Exercise interventions following bariatric surgery are poorly reported: A systematic review and a call for action

OBJECTIVES

This study assessed the transparency and replicability of exercise-based interventions following bariatric surgery by evaluating the content reporting of exercise-based clinical trials.

DESIGN

The study design of the present article is a systematic review.

DATA SOURCES

PubMed, Scopus, Web of Sciences, PsycINFO, and Cochrane were searched from their inception to May 2023.

ELIGIBILITY CRITERIA

Eligible studies were clinical trials including exercise interventions in participants following bariatric surgery. There were 28 unique exercise interventions. Two independent reviewers applied the exercise prescription components of Frequency, Intensity, Time, and Type (FITT; four items) and the Consensus on Exercise Reporting Template (CERT; 19 items). Exercise interventions were organized into four major exercise components: aerobic training, resistance training, concurrent training, and "others."

RESULTS

The FITT assessment revealed that 53% of the trials did not report the training intensity, whereas 25% did not indicate the duration of the major exercise component within the training session. The mean CERT score was 5 out of a possible score of 19. No studies reached CERT score >10, while 13 out of the total 19 CERT items were not adequately reported by ≥75% of the studies.

CONCLUSION

This study highlights that the exercise interventions following bariatric surgery are poorly reported, non-transparent, and generally not replicable. This precludes understanding the dose-response association of exercise and health-related effects and requires action to improve this scientific field.

Does a Resistance Training Program Affect Between-arms Volume Difference and Shoulder-arm Disabilities in Female Breast Cancer Survivors? The Role of Surgery Type and Treatments. Secondary Outcomes of the EFICAN Trial

OBJECTIVE

The aims were (i) to assess the effects of a 12-week resistance training program on between-arms volume difference and shoulder-arm disabilities in breast cancer survivors and (ii) to evaluate whether the main risk factors for developing cancer-related lymphedema and shoulder-arm disabilities were associated with the effects of the training program.

DESIGN

Randomized controlled trial.

SETTING

University facilities.

PARTICIPANTS

60 female breast cancer survivors participated.

ELIGIBILITY CRITERIA

to be a breast cancer survivor, and to have completed surgery, chemotherapy, and/or radiotherapy up to 10 years before recruitment.

EXCLUSION CRITERIA

metastatic breast cancer, a breast reconstruction intervention planned within 6 months, any absolute contraindication for exercise, to perform more than 300 minutes/week of structured exercise.

INTERVENTIONS

Participants were randomized to an exercise group (12-week resistance training program) or a control group.

MAIN OUTCOME MEASURES

Between-arms volume difference, shoulder-arm disabilities, and upper-limb muscular strength were evaluated at baseline and at week 12. Treatment-related information was registered from medical history.

RESULTS

No between-group differences were observed on between-arms volume difference (1.207; 95% CI -0.964, 3.377; P=.270) or shoulder-arm disabilities (2.070; 95% CI -4.362, 8.501; P=.521) after the training program. Likewise, there was no association of surgery type, presence of lymph node resection, chemotherapy, radiotherapy, and hormone therapy with the changes in between-arms volume and perceived shoulder-arm disabilities after the intervention. However, a higher increase in upper limb muscular strength was associated with a reduced shoulder-arm disabilities (-0.429; P=.020) in the exercise group.

CONCLUSIONS

The findings suggest that resistance training does not affect between-arms volume difference and shoulder-arm disabilities in female breast cancer survivors. The main risk factors for developing lymphedema were not associated with the effects of the intervention, although a higher increase in upper-limb muscular strength was associated with reduced shoulder-arm disabilities.

Assessing the Maximal Mechanical Capacities Through the Load-Velocity Relationship in Elite Versus Junior Male Volleyball Players

BACKGROUND

Physical testing is crucial for athlete monitoring, talent identification, optimizing training, and tailoring programs to enhance game-performance in elite competitions.

HYPOTHESIS

Load-velocity (L-V) relationship variables discriminate between elite and junior volleyball players, correlate with volleyball-specific performance, and are generalizable across lower- and upper-body exercises.

STUDY DESIGN

Cross-sectional study.

LEVEL OF EVIDENCE

Level 3.

METHODS

A total of 9 elite and 11 junior volleyball players were assessed for the L-V relationship (load-axis intercept [L0], velocity-axis intercept [v0], and area under the L-V relationship line [Aline]) during the countermovement jump (CMJ) and bench press throw (BPT) exercises. Block and spike jump height, as well as standing and jumping spike speed were assessed 24 hours later.

RESULTS

Elite players presented greater magnitude in the L-V variables (P ≤ 0.03; effect size [ES] ≥ 1.06) and higher volleyball-specific performance (P ≤ 0.03; ES ≥ 1.09) than juniors (except for CMJ v0 and Aline). The L-V relationship variables were significantly associated with the block and spike jump height and jumping spike speed only in elite players (r ≥ 0.703 and P ≤ 0.04 in 11 out of 18 correlations). No significant associations were observed between CMJ and BPT for any L-V relationship variable (r ≤ 581; P ≥ 0.08, except for Aline in junior players).

CONCLUSION

The L-V relationship is a practical procedure to assess volleyball players' maximal mechanical capacities, which are associated with volleyball-specific performance in elite players. However, these data should not be used interchangeably between playing standards or exercises.

CLINICAL RELEVANCE

This information might help strength and conditioning coaches to prescribe more effective training programs that focus on developing the specific physical capacities necessary for players to potentially advance to elite status.

Effects of a 12-week supervised resistance training program, combined with home-based physical activity, on physical fitness and quality of life in female breast cancer survivors: the EFICAN randomized controlled trial

PURPOSE

This study assessed the effects of 12-week supervised resistance training combined with home-based physical activity on physical fitness, cancer-related fatigue, depressive symptoms, health-related quality of life (HRQoL), and life satisfaction in female breast cancer survivors.

