27 results on '"Kristoffersen, M"'
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2. Semi-confined blast loading: experiments and simulations of internal detonations
- Author
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Kristoffersen, M., Casadei, F., Valsamos, G., Larcher, M., Hauge, K. O., Minoretti, A., and Børvik, T.
- Published
- 2024
- Full Text
- View/download PDF
3. Solution for the Dynamic Elastically Compressible Power-Law Strain Hardening Cylindrical Cavity-Expansion Problem
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Warren, T. L., Johnsen, J., Kristoffersen, M., and Børvik, T.
- Published
- 2023
- Full Text
- View/download PDF
4. Retrieving meaningful information from detrital zircon in Palaeoproterozoic sedimentary rocks: Provenance, timing of deposition, metamorphism and alteration of zircon in sandstones of the Pretoria Group in the Transvaal Basin, South Africa.
- Author
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Andersen, T., Elburg, M. A., Kristoffersen, M., and de Kock, M.
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GREAT Oxidation Event ,TRACE element analysis ,CLASTIC rocks ,SEDIMENTARY rocks ,IGNEOUS rocks - Abstract
The Palaeoproterozoic sandstones and quartzites of the Pretoria Group (Transvaal Supergroup) in the Transvaal Basin of South Africa are important markers for regional correlations and dating of events of global importance (e.g., the Great Oxidation Event). The succession has few independent age markers, and much of the discussion about the time of deposition and the source of material of these rocks has been based on data from detrital zircon suites. The clastic sedimentary rocks of the Pretoria Group contain detrital zircon grains ranging from the Mesoarchaean to ages that are near-contemporaneous to, and even younger than the overlying and crosscutting igneous rocks of the Bushveld Complex. We show that the U-Pb age and Lu-Hf isotope distributions of the detrital zircon population in the Pretoria Group are the result of three different types of processes, acting successively: (1) Crystallisation in the igneous or metamorphic protosource rock (i.e., the rock where the zircon originally crystallised), (2) Metamorphic and hydrothermal resetting of the U-Pb chronometer induced by emplacement and crystallisation of the 2 055 Ma Bushveld Complex, and (3) Late, low-temperature processes (e.g., weathering). Critical age markers of maximum ages of deposition obtained after excluding effects of (2) and (3) are the 2 200 Ma Magaliesberg Formation (outside of the Bushveld aureole) and the 2 080 to 2 100 Ma Lakenvalei Formation. The Leeuwpoort Formation is a worst-case example, containing both young (<2 200 Ma) unmodified detrital zircon and hydrothermally altered zircon in the same age range. The two can only be distinguished from trace element analyses. Age distributions of Archaean and early Palaeoproterozoic zircon age fractions overlap with detrital zircon age suites in lower (i.e., pre-Timeball Hill Formation) parts of the Transvaal Supergroup, suggesting recycling within the basin or from the basin margin. Overlaps in 2 200 to 2 350 Ma zircon ages with those of volcanogenic zircon in the Timeball Hill Formation again suggest recycling. The origin of 2 080 to 2 150 Ma zircon is uncertain, but neither poorly constrained sources in the Kaapvaal Craton (e.g., Okwa Basement Complex) nor recycling of volcanogenic material from post-Magaliesberg formations can be ruled out. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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5. Correlations on the southern Kaapvaal Craton Margin, 1: Ventersdorp lavas transgressed the Doornberg lineament.
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Cornell, D. H., Meintjes, P. G., van der Westhuizen, W. A., and Kristoffersen, M.
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ZIRCON ,STRATIGRAPHIC correlation ,LAVA ,SHEAR zones ,CONTINENTAL margins ,URANIUM-lead dating ,RUTILE - Abstract
Two small exposures of quartz-porphyritic rocks occur on the farm Zoutpekel 98 in the Marydale Terrane between the Doornberg Fault and Brakbos Shear Zone, apparently overlying Kaapvaal basement granite but lacking clear field relationships due to sand and Dwyka tillite cover. They are lavas and tuffs, metamorphosed in lower amphibolite facies. They contain quartz phenocrysts with a distinctive blue colour, due to metamorphic exsolution of rutile. Microbeam U-Pb zircon dating gives a combined 207Pb/206Pb age of 2 722 ± 3 Ma (seven determinations on four samples), interpreted as the age of extrusion. Three of these samples give the same discordia upper intercept age, but one sample gives discordia intercepts of 2 688 ± 15 and 1 223 ± 120 Ma, thought to reflect metamorphic lead loss related to the ~1 210 Ma Namaqua terrane assembly collisions. The Zoutpekel exposures are coeval with the 2 720 ± 2 Ma Makwassie Formation of the Platberg Group, Ventersdorp Supergroup. They also correspond geochemically to the Makwassie Formation and no other unit of the supergroup. A sample from the T'kuip Formation of the nearest Ventersdorp Supergroup inlier on the Kaapvaal Craton (east of the Doornberg Fault), gives an age of 2 716 ± 8 Ma, also confirming its lithostratigraphic and geochemical correlation with the Makwassie Formation. The Zoutpekel exposures show that not only the Kaapvaal basement granites, but also the supracrustal cover rocks of the Ventersdorp Supergroup, extend southwards across the Doornberg Fault, The Marydale Terrane is thus not an exotic terrane, but probably represents a passive continental margin developed at the beginning of the 1 300 to 1 000 Ma Namaqua-Natal Wilson cycle. The age range of the Ventersdorp Supergroup and the age and stratigraphic correlation of the Marydale Group thrust complex, which straddles the Zoutpekel exposures, will be investigated in two companion papers. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Development of video tutorials to help parents manage children with acute illnesses using a modified Delphi method
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Borch-Johnsen, L., Andrés-Jensen, L., Folke, F., Espersen, M. M., Amstrup, S. L., Frederiksen, M. S., Gjærde, L. K., Hjelvang, B. R., Kristoffersen, M. J., Lundby-Christensen, L., Schrøder, M., Spangenberg, K. B., Lund, S., Cortes, D., Borch-Johnsen, L., Andrés-Jensen, L., Folke, F., Espersen, M. M., Amstrup, S. L., Frederiksen, M. S., Gjærde, L. K., Hjelvang, B. R., Kristoffersen, M. J., Lundby-Christensen, L., Schrøder, M., Spangenberg, K. B., Lund, S., and Cortes, D.
