Benefits of Regular Table Tennis Practice in Body Composition and Physical Fitness Compared to Physically Active Children Aged 10-11 Years

Effect of virtual reality-based exercise and physical exercise on adolescents with overweight and obesity: study protocol for a randomised controlled trial

INTRODUCTION

Obesity is a complex and multifactorial disease that has affected many adolescents in recent decades. Clinical practice guidelines recommend exercise as the key treatment option for adolescents with overweight and obesity. However, the effects of virtual reality (VR) exercise on the physical and brain health of adolescents with overweight and obese remain unclear. This study aims to evaluate the effects of physical and VR exercises on physical and brain outcomes and explore the differences in benefits between them. Moreover, we will apply a multiomics analysis to investigate the mechanism underlying the effects of physical and VR exercises on adolescents with overweight and obesity.

METHODS AND ANALYSIS

This randomised controlled clinical trial will include 220 adolescents with overweight and obesity aged between 11 and 17 years. The participants will be randomised into five groups after screening. Participants in the exercise groups will perform an exercise programme by adding physical or VR table tennis or soccer classes to routine physical education classes in schools three times a week for 8 weeks. Participants in the control group will maintain their usual physical activity. The primary outcome will be the change in body fat mass measured using bioelectrical impedance analysis. The secondary outcomes will include changes in other physical health-related parameters, brain health-related parameters and multiomics variables.

ETHICS AND DISSEMINATION

This study was approved by the Ethics Committee of Shanghai Sixth People's Hospital and registered in the Chinese Clinical Trial Registry. Dissemination of the findings will include peer-reviewed publications, conference presentations and media releases.

TRIAL REGISTRATION NUMBER

ChiCTR2300068786.

Heart Rate Response, Temporal Structure and the Stroke Technique Distribution in Table Tennis National Category Matches

The aims of this study were to analyze the heart rate response, the game temporal structure (i.e., mean total time of the matches, real playing time, total rest time) and the stroke technique distribution and to describe its relations in the table tennis national category in simulated competitions. A cohort of 60 table tennis male players (22.06 ± 8.32 years) played 30 simulated matches. The obtained results show a mean heart rate (HR_mean) of 142.69 ± 14.10 bpm and a peak heart rate (HR_peak) of 167.26 ± 16.51 bpm. Total strokes were 7505, being the 57.88% and 42.12% forehand and backhand strokes, respectively. The most frequent forehand strokes were service (SERV) (33.13%) and forward spin technique (SPIN) (40.75%) stroke types, with the left quadrant of the table away from the net (Z_5) (25%) and right quadrant of the table away from the net (Z_6) (20.72%) being the most frequent ball bouncing placements. Meanwhile, the most frequent backhand strokes were backspin technique (PUSH) (42.74%) and SPIN (31.86%) stroke types, with the intermediate left quadrant of the table (Z_3) (17.21%), Z_5 (31.22%) and Z_6 (18.54%) being the most frequent ball placements. The mean total time of the matches was 15.74 ± 3.82 min, the mean real playing time was 4.14 ± 1.47 min and the total rest time was 11.60 ± 2.67 min. Heart rate variables did not correlate significantly with the different stroke types or the game temporal variables (p > 0.05). However, stroke types and game temporal structure variables were significantly correlated (p < 0.01). This information can be useful to reveal players' strengths and weaknesses and prepare subsequent training sessions, adapting training sessions to the needs of the athletes.

The Role of Padel in Improving Physical Fitness and Health Promotion: Progress, Limitations, and Future Perspectives—A Narrative Review

Benefits of regular exercise for health are beyond any doubt. However, adherence to regular physical activity is an ongoing challenge. Among the options for exercise engagement, racket sports, and particularly padel, stand as emerging practices for children and adults to have fun, improve physical fitness, and potentially develop motor and cognitive skills. In the last decade, the literature on padel is increasing exponentially. However, there is a need for further experimental research. To design safe and effective sport-base physical activity promotion interventions, it is essential to have a deep understanding of the physical requirements, technical complexity, injury risks, and strength and conditioning programs. To assist researchers to conduct effective padel-based interventions for health, this review summarizes the state-of-the-art evidence about padel, identifies key topics to be addressed in the future, and discusses the potential role of padel as a physical fitness and health promotion strategy. A narrative review is presented, summarizing the results of padel articles from three different databases: Web of Science, Scopus, and Google Scholar. Studies written in Spanish and English were the inclusion criteria. The studies had to be published from 2000 onwards and be original, as well as peer-reviewed.

