Effects of high-intensity functional training on physical fitness and sport-specific performance among the athletes: A systematic review with meta-analysis

Dental Splints and Sport Performance: A Review of the Current Literature

Background/Objectives: Lately, there has been a greater focus on the function of the dento-mandibular apparatus, specifically on the location of the jaw and occlusion. Given the new potential insights, the current study aimed to comprehensively analyze the published literature on the use of occlusal splints and their effects on exercise performance. Methods: A search was conducted on PubMed, Scopus, and Web of Science for papers published between 2014 and 2024. Starting from the 128 identified records, 28 were finally included for review. Results: The extensive literature review revealed significant diversity in the experimental conditions, suggesting that the occlusal splints may enhance exercise performance and support dental health. Conclusions: The present study highlights the growing interest in occlusal splints research and its impact on sport and exercise science. Mouthguards or occlusal splints should continue to be worn in sports with a considerable risk of orofacial injury. Regardless of how they affect performance, mouthguards or occlusal splints are crucial for athletes in many sports to prevent oral and dental injuries.

The Effects of Terrestrial and Aquatic Activities on Foot Health: A Comparative Analysis of Podiatric Disorders

Background/Objectives: This study explores the prevalence of podiatric disorders in relation to factors such as gender, age, and the type of sports activity. Understanding these elements is crucial for implementing effective prevention strategies. Methods: The sample consisted of 70 participants, aged 12 to 30, with 71.4% youths and 28.6% adults, including 50 Portuguese and 20 Spanish individuals, who practiced either terrestrial or aquatic sports at varying training intensities. Statistical analyses were performed on data collected from athletes using chi-square tests and proportion tests. Variables such as exercise intensity and sport type (terrestrial vs. aquatic) were examined. Results: Skin disorders were more frequent in men (70.2%) compared to women (29.8%). Regarding age, 70% of individuals aged 19 to 30 years presented dermatoses, compared to 36% in the 12 to 18-year-old group. Exercise intensity also had an impact: 53.8% of athletes engaging in moderate activity exhibited keratoses, compared to 30.8% of those practicing intense activity. Additionally, athletes in terrestrial sports showed an average of 5.2 podiatric disorders, significantly higher than the 3.2 average in aquatic sports. Specifically, terrestrial athletes have a higher prevalence of pinch callus (84.6%) and hyperkeratosis on metatarsal heads (85.7%), while aquatic athletes have more onychomycosis (91.7%) and less hyperkeratosis. A higher prevalence of rotated toes (61.4%) and subungual hematoma (90.9%) was also observed in terrestrial athletes. Conclusions: The prevalence of podiatric disorders is significantly related to gender, age, and the type of physical activity. Men and young adults are more prone to dermatoses, while athletes engaging in moderate intensity activity and those athletes in terrestrial sport face a higher risk of podiatric issues. These findings highlight the need for prevention and treatment strategies in relation to the specific characteristics of each group.

High-intensity functional training modulates oxidative stress and improves physical performance in adolescent male soccer players: a randomized controlled trial

While regular exercise training is known to decrease oxidative stress (OS) and enhance antioxidant functions in adults, limited data exist on OS responses in the pediatric population. This study aimed to investigate the effects of high-intensity functional training (HIFT) on oxidative stress and physical performance in adolescent soccer players. In this randomized controlled trial, 20 well-trained adolescent soccer players were divided into HIFT (n = 10) and moderate-intensity soccer technical training (MITT, n = 10) groups. Both groups trained for 8 weeks (3 days/week). Oxidative stress biomarkers (MDA, 8-OHDG, H2O2, GPx, CAT) and physical performance (VO2peak, vertical jump height [VJH], maximal explosive power [MEP]) were assessed pre- and post-intervention. Repeated measure mixed ANOVA (2 × 2) with a significance level of P < 0.05 was used to determine differences between and within subjects. The main effect of interaction was significant for VO2peak, VJH and MEP (P < 0.05). The main effect of interaction was not significant for CAT, 8-OHDG, GPx, H2O2 and MDA (P > 0.05). Following intervention, VO2peak and VJH performance in the HIFT were significantly higher than MITT (P < 0.05). MDA and H2O2 in the HIFT decreased significantly (P < 0.05), but no significant changes were observed in the MITT (P > 0.05). CAT activity decreased significantly (P < 0.05), while GPx activity increased significantly (P < 0.05) in both groups. 8-OHDG did not show significant changes in both groups (P > 0.05). Eight weeks of HIFT did not cause greater OS compared to MITT, while could improve physical performance parameters. These findings suggest that HIFT is a viable and time-efficient training strategy for enhancing athletic performance in youth sports. Trial registration: The present study was a randomized controlled trial (registration number: IRCT20190530043762N1, 25/09/2019, Iran).

