Sports Medicine and Health Science最新文献

{"title":"Combined effects of Tai-Chi gait with mediolateral ground support perturbation on dynamic balance control","authors":"Jacob Smith ,&nbsp;Troilyn Jackson ,&nbsp;Wei Liu ,&nbsp;Jonathan Gelfond ,&nbsp;Hao-Yuan Hsiao","doi":"10.1016/j.smhs.2024.07.002","DOIUrl":"10.1016/j.smhs.2024.07.002","url":null,"abstract":"<div><div>Tai-Chi (TC) is a broadly used exercise that appeared to decrease the risk of falls. However, biomechanical mechanisms underlying the reduced fall risks following TC exercise remain unclear and hinder the ability to optimize TC intervention to target specific balance deficit disorders. In addition, combining <span>TC</span> gait exercise with ground support perturbation may be a viable approach to further challenge balance control compared to TC gait alone. The purpose of this study was to compare dynamic stability and limb support force production during comfortable walking speed (CWS), TC gait, and TC gait with medial (MED) and lateral (LAT) ground support perturbations in older and younger adults. Ten older adults and ten younger adults performed CWS, TC gait, LAT, and MED. Conditions involving TC gait showed decreased margin of stability (MoS) (main effect of condition, <em>p</em> ​&lt; ​0.01) and increased vertical force impulse compared to CWS (<em>p</em> ​&lt; ​0.01). Medial ground support perturbation induced the smallest MoS among all conditions. Older adults showed increased MoS compared to younger adults (<em>p</em> ​&lt; ​0.01). These findings provided insight into how key balance control characteristics are modulated during TC exercise and indicate that combining ground support perturbation with TC may further challenge dynamic stability.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 208-213"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716419","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":"Physical activity, exercise, and mental health of healthy adolescents: A review of the last 5 ​years","authors":"Eva Ruiz-Ranz ,&nbsp;Iván Asín-Izquierdo","doi":"10.1016/j.smhs.2024.10.003","DOIUrl":"10.1016/j.smhs.2024.10.003","url":null,"abstract":"<div><div>The mental health of adolescents is a priority for successful development. Physical activity (PA) and exercise can have effects on the mental health of adolescents. This review analysed the effect that physical exercise interventions can have on the mental health of healthy adolescents between 10 and 19 years of age. The search was carried out in four databases. PubMed, Web of Science, Scopus and SportDiscuss, were searched up to December 31, 2022, following the general model. Eleven studies were selected, with a total sample of 23 ​681 participants in 2 435 studies published in the last 5 years involving healthy adolescents. The search process and review of the articles was performed by independent expert investigators. The risk-of-bias and the methodological quality were analysed using the Cochrane scale. The limited and heterogeneous studies conducted so far do not clearly establish the benefits of PA on adolescents’ mental health. However, some PA interventions seem to improve subjective well-being, self-esteem, physical and mental well-being, anxiety, lifestyle, emotional intelligence, depressive mood, and perceived benefit and confidence in healthy adolescents. It is important to design an effective and appropriate physical exercise programme that can be implemented for adolescents to achieve significant effects on their mental health. Studies that did not implement an appropriate exercise program with improvements in adolescent physical fitness showed no changes in psychological variables. Further research is needed to clearly establish that exercise programmes have positive effects on mental health in healthy adolescents.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 161-172"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139732","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":"Affective valence predictors from real-world based short sprint interval training","authors":"Stefano Benítez-Flores ,&nbsp;Flávio A. de S. Castro ,&nbsp;Eduardo Caldas Costa ,&nbsp;Daniel Boullosa ,&nbsp;Todd A. Astorino","doi":"10.1016/j.smhs.2024.07.003","DOIUrl":"10.1016/j.smhs.2024.07.003","url":null,"abstract":"<div><div>Affective valence is typically positive at exercise intensities below the lactate threshold, yet more aversive responses occur at supra-threshold intensities. Nevertheless, the physiological and psychological predictors of