METHODS

A parallel-group, outcome assessor-blinded, randomized controlled trial included 60 female breast cancer survivors who had completed their core treatments within the previous 10 years. Through computer-generated simple randomization, participants were assigned to resistance training (RTG; two sessions/week for 12 weeks plus instructions to undertake ≥ 10,000 steps/d) or control (CG; ≥ 10,000 steps/d only). Outcomes were evaluated at baseline and week 12. Muscular strength was assessed with electromechanical dynamometry. A standardized full-body muscular strength score was the primary outcome. Secondary outcomes included cardiorespiratory fitness, shoulder mobility, cancer-related fatigue, depressive symptoms, HRQoL, and life satisfaction.

RESULTS

Thirty-two participants were assigned to RTG (29 achieved ≥ 75% attendance) and 28 to CG (all completed the trial). Intention-to-treat analyses revealed that the standardized full-body muscular strength score increased significantly in the RTG compared to the CG (0.718; 95% CI 0.361-1.074, P < 0.001, Cohen's d = 1.04). This increase was consistent for the standardized scores of upper-body (0.727; 95% CI 0.294-1.160, P = 0.001, d = 0.87) and lower-body (0.709; 95% CI 0.324-1.094, P = 0.001, d = 0.96) strength. There was no effect on cardiorespiratory fitness, shoulder flexion, cancer-related fatigue, depressive symptoms, HRQoL, or life satisfaction. The sensitivity analyses confirmed these results.

CONCLUSION

and implication for cancer survivors. In female breast cancer survivors who had completed their core treatments within the past 10 years, adding two weekly sessions of supervised resistance training to a prescription of home-based physical activity for 12 weeks produced a large increase in upper-, lower-, and full-body muscular strength, while other fitness components and patient-reported outcomes did not improve.

TRIAL REGISTRATION NUMBER

ISRCTN14601208.

Estimating the one-repetition maximum on the leg-press exercise in female breast cancer survivors

We examined the accuracy of twelve different velocity-based methods for predicting the bilateral leg-press exercise one-repetition maximum (1RM) in breast cancer survivors. Twenty-one female breast cancer survivors (age 50.2 ± 10.8 years) performed an incremental loading test up to the 1RM. Individual load-velocity relationships were modeled by linear and quadratic polynomial regression models considering the mean velocity (MV) and peak velocity (PV) values recorded at five incremental loads (~45-55-65-75-85% of 1RM) (multiple-point methods) and by a linear regression model considering only the two distant loads (~45-85% of 1RM) (two-point method). The 1RM was always estimated through these load-velocity relationships as the load associated with a general (MV: 0.24 m/s; PV: 0.60 m/s) and an individual (MV and PV of the 1RM trial) minimal velocity threshold (MVT). Compared to the actual 1RM, the 1RMs estimated by all linear regression models showed trivial differences (Hedge's g ranged from 0.08 to 0.17), very large to nearly perfect correlations (r ranged from 0.87 to 0.95), and no heteroscedasticity of the errors (coefficient of determination (r2) < 0.10 obtained from the relationship of the raw differences between the actual and predicted 1RMs with their average value). Given the acceptable and comparable accuracy for all 1RM linear prediction methods, the two-point method and a general MVT could be recommended to simplify the testing procedure of the bilateral leg-press 1RM in breast cancer survivors.

Novel Curvilinear Sprint Test in Basketball: Reliability and Comparison With Linear Sprint

ABSTRACT

Baena-Raya, A, Díez-Fernández, DM, López-Sagarra, A, Martínez-Rubio, C, Soriano-Maldonado, A, and Rodríguez-Pérez, MA. Novel curvilinear sprint test in basketball: reliability and comparison with linear sprint. J Strength Cond Res 37(9): e535-e540, 2023-This study (a) evaluated the reliability of a curvilinear sprint (CS) test to assess kinetic and kinematic outcomes in basketball players, (b) compared the kinetic and kinematic outcomes derived from curvilinear vs. linear sprints (LS), and (c) examined the association of both the CS and LS with change of direction (COD) performance. Thirty young basketball players (17 men and 13 women) competing at the national level (i.e., Spanish Basketball National League) performed a novel CS test around the 3-point line (the 3-point line CS test) to the right and left sides. The maximum and average values of acceleration (ACC), velocity (VEL), and centripetal force (CentF) were measured using Local Positioning System technology (WIMU PRO, Realtrack Systems S.L., Almería, Spain). All outcomes showed a high relative (intraclass correlations coefficient ≥ 0.90) and absolute (coefficient of variation [CV] < 5%) reliability, except the maximal CentF to the right (CV = 5.41%) and left sides (CV = 7.72%). Linear sprints displayed higher ACC and VEL outputs compared with the 3-point line CS test (all p < 0.001). Both sprinting tests were very large to nearly perfect associated with COD performance (LS r range from -0.71 to -0.86; CS r range from -0.68 to -0.94; p < 0.001), and the curvilinear ACC max was the kinematic outcome most strongly associated with COD performance ( r range from -0.73 to -0.94). In conclusion, the 3-point line CS test is reliable to measure CS performance in basketball and presents different kinetic and kinematic features than LS.

Acute Mechanical and Skin Temperature Responses to Different Interrepetition Rest Intervals During Full-Squat Exercise

PURPOSE

This study aimed to (1) evaluate the acute effects of different interrepetition rest full-squat protocols on countermovement jump (CMJ) height, velocity loss (VL), and skin temperature (Tsk) and (2) determine whether the VL, the changes in Tsk, or the individual strength level is associated with the change in CMJ height.

