@article{BehmAlizadehHadjizedahAnvaretal.2021, author = {Behm, David G. and Alizadeh, Shahab and Hadjizedah Anvar, Saman and Hanlon, Courtney and Ramsay, Emma and Mahmoud, Mohamed Mamdouh Ibrahim and Whitten, Joseph and Fisher, James P. and Prieske, Olaf and Chaabene, Helmi and Granacher, Urs and Steele, James}, title = {Non-local muscle fatigue effects on muscle strength, power, and endurance in healthy individuals}, series = {Sports medicine : the world's premier sports medicine preview journal}, volume = {51}, journal = {Sports medicine : the world's premier sports medicine preview journal}, number = {9}, publisher = {Springer}, address = {Berlin [u.a.]}, issn = {0112-1642}, doi = {10.1007/s40279-021-01456-3}, pages = {1893 -- 1907}, year = {2021}, abstract = {Background The fatigue of a muscle or muscle group can produce global responses to a variety of systems (i.e., cardiovascular, endocrine, and others). There are also reported strength and endurance impairments of non-exercised muscles following the fatigue of another muscle; however, the literature is inconsistent. Objective To examine whether non-local muscle fatigue (NLMF) occurs following the performance of a fatiguing bout of exercise of a different muscle(s). Design Systematic review and meta-analysis. Search and Inclusion A systematic literature search using a Boolean search strategy was conducted with PubMed, SPORTDiscus, Web of Science, and Google Scholar in April 2020, and was supplemented with additional 'snowballing' searches up to September 2020. To be included in our analysis, studies had to include at least one intentional performance measure (i.e., strength, endurance, or power), which if reduced could be considered evidence of muscle fatigue, and also had to include the implementation of a fatiguing protocol to a location (i.e., limb or limbs) that differed to those for which performance was measured. We excluded studies that measured only mechanistic variables such as electromyographic activity, or spinal/supraspinal excitability. After search and screening, 52 studies were eligible for inclusion including 57 groups of participants (median sample = 11) and a total of 303 participants. Results The main multilevel meta-analysis model including all effects sizes (278 across 50 clusters [median = 4, range = 1 to 18 effects per cluster) revealed a trivial point estimate with high precision for the interval estimate [- 0.02 (95\% CIs = - 0.14 to 0.09)], yet with substantial heterogeneity (Q((277)) = 642.3, p < 0.01), I-2 = 67.4\%). Subgroup and meta-regression analyses showed that NLMF effects were not moderated by study design (between vs. within-participant), homologous vs. heterologous effects, upper or lower body effects, participant training status, sex, age, the time of post-fatigue protocol measurement, or the severity of the fatigue protocol. However, there did appear to be an effect of type of outcome measure where both strength [0.11 (95\% CIs = 0.01-0.21)] and power outcomes had trivial effects [- 0.01 (95\% CIs = - 0.24 to 0.22)], whereas endurance outcomes showed moderate albeit imprecise effects [- 0.54 (95\% CIs = - 0.95 to - 0.14)]. Conclusions Overall, the findings do not support the existence of a general NLMF effect; however, when examining specific types of performance outcomes, there may be an effect specifically upon endurance-based outcomes (i.e., time to task failure). However, there are relatively fewer studies that have examined endurance effects or mechanisms explaining this possible effect, in addition to fewer studies including women or younger and older participants, and considering causal effects of prior training history through the use of longitudinal intervention study designs. Thus, it seems pertinent that future research on NLMF effects should be redirected towards these still relatively unexplored areas.}, language = {en} } @article{RonkainenPesolaTikkanenetal.2021, author = {Ronkainen, Noora J. and Pesola, Arto J. and Tikkanen, Olli and Brand, Ralf}, title = {Continuity and discontinuity of sport and exercise type during the COVID-19 pandemic}, series = {Frontiers in psychology}, volume = {12}, journal = {Frontiers in psychology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-1078}, doi = {10.3389/fpsyg.2021.622876}, pages = {10}, year = {2021}, abstract = {Involvement in sport and exercise not only provides participants with health benefits but can be an important aspect of living a meaningful life. The COVID-19 pandemic and the temporary cessation of public life in March/April/May 2020 came with restrictions, which probably also made it difficult, if not impossible, to participate in certain types of sport or exercise. Following the philosophical position that different types of sport and exercise offer different ways of "relating to the world," this study explored (dis)continuity in the type of sport and exercise people practiced during the pandemic-related lockdown, and possible effects on mood. Data from a survey of 601 adult exercisers, collected shortly after the COVID-19 outbreak in Finland, were analyzed. Approximately one third (35\%) of the participants changed their "worldmaking" and shifted to "I-Nature"-type activities. We observed worse mood during the pandemic in those who shifted from "I-Me," compared to those who had preferred the "I-Nature" relation already before the pandemic and thus experienced continuity. The clouded mood of those experiencing discontinuity may be the result of a temporary loss of "feeling at home" in their new exercise life-world. However, further empirical investigation must follow, because the observed effect sizes were small.}, language = {en} } @article{ChenGarbusowSeboldetal.2022, author = {Chen, Ke and Garbusow, Maria and Sebold, Miriam and Zech, Hilmar G. and Zimmermann, Ulrich and Heinz, Andreas}, title = {Automatic approach behaviors in alcohol dependence: does a cognitive bias modification training affect Pavlovian-to-instrumental transfer effects?}, series = {Neuropsychobiology : official journal of the International Pharmaco-EEG Group (IPEG)}, volume = {81}, journal = {Neuropsychobiology : official journal of the International Pharmaco-EEG Group (IPEG)}, number = {5}, publisher = {Karger}, address = {Basel}, issn = {0302-282X}, doi = {10.1159/000526805}, pages = {387 -- 402}, year = {2022}, abstract = {Introduction: Positively conditioned Pavlovian cues tend to promote approach and negative cues promote withdrawal in a Pavlovian-to-instrumental transfer (PIT) paradigm, and the strength of this PIT effect was associated with the subsequent relapse risk in alcohol-dependent (AD) patients. When investigating the effect of alcohol-related background cues, instrumental approach behavior was inhibited in subsequent abstainers but not relapsers. An automatic approach bias towards alcohol can be modified using a cognitive bias modification (CBM) intervention, which has previously been shown to reduce the relapse risk in AD patients. Here we examined the effects of such CBM training on PIT effects and explored its effect on the relapse risk in detoxified AD patients. Methods: N = 81 recently detoxified AD patients performed non-drug-related and drug-related PIT tasks before and after CBM versus placebo training. In addition, an alcohol approach/avoidance task (aAAT) was performed before and after the training to assess the alcohol approach bias. Patients were followed up for 6 months. Results: A stronger alcohol approach bias as well as a stronger non-drug-related PIT effect predicted relapse status in AD patients. No significant difference regarding relapse status or the number of heavy drinking days was found when comparing the CBM training group versus the placebo group. Moreover, there was no significant modulation effect of CBM training on any PIT effect or the aAAT. Conclusion: A higher alcohol approach bias in the aAAT and a stronger non-drug-related PIT effect both predicted relapse in AD patients, while treatment outcome was not associated with the drug-related PIT effect. Unlike expected, CBM training did not significantly interact with the non-drug-related or the drug-related PIT effects or the alcohol approach bias.}, language = {en} } @article{BrauerWulffPawelleketal.2022, author = {Brauer, Katharina and Wulff, Hagen and Pawellek, Sabine and Ziegeldorf, Alexandra}, title = {Network analysis for a community-based school- and family-based obesity prevention program}, series = {Healthcare : open access journal}, volume = {10}, journal = {Healthcare : open access journal}, number = {8}, publisher = {MDPI}, address = {Basel}, issn = {2227-9032}, doi = {10.3390/healthcare10081501}, pages = {15}, year = {2022}, abstract = {Rising childhood obesity with its detrimental health consequences poses a challenge to the health care system. Community-based, multi-setting interventions with the participatory involvement of relevant stakeholders are emerging as promising. To gain insights into the structural and processual characteristics of stakeholder networks, conducting a network analysis (NA) is advisable. Within the program "Family+-Healthy Living Together in Families and Schools", a network analysis was conducted in two rural model regions and one urban model region. Relevant stakeholders were identified in 2020-2021 through expert interviews and interviewed by telephone to elicit key variables such as frequency of contact and intensity of collaboration. Throughout the NA, characteristics such as density, centrality, and connectedness were analyzed and are presented graphically. Due to the differences in the number of inhabitants and the rural or urban structure of the model regions, the three networks (network\#1, network\#2, and network\#3) included 20, 14, and 12 stakeholders, respectively. All networks had similar densities (network\#1, 48\%; network\#2, 52\%; network\#3, 42\%), whereas the degree centrality of network\#1 (0.57) and network\#3 (0.58) was one-third higher compared with network\#2 (0.39). All three networks differed in the distribution of stakeholders in terms of field of expertise and structural orientation. On average, stakeholders exchanged information quarterly and were connected on an informal level. Based on the results of the NA, it appears to be useful to initialize a community health facilitator to involve relevant stakeholders from the education, sports, and health systems in projects and to strive for the goal of sustainable health promotion, regardless of the rural or urban structure of the region. Participatory involvement of relevant stakeholders can have a positive influence on the effective dissemination of information and networking with other stakeholders.}, language = {en} } @article{SaidiBenAbderrahmanHackneyetal.2021, author = {Saidi, Karim and Ben Abderrahman, Abderraouf and Hackney, Anthony C. and Bideau, Benoit and Zouita, Sghaeir and Granacher, Urs and Zouhal, Hassane}, title = {Hematology, hormones, inflammation, and muscle damage in elite and professional soccer players}, series = {Sports medicine : the world's premier sports medicine preview journal}, volume = {51}, journal = {Sports medicine : the world's premier sports medicine preview journal}, number = {12}, publisher = {Springer}, address = {Berlin [u.a.]}, issn = {0112-1642}, doi = {10.1007/s40279-021-01522-w}, pages = {2607 -- 2627}, year = {2021}, abstract = {Background Knowledge of the long-term effects of soccer training on hematological, hormonal, inflammatory, and muscle damage markers and physical performance may help to better design strength and conditioning programs for performance development and injury prevention for the individual player and the team. Objectives The aim of this systematic review was to summarize and discuss evidence on the long-term effects of soccer training on selected hematological, hormonal, inflammatory, and muscle damage markers and physical performance in elite and professional soccer players. A second goal was to investigate associations between selected physiological markers and measures of performance. Methods Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a systematic literature search was conducted in four electronic databases (PubMed, ISI Web of Knowledge, Web of Science, and SPORTDiscus) from inception until August 2020 to identify articles related to soccer training effects. To be included in this systematic review, studies had to examine male elite (national level) and/or professional (international level) soccer players aged > 17 years and a soccer training period > 4 weeks, and report outcomes related to hematological, hormonal, inflammatory, muscle damage, and performance markers. Results The search syntax initially identified 2420 records. After screening titles, abstracts, and full texts, 20 eligible studies were included in this systematic review, with training durations lasting between 4 and 18 weeks in 15 studies, around 6 months in four studies, and around 1 year in one study. Effects of long-term soccer training revealed parameter-specific increases or decreases in hematological, hormonal, inflammatory, and muscle damage markers and physical performance. Two studies showed a moderate increase in hematological markers such as hemoglobin (effect size [ES] = 0.67-0.93). Parameter-specific changes were noted for hormonal markers in the form of increases for total testosterone (ES = 0.20-0.67) and free testosterone (FT) (ES = 0.20-0.65) and decreases for cortisol (ES = - 0.28 to - 1.31). Finally, moderate to very large increases were found for muscle damage markers such as creatine kinase (ES = 0.94-6.80) and physical performance such as countermovement jump (CMJ) height (ES = 0.50-1.11) and squat jump (SJ) height (ES = 0.65-1.28). After long-term periods of soccer training, significant positive correlations were found between percentage change (Delta\%) in FT and Delta\% in CMJ height (r = 0.94; p = 0.04) and between Delta\% in total testosterone/cortisol (TT/C) ratio and Delta\% in SJ (r = 0.89; p = 0.03). Conclusions Findings suggest that long-term soccer training induces increases/decreases in hematological, hormonal, inflammatory, and muscle damage markers and physical performance in male elite and professional soccer players. These fluctuations can be explained by different contextual factors (e.g., training load, duration of training, psychological factors, mood state). Interestingly, the observed changes in hormonal parameters (FT and TT/C) were related to vertical jump performance changes (e.g., CMJ and SJ). Anabolic hormones and TT/C can possibly be used as a tool to identify physical performance alteration after long-term soccer training.