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Recovery from COVID-19 in Adult Recreational Athletes: A Survey of American Triathletes 成年休闲运动员从新冠肺炎中康复:对美国三项全能运动员的调查
Pub Date : 2023-02-01 DOI: 10.1249/esm.0000000000000005
Allison N. Schroeder, A. Getzin, L. Creswell, C. Asplund
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引用次数: 0
The Health Benefits of Resistance Exercise: Beyond Hypertrophy and Big Weights 阻力运动的健康益处:超越肥大和大重量
Pub Date : 2023-01-01 DOI: 10.1249/esm.0000000000000001
Sidney Abou Sawan, E. Nunes, C. Lim, James McKendry, Stuart M Phillips
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引用次数: 13
The Effects of an Acute Bout of Aerobic or Resistance Exercise on Nonexercise Physical Activity. 急性一次有氧或阻力运动对非运动性身体活动的影响。
Pub Date : 2023-01-01 DOI: 10.1249/esm.0000000000000004
Jason V Thomas, Selene Y Tobin, Mark Garrett Mifflin, Ryan D Burns, Ryan R Bailey, Sarah A Purcell, Edward L Melanson, Marc-Andre Cornier, Tanya M Halliday

Introduction/purpose: A reduction in nonexercise physical activity (NEPA) after exercise may reduce the effectiveness of exercise interventions on weight loss in adults with overweight or obesity. Aerobic exercise (AEx) and resistance exercise (REx) may have different effects on NEPA. The purpose of this secondary analysis was to examine the effect of a single bout of AEx or REx on NEPA and sedentary behavior in inactive adults with overweight or obesity.

Methods: Adults with overweight or obesity (n = 24; 50% male; age, 34.5 ± 1.5 yr; body mass index, 28.5 ± 0.9 kg·m-2) not meeting current physical activity guidelines completed a single 45-min bout of AEx, REx, or a sedentary control on different days in random order. After each condition, participants' NEPA was recorded for 84 h by accelerometer. Time spent sedentary and in light, moderate, and vigorous physical activity; steps; metabolic equivalent of task (MET)-hours; and sit-to-stand transitions were calculated using activity count data.

Results: No differences were observed in the percent of waking time spent sedentary and in light, moderate, and vigorous activity between conditions (P > 0.05). No differences were observed in steps, MET-hours, or sit-to-stand transitions between conditions (P > 0.05). NEPA responses were variable among individuals, with approximately half of participants reducing and half increasing NEPA over the 84 h after each exercise condition.

Conclusion: NEPA was not reduced after an acute bout of AEx or REx in a sample of inactive adults with overweight or obesity.

简介/目的:运动后减少非运动性身体活动(NEPA)可能会降低运动干预对超重或肥胖成人减肥的效果。有氧运动(AEx)和阻力运动(REx)可能对NEPA有不同的影响。这一次要分析的目的是检查单次AEx或REx对超重或肥胖的不活动成年人的NEPA和久坐行为的影响。方法:超重或肥胖的成年人(n = 24;男性50%;年龄:34.5±1.5岁;体重指数(28.5±0.9 kg·m-2)不符合当前身体活动指南的患者在不同日期随机完成单次45分钟的AEx、REx或久坐对照。每组实验结束后,用加速度计记录参与者84小时的NEPA。久坐不动以及进行轻度、中度和剧烈体育活动的时间;步骤;任务代谢当量(MET)小时;根据活动计数数据计算从坐姿到站立的转变。结果:两种情况下,醒着时久坐和轻度、中度和剧烈活动的时间百分比没有差异(P > 0.05)。两组之间的步数、met小时数或从坐到站的转变均无差异(P > 0.05)。NEPA的反应因人而异,在每项运动后84小时内,大约一半的参与者减少了NEPA,一半的参与者增加了NEPA。结论:在不活动的超重或肥胖成人样本中,急性发作AEx或REx后NEPA不会减少。
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引用次数: 1
Subconcussion revealed by sound processing in the brain. 大脑声音处理显示的次脑震荡
Pub Date : 2023-01-01 Epub Date: 2023-06-28 DOI: 10.1249/esm.0000000000000011
Nina Kraus, Danielle Colegrove, Rembrandt Otto-Meyer, Silvia Bonacina, Trent Nicol, Jenna Cunningham, Jennifer Krizman

Introduction/purpose: We tested the hypothesis that an objective measure of auditory processing reveals a history of head trauma that does not meet the clinical definition of concussion.

