Pub Date : 2025-10-01DOI: 10.1016/j.jesf.2025.11.003
Xiuguo Ge , Xiaoxiang Shen , Xiaoguang Zhao
Objectives
Physical activity (PA) intensity is a critical factor in managing chronic diseases. However, a significant gap remains regarding how the relative proportion of moderate-to-vigorous PA (MVPA) within total PA volume specifically influences sarcopenia risk, particularly as evidenced by longitudinal data. This study therefore specifically aimed to investigate the longitudinal association between the MVPA fraction and the incidence of possible sarcopenia (PS).
Methods
We conducted a prospective cohort study of 4,215 middle-aged and older individuals from the first wave in 2011 and the third wave in 2015 of the China Health and Retirement Longitudinal Study. We used a Chinese version of the International Physical Activity Questionnaire to assess PA. Muscle strength and physical performance were used to determine PS in accordance with the Asian Working Group for Sarcopenia 2019. The association between the proportion of MVPA to total PA volume and the risk of PS was tested using robust Poisson regression analysis.
Results
In comparison to no activity, the 0%, 1%–33%, 34%–66%, and 67%–100% of MVPA were linked to 11% (aRR = 0.89, 95 % CI = 0.74, 1.08), 26% (aRR = 0.74, 95 % CI = 0.57, 0.96), 20% (aRR = 0.80, 95 % CI = 0.66, 0.98), and 33% (aRR = 0.67, 95 % CI = 0.56, 0.83) decreases in the risk of PS, respectively. Subgroup analyses by sex and age revealed that the inverse association between MVPA proportion and PS risk remained significant specifically among women and older adults. A sensitivity analysis confirmed the inverse association between MVPA proportion and PS risk.
Conclusions
The study findings suggest that middle-aged and older adults with a greater proportion of MVPA to total volume of PA may have a decreased risk of PS, and the correlation is affected by age and sex.
目的体育活动(PA)强度是治疗慢性疾病的关键因素。然而,关于中度至剧烈PA (MVPA)在总PA容积中的相对比例如何具体影响肌肉减少症风险,特别是纵向数据所证明的,仍然存在重大差距。因此,本研究专门旨在调查MVPA分数与可能的肌肉减少症(PS)发生率之间的纵向关联。方法对2011年第一波和2015年第三波中国健康与退休纵向研究的4215名中老年个体进行前瞻性队列研究。我们使用中文版的国际体育活动问卷来评估PA。根据2019年亚洲肌肉减少症工作组的规定,使用肌肉力量和身体表现来确定PS。MVPA占总PA容积的比例与PS风险之间的关系采用稳健泊松回归分析进行检验。结果与不活动组相比,MVPA组0%、1% ~ 33%、34% ~ 66%和67% ~ 100%分别使PS风险降低11% (aRR = 0.89, 95% CI = 0.74, 1.08)、26% (aRR = 0.74, 95% CI = 0.57, 0.96)、20% (aRR = 0.80, 95% CI = 0.66, 0.98)和33% (aRR = 0.67, 95% CI = 0.56, 0.83)。性别和年龄的亚组分析显示,MVPA比例与PS风险之间的负相关仍然显著,特别是在女性和老年人中。敏感性分析证实MVPA比例与PS风险呈负相关。结论中老年人MVPA占PA总量的比例越大,患PS的风险越低,且相关性受年龄和性别的影响。
{"title":"The proportion of moderate-to-vigorous-intensity physical activity to total volume of physical activity correlates with decreased risk of possible sarcopenia: A prospective cohort study","authors":"Xiuguo Ge , Xiaoxiang Shen , Xiaoguang Zhao","doi":"10.1016/j.jesf.2025.11.003","DOIUrl":"10.1016/j.jesf.2025.11.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Physical activity (PA) intensity is a critical factor in managing chronic diseases. However, a significant gap remains regarding how the relative proportion of moderate-to-vigorous PA (MVPA) within total PA volume specifically influences sarcopenia risk, particularly as evidenced by longitudinal data. This study therefore specifically aimed to investigate the longitudinal association between the MVPA fraction and the incidence of possible sarcopenia (PS).</div></div><div><h3>Methods</h3><div>We conducted a prospective cohort study of 4,215 middle-aged and older individuals from the first wave in 2011 and the third wave in 2015 of the China Health and Retirement Longitudinal Study. We used a Chinese version of the International Physical Activity Questionnaire to assess PA. Muscle strength and physical performance were used to determine PS in accordance with the Asian Working Group for Sarcopenia 2019. The association between the proportion of MVPA to total PA volume and the risk of PS was tested using robust Poisson regression analysis.</div></div><div><h3>Results</h3><div>In comparison to no activity, the 0%, 1%–33%, 34%–66%, and 67%–100% of MVPA were linked to 11% (aRR = 0.89, 95 % CI = 0.74, 1.08), 26% (aRR = 0.74, 95 % CI = 0.57, 0.96), 20% (aRR = 0.80, 95 % CI = 0.66, 0.98), and 33% (aRR = 0.67, 95 % CI = 0.56, 0.83) decreases in the risk of PS, respectively. Subgroup analyses by sex and age revealed that the inverse association between MVPA proportion and PS risk remained significant specifically among women and older adults. A sensitivity analysis confirmed the inverse association between MVPA proportion and PS risk.</div></div><div><h3>Conclusions</h3><div>The study findings suggest that middle-aged and older adults with a greater proportion of MVPA to total volume of PA may have a decreased risk of PS, and the correlation is affected by age and sex.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 515-522"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145462534","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jesf.2025.10.004
Diego Fernando Afanador-Restrepo , Yulieth Rivas-Campo , Carlos Mario Basto-Cardona , David Alejandro Gonzalez-Bustamante , Agustin Aibar-Almazan , Yolanda Castellote-Caballero , Fidel Hita-Contreras , Eduardo Guzmán-Muñoz , Yeny Concha-Cisternas
Background/Objective: Mild cognitive impairment (MCI) compromises physical and mental function in older adults and increases the risk of dementia. High-Intensity Functional Training (HIFT) is a promising intervention, but the optimal dose-response for improving cognitive and physical outcomes in this population remains unclear.
