Overcoming adversity during the COVID-19 pandemic: Longitudinal stability of psychosocial resource profiles of elite athletes and their association with perceived stress

Previous research has demonstrated that psychosocial resources are associated with elite athletes' perceived stress. However, these resources have mainly been studied separately. Using a person-oriented approach, this study aimed to identify meaningful profiles of athletes' psychosocial resources, their stability over time, and their relationship with perceived stress during the COVID-19 pandemic. To identify such patterns, separate latent profile analyses (LPA) at two measurement points T1 (June 2020) and T2 (March 2021) and a subsequent latent transition analysis (LTA) were conducted with athletic identity, resilience, perceived social support, and self-esteem for a sample of 373 Swiss elite athletes. Perceived stress was analyzed at and between T1 and T2 with a mixed-design ANOVA. For LPA, theoretical considerations and statistical criteria led to a solution of four profiles: (1) Athletic Identifiers With Above-Average Resources (nT1 = 235; nT2 = 240), (2) Below-Average Athletic Identifiers With Below-Average Resources (nT1 = 84; nT2 = 90), (3) Variable Athletic Identifiers With Below-Average Internal and Clearly Below-Average External Resources (nT1 = 14; nT2 = 7), and (4) Athletic Identifiers With Below-Average Internal and Above-Average External Resources (nT1 = 40; nT2 = 36). For LTA, both structural and individual stability was demonstrated. A large and significant main effect of perceived stress was observed for resource profiles, while there was no significant main effect for measurement point nor interaction effect. Direct comparisons revealed that Athletic Identifiers With Above-Average Resources perceived significantly less stress than the other profiles at both time points. In conclusion, regardless of psychosocial resource profile, the perceived stress of elite athletes was stable during the COVID-19 pandemic, but exhibiting a pattern with high psychosocial resources seems to buffer against stress compared to a lack of specific resources. Therefore, sport federations and practitioners should provide tailored support programs to help athletes build all these resources.

Escalating to medium- versus high-efficacy disease modifying therapy after low-efficacy treatment in relapsing remitting multiple sclerosis

BACKGROUND

In patients with relapsing remitting multiple sclerosis (RRMS) on low-efficacy disease modifying therapies (DMT), the optimal strategy on how to escalate treatment once needed, remains unknown.

METHODS

We studied RRMS patients on low-efficacy DMTs listed in the Swiss National Treatment Registry, who underwent escalation to either medium- or high-efficacy DMTs. Propensity score-based matching was applied using 12 clinically relevant variables. Both groups were also separately matched with control subjects who did not escalate therapy. Time to relapse and to disability worsening were evaluated using Cox proportional hazard models.

RESULTS

Of 1037 eligible patients, we 1:1 matched 450 MS patients who switched from low-efficacy to medium-efficacy (n = 225; 76.0% females, aged 42.4 ± 9.9 years [mean ± SD], median EDSS 3.0 [IQR 2-4]) or high-efficacy DMTs (n = 225; 72.4% females, aged 42.2 ± 10.6 years, median EDSS 3.0 [IQR 2-4]). Escalation to high-efficacy DMTs was associated with lower hazards of relapses than medium-efficacy DMTs (HR = 0.67, 95% CI 0.47-0.95, p = .027) or control subjects (HR = 0.61, 95% CI 0.44-0.84, p = .003). By contrast, escalation from low to medium-efficacy DMTs did not alter the hazard for relapses when compared to controls (i.e. patients on low-efficacy DMT who did not escalate DMT during follow-up) CONCLUSION: Our nationwide registry analysis suggests that, once escalation from a low-efficacy DMT is indicated, switching directly to a high-efficacy treatment is superior to a stepwise escalation starting with a moderate-efficacy treatment.

Comparative analysis of dimethyl fumarate and teriflunomide in relapsing-remitting multiple sclerosis

BACKGROUND AND PURPOSE

In relapsing-remitting multiple sclerosis (RRMS), analyses from observational studies comparing dimethyl fumarate (DMF) and teriflunomide showed conflicting results. We aimed to compare the effectiveness of DMF and teriflunomide in a real-world setting, where both drugs are licensed as first-line therapies for RRMS.

METHODS

We included all patients who initiated DMF or teriflunomide between 2013 and 2022, listed in the Swiss National Treatment Registry. Coarsened exact matching was applied using age, gender, disease duration, baseline Expanded Disability Status Scale (EDSS) score, time since last relapse, and relapse rate in the previous year as matching variables. Time to relapse and time to 12-month confirmed EDSS worsening were compared using Cox proportional hazard models.

RESULTS

In total, 2028 patients were included in this study, of whom 1498 were matched (DMF: n = 1090, 69.6% female, mean age 45.1 years, median EDSS score 2.0; teriflunomide: n = 408, 68.9% female, mean age 45.1 years, median EDSS score 2.0). Time to relapse and time to EDSS worsening was longer in the DMF than the teriflunomide group (hazard ratio 0.734, p = 0.026 and hazard ratio 0.576, p = 0.003, respectively).

CONCLUSION

Analysis of real-world data showed that DMF treatment was associated with more favorable outcomes than teriflunomide treatment.

Closing a chapter? A protocol for a longitudinal mixed methods study on retirement from elite sport

Retirement from elite sport represents a major life transition for athletes and requires them to redefine their central life projects, identities, and perhaps even sources of meaning in life. Although an extensive body of literature has identified risk and protective factors in career termination, little is known about the more subjective processes and individual pathways of athletes as they establish their new relationship with work-life and sport. The planned longitudinal mixed methods study follows Swiss elite athletes' transition with a focus on understanding (1) the relationship between psychological resources, life situations at the end of the sports career, and the retirement process; (2) how athletes' post-retirement vocational careers interact with their subjective careers and sense of meaningful work; (3) how athletes reconstruct their identities and relationship with sport over time; and (4) how gender shapes athletes' pathways and reorientation of their life design.Using a person-oriented approach combined with narrative inquiry, we expect to identify specific types and stories which demonstrate individual differences in career and personal development throughout the transitional period, an understanding of which can be targeted towards support programmes for retiring elite athletes. As the study centralises dimensions of positive psychological functioning (meaning and purpose in life/sport/work, resilience, life satisfaction), it complements previous studies focused on psychological distress and provides much needed knowledge that can be used to foster well-being in athletic retirement. Collaborating with the Swiss Olympic Association helps to ensure that the research findings will be disseminated to relevant end-users and used towards developing socially sustainable elite sport for the future generations.

