Lack of Relationship Between Functional and Perceived Quality of Life Outcomes Following Pulmonary Rehabilitation

Individuals with chronic obstructive pulmonary disease (COPD) have been shown to benefit from participation in pulmonary rehabilitation (PR) programs that include exercise training and education. Purpose: To examine the relationship between improvements in 6 minute walk distance and perceived quality of life in individuals with COPD following completion of a PR program. Methods: The records of 139 individuals completing a PR program (3 times a week for 8 weeks) were retrospectively examined. Prior to entry and upon completion of the program each individual completed a 6 minute walk test (6MWT), the SF-36 Health survey, and the UCSD Shortness of Breath Questionnaire (SOB). SF-36 results were analyzed according to 8 subscales [Physical Functioning (PF), Role Physical (RF), Bodily Pain (BP), General Health (GH), Vitality (V), Social Functioning (SF), Role Emotional (RE), and Mental Health (MH)]. Results: PR resulted in significant improvements in 6MWTdistance (Pre = 845 ± 37 ft, Post = 1127 ± 32 ft, p < 0.001), PF (p < 0.001), RF (p = 0.001), Vitality (p = 0.002), SF (p < 0.001), RE (p = 0.037), MH (p < 0.001) and SOB (Pre = 53 ± 2, Post = 47 ± 2, p < 0.001). The change in 6MWT distance was not related to changes in PF (r = 0.17), RF (r = 0.03), GH (r = 0.03), Vitality (r = −0.001), SF (r = 0.01), RE (r = 0.06), MH (r = −0.04) or SOB (r = 0.12). The magnitude of improvement in 6MWT distance (68%) was much greater than that observed in PF (15%), RF (16%), GH (6%), VT (18%), SF (20%), RE (14%), MH (14%), or SOB (8%). Conclusions: PR has a positive impact on 6 minute walk distance and perceived quality of life in individuals with COPD; however, changes in 6 minute walk distance appear to have no relationship to changes in perceived quality of life.     

Acknowledgements

Acknowledgement

Acknowledgements     

Distributors and film critics: does it take two to Tango?

Previous literature has documented the impact of critics on audience choices of movies. We investigate three issues regarding professional critics in the motion picture industry. First we document whether and to what extent critics and their recommendations exhibit a statistical bias toward specific studios. We show that reviews by a number of critics are significantly affected by the film distributor’s identity. A second question is whether audiences are able to distinguish between biased and unbiased critics. We cannot support the view that audiences put less weight on the views of biased critics; in fact, they may listen to them more. Third, we try to characterize critics who are more prone to bias. Surprisingly, but in accord with reputation models, we find that more reputable critics may be more biased; in particular, critics based in L.A. tend to significantly prefer specific studios.

Development and validation of the moral disengagement in sport scale

A sport-specific measure of moral disengagement was developed in 2 studies. In Study 1, a 59-item questionnaire was developed and tested with 308 athletes from 5 team sports. A series of confirmatory factor analyses (CFA) testing different models suggested the model that best fitted the data had 6 first-order factors that could be represented by 1 second-order factor. Study 2 involved 305 athletes from the same 5 sports. CFA confirmed the 6-factor, second-order structure for the final 32-item measure. Results from Study 2 supported the construct validity of the scale, providing evidence for the factorial, concurrent, convergent, and discriminant validity. The Moral Disengagement in Sport Scale (MDSS) is proposed as a valid and reliable measure of moral disengagement for use in the sport context.     

