排名前10的与预防运动和体育活动猝死相关的关键问题

参加有组织的体育运动和休闲活动存在发生严重伤病甚至死亡的内在风险。虽然造成体育运动或体育活动中猝死的原因有很多,但运动医学和循证标准治疗方面的进展已使临床医生得以更有效地预防、发现和治疗可能致死的伤患。随着研究与技术不断发展进步,当前的治疗标准正在不断发展以更好地改善患者的治疗效果。本文提出了10个与运动和体育活动中猝死的主要原因及其治疗手段有关的关键问题,未来开展的研究将提高运动员和休闲运动爱好者参与运动的安全度。当前证据表明,如采取正确的预防策略或最佳治疗方案,绝大多数的死亡案例是可以避免的。     

Examining the capacity of a sport for development programme to create social capital

Robert Putnam’s conceptualization of social capital has been commonly associated with, and used to analyse, sport-for-development programmes. This paper bucks this trend and uses James Coleman’s rational strain of social capital to examine the use of sport as a component part of a programme to support male adults in addressing connected problems of substance misuse, homelessness and other forms of social exclusion. Using a qualitative research strategy, in-depth and longitudinal data were collected using individual interviews and focus groups with programme participants and key stakeholders over a three-year period. The results suggest the importance of unintentionality for the formation and use value of social capital; indicating that social capital created through this programme was individual, contingent on interactional context and benefited individuals in line with Coleman’s six aspects of social capital.     

Effect of a randomised 12-week resistance training programme on muscular strength,cross-sectional area and muscle quality in women having undergone Roux-en-Y gastric bypass

The purpose of this study was to examine the effect of a 12-week resistance training programme on fat-free mass (FFM), muscle cross-sectional area, muscular strength and muscle quality in women who underwent Roux-en-Y gastric bypass surgery. Participants were 16 women (mean age = 44.9 ± 10.2 years) from bariatric surgical groups who were randomly assigned into either a control or an intervention group. Air displacement plethysmography measured FFM and magnetic resonance imaging measured quadriceps muscle cross-sectional area and whole thigh muscle cross-sectional area. Muscular strength and quality was assessed using an estimated 1-Repetition Maximum assessment. All measurements were collected twice, at baseline and at a 12-week follow-up. There were significantly greater improvements in leg press strength (mean differences = 55.4%, P < 0.001, Cohen’s d = 2.4), leg extension strength (mean differences = 18.0%, P = 0.014, Cohen’s d = 0.86) and leg press muscle quality (mean differences = 54.5%, P < 0.001, Cohen’s d = 1.9) in the intervention group compared to the control group following the resistance training programme. The resistance training intervention significantly improved muscular strength and quality; however, it did not illicit changes in FFM or muscle cross-sectional area in women who underwent Roux-en-Y gastric bypass surgery.     

Acute effects of intense interval training on running mechanics

The aims of this study were to determine if there are significant kinematic changes in running pattern after intense interval workouts, whether duration of recovery affects running kinematics, and whether changes in running economy are related to changes in running kinematics. Seven highly trained male endurance runners (VO 2max = 72.3 +/- 3.3 ml kg -1 min -1 ; mean +/- s) performed three interval running workouts of 10 X 400 m at a speed of 5.94 +/- 0.19 m s -1 (356 +/- 11.2 m min -1 ) with a minimum of 4 days recovery between runs. Recovery of 60, 120 or 180 s between each 400 m repetition was assigned at random. Before and after each workout, running economy and several kinematic variables were measured at speeds of 3.33 and 4.47 m s -1 (200 and 268 m min -1 ). Speed was found to have a significant effect on shank angle, knee velocity and stride length (P ? 0.05). Correlations between changes pre- and post-test for VO 2 (ml kg -1 min -1 ) and several kinematic variables were not significant (P > 0.05) at both speeds. In general, duration of recovery was not found to adversely affect running economy or the kinematic variables assessed, possibly because of intra-individual adaptations to fatigue.     

