Pub Date : 2025-07-01Epub Date: 2024-12-28DOI: 10.1016/j.smhs.2024.12.003
Jean Carlos Parmigiani De Marco , Tiago Rodrigues de Lima , André de Araújo Pinto , Javier Brazo-Sayavera , Andreia Pelegrini
Purpose
To examine the link between adherence to 24-h movement guidelines (isolated and combined) and muscular strength, cardiorespiratory fitness, and obesity indicators in Brazilian adolescents.
Methods
Data from 980 adolescents (14–19 years) in Florianópolis, Brazil, were analyzed. The dependent variables were body mass index (BMI), body fat, handgrip strength (HGS), maximal oxygen consumption (O2max). The independent variables were physical activity (PA, IPAQ), screen time (ST), sleep (bedtime, wake-up time). Compliance was calculated for each behavior and combinations. Multiple linear regression models were employed.
Results
Overall compliance: 4.1% (boys), 4.9% (girls). Positive associations were found between PA adherence and HGS/ O2max in both sexes, ST adherence and O2max, and adherence to all three guidelines and O2max. Girls showed positive associations between combined PA + sleep adherence and HGS, ST + sleep and O2max, and negative associations between adherence to two guidelines and BMI. Boys exhibited a negative association between PA and body fat, positive between ST and HGS, and positive/negative between combined PA + ST adherence and HGS/body fat. Moreover, adherence to all three guidelines associated positively with HGS.
Conclusion
Adhering to 24-h movement guidelines, alone or in combination, benefits muscular strength and cardiorespiratory fitness in Brazilian adolescents. However, simultaneous adherence did not correlate with obesity indicators.
{"title":"24-h movement guidelines and its association with health-related physical fitness in Brazilian adolescents","authors":"Jean Carlos Parmigiani De Marco , Tiago Rodrigues de Lima , André de Araújo Pinto , Javier Brazo-Sayavera , Andreia Pelegrini","doi":"10.1016/j.smhs.2024.12.003","DOIUrl":"10.1016/j.smhs.2024.12.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the link between adherence to 24-h movement guidelines (isolated and combined) and muscular strength, cardiorespiratory fitness, and obesity indicators in Brazilian adolescents.</div></div><div><h3>Methods</h3><div>Data from 980 adolescents (14–19 years) in Florianópolis, Brazil, were analyzed. The dependent variables were body mass index (BMI), body fat, handgrip strength (HGS), maximal oxygen consumption (<span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O<sub>2max</sub>). The independent variables were physical activity (PA, IPAQ), screen time (ST), sleep (bedtime, wake-up time). Compliance was calculated for each behavior and combinations. Multiple linear regression models were employed.</div></div><div><h3>Results</h3><div>Overall compliance: 4.1% (boys), 4.9% (girls). Positive associations were found between PA adherence and HGS/ <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O<sub>2max</sub> in both sexes, ST adherence and <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O<sub>2max</sub>, and adherence to all three guidelines and <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O<sub>2max</sub>. Girls showed positive associations between combined PA + sleep adherence and HGS, ST + sleep and <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O<sub>2max</sub>, and negative associations between adherence to two guidelines and BMI. Boys exhibited a negative association between PA and body fat, positive between ST and HGS, and positive/negative between combined PA + ST adherence and HGS/body fat. Moreover, adherence to all three guidelines associated positively with HGS.</div></div><div><h3>Conclusion</h3><div>Adhering to 24-h movement guidelines, alone or in combination, benefits muscular strength and cardiorespiratory fitness in Brazilian adolescents. However, simultaneous adherence did not correlate with obesity indicators.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 4","pages":"Pages 256-262"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-01-29DOI: 10.1016/j.smhs.2025.01.006
Ondrej Fiala, Michaela Hanzlova, Lenka Borska, Zdenek Fiala, Drahomira Holmannova
Background
Overtraining Syndrome (OTS) is a condition resulting from excessive physical activity without adequate recovery, predominantly affecting elite athletes and military personnel. While overreaching can be a temporary state, non-functional overreaching may progress to chronic OTS. This review explores various hypotheses regarding the pathogenesis of OTS, including glycogen depletion, dysregulated cytokine response, oxidative stress, and alterations in the autonomic nervous system function. It also highlights the systemic impact of OTS on multiple organ systems, immune function, and overall health, linking the condition to chronic inflammation and an increased disease susceptibility. Additionally, it addresses the role of the gut microbiome in health modulation through physical activity.
Methods
This narrative review was conducted through a structured search of peer-reviewed journal articles in databases such as PubMed, Web of Science, and Google Scholar, focusing on studies involving human participants and published in English.
Results
OTS has systemic effects on multiple organ systems, immune function, and overall health, leading to chronic inflammation and increased disease susceptibility. Athletes with OTS exhibit higher morbidity rates, influenced by factors such as sleep deprivation and stress. The review also emphasizes the role of the gut microbiome as a significant modulator of health through physical activity.