Dose-response relation between the duration of a cognitively challenging bout of physical exercise and children's cognition

Acute bouts of physical exercise have the potential to benefit children's cognition. Inconsistent evidence calls for systematic investigations of dose-response relations between quantitative (intensity and duration) and qualitative (modality) exercise characteristics. Thus, in this study the optimal duration of an acute cognitively challenging physical exercise to benefit children's cognition was investigated, also exploring the moderating role of individual characteristics. In a within-subject experimental design, 104 children (M_age  = 11.5, SD = 0.8, 51% female) participated weekly in one of four exergaming conditions of different durations (5, 10, 15, 20 min) followed by an Attention Network task (ANT-R). Exergame sessions were designed to keep physical intensity constant (65% HR_max ) and to have a high cognitive challenge level (adapted to the individual ongoing performance). Repeated measures ANOVAs revealed a significant effect of exercise duration on reaction times (RTs; p = 0.009, ƞ² _p  = 0.11), but not on response accuracy. Post hoc analyses showed faster information processing speed after 15 min of exercise compared to 10 min (p = 0.019, ƞ² _p  = 0.09). Executive control, alerting and orienting performances and interactions were unaffected by exercise duration (p_s  > 0.05). Among individual characteristics, habitual physical activity moderated duration effects on RTs. For more active children, exercise duration influenced the interaction between executive control and orienting (p = 0.034; ƞ² _p  = 0.17) with best performances after the 15 min duration. Results suggest that an acute 15 min cognitively high-challenging bout of physical exercise enhances allocable resources, which in turn facilitate information processing, and-for more active children only-also executive processes. Results are interpreted according to the arousal theory and cognitive stimulation hypothesis.

Decision-making performance and self-generated knowledge in handball-defense patterns: a case of representational redescription

In sport games, perceptual–cognitive skills are discussed as a decisive aspect of players’ expertise. However, an understanding of the relationship between these skills and actual game performance is limited, particularly, regarding the role of pattern identification and situational-probability estimation in performance. The present study thus aimed to examine how identification of teammates’ defensive qualities relates to decision-making performance in a 3:3 virtual-reality defensive task. Examining data collected in two previously published studies, we analyzed the relationship between explicit pattern detection and response correctness, and also as a function of players’ experience. Experience was operationalized as either expertise level (Experiment 1) or task-specific experience (Experiment 2). As expected, the explicit detection of a game-specific pattern was found to be facilitated by experience. However, the results imply that it is accumulated experience that enhances decision-making performance rather than the degree of self-generated explicit knowledge. This finding supports the notion of “representational redescription” as introduced by Karmiloff-Smith (1994). For sports practice, this suggests that the pattern identification demonstrated by skilled athletes should not be overestimated as a predictor of game performance, while the explicit provision of knowledge might be beneficial for less-skilled athletes, particularly in situations of high uncertainty.

Retirement from elite sport and self-esteem: a longitudinal study over 12 years

This study examined the complex associations between athletic retirement and self-esteem among former elite athletes. With reference to theoretical and empirical work on the quality of the transition out of sport, information was collected from 290 (junior) elite athletes in a retrospective-prospective design: at the first measurement, active athletes assessed satisfaction with their sporting career, athletic identity, and self-esteem. At the second measurement (12  years later), the now former athletes rated transition characteristics of their career ending, sporting career success, emotional reactions to career termination, extent of necessary adjustment required following athletic retirement, duration and quality of adjustment, and self-esteem. Structural equation modelling revealed that neither sporting career success nor sporting career satisfaction had a direct effect on adjustment. However, athletic identity and retirement planning predicted the extent of adjustment, which in turn predicted the duration and quality of adjustment, and ultimately self-esteem. Voluntariness, timeliness, and perceptions of gain predicted emotional reactions towards career termination, which also predicted the duration of adjustment. Extent of adjustment and emotional reactions mediated between preconditions of career termination and transition characteristics and self-esteem. While self-esteem after career termination was predominantly predicted by self-esteem 12  years earlier, perceived quality of adjustment to career termination had a significant effect on self-esteem in the post-athletic career. These results complement existing literature illustrating that athletic retirement is a complex and dynamic process and the quality of this transition has a small, but still noteworthy effect on self-esteem, a central construct for well-being.

Maturity-based correction mechanism for talent identification: When is it needed, does it work, and does it help to better predict who will make it to the pros?

When identifying talent, the confounding influence of maturity status on motor performances is an acknowledged problem. To solve this problem, correction mechanisms have been proposed to transform maturity-biased test scores into maturity-unbiased ones. Whether or not such corrections also improve predictive validity remains unclear. To address this question, we calculated correlations between maturity indicators and motor performance variables among a sample of 121 fifteen-year-old elite youth football players in Switzerland. We corrected motor performance scores identified as maturity-biased, and we assessed correction procedure efficacy. Subsequently, we examined whether corrected scores better predicted levels of performance achievement 6 years after data collection (47 professionals vs. 74 non-professional players) compared with raw scores using point biserial correlations, binary logistic regression models, and DeLong tests. Expectedly, maturity indicators correlated with raw scores (0.16 ≤ | r | ≤ 0.72; ps < 0.05), yet not with corrected scores. Contrary to expectations, corrected scores were not associated with an additional predictive benefit (univariate: no significant r-change; multivariate: 0.02 ≤ ΔAUC ≤ 0.03, ps > 0.05). We do not interpret raw and corrected score equivalent predictions as a sign of correction mechanism futility (more work for the same output); rather we view them as an invitation to take corrected scores seriously into account (same output, one fewer problem) and to revise correction-related expectations according to initial predictive validity of motor variables, validity of maturity indicators, initial maturity-bias, and selection systems. Recommending maturity-based corrections is legitimate, yet currently based on theoretical rather than empirical (predictive) arguments.