Methods: Division I collegiate student-athletes (n = 709) across 19 sports were divided into groups, based on their sport, using prevailing classifications of "contact" (317 males, 212 females) and "noncontact" (58 males, 122 females). Participants were evaluated using the frequency-following response (FFR) to speech. The amplitude of FFR activity in a frequency band corresponding to the fundamental frequency (F0)-the voice pitch-of the speech stimulus, an outcome reduced in individuals with concussions, was critically examined.

Results: We found main effects of contact level and sex. The FFR-F0 was smaller in contact athletes than noncontact athletes and larger in females than males. There was a contact by sex interaction, with the FFR-F0 of males in the contact group being smaller than the three other groups. Secondary analyses found a correlation between FFR-F0 and length of participation in contact sports in male athletes.

Conclusion: These findings suggest that the disruption of sensory processing in the brain can be observed in individuals without a concussion but whose sport features regular physical contact. This evidence identifies sound processing in the brain as an objective marker of subconcussion in athletes.

我们测试了一个假设,即听觉处理的客观测量揭示了头部创伤的历史,不符合脑震荡的临床定义。本研究采用“接触”(317名男性,212名女性)和“非接触”(58名男性,122名女性)的流行分类,将来自19个体育项目的709名大学生运动员分为两组。参与者使用语音频率跟随反应(FFR)进行评估。研究人员仔细检查了FFR活动在与语言刺激的基本频率(F0)——声音的音高——相对应的频段上的幅度,这是脑震荡患者的一个结果。我们发现了接触程度和性别的主要影响。接触运动员的FFR-F0比非接触运动员小,女性比男性大。接触组男性的FFR-F0小于其他三组,存在性别互动接触。二次分析发现,男性运动员的FFR-F0与接触性运动的参与时间有关。这些发现表明,大脑感觉处理的中断可以在没有脑震荡的人身上观察到,但他们的运动特征是经常有身体接触。这一证据表明,大脑中的声音处理是运动员亚脑震荡的客观标志。
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引用次数: 1
Restoring Balance: a physical activity intervention for Native American cancer survivors and their familial support persons. 恢复平衡:一项针对癌症美国原住民幸存者及其家庭支持人员的体力活动干预。
Pub Date : 2023-01-01 Epub Date: 2023-04-14 DOI: 10.1249/esm.0000000000000007
Jennifer W Bea, Hendrik 'Dirk' de Heer, Taylor Lane, Brenda Charley, Etta Yazzie, Janet Yellowhair, Jennifer Hudson, Brian Kinslow, Betsy C Wertheim, Denise J Roe, Anna Schwartz

Introduction/purpose: Exercise interventions among Native American cancer survivors are lacking, despite major cancer health disparities in survivorship. The purpose of this study was to evaluate a 12-week randomized controlled trial (RCT) of culturally tailored exercise on cancer risk biomarkers and quality of life among Native American cancer survivors and family members.

Methods: Participants were randomized to immediate start versus 6-week waitlist control at two rural and two urban sites. Participants enrolled in a small feasibility pilot study (only cancer survivors evaluated, n=18; cohort 1) or larger efficacy pilot study where cancer survivors (n=38; cohort 2) and familial supporters (n=25; cohort 3) were evaluated concurrently. Resistance, aerobic, flexibility, and balance exercises were tailored by cultural experts representing ten tribes. Exercises was supervised on-site one day per week and continued in home-based settings two to five days per week. Fat mass, blood pressure, hemoglobin A1c, 6-min walk, sit-to-stand test, and quality of life (Patient-Reported Outcomes Measurement Information System Global Health short form and isolation subscale) were measured. Mixed effects models evaluated differences between RCT arms from baseline to 6 weeks, and 12-week intervention effects in combined arms.

Results: There were no consistent differences at 6 weeks between randomized groups. Upon combining RCT arms, 6-min walk and sit-to-stand tests improved in all three cohorts by 12 weeks (both survivors and familial support persons, p<0.001); social isolation was reduced in all three cohorts (p≤0.05). Familial support persons additionally improved blood pressure and HbA1c (p≤0.05).

Conclusion: Exercise improved cardiorespiratory fitness and physical function among Native American cancer survivors and familial supporters. A longer intervention may influence other important health outcomes among Native American survivors. Additional improvements demonstrated among Native American family members may have a meaningful impact on cancer prevention in this underserved population with shared heritable and environmental risks.

