I.S.Mu.L.T. first-time patellar dislocation guidelines

Primary traumatic patellar dislocation is common, particularly in young active individuals. A consensus on its management is still lacking. The present work provides easily accessible guidelines to be considered as recommendations for a good clinical practice developed through a process of systematic review of the literature and expert opinion, to improve the quality of care and rationalize the use of resources.

LEVEL OF EVIDENCE

Ia.

Dietary Habits and Psychological States during COVID-19 Home Isolation in Italian College Students: The Role of Physical Exercise

Social isolation has adverse effects on mental health, physical exercise, and dietary habits. This longitudinal observational study aimed to investigate the effects of mood states and exercise on nutritional choices, on 176 college students (92 males, 84 females; 23 ± 4 years old) during the COVID-19 lockdown. During 21 days, nutrition and exercise were daily monitored, and the mood states assessed. A factor analysis was used to reduce the number of nutritional variables collected. The relationships between exercise, mood and nutrition were investigated using a multivariate general linear model and a mediation model. Seven factors were found, reflecting different nutritional choices. Exercise was positively associated with fruit, vegetables and fish consumption (p = 0.004). Depression and quality of life were, directly and inversely, associated with cereals, legumes (p = 0.005; p = 0.004) and low-fat meat intake (p = 0.040; p = 0.004). Exercise mediated the effect of mood states on fruit, vegetables and fish consumption, respectively, accounting for 4.2% and 1.8% of the total variance. Poorer mood states possibly led to unhealthy dietary habits, which can themselves be linked to negative mood levels. Exercise led to healthier nutritional choices, and mediating the effects of mood states, it might represent a key measure in uncommon situations, such as home-confinement.

Salivary Steroids at Rest and After a Training Load in Young Male Athletes: Relationship with Chronological Age and Pubertal Development

Puberty influences both the performance and the hormonal responses to exercise-related stress. We evaluated the distribution and the correlation between pubertal characteristics and the salivary cortisol (sC) and testosterone (sT) responses to acute physical exercise in young male athletes (13.4 +/- 2.1 yr, n = 110). The mean pre-exercise nmol . L (-1) sC and sT concentrations were 19.08 +/- 4.32 and 0.34 +/- 0.15 and increased to 21.27 +/- 5.51 and 0.41 +/- 0.16 after a 90-min training session (p < 0.01). The sC concentration at rest was positively correlated with chronological age (p < 0.01) and negatively correlated with fat % (p < 0.05), whereas significant negative correlations of DeltasC and DeltasC% after exercise with age, pubertal stage and mean testis volume (p < 0.05) were observed. The sT increase after exercise was correlated with chronological age, pubertal stage and pre-exercise sT levels (p < 0.01), whereas the DeltasT and DeltasT% of increase were negatively correlated with chronological age and resting sT levels (p < 0.05 and p < 0.01). In the present study, we observed the presence of high inter-individual variability of different biological parameters (anthropometry, pubertal stage, hormones, etc.) within athletes selected by chronological age in the same class and the presence of significant correlations between chronological age, puberty and the steroid hormone responses to physical exercise. Our data suggest the need for different criteria in exercise prescription and selection of young athletes and in the evaluation of stress reactivity at puberty.

Cortisol, dehydroepiandrosterone sulphate and dehydroepiandrosterone sulphate/cortisol ratio responses to physical stress in males are influenced by pubertal development

To evaluate the influence of chronological age and pubertal development on the hypothalamus-pituitary-adrenal (HPA) axis response to stress, we studied the possible correlations between male pubertal characteristics and salivary cortisol (C), DHEAS and the DHEAS/C ratio before (pre-stress) and after acute exercise-stress in young male volunteers (no. 87; 13.3+/-2.1 yr). In our overall study population, the mean pre-stress salivary C and DHEAS concentrations, significantly increased after exercise-related stress, whereas the DHEAS/C ratio significantly decreased. Pre-stress salivary C was positively correlated with chronological age, and after-stress salivary C concentration variations were negatively correlated with pubertal stage, mean testis volume and pre-stress salivary DHEAS. Furthermore, salivary DHEAS concentrations and the DHEAS/C ratio, before and after exercise stress, were positively correlated with chronological age, pubertal stage, pre-stress salivary testosterone (T), testis volume and body mass index (BMI). In contrast with late pubertal stages (P4, P5), young individuals at early stages of puberty (P1 to P3) showed higher C increase and lower DHEAS/C ratio after exercise-related stress. In conclusion, since C is also a mediator of stress-related negative effects on health and the DHEAS/C ratio has been hypothesized as an index for the degree to which an individual is buffered against the negative effects of stress, these data might suggest potentially increased stress-related risks at early stages of male puberty.

