Factors associated with physical activity referral uptake and participation

The aim of this study was to examine participant and scheme characteristics in relation to access, uptake, and participation in a physical activity referral scheme (PARS) using a prospective population-based longitudinal design. Participants (n = 3762) were recruited over a 3-year period. Logistic regression analyses identified the factors associated with the outcomes of referral uptake, participation, and completion (> or = 80% attendance). Participant's age, sex, referral reason, referring health professional, and type of leisure provider were the independent variables. Based on binary logistic regression analysis (n = 2631), only primary referral reason was associated with the PARS coordinator making contact with the participants. In addition to the influence of referral reason, females were also more likely (odds ratio 1.250, 95% confidence interval 1.003-1.559, P = 0.047) to agree to be assigned to a leisure provider. Referral reason and referring health professional were associated with taking up a referral opportunity. Older participants (1.016, 1.010-1.023, P < 0.001) and males were more likely to complete the referral. In conclusion, the PARS format may be less appropriate for those more constrained by time (women, young adults) and those with certain referral reasons (overweight/obesity, mental health conditions). More appropriate targeting at the point of referral could improve participation rates by revealing or addressing barriers that might later result in dropout.     

Factors associated with physical activity referral completion and health outcomes

Abstract

Participant socio-demographic characteristics and referral reason were investigated in relation to completion and health outcomes in a Primary Care Physical Activity Referral Scheme using a prospective population-based longitudinal design. Participants (n = 1735) were recruited over a 2-year period. A three-stage binary logistic regression analysis identified the factors associated with the outcomes of completion (model 1), body mass reduction (model 2) and blood pressure reduction (model 3). Participant's age, gender, ethnicity, occupation and referral reason were the independent variables for model 1, with the variables of completion added in model 2 and completion and body mass reduction added in model 3. Logistic regression analysis revealed that increasing age is associated with the likelihood of completion (Odds Ratio, OR = 1.019; Confidence Interval, CI = 1.008–1.030; P = 0.001). Participants with a pulmonary condition are less likely to complete (OR = 0.546; CI = 0.346–0.860; P < 0.01) compared to those referred for cardiovascular conditions. For ethnicity, in comparison to the white category, patients in the mixed category are significantly more likely to achieve a reduction in body mass (OR = 3.991; CI = 1.191–13.373; P < 0.05). Those who complete are more likely to achieve a reduction in body mass (OR = 3.541; CI = 2.721–4.608; P < 0.001). When compared to the unemployed category, the skilled manual category had an increased likelihood of achieving a reduction in blood pressure (OR = 1.875; CI = 1.044–3.227; P < 0.05). Participants who completed also demonstrated an increased likelihood of a reduction in blood pressure (OR = 1.680; CI = 1.250–2.003; P < 0.001). Furthermore, those participants who achieved a reduction in body mass had an increased likelihood of achieving a reduction in blood pressure (OR = 1.292; CI = 1.008–1.641; P < 0.05). Completion is associated with health outcomes of reduced body mass and blood pressure.     

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.     

The association of socio-economic factors with physical fitness and activity behaviours,spinal posture and retinal vessel parameters in first graders in urban Switzerland

Socio-economic status during childhood has been shown to be a strong predictor of adult health outcome. Therefore, we examined associations of parental educational level, household income and migrant background with physical fitness, spinal flexibility, spinal posture as well as retinal vessel diameters in children of an urban Swiss region. A total of 358 first graders of the Swiss canton Basel-Stadt (age: 7.3, SD: 0.4) were examined. Physical fitness (20 m shuttle run test, 20 m sprint, jumping sidewards and balancing backwards), spinal flexibility and spinal posture (MediMouse^®, Idiag, Fehraltdorf, Switzerland) and retinal microcirculation (Static Retinal Vessel Analyzer, Imedos Systems UG, Jena, Germany) were assessed. Parental education, household income, migrant background and activity behaviour were evaluated with a questionnaire. Parental education was associated with child aerobic fitness (P = 0.03) and screen time (P < 0.001). Household income was associated with jumping sidewards (P = 0.009), balancing backwards (P = 0.03) and sports club participation (P = 0.02). Migrant background was associated with BMI (P = 0.001), body fat (P = 0.03), aerobic fitness (P = 0.007), time spent playing outdoors (P < 0.001) and screen time (P < 0.001). For spinal flexibility and retinal vessel diameter, no associations were found (0.06 < P < 0.8). Low parental education, low household income and a migrant background are associated with poor physical fitness, higher BMI and body fat percentage and low-activity behaviour.     