Maturity-based correction mechanism for talent identification: When is it needed, does it work, and does it help to better predict who will make it to the pros?

When identifying talent, the confounding influence of maturity status on motor performances is an acknowledged problem. To solve this problem, correction mechanisms have been proposed to transform maturity-biased test scores into maturity-unbiased ones. Whether or not such corrections also improve predictive validity remains unclear. To address this question, we calculated correlations between maturity indicators and motor performance variables among a sample of 121 fifteen-year-old elite youth football players in Switzerland. We corrected motor performance scores identified as maturity-biased, and we assessed correction procedure efficacy. Subsequently, we examined whether corrected scores better predicted levels of performance achievement 6 years after data collection (47 professionals vs. 74 non-professional players) compared with raw scores using point biserial correlations, binary logistic regression models, and DeLong tests. Expectedly, maturity indicators correlated with raw scores (0.16 ≤ | r | ≤ 0.72; ps < 0.05), yet not with corrected scores. Contrary to expectations, corrected scores were not associated with an additional predictive benefit (univariate: no significant r-change; multivariate: 0.02 ≤ ΔAUC ≤ 0.03, ps > 0.05). We do not interpret raw and corrected score equivalent predictions as a sign of correction mechanism futility (more work for the same output); rather we view them as an invitation to take corrected scores seriously into account (same output, one fewer problem) and to revise correction-related expectations according to initial predictive validity of motor variables, validity of maturity indicators, initial maturity-bias, and selection systems. Recommending maturity-based corrections is legitimate, yet currently based on theoretical rather than empirical (predictive) arguments.

Period prevalence of SARS-CoV-2 infections and willingness to vaccinate in Swiss elite athletes

Objectives

(1) To assess the period prevalence of SARS-CoV-2 infections and willingness to vaccinate in Swiss elite athletes and (2) to evaluate whether sociodemographic and sport-related characteristics were associated with infection of SARS-CoV-2 in athletes.

Methods

A total of 1037 elite athletes (M_age=27.09) were surveyed in this cross-sectional study. They were asked whether they had been infected with SARS-CoV-2 and whether they would like to be vaccinated. Characteristics of a possible COVID-19 illness were also recorded.

Results

During the first year of the pandemic, 14.6% of all Swiss elite athletes were found to be infected with SARS-CoV-2, and 5.4% suspected that they had been infected. Male athletes, young athletes and team sports athletes had an increased likelihood of being infected with SARS-CoV-2. There was considerable heterogeneity in the duration and severity of a COVID-19 illness in athletes. Overall, 68% of respondents indicated a willingness to be vaccinated if they were offered an opportunity to do so.

Conclusion

In the first year of the pandemic, Swiss elite athletes were tested more often positive for SARS-CoV-2 than the general Swiss population. Because COVID-19 illness can impair health for a relatively long time, sports federations are advised to motivate athletes to be vaccinated.

Facilitators and barriers to centre- and home-based exercise training in breast cancer patients - a swiss tertiary centre experience

Funding Acknowledgements

Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Swiss Cancer Research

Background

Exercise is an effective therapy for cancer patients to reduce fatigue and to improve health-related quality of life and physical function. Yet, cancer patients often do not meet physical activity guidelines.

Purpose

To understand why recommendations are not met, we aimed at identifying facilitators and barriers to supervised, centre-based exercise within a cardio-oncologic rehabilitation (CORE) programme and to unsupervised, home-based exercise as well as strategies used to manage these barriers.

Methods

Breast cancer patients who had completed a CORE programme at a Swiss tertiary centre were recruited. Semi-structured interviews were conducted with subsequent thematic analysis.

Results

Of 37 eligible breast cancer patients, 19 patients (mean age 48.9±9.7 years) participated to our invitation. Facilitators for centre-based exercise were social support, committedness and provision of structured exercise. Barriers towards centre-based exercise included physical and environmental barriers, while psychological barriers were reported predominantly for home-based exercise. Strategies to manage barriers included the adaptation of training circumstances, behaviour change strategies and strategies to deal with side effects.

Conclusions

Our results support the importance of providing CORE programmes and suggest that a special focus should be directed at the transition from supervised to self-organized exercise in order to enhance long-term exercise participation.

BaSAlt - A mixed-methods study protocol on setting-based physical activity promotion and counseling in nursing homes

Introduction

Physical activity (PA) is a major contributor to healthy aging. However, physical inactivity is prevalent among the elderly in Germany, particularly in institutionalized settings such as nursing homes. This paper aims to describe the study objectives, design, methods, assessment types, collection schedules and considerations for analyzing the data within the BaSAlt study on facilitators and barriers for PA promotion in nursing homes.

Methods

We designed the BaSAlt study as a participatory intervention study with multiple measurement points in six to eight nursing homes with a total of approx. 200 residents using four main modules: (1) setting-level analysis of physical activity patterns, physical activity-related climate and physical activity-related interaction with ‘significant others,’ and organizational facilitators and barriers to physical activity, (2) physical-activity related individual-level analysis of objective and self-reported physical activity and sedentary behavior, a geriatric assessment with established procedures, assessment of people's activity and health biographies (biographical mapping) as well as their motivational, subjective well-being and distress status, and (3) a counseling module that integrates counseling at the setting level as well as individual physical activity counseling for residents. In module (4) evaluation, the effects of integrated counseling with regard to the implementation of PA promotion strategies are analyzed.

Discussion

This study will extend our knowledge of physical activity promotion in German nursing homes. Its findings will inform governmental authorities, care professionals, and academics on how to reach a particular group, characterized by inactivity, multimorbidity, and a high prevalence of dementia, residing in nursing homes, a setting that will gain further relevance in the future.

Effects of Cognitive Training and Exergaming in Pediatric Cancer Survivors-A Randomized Clinical Trial

Supplemental digital content is available in the text.