Throwing performance in water polo is related to in-water shoulder proprioception

ABSTRACT

Water polo players require a high level of upper-extremity strength, flexibility and coordination to achieve a peak level of throwing performance. Increased levels of shoulder proprioceptive acuity, strength and range of motion (ROM) have been previously associated with higher sporting performance. A coach-rating scale, used to quantify an athlete’s kicking proficiency in soccer; was adapted in the current study to measure each coach’s subjective expert opinion regarding athletes’ throwing mechanics, velocity, and accuracy. To examine this hypothesis shoulder proprioception acuity of 18 water polo players was measured both in-water and on-land using an AMEDA apparatus and correlated with coach-rated throwing performance and clinical measures of shoulder strength and ROM. There was a moderate positive correlation between the in-water and the on-land proprioception acuity (r = 0.47, p < 0.05). The in-water score showing a strong positive correlation with coach rated throwing mechanics (r = 0.68, p < 0.05) and velocity (r = 0.75, p = 0.02), suggesting that superior proprioception acuity contributed to fast, mechanically-efficient throwing. These findings support the notion that in-water proprioceptive acuity is an important determinant of the throwing performance achieved by water polo athletes and its measurement may be a valuable adjunct to current athlete screening.     

Age,Physical Activity,Physical Fitness,Body Composition,and Incidence of Orthopedic Problems

Abstract

The incidence of orthopedic problems was examined in 5, 582 men and women who attended the Cooper Clinic in Dallas, Texas between 1974 and 1982. The effects of age, physical activity, physical fitness, and body mass index (EMI) on the occurrence of these problems were examined using a proportional hazards approach. The expected risk of orthopedic problems per person-year was 0.045 for men and 0.046 for women. For men, physical fitness, BMI, and physical activity were associated with orthopedic problems, while for women, physical activity was the main predictor. Age was not a factor for either gender. The effect of change in physical fitness, physical activity, and BMI was examined in a subset of 2, 325 persons with more than one visit to the clinic. For women, physical activity and a decrease in BMI were associated with orthopedic problems, while for men none of those factors were significant. Again, age was not a factor in either group. The absence of any age effect on the occurrence of problems suggests that with regard to orthopedic problems, moderate amounts of physical activity in generally healthy persons may be recommended without special consideration as to age.     

Cardiac Dimensions in Elite Young Track Athletes

The purpose of the study was to compare young sprint and distance runners for changes in their cardiac dimensions with increased age (10–17 years) or body surface area (1–2 m²). Echocardiographic dimensions were obtained on 73 male track athletes competing in the 1983 National Age Group Track and Field Association championships. Each group of athletes was also compared with a hypothetical normal population (matched for weight and age) generated from prediction equations derived by Henry, Gardin, & Ware (1980). The cardiac dimensions examined were: Left ventricular internal diameter, left ventricular posterior wall thickness, and interventricular septum thickness. The male distance runners (n = 38) had a significantly greater increase in left ventricular posterior wall thickness and interventricular septum thickness with increasing age or increasing body surface area compared to the sprinters (n = 35) or compared to the predicted normal population. The left ventricular internal diameter was not significantly different between the groups. These results indicate that the hearts of male distance runners are undergoing a training hypertrophy whereas the hearts of sprinters are no different than hearts in a normal population. The changes in cardiac dimensions of these young athletes run counter to the generalizations stated for adult athletes: That endurance training enlarges the left ventricular internal diameter, but does not increase the left ventricular posterior wall or interventricular septum thickness.     

Response to a Cold Pressor Test during Physical Training

Abstract

Members of the 1958–59 varsity basketball team at Santa Barbara and a control group of physical education majors not in training were tested each three weeks during a 17-week season of basketball competition on their response to a step test and to a cold pressor test. The results indicated that significant step test recovery pulse rate changes were made by the basketball players after three weeks of training. Maximum changes were found to occur after 17 weeks of training. The diastolic pressure response to the cold pressor test increased significantly (7 mmHg.) after six weeks of training and this was maintained for 17 weeks. The results indicated that a possible increased sensitivity or tone of the peripheral vessels resulted from physical training.     

Selection of models in contingency tables: A reexamination

Qualitative data often need analysis using log-linear models, as pointed out by Liu and Sanders. In this article, references to the state-of-the-art literature and software packages for analyzing such data are presented. We also illustrate the two types of log-linear models and present procedures for investigating both types.