Is sport good for older adults? A systematic review of psychosocial outcomes of older adults’ sport participation

Although sport is promoted as a vehicle to enhance health and well-being throughout the life course, little is known about the psychosocial benefits and costs associated with sport participation in older adulthood. A mixed studies systematic review of English-language, peer-reviewed, original research articles (from the earliest record until March 2015) was undertaken to identify psychosocial outcomes of sport for adults over age 65 and to determine whether sport provides psychosocial outcomes that are distinct from other forms of physical activity. Results suggest sport involvement later in life was related to ageing, cognitive/perceptual, emotional, social, and motivational outcomes but it remains unclear whether these effects were solely related to participation in sport. Additional work with increased attention to methodological design and participant recruitment is needed to better understand psychosocial outcomes of older adults’ sport participation and to inform potential interventions. Recommendations to enhance the quality of future studies in the area are discussed.     

Muscular development motives for exercise participation: the missing variable in current questionnaire analysis?

Motivation questionnaires that are currently validated do not account for muscular development motives in exercise populations, and have rarely been used to examine resistance training populations. Resistance training is a popular and widely available exercise, so the lack of such motivational information is a cause for concern. The aim of this study was to assess the need for considering motives for muscular development. This was achieved by the development of a simple scale that matched the format and style of the Exercise Motivations Inventory. The muscular development scale was combined with the 'weight management' and 'appearance' items of the Exercise Motivations Inventory to form a 13-item test questionnaire. This was administered to four groups of experienced exercisers: resistance training males (n = 40), resistance training females (n = 36), males training in a variety of sports (n = 27) and aerobic training females (n = 40). Factor analysis with varimax rotation revealed a relatively distinct muscular development factor, but with cross-loading on weight management. Muscular development was shown to be the most effective discriminator for the four groups. A multivariate analysis of variance and additional discriminant analysis revealed a series of significant differences between groups, which suggests that motive-based differences are more powerful than sex factors in determining choice of exercise modality. Although the interrelated nature of muscular development and weight management needs to be recognized and accounted for, there is a clear need for considering muscular development motives in future investigations, especially those that intend to examine motives for 'ideal' physical appearance.     

Walking football as sustainable exercise for older adults – A pilot investigation

The health benefits of playing football and the importance of exercise and social contact for healthy ageing are well established, but few older adults in the UK take enough exercise. Football is popular, flexible in format and draws players into engrossing, effortful and social exercise, but the physical demands of play at full speed may make it unsustainable for some older adults. Restricted to walking pace, will play still be engaging? Will health benefits be retained? Will physical demands remain manageable? This pilot study aims to investigate: (1) the experience of older adults playing walking football every week, is it sustainable and rewarding, (2) the intensity and locomotor pattern of walking football, (3) the scale and nature of walking football health benefits and (4) possible cognitive benefits of playing walking football through measures of processing speed, selective and divided attention and updating and inhibition components of executive function. ‘Walking football’ and ‘waiting list’ groups were compared before and after 12 weeks of one-hour per week football. Walking football was found to be engaging, sustainable for older adults and moderately intensive; however, selective health and cognitive benefits were not found from this brief intervention.

Highlights

• Walking football is a lower impact but authentic form of football that enables older players to extend their active participation.

• Walking football is enjoyable and moderately demanding and may be a sustainable form of exercise for older adults.

• Health and cognitive benefits to playing walking football were not found.

     

The exercise effect on psychological well-being in older adults—a systematic review of longitudinal studies

The aim of this systematic review was to investigate the longitudinal relationship between physical activity (PA) and the psychological domains of well-being in older adults and to identify possible moderators and mediators of this relationship. Twelve longitudinal investigations were included in this review. The results indicate that there seems to be a positive association between PA and psychological well-being over time. Thus PA may be one possible individual lifestyle factor for the long-term promotion of psychological well-being in older adults. Especially leisure time PA at light intensities conducted in group settings was identified to be beneficial for promoting psychological well-being. Furthermore, longitudinal results indicated that self-efficacy, self-esteem, affect, optimism, and pre-interventional motivation moderated/mediated the relationship between PA and psychological well-being in older adults.     

