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Examining the Effects of Exercise and Practice on the SCAT3, and Association between Mood, Pain & SCAT3 Symptom Report 检查运动和练习对SCAT3的影响,以及情绪、疼痛和SCAT3症状报告的关系
Pub Date : 2019-04-15 DOI: 10.23937/2469-5718/1510125
E. Ashley, Willmott Catherine
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引用次数: 0
Non-Traumatic First Rib Fractures Secondary to Opposing Muscle Contractions: A Case Series 非外伤性第一肋骨骨折继发于对向肌收缩:一个病例系列
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510113
L WeisJamie
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引用次数: 1
A Correlation Study of Lower-Limb Gait Biomechanics with Clinical Severity in Patients with Achilles Tendinopathy 跟腱病患者下肢步态生物力学与临床严重程度的相关性研究
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510115
I. Ogbonmwan, B. Kumar
Background: Biomechanical characteristics have been recurrently associated as aetiological factors in Achilles tendinopathy. Despite this, no study has investigated the relationship between biomechanics and clinical severity. Aim: To establish whether an association exists between Achilles tendinopathy clinical severity and biomechanical kinetic and temporospatial variables. Methods: Design: Observational cross-sectional cohort study. Setting: Gait laboratory. Participants: Twenty-four participants with mid-portion Achilles tendinopathy. Main outcomes: Gait kinetic and temporospatial parameters were measured using an instrumented treadmill. Clinical severity was measured using the Victoria Institute of Sport Assessment-Achilles Questionnaire. Results: Overall clinical severity was reduced in participants with a greater step length (B = 2.144, p = 0.04) and a greater anteroposterior displacement of center of pressure (B = 0.117, p = 0.02) and increased in individuals with a greater step time (B = -343.861, p = 0.05). Pain was greater in participants with a greater weight acceptance peak index (B = -1.058, p = 0.046), impulse (B = -0.108, p = 0.04) and active force peak (B = -0.102, p = 0.025) and reduced in participants with a greater weight acceptance rate (B = 0.004, p = 0.024), stride length (B = 0.374, p = 0.049), step length (B = 0.0755, p = 0.044) and push-off rate (B = 0.003, p = 0.038). Function was reduced in participants with a greater weight acceptance peak index (B = -0.905, p = 0.014) and greater double support time (B = -198.526, p = 0.040). Activity was increased in participants with an increased anteroposterior displacement of centre of pressure (B = 0.061, p = 0.038) and reduced in participants with a greater base of support. (B = -1.500, p = 0.033) Conclusion: Significant correlations between biomechanical parameters and Achilles tendinopathy clinical severity exist. Biomechanical variables identified in this study should be investigated in larger cohorts prior to determining clinical applications.
背景:生物力学特征经常被认为是跟腱病的病因。尽管如此,还没有研究调查生物力学和临床严重程度之间的关系。目的:探讨跟腱病的临床严重程度与生物力学动力学和时空变量之间是否存在关联。方法:设计:观察性横断面队列研究。设置:步态实验室。参与者:24名跟腱中段病变患者。主要结果:使用仪器跑步机测量步态动力学和时空参数。临床严重程度采用维多利亚运动评估研究所跟腱问卷进行测量。结果:步长越长(B = 2.144, p = 0.04)、压力中心前后移位越长(B = 0.117, p = 0.02),患者的总体临床严重程度越低(B = -343.861, p = 0.05)。体重接受峰指数(B = -1.058, p = 0.046)、冲量(B = -0.108, p = 0.04)和主力峰(B = -0.102, p = 0.025)较高的参与者疼痛程度更大,体重接受率(B = 0.004, p = 0.024)、步幅(B = 0.374, p = 0.049)、步长(B = 0.0755, p = 0.044)和蹬离率(B = 0.003, p = 0.038)较高的参与者疼痛程度更低。权重接受峰值指数(B = -0.905, p = 0.014)和双重支持时间(B = -198.526, p = 0.040)越高,功能越低。压力中心前后位移增加的参与者活动增加(B = 0.061, p = 0.038),支持基础较大的参与者活动减少。(B = -1.500, p = 0.033)结论:生物力学参数与跟腱病临床严重程度存在显著相关性。在确定临床应用之前,本研究中确定的生物力学变量应该在更大的队列中进行调查。
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引用次数: 0
Accelerated Junctional Rhythm in Athlete's Heart: An Unusual Presentation 加速连接节律在运动员的心脏:一个不寻常的表现
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510117
D. Lahut, B. Bodur, O. Tosun
The athlete’s heart refers to a heart which has gained physiological adaptation mechanisms due to long term training in various sport activities. Sinus bradycardia, sinus arrhythmia, first degree atrioventricular block and second degree mobitz type I AV blocks are most common electrocardiographic findings in athlete’s heart. In our case we observed first degree atrioventricular block with pathological PR interval values second degree mobitz type I (Wenckebach) atrioventricular block and accelerated junctional rhythm at the day time in a 13-year-old athlete playing football, exercising 21 hours a week. The clinical course of our patient indicates that such intense exercise may not always be beneficial to cardiovascular system in children.