Exploring the influence of a 10-week specific detraining on injury risk factors among elite young wrestlers: a prospective study

Extended periods of inactivity in sports can impact athletes' performance and overall well-being. The current study examined the effects of a 10-week wrestling -specific detraining period on the isokinetic strength of knee and shoulder flexor and extensor muscles, knee proprioception, and dynamic balance among young male elite wrestlers. This prospective study included 63 male wrestlers : age (19.33 ± 3 years), height (174.32 ± 6.8 cm), weight (80.21 ± 22.01 kg), BMI (25.34 ± 5.89), fat percentage (13.25 ± 5.80) in Tehran's premier wrestling league. Baseline measurements, including isokinetic strength of knee and shoulder flexors and extensors, knee proprioception, and dynamic balance, were evaluated using the Biodex 4 dynamometer and Biodex balance meter, respectively, and repeated after a 10-week lockdown during the COVID-19 pandemic at Shahid Beheshti University, Tehran, Iran. Statistical analysis utilized dependent t-tests to compare the results. Significant differences were observed in the isokinetic strength of shoulder and knee flexor and extensor muscles at angular speeds of 60, 180, and 300 degrees per second after 10 weeks of detraining (p < 0.05). Additionally, a decrease in the accuracy of knee joint proprioception was found, including active angle restoration at angles of 30°, 60°, and 90° and passive movement detection in flexion and extension at a 90-degree angle (p < 0.05). Moreover, dynamic balance significantly reduced in the single-leg form (p < 0.05). The findings revealed that wrestling -specific detraining period can significantly affect musculoskeletal and proprioceptive parameters in wrestlers, increasing the risk of injuries and reducing the performance and physical fitness. Consistent engagement in wrestling -specific training is essential to ensure optimal fitness and overall well-being, particularly for elite athletes.

Effects of high-intensity functional training on physical fitness in healthy individuals: a systematic review with meta-analysis

The purpose of this study was to conduct a meta-analysis of the effects of high-intensity functional training on the physical fitness of healthy individuals. This system review followed the PRISMA guidelines and has been registered in PROSPERO with the registration number CRD42023475055. As of January 2024, we did a thorough search across five databases: PubMed, Scopus, Web of Science, EBSCOhost, and Cochrane Library. We evaluated the methodological quality of the included study by TEST EX tool and ROB 2 tool. GRADE framework determines the level of certainty of evidence. Meta-analysis of random effects model calculations. 19 high-quality studies were included in this review, involving 911 healthy individuals. Positive effects were observed in improving strength (ES = 1.380; p < 0.001), power (ES = 1.320; p < 0.001), speed (ES = 3.093; p < 0.001), endurance (ES = 1.802; p < 0.001), and agility (ES = 2.086; p < 0.001). However, flexibility performance had no significant effect (ES = 0.640; p = 0.092), which may be attributed to limited articles. Therefore, it is necessary to expand high-quality research to explore the impact of HIFT on the physical fitness in healthy individuals.

Anthropometric but not motor characteristics of young volleyball players were improved after a one-week-long intense training sports camp

This study aimed to examine potential changes in the anthropometric and motor characteristics of volleyball players aged 17.98 ± 0.51 years after participation in a week-long sports camp. Potential changes in anthropometric characteristics were determined by bioelectrical impedance, and the players' motor characteristics were assessed in a reaction time test, grip strength test, 5 × 20 s interval test on a rowing ergometer, and vertical, approach and standing long jump tests. A decrease was observed in body fat mass (difference (Δ) of 1.0 kg, p = 0.015), percent body fat (Δ of 1.16%, p = 0.008), and the waist-to-hip ratio (Δ of 0.02, p = 0.001). An increase was noted in total body water (Δ of 1.0 L, p = 0.002), proteins (Δ of 0.33 kg, p = 0.001), minerals (Δ of 0.12 kg, p = 0.003), fat-free mass (Δ of 1.46 kg, p = 0.001), and skeletal muscle mass (Δ of 0.9 kg, p = 0.001). In the group of motor abilities, a significant increase was observed only in the grip strength of the left hand. In conclusion, week-long sport camps can significantly affect the body composition characteristics of young volleyball players, but they do not induce significant changes in motor abilities.

