Physical Training Program Research Articles

Impact of short-term exercise training on QT dispersion and double product in diabetic patients after surgical aortic valve replacement

Abstract Background QT dispersion (QTd) represents the heterogeneity in the repolarization of the ventricular myocardium and electrical instability of the myocardium, reflecting the increased tendency towards ventricular arrhythmias. Abnormally high QTd has been correlated with risk of cardiac death. Purpose The aim of this study was to establish the influence of short-term exercise training on QT dispersion and double product (DP), in diabetic patients after surgical aortic valve replacement (SAVR). Methods The study involved 147 patients after SAVR, in the sinus rhythm without AV blocks or branch blocks. Average age of patients was 59.3 years. 45 patients were with diabetes mellitus, and 102 were without diabetes. Patients were similar as to age and baseline stress test duration. In all subjects clinical examination, standard ECG and exercise test on treadmill according to Bruce protocol, were performed and after that patients were included in program of physical training for three weeks. Patients were instructed to follow a training program using the bicycle ergometer (10 min, 2 times a day), gymnastic exercises and walking. The patients continued to take the same medicaments in same doses. From standard ECG corrected QT dispersion (QTdc) was calculated. Results Before starting with the program of physical training, patients with diabetes had significantly higher values of QTdc (83.4 ± 15.3 vs 74.6 ± 16.9 ms; p<0.005) in comparison to those without diabetes. After three weeks, significant reduction of QTdc was found (from 83.4 ± 15.3 to 77.3 ± 15.4 ms; p<0.02 in patients with diabetes and from 74.6 ± 16.8 to 68.7 ± 17.1 ms; p<0.005 in patients without diabetes). After three weeks, significant reduction of DP was found (from 11763.8 ± 779.9 to 11314.8 ± 635.8 beat/min x mmHg; p<0.005 in patients with diabetes and from 114376.4 ± 792.3 to 10034.2 ± 521.3 beat/min x mmHg; p<0.001 in patients without diabetes). In diabetic patients, after program of physical training, significant reduction of glycemia was found (from 7.0 ± 2.3 to 5.9 ± 1.5 mmol/L; p<0.005), of total cholesterol from 5.2 ± 1.3 to 4.6 ± 1.1 mmol/L (p<0.025), of LDL cholesterol from 3.2 ± 0.8 to 2.8 ± 0.6 mmol/L (p<0.05). After three weeks, both groups of patients in the exercise test reached a significantly longer time (p<0.001). Conclusions The study showed that patients with diabetes have a higher value QTdc, probably due to diffuse interstitial fibrosis. Short-term exercise training has favourable effects on QT dispersion and double product in patients after SAVR. In patients without diabetes physical training had more favourable effects on the followed parameters. Physical training led to the significant decrease of myocardial oxygen uptake at rest and probably decreased the possibility of arrhythmia events.

Effect of Supervised and Unsupervised Exercise Training in Outdoor Gym on the Lifestyle of Elderly People.

physically independent elderly people were randomly distributed into three groups: supervised training (n: 20; ST), unsupervised training (n: 20; UT) and control (n: 20; C). The ST and UT groups completed a 12-week program, with exercises performed three times a week. The ST group underwent weekly 30 min sessions consisting of a 5 min warm-up (walking at 60% of HRmax), followed by 20 sets of 30, "monitored by a metronome with 30" of passive recovery between sets and a five-minute cool-down. The following equipment was used: elliptical, rowing, surfing and leg press. The UT group was instructed to freely attend the gym and train spontaneously using the same equipment used by ST. Lifestyle changes were evaluated using a questionnaire containing specific domains. no significant differences were identified in the domains for family, physical activity, nutrition, smoking, sleep, behavior, introspection, work and overall score; however, the values corresponding to the alcohol domain for the ST and UT groups were lower (p < 0.05) than the C group, remaining even lower after the 12 weeks of intervention. Time effect (p < 0.05) was found only in the ST group for the physical domains, sleep, behavior and overall score. elderly people submitted to supervised and unsupervised physical exercise programs using outdoor gym equipment present positive changes in lifestyle parameters compared to physical inactive elderly people.