How much exercise are older adults living in nursing homes doing in daily life? A cross-sectional study

Information on the amount of exercise practised by nursing home (NH) residents is scarce. This study aimed at describing NH residents’ participation in exercise classes, as well as to examine whether the presence of a professional exercise instructor in the facilities is associated with residents’ exercise habits. The cross-sectional data of 5402 residents (median age = 88 years; mostly women (75.2%)) from 163 NHs in France were analysed. Adjusted logistic and linear regressions were performed to examine whether the presence of a professional exercise instructor in the NH was associated with exercise habits: exercise participation, frequency, duration, and levels. From the 5402 participants, 1914 were participating in exercise classes provided in the NH. Most of them had an exercise frequency of 1x/week or less. Median duration of exercise sessions was 45 min. Exercise levels were rated as: highly active (n = 487), intermediately active (n = 1096), and poorly active (n = 331). The presence of a professional exercise instructor working in the facility was significantly associated with exercise participation and with higher exercise frequencies and levels, and session duration. In conclusion, the presence of professional exercise instructors is associated with better exercise habits in NH residents. Improved exercise habits may potentially be translated into better health in this population.     

How acceptable do older adults find the concept of being physically active? A systematic review and meta-synthesis

Despite the significant health benefits of regular physical activity for older adults, only a minority achieve recommended levels. To develop effective interventions, the reasons for the low levels of physical activity in this population must be understood. The present review identifies and synthesizes qualitative studies concerning the acceptability of physical activity to community dwelling older adults. A systematic search of four electronic databases identified 10 studies meeting inclusion criteria. These were appraised, and findings were combined and compared using thematic synthesis. Older adults construed physical activity as a by-product of other activities, rather than as a purposeful activity within itself. This seemed to be linked to their self-perception as an ageing member of society, with physical activity considered irrelevant, and competing roles and responsibilities (e.g., family) taking precedence. Additionally, older adults appeared to experience conflict between maintaining their autonomy and accepting the physical and social vulnerabilities associated with ageing. As older adults do not see physical activity as purposeful within itself, interventions promoting moderate or vigorous physical activity are likely to have limited success. As even small increases in physical activity benefit older adults, future interventions may wish to target the reduction of sedentary behaviour in this population.     

Muscular development motives for exercise participation: The missing variable in current questionnaire analysis?

Motivation questionnaires that are currently validated do not account for muscular development motives in exercise populations, and have rarely been used to examine resistance training populations. Resistance training is a popular and widely available exercise, so the lack of such motivational information is a cause for concern. The aim of this study was to assess the need for considering motives for muscular development. This was achieved by the development of a simple scale that matched the format and style of the Exercise Motivations Inventory. The muscular development scale was combined with the ‘weight management’ and ‘appearance’ items of the Exercise Motivations Inventory to form a 13-item test questionnaire. This was administered to four groups of experienced exercisers: resistance training males (n = 40), resistance training females (n = 36), males training in a variety of sports (n = 27) and aerobic training females (n = 40). Factor analysis with varimax rotation revealed a relatively distinct muscular development factor, but with cross-loading on weight management. Muscular development was shown to be the most effective discriminator for the four groups. A multivariate analysis of variance and additional discriminant analysis revealed a series of significant differences between groups, which suggests that motive-based differences are more powerful than sex factors in determining choice of exercise modality. Although the interrelated nature of muscular development and weight management needs to be recognized and accounted for, there is a clear need for considering muscular development motives in future investigations, especially those that intend to examine motives for ‘ideal’ physical appearance.     

Match running performance fluctuations in elite soccer: Indicative of fatigue,pacing or situational influences?

