Exertion Research Articles

Efforts to Improve Knowledge and Skills of Splint Dressing with Simulation and Training Methods in Adolescents of Mandala Bhakti Health Vocational School Surakarta

ABSTRACT A fracture is a condition where a bone is cracked or broken due to trauma or physical impact. The strength and angle of physical exertion, the condition of the bone itself, and the soft tissue around the bone will determine whether the fracture is complete or incomplete. The impact of a fracture can cause bone deformity or disability and even death in the victim if help is not immediately provided, where splinting is one of the first aid measures that must be given to patients who experience a fracture. This community service activity aims to help increase the knowledge and skills of teenagers, especially PMR members, in providing first aid when they find a victim who has suffered a fracture. The method used in this activity uses power point media when providing education, then continues with demonstrations and direct simulations for participants on how to apply splints to patients who have fractures. The results of the activity showed the enthusiasm of the participants in carrying out the splint dressing demonstration as well as an increase in participants' knowledge and skills in carrying out the splint dressing, namely during the pre-test, 25% of their knowledge and skills were good, increasing to 81.25% after the education and post-test were carried out. So it can be concluded that providing health education and demonstrations regarding dressing splints really helps teenagers in increasing their knowledge and skills in dressing splints. Keywords: Skills, Splinting, Training

154 Avoidance of Physical Activity Among Patients with Chronic Obstructive Pulmonary Disease (COPD): An Observational Study

Abstract Purpose While physical activity is recognized as an essential component in COPD treatment, patients with COPD often exhibit lower levels of physical activity compared with their lung-healthy peers. The primary objective of our study was to describe the proportion of patients with COPD who report avoidance behavior related to physical activity. Methods A questionnaire-based, observational study was conducted among patients with COPD, scheduled to attend a pulmonary rehabilitation program. Participants completed the COPD Anxiety Questionnaire (CAF-R) and functional tests were conducted prior to participation of the rehabilitation program. Results We included 48 participants (24 males, mean: age 70±7.8 years, body mass index 25±5.0, MRC dyspnoea scale 2.5±0.9, One-Minute-Sit-To-Stand-Test 19 ±6.0 repetitions). Findings revealed that 60% (95% CI [46%-0,74%]) reported avoidance of physical exertion, 44% (95% CI [24%-52%]) avoid activities causing breathlessness, and 35% (95% CI [22%-48%]) try avoid any form of physical activity. Conclusions Our findings show that a large proportion of patients with COPD exhibit avoidance behavior concerning physical activity. While the underlying reasons are likely multifaceted, apprehension towards breathlessness emerges as a potential contributing factor. The results underscore the importance of investigating avoidance behavior in people with COPD to better understand how to promote physical activity within this population. Future interventions designed to increase physical activity in patients with COPD should include identification of the extent of avoidance behavior and implementation of strategies to manage the behavior, such as exposing individuals to physical activity within a secure environment. Support/funding This study received financial support from the Karen Elise Jensen Foundation and the Eva Merethe Falck Crones Foundation.

Exploring the Psychological Effects and Physical Exertion of Using Different Movement Interactions in Casual Exergames That Promote Active Microbreaks: Quasi-Experimental Study.

