The prevalence of frailty across the world in older adults is increasing dramatically and having frailty places a person at increased risk for many adverse health outcomes, including impaired mobility, falls, hospitalizations, and mortality. Globally, the concept of frailty is gaining attention and the scientific field has made great strides in identifying and conceptually defining frailty through consensus conferences, in advancing the overall science of frailty by drawing on basic science discoveries including concepts surrounding the hallmarks of aging, resilience, and intrinsic capacities, and in identifying the many challenges faced by professionals within diverse clinical settings. Currently, it is thought that frailty is preventable, thus the identification of a person's degree of frailty is vital. Identification of frailty is achievable through widely used frailty screening tools, which are valid, reliable, and easy to use. Following the identification of a person's degree of frailty, targeted intervention strategies, such as physical activity programs must be implemented. In this perspective, we provide a historical perspective of the frailty field since the last quarter of the 20th century to present. We identify the proposed underlying pathophysiology of multiple physiological systems, including compromised homeostasis and resilience. Next, we outline the available screening tools for frailty with a physical performance assessment and highlight specific benefits of physical activity. Lastly, we discuss current scientific evidence supporting the physical activity recommendations for the aging population and for older adults with frailty. The goal is to emphasize early detection of frailty and stress the value of physical activity.
Chinese herbs have been used as dietary supplements to improve exercise performance. However, evidence-based studies for the use of Chinese herbs in sports remain scarce. Traditional Chinese therapy (TCT), a form of traditional Chinese non-pharmacological intervention, has remained in use for thousands of years in sports medicine. TCT is beneficial for sports injuries and in enhancing skill development, and is becoming increasingly popular among athletes, fitness enthusiasts, and individuals who regularly exercise. The therapeutic effects of TCT have been demonstrated by clinical and experimental studies, but using these modalities still is associate with potentially adverse effects. Further well-designed studies are necessary to confirm the efficacy of TCT in sports medicine. This review aims to summarize the application of TCT, discuss the issues surrounding TCT clinical research, and provide suggestions for applying traditional Chinese methods in the field of sports medicine.
Measurement of physical activity is challenging, and objective and subjective methods can be used. The purposes of this study were to apply structural equation modeling in: 1) examining the associations between three distinct measures of physical activity and three factors that are often found to be correlated to physical activity in children, and 2) examining the associations of the combination of three measures with the same correlates in a cohort of youth followed from 5th to 7th grade. A total of 409 children (45% boys) had complete physical activity data derived from accelerometers, self-report by youth, and proxy-report by parents. The potential correlates of physical activity included self-efficacy, physical activity support, and facilities for physical activity. Structural equation models were used to assess the relationship between physical activity and the correlates. The structural equation models examining associations between individual measures of physical activity and selected correlates showed that parent-reported and child self-reported physical activity were associated with parental support for physical activity and self-efficacy. Objectively measured physical activity was associated only with facilities for physical activity. A structural equation model showed that a composite expression of physical activity, based on the inclusion of all three individual measures, was associated with all three correlates of physical activity. In conclusion, combining measures of physical activity from different sources may improve the identification of correlates of physical activity. This information could be used to plan more effective physical activity interventions in children and youth.
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The purpose of this study was to develop an equation to predict strength for seven common resistance training exercises using anthropometric and demographic measures. One-hundred forty-seven healthy adults (74 males, 73 females, 35 ± 12 yr, 174 ± 10 cm, 88 ± 19 kg) volunteered to participate. Body composition values (regional/total) and body dimensions were assessed using dual-energy x-ray absorptiometry (DEXA). Subjects underwent the following maximal strength assessments: Leg Press, Chest Press, Leg Curl, Lat Pulldown, Leg Extension, Triceps Pushdown, and Biceps Curl. Multiple linear regression with stepwise removal was used to determine the best model to predict maximal strength for each exercise. Independent predictor variables identified (p < 0.05) were height (cm); weight (kg); BMI; age; sex (0 = F,1 = M); regional lean masses (LM,kg); fat mass (FM,kg); fat free mass (FFM,kg); percent fat (%BF); arm, leg, and trunk lengths (AL, LL, TL; cm); and shoulder width (SW,cm). Analyses were performed with and without regional measures to accommodate scenarios where DEXA is unavailable. All models presented were significant (p < 0.05, R2 = 0.68-0.83), with regional models producing the greatest accuracy. Results indicate that maximal strength for individual resistance exercises can be reasonably estimated in adults.