Purpose

Although most pediatric cancer patients survive, those who undergo anticancer treatments like chemotherapy and/or radiotherapy are at a high risk for late effects, such as cognitive deficits. To counteract these deficits, feasible and effective interventions are needed. The aim of this study was to compare the effects of working memory training, exergaming, and a wait-list control condition on cognitive functions in pediatric cancer survivors.

Methods

In a parallel-group randomized trial, 69 pediatric cancer survivors aged 7–16 yr (mean = 11.35, SD = 3.53) were randomly assigned to 8-wk working memory training, exergaming, or a wait-list control group. Each training course consisted of three 45-min training sessions per week. The primary outcome comprised the core executive functions (visual working memory, inhibition, switching), and the secondary outcomes included other cognitive domains (intelligence, planning, memory, attention, processing speed), motor abilities, and parent rating on their children’s executive functions. Assessments were conducted both before and immediately after the interventions, and at 3-month follow-up.

Results

Linear mixed models revealed that participants in the working memory training group showed a linear improvement in visual working memory after training and at follow-up compared with the control group. No other intervention effects of either type of training could be detected.

Conclusion

This study presents evidence that working memory training improves visual working memory in pediatric cancer survivors. Results show that near-transfer, but no far-transfer effects can be expected from working memory training. Multiple-component interventions tailored to fit the individual’s cognitive profile are needed to best support cognitive development after cancer and its treatment.

Motor ability, physical self-concept and health-related quality of life in pediatric cancer survivors

Background

Cancer survivorship is frequently associated with severe late effects. However, research into pediatric cancer survivors on late effects in motor ability, physical self‐concept and their relationship to quality of life is limited.

Methods

Using multiple regression analyses, 78 pediatric cancer survivors and 56 typically developing children were compared in motor ability, physical self‐concept and health‐related quality of life. In addition, mediational multi‐group analyses between motor ability (independent variable), physical self‐concept (mediator) and quality of life (dependent variable) were calculated.

Results

Pediatric cancer survivors had a lower motor ability (g_Hedges = 0.863), a lower physical self‐concept with regard to several scales of the PSDQ‐S (g_Hedges = 0.318–0.764) and a higher relative risk for a below average quality of life than controls (RR = 1.44). Children with a history of cancer involving the central nervous system showed poorer motor ability compared to those without central nervous system

involvement (g_Hedges = 0.591). Furthermore, the physical self‐concept significantly mediated the relationship between motor ability and quality of life in pediatric cancer survivors but not in typically developing children.

Conclusions

Results show the importance of monitoring and supporting the development of motor ability in the aftercare of pediatric cancer survivors. Physical activity interventions may be advisable to prevent physical activity‐related late effects and potentially improve related psychosocial variables such as quality of life.

An experimental approach to assessing the impact of ecosystem engineers on biodiversity and ecosystem functions

Plants acting as ecosystem engineers create habitats and facilitate biodiversity maintenance within plant communities. Furthermore, biodiversity research has demonstrated that plant diversity enhances the productivity and functioning of ecosystems. However, these two fields of research developed in parallel and independent from one another, with the consequence that little is known about the role of ecosystem engineers in the relationship between biodiversity and ecosystem functioning across trophic levels. Here, we present an experimental framework to study this relationship. We combine facilitation by plants acting as ecosystem engineers with plant-insect interaction analysis and variance partitioning of biodiversity effects. We present a case-study experiment in which facilitation by a cushion-plant species and a dwarf-shrub species as ecosystem engineers increases positive effects of plant functional diversity (ecosystem engineers and associated plants) on ecosystem functioning (flower visitation rate). The experiment, conducted in the field during a single alpine flowering season, included the following treatments: (1) removal of plant species associated with ecosystem engineers, (2) exclusion (covering) of ecosystem engineer flowers, and (3) control, i.e., natural patches of ecosystem engineers and associated plant species. We found both positive and negative associational effects between plants depending on ecosystem engineer identity, indicating both pollination facilitation and interference. In both cases, patches supported by ecosystem engineers increased phylogenetic and functional diversity of flower visitors. Furthermore, complementarity effects between engineers and associated plants were positive for flower visitation rates. Our study reveals that plant facilitation can enhance the strength of biodiversity-ecosystem functioning relationships, with complementarity between plants for attracting more and diverse flower visitors being the likely driver. A potential mechanism is that synergy and complementarity between engineers and associated plants increase attractiveness for shared visitors and widen pollination niches. In synthesis, facilitation among plants can scale up to a full network, supporting ecosystem functioning both directly via microhabitat amelioration and indirectly via diversity effects.

P2614Comparison of global longitudinal strain and ejection fraction in correlation to NT-proBNP in ischemic and non-ischemic heart failure

Background

In chronic heart failure (CHF) NT-proBNP and left ventricular ejection fraction (LVEF) by echocardiography are standard diagnostic as well as follow-up markers and are known to correlate with prognosis. Speckle-tracking echocardiography is a more recent technique to quantify myocardial deformation as a measurement of left ventricular function with potential benefits over LVEF.

Purpose

The purpose of this investigation was to analyse the cross-sectional relationship between 2D speckle tracking-derived global longitudinal strain (GLS) and NT-proBNP plasma levels in a prospective cohort of ischemic and non-ischemic CHF patients.

Methods

We enrolled 205 patients with chronic heart failure. Major inclusion criteria were age over 18 years, stable disease with absence of unplanned hospitalization or change in medication or device therapy in the previous month or major surgery in the previous 3 months. CHF treatment had to be according to the recommendations of the ESC CHF guidelines 2016 and LVEF had to be below 50%.

Patient history, physical examination and an extensive echocardiography exam were performed. Lab results included NT-proBNP. Manual longitudinal strain was calculated using EchoPAC (General Electric Medical Systems, Horten, Norway) by a single and blinded examiner. LVEF was measured using Simpson's biplane method.