Assessing Nutritional Knowledge and Physical Health Among Football Players: A Pilot Study from Three Sports Clubs in Western Romania

BACKGROUND

Football players require optimal nutrition and physical fitness to enhance their performance and maintain their health. Understanding the relationships among nutritional knowledge, dietary habits, physical health, and substance use in athletes is essential for developing effective strategies. This study investigates these factors in male football players aged 16-33 years.

METHODS

The study involved 60 male football players from three teams in Liga4Arad. A mixed-methods approach was used, incorporating a self-developed pilot questionnaire and internationally validated instruments. The reliability of the questionnaire was confirmed using Guttman's λ2. The questionnaire assessed nutritional knowledge, eating habits, substance use, and physical health parameters, including body fat percentage and training frequency. Spearman's correlation was used to analyze the data and explore the interrelationships between these factors. It is important to note that the pilot questionnaire used in this study was self-developed and not previously validated in this specific context.

RESULTS

Nutritional knowledge was positively correlated with healthier eating habits (ρ = 0.675, p < 0.001). Intensive training and higher physical activity levels were both associated with improved body composition and lower body fat (ρ = 0.341, p = 0.006). Supplement use was moderately correlated with alcohol consumption (ρ = 0.548, p < 0.001) and weakly correlated with smoking (ρ = 0.348, p = 0.007).

CONCLUSIONS

The study highlights a strong relationship between nutritional knowledge and healthier eating habits among football players, as well as the significant role of frequent intense training in reducing body fat percentages and enhancing physical fitness. Additionally, the findings suggest a moderate association between dietary supplement use and alcohol consumption, underscoring the need for tailored interventions to address substance use and its impact on players' health behaviors and performance.

Effects of functional training on physical and technical performance among the athletic population: a systematic review and narrative synthesis

BACKGROUND

The evidence indicates that functional training is beneficial for athletes' physical and technical performance. However, a systematic review of the effects of functional training on athletes' physical and technical performance is lacking. Therefore, this study uses a literature synthesis approach to evaluate the impact of functional training on the physical and technical performance of the athletic population and to extend and deepen the existing body of knowledge.

METHODS

This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and the researchers performed a systematic search of five international electronic databases using the predefined terms "functional training" and "athletes" on 15th November 2023: Web of Science, CINAHL PLUS, PubMed, Scopus, and SPORTDiscus. A PICOS approach was used to identify the following inclusion criteria: (1) athletes, (2) a functional training program, (3) an active control group, (4) a measure of physical and/or technical performance, and (5) randomized controlled studies. A methodological quality assessment of the original research was conducted using the Physiotherapy Evidence Database (Pedro) scale. The review was performed using the PRIMSA guidelines and registered in PROSPERO (ID: CRD42022347943).

RESULTS

Of the 1059 potentially eligible studies identified, 28 studies met the inclusion criteria. The studies included were conducted on 819 athletes from 12 different countries and were published between 2011 and 2023. The assessment was performed on the Pedro scale, and the mean Pedro score for the included studies was 5.57 (moderate quality, ranging from 4 to 10). The eligibility study reported on 14 different types of sports, with 22 studies focusing on physical performance and 11 studies focusing on technical performance. These studies have shown that functional training can significantly improve the physical and technical performance of athlete populations, but in some studies, no significant difference in the data was observed between groups.

CONCLUSION

Functional training is an effective training method for enhancing the physical and technical performance of athlete populations. However, no significant difference in the data was observed between the functional training groups and the regular training group, which may be due to the duration of the training program, the different training experiences of the athletes, and the different focuses of the training regimens. Therefore, future studies should focus on the physical and technical performance of different sports groups with different types and durations of functional training programs to expand the current evidence base.

Multidimensional analysis of serving speed in volleyball players by position, sets, and league types: interactions and statistical differences

PURPOSE

Our study explores the multifaceted factors influencing serve speed in volleyball, including player position, match progression, and league level, providing actionable insights for performance optimization and injury prevention strategies.

METHODS

Using a cross-sectional approach, the study analyzes 15.347 serves from various leagues. A multifactorial ANOVA analysis was conducted to assess how player positions, sets, and league types influence serving speed.