Abstract

The aims of this study were to: (1) quantify match running performance in 5-min periods to determine if players fatigue or modulate high-intensity running according to a pacing strategy, and (2) examine factors impacting high-intensity running such as score line, match importance and the introduction of substitutes. All players were analysed using a computerised tracking system. Maintaining ‘high’ levels of activity in the first half resulted in a 12% reduction (P < 0.01) in the second half for high-intensity running (effect size [ES]: 0.8), while no changes were observed in ‘moderate’ and ‘low’ groups (ES: 0.0–0.2). The ‘high’ group covered less (P < 0.01) high-intensity running in the initial 10-min of the second versus first half (ES: 0.6–0.7), but this was not observed in ‘moderate’ and ‘low’ groups (ES: 0.2–0.4). After the most intense periods, players demonstrated an 8% drop in high-intensity running (P < 0.05) compared to the match average (ES: 0.2) and this persisted for 5-min before recovering. Players covered similar high-intensity running distances in matches with differing score lines but position-specific trends indicated central defenders covered 17% less (P < 0.01) and attackers 15% more high-intensity running during matches that were heavily won versus lost (ES: 0.9). High-intensity running distances were comparable in matches of differing importance, but between-half trends indicated that only declines (P < 0.01) occurred in the second half of critical matches (ES: 0.2). Substitutes covered 15% more (P < 0.01) high-intensity running versus the same time period when completing a full match (ES: 0.5). The data demonstrate that high-intensity running in the second half is impacted by the activity of the first half and is reduced for 5-min after intense periods. High-intensity running is also influenced by score line and substitutions but not match importance. More research is warranted to establish if fluctuations in match running performance are primarily a consequence of fatigue, pacing or tactical and situational influences.     

What must I know to be brave?: revisiting the role of knowledge in the exercise of courage in sport

The Platonic definition of courage as the ‘knowledge of the fearful and the hopeful’ is often eschewed by philosophers of sport. In fact, the passionate nature of sport itself seems to testify against such a definition. Hence, accounts of courage within sport tend to emphasize the affective dimension of courage at the expense of the cognitive dimension. This essay argues in defense of the Platonic vision of courage as a species of knowledge as opposed to contemporary attempts to recover the affective dimension of courage, as exemplified by John Corlett. I shall argue that far from producing an overly intellectualized vision of courage, treating courage as a species of knowledge, even within sport, throws valuable light on the exercise of courage in sport and on the shape of sport itself with regards to the exercise of virtue.     

Managing arterial health in adults with metabolic diseases: Is high-intensity interval exercise the answer? Response to the commentary by Lopes et al.

Dear editor, We thank Lopes et al.1 for their interest in our study and for writing an insightful commentary based on our findings, which were recently publishe...     

Hooligans,Casuals, Independents: Decivilisation or Rationalisation of the Activity?

If there is one phenomenon which highlights the lack of role distance of certain sport actors, it is obviously hooliganism. In the mid-1980s, Norbert Elias and Eric Dunning became interested in the role played by modern sports in the ‘civilising process’ and, analysing the violence of sport crowds, introduced a culturalist interpretation of the actions. They were considered to be the work of members of the ‘rough working class’, who were less advanced in the ‘civilising process’ and had still not achieved sufficient self-control. In these groups, characterised by social functioning in the form of a segmentary bond, violence was thought to be a traditional way of resolving conflicts, a significant aspect and essential part of their ethos. This is an over-determined interpretation of the violence of sports crowds which naturalises and socialises this violence. This vision poses a problem, that of the negation of any logic on the part of the actors involved. This viewpoint leads us to consider violence as a social product and a ‘practical accomplishment’, the result of the way in which supporters interpret and live in the world that surrounds them, and, as such, it is the individual and collective motives and purposes that should be investigated.     

Does slow motion impact on the perception of foul play in football?

Objectives: Slow-motion replays of foul play situations are now used in the education and training of sports officials. We investigated the impact of video speed on the decision-making process of association football referees and how this interacted with expertise. Methods: Three different groups of referees, varying in level of expertise, assessed video clips from an in-game perspective. Video clips represented corner kick and open play situations in which a foul occurred or not. For these foul/no foul situations, the referees had to make a technical (no foul; indirect free kick; direct free kick; or penalty kick) and a disciplinary decision (no card; yellow card; or red card), under both slow-motion and real-time viewing conditions. Accuracy scores were determined by comparing participant’s responses with the decisions of an expert panel. Results: Significant differences were observed across groups for foul/no foul situations, suggesting that the experts were able to process the available information more effectively than their less expert colleagues. The accuracy scores for the technical decision were higher in slow motion (67%) compared to a real-time viewing condition (56%), particularly for corner kick situations. No differences were found between real time and slow motion for the disciplinary decision. Conclusions: Slow-motion footage results in higher accuracy scores for complex technical decisions. These findings have implications for the use of slow-motion replays in the decision-making process of referees.     