Prolonged sedentary behavior, such as sitting or reclining, has consistently been identified as a stand-alone risk factor for heightened cardiometabolic risk and overall mortality. Conversely, interrupting sedentary periods by incorporating short, active microbreaks has been shown to mitigate the negative effects of sedentary behavior. Casual exergames, which mix elements of casual gaming with physical activity, are one prospective intervention to reduce sedentary behavior because they require physical exertion. Casual exergames have shown promise in fostering emotional and physical advantages when played in specific circumstances. However, little research exists on how different types of movement interactions impact the psychological effects as well as the physical exertion of playing casual exergames. The primary aim of this work was to explore the psychological effects and physical exertion of playing casual exergames lasting 2 minutes. More precisely, the investigation focused on comparing upper body and full body movement interactions. In addition, the work examined variations in body positions, considering both standing and seated positions during upper body movement interactions. Two casual exergames were developed and investigated through 2 quasi-experimental studies. In study 1, we investigated how players' perceptions of control, exertion, and immersion were affected by using upper body as opposed to full body exergame controllers when playing casual exergames. In study 2, we investigated differences in positive affect, performance, enjoyment, and exertion when playing casual exergames with upper body movement interactions in seated and standing positions. Study 1 showed that perceived control was significantly higher for upper body movement interactions than for full body movement interactions (P=.04), but there were no significant differences regarding perceived exertion (P=.15) or immersion (P=.66). Study 2 showed that positive affect increased significantly for both standing (P=.003) and seated (P=.001) gameplay. The participants in the standing gameplay group showed slightly higher actual exertion; however, there were no differences between the groups in terms of positive affect, perceived exertion, enjoyment, or performance. Casual exergames controlled by upper body movement interactions in seated gameplay can produce similar psychological effects and physical exertion as upper body movement interactions in standing gameplay and full body movement interactions. Therefore, upper body and seated casual exergames should not be overlooked as a suitable microbreak activity.

Police arrest-related death: about four cases and review of the literature.

Unexpected deaths may occur in individuals during a police arrest. These individuals usually have had both physical and emotional exertion, associated or not with agitation and restraint by police. Further investigations in these cases often show an impregnation with drugs. Autopsy findings may raise medico-legal problems in these cases.We report four cases of deaths during police arrest in which multiple factors contributed to the death. In the first two cases, there was a combination of emotional and physical stress due to police pursuit and, the presence of mechanical asphyxia. We noticed the presence of cannabis and amphetamine; however, we couldn't relate the death to a drug intoxication. In the third case, the deceased lost consciousness when he was arrested by the police with no link to the intervention of law enforcement authorities. Death in this case was due to sepsis complicating endocarditis. The fourth case reports a rare cause of asphyxia that can occur in a police arrest related to a drug package. Death was due to upper airway obstruction in this case.The forensic pathologist should take into consideration every factor when explaining these deaths. Thorough autopsy and investigations are critical to understand the cause and circumstances of death.

Monitoring the heart rate variability of servicewomen of the Armed Forces of Ukraine during the legal regime of martial law

The article features the results of the analysis of heart rate variability of 30 female military personnel (n=30). The purpose of this study was to assess the state of regulatory mechanisms of the autonomic nervous system. The analysis of heart rate variability indicators reflects the general level of autonomic regulation, which is important for assessing the physical and psychological state of military personnel. The RRNN parameter had a median of 814.5 ms, which corresponds to the norm for healthy individuals and indicates a normal level of cardiac activity of females being under the research. The SDNN indicator, which characterizes the total effect of autonomic regulation of blood circulation, was 37.4 ms on the median, which also corresponds to the norm and indicates an adequate level of adaptation capabilities of the body. However, RMSSD was at the median below normal, indicating reduced recovery and high levels of stress among female military personnel. pNN50, which reflects the proportion of consecutive RR intervals differing by more than 50 ms, was also below normal, further confirming reduced parasympathetic activity. The LF index was 301.0 ms² on the median of female military personnel, which is at the lower limit of the norm. The result we obtained may indicate a reduced sympathetic influence or a general depletion of adaptation reserves. The VLF indicator, which characterizes neurohumoral regulation, was also below the norm, which indicates a possible depletion of the body's adaptive reserves. Such studies make it possible to detect signs of fatigue or insufficient recovery in time and take the necessary measures to optimize the training process and the performance of official duties. Our research confirms that heart rate variability is an important indicator of the body's adaptive capabilities, especially in the conditions of martial law, where stress and physical exertion are constant factors of influence.