- Abstract
Aim Children often fall sick, which causes concern among parents. Online health information can be confusing and difficult to understand. We aimed to produce simple, informative video tutorials on the symptoms ill children present. Methods We used a modified Delphi method to produce video tutorials on the symptoms of fever, vomiting and diarrhoea, abdominal pain, breathing difficulties, sore throat, red eyes, earache and rash. We identified the most common symptoms in acutely ill children. During the first consensus round, experts rated statements on out-of-hospital management from existing health information. Video tutorials were produced from statements rated to be included. The second consensus round involved video showings and editing. Two videos were evaluated in focus groups by parents. Results During the first round, experts rated a median of 79 (40–154) statements for each symptom. Panels consisted of a median of seven (6–11) experts, primarily. Panels reached a consensus on inclusion, neutrality or exclusion in 83% of statements. The second round led to adjustments to the videos and final approval by experts. Most parents evaluated the videos as ‘informative, easy to understand and calming’. Conclusion We produced video tutorials on the common symptoms ill children present using a modified Delphi method. Feedback from parents in focus groups was positive., Aim: Children often fall sick, which causes concern among parents. Online health information can be confusing and difficult to understand. We aimed to produce simple, informative video tutorials on the symptoms ill children present. Methods: We used a modified Delphi method to produce video tutorials on the symptoms of fever, vomiting and diarrhoea, abdominal pain, breathing difficulties, sore throat, red eyes, earache and rash. We identified the most common symptoms in acutely ill children. During the first consensus round, experts rated statements on out-of-hospital management from existing health information. Video tutorials were produced from statements rated to be included. The second consensus round involved video showings and editing. Two videos were evaluated in focus groups by parents. Results: During the first round, experts rated a median of 79 (40–154) statements for each symptom. Panels consisted of a median of seven (6–11) experts, primarily. Panels reached a consensus on inclusion, neutrality or exclusion in 83% of statements. The second round led to adjustments to the videos and final approval by experts. Most parents evaluated the videos as ‘informative, easy to understand and calming’. Conclusion: We produced video tutorials on the common symptoms ill children present using a modified Delphi method. Feedback from parents in focus groups was positive.
- Published
- 2023
7. Development of video tutorials to help parents manage children with acute illnesses using a modified Delphi method
- Author
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Borch‐Johnsen, L., primary, Andrés‐Jensen, L., additional, Folke, F., additional, Espersen, M. M., additional, Amstrup, S. L., additional, Frederiksen, M. S., additional, Gjærde, L. K., additional, Hjelvang, B. R., additional, Kristoffersen, M. J., additional, Lundby‐Christensen, L., additional, Schrøder, M., additional, Spangenberg, K. B., additional, Lund, S., additional, and Cortes, D., additional
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- 2023
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8. Zircon xenocrysts obscured the zircon date for the lower Koras Group, southern Africa
- Author
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Cornell, D.H., primary, Harris, M., additional, Frei, D., additional, Mapani, B., additional, Malobela, T., additional, Jonsson, A.K., additional, Lundell, C., additional, and Kristoffersen, M., additional
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- 2023
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9. Solution for the Dynamic Elastically Compressible Power-Law Strain Hardening Cylindrical Cavity-Expansion Problem
- Author
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Warren, T. L., primary, Johnsen, J., additional, Kristoffersen, M., additional, and Børvik, T., additional
- Published
- 2022
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10. Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.
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May H, Millar J, Griffith E, Gillmore C, Kristoffersen M, Robinson R, and West M
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- Humans, Burnout, Professional psychology, Burnout, Professional prevention & control, Compassion Fatigue psychology, Stress, Psychological psychology, Mental Health Services, Mental Health, Empathy, Health Personnel psychology
- Abstract
Consistently engaging with client distress can negatively impact mental health workers (MHWs). This has been described by the concept of empathy-based stress (EBS) (which encompasses burnout; secondary traumatic stress; compassion fatigue and vicarious trauma). Previous reviews of interventions to reduce EBS have not addressed MHWs as a distinct group, despite evidence suggesting they are particularly vulnerable to it. In the context of rising demand for mental health services, it is especially important to understand how to mitigate the impact of EBS on MHWS. This scoping review therefore aimed to identify and describe available interventions to reduce or prevent EBS in MHWs. A systematic scoping review of the literature between 1970 and 2022 was undertaken using five electronic databases. A total of 51 studies were included, which varied significantly with regards to: interventions used; study methodology and theoretical underpinnings. Studies were grouped according to the level at which they aimed to intervene, namely: individual; team or organisational. The review concluded that most studies intervened at the level of the individual, despite the proposed causes of EBS being predominantly organisational. Furthermore, theoretical links to the origins of EBS were largely unclear. This suggests a lack of empirical evidence from which organisations employing MHWs can draw, to meaningfully prevent or reduce EBS in their staff. A dedicated research agenda is outlined to address this, and, other pertinent issues in the field and signifies a call for more theoretically grounded research., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 May et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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11. Training volume and total energy expenditure of an Olympic and Ironman world champion: approaching the upper limits of human capabilities.
