Fitness Test Research Articles

Effects of functional training on tennis-specific physical fitness and functional movement screen in junior tennis players

Objectives Functional training mimics the coordinated motions of multiple muscle groups and joints performed during exercise. The purpose of this study was to compare the effects of a 12-week functional training and traditional resistance training on the performance in junior tennis players. Methods Trained tennis players (mean age: 16.6 years) were assigned to a traditional training group (n = 20) or functional training group (n = 20). The traditional training group received a resistance training program by their coach, while the functional training group was given Santana’s Racket Sport Program. At baseline, after six weeks, and after 12 weeks (T12), the participants’ tennis-specific physical fitness and functional movement screen (FMS) were evaluated. Results At T12, both training improved the values for multistage fitness test, hexagon test, planned agility test, sit and reach, and 20 metre sprint (p < 0.05); except the flexibility, functional training provided no additional advantages. At T12, functional training enhanced (p < 0.01) all seven components of the FMS, and there is a 100% probability that the total score of the FMS would be enhanced. In contrast, for the traditional training group, shoulder mobility of the FMS decreased (p = 0.03), and there was no changes in other FMS components at T12. Conclusions Functional training is not only effective in improving tennis-specific physical fitness, but it also provides greater functional movement advantages for junior tennis players compared to traditional resistance training.

Physiological Profile Assessment and Self-Measurement of Healthy Students through Remote Protocol during COVID-19 Lockdown.

Background: The COVID-19 pandemic has led to reduced physical activity and increased sedentary behaviors, negatively impacting mental and physical health. Engaging in physical activity at home during quarantine became essential to counteracting these adverse effects. To develop appropriate physical activity programs, assessing individuals' fitness levels and the impact of inactivity is crucial. This study aims to compare motor abilities-including flexibility, balance, reaction time, cardiovascular endurance, and lower and upper limb strength-assessed both in-person and remotely, to determine the accuracy and repeatability of self-administered tests. Methods: A total of 35 young subjects (age 24.2 ± 1.97 years, BMI 22.4 ± 2.61 kg/m2) participated in this study. Each participant underwent a battery of motor ability tests designed to assess various fitness components. The tests were administered twice for each subject: once in a laboratory setting and once remotely at home. The sequence of tests was randomly assigned to ensure unbiased results. Both the in-person and remote assessments were used to evaluate the accuracy and reliability of self-administered tests. Results: The comparison of test results between the laboratory and remote settings revealed percentage differences ranging from 5% to 10%. This variation is considered an acceptable margin of error, suggesting that the tests conducted remotely were relatively accurate when compared to those performed in a controlled laboratory environment. Conclusions: The findings indicate that remote fitness testing is a promising method for evaluating motor abilities. With an acceptable margin of error, remote assessments can be effectively used to personalize training programs based on individuals' physiological characteristics. This approach may be particularly beneficial during times of limited access to fitness facilities, such as during quarantine, or for individuals seeking more flexible fitness evaluation methods.

Mediative role of body mass index in cardiorespiratory fitness-associated vascular remodeling in youth.

