Physical Activity Enjoyment Scale Scores Research Articles

Effects of Different Visual Flow Velocities on Psychophysiological Responses During Virtual Reality Cycling.

Virtual reality cycling (VRC) is simulated outdoor cycling with changes in scenery in virtual reality (VR) with rotating ergometer pedals. The speed at which the scenery changes, which is the visual flow velocity, can shift according to the same pedal rotation speed. This study investigated the effects of different visual flow velocities on the psychophysiological responses of cyclists using the VRC. Participants were asked to cycle for 20 min at 30% of their maximum exercise load under four conditions: (1) bicycle ergometer without VR (control), (2) VRC at normal visual flow velocity (VRC-normal), (3) VRC at 0.5 times the visual flow velocity of VRC-normal (VRC-slow), and (4) VRC at 1.5 times the visual flow velocity of VRC-normal (VRC-fast). The order of the four conditions was randomized in a counterbalanced design. The heart rate and rating of perceived exertion were recorded during the exercise. Participants graded their enjoyment of the task using the physical activity enjoyment scale (PACES). The measured data were analyzed by comparing the visual flow velocity conditions (VRC-slow, VRC-normal, and VRC-fast), and comparing the VRC and bicycle ergometer (VRC-normal and control). A total of 24 participants were enrolled in the study. There was a significant main effect observed in the PACES score (F(2,46)=20.129,p<0.001,partial η2=0.467). In the post-hoc test for the PACES, significant differences were found in the following combinations: VRC-normal > VRC-slow (p=0.005); VRC-fast > VRC-normal (p=0.003); and VRC-fast > VRC-slow (p<0.001). In the modified Borg scale for lower-limb fatigue, there were significant differences in time factor (F(2,46)=134.048, p<0.001, partial η2=0.854) and interaction effects (F(4,92)=3.156, p=0.018, partial η2=0.121). In the post-hoc test for the modified Borg scale, significant trends were found in the following combinations: VRC-normal > VRC-fast (p=0.068) and VRC-slow > VRC-fast (p=0.083). The results suggest that a slower visual flow velocity may reduce the enjoyment of exercise, whereas a faster visual flow velocity may make the exercise feel less fatigued and more enjoyable.

Verbal Encouragement Improves Game Intensity, Technical Aspects, and Psychological Responses During Soccer-Specific Training.

Soccer match outcomes rely on technical accuracy, intensity of play, and athlete motivation, and these parameters can be developed during sport-specific practice such as during small-sided games (SSGs). Verbal encouragement as a coaching technique improves exercise intensity and athlete enjoyment (indicative of motivation), but the impact on technical performance alongside these critical parameters remains unknown. To examine the effects of verbal encouragement on technical performance, exercise intensity, and enjoyment during SSGs. Sixteen male youth soccer players (mean [SD]; age: 17.2 [0.4]y; height: 176.3 [7.0]cm; body mass: 68.0 [4.1]kg; body fat: 11.9% [2.2%]) completed 4 sessions of 4-per-side SSG without a goalkeeper. Two sessions were conducted as SSGs with verbal encouragement and 2 without verbal encouragement. Each SSG lasted 25minutes (4 × 4-min work, 3-min passive recovery between bouts) on a 25 × 35-m pitch. Heart rate (HR) was continuously recorded, and rating of perceived exertion was collected after each SSG. Video analysis was used to quantify technical actions during SSG. Enjoyment was assessed after each SSG using the Physical Activity Enjoyment Scale. Paired t tests revealed that SSGs with verbal encouragement induced higher HR (% maximum HR and mean HR), rating of perceived exertion, and Physical Activity Enjoyment Scale score than SSGs without verbal encouragement (all P < .001, all d ≥ 0.92, large). Compared with SSGs without verbal encouragement, SSGs with verbal encouragement resulted in an increased percentage of successful passes (P < .001, d = 0.73, medium) and number of interceptions (P < .001, d = 0.89, large) and fewer lost balls (P < .001, d = 0.68, medium). Coaches should use verbal encouragement during SSGs to improve physical effort, technical performance, and psychological status in soccer players.

Comparing the effects of 30 minutes exergaming versus brisk walking on physiological and psychological measurements of older adults

BackgroundActive video games can make physical activity more appealing and enjoyable for older people. This study compared the effects of 30 min of Exergaming versus walking on the physiological and psychological measures of asymptomatic older adults. MethodsForty eligible participants (mean age = 69.60 ± 4.16 y/o) were randomly divided into two groups of 20 in a crossover design, who either performed Brisk Walking or Exergaming, one week apart. Before each session, each participant's blood pressure was measured, and the subjects were encouraged to play/walk continuously for 30 min using a self-selected intensity. During both sessions, average and peak heart rate, time spent in each of the heart rate zones, blood pressure, and double product were assessed through a Polar H10 heart rate monitor. Participants also filled out the modified Physical Activity Enjoyment Scale (PACES) questionnaire and Rate of Perceived Exertion (RPE) scale. ResultsFindings indicated a significantly higher average (P = 0.003) and peak heart rate (P < 0.001) and double product (P = 0.002) during Exergaming compared to Brisk Walking. Also, the RPE score was significantly lower and PACES score was significantly higher (P < 0.001) during the Exergaming session. The analyses of blood pressure showed significant changes in systolic and diastolic blood pressures following each session, while no statistically significant difference was reported between the two exercise modalities (P = 0.012 and P < 0.001, respectively). ConclusionThis study showed that Exergaming can be a good alternative to traditional exercises like walking for older adults, providing physiological benefits while being less exhausting and more enjoyable.