RESULTS

Significant differences were observed in serve speed between player positions (F = 375.844, p < .001), throughout match sets (F = 17.624, p < .001), and across different league types (F = 356.914, p < .001). Players in higher leagues, especially the 1st Men's league, displayed higher serve speeds compared to those in lower leagues (like the 2nd Women's league). Various serve types (jump float, jump spin, tennis serve) significantly impacted serve speed. Notable interactions between player positions and sets, as well as between positions and league types, were found. However, a three-way interaction among position, sets, and league type was not significant.

CONCLUSIONS

The study emphasizes the need for targeted training interventions considering competitive level, gender, and match progression to optimize serving speed. This research contributes to the field of sports science, especially for performance enhancement in competitive volleyball.

Genotypic Influences on Actuators of Aerobic Performance in Tactical Athletes

BACKGROUND

This study examines genetic variations in the systemic oxygen transport cascade during exhaustive exercise in physically trained tactical athletes. Research goal: To update the information on the distribution of influence of eleven polymorphisms in ten genes, namely ACE (rs1799752), AGT (rs699), MCT1 (rs1049434), HIF1A (rs11549465), COMT (rs4680), CKM (rs8111989), TNC (rs2104772), PTK2 (rs7460 and rs7843014), ACTN3 (rs1815739), and MSTN (rs1805086)-on the connected steps of oxygen transport during aerobic muscle work.

METHODS

251 young, healthy tactical athletes (including 12 females) with a systematic physical training history underwent exercise tests, including standardized endurance running with a 12.6 kg vest. Key endurance performance metrics were assessed using ergospirometry, blood sampling, and near-infrared spectroscopy of knee and ankle extensor muscles. The influence of gene polymorphisms on the above performance metrics was analyzed using Bayesian analysis of variance.

RESULTS

Subjects exhibited good aerobic fitness (maximal oxygen uptake (VO2max): 4.3 ± 0.6 L min-1, peak aerobic power: 3.6 W ± 0.7 W kg-1). Energy supply-related gene polymorphisms rs1799752, rs4680, rs1049434, rs7843014, rs11549465, and rs8111989 did not follow the Hardy-Weinberg equilibrium. Polymorphisms in genes that regulate metabolic and contractile features were strongly associated with variability in oxygen transport and metabolism, such as body mass-related VO2 (rs7843014, rs2104772), cardiac output (rs7460), total muscle hemoglobin content (rs7460, rs4680), oxygen saturation in exercised muscle (rs1049434), and respiration exchange ratio (rs7843014, rs11549465) at first or secondary ventilatory thresholds or VO2max. Moderate influences were found for mass-related power output.

CONCLUSIONS

The posterior distribution of effects from genetic modulators of aerobic metabolism and muscle contractility mostly confirmed prior opinions in the direction of association. The observed genetic effects of rs4680 and rs1049434 indicate a crucial role of dopamine- and lactate-modulated muscle perfusion and oxygen metabolism during running, suggesting self-selection in Swiss tactical athletes.

Health-Related Quality of Life in Rugby Athletes: The Role of Dietary Supplements and Their Consumption

This study investigates dietary supplement use among rugby players and their general health, focusing on prevalence and underlying motivations. Involving 92 athletes, it examines the relationship between supplement usage, motivations, and health outcomes using the 36-item Short Form Health Survey and a 24-item ad hoc questionnaire. Findings reveal a high frequency of supplement usage, motivated by desires to enhance performance, appearance, and mood. Significant differences in health-related quality of life are found between users and non-users, particularly in mental health, social functioning, and emotional stability. Motivations like performance enhancement and body shape manipulation were linked to altered health perceptions, indicating the psychosocial impacts of supplementation. This study emphasizes the need to consider the holistic effects of supplements on athlete well-being, advocating for a balanced approach prioritizing both physical and mental health. It calls for increased awareness among athletes, coaches, and sports professionals about the potential risks and benefits of supplement use and the importance of informed decision-making. Additionally, it highlights the need for further research to understand the mechanisms of supplement use and its impact on athlete health, aiming to enhance sports science and promote overall athlete well-being in competitive environments.