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Dasa MS, Bu OA, Sandbakk Ø, Rønnestad BR, Plasqui G, Gundersen H, and Kristoffersen M
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- Humans, Male, Physical Endurance physiology, Adult, Bicycling physiology, Energy Intake physiology, Running physiology, Swimming physiology, Energy Metabolism physiology, Athletes
- Abstract
Research on world-class athletes in endurance events, such as cycling Grand Tours, has reported extreme levels of total energy expenditure. However, it has been argued that over extended periods, such as months, sustained energy expenditure is capped at approximately 2.5 times the basal metabolic rate. Triathlon is particularly notable for its high energetic demands due to its multimodal nature, requiring athletes to maintain high training volumes. In this case study, we analyzed the total energy expenditure of world-class triathlete Kristian Blummenfelt using doubly labeled water over two specific periods, along with 3 yr of training data. Total energy expenditure ranged from 7,019 to 8,506 kcal/day. Reported energy intake ranged from 4,899 to 6,360 kcal/day. The annual training volumes for the years 2020-2022 were 1,480, 1,350, and 1,308 h, respectively, following a pyramidal intensity distribution. Approximately 53% of the entire three-year period matched with the doubly labeled water measurement periods in terms of training volume, indicating that the recorded total energy expenditure is representative of the majority of the observed data. Hence, the greater part of the 3-yr period likely exceeds the proposed metabolic ceiling for sustained total energy expenditure. This not only questions the validity of the current metabolic limits but also suggests a new perspective on what is physiologically achievable in world-class athletes. NEW & NOTEWORTHY The current paper presents unprecedented data on the training volume and intensity distribution of a world-class triathlete. Furthermore, using doubly labeled water measurements and training data, we argue that our findings challenge the proposed alimentary limit for sustained energy expenditure, thereby raising the upper boundary of what is physiologically possible in humans.
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- 2024
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12. The higher the fraction of maximal oxygen uptake is during interval training, the greater is the cycling performance gain.
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Odden I, Nymoen L, Urianstad T, Kristoffersen M, Hammarström D, Hansen J, Mølmen KS, and Rønnestad BR
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- Humans, Male, Female, Adult, Young Adult, High-Intensity Interval Training methods, Lactic Acid blood, Heart Rate physiology, Oxygen Consumption physiology, Bicycling physiology, Athletic Performance physiology, Adaptation, Physiological physiology, Physical Endurance physiology
- Abstract
It has been suggested that time at a high fraction (%) of maximal oxygen uptake (VO
2max ) plays a decisive role for adaptations to interval training. Yet, no study has, to date, measured the % of VO2max during all interval sessions throughout a prolonged training intervention and subsequently related it to the magnitude of training adaptations. Thus, the present study aimed to investigate the relationship between % of VO2max achieved during an interval training intervention and changes in endurance performance and its physiological determinants in well-trained cyclists. Twenty-two cyclists (VO2max 67.1 (6.4) mL·min-1 ·kg-1 ; males, n = 19; females, n = 3) underwent a 9-week interval training intervention, consisting 21 sessions of 5 × 8-min intervals conducted at their 40-min highest sustainable mean power output (PO). Oxygen uptake was measured during all interval sessions, and the relationship between % of VO2max during work intervals and training adaptations were investigated using linear regression. A performance index was calculated from several performance measures. With higher % of VO2max during work intervals, greater improvements were observed for maximal PO during the VO2max test (R2 adjusted = 0.44, p = 0.009), PO at 4 mmol·L-1 [blood lactate] (R2 adjusted = 0.25, p = 0.035), the performance index (R2 adjusted = 0.36, p = 0.013), and VO2max (R2 adjusted = 0.54, p = 0.029). Other measures, such as % of maximal heart rate, were related to fewer outcome variables and exhibited poorer session-to-session repeatability compared to % of VO2max . In conclusion, improvements in endurance measures were positively related to the % of VO2max achieved during interval training. Percentage of VO2max was the measure that best reflected the magnitude of training adaptations., (© 2024 The Author(s). European Journal of Sport Science published by Wiley‐VCH GmbH on behalf of European College of Sport Science.)- Published
- 2024
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13. Risk and prevalence of Relative Energy Deficiency in Sport (REDs) among professional female football players.