The effects of tempo and loudness variations during warm-up with music on perceived exertion, physical enjoyment and specific performances in male and female taekwondo athletes.

The ergogenic effect of pre-selected warm-up music with the tempo and loudness variations on the performance of combat sports' athletes as well as the difference between sexes is not well established. The present study aimed to assess the effects of listening to music with different tempos and loudness during warm-up on perceived exertion, physical enjoyment and physical performances in young taekwondo athletes. In a randomized study design, 20 taekwondo athletes (10 males, mean ± SD: age: 17.5 ± 0.7 years, taekwondo experience: ≥ 6 year) performed the taekwondo specific agility test (TSAT) and the 10s and multiple frequency speed of kick test (FSKT-10s and FSKT-mult) after warming-up with or without music. The music was played at high (140 beats·min-1) or very high (200 beats·min-1) tempo combined with low (60 dB) or high (80 dB) loudness, resulting in four experimental and control conditions. The ratings of perceived exertion (RPE) and physical activity enjoyment scale (PACES) were assessed after each condition. After normality, homogeneity and sphericity checks, two-way (or multivariate) analysis of variance and Bonferrroni (or Friedman's and Wilcoxon's test) post-hoc test were operated when necessary. For TSAT, 140 beats·min-1+80 dB induced better performance compared with 200 beats·min-1+80 dB, 200 beats·min-1+60 dB, control and the 140 beats·min-1+60 dB conditions. For FSKT-10s, 140 beats·min-1+80 dB condition induced higher performance compared with 200 beats·min-1+60 dB, 200 beats·min-1+80 dB, 140 beats·min-1+60 dB and the control conditions. For FSKT-mult, 140 beats·min-1+80 dB induced higher number of techniques compared with 200 beats·min-1+60 dB, 140 beats·min-1+60 dB, control and the 200 beats·min-1+80 dB conditions. Moreover, 140 beats·min-1+80 dB induced lower decrement index (DI) compared with the other conditions and lower DI in 140 beats·min-1+60 dB compared with 200 beats·min-1+80 dB and control conditions. Moreover, 140 beats·min-1+80 dB resulted in greater PACES scores compared with 200 beats·min-1+80 dB and control conditions. Better performance was found for males compared with females in TSAT, FSKT-10s and FSKT-mult (i.e., techniques' number), as well as lower DI and higher RPE post-FSKT-10s. Pre-selected warm-up music played at 140 beats·min-1 and 80 dB is an efficient strategy to enhance physical activity enjoyment and specific performances in taekwondo.

Optimizing Blood Glucose Control through the Timing of Exercise in Pregnant Individuals Diagnosed with Gestational Diabetes Mellitus.

This study aimed to evaluate the effectiveness of moderate intensity walking on postprandial blood glucose control for pregnant individuals with (GDM) and without gestational diabetes mellitus (NON-GDM). Using a randomized cross-over design, individuals completed 5 days of exercise (three 10-min walks immediately after eating (SHORT), or one 30-min walk (LONG) outside of 1 h after eating). These protocols were preceded and separated by 2-days of habitual exercise (NORMAL). Individuals were instrumented with a continuous glucose monitor, a physical activity monitor for 14-days, and a heart rate monitor during exercise. Participants completed a physical activity enjoyment scale (PACES) to indicate their protocol preference. The GDM group had higher fasting, 24-h mean, and daily peak glucose values compared to NON-GDMs across all conditions (effect of group, p = 0.02; p = 0.02; p = 0.03, respectively). Fasting, 24-h mean, and daily peak glucose were not influenced by the SHORT or LONG exercise (effect of intervention, p > 0.05). Blood glucose values were higher among the GDM group for at least 1 h after eating, yet the exercise intervention had no effect on 1 or 2 h postprandial glucose values (effect of intervention, p > 0.05). Physical activity outcomes (wear time, total activity time, and time spent on each intensity) were not different between the groups nor interventions (effect of group, p > 0.05; effect of intervention, p > 0.05,). There were no differences between the groups or interventions for the PACES score (effect of group, p > 0.05; effect of intervention, p > 0.05). To conclude, there were no differences between the groups or exercise protocols on blood glucose control. More research is warranted to elucidate higher exercise volumes in this outcome for individuals with GDM.

Effects of Home-Based Boxing Training on Trunk Performance, Balance, and Enjoyment of Patients With Chronic Stroke.