Conclusion
Balanced training and recovery are crucial for preventing OTS and maintaining optimal health and quality of life in physically active individuals. Understanding the complex pathophysiology of OTS is essential for developing effective prevention and treatment strategies.
过度训练综合症(OTS)是一种由于过度体育活动而没有充分恢复而导致的疾病,主要影响精英运动员和军事人员。虽然过度伸展可能是一种暂时状态,但非功能性过度伸展可能会发展为慢性OTS。本文综述了关于OTS发病机制的各种假说,包括糖原耗竭、细胞因子反应失调、氧化应激和自主神经系统功能改变。它还强调了OTS对多器官系统、免疫功能和整体健康的全身性影响,将这种疾病与慢性炎症和疾病易感性增加联系起来。此外,它还通过身体活动解决了肠道微生物组在健康调节中的作用。方法:本文通过对PubMed、Web of Science和b谷歌Scholar等数据库中同行评议的期刊文章进行结构化搜索,重点关注涉及人类参与者并以英文发表的研究。结果sots对多器官系统、免疫功能和整体健康具有全身性影响,导致慢性炎症和疾病易感性增加。由于睡眠不足和压力等因素的影响,OTS运动员的发病率较高。该综述还强调了肠道微生物组通过身体活动作为健康的重要调节剂的作用。结论平衡的训练和恢复对预防OTS和维持最佳健康和生活质量至关重要。了解OTS复杂的病理生理机制对于制定有效的预防和治疗策略至关重要。
{"title":"Beyond physical exhaustion: Understanding overtraining syndrome through the lens of molecular mechanisms and clinical manifestation","authors":"Ondrej Fiala, Michaela Hanzlova, Lenka Borska, Zdenek Fiala, Drahomira Holmannova","doi":"10.1016/j.smhs.2025.01.006","DOIUrl":"10.1016/j.smhs.2025.01.006","url":null,"abstract":"<div><h3>Background</h3><div>Overtraining Syndrome (OTS) is a condition resulting from excessive physical activity without adequate recovery, predominantly affecting elite athletes and military personnel. While overreaching can be a temporary state, non-functional overreaching may progress to chronic OTS. This review explores various hypotheses regarding the pathogenesis of OTS, including glycogen depletion, dysregulated cytokine response, oxidative stress, and alterations in the autonomic nervous system function. It also highlights the systemic impact of OTS on multiple organ systems, immune function, and overall health, linking the condition to chronic inflammation and an increased disease susceptibility. Additionally, it addresses the role of the gut microbiome in health modulation through physical activity.</div></div><div><h3>Methods</h3><div>This narrative review was conducted through a structured search of peer-reviewed journal articles in databases such as PubMed, Web of Science, and Google Scholar, focusing on studies involving human participants and published in English.</div></div><div><h3>Results</h3><div>OTS has systemic effects on multiple organ systems, immune function, and overall health, leading to chronic inflammation and increased disease susceptibility. Athletes with OTS exhibit higher morbidity rates, influenced by factors such as sleep deprivation and stress. The review also emphasizes the role of the gut microbiome as a significant modulator of health through physical activity.</div></div><div><h3>Conclusion</h3><div>Balanced training and recovery are crucial for preventing OTS and maintaining optimal health and quality of life in physically active individuals. Understanding the complex pathophysiology of OTS is essential for developing effective prevention and treatment strategies.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 4","pages":"Pages 237-248"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2024-08-08DOI: 10.1016/j.smhs.2024.08.001
Mohamed-Amine Ltifi , Kar Hau Chong , Ghaith Ben-Bouzaiene , Anthony D. Okely , Mohamed-Souhaiel Chelly
The objective of this design was to conduct an observational study comparing anthropometric characteristics, cognitive functions, as well as gross and fine motor skills. The study included 118 preschool-aged children (47 boys, 71 girls) enrolled in childcare centers. They were categorized into two groups based on their nap habits. The nap group comprised 59 children (23 boys, 36 girls), age (mean ± standard deviation) ([3.96 ± 0.54] years) who took naps after lunch, while the no-nap group included 59 children (24 boys, 35 girls) age (mean ± standard deviation) ([4.18 ± 0.61] years) who remained awake during this period. The results showed that the napping group had significantly higher scores for body mass index (BMI) (p < 0.000 1), height-for-age z score (HAZ) (p = 0.003), and higher BAZ (BMI-for-age z score) scores (p < 0.000 1), compared to the No-nap group. In terms of cognitive function, the study revealed that the napping group had better working memory performance compared to the No-nap group (p = 0.002), but no significant impact on inhibition was observed. The results also showed that taking a nap may improve functional mobility (p = 0.003) and upper body strength (p = 0.026) especially in boys. Future research could investigate the long-term effects of inadequate nap time on children's health and development and also develop and evaluate interventions to improve nap time habits in preschool children.
