分析。然而,没有研究检查过女性超耐力铁人三项运动员在超过10天的多日铁人三项中的速度。因此,本案例研究分析了第一位也是唯一一位在30天内完成30项长距离铁人三项的女性的速度。方法从比赛结果中收集游泳、骑自行车和跑步(包括过渡)的运动时间。这位运动员每天使用菲尼克斯7蓝宝石太阳能跟踪每个项目,记录平均和最大心率以及能量消耗。变异系数和二阶多项式回归计算平均步幅,分裂和总时间。重复测量方差分析(ANOVA)测试了10天阶段的速度表现和学科内每日速度变化的相互作用。多变量回归分析生理参数对起搏的影响。结果女子铁人三项运动员全程保持相对均匀的配速策略,骑车速度下降,跑步速度上升。骑自行车与总比赛时间的相关性最强且显著(r = 0.810; p < 0.001),而跑步(r = 0.347; p = 0.119)和游泳(r = - 0.312; p = 0.165)的相关性不显著。不同项目的比赛节奏各不相同,在比赛的最后四分之一阶段,骑自行车的速度变慢,跑步的速度变快。能量消耗、最大心率和平均心率是骑车的显著预测因子(R2 = 0.538; p < 0.001),而只有平均心率是跑步表现的最佳预测因子(R2 = 0.450; p < 0.001)。结论实用因素最有可能影响配速,尤其是在自行车和跑步中。未来的研究应进一步探索超耐力项目的配速策略。
{"title":"Pacing of the first and only female finisher in the world's longest triathlon: The 2024 Triple Deca ultra triathlon","authors":"Sasa Duric ,&nbsp;Marilia Santos Andrade ,&nbsp;Luciano Bernardes Leite ,&nbsp;Pedro Forte ,&nbsp;Pantelis T. Nikolaidis ,&nbsp;Ivan Cuk ,&nbsp;Katja Weiss ,&nbsp;Thomas Rosemann ,&nbsp;Beat Knechtle","doi":"10.1016/j.jesf.2026.200454","DOIUrl":"10.1016/j.jesf.2026.200454","url":null,"abstract":"<div><h3>Purpose</h3><div>Pacing in triathlon has been analyzed for distances up to 60 long-distance triathlons in 60 days in men. However, no study has examined pacing in a female ultra-endurance triathlete in a multi-day triathlon exceeding 10 days. Thus, this case study analyzes the pacing of the first and only woman to complete 30 long-distance triathlons in 30 days.</div></div><div><h3>Methods</h3><div>Lap times for swimming, cycling, and running, including transitions, were collected from race results. The athlete tracked each discipline daily using a Fenix 7 Sapphire Solar, recording average and maximum heart rates and energy expenditure. The coefficient of variation and second-order polynomial regression were calculated for average pace, split, and total times. Repeated measures ANOVA tested interactions in pace performance across 10-day phases and intra-discipline daily pacing variations. Multivariate regression examined physiological parameters’ impact on pacing.</div></div><div><h3>Results</h3><div>The female triathlete maintained a relatively even pacing strategy throughout the race, with a decrease in cycling speed and an increase in running speed. Cycling showed the strongest and significant correlation with total race time (r = 0.810; p &lt; 0.001), while running (r = 0.347; p = 0.119) and swimming (r = −0.312; p = 0.165) displayed non-significant associations. The pace varied within the disciplines, with cycling becoming slower and running faster in the last quarter of the race. Energy expenditure, maximum and average heart rate were significant predictors for cycling (R<sup>2</sup> = 0.538; p &lt; 0.001), while only average heart rate was the best predictor for running performance (R<sup>2</sup> = 0.450; p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Tactical considerations most likely influenced pacing, particularly in cycling and running. Future research should further explore pacing strategies in ultra-endurance events.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"24 2","pages":"Article 200454"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146034882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Profiles of 24-h movement behaviors and physical fitness among preschool children: a latent profile analysis 学龄前儿童24小时运动行为与体质特征:潜在特征分析
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-04-01 Epub Date: 2026-02-09 DOI: 10.1016/j.jesf.2026.200459
Bin Yang , Long Yin , Zongyu Yang , Pan Liu , Fang Li , Yi feng Chen , Xiaoming Liu

Objective

This study aims to identify the 24-h movement behavior patterns of preschool children using Latent Profile Analysis based on Compositional Data Analysis (CoDA), and to examine their associations with physical fitness.