To investigate the effect of 6 weeks of home-based boxing training on trunk performance, balance, fear of falling, and level of therapy enjoyment in individuals with chronic stroke. Eighteen participants with chronic stroke were randomly divided into boxing and control groups (9 patients per group). The boxing group received home-based boxing training for 25 minutes plus balance and trunk exercise training for 15 minutes, while the control group received only home-based balance and trunk exercise training for 40 minutes, three days a week for 6 weeks. The Trunk Impairment Scale (TIS), Mini-Balance Evaluation Systems Test (Mini-BESTest), Activities-specific Balance Confidence (ABC) scale, and Physical Activity Enjoyment Scale (PACES) were assessed at baseline, and at 2, 4, and 6 weeks post-training. The Wilcoxon signed rank test and Mann-Whitney U-test were used to determine differences between pre- and post-training within and between groups. Statistical significance was set at p<0.05. The TIS scores significantly increased from 13 to 17 points in the boxing group (p<0.05) compared to an increase from 15 to 17 points in the control group (p<0.05). The Mini-BESTest scores significantly increased from 14 to 22 points in the boxing group (p<0.05) compared to an increase from 17 to 20 points in the control group (p<0.05). There were no differences in the TIS, Mini-BESTest, ABC, and PACES scores between the two groups. Home-based boxing training with balance and trunk exercise training had a similar training effect compared to home-based balance and trunk exercise training.

Integration of Obese Children in Physical Education Sessions: An Exploratory Study.

We investigated the effect of the role of the joker in children with obesity (OCs) on integration and physio-psychological responses during small-sided games (SSG) training programs. Sixteen OC students (age 13.8 ± 0.73 years) performed training programs consisting of two sessions a week for three weeks. The experimental protocol consisted of 16 teams of 4 children (3 of normal weight and 1 OC). The 16 teams were divided into 2 groups, one with an OC playing as the joker (SSG-J) and the other group with OC playing as non-joker (SSG-NJ). Maximum heart rates (HRmax), blood lactate concentration [La] and OMNI-Child perceived exertion were measured at the end of each SSG. A physical activity enjoyment Scale (PACES) was accomplished during physical activity for the evaluation of feelings in OCs. Additionally, the profile of mood states (POMS) was measured before and after the SSG-J and SSG-NJ programs. HRmax, [La], perceived exertion, and PACES scores were significantly higher after the SSG-J compared with SSG-NJ (increments of 6.4%, 31.7%, 19.5% and 18.1%, respectively). The score of the POMS variables was positively increased in the presence of jokers. The vigor score increased by 30%, while tension and total mood disturbance scores decreased by 27.6% and 4.5%, respectively. These findings suggest that the joker role could be effective in improving integration, physical enjoyment, physiological responses and mood states in OCs when a team game is used during PE sessions. PE teachers could then program joker exercises with the aim of improving OCs' physical commitment willingness to play.

Evaluation of a mindfulness and self-compassion-based psychotherapy incorporating horses for Veterans who have experienced trauma

ObjectivesThe primary aim of this pilot study was to assess the safety, feasibility, acceptability, as well as preliminary outcomes of a mindfulness and self-compassion-based psychotherapy incorporating horses (PIH) intervention, Whispers with Horses, for Veterans who had experienced trauma. Whispers with Horses was developed as a structured intervention that could be easily replicated for additional studies. If shown to be effective by future rigorous research, the aim is to disseminate a manualized version of the intervention to the field. DesignProspective open trial. SettingA large Veterans Administration healthcare system and local equine facilities. InterventionA six-session PIH intervention that focused on participants developing or enhancing mindfulness and self-compassion skills in the context of an emerging horse-human relationship. Main outcome measuresSafety, feasibility and acceptability were assessed, and psychological instruments were administered. Instruments utilized were the PTSD Checklist for DSM 5 (PCL-V), the Patient Health Questionnaire 9 (PHQ-9), the Positive and Negative Affect Scale (PANAS), the Acceptance and Action Questionnaire II (AAQ-II), and the Physical Activity Enjoyment Scale (PACES). ResultsSubjects were 33 Veterans who were 52% male with a mean age of 46 years-old. There were no adverse outcomes to participants indicating the intervention was safe. Participants completed an average of 3.8 sessions with 24% completing all sessions indicating the intervention is feasible to use, and acceptable to, the population studied. The mean PACES score for all sessions together was 110.4, indicating subjects generally enjoyed participation. Preliminary outcome assessments revealed pre- to post-session significant improvements in affect and psychological flexibility for some sessions (p ranging from.001 −0.015). Pre- to post-intervention outcomes indicated significant improvements in depression (p = .003) and psychological flexibility (p = .005). ConclusionsThe Whispers with Horses intervention shows promise as a PIH for Veterans who have experienced trauma. More rigorous studies of this intervention are warranted. Also, additional investigations aimed at better understanding mechanisms underlying changes in psychological flexibility are justified.

Virtual Reality Game for Physical and Emotional Rehabilitation of Landmine Victims.

