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Report Card Brazil: systematic review of muscle strength assessment in children and adolescents in Brazil 巴西报告卡:巴西儿童和青少年肌肉力量评估的系统回顾
Q4 Medicine Pub Date : 2021-08-23 DOI: 10.1590/1980-0037.2021v23e80292
Tiago Rodrigues de Lima, P. C. Martins, C. A. A. Alves Junior, M. S. Moraes, Suellem Zanlorenci, Leandro Lima Borges, João Antônio Chula de Castro, D. A. Silva
ABSTRACT The present study aimed to identify and summarize evidence regarding muscle strength (MS) levels in school children and adolescents (≤ 19 years) in Brazil in order to update previously published evidence from the Report Card Brazil project. The systematic search for information was conducted in seven databases, restricted to studies published during the period from January 2018 to December 2019. Thirteen studies were included, which gathered information from 10,135 children and adolescents from seven Brazilian states. Different tests/protocols for assessing MS were identified, however, handgrip strength was the test most adopted in studies (53.8%). The prevalence of children and adolescents with MS levels considered healthy was 29.8%, considering the totality of information, and 27.6% for males and 31.8% for females. Considering full data reviewed by the Report Card Brazil project (data analyzed in this study in addition to those previously published), information regarding the assessment of MS levels in children and adolescents in Brazil came from studies conducted during the period from 2010 to 2019, which included a sample of 15,208 children and adolescents (aged 7-19 years). According to this information, the prevalence of children and adolescents with MS levels considered healthy in this period was 57.8%, 61.1% for males and 58.8% for females.
本研究旨在识别和总结巴西学龄儿童和青少年(≤19岁)肌肉力量(MS)水平的证据,以更新先前发表的巴西报告卡项目的证据。在七个数据库中进行了系统的信息检索,仅限于2018年1月至2019年12月期间发表的研究。其中包括13项研究,收集了来自巴西7个州的10135名儿童和青少年的信息。评估多发性硬化症的不同测试/方案被确定,然而,握力是研究中采用最多的测试(53.8%)。考虑到总体信息,认为MS水平健康的儿童和青少年患病率为29.8%,男性为27.6%,女性为31.8%。考虑到巴西报告卡项目审查的全部数据(本研究分析的数据除了先前发表的数据外),关于巴西儿童和青少年MS水平评估的信息来自2010年至2019年期间进行的研究,其中包括15,208名儿童和青少年(7-19岁)的样本。根据这一信息,在此期间,患有多发性硬化症的儿童和青少年的患病率为57.8%,其中男性为61.1%,女性为58.8%。
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引用次数: 2
Systematic review of active transportation to school in youth – an update from Brazil’s Report Card 对青少年主动上学交通的系统审查——巴西报告卡的更新
Q4 Medicine Pub Date : 2021-08-23 DOI: 10.1590/1980-0037.2021v23e81169
Eduardo Rossato de Victo, T. Figueiredo, D. Solé, A. O. Werneck, D. Silva, Gerson Ferrari
ABSTRACT The aim of this study was to update a systematic review on the use of active transportation to school in Brazilian children and adolescents. All studies were extracted from the LILACS; BIREME; SCIELO and MEDLINE. The search was carried out on manuscripts published in the period 2018-2019. The descriptors were used in Portuguese, English and Spanish. In overall, 8 manuscripts were included in this systematic review, with 1 presenting data from three periods (2009, 2012 and 2015). The study data were obtained between 2009 and 2015 and the age group found between 7 to 19 years old. Of the selected articles, 2 presented national data, 1 from the north, 2 from the northeast, 1 from the southeast and 2 from the south of Brazil. The use of active transportation was superior to passive transportation on 6 occasions and its use was common in boys than in girls (4 of 6 articles). The use of active transportation is still more common than passive transportation in most Brazilian regions, although some cities have the opposite. The results suggest that the prevalence of active transportation is higher in boys than girls. Public policies must be created to favor the use of active transportation among Brazilian youth.