Data on fitness-associated arterial remodeling in children is limited. We assessed the relation between cardiorespiratory fitness (CRF) and intima-media thickness (IMT), diameter, IMT:diameter-ratio (IDR), and tensile stress of the common carotid artery (CCA) in 697 healthy German schoolchildren. Further, we explored how body mass index (BMI) may influence these associations. We measured the vascular parameters with a high-resolution ultrasound device. We determined CRF using the FITNESSGRAM® PACER test and calculated each child's allometrically scaled peak oxygen uptake capacity (VO2peak). VO2peak, reflecting CRF, showed positive direct effects on IMT (girls: p < 0.001; boys: p = 0.02) and diameter in girls (p < 0.001). Considering BMI as a mediator, higher CRF was indirectly linked to decreases in IMT (girls: p = 0.04; boys: p = 0.02) and diameter (both p < 0.001), reflecting a competitive mediation. CRF indirectly mitigated the BMI-associated decrease in IDR (both p < 0.001) and increase in tensile stress (both p < 0.001) without affecting any of these parameters directly. CRF appears to be linked to uniform arterial remodeling with balanced hemodynamics and to further alleviate BMI-associated, potentially adverse vascular alterations, highlighting its significant role in cardiovascular health in youth. Data on CRF-associated arterial remodeling in youth is limited. Higher VO2peak, reflecting higher CRF, was positively associated with IMT in girls and boys and diameter in girls. These direct effects were counteracted by the indirect BMI-mediated effect of CRF on IMT and diameter, reflecting a competitive mediation. A higher CRF indirectly mitigated the BMI-associated decrease in IDR and increase in tensile stress without directly affecting any of these parameters. Our findings indicate homogenous remodeling and balanced hemodynamics with increasing CRF-and opposite effects with increasing BMI.

Development of Algebra Test Using the Item Response Theory Approach for Junior High School Students

This research aims to develop valid and reliable measuring tool for students' algebraic abilities that can be used in schools and the general public. The research follows a structured test development design, including stages such as preparing test specifications and items, field testing, revising items, and test development. The questions are aligned with the 2013 curriculum syllabus, ensuring relevance to educational standards. The test was given to 662 junior high school students in Kendari City, Indonesia, and their responses were analyzed using the item response theory (IRT) model with two logistic parameters: item difficulty level and item discriminatory power. The BILOG MG program was employed to estimate item and ability parameters. Before conducting item analysis with IRT, essential assumption tests were conducted, including unidimensional and model fit tests. The results of the development process, based on item analysis using BILOG MG, yielded 15 items covering various aspects of algebraic abilities. These items were derived from indicators such as recognizing algebraic forms, identifying elements within these forms, performing addition, subtraction, multiplication, and division operations on algebraic forms, presenting and solving real-world problems in algebraic contexts, and addressing contextual problems involving algebraic operations. The items demonstrated good fit with the model and exhibited an appropriate level of item difficulty and discriminatory power, making them suitable for use as a reliable assessment tool. Consequently, these developed tests are deemed effective for measuring students' foundational algebraic abilities.

Behavior of Decision Making of Purchasing the One District One Product (ODOP) Product from Champhon District, Savannakhet Province

This research aims to explore the buying behavior of One District One Product (ODOP) and analyze the factors that affect the buying behavior of One District One Product in Champhon District, Savannakhet Province, which includes 3 types of products: natural incense, saving stove and ancient salt. It is a question of opinions from the people of Kaisonpomvihan city, Savannakhet province, using a questionnaire to interview buyers and shopkeepers. Also, there is a mobilization of ideas to promote one city, one product to become a business from producer groups, group heads and village heads. The statistics used for analysis include descriptive statistics: frequency, percentage and inferential statistics used Binary logit regression analysis. The results of the study found that most of the people of KaisonPhomvihan City focus attention on Intellectual products at a moderate level for 48.9%, most of them prefer to buy the saving stove from Buang Thong Village for 72.2%, buy natural incense from Nook Kok Village for 27.8% and 61.1% were introduced by friends, followed by family and relatives for 26.7%. The decision to buy the product is wise because the features of the product are suitable for household needs for 75.6% who will buy immediately when they see the product, the place of purchase is mostly from the grocery store in the merchant's house directly because of the convenience of travel. They also buy at Sawannxay Market and Samakyxai Market in Kaisonphomvihan City, Savannakhet Province cover for 37.8%. The findings of an examination of the variables gender, age, and educational level that influence a one district one product's purchasing behavior in Champhon District, Savannakhet Province; Product, price, location, sales promotion, and customer understanding are factors that influence purchase behavior. The test of model suitability, which resulted in a statistical value of Chi-squared 78.45, Prob = 0.00, indicated that all of the initial variables had an effect on the opportunity to buy a single product in a single district. According to the model's goodness of fit test, 31.2% of the factors influencing (Odop) product's purchasing behavior can be predicted with 100% accuracy using all of the initial variables. The behavior simulation model's forecast, along with the variables influencing the purchasing decisions of a single district's worth of products, is 83.96% accurate. In Champhon District, factors including age, educational level, and customer awareness influence one district one product purchasing behavior. A bachelor's degree or higher will increase the likelihood of a customer purchasing an Odop product by 17.3%, and when a customer has a total of one point of opinion and understanding, the likelihood of a customer purchasing an Odop product in Champhon will increase by 1.3% at the level of statistical significance. These are the results of taking into account each variable.