Physical Fitness and Upper Limb Asymmetry in Young Padel Players: Differences between Genders and Categories

This study aimed to assess the physical fitness and upper body asymmetries of young padel players aged between 13 and 16 years and to determine the possible differences between genders and categories. A total of 60 padel players were divided into four groups: under-14 male (n = 15; age: 13.75 ± 0.45 years; height: 1.64 ± 0.07 m; weight: 54.7 ± 8.3 kg), under-14 female (n = 15; age: 13.75 ± 0.44 years; height: 1.60 ± 0.05 m; weight: 51.5 ± 6.0 kg), under-16 male (n = 15; age: 15.44 ± 0.51 years; height:1.71 ± 0.04 m; weight: 63.88 ± 6.2 kg) and under-16 female (n = 15; age:15.46 ± 0.52 years; height:1.63 ± 0.05 m; weight: 55.08 ± 3.6 kg). Handgrip strength, ischiosural flexibility, gestural speed of the dominant arm, vertical jump, cardiorespiratory capacity, lateral movement, lateral acceleration and reaction time were measured. Male players showed better results in manual grip strength, vertical jump power, cardiorespiratory capacity and lateral movement (p < 0.05). Moreover, males presented a higher percentage of asymmetry in upper limb strength. Female players showed better reaction time and greater flexibility (p < 0.05). Regarding the differences between categories, the under-16 players showed greater flexibility, gestural speed, vertical jump power, cardiorespiratory capacity and lateral movement compared to the under-14 players. These results can be used as reference values for coaches/physical trainers of younger categories to improve health control and physical performance planning.

Analysis of Specific Physical Fitness in High-Level Table Tennis Players-Sex Differences

Table tennis performance depends on multiple factors such as technique, tactics and fitness. Several studies have focused on investigating different technical-tactical variables. However, research analysing the specific physical qualities of this sport is scarce, particularly in the female sex. The aim of the present study was to assess the physical fitness variables associated with individual performance in elite table tennis players according to sex. Forty-eight elite players divided into males (n = 24; 25.38 ± 4.01 years) and females (n = 24; 22.33 ± 3.83 years) participated in the study. To determine physical fitness, participants performed vertical jump, hand grip strength, ergospirometry and lateral displacement tests (reaction time, displacement time and lateral acceleration). Male players showed higher values in vertical jump, hand grip strength and maximum oxygen consumption (p < 0.001). Likewise, male players moved laterally faster (p < 0.001). On the other hand, female players had a better reaction time towards the dominant side (p < 0.01). Elite male table tennis players showed better physical fitness compared to female players. Due to the scarcity of data on elite table tennis players, these results can serve as reference values for different table tennis practitioners.

Age-Related, Sport-Specific Dysfunctions of the Shoulder and Pelvic Girdle in Athletes Table Tennis Players. Observational Study

Background: Postural skills are fundamental in motor activities, so far no evidence of a direct relationship has been found, it is therefore recommended to consider the following directions, the higher the level of sports competition, the better the body posture; or better athletes also have a better body posture. Around the age of 11-14 years, it is a period of aggressive development, if the rapid growth of the bone system is not associated and symmetrical with the development of soft tissues serious postural deficiencies may develop in table tennis players. Methods: We used the web camera – photographic method (38) related to the Sensor Medica software that allows the acquisition of images in order to detect postural deficiencies and we considered it necessary to have a clear image of the level of technical-tactical training of female juniors III using 5 tests specific to topspin attack in order to assess the influence of body posture on such tests. Eighteen female juniors III (the mean ± SD age, height and weight were 11.1 ± 0.2 years, 147.7 ± 2.6 cm, 39.0 ± 2.0 kg). Descriptive statistical analysis was performed on the procedures for establishing the normality of data distribution, Levene's Test for Equality of Variances, the t test for independent samples. The confidence interval was set at 95% (p < 0.05), Results and Conclusions: Since Sig. (2-tailed) or p < α = 0.001 and taking into account that the confidence interval limits for the difference between the sample mean and the reference value (95% CI for the mean difference) do not contain the zero value, it is accepted that there are statistically significant differences between the shoulder inclination for the female athletes in the sample studied and the reference value. We identified that at the level of alignment between anatomical landmarks, the percentage of deficiency of the entire lot of female juniors III in the case of shoulders is 100% and at the level of PSIS is 66%, which validates several studies that stated that in this period of aggressive growth correlated with repetitive unilateral executions specific to the topspin attack lead to postural deficiencies. In terms of the influence of body posture on the quality level, we identified that Group 1 – (without PSIS imbalance) has a higher average overall efficiency of the 5 tests (11.33) compared to Group 2 (8.58), even if from a statistical point of view these differences are not significant. Keywords: Body posture, Asimmetry, Topspin attack, Table tennis, Sensor Medica,