Results

205 patients included in the study. The baseline characteristics included mean age 65.0 years and 75% male. Mean GLS was −9.6% (SD ±4.5%) and median NT-proBNP 1269.5 (IQR 379.5–2759.5) ng/ml. The CHF aetiology was 70.0% ischemic vs 30.0% non-ischemic.

There was a significant negative correlation between GLS and NT-proBNP (Pearson r=0.239, p=0.029), this was not significant for LVEF and NT-proBNP (Pearson r=0.149, p=0.228).In a multivariate regression analysis adjusted for age, sex, NYHA classification and HF aetiology, GLS remained significantly correlated with NT-proBNP (adjusted beta-coefficient= 0.289, p=0.011). Furthermore, in contrast to LVEF, GLS showed a significant correlation to NT-proBNP in patients with ischemic (Pearson r=0.266, p=0.049) as well as non-ischemic aetiology of heart failure (Pearson r=0.434, p=0.034).

Conclusion

Global longitudinal strain, not LVEF, was significantly correlated with NT-proBNP in patients with CHF, independently of age, sex, symptoms or heart failure aetiology. This shows that speckle-tracking might be superior to LVEF for the assessment of left ventricular function in CHF.

Plant interactions shape pollination networks via nonadditive effects

Plants grow in communities where they interact with other plants and with other living organisms such as pollinators. On the one hand, studies of plant-plant interactions rarely consider how plants interact with other trophic levels such as pollinators. On the other, studies of plant-animal interactions rarely deal with interactions within trophic levels such as plant-plant competition and facilitation. Thus, to what degree plant interactions affect biodiversity and ecological networks across trophic levels is poorly understood. We manipulated plant communities driven by foundation species facilitation and sampled plant-pollinator networks at fine spatial scale in a field experiment in Sierra Nevada, Spain. We found that plant-plant facilitation shaped pollinator diversity and structured pollination networks. Nonadditive effects of plant interactions on pollinator diversity and interaction diversity were synergistic in one foundation species networks while they were additive in another foundation species. Nonadditive effects of plant interactions were due to rewiring of pollination interactions. In addition, plant facilitation had negative effects on the structure of pollination networks likely due to increase in plant competition for pollination. Our results empirically demonstrate how different network types are coupled, revealing pervasive consequences of interaction chains in diverse communities.

The role of viewing distance and viewing angle on referees' decision-making performance during the FIFA World Cup 2014

The present study aims to reveal the effects of positioning on decision-making performance in top-level refereeing in association football. To this end, for all 64 matches of the FIFA World Cup 2014, potential foul-play situations were videometrically analysed in terms of the referee's position relative to the infringement. Contrary to earlier studies, viewing angles were analysed in addition to viewing distances and error rates were considered for not only falsely whistled but also falsely non-whistled events. Moreover, direct logistic regression analysis was applied to detect position-dependent differences. For the total of 1,527 potential foul play situations, an overall low error rate of 6.9% was found. The similar numbers of total whistle (n = 52) and non-whistle errors (n = 54) reflect referees' ability to balance both types of errors. Regarding the overall viewing-distance effect, referees were 2.58 times (95% CI 1.47-4.54) more likely to commit a whistle error at 10-15 m and 5.51 times (95% CI 1.35-22.47) more likely to commit a non-whistle error at 0-5 m, corresponding to the position ranges occurring with the highest (10-15 m: 30.3%) and lowest (0-5 m: 5.8%) frequencies. In contrast, no significant effects of viewing-angle on decision-making accuracy could be revealed.

The Bernese Motive and Goal Inventory for Adolescence and Young Adulthood

Exercise- and sport-related motives and goals are important motivational factors in promoting exercise and sport among adolescents and young adults. However, at present, there is no well-validated instrument to assess these factors that considers age-specific characteristics. Therefore, the goals of this study were to adapt the existing Bernese Motive and Goal Inventory in exercise and sport for middle-aged adults for use in adolescents and young adults and to examine its psychometric properties. The Bernese Motive and Goal Inventory for adolescence and young adulthood was validated with 2,318 participants aged between 14 to 34 years old. Applying exploratory structural equation modeling, the inventory demonstrated excellent model fit (CFI = 0.983, SRMR = 0.014, RMSEA = 0.040) using 26 items and covering eight motives and goals: Contact, Competition/Performance, Distraction/Catharsis, Body/Appearance, Health, Fitness, Aesthetics, and Risk/Challenge. A cross-validation confirmed the factor structure. Psychometric analyses revealed good reliabilities (CR ≥ 0.70, AVE ≥ 0.50, test-retest reliability: 0.62 ≤ r_tt ≤ 0.83) and discriminant validity. The factors correlated, in predictable ways, with exercise- and sport-related self-concordance, indicating criterion validity of the inventory. Additionally, metric measurement invariance was supported for activity levels, gender, and age. Overall, the Bernese Motive and Goal Inventory for adolescence and young adulthood is an age-specific, economical, and psychometrically sound questionnaire to assess exercise- and sport-related motives and goals. The inventory can be used in the practical field of exercise and sport promotion (e.g., sport counseling), as well as in research, to better understand the mechanisms and effects of motives and goals in exercise and sport.

Psychometrische Eigenschaften einer deutschsprachigen Übersetzung des Mental Toughness Inventory (MTI-D)

Zusammenfassung. Das Mental Toughness Inventory (MTI; Middleton, Martin & Marsh, 2011 ) ist ein Selbstbeurteilungsinstrument zur Erfassung von 12 Facetten mentaler Stärke im Sport oder anderen leistungsbezogenen Kontexten. Ins Deutsche übersetzt, wurde das MTI–D an einer deutschsprachigen Stichprobe (N = 1 122), davon n = 914 Athletinnen und Athleten und n = 208 Studierende der Sportwissenschaft aus 41 Sportarten hinsichtlich Faktorstruktur, Messinvarianz, Reliabilität, Konstrukt- und Kriteriumsvalidität untersucht. Entsprechend der theoretischen Konzeption ergaben Bifaktorenanalysen für das MTI–D eine Struktur mit einem gemeinsamen Faktor und 12 spezifischen Faktoren. Die Reliabilität (ω) der Gesamtskala und der Subskalen lag zwischen .81 und .98, während die Werte für omega hierarchical subscale tiefer lagen (.07 ≤ ωHS ≤ .77). Der globale und die spezifischen Faktoren korrelierten hypothesenkonform mit dem Engagement und Leistungsniveau im Sport sowie dem Test of Performance Strategies (TOPS-D; Schmid, Birrer, Kaiser & Seiler, 2010 ) zur Erfassung mentaler Strategien im Sport. Zwar könnten einzelne Faktoren optimiert werden, doch es liegen Hinweise darauf vor, dass mit dem MTI–D mentale Stärke reliabel und valide erfasst werden kann.