Reliability, Objectivity, Validity, and Reference Levels of the Austrian Pole Climbing Test (APCT)-A Novel Monitoring Tool for Assessing General Fitness in Children, Adolescents, and Young Adults.

Climbing is an activity involving many major muscle groups and, therefore, it is suitable for assessing general physical fitness. The Austrian pole climbing test (APCT) was developed as a reliable and valid test for the assessment of general fitness levels in children, adolescents, and young adults. In this cross-sectional pilot study, 677 participants (aged 6 to 19 years) were assessed via the APCT. Subsequently, test quality criteria (reliability and objectivity) were assessed, and the test's validity was evaluated through comparisons with other established fitness tests (hand grip strength, standing long jump, and pull- and push-ups). Additionally, age- and gender-specific reference values were generated. The reliability (ICC2.1 = 0.97, 95%CI 0.95 to 0.98) and objectivity (ICC2.1 = 0.99, 95%CI 0.99 to 0.99) of the APCT were found to be excellent. The APCT results correlated strongly with the hand strength per kilogram of body weight (right: r = 0.58; left: r = 0.53), number of pull-ups (with upper grip: r = 0.74; with lower grip: r = 0.69) and standing long jump (r = 0.61); a moderate correlation with the push-up test was observed (r = 0.44). The APCT is reliable, objective, and suitable for children, adolescents, and young adults with an affinity for sports. It offers a novel opportunity to assess fitness without time pressure, considering the anthropometric requirements.

A system of ODEs for representing trends of CGM signals

Diabetes Mellitus is a metabolic disorder which may result in severe and potentially fatal complications if not well-treated and monitored. In this study, a quantitative analysis of the data collected using CGM (Continuous Glucose Monitoring) devices from eight subjects with type 2 diabetes in good metabolic control at the University Polyclinic Agostino Gemelli, Catholic University of the Sacred Heart, was carried out. In particular, a system of ordinary differential equations whose state variables are affected by a sequence of stochastic perturbations was proposed and used to extract more informative inferences from the patients’ data. For this work, Matlab and R programs were used to find the most appropriate values of the parameters (according to the Akaike Information Criterion (AIC) and the Bayesian Information Criterion (BIC)) for each patient. Fitting was carried out by Particle Swarm Optimization to minimize the ordinary least squares error between the observed CGM data and the data from the ODE model. Goodness of fit tests were made in order to assess which probability distribution was best suitable for representing the waiting times computed from the model parameters. Finally, both parametric and non-parametric density estimation of the frequency histograms associated with the variability of the glucose elimination rate from blood were conducted and their representative parameters assessed from the data. The results show that the chosen models succeed in capturing most of the glucose fluctuations for almost every patient.