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Dasa MS, Friborg O, Kristoffersen M, Pettersen G, Sagen JV, Torstveit MK, Sundgot-Borgen J, and Rosenvinge JH
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- Humans, Female, Cross-Sectional Studies, Prevalence, Norway epidemiology, Young Adult, Adult, Risk Factors, Athletes statistics & numerical data, Adolescent, Relative Energy Deficiency in Sport epidemiology, Soccer statistics & numerical data
- Abstract
A high prevalence of low energy availability (LEA) has been reported in female football players. This is of concern as problematic LEA may evolve into a syndromic pattern known as relative energy deficiency in sport (REDs). Given the difficulties in accurately assessing LEA, our study shifts emphasis to measurable indicators of REDs, serving as proxies for health detriments caused by LEA. The present cross-sectional study aimed to quantify the risk of REDs and to assess the prevalence of indicators indicative of the syndrome. 60 players (tiers 3 and 4) from three Norwegian football teams were analyzed as a single cohort but also stratified based on player position and menstrual status. The proportion of players at risk for REDs was 22%, that is, 17% with mild, 3% with moderate to high, and 2% with very high/extreme risk, respectively. The majority of the cohort (71%) presented with no primary indicators, while 20%, 7%, and 2% presented with one, two, and three primary indicators, respectively. Regarding secondary indicators, 57% had none, 33% had one, and 10% had two indicators. For associated indicators, 30% had none, 42% had one, 18% had two, 8% had three, and 2% had four indicators. Player position did not affect the prevalence of REDs indicators. Among noncontraceptive users (n = 27), secondary amenorrhea (AME) was reported by 30%. These findings indicate that health and performance teams should prioritize universal health promoting strategies rather than selective or indicative strategies. Particularly, focus on nutritional periodization to secure sufficient energy availability, mitigating the risk of problematic LEA and REDs should be addressed., (© 2024 The Author(s). European Journal of Sport Science published by Wiley‐VCH GmbH on behalf of European College of Sport Science.)
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- 2024
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14. Acute response in circulating microRNAs following a single bout of short-sprint and heavy strength training in well-trained cyclists.
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Ryningen A, Rostad K, Ersvær E, Sjøholt G, Paulsen G, Gundersen H, Kristoffersen M, and Bjørkhaug L
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Background: Heavy strength (HS) and short-sprint (SS) are commonly used training methods for competitive road cyclists, with the aim to improve the anaerobic power and short time cycling performance. Knowledge of how such training methods affects biochemical as well as molecular factors, are particularly important for determining individual recovery and long-term adaptations. The primary aim of the current study was to investigate the expression levels of small non-coding RNAs in response to HS and SS training in elite cyclists as potential biomarkers for individual optimal restitution time. Methods: Eleven well trained cyclists performed one session of HS training and one session of SS training on separate days. Blood samples were taken at baseline and 5 min, 1 h and 21 h post training. Along with physiological measurements and biochemical factors (serum creatine kinase, myoglobin, human growth hormone and plasma lactate), real-time quantitative PCR was used to explore whether HS and/or SS training influenced the abundance of 24 circulating miRNAs, in serum, associated with muscle development, angiogenesis, and/or inflammation. Results: Based on complete miRNA profiles from nine cyclists, the miRNAs showing most altered expression after both training sessions included the three striated muscle-specific miRNAs (myomiRs) miR-1-3p, 133a-3p and 133b-3p. While all three miRNAs showed significantly highest expression at 1 h post HS session, the acute effect of the SS session included a significantly higher level of miR-1-3p alone, at 5 min (highest), as well as at 1 h and 21 h post session. Correlation (negative) with biochemical markers was only shown for miR-133a-3p and CK (r = -0.786, p = 0.041) and between miR-133b-3p and [La
- ] (r = -0.711, p = .032), at 21 h post SS session. Conclusion: Our findings support that unique myomiRs are regulated by HS and SS training. Such knowledge may be important for individually adjusted restitution times., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Ryningen, Rostad, Ersvær, Sjøholt, Paulsen, Gundersen, Kristoffersen and Bjørkhaug.)- Published
- 2024
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15. Epistemic discourses concerning the competence developed in a norwegian master's degree program in health science.
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Kristoffersen M and Oftedal BF
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- Humans, Adult, Middle Aged, Thinking, Health Personnel, Attitude of Health Personnel, Education, Nursing, Graduate
- Abstract
It has been claimed that various discourses related to competence influence higher education, but there is limited understanding of the discourses underlying competence development. The specific aim of this study was to explore epistemic discourses concerning the development of competence of health professionals with a master's degree in health science. Accordingly, the study was qualitative and adopted discourse analysis. Twelve participants, all of whom were Norwegian health professionals aged between 29 and 49 years, participated in this study. Four participants were in the final stage of study for their master's degree with three months left before completion, four had completed their degree two weeks before their participation, and four had been working for one year after the completion of their degree. Data were collected in three group interviews. Three epistemic discourses were revealed: (1) a critical thinking competencies discourse, (2) a scientific thinking competencies discourse, and (3) a competence-in-use discourse. The former two discourses were considered the dominant discourses and indicated that a knowing "that" discourse connected the specialized competence of different health professionals with a wider field of competence. This wider field transcended the boundaries of various health disciplines and represented a novel competence developed through a synergizing process between critical and scientific thinking competencies, which seems to drive continued competence development. A competence-in-use discourse was formed in the process. This discourse can be viewed as a unique outcome that contributes to health professionals' specialized competence and suggests that a knowing "how" discourse was also an underlying background discourse., (© 2023. The Author(s).)
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- 2024
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16. Evaluating the Suitability of the Low Energy Availability in Females Questionnaire (LEAF-Q) for Female Football Players.