Effects of recreational small-sided games from different team sports on the improvement of aerobic fitness in youth sedentary populations: A systematic review

Aerobic fitness is a critical aspect of overall health and well-being, essential for maintaining a high quality of life. Unfortunately, sedentary behavior has been on the rise among young adults, and this has had a negative impact on their aerobic fitness levels. Therefore, it is crucial to identify enjoyable physical exercise training programs that can play a pivotal role in improving aerobic fitness. The objective of this study was to systematically review the experimental studies concerning the impact of small-sided games (SSGs) training programs, implemented across various team sports, on the enhancement of aerobic fitness in a youth sedentary population. A literature search was conducted in PubMed, Scopus, and the Web of Science on August 01, 2023. Our eligibility criteria focused on studies involving sedentary youth populations (aged <18 years) as the target population. These studies needed to incorporate interventions based on SSGs as the intervention of interest, comparing them to passive or control groups as the comparator. The primary outcomes of interest were related to maximal oxygen uptake (VO2max), assessed either directly or indirectly, or the results of field-based cardiorespiratory tests. We specifically considered two- or multi-arm randomized controlled studies as the study design of interest. Out of the initial pool of 1980 studies, we reviewed 38 full-text articles, ultimately selecting and analyzing 13 studies for inclusion in our review. Among the studies included, a total of 1281 participants were enrolled in SSG-based interventions, while 744 participants acted as part of the control groups. Regarding the impact on VO2max, the six studies that investigated this outcome showed varying improvements, ranging from 2.2 % to 31.3 % when participants were exposed to SSGs. In terms of the outcome related to endurance performance in field-based tests, the eight studies that examined this aspect found that participants exposed to SSGs showed improvements ranging from 0.1 % to 79.8 %. In conclusion, this systematic review suggests that SSG-based interventions conducted among sedentary youth populations can play a positive role in improving their aerobic fitness. This improvement in aerobic fitness can have potential positive impacts on their overall health and quality of life.

Improvement of Health and Morphofunctional Status of Law Enforcement Officers of Older Age Groups during the Organized Motor Activities.

With age, there is a tendency for the health of law enforcement officers to deteriorate. This especially applies to instructor officers, whose professional activity is characterized by a significant decrease in the volume of motor activity, overloading of the intellectual sphere, and high neuro-emotional stress. The aim of the research is to investigate the influence of recreational and health-promoting training sessions with physical exercise on the health, physical development, and functional status of instructor officers of older age groups. 62 instructor officers (aged 40-45) of various academic disciplines took part in the research. The instructors of the experimental group (EG, n = 30) were engaged in physical exercises in accordance with the authors' program of recreational and health-promoting training sessions; the instructors of the control group (CG, n = 32) attended the training sessions according to the existing physical training program. It was found that at the end of the experiment, the studied indicators of the EG instructor officers were significantly better than those of the CG ones, according to the indicators of body weight, Quetelet index, the vital capacity of lungs, vital index, strength index, heart rate, arterial blood pressure, Robinson index, and level of physical health. It was established that systematic recreational and health-promoting training sessions have a positive effect on the health level of the instructor officers of older age groups. This will allow them to carry out instructional activities at a high professional level and ensure resistance to adverse factors of professional activities.

