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Teraž K, Kalc M, Šimunič B, Marusic U, Pori P, Pišot S, Pišot R. Participation in youth sports influences sarcopenia parameters in older adults. PeerJ 2023; 11:e16432. [PMID: 37965287 PMCID: PMC10642365 DOI: 10.7717/peerj.16432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 10/18/2023] [Indexed: 11/16/2023] Open
Abstract
Background The degree of deterioration in sarcopenia parameters may be affected by a person's level of physical activity (PA) and sedentary behavior (SB). Our study focused on examining the PA and SB of active older adults including those with and without history of sports in youth. Methods Forty-four participants (20 men and 24 women, mean age of total sample 76.1 ± 5.2 years) were included in analysis of PA, SB habits and sarcopenia parameters, determined by skeletal muscle index, hand-grip strength, gait speed, Timed Up and Go tests (TUG). PA and SB were recorded with accelerometers. Our primary aim was to compare participants with (AH) or without a sport history in youth (NAH), in their sarcopenia parameters and PA and SB habits. Results When divided participants in two groups (AH and NAH) and adjusting for age, we have detected the differences for skeletal muscle index (p = 0.007) and hand-grip strength (p = 0.004) in favor of participants who were engaged in sports in youth. We did not find any differences in PA and SB habits between the AH and NAH groups. After adjusting for age, participants with a higher number of daily steps, longer moderate to vigorous physical activity (MVPA) bouts, a higher number of MVPA bouts in a day and higher overall MVPA engagement achieved better results in hand-grip strength and TUG. Participants with lower SB had better TUG and gait speed results. Conclusions Our findings suggest that engaging in sports activities in youth can make a difference with sarcopenia parameters. Although we found no differences in PA and SB habits between participants with AH and NAH, participants with an athlete history performed better results in sarcopenia parameters.
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Affiliation(s)
- Kaja Teraž
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Miloš Kalc
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Institute of Sports Medicine, Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Uros Marusic
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea - ECM, Maribor, Slovenia
| | - Primož Pori
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
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Saloň A, Çiftci GM, Zubac D, Šimunič B, Pišot R, Narici M, Fredriksen PM, Nkeh-Chungag BN, Sourij H, Šerý O, Schmid-Zalaudek K, Steuber B, De Boever P, Goswami N. Retinal venular vessel diameters are smaller during ten days of bed rest. Sci Rep 2023; 13:19258. [PMID: 37935771 PMCID: PMC10630473 DOI: 10.1038/s41598-023-46177-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 10/28/2023] [Indexed: 11/09/2023] Open
Abstract
Older individuals experience cardiovascular dysfunction during extended bedridden hospital or care home stays. Bed rest is also used as a model to simulate accelerated vascular deconditioning occurring during spaceflight. This study investigates changes in retinal microcirculation during a ten-day bed rest protocol. Ten healthy young males (22.9 ± 4.7 years; body mass index: 23.6 ± 2.5 kg·m-2) participated in a strictly controlled repeated-measures bed rest study lasting ten days. High-resolution images were obtained using a hand-held fundus camera at baseline, daily during the 10 days of bed rest, and 1 day after re-ambulation. Retinal vessel analysis was performed using a semi-automated software system to obtain metrics for retinal arteriolar and venular diameters, central retinal artery equivalent and central retinal vein equivalent, respectively. Data analysis employed a mixed linear model. At the end of the bed rest period, a significant decrease in retinal venular diameter was observed, indicated by a significantly lower central retinal vein equivalent (from 226.1 µm, CI 8.90, to 211.4 µm, CI 8.28, p = .026), while no significant changes in central retinal artery equivalent were noted. Prolonged bed rest confinement resulted in a significant (up to 6.5%) reduction in retinal venular diameter. These findings suggest that the changes in retinal venular diameter during bedrest may be attributed to plasma volume losses and reflect overall (cardio)-vascular deconditioning.
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Affiliation(s)
- Adam Saloň
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Graz, Austria
- Research Unit "Gravitational Physiology and Medicine", Physiology, Otto Loewi Research Center, Medical University of Graz, Neue Stiftingtalstraße 6/D.05, 8010, Graz, Austria
| | - Göktuğ Mert Çiftci
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Graz, Austria
- Department of Psychiatry, University Hospital Münster, Münster, Germany
| | - Damir Zubac
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department 1 of Internal Medicine, Centre for Integrated Oncology, Aachen, Bonn, Cologne, Düsseldorf, University Hospital of Cologne, Cologne, Germany
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Marco Narici
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department of Biomedical Sciences, University of Padua, Padua, Italy
| | - Per Morten Fredriksen
- Faculty of Applied Ecology, Agricultural Sciences and Biotechnology, Inland Norway University of Applied Sciences, Lillehammer, Norway
| | - Benedicta Ngwenchi Nkeh-Chungag
- Department of Biological and Environmental Sciences, Faculty of Health Sciences, Walter Sisulu University PBX1, Mthatha, 5117, South Africa
| | - Harald Sourij
- Internal Medicine, Division of Endocrinology and Diabetology, Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria
| | - Omar Šerý
- Laboratory of Neurobiology and Molecular Psychiatry, Department of Biochemistry, Faculty of Science, Masaryk University, Kamenice 753/5, 625 00, Brno, Czech Republic
- Laboratory of Neurobiology and Pathological Physiology, Institute of Animal Physiology and Genetics, Czech Academy of Sciences, Veveří 97, 602 00, Brno, Czech Republic
| | - Karin Schmid-Zalaudek
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Graz, Austria
- Research Unit "Gravitational Physiology and Medicine", Physiology, Otto Loewi Research Center, Medical University of Graz, Neue Stiftingtalstraße 6/D.05, 8010, Graz, Austria
| | - Bianca Steuber
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Graz, Austria
- Research Unit "Gravitational Physiology and Medicine", Physiology, Otto Loewi Research Center, Medical University of Graz, Neue Stiftingtalstraße 6/D.05, 8010, Graz, Austria
| | - Patrick De Boever
- Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium
| | - Nandu Goswami
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Graz, Austria.