METHODS

Sixteen resistance-trained men randomly performed 3 squat protocols at maximal intended velocity with 60% of the 1-repetition maximum (sets × repetitions [interrepetition rest]): traditional (2 × 6 [0 s]), cluster 2 (2 × 6 [30 s every 2 repetitions]), and cluster 1 (1 × 12; [36 s every repetition]), plus a control session. CMJ height was assessed before and 2, 4, and 8 minutes after the protocols.

RESULTS

There was a significant main effect of protocol for the VL (F = 20.54, P < .001) and loss in mean power (F = 12.85, P < .001; traditional > cluster 2 > cluster 1). However, we found a comparable reduction of CMJ height after 8 minutes: traditional (-3.4% [4.2%]), cluster 2 (-5.3% [4.9%]), cluster 1 (-5.4% [2.9%]), and control (-4.2% [3.6%]). Overall, mean Tsk acutely decreased after all the protocols. Higher individual strength level (but not VL or the changes in Tsk) was associated with lower CMJ-height loss (P < .05).

CONCLUSIONS

Although different interrepetition rest full-squat protocols may alter the loss in velocity and power, they result in a similar decrease in Tsk and CMJ height, which could be more influenced by individual strength level than VL or changes in Tsk.

Horizontal versus vertical force application: association with the change of direction performance in soccer players

This study examined which mechanical variables derived from a vertical jump (i.e. concentric peak force [ConcPF] and eccentric peak force [EccPF], flight time [FT]: contraction time [CT], eccentric deceleration rate of force development [EccDecRFD]) and linear sprint (i.e. theoretical maximal force [F₀] and velocity [V₀], maximal power output [P_max], the peak ratio of the effective horizontal component [RF_peak], and the index of force application technique [DRF]) determined the change of direction (COD) performance to a greater extent. Sixteen male soccer players (age: 21.8 ± 2.9 years; height: 175.94 ± 6.88 cm; weight: 73.23 ± 9.59 kg) were assessed for a countermovement jump, the horizontal force velocity (FV) profile, and the COD ZigZag test. The horizontal FV profile parameters were significantly associated with COD performance, while jump mechanical variables did not show any significant association (r = 0.08-0.19; p > 0.05). Specifically, F₀ (r = -0.56), P_max (r = -0.68), and RF_peak (r = -0.54) were strongly associated with COD performance. Moreover, a 1 N·kg^-1 increase in F₀ was associated with -0.11 s to complete the ZigZag test, whereas 1 W·kg^-1 and 1% increase in P_max and RF_peak were associated with -0.05 and -0.03 s, respectively, to complete the COD test. Horizontal force production during sprinting might play a key role in COD performance. Assessing the horizontal FV profile might help coaches to prescribe a specific training programme to maximize sprint acceleration, which might improve COD performance.

Association of the load-velocity relationship variables with 2000-m rowing ergometer performance

AbstractThis study aimed to compare the maximal mechanical variables derived from the load-velocity (L-V) relationship and 2000-meter rowing ergometer performance between rowers of different age categories, and to identify the L-V relationship variables more closely related to 2000-meter rowing ergometer performance. Nineteen competitive rowers (15 males and four females) aged between 15 and 25 years were evaluated during the national 2000-meter rowing ergometer competition organised by the Chilean Rowing Federation. Thereafter, the L-V relationship variables (load-axis intercept [L₀], velocity-axis intercept [v₀], and area under the L-V relationship line [A_line]) were determined on separate occasions during the squat jump and prone bench pull exercises. Rowers were classified according to their chronological age for comparative purposes (under 16 years [U16] vs. over 16 years [O16]). L₀ and A_line were always higher for O16 than for U16 (p ≤ 0.046; ES range = 0.99 to 1.79), while v₀ was generally comparable for both age categories (p ≥ 0.038; ES range = 0.07 to 1.03). Furthermore, the O16 revealed a greater performance (i.e., shorter total time) during the 2000-meter rowing ergometer competition (p = 0.011; ES = -1.31). In general, significant correlations were obtained between rowing performance and the L-V relationship variables obtained during the squat jump (r or ρ range = -0.294 to -0.922) and prone bench pull (r or ρ range = -0.322 to -0.928). These results support the L-V relationship as a sensitive procedure to evaluate the maximal mechanical capacities of lower- and upper-body muscles in competitive rowers.

Delineating the potential of the vertical and horizontal force-velocity profile for optimizing sport performance: A systematic review

The aims of this systematic review were to synthetize the current evidence about (i) the force-velocity (FV) profile parameters (maximal values of force [F₀], velocity (V₀), and power [P_max]) obtained from the Samozino's method in different sports; (ii) the association of the FV profile parameters with sport performance outcomes; and (iii) the effects of specific training programmes on the FV profile parameters. PubMed, SportDiscus, Web of Science, and Medline databases were searched for articles published between October 2008 (conception of the Samozino's method) and October 2020. Twenty-one studies (10 descriptive, 6 correlational, and 5 longitudinal) met the inclusion criteria. The main findings revealed greater F₀, P_max, and V₀ values and better jump/sprint performance for high-level athletes compared to their low-level counterparts. The vertical P_max showed the highest correlation with jump height. The horizontal F₀, P_max, and V₀ were nearly perfectly correlated with 5/10-m, 10/20-m and 30/40-m sprint times, respectively. Training programmes using heavy- or light-loads specifically enhanced F₀ and V₀, respectively. These results suggest that the FV profile parameters discriminate between athletes of different sport disciplines and levels of practice, present significant correlations with a number of sport performance outcomes, and can be modified after short-term training programmes.