- Author
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Dasa MS, Friborg O, Kristoffersen M, Pettersen G, Sagen JV, Sundgot-Borgen J, and Rosenvinge JH
- Abstract
Background: The Low Energy Availability in Females Questionnaire (LEAF-Q) is a screening tool developed to detect endurance athletes and dancers at risk for development of persistent low energy availability (LEA) and the female athlete triad (Triad). This study investigated the applicability of the LEAF-Q in a cohort of sixty professional female football players., Methods: The participants were classified as at risk (≥ 8) or not at risk (< 8) for persistent LEA and the Triad according to their LEAF-Q score, before being compared. Receiver operating curves were then conducted to examine the ability of the overall LEAF-Q and subcategories to correctly determine the presence of clinically defined markers of the Triad. Additionally, Youden's index was calculated to determine the best fitting cut-off values., Results: Thirty-two percent of participants were classified as at risk by the LEAF-Q. We found no statistically significant differences between the two groups for any markers associated with persistent LEA. Except for acceptable accuracy in determining menstrual status, all other LEAF-Q components exhibited poor accuracy and predictive values. Youden's index scores imply that increasing the overall and injury cut-off values to ≥ 10 and ≥ 5 respectively, would yield increased performance., Conclusions: Our findings do not support the use of the LEAF-Q for the purpose of detecting LEA and Triad conditions among female football players., (© 2023. The Author(s).)
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- 2023
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17. What school nurses receive for themselves that influences their remaining in practice: A qualitative study.
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Mæland LH, Oftedal BF, and Kristoffersen M
- Abstract
Background: Previous research indicates a link between what nurses receive for themselves and their remaining in practice. In Norway, school nurses tend to remain in practice, but what it is they receive for themselves has been scarcely studied. The aim of this study, therefore, was to describe and interpret what it is school nurses receive for themselves that influences their remaining in practice., Method: The study has a qualitative design with a hermeneutic approach. Data were collected through individual interviews on two separate occasions with 15 Norwegian school nurses. The data were analysed using a phenomenological hermeneutic method., Results: Two themes demonstrate what it is the school nurses receive for themselves: (1) 'Gaining interesting workdays for yourself' and (2) 'Attaining pleasure for yourself'. Each theme has two sub-themes. The first theme involved the school nurses 'having an attractive scope of practice' and 'having varied tasks'. The second theme involved 'being trusted' and 'being given a response'. The study themes can be comprehensively understood as an expression of what the school nurses identify as the main locus of the good work-life. The school nurses' remaining seems to revolve around what it is they receive on their own behalf: an affirmation for their ordinary life and what they do as a nurse., Conclusion: This study highlights that what school nurses receive on their own behalf may influence their remaining in practice. It adds to previous research with a more specific understanding of nurses remaining in practice by stating that in identifying the main locus of the good work-life, the school nurses received affirmation for their ordinary life and what they do as a nurse. Thus, it is important that nurses identify the main locus of a good work-life for themselves, as receiving affirmation for what they do in their ordinary workdays may influence their remaining in practice. REGISTRATION OF CLINICAL TRIAL AND REGISTRATION IDENTIFICATION NUMBER: The study was approved by the Norwegian Centre for Research Data (project 59195). National Research Ethics Committee approval was not required, as the study only involved health professionals and did not ask for sensitive information., (© 2023. The Author(s).)
- Published
- 2023
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18. Energy expenditure, dietary intake and energy availability in female professional football players.
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Dasa MS, Friborg O, Kristoffersen M, Pettersen G, Plasqui G, Sundgot-Borgen JK, and Rosenvinge JH
- Abstract
Objectives: To quantify energy expenditure and intake in professional female footballers playing on a national and/or international level. Second, to determine the prevalence of low energy availability among these players, defined as <30 kcal/kg fat-free mass (FFM)/day., Methods: Fifty-one players completed a 14-day prospective observational study during the 2021/2022 football season. Energy expenditure was determined using the doubly labelled water method. Energy intake was assessed using dietary recalls, while global positioning system determined the external physiological load. Descriptive statistics, stratification and the correlation between explainable variables and outcomes were conducted to quantify the energetic demands., Results: The mean energy expenditure for all players (22±4 years) was 2918±322 kcal. Mean energy intake was 2274±450 kcal, resulting in a discrepancy of ~22%. Carbohydrate intake was below the recommended guidelines on match day at 4.5±1.9 g/kg. The mean energy availability was 36.7±17.7 kcal/kg FFM/day on matchday and 37.9±11.7 kcal/kg FFM/day on training days, resulting in a prevalence of 36% and 23% for low energy availability during the observational period, respectively., Conclusion: These elite female football players displayed moderate energy expenditure levels and failed to meet the recommended levels of carbohydrate intake. In conjunction with inadequate nutritional periodisation, this will likely hamper performance through inadequate muscle glycogen resynthesis. In addition, we found a considerable prevalence of low energy availability on match and training days., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2023
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19. The effects of being told you are in the intervention group on training results: a pilot study.
