Elina Gianzina, Christos K Yiannakopoulos, Georgios Kalinterakis, Spilios Delis, Efstathios Chronopoulos
{"title":"Gender-Based Differences in Biomechanical Walking Patterns of Athletes Using Inertial Sensors.","authors":"Elina Gianzina, Christos K Yiannakopoulos, Georgios Kalinterakis, Spilios Delis, Efstathios Chronopoulos","doi":"10.3390/jfmk10010082","DOIUrl":"10.3390/jfmk10010082","url":null,"abstract":"<p><p><b>Background</b>: Wearable inertial sensors are essential tools in biomechanics and sports science for assessing gait in real-world conditions. This study explored gender-based differences in biomechanical walking patterns among healthy Greek athletes using the BTS G-Walk system, focusing on key gait parameters to inform gender-specific training and rehabilitation strategies. <b>Methods</b>: Ninety-five healthy athletes (55 men, 40 women), aged 18 to 30 years, participated in this study. Each athlete performed a standardized 14 m walk while 17 biomechanical gait parameters were recorded using the BTS G-Walk inertial sensor. Statistical analyses were conducted using SPSS to assess gender differences and left-right foot symmetry. <b>Results</b>: No significant asymmetry was found between the left and right feet for most gait parameters. Men exhibited longer stride lengths (left: <i>p</i> = 0.005, Cohen's d = 0.61; right: <i>p</i> = 0.009, Cohen's d = 0.53) and longer stride and gait cycle durations (left: <i>p</i> = 0.025, Cohen's d = 0.52; right: <i>p</i> = 0.025, Cohen's d = 0.53). Women showed a higher cadence (<i>p</i> = 0.022, Cohen's d = -0.52) and greater propulsion index (left: <i>p</i> = 0.001, Cohen's d = -0.71; right: <i>p</i> = 0.001, Cohen's d = -0.73), as well as a higher percentage of first double support (<i>p</i> = 0.030, Cohen's d = -0.44). <b>Conclusions</b>: These findings highlight the impact of biological and biomechanical differences on walking patterns, emphasizing the need for gender-specific training and rehabilitation. The BTS G-Walk system proved reliable for gait analysis, with potential for optimizing performance, injury prevention, and rehabilitation in athletes. Future research should explore larger, more diverse populations with multi-sensor setups.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bogdan Belegišanin, Nikola Andrić, Tatjana Jezdimirović Stojanović, Alen Ninkov, Gordan Bajić, Nedžad Osmankač, Mladen Mikić, Marko D M Stojanović
{"title":"A Comparison of Bilateral vs. Unilateral Flywheel Strength Training on Physical Performance in Youth Male Basketball Players.","authors":"Bogdan Belegišanin, Nikola Andrić, Tatjana Jezdimirović Stojanović, Alen Ninkov, Gordan Bajić, Nedžad Osmankač, Mladen Mikić, Marko D M Stojanović","doi":"10.3390/jfmk10010081","DOIUrl":"10.3390/jfmk10010081","url":null,"abstract":"<p><p><b>Background/objectives:</b> This study aimed to compare the effects of bilateral and unilateral flywheel training programs on leg strength, sprint performance, jumping, and change of direction ability in young basketball players. <b>Methods:</b> Twenty-two youth male basketball players were randomly assigned to two groups: the unilateral group (UG; n = 11; age = 15.5 ± 0.5 years) and the bilateral group (BG; n = 11; age = 15.2 ± 0.4 years). Both groups participated in a six-week flywheel training intervention (UG: split squat; BG: half squat) alongside their regular basketball activities. Performance measures included change of direction ability (5-0-5 test), knee extension 60 degrees/s leg strength (EX60), bilateral and unilateral countermovement jump heights (CMJ, CMJL, and CMJD), reactive strength index (RSI), and 5 m and 20 m sprint times (SPR5m and SPR20m). A 2 × 2 ANOVA was used to evaluate pre- to post-intervention changes. <b>Results:</b> Significant interaction effects were observed for the 5-0-5 test (F = 13.27; <i>p</i> = 0.02), with pre-post improvements of 8.4% and 13.3% for the BG and UG, respectively. Both groups showed significant CMJ improvements (11.4%, ES = 0.69 for the BG; 14.6%, ES = 1.4 for the UG). The UG demonstrated greater unilateral jump improvements compared to the BG. Significant RSI improvements were found for both groups (BG: 19.6%, ES = 0.95; UG: 19.6%, ES = 0.77). Both groups improved on sprint performance, with the UG showing slightly larger effect sizes. <b>Conclusions:</b> Unilateral flywheel strength training appeared to be a more effective strategy than bilateral training for enhancing strength, sprinting, jumping, and change of direction ability in youth basketball players.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Godwin Chinedu Uzomba, Philip X Fuchs, Cristina Cortis, Andrea Fusco