The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial

Concurrent training (CT), characterised by combining both aerobic and resistance training modalities within the same session, is recognised to improve metabolic syndrome (MetS) markers, but little is known about the effects of different configurations (i.e., order) of these exercise modalities on MetS markers and the interindividual responses. The purpose of the present study was to describe the effects, and the interindividual variability, of 20weeks of two CT configurations (i.e., high intensity interval training (HIIT) plus resistance training (RT), compared with RT plus HIIT) in women with severe/morbid obesity. Overall, 26 women with severe/morbid obesity were assigned either to HIIT+RT [n=14, mean and 95%CI, 45.79 (40.74; 50.83) or RT+HIIT (n=12), 33.6 (25.30; 41.79) years]. MetS-related outcomes were waist circumference (WC, cm), systolic (SBP, mmHg) and diastolic (DBP, mmHg) blood pressure, high-density lipoprotein cholesterol (HDL-c), triglycerides (Tg), and fasting plasma glucose (FPG). Secondary outcomes were other anthropometrics, body composition, lipids, muscle strength, and the six-minute walk test (6Mwt). There were significant differences in the prevalence of nonresponders (NRs) only for WC comparing HIIT+RT 2 (18.1%) vs. RT+HIIT group 5 (50.0%), p<0.0001, but not for SBP 4 (27.2%) vs. 4 (40.0%), DBP 8 (72.7%) vs. 7 (70.0%), FPG 8 (72.7%) vs. 9 (90.0%), HDL-c 7 (63.6%) vs. 8 (80.0%), and Tg 7 (63.6%) vs. 8 (80.0%), all p>0.05. Additionally, the RT+HIIT group showed significant reductions in WC (∆ –3.84cm, p=0.015), SBP (∆ –8.46mmHg, p=0.040), whereas the HIIT+RT group elicited significant reductions only in SBP (∆ –8.43mmHg, p=0.022). The HIIT+RT promoted a lower prevalence of NRs than the RT+HIIT configuration on WC, and overall, there were slightly more beneficial training-induced effects on markers of MetS in the RT+HIIT group compared to the HIIT+RT group.

Improving resistance training prescription through the load-velocity relationship in breast cancer survivors: The case of the leg-press exercise

The aims of this study were: (i) to analyse the load-velocity relationship in the bilateral leg-press exercise in female breast cancer survivors, (ii) to assess whether mean velocity (MV) or peak velocity (PV) show stronger relationship with the relative load, and (iii) to examine whether linear (LA) or polynomic (PA) adjustment predict the velocities associated with each %1RM with greater precision. Twenty-two female breast cancer survivors (age: 50.2 ± 10.8 years, weight: 69.6 ± 15.2 kg, height: 160.51 ± 5.25 cm) completed an incremental load test until 1RM in the bilateral leg-press exercise. The MV and the PV of the concentric phase were measured in each repetition using a linear velocity transducer, and were analysed by regression models using LA and PA. A very close relationship of MV (R²= 0.924; p < 0.0001; SEE = 0.08m^.s^-1 by LA, and R² = 0.952; p < 0.0001; SEE = 0.063 m^.s^-1 by PA) and PV (R² = 0.928; p < 0.0001; SEE = 0.119 m^.s^-1 by LA and R² = 0.941; p < 0.0001; SEE = 0.108 m^.s^-1 by PA) with %1RM were observed. The MV of 1RM was 0.24 ± 0.03 m·s^-1, whereas the PV at 1RM was 0.60 ± 0.10 m^.s^-1. A comprehensive analysis of the bilateral leg-press load-velocity relationship in breast cancer survivors is presented. The results suggest that MV is the most recommendable velocity variable to prescribe the relative load during resistance training, and that the PA presents better accuracy to predict velocities associated with each %1RM, although LA is sufficiently valid to use this model as an alternative to the quadratic model. The implications for resistance training in breast cancer are discussed.

Supervised Exercise Immediately After Bariatric Surgery: the Study Protocol of the EFIBAR Randomized Controlled Trial

Background

Previous studies have investigated weight loss caused by exercise following bariatric surgery. However, in most cases, the training program is poorly reported; the exercise type, volume, and intensity are briefly mentioned; and the sample size, selection criteria, and follow-up time vary greatly across studies.

Purpose

The EFIBAR study aims to investigate over 1 year the effects of a 16-week supervised exercise program, initiated immediately after bariatric surgery, on weight loss (primary outcome), body composition, cardiometabolic risk, physical fitness, and quality of life in patients with severe/extreme obesity.

Material and Methods

The EFIBAR study is a parallel-group, superiority, randomized controlled trial (RCT), comprising 80 surgery patients. Half of the participants, randomly selected, perform a 16-week supervised exercise program, including both strength and aerobic training, starting immediately after the surgery (7–14 days). For each participant, all primary and secondary outcomes are measured at three different time points: (i) before the surgery, (ii) after the intervention (≈4 months), and (iii) 1 year after the surgery.

Conclusion

The EFIBAR study will provide new insights into the multidimensional benefits of exercise in adults with severe/extreme obesity following bariatric surgery.

Trial Registration

EFIBAR randomized controlled trial was prospectively registered at Clinicaltrials.gov (NCT03497546) on April 13, 2018.

The force-velocity profile as determinant of spike and serve ball speed in top-level male volleyball players

Understanding the relationship between mechanical variables derived from actions such as jumping, sprinting, or ballistic bench press throwing and sport-specific performance moves is of scientific and practical interest for strength and conditioning coaches for improving training programs. We examined the association between mechanical variables derived from the force-velocity (FV) profiles of the aforementioned actions and spike and serve ball speeds in elite volleyball players. Twenty-two male elite volleyball players (age: 24.3 ± 4.5 years; height: 1.89 ± 0.06 m; body mass: 86.3 ± 8.6 kg) were tested in two sessions. Squatting, sprinting, and bench press throwing FV profiles were determined in the first session, while spike and serve ball speeds were assessed in the second session. The theoretical maximal force (F0) of vertical jumping, the theoretical maximal velocity of sprinting, and the F0 of bench press throwing in ascending order, were strongly associated (rs range 0.53-0.84; p<0.05) with spike and serve ball speeds. These mechanical variables explained 20%-36% of the variability in spike and serve ball speeds, with a greater influence on the serve speed. These results suggest that assessing jumping, sprinting, and bench press throwing force-velocity profiles might help provide player-specific training programs and optimize performance in these technical-tactical actions in male elite volleyball players.