简介/目的:尽管癌症幸存者的健康状况存在重大差异,但美国原住民癌症幸存者缺乏运动干预。本研究的目的是评估一项为期12周的随机对照试验(RCT),该试验针对癌症风险生物标志物和美国原住民癌症幸存者及其家庭成员的生活质量进行文化定制的锻炼。方法:参与者被随机分配到两个农村和两个城市的立即开始与6周等待名单对照组。参与小型可行性试验研究的参与者(仅评估癌症幸存者,n=18;队列1)或同时评估癌症幸存者(n=38;队列2)和家庭支持者(n=25;队列3)的更大疗效试验研究。抵抗力、有氧、灵活性和平衡练习是由代表十个部落的文化专家量身定制的。每周有一天在现场监督演习,并在家庭环境中每周持续两到五天。测量了脂肪量、血压、血红蛋白A1c、6分钟步行、坐立试验和生活质量(患者报告结果测量信息系统全球健康简表和隔离分量表)。混合效应模型评估了从基线到6周的随机对照试验组之间的差异,以及联合组中12周的干预效果。结果:在6周时,随机分组之间没有一致的差异。在组合RCT臂时,到12周,所有三组患者的6分钟步行和坐立式测试都有所改善(幸存者和家庭支持人员,P结论:运动改善了癌症幸存者和家庭支持者的心肺健康和身体功能。更长的干预可能会影响美国原住民幸存者的其他重要健康结果。美国原住民家庭成员的其他改善可能会对在这一服务不足的人群中预防cer,具有共同的遗传和环境风险。
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引用次数: 0
Critical Environmental Limits for Human Thermoregulation in the Context of a Changing Climate. 气候变化背景下人类体温调节的关键环境极限
Pub Date : 2023-01-01 Epub Date: 2023-04-11 DOI: 10.1249/esm.0000000000000008
Daniel J Vecellio, Rachel M Cottle, S Tony Wolf, W Larry Kenney

Human-caused climate change has increased the average temperature of the Earth by over 1°C since the 19th century with larger increases expected by 2100 due to continued human influence. This change in mean ambient temperature has had nonlinear effects, resulting in more high temperature extremes, i.e., heat waves, that have increased in frequency, duration, and magnitude. Additional occurrences of humid heatwaves have significantly affected human health due to the physiological strain associated with a relative inability for evaporative cooling. Inability to efficaciously cool the body, whether during passive heat exposure or physical activity, not only leads to elevated core temperatures but also places strain on the cardiovascular system, often exacerbating age-related co-morbidities. As part of the PSU HEAT (Pennsylvania State University - Human Environmental Age Thresholds) Project, a progressive environmental strain protocol has been developed to determine critical environmental limits - combinations of ambient temperature and humidity -- associated with uncompensable heat stress and intractable rises in core temperature (Tc). These human heat balance thresholds, well below those originally theorized by climatologists, have been surpassed in recent heatwaves and be exceeded on a more regular basis in the future, providing additional impetus to the urgency of adaptative measures and climate change mitigation.

自 19 世纪以来,人类造成的气候变化使地球平均气温上升了 1°C 以上,由于人类的持续影响,预计到 2100 年会有更大幅度的上升。平均环境温度的这种变化产生了非线性影响,导致更多的极端高温,即热浪,其频率、持续时间和强度都有所增加。更多的潮湿热浪严重影响了人类的健康,这是因为相对无法蒸发冷却所造成的生理压力。无论是在被动受热还是在体力活动时,如果身体无法有效降温,不仅会导致核心温度升高,还会给心血管系统造成压力,往往会加重与年龄有关的并发症。作为宾夕法尼亚州立大学人类环境年龄阈值项目(PSU HEAT)的一部分,我们制定了一个渐进式环境应变协议,以确定临界环境极限(环境温度和湿度的组合),这些极限与难以承受的热应激和核心温度(Tc)难以控制的升高有关。这些人类热平衡阈值远远低于气候学家最初的理论值,在最近的热浪中已经被超过,并且在未来会更经常地被超过,这进一步推动了适应措施和减缓气候变化的紧迫性。
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引用次数: 0
Editorial 编辑
Pub Date : 2023-01-01 DOI: 10.1249/esm.0000000000000002
G. Liguori
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引用次数: 0
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Exercise, sport, & movement
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