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Despite the prevalence of mental health disorders rising worldwide, physio-therapists' perceptions of their role and ability to holistically treat people with anxiety and depression remain unclear. This research aimed to understand the physiotherapists' perception of their role in treating and managing people with anxiety and depression while revealing barriers and facilitators in practice. PubMed, PsycInfo, CINAHL, EMBASE, Web of Science, and Google Scholar were searched systematically for mixed-method, quantitative, or qualitative designs. Using the Joanna Briggs Institute (JBI) Methodology for Systematic Reviews, data was extracted, critically appraised, assigned quality grades, and synthesized through meta-aggregation. A total of 2991 records were initially sourced, with eleven studies included in the systematic review. The studies were published worldwide between 2016 and 2021, with the majority (n = 8) published in 2020–2021. Participating physiotherapists most frequently had a Bachelor's degree (35.7–62.6%), followed by a Master's degree (28.4–37.4%). Meta-aggregation revealed the synthesized finding that physiotherapists perceived their role to include treating people with anxiety and depression despite feeling underprepared. Physiotherapists perceive many barriers and facilitators, such as education, when treating people with anxiety and depression. Physiotherapists have positive perceptions toward anxiety and depression, despite feeling underprepared in their ability to implement psychosocial strategies. [ABSTRACT FROM AUTHOR]

Background: Individuals who participate in outdoor sports are subject to an increased risk of developing skin cancer. To date, there has been no review examining skin cancer and sun protective behaviours specific to outdoor, water‐based sports. Therefore, this scoping reviews objectives were to (a) summarize volume and type of the scientific literature available relating to skin cancer, (b) examine current sun protective behaviours and (c) identify knowledge gaps to inform future research. Method: A scoping review was conducted to address the objectives following the PRISMA guidelines. Seven databases were searched; identified studies were screened based on title, abstract and full text for outdoor water‐based sports, which examined skin cancer and/or sun protective behaviours. Data were extracted, synthesized and critically appraised using a modified AXIS tool. Percentage frequencies were calculated, and key results were placed in tabular or graphical presentation. Results: Nine cross‐sectional studies were identified, all defined as low‐level evidence. A combined sample of 4377 participants across six countries and five water‐based sports showed BCC (71%) was the most common skin cancer, followed by melanoma (18%) and SCC (10%). The head (41%) and upper limbs (27%) were the most common location. Conclusion: This review highlights the minimal research available and demonstrates those in water‐based sports are at high risk of developing skin cancer. Due to difficulty adhering to sun protective behaviours, the most prevalent location is the upper body. Included studies were of low‐level evidence, providing opportunity for future research to expand upon the gaps in the current literature. [ABSTRACT FROM AUTHOR]

Surfing is a popular sport globally which is performed in varied environmental conditions. With limited research in the field exploring hydration, monitoring the effect of surfing on subject hydration is warranted. The purpose of this study was to determine the relationship between surfing intensity and hydration status. A total of ten recreational male surfers were recruited for this study where hydration status was assessed pre-and post-surf session by measures of body mass (BM) and urine specific gravity (USG). Intensity of the surf session was quantified by Global Positioning Systems and Heart Rate monitoring. Subjects surfed for two hours and covered an average distance of 4974.18 ± 542.62 m, with an average speed of 2.48 ± 0.27 km/h and peak speed of 31.86 ± 3.51 km/h. A statistically significant decrease in absolute and relative BM was observed (0.70 ± 0.4 kg, p < 0.05 & 0.86 ± 0.54%, p < 0.001, respectively). No statistically significant correlation was found between variables (total distance paddled and relative BM, r = 0.432, p = 0.245; average HR and relative BM change, r = -.246, p = 0.595). Total distance paddled combined with average HR significantly predicted relative body mass change (F(2,3) = 29.362, p = 0.011, adjusted R2 = 95.1%). The results demonstrate that a 2-hour recreational surfing session, in temperate environmental conditions, without neoprene garments resulted in minimal BM changes and no changes in USG. Surfers who paddle a greater distance at a higher average HR sustained greater BM changes. [ABSTRACT FROM AUTHOR]

Stand up paddle (SUP) boarding is a popular water-based aquatic sport and recreational activity that continues to grow in popularity, however, little is known about its effect upon hydration status in recreational and elite level participants. The aim of this study was to examine the hydration status in SUP by investigating fluid loss through measurement of nude body mass. Thirty participants successfully completed the study. Hydration status was assessed by measurements of nude body mass taken pre and post SUP session. Intensity of the session was monitored throughout each session using a telemetry heart rate (HR) monitor; both mean and maximum HRs were assessed. Environmental conditions were recorded prior to each session and participants rated perceived hydration pre and post activity. SUP sessions average duration was 68 ± 13 mins (mean HR: 135 ± 20 bpm, peak HR: 167.1 ± 12 bpm). The average mass lost in a SUP session was 0.82 ± 0.4 kg (absolute), 0.03 ± 1 (relative BMI), 0.43 ± 0.2 (relative BSA) and the overall percentage of loss was 1.2 ± 0.6 % (p < 0.01, d = 0.47). Key predictors (p < 0.05) of fluid loss included ambient air temperature, gender (males), mean HR and SUP session duration. Results from this study suggest that SUP participants may require fluid loss monitoring to allow for effective rehydration strategies. Pre-hydration strategies are also recommended to avoid dehydration which is associated with decreased performance (aerobic and strength), increased core temperature, heart rate and may lead to detrimental health outcomes such as renal failure and heat illness in extreme circumstances. [ABSTRACT FROM AUTHOR]