Effects of Supplementation with Omega-3 and Omega-6 Polyunsaturated Fatty Acids and Antioxidant Vitamins, Combined with High-Intensity Functional Training, on Exercise Performance and Body Composition: A Randomized, Double-Blind, Placebo-Controlled Trial

The aim of this study was to investigate the effects of a supplement rich in ω-3 and ω-6 polyunsaturated fatty acids (PUFAs) and antioxidant vitamins on physical performance and body composition following a period of high-intensity functional training (HIFT). Nineteen healthy young adults (nine males, ten females) underwent an 8-week HIFT program (3 days·week-1) where they were randomized 1:1 into either the supplement group (SG)-n = 10, receiving a 20 mL daily dose of a dietary cocktail formula (Neuroaspis™ PLP10) containing a mixture of ω-3 and ω-6 PUFAs (12,150 mg), vitamin A (0.6 mg), vitamin E (22 mg), and γ-tocopherol (760 mg)-or the placebo group (PG)-n = 9, receiving a 20 mL daily dose of virgin olive oil. Body composition, cardiorespiratory fitness, muscle strength, and muscle endurance were assessed before and after the training period. Body mass did not change, but muscle mass increased by 1.7 ± 1.9% or 0.40 ± 0.53 kg in the SG (p = 0.021) and decreased by 1.2 ± 1.6% or 0.28 ± 0.43 kg (p = 0.097) in the PG, compared with baseline. VO2max, vertical jump, squat 1RM, bench press 1RM, and muscle endurance increased similarly in both groups. The effects of HIFT on physical performance parameters, muscle damage, and inflammation indices were not affected by the supplementation. In conclusion, HIFT combined with high doses of ω-3 and ω-6 PUFAs and antioxidant vitamins resulted in a small but significant increase in muscle mass and fat reduction compared with HIFT alone.

Enhancing Physical Fitness in Elite Field Hockey Players with A Twelve-Week Functional Training Program: A Cluster Randomized Control Trial

This study aimed to explore the impact of functional training on the physical fitness of young elite field hockey players. The study comprised 40 young elite male field hockey players with the following characteristics (mean ± SD age: 21.5 ± 0.8 years; height: 176.9 ± 2.6 cm; weight: 68.4 ± 5.1 kg; BMI: 21.8 ± 1.3; training experience: 51.2 ± 5.4 months). Twenty participants were allocated to two groups: the functional training group (FTG) and the control training group (CG). Each group received 60-minute training sessions three times per week for 12 weeks. Generalized estimating equation analysis and a Bonferroni test for pairwise comparisons were used to assess the intervention's efficacy. Before the start of the exercise program, no statistically significant differences were observed in physical fitness measures between the FTG and CG (p > 0.05). However, by the sixth week, a significant difference appeared in both the T-Agility test (p < 0.001) and endurance (p = 0.024) between the two groups, while no notable distinctions were detected in other fitness parameters (p > 0.05). After a 12-week training program, the FTG demonstrated improvements in all physical fitness measures [flexibility (p < 0.001); Illinois agility test (p < 0.001); T-agility test (p = 0.020); endurance (p < 0.001)] except speed, which exhibited no significant impact (p = 0.175). Notable enhancements in T-agility and endurance were evident after just six weeks of functional training, and a 12-week functional training regimen showed superiority over standard training approaches in young elite male field hockey players. These findings encourage the efficacy of functional training exercises over traditional methods in enhancing athletes' fitness parameters.

Exercise induced hypoalgesia after a high intensity functional training: a randomized controlled crossover study

BACKGROUND

Acute physical activity often induces an acute reduction in pain sensitivity known as exercise induced hypoalgesia (EIH). The aim of this study was to investigate the effects of a high intensity functional training (HIFT) on EIH compared to a control session.

METHODS

50 (age: 26.0 ± 2.7; 23 female) participants successfully conducted this study consisting of a pre-experimental test as well as a 12-minute HIFT (body-weight exercises) and a 12-minute control (supervised breathing) session in a randomized crossover design. Pre and post, pressure pain thresholds (PPT) were measured at the ankles, knees, elbows, and forehead.

