简介:Chronicdiseaseshavebecomeafocalpointofpublichealthworldwidewithestimatesoftrillionsofdollarsinannualhealthcarecostandcausingmorethan36milliondeathsayear.Lifestylefactorssuchasphysicalinactivityareheavilycorrelatedwiththedevelopmentofmanychronicdiseases.Newstrategiesforprimaryandsecondarydiseasepreventionaredesperatelyneededtoaidinbluntingthenegativeeconomicandsocialimpactofthesediseases.Physicalactivity(PA)andexercisearenowconsideredprincipalinterventionsforuseinprimaryandsecondarypreventionofchronicdiseases.Currently,moreemphasisinprimarypreventionofdiseaseisnecessarytoreducediseaseriskinyouthandadults;howeverwithchronicdiseaseprevalencesohigh,similaremphasisisalsonecessaryforsecondarypreventioninthosechildrenandadultsalreadyinflictedwithchronicdiseases.Conditionssuchascardiovasculardisease,type2diabetes,obesity,andcanceraredrasticallyimprovedwhenPAandexercisearepartofamedicalmanagementplan.Inaddition,thenationalPAguidelinesinconjunctionwithPApromotiontoolslikeExerciseisMedicine?areneededtopromoteincreasedPAandexerciselevelsworldwide.
简介:Inthelasttwoorthreedecades,physicalactivity(PA)hasgainedincreasingrecognitionasbeingessentialformaintaininggoodhealthandimprovingqualityoflifeforallages.Childrenhavetraditionallybeenactiveinbothfreeplayandorganizedsports.However,therehasbeenarecentdeclineinthePAlevelsamongchildrenforvariousreasons.Thislifestylechangehasresultedinincreasedobesityaccompaniedbyariseindiabetesandcardiovascularriskamongotherwisehealthychildren.Theselifestylechangeshavebeenshowntobeevenmoreaproblemwhenthechildisalreadyaffectedbyachronicdisease.Duetomedicallimitationsandcontraindications,muchcaremustbetakentomakecertainthatthesechildrenareinvolvedintheappropriatevolumeandintensityofexercise.Thetypeofactivitymustalsobegivencarefulconsiderationtoavoidundueriskforthechildwhomayhaveproblemssuchaspoorbalance,limitedstrength,poorvision,orcognitivedisability.FurthercomplicationsareeithercausedorexacerbatedbylackofsufficientPA.Theprioritybeyondconcernforsafetyshouldbefocusedonensuringthehighestqualityoflifepossible.ThepurposeofthisreviewistoexaminehowPAcanbenefitchildrenwithselectedchronichealthconditions.
简介:<正>Inthemostrecentreportofinjurydataon15sportsfromtheU.S.NationalCollegiateAthleticAssociation(NCAA)InjurySurveillanceSystemoveraspanof16years(1988-2004),ankleligamentsprainswerethemostcommoninjury.Residualsymptomssuchasrecurrentsprains,pain,instability,andgivingwayarecommonafteraninitial,acuteligamentsprain.Chronicankleinstability(CAI)isoneofthesecommonproblems,andhasenjoyedincreasedinterestintherecentliterature.However,CAIremainsapoorly-definedandunderstoodcondition.
简介:ThepreviousSpecialIssuewasdevotedtophysicalactivity(PA),physicalfitness,diet,andhealthinyoungpeople.ThecontentofthissecondSpecialIssuewillfocusonPAandchronicdiseaseinchildrenandyoungadults.ThefirstpaperwrittenbyDurstineetal.considerstheproblemofchronicdiseasesbecomingapublichealthconcernworldwidewithestimatesoftrillionsofdollaisinannualhealthcarecostsandcausingmorethan36milliondeathsayear.Their
简介:Sincethe1960's,hundredsofarticleshavebeenpublishedontheeffectsofexerciseoncognitionandmorerecentlyonexecutivefunctions.Alargevarietyofeffectshavebeenobserved:acuteorlong-lasting,facilitatingordebilitating.Severaltheoreticalframeworkshavebeenproposedtoexplaintheseeffectswithplausiblemechanisms.However,asyetnoneofthesemodelshassucceededinunifyingalltheobservationsinasingleframeworkthatsubsumesalleffects.Theaimofthepresentreviewistorevisitthestrengthmodelofself-controlinitiatedbyBaumeisterandhiscolleaguesinthe1990'sinordertoextenditsassumptionstoexercisepsychology.Thismodelprovidesaheuristicframeworkthatcanexplainandpredicttheeffectsofacuteandchronicexerciseoneffortfultaskstappingself-regulationorexecutivefunctions.Areconsiderationofexerciseasaself-controltaskresultsfromthisperspective.Anewavenueforfutureresearchisdelineatedbesidesmoretraditionalapproaches.