运动员心脏是指在各种体育活动中经过长期训练而形成的具有生理适应机制的心脏。窦性心动过缓、窦性心律失常、一级房室传导阻滞和二级摩比兹I型房室传导阻滞是运动员心脏最常见的心电图表现。在我们的病例中,我们观察了一名13岁的足球运动员,每周锻炼21小时,在白天,二级mobitz I型(Wenckebach)房室传导阻滞和加速的结律。本例患者的临床过程表明,这种剧烈运动可能并不总是对儿童心血管系统有益。
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引用次数: 0
Learning from Pokémon GO and Preparing for Potter: The Impact of Augmented Reality Video Games on Adolescent Physical Activity 从《口袋妖怪GO》学习并为《哈利波特》做准备:增强现实电子游戏对青少年体育活动的影响
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510118
McLaughlin Laura, Das Prithwijit, Fruitman Kate, Milanaik Ruth
Background: Only 25% of US high school students meet CDC physical activity guidelines. Over 40% report playing video games for > 3 hours/day. This epidemic of inactivity may lead to health consequences including obesity. Augmented Reality Games (ARGs) may increase activity through video gameplay. Our objective was to quantify the effect of an ARG, Pokémon GO, on adolescent physical activity. Methods: Parents (ne = 546) of children ages 13-18 completed an anonymous online questionnaire about their child’s physical activity and Pokémon GO gameplay. Subjects recorded the number of steps taken by their child for 3 weeks; Week 1 preceded the game’s release, Week 2 was immediately after release, and Week 3, 1 month after. The dataset consisted of 2 groups: those who started playing around Pokémon GO’s release (Pokémon GO Group, n = 418) and those who did not play or started playing after Week 1 (Comparison Group, n = 128). Median daily steps of each week were compared between groups. Results: There were no significant differences in age, gender, ethnicity or income between groups. The Comparison Group had a 14.8% increase in steps between Weeks 1 and 2; the Pokémon GO Group had a 29.1% increase in that same time. Weeks 1 and 3 were not significantly different between the two groups but Week 2 was (p > 0.05). Conclusions: Pokémon GO led to a minimal but significant initial increase in activity. Although future studies are needed to determine the long-term effects of ARGs on physical activity, our study suggests that the purported exercise benefits are minimal.
