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The use of facial coverings has been amplified during the COVID-19 pandemic as a means to minimize the spread of disease. However, facial coverings may impede ventilation during high-intensity activity, leading to a reduction in cardiopulmonary exercise capacity. Thus, the purpose of this study was to determine the acute impact of different facial coverings on exercise performance in college-aged individuals during a 300-yard shuttle. It was hypothesized that the lowest heart rate (HR), completion time (CT), and rate of perceived exertion (RPE) would occur with no mask. Furthermore, it was hypothesized the SHEMA97 mask would have lower HR, CT, and RPE compared to surgical and fabric masks. Results showed the use of the fabric mask resulted in significantly higher HR compared to no mask (p = 0.006). The SHEMA97 mask resulted in faster CT and lower RPE compared to both the fabric and surgical masks (p < 0.001). All mask conditions yielded significantly higher levels of perceived discomfort than wearing no mask (p < 0.05). While the use of facial coverings can help prevent the spread of disease, their use during exercise may pose limitations to performance; however, the ability of the SHEMA97 to provide minimal changes to CT and RPE provides a promising option.

Objectives: This study assessed the ability of coaches to rank-order distance runners on running economy (RE) through visual assessment. Methods: Running economy was measured in five trained recrea...

The main goal of this study was to assess the level of leisure-time physical activity (LTPA) and its differentiation across the seasons among persons with spinal cord injury (SCI). The additional aim was to determine whether socio-demographical, injury, and seasonal factors are determinants of LTPA.This study included 51 adults with SCI, who completed the LTPA questionnaire for persons with SCI during a calendar year in the middle of four seasons, and demographic questionnaire. A multiple regression analysis was used to examine the role of socio-demographical, injury, and seasonal variables, as determinants of LTPA.The levels of LTPA were differentiated throughout the seasons. Three models containing variables related to LTPA were created. All models were significant, for mild LTPA (LTPA in persons with SCI differs significantly in relation to the seasons throughout a year. The season of the year should be considered in future studies and interventions on LTPA in adults with SCI.

Study design Longitudinal study. Objectives This study aimed to examine level and variations of life satisfaction (LS) across the seasons in persons with spinal cord injury (SCI). Setting Polish sample of persons with SCI. Methods The study included 56 persons with SCI, who repeatedly completed the Life Satisfaction Questionnaire (LiSaT-9), and a study-specific questionnaire across the four seasons in a calendar year. Mixed model analyses were performed to: (1) examine seasonal changes in LS; (2) explore the possible moderating factors on seasonal changes in LS. Results There were significant seasonal trends in overall and domain-specific LS scores; yet, these changes differed in terms of shape (i.e. linear vs. quadratic). In general, the highest LS scores occurred in spring across all domains, followed by a significant reduction in summer; yet, there were u-shape trends in LS domain scores for life as a whole, vocational, and financial situation and partner relations (P-for-quadratic trends ≤0.05). Five individual characteristics, i.e. place of living, education, gender, physical activity, and time since injury significantly moderated seasonal trends in LS scores (P's for interaction ≤ 0.05). Conclusion Life satisfaction in persons with SCI differs significantly in relation to different seasons throughout a year. The season of the year should be considered in future studies on LS and included in evaluating and projecting healthcare interventions or programs for persons with SCI.

Increased sedentary behavior has been an unintended consequence of social and physical distancing restrictions needed to limit transmission of SARS-CoV-2, the novel coronavirus that causes COVID-19. Sedentary behavior is defined as any waking behavior characterized by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining, or lying posture. These restrictions negatively impact peoples' cardiometabolic and mental health and disproportionately affect certain sectors of the population, including racial/ethnic minorities. In part, the higher risk for complications of COVID-19 could be the result of increased prevalence of comorbid diseases. Further, regular participation and adherence to current physical activity guidelines, defined as at least 150 minutes per week of moderate intensity physical activity or muscle strengthening activities on 2 or more days a week, is challenging for many and may be especially difficult to achieve during the COVID-19 pandemic. A practical strategy to promote health and well-being during COVID-19 is reducing sedentary behavior. Reducing sedentary behaviors (e.g., breaking up periods of prolonged sitting with light-intensity physical activity) may be more easily achieved than physical activity for all individuals, including individuals of racial/ethnic decent, as it does not require purchasing equipment nor require compromising the physical restrictions necessary to slow the spread of COVID-19. The purpose of this commentary is to argue that sedentary behavior is a feasible, independent target to modify during COVID-19, particularly in minority populations, and to address this behavior we need to consider individual, environmental and policy-level factors.