Physical Fitness of Thoroughbred Horse Racing Jockeys

Abstract Purpose Thoroughbred racing jockeys compete at maximum physiological capacity in a sport with a high risk of falls and injury. A greater understanding of the physical capacities determining jockey performance may lead to minimum physical performance parameters and corrective interventions to improve jockey fitness and performance and reduce jockey and horse injury. The aim of this study was to develop appropriate physical testing procedures for jockeys and a physical fitness profile for different licence levels. Methods Fifty-eight jockeys (n = 24 females, n = 34 males), representing all apprentice jockeys licenced in New Zealand in 2021 (100%, n = 8 probationers and n = 39 apprentices) and eleven professional jockeys (14%) were assessed to determine baseline physiological and fitness data. Descriptive statistics and boxplots were used to compare aerobic fitness, abdominal (core), upper and lower body strength, muscular power, reaction time, flexibility and a novel ‘saddle’ test targeting lower body strength, balance, and endurance between licencing levels. Effect Size (ES) was used to determine magnitude of differences between groups. Results More experienced jockeys had greater relative lower body strength (ES = 0.2–0.7) and better balance (ES = 0.5–0.9) compared to the less experienced groups. Jockeys who were in the top 20 of the premiership table (jockey rankings) had faster reaction times (ES = 0.7) and greater core extensor strength (ES = 0.7) than other cohorts. Most tests showed little differentiation between jockey licence levels, however the ‘saddle test’ showed greater variability in the less experienced race riders. This test may be an effective measure of jockey baseline performance. Conclusions These data could be used to inform minimum jockey licencing requirements and future physical fitness training programmes to increase jockey physiological fitness, thereby minimising risk of falls or injury due to physiological deficits and performance.

Longitudinal Changes in Physical Fitness Attributes of Male Police Officers During a 12-Week Physical Training Program

AbstractThis study aims to evaluate the effect of a 12-week physical training program on police officers’ physical fitness attributes. Thirty male police officers (age, 31.03 ± 3.15 years) participated in this experimental study, having carried out a 12-week physical training program (01−04/2023), 3 times/week with an average duration of 1 h/session (through circuit work, body weight exercises, and exercises with additional weight). The physical fitness evaluations were performed at three time points (weeks: 0, T0; 8, T1; 12, T2), and consisted of morphological (height, weight, waist circumference, fat and muscle mass, body mass index, and waist-to-height ratio) and fitness (push-ups; sit-ups; pull-ups; handgrip; horizontal jump; shuttle-run test; t-test; sit-reach test) evaluations. Were observed significant improvements at (i) 8 week (T1), in waist circumference, waist-to-height ratio, and all fitness tests (except in flexibility, handgrip right/left sum, and VO2max); and (ii) 12 weeks (T2), in relative fat mass, relative muscle mass, waist circumference, waist-to-height ratio, and all the fitness tests. Although 8 weeks of training allowed us to observe improvements in most of the physical fitness attributes, all of them improved significantly in the 12-week physical training program. In accordance, prolonging the duration of the training program from, 8 to 12 weeks, results in strong improvement in the physical fitness of police officers.

Position: A study protocol for the prevention of fall injuries in french special forces selection courses using a body-centered intervention.

The Military Physical and Sports Training program was developed by the French Army in order to train, optimize, and maintain individual readiness. Although the health benefits of sport practice do not need to be demonstrated, such activities can cause acute musculoskeletal injuries that need to be addressed. The prevalence of lower limb injury is rather high in the French military population and, in particular, ranges from 15 to 45% during Special Forces selection courses. Thus, this project aims to investigate the efficiency of a body-centered program designed to enhance body awareness. The program seeks to train the mind to actively pay attention to body information, while the latter is viewed as a protective factor against fall injuries. We assume: (i) that postural control can be improved by enhancing the level of body awareness; and (ii) that greater postural awareness could be beneficial in reducing the risk of fall injuries. The body-centered prevention program is based on the Optimization of the Resources of the Armed Forces (ORAF) intervention, which focuses on mental preparation and recovery, and has been deployed in the French Army for many years. The study focuses on five French Special Forces selection courses (400 soldiers/ participants). It is divided into two stages (year 1, year 2). The first year is dedicated to data collection from the control group (200 participants), while in the second year the ORAF intervention will be deployed. In both year, participants will be subjected to the same enrollment schedule (Fig 3). The main objective is to evaluate the effectiveness of the ORAF intervention in reducing the rate of fall injuries during military selection, based on a multidisciplinary method that captures demographic, biological, biometric, clinical, and para-clinical measures. Registration number: IDRCB number 2021-A02108-33, Clinical Trial: NCT05451394.

Impact of an online guided physical activity training on cognition and gut-brain axis interactions in older adults: protocol of a randomized controlled trial.