Methods
A randomized controlled trial was conducted with 224 older adults (≥65 years) allocated to three groups: high-dose HIFT (4 sessions of 60 min/week), low-dose HIFT (2 sessions of 45 min/week), and control (non-exercise activities). The intervention lasted 12 weeks. Primary outcomes included cognitive function (MAAS, MoCA, TMT A/B, VFAT, DSST), physical fitness (Senior Fitness Test, Tinetti), and quality of life (SF-36, PSQI). A repeated-measures ANOVA was used to examine the time × group interaction.
Results
Significant time × group interactions were observed for MAAS (F = 20.50; p < 0.001; η2G = 0.005), MoCA (F = 17.40; p < 0.001; η2G = 0.034), TMT A (F = 38.60; p < 0.001; η2G = 0.098), and VFAT (F = 109.00; p < 0.001; η2G = 0.101), with greater improvements in both HIFT groups compared to control. For quality of life, significant interactions were found across all SF-36 dimensions, notably in Vitality (F = 76.20; p < 0.001; η2G = 0.095) and Emotional Role (F = 23.00; p < 0.001; η2G = 0.032). Physical fitness also improved, with significant effects in the 6-Minute Walk Test (F = 29.80; p < 0.001; η2G = 0.108) and 8-Foot Up-and-Go (F = 81.00; p < 0.001; η2G = 0.191).
Conclusion
Both high- and low-dose HIFT programs improved cognitive, physical, and quality-of-life outcomes in older adults with MCI. The low-dose intervention achieved similar effects to the high-dose protocol, offering a time-efficient and scalable approach for implementation in clinical and community settings.
背景/目的:轻度认知障碍(MCI)损害老年人的身心功能,并增加痴呆的风险。高强度功能训练(High-Intensity Functional Training, HIFT)是一种很有前景的干预手段,但在这一人群中,改善认知和身体状况的最佳剂量反应尚不清楚。方法对224名年龄≥65岁的老年人进行随机对照试验,将其分为3组:高剂量HIFT组(4次60分钟/周)、低剂量HIFT组(2次45分钟/周)和对照组(无运动活动)。干预持续12周。主要指标包括认知功能(MAAS、MoCA、TMT A/B、VFAT、DSST)、体能(Senior fitness Test、Tinetti)和生活质量(SF-36、PSQI)。采用重复测量方差分析来检验时间×组相互作用。结果MAAS (F = 20.50; p < 0.001; η2G = 0.005)、MoCA (F = 17.40; p < 0.001; η2G = 0.034)、TMT A (F = 38.60; p < 0.001; η2G = 0.098)和VFAT (F = 109.00; p < 0.001; η2G = 0.101)的时间组间相互作用显著,HIFT组与对照组相比均有较大改善。对于生活质量,在SF-36的所有维度中都发现了显著的相互作用,特别是在活力(F = 76.20; p < 0.001; η2G = 0.095)和情感角色(F = 23.00; p < 0.001; η2G = 0.032)。身体素质也得到了改善,在6分钟步行测试(F = 29.80; p < 0.001; η2G = 0.108)和8英尺上下行走测试(F = 81.00; p < 0.001; η2G = 0.191)中效果显著。结论:高剂量和低剂量HIFT方案均可改善老年MCI患者的认知、身体和生活质量。低剂量干预取得了与高剂量方案相似的效果,为在临床和社区环境中实施提供了一种具有时间效率和可扩展的方法。
{"title":"Effects of two different doses of HIFT on physical function, cognitive performance, and quality of life in older adults with mild cognitive impairment: A randomized controlled trial","authors":"Diego Fernando Afanador-Restrepo , Yulieth Rivas-Campo , Carlos Mario Basto-Cardona , David Alejandro Gonzalez-Bustamante , Agustin Aibar-Almazan , Yolanda Castellote-Caballero , Fidel Hita-Contreras , Eduardo Guzmán-Muñoz , Yeny Concha-Cisternas","doi":"10.1016/j.jesf.2025.10.004","DOIUrl":"10.1016/j.jesf.2025.10.004","url":null,"abstract":"<div><div>Background/Objective: Mild cognitive impairment (MCI) compromises physical and mental function in older adults and increases the risk of dementia. High-Intensity Functional Training (HIFT) is a promising intervention, but the optimal dose-response for improving cognitive and physical outcomes in this population remains unclear.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 224 older adults (≥65 years) allocated to three groups: high-dose HIFT (4 sessions of 60 min/week), low-dose HIFT (2 sessions of 45 min/week), and control (non-exercise activities). The intervention lasted 12 weeks. Primary outcomes included cognitive function (MAAS, MoCA, TMT A/B, VFAT, DSST), physical fitness (Senior Fitness Test, Tinetti), and quality of life (SF-36, PSQI). A repeated-measures ANOVA was used to examine the time × group interaction.</div></div><div><h3>Results</h3><div>Significant time × group interactions were observed for MAAS (F = 20.50; p < 0.001; η<sup>2</sup>G = 0.005), MoCA (F = 17.40; p < 0.001; η<sup>2</sup>G = 0.034), TMT A (F = 38.60; p < 0.001; η<sup>2</sup>G = 0.098), and VFAT (F = 109.00; p < 0.001; η<sup>2</sup>G = 0.101), with greater improvements in both HIFT groups compared to control. For quality of life, significant interactions were found across all SF-36 dimensions, notably in Vitality (F = 76.20; p < 0.001; η<sup>2</sup>G = 0.095) and Emotional Role (F = 23.00; p < 0.001; η<sup>2</sup>G = 0.032). Physical fitness also improved, with significant effects in the 6-Minute Walk Test (F = 29.80; p < 0.001; η<sup>2</sup>G = 0.108) and 8-Foot Up-and-Go (F = 81.00; p < 0.001; η<sup>2</sup>G = 0.191).</div></div><div><h3>Conclusion</h3><div>Both high- and low-dose HIFT programs improved cognitive, physical, and quality-of-life outcomes in older adults with MCI. The low-dose intervention achieved similar effects to the high-dose protocol, offering a time-efficient and scalable approach for implementation in clinical and community settings.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 462-472"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319908","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}
<div><h3>Objective</h3><div>This investigation involved examining whether Rest-Redistribution Set (RR) and Traditional-Set (TS) resistance priming (RP) protocols could induce a Delayed Potentiation Effect (DPE). Additionally, it was analyzed whether the RR protocol demonstrated significant advantages over the TS protocol in various performance parameters across different testing time points following the RP.</div></div><div><h3>Method</h3><div>Twenty-four male collegiate Physical Education majors participated in this study, each completing two resistance protocols involving the back squat exercise: (1) a RR protocol incorporating a 30-s intra-set rest and a 200-s inter-set rest, and (2) a TS protocol without intra-set rest and with a 240-s inter-set rest. Both protocols comprised four sets of five repetitions performed at 85 % of one-repetition maximum (1RM). Performance outcomes, including countermovement jump (CMJ), sprint time, Y-balance test scores, change of direction (COD) ability, and agility, were evaluated at three time points: baseline (Pre), 6 h post-exercise (Post-6h), and 24 h post-exercise (Post-24h). Data were analyzed using a two-way repeated-measures analysis of variance (ANOVA) with factors for protocol (RR vs. TS) and time (Pre, Post-6h, Post-24h). When significant main effects or interaction effects were identified, Bonferroni-adjusted post hoc pairwise comparisons were conducted.