Gender-Specific Association of the Sprint Mechanical Properties With Change of Direction Performance in Basketball

ABSTRACT

Baena-Raya, A, Jiménez-Reyes, P, Romea, ES, Soriano-Maldonado, A, and Rodríguez-Pérez, MA. Gender-specific association of the sprint mechanical properties with change of direction performance in basketball. J Strength Cond Res XX(X): 000-000, 2020-We evaluated the gender-specific associations between the mechanical variables derived from the horizontal force-velocity (FV) profile (i.e., theoretical maximal force [F0], velocity [V0], maximal power output [Pmax], peak ratio of the effective horizontal component [RFpeak], and the force application technique index [DRF]) and the change of direction (COD) performance for basketball players. Seventy-one players (23 women and 48 men) were assessed for the horizontal FV profile and COD using the modified 505 and V-cut tests. The FV profile parameters were significantly higher for the men than those for the women. The F0, RFpeak, and Pmax were strongly associated with performance in the 505 test (women rrange = -0.72 to -0.82; men: rrange = -0.67 to -0.75; p < 0.001) and the V-cut test (women rrange = -0.68 to -0.76; men rrange = -0.45 to -0.50; p < 0.001), as well as with a lower COD deficit (women rrange = 0.58 to 0.75 (p < 0.01); men rrange = 0.49 to 0.54; all p < 0.001). For the women, a 1 N·kg-1 increase of the F0 was associated with -0.20 seconds and -0.56 seconds in the 505 and V-cut tests, respectively, and 0.16 seconds for the COD deficit. In the men, it was associated with -0.13 seconds and -0.37 seconds in the 505 and V-cut tests, respectively, and 0.10 seconds for the COD deficit. F0, RFpeak, and Pmax are the most determinant sprint mechanical properties to successfully COD and reduce the COD deficit. The horizontal FV profile assessment is recommended for diagnosing and prescribing a training program for basketball players.

Association of the vertical and horizontal force-velocity profile and acceleration with change of direction ability in various sports

This study aimed to assess the association of the mechanical variables derived from the force-velocity (FV) profile (i.e. theoretical maximal force [F₀], velocity [V₀] and maximal power output [P_max]) with change of direction (COD) performance in soccer, basketball and tennis players. Fifty-four male athletes (soccer n = 23; tennis n = 16; basketball n = 15) were assessed for the vertical (Vrt) and horizontal (Hzt) FV profiles, COD with the dominant (D) and nondominant (ND) legs, using the modified 505 test, and sprint. Hzt FV profile parameters showed stronger associations with performance than Vrt FV profile in the three sports. Specifically, the Hzt parameter most strongly associated with COD performance was F₀ in tennis (r = -0.83; p<0.001) and P_max in soccer and basketball (r = -0.79; p<0.001). Associations between sprint times and COD test ranged from (r = 0.73-0.82) in soccer players, (r = 0.74-0.87) in tennis players and (r = 0.62-0.85) in basketball players, respectively (p<0.05). Considering the whole sample and the random effect of the type of sports, an improvement in sprint acceleration (i.e. one N/kg increase in F₀ and one W/kg in P_max) was associated with -0.15 s and -0.04 s to complete the 505 test, respectively. In conclusion, our results suggest the potential usefulness of assessing the Hzt FV profile to maximize acceleration capabilities through training interventions which, in turn, may translate into improved COD performance. However, further longitudinal and experimental research is needed to confirm this hypothesis.

Analysis of the Load-Velocity Relationship in Deadlift Exercise

The aim of this study was to analyze the relationship between movement velocity and relative load (%1RM) in the deadlift exercise. Fifty men (age = 23.8 ± 3.6 years, body mass = 78.2 ± 8.3 kg, height = 1.78 ± 0.06 m) performed a first evaluation (T1) consisting of a one-repetition maximum (1RM) test. Forty-two subjects performed a second evaluation (T2) after 6 weeks. Mean (MV), mean propulsive (MPV) and peak (PV) velocity measures of the concentric phase were analyzed. Load-velocity relationships were studied by fitting first order equations to the data using loads from 30-100% of 1RM. A comprehensive set of statistics for assessing bias and level of agreement to estimate the 1RM value from the different models was used. Stability of these relationships was assessed using the coefficient of variation (CV) and the intraclass correlation coefficient (ICC). General load-velocity equations provided good adjustments (R² ~; 0.91-0.93), however individual load-velocity regressions provided better adjustments (R² ~; 0.97). Individual estimations also showed higher agreement and more regular variation than general equations. Moreover, MPV showed smaller bias than the other velocity parameters (MV and PV). The stability analysis of the load-velocity relationships resulted in ICC values higher than 0.82 and CV lower than 3.0%. Monitoring repetition velocity allows estimation of the %1RM in the deadlift exercise. More accurate predictions of relative load can be obtained when using individualized regression equations instead of general equations.

Physical Exercise following bariatric surgery in women with Morbid obesity: Study protocol clinical trial (SPIRIT compliant)

BACKGROUND

Severe and morbid obesity are increasing globally, particularly in women. As BMI increases, the likelihood of anovulation is higher. The primary aim of the EMOVAR clinical trial is to examine, over the short (16 weeks) and medium (12 months) term, the effects of a supervised physical exercise program (focused primarily on aerobic and resistance training) on ovarian function in women with severe/morbid obesity who have undergone bariatric surgery. Secondary objectives are to examine the effects of the intervention on chronic inflammation, insulin resistance, arterial stiffness, physical fitness, and health-related quality of life.