{"title":"Sex Differences and the Relationship Between Athlete Anthropometrics and Long Jump Performance at National Elite Level.","authors":"Godwin Chinedu Uzomba, Philip X Fuchs, Cristina Cortis, Andrea Fusco","doi":"10.3390/jfmk10010078","DOIUrl":"10.3390/jfmk10010078","url":null,"abstract":"<p><strong>Objectives: </strong>Anthropometric characteristics influence performance and development in athletic activities such as long jumping. This study aimed to analyze sex differences in anthropometrics among high-level long jumpers and investigate the relationship between anthropometrics and long jump distance.</p><p><strong>Methods: </strong>During the national championships, body height, mass, segment lengths, and circumferences of 39 male and 22 female competitors were obtained via a stadiometer, weight scale, and non-stretchable tape. Officials measured jump distances during the competition. ANOVA, correlation, and stepwise-forward regression analysis were conducted at a significance level of <i>p</i> < 0.05. The half-split method was used to cross-validate the final regression model.</p><p><strong>Results: </strong>Height, mass, and more than 50% of the measured segment lengths and circumferences differed between sexes (η<sup>2</sup> = 0.053-0.422, <i>p</i> < 0.05). Jump distance correlated with sex, mass, height, arm span, shank and leg length, and upper arm and chest circumference (<i>r</i> = 0.264-0.686, <i>p</i> < 0.05). The final regression model identified sex and chest circumference as predictors of jump distance (adjusted <i>R</i><sup>2</sup> = 0.519, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>This study enhances the understanding of key anthropometric features influencing long jump performance at an elite level. Recognizing the importance of these characteristics has practical implications for talent identification, athlete assessment, and strength program development.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kicking, Throwing, Grappling: How Combat Sports Shape Muscular Fitness and Motor Competence in Children.","authors":"Stevan Stamenković, Hrvoje Karničić, Jadranka Vlašić, Anja Topolovec, Damir Pekas","doi":"10.3390/jfmk10010076","DOIUrl":"10.3390/jfmk10010076","url":null,"abstract":"<p><p><b>Background/Objectives</b>: This study aimed to examine differences in motor competence and muscular fitness between children engaged in combat sports and their peers who do not participate in structured physical activity. <b>Methods</b>: The sample consisted of 120 healthy eight-year-old children, evenly divided into two groups: 60 children practicing combat sports (karate, judo, and wrestling) for at least one year and 60 children without structured sports involvement. Motor competence was assessed using the Test of Gross Motor Development-2 (TGMD-2), while muscular fitness was evaluated through standing broad jump, grip strength, 30 s sit-ups, bent arm hang, medicine ball throw, and push-ups. For differences between groups, the independent samples <i>t</i>-test was performed. <b>Results</b>: Results indicated that children practicing combat sports demonstrated significantly higher locomotor and manipulative skills (<i>p</i> < 0.01, ES = 0.76-1.25) and superior muscular fitness across all tests (<i>p</i> < 0.01, ES = 0.53-1.09) compared to their peers. <b>Conclusions</b>: These findings highlight the positive impact of combat sports on overall physical development, particularly in enhancing motor competence, muscle strength, and endurance. Given the critical role of motor competence and physical fitness at this age, integrating combat sports into daily routines can support long-term athletic development, encourage physical activity, and enhance overall health. Future research should explore the influence of specific combat sports on distinct physical attributes and consider additional factors such as total physical activity levels.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Knee Mechanics, Strength and Flexibility: Assessing Injury Risk in Female Adolescent Soccer Players.","authors":"Koulla Parpa, Marcos Michaelides","doi":"10.3390/jfmk10010077","DOIUrl":"10.3390/jfmk10010077","url":null,"abstract":"<p><strong>Background/objectives: </strong>This study examined the link between the Q angle, knee hyperextension, flexibility, strength profiles and injury occurrence in female adolescent soccer players.