Physical training program of military college cadets - future commanders of assault departments (platoons) using military pentathletics

Improving the physical fitness of military personnel has always been and is one of the most important tasks of training military specialists along with professional training. This is especially relevant for elite units (reconnaissance, airborne, landing and assault units, marines and special operations forces). The results of scientific and methodological research proved that the most effective means of performing tasks to improve the physical fitness of servicemen is the use of physical exercises from sports that are closest in terms of the structure of movements and the nature of physical exertion to the military and professional activities of servicemen. Military pentathlon clearly differs not only in the content of the exercises included in it, but also in the organization and provision of the educational, training and educational process. The analysis of literary sources allowed us to determine the lack of improvement in the organization of physical training of college cadets in the specialty "Management of actions of units of mechanized troops" (future commanders of departments and platoons of assault units. The research substantiated and developed the author's program for optimizing the physical fitness of military college cadets using military p' Martial arts as a means of physical education, which was implemented in the 2023-24 school year. Despite the high number of new assault units, there is currently no clear program for improving the physical fitness of these soldiers (from the soldier to the platoon commander). a new author's program of physical training of cadets of the sergeant's military college with the use of military pentathlon (for future commanders of departments or platoons of assault units). using military pentathlon as a means of physical education. An advisor on the organization of individual physical training for young sergeants - division and platoon commanders has been developed. The prospects for using the research results will be the implementation of this program in the practice of various assault units, which should significantly improve both general and special physical fitness; study of the relationship between general and special physical fitness and the development of specific methodological instructions for conducting various forms and activities of physical training using military pentathlon as a means of physical education.

Physical Activity as a Means of Enhancing Students' Academic Performance

This publication addresses the issue of improving the educational system's performance by increasing the academic success of students in higher education institutions through physical activity. The relevance of this scientific problem is extremely high. In the current reality, ensuring a proper quality of education is of paramount importance for Ukraine. The educational system provides the state and society with qualified professional personnel. From the defense sector to healthcare, there is a need for well-prepared professionals. Given this situation, the issue of high-quality student training, who will meet the labor market demand in the future, is particularly pressing. It is also important to note the significant negative impact of the trend of a substantial number of skilled and able-bodied individuals leaving Ukraine. Furthermore, a large number of highly qualified professionals from various fields have been mobilized into the Defense Forces. The labor market currently experiences a shortage in a number of professions. These factors heighten the relevance of the discussed issue. It is also worth noting that at the time of this publication, the higher education system is undergoing reforms. The optimization of the network of higher education institutions is taking place, which may lead to various negative phenomena in the education system for an indefinite period, caused by changes in curricula, personnel, and administrative restructuring in educational institutions, among other factors. It is essential to consider this contemporary challenge. In this regard, developing methods to enhance students' academic performance through all available means is an important task for the educational system. Mass physical activity among students is one of the most effective methods within this problem area. In fact, the main goal of this publication is to demonstrate that systematic physical activity, given the mass involvement of student youth, has significant potential as a tool for improving academic performance in higher education institutions. Systematic physical activity helps combat the negative effects of stress, which adversely affects students' academic activities. Additionally, regular physical exertion has been observed to positively impact cognitive abilities, which is also significant in the context of this publication. However, it is noted that the outlined issue remains a field for extensive scientific and pedagogical work, as the direct impact of regular physical activity on students' academic success is not sufficiently studied, especially in the context of Ukrainian scientific research.

Measuring the Effect of an Ergonomic Lecture on the Rapid Upper Limb Assessment Scores of Dental Assistant Students Using Inertial Sensor-Based Motion Capture-A Randomized Controlled Study.