</div></div><div><h3>Results</h3><div>(1) A significant interaction between RP protocols and testing time points was observed for CMJ, sprint, and agility performance (<em>P</em> < 0.05). Simple effects of time: At Post-6h, both RP protocols elicited significant DPE across most metrics. Specifically, the TS protocol improved sprint (<em>P</em> < 0.001) and agility (<em>P</em> < 0.001) compared to Pre, whereas the RR protocol enhanced CMJ (<em>P</em> = 0.003), sprint (<em>P</em> < 0.001), and agility (<em>P</em> < 0.001). By Post-24h, TS showed significant declines in CMJ (<em>P</em> = 0.007) and sprint (<em>P</em> < 0.001) relative to Pre, while RR maintained improvements in agility (<em>P</em> = 0.001). Simple effects of RP protocol: At Post-6h, RR outperformed TS in CMJ (<em>P</em> = 0.005), sprint (<em>P</em> = 0.013), and agility (<em>P</em> = 0.005). At Post-24h, RR demonstrated significantly superior CMJ performance versus TS (<em>P</em> = 0.014). (2) No significant interaction effects between RP and testing time points were observed in COD or Y-balance tests (<em>P</em> > 0.05). However, time-dependent effects emerged: COD improved at Post-6h compared to Pre (<em>P</em> = 0.005), while Y-balance performance showed enhancements at both Post-6h and Post-24h compared to Pre (<em>P</em> < 0.001), with Post-24h values exceeding Post-6h (<em>P</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>Both the RR and TS protocols induced DPE at the Post-6h mark. The RR protocol improved CMJ, sprint, and agility performance, whi
{"title":"Delayed potentiation effect after high-load resistance priming: Effects of rest-redistribution set structures on athletic performance","authors":"Xingyi Niu , Fei Liu , Yuzhen Chen , Diwei Chen , Zhexiao Zhou","doi":"10.1016/j.jesf.2025.10.001","DOIUrl":"10.1016/j.jesf.2025.10.001","url":null,"abstract":"<div><h3>Objective</h3><div>This investigation involved examining whether Rest-Redistribution Set (RR) and Traditional-Set (TS) resistance priming (RP) protocols could induce a Delayed Potentiation Effect (DPE). Additionally, it was analyzed whether the RR protocol demonstrated significant advantages over the TS protocol in various performance parameters across different testing time points following the RP.</div></div><div><h3>Method</h3><div>Twenty-four male collegiate Physical Education majors participated in this study, each completing two resistance protocols involving the back squat exercise: (1) a RR protocol incorporating a 30-s intra-set rest and a 200-s inter-set rest, and (2) a TS protocol without intra-set rest and with a 240-s inter-set rest. Both protocols comprised four sets of five repetitions performed at 85 % of one-repetition maximum (1RM). Performance outcomes, including countermovement jump (CMJ), sprint time, Y-balance test scores, change of direction (COD) ability, and agility, were evaluated at three time points: baseline (Pre), 6 h post-exercise (Post-6h), and 24 h post-exercise (Post-24h). Data were analyzed using a two-way repeated-measures analysis of variance (ANOVA) with factors for protocol (RR vs. TS) and time (Pre, Post-6h, Post-24h). When significant main effects or interaction effects were identified, Bonferroni-adjusted post hoc pairwise comparisons were conducted.</div></div><div><h3>Results</h3><div>(1) A significant interaction between RP protocols and testing time points was observed for CMJ, sprint, and agility performance (<em>P</em> < 0.05). Simple effects of time: At Post-6h, both RP protocols elicited significant DPE across most metrics. Specifically, the TS protocol improved sprint (<em>P</em> < 0.001) and agility (<em>P</em> < 0.001) compared to Pre, whereas the RR protocol enhanced CMJ (<em>P</em> = 0.003), sprint (<em>P</em> < 0.001), and agility (<em>P</em> < 0.001). By Post-24h, TS showed significant declines in CMJ (<em>P</em> = 0.007) and sprint (<em>P</em> < 0.001) relative to Pre, while RR maintained improvements in agility (<em>P</em> = 0.001). Simple effects of RP protocol: At Post-6h, RR outperformed TS in CMJ (<em>P</em> = 0.005), sprint (<em>P</em> = 0.013), and agility (<em>P</em> = 0.005). At Post-24h, RR demonstrated significantly superior CMJ performance versus TS (<em>P</em> = 0.014). (2) No significant interaction effects between RP and testing time points were observed in COD or Y-balance tests (<em>P</em> > 0.05). However, time-dependent effects emerged: COD improved at Post-6h compared to Pre (<em>P</em> = 0.005), while Y-balance performance showed enhancements at both Post-6h and Post-24h compared to Pre (<em>P</em> < 0.001), with Post-24h values exceeding Post-6h (<em>P</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>Both the RR and TS protocols induced DPE at the Post-6h mark. The RR protocol improved CMJ, sprint, and agility performance, whi","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 487-497"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319910","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jesf.2025.10.002
Marta de-la-Plaza-San-Frutos , Alberto Sánchez Sierra , Ángel González de la Flor , Diego Domínguez-Balmaseda , María Bravo Aguilar , José Ángel Del Blanco Múñiz , Beatriz Ruiz Ruiz , Arturo Ladriñán Maestro
Background
Inspiratory muscle fatigue has been shown to impair physical performance. This study investigated the impact of a specific inspiratory muscle fatigue protocol on lower limb muscle strength and cardiorespiratory outcomes in a cohort of physically active individuals.