简介:<正>Purpose:Thepurposeofthisstudywastoexamineeffectsofasportversionofasemi-rigidanklebrace(ElementTM)andasoftanklebrace(ASO)onanklebiomechanicsandgroundreactionforces(GRFs)duringadroplandingactivityinsubjectswithchronicankleinstability(CADcomparedtohealthysubjectswithnohistoryofCAI.Methods:Tenhealthysubjectsand10subjectswhohadmultipleanklesprainsparticipatedinthestudyasthecontrolandunstablesubjects,respectively.TheCAIsubjectswereage,bodymassindexandgendermatchedwiththecontrolsubjects.Thearchindexandanklefunctionsofthesubjectsweremeasuredinasubjectscreeningsession.Duringthebiomechanicaltestsession,participantsperformedfivetrialsofdroplandingfrom0.6m,wearingnobrace(NB).Element?braceandASObrace.Simultaneousrecordingofthree-dimensionalkinematic(240Hz)andGRF(1200Hz)datawereperformed.Results:TheCAIsubjectshadloweranklefunctionalsurveyscores.ThearchindexanddeformityresultsshowedgreaterarchdeformityofElementTMagainstastaticloadthaninNBandASOduetogreaterinitialarchpositionheldbythebrace.CAIparticipantshadgreatereversionvelocitythanhealthycontrols.TheASObracereducedthefirstpeakverticalGRFwhereasElementTMincreased2ndpeakverticalGRF.ElementTMbracereducedeversionrangeofmotion(ROM)andpeakeversionvelocitycomparedtoNBandASO.Inaddition,ElementTMreduceddorsiflexionROMandincreasedpeakplantarflexionmomentcomparedtoNBandASO.Conclusion:Resultsofstaticarchmeasurementsanddynamicanklemotionsuggestthattherestrictionsofferedbybothbracesareinpartduetomoredorsiflexedanklepositionsatcontact,andhigherinitialarchpositionandstifferankleforElementTM.
简介:Objective:Thissystematicreviewaimedtocriticallyanalyzetheliteraturetodeterminehowhigh-intensityintermittenttraining(HIIT)affectsrecreationalendurancerunnersintheshort-andlong-term.Methods:ElectronicdatabasesweresearchedforliteraturedatingfromJanuary2000toOctober2015.Thesearchwasconductedusingthekeywords'high-intensityintermittenttraining'or'high-intensityintervalexercise'or'intervalrunning'or'sprintintervaltraining'and'endurancerunners'or'longdistancerunners'.Asystematicapproachwasusedtoevaluatethe783articlesidentifiedforinitialreview.StudieswereincludediftheyinvestigatedHIITinrecreationalendurancerunners.ThemethodologicalqualityofthestudieswasevaluatedusingthePhysiotherapyEvidenceDatabase(PEDro)scale(forinterventionstudies)andthemodifiedDownsandBlackQualityIndex(forcross-sectionalstudies).Results:Twenty-threestudiesmettheinclusionarycriteriaforreview.Theresultsarepresentedin2parts:cross-sectional(n=15)andinterventionstudies(n=8).Inthe15cross-sectionalstudiesselected,endurancerunnersperformedatleast1HIITprotocol,andtheacuteimpactonphysiological,neuromuscular,metabolicand/orbiomechanicalvariableswasassessed.Interventionstudieslastedaminimumof4weeks,with10weeksbeingthelongestinterventionperiod,andincluded2to4HIITsessionsperweek.MostofthesestudiescombinedHIITsessionswithcontinuousrun(CR)sessions;2studies’subjectsperformedHIITexclusively.Conclusion:HIIT-basedrunningplans(2to3HIITsessionsperweek,combiningHIITandCRruns)showathleticperformanceimprovementsinendurancerunnersbyimprovingmaximaloxygenuptakeandrunningeconomyalongwithmuscularandmetabolicadaptations.Tomaximizetheadaptationstotraining,bothHIITandCRmustbepartoftrainingprogramsforendurancerunners.