- Research Unit "Gravitational Physiology and Medicine", Physiology, Otto Loewi Research Center, Medical University of Graz, Neue Stiftingtalstraße 6/D.05, 8010, Graz, Austria.
- Integrative Health, Alma Mater Europaea Maribor, Maribor, Slovenia.
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
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Saloň A, Neshev R, Teraž K, Šimunič B, Peskar M, Marušič U, Pišot S, Šlosar L, Gasparini M, Pišot R, De Boever P, Schmid-Zalaudek K, Steuber B, Fredriksen PM, Nkeh-Chungag BN, Sourij H, Šerý O, Goswami N. A pilot study: Exploring the influence of COVID-19 on cardiovascular physiology and retinal microcirculation. Microvasc Res 2023; 150:104588. [PMID: 37468091 DOI: 10.1016/j.mvr.2023.104588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 07/12/2023] [Accepted: 07/16/2023] [Indexed: 07/21/2023]
Abstract
BACKGROUND The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) affects the cardiovascular system. The current study investigated changes in heart rate (HR), blood pressure (BP), pulse wave velocity (PWV), and microcirculation in patients recovering from Coronavirus disease 2019 (COVID-19) infection. METHODOLOGY Out of 43 initially contacted COVID-19 patients, 35 (30 males, 5 females; age: 60 ± 10 years; and body mass index (BMI): 31.8 ± 4.9) participated in this study. Participants were seen on two occasions after hospital discharge; the baseline measurements were collected, either on the day of hospital discharge if a negative PCR test was obtained, or on the 10th day after hospitalization if the PCR test was positive. The second measurements were done 60 days after hospitalization. The vascular measurements were performed using the VICORDER® device and a retinal blood vessel image analysis. RESULTS A significant increase in systolic BP (SBP) (from 142 mmHg, SD: 15, to 150 mmHg, SD: 19, p = 0.041), reduction in HR (from 76 bpm, SD: 15, to 69 bpm, SD: 11, p = 0.001), and narrower central retinal vein equivalent (CRVE) (from 240.94 μm, SD: 16.05, to 198.05 μm, SD: 17.36, p = 0.013) were found. Furthermore, the trends of increasing PWV (from 11 m/s, SD: 3, to 12 m/s, SD: 3, p = 0.095) and decreasing CRAE (from 138.87 μm, SD: 12.19, to 136.77 μm, SD: 13.19, p = 0.068) were recorded. CONCLUSION The present study investigated cardiovascular changes following COVID-19 infection at two-time points after hospital discharge (baseline measurements and 60 days post-hospitalization). Significant changes were found in systolic blood pressure, heart rate, and microvasculature indicating that vascular adaptations may be ongoing even weeks after hospitalization from COVID-19 infection. Future studies could involve conducting additional interim assessments during the active infection and post-infection periods.
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Affiliation(s)
- Adam Saloň
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Austria; Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, Lillehammer, Norway
| | - Ruslan Neshev
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Austria
| | - Kaja Teraž
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; Faculty of Sport, University of Ljubljana, Slovenia
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Manca Peskar
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; Biological Psychology and Neuroergonomics, Department of Psychology and Ergonomics, Faculty V: Mechanical Engineering and Transport Systems, Technische Universität Berlin, Berlin, Germany
| | - Uroš Marušič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; Department of Health Sciences, Alma Mater Europaea - ECM, Maribor, Slovenia
| | - Saša Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Luka Šlosar
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; Department of Health Sciences, Alma Mater Europaea - ECM, Maribor, Slovenia
| | - Mladen Gasparini
- Department of General Surgery, General Hospital Izola, Izola, Slovenia
| | - Rado Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | | | - Karin Schmid-Zalaudek
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Austria
| | - Bianca Steuber
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Austria
| | - Per Morten Fredriksen
- Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, Lillehammer, Norway
| | - Benedicta Ngwenchi Nkeh-Chungag
- Department of Biological and Environmental Sciences, Faculty of Health Sciences, Walter Sisulu University PBX1, 5117 Mthatha, South Africa
| | - Harald Sourij
- Internal Medicine, Division of Endocrinology and Diabetology, Interdisciplinary Metabolic Medicine Trials Unit, Medical University of Graz, Graz, Austria
| | - Omar Šerý
- Laboratory of Neurobiology and Molecular Psychiatry, Department of Biochemistry, Faculty of Science, Masaryk University, Kamenice 753/5, 625 00 Brno, Czech Republic; Laboratory of Neurobiology and Pathological Physiology, Institute of Animal Physiology and Genetics, Czech Academy of Sciences, Veveří 97, 602 00 Brno, Czech Republic
| | - Nandu Goswami
- Division of Physiology & Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology, and Inflammation, Medical University of Graz, Austria; College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
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Deodato M, Saponaro S, Šimunič B, Martini M, Murena L, Buoite Stella A. Trunk muscles' characteristics in adolescent gymnasts with low back pain: a pilot study on the effects of a physiotherapy intervention including a postural reeducation program. J Man Manip Ther 2023:1-15. [PMID: 37649443 DOI: 10.1080/10669817.2023.2252202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 08/20/2023] [Indexed: 09/01/2023] Open
Abstract
BACKGROUND Trunk muscles' function and characteristics are of great importance for both static and dynamic tasks in different sports, and abnormalities of trunk flexors and extensors might be associated with low back pain (LBP). The aim of this study was to provide a comprehensive evaluation of the functional, morphological and contractile properties in trunk flexors and extensors of young gymnasts with and without LBP. METHODS Young gymnasts (14/25 females, 14-18 y) were screened for the presence of chronic LBP. Abdominal and lumbar muscles were tested for function (McGill's endurance tests), thickness (ultrasound), and contractile responses (tensiomyography). An 8-sessions physiotherapy intervention including postural reeducation was performed by a subsample of 10 subjects with LBP. RESULTS LBP was found to be associated to higher flexors-to-extensors endurance ratio (OR 11.250, 95% CI: 1.647-76.849, p = 0.014), reduced mean lumbar multifidus thickness (OR 16.500, 95% CI: 2.246-121.228, p = 0.006), and reduced mean erector spinae radial displacement (OR 16.500, 95% CI: 2.246-121.228, p = 0.006). The physiotherapy intervention was found to reduce LBP symptoms and it was associated with a significant improvement in the flexors-to-extensors ratio (p < 0.001). CONCLUSIONS This study provides preliminary evidence of functional, morphological, and contractile trunk muscles' alterations associated with chronic LBP in young gymnasts, and presents the effects of a postural reeducation program on symptoms and muscles' functional properties.