Effects of simulated firefighting on the responses of salivary cortisol, alpha-amylase and psychological variables

The aim of this study was to evaluate the effects of a simulated firefighting intervention on salivary alpha-amylase (sA-A), free cortisol (sC), anxiety (STAI), and profile of mood states (POMS) in 20 male firefighters (age 32 +/- 1 years, VO(2peak): 43 +/- 5 ml/kg per min). During the 12-min firefighting intervention (ambient temperature: 13 +/- 1 degrees C; relative humidity: 63 +/- 1%), individuals spent 63 +/- 28% of the time working at heart rate (HR) >85% of individual HR(max), [La] (peak) 9.2 +/- 2.9 mM and ratings of perceived exertion 16 +/- 2. At 30 min post-intervention significant (p < 0.001) increases in sA-A (174%) and sC (109%) were found with regard to values recorded before and after 90 min of the firefighting intervention. Since no differences emerged between pre-intervention and post intervention for STAI and POMS values, the hormonal changes were attributable to the intense physical stress of the simulated intervention. Further research is needed during real firefighting activities, where high emotional stress may also be present.

Psychophysiological Responses of Firefighters to Emergencies: A Review

Firefighters perform strenuous muscular works in hazardous environments and chaotic conditions, under time pressure and psychological stress. Various studies have shown high values of oxygen uptake, heart rate, blood lactate concentrations and salivary cortisol and A-Amylase in laboratory test, in real-life and simulated interventions of firefighters. These high values have been attributed to the combined effect of the metabolically active muscle, thermoregulatory strain and fatigue resulting from the protective gear and a self-contained breathing apparatus in addition to further supplementary overweight (i.e., lifting weights, rescuing victims). In order to protect health and safety of firefighters and victims during emergencies, high levels of cardiovascular endurance and strength in firefighters are strongly recommended. In fact, high levels of physical fitness showed to increase firefighters’ work ability, safety and decreased risk of injury.

Physical fitness profile of professional Italian firefighters: differences among age groups

Firefighters perform many tasks which require a high level of fitness and their personal safety may be compromised by the physiological aging process. The aim of the study was to evaluate strength (bench-press), power (countermovement jump), sprint (20 m) and endurance (with and without Self Contained Breathing Apparatus - S.C.B.A.) of 161 Italian firefighters recruits in relation to age groups (<25 yr; 26-30 yr; 31-35 yr; 36-40 yr; 41-42 yr). Descriptive statistics and an ANOVA were calculated to provide the physical fitness profile for each parameter and to assess differences (p < 0.05) among age groups. Anthropometric values showed an age-effect for height and BMI, while performances values showed statistical differences for strength, power, sprint tests and endurance test with S.C.B.A. Wearing the S.C.B.A., 14% of all recruits failed to complete the endurance test. We propose that the firefighters should participate in an assessment of work capacity and specific fitness programs aimed to maintain an optimal fitness level for all ages.