{"title":"Observed relationships between nap practices, executive function, and developmental outcomes in Tunisian childcare centers","authors":"Mohamed-Amine Ltifi , Kar Hau Chong , Ghaith Ben-Bouzaiene , Anthony D. Okely , Mohamed-Souhaiel Chelly","doi":"10.1016/j.smhs.2024.08.001","DOIUrl":"10.1016/j.smhs.2024.08.001","url":null,"abstract":"<div><div>The objective of this design was to conduct an observational study comparing anthropometric characteristics, cognitive functions, as well as gross and fine motor skills. The study included 118 preschool-aged children (47 boys, 71 girls) enrolled in childcare centers. They were categorized into two groups based on their nap habits. The nap group comprised 59 children (23 boys, 36 girls), age (mean ± standard deviation) ([3.96 ± 0.54] years) who took naps after lunch, while the no-nap group included 59 children (24 boys, 35 girls) age (mean ± standard deviation) ([4.18 ± 0.61] years) who remained awake during this period. The results showed that the napping group had significantly higher scores for body mass index (BMI) (<em>p</em> < 0.000 1), height-for-age <em>z</em> score (HAZ) (<em>p</em> = 0.003), and higher BAZ (BMI-for-age <em>z</em> score) scores (<em>p</em> < 0.000 1), compared to the No-nap group. In terms of cognitive function, the study revealed that the napping group had better working memory performance compared to the No-nap group (<em>p</em> = 0.002), but no significant impact on inhibition was observed. The results also showed that taking a nap may improve functional mobility (<em>p</em> = 0.003) and upper body strength (<em>p</em> = 0.026) especially in boys. Future research could investigate the long-term effects of inadequate nap time on children's health and development and also develop and evaluate interventions to improve nap time habits in preschool children.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 4","pages":"Pages 272-279"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-02-28DOI: 10.1016/j.smhs.2024.02.005
Yanqiu Zheng , Junyu Ke , JinBin Song , Xuyu Li , Rongman Kuang , Haiyan Wang , Shuang Li , Yanwu Li
This study aimed to examine the correlation between daily physical activity levels and gut microbiota during the perimenopausal period. To explore the physiopathological traits of perimenopause women, and provide a theoretical basis for the development of menopause exercise intervention program. In this study, daily physical activity was assessed using the ActiGraph wGT3X-BT wearable sensor, and 16S rRNA sequencing was employed to analyze gut microbiota diversity and composition. Comparative analysis was conducted to evaluate the association between physical activity and specific phyla and genera in the gut microbiota, comparing perimenopausal women to youth women. The results showed perimenopausal women exhibited significantly lower levels of daily physical activity, including Kcals, metabolic equivalents (METs), and moderate-to-vigorous physical activity (MVPA), compared to youth women. The composition of the gut microbiota was markedly different between the two groups. Specifically, the abundance of Acidobacteria, Chloroflexi, Nitrospirae, and Gemmatimonadetes were lower at the phylum level (p < 0.01). Collinsella, Ruminococcus gnavus, Rothia, Haemophilus, Sphingomonas, Lactobacillales, and Lactococcus were lower at the genus level, while Phascolarctobacterium, Paraprevotella, Acinetobacter, Flavonifractor, and Intestinimonas exhibited a significant increase (p < 0.05, p < 0.01). Furthermore, a positive correlation was observed between Chloroflexi or Sphingomonas and physical activity (kcals, METs, and MVPA), while a negative correlation was found between Intestinimonas and physical activity (METs: p < 0.01, and MVPA: p < 0.05). Doubtlessly, the perimenopausal period is associated with lower levels of physical activity and distinct changes in gut microbiota. Sphingomonas may serve as a sensitive bacterium closely linked to physical activity.