Method
A randomized controlled trial, adhering to CONSORT guidelines to ensure methodological rigor. Healthy male participants were randomly assigned to an inspiratory muscle fatigue group (EG) or control load group (CG). The EG performed a diaphragmatic fatigue protocol involving inspiratory exercises at 60 % of their maximal inspiratory pressure (MIP), while the CG performed two sets of 30 repetitions at 15 % of MIP. Measurements, including countermovement jump (CMJ), forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, half squat (HS), peripheral oxygen saturation (SpO2) and MIP, were collected before and immediately after the intervention.
Results
Forty participants completed the study. Significant group-by-time interactions were found for CMJ (p < 0.001; η2p = 0.405), FEV1 (p = 0.030; η2p = 0.118), FEV1/FVC (p < 0.001; η2p = 0.279) and HS (p < 0.001; η2p = 0.332), all with moderate to large effect sizes. Post-hoc analysis revealed a significant decrease in CMJ in the EG (p < 0.001, −8.4 %), while the CG showed no significant change (p = 0.092). FEV1/FVC decreased significantly in the EG (p = 0.007, −5.3 %), while the CG showed a significant increase (p = 0.015, +4.7 %). Similarly, HS decreased significantly in the EG (p = 0.002, −6.3 %), while the CG showed a significant increase (p = 0.007, +5.4 %). No significant interactions were observed for SpO2, heart rate, MIP or FVC.
Conclusions
Diaphragmatic fatigue significantly impairs lower limb strength in physically active individuals, potentially compromising athletic performance and increasing injury risk. These findings enhance understanding of the interplay between respiratory and muscular strength in athletes.
{"title":"Influence of a diaphragmatic fatigue protocol in healthy male population on muscle strength, respiratory function and exercise capacity: A randomized clinical trial","authors":"Marta de-la-Plaza-San-Frutos , Alberto Sánchez Sierra , Ángel González de la Flor , Diego Domínguez-Balmaseda , María Bravo Aguilar , José Ángel Del Blanco Múñiz , Beatriz Ruiz Ruiz , Arturo Ladriñán Maestro","doi":"10.1016/j.jesf.2025.10.002","DOIUrl":"10.1016/j.jesf.2025.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Inspiratory muscle fatigue has been shown to impair physical performance. This study investigated the impact of a specific inspiratory muscle fatigue protocol on lower limb muscle strength and cardiorespiratory outcomes in a cohort of physically active individuals.</div></div><div><h3>Method</h3><div>A randomized controlled trial, adhering to CONSORT guidelines to ensure methodological rigor. Healthy male participants were randomly assigned to an inspiratory muscle fatigue group (EG) or control load group (CG). The EG performed a diaphragmatic fatigue protocol involving inspiratory exercises at 60 % of their maximal inspiratory pressure (MIP), while the CG performed two sets of 30 repetitions at 15 % of MIP. Measurements, including countermovement jump (CMJ), forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, half squat (HS), peripheral oxygen saturation (SpO<sub>2</sub>) and MIP, were collected before and immediately after the intervention.</div></div><div><h3>Results</h3><div>Forty participants completed the study. Significant group-by-time interactions were found for CMJ (p < 0.001; η2p = 0.405), FEV1 (p = 0.030; η2p = 0.118), FEV1/FVC (p < 0.001; η2p = 0.279) and HS (p < 0.001; η2p = 0.332), all with moderate to large effect sizes. Post-hoc analysis revealed a significant decrease in CMJ in the EG (p < 0.001, −8.4 %), while the CG showed no significant change (p = 0.092). FEV<sub>1</sub>/FVC decreased significantly in the EG (p = 0.007, −5.3 %), while the CG showed a significant increase (p = 0.015, +4.7 %). Similarly, HS decreased significantly in the EG (p = 0.002, −6.3 %), while the CG showed a significant increase (p = 0.007, +5.4 %). No significant interactions were observed for SpO<sub>2</sub>, heart rate, MIP or FVC.</div></div><div><h3>Conclusions</h3><div>Diaphragmatic fatigue significantly impairs lower limb strength in physically active individuals, potentially compromising athletic performance and increasing injury risk. These findings enhance understanding of the interplay between respiratory and muscular strength in athletes.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 473-479"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319909","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jesf.2025.11.002
Do Hyun Kim , Eun Sook Kim , Jin Seok Lee , Sung Jin Yoon
Background/objectives
Excessive body fat causes imbalances in adipokines and impairs immune function, and not only exercise but also heat stimulation can promote fat reduction and induce extracellular heat shock protein 72 (eHSP72) expression, thereby improving immune function. Therefore, we examined the effects of heat stimulation after HIIT on adipokines, eHSP72, and immunoglobulin levels in men with obesity.
Methods
Forty-eight men were randomly assigned to one of the following three groups: high-intensity interval training followed by heat stimulation (HIITHS), moderate-intensity continuous training followed by heat stimulation (MICTHS), and heat stimulation (HS). The 12-week intervention was performed three times per week. Body composition and blood marker levels were assessed before and after the intervention.
Results
The HIITHS and MICTHS groups showed significant improvements in body weight, body mass index (BMI), and body fat percentage. Adiponectin levels increased, whereas leptin levels decreased in all groups. eHSP72 and immune marker levels (IgA, IgG) increased, with the greatest eHSP72 response observed in the HIITHS group. The IgE levels decreased in the HIITHS and HS groups.
Conclusion
These results suggest that combining HIIT with heat stimulation improves serum adipokines, eHSP72, and immunoglobulins in men with obesity, indicating that this approach may serve as a safe and effective intervention.