The Importance of Adolescents’ Participation in Organized Sport According to VO2peak: A Longitudinal Study

Research from several countries has documented a decline in physical activity (PA) levels and in participation in organized sport with increasing age, indicating that organized sport may be of importance to adolescents’ cardiorespiratory fitness (CRF). Purpose: The purpose of this study was to examine how regular participation in organized and unorganized PA affected the development of adolescents’ CRF (peak oxygen consumption [VO₂peak]), when controlled for sex interaction. Method: Data on direct measures of VO₂peak and participation in organized PA among adolescents organized into 3 groups (participation in organized sport, participation in unorganized PA, and no weekly PA) were collected from 76 students (39 boys and 37 girls), when they were aged 14 and 19 years old. Results: Statistically significant differences were found between VO₂peak values in the 3 groups at both 14 years of age, F(2, 73) = 7.16, p < .05, ?² = .170, and 19 years of age, F(2, 73) = 14.00, p < .05, ?² = .300, independent of sex at both 14 and 19 years of age, F(2, 73) = 0.05, p > .05, ?² = .02, and F(2, 73) = 0.05, p > .05, ?² = .00. Adolescents participating in organized sport also had statistically significantly higher VO₂peak values than adolescents participating in unorganized PA and those with no weekly PA, at both 14 and 19 years of age. Conclusion: From a health perspective, in terms of CRF, the findings highlight the importance of encouraging adolescents to participate in organized sport and to refrain from dropping out of organized sport programs.     

Factors associated with early career progression in professional Australian Football players

This study examined the association between individual and team characteristics and the probability of being offered a second contract in professional Australian Football. Contract status was obtained from the AFL for players who were drafted in the AFL National Draft between 1999 and 2013 (n = 999). Individual player characteristics were retrieved from the AFL while variables relating to performance were accessed online via Champion Data®. A binary logistic regression examined the influence of each characteristic on the probability of a professional Australian Football player receiving a second contract. Receiver operating characteristic (ROC) curves and the associated AUC were used to assess the discriminant ability of both a training (n = 938) and test data set (n = 61). The characteristics that influenced the probability of receiving a second contract included first year debut (pr 0.606), draft order (pr – 0.126), draft year (pr 0.059), games played (pr 1.848), team state (pr 0.458), rising star nomination (pr 1.553) and team ladder position (pr ?0.043) (χ² (8) = 198.28, p < 0.001). The ROC curve demonstrated an AUC of 82.4% (training) and 76.0% (test). A combination of individual and team based characteristics are associated with early career progression in professional Australian Football.     

A comparison of genetic variants between proficient low- and high-risk sport participants

Athletes participating in high-risk sports consistently report higher scores on sensation-seeking measures than do low-risk athletes or non-athletic controls. To determine whether genetic variants commonly associated with sensation seeking were over-represented in such athletes, proficient practitioners of high-risk (n = 141) and low-risk sports (n = 132) were compared for scores on sensation seeking and then genotyped at 33 polymorphic loci in 14 candidate genes. As expected, athletes participating in high-risk sports score higher on sensation seeking than did low-risk sport athletes (P < .01). Genotypes were associated with high-risk sport participation for two genes (stathmin, (P = .004) and brain-derived neurotrophic factor (P = .03)) as well as when demographically matched subsets of the sport cohorts were compared (P < .05); however, in all cases, associations did not survive correction for multiple testing.     