本研究旨在检查围绝经期每日体力活动水平与肠道微生物群之间的相关性。探讨围绝经期妇女的生理病理特征,为制定绝经期运动干预方案提供理论依据。在本研究中,使用ActiGraph wgt3g - bt可穿戴传感器评估日常体力活动,并使用16S rRNA测序分析肠道微生物群的多样性和组成。对围绝经期妇女和青年妇女进行了比较分析,以评估体力活动与肠道微生物群中特定门和属之间的关系。结果显示,与年轻女性相比,围绝经期女性表现出明显较低的日常身体活动水平,包括卡路里、代谢当量(METs)和中等到剧烈的身体活动(MVPA)。两组的肠道菌群组成有显著差异。具体而言,在门水平上,酸杆菌、氯霉素、硝基螺旋菌和双胞杆菌的丰度较低(p <;0.01)。属水平上Collinsella、瘤胃球菌、rothyia、Haemophilus、鞘氨单胞菌、Lactobacillales和乳球菌数量较低,而Phascolarctobacterium、Paraprevotella、Acinetobacter、黄酮因子和肠子单胞菌数量显著增加(p <;0.05, p <;0.01)。此外,Chloroflexi或鞘氨单胞菌与身体活动(kcal, METs和MVPA)呈正相关,而肠单胞菌与身体活动(METs: p <;0.01, MVPA: p <;0.05)。毫无疑问,围绝经期与较低的体力活动水平和肠道微生物群的明显变化有关。鞘氨单胞菌可能是一种与身体活动密切相关的敏感细菌。
{"title":"Correlation between daily physical activity and intestinal microbiota in perimenopausal women","authors":"Yanqiu Zheng , Junyu Ke , JinBin Song , Xuyu Li , Rongman Kuang , Haiyan Wang , Shuang Li , Yanwu Li","doi":"10.1016/j.smhs.2024.02.005","DOIUrl":"10.1016/j.smhs.2024.02.005","url":null,"abstract":"<div><div>This study aimed to examine the correlation between daily physical activity levels and gut microbiota during the perimenopausal period. To explore the physiopathological traits of perimenopause women, and provide a theoretical basis for the development of menopause exercise intervention program. In this study, daily physical activity was assessed using the ActiGraph wGT3X-BT wearable sensor, and 16S rRNA sequencing was employed to analyze gut microbiota diversity and composition. Comparative analysis was conducted to evaluate the association between physical activity and specific phyla and genera in the gut microbiota, comparing perimenopausal women to youth women. The results showed perimenopausal women exhibited significantly lower levels of daily physical activity, including Kcals, metabolic equivalents (METs), and moderate-to-vigorous physical activity (MVPA), compared to youth women. The composition of the gut microbiota was markedly different between the two groups. Specifically, the abundance of <em>Acidobacteria</em>, <em>Chloroflexi, Nitrospirae</em>, and <em>Gemmatimonadetes</em> were lower at the phylum level (<em>p</em> < 0.01). <em>Collinsella, Ruminococcus gnavus, Rothia, Haemophilus, Sphingomonas, Lactobacillales,</em> and <em>Lactococcus</em> were lower at the genus level, while <em>Phascolarctobacterium, Paraprevotella, Acinetobacter, Flavonifractor,</em> and <em>Intestinimonas</em> exhibited a significant increase (<em>p</em> < 0.05, <em>p</em> < 0.01). Furthermore, a positive correlation was observed between <em>Chloroflexi</em> or <em>Sphingomonas</em> and physical activity (kcals, METs, and MVPA), while a negative correlation was found between <em>Intestinimonas</em> and physical activity (METs: <em>p</em> < 0.01, and MVPA: <em>p</em> < 0.05). Doubtlessly, the perimenopausal period is associated with lower levels of physical activity and distinct changes in gut microbiota. <em>Sphingomonas</em> may serve as a sensitive bacterium closely linked to physical activity.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 230-236"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-10-11DOI: 10.1016/j.smhs.2024.10.002
Xiaolei Chu , Jiaojiao Sun , Jiajia Liang , Wenjie Liu , Zheng Xing , Qi Li , Qingwen Li
This review elucidates the impact of electrical stimulation (ES) and blood flow restriction (BFR) training on muscle function. ES induces a transformation in muscle fibers type by rearranging myosin heavy chain isoform patterns. Additionally, it influences muscle protein synthesis and degradation through specific signaling pathways such as protein kinase B/mechanistic target of rapamycin (Akt/mTOR), as well as via autophagy and the ubiquitin-proteasome system, thereby effectively maintaining muscle mass. BFR, on the other hand, restricts muscle blood flow, leading to metabolic products accumulation and localized hypoxia, which not only promotes the recruitment of fast-twitch fibers but also activates the mTOR signaling pathway, enhancing muscle protein synthesis. The combination of ES and BFR synergistically facilitates muscle protein synthesis through the mTOR pathway, thereby accelerating the recovery of muscle function following peripheral nerve injury.
