Investigating Treatment Outcomes Research Articles

Tuberculosis (TB) treatment challenges in TB-diabetes comorbid patients: a systematic review and meta-analysis

Background The Directly Observed Treatment-Short Course (DOTS) Programme was implemented by WHO and includes a combination of four anti-tuberculosis (TB) drugs (isoniazid, pyrazinamide, ethambutol and rifampicin) for a period of six months to eradicate the TB infection completely. Diabetes mellitus (DM) is recognized as one of a strong contributor of TB according to World Health Organization (WHO). The presence of diabetes mellitus type 2 (DM type 2) makes TB treatment complicated. Thus, the objective of the current meta-analysis was to identify and quantify the impact of type 2 DM on treatment outcomes of TB patients treated under the DOTS Programme. Methods This meta-analysis was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Through a systematic review of relevant literature, we focused on studies investigating treatment outcomes including extended treatment duration and recurrence for individuals with both TB and DM undergoing DOTS therapy. The extracted information included study designs, sample sizes, patient characteristics and reported treatment results. Results In 44 studies from different parts of the world, the pooled HR for the impact of DM on extended treatment duration and reoccurrence were HR 0.72, 95% CI 0.56–0.83, p < .01 and HR 0.93, 95% CI 0.70–1.04, p = .08, respectively. The pooled HR for impact of DM on composite TB treatment outcomes was calculated as 0.76 (95% CI 0.60–0.87), p < .01 with an effect size of 41.18. The heterogeneity observed among the included studies was moderate (I 2 = 55.79%). Conclusions A negative impact of DM was found on recurrence and extended treatment duration in TB patients treated with DOTS therapy. DM type 2 is responsible for the TB treatment prolongation and TB recurrence rates. By implementing effective management strategies and advancing research, the challenges can be mitigated, arising due to the complex interaction between DM and TB.

EDUCAÇÃO DE SAÚDE DOS ESTUDANTES UNIVERSITÁRIOS BASEADO EM APRENDIZADO PROFUNDO

Introduction: Students’ ability to recognize mental illness as well as their ability to combat it by dealing with psychological difficulties can be improved with a global understanding of mental health. Lectures and paper flyers have proved to be ineffective for this learning, giving rise to the need to improve the means of health education as this education combined with mental health services can improve students’ quality of life, family happiness and general society. Objective: This study aimed to examine the physical mental health of university athletes, with data processing in an intelligent sports training system based on deep learning. Methods: Student data were collected and divided into two categories. The research group received deep learning, while the control group participated in traditional athletic training. The Clustered Genetic Deep Neural Network for sports training (CG-DNN) was used. ANOVA and Student’s t-tests were applied to assess the students’ mental health. Results: The proposed physical activity can reduce stress, regulate mood, promote mental health, prevent and treat mental illness. Conclusion: Physical exercise developed with deep learning technology is indicated to improve the physical health and regulate the mental health of university students. Level of Evidence II; Therapeutic Studies - Investigating Treatment Outcomes.

Factors Associated with Treatment Response at 1-Year Follow-Up from a Residential Substance Use Disorder Programme for Young People Aged 16–24 Years

AbstractIdentifying correlates of treatment response may help to improve outcomes for adolescents and young people with substance use disorder (SUD). We assessed treatment response in an adolescent/young person-specific community-based residential SUD programme located in NSW, Australia. Participants (N = 100) were aged 16–24 years and recruited between 2018 and 2020 from a cohort study investigating treatment outcomes over time. We assessed treatment response using available data at 1-year follow-up (n = 24). Approximately one third (n = 9) of participants were classified as responders at 1-year follow-up (i.e. scoring below the clinical cut-off on the Brief Symptom Inventory Global Severity Index). At treatment entry, responders had higher levels of self-efficacy (d = 1.04), better functional status (d = 1.09), and less borderline personality disorder (BPD) symptoms (d = 1.26). Exploratory whole-sample analyses indicated over half of participants (56%) screened positively for a diagnosis of BPD at treatment entry, which was associated with more severe global psychiatric symptoms (d = .85), poorer functional status, (d = .76), lower self-efficacy (d = .73), higher substance use severity (d = .46), yet better cognitive functioning (d = .75). Findings suggest that comorbid BPD is common in this setting and may contribute to poorer outcomes for adolescents and young people with SUD.