Blood flow restriction (BFR) during exercise bouts has been used to induce hypertrophy of skeletal muscle, even with low loads. However, the effects of BFR during the rest periods between sets are not known. We have tested the hypothesis that BFR during rest periods between sets of high-intensity resistance training would enhance performance. Twenty-two young adult male university students were recruited for the current study, with n = 11 assigned to BFR and n = 11 to a control group. The results revealed that four weeks training at 70% of 1 RM, five sets and 10 repetitions, three times a week with and without BFR, resulted in similar progress in maximal strength and in the number of maximal repetitions. The miR-1 and miR-133a decreased significantly in the vastus lateralis muscle of BFR group compared to the group without BFR, while no significant differences in the levels of miR133b, miR206, miR486, and miR499 were found between groups. In conclusion, it seems that BFR restrictions during rest periods of high-intensity resistance training, do not provide benefit for enhanced performance after a four-week training program. However, BFR-induced downregulation of miR-1 and miR-133a might cause different adaptive responses of skeletal muscle to high intensity resistance training.
High intensity resistance training (HI-RT) is a treatment option for Knee Osteoarthritis (KOA). Isotonic machines (leg press, leg extension) are utilized for standardization and reproducibility reasons, but the load used during the protocol is often low, considering that elder people usually have low strength levels, training so with high intensities calculated on low loads. The physiological response of an elder woman trained with high loads on a free weight exercise, the regular barbell deadlift, with a 1 Repetition Maximum (1RM) of 100 kg, can be appreciated in this report, so that for the first time we can see the effect of a one year of high intensity resistance training program on a powerlifting exercise on a 72 year-old woman with KOA. A Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire was administered before starting the training program (T0) and after 1 year of training, as long as a control RX, to evaluate the effect of HI-RT on joint functionality and quality of life.
Emerging viral diseases represent a serious issue to public and global healthcare systems and have a high potential for disease dissemination in sport/physical activity and exercise facilities. The Coronavirus disease 2019 (COVID-19) pandemic has frightened the sports and physical activity community and enthusiasts for potential transmission, dissemination, and lethality in vulnerable populations; those with chronic diseases, co-morbidities, the elderly people, and in young and healthy people. This pandemic has caused a chain reaction with cancellations of sports competitions and gymnasiums closing around the world. Currently, some sporting events are gradually resuming in certain regions of the world and also the return of competitions and training. In general, without fans and public, the sports media can only report the infection of athletes and coaching staff members. However, this situation is dynamic - the world is currently experiencing the second wave of the disease; with the safety and containment measures for the disease is changing daily. The purpose of this article is to present information concerning the COVID-19 pandemic, to clarify health issues for professionals and people connected to sport and physical activity venues, presenting information to assist in educations and the health promotion and prevention. The time is now for making changes, reviewing the actions and conducts necessary for prevention, and most importantly not letting our guard down, even as vaccines become available for all people in the world. Remembering that even after getting vaccinated, it is necessary to continue with safety measures, for example, the use of facial masks and social distance and hygiene, that is, washing your hands frequently and/or sanitizing with 70% alcohol. We can't let our guard down for COVID-19.
Insufficient physical activity (PA), prolonged sedentary behavior (SB) and inadequate sleep (SLP) are detrimental factors to population health. To address health issues caused by insufficient PA, excessive SB and poor SLP, the World Health Organization (WHO) updated PA and SB guidelines for all populations aged from 5 years to 65 years and older in 2020. For children under 5 years old, the WHO issued the first global guidelines for PA, SB and SLP (collectively refer to movement behaviors) in April 2019. The guidelines applied a holistic approach to promote health behaviors, filling the gap of no comprehensive global movement guidelines for young children. Although the guidelines for young children offer guidance for health promotion, some research and practice implications and other issues should be mentioned. This commentary includes considerations for the importance of the WHO guidelines for younger children, critical analysis of evidence for developing the guidelines, and recommendations for future research and practice. The aim of this paper is to further advance health research in younger populations.