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Affiliation(s)
- Manuela Deodato
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
- PhD Program in Neural and Cognitive Sciences, Department of Life Sciences, University of Trieste, Trieste, Italy
| | - Serena Saponaro
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Center of Koper, Koper, Slovenia
| | - Miriam Martini
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Luigi Murena
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
- Orthopaedics and Traumatology Unit, Cattinara Hospital - ASUGI, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Alex Buoite Stella
- School of Physiotherapy, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
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Teraž K, Šimunič B, Peskar M, Marusic U, Pišot S, Šlosar L, Gasparini M, Pišot R. Functional characteristics and subjective disease perception in patients with COVID-19 two months after hospital discharge. Front Rehabil Sci 2023; 4:1209900. [PMID: 37546579 PMCID: PMC10401436 DOI: 10.3389/fresc.2023.1209900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Accepted: 07/10/2023] [Indexed: 08/08/2023]
Abstract
Introduction Although early inpatient and post-hospital rehabilitation is recognized as necessary, not all COVID-19 patients have access to rehabilitation. There are no published reports in the literature that investigate the outcomes of patients who do not receive rehabilitation after COVID-19. Our aim was to evaluate possible improvements in determinate functional and psychological parameters in COVID-19 patients two months after their hospital discharge. Methods On both time points various motor, cognitive, and clinical measurements such as body composition, tensiomyography, blood pressure, spirometry, grip strength test, Timed Up and Go test, gait speed, 30-second chair-stand test, and Montreal Cognitive Assessment, were performed. Additionally, questionnaires such as the SARC-CalF test, Edmonton frail scale, International Physical Activity questionnaire andThe Mediterranean Lifestyle index were conducted to assess lifestyle characteristics. Results A total of 39 patients (87.2% male; mean age of 59.1 ± 10.3 years), who were hospitalized due to COVID-19 at the Izola General Hospital (IGH), Slovenia between December 2020 and April 2021, were included. Patients were assessed at two time points (T1 and T2): T1 was taken after receiving a negative COVID-19 test and T2 was taken two months after T1. After two months of self-rehabilitation, we have detected a BMI increase (p < .001), fat free mass increase (p < .001), better Edmonton frail scale (p < .001), SARC-CalF score (p = .014) and MoCA score (p = .014). There were no detected changes in lifestyle habits nor in physical performance tests. Discussion It is already known that COVID-19 has long-term negative consequences regardless of the stage of the disease. Our findings support the notion that patients cannot fully regain all their functions within a two-month period without receiving structured or supervised rehabilitation. Therefore, it is crucial to offer patients comprehensive and structured rehabilitation that incorporates clinical, cognitive, and motor exercises.
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Affiliation(s)
- Kaja Teraž
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Manca Peskar
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Biological Psychology and Neuroergonomics, Department of Psychology and Ergonomics, Faculty V: Mechanical Engineering and Transport Systems, Technische Universität Berlin, Berlin, Germany
| | - Uros Marusic
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea – ECM, Maribor, Slovenia
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Luka Šlosar
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea – ECM, Maribor, Slovenia
| | - Malden Gasparini
- Department of General Surgery, General Hospital Izola, Izola, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
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Pus K, Paravlic AH, Šimunič B. The use of tensiomyography in older adults: a systematic review. Front Physiol 2023; 14:1213993. [PMID: 37398907 PMCID: PMC10311920 DOI: 10.3389/fphys.2023.1213993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 06/01/2023] [Indexed: 07/04/2023] Open
Abstract
Introduction: Aging of skeletal muscles results in a cascade of events negatively affecting muscle mass, strength, and function, leading to reduced mobility, increased risk of falls, disability, and loss of independence. To date, different methods are used to assess muscle mechanical function, tensiomyography (TMG) being one of them. The aim of this review was twofold: to summarize the evidence-based usefulness of tensiomyography in older adults and to establish reference values for the main tensiomyography parameters in older adults. Methods: The PubMed, Web of Science, SPORTDiscus, and tensiomyography databases were searched from inception until 25 December 2022. Studies investigating older adults (aged 60+ years) that reported tensiomyography-derived parameters such as contraction time (Tc) and/or maximal displacement (Dm) were included. Methodological quality was assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: In total, eight studies satisfied the inclusion criteria. Tensiomyography has been used on different groups of older adults, including asymptomatic, master athletes, patients with peripheral arterial disease, and patients with end-stage knee osteoarthritis with a mean age of 71.5 ± 5.38 (55.7% male subjects). The most evaluated were leg muscles such as vastus lateralis (VL), gastrocnemius medialis (GM), and biceps femoris (BF). The present review demonstrates that tensiomyography is used to assess neuromuscular function in asymptomatic and diseased older adults. When compared to asymptomatic individuals, power master athletes, knee osteoarthritis patients, and patients diagnosed with peripheral arterial disease have the shortest Tc in BF, VL, and GM muscles, respectively. On the other hand, endurance master athletes showed the longest Tc in all three evaluated muscles. Less mobile, nursing-home residents showed higher Dm in VL and BF, while lower Dm in GM than the asymptomatic group. The knee osteoarthritis group showed the largest Dm in BF and VL while having the smallest Dm in GM. Conclusion: Tensiomyography can serve as a valuable tool for assessing neuromuscular function in older adults. The method is sensitive to muscle composition, architecture, and (pre) atrophic changes of the skeletal muscles and might be responsive to muscle quality changes in aging and diseased populations. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=402345, identifier CRD42023402345.