背景:只有25%的美国高中生符合疾病预防控制中心的体育活动指南。超过40%的人表示每天玩电子游戏的时间超过3小时。这种缺乏运动的流行可能导致包括肥胖在内的健康问题。增强现实游戏(arg)可能会通过视频玩法增加玩家的活动。我们的目标是量化一种ARG (poksamongo)对青少年身体活动的影响。方法:13-18岁儿童的父母(546名)完成了一份关于他们孩子的身体活动和poksammon GO游戏玩法的匿名在线问卷。受试者在3周内记录孩子的步数;第1周是在游戏发行前,第2周是在游戏发行后,第3周是在游戏发行后的1个月。数据集由两组组成:一组是在poksammon GO发布前后开始玩游戏的人(poksammon GO组,n = 418),另一组是在第1周之后才开始玩游戏的人(对照组,n = 128)。比较各组之间每周每日步数的中位数。结果:各组间年龄、性别、种族、收入无显著差异。对比组在第1周和第2周之间的步数增加了14.8%;poksammon GO组在同一时期增加了29.1%。第1、3周两组间差异无统计学意义,第2周差异有统计学意义(p > 0.05)。结论:poksammon GO导致了微小但显著的初始活动增加。虽然未来的研究需要确定ARGs对身体活动的长期影响,但我们的研究表明,所谓的运动益处是微乎其微的。
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引用次数: 1
Shoulder Infrared Thermography in Chronic Rotator Cuff Tears - Temperature Assessment and Variation in Affected and Non-Affected Shoulders 慢性肩袖撕裂的肩部红外热成像-受累和非受累肩膀的温度评估和变化
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510120
N. Bernardo, L. Jorge, Relvas-Silva Miguel, A. Hélio, Vardasca Ricardo, Gutierres Manuel
Background: Chronic Rotator Cuff Tears (RCT) are a common and disabling condition. Local tissue changes may be assessed by Infrared Thermography (IRT). It was hypothesized that IRT might provide useful information for diagnosis of chronic RCT, yielding lower local skin temperatures. Methods: Included patients consisted of adults with chronic primary RCT (> 3 months). Demographics and occupation were recorded. An IRT protocol was used, at rest and after exercise, for both affected and contralateral shoulder. Frontal, dorsal and lateral views were used, and Regions of Interest (ROI’s) were defined in the topography of the main rotator cuff tendons. Three independent observers assessed temperature, and concordance analysis was performed. Significant temperature variation was defined as 0.5 °C. Results: 52 patients 16 males and 36 females were evaluated, mean age 56 ± 1.3 years old. Inter-observers’ concordance was greater than 95%. A slight decrease in temperature was verified after the exercise protocol in affected and contra-lateral shoulders, but this was less than 0.5 °C. Comparing the skin temperature of affected shoulders and contralateral temperatures, no significant differences were revealed, both at rest or after exercise. Conclusions: The obtained results demonstrated IRT as highly reproducible. A small decrease in skin temperature after exercise has been related to peripheral vasoconstriction, and this was confirmed in both affected and non-affected shoulders. Nevertheless, it was expected on affected shoulders a lower baseline and after exercise skin temperatures, which was not confirmed, as no significant difference was found between groups. As such, the role of IRT as complimentary mean of diagnosis is yet to be established in RCT.
背景:慢性肩袖撕裂(RCT)是一种常见的致残疾病。局部组织变化可通过红外热成像(IRT)评估。假设IRT可能为慢性RCT的诊断提供有用的信息,产生较低的局部皮肤温度。方法:纳入的患者为成人慢性原发性RCT(> 3个月)。记录了人口统计和职业。在休息和运动后,对患肩和对侧肩均采用IRT方案。使用正面、背部和侧面视图,并在主肩袖肌腱的地形中定义感兴趣区域(ROI 's)。三名独立观察员评估温度,并进行一致性分析。显著温度变化定义为0.5°C。结果:52例,男16例,女36例,平均年龄56±1.3岁。观察者间一致性大于95%。在运动方案后,受影响和对侧肩膀的温度略有下降,但低于0.5°C。比较患肩的皮肤温度和对侧温度,在休息或运动后均无显著差异。结论:所得结果表明IRT具有高重复性。运动后皮肤温度的小幅下降与周围血管收缩有关,这在受影响和未受影响的肩膀上都得到了证实。尽管如此,预计受影响的肩部基线和运动后皮肤温度较低,这一点尚未得到证实,因为两组之间没有发现显著差异。因此,在RCT中,IRT作为辅助诊断手段的作用尚未确立。
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引用次数: 1
Treatment of the Myofascial Trigger-Points of Triceps Surae: A Systematic Review 三头肌表面肌筋膜触发点的治疗:系统回顾
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510116