}, language = {en} } @article{HeinenHeisselHeinzeletal.2023, author = {Heinen, Darlene and Heissel, Andreas and Heinzel, Stephan and Fydrich, Thomas and Str{\"o}hle, Andreas and Rapp, Michael A. and Vogel, Heike}, title = {Effect of acute and long-term exercise on leptin levels in depressed outpatients}, series = {BMC public health}, volume = {23}, journal = {BMC public health}, publisher = {BioMed Central}, address = {London}, issn = {1471-2458}, doi = {10.1186/s12889-023-17362-4}, pages = {11}, year = {2023}, abstract = {Background Depression is a leading cause of disability worldwide and a significant contributor to the global burden of disease. Altered leptin levels are known to be associated with depressive symptoms, however discrepancies in the results of increased or decreased levels exist. Due to various limitations associated with commonly used antidepressant drugs, alternatives such as exercise therapy are gaining more importance. Therefore, the current study investigates whether depressed patients have higher leptin levels compared to healthy controls and if exercise is efficient to reduce these levels. Methods Leptin levels of 105 participants with major depressive disorder (MDD; 45.7\% female, age mean ± SEM: 39.1 ± 1.0) and 34 healthy controls (HC; 61.8\% female, age mean ± SEM: 36.0 ± 2.0) were measured before and after a bicycle ergometer test. Additionally, the MDD group was separated into three groups: two endurance exercise intervention groups (EX) differing in their intensities, and a waiting list control group (WL). Leptin levels were measured pre and post a 12-week exercise intervention or the waiting period. Results Baseline data showed no significant differences in leptin levels between the MDD and HC groups. As expected, correlation analyses displayed significant relations between leptin levels and body weight (HC: r = 0.474, p = 0.005; MDD: r = 0.198, p = 0.043) and even more with body fat content (HC: r = 0.755, p \< 0.001; MDD: r = 0.675, p \< 0.001). The acute effect of the bicycle ergometer test and the 12-week training intervention showed no significant changes in circulating leptin levels. Conclusion Leptin levels were not altered in patients with major depression compared to healthy controls and exercise, both the acute response and after 12 weeks of endurance training, had no effect on the change in leptin levels. Trial registration The study was registered at the German register for clinical studies (DRKS) and the International Clinical Trials Registry Platform of the World Health Organization https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00008869 on 28/07/2015.}, language = {en} } @article{KruppaGeorgiouSchmidtetal.2022, author = {Kruppa, Philipp and Georgiou, Iakovos and Schmidt, Jeremias and Infanger, Manfred and Ghods, Mojtaba}, title = {A 10-year retrospective before-and-after study of lipedema surgery: patient-reported lipedema-associated symptom improvement after multistage liposuction}, series = {Plastic and Reconstructive Surgery}, volume = {149}, journal = {Plastic and Reconstructive Surgery}, number = {3}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {0032-1052}, doi = {10.1097/PRS.0000000000008880}, pages = {529E -- 541E}, year = {2022}, abstract = {Background: Despite an increasing demand for surgical treatment of lipedema, the evidence for liposuction is still limited. Little is known about the influence of disease stage, patient age, body mass index, or existing comorbidities on clinical outcomes. It was hypothesized that younger patients with lower body mass index and stage would report better results. Methods: This retrospective, single-center, noncomparative study included lipedema patients who underwent liposuction between July of 2009 and July of 2019. After a minimum of 6 months since the last surgery, all patients completed a disease-related questionnaire. The primary endpoint was the need for complex decongestive therapy based on a composite score. Secondary endpoints were the severity of disease-related complaints measured on a visual analogue scale. Results: One hundred six patients underwent a total of 298 large-volume liposuctions (mean lipoaspirate, 6355 +/- 2797 ml). After a median follow-up of 20 months, a median complex decongestive therapy score reduction of 37.5 percent (interquartile range, 0 to 88.8 percent; p < 0.0001) was observed. An improvement in lipedema-associated symptoms was also observed (p < 0.0001). The percentage reduction in complex decongestive therapy scores was greater in patients with a body mass index less than or equal to 35 kg/m(2) (p < 0.0001) and in stage I and II patients (p = 0.0019). Conclusion: Liposuction reduces the severity of symptoms and the need for conservative treatment in lipedema patients, especially if it is performed in patients with a body mass index below 35 kg/m(2) at an early stage of the disease.}, language = {en} } @phdthesis{Wolf2024, author = {Wolf, Alexander Karsten}, title = {Pfadbrechende und pfadbest{\"a}tigende Dienstleistungspotenziale in der deutschen Gesundheitswirtschaft durch Quantified-Self-Applikationen}, doi = {10.25932/publishup-65138}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-651384}, school = {Universit{\"a}t Potsdam}, pages = {XIII, 666}, year = {2024}, abstract = {Quantified Self, die pro-aktive Selbstvermessung von Menschen, hat sich in den letzten Jahren von einer Nischenanwendung zu einem Massenph{\"a}nomen entwickelt. Dabei stehen den Nutzern heute vielf{\"a}ltige technische Unterst{\"u}tzungsm{\"o}glichkeiten, beispielsweise in Form von Smartphones, Fitness-Trackern oder Gesundheitsapps zur Verf{\"u}gung, welche eine ann{\"a}hernd l{\"u}ckenlose {\"U}berwachung unterschiedlicher Kontextfaktoren einer individuellen Lebenswirklichkeit erlauben. In der Folge widmet sich diese Arbeit unter anderem der Fragestellung, inwieweit diese intensive und eigen-initiierte Besch{\"a}ftigung, insbesondere mit gesundheitsbezogenen Daten, die weitgehend als objektiviert und damit belastbar gelten, die Gesundheitskompetenz derart aktiver Menschen erh{\"o}hen kann. Dar{\"u}ber hinaus werden Aspekte untersucht, inwieweit die neuen Technologien in der Lage sind, spezifische medizinische Erkenntnisse zu vertiefen und in der Konsequenz die daraus resultierenden Behandlungsprozesse zu ver{\"a}ndern. W{\"a}hrend der Ursprung des Quantified Self im 2. Gesundheitsmarkt liegt, geht die vorliegende Arbeit der Frage nach, welche strukturellen, personellen und prozessualen Ankn{\"u}pfungspunkte perspektivisch im 1. Gesundheitsmarkt existieren werden, wenn ein potentieller Patient in einer st{\"a}rker emanzipierten Weise den Wunsch versp{\"u}rt, oder eine entsprechende Forderung stellt, seine gesammelten Gesundheitsdaten in m{\"o}glichst umfassender Form in eine medizinische Behandlung zu integrieren. Dabei werden auf der einen Seite aktuelle Entwicklungen im 2. Gesundheitsmarkt untersucht, die gekennzeichnet sind von einer hohen Dynamik und einer großen Intransparenz. Auf der anderen Seite steht der als stark reguliert und wenig digitalisiert geltende 1. Gesundheitsmarkt mit seinen langen Entwicklungszyklen und ausgepr{\"a}gten Partikularinteressen der verschiedenen Stakeholder. In diesem Zuge werden aktuelle Entwicklungen des zugrunde liegenden Rechtsrahmens, speziell im Hinblick auf st{\"a}rker patientenzentrierte und digitalisierte Normen untersucht, wobei insbesondere das Digitale Versorgung Gesetz eine wichtige Rolle einnimmt. Ziel der Arbeit ist die st{\"a}rkere Durchdringung von Wechselwirkungen an der Schnittstelle zwischen den beiden Gesundheitsm{\"a}rkten in Bezug auf die Verwendung von Technologien der Selbstvermessung, um in der Folge zuk{\"u}nftige Gesch{\"a}ftspotentiale f{\"u}r existierende oder neu in den Markt dr{\"a}ngende Dienstleister zu eruieren. Als zentrale Methodik kommt hier eine Delphi-Studie zum Einsatz, die in einem interprofessionellen Ansatz versucht, ein Zukunftsbild dieser derzeit noch sehr jungen Entwicklungen f{\"u}r das Jahr 2030 aufzuzeigen. Eingebettet werden die Ergebnisse in die Untersuchung einer allgemeinen gesellschaftlichen Akzeptanz der skizzierten Ver{\"a}nderungen.}, language = {de} } @article{MuecksteinHeinzelGranacheretal.2022, author = {M{\"u}ckstein, Marie and Heinzel, Stephan and Granacher, Urs and Brahms, Markus and Rapp, Michael A. and Stelzel, Christine}, title = {Modality-specific effects of mental fatigue in multitasking}, series = {Acta psychologica : international journal of psychonomics}, volume = {230}, journal = {Acta psychologica : international journal of psychonomics}, publisher = {Elsevier}, address = {Amsterdam}, issn = {0001-6918}, doi = {10.1016/j.actpsy.2022.103766}, pages = {12}, year = {2022}, abstract = {The mechanisms underlying increased dual-task costs in the comparison of modality compatible stimulus -response mappings (e.g., visual-manual, auditory-vocal) and modality incompatible mappings (e.g., visual -vocal, auditory-manual) remain elusive. To investigate whether additional control mechanisms are at work in simultaneously processing two modality incompatible mappings, we applied a transfer logic between both types of dual-task mappings in the context of a mental fatigue induction. We expected an increase in dual-task costs for both modality mappings after a fatigue induction with modality compatible tasks. In contrast, we expected an additional, selective increase in modality incompatible dual-task costs after a fatigue induction with modality incompatible tasks. We tested a group of 45young individuals (19-30 years) in an online pre-post design, in which participants were assigned to one of three groups. The two fatigue groups completed a 90-min time-on -task intervention with a dual task comprising either compatible or incompatible modality mappings. The third group paused for 90 min as a passive control group. Pre and post-session contained single and dual tasks in both modality mappings for all participants. In addition to behavioral performance measurements, seven subjective items (effort, focus, subjective fatigue, motivation, frustration, mental and physical capacity) were analyzed. Mean dual-task performance during and after the intervention indicated a practice effect instead of the presumed fatigue effect for all three groups. The modality incompatible intervention group showed a selective performance improvement for the modality incompatible mapping but no transfer to the modality compatible dual task. In contrast, the compatible intervention group showed moderately improved performance in both modality map-pings. Still, participants reported increased subjective fatigue and reduced motivation after the fatigue inter-vention. This dynamic interplay of training and fatigue effects suggests that high control demands were involved in the prolonged performance of a modality incompatible dual task, which are separable from modality compatible dual-task demands.}, language = {en} } @article{TaboriSchneiderLuethetal.2022, author = {Tabori, Harold and Schneider, Jochen and L{\"u}th, Stefan and Zagoya, Carlos and Barucha, Anton and Lehmann, Thomas and Kauf, Eberhard and Barth, Astrid and Mainz, Jochen G.}, title = {Elevated levels of toxic bile acids in serum of cystic fibrosis patients with CFTR mutations causing pancreatic insufficiency}, series = {International journal of molecular sciences}, volume = {23}, journal = {International journal of molecular sciences}, number = {20}, publisher = {MDPI}, address = {Basel}, issn = {1422-0067}, doi = {10.3390/ijms232012436}, pages = {16}, year = {2022}, abstract = {Hepatobiliary involvement is a hallmark in cystic fibrosis (CF), as the causative CF Transmembrane Conductance Regulator (CFTR) defect is expressed in the biliary tree. However, bile acid (BA) compositions in regard to pancreatic insufficiency, which is present at an early stage in about 85\% of CF patients, have not been satisfactorily understood. We assess the pattern of serum BAs in people with CF (pwCF) without CFTR modulator therapy in regard to pancreatic insufficiency and the CFTR genotype. In 47 pwCF, 10 free and 12 taurine- and glycine-conjugated BAs in serum were prospectively assessed. Findings were related to genotype, pancreatic insufficiency prevalence (PIP)-score, and hepatic involvement indicated by serum liver enzymes, as well as clinical and ultrasound criteria for CF-related liver disease. Serum concentrations of total primary BAs and free cholic acid (CA) were significantly higher in pwCF with higher PIP-scores (p = 0.025, p = 0.009, respectively). Higher total BAs were seen in pwCF with PIP-scores >= 0.88 (p = 0.033) and with pancreatic insufficiency (p = 0.034). Free CA was higher in patients with CF-related liver involvement without cirrhosis, compared to pwCF without liver disease (2.3-fold, p = 0.036). pwCF with severe CFTR genotypes, as assessed by the PIP-score, reveals more toxic BA compositions in serum. Subsequent studies assessing changes in BA homeostasis during new highly effective CFTR-modulating therapies are of high interest.}, language = {en} } @article{FuegemannGoerlingGoeddeetal.2022, author = {F{\"u}gemann, Hella and Goerling, Ute and Goedde, Kathrin and Rieckmann, Nina and Holmberg, Christine}, title = {"Psychologist was a luxury present"-Emotional challenges and need for psycho-oncological care of people with a diagnosis of lung cancer}, series = {Onkologie}, volume = {28}, journal = {Onkologie}, number = {12}, publisher = {Springer}, address = {Heidelberg}, issn = {2731-7226}, doi = {10.1007/s00761-022-01235-3}, pages = {1105 -- 1110}, year = {2022}, abstract = {Background Lung cancer survivors are particularly affected by psychological distress. At the same time, rates of utilization of psycho-oncological support are relatively low. Little is known about the reasons for (non)utilization. Objective What psychological and emotional distress do people with lung cancer experience? What are their reasons for (not) utilizing psycho-oncological support? Material and methods Qualitative interviews with 20 people affected by lung cancer were conducted and analyzed as part of the CoreNAVI study. Results Respondents experience psychological distress in the form of uncertainties and fears about the future. Those affected also perceive the pressure of having to go quickly from one treatment to the next and having no time for themselves as stressful. The users of psycho-oncology find it very helpful to speak openly without having to burden their personal relationships, and to receive concrete advice. Nonutilization is explained by a lack of need and a lack of capacity. In addition, reluctance to use psychological support is evident in the interviews. Conclusion Individuals with lung cancer also experience psychological and emotional distress due to the large number and high density of therapies. The resulting lack of capacity could be an explanation for the low utilization of psycho-oncological support. A greater emphasis on psycho-oncology over costly medical therapies that often only marginally prolong life and reducing reluctance to accept psychological help should be a greater focus in healthcare practice.