By 2050, the worldwide percentage of people 65 years and older is assumed to have doubled compared to current numbers. Therefore, finding ways of promoting healthy (cognitive) aging is crucial. Physical activity is considered an effective approach to counteract not only physical but also cognitive decline. However, the underlying mechanisms that drive the benefits of regular physical activity on cognitive function are not fully understood. This randomized controlled trial aims to analyze the effect of an eight-week standardized physical activity training program in older humans on cognitive, brain, and gut-barrier function as well as the relationship between the resulting changes. One-hundred healthy participants aged 60 to 75 years will be recruited. First, participants will undergo an extensive baseline assessment consisting of neurocognitive tests, functional and structural brain imaging, physical fitness tests, and gut-microbiome profiling. Next, participants will be randomized into either a multi-component physical activity group (experimental condition) or a relaxation group (active control condition), with each training lasting 8 weeks and including an equal number and duration of exercises. The whole intervention will be online-based, i.e., participants will find their intervention schedule and all materials needed on the study website. After the intervention phase, participants will have their post-intervention assessment, which consists of the same measures and tests as the baseline assessment. The primary outcome of this study is the change in the cognitive parameter of visual processing speed from baseline to post-measurement, which will on average take place 10 weeks after the randomization. Secondary outcomes related to cognitive, brain, and microbiome data will be analyzed exploratory. Clinical trial registration: https://drks.de/search/de/trial/DRKS00028022.

A Comparison of Cognitive Performance, Depressive Symptoms, and Incidence of Falls in Brazilian Older Women with and without a Confirmed History of COVID-19.

The study aimed to compare cognitive performance, depressive symptoms, and the incidence of falls in Brazilian older women with and without a confirmed history of COVID-19. This cross-sectional study included 188 women (60-89 years), divided into two groups: one with a history of COVID-19 (n = 139), and one without any history of COVID-19 (n = 49). The instruments used were the Cognitive Telephone Screening Instrument (COGTEL) test battery, the Trail Making Test (TMT), the Geriatric Depression Scale (GDS-15), and the self-reported history of falls since the beginning of mandatory confinement. The higher the age, the higher the incidence of falls. The highest prevalence of falls (57.1%) occurred in the COVID-19 group (p = 0.001), the members of which also indicated a better cognitive performance in the COGTEL test (p = 0.017), TMT-B (p = 0.004), and ∆TMT (B-A) (p = 0.004). In turn, the depressive symptoms were more severe in the COVID-19 group (p < 0.001). We observed that COVID-19 infection without hospitalization did not affect the cognitive performance of older adult women. Future studies should be carried out to monitor the mental health of older adult Brazilian women. Moreover, regardless of their history of COVID-19, older adults should participate in a physical training program focused on preventing falls.

Metacognitive Strategy Training Improves Decision-Making Abilities in Amnestic Mild Cognitive Impairment.

Mild cognitive impairment (MCI) is associated with deficits in decision-making, which is of utmost importance for daily functioning. Despite evidence of declined decision-making abilities, research on decision-making interventions for MCI is scarce. As metacognition seems to play an important role in decision-making, the present study's aim was to examine whether a metacognitive strategy training can improve MCI patients' decision-making abilities. Older adults-patients of a day care center, diagnosed with amnestic MCI (n = 55) were randomly allocated in two groups, which were matched in gender, age and educational level. Τhe experimental group (n = 27, 18 women, mean age = 70.63, mean years of education = 13.44) received the metacognitive strategy training in parallel with the cognitive and physical training programs of the day care center, and the active control group (n = 28, 21 women, mean age = 70.86, mean years of education = 13.71) received only the cognitive and physical training of the center. The metacognitive strategy training included three online meeting sessions that took place once per week. The basis of the intervention was using analytical thinking, by answering four metacognitive-strategic questions, to make decisions about everyday situations. To examine the efficacy of the training, the ability to make decisions about everyday decision-making situations and the ability to apply decision rules were measured. Both groups participated in a pre-test session and a post-test session, while the experimental group also participated in a follow-up session, one month after the post-test session. The results showed that the experimental group improved its ability to decide, based on analytical thinking, about economic and healthcare-related everyday decision-making situations after they received the metacognitive strategy training. This improvement was maintained one month later. However, the ability to apply decision rules, which requires high cognitive effort, did not improve. In conclusion, it is important that some aspects of the analytical decision-making ability of amnestic MCI patients were improved due to the present metacognitive intervention.