S. Mathias, P. Albert, P. Olivier, Ragazzi Paolo, Escolà Alexandra Myers, L. Carlos
Background: Myofascial Trigger Points (MTrPs) in the triceps surae muscles are very frequent and their presence may be implicated in pain, such as nocturnal night cramps. These points cause important limitations to athletic performance and daily activities. For this reason, treatment of these MTrPs are essential in the clinical field and have been addressed by a large number of therapeutic strategies. Therefore, the aim of this review is to analyze treatments available for the MTrPs in the triceps surae and their effectiveness. Methods: The PubMed and PEDro databases were both used for the study selection process. The terms “Trigger Points AND Gastrocnemius AND Soleus NOT Trapezius” were used and without a time restriction. From the 277 articles screened initially, 12 studies were selected to be included in this review. To assess the quality of the articles, the Jadad Scale and the U.S Preventive Task Force Scale were used. Results: The studies reviewed included healthy subjects as well as patients with disorders, or pain affecting specifically the foot and the ankle. In these studies, both active and latent trigger-points were found. Of all the variables used, the treatment of the MTrPs allows for an improvement in jump performance, quality of life, insomnia, Range of Motion (ROM) of ankle dorsiflexion, mobility, and reduced pain. However, the MTrP therapy has no effects on depression or anxiety. The principal treatments used were injections, electrostimulation, dry needling, ischemic compression, and Extra-Corporeal Shock Wave Therapy (ESWT). Conclusion: MTrPs can be the origin of several alterations. This review shows how the MTrPs treatment can improve those conditions. ISSN: 2469-5718 DOI: 10.23937/2469-5718/1510116 Simon et al. Int J Sports Exerc Med 2019, 5:116 • Page 2 of 7 • aim of this systematic review is to conduct a revision of scientific literature in order to identify which treatment is more effective, and the variables used to assess its effects on the subject ́s condition. Materials and Methods The bibliographic research was conducted using the following databases, MEDLINE and PEDro, inputting the following combination of words: “Trigger Points AND Gastrocnemius AND Soleus” and 418 articles were obtained. Based on title analysis of the first results, many articles were focused on the trapezius muscle. For this reason, the final search was narrowed down using the following combination of words: “Trigger Points AND Gastrocnemius AND Soleus NOT Trapezius”. In the selection of articles, the year of publication was not taken into consideration. Initially, 277 articles were eligible to be included in this revision. The articles were then narrowed down by the reviewers based on the study of the abstract, the title, the keywords and the inclusion criteria. Two independent reviewers made the first analysis, if a consensus was not reached, the opinion of a third reviewer was added. After the first analysis, 18 articles were selected. Final