}, language = {de} } @article{KaapDeederSanchezFernandezJohannessenetal.2022, author = {Kaap-Deeder, Jolene van der and S{\´a}nchez Fern{\`a}ndez, Alba Cristina and Johannessen, Maria Regine Aasland and Stenseng, Frode and Saksvik-Lehouillier, Ingvild and Heißel, Andreas}, title = {The validation of the Norwegian basic psychological need satisfaction and frustration scale: a stratified sampling procedure}, series = {Frontiers in psychology}, volume = {13}, journal = {Frontiers in psychology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-1078}, doi = {10.3389/fpsyg.2022.1032006}, pages = {11}, year = {2022}, abstract = {This study aimed to validate the Norwegian version of the Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS) and to examine its relations with indicators of well-being and ill-being. Additionally, despite the vast number of studies employing the BPNSFS, norms related to the BPNSFS are currently lacking. Therefore, we also aimed to provide normative data for this scale. Data were collected among a representative sample of 326 participants (M age = 42.90 years, SD = 14.76; range 18-70) in Norway, of which 49.7\% was female. Results yielded evidence for a six-factor structure (i.e., combining satisfaction/frustration with the type of need) and showed the subscales to be highly reliable. Subsequent structural equation modeling showed that both need satisfaction and need frustration related strongly to vitality, life satisfaction, and internalizing symptoms, but in opposite ways. Norm scores were provided, thereby differentiating between women and men and different age groups. These findings support the use of the Norwegian BPNSFS and provide researchers and professionals with normative data on the most widely used tool to assess individuals' satisfaction and frustration of the basic psychological needs for autonomy, competence, and relatedness.}, language = {en} } @article{LimmerothRaboldt2022, author = {Limmeroth, Julia and Raboldt, Michaela}, title = {"I do what I like": 8-to 10-year-old children's physical activity behavior is already interrelated with their automatic affective processes}, series = {Journal of sport \& exercise psychology}, volume = {44}, journal = {Journal of sport \& exercise psychology}, number = {2}, publisher = {Human Kinetics Publ.}, address = {Champaign}, issn = {0895-2779}, doi = {10.1123/jsep.2021-0251}, pages = {138 -- 147}, year = {2022}, abstract = {The majority of middle-age children do not meet current physical activity guidelines. There is growing evidence that adults' physical activity is partially influenced by automatic affective processes, which are derived from affective experiences with physical activity. However, little is known about whether these processes are interrelated with children's physical activity level. A prospective design was used to examine whether automatic affective processes assessed by an evaluative priming procedure predict physical activity of children. Physical activity of 48 children (8.71 +/- 0.71 years; 65\% girls) was measured for 1 week with activity trackers. In a linear regression model, automatic affective processes (beta = 0.36) significantly predicted physical activity, accounting for 11.02\% of variance. These results indicate that physical-activity-related automatic affective processes are associated with children's physical activity, as has previously been found in adults. This study emphasizes the importance of fostering positive affective experiences associated with physical activity during childhood.}, language = {en} } @article{SandauGranacher2022, author = {Sandau, Ingo and Granacher, Urs}, title = {Long-term monitoring of training load, force-velocity profile, and Performance in elite weightlifters: a case series with two male Olympic athletes}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {36}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, number = {12}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia, Pa.}, issn = {1064-8011}, doi = {10.1519/JSC.0000000000004228}, pages = {3446 -- 3455}, year = {2022}, abstract = {The aim of this case series approach was to analyze weekly changes in force-velocity relationship (FvR) parameters ((v) over bar, (F) over bar (0), (P) over bar (max)) and theoretical snatch performance (snatchth) assessed through a specific snatch pull test in preparation of the European and World Championships in 2 male elite weightlifters. A second aim was to examine associations of training load (volume, volume load, average load), barbell -, and snatchth over a period of 2 macrocycles in preparation of the same competitions. FvR-parameters, snatchth, training load data, and body mass were assessed weekly over 40 weeks. Using the smallest real difference approach, significant (p <= 0.05) decreases in (v) over bar (0) and increases in (v) over bar, (F) over bar (0), (P) over bar (max), and snatchth were found within macrocycles. However, the large significant loss in body mass (approximate to 11\%) in athlete 1 during macrocycle 2 represents most likely a main factor for diminished (P) over bar (max), and snatchth in macrocycle 2. Based on cross-correlation analyses, barbell FvR-parameters and snatchth were significantly (p <= 0.05) associated with maximal strength, muscle power, and speed training load variables. Moderate correlations (0.31-0.47) were found between training load and (P) over bar (max) and snatchth in athlete 2. It can be concluded that the applied training loads elicits improvements in <(P)(max) and snatchth because the athlete approached the main competitions. However, because of the large loss in body mass, the relations between training load and barbell FvR-parameters and snatchth were less clear in athlete 1. It seems that a loss in body mass as a result of a change in bodyweight category mitigates <(P)over bar>(max) development during the macrocycle and hindered to reach peak snatchth at the main competitions.}, language = {en} } @article{KellerNotbohmBlochetal.2022, author = {Keller, Sebastian and Notbohm, Hannah Lisa and Bloch, Wilhelm and Schumann, Moritz}, title = {Reduced serum concentrations of reactive oxygen and nitrogen species following strenuous exercise in the heat are not associated with an upregulation in serum antioxidative capacity}, series = {Baltic Journal of Health and Physical Activity}, volume = {14}, journal = {Baltic Journal of Health and Physical Activity}, number = {4}, publisher = {Gda`nsk Academy; Versita, Warsaw}, address = {Gdansk}, issn = {2080-9999}, doi = {10.29359/BJHPA.14.4.03}, pages = {12}, year = {2022}, abstract = {Introduction: Reactive oxygen and nitrogen species (RONS) are produced as a response to exercise and play a part in guiding the adaptive response to physical training. Exercise in the heat has been shown to further increase accumulation of RONS in systemic circulation; however, a high antioxidative response or heat acclimatization mechanisms could attenuate this response. In a previous study, we found reduced RONS concentrations in trained athletes following strenuous cycling in the heat. Therefore, this secondary analysis assessed whether these reduced RONS serum concentrations are induced by an increased serum antioxidant capacity. Methods: Twelve male cyclists (V?O2peak: 60 +/- 4 ml center dot kg-1 center dot min-1) completed a 60-minute constant workload trial (55\% peak power output, ambient temperature 30.4 +/- 0.6 degrees C) with and without ice vest in a randomized order. The core body temperature (Tcore) was measured by an ingestible capsule. Blood samples were collected before and after each trial to determine superoxide dismutase (SOD) and catalase (CAT) activity, total antioxidant capacity (TAC) and RONS. Due to the absence of between-group differences, data of both conditions were pooled. Results: Tcore statistically increased (p < 0.001) over the experimental trials (+6.0 +/- 1.6\%, effect size (ES) = 5.6). Concentrations of RONS (-17.2 +/- 15.5\%, p < 0.001, ES = 1.0) and TAC (-8.9 +/- 22.9\%, p = 0.04, ES = 0.7) statistically decreased, while the activity of CAT (+15.5 +/- 84.0\%, p = 0.90, ES = 0.04) and SOD (+9.2 +/- 58.7\%, p = 0.98, ES = 0.01) remained unchanged. Conclusions: Reduced serum RONS concentrations after strenuous cycling in the heat were not associated with upregulation of serum antioxidant capacity in trained athletes. The prooxidant-antioxidant balance may rather be regulated at a myocellular level and should be further assessed in future studies.}, language = {en} } @article{DeschFoerstnerArtmannetal.2022, author = {Desch, Anke and F{\"o}rstner, Bernd Rainer and Artmann, J{\"o}rg and H{\"a}usler, Andreas and Hauptmann, Michael and Altin, Sibel Vildan and Rapp, Michael A. and Holmberg, Christine}, title = {A theory of change of an innovation for therapeutic care and meaningful living in a German nursing home}, series = {BMC geriatrics}, volume = {22}, journal = {BMC geriatrics}, number = {1}, publisher = {BioMed Central}, address = {London}, issn = {1471-2318}, doi = {10.1186/s12877-022-03462-0}, pages = {14}, year = {2022}, abstract = {Background: Demographic changes are leading to growing care needs of older people and creating a challenge for healthcare systems worldwide. Nursing homes (NHs) need to provide care for growing numbers of residents while ensuring a high-quality care. We aimed to examine an innovative NH in Germany and apply a theory of change (ToC) approach to develop a best practice model (BPM) for therapeutic care in NHs. Methods: A multimethod qualitative study conducted from February to July 2021 in Germany involved interviews with 14 staff members of an innovative NH and 10 directors and care managers of other NHs. The interview guidelines included questions on nursing practices, infrastructure, resources, interprofessional collaboration, and working culture. Additional material on the participating NH (website, promotion videos, newsletters, care documentation) were collected. Contextual literature on NH culture and therapeutic care in Germany, ToC methodology, and NH culture change were reviewed. Following a question-focused analysis of all material, we generated a ToC model towards a BPM of therapeutic care and meaningful living in NHs. Results: were verified in interdisciplinary team meetings, with study participants and other stakeholders to establish consensus. Results The participating NH's care concept aims to improve residents' functional abilities and wellbeing as well as staff members' job satisfaction. Central components of their approach include therapeutic elements such as music and movement in all nursing activities, multidisciplinary collaboration, a broad therapy and social activity offer, the continuation of therapy in everyday activities, a focus on individual life history, values, needs, and skills, social integration into the regional community, and the creation of a meaningful living environment for residents and staff. Conclusion: The BPM we developed shows how a meaningful living environment can be created through therapeutic care and integrative activities. The ToC sheds light onto the contextual factors and cultural values which should be considered in the development of NH interventions. Research on not only biomedical aspects, but also psychosocial dynamics and narrative co-constructions in nursing practice should inform NH innovations. The ToC also highlights the importance of developing adequate political frameworks and infrastructures for implementing such innovative practices on a larger scale.}, language = {en} } @article{KhajooeiQuarmbyKaplicketal.2022, author = {Khajooei, Mina and Quarmby, Andrew and Kaplick, Hannes and Mayer, Frank and Engel, Tilman}, title = {An analysis of lower extremity kinematics in response to perturbations during running using statistical parametric mapping}, series = {Journal of biomechanics}, volume = {143}, journal = {Journal of biomechanics}, publisher = {Elsevier Science}, address = {Amsterdam [u.a.]}, issn = {0021-9290}, doi = {10.1016/j.jbiomech.2022.111276}, pages = {7}, year = {2022}, abstract = {Investigating of locomotor disturbances are relevant in human injury and performance. Therefore, lower extremity kinematics were analysed in response to decelerative perturbations during running using statistical parametric mapping (SPM). 13 asymptomatic individuals (8 females \& 5 males, 28 +/- 3 years, 171 +/- 9 cm, 68 +/- 10 kg) completed an 8-minute running protocol with 30 one-sided perturbations (15 each side) to generate decelerative disturbances. A 3D-motion capture system was employed to record kinematic data. Joint angles of the ankle, knee, and hip in addition to stride duration, stride length and step width were calculated for leading and trailing strides. Results were analysed descriptively, followed by SPM of paired t-tests (P < 0.025). Reactively (after perturbation), perturbations caused decreased hip adduction and stride duration of the leading leg. The trailing leg reacted with ankle inversion, knee and hip flexion, hip abduction, as well as an increase in stride duration and step width (P < 0.025). In preparation for perturbation, the trailing leg reduced ankle dorsiflexion, knee flexion, hip flexion, and adduction. In summary, applied perturbations produced substantial reactive (feedback) and predictive (feedforward) responses of the lower limbs, most apparent in the trailing leg.