Reduced fat oxidation during high intensity,submaximal exercise: is the availability of carnitine important?

Abstract

The increased energy demand that occurs with incremental exercise intensity is met by increases in the oxidation of both endogenous fat and carbohydrate stores up to an intensity of ~70% V˙O_2max in trained individuals. However, when exercise intensity increases beyond this workload, fat oxidation rates decline, both from a relative and absolute perspective. As endogenous glycogen use is accelerated, glycogen stores can become depleted, ultimately resulting in fatigue and the inability to maintain high intensity, submaximal exercise (>70% V˙O_2max). Despite a considerable accumulation of knowledge that has been gained over the past half century, the precise mechanism(s) regulating muscle fuel selection and underpinning the aforementioned decline in fat oxidation remain largely unclear. A greater understanding would undoubtedly lead to novel strategies to increase fat utilization and, as such, improve exercise capacity. The present review primarily addresses one of the most prominent theories to explain the phenomenon of diminished fat oxidation during high intensity, submaximal exercise; a reduced availability of muscle free carnitine for mitochondrial fat translocation. This is discussed in the light of recent work in this area taking advantage of the discovery that muscle carnitine content can be increased in vivo in humans. Furthermore, the evidence supporting the recently proposed theory that reduced muscle co-enzyme A availability to several key enzymes in the fat oxidation pathway may also exert a degree of control over muscle fuel selection during exercise is also considered. Strong correlational evidence exists that muscle free carnitine availability is likely to be a key limiting factor to fat oxidation during high intensity, submaximal exercise. However, it is concluded that further intervention studies manipulating the muscle carnitine pool in humans are required to establish a direct causal role. In addition, it is concluded that while a depletion of muscle coenzyme A availability during exercise also offers a viable mechanism for impairing fat oxidation, at present, this remains speculative.     

Is there really an eccentric action of the hamstrings during the swing phase of high-speed running? Part II: Implications for exercise

We have previously argued that there may actually be no significant eccentric, but rather predominantly an isometric action of the hamstring muscle fibres during the swing phase of high-speed running when the attachment points of the hamstrings are moving apart. Based on this we suggested that isometric rather than eccentric exercises are a more specific way of conditioning the hamstrings for high-speed running. In this review we argue that some of the presumed beneficial adaptations following eccentric training may actually not be related to the eccentric muscle fibre action, but to other factors such as exercise intensity. Furthermore, we discuss several disadvantages associated with commonly used eccentric hamstring exercises. Subsequently, we argue that high-intensity isometric exercises in which the series elastic element stretches and recoils may be equally or even more effective at conditioning the hamstrings for high-speed running, since they also avoid some of the negative side effects associated with eccentric training. We provide several criteria that exercises should fulfil to effectively condition the hamstrings for high-speed running. Adherence to these criteria will guarantee specificity with regards to hamstrings functioning during running. Practical examples of isometric exercises that likely meet several criteria are provided.     

Muscle capacity and physical function in older women: What are the impacts of resistance training?

The number of older adults (individuals ≥65 years), particularly women, in our society is increasing and understanding the impact of exercise on muscle capacity (e.g., strength and power) and subsequently physical function is of utmost importance to prevent disability and maintain independence. Muscle capacity declines with age and this change negatively impacts physical function in older women. Exercise, specifically resistance training, is recommended to counteract these declines; however, the synergistic relationships between exercise, muscle capacity, and physical function are poorly understood. This review will summarize the literature regarding age-related changes in the aforementioned variables and review the research on the impact of resistance training interventions on muscle capacity and physical function in older women. Recommendations for future research in this area will be discussed.     