Mitochondrial markers revealed genetic panmixia in the data-deficient yellowfin snapper, Lutjanus xanthopinnis (Actinopterygii: Eupercaria: Lutjanidae), from a hotspot of the southern region of the South China Sea

Understanding the genetic structure and diversity of marine fish is crucial for a sustainable management program. We examined the genetic diversity and historical demographics of the yellowfin snapper, Lutjanus xanthopinnis Iwatsuki, Tanaka et Allen, 2015, in the coastal waters of east Peninsular Malaysia which is bordered by the southern part of the South China Sea using the mitochondrial genes (mtDNA) D-loop and Cytochrome b (Cyt-b). A total of 99 (D-loop) and 78 (Cyt-b) specimens of L. xanthopinnis were successfully sequenced from six locations within the range of species distribution along the Malaysian South China Sea. In the presently reported study, the lack of genetic differentiation among populations can be attributed to historical demographic events, eggs and planktonic larvae’ ability to disperse, spawning patterns, and the absence of physical barriers in the geographical landscape. Maximum likelihood gene trees demonstrated that the populations under study had limited structuring and formed a panmictic population that lacks support for internal clades. The AMOVA (Analysis of Molecular Variance) and population pairwise ФST values indicated high genetic exchange between the study areas. A high level of haplotype diversity (D-loop: 0.948–1.000; Cyt-b: 0.542–0.928), low nucleotide diversity (D-loop: 0.0095–0.0159; Cyt-b: 0.0022–0.0049) and starlike haplotype network indicates a recent expansion of L. xanthopinnis populations in Malaysian South China Sea. However, neutrality and goodness of fit tests revealed non-significant values. Furthermore, the BSP (Bayesian skyline plot) analysis estimated population expansion events during the late Pleistocene. During this epoch, the fluctuation in sea level may have led to an increase in the abundance of resources and favorable habitats for the yellowfin snapper. The presently reported findings could initiate efficient management strategies for L. xanthopinnis along the coastal areas of the Malaysian South China Sea and other nearby nations that share the same waterways.

A nomogram with Nottingham prognostic index for predicting locoregional recurrence in breast cancer patients.

The Nottingham prognostic index (NPI) has been shown to negatively impact survival in breast cancer (BC). However, its ability to predict the locoregional recurrence (LRR) of BC remains still unclear. This study aims to determine whether a higher NPI serves as a significant predictor of LRR in BC. In total, 238 patients with BC were included in this analysis, and relevant clinicopathological features were collected. Correlation analysis was performed between NPI scores and clinicopathological characteristics. The optimal nomogram model was determined by Akaike information criterion. The accuracy of the model's predictions was evaluated using receiver operating characteristic curves (ROC curves), calibration curves and goodness of fit tests. The clinical application value was assessed through decision curve analysis. Six significant variables were identified, including age, body mass index (BMI), TNM stage, NPI, vascular invasion, perineural invasion (P<0.05). Two prediction models, namely a TNM-stage-based model and an NPI-based model, were constructed. The area under the curve (AUC) for the TNM-stage- and NPI-based models were 0.843 (0.785,0.901) and 0.830 (0.766,0.893) in training set and 0.649 (0.520,0.778) and 0.728 (0.610,0.846) in validation set, respectively. Both models exhibited good calibration and goodness of fit. The F-measures were 0.761vs 0.756 and 0.556 vs 0.696, respectively. Clinical decision curve analysis showed that both models provided clinical benefits in evaluating risk judgments based on the nomogram model. a higher NPI is an independent risk factor for predicting LRR in BC. The nomogram model based on NPI demonstrates good discrimination and calibration, offering potential clinical benefits. Therefore, it merits widespread adoption and application.

A Nomogram Based on Features of Ultrasonography and Contrast-Enhanced CT to Predict Vessels Encapsulating Tumor Clusters Pattern of Hepatocellular Carcinoma