Individuals working in the field of dentistry have a high prevalence of musculoskeletal disorders (MSDs) owing to monotonous and one-sided physical exertion. Inertial measurement units (IMU) are increasingly shifting into focus for assessing postural risk at work. Therefore, the present study aimed to evaluate the effects of an ergonomic lecture and training intervention on postural risk and MSDs in dental assistant students using inertial sensor-based motion capture (MoCap). Eighteen female dental assistant students (age: 19.44 ± 6.83 years; height: 164.59 ± 5.32 cm; weight: 64.88 ± 16.52 kg; BMI: 19.70 ± 4.89 kg/m2), randomly divided into intervention (n = 9) and control (n = 9) groups, participated in the present study. The participants completed the Nordic Questionnaire on MSD prevalence, after which a 90 s MoCap with Xsens IMU was performed. A lecture on ergonomics was provided, followed by a five-week intervention for the intervention group. Follow-up assessments were performed, and 5- and 18-week follow-up MSD questionnaires were administered. Mixed analysis of variance (MANOVA) showed a significant difference in the Rapid Upper Limb Assessment (RULA) and part-scores of the upper arm and wrist. Despite a reduction in MSDs, no significant differences in the time of measurement and groups were detected after the five-week training intervention and the 18-week follow-up questionnaire. A targeted ergonomics lecture was effective for dental assistant students, and technologies such as IMU improved workplace ergonomics in dentists. Further studies with a longer measurement periods, follow-up, and larger sample sizes are recommended.

A pilot study using the LASCA technique to analyze stress using heart rate variability.

In the quest to uncover biological cues that help explain organic changes brought on by an external stimulus, like stress, new technologies have become necessary. The Laser Speckle Contrast Analysis (LASCA) approach is one of these technologies that may be used to analyze biological data, including respiratory rate (RR) intervals, and then use the results to determine heart rate variability (HRV Thus, to evaluate the stress brought on by physical activity, this study used the LASCA approach. A stress induction procedure involving physical exertion was employed, and the results were compared to other established techniques (cortisol analysis and ECG signal) to verify the LASCA methodology as a tool for measuring HRV and stress. The study sample comprised 27 willing participants. The technique involving LASCA allowed for the non-invasive (non-contact) acquisition of HRV and the study of stress. Furthermore, it made it possible to gather pertinent data, such as recognizing modifications to the thermoregulation, peripheral vasomotor tonus, and renin-angiotensin-aldosterone systems that were brought on by elevated stress and, as a result, variations in HRV readings.

Nutritional Management of Patients with Fatty Acid Oxidation Disorders.

Treatment of fatty acid oxidation disorders is based on dietary, pharmacological and metabolic decompensation measures. It is essential to provide the patient with sufficient glucose to prevent lipolysis and to avoid the use of fatty acids as fuel as far as possible. Dietary management consists of preventing periods of fasting and restricting fat intake by increasing carbohydrate intake, while maintaining an adequate and uninterrupted caloric intake. In long-chain deficits, long-chain triglyceride restriction should be 10% of total energy, with linoleic acid and linolenic acid intake of 3-4% and 0.5-1% (5/1-10/1 ratio), with medium-chain triglyceride supplementation at 10-25% of total energy (total MCT+LCT ratio = 20-35%). Trihepatnoin is a new therapeutic option with a good safety and efficacy profile. Patients at risk of rhabdomyolysis should ingest MCT or carbohydrates or a combination of both 20 min before exercise. In medium- and short-chain deficits, dietary modifications are not advised (except during exacerbations), with MCT contraindicated and slow sugars recommended 20 min before any significant physical exertion. Parents should be alerted to the need to increase the amount and frequency of carbohydrate intake in stressful situations. The main measure in emergency hospital treatment is the administration of IV glucose. The use of carnitine remains controversial and new therapeutic options are under investigation.

Evaluation of a Passive Upper Extremity Exoskeleton on Reducing Discomfort and Workload in Cardiac Sonographers

Cardiac sonographers are frequently exposed to ergonomic risks such as postural stress and high levels of physical exertion while performing scanning tasks, contributing to work-related pain, and discomfort among cardiac sonographers. Passive exoskeletons are a potential ergonomic intervention with the potential to mitigate some of the risks associated with scanning. This study examined the effectiveness of a passive upper body exoskeleton in reducing the levels of work-related pain, discomfort, and workload in cardiac sonographers while performing transthoracic echocardiograms (TTE). Twelve cardiac sonographers were asked to use the HAPO FRONT exoskeleton while performing TTEs during a full workday. Participants were asked to rate their body part discomfort and workload throughout the day, both with and without the exoskeleton. The exoskeleton did not significantly decrease discomfort or workload associated with performing TTEs, except for a slight reduction in the discomfort at the left hand/wrist. This result indicates that the HAPO FRONT was not effective or appropriate for use by cardiac sonographers. Future development and study of purpose-designed exoskeletons for healthcare applications may provide greater benefits to cardiac sonographers.