本研究的目的是更新巴西儿童和青少年使用主动交通工具上学的系统综述。所有的研究都是从丁香中提取的;古代船;SCIELO和MEDLINE。检索是对2018-2019年期间发表的手稿进行的。描述符分别用葡萄牙语、英语和西班牙语描述。本次系统综述共纳入了8篇论文,其中1篇的数据来自三个时期(2009年、2012年和2015年)。研究数据是在2009年至2015年之间获得的,年龄在7岁至19岁之间。在选定的文章中,2篇介绍了国家数据,1篇来自北部,2篇来自东北部,1篇来自东南部,2篇来自巴西南部。主动交通工具的使用在6个场合优于被动交通工具,男孩比女孩更常见(6篇文章中的4篇)。在巴西大多数地区,主动交通的使用仍然比被动交通更普遍,尽管有些城市的情况正好相反。结果表明,男孩的主动交通普及率高于女孩。必须制定有利于巴西青年使用主动交通工具的公共政策。
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引用次数: 2
Prevalence of global physical activity among young people: an updated systematic review for the Brazil’s Report Card 全球年轻人身体活动的普遍程度:对巴西报告卡的最新系统审查
Q4 Medicine Pub Date : 2021-08-23 DOI: 10.1590/1980-0037.2021v23e82643
V. B. Barbosa Filho, R. Costa, Bruno C. N. Oliveira, Victor Hugo Santos de Castro, K. Silva
abstract This study aimed to update the review of Brazil’s Report Card on the prevalence of global physical activity (PA) among Brazilian children and adolescents. This systematic review included an electronic search of eight databases (PubMed, Scopus, Web of Science, LILACS, SPORTDiscus, BIREME, Scielo, and Google Scholar) and a manual search of the references of retrieved studies. Studies published in 2018 and 2019 that assessed global PA among Brazilian youth were included. A narrative approach to the results was adopted. The initial search retrieved 1,892 potentially relevant titles (1,244 titles after duplicate analysis), of which 62 (47 different studies) met all the inclusion criteria. Most updated studies were carried out in Southern (40.4%) and Southeastern (25.5%) Brazil. Six studies provided data from national surveys (12.8%), and one study included preschool children (< 5 years old). Ten studies objectively measured PA (accelerometer or pedometer devices). In the updated studies, the overall proportion of young people who were physically active ranged from 9.8% to 79.6%. Three national surveys reported the prevalence of physically active students, ranging from 18.4% to 78.8%. There was an increase of surveys that objectively measured PA and with children under 12 years of age in the 2018 and 2019 studies. However, important research gaps (e.g., variations in the measurement of global PA), even in the same study, should be considered to improve the monitoring and evaluation of global PA in Brazil.
本研究旨在更新巴西关于全球体育活动(PA)在巴西儿童和青少年中的流行程度的报告卡。该系统综述包括对8个数据库(PubMed、Scopus、Web of Science、LILACS、SPORTDiscus、BIREME、Scielo和Google Scholar)的电子检索和对检索研究的参考文献的人工检索。2018年和2019年发表的研究评估了巴西青年的全球PA。对结果采取了叙述的方法。初始检索检索到1892篇潜在相关文献(重复分析后检索到1244篇),其中62篇(47篇不同的研究)符合所有纳入标准。大多数最新研究在巴西南部(40.4%)和东南部(25.5%)进行。6项研究提供了来自全国调查的数据(12.8%),1项研究包括学龄前儿童(< 5岁)。10项研究客观地测量了PA(加速计或计步器设备)。在最新的研究中,参加体育锻炼的年轻人的总体比例从9.8%到79.6%不等。三项全国性调查报告了体育活动学生的患病率,从18.4%到78.8%不等。在2018年和2019年的研究中,客观测量PA和12岁以下儿童的调查有所增加。然而,即使在同一项研究中,也应该考虑到重要的研究差距(例如,全球PA测量的变化),以改进巴西对全球PA的监测和评价。
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引用次数: 2
Adequate sleep duration among children and adolescents: a review of the Brazil's Report Card 儿童和青少年的充足睡眠时间:对巴西报告卡的审查
Q4 Medicine Pub Date : 2021-08-23 DOI: 10.1590/1980-0037.2021v23e82644
L. Malheiros, M. Knebel, M. Lopes, G. Mello, V. B. Barbosa Filho, K. Silva
abstract – This study aimed to summarize existing research examining the prevalence of adequate sleep duration or meeting sleep recommendations among Brazilian children and adolescents. A systematic review was conducted on eight databases. The criteria for inclusion were original research, samples including Brazilian children and adolescents (age 0–18), studies that reported variables regarding sleep duration using both objective or subjective measures, school- or population-based surveys with random sampling, and cross-sectional or cohort studies. Of the 54 articles included, only 27 used data from different studies. Most of the studies were conducted in the southern region (n = 17) with only two studies having a nationally representative sample. Two studies included children below age five, and the age group most investigated was adolescents (>10 years old). A majority of the studies used a self-reported questionnaire and showed variability in the cutoff point applied for adequate sleep duration with the most reported being ≥8 hours. The proportion of adolescents who met recommendations or had adequate sleep duration ranged from 15% to 89%. Among children, the prevalence ranged from 17% to 95%. The least variability was observed among toddlers, ranging from 93% to 95%. No consistent gender differences were observed among the gender-stratified groups of children and adolescents across the studies. It can be observed that, because of the wide range of results and the lack of data with national representativeness, the prevalence of sufficient sleep among young people aged below 18 remains undefined in Brazil.