ObjectiveThis study aimed to establish a clinical prediction model for vessels encapsulating tumor clusters (VETC) based on preoperative ultrasonography (US) and contrast-enhanced computed tomography (CECT) imaging in patients with hepatocellular carcinoma (HCC). MethodsData were retrospectively collected from 215 patients who underwent hepatectomy for solitary HCC lesions. They were divided into training and validation cohorts at a ratio of 6:4. Preoperative imaging features were extracted (seven from US and nine from CECT imaging) to explore their relationship with VETC. A VETC prediction model was constructed and graphically depicted as a nomogram. Its performance was evaluated via the receiver operating characteristic (ROC) curve, the calibration curve, and decision curve analysis (DCA). ResultsThe VETC incidence for all the lesions was 37.7%. The final variables included in the nomogram were “peritumoral enhancement in CECT”, “alpha-fetoprotein level > 200 ng/Ml,” “halo in US,” “capsule enhancement in CECT,” and “posterior acoustic enhancement in US.” The area under the curve (AUC) values for the training and validation cohorts were 0.824 and 0.725, respectively. The Hosmer–Lemeshow fit test showed no statistical difference (p = 0.369 and p = 0.067 for the training and validation cohorts, respectively). DCA demonstrated that our nomogram provided clinical benefits to a wide range of patients. According to the nomogram score, the VETC-positive and -negative groups demonstrated significant differences in both the training (p < 0.001) and validation (p = 0.001) cohorts. ConclusionOur prediction model based on US and CECT imaging features can accurately predict VETC in HCC.

How do physical fitness, nutritional status, and self-concept affect student learning outcomes in physical education with a focus on health and hygiene education?

This study explores how physical fitness, nutritional status, and self-concept influence Physical Education (PE) learning outcomes at State Junior High School 13 Padang. Using a quantitative correlational approach, the research involved 58 students sampled from a population of 160. Data were gathered through physical fitness tests, Body Mass Index (BMI) measurements, self-concept questionnaires, and final PE grades. The results revealed that physical fitness contributes 5.18%, nutritional status contributes 6.78%, and self-concept contributes 9.33% to PE learning outcomes. Together, these factors explain 21.07% of the variance in students' PE performance. The analysis showed that each of these variables plays a significant role in shaping students' success in PE. To address the issues identified and enhance learning outcomes, the study recommends increasing the number of PE class hours, introducing school-based nutritional programs to improve students' diets, and developing initiatives to boost students' self-esteem and motivation. By focusing on these areas, schools can better support students' physical and psychological well-being, leading to improved educational outcomes in PE. This approach aims to provide a more holistic improvement in students' physical education, addressing both physical and mental aspects to foster better overall performance. Further research could examine the effectiveness of these interventions and their impact on broader educational goals.

Association between the lipid accumulation product and chronic kidney disease among adults in the United States

The objective of this research was to explore the potential association between lipid accumulation product (LAP) and chronic kidney disease (CKD) among adult population of United States (US). Using cross-sectional data from the 2013 to 2018 National Health and Nutrition Examination Survey (NHANES), we explored the association of LAP with CKD, low estimated glomerular filtration rate (eGFR), and albuminuria. This analysis encompassed multivariate logistic regression analyses, smoothed curve fitting, subgroup analyses, and interaction tests. We found a significant positive association between higher ln-transformed LAP (LAP was transformed using a natural logarithm) and the prevalence of CKD, low-eGFR and albuminuria. Notably, this association of ln-transformed LAP with CKD and albuminuria was significantly influenced by diabetes status and sex (P for interaction < 0.05), while no significant interaction was observed regarding the association with low-eGFR (P for interaction > 0.05). Additionally, in model 3 (adjusted for all included covariates except eGFR and urinary albumin-creatinine ratio (UACR)), a nonlinear relationship was identified between ln-transformed LAP and the presence of both CKD and albuminuria, with inflection points of 4.57 and 4.49, respectively. This indicates that this correlation is more pronounced on the right of the inflection point. In conclusion, the findings indicate a significant association between LAP and the prevalence of CKD in US adults.

Quantifying the Training Loads and Corresponding Changes in Physical Qualities among Adolescent, Schoolboy Rugby League Players.