A qualitative stakeholder analysis of beliefs, facilitators, and barriers for a feasible prehabilitation program before lung cancer surgery.

In order to develop a feasible prehabilitation program before surgery of NSCLC, this study aimed to gain insight into beliefs, facilitators, and barriers of (1) healthcare professionals to refer patients to a prehabilitation program, (2) patients to participate in and adhere to a prehabilitation program, and (3) informal caregivers to support their loved ones. Semi-structured interviews were conducted with healthcare professionals, patients who underwent surgery for NSCLC, and their informal caregivers. The capability, opportunity, and motivation for behavior-model (COM-B) guided the development of the interview questions. Results were analyzed thematically. The interviews were conducted with twelve healthcare professionals, seventeen patients, and sixteen informal caregivers. Four main themes were identified: (1) content of prehabilitation and referral, (2) organizational factors, (3) personal factors for participation, and (4) environmental factors. Healthcare professionals mentioned that multiple professionals should facilitate the referral of patients to prehabilitation within primary and secondary healthcare involved in prehabilitation, considering the short preoperative period. Patients did not know that a better preoperative physical fitness and nutritional status would make a difference in the risk of postoperative complications. Patients indicated that they want to receive information about the aim and possibilities of prehabilitation. Most patients preferred a group-based physical exercise training program organized in their living context in primary care. Informal caregivers could support their loved one when prehabilitation takes place by doing exercises together. A prehabilitation program should be started as soon as possible after the diagnosis of lung cancer. Receiving information about the purpose and effects of prehabilitation in a consult with a physician seems crucial to patients and informal caregivers to be involved in prehabilitation. Support of loved ones in the patient's own living context is essential for adherence to a prehabilitation program.

Evaluation of Clinical Characteristics and Comorbid Conditions in Pediatric Traumatic Spinal Cord Injury Patients.

Objective This study aimed to examine the demographic features and the most common comorbid conditions of pediatric traumatic spinal cord injury (SCI) patients who were admitted to Ankara Physical Therapy and Rehabilitation Training and Research Hospital'sinpatient rehabilitation program. Materials and methods The demographic features, clinical features and cormorbid conditions of 147 pediatric traumatic SCI patients (age of injury 17 and under) who received an inpatient rehabilitation program in the hospital between 2009-2017 were retrospectively examined. Patients were divided into three groups according to the lesion location (cervical, thoracic, and lumbar); and into two groups according to the age of completing the development of osteoligamentous structures in the vertebral column (group 1: ≤ 10 years and group 2: >10 years), and the evaluated data were compared. Results 73.5% of the patients were male, the average age of injury was 13.60 ± 4.19 years, and the average duration of the disease was 11.17 ± 20.80 months. The most common etiological reason was falls from height (34.7%), and the most common level of injury was the thoracic region (49%). The most common comorbid conditions after SCI were found to be neurogenic bladder (91.2%), spasticity (41.54%), and neuropathic pain (29.3%). It was determined that neurogenic bladder was seen less in the lumbar region (p<0.001). Urinary tract infection was found more in the cervical group (p=0.004). In Group 1 (0-10 years), the median disease duration was longer, and the rate of thoracic region injury and complete injury was higher (p<0.05); in Group 2 (11-17 years), the rate of having stabilization operation after the injury was significantly higher (p<0.001). Conclusion It is crucial to prevent the etiological reasons in pediatric traumatic SCI patients, to treat the arising comorbid conditions in the early period, to take protective measures, and to follow up the patients regularly when necessary.

“Enhancing Rehabilitation Outcomes in Elderly Through Dance Intervention Delivered via an Inter-Communication Technology (ICT) Rollator: A Scoping Review, Pilot Study, and Proposed Future Longitudinal Study with ICT Rollator.”