Methods

The study employs a cross-sectional design. A total of 329 healthy children aged 4-6 years were selected. Accelerometers (ActiGraph wGT3-BT, Pensacola, FL, USA) were used to measure light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and sedentary behavior (SB), while sleep was assessed through parent and teacher questionnaires. The assessment of physical fitness was conducted in accordance with the “Chinese National Physical Fitness Test Standards” (Preschooler Section). To address the multicollinearity problems among components of physical activity (PA), CoDA was first applied, subsequently, Latent Profile Analysis was utilized to categorize 24-h movement behavior patterns, while a Generalized Ordered Logit Model (GOLM) was applied to investigate their associations with physical fitness.

Results

Three distinct behavioral patterns emerged from the analysis: the “brown bear group” (moderate PA and SB, high SP, N = 176, 53.5%), the “cheetah group” (high PA/MVPA, low SB, moderate SP, N = 102, 31%), and the “koala group” (low PA, high SB, lower SP, N = 51, 15.5%). After adjusting for potential confounding factors, it was found that compared with the “koala group”, the “brown bear group” and the “cheetah group” exhibited higher levels of physical fitness, with the probability of improving their physical fitness rating being 3.69 times and 6.36 times that of the “koala group,” respectively.

Conclusion

This study highlights the significant impact of active and healthy activity patterns on the physical fitness of preschool children, providing a foundation for formulating personalized preventive and interventional approaches in early childhood.
目的运用基于成分数据分析(CoDA)的潜在特征分析方法识别学龄前儿童24小时运动行为模式,并探讨其与身体健康的关系。方法本研究采用横断面设计。共选取329名4-6岁的健康儿童。使用加速度计(ActiGraph wGT3-BT,美国佛罗里达州彭sacola)测量轻体力活动(LPA)、中高强度体力活动(MVPA)和久坐行为(SB),同时通过家长和教师问卷评估睡眠。体质评估按照《中国国家体质测试标准》(学龄前部分)进行。为了解决体力活动(PA)各组成部分之间的多重共线性问题,首先应用CoDA,然后利用潜在剖面分析对24小时运动行为模式进行分类,并应用广义有序Logit模型(GOLM)研究它们与身体健康的关系。结果结果显示,“棕熊组”(中等PA和SB,高SP, N = 176, 53.5%)、“猎豹组”(高PA/MVPA,低SB,中等SP, N = 102, 31%)和“考拉组”(低PA,高SB,低SP, N = 51, 15.5%)具有明显的行为模式。在调整了潜在的混杂因素后,发现与“考拉组”相比,“棕熊组”和“猎豹组”表现出更高的身体健康水平,其身体健康评级提高的概率分别是“考拉组”的3.69倍和6.36倍。结论积极健康的活动方式对学龄前儿童体质有显著影响,为制定个性化的早期预防和干预措施提供了依据。
{"title":"Profiles of 24-h movement behaviors and physical fitness among preschool children: a latent profile analysis","authors":"Bin Yang ,&nbsp;Long Yin ,&nbsp;Zongyu Yang ,&nbsp;Pan Liu ,&nbsp;Fang Li ,&nbsp;Yi feng Chen ,&nbsp;Xiaoming Liu","doi":"10.1016/j.jesf.2026.200459","DOIUrl":"10.1016/j.jesf.2026.200459","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to identify the 24-h movement behavior patterns of preschool children using Latent Profile Analysis based on Compositional Data Analysis (CoDA), and to examine their associations with physical fitness.</div></div><div><h3>Methods</h3><div>The study employs a cross-sectional design. A total of 329 healthy children aged 4-6 years were selected. Accelerometers (ActiGraph wGT3-BT, Pensacola, FL, USA) were used to measure light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and sedentary behavior (SB), while sleep was assessed through parent and teacher questionnaires. The assessment of physical fitness was conducted in accordance with the “Chinese National Physical Fitness Test Standards” (Preschooler Section). To address the multicollinearity problems among components of physical activity (PA), CoDA was first applied, subsequently, Latent Profile Analysis was utilized to categorize 24-h movement behavior patterns, while a Generalized Ordered Logit Model (GOLM) was applied to investigate their associations with physical fitness.</div></div><div><h3>Results</h3><div>Three distinct behavioral patterns emerged from the analysis: the “brown bear group” (moderate PA and SB, high SP, N = 176, 53.5%), the “cheetah group” (high PA/MVPA, low SB, moderate SP, N = 102, 31%), and the “koala group” (low PA, high SB, lower SP, N = 51, 15.5%). After adjusting for potential confounding factors, it was found that compared with the “koala group”, the “brown bear group” and the “cheetah group” exhibited higher levels of physical fitness, with the probability of improving their physical fitness rating being 3.69 times and 6.36 times that of the “koala group,” respectively.</div></div><div><h3>Conclusion</h3><div>This study highlights the significant impact of active and healthy activity patterns on the physical fitness of preschool children, providing a foundation for formulating personalized preventive and interventional approaches in early childhood.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"24 2","pages":"Article 200459"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of accelerometer-derived 'weekend warrior' physical activity on musculoskeletal disorders and multimorbidity development 加速度计衍生的“周末战士”体力活动对肌肉骨骼疾病和多病发展的影响
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-04-01 Epub Date: 2026-02-04 DOI: 10.1016/j.jesf.2026.200458
Yuanpeng Zhu , Di Liu , Xiangjie Yin , Terry Jianguo Zhang , Nan Wu