The adolescent development period is critical for rugby league athletes, given the physical growth, neuromuscular adaptation, and skill acquisition that occurs. Secondary schools play an important role in the development of adolescent rugby league players; however, players may be selected into rugby league academies and development programs outside of school, as well as participating in additional sports. In turn, the training loads these young athletes accrue and the implications of these loads are currently unknown. Our aim was to quantify the training loads and concomitant changes in physical qualities of schoolboy and adolescent rugby league players during mesocycles within the pre-season and in-season phases. This is a prospective experimental study. Twenty-one schoolboy rugby league players (16.2 ± 1.3 years) were monitored across separate 4-week mesocycles in the pre-season and in-season. Session frequency, duration, and the session rating of perceived exertion (sRPE) load were reported for all examples of training and match participation in the school rugby league program, as well as club and representative teams for any sport and personal strength and conditioning. Various physical qualities were assessed before and after each 4-week mesocycle. The sRPE load that accumulated across the 4-week mesocycles was higher in the pre-season than the in-season (8260 ± 2021 arbitrary units [AU] vs. 6148 ± 980 AU, p < 0.001), with non-significant differences in accumulated session frequency and duration between phases. Session frequency, duration, and sRPE load differed (p < 0.05) between some weeks in an inconsistent manner during the pre-season and in-season mesocycles. Regarding physical qualities, improvements (p < 0.05) in the 10 m sprint test, Multistage Fitness Test, medicine ball throw, and 1-repetition maximum back squat and bench press performances were evident across the pre-season mesocycle, with declines (p < 0.05) in the 505-Agility Test, L-run Test, and 1-repetition maximum back squat performances across the in-season mesocycle. Conclusions: These novel training load data show schoolboy rugby league players experience considerable demands that may be suitable in developing several physical qualities during the pre-season but detrimental to maintaining such qualities across the in-season.

Benefits of inclusive sport training on fitness and health of athletes with and without intellectual disability

Sedentary behaviours in adults with intellectual disabilities (ID) negatively impact health-related determinants and increase the risk of physical dysfunction or chronic health issues. Inclusive sport practice can enhance social inclusion and fitness, benefiting overall person development and life quality. This study aimed to assess fitness level variation in athletes with and without ID before and after a 9-month inclusive (INC) and non-inclusive (N_INC) basketball training. 38 athletes with ID and 14 athletes without ID belonged to INC group, 38 athletes with ID belonged to N_INC group and 23 participants with ID belonged to the control group (CG). Before and after the intervention period, all participants performed anthropometric (body weight, body mass index, body fat percentage) and fitness tests (muscle strength and power, cardiovascular endurance, balance, flexibility, agility, movement speed, and coordination). ID and non-ID athletes of both INC and N_INC groups significantly improved in most of the tests (weight, balance, flexibility, muscle strength, endurance, agility, movement speed and coordination) while CG group significantly worsened weight, muscle endurance, flexibility, agility, movement speed and coordination, after the intervention (p < 0.05). These findings showed that sport training improved fitness in athletes with ID, decreasing health risks. Moreover, involving in the same training group persons with and without disabilities, does not limit the beneficial effects that training induce on persons without ID and could be a valid way to promote both social inclusion and physical health of persons with ID.

Vitamin C and suicidal ideation: A cross-sectional and Mendelian randomization study

BackgroundStudies have shown that a history of suicide attempts is associated with low levels of antioxidant vitamins. However, the specific relationship between vitamin C and suicidal ideation remains poorly understood. The purpose of this study is to investigate the effect of vitamin C on the development of suicidal ideation and to explore further the causal relationship using Mendelian randomization (MR). MethodsUsing the 2005–2018 National Health and Nutrition Examination Survey (NHANES) dataset, a comprehensive, cross-sectional, stratified survey of 28,623 participants aged 20 years and older was conducted. Suicidal ideation was assessed using item 9 of the Patient Health Questionnaire-9 (PHQ-9) item. The relationship between vitamin C and suicidal ideation was revealed by weighted multiple linear regression, smooth curve fitting, hierarchical analysis, and interaction test. To determine causality, MR was performed on vitamin C and suicidal ideation. ResultsIn cross-sectional studies, all models showed a negative association between vitamin C and suicidal ideation, with a 37 % reduction in the risk of suicidal ideation for each unit increase in vitamin C in the highest quartile in the fully adjusted model. The results of the subgroup analysis showed that the association between vitamin C and suicidal ideation was stable across gender, age, education, smoking status, and marital status. In the MR study, our bivariate model showed no significant causal relationship between vitamin C and the development of suicidal ideation. ConclusionsDietary vitamin C intake was negatively associated with the development of suicidal ideation. However, genetic evidence does not support causation of these associations.