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Affiliation(s)
- Katarina Pus
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
- Department of Health Sciences, Alma Mater Europaea—ECM, Maribor, Slovenia
| | - Armin H. Paravlic
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
- Faculty of Sports Studies, Masaryk University, Brno, Czechia
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
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Peskar M, Šimunič B, Šlosar L, Pišot S, Teraž K, Gasparini M, Pišot R, Marusic U. Effects of COVID-19 on cognition and mood after hospitalization and at 2-month follow-up. Front Psychol 2023; 14:1141809. [PMID: 37303911 PMCID: PMC10252562 DOI: 10.3389/fpsyg.2023.1141809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 04/19/2023] [Indexed: 06/13/2023] Open
Abstract
A plethora of evidence links SARS-CoV-2 infection with concomitant cognitive dysfunction, which often persists weeks to months after the acute stages of illness and affects executive function, attention, memory, orientation, and movement control. It remains largely unclear which conditions or factors exacerbate the recovery. In a cohort of N=37 Slovenian patients (5 females, aged M = 58, SD = 10.7 years) that were hospitalized because of COVID-19, the cognitive function and mood states were assessed immediately after discharge and 2-months later to investigate the early post-COVID recovery changes. We assessed the global Montreal Cognitive Assessment (MoCA), Simple and Choice Reaction Times, executive functions (Trail-Making Test - TMT-A and TMT-B), short-term memory (Auditory Verbal Learning Test - AVLT), and visuospatial memory. We monitored depressive and anxiety symptoms and applied general self-efficacy and cognitive complaints questionnaires. Our results showed a global cognitive impairment (MoCA, Z = 332.5; p = 0.012), poorer performance on executive functions (TMT-A, Z = 188; p = 0.014; and TMT-B, Z = 185; p = 0.012), verbal memory (AVLT, F = 33.4; p < 0.001), and delayed recall (AVLT7, F = 17.1; p < 0.001), and higher depressive (Z = 145; p = 0.015) and anxiety (Z = 141; p = 0.003) symptoms after hospital discharge compared to 2-month follow-up, indicating that SARS-CoV-2 may transiently impair cognitive function and adversely affect the mood. No improvement in MoCA was observed in 40.5% of the patients at follow-up, indicating possible long-term effects of COVID-19 on global cognitive performance. Medical comorbidities (p = 0.035) significantly predicted the change in MoCA score over time, while fat mass (FM, p = 0.518), Mediterranean diet index (p = .0.944), and Florida Cognitive Activities Score (p = 0.927) did not. These results suggest that the patients' medical comorbidities at the time of SARS-CoV-2 infection could importantly contribute to the acute impairment of cognitive function and stress the importance of systemic implementation of countermeasures to limit the negative consequences on public health.