Physiological Profile, Metabolic Response and Temporal Structure in Elite Individual Table Tennis: Differences According to Gender

No research that has analyzed the structural characteristics, physiological profile, and energy demands in the game of table tennis as played by women is available. The present study aimed to evaluate the physiological, metabolic, and temporal variables of table tennis players and to observe gender differences. Forty-eight elite table tennis players participated in this study: 24 men (25.3 ± 4.07 years) and 24 women (22.3 ± 3.8 years). During simulated competition, temporal structure, heart rate (HR), and lactate (LA) were evaluated. The maximum ergospirometric evaluations were performed in a laboratory. The total table tennis (TT) time and the total resting time (TRT) were longer for men (p < 0.05), but game density was higher for women (p < 0.05). During rallies, the real playing time (RPT) was longer for women, while the TRT was longer for men (p < 0.05). The maximum HR, minimum HR, and maximum LA concentrations were higher for men (p < 0.05). The obtained data reveal gender differences in the physiological, metabolic, structural, and temporal variables in table tennis players. The analysis of the studied variables could allow training sessions to be planned and organized according to table tennis players’ gender.

Physical Fitness Profiling of National Category Table Tennis Players: Implication for Health and Performance

The aims of this study were to: (1) analyze table tennis players' physical profiles considering and comparing players age categories (i.e., under U12, U14, U16, U20, Senior and Older); and (2) to quantify the correlations among the variables measured by each test. Seventy-one table tennis players (61 men and 10 women, 19.7 ± 11.23 years, 1.65 ± 0.13 m, 59.71 ± 17.72 kg and 21.60 ± 4.22 kg/m²) divided into six age groups, performed a sprint test, forearm isometric strength test, countermovement vertical test, countermovement horizontal test, change of direction ability (CODA) test and flexibility test. U14 players performed better than U12 in all tests (ES = -0.70 to 1.98, moderate to large) except in Sit and Reach (SAR) test (ES = 0.19, trivial). The U16 group also obtained better results than U14 in all tests (ES = 0.77 to -2.31, moderate to large) except for the SAR test (ES = 0.19, trivial). The U20 group performed better than U16 in all the tests (ES = 0.73 to -1.53, moderate to large) except for the 5 m sprint test (ES = -0.02, trivial), 10 m sprint test (ES = -0.51, moderate) and SAR (ES = 0.11, trivial). Differences between Senior and U20 were only found in the arm swing counter movement jump (CMJAS) (ES = -0.82, large) and modified agility test (MAT) (ES = 1.19, large), with the U20 group being better in both variables. The senior group performed better in the MAT test than the older group (ES = 0.94, large). The relation found between forearm isometric strength, vertical jump, horizontal jump, sprint and CODA ability (r = -0.53; ±0.14, 0/0/100, most likely to r = 0.83; ±0.06, 100/0/0, most likely) indicates that these capacities are related in table tennis players. Nevertheless, the lack of association between the sit and reach test with the other capacities may indicate that flexibility is an independent capacity.

Effects of Power and Ballistic Training on Table Tennis Players' Electromyography Changes

The aim of the present study was to analyze the effects of ballistic and power training on table tennis players' electromyography (EMG) changes. Thirty male table tennis players, who were able to perform top spin strikes properly, were randomly assigned to three groups: power training (PT; n = 10); ballistic training (BT; n = 10); and no training (CON = control group; n = 10). PT and BT were performed 3 times weekly for 8 weeks. Before and after training programs, a one-repetition maximum test (1RM) and the EMG activity of all the subjects' upper/lower body muscles while performing top spin strokes were analyzed. After training, significant interactions (group × time) were observed in increasing 1RM strength in upper/lower muscles (p < 0.05). However, neither training type had any significant effect on muscle EMG activity. These findings suggest that there should not necessarily be any significant change in the EMG signal after BT and PT despite the increase in muscle strength.