RESULTS

The HIFT resulted in a relative maximum and average heart rate of 96.2% (± 3.6%) and 91.1% (± 4.2%), respectively, and maximum and average RPE values of 19.1 (± 1.2) and 16.2 (± 1.4), respectively. Results reveal a significant 'Intervention' × 'Time point' interaction (p < 0.001) for PPT (pooled for one average value) with hypoalgesia observed following the HIFT (p < 0.001; pre: 56.0 ± 16.8, post: 61.6 ± 19.0 [Newton]) and no change following the control (p = 0.067; pre: 56.6 ± 18.4, post: 55.3 ± 18.9 [Newton]). Further, a significant 'Time' × 'Intervention' × 'Landmark' interaction effect (p = 0.024) is observed and all landmarks showed significant hypoalgesia following HIFT (p < 0.01), except for the right elbow and forehead. Following control, no hypoalgesia was observed at any landmark. Analysing male and female participants separately, it was observed that EIH occured only in men.

CONCLUSION

A HIFT using bodyweight exercises reduces pain sensitivity. Hence, combining strength and aerobically demanding exercises in a short but high intensity manner, as done in HIFT, can be seen as a usable tool to induce hypoalgesia. Yet, these results were observed only in male participants, necessitating future sex-specific research.

TRIAL REGISTRATION

DRKS00034391, retrospectively registered on the 4th of June 2024.

Optimizing young tennis players' development: Exploring the impact of emerging technologies on training effectiveness and technical skills acquisition

The research analyzed the effect of weekly training plans, physical training frequency, AI-powered coaching systems, virtual reality (VR) training environments, wearable sensors on developing technical tennis skills, with and personalized learning as a mediator. It adopted a quantitative survey method, using primary data from 374 young tennis players. The model fitness was evaluated using confirmatory factor analysis (CFA), while the hypotheses were evaluated using structural equation modeling (SEM). The model fitness was confirmed through CFA, demonstrating high fit indices: CFI = 0.924, TLI = 0.913, IFI = 0.924, RMSEA = 0.057, and SRMR = 0.041, indicating a robust model fit. Hypotheses testing revealed that physical training frequency (β = 0.198, p = 0.000), AI-powered coaching systems (β = 0.349, p = 0.000), virtual reality training environments (β = 0.476, p = 0.000), and wearable sensors (β = 0.171, p = 0.000) significantly influenced technical skills acquisition. In contrast, the weekly training plan (β = 0.024, p = 0.834) and personalized learning (β = -0.045, p = 0.81) did not have a significant effect. Mediation analysis revealed that personalized learning was not a significant mediator between training methods/technologies and acquiring technical abilities. The results revealed that physical training frequency, AI-powered coaching systems, virtual reality training environments, and wearable sensors significantly influenced technical skills acquisition. However, personalized learning did not have a significant mediation effect. The study recommended that young tennis players' organizations and stakeholders consider investing in emerging technologies and training methods. Effective training should be given to coaches on effectively integrating emerging technologies into coaching regimens and practices.

Changes in Muscle Mass and Strength in Adolescents Following High-Intensity Functional Training with Bodyweight Resistance Exercises in Physical Education Lessons

(1) Background: The growing prevalence of obesity, diabetes, hypertension, and declining physical fitness among children and adolescents due to sedentary lifestyles has increased attention toward preventive intervention to tackle this issue. This study investigated the age-related effects of high-intensity functional training (HIFT), based on bodyweight resistance exercises conducted during physical education lessons, on muscle mass and strength improvement. (2) Methods: Adolescent males (n = 116) were allocated to four HIFT experimental groups (EGs) and four standard physical education program control groups (CGs) according to age (15, 16, 17, and 18 years [y]). The changes in muscle mass (absolute and relative to height [SMI]), hand-grip strength (HGS), sit-ups (SUs), and standing broad jump (SBJ) were analyzed using two-way analysis of variance (ANOVA) with Bonferroni tests. (3) Results: HIFT significantly increased muscle mass and scores in all strength tests (p < 0.01), while chronological age was significant for HGS (p < 0.01). Interactions between HIFT and chronological age categories were observed for HGS (p = 0.01) and SBJ (p < 0.03). Detailed post hoc tests revealed improvement in muscle mass across all chronological age categories for both approaches (p < 0.05). The 18y-EG group improved HGS over their control peers (p < 0.01), the EG groups significantly improved their SU results (p < 0.01), and SBJ improved in the 15y-EG and 18y-EG groups compared to their control (p < 0.01). (4) Conclusions: This research highlights the effectiveness of a school-based HIFT program in promoting muscle mass gains and enhancing muscle strength among adolescents. The findings offer valuable insights for implementing bodyweight exercises during physical education classes.