Self-selected or imposed exercise? A different approach for affective comparisons

The aim of this study was to compare the psychological and physiological responses of self-selected and imposed sessions of equivalent intensities and durations and allowing to participants a free control of pace during the self-selected session. Seventeen participants completed three sessions on a cycle ergometer. Participant’s VO_2Peak and lactate threshold were measured during an incremental exercise test. During the second and third sessions, participants could view a virtual cyclist on a monitor. During the self-selected session, participants were allowed free control of the intensity and duration. To ensure that the imposed session replicated the self-selected session in intensity, participants were instructed to follow an additional virtual cyclist, which was displayed on a monitor using the CompuTrainer 3D software. Power output and physiological and psychological variables were recorded during the sessions. A two-way ANOVA showed no effect of condition for power output (P = 0.940), heart rate (HR) (P = 0.965), VO₂ (P = 0.898), blood lactate (P = 0.667), Feeling Scale (P = 0.877), Felt Arousal Scale (P = 0.924) and CR100 (P = 0.939). A paired t-test showed no significant difference in Physical Activity Enjoyment Scale scores between sessions (P = 0.054). In contrast to previous studies, the self-selected session did not provide better affective responses than the imposed session with same intensity and duration.     

Land-walking vs.water-walking interventions in older adults:Effects on aerobic fitness

Background:Low cardiorespiratory fitness is an independent predictor of all-cause and cardiovascular mortality,and interventions that increase fitness reduce risk.Water-walking decreases musculoskeletal impact and risk of falls in older individuals,but it is unclear whether water-walking improves aerobic fitness in the same way as weight-dependent land-walking.This randomized controlled trial involved 3 intervention groups—a no-exercise control group(CG),a land-walking(LW)group,and a water-walking(WW)group—to investigate the comparative impacts of LWandWWto CG on fitness.Methods:Both exercise groups attended individually tailored,center-based,intensity-matched 3×weekly sessions for 24 weeks,which progressed to 150 min of exercise per week.This was followed by a 24-week no-intervention period.Maximal graded exercise tests were performed on a treadmill at Weeks 0,24,and 48.Results:Maximal oxygen uptake increased from Week 0 to Week 24 in both exercise groups(0.57±0.62 mL/kg/min,0.03±0.04 L/min for LW;0.93±0.75 mL/kg/min,0.06±0.06 L/min for WW,mean±SE)compared to the CG(-1.75±0.78 mL/kg/min,-0.16±0.05 L/min)(group×time,p<0.05).Time to exhaustion increased significantly following LW only(123.4±25.5 s),which was significantly greater(p=0.001)than the CG(24.3±18.5 s).By Week 48,the training-induced adaptations in the exercise groups returned to near baseline levels.Conclusion:Our study supports current physical-activity recommendations that 150 min/week of moderate-intensity exercise produces improvements in fitness in previously sedentary older individuals.Also,LW andWW elicit similar improvements in fitness if conducted at the same relative intensities.Exercise-na?ve older individuals can benefit from the lower impact forces and decreased risk of falls associated withWWwithout compromising improvements in cardiorespiratory fitness.     

Does acute exercise switch off switch costs? A study with younger and older athletes

This study investigated the effects of acute exercise on 53 young (16-24 years) and 47 older (65-74 years) adults' switch-task performance. Participants practiced sports requiring either low or high cognitive demands. Both at rest and during aerobic exercise, the participants performed two reaction time tasks that differed in the amount of executive control involved in switching between global and local target features of visual compound stimuli. Switch costs were computed as reaction time differences between switch and nonswitch trials. In the low demanding task, switch costs were sensitive only to age, whereas in the high demanding task, they were sensitive to acute exercise, age, and sport-related cognitive expertise. The results suggest that acute exercise enhances cognitive flexibility and facilitates complex switch-task performance. Both young age and habitual practice of cognitively challenging sports are associated with smaller switch costs, but neither age nor cognitive expertise seem to moderate the relationship between acute exercise and switch-task performance.