{"title":"Mechanisms of muscle repair after peripheral nerve injury by electrical stimulation combined with blood flow restriction training","authors":"Xiaolei Chu , Jiaojiao Sun , Jiajia Liang , Wenjie Liu , Zheng Xing , Qi Li , Qingwen Li","doi":"10.1016/j.smhs.2024.10.002","DOIUrl":"10.1016/j.smhs.2024.10.002","url":null,"abstract":"<div><div>This review elucidates the impact of electrical stimulation (ES) and blood flow restriction (BFR) training on muscle function. ES induces a transformation in muscle fibers type by rearranging myosin heavy chain isoform patterns. Additionally, it influences muscle protein synthesis and degradation through specific signaling pathways such as protein kinase B/mechanistic target of rapamycin (Akt/mTOR), as well as via autophagy and the ubiquitin-proteasome system, thereby effectively maintaining muscle mass. BFR, on the other hand, restricts muscle blood flow, leading to metabolic products accumulation and localized hypoxia, which not only promotes the recruitment of fast-twitch fibers but also activates the mTOR signaling pathway, enhancing muscle protein synthesis. The combination of ES and BFR synergistically facilitates muscle protein synthesis through the mTOR pathway, thereby accelerating the recovery of muscle function following peripheral nerve injury.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 173-184"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-05-21DOI: 10.1016/j.smhs.2024.05.002
Xiao'ao Xue , Weichu Tao , Qianru Li , Yi Li , Yiran Wang , Le Yu , Xicheng Gu , Tian Xia , Rong Lu , Ru Wang , He Wang , Yinghui Hua
Background
Ankle-foot sprains are the most common musculoskeletal injuries, which can impair balance and theoretically increase the risk of falls, but still, there is a lack of evidence supporting the direct association between ankle-foot sprains and the future risk of falls.
Methods
UK Biobank cohort was utilized to measure the association between ankle-foot sprains and fall risk with covariates adjusted. Then, the two-sample Mendelian randomization (MR) analysis was applied based on the genetically predicated ankle-foot sprains from FinnGen to validate causal relationship. Finally, genetically predicated cerebellar neuroimaging features were used to explore the mediating role of maladaptive neuroplasticity between ankle-foot sprains and falls by two-step MR analyses.
Results
Patients with ankle-foot sprains history exhibited a slightly increased risk of falls than the matched controls before and after adjustment for covariates (odd ratio [OR] ranged from 1.632 to 1.658). Two-sample MR analysis showed that ankle-foot sprains led to a higher risk of falls (OR = 1.036) and a lower fractional anisotropy of superior cerebellar peduncle (SCP) (left, β = −0.052; right, β = −0.053). A trend of mediating effect was observed for the fractional anisotropy of right SCP in the causal effects of ankle-foot sprains on falls (β = 0.003).
Conclusion
The history of ankle-foot sprains is associated with a slightly increased risk of falls. These findings improve our understanding of the clinical consequences of ankle-foot sprains in terms of fall risk and suggest the importance of adopting more efficient strategies for managing residual functional deficits after the injuries.
{"title":"Future risk of falls induced by ankle-foot sprains history: An observational and mendelian randomization study","authors":"Xiao'ao Xue , Weichu Tao , Qianru Li , Yi Li , Yiran Wang , Le Yu , Xicheng Gu , Tian Xia , Rong Lu , Ru Wang , He Wang , Yinghui Hua","doi":"10.1016/j.smhs.2024.05.002","DOIUrl":"10.1016/j.smhs.2024.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Ankle-foot sprains are the most common musculoskeletal injuries, which can impair balance and theoretically increase the risk of falls, but still, there is a lack of evidence supporting the direct association between ankle-foot sprains and the future risk of falls.</div></div><div><h3>Methods</h3><div>UK Biobank cohort was utilized to measure the association between ankle-foot sprains and fall risk with covariates adjusted. Then, the two-sample Mendelian randomization (MR) analysis was applied based on the genetically predicated ankle-foot sprains from FinnGen to validate causal relationship. Finally, genetically predicated cerebellar neuroimaging features were used to explore the mediating role of maladaptive neuroplasticity between ankle-foot sprains and falls by two-step MR analyses.</div></div><div><h3>Results</h3><div>Patients with ankle-foot sprains history exhibited a slightly increased risk of falls than the matched controls before and after adjustment for covariates (odd ratio [<em>OR</em>] ranged from 1.632 to 1.658). Two-sample MR analysis showed that ankle-foot sprains led to a higher risk of falls (<em>OR</em> = 1.036) and a lower fractional anisotropy of superior cerebellar peduncle (SCP) (left, <em>β</em> = −0.052; right, <em>β</em> = −0.053). A trend of mediating effect was observed for the fractional anisotropy of right SCP in the causal effects of ankle-foot sprains on falls (<em>β</em> = 0.003).</div></div><div><h3>Conclusion</h3><div>The history of ankle-foot sprains is associated with a slightly increased risk of falls. These findings improve our understanding of the clinical consequences of ankle-foot sprains in terms of fall risk and suggest the importance of adopting more efficient strategies for managing residual functional deficits after the injuries.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 214-223"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141145399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-07-09DOI: 10.1016/j.smhs.2024.07.001
Guilherme Corrêa de Araújo Moury Fernandes , Ewerton Borges de Souza Lima , Paulo Henrique Schmidt Lara , Ana Camila de Castro Gandolfi , Jorge Roberto Pagura , Gustavo Gonçalves Arliani , Moisés Cohen
This study aimed to investigate the incidence and other significant features of craniomaxillofacial trauma (CMFT), particularly Sport-Related Concussion (SRC), among professional soccer players from two major leagues in Brazil. This is a prospective epidemiological study which assessed two divisions of the national championship and large regional one over four seasons. Data were gathered from soccer clubs and their medical staff using two online forms. Data related to players (age and position) and injuries (diagnosis, type, body location, laterality, field location, tests performed, need for surgery, time lost in sports, and recurrence) were collected. Between 2016 and 2019, a total of 15 seasons, comprising 3 828 matches and 126 324 hours (h) of gameplay, were analyzed. A total of 299 CMFT cases were reported, with a median incidence of 2.37 per 1 000 h of play. Among them, there were 178 head and 121 face traumas, which led to 87 SRC (representing 29.10% of all CMFT), with an incidence of 0.69. Defensive midfielders (14.43%) and goalkeepers (14.00%) had the highest prevalence rates of CMFT. Only 3.68% of the injuries, mostly lacerations and fractures, required surgical treatment. This study identified that the average time lost in sports due to SRC was 5.12 days, with a recurrence rate of 12.71%. SRC are a frequent consequence of CMFT in Brazilian professional soccer. Although most cases are mild, there is a high recurrence rate, which may have long-term implications.