Landmine victims require an engaging and immersive rehabilitation process to maintain motivation and therapeutic adherence, such as virtual reality games. This paper proposes a virtual reality exercise game called Exogames, which works with Nukawa, a lower limb rehabilitation robot (LLRR). Together, they constitute the general Kina system. The design and development process of Exogames is reported, as well as the evaluation of its potential for physical and emotional rehabilitation. In an initial survey designed ad-hoc, 13 health professionals evaluated compliance with various requirements. They agreed that Exogames would help the user focus on rehabilitation by providing motivation; 92.3% said that the user will feel safe in the virtual world, 66.7% of them agreed or totally agreed that it presents characteristics that may enhance the physical rehabilitation of lower limbs for amputees, 83.3% stated that it would promote the welfare of landmine victims, and 76.9% responded that the graphical interface and data report are useful for real-time assessment, and would be helpful for four interventional areas in all rehabilitation stages. In a second evaluation, using standardized surveys, five physical therapists and one lower limb amputee tried the Kina system as users. They filled out the System Usability Scale (SUS), the Physical Activity Enjoyment Scale (PACES), and the Game Experience Questionnaire (GEQ). The usability of the Kina system overall score was 69 (66, 79) out of 100, suggesting an acceptable though improvable usability. The overall PACES score of 110 (108, 112) out of 126 suggests that users enjoyed the game well. Finally, users indicated a positive effect with a good sense of immersion and smooth of gameplay during the tests, as indicated by the GEQ results. In summary, the evaluations showed that Exogames has the potential to be used as a virtual reality game for the physical and emotional rehabilitation of landmine victims.

Effects of mental fatigue on the psychophysiological responses, kinematic profiles, and technical performance in different small-sided soccer games.

The purpose of this study was to assess the effects of mental fatigue (MF) on the psychophysiological responses, kinematic profiles, and technical performance of young soccer players in small-sided games (SSGs). Twenty-four young soccer players (age: 15.9 ± 1.0 years) played 2vs2, 3vs3, and 4vs4 SSGs consisting of four bouts (with two-minute passive rest periods between bouts) under two different playing conditions: MF+SSGs and SSGs. The heart rate, total distance covered, and technical performance of each player were monitored during all SSGs, and the rating of perceived exertion, visual analogue scale, and Rating Scale Mental Effort values were determined after each bout. The Physical Activity Enjoyment Scale (PACES) and Brunel Mood Scale (BRUMS) were also determined at the end of each SSG. The results demonstrated that all MF+SSGs induced higher psychophysiological responses (p ≤ 0.05) than SSGs, except regarding the PACES responses. By contrast, the SSGs group covered a greater total distance (p ≤ 0.05) than the MF+SSGs group. During SSGs, the players’ technical performances (in terms of lost balls and unsuccessful passes) were negatively affected after MF (p ≤ 0.05). The results of this study indicate that both PACES scores and mood responses were negatively affected after the MF intervention. Coaches could use the MF intervention before SSGs to improve soccer-specific technical and decision-making performances in young soccer players.

An Interactive Physical-Cognitive Game-Based Training System Using Kinect for Older Adults: Development and Usability Study.

BackgroundDeclines in physical and cognitive functions are recognized as important risk factors for falls in older adults. Promising evidence suggests that interactive game-based systems that allow simultaneous physical and cognitive exercise are a potential approach to enhance exercise adherence and reduce fall risk in older adults. However, a limited number of studies have reported the development of a combined physical-cognitive game-based training system for fall risk reduction in older adults.ObjectiveThe aim of this study is to develop and evaluate the usability of an interactive physical-cognitive game-based training system (game-based exercise) for older adults.MethodsIn the development phase (Part I), a game-based exercise prototype was created by integrating knowledge and a literature review as well as brainstorming with experts on effective fall prevention exercise for older adults. The output was a game-based exercise prototype that covers crucial physical and cognitive components related to falls. In the usability testing (Part II), 5 games (ie, Fruits Hunter, Where Am I?, Whack a Mole, Sky Falls, and Crossing Poison River) with three difficulty levels (ie, beginner, intermediate, and advanced levels) were tested in 5 older adults (mean age 70.40 years, SD 5.41 years). After completing the games, participants rated their enjoyment level while engaging with the games using the Physical Activity Enjoyment Scale (PACES) and commented on the games. Descriptive statistics were used to describe the participants’ characteristics and PACES scores.ResultsThe results showed that the average PACES score was 123 out of 126 points overall and between 6.66 and 7.00 for each item, indicating a high level of enjoyment. Positive feedback, such as praise for the well-designed interactions and user-friendly interfaces, was also provided.ConclusionsThese findings suggest that it is promising to implement an interactive, physical-cognitive game-based exercise in older adults. The effectiveness of a game-based exercise program for fall risk reduction has yet to be determined.

Physiological and Metabolic Requirements, and User-Perceived Exertion of Immersive Virtual Reality Exergaming Incorporating an Adaptive Cable Resistance System: An Exploratory Study.