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Lindberg K, Bjørnsen T, Vårvik FT, Paulsen G, Joensen M, Kristoffersen M, Sveen O, Gundersen H, Slettaløkken G, Brankovic R, and Solberg P
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- Adolescent, Adult, Female, Humans, Male, Young Adult, Bayes Theorem, Muscle Strength, Pilot Projects, Weight Lifting, Athletic Performance, Resistance Training methods
- Abstract
Little is known about the placebo effects when comparing training interventions. Consequently, we investigated whether subjects being told they are in the intervention group get better training results compared to subjects being told they are in a control group. Forty athletes (male: n = 31, female: n = 9) completed a 10-week training intervention (age: 22 ± 4 years, height: 183 ± 10 cm, and body mass: 84 ± 15 kg). After randomization, the participants were either told that the training program they got was individualized based on their force-velocity profile (Placebo), or that they were in the control group (Control). However, both groups were doing the same workouts. Measurements included countermovement jump (CMJ), 20-m sprint, one-repetition maximum (1RM) back-squat, a leg-press test, ultrasonography of muscle-thickness (m. rectus femoris), and a questionnaire (Stanford Expectations of Treatment Scale) (Younger et al. in Clin Trials 9(6):767-776, 2012). Placebo increased 1RM squat more than Control (5.7 ± 6.4% vs 0.9 ± 6.9%, [0.26 vs 0.02 Effect Size], Bayes Factor: 5.1 [BF
10 ], p = 0.025). Placebo had slightly higher adherence compared to control (82 ± 18% vs 72 ± 13%, BF10 : 2.0, p = 0.08). Importantly, the difference in the 1RM squat was significant after controlling for adherence (p = 0.013). No significant differences were observed in the other measurements. The results suggest that the placebo effect may be meaningful in sports and exercise training interventions. It is possible that ineffective training interventions will go unquestioned in the absence of placebo-controlled trials., (© 2023. The Author(s).)- Published
- 2023
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20. What school nurses strive to achieve for themselves in order to remain in practice: A qualitative study.
- Author
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Maeland LH, Oftedal BF, and Kristoffersen M
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- Humans, Qualitative Research, Hermeneutics, Records, Attitude of Health Personnel, Nurses
- Abstract
Aim: This study aims to describe and interpret what it is school nurses strive to achieve for themselves in order to remain in practice., Design: A qualitative study with a hermeneutic approach., Method: The data were collected by means of in-depth interviews with 15 Norwegian school nurses on two separate occasions and analysed using a phenomenological hermeneutic method., Results: The analysis resulted in the following themes: (1) trusting your own professional ability, (2) aspiring to appreciation and (3) accomplishing self-care. These themes were reflected in the school nurses' choices and actions and were regarded as an expression of what was of value to them as a nurse. Thus, the nurses' realizing what they strived to achieve for themselves can comprehensively be understood as a good of higher value for their remaining in nursing practice., (© 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.)
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- 2023
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21. Effects of environmentally relevant concentrations of microplastics on amphipods.
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Rani-Borges B, Meitern R, Teesalu P, Raudna-Kristoffersen M, Kreitsberg R, Heinlaan M, Tuvikene A, and Ivask A
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- Animals, Microplastics toxicity, Plastics toxicity, Polyethylene toxicity, Glutathione pharmacology, Superoxide Dismutase, Amphipoda, Water Pollutants, Chemical analysis
- Abstract
Lack of microplastics (MP) toxicity studies involving environmentally relevant concentrations and exposure times is concerning. Here we analyzed the potential adverse effects of low density polyethylene (LDPE) MP at environmentally relevant concentration in sub-chronic exposure to two amphipods Gmelinoides fasciatus and Gammarus lacustris, species that naturally compete with each other for their habitats. 14-day exposure to 2 μg/L (8 particles/L corresponding to low exposure) and 2 mg/L (∼8400 particles/L, corresponding to high exposure) of 53-100 μm LDPE MP were used to assess ingestion and egestion of MP, evaluate its effects on amphipod mortality, swimming ability and oxidative stress level. Both amphipod species were effectively ingesting and egesting LDPE MP. On the average, 0.8 and 2.5 MP particles were identified in the intestines of each amphipod exposed to 2 μg/L and 2 mg/L LDPE MP, respectively. Therefore, intestinal MP after 14-day exposure did not fully reflect the differences in LDPE MP exposure concentrations. Increased mortality of both amphipods was observed at 2 mg/L LDPE MP and in case of G. lacustris also at 2 μg/L exposure. The effect of LDPE on swimming activity was observed only in case of G. fasciatus. Oxidative stress marker enzymes SOD, GPx and reduced glutathione GSH varied according to amphipod species and LDPE MP concentration. In general G. lacustris was more sensitive towards LDPE MP induced oxidative stress. Overall, the results suggested that in MP polluted environments, G. lacustris may lose its already naturally low competitiveness and become overcompeted by other more resistant species. The fact that in the sub-chronic foodborne exposure to environmentally relevant and higher LDPE MP concentrations all the observed toxicological endpoints were affected refers to the potential of MP to affect and disrupt aquatic communities in the longer perspective., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2022
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22. Associations between biological maturity level, match locomotion, and physical capacities in youth male soccer players.
- Author
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Gundersen H, Riiser A, Algroy E, Vestbøstad M, Saeterbakken AH, Clemm HH, Grendstad H, Hafstad A, Kristoffersen M, and Rygh CB
- Subjects
- Adolescent, Anthropometry, Humans, Locomotion, Male, Athletic Performance, Running, Soccer
- Abstract
Introduction: Biological maturity level has shown to affect sport performance in youths. However, most previous studies have used noninvasive methods to estimate maturity level. Thus, the main aim of the present study was to investigate the association between skeletal age (SA) as a measure of biological maturation level, match locomotion, and physical capacity in male youth soccer players., Method: Thirty-eight Norwegian players were followed during two consecutive seasons (U14 and U15). Match locomotion was assessed with GPS-tracking in matches. SA, assessed by x-ray, physical capacities (speed, strength and endurance) and anthropometrics were measured in the middle of each season. Analysis of associations between SA, match locomotion, and physical capacities were adjusted for the potential confounding effect of body height and weight., Results: In matches, positive associations were found between SA and maximal speed and running distance in the highest speed zones. Further, SA was associated with 40 m sprint time and countermovement jump (CMJ) height, and with intermittent-endurance capacity after adjusting for body height (U14). Associations between SA and leg strength and power, and between SA and absolute VO
2max were not significant after adjusting for body weight. There was no association between SA and total distance covered in matches., Conclusion: Biological maturity level influence match locomotion and performance on physical capacity tests. It is important that players, parents and coaches are aware of the advantages more mature players have during puberty, and that less mature players also are given attention, appropriate training and match competition to ensure proper development., (© 2022 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)- Published
- 2022
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23. Feasibility and acceptability of video-based microinterventions for eating disorder prevention among adolescents in secondary schools.