{"title":"Effects of heat stimulation after high-intensity interval training on serum adipokines, eHSP72, and immunoglobulins in men with obesity","authors":"Do Hyun Kim , Eun Sook Kim , Jin Seok Lee , Sung Jin Yoon","doi":"10.1016/j.jesf.2025.11.002","DOIUrl":"10.1016/j.jesf.2025.11.002","url":null,"abstract":"<div><h3>Background/objectives</h3><div>Excessive body fat causes imbalances in adipokines and impairs immune function, and not only exercise but also heat stimulation can promote fat reduction and induce extracellular heat shock protein 72 (eHSP72) expression, thereby improving immune function. Therefore, we examined the effects of heat stimulation after HIIT on adipokines, eHSP72, and immunoglobulin levels in men with obesity.</div></div><div><h3>Methods</h3><div>Forty-eight men were randomly assigned to one of the following three groups: high-intensity interval training followed by heat stimulation (HIITHS), moderate-intensity continuous training followed by heat stimulation (MICTHS), and heat stimulation (HS). The 12-week intervention was performed three times per week. Body composition and blood marker levels were assessed before and after the intervention.</div></div><div><h3>Results</h3><div>The HIITHS and MICTHS groups showed significant improvements in body weight, body mass index (BMI), and body fat percentage. Adiponectin levels increased, whereas leptin levels decreased in all groups. eHSP72 and immune marker levels (IgA, IgG) increased, with the greatest eHSP72 response observed in the HIITHS group. The IgE levels decreased in the HIITHS and HS groups.</div></div><div><h3>Conclusion</h3><div>These results suggest that combining HIIT with heat stimulation improves serum adipokines, eHSP72, and immunoglobulins in men with obesity, indicating that this approach may serve as a safe and effective intervention.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 523-531"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145516516","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jesf.2025.10.003
Minghui Du , Longwei Chen , Yan Li , Liang Xia , Yueying Liu , Mengyue Guo , Zeyi Zhang , Yunan Li
Background
While sedentary behavior and physical activity have been associated with the TyG index, their associations with TyG-derived indices and their potential interaction remain unclear.
Objective
This study aimed to examine the independent and interactive associations of sedentary behavior and physical activity with the TyG index and its derived indices.
Methods
This cross-sectional analysis used NHANES 2013–2018 data. We employed survey-weighted multivariate regression and restricted cubic splines to evaluate independent and nonlinear associations. Multiplicative interaction terms were used to examine if physical activity levels altered the association between sedentary behavior and outcomes.
Results
After multivariable adjustment, longer sedentary time was significantly associated with higher TyG index (β = 0.0051, p < 0.0001), TyG-BMI (β = 1.1395, p < 0.0001), TyG-WHtR (β = 0.0163, p < 0.0001) and TyG-WC (β = 3.0860, p < 0.0001). Higher physical activity showed inverse associations with TyG (β = −0.0039, p < 0.0001), TyG-BMI (β = −0.2677, p = 0.0007), TyG-WHtR (β = −0.0054, p < 0.0001) and TyG-WC (β = −1.0057, p < 0.0001). Nonlinear relationships were observed between physical activity and TyG-BMI, TyG-WHtR, and TyG-WC (p < 0.01). Significant interactions existed between sedentary behavior and physical activity on TyG (p = 0.037), TyG-WHtR (p = 0.047) and TyG-WC (p = 0.047).
Conclusion
Prolonged sedentary behavior and lower physical activity showed associations with adverse profiles of the TyG index and its derivatives. Significant interactions between these behaviors were observed, indicating a particularly important combined association with central obesity-related indices. Integrating reductions in sedentary time with increases in physical activity could represent a synergistic approach for improving metabolic health.
虽然久坐行为和体育活动与TyG指数有关,但它们与TyG衍生指数的关系及其潜在的相互作用尚不清楚。目的探讨久坐行为和体力活动与TyG指数及其衍生指数之间的独立和互动关系。方法采用NHANES 2013-2018数据进行横断面分析。我们采用调查加权多元回归和限制三次样条来评估独立的和非线性的关联。乘法交互项被用来检验身体活动水平是否改变了久坐行为和结果之间的联系。结果经多变量调整后,久坐时间较长与TyG指数(β = 0.0051, p < 0.0001)、TyG- bmi (β = 1.1395, p < 0.0001)、TyG- whtr (β = 0.0163, p < 0.0001)、TyG- wc (β = 3.0860, p < 0.0001)升高显著相关。高体力活动与TyG (β = - 0.0039, p < 0.0001)、TyG- bmi (β = - 0.2677, p = 0.0007)、TyG- whtr (β = - 0.0054, p < 0.0001)和TyG- wc (β = - 1.0057, p < 0.0001)呈负相关。体力活动与TyG-BMI、TyG-WHtR、TyG-WC呈非线性关系(p < 0.01)。久坐行为与身体活动在TyG (p = 0.037)、TyG- whtr (p = 0.047)和TyG- wc (p = 0.047)上存在显著交互作用。结论久坐行为和低体力活动与TyG指数及其衍生物的不良特征有关。观察到这些行为之间的显著相互作用,表明与中心肥胖相关指数特别重要的联合关联。将减少久坐时间与增加体力活动结合起来,可能是改善代谢健康的一种协同方法。
{"title":"Association between sedentary behavior, physical activity, and the triglyceride glucose index and its derived indices: evidence from NHANES 2013–2018","authors":"Minghui Du , Longwei Chen , Yan Li , Liang Xia , Yueying Liu , Mengyue Guo , Zeyi Zhang , Yunan Li","doi":"10.1016/j.jesf.2025.10.003","DOIUrl":"10.1016/j.jesf.2025.10.003","url":null,"abstract":"<div><h3>Background</h3><div>While sedentary behavior and physical activity have been associated with the TyG index, their associations with TyG-derived indices and their potential interaction remain unclear.</div></div><div><h3>Objective</h3><div>This study aimed to examine the independent and interactive associations of sedentary behavior and physical activity with the TyG index and its derived indices.</div></div><div><h3>Methods</h3><div>This cross-sectional analysis used NHANES 2013–2018 data. We employed survey-weighted multivariate regression and restricted cubic splines to evaluate independent and nonlinear associations. Multiplicative interaction terms were used to examine if physical activity levels altered the association between sedentary behavior and outcomes.</div></div><div><h3>Results</h3><div>After multivariable adjustment, longer sedentary time was significantly associated with higher TyG index (β = 0.0051, p < 0.0001), TyG-BMI (β = 1.1395, p < 0.0001), TyG-WHtR (β = 0.0163, p < 0.0001) and TyG-WC (β = 3.0860, p < 0.0001). Higher physical activity showed inverse associations with TyG (β = −0.0039, p < 0.0001), TyG-BMI (β = −0.2677, p = 0.0007), TyG-WHtR (β = −0.0054, p < 0.0001) and TyG-WC (β = −1.0057, p < 0.0001). Nonlinear relationships were observed between physical activity and TyG-BMI, TyG-WHtR, and TyG-WC (p < 0.01). Significant interactions existed between sedentary behavior and physical activity on TyG (p = 0.037), TyG-WHtR (p = 0.047) and TyG-WC (p = 0.047).</div></div><div><h3>Conclusion</h3><div>Prolonged sedentary behavior and lower physical activity showed associations with adverse profiles of the TyG index and its derivatives. Significant interactions between these behaviors were observed, indicating a particularly important combined association with central obesity-related indices. Integrating reductions in sedentary time with increases in physical activity could represent a synergistic approach for improving metabolic health.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 451-461"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264998","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jesf.2025.10.005
Kheng Win Khor , Kuan-Yu Lin , Chih-Wen Hsu , Jong-Shyan Wang
Objective
This study investigates whether 5-min ischemic preconditioning (IR5) more effectively reduces submaximal exercise blood pressure and improves muscle oxygenation compared to 2-min ischemia (IR2) or 2-min isometric priming (IM2).