Assessing physical fitness adaptations in collegiate male soccer players through training load parameters: a two-arm randomized study on combined small-sided games and running-based high-intensity interval training.

To evaluate the effects of a 4-week intervention combining small-sided games (SSGs) and high-intensity interval training (HIIT) on physical fitness in collegiate male soccer players. Twenty-one soccer players were randomly assigned to either the HIIT + SSGs group (n = 11) or a control group (n = 10). Physical fitness was assessed at baseline and 1-week post-intervention, including countermovement jump (CMJ), change of direction (COD) test, sprint test, repeated sprint ability (RSA) test, and 30-15 Intermittent Fitness Test (30-15IFT). The intervention comprised eight sessions over 4weeks: four SSGs and four HIIT. The intervention group showed small to moderate improvements: mean RSA improved by 4.5% (p = 0.07), CMJ increased by 3.2% (p = 0.12), and 30-15IFT scores enhanced by 6.8% (p = 0.09). Key predictors of group membership included heart rate load per minute (OR 1.602) and various GPS variables. The 4-week intervention combining SSGs with HIIT did not produce statistically significant improvements in most physical fitness variables compared to the control group. Although there were positive trends in variables such as RSA and 30-15IFT, these changes were modest and not statistically significant. The results suggest that while the combined SSGs and HIIT approach shows potential, its impact on physical fitness over a 4-week period is limited, with some variables, like CMJ, even showing decreases.

Exercise for fall prevention in older adults

Background: Global population aging has significantly increased fall-related incidents among older adults, which is associated with major health risks and challenges for healthcare systems. Falls are a leading cause of injury, disability, and mortality in South Korea, which has shown rapid expansion of the elderly population. Development of effective fall-prevention strategies, including exercise-based interventions is important to address this issue.Current Concepts: Exercise-based fall prevention programs include several key types such as strength and functional movement training and balance exercises. Strength training includes resistance exercises and weightbearing activities to enhance muscle strength, which is essential for stability and fall prevention. Balance exercises improve stability and coordination, including standing on one leg and heel-to-toe walking. Functional movement training includes exercises that simulate daily activities and help individuals to improve their ability to safely perform routine tasks. Programs such as the Otago Exercise Program integrate these elements and offer a comprehensive approach to fall prevention. Such regimens combined with training in safe falling techniques are important to reduce fall risk and improve outcomes. Assessment tools, including the timed up-and-go and senior fitness tests, are useful to identify at-risk individuals and tailor interventions accordingly.Discussion and Conclusion: An effective fall prevention exercise program requires a multifaceted approach that combines various exercise types and focuses on improving muscle strength, balance, flexibility, and functional skills, as well as safe falling and floor recovery techniques. Tailoring these interventions to individual needs and regular risk assessments can enhance their usefulness.