Objective: To measure metabolic and physiological demand, subjective fatigue, and enjoyment during a signature 30-minute immersive virtual reality (IVR) adaptive cable resistance exergaming session. Methods: Fourteen healthy college-aged individuals (seven females) were initially acquainted with the IVR equipment and gameplay dynamics. Participants then underwent a 30-minute IVR exergaming session performing six different cable resistance exercises. A portable metabolic gas exchange analyzer concurrently assessed energy expenditure (EE) through indirect calorimetry while a chest-worn monitor captured heart rate (HR). Participants subsequently completed questionnaires, including the Borg scale for rating of perceived exertion (RPE), Physical Activity Enjoyment Scale (PACES), and Simulator Sickness Questionnaire (SSQ). Results: The mean EE, mean metabolic equivalent, and average total calories expended during the 30-minute session were 14.7 (standard deviation [SD] 2.8) kcal/minute, 12.9 (SD 0.5), and 440 (SD 84) kcals respectively. The mean HR was 176 (SD 3.1) beats per minute (bpm) with a mean max HR of 188 SD (SD 2.9) bpm. The combined training volume among all participants was 16,102 kg (SD 4137). Participants classified the IVR training session to be "somewhat hard-to-hard" with a RPE score of 14 (SD 1) while indicating the session to be "enjoyable" with a PACES score of 4.31 (SD 0.36). The participants did not report any cybersickness symptoms, demonstrating an average total SSQ score of 24.04 (SD 24.13). Conclusions: IVR exergaming incorporating cable resistance training elicits high EE and physiological demand with high enjoyment scores while attenuating perceived fatigue. The potential for IVR to elicit these acute training effects over long-term training periods warrants further investigation into its contribution to fitness and health.

Mindfulness-based Therapeutic Sailing for Veterans With Psychiatric and Substance Use Disorders.

Complementary interventions have the potential to enhance treatment engagement and/or response among veterans with psychiatric disorders and/or substance use disorders (SUDs). Mindfulness-based therapeutic sailing (MBTS) is a novel three-session, complementary intervention, which combines nature exposure via recreational sailing and mindfulness training. It was developed specifically to augment both treatment response and engagement among veterans with psychiatric disorders or SUDs. The study reports a follow-up investigation of a version of MBTS modified based upon a previous initial pilot study. This is an institutional review board-approved study of 25 veterans, 23 males and 2 females, who participated in MBTS along with a diagnosis-, gender-, and age-matched control group. All participants had at least one psychiatric disorder or SUD and most (92%) had two or more conditions, with the most common being any SUD (76%) and PTSD (72%). Instruments used to evaluate within-subjects pre- to post-intervention psychological changes were the Acceptance and Action Questionnaire II (AAQII), the Toronto Mindfulness Scale (TMS), and the Five Facet Mindfulness Questionnaire (FFMQ). The Physical Activity Enjoyment Scale (PACES) was administered to evaluate how much the participants enjoyed the intervention. Outcome measures were collected for 1-year pre-intervention and 1-year post-intervention for between-subject analyses. These were numbers of medical and psychiatric hospitalizations, emergency department visits, mental health (MH) and substance abuse treatment visits, and MH and substance abuse treatment failed appointments. Data analysis consisted of using paired, two-tailed t-tests on psychological instrument results, Poisson regression on discrete outcome measures, and chi-square test of independence on demographic factors. Within-subjects comparisons revealed significant mean pre- to post-intervention increases in AAQII (P = .04) and TMS scores (P = .009). The FFMQ scores increased but the change was nonsignificant (P = .12). The PACES scores were high for all sessions, indicating enjoyment of the intervention by participants. Although the coefficient was nonsignificant, Poisson regression uncovered reduction in substance abuse treatment visits post-intervention. There were no significant differences for the other variables. For demographic factors, the differences between intervention and control groups were not statistically significant. The MBTS is associated with increases in psychological flexibility (AAQII) and state mindfulness (TMS). The intervention was perceived as pleasurable by participants (PACES) and is potentially associated with decreased utilization of substance use treatment services. These results must be considered as preliminary; however, these finding corroborate results from a previous pilot study and indicate that MBTS holds promise as a complementary intervention that could result in enhanced treatment engagement and/or outcomes for the population studied. A randomized controlled trial of MBTS is warranted. Further, the model of a three-session intervention combining mindfulness training with nature exposure could be adapted for other types of nature exposure, such as hiking or snowshoeing or other complementary interventions including equine-assisted activities and therapies.

Effect Of Aerobic Exercise With Blood Flow Restriction On Substrate Utilization And Energy Expenditure