Background

Whether concentrating moderate-to-vigorous physical activity (MVPA) into 1–2 days (“weekend warrior”, WW) provides musculoskeletal benefits comparable to more evenly distributed weekly activity (“regular activity”, RA) remains unclear.

Methods

In a prospective UK Biobank accelerometer cohort (n = 52,606), participants free of musculoskeletal disease at baseline were classified hierarchically: inactive (<150 min/week MVPA); among those meeting the guideline threshold (≥150 min/week), WW (≥50% of weekly MVPA accrued within the most active 1–2 days) and RA (≥150 min/week but not meeting the WW criterion). Over a median 8.2 years of follow-up, there were 4107 osteoarthritis (OA), 2454 spine degenerative changes (SDCs), and 1006 osteoporosis (OP) events. Cox models estimated incident outcomes; multi-state models estimated transitions among baseline, first musculoskeletal disease, musculoskeletal multimorbidity (MSM), and death.

Results

Compared with inactivity, both RA and WW were associated with lower risks of OA (RA hazard ratio [HR] 0.76, 95% confidence interval [CI] 0.69–0.83; WW HR 0.83, 0.77–0.89; both p < 0.001), SDCs (RA HR 0.85, 0.76–0.95, p = 0.004; WW HR 0.85, 0.78–0.94, p = 0.001), and OP (RA HR 0.74, 0.62–0.88; WW HR 0.75, 0.65–0.87; both p < 0.001). In multi-state analyses, mortality was lower versus inactivity from baseline for both RA (HR 0.61, 0.55–0.69; p < 0.001) and WW (HR 0.59, 0.54–0.65; p < 0.001), with a stronger reduction after MSM for WW (HR 0.42, 0.25–0.72; p = 0.001) than RA (HR 0.83, 0.48–1.43; p = 0.502).