affective valence during supramaximal intensities including short sprint interval training (sSIT) have not yet been elucidated. Seventeen (7 women/10 men) moderately active young adults (age ​= ​[28.2 ​± ​5.6] years; <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O_2max [maximum oxygen consumption] ​= ​[52.9 ​± ​8.1] mL·kg⁻¹·min⁻¹; BMI [body mass index] ​= ​[24 ​± ​2] kg·m⁻²) completed four low-volume running sSIT sessions (10 ​× ​4 ​s efforts with 30 ​s of passive recovery). We recorded participants’ heart rate (HR), root mean square of successive differences of normal RR intervals (RMSSD), heart rate recovery (HRR), ratings of perceived exertion (RPE), feeling scale (FS), intention and self-efficacy during, and after each session. Overall, no significant correlation (<em>p</em> ​&gt; ​0.05) was found between FS and baseline clinical outcomes. No significant correlation (<em>p</em> ​&gt; ​0.05) was detected between FS and any training parameter. No significant correlations were noted between FS and exercise task self-efficacy and intentions (<em>p</em> ​&gt; ​0.05). The regression model was significant (<em>F</em>_{<em>3,61</em>} ​= ​5.57; <em>p</em> ​= ​0.002) and only three variables significantly entered the generated model: ΔHRR_{end-120s end} (<em>p</em> ​= ​0.002; <em>VIF</em> ​= ​2.58; 40.8%), time ≥ 90% HR_peak (<em>p</em> ​= ​0.001; <em>VIF</em> ​= ​1.26; 31.6%), and RMSSD_end (<em>p</em> ​= ​0.025; <em>VIF</em> ​= ​2.23; 27.6%). These findings suggest that HR-based measures, particularly those related to in-task stress (time ≥ 90% HR_peak) and acute recovery (ΔHRR_{end-120s end}, and RMSSD_end), may predict affective valence during real-world sSIT.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 190-201"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850688","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":"Effects of high-intensity intermittent cross-training on maximal oxygen uptake","authors":"Xin Liu,&nbsp;Katsunori Tsuji,&nbsp;Yuzhong Xu,&nbsp;Motoyuki Iemitsu,&nbsp;Izumi Tabata","doi":"10.1016/j.smhs.2024.11.003","DOIUrl":"10.1016/j.smhs.2024.11.003","url":null,"abstract":"<div><div>We investigated the effects of high-intensity intermittent cross-training (HIICT) on maximal oxygen uptake (<span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O₂max). The HIICT consisted of alternating intermittent 20-s treadmill running (1^st, 3^rd, 5^th, and 7^th bouts) and 20-s bicycle exercise (2^nd, 4^th, and 6^th bouts) with a 10-s rest period. Each intensity for running and bicycling of the HIICT corresponded to an oxygen demand of ∼160% and ∼170% of the <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O₂max, respectively. Fifteen healthy young males (aged [24 ​± ​1] yrs) were randomly assigned to training (TG, <em>n</em> ​= ​8) and non-training control (CG, <em>n</em> ​= ​7) groups. The TG completed this HIICT daily 4 days/week for 6 weeks. Significant group ​× ​time interactions were observed for both the running and bicycling <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O₂max (<em>p</em> ​&lt; ​0.001 each). After the training, the <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O₂max for both running ([57.4 ​± ​4.8] mL·kg⁻¹·min⁻¹) and bicycling ([50.6 ​± ​3.7] mL·kg⁻¹·min⁻¹) in the TG were significantly higher than those for running ([50.1 ​± ​3.1] mL·kg⁻¹·min⁻¹) and bicycling ([43.7 ​± ​3.6] mL·kg⁻¹·min⁻¹) in the CG, respectively (<em>p</em> ​&lt; ​0.01 each). Post-hoc tests revealed a significant increase in <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O₂max for running and bicycling in the TG after the HIICT (<em>p</em> ​&lt; ​0.001 each) but no significant difference in the CG. These results demonstrated that the newly developed HIICT increases the <span><math><mrow><mover><mi>V</mi><mo>˙</mo></mover></mrow></math></span>O₂max for both running and bicycling.