Cardiorespiratory fitness (CRF) is now an established vital sign. CRF, along with muscle function and bone and joint health is related to functional independence and a higher quality of life. Wasserman and colleagues proposed a gear model illustrating the integrated role of the respiratory, cardiovascular, and skeletal muscle systems during aerobic exercise; in 2015, a revision to the original model was proposed. Our understanding of the effects and challenges associated with the coronavirus disease 2019 (COVID-19) are rapidly evolving. Initial evidence indicates higher levels of CRF, and muscle function protect individuals infected with COVID-19 from a complicated medical course. Moreover, for those individuals infected with COVID-19, there are initial signs of a reduction in CRF following the initial phase of recovery. We are also gaining an understanding of long COVID syndrome, where individuals who have recovered from the acute phase of viral infection present with lasting symptoms, which include but are not limited to reduced CRF, shortness of breath, and fatigue. Clearly, these individuals will require rehabilitation to restore and/or improve CRF, muscle function, bone and joint health, functional capacity (ie, the ability to perform activities of daily living), and quality of life. The importance of assessing the synergistic function of systems essential to performing activities that require physical exertion is a health care imperative. This graphical narrative provides an update to the gear model initially proposed by Wasserman and updated to a gear and circuit in 2015. External CRF, muscle function, and bone and joint health influencers and an approach to clinical assessment are also introduced.

One method to measure body composition that is gaining popularity is the BodyMetrix™, which uses A-mode ultrasound. A-mode ultrasound, when used with the BodyMetrix™, has been found to be a reliable and a cost-effective tool for measuring overall body fat percentage. Furthermore, the portability and short duration testing features of the BodyMetrix™, allows for testing of a large group of athletes inside or outside of a clinical setting. Despite these advantages, research regarding the BodyMetrix™ is limited and has primarily focused on the seven-site testing technique. However, the three-site technique allows for faster testing and a reduction of time needed to test an entire team or multiple sports teams. Thus, the purpose of this study was to compare the three-site and seven-site methods using the BodyMetrix™ to determine body fat percentage in female collegiate athletes. It was hypothesized that body fat percentage determined via the seven-site method would be different from those obtained by three-site measurement technique. Study participants included 40 National Collegiate Athletic Association (NCAA) Division-II female athletes from volleyball, soccer, and softball teams. The Jackson Pollock three-site (thigh, suprailiac, triceps) and seven-site (thigh, suprailiac, triceps, abdominal, subscapular, chest, and axilla) equations were used to determine body fat percentage values. The time required to perform the three-site and seven-site measurements were also recorded. A paired samples t-test was used to assess if there was a difference between the three-site and the seven-site body fat percentage measurements with the use of the BodyMetrix™ . The three-site method (23.21 ± 3.61) was significantly lower (p < 0.001) compared to the seven- site method (25.75 ± 4.39). On average, the three-site technique took 2 minutes and 13 seconds less than the seven-site technique.

Conners, RT, Whitehead, PN, Dodds, FT, Schott, KD, and Quick, MC. Validation of the polar team pro system for sprint speed with ice hockey players. J Strength Cond Res 36(12): 3468-3472, 2022-Commercially available player tracking sensors such as the Polar Team Pro system (PTPS) have been used to monitor athlete performance. Use during ice hockey practices and games has resulted in seemingly plausible and valid values for internal metrics (heart rate); however, external metrics (distance, speed, and acceleration) seem sporadic and counterintuitive. To determine the validity of the PTPS for measuring sprint speed with collegiate hockey players, 15 NCAA Division I male athletes (21.86 ± 1.04 years, 175.86 ± 6.78 cm, 80.58 ± 4.44 kg) participated in the study. Subjects wore a PTPS strap, at the level of the xiphoid process, and performed 2 sprints of 15.24 m (blue line to blue line) and 35.05 m (red line to the far blue line) in 3 conditions: indoor ice skating, indoor running, and outdoor running. Timing gates (TG) were used to determine sprint times, which allowed for manual calculation of speed. Speed values from the PTPS and TG were compared using paired-samples t -tests, and an alpha level of 0.05, 2-sided, was set a priori as a significance level. For indoor ice skating, PTPS significantly underestimated speeds at both distances ( p0.001). However, PTPS significantly overestimated speeds for indoor and outdoor sprints at both distances ( p ≤ 0.001). The PTPS is not accurate for measuring short-distance linear sprint speed or linear sprint speed during indoor ice skating. The inconsistency in speed values needs to be taken into consideration when using the system for science-based training because inaccurate speed values may negatively affect other external performance metrics provided by PTPS.