}, language = {en} } @article{AsanteOseiAbdulSamedetal.2022, author = {Asante, Drusilla Obenewaa and Osei, Francis and Abdul-Samed, Fridaus and Nanevie, Victoria Dzifa}, title = {Knowledge and participation in exercise and physical activity among pregnant women in Ho, Ghana}, series = {Frontiers in Public Health}, volume = {10}, journal = {Frontiers in Public Health}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2296-2565}, doi = {10.3389/fpubh.2022.927191}, pages = {9}, year = {2022}, abstract = {Background Physical activity (PA) and exercise have been identified to improve the general fitness and health. Although, the Pregnancy Physical Activity Questionnaire (PPAQ) has been validated for use in assessing PA in pregnant women. However, understanding the knowledge and participation levels of PA in pregnant women in the underdeveloped regions of Ghana is of clinical relevance to foster education and promotion of PA. In Ghana, pregnant women believe the "myth" (mostly in rural areas and underdeveloped regions) that exercising in the first trimester might lead to miscarriage. Thus, the main objective of this study was to investigate the extent of knowledge and participation levels in PA among pregnant women in Ho, Ghana using a self-developed questionnaire which consisted of some questions adapted from the PPAQ. MethodsSeventy-seven (n = 77) pregnant women between the ages of 18-50 years were recruited from three hospitals across the Ho municipality of Ghana. A self-developed questionnaire which consisted of some questions taken from the PPAQ was administered to participants under the researchers' supervision. Spearman's correlation analysis was used to find the association between the level of participation in PA, knowledge of PA and gestational age among pregnant women. Results From the total participants (n = 77) recruited, 57 (74\%) of the participants scored high in PA knowledge. Most of the participants 48 (62.3\%) answered that PA promotes healthy pregnancy. Participants who reported barriers to PA during pregnancy were no exercise habits 51 (66.2\%), having no time 17 (22.1\%) and fear of miscarriage 9 (11.7\%). There was a significant (p < 0.05) association between the level of participation and gestational age. No significant (p > 0.05) association between the level of participation and knowledge of PA was observed. Conclusion There is a high level of knowledge of PA among pregnant women in Ho, Ghana. However, most pregnant women rather engage in PA as their gestational age increases. Thus, to foster sustainable exercise participation during pregnancy, all healthcare providers saddled with the responsibility of providing maternal healthcare must strengthen the education and promotion of exercise and PA among pregnant women in Ho, Ghana.}, language = {en} } @inproceedings{BrandTimme2022, author = {Brand, Ralf and Timme, Sinika}, title = {Physical inactivity or exercise? A simple decision test predicts exercise behavior over the next 14 days}, series = {Journal of sport \& exercise psychology}, volume = {44}, booktitle = {Journal of sport \& exercise psychology}, number = {S1}, publisher = {Human Kinetics Publishing}, address = {Champaign}, issn = {0895-2779}, doi = {10.1123/jsep.2022-0071}, pages = {S68 -- S68}, year = {2022}, language = {en} } @article{SammoudBouguezziUthoffetal.2023, author = {Sammoud, Senda and Bouguezzi, Raja and Uthoff, Aaron and Ramirez-Campillo, Rodrigo and Moran, Jason and Negra, Yassine and Hachana, Younes and Chaabene, Helmi}, title = {The effects of backward vs. forward running training on measures of physical fitness in young female handball players}, series = {Frontiers in sports and active living}, volume = {5}, journal = {Frontiers in sports and active living}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2624-9367}, doi = {10.3389/fspor.2023.1244369}, pages = {10}, year = {2023}, abstract = {Introduction This study examined the effects of an 8-week backward running (BR) vs. forward running (FR) training programmes on measures of physical fitness in young female handball players. Methods Twenty-nine players participated in this study. Participants were randomly assigned to a FR training group, BR training group, and a control group. Results and discussion Within-group analysis indicated significant, small-to-large improvements in all performance tests (effect size [g] = 0.36 to 1.80), except 5-m forward sprint-time in the BR group and 5- and 10-m forward sprint-time in the FR group. However, the CG significantly decreased forward sprint performance over 10-m and 20-m (g = 0.28 to 0.50) with no changes in the other fitness parameters. No significant differences in the amount of change scores between the BR and FR groups were noted. Both training interventions have led to similar improvements in measures of muscle power, change of direction (CoD) speed, sprint speed either forward or backward, and repeated sprint ability (RSA) in young female handball players, though BR training may have a small advantage over FR training for 10-m forward sprint time and CoD speed, while FR training may provide small improvements over BR training for RSAbest. Practitioners are advised to consider either FR or BR training to improve various measures of physical fitness in young female handball players.}, language = {en} } @article{ZhouFischerBrahmsetal.2023, author = {Zhou, Lin and Fischer, Eric and Brahms, Clemens Markus and Granacher, Urs and Arnrich, Bert}, title = {DUO-GAIT}, series = {Scientific data}, volume = {10}, journal = {Scientific data}, number = {1}, publisher = {Nature Publ. Group}, address = {London}, issn = {2052-4463}, doi = {10.1038/s41597-023-02391-w}, pages = {10}, year = {2023}, abstract = {In recent years, there has been a growing interest in developing and evaluating gait analysis algorithms based on inertial measurement unit (IMU) data, which has important implications, including sports, assessment of diseases, and rehabilitation. Multi-tasking and physical fatigue are two relevant aspects of daily life gait monitoring, but there is a lack of publicly available datasets to support the development and testing of methods using a mobile IMU setup. We present a dataset consisting of 6-minute walks under single- (only walking) and dual-task (walking while performing a cognitive task) conditions in unfatigued and fatigued states from sixteen healthy adults. Especially, nine IMUs were placed on the head, chest, lower back, wrists, legs, and feet to record under each of the above-mentioned conditions. The dataset also includes a rich set of spatio-temporal gait parameters that capture the aspects of pace, symmetry, and variability, as well as additional study-related information to support further analysis. This dataset can serve as a foundation for future research on gait monitoring in free-living environments.}, language = {en} } @inproceedings{FoerstnerSanchez2022, author = {F{\"o}rstner, Bernd and Sanchez, Alba}, title = {Das Postoperative kognitive Defizite (POCD) im 1-Jahres- Langzeit-Follow-up nach verschiedenen elektiven Operationen bei {\"a}lteren Menschen}, series = {Zeitschrift f{\"u}r Gerontologie und Geriatrie : Organ der Deutschen Gesellschaft f{\"u}r Gerontologie und Geriatrie}, volume = {55}, booktitle = {Zeitschrift f{\"u}r Gerontologie und Geriatrie : Organ der Deutschen Gesellschaft f{\"u}r Gerontologie und Geriatrie}, number = {Supplement 1}, publisher = {Springer Medizin}, address = {Heidelberg}, issn = {0948-6704}, doi = {10.1007/s00391-022-02095-7}, pages = {S86 -- S86}, year = {2022}, language = {de} } @article{NegraSammoudUthoffetal.2023, author = {Negra, Yassine and Sammoud, Senda and Uthoff, Aaron and Moran, Jason and Ramirez-Campillo, Rodrigo and Chaabene, Helmi}, title = {The effects of repeated backward running training on measures of physical fitness in youth male soccer players}, series = {Journal of sports sciences}, volume = {40}, journal = {Journal of sports sciences}, number = {24}, publisher = {Routledge, Taylor \& Francis Group}, address = {London}, issn = {0264-0414}, doi = {10.1080/02640414.2023.2184770}, pages = {2688 -- 2696}, year = {2023}, abstract = {This study explored the effects of an 8-week repeated backward running training (RBRT) programme on measures of physical fitness in youth male soccer players. Youth male soccer players were randomly allocated into a RBRT group (n = 20; 13.95 +/- 0.22y) or a control group (CG; n = 16; 14.86 +/- 0.29y). The CG continued normal soccer training, while the RBRT group replaced some soccer drills with RBRT twice per week. Within-group analysis revealed that RBRT improved all performance variables ( increment -9.99\% to 14.50\%; effect size [ES] = -1.79 to 1.29; p <= 0.001). Meanwhile, trivial-to-moderate detrimental effects on sprinting and change of direction (CoD) speed ( increment 1.55\% to 10.40\%; p <= 0.05) were noted in the CG. The number of individuals improving performance above the smallest worthwhile change ranged from 65-100\% across all performance variables in the RBRT group, whereas<50\% in the CG reached that threshold. The between-group analysis indicated that the RBRT group improved performance on all performance tasks more than the CG (ES = -2.23 to 1.10; p <= 0.05). These findings demonstrate that substituting part of a standard soccer training regimen with RBRT can enhance youth soccer players' sprinting, CoD, jumping, and RSA performance.}, language = {en} } @article{BlasimannBuschHenleetal.2022, author = {Blasimann, Angela and Busch, Aglaja and Henle, Philipp and Bruhn, Sven and Vissers, Dirk and Baur, Heiner}, title = {Neuromuscular control during stair descent and artificial tibial translation after acute ACL rupture}, series = {Orthopaedic journal of sports medicine}, volume = {10}, journal = {Orthopaedic journal of sports medicine}, number = {10}, publisher = {Sage}, issn = {2325-9671}, doi = {10.1177/23259671221123299}, pages = {13}, year = {2022}, abstract = {Background: Anterior cruciate ligament (ACL) rupture has direct effect on passive and active knee stability and, specifically, stretch-reflex excitability. Purpose/Hypothesis: The purpose of this study was to investigate neuromuscular activity in patients with an acute ACL deficit (ACL-D group) compared with a matched control group with an intact ACL (ACL-I group) during stair descent and artificially induced anterior tibial translation. It was hypothesized that neuromuscular control would be impaired in the ACL-D group. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Surface electromyographic (EMG) activity of the vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF), and semitendinosus (ST) muscles was recorded bilaterally in 15 patients with ACL-D (mean, 13.8 days [range, 7-21 days] since injury) and 15 controls with ACL-I during stair descent and artificially induced anterior tibial translation. The movements of stair descent were divided into preactivity, weight acceptance, and push-off phases. Reflex activity during anterior tibial translation was split into preactivity and short, medium, and late latency responses. Walking on a treadmill was used for submaximal EMG normalization. Kruskal-Wallis test and post hoc analyses with Dunn-Bonferroni correction were used to compare normalized root mean square values for each muscle, limb, movement, and reflex phase between the ACL-D and ACL-I groups. Results: During the preactivity phase of stair descent, the hamstrings of the involved leg of the ACL-D group showed 33\% to 51\% less activity compared with the matched leg and contralateral leg of the ACL-I group (P <.05). During the weight acceptance and push-off phases, the VL revealed a significant reduction (approximately 40\%) in the involved leg of the ACL-D group compared with the ACL-I group. At short latency, the BF and ST of the involved leg of the ACL-D group showed a significant increase in EMG activity compared with the uninvolved leg of the ACL-I group, by a factor of 2.2 to 4.6. Conclusion: In the acute phase after an ACL rupture, neuromuscular alterations were found mainly in the hamstrings of both limbs during stair descent and reflex activity. The potential role of prehabilitation needs to be further studied.}, language = {en} } @inproceedings{TimmeKunzBrand2022, author = {Timme, Sinika and Kunz, Jona and Brand, Ralf}, title = {Heart rate and respiratory rate correlations with children's affective responses to exercise during physical education}, series = {Journal of sport \& exercise psychology}, volume = {44}, booktitle = {Journal of sport \& exercise psychology}, number = {S1}, publisher = {Human Kinetics Publishing}, address = {Champaign}, issn = {0895-2779}, doi = {10.1123/jsep.2022-0071}, pages = {S115 -- S115}, year = {2022}, language = {en} } @article{FoerstnerTschornReinosoSchilleretal.2022, author = {F{\"o}rstner, Bernd R. and Tschorn, Mira and Reinoso-Schiller, Nicolas and Maričić, Lea Mascarell and R{\"o}cher, Erik and Kalman, Janos L. and Stroth, Sanna and Mayer, Annalina V. and Schwarz, Kristina and Kaiser, Anna and Pfennig, Andrea and Manook, Andr{\´e} and Ising, Marcus and Heinig, Ingmar and Pittig, Andre and Heinz, Andreas and Mathiak, Klaus and Schulze, Thomas G. and Schneider, Frank and Kamp-Becker, Inge and Meyer-Lindenberg, Andreas and Padberg, Frank and Banaschewski, Tobias and Bauer, Michael and Rupprecht, Rainer and Wittchen, Hans-Ulrich and Rapp, Michael A.}, title = {Mapping research domain criteria using a transdiagnostic mini-RDoC assessment in mental disorders: a confirmatory factor analysis}, series = {European archives of psychiatry and clinical neuroscience}, volume = {273}, journal = {European archives of psychiatry and clinical neuroscience}, number = {3}, publisher = {Springer Nature}, address = {Heidelberg}, issn = {0940-1334}, doi = {10.1007/s00406-022-01440-6}, pages = {527 -- 539}, year = {2022}, abstract = {This study aimed to build on the relationship of well-established self-report and behavioral assessments to the latent constructs positive (PVS) and negative valence systems (NVS), cognitive systems (CS), and social processes (SP) of the Research Domain Criteria (RDoC) framework in a large transnosological population which cuts across DSM/ICD-10 disorder criteria categories. One thousand four hundred and thirty one participants (42.1\% suffering from anxiety/fear-related, 18.2\% from depressive, 7.9\% from schizophrenia spectrum, 7.5\% from bipolar, 3.4\% from autism spectrum, 2.2\% from other disorders, 18.4\% healthy controls, and 0.2\% with no diagnosis specified) recruited in studies within the German research network for mental disorders for the Phenotypic, Diagnostic and Clinical Domain Assessment Network Germany (PD-CAN) were examined with a Mini-RDoC-Assessment including behavioral and self-report measures. The respective data was analyzed with confirmatory factor analysis (CFA) to delineate the underlying latent RDoC-structure. A revised four-factor model reflecting the core domains positive and negative valence systems as well as cognitive systems and social processes showed a good fit across this sample and showed significantly better fit compared to a one factor solution. The connections between the domains PVS, NVS and SP could be substantiated, indicating a universal latent structure spanning across known nosological entities. This study is the first to give an impression on the latent structure and intercorrelations between four core Research Domain Criteria in a transnosological sample. We emphasize the possibility of using already existing and well validated self-report and behavioral measurements to capture aspects of the latent structure informed by the RDoC matrix.