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 185-189"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139737","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":"Model for predicting metabolic activity in athletes based on biochemical blood test analysis","authors":"Victoria A. Zaborova ,&nbsp;Evgenii I. Balakin ,&nbsp;Ksenia A. Yurku ,&nbsp;Olga E. Aprishko ,&nbsp;Vasiliy I. Pustovoyt","doi":"10.1016/j.smhs.2024.06.005","DOIUrl":"10.1016/j.smhs.2024.06.005","url":null,"abstract":"<div><div>Improving the efficiency of athletic performance and reducing the likelihood of overtraining are primarily determined goals that can be achieved by the correct organization of the training process. The nature of adaptation to physical stress is associated with the specificity, focus, and degree of biochemical and functional changes that occur during muscular work. In this study, we aimed to develop a diagnostic model for predicting metabolic processes in athletes based on standard biochemical blood analysis indicators. The study involved athletes from the track and field athletics team (men, <em>n</em> ​= ​42, average age was [22.55 ​± ​3.68] years). Blood samples were collected in the morning at the beginning and end of the training week during the annual cycle. During the entire period, 3 625 laboratory parameter tests were conducted. Capillary blood sampling in athletes was conducted from the distal phalanx of the finger after overnight fasting, according to standard diagnostic procedures. To determine the predominance of anabolic or catabolic processes, equations were derived from a linear discriminant function. The discriminant function of predicting metabolic processes in athletes has a high information capacity (92.1%), as confirmed by the biochemical results of neuroendocrine system activity, which characterized the body's stage of adaptive regulatory mechanisms in response to stress factors. The classification matrix used to predict the metabolic processes based on the results of the discriminant function calculation demonstrates the statistical significance of the model (<em>p</em> ​&lt; ​0.01). Consequently, an informative mathematical model was developed, which enabled the reliable and timely prediction of the prevalence of one of the metabolic activity phases in the athlete's body. The use of the developed model will also allow us to assess the nature of adaptation to specific muscular work, identify an athlete's weaknesses, forecast the success of their performance, and timely adjust both the training process and the recovery program.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 3","pages":"Pages 202-207"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404822","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":"Neuromuscular electrical stimulation producing low evoked force elicits the repeated bout effect on muscle damage markers of the elbow flexors","authors":"Sunggun Jeon ,&nbsp;Stephanie A. Sontag ,&nbsp;Lyric D. Richardson ,&nbsp;Alex A. Olmos ,&nbsp;Michael A. Trevino","doi":"10.1016/j.smhs.2024.04.006","DOIUrl":"10.1016/j.smhs.2024.04.006","url":null,"abstract":"<div><div>This study examined the repeated bout effect (RBE) on muscle damage markers following two bouts of neuromuscular electrical stimulation (NMES) in untrained individuals. Following familiarization, participants received 45 consecutive NMES to the biceps brachii at an intensity that produced low evoked force for the elbow flexors. Muscle damage markers (maximal voluntary isometric contraction [MVIC], elbow range of motion [ROM], muscle soreness via visual analogue scale [VAS] scores, pressure pain threshold [PPT], and muscle thickness) were measured before (PRE), after (POST), 1 day after (24 POST), and 2 days after (48 POST) NMES. Following 1 week of rest, procedures were replicated. Separate repeated measures two-way ANOVAs examined each measure. There were no interactions or bout main effects for MVIC or ROM. Time main effects indicated PRE MVIC was greater than POST (<em>p</em> ​= ​0.002) and 24-POST (<em>p</em> ​= ​0.024), and PRE ROM was greater than POST (<em>p</em> ​= ​0.036). There was no interaction for muscle thickness. Respective time and bout main effects indicated muscle thickness at PRE was less than POST (<em>p</em> ​= ​0.017), and second-bout muscle thickness (<em>p</em> ​= ​0.050) was less compared to the initial-bout. For PPT, there was an interaction (<em>p</em> ​= ​0.019). Initial-bout PRE PPT was less than POST (<em>p</em> ​= ​0.033). Initial-bout 48-POST PPT was less than second-bout 48-POST (<em>p</em> ​= ​0.037). There was a significant interaction for VAS (<em>p</em> ​= ​0.009). Initial-bout PRE VAS was less than POST (<em>p</em> ​= ​0.033) and 24-POST (<em>p</em> ​= ​0.015). Initial-bout POST and 24-POST VAS were greater than second-bout POST (<em>p</em> ​= ​0.023) and 24-POST (<em>p</em> ​= ​0.006), respectively. The results support RBE on muscle damage markers related to inflammation, but not MVIC and ROM.