A dance intervention and physical rehabilitation training programs delivered via an ICT Rollator are being investigated as potential ways to improve rehabilitation outcomes in elderly people in the current scoping review, pilot study, and anticipated future longitudinal study. The current study focuses to improve rehabilitation outcomes, psychological support through social inclusion platforms, guided movement training (e.g., gait, balance, strength), and fall prevention through ICT Rollator. However, there are Apps, digital technologies, web-based interventions, phone calls, virtual reality, augmented reality, wearable technology, and trackers are just a few of the innovations and methods that are revealed by a scoping review on home-based technology interventions for physical activity for elderly. Many studies, however, do not consider psychological variables or offer complete technological support. In the process after scoping review, six older (85+) participants took part in a pilot study that used customized prerecorded dance videos provided via a dance rollator. Pilot study preliminary results indicate improvements in balance, mobility, and gait, with high adherence rates and favourable qualitative evaluations. Sessions included monitoring of heart rate and blood pressure, which revealed patterns of heart rate intensity and variability. The pilot study demonstrates the possible advantages of dance training carried out using a dance rollator. The efficiency of rehabilitative training utilizing the ICT rollator in comparison to a control group using a conventional rollator will be further examined in proposed long-term longitudinal research. Pre-test and posttest questionnaires, an evaluation of training patterns utilizing the ICT-rollator in comparison to a standard rollator, and X-Sens sensors to analyse force distributions on body segments will be included in the study. As a unique rehabilitation aid for the aged, the Inter-Communication Technology (ICT) Rollator offers promising improvements in the elderly. A comprehensive approach to enhancing mobility, physical performance, and quality of life can be achieved by combining dance and physical rehabilitation training with technological support. The suggested longitudinal study intends to offer more information about the potential ICT-rollator.

Program of individual physical training of cadets (women) of Higher Military Educational Institutions with an emphasis on the use of modern fitness technologies

Summarizing the results of the special literature, it is appropriate to state that the actual issue of introducing modern Fitness Technologies into the System of Individual Physical Training of women military servicemen of Institutions of the Security and Defense Sector of Ukraine (SDSU) – an insufficient number of Scientific works are devoted to it. In addition, based on the Results of the Analysis of Research and Publications, it was established, that of comprehensive Research dedicated to the Implementation and testing of modern Fitness Technologies in the System of Physical Education of female cadets of Higher Mili tary Educational Institutions (HMEI) of SDSU – not conducted. This emphasizes the relevance, timeliness and practical component of the chosen direction of Scientific Research. Research Methods: axiomatic, idealization, historical and logical, descent from the concrete, formalization/In the Process of Research and Analytical work, we developed an Experimental Program of Individual Physical Training of female cadets of the National Academy of the National Guard of Ukraine with an emphasis on the use of modern Fitness Technologies. The Results of the Empirical study are Implemented in the System of Physical Education of HMEI cadets (women) of SDSU Institutions. Prospects for Further Research in the chosen direction of Scientific Research include the organization of a Pedagogical Experiment to test the effectiveness of the Program of Individual Physical training of female cadets of Higher Military Educational Institutions of SDSU with an emphasis on the use of modern Fitness Technologies.

The Impact of Intradialytic Cognitive and Physical Training Program on the Physical and Cognitive Abilities in End-Stage Kidney Disease Patients: A Randomized Clinical Controlled Trial.

Hemodialysis (HD) patients have lower cognitive functioning and reduced physical fitness than age-matched healthy individuals. Clinicians typically do not recognize the declining cognitive performance in these patients; therefore, cognitive impairment is greatly underestimated and not appropriately treated. This study aimed to evaluate the impact on cognitive function of combining cognitive training with physical exercise and physical performance in HD patients. Using a randomized, single-blinded control design, forty-four HD patients were recruited and randomly assigned to either an intradialytic physical exercise and cognitive training program (EXP group; n = 22; 54% male; 65.7 ± 9.7 years; 77.1 ± 21.9 kg; body mass index 26.8 ± 6.0) or a standard care control group (CON group; n = 21; 77% male; 67.2 ± 12.5 years; 74.2 ± 14.3 kg; body mass index 25.9 ± 3.8). The EXP group performed intradialytic cycling and cognitive training three days per week for 12 weeks. Study outcomes were assessed by the Symbol Digit Modalities Test (SDMT), Montreal Cognitive Assessment (MoCA), 10-repetition sit-to-stand test (10-STS), handgrip strength test (HGS), and stork balance test. The results showed a significant time*group interaction effect for SDMT (p < 0.001; η2 = 0.267) and MoCA (p < 0.001; η2 = 0.266). Moreover, no significant interaction was observed for 10-STS, HGS, and stork balance test (p > 0.05). Our findings suggest that incorporating intradialytic cognitive and physical exercise training could help to improve the functional status of HD patients. The innovative, nonpharmacological, bimodal intervention is cost-effective, safe, and easy to implement during the intradialytic period and offers a potential impact on patients' quality of life and well-being.