Methods
Twenty untrained men (10 prehypertensive; 10 normotensive) completed, in randomized order, IR5 (3 × 5 min bilateral limb occlusion at 220 mmHg), IR2 (3 × 2 min bilateral occlusion), and IM2 (3 × 2 min 30 % maximal voluntary contraction isometric knee extension), each followed by the submaximal exercise test. Outcomes were exercise heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and vastus lateralis muscle oxygenation including Δdeoxyhemoglobin (ΔHHb), Δtotal hemoglobin (ΔtHb), and Δtissue saturation index (ΔTSI).
Results
IR5 significantly attenuated the submaximal pressor response, reducing SBP by mean difference (MD) = −2.23 mmHg (P < .001, ηp2 = 0.395) compared with both IR2 and IM2. A significant Condition × Group interaction (P = .023) indicated that the MAP reduction was confined to prehypertensive participants (MD = −3.14 mmHg, P = .003). During exercise, IR5 increased ΔtHb by MD = 1.56 μmol/L (ηp2 = 0.606) and mitigated the decline in ΔTSI by MD = 2.98 % (ηp2 = 0.716) without altering ΔHHb. In contrast, IR2 and IM2 elicited similar occlusion-phase deoxygenation but did not modify exercise hemodynamics or oxygenation metrics.
Conclusion
IR5 effectively lowers SBP and MAP during submaximal exercise and improves muscle oxygenation. It is a safe, non-pharmacological pre-exercise strategy to manage blood pressure and potentially reduce cardiovascular risk.
{"title":"Acute effects of ischemic preconditioning and isometric exercise on blood pressure in prehypertensive males","authors":"Kheng Win Khor , Kuan-Yu Lin , Chih-Wen Hsu , Jong-Shyan Wang","doi":"10.1016/j.jesf.2025.10.005","DOIUrl":"10.1016/j.jesf.2025.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigates whether 5-min ischemic preconditioning (IR5) more effectively reduces submaximal exercise blood pressure and improves muscle oxygenation compared to 2-min ischemia (IR2) or 2-min isometric priming (IM2).</div></div><div><h3>Methods</h3><div>Twenty untrained men (10 prehypertensive; 10 normotensive) completed, in randomized order, IR5 (3 × 5 min bilateral limb occlusion at 220 mmHg), IR2 (3 × 2 min bilateral occlusion), and IM2 (3 × 2 min 30 % maximal voluntary contraction isometric knee extension), each followed by the submaximal exercise test. Outcomes were exercise heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and vastus lateralis muscle oxygenation including Δdeoxyhemoglobin (ΔHHb), Δtotal hemoglobin (ΔtHb), and Δtissue saturation index (ΔTSI).</div></div><div><h3>Results</h3><div>IR5 significantly attenuated the submaximal pressor response, reducing SBP by mean difference (MD) = −2.23 mmHg (<em>P</em> < .001, ηp<sup>2</sup> = 0.395) compared with both IR2 and IM2. A significant Condition × Group interaction (<em>P</em> = .023) indicated that the MAP reduction was confined to prehypertensive participants (MD = −3.14 mmHg, <em>P</em> = .003). During exercise, IR5 increased ΔtHb by MD = 1.56 μmol/L (ηp<sup>2</sup> = 0.606) and mitigated the decline in ΔTSI by MD = 2.98 % (ηp<sup>2</sup> = 0.716) without altering ΔHHb. In contrast, IR2 and IM2 elicited similar occlusion-phase deoxygenation but did not modify exercise hemodynamics or oxygenation metrics.</div></div><div><h3>Conclusion</h3><div>IR5 effectively lowers SBP and MAP during submaximal exercise and improves muscle oxygenation. It is a safe, non-pharmacological pre-exercise strategy to manage blood pressure and potentially reduce cardiovascular risk.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 507-514"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362193","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}
The 24-h movement behavior framework, which integrates physical activity (PA), sedentary behavior, and sleep, acknowledges the co-dependent nature of time-use behaviors within a finite day. While these behaviors have been linked to cognitive performance in children, few studies have applied compositional data analysis (CoDA), and none have examined potential sex differences.
Objective
To explore sex-specific associations between 24-h movement behavior compositions and selective attention and cognitive flexibility in a sample of socioeconomically vulnerable Chilean children using CoDA.
Methods
Baseline data from 161 children (8–10 years old) participating in the Active-Start trial were analyzed. Movement behaviors were assessed via 9-day wrist-worn accelerometers. Selective attention was assessed using the d2 Test of Attention, and cognitive flexibility was measured with the Design Fluency Test.