Effects of Vitamin D3 on asymmetric- and symmetric dimethylarginine in arterial hypertension

BACKGROUND AND AIMS

Accumulating evidence has proposed a correlation between vitamin D (25(OH)D) insufficiency and cardiovascular (CV) disease. Vitamin D associated effects on endothelial function have been suggested to be a possible culprit. The present study investigated the association of vitamin D3 treatment on markers of endothelial dysfunction in patients with arterial hypertension.

METHODS AND RESULTS

The Styrian Vitamin D Hypertension Trial is a double-blind, placebo-controlled, single-centre study conducted at the Medical University of Graz, Austria. A total of 200 study participants with arterial hypertension and 25(OH)D levels below 30ng/mL were enrolled. The study participants were randomized to receive 2800 IU of vitamin D3 per day as oily drops (n=100) or placebo (n=100) for a duration of eight weeks. The present study uses an analysis of covariance (ANCOVA) to investigate the effect of vitamin D3 treatment on symmetric (SDMA) and asymmetric dimethylarginine (ADMA). A total of 187 participants (mean [SD] age 60.0 [11.3] years; 47% women; 25(OH)D 21.2 [5.6]ng/mL; mean systolic blood pressure of 131.4 [8.9] mmHg on a median of 2 antihypertensive drugs) completed the trial. Mean treatment effect was -0.004 (95%CI [-0.03 to 0.04]; P=0.819) on ADMA and 0.001 (95%CI [-0.05 to 0.05]; P=0.850) on SDMA. In the subgroup analysis patients with a 25(OH)D concentration <20ng/mL had a significant increase in their log l-arginine/ADMA ratio (mean treatment effect 18.4 95%CI [1.84-34.9]μmol/L/μmol/L; P=0.030). ClinicalTrials.gov Identifier: NCT02136771 EudraCT number: 2009-018125-70 CONCLUSIONS: Vitamin D3 supplementation in hypertensive patients with low 25-hydroxyvitamin D has no significant effect on ADMA and SDMA.

Entwicklung und Validierung eines Fragebogens zur Erfassung von Sportinteressen im Jugendalter (SPIT)

Zusammenfassung. Interessen sind in der Berufs- und pädagogischen Psychologie, nicht aber in der Sportpsychologie, ein zentrales Persönlichkeitskonstrukt zur Erklärung menschlichen Erlebens und Verhaltens. Der Sportinteressentest (SPIT) ist auf der Basis der Theorie von Holland (1997) und der Konditionsfaktoren Ausdauer, Schnelligkeit, Koordination und Kraft zur Erfassung sportbezogener Interessen entwickelt und an 1 243 Jugendlichen teststatistisch überprüft worden. In konfirmatorischen Faktorenanalysen erwiesen sich 11 Skalen als eindimensional; ihre interne Konsistenz schwankte zwischen .71 und .87. Die Korrelationen des SPIT mit dem Allgemeinen Interessen-Struktur-Test ( Bergmann & Eder, 2005 ) und den Skalen zur Erfassung des physischen Selbstkonzepts ( Stiller, Würth & Alfermann, 2004 ) fielen weitgehend erwartungskonform aus. Mit dem SPIT liegt ein Verfahren vor, das sich zum Screening multidimensionaler Interessenprofile und zur Beschreibung jugendlicher Zielgruppen im Freizeit- und Gesundheitssport anbietet.

Effects of maternal high-fat diet and sedentary lifestyle on susceptibility of adult offspring to ozone exposure in rats

Epidemiological and experimental data suggest that obesity exacerbates the health effects of air pollutants such as ozone (O₃). Maternal inactivity and calorically rich diets lead to offspring that show signs of obesity. Exacerbated O₃ susceptibility of offspring could thus be manifested by maternal obesity. Thirty-day-old female Long-Evans rats were fed a control (CD) or high-fat (HF) (60% calories) diet for 6 wks and then bred. GD1 rats were then housed with a running wheel (RW) or without a wheel (SED) until parturition, creating four groups of offspring: CD-SED, CD-RW, HF-SED and HF-RW. HF diet was terminated at PND 35 and all offspring were placed on CD. Body weight and %fat of dams were greatest in order; HF-SED > HF-RW > CD-SED > CD-RW. Adult offspring were exposed to O₃ for two consecutive days (0.8 ppm, 4 h/day). Glucose tolerance tests (GTT), ventilatory parameters (plethysmography), and bronchoalveolar fluid (BALF) cell counts and protein biomarkers were performed to assess response to O₃. Exercise and diet altered body weight and %fat of young offspring. GTT, ventilation and BALF cell counts were exacerbated by O₃ with responses markedly exacerbated in males. HF diet and O₃ led to significant exacerbation of several BALF parameters: total cell count, neutrophils and lymphocytes were increased in male HF-SED versus CD-SED. Males were hyperglycemic after O₃ exposure and exhibited exacerbated GTT responses. Ventilatory dysfunction was also exacerbated in males. Maternal exercise had minimal effects on O₃ response. The results of this exploratory study suggest a link between maternal obesity and susceptibility to O₃ in their adult offspring in a sex-specific manner.