Conclusion

Meeting MVPA recommendations via WW may provide comparable musculoskeletal risk reduction to RA.
背景:是否集中在1-2天进行中高强度的身体活动(MVPA)(“周末战士”,WW)能提供与更均匀分布的每周活动(“常规活动”,RA)相当的肌肉骨骼益处尚不清楚。方法在一项前瞻性英国生物银行加速计队列研究中(n = 52,606),基线时无肌肉骨骼疾病的参与者按等级分类:不活动(150分钟/周MVPA);在符合指南阈值(≥150分钟/周)的患者中,WW(≥50%的每周MVPA在最活跃的1-2天内累积)和RA(≥150分钟/周,但不符合WW标准)。在中位8.2年的随访中,有4107例骨关节炎(OA), 2454例脊柱退行性改变(sdc)和1006例骨质疏松症(OP)事件。Cox模型估计事件结果;多状态模型估计了基线、首发肌肉骨骼疾病、肌肉骨骼多病(MSM)和死亡之间的转变。结果与不运动相比,RA和WW均与OA (RA风险比[HR] 0.76, 95%可信区间[CI] 0.69-0.83; WW HR 0.83, 0.77-0.89; p < 0.001)、sdc (RA HR 0.85, 0.76 - 0.95, p = 0.004; WW HR 0.85, 0.78-0.94, p = 0.001)和OP (RA HR 0.74, 0.62-0.88; WW HR 0.75, 0.65-0.87; p < 0.001)的风险降低相关。在多状态分析中,RA(危险度0.61,0.55-0.69;p < 0.001)和WW(危险度0.59,0.54-0.65;p < 0.001)的死亡率均低于基线水平,MSM后WW(危险度0.42,0.25-0.72;p = 0.001)比RA(危险度0.83,0.48-1.43;p = 0.502)的死亡率降低更大。结论:通过WW达到MVPA建议可能提供与RA相当的肌肉骨骼风险降低。
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引用次数: 0
Effects of an eight-week composite plantar sensory exercise on postural stability in older adults: a randomised controlled trial 为期八周的复合足底感觉运动对老年人姿势稳定性的影响:一项随机对照试验
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-04-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jesf.2026.200451
Xiaoyue Hu , Ziwei Zeng , Lin Wang

Background/objectives

The purpose of our study is to examine the effects of an eight-week composite plantar sensory exercise on plantar sensation, ankle proprioception and postural control in healthy older adults.

Methods

108 healthy older adults were randomly assigned to the intervention (n = 54) or the control group (n = 54). The intervention group received composite plantar sensory exercise which included plantar vibration/perception training and walking exercise (3 times per week for 8weeks), while the control group only received walking exercise. Postural stability (static and dynamic), plantar sensation (tactile sensation/vibration sensation/discrimination) and ankle proprioception (ankle kinesthesia/joint position sense/force sense) were tested.

Results

Over the 8-week intervention, the intervention group demonstrated significant improvements in the static postural stability test especially under challenging test conditions (p < 0.05). Moreover, intervention group showed a marked reduction in the centre of gravity sway velocity during eyes open eyes closed in single-leg stance tasks (p < 0.05). Furthermore, intervention group demonstrated significant improvements in plantar tactile sensation/vibration sensitivity in six tested positions (p < 0.05) and ankle kinesthesia threshold of ankle plantarflexion/dorsiflexion/inversion/eversion compared with controls (p < 0.05).

Conclusion

Composite plantar sensory exercise improves sensory feedback and static postural stability in healthy older adults—particularly under challenging condition such as visual conflict/visual conflict and unstable surface conditions. These findings highlight the potential of plantar sensory training for fall prevention strategies in aging populations.
背景/目的本研究的目的是研究为期8周的复合足底感觉运动对健康老年人足底感觉、踝关节本体感觉和姿势控制的影响。方法将108名健康老年人随机分为干预组(n = 54)和对照组(n = 54)。干预组接受包括足底振动/知觉训练和步行锻炼(每周3次,持续8周)的复合足底感觉锻炼,对照组只进行步行锻炼。测试体位稳定性(静态和动态)、足底感觉(触觉/振动感觉/辨别)和踝关节本体感觉(踝关节动觉/关节位置感/力感)。结果在8周的干预中,干预组在静态姿势稳定性测试中表现出显著改善,特别是在挑战性测试条件下(p < 0.05)。此外,干预组在单腿站立任务中睁眼闭眼时重心摇摆速度显著降低(p < 0.05)。此外,干预组在六个测试体位的足底触觉/振动敏感性(p < 0.05)和踝关节跖屈/背屈/内翻/外翻的踝关节动觉阈值与对照组相比均有显著改善(p < 0.05)。结论复合足底感觉运动可改善健康老年人的感觉反馈和静态姿势稳定性,特别是在视觉冲突/视觉冲突和不稳定表面条件等挑战性条件下。这些发现强调了足底感觉训练在老年人预防跌倒策略中的潜力。
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引用次数: 0
Relationships between physical activity dimensions and frailty incidence and progression in middle-aged and older adults: A 7-year cohort study 一项为期7年的队列研究:中老年人体力活动维度与虚弱发生率和进展之间的关系
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-01-01 Epub Date: 2025-12-15 DOI: 10.1016/j.jesf.2025.200435
Kening Xue , Dingsheng Deng , Hongwei Xie , Zhen Bai , Xiaoguang Zhao