- Author
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Kristoffersen M, Johnson C, and Atkinson MJ
- Subjects
- Adolescent, Female, Humans, Male, Cognitive Dissonance, Feasibility Studies, Schools, Students, Feeding and Eating Disorders prevention & control
- Abstract
Objective: Eating disorders (EDs) often emerge in late adolescence. Schools are ideal settings for prevention programs; however, cost and time limit implementation. Microinterventions may overcome these challenges. This study adapted two microinterventions (cognitive dissonance, self-compassion) and assessed feasibility and acceptability among mid-adolescents to provide proof-of-concept for further investigation., Method: Feedback from staff (n = 5) and student (n = 15) focus groups contributed iteratively to the adaptation of intervention materials. Students in Grade 10 and 11 (N = 101, M
age = 15.80, SD = 0.68) were then randomly allocated by class to a 20-min video-based cognitive-dissonance or self-compassion intervention, accessed on their school devices. ED risk and protective factors were assessed at baseline, immediate postintervention (state outcomes), and 1-week follow-up (trait outcomes). Acceptability items were included at both timepoints., Results: Implementation was deemed feasible. Girls generally reported greater acceptability than boys. Among girls, the self-compassion intervention demonstrated greater acceptability. Among boys, some aspects of acceptability (e.g., lesson endorsement, utilization of techniques) were rated higher in the cognitive dissonance group whereas other aspects (e.g., understanding, interest) were greater in the self-compassion group. All groups exhibited favorable changes in most state outcomes, however trait outcome change was varied., Discussion: Microinterventions provide a feasible way of implementing prevention strategies in a time-poor educational context. Future large-scale evaluation is warranted to determine efficacy, following modifications based on current findings., Public Significance: This study shows promising feasibility and acceptability of two brief, self-guided video-based lessons (microinterventions) for adolescents in school classrooms, that use psychological techniques to target appearance pressures as a key risk factor for eating disorders. Such interventions are easier to implement in school settings than longer, facilitator-led interventions, to encourage greater uptake and ongoing use. Findings support further research to evaluate effectiveness, to ultimately provide accessible and gender-inclusive tools for busy schools., (© 2022 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.)- Published
- 2022
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24. Performance in youth track and field is associated with birth quartile. A register-based study among athletes in Norway from 10 years to senior level.
- Author
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Gundersen H, Harris A, Grendstad H, Kristoffersen M, Guttormsen A, Dalen T, and Rygh CB
- Subjects
- Achievement, Adolescent, Athletes, Child, Female, Humans, Male, Athletic Performance, Running, Track and Field
- Abstract
Introduction: Earlier studies have demonstrated that the oldest in a competition class are more likely to succeed than the youngest, a phenomenon called relative age effect (RAE). Track and field give us an opportunity to investigate the advantage of being born early in the year based upon actual performance, since objective criteria are the performance indicators. Hence, the aim of the present study was to investigate the occurrence of RAE in Norwegian track and field athletes in events where physical capacity is important for success., Methods: All individual season best results from the register of The Norwegian Athletics Federation (n = 28 999) obtained in all competition classes from the age of 10 years to senior in both sexes on 60m and 600m from 2011 to 2020 were downloaded. One-way ANOVA and LSD post hoc analyses were used to analyze performance differences according to birth quartiles between athletes. Further, odds ratios (OR) were used to calculate the odds of being among the top-100 for athletes for those born in the first quartile of the year compared to the last., Results: The RAE was present in several of the competition classes in sprint compared to middle-distance running, and in more male than female competition classes. Overall, the OR of being among the top-100 in one of the competition classes on 60m sprint when born in first quartile compared to last quartile was 2.88 [2.30-3.62] for males and 1.54 [1.26-1.89] for females., Conclusion: Being born early in the year in events with high demand for specific physical capacities is an advantage in both sexes in most of the youngest competition classes. In males, the advantage of being born early in the year lasted longer in sprint than in middle-distance running, indicating that puberty affects performance in sprint and middle-distance running differently., Competing Interests: The authors have declared that no competing interests exist.
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- 2022
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25. Strength and Power Testing of Athletes: Associations of Common Assessments Over Time.