本研究旨在总结现有的研究,调查巴西儿童和青少年中充足睡眠时间的普遍程度或满足睡眠建议。对8个数据库进行了系统评价。纳入标准为原始研究、包括巴西儿童和青少年(0-18岁)在内的样本、使用客观或主观测量报告睡眠时间变量的研究、基于学校或人群的随机抽样调查以及横断面或队列研究。在纳入的54篇文章中,只有27篇使用了不同研究的数据。大多数研究是在南部地区进行的(n = 17),只有两项研究具有全国代表性的样本。两项研究包括5岁以下儿童,调查最多的年龄组是青少年(>10岁)。大多数研究使用自我报告的问卷,并显示了适用于充足睡眠时间的截止点的差异,大多数报告为≥8小时。符合建议或睡眠时间充足的青少年比例从15%到89%不等。在儿童中,患病率从17%到95%不等。在幼儿中观察到的差异最小,从93%到95%不等。在所有研究中,按性别分层的儿童和青少年群体中没有观察到一致的性别差异。可以看出,由于结果范围广,缺乏具有全国代表性的数据,在巴西18岁以下的年轻人中睡眠充足的患病率仍然不确定。
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引用次数: 2
Physical activity level in overweight adolescents at school: a systematic review 学校超重青少年的身体活动水平:一项系统评价
Q4 Medicine Pub Date : 2021-08-23 DOI: 10.1590/1980-0037.2021v23e82375
M. D. D. J. Alves, Josivan Rosa dos Santos, D. D. S. Silva, R. A. C. Sampaio, Michele de Souza Ribas, R. J. S. Silva
Abstract – The objective of this systematic review was to identify the association between overweight/obesity and level of physical activity in Brazilian children and adolescents in the school setting. For search strategy, the main reference databases (PubMed, LILACS, SciELO, SPORTDiscus, Web of Science, ERIC) were used. Baseline searches resulted in 3,265 potentially relevant titles (2,775 titles after removal of duplicate studies); 21 studies met all inclusion criteria and were included for analysis. Studies were carried out from 2007 to 2019; 47.6% of them were conducted in Southern Brazil, and only one study had nationwide approach. Prevalence from 5.4% to 21% was identified for overweight, 3.5% to 16.9% for obesity and 11.8% to 40.1% for overweight + obesity. According to results, 64.3% of overweight, 69.8% of obese and 37.7% of young overweight people were considered insufficiently active. The non-standardization of instruments to assess levels of physical activity and the lack of information regarding other Brazilian regions were classified as important limitations. The results reinforce the increase in the prevalence of overweight in Brazilian children and adolescents, and the high prevalence of physical inactivity among them. For every ten overweight children/adolescents, six are reported to be insufficiently active.