Blood flow restriction (BFR) added to aerobic exercise has the potential to elicit physiological adaptations. However, the acute effects of BFR on substrate utilization and energy expenditure (EE) remains unclear. PURPOSE: The purpose of this study was to examine the effects of intermittent BFR compared to low- (LIIE) and high-intensity interval exercise (HIIE) on EE and substrate utilization during exercise and recovery. METHODS: Participants randomly performed 3 interval (INT) exercise protocols: BFR, LIIE and HIIE. BFR and LIIE consisted of 10 INTs of 2-min of work at 70% of ventilatory threshold (VT) and 1-min of recovery (20 watts; W). During BFR, the cuffs were inflated to 80% of limb occlusion pressure (154 ± 17 mmHg) during each work INT and deflated during each recovery INT. HIIE consisted of 5 INTs at 140% of VT and 1-min of recovery (20 W). Breath by breath pulmonary oxygen uptake (VO2) and carbon dioxide production (VCO2) were recorded during a 15-min seated rest, exercise, and a 180-min seated recovery. Excess post exercise oxygen consumption (EPOC) magnitude was calculated as area under the curve from netVO2 (VO2 - VO2 at rest) during the first 90 minutes post-exercise. EE was calculated from VO2 during exercise and recovery. Fat oxidation (FatOx) and carbohydrate oxidation (CarbOx) rates were calculated from VO2 and VCO2 at rest, 1, 2 and 3 hrs post-exercise. Enjoyment was assessed post-exercise using the physical activity enjoyment scale (PACES). RESULTS: EPOC magnitude was similar among trials (LIIE = 4.87 ± 2.60 L*min-1, BFR = 6.59 ± 2.33 L*min-1, HIIE= 6.56 ± 2.01 L*min-1; p = 0.06). Total EE was different between BFR (321.6 ± 30.1 kcals), HIIE (254.5 ± 33.5 kcals), and LIIE (287.1 ± 25.5 kcals) (p<0.05). FatOx in BFR (1hr = 0.14 ± 0.01 g*min-1, 3hr = 0.11 ± 0.01 g*min-1) was greater than LIIE (1hr = 0.08 ± 0.02 g*min-1, 3hr = 0.9 ± 0.02 g*min-1), but not different from HIIE (1hr = 0.12 ± 0.02 g*min-1, 3hr = 0.09 ± 0.01 g*min-1) (main effect of trial; p<0.05). CarbOx during BFR (3hr = 0.16 ± 0.03 g*min-1) was less than LIIE (3hr = 0.19 ± 0.03 g*min-1) and HIIE (3hr = 0.23 ± 0.05 g*min-1) (main effect of trial). There were no differences in PACES scores. CONCLUSIONS: This study suggests that the addition of intermittent BFR to LIIE may result in greater EE but similar substrate utilization and enjoyment as HIIE, albeit at a lower work rate.

Small-Sided Games are More Enjoyable Than High-Intensity Interval Training of Similar Exercise Intensity in Soccer.

IntroductionHigh-intensity interval training (HIIT) and small-sided games (SSG) have been applied and tested for athletes in order to enhance the soccer performance. For this reason, this experimental study aimed to compare the effects of SSGs and HIIT on power, physiological responses and perceived enjoyment.Materials and MethodsSixteen youth soccer players (age, 17.5±0.6 years, mean±standard deviation; height, 178.2±6.4 cm; body mass, 70.4±5.4 kg; body fat, 10.6±0.8%) completed one session each of HIIT and SSG on separate days with 1 week between sessions. Each session lasted 25 mins (4x4 mins work with 3 mins of passive recovery in-between). SSGs consisted of 4 versus 4 player games on a 25×35 m pitch, and HIIT consisted of intermittent 15-s runs at 110% maximal aerobic speed separated by 15 s of passive recovery. Psychological responses following each protocol were assessed using the Physical Activity Enjoyment Scale (PACES). Heart rate (HR) was continuously recorded, rating of perceived exertion (RPE) and lactate concentration [La] were measured after each training session. Lower body muscular power was assessed using the 5-jump test relative to leg length (5JT-relative) before and after each training session, where greater average distance per stride over five sequential jumping strides indicated greater muscular power.ResultsHIIT and SSG showed no significant difference in HR, RPE and [La] responses (p=0.70, ES=0.11; p=0.61, ES=0.08 and p=0.38, ES=0.21, respectively). 5JT-relative decreased significantly for SSG and HIIT (p<0.05, ES=0.50 and p<0.05, ES=0.40, respectively). PACES score was greater in SSG compared to HIIT (ES=5.35, p<0.001).ConclusionHIIT and SSG sessions induced similar physiological responses; however, SSGs induced a higher enjoyment level than HIIT. Coaches could choose between these training modalities according to the objective of their training session, considering the enjoyment-related advantages of SSGs.

Affective and enjoyment responses to 12 weeks of high intensity interval training and moderate continuous training in adults with Crohn's disease.