Normative Data and Physical Determinants of Multiple Sprint Sets in Young Soccer Players Aged 11-18 Years: Effect of Maturity Status

Selmi, MA, Sassi, RH, Yahmed, MH, Giannini, S, Perroni, F, and Elloumi, M. Normative data and physical determinants of multiple sprint sets in young soccer players aged 11-18 years: Effect of maturity status. J Strength Cond Res 34(2): 506-515, 2020-The aims of the study were: (a) to establish normative data for repeated-sprint sets (RSS) test based on the maturity status (age at peak height velocity [PHV]) and (2) to investigate the relationship between anthropometrical variables (stature, sitting height, body mass, and body fat percentage), RSS (2 × 5 × 20 m with 15-second recovery between sprints and 1-minute recovery between sets), and fitness tests {squat jump, countermovement jump, standing long jump, standing triple jump, 5-jump test, and 20-m shuttle run (multistage shuttle run test [MSRT])}. Young male soccer players (n = 262; age: 14.5 ± 2.9 years) were evaluated and classified into 4 groups according to their maturity status: pre-PHV, circum-PHV1, circum-PHV2, post-PHV. An analysis of variance and Bonferroni post hoc were used to determine maturity group differences (p ≤ 0.05), whereas Pearson's correlation was used between variables. Repeated-sprint sets' indices (sum of sprint times [SST] and best sprint time [BST]) were significantly different between the maturity groups. Significant correlations between SST with body mass (from -0.73 to -0.33) and MSRT (from -0.49 to -0.30) among each maturity group were found. With the different maturity groups, correlations between SST (s), BST (s), and vertical jump (cm) (r = -0.63 to -0.25 and r = -0.68 to -0.23) and horizontal jump (m) (r = -0.70 to -0.38 and r = -0.63 to -0.43) were observed. Repeated-sprint sets' values improve during maturation of young soccer players and the correlations between RSS and fitness tests vary through the maturity groups. This information could be useful for the coach to identify talent and to prescribe specific physical training to improve performance.

Anthropometric and Somatotype Characteristics of Young Soccer Players: Differences Among Categories, Subcategories, and Playing Position

Considering that anthropometric parameters are important factors in the performance of the soccer players, the aim of this study was to explore the differences in anthropometric and somatotype characteristics of Italian young soccer players. Weight, height, body mass index, and somatotype of 112 young soccer players, grouped in Giovanissimi "A" (14 years), "B" (13 years), and "C" (12 years) as well as Allievi "B" (15 years) and "A" (16 years) and "Juniores" (older than 17 years), were evaluated. Statistical analysis tests were computed at p ≤ 0.05, and an analysis of variance for each somatotype was calculated to analyze the main effects and interactions of the factors: categories, subcategories, and playing position. Bonferroni's post hoc analysis was used to identify differences among mean values. Considering all subjects, we have found significant differences in categories, subcategories, and playing position between anthropometric values and a somatotype value of 2.8-3.8-2.9. Significant differences have found among goalkeepers and the others playing position in endomorphy (p ≤ 0.001) and with defenders and midfielders in ectomorphy (p < 0.01) components, whereas no differences in mesomorphy. Analyzing the interaction between subcategories and playing position factors, a significant effect was found only in the endomorphy component (p = 0.05). The analysis of anthropometric characteristic of Italian young soccer players indicates that players have high muscularity value and low adiposity. This study showed the presence of somatotype differences for playing position within categories also in the youngest categories and subcategories, in particular, in the endomorphy component. Young soccer players should be trained with more appropriate and specific training load to avoid the increased injury risk during adolescence.

Coordination of soccer players during preseason training

This study aimed to verify whether coordination improves as a result of a preseason soccer training. During 5 experimental sessions (days 1, 6, 11, 15, and 19), 16 semiprofessional male soccer players (22.0 ± 3.6 years) were administered 3 specific soccer tests (speed dribbling, shooting a dead ball, and shooting from a pass) and an interlimb coordination test (total duration of a trial: 60 seconds), consisting of isodirectional and nonisodirectional synchronized (1:1 ratio) hand and foot flexions and extensions at an increasing velocity of execution (80, 120, and 180 b·min(-1)). Furthermore, subjective ratings were monitored to assess the recovery state (RestQ) of the players, their perceived exertion (rating of perceived exertion [RPE]) for the whole body, and the perceived muscle pain (rating of muscle pain [RMP]) for the lower limbs and the internal training load by means of the session-RPE method. The ratios between post and pretraining RPE and RMP increased only during the first 2 experimental sessions and decreased after the second week of the training camp (p = 0.001). The Rest-Q showed increases (p < 0.05) for general stress, conflict/pressure, social recovery, and being in shape dimensions. Conversely, decreases (p < 0.05) were observed for social stress, fatigue, physical complaints dimensions. Throughout the preseason, the players improved their speed dribbling (p = 0.03), Shooting from a Pass (p = 0.02), and interlimb coordination (p < 0.0001) performances. These coordination tests succeeded in discriminating coordination in soccer players and could integrate field test batteries during the whole soccer season, because they were easily and inexpensively administrable by coaches.