Aquatic therapy for rehabilitation can be performed in a variety of environments, which can vary from a traditional swimming pool to a self-contained underwater treadmill. While kinematic analysis has been performed in large volume swimming pools using specific underwater motion capture systems, researchers may only have access to a land-based motion-capture system, which is not waterproof. Additionally, underwater motion capture systems may not fit within the confines of a smaller underwater treadmill. Thus, the purpose of this study was to design and analyze methodology to quantify lower limb kinematics during an aquatic treadmill session, using a land-based motion capture system. Kinematics of lower limb motion at different speeds was studied while walking on an underwater treadmill in comparison to walking on the same treadmill without water (empty tank). The effects of the presence of water on walking kinematics was analyzed and interpreted using parametric and non-parametric testing procedures. The results suggest significant influences of speed on knee and ankle angles (p 0.05) in both dryland and aquatic scenarios. Knee and ankle angle measures revealed no significant differences between the dryland and water treadmill scenarios (p 0.05). The increased time requirement in water for the full gait cycle found in this study indicates influence of resistive effects. This finding can be especially suited for muscle strengthening and stabilizing treatments for lower limbs. Also, a framework was developed to realize a potential methodology to use land-based motion capture cameras to successfully analyze the kinematics of gait in constrained aquatic volumes.

Recreational exercisers continue to take a greater interest in monitoring their personal fitness levels. One of the more notable measurements that are monitored and estimated by wrist-worn tracking devices is maximum aerobic capacity (VO2max), which is currently the accepted measure of cardiorespiratory fitness. Traditional methods of obtaining VO2max present expensive barriers, whereas new wearable technology, such as of the Garmin Fenix 5x (GF5) provides a more cost-effective alternative. PURPOSE: To determine the validity of the GF5 VO2max estimation capabilities against the ParvoMedics TrueOne 2400 (PMT) metabolic measurement system in recreational runners. METHODS: Twenty-five recreational runners (17 male and 8 female) ages 18-55 participated in this study. Participants underwent two testing sessions: one consisting of the Bruce Protocol utilizing the PMT, while the other test incorporated the GF5 using the Garmin outdoor protocol. Both testing sessions were conducted within a few days of each other, with a minimum of 24 hours rest between sessions. RESULTS: The mean VO2max values for the PMT trial (49.1 ± 8.4 mL/kg/min) and estimation for the GF5 trial (47 ± 6.0 mL/kg/min) were found to be significantly different (t = 2.21, p = 0.037). CONCLUSION: The average difference between the GF5 estimation and the PMT was 2.16 ml/kg/min. Therefore, the watch is not as accurate compared to a PMT for obtaining VO2max. However, although not statically significant, the proximity of scores to the PMT shows that the GF5 can be an option for a person seeking an affordable and easily available method of determining VO2max.

IN BRIEF A large number of adults with type 2 diabetes experience comorbidities that discourage physical activity and hinder regular participation in land-based exercise programs. An aquatic exercise program is an innovative exercise modality that incorporates combined aerobic and resistance exercise. The purpose of this study was to determine if an underwater treadmill walking program featuring gradual and progressive increases in walking speed and duration has a positive effect on glycemic control, metabolic health, cardiovascular function, body composition, and leg strength in middle-aged adults with type 2 diabetes.

Athletic coaches are always looking for the next strategy or tool to help them gain an advantage over their competitors. In recent years, technology has been incorporated into athletics at all leve...

Background The impact of barefoot running and footwear choice on running economy (RE; steady state oxygen consumption) is heavily debated. Therefore, this study measured RE when running barefoot versus two shod conditions. Methods Recreational male runners (N.=8) with experience running in both five-toed minimal (FTMS) and standard cushioned running shoes (SCRS), participated in RE trials while barefoot, FTMS, and SCRS for 5 minutes each trial at both 50% and 70% of speed at maximal oxygen uptake (sVO2max), while RE and step frequency (Sf) were measured. Separate one-way repeated measures ANOVAs were conducted for each footwear condition and each speed, on RE and Sf. Results No significant differences in RE were found at 50% or 70% sVO2max. Step frequency was significantly different at 70% sVO2max (F(2, 14)=6.74, P=0.009, partial ω2=0.06, as running barefoot (173.00±10.50 steps/min) exhibited a higher Sf than running in FTMS (68.81±10.94 steps/min; P=0.008) or SCRS (166.62±8.42 steps/min; P=0.044) conditions. Conclusions No statistical RE benefit was found when running barefoot over FTMS or SCRS, possibly explained by a Sf adaptation at higher speeds. However, practically speaking, when shoe mass is controlled for, footwear choice has a moderate but worthwhile effect on RE. Consequently, formal familiarization and/or training in the FTMS may improve RE when compared to running in SCRS or barefoot in certain individuals.