}, language = {en} } @article{ZechReichertEbnerPriemeretal.2022, author = {Zech, Hilmar G. and Reichert, Markus and Ebner-Priemer, Ulrich W. and Tost, Heike and Rapp, Michael A. and Heinz, Andreas and Dolan, Raymond J. and Smolka, Michael N. and Deserno, Lorenz}, title = {Mobile data collection of cognitive-behavioral tasks in substance use disorders: Where are we now?}, series = {Neuropsychobiology}, volume = {81}, journal = {Neuropsychobiology}, number = {5}, publisher = {Karger}, address = {Basel}, issn = {0302-282X}, doi = {10.1159/000523697}, pages = {438 -- 450}, year = {2022}, abstract = {Introduction: Over the last decades, our understanding of the cognitive, motivational, and neural processes involved in addictive behavior has increased enormously. A plethora of laboratory-based and cross-sectional studies has linked cognitive-behavioral measures to between-subject differences in drinking behavior. However, such laboratory-based studies inevitably suffer from small sample sizes and the inability to link temporal fluctuations in task measures to fluctuations in real-life substance use. To overcome these problems, several existing behavioral tasks have been transferred to smartphones to allow studying cognition in the field. Method: In this narrative review, we first summarize studies that used existing behavioral tasks in the laboratory and self-reports of substance use with ecological momentary assessment (EMA) in the field. Next, we review studies on psychometric properties of smartphone-based behavioral tasks. Finally, we review studies that used both smartphone-based tasks and self-reports with EMA in the field. Results: Overall, studies were scarce and heterogenous both in tasks and in study outcomes. Nevertheless, existing findings are promising and point toward several methodological recommendations: concerning psychometrics, studies show that - although more systematic studies are necessary - task validity and reliability can be improved, for example, by analyzing several measurement sessions at once rather than analyzing sessions separately. Studies that use tasks in the field, moreover, show that power can be improved by choosing sampling schemes that combine time-based with event-based sampling, rather than relying on time-based sampling alone. Increasing sampling frequency can further increase power. However, as this also increases the burden to participants, more research is necessary to determine the ideal sampling frequency for each task. Conclusion: Although more research is necessary to systematically study both the psychometrics of smartphone-based tasks and the frequency at which task measures fluctuate, existing studies are promising and reveal important methodological recommendations useful for researchers interested in implementing behavioral tasks in EMA studies.}, language = {en} } @article{JebabliZouhalBoullosaetal.2022, author = {Jebabli, Nidhal and Zouhal, Hassane and Boullosa, Daniel and Govindasamy, Karuppasamy and Tourny, Claire and Hackney, Anthony C. and Granacher, Urs and Ben Abderrahman, Abderraouf}, title = {The effects of preferred music and its timing on performance, pacing, and psychophysiological responses during the 6-min test}, series = {Journal of human kinetics}, volume = {82}, journal = {Journal of human kinetics}, number = {1}, publisher = {Academy of Physical Education}, address = {Katowice}, issn = {1640-5544}, doi = {10.2478/hukin-2022-0038}, pages = {123 -- 133}, year = {2022}, abstract = {The aim of this study was to investigate the effects of listening to preferred music during a warm up or exercise, on performance during a 6-min all-out exercise test (6-MT) in young adult males. Twenty-five healthy males volunteered to participate in this study. Following a within subject design, participants performed three test conditions (MDT: music during the test; MDW: music during the warm-up; WM: without music) in random order. Outcomes included mean running speed over the 6-min test (MRS6), total distance covered (TDC), heart rate responses (HRpeak, HRmean), blood lactate (3-min after the test), and the rating of perceived exertion (RPE); additionally, feeling scale scores were recorded. Listening to preferred music during running resulted in significant TDC (Delta up arrow 10\%, p=0.006, ES=0.80) and MRS6 (Delta up arrow 14\%, p=0.012, ES=1.02) improvement during the 6-MT, improvement was also noted for the warm-up with music condition (TDC:Delta up arrow 8\%, p=0.028, ES=0.63; MRS6:Delta up arrow 8\%, p=0.032, ES=0.61). A similar reverse "J-shaped" pacing profile was detected during the three conditions. Blood lactate was lower in the MDT condition by 8\% (p=0.01, ES=1.10), but not the MDW condition, compared to MW. In addition, no statistically significant differences were found between the test sessions for the HR, RPE, and feeling scale scores. In conclusion, listening to music during exercise testing would be more beneficial for optimal TDC and MRS6 performances compared to MDW and WM.}, language = {en} } @article{SeboldChenOenaletal.2022, author = {Sebold, Miriam and Chen, Hao and {\"O}nal, Aleyna and Kuitunen-Paul, S{\"o}ren and Mojtahedzadeh, Negin and Garbusow, Maria and Nebe, Stephan and Wittchen, Hans-Ulrich and Huys, Quentin J. M. and Schlagenhauf, Florian and Rapp, Michael A. and Smolka, Michael N. and Heinz, Andreas}, title = {Stronger prejudices are associated with decreased model-based control}, series = {Frontiers in psychology}, volume = {12}, journal = {Frontiers in psychology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-1078}, doi = {10.3389/fpsyg.2021.767022}, pages = {10}, year = {2022}, abstract = {Background: Prejudices against minorities can be understood as habitually negative evaluations that are kept in spite of evidence to the contrary. Therefore, individuals with strong prejudices might be dominated by habitual or "automatic" reactions at the expense of more controlled reactions. Computational theories suggest individual differences in the balance between habitual/model-free and deliberative/model-based decision-making. Methods: 127 subjects performed the two Step task and completed the blatant and subtle prejudice scale. Results: By using analyses of choices and reaction times in combination with computational modeling, subjects with stronger blatant prejudices showed a shift away from model-based control. There was no association between these decision-making processes and subtle prejudices. Conclusion: These results support the idea that blatant prejudices toward minorities are related to a relative dominance of habitual decision-making. This finding has important implications for developing interventions that target to change prejudices across societies.}, language = {en} } @article{DhahbiChaabeneChaouachietal.2022, author = {Dhahbi, Wissem and Chaabene, Helmi and Chaouachi, Anis and Padulo, Johnny and Behm, David G. and Cochrane, Jodie and Burnett, Angus and Chamari, Karim}, title = {Kinetic analysis of push-up exercises: a systematic review with practical recommendations}, series = {Sports biomechanics}, volume = {21}, journal = {Sports biomechanics}, number = {1}, publisher = {Routledge}, address = {Abingdon}, issn = {1476-3141}, doi = {10.1080/14763141.2018.1512149}, pages = {1 -- 40}, year = {2022}, abstract = {Push-ups represent one of the simplest and most popular strengthening exercise. The aim of this study was to systematically review and critically appraise the literature on the kinetics-related characteristics of different types of push-ups, with the objective of optimising training prescription and exercise-related load. A systematic search was conducted in the electronic databases PubMed, Google Scholar and Science Direct up to April 2018. Studies that reported kinetic data (e.g. initial and peak-force supported by the upper-limbs, impact-force, peak-flexion-moment of the elbow-joint, rate of propulsive- and impact-, and vertebral-joint compressive-forces) related to push-ups and included trained, recreational and untrained participants, were considered. The risk of bias in the included studies was assessed using the Critical Appraisal Skills Programme scale. From 5290 articles retrieved in the initial search, only 26 studies were included in this review. Kinetic data for 46 push-up variants were assessed. A limitation of the current review is that the relationship between our findings and actual clinical or practical consequences is not statistically proven but can only be inferred from our critical descriptive approach. Overall, this review provides detailed data on specific characteristics and intensities of push-up variations, in order to optimise exercise prescription for training and rehabilitation purposes.}, language = {en} } @article{HerrmannBodenMaureretal.2022, author = {Herrmann, Matthias L. and Boden, Cindy and Maurer, Christoph and Kentischer, Felix and Mennig, Eva and Wagner, S{\"o}ren and Conzelmann, Lars O. and F{\"o}rstner, Bernd R. and Rapp, Michael A. and von Arnim, Christine A. F. and Denkinger, Michael and Eschweiler, Gerhard W. and Thomas, Christine}, title = {Anticholinergic drug exposure increases the risk of delirium in older patients undergoing elective surgery}, series = {Frontiers in medicine}, volume = {9}, journal = {Frontiers in medicine}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2296-858X}, doi = {10.3389/fmed.2022.871229}, pages = {8}, year = {2022}, abstract = {IntroductionPostoperative delirium (POD) is a common and serious adverse event of surgery in older people. Because of its great impact on patients' safety and quality of life, identification of modifiable risk factors could be useful. Although preoperative medication intake is assumed to be an important modifiable risk factor, the impact of anticholinergic drugs on the occurrence of POD seems underestimated in elective surgery. The aim of this study was to investigate the association between preoperative anticholinergic burden and POD. We hypothesized that a high preoperative anticholinergic burden is an independent, potentially modifiable predisposing and precipitating factor of POD in older people. MethodsBetween November 2017 and April 2019, 1,470 patients of 70 years and older undergoing elective orthopedic, general, cardiac, or vascular surgery were recruited in the randomized, prospective, multicenter PAWEL trial. Anticholinergic burden of a sub-cohort of 899 patients, who did not receive a multimodal intervention for preventing POD, was assessed by two different tools at hospital admission: The established Anticholinergic Risk Scale (ARS) and the recently developed Anticholinergic Burden Score (ABS). POD was detected by confusion assessment method (CAM) and a validated post discharge medical record review. Logistic regression analyses were performed to evaluate the association between anticholinergic burden and POD. ResultsPOD was observed in 210 of 899 patients (23.4\%). Both ARS and ABS were independently associated with POD. The association persisted after adjustment for relevant confounding factors such as age, sex, comorbidities, preoperative cognitive and physical status, number of prescribed drugs, surgery time, type of surgery and anesthesia, usage of heart-lung-machine, and treatment in intensive care unit. If a patient was taking one of the 56 drugs listed in the ABS, risk for POD was 2.7-fold higher (OR = 2.74, 95\% CI = 1.55-4.94) and 1.5-fold higher per additional point on the ARS (OR = 1.54, 95\% CI = 1.15-2.02). ConclusionPreoperative anticholinergic drug exposure measured by ARS or ABS was independently associated with POD in older patients undergoing elective surgery. Therefore, identification, discontinuation or substitution of anticholinergic medication prior to surgery may be a promising approach to reduce the risk of POD in older patients.}, language = {en} } @article{MkaouerAmaraBouguezzietal.2023, author = {Mkaouer, Bessem and Amara, Samiha and Bouguezzi, Raja and Ben Abderrahmen, Abderraouf and Chaabene, Helmi}, title = {Validity of a new sport-specific endurance test in artistic gymnastics}, series = {Frontiers in sports and active living}, volume = {5}, journal = {Frontiers in sports and active living}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2624-9367}, doi = {10.3389/fspor.2023.1159807}, pages = {8}, year = {2023}, abstract = {Introduction General and particularly sport-specific testing is an integral aspect of performance optimization in artistic gymnastics. In artistic gymnastics, however, only non-specific field tests have been used to assess endurance performance (e.g., Multistage Shuttle Run Test; Cooper's Test). Methods This study aimed to examine the validity of a new sport-specific endurance test in artistic gymnastics. Fourteen elite-level gymnasts (i.e., eight males and six females) participated in this study. The newly developed artistic gymnastics-specific endurance test (AGSET) was conducted on two different occasions seven days apart to determine its reliability. To assess the concurrent validity of AGSET, participants performed the multistage shuttle run test (MSRT). Maximum oxygen uptake (VO2max) and respiratory exchange ratio (RER) were directly assessed using a portable gas analyzer system during both protocols. Additionally, the total time maintained (TTM) during the AGSET, maximum heart rate (HRmax), maximal aerobic speed (MAS), and blood lactate concentration (BLa) during the two protocols were collected. Results The main findings indicated that all variables derived from the AGSET (i.e., VO2max, MAS, HRmax, BLa, and RER) displayed very good relative (all intraclass correlation coefficients [ICC] > 0.90) and absolute (all typical errors of measurement [TEM] < 5\%) reliability. Further, results showed that the ability of the AGSET to detect small changes in VO2max, MAS, BLa, and RER was good (smallest worthwhile change [SWC0.2] > TEM), except HRmax (SWC0.2 < TEM). Additionally, results showed a nearly perfect association between the VO2max values derived from the AGSET and MSRT (r = 0.985; coefficient of determination [R-2] = 97\%) with no statistically significant differences (p>0.05). The mean (bias) +/- 95\% limits of agreement between the two protocols were 0.28 +/- 0.55 mlminkg-1. Discussion AGSET seems to present very good reliability and concurrent validity for assessing endurance performance in elite artistic gymnastics. In addition, the newly developed protocol presents a good ability to detect small changes in performance.