METHODS

This is a randomized controlled trial in which ∼40 female bariatric surgery patients, aged between 18 and 45 years old, will be included. Participants assigned to the experimental group will perform a total of 48 sessions of supervised concurrent (strength and aerobic) training (3 sessions/week, 60 min/session) spread over 16 weeks. Patients assigned to the control group will receive lifestyle recommendations. Outcomes will be assessed at baseline, week 16 (i.e., after the exercise intervention) and 12 months after surgery. The primary outcome is ovarian function using the Sex-Hormone Binding Globuline, measured in serum. Secondary outcomes are serum levels of anti-mullerian hormone, TSH, T4, FSH, LH, estradiol, prolactine, and free androgen index, as well as oocyte count, the diameters of both ovaries, endometrial thickness, and uterine arterial pulsatility index (obtained from a transvaginal ultrasound), the duration of menstrual bleeding and menstrual cycle duration (obtained by personal interview) and hirsutism (Ferriman Gallwey Scale). Other secondary outcomes include serum markers of chronic inflammation and insulin resistance (i.e., C-reactive protein, interleukin 6, tumor necrosis factor-alpha, leptin, glomerular sedimentation rate, glucose, insulin and the HOMA-IR), arterial stiffness, systolic, diastolic and mean blood pressure, body composition, and total weight loss. Physical fitness (including cardiorespiratory fitness, muscular strength, and flexibility), health-related quality of life (SF-36 v2) and sexual function (Female Sexual Function Index) will also be measured.

DISCUSSION

This study will provide, for the first time, relevant information on the effects of exercise training on ovarian function and underlying mechanisms in severe/morbid obese women following bariatric surgery.

TRIAL REGISTRATION NUMBER

ISRCTN registry (ISRCTN27697878).

Effects of two drop-jump protocols with different volumes on vertical jump performance and its association with the force-velocity profile

PURPOSE

This study aimed to evaluate the changes in countermovement jump (CMJ) height after two drop-jump (DJ) protocols with different volumes, and to explore the possibility of predicting the changes in CMJ height based on the vertical force-velocity (F-v) profile.

METHOD

Thirty-four male athletes (age: 21.9 ± 2.0 years) were tested on three occasions. The F-v profile during the CMJ exercise was determined in the first session. Two DJ protocols (low-volume [1 set of 5 DJ trials from a 30 cm height] and high-volume [3 sets of 5 DJ trials from a 30 cm height]) were randomly performed during the second and third sessions, and the unloaded CMJ height was evaluated before (Pre), 4 min (Post4), 8 min (Post8), and 12 min (Post12) after the DJ protocol.

RESULTS

CMJ height was significantly higher at Post4 (2.5 cm [95% confidence interval (CI) = 2.0-3.0 cm]; ES = 0.35), Post8 (2.1 cm [95% CI = 1.4-2.8 cm]; ES = 0.29) and Post12 (2.2 cm [95% CI = 1.4-3.0 cm]; ES = 0.30) compared to Pre. The only significant interaction (protocol × time) was caused by a higher increment in CMJ height at Post4 for the low-volume (8.1 ± 3.7%) compared to the high-volume (5.8 ± 3.9%) protocol. The F-v profile did not explain a significant part of the change in CMJ height (variance explained < 10%).

CONCLUSIONS

These results suggest that low-volume DJ protocols could be more efficient to acutely increase CMJ performance, while the change in CMJ height was not affected by the F-v profile.

Effects of a 12-week resistance and aerobic exercise program on muscular strength and quality of life in breast cancer survivors: Study protocol for the EFICAN randomized controlled trial

BACKGROUND

The number of people living with the side effects of breast cancer treatment (eg, loss of muscular mass and muscular strength, upper-limb mobility and disability, lymphedema, cardiac toxicity, and reduced quality of life) is increasing yearly. These consequences can be improved through exercise, specially combining resistance and aerobic training. Previous exercise trials have not been consistent in applying training principles and standardized reporting, and this partly explains the variability in obtained results. The aim of this study is to assess the effect of a 12-week supervised resistance exercise program combined with home-based aerobic exercise, compared with home-based aerobic exercise only, on muscular strength and several aspects of health-related quality of life in breast cancer survivors. To maximize transparency, replicability, and clinical applicability, the intervention is described following the consensus on exercise reporting template.

METHODS

This study is a parallel-group randomized controlled trial in which 60 female breast cancer survivors, who have completed central treatments of the disease in the last 5 years, will be randomly assigned to either an experimental group that will perform a total of 24 progressive resistance training sessions for 12 weeks (ie, 2 weeks of individual training and 10 weeks of micro-group training) and will be requested to undertake 10,000 steps/d, or a control group that will be requested to undertake 10,000 steps/d, only. Outcomes will be evaluated at baseline and at week 12. Primary outcome measure is peak isometric muscular strength of the lower- and upper-body, assessed with several exercises through an electromechanical dynamometer. Secondary outcomes include cardiorespiratory fitness, upper-joint mobility and disability, health-related quality of life, cancer-related fatigue, depression, life satisfaction, and presence of lymphedema.

DISCUSSION

This study aims to investigate the extent to which a 12-week supervised and progressive resistance exercise program, in addition to home-based aerobic physical activity, might improve muscular strength and health-related quality of life in breast cancer survivors. The comprehensive description of the intervention will likely contribute to enhancing exercise prescription in this population.

TRIAL REGISTRATION NUMBER

ISRCTN14601208.