ANÁLISE DE APLICAÇÃO DO MÉTODO DE MINERAÇÃO DE DADOS BASEADO EM REDE NEURAL DIGITAL NA MAXIMIZAÇÃO DO DESEMPENHO DO TREINAMENTO ESPORTIVO

ABSTRACT Introduction: In today's rapid development of science and technology, digital network data mining technology is developing as fast as the expansion of the frontiers of science and technology allows, with a very broad application level, covering most of the civilized environment. However, there is still much to explore in the application of sports training. Objective: Analyze the feasibility of data mining based on the digital network of sports training, maximizing athletes’ training. Methods: This paper uses the experimental analysis of human FFT, combined with BP artificial intelligence network and deep data mining technology, to design a new sports training environment. The controlled test of this model was designed to compare advanced athletic training modalities with traditional modalities, comparing the athletes’ explosive power, endurance, and fitness. Results: After 30 days of physical training, the athletic strength of athletes with advanced fitness increased by 15.33%, endurance increased by 15.85%, and fitness increased by 14.23%. Conclusion: The algorithm designed in this paper positively impacts maximizing athletes’ training. It may have a favorable impact on training outcomes, as well as increase the athlete's interest in the sport. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

APRIMORAMENTO DAS CONDIÇÕES FÍSICAS EM TENISTAS SOB ALTITUDES ELEVADAS

ABSTRACT Introduction: Due to the lower atmospheric density at high altitudes, the spherical surface of the table tennis ball offers less resistance, requiring higher performance from its players. The athletes' reaction time and movement speed can improve significantly. Objective: This paper studies the changes in the fitness level of Chinese table tennis players under training at high altitudes. These results can serve as a reference to formulate and implement the training strategy of the Chinese table tennis team. Methods: The performance of 12 outstanding table tennis players in the competition was explored. After arriving at the high altitude, the athletes practiced training for four weeks. The athletes' biochemical parameters and heart rates were evaluated before and after training. These data were statistically treated. Results: The heart rate of the athletes in the third week after the experiment was lower than before, with no significant difference (P&gt;0.05). The hematocrit value of table tennis players in training showed a temporary elevation after one week, significantly different from that before the experiment (P&lt;0.05). After two weeks of exercise at a high altitude, the hematocrit value of the athletes remained at a high level (P&lt;0.05). Conclusion: Table tennis players can improve their physical conditions with training at high altitudes, including aerobic and anaerobic properties. High-intensity exercise at high altitudes is also beneficial for improving athletes' strength, speed, and reaction time quality. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

CAPACIDADE FÍSICA DE JOGADORES DE BASQUETE AO TREINAMENTO RESISTIDO

ABSTRACT Introduction Coaches’ focus on young athletes is to understand the critical period of their physical and mental development, educating sports and personal skills while expanding their awareness of teamwork. Objective Study the effect of resistance training on the physical fitness of young basketball players. Methods 20 high school students with outstanding sports skills were selected as volunteers for this research. According to the random sampling method, 20 athletes were divided into the experimental and control group. The experiment lasted 6 weeks, consisting of three weekly resistance training sessions. Only the experimental group used elastic bands, while the control group performed the same movement as the experimental group without resistance. Results The test results of the experimental group were expressive, proving that resistance training can achieve a beneficial effect on players. Conclusion Allying resistance training to basketball exercise protocol can optimize basal fitness and focused fitness indicators in young basketball players, helping to achieve better practical results. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

MONITORAMENTO DE FREQUÊNCIA CARDÍACA EM TREINO ESPECIAL PARA BOXEADORES

ABSTRACT Introduction Chinese boxing is an aggressive, competitive, and combative sport. During its performance, good physical fitness and a stable heart rate can determine the athletes’ sports performance. Objective Study special physical training methods of Chinese boxing athletes by monitoring their heart rates. Methods The implementation period of the experiment totaled eight weeks, performed three times a week. The control group did not get any specific physical training while the experimental group received special physical training, properly protocoled. Their indices were measured before, during, and after the experiment, with classification and data analysis by Excel and SPSS software. Results The fitness data of the experimental group were significantly improved, with the heart rate more stable, corroborating the effectiveness of the special training. Conclusion The use of special physical training can optimize and better adjust the pre-existing protocol according to the athletes’ real competition needs, improving the specialized physical fitness and the athletes’ competitive level. It also helps stabilize the heart rate, helping athletes get better results in combat. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