Determining the grades and standard levels of some mental skills as an indicator for the selection of young volleyball players

The objective of this study was to determine the grades and standard levels of some mental skills as an indicator for the selection of young volleyball players. The researchers used the descriptive approach with the survey method. The sample was composed of 129 young volleyball players of Iraqi clubs. The researchers identified the scale and procedures and applied it to the research sample. Analyzing the data, it was found that most of the volleyball players of the sample had an average level of mental skills. Considering this, it is highly recommendable to accompany physical training programs with psychological and tactical programs, in order to improve not only physical skills but also mental skills.

Effects of a remotely supervised physical training program combined with cognitive training for older individuals at increased risk of clinical-functional vulnerability: study protocol for a randomized clinical trial.

Despite the robust body of evidence for the benefits of home-based physical exercise, there is still a paucity of data on the benefits of home-based cognitive training for older adults, especially in those at increased risk of clinical-functional vulnerability. As such, the present study aims to compare the chronic effects of a telehealth-delivered physical training intervention alone or combined with a cognitive training program in older adults at increased clinical-functional vulnerability risk. A randomized clinical trial will be conducted including 62 sedentary older individuals classified as at increased risk of clinical-functional vulnerability based on their Clinical-Functional Vulnerability Index score. Participants will be randomly allocated in a 1:1 ratio to one of two groups, an intervention group including physical training combined with cognitive training, or an active control group including physical training alone. Both groups will receive home-based supervised training remotely for 12weeks and will be assessed for the primary and secondary outcomes of the study before and after the training period. Primary outcomes include cognitive function and dynamic balance with a dual task. Secondary outcomes encompass physical, cognitive, and occupational performance, functional capacity, quality of life, and anxiety and depression symptoms, as well as hemodynamic measures. Data analysis will be performed by intention-to-treat and per protocol using mixed linearmodels and Bonferroni's post hoc (α = 0.05). Our conceptual hypothesis is that both groups will show improvements in the primary and secondary outcomes. Nevertheless, we expect physical combined with cognitive training to improve cognitive function, dual task, and occupational performance to a greater degree as compared to physical training alone. NCT05309278. Registered on April 4, 2022.

TRAINING TO IMPROVE THE PHYSICAL CONDITION OF INDONESIA BADMINTON ELITE ATHLETES

The purpose of Community Service activities is one of the pillars of the Tri Dharma of Higher Education, in addition to the Dharma of Education and Teaching and the Dharma of Research. Community Service Research which is an integral part of the Tri Dharma of Higher Education which is inseparable from the other two dharmas involving the academic community including lecturers, students, education staff and alumni. This study aims to determine the Training for Indonesian Badminton Athletes in the context of Preparation for the 2023 International Championship. This study used a survey method. The samples in this study were Indonesian Badminton Pelatnas Athletes. The data analysis technique used in this study is using descriptive analysis. Research on Physical Condition Training of Indonesian Badminton Athletes so that athletes understand the importance of physical exercise, carry out physical training programs. All those involved in this training must get in-depth briefing in order to be able to carry out the training program appropriately according to the target or goal at the 2023 International Championship and achieve optimal achievements and where at the same time Indonesia can improve achievements in sports, especially Badminton. The target to be achieved is so that athletes can understand the elements of physical condition and how to improve it as one of the efforts to improve. The output to be achieved is that athletes understand about the elements of physical condition and how to improve it, especially badminton for Pelatnas Athletes at PBSI and the publication of scientific papers in national service journals. To achieve this, there are two methods used, the first is to make observations in the field and collaborate with partners. The second stage is to provide training on physical condition for Pelatnas Athletes at PBSI. The third stage evaluates the achievements achieved in the training activity

A three-month physical training program improves cardiovascular autonomic function in patients with metabolic syndrome with and without diabetes - a pilot study.