}, language = {en} } @article{FoerstnerBoettgerMoldavskietal.2023, author = {F{\"o}rstner, Bernd Rainer and B{\"o}ttger, Sarah Jane and Moldavski, Alexander and Bajbouj, Malek and Pfennig, Andrea and Manook, Andre and Ising, Marcus and Pittig, Andre and Heinig, Ingmar and Heinz, Andreas and Mathiak, Klaus and Schulze, Thomas G. and Schneider, Frank and Kamp-Becker, Inge and Meyer-Lindenberg, Andreas and Padberg, Frank and Banaschewski, Tobias and Bauer, Michael and Rupprecht, Rainer and Wittchen, Hans-Ulrich and Rapp, Michael A. and Tschorn, Mira}, title = {The associations of positive and negative valence systems, cognitive systems and social processes on disease severity in anxiety and depressive disorders}, series = {Frontiers in psychiatry}, volume = {14}, journal = {Frontiers in psychiatry}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-0640}, doi = {10.3389/fpsyt.2023.1161097}, pages = {10}, year = {2023}, abstract = {Background Anxiety and depressive disorders share common features of mood dysfunctions. This has stimulated interest in transdiagnostic dimensional research as proposed by the Research Domain Criteria (RDoC) approach by the National Institute of Mental Health (NIMH) aiming to improve the understanding of underlying disease mechanisms. The purpose of this study was to investigate the processing of RDoC domains in relation to disease severity in order to identify latent disorder-specific as well as transdiagnostic indicators of disease severity in patients with anxiety and depressive disorders. Methods Within the German research network for mental disorders, 895 participants (n = 476 female, n = 602 anxiety disorder, n = 257 depressive disorder) were recruited for the Phenotypic, Diagnostic and Clinical Domain Assessment Network Germany (PD-CAN) and included in this cross-sectional study. We performed incremental regression models to investigate the association of four RDoC domains on disease severity in patients with affective disorders: Positive (PVS) and Negative Valance System (NVS), Cognitive Systems (CS) and Social Processes (SP). Results The results confirmed a transdiagnostic relationship for all four domains, as we found significant main effects on disease severity within domain-specific models (PVS: \& beta; = -0.35; NVS: \& beta; = 0.39; CS: \& beta; = -0.12; SP: \& beta; = -0.32). We also found three significant interaction effects with main diagnosis showing a disease-specific association. Limitations The cross-sectional study design prevents causal conclusions. Further limitations include possible outliers and heteroskedasticity in all regression models which we appropriately controlled for. Conclusion Our key results show that symptom burden in anxiety and depressive disorders is associated with latent RDoC indicators in transdiagnostic and disease-specific ways.}, language = {en} } @article{TeichFuehnerBaehretal.2023, author = {Teich, Paula and F{\"u}hner, Thea Heidi and Baehr, Florian and Puta, Christian and Granacher, Urs and Kliegl, Reinhold}, title = {Covid pandemic effects on the physical fitness of primary school children}, series = {Sports Medicine - Open}, volume = {9}, journal = {Sports Medicine - Open}, number = {1}, publisher = {Springer}, address = {New York}, issn = {2198-9761}, doi = {10.1186/s40798-023-00624-1}, pages = {19}, year = {2023}, abstract = {BackgroundIn spring of 2020, the Sars-CoV-2 incidence rate increased rapidly in Germany and around the world. Throughout the next 2 years, schools were temporarily closed and social distancing measures were put in place to slow the spread of the Covid-19 virus. Did these social restrictions and temporary school lockdowns affect children's physical fitness? The EMOTIKON project annually tests the physical fitness of all third-graders in the Federal State of Brandenburg, Germany. The tests assess cardiorespiratory endurance (6-min-run test), coordination (star-run test), speed (20-m sprint test), lower (powerLOW, standing long jump test), and upper (powerUP, ball-push test) limbs muscle power, and static balance (one-legged stance test with eyes closed). A total of 125,893 children were tested in the falls from 2016 to 2022. Primary analyses focused on 98,510 keyage third-graders (i.e., school enrollment according to the legal key date, aged 8 to 9 years) from 515 schools. Secondary analyses included 27,383 older-than-keyage third-graders (i.e., OTK, delayed school enrollment or repetition of a grade, aged 9 to 10 years), who have been shown to exhibit lower physical fitness than expected for their age. Linear mixed models fitted pre-pandemic quadratic secular trends, and took into account differences between children and schools.ResultsThird-graders exhibited lower cardiorespiratory endurance, coordination, speed and powerUP in the Covid pandemic cohorts (2020-2022) compared to the pre-pandemic cohorts (2016-2019). Children's powerLOW and static balance were higher in the pandemic cohorts compared to the pre-pandemic cohorts. From 2020 to 2021, coordination, powerLOW and powerUP further declined. Evidence for some post-pandemic physical fitness catch-up was restricted to powerUP. Cohen's |ds| for comparisons of the pandemic cohorts 2020-2022 with pre-pandemic cohorts 2016-2019 ranged from 0.02 for powerLOW to 0.15 for coordination. Within the pandemic cohorts, keyage children exhibited developmental losses ranging from approximately 1 month for speed to 5 months for cardiorespiratory endurance. For powerLOW and static balance, the positive pandemic effects translate to developmental gains of 1 and 7 months, respectively. Pre-pandemic secular trends may account for some of the observed differences between pandemic and pre-pandemic cohorts, especially in powerLOW, powerUP and static balance. The pandemic further increased developmental delays of OTK children in cardiorespiratory endurance, powerUP and balance.ConclusionsThe Covid-19 pandemic was associated with declines in several physical fitness components in German third-graders. Pandemic effects are still visible in 2022. Health-related interventions should specifically target those physical fitness components that were negatively affected by the pandemic (cardiorespiratory endurance, coordination, speed).}, language = {en} } @article{TeichFuehnerGranacheretal.2023, author = {Teich, Paula and F{\"u}hner, Thea Heidi and Granacher, Urs and Kliegl, Reinhold}, title = {Physical fitness of primary school children differs depending on their timing of school enrollment}, series = {Scientific reports}, volume = {13}, journal = {Scientific reports}, number = {1}, publisher = {Springer Nature}, address = {London}, issn = {2045-2322}, doi = {10.1038/s41598-023-35727-y}, pages = {16}, year = {2023}, abstract = {Previous research has shown that children who were enrolled to school according to the legal key date (i.e., keyage children, between eight and nine years in third grade) exhibited a linear physical fitness development in the ninth year of life. In contrast, children who were enrolled with a delay (i.e., older-than-keyage children [OTK], between nine and ten years in third grade) exhibited a lower physical fitness compared to what would be expected for their age. In these studies, cross-sectional age differences within third grade and timing of school enrollment were confounded. The present study investigated the longitudinal development of keyage and OTK children from third to fifth grade. This design also afforded a comparison of the two groups at the same average chronological age, that is a dissociation of the effects of timing of school enrollment and age. We tested six physical fitness components: cardiorespiratory endurance, coordination, speed, power of lower and upper limbs, and static balance. 1502 children (i.e., 1206 keyage and 296 OTK children) from 35 schools were tested in third, fourth, and fifth grade. Except for cardiorespiratory endurance, both groups developed from third to fourth and from fourth to fifth grade and keyage children outperformed OTK children at the average ages of 9.5 or 10.5 years. For cardiorespiratory endurance, there was no significant gain from fourth to fifth grade and keyage and OTK children did not differ significantly at 10.5 years of age. One reason for a delayed school enrollment could be that a child is (or is perceived as) biologically younger than their chronological age at the school entry examination, implying a negative correlation between chronological and biological age for OTK children. Indeed, a simple reflection of chronological age brought the developmental rate of the chronologically youngest OTK children in line with the developmental rate observed for keyage children, but did not eliminate all differences. The mapping of chronological and biological age of OTK children and other possible reasons for lower physical fitness of OTK children remain a task for future research.}, language = {en} } @article{HagoortVuillermeHortobagyietal.2022, author = {Hagoort, Iris and Vuillerme, Nicolas and Hortob{\´a}gyi, Tibor and Lamoth, Claudine J. C.}, title = {Outcome-dependent effects of walking speed and age on quantitative and qualitative gait measures}, series = {Gait \& posture}, volume = {93}, journal = {Gait \& posture}, publisher = {Elsevier}, address = {Clare}, issn = {0966-6362}, doi = {10.1016/j.gaitpost.2022.01.001}, pages = {39 -- 46}, year = {2022}, abstract = {Background: Walking speed predicts many clinical outcomes in old age. However, a comprehensive assessment of how walking speed affects accelerometer based quantitative and qualitative gait measures in younger and older adults is lacking. Research question: What is the relationship between walking speed and quantitative and qualitative gait outcomes in younger and older adults? Methods: Younger (n = 27, age: 21.6) and older participants (n = 27, age: 69.5) completed 340 steps on a treadmill at speeds of 0.70 to a maximum of 1.75 m.s(-1). We used generalized additive mixed models to determine the relationship between walking speed and quantitative (stride length, stride time, stride frequency and their variability) and qualitative (stride regularity, stability, smoothness, symmetry, synchronization, predictability) gait measures extracted from trunk accelerations. Results: The type of relationship between walking speed and the majority of gait measures (quantitative and qualitative) was characterized as logarithmic, with more prominent speed-effects at speeds below 1.20 m.s(-1). Changes in quantitative measures included shorter strides, longer stride times, and a lower stride frequency, with more variability at lower speeds independent of age. For qualitative measures, we found a decrease in gait symmetry, stability and regularity in all directions with decreasing speeds, a decrease in gait predictability (Vertical, V, anterior-posterior, AP) and stronger gait synchronization (AP-mediolateral, ML, AP-V), and direction dependent effects of gait smoothness, which decreased in V direction, but increased in AP and ML directions with decreasing speeds. We found outcome-dependent effects of age on the quantitative and qualitative gait measures, with either no differences between age-groups, age-related differences that existed regardless of speed, and age-related differences in the type of relationship with walking speed. Significance: The relationship between walking speed and quantitative and qualitative gait measures, and the effects of age on this relationship, depends on the type of gait measure studied.}, language = {en} } @article{BittmannDechSchaefer2023, author = {Bittmann, Frank and Dech, Silas and Schaefer, Laura}, title = {Another way to confuse motor control}, series = {Brain Sciences}, volume = {13}, journal = {Brain Sciences}, number = {7}, publisher = {MDPI}, address = {Basel}, issn = {2076-3425}, doi = {10.3390/brainsci13071105}, pages = {20}, year = {2023}, abstract = {Sensorimotor control can be impaired by slacked muscle spindles. This was shown for reflex responses and, recently, also for muscular stability in the sense of Adaptive Force (AF). The slack in muscle spindles was generated by contracting the lengthened muscle followed by passive shortening. AF was suggested to specifically reflect sensorimotor control since it requires tension-length control in adaptation to an increasing load. This study investigated AF parameters in reaction to another, manually performed slack procedure in a preselected sample (n = 13). The AF of 11 elbow and 12 hip flexors was assessed by an objectified manual muscle test (MMT) using a handheld device. Maximal isometric AF was significantly reduced after manual spindle technique vs. regular MMT. Muscle lengthening started at 64.93 \& PLUSMN; 12.46\% of maximal voluntary isometric contraction (MVIC). During regular MMT, muscle length could be maintained stable until 92.53 \& PLUSMN; 10.12\% of MVIC. Hence, muscular stability measured by AF was impaired after spindle manipulation. Force oscillations arose at a significantly lower level for regular vs. spindle. This supports the assumption that they are a prerequisite for stable adaptation. Reduced muscular stability in reaction to slack procedures is considered physiological since sensory information is misled. It is proposed to use slack procedures to test the functionality of the neuromuscular system, which is relevant for clinical practice.