摘要:本系统综述的目的是确定巴西儿童和青少年在学校环境中超重/肥胖与身体活动水平之间的关系。检索策略采用PubMed、LILACS、SciELO、SPORTDiscus、Web of Science、ERIC等主要参考数据库。基线检索结果为3265个潜在相关标题(删除重复研究后为2775个标题);21项研究符合所有纳入标准并纳入分析。研究于2007年至2019年进行;其中47.6%是在巴西南部进行的,只有一项研究采用了全国性的方法。超重患病率为5.4%至21%,肥胖患病率为3.5%至16.9%,超重+肥胖患病率为11.8%至40.1%。结果显示,64.3%的超重者、69.8%的肥胖者和37.7%的青少年超重者被认为运动不足。评估体育活动水平的工具未标准化以及缺乏关于巴西其他地区的信息被列为重要限制。研究结果进一步证实了巴西儿童和青少年中超重患病率的上升,以及他们中缺乏身体活动的高患病率。据报道,每10名超重儿童/青少年中,就有6名活动不足。
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引用次数: 0
Prevalence of Brazilian children and adolescents who met health criteria for aerobic fitness: systematic review update for Report Card Brazil Project 符合有氧健身健康标准的巴西儿童和青少年的患病率:巴西报告卡项目的系统回顾更新
Q4 Medicine Pub Date : 2021-06-28 DOI: 10.1590/1980-0037.2021v23e78858
P. C. Martins, C. A. A. Alves Junior, Tiago Rodrigues de Lima, Andressa Ferreira da Silva, M. S. Moraes, Suellem Zanlorenci, João Antônio Chula de Castro, D. A. Silva
abstract The aim of the study was to update Brazilian evidence on the prevalence of children and adolescents who met health criteria for aerobic fitness. This systematic review is part of the Report Card Brazil Project and the search was restricted to studies published during the period from January 2018 to December 2019 in nine electronic databases. Studies with different designs, which allowed extracting information about the prevalence of children and adolescents who met health criteria for aerobic fitness (age up to 19 years or average age up to 19 years) were included. Studies published from 2020 were not included due to the possible effect of the pandemic on this indicator and because there is no certainty as to when the pandemic will end. Of the 694 studies initially identified, 13 studies with information of 14,673 children and adolescents were included after reading titles, abstracts, full texts and references. The prevalence of children and adolescents who met health criteria for aerobic fitness was 26.9% (29.7% for girls; 44.6% for boys). In this search, eight different cutoff points were used to determine adequate aerobic fitness levels and five tests were used to determine aerobic fitness. Analyzing data from the present review with the previous systematic review of this project, one third of children and adolescents in Brazil meet health criteria for aerobic fitness.
该研究的目的是更新巴西符合有氧健身健康标准的儿童和青少年患病率的证据。该系统综述是巴西报告卡项目的一部分,检索仅限于2018年1月至2019年12月期间在九个电子数据库中发表的研究。纳入了不同设计的研究,这些研究可以提取符合有氧健身健康标准(年龄不超过19岁或平均年龄不超过19岁)的儿童和青少年的流行情况。由于大流行可能对该指标产生影响,并且不确定大流行何时结束,因此未包括2020年以后发表的研究。在最初确定的694项研究中,有13项研究在阅读标题、摘要、全文和参考文献后纳入了14,673名儿童和青少年的信息。符合有氧健身健康标准的儿童和青少年患病率为26.9%(女孩为29.7%;男孩44.6%)。在这项研究中,使用了8个不同的截止点来确定足够的有氧健身水平,并使用了5个测试来确定有氧健身。通过分析本综述的数据和之前对该项目的系统综述,巴西三分之一的儿童和青少年符合有氧健身的健康标准。
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引用次数: 2
Acute effects of a walking activity on plantar pressure in children with obesity 步行活动对肥胖儿童足底压力的急性影响
Q4 Medicine Pub Date : 2021-06-21 DOI: 10.1590/1980-0037.2021v23e78684
Flavius Augusto Pinto Cunha, Rodrigo Jerônimo Santos, P. Mesquita, A. D. David
abstract Children with obesity present greater foot loads during walking when compared to eutrophic ones. However, the acute effects of a moderate walking on the distribution of plantar pressure in children with obesity are still incipient in the literature. Our aim was to verify the acute effects of six-minute walk test on plantar pressure in obese and eutrophic children. A pressure platform was used to record plantar pressure during walking for 62 children (37 girls), aged 7-10 years old, before and after the six-minute walk test. Children were divided into an obese group - OB (n = 20), and an eutrophic group - EU (n = 42). Peak plantar pressure (PPP), maximum force (MF), and contact area (CA) were assessed in three trials during walking at a comfortable speed. The analyses were performed in five plantar regions: rearfoot, midfoot, forefoot, hallux, and toes. For the PPP was higher under the midfoot region of the OB group after walking. In the comparison between groups, PPP, MF, and CA were higher for the OB group for most regions. We concluded that, after a moderate walking activity, children with obesity experience an increase in plantar loads, especially under the midfoot, which can bring greater discomfort and risk of injuries.