{"title":"Sport-related concussion in Brazilian professional soccer: A four-year prospective epidemiological analysis","authors":"Guilherme Corrêa de Araújo Moury Fernandes , Ewerton Borges de Souza Lima , Paulo Henrique Schmidt Lara , Ana Camila de Castro Gandolfi , Jorge Roberto Pagura , Gustavo Gonçalves Arliani , Moisés Cohen","doi":"10.1016/j.smhs.2024.07.001","DOIUrl":"10.1016/j.smhs.2024.07.001","url":null,"abstract":"<div><div>This study aimed to investigate the incidence and other significant features of craniomaxillofacial trauma (CMFT), particularly Sport-Related Concussion (SRC), among professional soccer players from two major leagues in Brazil. This is a prospective epidemiological study which assessed two divisions of the national championship and large regional one over four seasons. Data were gathered from soccer clubs and their medical staff using two online forms. Data related to players (age and position) and injuries (diagnosis, type, body location, laterality, field location, tests performed, need for surgery, time lost in sports, and recurrence) were collected. Between 2016 and 2019, a total of 15 seasons, comprising 3 828 matches and 126 324 hours (h) of gameplay, were analyzed. A total of 299 CMFT cases were reported, with a median incidence of 2.37 per 1 000 h of play. Among them, there were 178 head and 121 face traumas, which led to 87 SRC (representing 29.10% of all CMFT), with an incidence of 0.69. Defensive midfielders (14.43%) and goalkeepers (14.00%) had the highest prevalence rates of CMFT. Only 3.68% of the injuries, mostly lacerations and fractures, required surgical treatment. This study identified that the average time lost in sports due to SRC was 5.12 days, with a recurrence rate of 12.71%. SRC are a frequent consequence of CMFT in Brazilian professional soccer. Although most cases are mild, there is a high recurrence rate, which may have long-term implications.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 224-229"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-07-09DOI: 10.1016/j.smhs.2024.07.002
Jacob Smith , Troilyn Jackson , Wei Liu , Jonathan Gelfond , Hao-Yuan Hsiao
Tai-Chi (TC) is a broadly used exercise that appeared to decrease the risk of falls. However, biomechanical mechanisms underlying the reduced fall risks following TC exercise remain unclear and hinder the ability to optimize TC intervention to target specific balance deficit disorders. In addition, combining TC gait exercise with ground support perturbation may be a viable approach to further challenge balance control compared to TC gait alone. The purpose of this study was to compare dynamic stability and limb support force production during comfortable walking speed (CWS), TC gait, and TC gait with medial (MED) and lateral (LAT) ground support perturbations in older and younger adults. Ten older adults and ten younger adults performed CWS, TC gait, LAT, and MED. Conditions involving TC gait showed decreased margin of stability (MoS) (main effect of condition, p < 0.01) and increased vertical force impulse compared to CWS (p < 0.01). Medial ground support perturbation induced the smallest MoS among all conditions. Older adults showed increased MoS compared to younger adults (p < 0.01). These findings provided insight into how key balance control characteristics are modulated during TC exercise and indicate that combining ground support perturbation with TC may further challenge dynamic stability.