Rosacea in East Asian populations: Clinical manifestations and pathophysiological perspectives for accurate diagnosis.

Rosacea is a chronic inflammatory disorder primarily affecting the facial skin, prominently involving the cheeks, nose, chin, forehead, and periorbital area. Cutaneous manifestations encompass persistent facial erythema, phymas, papules, pustules, telangiectasia, and flushing. The pathogenesis of rosacea is associated with various exacerbating or triggering factors, including microbial infestation, temperature fluctuations, sunlight exposure, physical exertion, emotional stress, consumption of hot beverages and spicy foods, and exposure to airborne pollen. These environmental factors interact with genetic predispositions in the development of rosacea. The roles of the lipophilic microbiome, ultraviolet radiation, nociceptive responses, and vascular alterations have been proposed as significant factors in the pathogenesis. These insights contribute to understanding the anatomical specificity of facial involvement and the progressive nature of rosacea. East Asian skin, predominantly classified as Fitzpatrick skin phototypes III to IV, is characterized by relatively diminished skin barrier function and increased sensitivity to irritants. Airborne pollen exposure may particularly act as a trigger in East Asian individuals, possibly mediated through toll-like receptors. The lack of specificity in objective clinical and histopathological findings leads to diagnostic challenges for individuals with colored skin, including East Asians, particularly when erythema is the sole objective manifestation. An alternative diagnostic scheme may thus be necessary. A diagnostic approach emphasizing vascular manifestations and nociceptive symptoms potentially holds promise for individuals with darker skin tones. More research focusing on potential variations in skin physiology across different racial groups is essential to establish more effective diagnostic schemes applicable to both dark and light skin colors.

Perceived benefits and barriers to exercise and associated factors among Zimbabwean undergraduate students: a cross-sectional study.

Despite the well-documented benefits of regular physical activity (PA), many university students are physically inactive. Personal, socio-economic, and environmental factors predict PA engagement behaviours in university students. There is a need to understand context-specific perceived barriers and benefits to exercise engagement and physical activity levels amongst university students from low-income settings. This study primarily evaluated the barriers and facilitators to PA engagement in Zimbabwean undergraduate students. We also assessed the correlates of perceived barriers and benefits to PA engagement, risk of common mental disorders (CMDs) and health-related quality of life (HRQoL). We used a cross-sectional study to recruit 465 university undergraduate students. The Exercise Benefits and Barriers Scale, International Physical Activity Questionnaire (IPAQ), Shona Symptoms Questionnaire (SSQ-8) and EuroQol 5 Dimension (EQ5D-5l) were used to measure barriers and facilitators, physical activity level, risk of depression and anxiety and HRQoL, respectively. Data were analysed through descriptive statistics and logistic regression. Most participants were male (58.5%) with a mean age of 21.7 (SD 1.6) years. Majority of the participants were first year students (37.2%), consumed alcohol (66.5%), did not smoke (88.2%) and had a normal BMI (64.7%). The prevalence of low PA levels was 17.4%, with 33.5% of students at risk of CMDs. The most perceived benefits were in the physical performance (e.g., exercise improves my level of physical fitness) and life enhancement (e.g., exercise improves my self-concept) domains, while the most perceived barriers were lack of exercise infrastructure (e.g., exercise facilities do not have convenient schedules) and physical exertion (e.g., exercise tires me). Food insecurity (AOR 2.51: 95% CI 1.62-3.88) and the risk of CMDs (AOR 0.49: 95% CI 0.32-0.76) were associated with increased odds of experiencing barriers to exercise. Not using substances (AOR = 2.14: 95% CI 1.11-4.14) and a higher self-rated HRQoL (AOR 24.34: 95% CI 1.77-335.13) were associated with increased odds of a high perception of exercise benefits. Improving access to community and on-campus exercise facilities and campus-wide health promotional interventions is necessary to enhance PA amongst university students.