</p><p><strong>Methods: </strong>Thirty adolescent female soccer players (age range: 15-17 years; age: 15.47 ± 0.73 years; weight: 55.91 ± 7.44 kg; height: 160.01 ± 5.58 cm) were recruited for the study. The tests were conducted before the pre-season preparation period, and the players were monitored from the beginning to the end of the season. This study included players who sustained non-contact injuries throughout the season as well as those who did not sustain any injuries for comparison purposes. Players underwent an anthropometric assessment (height, weight, body fat, Q angle, knee hyperextension) and completed a sit-and-reach test and an isokinetic assessment at 60°/s.</p><p><strong>Results: </strong>The results showed that 36.67% of players sustained a non-contact injury during the season. Based on the isokinetic assessment at 60°/s, significant differences were observed between the two groups in the torque production of the right and left knee extensors [t(28) = 2.32, <i>p</i> = 0.03, d = 0.81 (large effect)] and the right and left knee flexors [t(28) = 2.04, <i>p</i> = 0.05, d = 0.71 (medium effect)], with the injured group demonstrating significantly greater interlimb asymmetries in torque between the right and left knee extensors, as well as the right and left knee flexors. Also, the injured group demonstrated significantly higher knee hyperextension values for both the right [t(28) = 6.12, <i>p</i> < 0.05, d = 2.22 (large effect)] and left legs [t(28) = 5.72, <i>p</i> < 0.05, d = 2.15 (large effect)].</p><p><strong>Conclusions: </strong>interlimb asymmetries and knee hyperextension may contribute to the occurrence of lower body non-contact injuries in adolescent female soccer players.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gustavo Christofoletti, Azriel Cancian Nepomuceno de Almeida, Camilly Lorentz, Sidney Afonso Sobrinho, Renata Terra de Oliveira, Suzi Rosa Miziara Barbosa
{"title":"Acute Effects of a Single Whole-Body Vibration Session on Mobility and Postural Control in Community-Dwelling Older Adults: A Randomized Clinical Trial.","authors":"Gustavo Christofoletti, Azriel Cancian Nepomuceno de Almeida, Camilly Lorentz, Sidney Afonso Sobrinho, Renata Terra de Oliveira, Suzi Rosa Miziara Barbosa","doi":"10.3390/jfmk10010075","DOIUrl":"10.3390/jfmk10010075","url":null,"abstract":"<p><p><b>Background:</b> Whole-body vibration is a modality of exercise that uses high-frequency mechanical stimuli to enhance motor functions. Previous studies have demonstrated benefits of whole-body vibration in older adults. However, prolonged use of this modality of exercise may be detrimental to certain conditions. <b>Objectives</b>: to verify the acute effects of a single whole-body vibration session on mobility and postural control in community-dwelling older adults. <b>Methods</b>: In this two-arm, single-blind clinical trial, fifty-two participants were randomly allocated to either the experimental (subject to a single whole-body vibration session with a vibration amplitude of 2 mm and a frequency of 40 Hz) or placebo group. The exercise sessions were conducted using a tri-planar vibration platform. The tri-plane plates were adjusted to vibrate up and down, side to side, and front to back. The assessments included mobility and postural control tests. Repeated-measures analyses of variance were performed to examine the main effect of group (experimental vs. placebo), time (baseline vs. after the intervention), and group × time interaction effect. Significance was set at 5%. <b>Results</b>: Compared with the placebo group, participants who underwent whole-body vibration showed positive outcomes in terms of mobility (<i>p</i> = 0.014, effect size: 0.115). Contrastingly, no significant differences were observed between the groups in terms of postural control (<i>p</i> > 0.05). <b>Conclusions</b>: Benefits of a single whole-body vibration session were observed on mobility. Using whole-body vibration to improve postural control may require additional sessions. Contraindications typical of aging should be taken into account.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silvia Ortega-Cebrián, Diogo C F Silva, Daniela F Carneiro, Victor Zárate, Leonel A T Alves, Diana C Guedes, Carlos A Zárate-Tejero, Aïda Cadellans-Arróniz, António Mesquita Montes
{"title":"Presence of Pain Shows Greater Effect than Tendon Structural Alignment During Landing Dynamics.","authors":"Silvia Ortega-Cebrián, Diogo C F Silva, Daniela F Carneiro, Victor Zárate, Leonel A T Alves, Diana C Guedes, Carlos A Zárate-Tejero, Aïda Cadellans-Arróniz, António Mesquita Montes","doi":"10.3390/jfmk10010074","DOIUrl":"10.3390/jfmk10010074","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Eccentric loading during landing is considered a key factor in the development of patellar tendinopathy and is associated with stiff landings and patellar tendinopathy. This study aims to investigate the relationship between tendon structure, presence of pain, and sex differences in landing kinematics