{"title":"Combined effects of Tai-Chi gait with mediolateral ground support perturbation on dynamic balance control","authors":"Jacob Smith , Troilyn Jackson , Wei Liu , Jonathan Gelfond , Hao-Yuan Hsiao","doi":"10.1016/j.smhs.2024.07.002","DOIUrl":"10.1016/j.smhs.2024.07.002","url":null,"abstract":"<div><div>Tai-Chi (TC) is a broadly used exercise that appeared to decrease the risk of falls. However, biomechanical mechanisms underlying the reduced fall risks following TC exercise remain unclear and hinder the ability to optimize TC intervention to target specific balance deficit disorders. In addition, combining <span>TC</span> gait exercise with ground support perturbation may be a viable approach to further challenge balance control compared to TC gait alone. The purpose of this study was to compare dynamic stability and limb support force production during comfortable walking speed (CWS), TC gait, and TC gait with medial (MED) and lateral (LAT) ground support perturbations in older and younger adults. Ten older adults and ten younger adults performed CWS, TC gait, LAT, and MED. Conditions involving TC gait showed decreased margin of stability (MoS) (main effect of condition, <em>p</em> < 0.01) and increased vertical force impulse compared to CWS (<em>p</em> < 0.01). Medial ground support perturbation induced the smallest MoS among all conditions. Older adults showed increased MoS compared to younger adults (<em>p</em> < 0.01). These findings provided insight into how key balance control characteristics are modulated during TC exercise and indicate that combining ground support perturbation with TC may further challenge dynamic stability.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 208-213"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-10-18DOI: 10.1016/j.smhs.2024.10.003
Eva Ruiz-Ranz , Iván Asín-Izquierdo
The mental health of adolescents is a priority for successful development. Physical activity (PA) and exercise can have effects on the mental health of adolescents. This review analysed the effect that physical exercise interventions can have on the mental health of healthy adolescents between 10 and 19 years of age. The search was carried out in four databases. PubMed, Web of Science, Scopus and SportDiscuss, were searched up to December 31, 2022, following the general model. Eleven studies were selected, with a total sample of 23 681 participants in 2 435 studies published in the last 5 years involving healthy adolescents. The search process and review of the articles was performed by independent expert investigators. The risk-of-bias and the methodological quality were analysed using the Cochrane scale. The limited and heterogeneous studies conducted so far do not clearly establish the benefits of PA on adolescents’ mental health. However, some PA interventions seem to improve subjective well-being, self-esteem, physical and mental well-being, anxiety, lifestyle, emotional intelligence, depressive mood, and perceived benefit and confidence in healthy adolescents. It is important to design an effective and appropriate physical exercise programme that can be implemented for adolescents to achieve significant effects on their mental health. Studies that did not implement an appropriate exercise program with improvements in adolescent physical fitness showed no changes in psychological variables. Further research is needed to clearly establish that exercise programmes have positive effects on mental health in healthy adolescents.
青少年的心理健康是成功发展的优先事项。体育活动(PA)和运动可以对青少年的心理健康产生影响。这篇综述分析了体育锻炼干预对10 - 19岁健康青少年心理健康的影响。在四个数据库中进行了搜索。PubMed、Web of Science、Scopus和SportDiscuss的检索截止到2022年12月31日,遵循一般模式。选择了11项研究,在过去5年发表的涉及健康青少年的2435项研究中,总共有23681名参与者。文章的检索过程和审查由独立的专家调查员进行。使用Cochrane量表分析偏倚风险和方法学质量。迄今为止进行的有限和异质性的研究并没有清楚地确定PA对青少年心理健康的益处。然而,一些PA干预似乎改善了健康青少年的主观幸福感、自尊、身心健康、焦虑、生活方式、情商、抑郁情绪以及感知利益和信心。重要的是要设计一项有效和适当的体育锻炼方案,可以为青少年实施,以对他们的心理健康产生重大影响。没有实施适当的锻炼计划以改善青少年身体健康的研究显示,心理变量没有变化。需要进一步的研究来明确确定运动方案对健康青少年的心理健康有积极影响。
{"title":"Physical activity, exercise, and mental health of healthy adolescents: A review of the last 5 years","authors":"Eva Ruiz-Ranz , Iván Asín-Izquierdo","doi":"10.1016/j.smhs.2024.10.003","DOIUrl":"10.1016/j.smhs.2024.10.003","url":null,"abstract":"<div><div>The mental health of adolescents is a priority for successful development. Physical activity (PA) and exercise can have effects on the mental health of adolescents. This review analysed the effect that physical exercise interventions can have on the mental health of healthy adolescents between 10 and 19 years of age. The search was carried out in four databases. PubMed, Web of Science, Scopus and SportDiscuss, were searched up to December 31, 2022, following the general model. Eleven studies were selected, with a total sample of 23 681 participants in 2 435 studies published in the last 5 years involving healthy adolescents. The search process and review of the articles was performed by independent expert investigators. The risk-of-bias and the methodological quality were analysed using the Cochrane scale. The limited and heterogeneous studies conducted so far do not clearly establish the benefits of PA on adolescents’ mental health. However, some PA interventions seem to improve subjective well-being, self-esteem, physical and mental well-being, anxiety, lifestyle, emotional intelligence, depressive mood, and perceived benefit and confidence in healthy adolescents. It is important to design an effective and appropriate physical exercise programme that can be implemented for adolescents to achieve significant effects on their mental health. Studies that did not implement an appropriate exercise program with improvements in adolescent physical fitness showed no changes in psychological variables. Further research is needed to clearly establish that exercise programmes have positive effects on mental health in healthy adolescents.