Heart rate responses and technical-tactical aspects of official 5-a-side youth soccer matches played on clay and artificial turf

Using a randomized crossover design, this study aimed to compare the heart rate (HR) responses and match analysis parameters (i.e., type of action; the number of players involved in an action; the number of passes performed in a collective action; precision of the shots; lost balls; ball interceptions; dribblings; and tackles) of official 5-a-side youth male soccer matches played over 2 pitch surface (i.e., clay vs. artificial turf) conditions. Twenty-two young male soccer players (age 8.3 ± 0.4 years) engaged in 2 consecutive 15-minute periods in each experimental condition. During the match, 53% of HR responses exceeded 85% of the individual HR(peak). No difference emerged between both pitch surfaces and match periods for HR and match analysis indicators. The two 15-minute periods resulted in being appropriate for 8-year-old players, in resembling the intensity of play and the intermittent nature of adult soccer. The similar HR responses and technical-tactical patterns observed on the 2 surfaces indicate that youth match play is not affected by differences in pitch surface. To support the development of individual and team skills of young soccer players, coaches are advised to prioritize game knowledge based on divergent thinking and experience, rather than traditional teaching based on instructions.

Changes in jump, sprint, and coordinative performances after a senior soccer match

This study aimed to verify the short-term after effects of a soccer match on senior players' all-out and interlimb coordination performances. Right before (prematch) and after (postmatch) a match, 10 senior (52.3 ± 10.2 years) male soccer players were administered jump (countermovement jump [CMJ]; repeated jump [RJ]), sprint (10 m and 10 m while dribbling the ball [10 mDB]), in-phase (IP) and antiphase (AP) interlimb coordination (synchronized hand and foot flexions and extensions at 80, 120, 180 bpm). Heart rate (HR) responses and subjective rating of perceived exertion (RPE) and rating of muscle pain (RMP) were used to evaluate the intensity of the friendly match. During the match, HR >85% of individual HRmax occurred for 50% of playing time. Subjective ratings at the end of the match were 12.9 ± 2.2 pt and 2.7 ± 2.2 pt for RPE and RMP, respectively. Postmatch CMJ, 10 m, 10 mDB, AP, IP 80 bpm, and IP 120 bpm performances did not show any difference with respect to prematch values, whereas improvements (p < 0.05) in RJ (prematch: 17.4 ± 3.9 cm; postmatch: 19.3 ± 4.8 cm) and IP 180 bpm (prematch: 30.4 ± 15.1 second; postmatch: 50.3 ± 18.9 second) emerged. These findings indicate that senior soccer players are able to cope with the high demands of match play and suggest that an acute bout of intense exercise has an arousing effect that counteracts fatigue effects and facilitates the performance of old trained individuals on complex motor behaviors relying on central executive control. In considering that players consider soccer as highly motivating, with advancing years this sport could help players in preserving high mental and physical functions and maintaining active engagement in life through social interactions.