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Lindberg K, Solberg P, Bjørnsen T, Helland C, Rønnestad B, Thorsen Frank M, Haugen T, Østerås S, Kristoffersen M, Midttun M, Sæland F, Eythorsdottir I, and Paulsen G
- Subjects
- Athletes, Cross-Sectional Studies, Female, Humans, Male, Muscle, Skeletal, Weight Lifting, Athletic Performance, Muscle Strength
- Abstract
Purpose: This study examined the associations among common assessments for measuring strength and power in the lower body of high-performing athletes, including both cross-sectional and longitudinal data., Methods: A total of 100 participants, including both male (n = 83) and female (n = 17) athletes (21 [4] y, 182 [9] cm, 78 [12] kg), were recruited for the study using a multicenter approach. The participants underwent physical testing 4 times. The first 2 sessions (1 and 2) were separated by ∼1 week, followed by a period of 2 to 6 months, whereas the last 2 sessions (3 and 4) were also separated by ∼1 week. The test protocol consisted of squat jumps, countermovement jumps, jump and reach, 30-m sprint, 1-repetition-maximum squat, sprint cycling, and a leg-press test., Results: There were generally acceptable correlations among all performance measures. Variables from the countermovement jumps and leg-press power correlated strongly with all performance assessments (r = .52-.79), while variables from sprint running and squat-jump power displayed more incoherent correlations (r = .21-.82). For changes over time, the correlations were mostly strong, albeit systematically weaker than for cross-sectional measures., Conclusions: The associations observed among the performance assessments seem to be consistent for both cross-sectional data and longitudinal change scores. The weaker correlations for change scores are most likely mainly caused by lower between-subjects variations in the change scores than for the cross-sectional data. The present study provides novel information, helping researchers and practitioners to better interpret the relationships across common performance assessment methods.
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- 2022
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26. Strength and Power Testing of Athletes: A Multicenter Study of Test-Retest Reliability.
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Lindberg K, Solberg P, Bjørnsen T, Helland C, Rønnestad B, Thorsen Frank M, Haugen T, Østerås S, Kristoffersen M, Midttun M, Sæland F, Eythorsdottir I, and Paulsen G
- Subjects
- Athletes, Exercise Test, Female, Humans, Male, Muscle Strength, Muscle, Skeletal, Reproducibility of Results, Athletic Performance, Running
- Abstract
Purpose: This study examined the test-retest reliability of common assessments for measuring strength and power of the lower body in high-performing athletes., Methods: A total of 100 participants, including both male (n = 83) and female (n = 17) athletes (21 [4] y, 182 [9] cm, and 78 [12] kg), were recruited for this study, using a multicenter approach. The participants underwent physical testing 4 times. The first 2 sessions (1 and 2) were separated by ∼1 week, followed by a period of 2 to 6 months, whereas the last 2 sessions (3 and 4) were again separated by ∼1 week. The test protocol consisted of squat jumps, countermovement jumps, jump and reach, 30-m sprint, 1-repetition-maximum squat, sprint cycling, and a leg-press test., Results: The typical error (%) ranged from 1.3% to 8.5% for all assessments. The change in means ranged from -1.5% to 2.5% for all assessments, whereas the interclass correlation coefficient ranged from .85 to .97. The smallest worthwhile change (0.2 of baseline SD) ranged from 1.2% to 5.0%. The ratio between the typical error (%) and the smallest worthwhile change (%) ranged from 0.5 to 1.2. When observing the reliability across testing centers, considerable differences in reliability were observed (typical error [%] ratio: 0.44-1.44)., Conclusions: Most of the included assessments can be used with confidence by researchers and coaches to measure strength and power in athletes. Our results highlight the importance of controlling testing reliability at each testing center and not relying on data from others, despite having applied the same protocol.
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- 2022
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27. Accuracy of Tracking Devices' Ability to Assess Exercise Energy Expenditure in Professional Female Soccer Players: Implications for Quantifying Energy Availability.
- Author
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Dasa MS, Friborg O, Kristoffersen M, Pettersen G, Sundgot-Borgen J, and Rosenvinge JH
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- Adolescent, Adult, Calorimetry, Indirect, Energy Metabolism, Exercise, Female, Humans, Oxygen Consumption, Young Adult, Soccer
- Abstract
The purpose of the study was to assess the accuracy of commonly used GPS/accelerometer-based tracking devices in the estimation of exercise energy expenditure (EEE) during high-intensity intermittent exercise. A total of 13 female soccer players competing at the highest level in Norway (age 20.5 ± 4.3 years; height 168.4 ± 5.1 cm; weight 64.1 ± 5.3 kg; fat free mass 49.7 ± 4.2 kg) completed a single visit test protocol on an artificial grass surface. The test course consisted of walking, jogging, high-speed running, and sprinting, mimicking the physical requirements in soccer. Three commonly used tracking devices were compared against indirect calorimetry as the criterion measure to determine their accuracy in estimating the total energy expenditure. The anaerobic energy consumption (i.e., excess post-exercise oxygen consumption, EPOC) and resting time were examined as adjustment factors possibly improving accuracy. All three devices significantly underestimated the total energy consumption, as compared to the criterion measure ( p = 0.022, p = 0.002, p = 0.017; absolute ICC = 0.39, 0.24 and 0.30, respectively), and showed a systematic pattern with increasing underestimation for higher energy consumption. Excluding EPOC from EEE reduced the bias substantially (all p 's becoming non-significant; absolute ICC = 0.49, 0.54 and 0.49, respectively); however, bias was still present for all tracking devices. All GPS trackers were biased by showing a general tendency to underestimate the exercise energy consumption during high intensity intermittent exercising, which in addition showed a systematic pattern by over- or underestimation during lower or higher exercising intensity. Adjusting for EPOC reduced the bias and provided a more acceptable accuracy. For a more correct EEE estimation further calibration of these devices by the manufacturers is strongly advised by possibly addressing biases caused by EPOC.
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- 2022
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