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Affiliation(s)
- Manca Peskar
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Biological Psychology and Neuroergonomics, Department of Psychology and Ergonomics, Faculty V: Mechanical Engineering and Transport Systems, Technische Universität Berlin, Berlin, Germany
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Luka Šlosar
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea – ECM, Maribor, Slovenia
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Kaja Teraž
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Faculty of Sports, University of Ljubljana, Ljubljana, Slovenia
| | - Mladen Gasparini
- Department of General Surgery, General Hospital Izola, Izola, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Uros Marusic
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea – ECM, Maribor, Slovenia
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Teraž K, Marusic U, Kalc M, Šimunič B, Pori P, Grassi B, Lazzer S, Narici MV, Blenkuš MG, di Prampero PE, Reggiani C, Passaro A, Biolo G, Gasparini M, Pišot R. Sarcopenia parameters in active older adults - an eight-year longitudinal study. BMC Public Health 2023; 23:917. [PMID: 37208654 DOI: 10.1186/s12889-023-15734-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 04/22/2023] [Indexed: 05/21/2023] Open
Abstract
BACKGROUD Sarcopenia is a common skeletal muscle syndrome that is common in older adults but can be mitigated by adequate and regular physical activity. The development and severity of sarcopenia is favored by several factors, the most influential of which are a sedentary lifestyle and physical inactivity. The aim of this observational longitudinal cohort study was to evaluate changes in sarcopenia parameters, based on the EWGSOP2 definition in a population of active older adults after eight years. It was hypothesized that selected active older adults would perform better on sarcopenia tests than the average population. METHODS The 52 active older adults (22 men and 30 women, mean age: 68.4 ± 5.6 years at the time of their first evaluation) participated in the study at two time points eight-years apart. Three sarcopenia parameters were assessed at both time points: Muscle strength (handgrip test), skeletal muscle mass index, and physical performance (gait speed), these parameters were used to diagnose sarcop0enia according to the EWGSOP2 definition. Additional motor tests were also performed at follow-up measurements to assess participants' overall fitness. Participants self-reported physical activity and sedentary behavior using General Physical Activity Questionnaire at baseline and at follow-up measurements. RESULTS In the first measurements we did not detect signs of sarcopenia in any individual, but after 8 years, we detected signs of sarcopenia in 7 participants. After eight years, we detected decline in ; muscle strength (-10.2%; p < .001), muscle mass index (-5.4%; p < .001), and physical performance measured with gait speed (-28.6%; p < .001). Similarly, self-reported physical activity and sedentary behavior declined, too (-25.0%; p = .030 and - 48.5%; p < .001, respectively). CONCLUSIONS Despite expected lower scores on tests of sarcopenia parameters due to age-related decline, participants performed better on motor tests than reported in similar studies. Nevertheless, the prevalence of sarcopenia was consistent with most of the published literature. TRIAL REGISTRATION The clinical trial protocol was registered on ClinicalTrials.gov, identifier: NCT04899531.
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Affiliation(s)
- Kaja Teraž
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia.
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia.
| | - Uros Marusic
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea - ECM, Maribor, Slovenia
| | - Miloš Kalc
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
- Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Primož Pori
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
| | - Bruno Grassi
- Department of Medicine, University of Udine, Udine, Italy
| | - Stefano Lazzer
- Department of Medicine, University of Udine, Udine, Italy
| | | | | | - Pietro Enrico di Prampero
- Emeritus Professor of Physiology, University of Udine, Udine, Italy
- Department of Sport Science, Exelio SRL, Udine, Italy
| | - Carlo Reggiani
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Angelina Passaro
- Department of Translational Medicine, University of Ferrara, Ferrara, Italy
- Medical Department, University Hospital of Ferrara Arcispedale Sant'Anna, Ferrara, Italy
| | - Gianni Biolo
- Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Mladen Gasparini
- Department of General Surgery, Izola General Hospital, Izola, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
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9
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Šimunič B, Doles M, Kelc R, Švent A. Effectiveness of 448-kHz Capacitive Resistive Monopolar Radiofrequency Therapy After Eccentric Exercise-Induced Muscle Damage to Restore Muscle Strength and Contractile Parameters. J Sport Rehabil 2023:1-8. [PMID: 37192748 DOI: 10.1123/jsr.2022-0162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 10/17/2022] [Accepted: 03/15/2023] [Indexed: 05/18/2023]
Abstract
CONTEXT Exercise-induced muscle damage (EIMD) is prevalent especially in sports and rehabilitation. It causes loss in skeletal muscle function and soreness. As there are no firm preventive strategies, we aimed to evaluate the preventive efficacy of nonthermal 448-kHz capacitive resistive monopolar radiofrequency (CRMRF) therapy after eccentric bouts of EIMD response in knee flexors. DESIGN Twenty-nine healthy males (age: 25.2 [4.6] y) were randomized in control group (CG; n = 15) and experimental group (EG; n = 14) where EG followed 5 daily 448-kHz CRMRF therapies. All assessments were performed at baseline and post EIMD (EIMD + 1, EIMD + 2, EIMD + 5, and EIMD + 9 d). We measured tensiomyography of biceps femoris and semitendinosus to calculate contraction time, the maximal displacement and the radial velocity of contraction, unilateral isometric knee flexors maximal voluntary contraction torque, and rate of torque development in first 100 milliseconds. RESULTS Maximal voluntary contraction torque and rate of torque development in first 100 milliseconds decreased more in CG than in EG and recovered only in EG. Biceps femoris contraction time increased only in CG (without recovery), whereas in semitendinosus contraction time increased in EG (only at EIMD + 1) and in CG (without recovery). In both muscles, tensiomyographic maximal displacement decreased in EG (in EIMD + 1 and EIMD + 2) and in CG (without recovery). Furthermore, in both muscles, radial velocity of contraction decreased in EG (from EIMD + 1 until EIMD + 5) and in CG (without recovery). CONCLUSION The study shows beneficial effect of CRMRF therapy after inducing EIMD in skeletal muscle strength and contractile parameters in knee flexors.
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Affiliation(s)
- Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper,Slovenia
| | - Monika Doles
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper,Slovenia
| | - Robi Kelc
- Medical Faculty, Institute for Sports Medicine, University of Maribor, Maribor,Slovenia
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10
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Kalc M, Puš K, Paravlic A, Urbanc J, Šimunič B. Diagnostic accuracy of Tensiomyography parameters for monitoring peripheral neuromuscular fatigue. J Electromyogr Kinesiol 2023; 70:102775. [PMID: 37068408 DOI: 10.1016/j.jelekin.2023.102775] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 04/07/2023] [Accepted: 04/09/2023] [Indexed: 04/19/2023] Open
Abstract
The diagnostic accuracy of tensiomyography (TMG) parameters compared to the gold standard in neuromuscular fatigue evaluation using voluntary and electrically induced muscle activation is unclear. This study aimed to investigate the diagnostic accuracy of TMG parameters to detect individual changes after interventions that were designed to induce central or peripheral fatigue. Nineteen males (age: 32.2 ± 9.3 years) performed two interventions, consisting of maintaining 25% of maximal voluntary contraction (MViC25%) and a 30 s all-out cycling test (Wingate), respectively. TMG parameters, maximum voluntary contraction (PtMViC), voluntary activation (VA%) and electrically elicited double twitches (Dtw) were assessed on the knee extensors before (PRE), one minute (POST) and seven minutes after (POST7) the intervention. The diagnostic accuracy (AUC) of TMG parameters were evaluated in comparison to two criteria measures (PtMViC and Dtw). RM ANOVA revealed a significant interaction between the effects of intervention and time on VA% (p = 0.001) and Dtw (p < 0.001) but not for PtMViC (p = 0.420). AUC showed that TMG parameters had a good ability in detecting muscular fatigue assessed by Dtw but not by PtMViC. The results of the current study suggest that TMG parameters can be used to monitor peripheral neuromuscular fatigue.