背景:肌筋膜触发点(MTrPs)在三头肌表面肌是非常频繁的,它们的存在可能涉及疼痛,如夜间夜间痉挛。这些点对运动表现和日常活动造成重大限制。由于这个原因,治疗这些MTrPs在临床领域是必不可少的,并且已经通过大量的治疗策略来解决。因此,本综述的目的是分析三头肌表面MTrPs的治疗方法及其有效性。方法:研究选择过程中使用PubMed和PEDro数据库。术语“触发点和腓肠肌和比目鱼肌而不是斜方肌”被使用并且没有时间限制。从最初筛选的277篇文章中,选择了12项研究纳入本综述。为了评估文章的质量,使用了Jadad量表和美国预防工作队量表。结果:这些研究包括健康受试者以及患有疾病或疼痛的患者,特别是影响足部和踝关节的患者。在这些研究中,发现了活跃和潜在的触发点。在所有使用的变量中,MTrPs的治疗可以改善跳跃性能、生活质量、失眠、踝关节背屈的活动范围(ROM)、活动性和减轻疼痛。然而,MTrP疗法对抑郁或焦虑没有效果。主要的治疗方法是注射、电刺激、干针、缺血压迫和体外冲击波治疗(ESWT)。结论:MTrPs可能是多种改变的起源。这篇综述展示了MTrPs治疗如何改善这些情况。ISSN: 2469-5718 DOI: 10.23937/2469-5718/1510116本系统综述的目的是对科学文献进行修订,以确定哪种治疗更有效,以及用于评估其对受试者状况影响的变量。资料与方法采用MEDLINE和PEDro数据库进行文献研究,输入“Trigger Points and Gastrocnemius and Soleus”组合,获得文献418篇。基于对第一个结果的标题分析,许多文章都集中在斜方肌上。出于这个原因,最后的搜索范围缩小了,使用了以下几个词的组合:“触发点和腓肠肌和比目鱼肌而不是斜方肌”。在选择文章时,没有考虑到出版年份。最初,有277篇文章有资格被纳入这次修订。然后,审稿人根据对摘要、标题、关键词和纳入标准的研究,将文章范围缩小。两位独立的审稿人进行第一次分析,如果无法达成共识,则加入第三位审稿人的意见。经过第一次分析,选出了18篇文章。最后,在使用全文进行完整分析后,其中12个被选中的国家被纳入本次修订,并在评估阶段进行详细研究。图1为截至2018年5月5日的整个搜索过程流程图。本研究的纳入标准为:1。涉及腓肠肌MTrPs 2的试验。研究是康复领域的一部分。3.可以获得全文版本的文章,并以作者使用的不同语言之一出版,如英语,西班牙语,加泰罗尼亚语,法语或意大利语。为了评估本次修订中不同文章的质量,作者尽可能使用了Jadad量表和美国预防工作组,这两种方法都是这类调查的标准方法。采用Jadad等[13]的3项量表评价临床试验的质量。量表得分范围从0到5分,分数越高质量越好(表1)。评估单个研究质量的标准方法是基于研究设计的分层评分系统,其中随机对照试验得分最高(表2)[14,15]。
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引用次数: 4
Epidemiology of Primary Anterior Cruciate Ligament Ruptures in Men and Women 男女原发性前交叉韧带断裂的流行病学研究
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510114
C. Maria, Seijas Roberto, P. Albert, Navarro Raul, Ragazzi Paolo, Alvarez Pedro
In the practice of sports that require impact and pivot movements such as football or skiing, knee injuries are common and among these is important to underline the rupture of the Anterior Cruciate Ligament (ACL). Noncontact movements cause a 70% of ACL injuries and there is a high incidence of ruptures in women. Therefore, the objective of this study is to analyse what are the causes for the difference in incidence between men and women in terms of ACL ruptures. Through the search in the previous literature it has been observed that the fact that female athletes suffer ACL injuries with a higher frequency than male athletes is mainly due to anatomical, hormonal, biomechanical and neuromuscular control factors. Due to this occurrence, it is important to promote mainly treatments and prevention plans in order to reduce neuromuscular imbalances, that is predominant in women, to decrease the risk of ACL injuries in female athletes.
在需要冲击和支点运动的运动中,如足球或滑雪,膝盖损伤是常见的,其中重要的是强调前交叉韧带(ACL)的断裂。非接触性运动导致70%的前交叉韧带损伤,女性中骨折的发生率很高。因此,本研究的目的是分析导致男性和女性前交叉韧带断裂发生率差异的原因。通过对既往文献的研究发现,女性运动员发生前交叉韧带损伤的频率高于男性运动员,这主要是受解剖学、激素、生物力学和神经肌肉控制因素的影响。由于这种情况的发生,重要的是促进主要的治疗和预防计划,以减少神经肌肉失衡,这在女性中占主导地位,以降低女性运动员ACL损伤的风险。
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引用次数: 4
Effect of Eight Weeks of Exercise Training on Lipid Profile and Insulin Sensitivity in Obese Person 8周运动训练对肥胖者血脂和胰岛素敏感性的影响
Pub Date : 2019-03-31 DOI: 10.23937/2469-5718/1510119
Adrien Ngayimbesha, Berchmans Bizimana Jean, Stella Gakima Marie
NGAYIMBESHA et al. Int J Sports Exerc Med 2019, 5:119 Citation: NGAYIMBESHA A, BIZIMANA JB, GAKIMA MS (2019) Effect of Eight Weeks of Exercise Training on Lipid Profile and Insulin Sensitivity in Obese Person. Int J Sports Exerc Med 5:119. doi. org/10.23937/2469-5718/1510119 Accepted: February 09, 2019; Published: February 11, 2019 Copyright: © 2019 NGAYIMBESHA A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Effect of Eight Weeks of Exercise Training on Lipid Profile and Insulin Sensitivity in Obese Person
NGAYIMBESHA等。引用本文:NGAYIMBESHA A, BIZIMANA JB, GAKIMA MS(2019) 8周运动训练对肥胖者血脂和胰岛素敏感性的影响。国际体育运动杂志5:19 9。doi。录用日期:2019年2月9日;出版日期:2019年2月11日版权所有:©2019 NGAYIMBESHA A, et al。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。8周运动训练对肥胖者血脂和胰岛素敏感性的影响