Targeting associated mechanisms of anterior cruciate ligament injury in female community-level athletes

This study aims to determine if biomechanically informed injury prevention training can reduce associated factors of anterior cruciate ligament injury risk among a general female athletic population. Female community-level team sport athletes, split into intervention (n = 8) and comparison groups (n = 10), completed a sidestepping movement assessment prior to and following a 9-week training period, in which kinetic, kinematic and neuromuscular data were collected. The intervention group completed a biomechanically informed training protocol, consisting of plyometric, resistance and balance exercises, adjunct to normal training, for 15–20 min twice a week. Following the 9-week intervention, total activation of the muscles crossing the knee (n = 7) decreased for both the training (? ?15.02%, d = 0.45) and comparison (? ?9.68%, d = 0.47) groups. This decrease was accompanied by elevated peak knee valgus (? +27.78%, d = ?0.36) and internal rotation moments (? +37.50%, d = ?0.56) in the comparison group, suggesting that female community athletes are at an increased risk of injury after a season of play. Peak knee valgus and internal rotation knee moments among athletes who participated in training intervention did not change over the intervention period. Results suggest participation in a biomechanically informed training intervention may mitigate the apparent deleterious effects of community-level sport participation.     

Physical activity and social support in adolescents: analysis of different types and sources of social support

Little is known about the influence of different types and sources of social support on physical activity in adolescents. The aim of this study was to analyse the association between physical activity and different types and sources of social support in adolescents. The sample consisted of 2,859 adolescents between 14–19 years of age in the city of João Pessoa, in Northeastern Brazil. Physical activity was measured with a questionnaire and social support from parents and friends using a 10-item scale five for each group (type of support: encouragement, joint participation, watching, inviting, positive comments and transportation). Multivariable analysis showed that the types of support provided by parents associated with physical activity in adolescents were encouragement for females (P < 0.001) and adolescents between 14–16 years of age (P = 0.003), and transportation (P = 0.014) and comments (P = 0.037) for males. The types of social support provided by friends were: joint participation in male adolescents (P < 0.001) and in these 17–19-year-olds (P < 0.001), and comments in both genders (males: P = 0.009; females: P < 0.001) and 14–16-year-olds (P < 0.001). We conclude that the type of social support associated with physical activity varies according to its source, as well as the gender and age of the adolescents.     

Kinematic comparison of baseball batting off of a tee among various competition levels

Determining and understanding baseball batting mechanics at various competition levels may help players and coaches identify key kinematics crucial to being a successful hitter. The purpose of this study was to compare batting kinematics across competition levels. Kinematic and temporal data were analysed for 170 male batters (youth n = 33; high school n = 69; college n = 22; professional n = 46) using 3D motion capture (480 Hz). The results showed differences in angular positions between competition levels during the five phases of the swing, with the greatest differences seen between the youth and professional batters. At the instant of ball contact, professional batters held the bat farther away from their body, with greater back shoulder abduction (35°) and less back elbow flexion (78°) compared to youth (27° and 89°, respectively). These differences were associated with greater back elbow extension velocity for professionals (1539°/s) compared to youth (1174°/s). Additionally, higher level batters had higher bat angular and linear velocities compared to the youth batters. As batters progress through their career, they should focus on their back arm by keeping their elbow up and their arm extended in front of them.     

Extended Validation of the Korean Version of the Quality of Life Survey

In this study, we examined the factor structure and reliability of the Korean Quality of Life (KQoL) survey and compared the KQoL survey to both the World Health Organization Quality of Life-Brief Version (WHOQOL-BREF) and the Satisfaction with Life Scale (SWLS). We also assessed associations between KQoL scores and physical activity (PA) participation. Participants were 557 (male = 281, female = 276) healthy Korean adults with ages between 18 and 71 years (M = 33.2, SD = 14.2). Results of confirmatory factor analyses confirmed the 7-subscale model and indicated acceptable values supporting convergent validity (χ² = 1,678.758, df = 443, p < .001, RMSR = .045, RMSEA = .071, TLI = .880, CFI = .892). Correlations of KQoL subscales with similar subscales of WHOQOL-BREF and with SWLS supported concurrent validity. Results confirm that the KQoL survey can assess multidimensional aspects of quality of life (QoL), including spiritual, physical, social, and psychological. KQoL scores were positively related to PA participation, in line with previous research supporting the positive association of PA with QoL.     