Supervised exercise following bariatric surgery in morbid obese adults: CERT-based exercise study protocol of the EFIBAR randomised controlled trial

BACKGROUND

There is increasing evidence of weight regain in patients after bariatric surgery (BS), generally occurring from 12 to 24 months postoperatively. Postoperative exercise has been suggested to ad long-term weight maintenance and to improve physical function in BS patients. However, there are a limited number of intervention studies investigating the possible benefits of exercise in this population. The aim of the current report is to provide a comprehensive CERT (Consensus on Exercise Reporting Template)-based description of the rationale and details of the exercise programme implemented in the EFIBAR Study (Ejercicio FÍsico tras cirugía BARiátrica), a randomised controlled trial investigating the effects of a 16-week supervised concurrent (aerobic and strength) exercise intervention program on weight loss (primary outcome), body composition, cardiometabolic risk, physical fitness, physical activity and quality of life (secondary outcomes) in patients with severe/morbid obesity following bariatric surgery.

METHODS

A total of 80 BS patients [60-80% expected women, aged 18 to 60 years, body mass index (BMI) ≥ 40 kg/m2 or ≥ 35 kg/m2 with comorbid conditions)] will be enrolled in the EFIBAR Randomized Control Trial (RCT). Participants allocated in the exercise group (n = 40) will undertake a 16-week supervised concurrent (strength and aerobic) exercise programme (three sessions/week, 60 min/session), starting 7 to 14 days after surgery. The rationale of the exercise programme will be described following the CERT criteria detailing the 16 key items. The study has been reviewed and approved by the Ethics Committee of the Torrecárdenas University Hospital (Almería, Spain) (ref. N° 76/2016).

DISCUSSION

The present study details the exercise programme of the EFIBAR RCT, which may serve: 1) exercise professionals who would like to implement an evidence-based exercise programme for BS patients, and 2) as an example of the application of the CERT criteria.

TRIAL REGISTRATION

The trial was prospectively registered at Clinicaltrials.gov NCT03497546 on April 13, 2018.

Preparation and structural characterization of vulcanized natural rubber nanocomposites containing nickel-zinc ferrite nanopowders

Single-phase polycrystalline mixed nickel-zinc ferrites belonging to Ni0.5Zn0.5Fe2O4 were prepared on a nanometric scale (mean crystallite size equal to 14.7 nm) by chemical synthesis named the modified poliol method. Ferrite nanopowder was then incorporated into a natural rubber matrix producing nanocomposites. The samples were investigated by means of infrared spectroscopy, X-ray diffraction, scanning electron microscopy and magnetic measurements. The obtained results suggest that the base concentration of nickel-zinc ferrite nanoparticles inside the polymer matrix volume greatly influences the magnetic properties of nanocomposites. A small quantity of nanoparticles, less than 10 phr, in the nanocomposite is sufficient to produce a small alteration in the semi-crystallinity of nanocomposites observed by X-ray diffraction analysis and it produces a flexible magnetic composite material with a saturation magnetization, a coercivity field and an initial magnetic permeability equal to 3.08 emu/g, 99.22 Oe and 9.42 x 10(-5) respectively.

Estimation of survival and gonotrophic cycle length of Simulium metallicum sensu lato (Diptera: Simuliidae) in southern Mexico

This study compares the use of a mark-recapture analysis and a time-series analysis to estimate the gonotrophic cycle length and survivorship of Simulium metallicum s.l. in southern Mexico. Daily collections were performed with human- and horse-baited traps at 3 sites in a coffee plantation. The mark-recapture and time series experiments on these collections conclusively yielded a gonotrophic cycle length estimate of 3 days. Horizontal estimates of daily survivorship ranged from 0.75 to 0.69 and these values were similar to that estimated vertically of 0.77. The survival to infective stage (9 days) ranged from 0.012 to 0.043, taking into account at least 12 days for development of 3rd-stage larvae of Onchocerca volvulus. Mark-recapture and time-series methods were found to be suitable for estimating the gonotrophic cycle length and daily survivorship of S. metallicum s.l. under field conditions in southern Mexico.

Detection of Onchocerca volvulus infection in Simulium ochraceum sensu lato: comparison of a PCR assay and fly dissection in a Mexican hypoendemic community

Detection of Onchocerca volvulus larvae in vector populations is of prime importance in the assessment of the effectiveness of onchocerciasis control programmes. Traditionally, detection of larvae is attained by the dissection of flies, but this time-consuming method cannot easily discriminate between species of Onchocerca. The genome of all Onchocerca species has a unique 150 bp repeat, which can be amplified by PCR, and O. volvulus-specific DNA probes can detect these products by Southern blot (SB). This study optimizes a PCR/SB assay, and compares it with fly dissection to estimate the prevalence (p) and intensity of infection (m) in the local vector population of a Mexican community that has become hypoendemic as a result of 7 years of treatment with ivermectin and nodulectomy. The PCR detected 1 infected fly in a pool of 99 uninfected flies, but the optimal pool size was 50 flies. At the community level, 1 out of 10,550 flies was positive (p = 0.0095%, 95% confidence intervals CI = 0.00024-0.05280%; m = 0.00027 larvae/parous fly, CI = -0.00026-0.00081) by PCR, and 4 out of 10,772 flies (p = 0.0371%, CI = 0.01012-0.09505%; m = 0.00107 larvae/parous fly, 95% CI = 0.00002-0.00212) by dissection (observed m = 0.0005). Both methods produce statistically similar estimates of the prevalence and intensity, indicating that pool screening is a viable alternative for entomological surveillance in areas where the intensity of transmission is becoming extremely low as a result of control interventions.

Comparison of serological and parasitological assessments of Onchocerca volvulus transmission after 7 years of mass ivermectin treatment in Mexico

OBJECTIVE AND METHOD

To compare the utility of an ELISA using 3 recombinant antigens with that of the skin biopsy to estimate incidence of infections in a sentinel cohort of individuals living in an endemic community in southern Mexico during a set of 11 subsequent ivermectin treatments.