The aim was to undertake secondary data analysis from a three-arm randomised feasibility trial of high intensity interval training (HIIT), moderate intensity continuous training (MICT), and usual care control in adults with Crohn’s disease (CD; n = 36), with a primary focus on exploring affective and enjoyment responses. Twenty-five participants with quiescent or mildly-active CD were randomised to one of the two exercise groups: HIIT (n = 13) and MICT (n = 12). Both groups were offered thrice weekly sessions for 12 weeks. MICT consisted of cycling for 30 minutes at 35% peak power (Wpeak), whereas HIIT involved ten 1-minute bouts at 90% Wpeak, interspersed with 1-minute bouts at 15% Wpeak. Heart rate (HR), differentiated ratings of perceived exertion for legs (RPE-L) and central (RPE-C), along with feeling state (Feeling Scale; FS) were measured at 92.5% of each session. Enjoyment was measured at the end of training using the Physical Activity Enjoyment Scale (PACES). Post-hoc exploratory analysis involved a mixed-model two-way ANOVA to compare HR, RPE-L, RPE-C and FS for the exercise sessions in weeks 1, 6 and 12 between groups. Overall, HR was greater (p < 0.01) during HIIT (173 ± 8 bpm) compared with MICT (128 ± 6 bpm). Similarly, RPE-L and RPE-C responses were greater overall (p = 0.03 and p = 0.03, respectively) during HIIT (5.5 ± 1.6 and 5.1 ± 1.7, respectively) compared to MICT (3.3 ± 1.5 and 2.9 ± 1.5, respectively). Overall, FS was 2.2 ± 1.9 for HIIT and 2.1 ± 1.4 for MICT with no effect of treatment group (p = 0.25) or time (p = 0.94). There was also no significant difference in PACES scores between HIIT (99.4 ± 12.9) and MICT (101.3 ± 17.4; p = 0.78). The findings suggest HIIT and MICT protocols elicited similar enjoyment and affect in adults with quiescent or mildly-active CD.

Go Girls!-Dance-Based Fitness to Increase Enjoyment of Exercise in Girls at Risk for PCOS.

Weight loss can reduce the hyperandrogenemia associated with polycystic ovary syndrome (PCOS) in peripubertal girls. Yet, adolescent girls have the lowest rates of physical activity and enjoyment of exercise. We created a dance-based support group (Go Girls!) to entice physical activity and improve enjoyment. Girls ages 7–21 over the 85th BMI percentile were recruited and attended once-weekly sessions for 3–6 months. We assessed changes in Physical Activity Enjoyment Scale (PACES), anthropometrics, laboratory data, and amounts of home exercise at 0, 3, and 6 months. Sixteen girls completed either 3 or 6 months. PACES scores were surprisingly high at baseline and remained high. Systolic blood pressure percentile decreased post-intervention. Although no group differences were observed, the majority of individual girls had decreased waist circumference, triglycerides, and metabolic syndrome severity score. Forty percent had decreased free testosterone levels. More girls enjoyed physical education class, got exercise outside of school, and made other lifestyle changes. This dance-based support group was enjoyed by girls and demonstrated health benefits. Continued efforts to engage girls in physical activity are necessary to protect girls from the consequences of obesity, including PCOS and metabolic syndrome. Dance exercise remains a promising tool to encourage physical activity in girls.

High Intensity Long Interval Sets Provides Similar Enjoyment as Continuous Moderate Intensity Exercise. The Tromsø Exercise Enjoyment Study.

ObjectiveHigh intensity interval exercise sessions with interval sets over 3 min may provide superior cardiorespiratory fitness benefits. To our knowledge, the exercise enjoyment of interval sets over 3 min is not yet elucidated. The aim of this study was to examine exercise enjoyment following one session with four intervals of 4 min high intensity exercise (HIIE) versus one session of 45 min moderate intensity continuous exercise (CE) in iso-caloric conditions using a randomized crossover design.MethodsSeven young healthy participants were recruited to undergo two different exercise sessions in a randomized order: (1) 4 × 4 min intervals at >90% of maximum heart rate (HRmax) with 3 min of rest between interval sets, and (2) 45 min CE at 70% of HRmax. Peak oxygen uptake and HRmax were evaluated prior to the experiment. The participants reported their perceived exercise enjoyment using the 18-item physical activity enjoyment scale (PACES) questionnaire and their rating of perceived exertion (RPE) using Borg’s 6–20 scale.ResultsThere was no difference in the PACES score between the high intensity interval exercise session [median: 95.5 (inter-quartile range: 21.8)] and the moderate intensity CE session [91.0 (13.5), p = 0.36, r = −0.22]. The participants reported a higher RPE in the high intensity interval exercise session [16.5 (2.0)] compared with the CE session [9.0 (2.0), p = 0.01, r = −0.88].ConclusionSimilar exercise enjoyment was reported following four high intensity intervals of 4 min compared with a moderate intensity CE session in this randomized crossover study with iso-caloric conditions. If enjoyment is a mediating factor for engaging in exercise, one should expect a similar probability of exercise adherence following high intensity 4 min intervals and continuous moderate intensity exercise when prescribing aerobic exercise as preventive medicine.