Effect of pre-season training phase on anthropometric, hormonal and fitness parameters in young soccer players

The aims of the study were to investigate 1) the effect of 8 weeks of PSP training on anthropometrics, salivary hormones and fitness parameters in youth soccer players, 2) the correlations between fitness and hormonal parameters, and 3) the impact of the experience of the coach and his methodology of training on these parameters. Weight, height, BMI, pubertal development (PDS), salivary Cortisol (sC), salivary Testosterone (sT), salivary sDHEAS, intermittent tests (VO_2max), and countermovement jump test (CMJ) modifications of 35 youth soccer players (age: 14±0 yrs; BMI: 20.8±1.8 k/m²) from two Italian clubs (“Lupa Frascati” -LF-; “Albalonga” -AL) were analysed. A significant (p<0.05) time by club effect was observed in sC (F_(1,31) = 9.7, ES = 1.13), sT (F_(1,31) = 4.2, ES = 0.74), CMJ (F_(1,28) = 26.5, ES = 1.94), and VO_2max (F_(1,28) = 8.5, ES = 1.10). Statistical differences (p<0.05) in weight (F_(1,32) = 25.5, ES = 0.11), sC (F_(1,31) = 32.1, ES = 1.43), sT/sC ratio (F_(1,31) = 10.1, ES = 0.97), sDHEAS/sC ratio (F_(1,31) = 6.3, ES = 0.70), and VO_2max (F_(1,28) = 64.3, ES = 1.74) were found within time factor. Between clubs, differences (p<0.05) in sC (F_(1,32) = 8.5, ES = 1.17), sT (F_(1,31) = 4.2, ES = 0.74), CMJ (F_(1,28) = 26.5, ES = 1.50), and VO_2max (F_(1,28) = 8.5, ES = 1.10) were found. CMJ was inversely correlated with sDHEAS (r = -0.38) before PSP, while Δ of CMJ showed significant correlations with Δ of sC (r = 0.43) and ΔVO_2max was inversely correlated with ΔBMI (r = -0.54) and ΔsC (r = -0.37) in all subjects. Considering each single club, ΔVO_2max showed correlations with ΔBMI (r = -0.45) in AL, while ΔCMJ showed correlations with ΔPDS (r = 0.72) in LF club. Since the PSP is often limited training time to simultaneously develop physical, technical and tactical qualities, an efficient method to distribute the training load is important in youth soccer players to increase the performance and to avoid injuries.

Relationship Among Repeated Sprint Ability, Chronological Age, and Puberty in Young Soccer Players

Perroni, F, Pintus, A, Frandino, M, Guidetti, L, and Baldari, C. Relationship among repeated sprint ability, chronological age, and puberty in young soccer players. J Strength Cond Res 32(2): 364-371, 2018-The aim of this study was to analyzed the relationship of repeated sprint ability (RSA) with chronological age and puberty in 100 young soccer players (age: 13 ± 3 years-160 ± 33 months-; height: 159 ± 16 cm, mass: 49.7 ± 14.1 kg; body mass index [BMI] 19.2 ± 2.5 kg/m) grouped on "Pulcini" (9-10 years), "Esordienti" (11-12 years), "Giovanissimi" (13-14 years), "Allievi" (15-16 years), and "Juniores" (>17 years) categories. Anthropometric (weight, height, BMI), RSA (7 × 30 m sprint with 25 seconds active rest: total time-TT, the lowest sprinting time, and the fatigue index percentage-%IF), and development (self-administered rating scale for pubertal development PDS; puberty) parameters were measured. ANOVA among categories was applied to asses differences (p ≤ 0.05) in TT and %IF. When a significant effect was found, Bonferroni's post hoc analysis was used. Pearson correlation among all variables was calculated considering all subjects and also within categories. Among categories, statistical analysis showed significant differences (p < 0.001) in TT and a considerable trend toward significance (p = 0.06) in %IF. Significant correlations among variables were found in all subjects and within categories. In particular, TT showed large significant correlation with PDS (r = -0.66) and puberty (r = -0.67) only in "Esordienti." This study provides useful information for the coach to propose an appropriate training and to obtain the optimal training effect and to minimize the risk of injury and overtraining during the different phases of growth and maturation.