Somatosensory processing in long COVID fatigue and its relations with physiological and psychological factors.

Fatigue is prevalent amongst people with long COVID, but is poorly understood. The sensory attenuation framework proposes that impairments in sensory processing lead to heightened perception of effort, driving fatigue. This study aims to investigate the role of somatosensory processing impairments in long COVID fatigue and quantify how sensory processing relates to other prominent symptoms of long COVID including autonomic dysfunction, mood and illness beliefs in driving the experience of fatigue. We will recruit 44 individuals with long COVID fatigue and 44 individuals with neither long COVID nor fatigue (controls). Our primary objective is to compare baseline somatosensory processing between individuals with long COVID fatigue and controls. Additionally, we will explore the associations between somatosensory processing, fatigability and the level of fatigue induced by cognitive and physical exertion. Due to the complex nature of fatigue, we will also investigate how long COVID, state fatigue, perceived effort, mood, illness beliefs, autonomic symptoms and autonomic nervous system function interact to predict trait fatigue. This comprehensive investigation aims to elucidate how sensory processing and other prominent symptoms interact to impact the experience of fatigue.

Abstract Mo114: Assessing Diastolic Performance in Working Myocardial Slices from ZSF1 Rats

Diastolic dysfunction is a prevalent and therapeutically intractable feature of heart failure which arises from increased ventricular compliance and impaired relaxation. Properly assessing diastolic performance is challenging because it requires simultaneous in-vivo measurement of ventricular pressure and volume. Furthermore, identifying diastolic dysfunction may require the simultaneous application of a stress such as physical exertion. Herein, we demonstrate a preparation that recapitulates the complexity of diastole in working myocardial slices: a force-feedback system providing precision control of pacing frequency, preload, afterload, and a tunable stretch at the end of diastole that mimics late filling driven by atrial systole. We assess the diastolic performance (isovolumic relaxation, early and late filling characteristics) in working myocardial slices from a known model of diastolic dysfunction, ZSF1 Obese rats and their Lean control. We find that parameters relating to myocardial performance such as slice work, stroke length, and twitch force are the same between Lean and Obese animals but parameters of diastolic performance are altered in the Obese rats. Specifically, we observe a decreased separation between peak early and late filling with a reduced diastolic filling interval at the same pacing frequency while we do not observe a difference in isovolumic relaxation time. Taken together, these results indicate that while the work output of myocardium is preserved in ZSF1 Obese rats, a reduction in available filling time and early filling efficiency may indicate a reduced capacity maintain output at higher heart rates.

Effect of Nitrates supplementation on Muscle Hypertrophy and Athletic Performance: A Narrative Review

Background and Study Aim. The consumption of nitrate has been linked to various advantages, including aiding recovery by lessening fatigue, enhancing oxygen supply to muscles, and increasing the elimination of metabolic by-products during intense physical activity. Given the rising trend of utilizing dietary supplements for peak athletic performance, this literature review aims to explore the role and promise of nitrate supplementation in influencing muscle function and boosting physical prowess, while also shedding light on its potential perks and drawbacks. Material and Methods. Electronic databases including Web of Science (all databases), PubMed, Scopus, Google Scholar, Science Direct, were explored on June 11, 2022. The search terms were drawn from prior systematic reviews on nitrate supplementation and exercise and informed by a recent narrative review on Nitrates impact on athletic performance and muscle hypertrophy. Results. The findings of this review indicate that nitrate intake, owing to its ability to widen blood vessels, could potentially enhance blood flow and oxygen delivery to muscles during exercise. Consequently, this improved circulation might facilitate better nutrient and oxygen transportation to muscle tissue, thereby fostering muscle development through enhanced nutrient absorption and waste removal during physical exertion. However, it's crucial to note that excessive nitrate consumption might trigger adverse effects related to the formation of nitrosamines. Conclusion. In summary, investigations into the potential advantages of nitrate supplementation, whether through dietary sources or supplements, in augmenting athletic performance are promising. This is evident from the observed effects of increased muscle protein synthesis, reduced muscle soreness, and enhanced cognitive function under stressful conditions. Nonetheless, it's imperative to exercise caution against over-supplementation due to the potential risks of toxicity and associated side effects.