People with spinal cord injury (SCI) face unique challenges during the COVID-19 pandemic, including greater risk of poor COVID-19-related outcomes, increased social isolation, and restricted access to important services. Furthermore, COVID-19 related restrictions have decreased already low levels of physical activity (PA) in this population. Therefore, the purpose of this commentary is to: 1) address the impact of COVID-19 on PA and sedentary behavior (SB) in people with SCI; 2) provide potential SB reduction strategies to guide future research; and 3) provide recommendations to increase PA and reduce SB on behalf of the American College of Sports Medicine Exercise is Medicine (ACSM-EIM) and Healthy Living for Pandemic Event Protection (HL-PIVOT) using a social-ecological model targeting the individual-, social environment-, physical environment-, and policy-level determinants of behavior in people with SCI.

BACKGROUND: A small minority of people with coronavirus disease 2019 (COVID‐19) develop a severe illness, characterised by inflammation, microvascular damage and coagulopathy, potentially leading to myocardial injury, venous thromboembolism (VTE) and arterial occlusive events. People with risk factors for or pre‐existing cardiovascular disease may be at greater risk. OBJECTIVES: To assess the prevalence of pre‐existing cardiovascular comorbidities associated with suspected or confirmed cases of COVID‐19 in a variety of settings, including the community, care homes and hospitals. We also assessed the nature and rate of subsequent cardiovascular complications and clinical events in people with suspected or confirmed COVID‐19. SEARCH METHODS: We conducted an electronic search from December 2019 to 24 July 2020 in the following databases: the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, covid‐19.cochrane.org, ClinicalTrials.gov and EU Clinical Trial Register. SELECTION CRITERIA: We included prospective and retrospective cohort studies, controlled before‐and‐after, case‐control and cross‐sectional studies, and randomised controlled trials (RCTs). We analysed controlled trials as cohorts, disregarding treatment allocation. We only included peer‐reviewed studies with 100 or more participants, and excluded articles not written in English or only published in pre‐print servers. DATA COLLECTION AND ANALYSIS: Two review authors independently screened the search results and extracted data. Given substantial variation in study designs, reported outcomes and outcome metrics, we undertook a narrative synthesis of data, without conducting a meta‐analysis. We critically appraised all included studies using the Joanna Briggs Institute (JBI) checklist for prevalence studies and the JBI checklist for case series. MAIN RESULTS: We included 220 studies. Most of the studies originated from China (47.7%) or the USA (20.9%); 9.5% were from Italy. A large proportion of the studies were retrospective (89.5%), but three (1.4%) were RCTs and 20 (9.1%) were prospective. Using JBI’s critical appraisal checklist tool for prevalence studies, 75 studies attained a full score of 9, 57 studies a score of 8, 31 studies a score of 7, 5 studies a score of 6, three studies a score of 5 and one a score of 3; using JBI’s checklist tool for case series, 30 studies received a full score of 10, six studies a score of 9, 11 studies a score of 8, and one study a score of 5 We found that hypertension (189 studies, n = 174,414, weighted mean prevalence (WMP): 36.1%), diabetes (197 studies, n = 569,188, WMP: 22.1%) and ischaemic heart disease (94 studies, n = 100,765, WMP: 10.5%) are highly prevalent in people hospitalised with COVID‐19, and are associated with an increased risk of death. In those admitted to hospital, biomarkers of cardiac stress or injury are often abnormal, and the incidence of a wide range of cardiovascular complications is substantial, particularly arrhythmias (22 studies, n = 13,115, weighted mean incidence (WMI) 9.3%), heart failure (20 studies, n = 29,317, WMI: 6.8%) and thrombotic complications (VTE: 16 studies, n = 7700, WMI: 7.4%). AUTHORS' CONCLUSIONS: This systematic literature review indicates that cardiometabolic comorbidities are common in people who are hospitalised with a COVID‐19 infection, and cardiovascular complications are frequent. We plan to update this review and to conduct a formal meta‐analysis of outcomes based on a more homogeneous selected subsample of high‐certainty studies.