Which are the Nutritional Supplements Used by Beach-Volleyball Athletes? A Cross-Sectional Study at the Italian National Championship

Beach volleyball is an intermittent team sport played under high temperature and humidity. Given that some nutritional supplements can enhance sports performance, this study aimed to evaluate the quantity and the heterogeneity of the nutritional supplementation practices of amateur (n = 69) and professional (n = 19) beach volley athletes competing in the Italian National Championship; an online form was used to collect data about the supplementation habits. The latent class analysis was used to find sub-groups characterised by different habits regarding supplements consumption. The most frequently used supplements (more than once a week) are vitamins B and C (39.2% of athletes), protein (46.8%), and caffeine (36.9%). The latent class analysis revealed three different sub-groups of athletes: the first class (56.7%) included athletes who were used to take very few supplements, the second class (17.0%) was characterised by higher consumption of supplements and the third class (26.2%) was in the middle between the others two. Groups were characterised not only by the quantity but also by the category of supplements used. Our results highlighted a high heterogeneity in supplementation habits. A pragmatic approach to supplements and sports foods is needed in the face of the evidence that some products can usefully contribute to enhancing performance.

Validity and reliability of the GYKO inertial sensor system for the assessment of the elbow range of motion

BACKGROUND

The evaluation of joints range of motion (ROM) represents a fundamental step in the diagnosis of joint disorders. Assessors usually measure the ROM angle through a universal goniometer (UG). GYKO inertial system (Microgate, Bolzano, Italy) represent a noninvasive, easy-to-use, Inertial Measurement Unit (IMU) method for the measurement of the elbow ROM. The aim of this study was to validate the GYKO digital device comparing it with the gold standard UG in the measurement of elbow flexion-extension ROM in healthy subjects.

METHODS

Thirty healthy subjects (15 females, 15 males; mean age: 34 years, range 25-58 years) were enrolled. The elbow ROM of the dominant arm was measured with two methods, UG and GYKO. Active flexion-extension movement of the elbow was measured by two operators with UG (A1_UG; A2_UG) and with GYKO (A1_GYKO; A2_GYKO; B_GYKO). Intra-rater reliability, inter-rater reliability, and concurrent validity were analyzed by intraclass correlation coefficient (ICC) values. Bland-Altman plot was used to compare UG and GYKO.

RESULTS

Both methods were very reliable (P<0.001). Intra-rater reliability showed strong correlation respectively for the UG (ICC=0.798) and for GYKO (ICC=0.859) while inter-rater reliability showed moderate correlation with UG (ICC=0.726) and strong correlation with GYKO (ICC=0.942). The concurrent validity, obtained by three comparisons (A1, A2 and B) showed moderate correlation (ICC: 0.576-0.776).

CONCLUSIONS

The results of this study support the use of GYKO as useful as the UG for the assessment of the active flexion-extension ROM of the elbow.

Short High-Intensity Interval Exercise for Workplace-Based Physical Activity Interventions: A Systematic Review on Feasibility and Effectiveness

BACKGROUND

Workplace exercise interventions showed good results, but lack of time was often reported as a barrier to participation. To overcome this problem, several studies attempted to implement short high-intensity interval training (HIT) within the workplace.

OBJECTIVES

The aim of this systematic review is to explore the feasibility and effectiveness of HIT interventions within the workplace setting.

DATA SOURCES

A systematic literature search was conducted in PubMed and SPORTDiscus to identify articles related to HIT within the workplace.

STUDY ELIGIBILITY CRITERIA

Only interventions that consisted of HIT programmes within the workplace and tested at least one physiological, psychological, or work-related outcome were included.

RESULTS

Seven studies (317 participants) met the inclusion criteria. HIT interventions lasted 6-12 weeks, with a frequency of 2-4 sessions/week and a duration of 8-30 min per session. Feasibility was qualitatively investigated in four studies, with key positive aspects reported for HIT time-appeal, the sense of competence driven by individual intensity, and improved intention to exercise; five studies reported adherence rates > 80%. Small-to-large effect sizes were reported for improvements in cardiorespiratory and muscular fitness. Small-to-medium effect sizes were reported for blood parameters and health-related quality of life.

CONCLUSIONS

HIT interventions in the workplace showed limited effectiveness in improving health-related outcomes, while promising results regarding feasibility were reported, mainly due to the time-efficiency and the positive post-exercise psychosocial responses. However, further high-quality studies involving more participants are still needed to make firm conclusions on HIT effectiveness and feasibility compared to other types of exercise in this context.