Objective

Physical activity (PA) is well-established as a key factor in frailty prevention. However, existing evidence relies predominantly on cross-sectional studies, creating a gap in understanding the long-term impact of PA on frailty progression. This study therefore aimed to investigate the longitudinal associations of multiple PA dimensions with both the incidence and trajectory of frailty in middle-aged and older adults in China.

Methods

This 7-year cohort study included 5916 initially non-frail participants (frailty index, FI < 0.25) from the China Health and Retirement Longitudinal Study. PA was assessed using the International Physical Activity Questionnaire and quantified in terms of frequency, duration, and volume. Frailty was assessed with a validated 40-item FI. The study employed discrete-time survival models to estimate hazard ratios (HRs) for incident frailty (FI ≥ 0.25) and linear mixed-effects models to evaluate the FI trajectory over time.

Results

During the 7-year follow-up, 22.9 % of participants developed frailty. In fully adjusted models, most dimensions of PA (frequency, duration, and volume) demonstrated inverse associations with frailty risk. A clear dose-response relationship was observed, whereby engaging in vigorous-intensity physical activity (VPA) for 1–2 days per week was associated with a 63 % lower risk (Adjusted HR = 0.37). Similarly, even as little as 10–29 min of VPA per day was associated with a 75 % risk reduction (Adjusted HR = 0.25). Higher levels of PA were also significantly associated with a slower annual increase in the FI score (e.g., Adjusted β = −0.0025 for VPA 6–7 days/week). Gender-stratified analyses revealed that the protective association of VPA was more pronounced in men, whereas moderate-intensity physical activity (MPA) was more consistently associated with reduced frailty risk in women.

Conclusion

The findings suggest that regular PA, particularly VPA, is associated with a lower incidence and slower progression of frailty, showing a clear dose-response relationship. Notably, even modest amounts of VPA were associated with substantial protection. The associations appeared to be gender-specific, with the protective association of VPA appearing more pronounced in men and MPA more consistent for women. These findings underscore the critical importance of promoting tailored PA for frailty prevention in aging populations.
目的体育活动(PA)已被公认为是预防虚弱的关键因素。然而,现有的证据主要依赖于横断面研究,在理解PA对衰弱进展的长期影响方面存在差距。因此,本研究旨在探讨多个PA维度与中国中老年人衰弱发生率和轨迹的纵向关联。方法这项为期7年的队列研究纳入了来自中国健康与退休纵向研究的5916名最初非虚弱的参与者(虚弱指数,FI < 0.25)。使用国际身体活动问卷对PA进行评估,并根据频率、持续时间和量进行量化。虚弱程度用40项FI进行评估。该研究采用离散时间生存模型来估计事件脆弱性(FI≥0.25)的风险比(hr),并采用线性混合效应模型来评估FI随时间的变化轨迹。结果在7年的随访中,22.9%的参与者出现虚弱。在完全调整的模型中,PA的大多数维度(频率、持续时间和体积)与脆弱风险呈负相关。观察到明显的剂量-反应关系,即每周进行1-2天的高强度体力活动(VPA)与63%的风险降低相关(调整后的HR = 0.37)。同样,即使每天只有10-29分钟的VPA也与75%的风险降低相关(调整后的HR = 0.25)。较高的PA水平也与FI评分的年增长速度较慢显著相关(例如,VPA 6-7天/周的调整β = - 0.0025)。性别分层分析显示,VPA的保护作用在男性中更为明显,而中等强度的体育活动(MPA)在女性中更一致地与降低虚弱风险相关。结论常规PA,特别是VPA,与脆性发生率低、进展慢相关,呈现明显的剂量-反应关系。值得注意的是,即使是适量的VPA也有实质性的保护作用。这种关联似乎是有性别特征的,VPA的保护作用在男性中更为明显,而MPA在女性中更为一致。这些发现强调了在老年人群中推广量身定制的PA预防虚弱的重要性。
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引用次数: 0
Corrigendum to “Effects of exercise on blood glucose levels and pregnancy outcomes in women with gestational diabetes mellitus: A meta-analysis and meta-regression” [J Exerc Sci Fitness 23 (4) (2025) 416–425 100412] “运动对妊娠期糖尿病妇女血糖水平和妊娠结局的影响:荟萃分析和荟萃回归”的更正[J]运动科学健身23 (4)(2025)416-425 100412]
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-01-01 Epub Date: 2025-11-18 DOI: 10.1016/j.jesf.2025.11.006
Li Shu , Ruizhe Jiang , Fang Wang , Yongjin Xu , Ping Wang , Yuanying Ma , Jinxia Pan , Cong Huang
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引用次数: 0
The impact of tangeretin combined with whey protein supplementation on body composition and hormonal profiles in elite sprinters: A double-blind RCT 橘皮素联合乳清蛋白补充剂对优秀短跑运动员身体成分和激素特征的影响:一项双盲随机对照试验
IF 2.4 2区 医学 Q2 SPORT SCIENCES Pub Date : 2026-01-01 Epub Date: 2025-12-02 DOI: 10.1016/j.jesf.2025.200430
Zhi Cao , Zheng Zhang , Meng Liu