Tournament structure and nations' success in women's professional tennis

Abstract

The relationship between domestic professional tournament structure in women's tennis and the subsequent professional ranking success of a nation's female players is examined. The 2003 women's professional tennis tournament calendar provided the distribution of events in 33 countries. Criteria used to classify nations' success in women's professional tennis were as follows: number of players with Women's Tennis Association (WTA) points, number of players with Top 200 rankings, and the combined WTA ranking of a nation's Top 5 female players. Pearson product – moment correlations were performed between the number of tournaments and the three criteria. Considerable variation was observed in the number of events organized between nations (USA, n = 56; Thailand, n = 3). All countries had internationally ranked female players, and 24 nations had players ranked in the Top 200. Results revealed relationships between a nation's number of women's professional events and both that nation's number of professionally ranked players (r = 0.60; P < 0.01) and Top 200 players (r = 0.60; P < 0.01), as well as the combined ranking of their Top 5 players (r = ?0.52; P < 0.01). While a similar association was found between the number of professional events and players ranked in the men's game, there was no significant correlation between events held and the combined standing of nations' best five ranked players. Governing bodies and national associations in tennis should consider the provision of professional, domestic competition as key to the development of female tennis players.     

The relationship between strength asymmetries and jumping performance in professional volleyball players

Knee peak torque (PT) is associated to jump performance in volleyball players. It is not clear whether muscle strength imbalances of the knee joint can influence jump performance. The purpose of study was to analyse the association between PT and knee muscular imbalances with jump performance in professional volleyball players. Eleven elite male volleyball players (90.3 ± 9.7 kg body mass and 1.94 ± 0.06 m height) were evaluated in an isokinetic dynamometer at speeds of 60, 180 and 300 deg/s. Muscle strength imbalances were obtained through calculation of contralateral deficit between limbs and the conventional ratio (hamstrings/quadriceps). Countermovement jump (CMJ) was performed on a force plate to calculate mechanical power and height. Association was found between knee extensor PT at 180 deg/s with CMJ power (r = 0.610, p = 0.046). Conventional ratio at 300 deg/s showed negative association with CMJ (r = ?0.656, p = 0.029). The optimal ratio between knee extensors PT in relation to the flexors PT is associated with the greater mechanical power in CMJ. Contralateral deficit does not seem to be associated with the CMJ performance. Considering the knee extensor PT is associated with CMJ power, our findings suggest that strength-based training in volleyball athletes should not omit the conventional muscle ratio.     

Relationships between physiological,anthropometric, and skill qualities and playing performance in professional rugby league players

Abstract

In this study, we investigated the relationship between physiological, anthropometric, and skill qualities and playing performance in professional rugby league players. Fifty-eight high-performance rugby league players underwent measurements for anthropometry (height, body mass, sum of seven skinfolds), physiological (speed, change of direction speed, lower body muscular power, repeated-sprint ability, prolonged high-intensity intermittent running ability, and estimated maximal aerobic power), technical skill (tackling proficiency, draw and pass proficiency), and perceptual skill (reactive agility, pattern recall, pattern prediction) qualities. National Rugby League matches were coded for attacking (e.g. line breaks, try assists, etc.) and defensive (e.g. missed tackles, tackling efficiency, etc.) statistics commonly used to assess rugby league playing performance. The number of line break assists was significantly associated (P < 0.05) with greater playing experience (r = 0.36), dual-task draw and pass proficiency (r = 0.54), reactive agility (r = 0.29), and pattern recall (r = 0.32) and prediction (r = 0.28) ability, while faster speed over 40 m (r = ?0.42) was associated (P < 0.05) with a higher number of tries scored. Greater age and playing experience, better lower body muscular power, and faster 10 m and 40 m speed were significantly associated (P < 0.05) with the number of tackle attempts (positive), tackles completed (positive), and proportion of missed tackles (negative). These findings demonstrate that well-developed physical and skill qualities are associated with effective playing performance in National Rugby League players.     