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Affiliation(s)
- Miloš Kalc
- University of Maribor, Faculty of Medicine, Institute of Sports Medicine, Maribor, Slovenia; Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia.
| | - Katarina Puš
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; University of Ljubljana, Faculty of Sport, Ljubljana, Slovenia; Department of Health Sciences, Alma Mater Europaea - ECM, Maribor, Slovenia
| | - Armin Paravlic
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia; University of Ljubljana, Faculty of Sport, Ljubljana, Slovenia; Faculty of Sports Studies, Masaryk University, Brno, Czech Republic
| | - Jure Urbanc
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
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11
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Sergi D, Sanz JM, Lazzer S, Brombo G, Zuliani G, Biolo G, Šimunič B, Pišot R, Dalla Nora E, Passaro A. Interleukin-18 Is a Potential Biomarker Linking Dietary Fatty Acid Quality and Insulin Resistance: Results from a Cross-Sectional Study in Northern Italy. Nutrients 2023; 15:nu15071782. [PMID: 37049621 PMCID: PMC10097292 DOI: 10.3390/nu15071782] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 03/27/2023] [Accepted: 03/30/2023] [Indexed: 04/08/2023] Open
Abstract
Dietary lipids are pivotal in modulating metabolic inflammation. Among the inflammatory mediators characterizing metabolic inflammation, interleukin 18 (IL-18) has been consistently associated with obesity and insulin resistance. This study aims to evaluate whether the quality of lipid intake impacts upon IL-18 plasma levels and the implications on insulin resistance computed by the homeostatic model assessment for insulin resistance (HOMA-IR). Using a cross-sectional design, this study confirmed that IL-18 correlated positively with insulin resistance and individuals with a HOMA-IR ≥ 2.5 displayed higher circulating IL-18 levels compared with their insulin-sensitive counterparts. In terms of the effect of the quality of dietary lipids on IL-18 circulating levels, the ratio between monounsaturated, omega-3, polyunsaturated and saturated fatty acids as well as the intake of eicosapentaenoic and docosahexaenoic acids correlated negatively with IL-18. Despite this, IL-18 circulating levels, but not dietary fatty acid quality, predicted insulin resistance. Nevertheless, the ratio between omega 3 and saturated fatty acids was a predictor of IL-18 plasma levels. Thus, the downregulation of IL-18 may underpin, at least partially, the beneficial metabolic effects of substituting omega 3 for saturated fatty acids with this cytokine potentially representing a biomarker linking dietary lipids and metabolic outcomes.
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Affiliation(s)
- Domenico Sergi
- Department of Translational Medicine, University of Ferrara, Via Luigi Borsari, 46, I-44121 Ferrara, Italy
| | - Juana Maria Sanz
- Department of Chemical and Pharmaceutical Sciences, University of Ferrara, Via Luigi Borsari, 46, I-44121 Ferrara, Italy
| | - Stefano Lazzer
- Department of Medicine, University of Udine, Piazzale M. Kolbe 4, I-33100 Udine, Italy
| | - Gloria Brombo
- Medical Department, University Hospital of Ferrara Arcispedale Sant’Anna, Via A. Moro 8, I-44124 Ferrara, Italy
| | - Giovanni Zuliani
- Department of Translational Medicine, University of Ferrara, Via Luigi Borsari, 46, I-44121 Ferrara, Italy
- Medical Department, University Hospital of Ferrara Arcispedale Sant’Anna, Via A. Moro 8, I-44124 Ferrara, Italy
| | - Gianni Biolo
- Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume, 447, I-34149 Trieste, Italy
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre of Koper, Garibaldijeva 1, SI-6000 Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre of Koper, Garibaldijeva 1, SI-6000 Koper, Slovenia
| | - Edoardo Dalla Nora
- Medical Department, University Hospital of Ferrara Arcispedale Sant’Anna, Via A. Moro 8, I-44124 Ferrara, Italy
| | - Angelina Passaro
- Department of Translational Medicine, University of Ferrara, Via Luigi Borsari, 46, I-44121 Ferrara, Italy
- Medical Department, University Hospital of Ferrara Arcispedale Sant’Anna, Via A. Moro 8, I-44124 Ferrara, Italy
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12
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Teraž K, Kalc M, Peskar M, Pišot S, Šimunič B, Pišot R, Pori P. Sarcopenia, obesity, and their association with selected behavioral factors in active older adults. Front Physiol 2023; 14:1129034. [PMID: 36909226 PMCID: PMC9996059 DOI: 10.3389/fphys.2023.1129034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 02/13/2023] [Indexed: 02/25/2023] Open
Abstract
Introduction: The number of obese people in the world is increasing, as is the number of sarcopenic people among the older adults. Although both states are concerning, they can be positively influenced by selected behavioral factors such as adequate nutrition and physical activity. We were interested in the prevalence of sarcopenic obesity in active older people and the influence of behavioral factors on this phenomenon. Methods: The study included 38 older adults (21 women) with a mean age of 75.3 ± 5.0 years. Sarcopenic parameters were determined with different tests: Handgrip Test, Chair Stand Test, Gait Speed, Timed Up and Go Test, and Short Physical Performance Battery. Body composition was measured by dual-energy x-ray absorptiometry. Physical activity level was measured using accelerometers, and nutritional status was assessed using the Mini-Nutritional Assessment and MEDLIFE Index questionnaire. Results: Of all included active participants (the average number of steps per day was 8,916 ± 3,543), 47.4% of them were obese. Of all included women, 52.4% were obese. Sarcopenic obesity was found in three (7.9%) participants. Nutritional status correlated with strength of lower extremities and physical performance tests (gait speed, Timed Up and Go Test and Short Physical performance battery). Higher number of steps per day positively correlates with physical performance. Discussion: Interestingly, we did not find any correlation between the main obesity parameter such as percent body fat or body mass index (and thus sarcopenic obesity) and any of the selected behavioral factors (physical activity, sedentary behavior, or dietary habits). In conclusion, reaching the recommended levels of physical activity in older adults may not be sufficient to prevent the occurrence of obesity and sarcopenic obesity.