SENSOR PARA DETECÇÃO DE PREDNISOLONA NO DOPING ESPORTIVO

ABSTRACT Introduction: Prednisolone causes pro-inflammatory impulses to be inhibited and anti-inflammatory signals to be promoted. As a result, it alters how the body's immune system reacts to certain diseases. The World Anti-Doping Agency, however, has banned SNP and other glucocorticosteroids. An electrochemical sensor can be developed using a gold nanocomposite, polypyrrole nanoparticles and synthesized carbon nanotubes (Au-PPy NPs@CNTs). Objective: Develop an electrochemical sensor to detect prednisolone. Method: Au-PPy NPs@CNTs nanocomposite was chemically synthesized with a modified glassy carbon electrode (GCE) surface. Results: According to SEM data, the nanocomposite was composed of amorphous Au NPs, and PPy NPs deposited in tubes strongly entangled in a CNTs network. The wide linear range and low detection limit of the Au-PPy NPs@CNTs/GCE as prednisolone sensors were attributed to the combined catalytic performance of the Au and PPy NPs@CNTs nanostructures. Conclusion: The results of prednisolone detection in each specimen using the amperometric method indicated good accuracy. The accuracy and precision of Au-PPy NPs@CNTs/GCE for prednisolone detection were explored in blood samples from 5 young athletes aged 20-24 years who used prednisolone tablets (RSD less than 4.25%). In addition to monitoring prednisolone concentrations in athletes’ serum, Au-PPy NPs@CNTs/GCE can be used as a reliable prednisolone sensor. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

EFEITOS DA FORMAÇÃO COR COMBINADA COM A FORMAÇÃO AERÓBICA NA SAÚDE FÍSICA DOS ESTUDANTES DA COLÉGIA

ABSTRACT Introduction College students are in a critical physical and mental development period, where their health and physical fitness require special attention. It is believed that the combination of strengthening the abdominal core associated with aerobic exercises can increase muscle strength in college students, improving cardiopulmonary function and body composition. Objective Analyze the effects of combined abdominal core training with aerobic training on health and fitness of college students. Methods Samples were selected for research and analysis, and 46 volunteer college students received 12 weeks of abdominal core strength training associated with aerobic training. Changes in college students’ physical conditions were compared before and after training, the impact of training on college students’ health and fitness were also evaluated. Results When analyzing the changes of the indicators, a promoting effect of abdominal core strength training on students in physical education classes was found. Conclusion Increasing the promotion of strength training is essential so that more physical educators can understand the benefits of strength training and student fitness, allowing for true classroom integration in colleges. Physical education teachers should fully consider the physical and psychological development characteristics and physical development rules of college students. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

EFEITOS DO TREINAMENTO DE ALTA INTENSIDADE SOBRE JOGADORES DE BASQUETE

ABSTRACT Introduction: Basketball represents much more than a high-intensity exercise. Like most ball games, it is a continuous movement system. Objective: Study the effect of high-intensity interval training (HIT) on the aerobic metabolism of young basketball players. Methods: The author randomly divided male basketball players into an upper limb HIT group, lower limb HIT group, and control group by experimental method and statistical analysis, the control group received routine training, and aerobic exercise capacity was measured by increasing load test before and after the experiment. Results: During the lower extremity experiment, the mean power (MP) and peak power (PP) of the 4th full-force pedal stroke in the lower extremity HIT group increased (P&lt;0.05), and the T/C ratio of the lower extremity HIT group was also implemented (P&lt;0.05). There was no significant change in the indices of the control group (P&gt;0.05). Conclusion: Upper extremity HIT in young male basketball players improved only upper extremity aerobic exercise capacity. In contrast, lower-extremity HIT improved both upper-extremity aerobic exercise capacity and lower-extremity anaerobic exercise capacity. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