Flexibility responses to different stretching methods in young elite basketball players

Introduction

The aims of study were: 1) to verify the effectiveness of different stretching methods and training; 2) to compare the effects with only training on the flexibility of joints in basketball players.

Methods

30 males basketball players (age: 17±1yrs; BMI: 23.4±3.1), divided into 2 groups (15 experimental group - EG - and 15 control group, CG), participated to study. EG performed 5 different stretching method: passive stretching, active stretching, postural protocol, PNF and dynamic stretching. To assess differences (p<0.05) between groups, an ANOVA was applied to anthropometrics characteristic (age; height; weight and BMI) and flexibility performances (leg raise in a supine position; forward trunk bending). ANOVA for repeated measurements was conducted to asses differences in each group with time (i.e., pre-post).

Results

Results showed a variation linked to time (F=21.9; p<0.0001) and an effect of the treatment of the leg raise in a supine position test (F=25.1; p<0.0001). Also in flexion test of trunk, the average values could be linked to time of measurement (F=9.96; p<0.0001) and group (F=8.65; p<0.0001).

Conclusion

The results suggest that a specific different stretching protocol should be used in different part of body to offer performance benefit and decreasing of the incidents of injuries.

Level of evidence

IV.

Physical activity, sedentary behaviour and screen time among youths with Down syndrome during the COVID-19 pandemic

BACKGROUND

The COVID-19-related restrictions hampered habitual physical activity (PA), particularly affecting the more vulnerable, such as people with Down syndrome (DS). The study aimed to investigate changes in PA, sedentary behaviour (SB) and screen time (ST) of youths with DS, before, during and after the restrictions, also in relation to parental PA levels.

METHODS

A cross-sectional design with a retrospective assessment of variables for the before and during restrictions periods was adopted. Parents of youths with DS completed an online questionnaire. Sociodemographic aspects, weekly PA levels and youths' daily SB and ST were investigated, referring to three time-points: before the pandemic, during the restrictions and the restrictions-easing phase.

RESULTS

A total of 57 parents voluntarily participated in the study, proxy-reporting on their child (male = 41, female = 16, age = 21.4 ± 7.7 years). A repeated measures multivariate analysis of variance showed negative effects of restrictions (P < 0.05) on PA levels, SB and ST, independently from sociodemographic characteristics. In the restrictions-easing phase, PA levels did not return to before the pandemic values (P < 0.05). A positive correlation between parents and their child's PA was detected before the pandemic (r = 0.38; P < 0.01), no longer reported in the restrictions-easing phase.

CONCLUSIONS

The findings showed the negative impact of restrictions on youths with DS lifestyle. Moreover, the importance of addressing the needs of the disabled community including the whole family is highlighted.

Acute Effects of Fitlight Training on Cognitive-Motor Processes in Young Basketball Players

Cognitive-motor training could be used to improve open-skill sport performances, increasing cognitive demands to stimulate executive function (EF) development. Nevertheless, a distributed training proposal for the improvement of EFs is increasingly difficult to combine with seasonal sport commitments. This study aimed to investigate whether a massed basketball training program enriched with Fitlight training can improve EFs and motor performance. Forty-nine players (age = 15.0 ± 1.5 yrs) were assigned to the control and Fitlight-trained (FITL) groups, which performed 3 weeks of massed basketball practice, including 25 min per day of shooting sessions or Fitlight training, respectively. All athletes were tested in cognitive tasks (Flanker/Reverse Flanker; Digit Span) and fitness tests (Agility T-test; Yo-Yo IR1). During the intervention, exercise/session perceived effort (eRPE/sRPE) and enjoyment were collected. RM-ANOVA showed significant EFs scores increased in both groups over time, without differences between the groups. Moreover, an increased sRPE and eRPE appeared in the FITL group (p = 0.0001; p = 0.01), with no group differences in activity enjoyment and fitness tests. Three weeks of massed basketball training improved EFs and motor performance in young players. The additional Fitlight training increased the perceived cognitive effort without decreasing enjoyment, even if it seems unable to induce additional improvements in EFs.