Nutritional strategies to optimize training and racing in middle-distance athletes

Middle-distance athletes implement a dynamic continuum in training volume, duration, and intensity that utilizes all energy-producing pathways and muscle fibre types. At the centre of this periodized training regimen should be a periodized nutritional approach that takes into account acute and seasonal nutritional needs induced by specific training and competition loads. The majority of a middle-distance athlete's training and racing is dependant upon carbohydrate-derived energy provision. Thus, to support this training and racing intensity, a high carbohydrate intake should be targeted. The required energy expenditure throughout each training phase varies significantly, and thus the total energy intake should also vary accordingly to better maintain an ideal body composition. Optimizing acute recovery is highly dependant upon the immediate consumption of carbohydrate to maximize glycogen resynthesis rates. To optimize longer-term recovery, protein in conjunction with carbohydrate should be consumed. Supplementation of beta-alanine or sodium bicarbonate has been shown to augment intra- and extracellular buffering capacities, which may lead to a small performance increase. Future studies should aim to alter specific exercise (resistance vs. endurance) and/or nutrition stimuli and measure downstream effects at multiple levels that include gene and molecular signalling pathways, leading to muscle protein synthesis, that result in optimized phenotypic adaptation and performance.     

Nutrition for the sprinter

The primary roles for nutrition in sprints are for recovery from training and competition and influencing training adaptations. Sprint success is determined largely by the power-to-mass ratio, so sprinters aim to increase muscle mass and power. However, extra mass that does not increase power may be detrimental. Energy and protein intake are important for increasing muscle mass. If energy balance is maintained, increased mass and strength are possible on a wide range of protein intakes, so energy intake is crucial. Most sprinters likely consume ample protein. The quantity of energy and protein intake necessary for optimal training adaptations depends on the individual athlete and training demands; specific recommendations for all sprinters are, at best, useless, and are potentially harmful. However, if carbohydrate and fat intake are sufficient to maintain energy levels, then increased protein intake is unlikely to be detrimental. The type and timing of protein intake and nutrients ingested concurrently must be considered when designing optimal nutritional strategies for increasing muscle mass and power. On race day, athletes should avoid foods that result in gastrointestinal discomfort, dehydration or sluggishness. Several supplements potentially influence sprint training or performance. Beta-alanine and bicarbonate may be useful as buffering agents in longer sprints. Creatine may be efficacious for increasing muscle mass and strength and perhaps increasing intensity of repeat sprint performance during training.     

Different centre of pressure patterns within the golf stroke I: Cluster analysis

Weight transfer research in the golf swing has produced conflicting and inconclusive results. A limitation of previous studies is the assumption that only one swing "style" exists within the golf swing. If different styles, or movement strategies, exist and if the different styles are analysed together in a single group, statistical errors will result. The aim of this study was to determine if different weight transfer styles exist in the golf swing by applying cluster analysis to centre of pressure (CP) patterns in the direction of hit (CPy) and to evaluate cluster analysis issues. Sixty-two professional to high handicap golfers performed simulated drives, hitting a golf ball into a net, while standing on two force plates. Centre of pressure position relative to the feet (CPy%) was quantified at eight swing events identified from 200-Hz video. Cluster analysis identified two major CPy% styles: a "Front Foot" style and a "Reverse" style. Both styles began with CPy% positioned evenly between the feet, moved to the back foot during backswing, and then forward during early downswing. Beyond early downswing, the Front Foot group continued to move CPy% to the Front Foot through to ball contact, while the Reverse group moved CPy% towards the back foot through ball contact and follow-through. Both weight transfer styles were evident across skill levels from professional to high handicap golfers, indicating that neither style was a technical error. Cluster analysis should include hierarchical and non-hierarchical clustering and use objective measures combined with theoretical assessment to determine the optimal number of clusters. Furthermore, a number of validation procedures should always be used to validate the solution.     

Visual and postural control of an arbitrary posture: the handstand

The aim of this study was to increase our understanding of postural regulation by analysing an arbitrary posture - the handstand. We assessed the relative influence of peripheral vision and central visual anchoring on the postural balance of gymnasts in the inverted-stand posture. Displacements of the centre of pressure, the angles between the body segments, and the gymnast's height in the handstand were analysed. Postural regulation in the handstand appeared to be organized according to a system similar to that in erect posture, with three articular levels suggesting the existence of a typical organization of human posture. Moreover, both intra-modal (central and peripheral vision) and inter-modal sensory systems (vision and other balance systems) contributed to the postural regulation. The results are interpreted in terms of an ecological approach to posture in which postural regulation can be considered as an emergent phenomenon.