Clinical Outcomes in Scleral Fixation Secondary Intraocular Lens with Yamane versus Suture Techniques: A Systematic Review and Meta-Analysis

Background: The purpose of the study is to compare the visual outcomes and complications of sutured scleral fixation (SSF), a traditional and conservative surgical approach, and the newer and faster Yamane technique for secondary intraocular lens placement. Methods: A literature search was performed on PubMed, Embase, and Scopus on studies published between 1 July 2017 to 29 September 2023. Outcomes analyzed included the final best corrected visual acuity (BCVA) between 3 and 12 months to assess the effectiveness of the procedure, post-operative month (POM) 1 BCVA to assess the speed of visual recovery, endothelial cell count (ECC), absolute refractive error, surgical duration, and complication rates. Additional subgroup analyses were performed based on surgeon experience with the technique. Single-surgeon studies had an average of 26 procedures performed, whereas multiple-surgeon studies averaged only 9 procedures performed; these were then used to delineate surgeon experience. A sample-size weighted mean difference (MD) meta-analysis was performed across all variables using RevMan 5.4.1; p < 0.05 was considered statistically significant. Results: Thirteen studies with 737 eyes were included: 406 eyes were included in the SSF group, and 331 eyes were included in the Yamane group. There was no significant difference in the final BCVA between groups in both the single-surgeon versus multiple-surgeon studies (MD = -0.01, 95% CI: [-0.06, 0.04], p = 0.73). In the single-surgeon studies, the BCVA at POM1 was significantly improved in the Yamane group compared to SSF (MD = -0.10, 95% CI: [-0.16, -0.04], p = 0.002). In the multiple-surgeon studies, there was no significant difference in BCVA at POM1 (MD = -0.06, 95% CI: [-0.16, 0.04], p = 0.23). The Yamane group had a shorter surgical duration than SSF in both single-surgeon and multiple-surgeon studies (MD = -24.68, 95% CI: [-35.90, -13.46], p < 0.0001). The ECC, refractive error, and complication rates did not significantly differ amongst all groups. Conclusions: The Yamane technique demonstrated similar long-term visual outcomes and complication rates to the traditional SSF. Visual recovery was significantly faster in the Yamane group in the single-surgeon studies. The operative times were shorter across all Yamane groups. Based on these findings, it is advisable to consider the Yamane technique as a viable, and perhaps preferable, option for patients requiring secondary IOL placement, alongside traditional SSF methods.

The contribution of energy systems during 30-second lower body Wingate anaerobic test in combat sports athletes: Intermittent versus single forms and gender comparison

Combat sports, encompassing a range of activities from striking and grappling to mixed and weapon-based disciplines, have witnessed a surge in popularity worldwide. These sports are demanding, requiring athletes to harness energy from different metabolic pathways to perform short, high-intensity activities interspersed with periods of lower intensity. While it is established that the anaerobic alactic (ATP-PC) and anaerobic lactic systems are pivotal for high-intensity training sessions typical in combat sports, the precise contribution of these systems, particularly in varied training modalities such as single (SMT) and intermittent (IST) forms of the 30-second Wingate test, remains inadequately explored. This study aims at comparing performance outputs, physiological responses and gender differences during the SMT and IST forms of the 30-second Wingate test. Thirty-three highly trained combat sports athletes (17 women, 16 men; 10 boxing, 8 wrestling, 8 taekwondo and 7 karate) randomly performed SMT and IST. The IST consisted of three 10-second all-out attempts separated by 30 seconds of passive recovery, whereas the SMT was a single 30-second maximal effort. Resting, exercise and post-exercise oxygen uptake and peak blood lactate value were used to determine the metabolic energy demands via the PCr-LA-O2 method. The findings showed that total metabolic energy expenditure (TEE), ATP-PCr system contribution and the output of mechanical variables were higher in the IST than in the SMT form (all p<0.001). In contrast, the contribution of glycolytic and oxidative systems was higher in the SMT form (all p<0.001). However, exercise form and gender interaction were not significant (p>0.05). In combat sports, performance is not only determined by physiological and technical skills but also by metabolic energy input and efficiency. Therefore, our results can provide a comparison regarding the effects of exercise type and gender on metabolic energy metabolism to design the training of combat sports athletes.

Correction: Effects of high-intensity functional training on physical fitness and sport-specific performance among the athletes: A systematic review with meta-analysis

[This corrects the article DOI: 10.1371/journal.pone.0295531.].