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 161-172"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-07-25DOI: 10.1016/j.smhs.2024.07.003
Stefano Benítez-Flores , Flávio A. de S. Castro , Eduardo Caldas Costa , Daniel Boullosa , Todd A. Astorino
Affective valence is typically positive at exercise intensities below the lactate threshold, yet more aversive responses occur at supra-threshold intensities. Nevertheless, the physiological and psychological predictors of affective valence during supramaximal intensities including short sprint interval training (sSIT) have not yet been elucidated. Seventeen (7 women/10 men) moderately active young adults (age = [28.2 ± 5.6] years; O2max [maximum oxygen consumption] = [52.9 ± 8.1] mL·kg−1·min−1; BMI [body mass index] = [24 ± 2] kg·m−2) completed four low-volume running sSIT sessions (10 × 4 s efforts with 30 s of passive recovery). We recorded participants’ heart rate (HR), root mean square of successive differences of normal RR intervals (RMSSD), heart rate recovery (HRR), ratings of perceived exertion (RPE), feeling scale (FS), intention and self-efficacy during, and after each session. Overall, no significant correlation (p > 0.05) was found between FS and baseline clinical outcomes. No significant correlation (p > 0.05) was detected between FS and any training parameter. No significant correlations were noted between FS and exercise task self-efficacy and intentions (p > 0.05). The regression model was significant (F3,61 = 5.57; p = 0.002) and only three variables significantly entered the generated model: ΔHRRend-120s end (p = 0.002; VIF = 2.58; 40.8%), time ≥ 90% HRpeak (p = 0.001; VIF = 1.26; 31.6%), and RMSSDend (p = 0.025; VIF = 2.23; 27.6%). These findings suggest that HR-based measures, particularly those related to in-task stress (time ≥ 90% HRpeak) and acute recovery (ΔHRRend-120s end, and RMSSDend), may predict affective valence during real-world sSIT.
{"title":"Affective valence predictors from real-world based short sprint interval training","authors":"Stefano Benítez-Flores , Flávio A. de S. Castro , Eduardo Caldas Costa , Daniel Boullosa , Todd A. Astorino","doi":"10.1016/j.smhs.2024.07.003","DOIUrl":"10.1016/j.smhs.2024.07.003","url":null,"abstract":"<div><div>Affective valence is typically positive at exercise intensities below the lactate threshold, yet more aversive responses occur at supra-threshold intensities. Nevertheless, the physiological and psychological predictors of affective valence during supramaximal intensities including short sprint interval training (sSIT) have not yet been elucidated. Seventeen (7 women/10 men) moderately active young adults (age = [28.2 ± 5.6] years; <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O<sub>2max</sub> [maximum oxygen consumption] = [52.9 ± 8.1] mL·kg<sup>−</sup><sup>1</sup>·min<sup>−</sup><sup>1</sup>; BMI [body mass index] = [24 ± 2] kg·m<sup>−</sup><sup>2</sup>) completed four low-volume running sSIT sessions (10 × 4 s efforts with 30 s of passive recovery). We recorded participants’ heart rate (HR), root mean square of successive differences of normal RR intervals (RMSSD), heart rate recovery (HRR), ratings of perceived exertion (RPE), feeling scale (FS), intention and self-efficacy during, and after each session. Overall, no significant correlation (<em>p</em> > 0.05) was found between FS and baseline clinical outcomes. No significant correlation (<em>p</em> > 0.05) was detected between FS and any training parameter. No significant correlations were noted between FS and exercise task self-efficacy and intentions (<em>p</em> > 0.05). The regression model was significant (<em>F</em><sub><em>3,61</em></sub> = 5.57; <em>p</em> = 0.002) and only three variables significantly entered the generated model: ΔHRR<sub>end-120s end</sub> (<em>p</em> = 0.002; <em>VIF</em> = 2.58; 40.8%), time ≥ 90% HR<sub>peak</sub> (<em>p</em> = 0.001; <em>VIF</em> = 1.26; 31.6%), and RMSSD<sub>end</sub> (<em>p</em> = 0.025; <em>VIF</em> = 2.23; 27.6%). These findings suggest that HR-based measures, particularly those related to in-task stress (time ≥ 90% HR<sub>peak</sub>) and acute recovery (ΔHRR<sub>end-120s end</sub>, and RMSSD<sub>end</sub>), may predict affective valence during real-world sSIT.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 190-201"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}