RESULTS

The apparent community prevalence of infection and microfilarial skin infection before and after 11 treatments with ivermectin plus nodulectomy were 78% and 13%, and 0.68 mf/mg and 0.04 mf/mg, respectively, as measured by skin biopsy. Of a group of 286 individuals participating in all surveys, a sentinel cohort of 42 mf and serologically negative individuals had been followed since 1994. The annual percentage of individuals becoming positive in this cohort was 24% (10/42), 28% (9/33), 0%, and 4.3% (1/23) in 1995, 1996, 1997 and 1998, respectively. Likewise, the incidence in children 5 years and under (n = 13) within this sentinel cohort was 15% (2/13), 18% (2/11), 0% and 11% (1/9), respectively. All individuals became positive to both tests simultaneously, indicating that seroconversion assessed infection incidence as accurately as skin biopsy in the sentinel group.

CONCLUSION

Incidence monitoring of a sentinel cohort provides an estimation of the parasite transmission in the community; it is less costly than massive sampling, and a finger prick blood test might be more acceptable in some communities.

Determination of sample sizes for the estimation of Onchocerca volvulus (Filarioidea: Onchocercidae) infection rates in biting populations of Simulium ochraceum s.l. (Diptera: Simuliidae) and its application to ivermectin control programs

Monthly samples of biting Simulium ochraceum s.l. Walker were collected before and after ivermectin treatment in southern Mexico and analyzed for Onchocerca volvulus Leuckart infection rates, infection intensity, and the characteristics of larval distribution among parous flies. The variance over mean ratio (VMR) indicated that in all cases this distribution departed from Poisson and was strongly aggregated (VMR > 1). The negative binomial was found to be an adequate model with a small value of the aggregation parameter k, but the degree of larval overdispersion increased as the mean larval load decreased, invalidating the use of a common kc value. A linear relationship between k and the mean (mu) was established, k(mu) = k1 mu, which permitted exploration of the relationship between the observed proportion of infected flies, p, and the estimated mean larval burden per fly, m (all larval stages in parous flies). This would allow mean numbers of larvae per parous fly to be predicted from presence-absence data (e.g., from infection rates provided by polymerase chain reaction methods applied to pools of flies), assuming that k1 is a known parameter. Given that both p and m are naturally low in S. ochraceum, their relationship was practically linear within the range of observed values. Predictions were tested with the Mexican data from which the clumping parameter was estimated as well as for Guatemalan data for which this information was not available. Results showed a highly satisfactory degree of agreement between predictions and observations. The sample sizes required to estimate mean larval loads from prevalence data for fixed levels of precision (defined as the ratio between SE[m] and m) were calculated for realistic S. ochraceum infection rates (those found in published pre- and postcontrol field surveys as well as in this work). For the special case in which the relationship between k and the mean is linear and goes through the origin, k(mu) = k1 mu, the number of flies to be examined for O. volvulus infections does not explicitly depend on the aggregation parameter, but rather on the unknown proportion of infected flies. Practical recommendations for the calculation of sample sizes are discussed. For infection levels < 0.2%, a minimum number between 6,000 and 13,000 parous flies would have to be examined to estimate the mean larval load with a precision between 0.20 and 0.30. The linearity between onchocercal infection rate and infection intensity in the fly population indicates that relationships between the former and onchocerciasis patterns in the human population should be further explored for the purposes of monitoring the impact of ivermectin control programs through entomological evaluations.

[The effect of ivermectin on the transmission of Onchocerca volvulus in southern Mexico]

We assessed the transmission potential and the mean infected and infective biting density of S. ochraceum in an onchocerciasis endemic community in the southern Mexican state of Chiapas. In addition, the impact of first treatment of ivermectin during the peak of natural infection of host-seeking S. ochraceum populations was also evaluated. Monthly entomological sampling was carried out during the year before treatment to assess the seasonal biting behavior of parous host-seeking S. ochraceum females, and either infected (with whatever stage of O. volvulus) or infective females (with only third larval stage of O. volvulus). The mean of infective biting density was unimodal with the peak in February. Higher densities of infective females were detected from January to March. Annual infective biting density estimated was 95.2 and the annual transmission potential of 152.3. After treatment with ivermectin, entomological collections were carried out during the December-April period. In these months, the first ivermectin mass treatment produced a reduction of natural infection rates of 55 per cent in the mean infected females density (p < 0.001) and of 30 per cent in the transmission potential. However, significative differences were found in parity rates of biting females during the evaluation periods. Decrease of infection rates in vector populations was caused by immediate effect of ivermectin over the skin microfilariae. Microfilariae community load available for transmission declined significantly from 14 Dmg/mg to 5.9 Dmf/mg. These means were statistically different (p < 0.001) and were reduced by 58 per cent from the baseline value.

[Problems in the investigation of the control of Onchocerca volvulus in Mexico]

The treatment and control of onchocerciasis in Mexico has been supported only on the administration of diethylcarbamazine and the removal of adult worms, which are in the onchocercomata. These actions seems to have diminished the prevalence and incidence of blindness in those individuals who are affected by this parasitosis. However, there has not been an important impact on onchocerciasis transmission. The objective of this paper is to critically analyze and discuss subjects related to diagnosis, treatment and control of onchocerciasis transmission in Mexico. Chemical vector control has been successfully achieved in other world regions; however, in Mexico, it has not been fully accepted as part of the integral onchocerciasis control due to several causes. Moreover, there has been few scientific research activities toward the search of new options for vector control. Recently, results of research on ivermectin (a microfilaricide agent) have indicated that this drug is effective and safe for the treatment of onchocerciasis. Additionally, it has been reported that ivermectin has an effect on the onchocerciasis transmission. However, there are several unanswered questions about the efficacy of ivermectin in stopping onchocerciasis transmission. In this report, the main efforts carried out in Mexico against onchocerciasis are analysed and problems related with diagnosis, treatment and control are also discussed. Some parameters for the correct evaluation of onchocerciasis control, with entomological emphasis, are proposed.