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 2","pages":"Pages 124-131"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771526","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":"Effects of eccentric resistance training after stroke on body function, activities of daily living and cognitive function: A review","authors":"Maria Ramoneda-Rabat ,&nbsp;Josep Medina-Casanovas ,&nbsp;Maria Betina Nishishinya Aquino ,&nbsp;Myriam Guerra-Balic","doi":"10.1016/j.smhs.2024.06.004","DOIUrl":"10.1016/j.smhs.2024.06.004","url":null,"abstract":"<div><div>Impairments on body function, activities of daily living (ADL) and cognition are common after stroke. Eccentric resistance training (ERT) may be implemented to improve them.</div><div>The primary objectives were to evaluate whether ERT improves body function, ADL and cognition after stroke. The secondary objectives were to evaluate whether ERT improves strength, gait, quality of life, and self-perceived health.</div><div>Seven electronic databases were searched: Cochrane Central Register of Controlled Trials, Cochrane Stroke Group Trials Register, PubMed, Epistemonikos, Embase, SPORTDiscus, and WHO International Clinical Trials Registry Platform. Last search was run in December 2023, including studies since 2012.</div><div>Selection criteria were studies with stroke participants of both sexes, aged 18 or more, with an intervention based on ERT. Accepted languages were English, Spanish or French.</div><div>First search was done in pairs. Authors removed duplicate studies and those which did not meet inclusion criteria through title and abstracts. Finally, all authors, independently, screened the final search results and extracted data.</div><div>Of 68 records identified, 15 were eligible and 6 were finally included (with moderate risk of bias), analyzing 159 participants. Body function (4 interventions, <em>n</em> ​= ​84), gait (4 interventions, <em>n</em> ​= ​115) and strength (3 interventions, <em>n</em> ​= ​78) showed significantly better results when ERT was performed. Meta-analysis could not be done because of the few studies and their heterogeneity.</div><div>This review provided low-moderate quality evidence suggesting that ERT might be effective at improving body function, strength, and gait after stroke. Besides, no harm was documented, and it was well-accepted.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 2","pages":"Pages 85-101"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397590","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":"An integrative review of the effects of high-intensity interval training on the autonomic nervous system","authors":"Massimo Coretti ,&nbsp;Nathalia Nahas Donatello ,&nbsp;Gianluca Bianco ,&nbsp;Francisco J. Cidral-Filho","doi":"10.1016/j.smhs.2024.08.002","DOIUrl":"10.1016/j.smhs.2024.08.002","url":null,"abstract":"<div><div>High-Intensity Interval Training (HIIT) has gained prominence as a time-efficient and effective exercise modality to improve cardiovascular (CV) fitness, metabolic health, and physical performance. Therefore, our aim was to synthesize current clinical research on the effects of HIIT on the Autonomic Nervous System. We conducted the search for studies in the Directory of Open Access Journals, Embase, Virtual Health Library, Pubmed, and Scielo databases, in January of 2024. We included a total of 20 studies in our review. This literature review highlights the potential of HIIT to modulate the Autonomic Nervous System, enhancing CV function and overall health. Despite the promising findings, the interpretation of the results is tempered by the variability in study designs, populations, and methodologies. Future research should address these limitations, aiming for a more nuanced understanding of the relationship between HIIT and Autonomic Nervous System function. The review indicates that standardized protocols need to consider individual characteristics and baseline autonomic states for clinical application. As the body of evidence grows, HIIT may emerge as a cornerstone of exercise prescriptions aimed at optimizing autonomic function and promoting CV health.