Vascular complications and neuropathy may develop in the presence of metabolic syndrome. The aim of our study was to measure the cardiovascular autonomic function following physical training in patients with metabolic syndrome with and without diabetes. 56 patients with metabolic syndrome (32 men/24 women, 40 non-diabetic patients (NDMetS)/16 diabetic patients (DMetS) [mean ± SD]: age: 50.35 ± 8.03 vs. 56.8 ± 9.30 years, p=0.023; baseline BMI: 32.2 ± 7.03 vs. 32.8 ± 5.94 kg/m2, p=0.739) were involved in our study. All tests and measurements were carried out before and following a 3-month physical training period. Autonomic function was assessed by means of five standard cardiovascular reflex tests. ECG repolarization parameters, including short-term QT variability and stress-ECG were also measured. In the whole population, Valsalva-ratio (VR) and the autonomic score (AS) improved following training (VR: 1.49 ± 0.24 vs. 1.64 ± 0.34, p=0.001; AS: 2.05 ± 1.73 vs. 1.41 ± 1.36, p=0.015) accompanied by the significant decrease of the systolic (150.3 ± 16.12 vs. 134.1 ± 16.67 mmHg, p<0.001) and diastolic (90.64 ± 12.8 vs. 82.79 ± 11.1 mmHg, p<0.001) blood pressure. An improvement in VR was detected in NDMetS patients following training (1.51 ± 0.24 vs. 1.67 ± 0.31, p= 0.002). No significant changes could be detected in autonomic tests' results in the DMetS patient group following training. The applied exercise training program did not lead to significant changes in ECG repolarization. The stress-ECG test in the whole study population yielded a significant increase in the test duration (12.9 ± 3.76 vs. 15.1 ± 2.96min, p<0.001) and in the test load (10.5 ± 2.78 vs. 11.6 ± 2.39 MET, p<0.001). The load capability improved significantly in both subgroups: 11.1 ± 2.04 vs. 12.1 ± 1.82, (p<0.001) and 9.0 ± 3.64 vs. 10.4 ± 3.05, (p=0.033) in subpopulations of NDMetS and DMetS, respectively. The DMetS patients achieved a significantly lower MET score at baseline (p=0.039) and following training (p=0.044) in comparison to the NDMetS patients. The three-month exercise program improved the Valsalva-ratio and the AN score in the MetS patients, that is potentially protective against cardiovascular events. The training had some beneficial effect on blood pressure and the results of the stress-ECG tests in both groups. The absence of significant change in the reflex tests in DMetS group reflects an impaired adaptation compared to the NDMestS group.

P2M-WBF: PELATIHAN GIZI OLAHRAGA UNTUK ATLET SKI AIR DAN WAKEBOARD DKI JAKARTA

P2M-WBF is a community service program for the fostered area of ??the Faculty of Jakarta State University with the Indonesian Ski air dan wakeboard National Training Center at POPKI Cibubur Jl. Karya Bakti, RT.8/RW.7, Cibubur, Kec. Ciracas, City of East Jakarta, Special Capital Region of Jakarta 13720. The aim of this Community Service Program is to carry out training and assistance to improve the physical condition of Indonesian National Ski air dan wakeboard National Training Athletes in preparation for the Championships. The method of carrying out the activity is the instructor method which comes from licensed trainers who have qualifications in the field of Nationally licensed Physical Conditions Training. While the material to be provided in the implementation of community service consists of: Providing subject matter which includes: 1) forms and models of physical exercise; 2) Carry out theoretical and practical evaluations. The objectives of this activity are: 1) As an effort to increase knowledge, understanding and skills for Indonesian Ski air dan wakeboard Athletes regarding physical condition training programs; 2) as an effort to improve the quality and human resources, especially the Indonesian Ski air dan wakeboard National Training Athletes