Acute cognitively challenging exercise as “cognitive booster” for children: Positive feedback matters!

Background and aimAcute exercise can enhance children's cognition. Heterogeneous effect sizes necessitate investigating exercise task characteristics, contextual factors, and related affective states. The study aimed to test whether different feedback forms during acute cognitively challenging exercise affect children's executive control, alerting, and orienting performances, also considering the potential mediational role of affective states. MethodsIn a within–subjects posttest only design, 100 children (Mage = 11.0, SDage = 0.8, 48% female) participated weekly in one of three exergames with different feedback: no feedback (NO-FB), standard acoustic environment (ST-FB), positive feedback (PO-FB). Acute bouts were designed to keep physical intensity (65% HRmax) and duration (15-min) constant and to have a high cognitive challenge. Valence, arousal, perceived physical exertion, cognitive engagement, and flow were assessed before, during and after exergaming. Each bout was followed by an Attention Network Test. ResultsANOVAs revealed a significant main effect of feedback on executive control (η2p = 0.09) with faster reaction times after PO-FB compared to the other conditions (η2ps > 0.06) and on valence at post–test (η2p = 0.11) with highest values in PO-FB (η2ps > 0.08). In PO-FB, valence was associated with executive control (r = −0.23) but did not mediate feedback effects on executive control (95% CI [–5.25, 4.68]). Alerting and orienting performances were unaffected by feedback (η2ps < 0.08). ConclusionResults suggest that positive feedback during acute cognitively challenging exergaming enhances children's executive control and positive affect, highlighting that exercise task characteristics and contextual factors are essential for cognitive benefits.

Effects of training load on heart rate variability and blood pressure in track and field athletes and skiers

BACKGROUND: Adaptation of human body to the harsh conditions of the European North remains a topic of ongoing interest, despite numerous studies on the subject. There is a need to study population groups whose daily activities involve physical activity in extreme northern conditions. One such group includes athletes who participate in endurance sports. For athletes engaged in cyclical sports, competitive activities becomes can be particularly demanding, requiring sustained physical exertion and maximum power generation. Training and competing in harsh conditions place significant strain on the body’s cardiovascular regulation mechanisms. Over time, this may result in detrimental structural and biochemical changes in the cardiovascular system. AIM: To identify the patterns of changes in heart rate regulation among track and field athletes and skiers after a training load. MATERIAL AND METHODS: Athletes from the Arkhangelsk region, including skiers and track and field athletes in the mass sports categories, who regularly compete in regional events, took part in the study. The studies took place in the medical offices of sports complexes, where the UPFT-1/30“Psychophysiologist” device was used to record and analyze cardiointervalograms. Blood pressure was recorded before and after training sessions using the Criticare System 8100H monitor. RESULTS: The initial variational span (VR) values of the duration of cardio intervals before exercise were slightly lower than the reference values in both the group of skiers and the group of athletes. At the same time, the mean square deviation (SD) values initially fell within normal range. Following the training load, both groups experienced a statistically significant decrease in SD and VR values, falling below the lower limit of the permissible range. Furthermore, spectral analysis of the cardiac intervals before exercise indicated a high level of neurohumoral regulation. After exercise, there was a statistically significant decrease in the initial values of TP in both groups, aligning with the average level of neurohumoral regulation. CONCLUSION: The results obtained in track and field athletes with a predominant anaerobic training load and skiers with a predominant aerobic load suggest that the training load of a predominantly aerobic nature may lead to less pronounced stress on the regulatory systems. This hypothesis was further supported by the results of the changes in blood pressure.