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 2","pages":"Pages 77-84"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984898","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":"Exercise-related self-perception, physical activity and intention to in-person and virtual activities among adolescent girls","authors":"Shirko Ahmadi ,&nbsp;Jo-Anne Gilbert ,&nbsp;Mélysiane Marcotte ,&nbsp;Roseane de Fátima Guimarães ,&nbsp;Marie-Eve Mathieu","doi":"10.1016/j.smhs.2024.03.007","DOIUrl":"10.1016/j.smhs.2024.03.007","url":null,"abstract":"<div><div>This study aimed (1) to describe the experience of adolescents and adults using FitSpirit asynchronous virtual (V) exercise videos that target adolescent girls, (2) to compare physical activity (PA) levels and exercise-related self-perception variables among groups (2019 in-person [IP], 2021 IP, and 2021 V) of adolescent girls, and (3) to assess the association between the adolescents’ PA levels and their exercise-related self-perception in response to IP (pre-pandemic and during pandemic) and V (during pandemic) FitSpirit exercise modes. Regarding the first aim, 28 adolescent girls ([15.5 ​± ​0.8] years old) and 29 adult women ([33.0 ​± ​10.3] years old) experienced the V exercise mode. For the second and third aims, 376 girls ([15.3 ​± ​1.7] years old) participated IP in 2019 (pre-pandemic), 339 girls ([14.9 ​± ​1.6] years old) participated IP in 2021 (during the pandemic), and 27 girls ([15.5 ​± ​0.8] years old) watched V FitSpirit exercise videos in 2021 (during the pandemic). Data was collected using online questionnaires. Chi-square (<em>χ</em>^<em>2</em>) and Pearson tests were performed. Adults (76%) had a significantly higher intention to use FitSpirit exercise videos again than adolescents (14%) (<em>p</em> ​&lt; ​0.001). For IP exercise mode, we observed significant correlations between PA levels and being proud (<em>r</em> ​= ​0.08, <em>p</em> ​= ​0.046), feeling good (<em>r</em> ​= ​0.14, <em>p</em> ​&lt; ​0.001), and being disappointed (<em>r</em> ​= ​−0.12, <em>p</em> ​&lt; ​0.001). For the V exercise mode, there were no significant correlations. In conclusion, better exercise-related self-perception was only correlated to PA levels when IP training was offered. These first findings support IP training for adolescent girls when the pandemic situation allows it.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 2","pages":"Pages 109-115"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761953","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":"Self-reported exertional heat illness and risk factors among collegiate marching band artists","authors":"Melani R. Kelly ,&nbsp;Dawn M. Emerson ,&nbsp;Toni M. Torres-McGehee ,&nbsp;Nancy A. Uriegas ,&nbsp;Matthew O. Smith ,&nbsp;Kevin Kloesel ,&nbsp;Allison B. Smith","doi":"10.1016/j.smhs.2024.04.004","DOIUrl":"10.1016/j.smhs.2024.04.004","url":null,"abstract":"<div><div>Marching band (MB) artists are often part of the general student population and not required to complete a pre-participation health screening to identify predisposing medical conditions or risks for injury/illness. Anecdotally, exertional heat illnesses (EHI) are a concern for MB artists. As more athletic trainers provide MB healthcare, research is needed on EHI occurrence and MB associated EHI risk factors. We utilized an exploratory cross-sectional study design to determine EHI risk factors, including previous EHI occurrence, among collegiate MB artists. MB artists (<em>n</em> ​= ​1 207; age ​= ​[19.6 ​± ​1.3] years) actively participating in their college/university's MB during the 2019 football season completed an online survey to characterize demographics, medical history, medication and supplement use, and nutrition behaviors. Chi-square and binomial logistical regressions assessed associations between categorical variables. Previous EHI was reported by 50.6% of MB artists, with 466 (76.3%) experiencing exertional heat exhaustion and 31 (5.1%) exertional heat stroke. More females reported exertional heat exhaustion overall (68.2%, <em>p</em> ​&lt; ​0.001) and in the previous year (73.3%, <em>p</em> ​&lt; ​0.001). Experiencing a previous EHI was significantly associated with having a mood/neurological condition (63.5%, <em>p</em> ​&lt; ​0.001), diagnosed (74.3%, <em>p</em> ​= ​0.004) or perceived eating disorder (66.7%, <em>p</em> ​&lt; ​0.001), and taking prescription medications (59.4%, <em>p</em> ​&lt; ​0.001), over-the-counter medications (58.9%, <em>p</em> ​= ​0.002), and supplements (55.4%, <em>p</em> ​= ​0.037). Half of collegiate MB artists reported experiencing previous EHIs and engaged in behaviors known to increase EHI risk. MB artists should complete pre-participation examinations to identify pre-existing medical conditions and risks for adverse medical events. Healthcare providers working with MB artists should develop policies and procedures to mitigate EHI risks and occurrence.</div></div>","PeriodicalId":33620,"journal":{"name":"Sports Medicine and Health Science","volume":"7 2","pages":"Pages 132-142"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984904","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}