与富营养化儿童相比,肥胖儿童在步行时表现出更大的足部负荷。然而,适度步行对肥胖儿童足底压力分布的急性影响在文献中仍处于起步阶段。我们的目的是验证6分钟步行试验对肥胖和富营养化儿童足底压力的急性影响。使用压力平台记录62名7-10岁儿童(37名女孩)在步行6分钟测试前后的足底压力。将儿童分为肥胖组OB (n = 20)和富营养化组EU (n = 42)。在三个试验中,以舒适的速度行走时评估峰值足底压力(PPP)、最大力(MF)和接触面积(CA)。分析在五个足底区域进行:后脚,中足,前脚,拇趾和脚趾。因为OB组步行后足中部区域的购买力平价更高。在组间比较中,大多数地区OB组的PPP、MF和CA较高。我们的结论是,在适度的步行活动后,肥胖儿童的足底负荷会增加,尤其是在足中部,这会带来更大的不适和受伤的风险。
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引用次数: 0
Boas práticas higiênico-sanitárias na rotina antropométrica na (pós-) pandemia da COVID-19 COVID-19大流行(后)期间人体测量常规的良好卫生习惯
Q4 Medicine Pub Date : 2021-06-21 DOI: 10.1590/1980-0037.2021v23e77625
V. Silva, Israel Souza, P. Sehl
resumo A pandemia da COVID-19 afetou diversas atividades humanas, tais como práticas de medições antropométricas, desde o campo clínico e de pesquisa até o campo do ensino. Dada a falta de vacinas e/ou medicamentos eficazes contra a COVID-19, a Organização Mundial da Saúde (OMS) recomendou medidas de prevenção e enfrentamento da doença. Essas recomendações foram posteriormente endossadas pela Sociedade Internacional para o Avanço da Cineantropometria/ International Society for the Advancement of Kinanthropometry (ISAK), com adaptações às rotinas antropométricas, que complementamos para aplicação abrangente nos diversos segmentos de atuação da antropometria. Este ponto de vista visa enfatizar e contribuir às considerações de segurança das rotinas antropométricas em um mundo pós-COVID-19. Entende-se aqui que o protocolo de biossegurança apresentado neste ponto de vista para retorno e continuidade das atividades antropométricas, no mundo inteiro, independentemente da formação/ capacitação/ atuação profissional, no que diz respeito à vida e às comunidades, também pode ter aplicação recorrente no combate a outros patógenos respiratórios semelhantes para se transformarem em pandemias no futuro. Sugere-se o desenvolvimento de vídeos demonstrativos das recomendações deste ponto de vista para reforçar as boas práticas higiênico-sanitárias a serem adotadas pelos profissionais da antropometria na realização das medições do corpo humano.
COVID-19大流行影响了从临床和研究领域到教学领域的人体测量实践等各种人类活动。鉴于缺乏针对COVID-19的疫苗和/或有效药物,世界卫生组织(世卫组织)建议采取预防和应对该疾病的措施。这些建议随后得到了国际运动人体测量学会(ISAK)的认可,并对人体测量程序进行了调整,我们补充了这些建议,以便在人体测量的各个领域全面应用。这一观点旨在强调并促进covid -19后世界人体测量程序的安全考虑。懂在生物安全程序的介绍,此时人体测量反馈和业务连续性的视线,在全世界,无论职业培训/培训/性能,在生活和社区,也可能在战斗中实现经常性的大流行中类似的其他呼吸道病原体——就在未来。建议从这一角度制作示范视频,以加强人体测量专业人员在进行人体测量时采用的良好卫生做法。
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引用次数: 3
Do heart rate variability is relationed to endurance performance in female futsal players? 女性五人制足球运动员的心率变异性与耐力表现有关吗?