The association between COMT rs4680 and 5-HTTLPR genotypes and concussion history in South African rugby union players

The objective was to investigate the relationship between Catechol-O-methyltransferase (COMT) rs4680 and serotonin-transporter-linked polymorphic region (5-HTTLPR) genotypes with concussion history and personality traits. Rugby players (“all levels”: n = 303), from high schools (“junior”, n = 137), senior amateur, and professional teams (“senior”, n = 166), completed a self-reported concussion history questionnaire, Cloninger’s Tridimensional Personality Questionnaire, and donated a DNA sample. Participants were allocated into control (non-concussed, n = 140), case (all) (previous suspected or diagnosed concussions, n = 163), or case (diagnosed only) (previous diagnosed concussion, n = 140) groups. COMT rs4680 Val/Val genotypes were over-represented in controls in all levels (P = 0.013, OR:2.00, 95% CI:1.15–3.57) and in juniors (P = 0.003, OR:3.57, 95% CI:1.45–9.09). Junior Val/Val participants displayed increased “anticipatory worry” (P = 0.023). The 5-HTTLPR low expressing group was under-represented in controls when all levels were considered (P = 0.032; OR:2.02, 95% CI:1.05–3.90) and in juniors (P = 0.021; OR:3.36, 95% CI:1.16–9.72). Junior 5-HTTLPR low and intermediate expressing groups displayed decreased “harm avoidance” (P = 0.009), “anticipatory worry” (P = 0.041), and “fear of uncertainty” (P < 0.001). This study provides preliminary indications that personality associated genetic variants can influence concussion in rugby.     

Straight sprinting is the most frequent action in goal situations in professional football

Abstract

The present study aimed to analyse the influence of speed and power abilities in goal situations in professional football.

During the second half of the season 2007/08, videos of 360 goals in the first German national league were analysed by visual inspection. For the assisting and the scoring player the situations immediately preceding the goal were evaluated. The observed actions were categorised as: no powerful action, rotation (around the body's centre-line), straight sprint, change-in-direction sprint, jump, or a combination of those categories.

Two hundred and ninety-eight (83%) goals were preceded by at least one powerful action of the scoring or the assisting player. Most actions for the scoring player were straight sprints (n = 161, 45% of all analysed goals, P < 0.001) followed by jumps (n = 57, 16%), rotations and change-in-direction sprints (n = 22, 6% each). Most sprints were conducted without an opponent (n = 109, P < 0.001) and without the ball (n = 121, P < 0.001). Similarly, for the assisting player the most frequent action was a straight sprint (n = 137, P < 0.001) followed by rotations (n = 28), jumps (n = 22) and change-in-direction sprints (n = 18). The straight sprints were mostly conducted with the ball (n = 93, P = 0.003).

In conclusion, straight sprinting is the most frequent action in goal situations. Power and speed abilities are important within decisive situations in professional football and, thus, should be included in fitness testing and training.     

Hydration,sweat and thermoregulatory responses to professional football training in the heat

Abstract

This study examined the relationship between intensity of training and changes in hydration status, core temperature, sweat rate and composition and fluid balance in professional football players training in the heat. Thirteen professional football players completed three training sessions; “higher-intensity” (140 min; HI₁₄₀), “lower-intensity” (120 min; LI₁₂₀) and “game-simulation” (100 min; GS₁₀₀). Movement demands were measured by Global Positioning System, sweat rate and concentration were determined from dermal patches and body mass change. Despite similar environmental conditions (26.9 ± 0.1°C and 65.0 ± 7.0% relative humidity [Rh]), higher relative speeds (m · min^?1) and increased perceptions of effort and thermal strain were observed in HI₁₄₀ and GS₁₀₀ compared with LI₁₂₀ (P < 0.05). Significantly (P < 0.05) greater sweat rate (L · h^?1) and electrolyte losses (g) were observed in HI₁₄₀ and GS₁₀₀ compared with LI₁₂₀. Rate of rise in core temperature was correlated with mean speed (r = 0.85), session rating of perceived exertion (sRPE) (r = 0.61), loss of potassium (K⁺) (r = 0.51) sweat rate (r = 0.49), and total sweat loss (r = 0.53), with mean speed the strongest predictor. Sodium (Na⁺) (r = 0.39) and K⁺ (r = 0.50) losses were associated with total distance covered. In hot conditions, individualised rehydration practices should be adopted following football training to account for differences in sweat rate and electrolyte losses in response to intensity and overall activity within a session.     