and kinetics during countermovement jumps (CMJ) and tuck jump tests (TJT) in professional volleyball players. <b>Methods</b>: Professional volleyball players aged 18 to 30 years old (14 females and 25 males) participated in a cross-sectional study. Data included the Victorian Institute of Sport Assessment Patellar Tendon (VISA-P) questionnaire; patellar tendon ultrasound characterization tissue (UTC) scans, in order to identify groups with misaligned tendon fibers (MTF) or aligned tendon fibers (ATF); and biomechanical assessments for CMJ and TJT. The joint angle (JA) at the lower limb was measured at peak ground reaction force (peak_vGRF) and maximal knee flexion (max_KF). A general linear model was used to evaluate joint JA differences between tendon alignment, pain, and sex variables. Sample <i>t</i>-tests compared peak_vGRF, load time, load rate, and area based on tendon alignment, pain presence, sex, and jump. The statistical significance of <i>p</i>-value is >0.05, and the effect size (ES) was also calculated. <b>Results</b>: The MTF group revealed decreased knee JA during TJT at peak_vGRF (<i>p</i> = 0.01; ES = -0.66) and max_KF (<i>p</i> = 0.02; ES = -0.23). The presence of pain was associated with increased JA during the CMJ, particularly at peak_vGRF and max_KF for trunk, hip, and ankle joints. Females showed decreased peak_vGRF than males. Landing with misaligned tendon fibers showed longer load times compared to aligned tendon fibers (<i>p</i> = 0.021; ES = -0.80). The TJT exhibited a greater load rate than the CMJ (<i>p</i> = 0.00; ES = -0.62). <b>Conclusions</b>: Pain is a critical factor influencing greater JA during landing, particularly at the trunk, hip, and ankle joints in CMJ. Misaligned tendon fibers compromise landing dynamics by increasing trunk JA during TJT. Kinetics varied significantly by sex and jump type, while pain and tendon structure revealed limited differences.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christos Kokkotis, Kyriakos Apostolidis, Dimitrios Menychtas, Ioannis Kansizoglou, Evangeli Karampina, Maria Karageorgopoulou, Athanasios Gkrekidis, Serafeim Moustakidis, Evangelos Karakasis, Erasmia Giannakou, Maria Michalopoulou, Georgios Ch Sirakoulis, Nikolaos Aggelousis
{"title":"Explainable Siamese Neural Networks for Detection of High Fall Risk Older Adults in the Community Based on Gait Analysis.","authors":"Christos Kokkotis, Kyriakos Apostolidis, Dimitrios Menychtas, Ioannis Kansizoglou, Evangeli Karampina, Maria Karageorgopoulou, Athanasios Gkrekidis, Serafeim Moustakidis, Evangelos Karakasis, Erasmia Giannakou, Maria Michalopoulou, Georgios Ch Sirakoulis, Nikolaos Aggelousis","doi":"10.3390/jfmk10010073","DOIUrl":"10.3390/jfmk10010073","url":null,"abstract":"<p><strong>Background/objectives: </strong>Falls among the older adult population represent a significant public health concern, often leading to diminished quality of life and serious injuries that escalate healthcare costs, and they may even prove fatal. Accurate fall risk prediction is therefore crucial for implementing timely preventive measures. However, to date, there is no definitive metric to identify individuals with high risk of experiencing a fall. To address this, the present study proposes a novel approach that transforms biomechanical time-series data, derived from gait analysis, into visual representations to facilitate the application of deep learning (DL) methods for fall risk assessment.</p><p><strong>Methods: </strong>By leveraging convolutional neural networks (CNNs) and Siamese neural networks (SNNs), the proposed framework effectively addresses the challenges of limited datasets and delivers robust predictive capabilities.</p><p><strong>Results: </strong>Through the extraction of distinctive gait-related features and the generation of class-discriminative activation maps using Grad-CAM, the random forest (RF) machine learning (ML) model not only achieves commendable accuracy (83.29%) but also enhances explainability.</p><p><strong>Conclusions: </strong>Ultimately, this study underscores the potential of advanced computational tools and machine learning algorithms to improve fall risk prediction, reduce healthcare burdens, and promote greater independence and well-being among the older adults.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlos Raúl Robledo-Millán, María Regina Diaz-Domínguez, Ari Evelyn Castañeda-Ramírez, Efrén Quiñones-Lara, Sebastián Valencia-Marín, Ricardo Xopán Suárez-García, Nely Gisela López-Desiderio, Claudio Adrían Ramos-Cortés, Areli Marlene Gaytán Gómez, Juan Manuel Bello-López, Héctor Iván Saldívar-Cerón