Photoinactivation of Legionella Rubrilucens by Visible Light

In this study, the photoinactivation of Legionella by visible light is investigated. The success of this approach would offer new prospects for technical water disinfection and maybe even for therapeutic measures in cases of Legionella infections. Therefore, Legionella rubrilucens was dispensed on buffered charcoal yeast extract medium agar plates and illuminated with different doses of violet light generated by 405 nm light-emitting diodes (LEDs). A strong photoinactivation effect was observed. A dose of 125 J/ cm² reduced the bacterial concentration by more than 5 orders of magnitude compared to Legionella on unirradiated agar plates. The necessary dose for a one log-level reduction was about 24 J/cm². These results were obtained for extracellular L. rubrilucens, but other Legionella species may exhibit a similar behavior.

Effects of vitamin D supplementation on glycated haemoglobin and fasting glucose levels in hypertensive patients: a randomized controlled trial

AIM

To investigate the efficacy of vitamin D supplementation on glycaemic control.

METHODS

The Styrian Vitamin D Hypertension Trial was a single-centre, double-blind, placebo-controlled study conducted between 2011 and 2014 at the Medical University of Graz, Austria. We enrolled 200 people with arterial hypertension and 25-hydroxyvitamin D [25(OH)D] concentrations <30 ng/mL. Study participants were randomized to receive either 2800 IU of vitamin D or placebo per day for 8 weeks. The present study was a post hoc analysis that incorporated an analysis of covariance (ancova) approach, while adjusting for baseline differences.

RESULTS

A total of 185 participants [mean ± standard deviation age, 60.1 ± 11.3 years; 47% women; mean 25(OH)D 21.2 ± 5.6 ng/mL, mean glycated haemoglobin (HbA1c) 44.8 ± 11.8 mmol/mol and mean body mass index 30.4 ± 5.4 kg/m(2) ] completed the trial. ancova showed a mean treatment effect [95% confidence interval (CI)] on HbA1c of -3.52 (-6.7 to -0.34) mmol/mol (p = .045). There was no difference in fasting glucose -4.7 mg/dL (95% CI -16.3 to 6.9; p = .426).

CONCLUSIONS

Vitamin D supplementation in obese hypertensive patients with low 25(OH)D reduces HbA1c levels. This finding warrants further investigation into potential vitamin D effects on glucose homeostasis.

Resolving the Extragalactic γ-Ray Background above 50 GeV with the Fermi Large Area Telescope

The Fermi Large Area Telescope (LAT) Collaboration has recently released a catalog of 360 sources detected above 50 GeV (2FHL). This catalog was obtained using 80 months of data re-processed with Pass 8, the newest event-level analysis, which significantly improves the acceptance and angular resolution of the instrument. Most of the 2FHL sources at high Galactic latitude are blazars. Using detailed Monte Carlo simulations, we measure, for the first time, the source count distribution, dN/dS, of extragalactic γ-ray sources at E>50  GeV and find that it is compatible with a Euclidean distribution down to the lowest measured source flux in the 2FHL (∼8×10^{-12}  ph cm^{-2} s^{-1}). We employ a one-point photon fluctuation analysis to constrain the behavior of dN/dS below the source detection threshold. Overall, the source count distribution is constrained over three decades in flux and found compatible with a broken power law with a break flux, S_{b}, in the range [8×10^{-12},1.5×10^{-11}]  ph cm^{-2} s^{-1} and power-law indices below and above the break of α_{2}∈[1.60,1.75] and α_{1}=2.49±0.12, respectively. Integration of dN/dS shows that point sources account for at least 86_{-14}^{+16}% of the total extragalactic γ-ray background. The simple form of the derived source count distribution is consistent with a single population (i.e., blazars) dominating the source counts to the minimum flux explored by this analysis. We estimate the density of sources detectable in blind surveys that will be performed in the coming years by the Cherenkov Telescope Array.

Imaging of single cell responses to ER stress indicates that the relative dynamics of IRE1/XBP1 and PERK/ATF4 signalling rather than a switch between signalling branches determine cell survival

An accumulation of misfolded proteins in the endoplasmic reticulum (ER) triggers the unfolded protein response (UPR) mediated via the activation of three transmembrane proteins IRE1, PERK and ATF6. Signalling through these proteins is aimed at enhancing the ER folding capacity and reducing the folding load. If these processes fail to re-establish protein homeostasis within the ER, then cell death prevails via apoptosis. How the shift from pro-survival to pro-apoptotic signalling is regulated remains unclear with both IRE1 and PERK signalling associated with pro-survival as well as pro-apoptotic signalling. To investigate the temporal activation of IRE1 and PERK in live cells and their relationship to cellular fate, we devised single cell reporters for both ER stress signalling branches. SH-SY5Y neural cells stably expressing these fluorescent protein reporter constructs to monitor IRE1-splicing activity and PERK-mediated ATF4-translation were imaged using single cell and high content time lapse live cell microscopy. We could correlate an early onset and attenuation of XBP1 splicing in the IRE1-reporter cells as cytoprotective. Indeed, silencing of IRE1 expression using shRNA inhibited splicing of XBP1 resulting in an early onset of cell death. In contrast, in the PERK-reporter cells, we observed that a slow rate of ATF4-translation and late re-initiation of general translation coincided with cells which were resistant to ER stress-induced cell death. Interestingly, whereas silencing of PERK did not affect overall levels of cell death in response to ER stress, it did increase sensitivity to ER stressors at early time points following treatment. Our results suggest that apoptosis activation in response to ER stress is not caused by a preferential activation of a single UPR branch, or by a switch from one branch to the other. Rather, our data indicated that the relative timing of IRE1 and PERK signalling determines the shift from cell survival to apoptosis.

Are there sex differences in placebo analgesia during visceral pain processing? A fMRI study in healthy subjects

BACKGROUND

We explored sex differences in the neural mechanisms mediating placebo analgesia in an established visceral pain model involving painful rectal distensions in healthy volunteers.

METHODS

N = 15 men and N = 15 women underwent three consecutive functional magnetic resonance imaging sessions during which cued painful rectal distensions were delivered. After an adaptation session, positive expectations were induced with deceptive instructions regarding administration of an analgesic drug (placebo session). In the other session (control), truthful information about an inert substance was given. Sex differences in placebo-induced modulation of neural activation during anticipation and pain were analyzed along with ratings of expected and perceived pain intensity.