}, language = {en} } @article{QuarmbyKhajooeiKurtzetal.2023, author = {Quarmby, Andrew James and Khajooei, Mina and Kurtz, Philip and Henschke, Jakob and Kim, MyoungHwee and Mayer, Frank and Engel, Tilman}, title = {Unexpected running perturbations}, series = {Frontiers in sports and active living}, volume = {5}, journal = {Frontiers in sports and active living}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2624-9367}, doi = {10.3389/fspor.2023.1129058}, pages = {14}, year = {2023}, abstract = {Introduction Balance is vital for human health and experiments have been conducted to measure the mechanisms of postural control, for example studying reflex responses to simulated perturbations. Such studies are frequent in walking but less common in running, and an understanding of reflex responses to trip-like disturbances could enhance our understanding of human gait and improve approaches to training and rehabilitation. Therefore, the primary aim of this study was to investigate the technical validity and reliability of a treadmill running protocol with perturbations. A further exploratory aim was to evaluate the associated neuromuscular reflex responses to the perturbations, in the lower limbs. Methods Twelve healthy participants completed a running protocol (9 km/h) test-retest (2 weeks apart), whereby 30 unilateral perturbations were executed via the treadmill belts (presets:2.0 m/s amplitude;150 ms delay (post-heel contact);100ms duration). Validity of the perturbations was assessed via mean +/- SD comparison, percentage error calculation between the preset and recorded perturbation characteristics (PE\%), and coefficient of variation (CV\%). Test-retest reliability (TRV\%) and Bland-Altman analysis (BLA; bias +/- 1.96 * SD) was calculated for reliability. To measure reflex activity, electromyography (EMG) was applied in both legs. EMG amplitudes (root mean square normalized to unperturbed strides) and latencies [ms] were analysed descriptively. Results Left-side perturbation amplitude was 1.9 +/- 0.1 m/s, delay 105 +/- 2 ms, and duration 78 +/- 1 ms. Right-side perturbation amplitude was 1.9 +/- 0.1 m/s, delay 118 +/- 2 ms, duration 78 +/- 1 ms. PE\% ranged from 5-30\% for the recorded perturbations. CV\% of the perturbations ranged from 19.5-76.8\%. TRV\% for the perturbations was 6.4-16.6\%. BLA for the left was amplitude: 0.0 +/- 0.3m/s, delay: 0 +/- 17 ms, duration: 2 +/- 13 ms, and for the right was amplitude: 0.1 +/- 0.7, delay: 4 +/- 40 ms, duration: 1 +/- 35 ms. EMG amplitudes ranged from 175 +/- 141\%-454 +/- 359\% in both limbs. Latencies were 109 +/- 12-116 +/- 23 ms in the tibialis anterior, and 128 +/- 49-157 +/- 20 ms in the biceps femoris. Discussion Generally, this study indicated sufficient validity and reliability of the current setup considering the technical challenges and limitations, although the reliability of the right-sided perturbations could be questioned. The protocol provoked reflex responses in the lower extremities, especially in the leading leg. Acute neuromusculoskeletal adjustments to the perturbations could be studied and compared in clinical and healthy running populations, and the protocol could be utilised to monitor chronic adaptations to interventions over time.}, language = {en} } @article{BittmannDechSchaefer2023, author = {Bittmann, Frank and Dech, Silas and Schaefer, Laura}, title = {How to confuse motor control}, series = {Life : open access journal}, volume = {13}, journal = {Life : open access journal}, number = {4}, publisher = {MDPI}, address = {Basel}, issn = {2075-1729}, doi = {10.3390/life13040911}, pages = {18}, year = {2023}, abstract = {Adaptation to external forces relies on a well-functioning proprioceptive system including muscle spindle afferents. Muscle length and tension control in reaction to external forces is most important regarding the Adaptive Force (AF). This study investigated the effect of different procedures, which are assumed to influence the function of muscle spindles, on the AF. Elbow flexors of 12 healthy participants (n = 19 limbs) were assessed by an objectified manual muscle test (MMT) with different procedures: regular MMT, MMT after precontraction (self-estimated 20\% MVIC) in lengthened position with passive return to test position (CL), and MMT after CL with a second precontraction in test position (CL-CT). During regular MMTs, muscles maintained their length up to 99.7\% +/- 1.0\% of the maximal AF (AF(max)). After CL, muscles started to lengthen at 53.0\% +/- 22.5\% of AF(max). For CL-CT, muscles were again able to maintain the static position up to 98.3\% +/- 5.5\% of AF(max). AFiso(max) differed highly significantly between CL vs. CL-CT and regular MMT. CL was assumed to generate a slack of muscle spindles, which led to a substantial reduction of the holding capacity. This was immediately erased by a precontraction in the test position. The results substantiate that muscle spindle sensitivity seems to play an important role for neuromuscular functioning and musculoskeletal stability.}, language = {en} } @article{KimLinHenschkeetal.2023, author = {Kim, MyoungHwee and Lin, Chiao-I and Henschke, Jakob and Quarmby, Andrew James and Engel, Tilman and Cassel, Michael}, title = {Effects of exercise treatment on functional outcome parameters in mid-portion achilles tendinopathy}, series = {Frontiers in Sports and Active Living}, volume = {5}, journal = {Frontiers in Sports and Active Living}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2624-9367}, doi = {10.3389/fspor.2023.1144484}, pages = {12}, year = {2023}, abstract = {Exercise interventions are evident in the treatment of mid-portion Achilles tendinopathy (AT). However, there is still a lack of knowledge concerning the effect of different exercise treatments on improving a specific function (e.g., strength) in this population. Thus, this study aimed to systematically review the effect of exercise treatments on different functional outcomes in mid-portion AT. An electronic database of Pubmed, Web of Science, and Cochrane Central Register of Controlled Trials were searched from inception to 21 February 2023. Studies that investigated changes in plantar flexor function with exercise treatments were considered in mid-portion AT. Only randomized controlled trials (RCTs) and clinical controlled trials (CCTs) were included. Functional outcomes were classified by kinetic (e.g., strength), kinematic [e.g., ankle range of motion (ROM)], and sensorimotor (e.g., balance index) parameters. The types of exercise treatments were classified into eccentric, concentric, and combined (eccentric plus concentric) training modes. Quality assessment was appraised using the Physiotherapy Evidence Database scale for RCTs, and the Joanna Briggs Institute scale for CCTs. The search yielded 2,260 records, and a total of ten studies were included. Due to the heterogeneity of the included studies, a qualitative synthesis was performed. Eccentric training led to improvements in power outcomes (e.g., height of countermovement jump), and in strength outcomes (e.g., peak torque). Concentric training regimens showed moderate enhanced power outcomes. Moreover, one high-quality study showed an improvement in the balance index by eccentric training, whereas the application of concentric training did not. Combined training modalities did not lead to improvements in strength and power outcomes. Plantarflexion and dorsiflexion ROM measures did not show relevant changes by the exercise treatments. In conclusion, eccentric training is evident in improving strength outcomes in AT patients. Moreover, it shows moderate evidence improvements in power and the sensorimotor parameter "balance index". Concentric training presents moderate evidence in the power outcomes and can therefore be considered as an alternative to improve this function. Kinematic analysis of plantarflexion and dorsiflexion ROM might not be useful in AT people. This study expands the knowledge what types of exercise regimes should be considered to improve the functional outcomes in AT.}, language = {en} } @article{BuschKuboschBendauetal.2022, author = {Busch, Aglaja and Kubosch, Eva Johanna and Bendau, Antonia and Leonhart, Rainer and Meidl, Verena and Bretthauer, Berit and Petzold, Moritz Bruno and Dallmann, Petra and Wrobel, Nina and Plag, Jens and Str{\"o}hle, Andreas and Hirschm{\"u}ller, Anja}, title = {Mental health in German paralympic athletes during the 1st year of the COVID-19 pandemic compared to a general population sample}, series = {Frontiers in sports and active living}, volume = {4}, journal = {Frontiers in sports and active living}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2624-9367}, doi = {10.3389/fspor.2022.870692}, pages = {9}, year = {2022}, abstract = {IntroductionThe COVID-19 pandemic has huge influences on daily life and is not only associated with physical but also with major psychological impacts. Mental health problems and disorders are frequently present in elite paralympic athletes. Due to the pandemic situation, new stressors (e.g., loss of routine, financial insecurity) might act upon the athletes. Therefore, the assessment of mental health in athletes during the COVID-19 pandemic is important to identify prevalence of psychological problems and propose countermeasures. MethodsThe mental health of German paralympic athletes was longitudinally monitored (starting in May 2019). The athletes completed the Patient Health Questionnaire 4 (PHQ-4) on a weekly basis and reported a stress level, training hours, and training load. During the pandemic, 8 measurement time points (March 2020 to April 2021) were used to reflect the psychological health course of the athletes. In parallel, a convenience sample of the general population was questioned about their psychological distress, including the PHQ-4. To be included in the analysis, participants of both groups had to complete at least 4 measurement time points. Matching of the para-athletes and the general population sample was prioritized upon completion of the same measurement time points, gender, and age. ResultsSeventy-eight paralympic athletes (40 women, 38 men, age: 29.8 +/- 11.4 years) met the inclusion criteria. Seventy-eight matched pairs of the general population (40 women; 38 men; age: 30.5 +/- 10.9 years) were identified. The para-athletes had a significantly (p r <0.48) lower PHQ-4 value at each measurement time point compared to the matched control group. No significant age or sex differences were evident regarding the symptom burden. In para-athletes, no significant and a weak positive correlation was found between decreased training load and PHQ-4 values and a stress level, respectively. Reduced physical activity was significantly (p <0.0001) associated with higher PHQ-4 values in the general population sample. DiscussionLower PHQ-4 values were reported by the para-athletes compared to the general population sample. However, small sample sizes must be considered while interpreting the data. Nevertheless, adequate support for individuals suffering from severe psychopathological symptoms should be provided for para-athletes as well as for the general population.}, language = {en} } @article{DelfanJuybariGorganiFiruzjaeeetal.2022, author = {Delfan, Maryam and Juybari, Raheleh Amadeh and Gorgani-Firuzjaee, Sattar and H{\o}iriis Nielsen, Jens and Delfan, Neda and Laher, Ismail and Saeidi, Ayoub and Granacher, Urs and Zouhal, Hassane}, title = {High-intensity interval training improves cardiac function by miR-206 dependent HSP60 induction in diabetic rats}, series = {Frontiers in cardiovascular medicine}, volume = {9}, journal = {Frontiers in cardiovascular medicine}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {2297-055X}, doi = {10.3389/fcvm.2022.927956}, pages = {11}, year = {2022}, abstract = {ObjectiveA role for microRNAs is implicated in several biological and pathological processes. We investigated the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on molecular markers of diabetic cardiomyopathy in rats. MethodsEighteen male Wistar rats (260 +/- 10 g; aged 8 weeks) with streptozotocin (STZ)-induced type 1 diabetes mellitus (55 mg/kg, IP) were randomly allocated to three groups: control, MICT, and HIIT. The two different training protocols were performed 5 days each week for 5 weeks. Cardiac performance (end-systolic and end-diastolic dimensions, ejection fraction), the expression of miR-206, HSP60, and markers of apoptosis (cleaved PARP and cytochrome C) were determined at the end of the exercise interventions. ResultsBoth exercise interventions (HIIT and MICT) decreased blood glucose levels and improved cardiac performance, with greater changes in the HIIT group (p < 0.001, eta(2): 0.909). While the expressions of miR-206 and apoptotic markers decreased in both training protocols (p < 0.001, eta(2): 0.967), HIIT caused greater reductions in apoptotic markers and produced a 20\% greater reduction in miR-206 compared with the MICT protocol (p < 0.001). Furthermore, both training protocols enhanced the expression of HSP60 (p < 0.001, eta(2): 0.976), with a nearly 50\% greater increase in the HIIT group compared with MICT. ConclusionsOur results indicate that both exercise protocols, HIIT and MICT, have the potential to reduce diabetic cardiomyopathy by modifying the expression of miR-206 and its downstream targets of apoptosis. It seems however that HIIT is even more effective than MICT to modulate these molecular markers.}, language = {en} } @article{ChaabeneMarkovPrieskeetal.2022, author = {Chaabene, Helmi and Markov, Adrian and Prieske, Olaf and Moran, Jason and Behrens, Martin and Negra, Yassine and Ramirez-Campillo, Rodrigo and Koch, Ulrike and Mkaouer, Bessem}, title = {Effect of flywheel versus traditional resistance training on change of direction performance in male athletes}, series = {International journal of environmental research and public health : IJERPH}, volume = {19}, journal = {International journal of environmental research and public health : IJERPH}, number = {12}, publisher = {MDPI}, address = {Basel}, issn = {1661-7827}, doi = {10.3390/ijerph19127061}, pages = {17}, year = {2022}, abstract = {Objective: This study aimed to systematically review and meta-analyze the effect of flywheel resistance training (FRT) versus traditional resistance training (TRT) on change of direction (CoD) performance in male athletes. Methods: Five databases were screened up to December 2021. Results: Seven studies were included. The results indicated a significantly larger effect of FRT compared with TRT (standardized mean difference [SMD] = 0.64). A within-group comparison indicated a significant large effect of FRT on CoD performance (SMD = 1.63). For TRT, a significant moderate effect was observed (SMD = 0.62). FRT of <= 2 sessions/week resulted in a significant large effect (SMD = 1.33), whereas no significant effect was noted for >2 sessions/week. Additionally, a significant large effect of <= 12 FRT sessions (SMD = 1.83) was observed, with no effect of >12 sessions. Regarding TRT, no significant effects of any of the training factors were detected (p > 0.05). Conclusions: FRT appears to be more effective than TRT in improving CoD performance in male athletes. Independently computed single training factor analyses for FRT indicated that <= 2 sessions/week resulted in a larger effect on CoD performance than >2 sessions/week. Additionally, a total of <= 12 FRT sessions induced a larger effect than >12 training sessions. Practitioners in sports, in which accelerative and decelerative actions occur in quick succession to change direction, should regularly implement FRT.