Whitehead, PN, Conners, RT, and Shimizu, TS. The effect of in-season demands on lower-body power and fatigue in male collegiate hockey players. J Strength Cond Res 33(4): 1035-1042, 2019-The purpose of this study was to determine the effect of in-season demands, such as games, travel, and the subsequent fatigue related to these demands, on lower-body power (LBP) in collegiate hockey players. Two jump protocols (countermovement and squat jumps) were used to calculate LBP. Twenty-seven NCAA (National Collegiate Athletic Association) Division I male hockey players (age, 21.9 ± 1.4 years; height, 176.7 ± 6.5 cm; body mass, 81.4 ± 7.9 kg) participated in the study that spanned 18 weekly sessions. At each session, participants completed an 8-item fatigue questionnaire, which provided a cumulative numerical value for fatigue (total score of fatigue [TSF]), before performing maximal jumps on a contact mat. General linear modeling was conducted to compare dependent variables (jump height, relative LBP, TSF) across weekly sessions. Pearson product-moment correlation coefficients were calculated to examine the relationship between jump height and LBP across the jump protocols, as well as to examine the relationship of TSF with all measured variables. Jump height and LBP declined throughout the season with greater effect of travel observed following the longest travel sequence (p ≤ 0.05; η ≥ 0.60). Differences in TSF were observed from baseline (p ≤ 0.037), and a large effect was seen for away trips that included air travel (d ≥ 1.35). Total score of fatigue had a negative correlation with jump height and power during both jumps (r ≤ -0.742; p < 0.001). In conclusion, the in-season demands of ice hockey resulted in significant reductions in LBP throughout a hockey season, and the 8-item fatigue questionnaire is a sensitive tool reflective of athletic performance measures.

While the capabilities of land-based motion capture systems in biomechanical applications have been previously reported, the possibility of using motion tracking systems externally to reconstruct markers submerged inside an aquatic environment has been under explored. This study assesses the ability of a motion capture system (Vicon T40s) arranged externally to track a retro-reflective marker inside a glass tank filled with water and without water. The reflective tape used for marker creation in this study was of Safety of Life at Sea (SOLAS) grade as the conventional marker loses its reflective properties when submerged. The overall trueness calculated based on the mean marker distance errors, varied between 0.257 mm and 0.290 mm in different mediums (air, glass and water). The overall precision calculated based on mean standard deviation of mean marker distances at different locations varied between 0.046 mm and 0.360 mm in different mediums. Our results suggest, that there is no significant influence of the presence of water on the overall static accuracy of the marker center distances when markers were made of SOLAS grade reflective tape. Using optical motion tracking systems for evaluating locomotion in aquatic environment can help to better understand the effects of aquatic therapy in clinical rehabilitation, especially in scenarios that involve equipment, such as an underwater treadmill which generally have constrained capture volumes for motion capture.

Background: Adolescents with disabilities (A-With-D) have shown to be less physically active and more obese compared to adolescents without disabilities (A-Without-D); however, little is known in regards to the impact of physical activity (PA) and body mass index (BMI) on metabolic syndrome (MetS) among A-with-D. Objective: The purpose of this study was to compare the prevalence of MetS, PA levels and BMI percentile between A-With-D and A-Without-D, and to examine the influence of PA and BMI on MetS among A-With-D. Methods: Data from the National Health and Nutrition Examination Survey 1999e2010 was used in this study. Inclusion criteria for the study consisted of those who indicated, in the survey, that they had received special education or early intervention service (n 5 278). PA level was assessed subjectively by asking the amount of leisure time PA. BMI percentile was obtained using BMI growth charts by age and sex. The continuous MetS (cMetS) score was computed using age and sex standardized residual for mean arterial blood pressure, triglyceride, glucose, waist circumference, and high-density lipoprotein cholesterol. Results: A-With-D were more likely to be obese and less likely to be engaged in PA compared to A-Without-D. A-With-D were less favorable to MetS with significantly higher cMetS scores than A-Without-D. Lower levels of PA and higher percentile of BMI were significantly associated with higher levels of cMetS scores among A-With-D. Conclusion: This study provided empirical evidence for the importance of promoting a healthy lifestyle (i.e., increasing the level of PA and decreasing the BMI percentile) among A-With-D in order to reduce the risk of MetS. 2013 Elsevier Inc. All rights reserved.