RESULTADOS DO EXERCÍCIO CONTÍNUO COM INTENSIDADE MODERADA SOBRE A TAXA DE GORDURA E SOBRE O CONSUMO MÁXIMO DE OXIGÊNIO EM ESTUDANTES UNIVERSITÁRIOS

ABSTRACT Introduction: Declining physical quality, health status, and being overweight cause many college students to have physical problems. Continuous moderate-intensity exercise has become a widely used exercise method for many healthy people. Objective: Explore the outcome of continuous moderate-intensity exercise on college students' body fat rate and maximal oxygen uptake. Methods: The experiment will last for eight weeks. The control group did not practice other systematized exercises except daily physical activity and extracurricular sports. In addition to daily activities, the experimental group also performed moderate-intensity training in physical education classes. Results: In the training group, the average body fat rate decreased by 1.66%, the body fat content reduced by 1.21kg, and the skeletal muscle content increased by 1.44 compared to that before training. Vital capacity and maximal ventilatory capacity showed significant changes (P&lt;0.05), of which maximal ventilatory capacity changed most significantly (P&lt;0.01), from 79.63 ± 19.97L/min before the test to 98.65 ± 26.06L/min, with an average gain of 19.02L/min. Conclusion: Moderate-intensity continuous sports can effectively improve the cardiorespiratory function of current college students, increase body oxygen uptake, reduce body fat rate, and improve physical fitness, aiming to achieve a healthier physique. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

IMPACTOS DO FUTEBOL NA FUNÇÃO EXECUTIVA DE MENINOS COM TDAH

ABSTRACT Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a neurobiological disorder of genetic causes that appears in childhood. The main manifestations are inattention, hyperactivity, and emotional impulsivity. It is often accompanied by cognitive impairments and learning disabilities that seriously affect children's life, academic and social functions. Objective: Explore the impacts of soccer practice on executive function in boys with ADHD. Methods: Boys were selected from first and second graders in a public elementary school. They were randomly divided into an experimental group and a control group, and 8 boys in the control group were recruited according to the age difference of less than half a year. All children participated in various school sports activities, and the experimental group was added to soccer practice for 6 weeks. Results: There was no significant difference in cognitive subfunction between the soccer activity group, the conventional physical education teaching activity group, and the control group; however, the interaction between time and group factors proved to be significant P (4142) = 6.296, F&lt; 0.01, it can be understood that the effect of the time factor on cognitive flexibility varies with different groups. Conclusion: The six-week soccer practice intervention can improve the executive function of 6-8-year-old boys with ADHD, especially inhibition control and cognitive flexibility, but does not represent a significant effect on memory. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

IMPACTOS DO EXERCÍCIO AERÓBICO SOBRE A OBESIDADE JUVENIL E SEU METABOLISMO LIPÍDICO

ABSTRACT Introduction: The obesity rate of Chinese adolescents has reached an alarming level, where about 11% of Chinese children are overweight, making them more prone to diseases such as hypertension, abnormal physiological metabolism, and high joint wear of the lower limbs. This public health problem can be alleviated with healthy habits, including aerobic exercise. Objective: Study the effect of aerobic exercise on obesity and lipid metabolism in adolescents. Methods: In this randomized controlled trial, 40 young volunteers were equally allocated into experimental and control groups. The control group received no intervention, while the experimental group was trained according to a professionally designed aerobic exercise protocol for 28 days. Training data were recorded before, during, and after the exercises. The information was processed, compared, and analyzed. Results: The control group failed to reduce body fat effectively; an aerobic exercise in the experimental group showed better effects in reducing body weight, body fat, waist-to-hip ratio, and weight loss; compared to the control group. Immediately after the intervention, the HDL level of the experimental group showed an upward trend, while the TC, TG, and LDL indices showed a downward trend. Conclusion: Aerobic exercise can effectively increase muscle mass and basal calorie and fat intake, reducing youth obesity. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

TREINAMENTO DE FORÇA NO FUTEBOL BASEADO NO TRABALHO EM EQUIPE E NAS DIFERENÇAS ENTRE A CULTURA ESPORTIVA CHINESA E OCIDENTAL