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Affiliation(s)
- Kaja Teraž
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia.,Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
| | - Miloš Kalc
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Manca Peskar
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia.,Biological Psychology and Neuroergonomics, Department of Psychology and Ergonomics, Faculty V: Mechanical Engineering and Transport Systems, Technische Universität Berlin, Berlin, Germany
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Primož Pori
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
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13
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Murgia M, Ciciliot S, Nagaraj N, Reggiani C, Schiaffino S, Franchi MV, Pišot R, Šimunič B, Toniolo L, Blaauw B, Sandri M, Biolo G, Flück M, Narici MV, Mann M. Signatures of muscle disuse in spaceflight and bed rest revealed by single muscle fiber proteomics. PNAS Nexus 2022; 1:pgac086. [PMID: 36741463 PMCID: PMC9896895 DOI: 10.1093/pnasnexus/pgac086] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 06/07/2022] [Indexed: 02/07/2023]
Abstract
Astronauts experience dramatic loss of muscle mass, decreased strength, and insulin resistance, despite performing daily intense physical exercise that would lead to muscle growth on Earth. Partially mimicking spaceflight, prolonged bed rest causes muscle atrophy, loss of force, and glucose intolerance. To unravel the underlying mechanisms, we employed highly sensitive single fiber proteomics to detail the molecular remodeling caused by unloading and inactivity during bed rest and changes of the muscle proteome of astronauts before and after a mission on the International Space Station. Muscle focal adhesions, involved in fiber-matrix interaction and insulin receptor stabilization, are prominently downregulated in both bed rest and spaceflight and restored upon reloading. Pathways of antioxidant response increased strongly in slow but not in fast muscle fibers. Unloading alone upregulated markers of neuromuscular damage and the pathway controlling EIF5A hypusination. These proteomic signatures of mechanical unloading in muscle fiber subtypes contribute to disentangle the effect of microgravity from the pleiotropic challenges of spaceflight.
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Affiliation(s)
| | - Stefano Ciciliot
- Veneto Institute of Molecular Medicine, Via Orus 2, 35129 Padua, Italy,Department of Molecular Medicine, University of Pavia, Via Forlanini 6, 27100 Pavia, Italy
| | | | - Carlo Reggiani
- Department of Biomedical Sciences, University of Padova, Via Ugo Bassi, 58/B, 35131 Padua, Italy,Science and Research Center Koper, Institute for Kinesiology Research, Garibaldijeva Street 1, 6000 Koper, Slovenia
| | | | - Martino V Franchi
- Department of Biomedical Sciences, University of Padova, Via Ugo Bassi, 58/B, 35131 Padua, Italy
| | - Rado Pišot
- Science and Research Center Koper, Institute for Kinesiology Research, Garibaldijeva Street 1, 6000 Koper, Slovenia
| | - Boštjan Šimunič
- Science and Research Center Koper, Institute for Kinesiology Research, Garibaldijeva Street 1, 6000 Koper, Slovenia
| | - Luana Toniolo
- Department of Biomedical Sciences, University of Padova, Via Ugo Bassi, 58/B, 35131 Padua, Italy
| | - Bert Blaauw
- Department of Biomedical Sciences, University of Padova, Via Ugo Bassi, 58/B, 35131 Padua, Italy,Veneto Institute of Molecular Medicine, Via Orus 2, 35129 Padua, Italy
| | - Marco Sandri
- Department of Biomedical Sciences, University of Padova, Via Ugo Bassi, 58/B, 35131 Padua, Italy,Veneto Institute of Molecular Medicine, Via Orus 2, 35129 Padua, Italy
| | - Gianni Biolo
- Clinical Department of Medical, Surgical and Health Sciences, Strada di Fiume 447, 34149 Trieste, Italy
| | - Martin Flück
- Department of Medicine, University of Fribourg, Chemin du Musee 5, 1700 Fribourg, Switzerland
| | - Marco V Narici
- Department of Biomedical Sciences, University of Padova, Via Ugo Bassi, 58/B, 35131 Padua, Italy,Science and Research Center Koper, Institute for Kinesiology Research, Garibaldijeva Street 1, 6000 Koper, Slovenia,CIR-MYO Myology Center, Viale G Colombo 3, 35121 Padua, Italy
| | - Matthias Mann
- Max-Planck-Institute of Biochemistry, Am Klopferspitz 18, 82152 Martinsried, Germany,NNF Center for Protein Research, Faculty of Health Sciences, University of Copenhagen, Blegdamsvej 3B, Building 6.1, 2200 Copenhagen, Denmark
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14
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Sanz JM, Sergi D, Colombari S, Capatti E, Situlin R, Biolo G, Di Girolamo FG, Lazzer S, Šimunič B, Pišot R, Passaro A. Dietary Acid Load but Not Mediterranean Diet Adherence Score Is Associated With Metabolic and Cardiovascular Health State: A Population Observational Study From Northern Italy. Front Nutr 2022; 9:828587. [PMID: 35558749 PMCID: PMC9087734 DOI: 10.3389/fnut.2022.828587] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 03/14/2022] [Indexed: 12/28/2022] Open