Occupational heat exposure and its impact on kidney health among cashew workers.

Rising temperatures increase workers' risk of heat-related illnesses due to heat stress (HS). Chronic Kidney Disease of unknown etiology (CKDu) is rising in non-agricultural workers in hot climates. Dehydration, heat stress, and physical exertion can damage cashew workers' kidney health. In 2020-2021, 262 cashew workers in Cuddalore, Tamil Nadu were assessed for Wet Bulb Globe Temperature (WBGT), and job-specific American Conference of Governmental Industrial Hygienists standard was used to evaluate workload. "High heat-exposed" meant heat stress exceeded the Threshold Limit Value for safe manual work (27.5°C for heavy and 28°C for moderate physical activity). Heat Strain Indicators (HSIs) such as Tympanic Temperature (Ttemp), Sweat Rate (SwR), Urine Specific Gravity (USG), and urine dipstick parameters were measured in all workers, however serum creatinine was measured only in 100 workers. Glomerular Filtration Rate(eGFR) was calculated using theCKD-EPIequation. A standardized questionnaire assessed heat-related health symptoms. Over 65% of workers experienced wet bulb globe temperature exposures exceeding the threshold limit value (Avg.- wet bulb globe temperature 30.4°C ± 1.8°C). Ninety-five percent of heat-exposed workers experienced at least one of the physiological heat strain indicators. The risk of urogenital symptoms was 7.7 times greater among high-heat-exposed workers (95% CI 3.4-17.1), which corroborates well with the measured post shift urine specific gravity (37%). Despite controlling for relevant confounders (age & gender), high-heat-exposed workers had 3.5-fold higher odds of eGFR < 90ml/min/1.73m2 compared to less-exposed workers (95% CI 1.1-10.6). Persistent heat stress promotes heat-related disorders in cashew workers and lowers eGFR. This needs further investigation to determine its longer term effects on kidney function. Workplace cooling solutions that reduce heat stress are critically needed to protect thekidneys and ensureoccupational health.

Regular Physical Activity in the Prevention of Post-Transplant Diabetes Mellitus in Patients after Kidney Transplantation.

Background and Objectives: Post-transplant diabetes mellitus (PTDM) is a significant risk factor for the survival of graft recipients and occurs in 10-30% of patients after kidney transplant (KT). PTDM is associated with premature cardiovascular morbidity and mortality. Weight gain, obesity, and dyslipidemia are strong predictors of PTDM, and by modifying them with an active lifestyle it is possible to reduce the incidence of PTDM and affect the long-term survival of patients and grafts. The aim of our study was to determine the effect of regular physical activity on the development of PTDM and its risk factors in patients after KT. Materials and Methods: Participants in the study had to achieve at least 150 min of moderate-intensity physical exertion per week. The study group (n = 22) performed aerobic or combined (aerobic + strength) types of sports activities. Monitoring was provided by the sports tracker (Xiaomi Mi Band 4 compatible with the Mi Fit mobile application). The control group consisted of 22 stable patients after KT. Each patient underwent an oral glucose tolerance test (oGTT) at the end of the follow-up. The patients in both groups have the same immunosuppressive protocol. The total duration of the study was 6 months. Results: The patients in the study group had significantly more normal oGTT results at 6 months compared to the control group (p < 0.0001). In the control group, there were significantly more patients diagnosed with PTDM (p = 0.0212) and with pre-diabetic conditions (impaired plasma glucose and impaired glucose tolerance) at 6 months (p = 0.0078). Conclusions: Regular physical activity after KT provides significant prevention against the development of pre-diabetic conditions and PTDM.