Enjoyment Responses to High Intensity Interval and Moderate Intensity Continuous Training in Crohn’s Disease Patients

PURPOSE: The aim of this study was to undertake secondary data analysis from a three-arm feasibility trial of high intensity interval training (HIIT), moderate intensity continuous training (MICT), and usual care, in Crohn’s disease (CD) patients (n=36), with a primary focus on exploring affective and enjoyment responses to the two types of exercise training. METHODS: Twenty-five participants with quiescent or mildly-active CD were randomised to one of the two active groups: HIIT (n=13) and MICT (n=12). Both groups were offered three exercise sessions per week for 12 weeks. MICT consisted of cycling for 30 minutes at 35% peak power (Wpeak), whereas HIIT involved ten 1-minute bouts at 90% Wpeak, interspersed with 1-minute bouts at 15% Wpeak. Peak power was determined prior to the intervention and reassessed at weeks 4 and 8 to adjust training load. Heart rate (HR) and differentiated ratings of perceived exertion (RPE) for legs (RPE-L) and central (i.e. ventilatory and circulatory; RPE-C), along with feeling state (Feeling Scale; FS) were measured at regular time intervals during each exercise session. In addition, enjoyment was measured at the end of the training programmes using the Physical Activity Enjoyment Scale (PACES). Post-hoc exploratory analysis involved a mixed-model two-way ANOVA to compare HR, RPE-C, RPE-L and FS at weeks 1, 6 and 12 between groups. An independent t-test was used to assess between-group differences in PACES scores. RESULTS: HR was greater (p < 0.01) during HIIT (168 ± 20 bpm) compared with MICT (124 ± 18 bpm). Similarly, RPE-L and RPE-C responses were greater (p = 0.03 and p = 0.03, respectively) during HIIT (5.5 ± 1.6 and 5.1 ± 1.7 i.e. ‘hard’, respectively) compared to MICT (3.3 ± 1.5 and 2.9 ± 1.5 i.e. ‘moderate’, respectively). Overall, FS recorded was 2.2 ± 1.8 (i.e. ‘fairly good’) for HIIT and 2.1 ± 1.3 (i.e. ‘fairly good’) for MICT with no effect of condition (P=0.25) or time (P=0.94). There was also no statistically significant difference in PACES scores between HIIT (99.4 ± 12.9) and MICT (101.3 ± 17.4; p = 0.78). CONCLUSION: Despite the differences in HR and RPE responses, the findings suggest that the HIIT and MICT protocols elicited similar enjoyment and affective responses in adults with quiescent or mildly-active CD. Support by CCUK Grant SP2015/1.

Energy Expenditure and Enjoyment During Active Video Gaming Using an Adapted Wii Fit Balance Board in Adults with Physical Disabilities: Observational Study.

BackgroundIndividuals with physical disabilities have fewer opportunities to participate in enjoyable physical activity. One option for increasing physical activity is playing active video games (AVGs); however, many AVGs are inaccessible or offer limited play options.ObjectiveThis study aimed to examine energy expenditure and enjoyment in adults with mobility impairment during AVG play using off-the-shelf (OTS) and adapted versions of the Wii Fit balance board (Nintendo).MethodsDuring visit 1, participants completed a functional assessment and the familiarization period. During visit 2, metabolic data were collected during a 20-minute baseline and four 10-minute bouts of Wii Fit Plus game play, with two bouts on each of the boards. During the resting period, participants completed the Physical Activity Enjoyment Scale (PACES). Statistical analyses were computed using SPSS software. Data were analyzed separately for individuals who were able to play while standing on both boards (StdStd); those who could not play while standing on the OTS board, but were able to play while standing on the adapted board (aStd); and those who could only play while sitting on the adapted board (aSit).ResultsData were collected for 58 participants (StdStd, n=17; aStd, n=10; aSit, n=31). The sample included 31 men and 27 women with a mean age of 41.21 (SD 12.70) years. Energy expenditure (metabolic equivalent [MET]) during game play was significantly greater than that during rest for all players. Only 17 participants (StdStd group) were able to play using the OTS board. During game play on the adapted board, the average MET values for the two game sets were 2.261 (SD 0.718) kcal/kg/hour and 2.233 (SD 0.751) kcal/kg/hour for the aSit group, 3.151 (SD 1.034) and 2.990 (SD 1.121) for the aStd group, and 2.732 (SD 0.655) and 2.777 (SD 0.803) for the StdStd group. For game play on the adapted board, self-reported ratings of perceived exertion on a 0-10 scale suggested greater exercise intensity levels, with median scores ranging from moderate (3) to very hard (7). The PACES scores indicated that all players enjoyed using the adapted board, with a median score of 4 on a 5-point scale.ConclusionsThe adapted Wii Fit balance board provided an opportunity for individuals with mobility impairments, including wheelchair users, to engage in AVG. All participants were able to utilize the adapted controller and enjoyed the AVG activity. Although the average MET values achieved during AVG represented light-intensity exercise (<3 METs), 16% of sitting participants and 41% of standing participants achieved moderate-intensity exercise (3-6 METs) in at least one of the games. Factors not accounted for, which may have influenced the intensity of exercise, include game selection, limited familiarization period, and discomfort wearing the COSMED portable metabolic system for measurement of oxygen consumption. Accessible AVG controllers offer an innovative approach to overcome various barriers to participation in physical activity. The next steps include assessment of an AVG intervention using an adapted board gaming controller on health and fitness outcomes.Trial RegistrationClinicalTrials.gov NCT02994199; https://clinicaltrials.gov/ct2/show/NCT02994199 (Archived by Webcite at http://www.webcitation.org/75fc0mN39).