Q4 Medicine Pub Date : 2021-06-21 DOI: 10.1590/1980-0037.2021v23e73799
J.C.B.L. Pinto, R. Medeiros, A. Mortatti, F. Nakamura, L. Fortes, D. Machado, A. Fonteles
abstract The study aimed to verify the correlation between resting heart rate variability (HRVrest) and endurance performance in female futsal players, as well as to evaluate the reliability of this parasympathetic autonomic marker. A total of 16 female futsal players (age: 22 ± 3 years; VO2max: 42.3 ± 2.0 ml.kg-1.min-1) were evaluated during the first week of preseason training. Vagal modulation was evaluated from the HRVrest (i.e., log-transformed root mean square of successive R-R interval differences - Ln-RMSSD) for two consecutive days, while endurance performance was evaluated by the Yo-Yo Intermittent Recovery Test, Level 1 (Yo-Yo IR1). Pearson correlation was used to analyze the relationship between the variables. Strong correlation between the HRVrest index and endurance performance (r = 0.643; p = 0.007). Reliability was tested through the intraclass correlation coefficient, coefficient of variation (CV), and Bland-Altman analysis of the agreement. Furthermore, acceptable repeatability of HRVrest, but with great inter-subject variability (ICC = 0.670, 95%CI = 0.056-0.885, CV = 15.8%). The current study demonstrated a strong correlation between Ln-RMSSD and endurance performance, and despite the acceptable values of intrasubject reliability, HRVrest presented high inter-individual variability in female futsal players.
本研究旨在验证女子五人制足球运动员静息心率变异性(HRVrest)与耐力表现之间的相关性,并评估这一副交感神经自主神经指标的可靠性。女子五人制运动员共16人(年龄:22±3岁;VO2max: 42.3±2.0 ml.kg-1 min-1)在季前训练的第一周进行评估。通过连续两天的HRVrest(即连续R-R间隔差的对数变换均方根- Ln-RMSSD)来评估迷走神经调节,而耐力表现通过溜溜球间歇恢复测试1级(溜溜球IR1)来评估。采用Pearson相关分析各变量之间的关系。HRVrest指数与耐力表现有较强的相关性(r = 0.643;P = 0.007)。通过类内相关系数、变异系数(CV)和Bland-Altman一致性分析来检验信度。此外,HRVrest的重复性可接受,但受试者间差异较大(ICC = 0.670, 95%CI = 0.056-0.885, CV = 15.8%)。目前的研究表明,Ln-RMSSD与耐力表现之间存在很强的相关性,尽管主体内信度是可以接受的,但HRVrest在女子五人制足球运动员中表现出很高的个体间变异性。
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引用次数: 2
Small-Sided Games as Holons in the Football: a hierarchical systems approach 作为足球中的Holons的小型游戏:一种等级系统方法
Q4 Medicine Pub Date : 2021-06-21 DOI: 10.1590/1980-0037.2021v23e74081
M. Reis, U. Corrêa
abstract Sports science has showed benefits in the use of small-sided games in the teaching-learning and training processes of football. We propose that such benefits occur because the small-sided games are holons of a hierarchically organized that maintain the same characteristics of game, regardless the reduced complexity. The hierarchical model of football considers the numerical relations of cooperation and opposition in specific spaces of play. It characterizes a nested hierarchy model because it deals with both the parts and the different processes of game. Such a hierarchical model contains five levels, in which the upper level is the football game and the elementary level a game situation, that is, a small-sided game. As any open system of hierarchical organization, the small-sided games present simultaneously invariant characteristics of whole and the specificities of the parts according the context and level of analysis. The adoption of such a hierarchical perspective allows setting goals as well as selecting the teaching-learning and training’s contents at different analysis levels by considering the autonomy-dependency in each one.
体育科学在足球教学和训练过程中使用小型比赛已经显示出好处。我们认为这种好处的出现是因为小面游戏是一个层次组织的整体,保持了游戏的相同特征,而不考虑复杂性的降低。足球的等级模型考虑了特定比赛空间中合作和反对的数字关系。它具有嵌套层次模型的特点,因为它同时处理游戏的各个部分和不同过程。这种分层模型包含五个层次,其中上层是足球比赛,下层是比赛情境,即小方比赛。作为任何开放的层级组织系统,小方博弈根据情境和分析层次同时呈现整体的不变特征和部分的特殊性。采用这种分层视角,可以在不同的分析层次上设定目标,并通过考虑每个层次的自主依赖关系来选择教学和培训的内容。
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引用次数: 1
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