ABSTRACT Introduction Soccer is a comprehensive sport that integrates collective, tactical, emotional, and rational skills, depending not only on individual skills and tactics but also on a sense of diligently shared struggle, the ability for unity and cooperation, and the spirit of sharing achievements and defeats. Objective Study the differences between Chinese and Western sports culture, exploring the soccer training method based on teamwork. Methods The height, weight, experience, and age of 6 soccer players were drawn and categorized before the experiment, and a battery of physical tests was performed before the experiment. The athletes were subjected to functional strength training for six weeks. After the training was completed, the data was re-measured and cataloged for analysis. Results Functional strength training can effectively improve athletes’ physical quality and baseline performance to improve their competitive performance. Conclusion Currently, functional strength training plays a good role in promoting college soccer teams. Therefore, coaches should provide functional strength training for college soccer teams. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

EFEITO DO EXERCÍCIO AERÓBIO ASSOCIADO AO TREINAMENTO DE FORÇA SOBRE A COMPOSIÇÃO CORPORAL DE MULHERES DE MEIA-IDADE E IDOSAS

ABSTRACT Introduction: Lack of exercise negatively impacts physical condition and quality of life among middle-aged and elderly women. Objective: Study the effects of aerobic exercise combined with strength training on the body composition of middle-aged and elderly women. Methods: The exercise was performed once every other day from 5 pm to 6 pm. 20 middle-aged and elderly women formed an experimental group. The exercise consisted of aerobic exercise combined with strength training, while the control group practiced aerobic walking. The entire experiment lasted two months, having a total of 30 sessions. Results: Body fat percentage in the experimental group decreased from 35.10±3.436% to 30.07±3.104 %; BMI decreased from 24.98±2.870 kg/m² to 24.25±3.251 kg/m²; the mean bone mineral density increased from 1.20±0.284 g/cm3 to 1.21±0.278 g/cm3. Conclusion: Aerobic exercise and resistance training can improve physical function in middle-aged and elderly women. It may also improve bone density, optimize sports practice, and promote women’s physical health. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

INFLUÊNCIAS DO EXERCÍCIO FÍSICO SOBRE A APTIDÃO FÍSICA DAS ESTUDANTES UNIVERSITÁRIAS

ABSTRACT Introduction Attention to the physical health of female university students has been increasing in recent years, and scientifically formulating sports plans for this public, and enhancing their fitness, has become an important topic. Objective Explore the influences of long-term physical exercise on the physical fitness of female college students. Methods 240 female college students in a given city were selected as volunteers, and divided into a resistance exercise group, an aerobic exercise group, and a control group. The total intervention period was ten weeks, followed by the recollection of vital data and other relevant markers for statistical analysis. Results After ten weeks of exercise, the task performance of the resistance exercise group was improved; the task performance of the resistance exercise group was significantly superior to aerobic exercise and control. Conclusion It was observed that the task performance of the resistance exercise group and the aerobic exercise group were positively impacted, and the positive benefits of the two types of exercise were different. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

IMPACTOS DO EXERCÍCIO AERÓBICO NA SAÚDE CARDIOVASCULAR DOS ESTUDANTES UNIVERSITÁRIOS

ABSTRACT Introduction Cardiovascular disease (CVD) is a major disease that seriously endangers human health. CVD in many adults begins in adolescence and even in childhood. The cardiovascular health of college students in China cannot be ignored. Objective Verify the impacts of aerobic exercise (APA) on the cardiovascular health of college students. Methods The paper uses the literature method to explore the health-promoting role of aerobic exercise in opposing and improving CVD. Also the APA exercise method of effectively improving cardiopulmonary fitness (CRF) to prevent and improve CVD. The results showed that APA can improve microcirculation by increasing microvascular reactivity. Results Coronary blood flow in healthy adults is only 8% to 9% of cardiac bleeding, while coronary blood flow increases by 40% and oxygen intake by 2-2.5 times. Aerobic exercise can improve insulin sensitivity and reduce the risk of CVD. Some risk factors related to vascular endothelial dysfunction, such as hypertension, atherosclerosis, and coronary artery disease, are often accompanied by the phenomenon of insulin resistance in the induction of CVD. At the same time, improving IR may play an effective role in preventing and treating CVD. Conclusion APA can reduce and suppress the occurrence and development of CVD risk factors such as atherosclerosis, hypertension, hyperlipidemia, hyperglycemia and obesity, intestinal microecological disorder, and reduce free radical oxidative damage and apoptosis by improving insulin sensitivity of vascular endothelial cells, inhibiting inflammatory reaction, improving mitochondrial function of cardiomyocytes, reducing body mass index and obesity, and maintaining gut micro-ecological balance, and improving vascular endothelial function and reducing CVD such as myocardial infarction. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