Physical test instrument: a development study for junior Karateka in the kata category

Good physical condition is very important for the karate martial arts branch, especially the kata category. Where physical condition is the main supporting factor so that the ability of kihon, kumite and kata karateka can develop properly. Therefore, it is necessary to develop a valid and reliable karate physical condition test and measurement instrument for the kata category so that it can be used in karate development. The purpose of this study was to develop tests and compile a norm instrument for junior category karate physical tests aged 16-17 years that can be used as a measuring tool to test the physical condition of karateka. Research and development (R&amp;D) method. This research was conducted at a karate dojo under the guidance of the Indonesian Karate-Do Sports Federation (FORKI). Small-scale trial subjects included 55 respondents and a large trial group included 114 respondents. The karate trial subjects were 16-17 years old (junior) and determined the trial sample with purposive sampling technique. Data analysis techniques using correlation tests, validity tests and reliability tests. The results of this study showed two series of karate physical test instruments for junior karate athletes (aged 16-17 years) male and female consisting of; V Sit And Reach, Hexagonal Obstacle, Stork Standing balance, Throw Catch Ball tennis, Two Hands Medicine Ball Put, Standing Broad Jump, 2 Minute Sit Ups, Multistage Fitness Test. The validity of the eigenvalue of factor analysis &gt; 1 and can be said to be valid. Reliability is done by re-testing or correlation between the same groups for two treatments. Based on the difference significance test, it shows that t-count = 3.617, df = 59 and P-Value = 0.01 &lt;0.05, which means there is a significant difference in the pre-test and post-test results. Based on this information, it can be said that the physical test instrument model developed is effective, so it can be said that the test used is reliable. In conclusion, 8 items of karate physical test instruments have been produced for junior kata karate category athletes, the preparation of karate physical test norms for junior kata category athletes, and 8 items of physical test instruments have been produced that are effectively used to improve the achievements of junior male and female karate athletes. It is recommended that research be carried out on a larger scope of subjects and a wider research location, so that this measuring instrument product is more tested for feasibility. Keywords: Test Instruments, Condition Physique, Karate juniors, Category Kata

ThP6.18 - 2 week wait referrals for suspected colorectal cancer in patients more than 85 years old. How many actually end up on the operating table?

Abstract Aims To assess the outcomes of 2 week wait referrals for patients &amp;gt; 85 years old for suspected colorectal cancer in a large university hospital Methods Retrospective review of records of patients &amp;gt;85years old referred on the pathway between September to November 2023. Outcomes assessed were the number of patients that underwent investigation, cancers detected and whether they ended up having surgery. Results 211 patients were referred. 43 were not investigated (20.4%), 95 had CT-colons (45%), 37 had CT-abdomen, 25 had flexible-sigmoidoscopy, 15 had CT Chest-abdomen-pelvis, only 10 had a colonoscopy (4.7%). 13 colorectal cancers were diagnosed (6.2%). Out of these only 3 agreed and were fit to proceed with surgery, 7 refused surgery and 2 were undecided while 1 passed away 2 weeks after the diagnosis was made. 5 incidental extracolonic cancers were diagnosed (2 pancreatic, 2 renal and 1 lung, 2 of which were metastatic) All the diagnosed colorectal cancers were FIT positive (100% sensitivity). 7 had no FIT test done and 14 were FIT negative. Conclusion The incidence of colorectal cancers in this group of patients is relatively small and most end up being not fit for investigation or surgery or refusing it themselves even when cancer is diagnosed. These patients should still have the right to be investigated and treated if they wish to but a pragmatic discussion needs to be made with them by the referring clinician before a referral is made as well as making use of the very high sensitivity of FIT testing to ensure optimal use is made of the limited resources available in our already stretched system.

Reliability and Validity Testing of the Modified Quality of Interaction Scale.

Background and Purpose: Limited care interaction measurements capture important interaction characteristics that occur during staff-resident care interactions. The purpose of this study was to test the reliability and validity of Modified Quality of Interaction Scale (MQuIS). Methods: Data from an observational study in four assisted living facilities was used. Results: A total of 152 staff-resident care interactions were observed. There was some evidence of reliability based on the Rasch analysis (item reliability of .98). There was some support for validity based on the item fit and hypothesis testing as active resident engagement was significantly associated with positive social and positive care interactions. Conclusions: This study provides some support for the use of the MQuIS to evaluate the quality of care interactions in assisted living settings.