KEY RESULTS

Placebo-induced reductions in pain ratings were comparable between men and women. At the level of the brain, group comparisons with respect to differences between the placebo and control conditions revealed greater modulation of the posterior insula (regions-of-interest analysis: pFWE < 0.05) and dorsolateral prefrontal cortex (whole-brain analysis: p < 0.001, uncorrected) during pain anticipation in women. During pain, placebo-induced down-regulation of the insula was altered in women compared to men (ROI analysis: pFWE < 0.05).

CONCLUSIONS & INFERENCES

Our data provide first evidence supporting sex differences in pain-induced neural modulation during visceral placebo analgesia despite similar placebo-induced reductions in perceived pain intensity. These preliminary findings might contribute to elucidating mechanisms mediating placebo effects in clinical conditions associated with chronic abdominal pain such as in irritable bowel syndrome.

Aldosterone to active Renin ratio as screening test for primary aldosteronism: reproducibility and influence of orthostasis and salt loading

Measurement of the aldosterone to active renin ratio (AARR) is the recommended screening test for primary aldosteronism (PA), but several sampling conditions impact on the AARR. We aimed to evaluate the reproducibility and the influence of orthostasis and salt loading on the AARR. The Graz Endocrine Causes of Hypertension (GECOH) study is a diagnostic accuracy study among hypertensive patients at a tertiary care centre in Graz, Austria. With a median interval of 4 weeks we determined the AARR under standardized sampling conditions twice in the sitting position, after 1h in the supine position, and after a salt infusion test (SIT). We identified 9 patients with PA and 151 patients with essential hypertension (EH). The Pearson correlation coefficient between both AARR measurements in the sitting position was 0.79 (p<0.001). In EH, recumbency was associated with a significant decrease of aldosterone and, to a lesser extent, of renin, thus lowering the AARR as compared to the sitting position (p<0.001 for all). In PA, recumbency had only minor effects, but it increased the rate of false negative AARR. SIT suppressed the AARR and its components in EH, whereas in PA only renin was slightly decreased. AARR has a good intra-individual reproducibility and decreases during recumbency. These results suggest that a single AARR determination in the sitting position is a reliable screening tool for PA.

Identification of circulating microRNAs in HNF1A-MODY carriers

AIMS/HYPOTHESIS

HNF1A-MODY is a monogenic form of diabetes caused by mutations in the HNF1A gene. Here we identify, for the first time, HNF1A-MODY-associated microRNAs (miRNAs) that can be detected in the serum of HNF1A-MODY carriers.

METHODS

An miRNA array was carried out in rat INS-1 insulinoma cells inducibly expressing the common human Pro291fsinsC-HNF1A frame shift mutation. Differentially expressed miRNAs were validated by quantitative real-time PCR. Expression of miRNAs in the serum of HNF1A-MODY carriers (n = 31), MODY-negative family members (n = 10) and individuals with type 2 diabetes mellitus (n = 17) was quantified by absolute real-time PCR analysis.

RESULTS

Inducible expression of Pro291fsinsC-HNF1A in INS-1 cells caused a significant upregulation of three miRNAs (miR-103, miR-224, miR-292-3p). The differential expression of two miRNAs (miR-103 and miR-224) was validated in vitro. Strongly elevated levels of miR-103 and miR-224 could be detected in the serum of HNF1A-MODY carriers compared with MODY-negative family controls. Serum levels of miR-103 distinguished HNF1A-MODY carriers from HbA1c-matched individuals with type 2 diabetes mellitus.

CONCLUSIONS/INTERPRETATION

Our study demonstrates that the pathophysiology of HNF1A-MODY is associated with the overexpression of miR-103 and miR-224. Furthermore, our study demonstrates that these miRNAs can be readily detected in the serum of HNF1A-MODY carriers.

How positive and negative expectations shape the experience of visceral pain: an experimental pilot study in healthy women

BACKGROUND

In order to elucidate placebo and nocebo effects in visceral pain, we analyzed the effects of positive and negative expectations on rectal pain perception, rectal pain thresholds, state anxiety and cortisol responses in healthy women.

METHODS

Painful rectal distensions were delivered at baseline, following application of an inert substance combined with either positive instructions of pain relief (placebo group, N = 15), negative instructions of pain increase (nocebo group, N = 17), or neutral instructions (control, N = 15). Perceived pain intensity, unpleasantness/aversion and urge-to-defecate, state anxiety and serum cortisol were determined at baseline, immediately following group-specific instructions and on a second study day after the same instructions (test day). Rectal pain thresholds were determined at baseline and on the test day.

KEY RESULTS

Whereas perceived pain intensity was significantly decreased in the placebo group, the nocebo group revealed significantly increased pain intensity ratings, along with significantly greater anticipatory anxiety on the test day (all P < 0.05 vs controls). Cortisol concentrations were significantly increased in the nocebo group following treatment but not on the test day.

CONCLUSIONS & INFERENCES

The experience of abdominal pain can be experimentally increased or decreased by inducing positive or negative expectations. Nocebo effects involve a psychological stress response, characterized by increased anticipatory anxiety. These findings further underscore the role of cognitive and emotional factors in the experience of visceral pain, which has implications for the pathophysiology and treatment of patients with chronic abdominal complaints.

Highly tolerant tunable waveguide polarization rotator scheme

Integrated polarization rotators are known to exhibit stringent fabrication tolerances, which severely handicap their practical application. Here we present a general polarization rotator scheme that enables both the compensation of fabrication errors and wavelength tunability. The scheme is described analytically, and a condition for perfect polarization conversion is established. Simulations of a silicon-on-insulator polarization rotator show polarization extinction ratios in excess of 40  dB even in the presence of large fabrication errors that in a conventional rotator configuration degrade the extinction ratio to below 5  dB. Additionally, wavelength tuning over ±30  nm is shown.