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引用次数: 7
The Association between Dietary Protein Intake Frequency, Amount, and State of Energy Balance on Body Composition in a Women's Collegiate Soccer Team 女子大学足球队膳食蛋白质摄取频率、摄取量及能量平衡状态对身体组成的影响
Pub Date : 2019-03-30 DOI: 10.23937/2469-5718/1510123
Delk-Licata Ashley, Behrens Christian E, Benardot Dan, Bertrand Brenda M, Chandler-Laney Paula C, F. Jose R, Plaisance Eric P
Background: Although protein consumption has been documented to influence body composition in humans, the effect on fat-free mass and fat mass, as influenced by the timing, frequency, and state of energy balance during the day when protein is consumed has not been fully investigated. Aim: The purpose of this cross-sectional study was to assess whether the amount and frequency of dietary protein intake, and the state of energy balance when consumed, are associated with body composition of collegiate women’s soccer athletes. Methods: Data from nutrition assessments conducted during off-season training were collected in 20 healthy Division 1 female soccer athletes, aged 18-21 years. At visit 1, participants were instructed on how to keep a three-day food and exercise record with hourly measures. At visit 2, food and exercise logs were reviewed, nutrition history questionnaires were completed, and the following measurements were taken: height, weight, and body composition using multi-current segmental Bioelectrical Impedance Analysis (BIA). Hourly protein intake and hourly Energy Balance (EB), a measure of whether energy intake is dynamically matching requirements (energy expenditure), were computed using nutrition analysis software. Results: Spearman correlations were used to assess the relationships between dietary protein intake, state of energy balance when consumed, and body composition. It was found that consuming protein in moderate amounts of between 15 to 30 g, with sufficient frequency to supply predicted daily need and while in a state of energy balance > -300 kcal, is significantly associated with lower Fat Mass Adjusted for total body weight (FM-Adj) (rs = -0.546; p = 0.013) and greater Fat-Free Mass Adjusted for total body weight (FFM-Adj) (rs = 0.546; p = 0.013). Conclusion: These data suggest that collegiate female soccer players should consume their individual recommended daily amount of protein in ~15-30 g servings while in a reasonable state of energy balance (>300 kcal) to achieve lower fat mass and higher fat-free mass.
背景:虽然已有文献记载蛋白质的摄入会影响人体的身体组成,但对无脂量和脂肪量的影响,如受摄入蛋白质的时间、频率和能量平衡状态的影响,尚未得到充分的研究。目的:本横断面研究的目的是评估膳食蛋白质摄入的数量和频率以及摄入时的能量平衡状态是否与大学女子足球运动员的身体成分有关。方法:收集20名18 ~ 21岁健康的甲级女足运动员在休赛期训练期间的营养评估数据。在第一次访问中,参与者被告知如何保持三天的饮食和运动记录,每小时测量一次。在就诊2时,检查饮食和运动记录,填写营养史问卷,并使用多电流节段生物电阻抗分析(BIA)测量身高、体重和身体成分。利用营养分析软件计算每小时蛋白质摄入量和每小时能量平衡(EB),这是衡量能量摄入是否与需求(能量消耗)动态匹配的指标。结果:Spearman相关性用于评估膳食蛋白质摄入量、消耗时能量平衡状态和身体成分之间的关系。研究发现,在能量平衡> -300 kcal的状态下,摄入15 -30 g的适量蛋白质,以足够的频率满足预测的每日需求,与较低的脂肪质量(FM-Adj) (rs = -0.546;p = 0.013)和更高的无脂质量(FFM-Adj) (rs = 0.546;P = 0.013)。结论:大学生女足运动员应在合理的能量平衡状态(>300 kcal)下,每天摄入个人推荐量的蛋白质15 ~ 30 g,以达到低脂肪量和高无脂量的目的。
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引用次数: 2
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International journal of sports and exercise medicine
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