Results
Boys accumulated more moderate-to-vigorous PA (MVPA; 83.5 [57.6–109.7] min) than girls (67.7 [52.3–78.1] min), whereas girls engaged in more light PA (219.9 ± 37.7 min) than boys (205.7 ± 38.1 min; P < 0.05). Among boys, reallocating daily time to MVPA at the expense of other behaviors was associated with increased processing speed (unstandardized-beta [B] = 53.501, 95 %confidence-interval [CI] 14.393; 92.609, P = 0.008) and concentration (B = 25.099, 95 %CI 4.816; 45.382, P = 0.016), as well as cognitive flexibility (B = 5.913, 95 %CI 1.995; 9.832, P = 0.004). No significant associations were observed in girls (P > 0.05). A non-significant association was observed linking sedentary behavior with cognitive performance in both sexes.
Conclusion
These findings highlight potential sex-specific benefits of MVPA and support the use of CoDA in understanding how daily time use relates to cognitive performance in children.
24小时运动行为框架整合了身体活动(PA)、久坐行为和睡眠,承认在有限的一天内时间使用行为的相互依赖性质。虽然这些行为与儿童的认知表现有关,但很少有研究应用成分数据分析(CoDA),也没有研究潜在的性别差异。目的探讨智利社会经济弱势儿童24小时运动行为构成与选择性注意和认知灵活性的性别相关性。方法对参与Active-Start试验的161名儿童(8-10岁)的基线数据进行分析。通过9天的腕带加速度计评估运动行为。使用d2注意力测试评估选择性注意力,使用设计流畅性测试测量认知灵活性。结果男孩累积的中重度PA (MVPA; 83.5 [57.6-109.7] min)多于女孩(67.7 [52.3-78.1]min),而女孩累积的轻度PA(219.9±37.7 min)多于男孩(205.7±38.1 min; P < 0.05)。在男孩中,以牺牲其他行为为代价将日常时间重新分配给MVPA与处理速度(非标准化贝塔系数[B] = 53.501, 95%置信区间[CI] 14.393; 92.609, P = 0.008)和注意力(B = 25.099, 95% CI 4.816; 45.382, P = 0.016)以及认知灵活性(B = 5.913, 95% CI 1.995; 9.832, P = 0.004)相关。在女孩中未观察到显著相关性(P > 0.05)。研究发现,在两性中,久坐行为与认知能力之间并无显著关联。结论:这些发现突出了MVPA潜在的性别特异性益处,并支持使用CoDA来理解儿童日常时间使用与认知表现的关系。
{"title":"Sex-stratified compositional analysis of 24-h movement behaviors and their relationship with selective attention and cognitive flexibility in socioeconomically vulnerable children","authors":"Jacinto Muñoz-Pardeza , Óscar Martínez-de-Quel , Unai Azcarate , Adrià Muntaner-Mas , Rodrigo Yáñez-Sepúlveda , Juan Hurtado-Almonacid , Ignacio Hormazábal-Aguayo , Antonio García-Hermoso , Yasmin Ezzatvar","doi":"10.1016/j.jesf.2025.10.006","DOIUrl":"10.1016/j.jesf.2025.10.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The 24-h movement behavior framework, which integrates physical activity (PA), sedentary behavior, and sleep, acknowledges the co-dependent nature of time-use behaviors within a finite day. While these behaviors have been linked to cognitive performance in children, few studies have applied compositional data analysis (CoDA), and none have examined potential sex differences.</div></div><div><h3>Objective</h3><div>To explore sex-specific associations between 24-h movement behavior compositions and selective attention and cognitive flexibility in a sample of socioeconomically vulnerable Chilean children using CoDA.</div></div><div><h3>Methods</h3><div>Baseline data from 161 children (8–10 years old) participating in the Active-Start trial were analyzed. Movement behaviors were assessed via 9-day wrist-worn accelerometers. Selective attention was assessed using the d2 Test of Attention, and cognitive flexibility was measured with the Design Fluency Test.</div></div><div><h3>Results</h3><div>Boys accumulated more moderate-to-vigorous PA (MVPA; 83.5 [57.6–109.7] min) than girls (67.7 [52.3–78.1] min), whereas girls engaged in more light PA (219.9 ± 37.7 min) than boys (205.7 ± 38.1 min; <em>P</em> < 0.05). Among boys, reallocating daily time to MVPA at the expense of other behaviors was associated with increased processing speed (unstandardized-beta [<em>B</em>] = 53.501, 95 %confidence-interval [CI] 14.393; 92.609, <em>P</em> = 0.008) and concentration (<em>B</em> = 25.099, 95 %CI 4.816; 45.382, <em>P</em> = 0.016), as well as cognitive flexibility (<em>B</em> = 5.913, 95 %CI 1.995; 9.832, <em>P</em> = 0.004). No significant associations were observed in girls (<em>P</em> > 0.05). A non-significant association was observed linking sedentary behavior with cognitive performance in both sexes.</div></div><div><h3>Conclusion</h3><div>These findings highlight potential sex-specific benefits of MVPA and support the use of CoDA in understanding how daily time use relates to cognitive performance in children.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 498-506"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362192","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}
Pub Date : 2025-10-01DOI: 10.1016/j.jesf.2025.10.007
Vedrana Sember , Gregor Jurak , Gregor Starc , Marjeta Kovač , Farid Bardid , Shawnda A. Morrison
Background
The Global Matrix is an international initiative that monitors 10 indicators of health-related behaviours and sources of influence on child physical activity (PA) including within the school environment. This study examined global secular trends for the School indicator across Global Matrices 1.0 to 4.0, including its underlying benchmark evidence and socioeconomic indicators across the diverse global regions of participating jurisdictions.
Methods
School indicator and benchmarking data for each country were compiled for every Global Matrix edition from peer-reviewed and online resources. Benchmark scoring distributions, secular trends and socioeconomic indicators were synthesised to determine the variety and utility of each benchmark by region for report cards published from 2014 to 2024. Bivariate correlations were conducted within-edition between socioeconomic data and School indicator final scores.
Results
To date, >68 countries/jurisdictions have participated in at least one Global Matrix. Disparity in School indicator grades were apparent (range: A to F), irrespective of regional gross domestic product. The most common benchmark cited was “percent of schools where the majority (≥80 %) are offered the mandated amount of physical education (PE)”. Final grades were significantly associated to a country's GINI score (a measure of income inequality distribution; τ values = 0.274 to 0.572, p values= <0.001 to 0.030).