ORIENTAÇÃO DE TREINAMENTO ESPORTIVO EM FACULDADES E UNIVERSIDADES DURANTE A EPIDEMIA

ABSTRACT Introduction: The epidemic has impacted the pace of teaching in colleges and universities, especially in physical education practical classes. Both online physical education and students’ spontaneous exercise are restricted by space and infrastructure, making it necessary to seek guidelines for adjusting sports training. Objective: Investigate the current status of physical exercise by college students during the epidemic period, exploring data management strategies for the guidance of actions in exercise practice by colleges and universities. Methods: An online questionnaire survey was conducted among college and university students from different regions. The online data were entered, sorted, and analyzed using the questionnaire platform in question and Excel software. Results: The college students-maintained exercise frequency between three to seven sessions per week, with an average duration of 30 to 90 minutes in each session. As for the effect of the exercises performed, after optimal training, the theoretical exercise score was 3.74 points, the exercise capacity score was 3.68 points, and the actual exercise capacity score was 2.96 points. A score of 3.89 points was obtained for self-regulation and 4.23 points for stress regulation. However, due to the limits imposed by the local infrastructure and the fact that the online teaching content is slightly adapted to the real situation, it still requires adjustments. Conclusion: Colleges and universities should strengthen sports data management, manage the situation and students’ physical needs in a timely manner, and provide targeted guidance to students’ movements. Adjustments of methods and content to online teaching should consider the actual needs of students, providing better sports support to students during the epidemic. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

EXERCÍCIO FÍSICO DOMÉSTICO E GERENCIAMENTO DE RISCOS PÓS-PANDEMIA

ABSTRACT Introduction: Post-pandemic has made people increase their search for preventive health. Even in limited places, there is also a need to perform the proper physical exercise to improve fitness and promote health. Objective: Research the mode of home exercise and study the risk management of such exercise. Methods: According to the perspective of home exercise, this paper analyzes the benefits and methods of exercise, to call everyone to enhance exercise in the post-pandemic. Results: After testing, this method can improve physical quality, relieve anxiety, promote physical and mental health, strengthen sports cognition, and promote the harmonious development of society. Conclusion: Physical exercise can give us a good quality of life; the greatest success is living healthily. This epidemic has made society more aware of the value of sports and their importance to health. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

AVALIAçãO DA DIFICULDADE EM COMPETIçõES DE GINáSTICA AERóBICA FEMININA

ABSTRACT Introduction Feminine aerobic gymnastics is a highly artistic competition, and analyzing its difficulties is fundamental. Objective This work analyzes the difficulty of the movements of feminine aerobic gymnastics. This study aims to explore the choreographic characteristics of the difficulty of the movements and evaluate their difficulties. Methods Several female aerobics athletes are selected as volunteers for the research. The women’s aerobic gymnastics video points are classified, grouped, scored, and their actions combined, recorded, and organized. Mathematical statistics are used to analyze the difficulty of aerobics movements. Results The difficulty factor is the best quantitative scoring criterion to judge the competition results. The highest frequency in Group B was the right-angle split leg combination to support the 720° twist. The highest frequency in Group C was the 180° scissor transformation. The highest frequency in Group D was the unsupported vertical split. The five-person project difficulty score choice tended to be stable and high. Conclusion The transition types of difficulty action space in the competition of the women’s aerobics team are B-C-B, B-C-A, B, A. The difficulty score of the women’s aerobics team competition was significantly correlated with the final score. Level of evidence II; Therapeutic studies - investigating treatment outcomes.