{"title":"A Novel Metabolic Risk Classification System Incorporating Body Fat, Waist Circumference, and Muscle Strength.","authors":"Carlos Raúl Robledo-Millán, María Regina Diaz-Domínguez, Ari Evelyn Castañeda-Ramírez, Efrén Quiñones-Lara, Sebastián Valencia-Marín, Ricardo Xopán Suárez-García, Nely Gisela López-Desiderio, Claudio Adrían Ramos-Cortés, Areli Marlene Gaytán Gómez, Juan Manuel Bello-López, Héctor Iván Saldívar-Cerón","doi":"10.3390/jfmk10010072","DOIUrl":"10.3390/jfmk10010072","url":null,"abstract":"<p><p><b>Background:</b> As metabolic diseases continue to rise globally, there is a growing need to improve risk assessment strategies beyond traditional measures such as BMI and waist circumference, which may fail to identify individuals at risk. This study develops and validates a novel metabolic risk classification system that incorporates body fat percentage (%BF), waist circumference (WC), and grip strength (GS) in Mexican adults. It aims to improve risk stratification and evaluate the association with metabolic syndrome. <b>Methods</b>: This cross-sectional study involved 300 young adults (18-22 years) from a university in Mexico City, utilizing body composition (%BF) and anthropometric measures (WC, GS) to categorize them into four risk groups: protective, low risk, increased risk, and high risk. A retrospective cohort of 166 adults (18-65 years) with complete clinical records was used for validation. <b>Results</b>: The inclusion of GS in the risk assessment significantly shifted the distribution in the young adult cohort, reducing the \"no risk\" category (15.5% males, 11.6% females) and expanding the higher-risk categories (70.2% males, 69% females). Metabolic parameters such as fasting glucose, triglycerides, HDL cholesterol, and blood pressure worsened progressively across the risk categories (<i>p</i> < 0.001). The high-risk group exhibited a markedly increased odds ratio for metabolic syndrome at 28.23 (10.83-73.6, <i>p</i> < 0.001), with no cases in the protective and low-risk groups. <b>Conclusions</b>: Integrating grip strength with %BF and WC into a risk classification system substantially enhances metabolic risk stratification, identifies at-risk individuals not previously detected, and confirms a protective group. This validated system provides a robust tool for early detection and targeted interventions, improving public health outcomes in metabolic health.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah L Remus, Kevin Brugetti, Veronika A Zimmer, Nina Hesse, Paul L Reidler, Riccardo Giunta, Julia A Schnabel, Wolfram Demmer
{"title":"Personalized Joint Replacement: Landmark-Free Morphometric Analysis of Distal Radii.","authors":"Sarah L Remus, Kevin Brugetti, Veronika A Zimmer, Nina Hesse, Paul L Reidler, Riccardo Giunta, Julia A Schnabel, Wolfram Demmer","doi":"10.3390/jfmk10010071","DOIUrl":"10.3390/jfmk10010071","url":null,"abstract":"<p><p><b>Background:</b> Fractures of the distal radius are common, particularly among young men and elderly women, often leading to painful wrist arthritis, especially if the joint surface has been affected. Traditional treatments of the wrist, such as full or partial wrist fusion, limit movement, and common wrist prostheses have high complication rates. Regenerative medicine and 3D bioprinting offer the potential for personalized joint replacements. <b>Methods</b>: This study evaluates using the contralateral radius as a template for creating customized distal radius prostheses. Bilateral CT scans of healthy wrists were analyzed to assess the shape and symmetry of the distal radius using a landmark-free morphometric method. Instead of comparing defined landmarks, the entire surface of the radius is analyzed employing dense point- and deformation-based morphometry to detect subtle morphological differences, providing an unbiased and more accurate comparison of the overall deformations in the distal radii. <b>Results:</b> results show strong intraindividual symmetry in joint surfaces. Interindividual comparisons revealed significant morphological variations, particularly gender-specific differences. <b>Conclusions:</b> These findings support the use of the contralateral radius as a template for the replaced side. At the same time, the interindividual results endorse the approach of pursuing personalized prostheses as the optimal replacement for distal joint surfaces. The increasing improvement of 3D-printed prostheses promises new methods for better outcomes in distal radius arthrosis after intraarticular fractures. Further research into clinical applications and biocompatible 3D printing materials is recommended.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"10 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}