}, language = {en} } @article{LehmannKuhnKelleretal.2022, author = {Lehmann, Nico and Kuhn, Yves-Alain and Keller, Martin and Aye, Norman and Herold, Fabian and Draganski, Bogdan and Taube, Wolfgang and Taubert, Marco}, title = {Brain activation during active balancing and its behavioral relevance in younger and older adults}, series = {Frontiers in Aging Neuroscience}, volume = {14}, journal = {Frontiers in Aging Neuroscience}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {1663-4365}, doi = {10.3389/fnagi.2022.828474}, pages = {20}, year = {2022}, abstract = {Age-related deterioration of balance control is widely regarded as an important phenomenon influencing quality of life and longevity, such that a more comprehensive understanding of the neural mechanisms underlying this process is warranted. Specifically, previous studies have reported that older adults typically show higher neural activity during balancing as compared to younger counterparts, but the implications of this finding on balance performance remain largely unclear. Using functional near-infrared spectroscopy (fNIRS), differences in the cortical control of balance between healthy younger (n = 27) and older (n = 35) adults were explored. More specifically, the association between cortical functional activity and balance performance across and within age groups was investigated. To this end, we measured hemodynamic responses (i.e., changes in oxygenated and deoxygenated hemoglobin) while participants balanced on an unstable device. As criterion variables for brain-behavior-correlations, we also assessed postural sway while standing on a free-swinging platform and while balancing on wobble boards with different levels of difficulty. We found that older compared to younger participants had higher activity in prefrontal and lower activity in postcentral regions. Subsequent robust regression analyses revealed that lower prefrontal brain activity was related to improved balance performance across age groups, indicating that higher activity of the prefrontal cortex during balancing reflects neural inefficiency. We also present evidence supporting that age serves as a moderator in the relationship between brain activity and balance, i.e., cortical hemodynamics generally appears to be a more important predictor of balance performance in the older than in the younger. Strikingly, we found that age differences in balance performance are mediated by balancing-induced activation of the superior frontal gyrus, thus suggesting that differential activation of this region reflects a mechanism involved in the aging process of the neural control of balance. Our study suggests that differences in functional brain activity between age groups are not a mere by-product of aging, but instead of direct behavioral relevance for balance performance. Potential implications of these findings in terms of early detection of fall-prone individuals and intervention strategies targeting balance and healthy aging are discussed.}, language = {en} } @article{daSilvaCostaHortobagyidenOtteretal.2022, author = {da Silva Costa, Andreia Abud and Hortobagyi, Tibor and den Otter, Rob and Sawers, Andrew and Moraes, Renato}, title = {Beam width and arm position but not cognitive task affect walking balance in older adults}, series = {Scientific reports}, volume = {12}, journal = {Scientific reports}, number = {1}, publisher = {Nature Research}, address = {London}, issn = {2045-2322}, doi = {10.1038/s41598-022-10848-y}, pages = {10}, year = {2022}, abstract = {Detection of changes in dynamic balance could help identify older adults at fall risk. Walking on a narrow beam with its width, cognitive load, and arm position manipulated could be an alternative to current tests. Therefore, we examined additive and interactive effects of beam width, cognitive task (CT), and arm position on dynamic balance during beam walking in older adults. Twenty older adults (69 +/- 4y) walked on 6, 8, and 10-cm wide beams (2-cm high, 4-m-long), with and without CT, with three arm positions (free, crossed, akimbo). We determined cognitive errors, distance walked, step speed, root mean square (RMS) of center of mass (COM) displacement and trunk acceleration in the frontal plane. Beam width decrease progressively reduced distance walked and increased trunk acceleration RMS. Step speed decreased on the narrowest beam and with CT. Arm crossing decreased distance walked and step speed. COM displacement RMS and cognitive errors were not affected by any manipulation. In conclusion, distance walked indicated that beam width and arm position, but less so CT, affected dynamic balance, implying that beam walking has the potential to become a test of fall risk. Stability measurements suggested effective trunk adjustments to control COM position and keep dynamic balance during the task.}, language = {en} } @article{VoellerBindlNagelsetal.2022, author = {V{\"o}ller, Heinz and Bindl, Dominik and Nagels, Klaus and Hofmann, Reiner and Vettorazzi, Eik and Wegscheider, Karl and Fleck, Eckart and St{\"o}rk, Stefan and Nagel, Eckhard}, title = {The first year of noninvasive remote telemonitoring in chronic heart failure is not cost saving but improves quality of life: the randomized controlled cardiobbeat trial}, series = {Telemedicine and e-health}, volume = {28}, journal = {Telemedicine and e-health}, number = {11}, publisher = {Liebert}, address = {New Rochelle}, issn = {1530-5627}, doi = {10.1089/tmj.2022.0021}, pages = {1613 -- 1622}, year = {2022}, abstract = {Introduction: Remote telemonitoring (RTM) for patients with chronic heart failure (HF) holds promise to improve prognosis and well-being beyond the standard of care (SoC). The CardioBBEAT trial assessed the health economic and clinical impact of an interactive bidirectional RTM system (Motiva(R)) versus SoC for patients with HF and a reduced ejection fraction (HFrEF), in Germany.Methods: This multicenter, randomized controlled trial enrolled 621 patients with HFrEF (mean age 63.0 +/- 11.5 years, 88\% men). The primary endpoint was the integrated effect of the intervention on total costs and nonhospitalized days alive after 12 months, reported as incremental cost-effectiveness ratio (ICER). Costs (in keuro) were based on actual charges of patients' statutory health insurance. Among secondary outcome measures were mortality and disease-specific quality of life.Results: We found a neutral effect on nonhospitalized days alive (RTM mean 341 +/- 59 days, SoC 346 +/- 45 days; p = 0.298) associated with increased total costs (RTM 18.5 +/- 39.5 keuro, SoC 12.8 +/- 22.0 keuro; p = 0.046). This yielded an ICER of -1.15 keuro/day. RTM did not impact mortality risk. All quality of life scales were consistently and meaningfully improved in the RTM group at 12 months compared to SoC (all p < 0.01).Conclusions: The first 12 months of RTM were not cost-effective compared to SoC in patients with HFrEF, but associated with a relevant improvement in disease-specific quality of life. The balanced assessment of the potential benefit of RTM requires integration of both the societal and patient perspective.ClinTrials.gov (NCT02293252).}, language = {en} } @article{JaehnSaskoHolmbergetal.2022, author = {Jaehn, Philipp and Sasko, Benjamin and Holmberg, Christine and Hoffmann, Stephanie and Spallek, Jacob and Kelesidis, Theodoros and Rapp, Michael A. and Westhoff, Timm H. and Ritter, Oliver and Pagonas, Nikolaos}, title = {Levels of high-density lipoprotein lipid peroxidation according to spatial socioeconomic deprivation and rurality among patients with coronary artery disease}, series = {European journal of preventive cardiology}, volume = {29}, journal = {European journal of preventive cardiology}, number = {15}, publisher = {Oxford University Press}, address = {Oxford}, issn = {2047-4873}, doi = {10.1093/eurjpc/zwac068}, pages = {E343 -- E346}, year = {2022}, language = {en} } @article{SaidiZouhalBoullosaetal.2022, author = {Saidi, Karim and Zouhal, Hassane and Boullosa, Daniel and Dupont, Gregory and Hackney, Anthony C. and Bideau, Benoit and Granacher, Urs and Ben Abderrahman, Abderraouf}, title = {Biochemical markers and wellness status during a congested match play period in elite soccer players}, series = {International journal of sports physiology and performance : IJSSP}, volume = {17}, journal = {International journal of sports physiology and performance : IJSSP}, number = {4}, publisher = {Human Kinetics Publ.}, address = {Champaign}, issn = {1555-0265}, doi = {10.1123/ijspp.2020-0914}, pages = {605 -- 620}, year = {2022}, abstract = {Objectives: To analyze biochemical markers, wellness status, and physical fitness in elite soccer players in relation to changes in training and match exposure during a congested period of match play. Methods: Fourteen elite soccer players were evaluated 3 times (T1, T2, and T3) over 12 weeks (T1-T2: 6-wk regular period of match play and T2-T3: 6-wk congested period of match play). Players performed vertical jump tests, repeated shuttle sprint ability test, and the Yo-Yo Intermittent Recovery Test at T1, T2, and T3. Plasma C-reactive protein, creatinine, and creatine kinase were analyzed at T1, T2, and T3. Wellness status was measured daily using the Hopper questionnaire (delayed onset of muscle soreness, stress, fatigue, and sleep quality). Training session rating of perceived exertion was also recorded on a daily basis. Results: A significant increase was found in stress, fatigue, delayed onset of muscle soreness scores, and Hopper index during the congested period (between T2 and T3) compared with the regular period (between T1 and T2) (.001 < P < .008, 0.8 < ES < 2.3). Between T2 and T3, significant relationships were found between the percentage variations (Delta\%) of C-reactive protein, and Delta\% of creatine kinase with the Hopper Index, and the Delta\% of fatigue score. In addition, the Delta\% of fatigue score and Delta\% of delayed onset of muscle soreness score correlated with Delta\% Yo-Yo Intermittent Recovery Test and Delta\% best of repeated shuttle sprint ability test (.49 < r < P < .01). Conclusions: An intensive period of congested match play significantly compromised elite soccer players' physical fitness and wellness status. Elite soccer players' wellness status reflects declines in physical fitness during this period while biochemical changes do not.}, language = {en} } @article{BrahmsHortobagyiKressigetal.2021, author = {Brahms, Clemens Markus and Hortob{\´a}gyi, Tibor and Kressig, Reto W. and Granacher, Urs}, title = {The Interaction between mobility status and exercise specificity in older adults}, series = {Exercise and sport sciences reviews}, volume = {49}, journal = {Exercise and sport sciences reviews}, number = {1}, publisher = {Lippincott Williams \& Wilkins}, address = {Hagerstown, Md.}, issn = {0091-6331}, doi = {10.1249/JES.0000000000000237}, pages = {15 -- 22}, year = {2021}, abstract = {Many adults older than 60 yr experience mobility limitations. Although physical exercise improves older adults' mobility, differences in baseline mobility produce large variations in individual responses to interventions, and these responses could further vary by the type and dose of exercise. Here, we propose an exercise prescription model for older adults based on their current mobility status.}, language = {en} } @article{LehnStefanPeterMachannetal.2022, author = {Lehn-Stefan, Angela and Peter, Andreas and Machann, J{\"u}rgen and Schick, Fritz and Randrianarisoa, Elko and Heni, Martin and Wagner, Robert and Birkenfeld, Andreas L. and Fritsche, Andreas and Schulze, Matthias Bernd and Stefan, Norbert and Kantartzis, Konstantinos}, title = {Impaired metabolic health and low cardiorespiratory fitness independently associate with subclinical atherosclerosis in obesity}, series = {The journal of clinical endocrinology \& metabolism}, volume = {107}, journal = {The journal of clinical endocrinology \& metabolism}, number = {6}, publisher = {Endocrine Society}, address = {Washington}, issn = {0021-972X}, doi = {10.1210/clinem/dgac091}, pages = {E2417 -- E2424}, year = {2022}, abstract = {Context For a given body mass index (BMI), both impaired metabolic health (MH) and reduced cardiorespiratory fitness (CRF) associate with increased risk of cardiovascular disease (CVD). Objective It remains unknown whether both risk phenotypes relate to CVD independently of each other, and whether these relationships differ in normal weight, overweight, and obese subjects. Methods Data from 421 participants from the Tubingen Diabetes Family Study, who had measurements of anthropometrics, metabolic parameters, CRF (maximal aerobic capacity [VO2max]) and carotid intima-media thickness (cIMT), an early marker of atherosclerosis, were analyzed. Subjects were divided by BMI and MH status into 6 phenotypes. Results In univariate analyses, older age, increased BMI, and a metabolic risk profile correlated positively, while insulin sensitivity and VO2max negatively with cIMT. In multivariable analyses in obese subjects, older age, male sex, lower VO2max (std. ss -0.21, P = 0.002) and impaired MH (std. ss 0.13, P = 0.02) were independent determinants of increased cIMT. After adjustment for age and sex, subjects with metabolically healthy obesity (MHO) had higher cIMT than subjects with metabolically healthy normal weight (MHNW; 0.59 +/- 0.009 vs 0.52 +/- 0.01 mm; P < 0.05). When VO2max was additionally included in this model, the difference in cIMT between MHO and MHNW groups became statistically nonsignificant (0.58 +/- 0.009 vs 0.56 +/- 0.02 mm; P > 0.05). Conclusion These data suggest that impaired MH and low CRF independently determine increased cIMT in obese subjects and that low CRF may explain part of the increased CVD risk observed in MHO compared with MHNW.}, language = {en} }