Conclusion
The School indicator is widely used across regions, and despite differences in countries’ socioeconomic development, its grading has remained balanced through its consistent use of key benchmarks, especially those reflecting a required amount of PE, and access to facilities and equipment. Countries with greater income equality tended to be graded higher on the School indicator than those exhibiting less income equality.
{"title":"One decade of school environment monitoring and its influence on providing adequate opportunities for engaging in physical activity from the Active Healthy Kids Global Alliance Global Matrices 1.0 to 4.0","authors":"Vedrana Sember , Gregor Jurak , Gregor Starc , Marjeta Kovač , Farid Bardid , Shawnda A. Morrison","doi":"10.1016/j.jesf.2025.10.007","DOIUrl":"10.1016/j.jesf.2025.10.007","url":null,"abstract":"<div><h3>Background</h3><div>The Global Matrix is an international initiative that monitors 10 indicators of health-related behaviours and sources of influence on child physical activity (PA) including within the school environment. This study examined global secular trends for the School indicator across Global Matrices 1.0 to 4.0, including its underlying benchmark evidence and socioeconomic indicators across the diverse global regions of participating jurisdictions.</div></div><div><h3>Methods</h3><div>School indicator and benchmarking data for each country were compiled for every Global Matrix edition from peer-reviewed and online resources. Benchmark scoring distributions, secular trends and socioeconomic indicators were synthesised to determine the variety and utility of each benchmark by region for report cards published from 2014 to 2024. Bivariate correlations were conducted within-edition between socioeconomic data and School indicator final scores.</div></div><div><h3>Results</h3><div>To date, >68 countries/jurisdictions have participated in at least one Global Matrix. Disparity in School indicator grades were apparent (range: A to F), irrespective of regional gross domestic product. The most common benchmark cited was “percent of schools where the majority (≥80 %) are offered the mandated amount of physical education (PE)”. Final grades were significantly associated to a country's GINI score (a measure of income inequality distribution; <em>τ</em> values <strong>=</strong> 0.274 to 0.572, <em>p</em> values= <0.001 to 0.030).</div></div><div><h3>Conclusion</h3><div>The School indicator is widely used across regions, and despite differences in countries’ socioeconomic development, its grading has remained balanced through its consistent use of key benchmarks, especially those reflecting a required amount of PE, and access to facilities and equipment. Countries with greater income equality tended to be graded higher on the School indicator than those exhibiting less income equality.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 480-486"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319907","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}
Associations between sedentary behavior (SB) during leisure time and the risk of osteopenia and osteoporosis are inconclusive. We aimed to examine the impact of replacing sedentary time with equivalent durations of various physical activities on the risk of developing osteoporosis.
Methods
This is a sub-study from the UK Biobank, in which heel bone mineral density (BMD) was measured via ultrasound densitometry among 193,600 participants. A Logistic regression model and an isotemporal substitution model were used in the analyses.
Results
In this study, 52,430 osteopenia cases were recorded, of which 2443 were defined as osteoporosis. In comparison to participants with leisure-time SB < 5 h/day, the odds ratio (OR) of osteoporosis risk was 1.38 (95 % confidence interval [CI): 1.17–1.62) for >8 h/day. Replacing 30 min/day of leisure sedentary time with an equal time spent in the walk for pleasure was associated with a 3 % decrease of osteopenia risk and an 8 % decrease of osteoporosis risk, and replacing 3 min of leisure-time SB with an equal amount of strenuous sports was significantly associated with a 4 % reduction in the risk of osteoporosis and osteopenia (OR = 0.96, 95 %CI: 0.93–0.98 and OR = 0.96, 95 %CI: 0.96–0.97). Furthermore, strenuous sports as an alternative to SBs was significantly associated with a lower risk of osteopenia and osteoporosis, especially in participants achieving 1.5–2.5 h of summer light hours.
Conclusion
Leisure-time SB was positively associated with the risk of osteopenia and osteoporosis. Replacing sedentary time with equal time of PA and achieving 1.5–2.5 h of summer sun exposure could be an effective way to reduce osteopenia and osteoporosis burden.
{"title":"Replacement of leisure-time sedentary behavior with various physical activities and the risk of osteopenia and osteoporosis: evidence from the UK Biobank","authors":"Zhuoyao Tian , Yuhua Gao , Biying Zhou , Zhenger Fang , Guangjun Zheng , Haofeng Zhang , Fudong He , Xia Chen , Mingliang Liu , Yuan Wei , Liangming Li , Guang Hao , Shuang Peng","doi":"10.1016/j.jesf.2025.09.003","DOIUrl":"10.1016/j.jesf.2025.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>Associations between sedentary behavior (SB) during leisure time and the risk of osteopenia and osteoporosis are inconclusive. We aimed to examine the impact of replacing sedentary time with equivalent durations of various physical activities on the risk of developing osteoporosis.</div></div><div><h3>Methods</h3><div>This is a sub-study from the UK Biobank, in which heel bone mineral density (BMD) was measured via ultrasound densitometry among 193,600 participants. A Logistic regression model and an isotemporal substitution model were used in the analyses.</div></div><div><h3>Results</h3><div>In this study, 52,430 osteopenia cases were recorded, of which 2443 were defined as osteoporosis. In comparison to participants with leisure-time SB < 5 h/day, the odds ratio (OR) of osteoporosis risk was 1.38 (95 % confidence interval [CI): 1.17–1.62) for >8 h/day. Replacing 30 min/day of leisure sedentary time with an equal time spent in the walk for pleasure was associated with a 3 % decrease of osteopenia risk and an 8 % decrease of osteoporosis risk, and replacing 3 min of leisure-time SB with an equal amount of strenuous sports was significantly associated with a 4 % reduction in the risk of osteoporosis and osteopenia (OR = 0.96, 95 %CI: 0.93–0.98 and OR = 0.96, 95 %CI: 0.96–0.97). Furthermore, strenuous sports as an alternative to SBs was significantly associated with a lower risk of osteopenia and osteoporosis, especially in participants achieving 1.5–2.5 h of summer light hours.</div></div><div><h3>Conclusion</h3><div>Leisure-time SB was positively associated with the risk of osteopenia and osteoporosis. Replacing sedentary time with equal time of PA and achieving 1.5–2.5 h of summer sun exposure could be an effective way to reduce osteopenia and osteoporosis burden.</div></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"23 4","pages":"Pages 426-434"},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098898","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}