The use of player physical and technical skill match activity profiles to predict position in the Australian Football League draft

This study investigated the extent to which position in the Australian Football League (AFL) national draft is associated with individual game performance metrics. Physical/technical skill performance metrics were collated from all participants in the 2014 national under 18 (U18) championships (18 games) drafted into the AFL (n = 65; 17.8 ± 0.5 y); 232 observations. Players were subdivided into draft position (ranked 1–65) and then draft round (1–4). Here, earlier draft selection (i.e., closer to 1) reflects a more desirable player. Microtechnology and a commercial provider facilitated the quantification of individual game performance metrics (n = 16). Linear mixed models were fitted to data, modelling the extent to which draft position was associated with these metrics. Draft position in the first/second round was negatively associated with “contested possessions” and “contested marks”, respectively. Physical performance metrics were positively associated with draft position in these rounds. Correlations weakened for the third/fourth rounds. Contested possessions/marks were associated with an earlier draft selection. Physical performance metrics were associated with a later draft selection. Recruiters change the type of U18 player they draft as the selection pool reduces. juniors with contested skill appear prioritised.     

The importance of the International Tennis Federation's junior boys' circuit in the development of professional tennis players

Abstract

The relationship between junior boys' tennis success, as measured by a top 20 International Tennis Federation's Junior Circuit (ITFJC) ranking, and subsequent ranking accomplishments in professional men's tennis is discussed. The names, countries, and birthdates of all players to achieve a top 20 ITFJC boys' year-end ranking from 1992 to 1998 were recorded. The progress of these players through the professional ranks was then tracked to the end of 2004. Results indicate that 91% of top 20-ranked boys achieved a professional men's ranking, while a stepwise regression analysis revealed junior ranking (JR) to be a predictor of future, professional ranking (β = 0.232, r ² = 0.054, p < 0.05). A regression equation [predicted professional rank = 78.17 + 6.31?(JR)] accounted for a significant amount of variance in professional ranking. For male players, therefore, the achievement of a top 20 junior ranking appears to be a reasonable yardstick for future, professional success. The type of surface upon which junior players develop their games was also shown to influence professional ranking highs, with play on clay courts or a combination of clay and hard courts helping to produce higher, professionally ranked players than hard court play alone (p≤ 0.01).     

The Effect of CHAMP on Physical Activity and Lesson Context in Preschoolers: A Feasibility Study

Purpose: This feasibility study compared the effects of 2 movement programs, traditional and mastery climate (i.e., the Children’s Health Activity Motor Program [CHAMP]), on lesson context and children’s physical activity (PA) levels. A secondary aim was to examine sex differences in PA levels in both programs. Method: Seventy-two preschoolers served as participants and were assigned to a movement program. Physical activity levels and lesson context were assessed with the System for Observing Fitness Instruction Time. Results: Preschoolers in CHAMP spent more time walking (p < .05, d = 3.3), more time in moderate-to-vigorous PA (MVPA; p < .05, d = 3.6), and less time standing (p < .05, d = 3.8) compared with those in a traditional movement program. Boys in both programs spent less time standing (p < .05, d = 4.8) and more time in vigorous activity (p < .05, d = 5.8) and MVPA (p < .05, d = 4.4) compared with girls. During CHAMP, children spent less time engaged in management and knowledge (p < .05, d = 1.4, and p < .001, d = 0.9, respectively) and more time in skill practice (p < .05, d = 1.5). Conclusion: The findings support that participation in CHAMP elicits more MVPA in preschool-age children compared with a traditional movement program. The Children’s Health Activity Motor Program provided children with more class time devoted to skill practice. The program appears to be an innovative approach that is beneficial for PA engagement and could contribute positively to children’s health.