Objective

This study explored the combined effects of tangeretin and whey protein on serum testosterone and cortisol in competitive athletes.

Methods

In a double-blind,controlled trial, 24 elite sprinters were divided into two groups: an experimental group (EXP, n = 12) taking tangeretin (200 mg) and whey protein (19.8 g) daily, and a control group (CTRL, n = 12) taking only whey protein (19.8 g) over four weeks. Weekly and post-intervention tests measured serum testosterone, cortisol, superoxide dismutase (SOD) activity, and adrenocorticotropic hormone (ACTH) levels, along with pre- and post-intervention anthropometric assessments.

Results

After intervention, a significant Time × Group interaction was observed for fat-free mass (FFM), which increased significantly in the EXP but not in the CTRL, with a greater percentage increase in EXP (2.3 % vs. 1.1 %, p = 0.018). Similar interactions were found for fat mass and body fat percentage, which decreased significantly in EXP. For biochemical indicators, no significant Group × Time interactions were found. However, a significant main effect of time was identified for serum testosterone and ACTH, indicating comparable temporal changes in both groups. No significant time or interaction effects were observed for cortisol, T/C ratio and SOD.

Conclusion

Four weeks of combined whey protein and tangeretin supplementation significantly improved body composition in elite sprinters, whereas it did not significantly alter systemic hormonal profiles or antioxidant activity compared to whey protein alone.
目的探讨橘皮素和乳清蛋白对竞技运动员血清睾酮和皮质醇的联合影响。方法采用双盲对照试验,将24名优秀短跑运动员分为两组,试验组(EXP, n = 12)每天服用橘子皮素(200 mg)和乳清蛋白(19.8 g),对照组(CTRL, n = 12)连续4周只服用乳清蛋白(19.8 g)。每周和干预后测试测量血清睾酮、皮质醇、超氧化物歧化酶(SOD)活性和促肾上腺皮质激素(ACTH)水平,以及干预前和干预后的人体测量评估。结果干预后,实验组与对照组的无脂质量(FFM)存在显著的时间×组交互作用,实验组的FFM显著升高,而对照组的FFM无显著升高,其中实验组的FFM升高的百分比更高(2.3% vs. 1.1%, p = 0.018)。脂肪质量和体脂率也存在类似的相互作用,在EXP阶段显著降低。在生化指标方面,未发现显著的组×时间相互作用。然而,时间对血清睾酮和ACTH有显著的主要影响,表明两组的时间变化相似。皮质醇、T/C比值和SOD均无显著的时间效应或交互作用。结论:与单独补充乳清蛋白相比,4周的联合补充乳清蛋白和橘子皮素显著改善了优秀短跑运动员的身体组成,但没有显著改变全身激素水平或抗氧化活性。
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引用次数: 0
期刊
Journal of Exercise Science & Fitness
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