Abstract
Diet plays a pivotal role in shaping the trajectory of chronic diseases. In this regard, the Mediterranean diet has been widely shown to exert beneficial effects on cardiometabolic health. On the contrary, the Western diet, which has also been reported to be an acidogenic dietary pattern, elicits detrimental effects on both metabolic and cardiovascular (CV) health. However, the role of dietary acid load (DAL) as a predictor of cardiometabolic prognosis remains to be elucidated. Thus, this study aims to compare Mediterranean diet adherence (MDA) and DAL focusing on their relationship with metabolic and CV prognosis. A total of 448 individuals aged 55–80 years were grouped depending on their MDA, assessed using food frequency questionnaires, or DAL, evaluated using potential renal load acid (PRAL) and net-endogenous acid production (NEAP). Study participants underwent anthropometric and biochemical measurements. The metabolic syndrome (MetS) prevalence was evaluated according to the National Cholesterol Education Program-Adult Treatment Panel III. Finally, the CV risk was evaluated using three independent algorithms: atherosclerotic cardiovascular disease (ASCVD), European Systematic COronary Risk Evaluation (SCORE), and Cuore risk scores. Mediterranean diet adherence was negatively associated with PRAL and NEAP. Individuals in the higher MDA tertile group had higher HDL cholesterol as well as lower homeostasis model assessment index (HOMA-IR) and fat mass relative to the lowest MDA tertile. However, in the high-MDA tertile group, there was neither a significantly lower MetS prevalence nor CV risk. Instead, both the MetS prevalence and CV risk were higher in individuals in the higher acid PRAL quartile relative to the lower alkaline PRAL quartile. Dietary acid load, especially assessed using PRAL but not MDA, was associated with indices of metabolic and CV prognosis. Thus, DAL assessed by 24-h dietary recalls may represent a better predictor of cardiometabolic health if compared to MDA evaluated using food frequency questionnaires.
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Affiliation(s)
- Juana Maria Sanz
- Department of Chemical and Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy
| | - Domenico Sergi
- Department of Translational Medicine, University of Ferrara, Ferrara, Italy
| | - Simona Colombari
- University Hospital of Ferrara Arcispedale Sant'Anna, Ferrara, Italy
| | - Eleonora Capatti
- University Hospital of Ferrara Arcispedale Sant'Anna, Ferrara, Italy
| | - Roberta Situlin
- Department of Medical Surgical and Health Sciences, Clinica Medica ASUGI, University of Trieste, Trieste, Italy
| | - Gianni Biolo
- Department of Medical Surgical and Health Sciences, Clinica Medica ASUGI, University of Trieste, Trieste, Italy
| | - Filippo Giorgio Di Girolamo
- Department of Medical Surgical and Health Sciences, Clinica Medica ASUGI, University of Trieste, Trieste, Italy.,Hospital Pharmacy, Cattinara Hospital, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Stefano Lazzer
- Department of Medicine, University of Udine, Udine, Italy
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Center of Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Center of Koper, Koper, Slovenia
| | - Angelina Passaro
- Department of Translational Medicine, University of Ferrara, Ferrara, Italy.,University Hospital of Ferrara Arcispedale Sant'Anna, Ferrara, Italy
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15
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Tamma G, Di Mise A, Ranieri M, Centrone M, Venneri M, D'Agostino M, Ferrulli A, Šimunič B, Narici M, Pisot R, Valenti G. Early Biomarkers of Altered Renal Function and Orthostatic Intolerance During 10-day Bedrest. Front Physiol 2022; 13:858867. [PMID: 35514354 PMCID: PMC9065601 DOI: 10.3389/fphys.2022.858867] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 03/07/2022] [Indexed: 11/13/2022] Open
Abstract
Exposure to actual or simulated microgravity results in alterations of renal function, fluid redistribution, and bone loss, which is coupled to a rise of urinary calcium excretion. We provided evidence that high calcium delivery to the collecting duct reduces local Aquaporin 2 (AQP2)-mediated water reabsorption under vasopressin action, thus limiting the maximal urinary concentration to reduce calcium saturation. To investigate early renal adaptation into simulated microgravity, we investigated the effects of 10 days of strict bedrest in 10 healthy volunteers. We report here that 10 days of inactivity are associated with a transient, significant decrease (day 5) in vasopressin (copeptin) paralleled by a decrease in AQP2 excretion, consistent with an increased central volume to the heart, resulting in reduced water reabsorption. Moreover, bedrest caused a significant increase in calciuria secondary to bone demineralization paralleled by a decrease in PTH. Urinary osteopontin, a glycoprotein exerting a protective effect on stone formation, was significantly reduced during bedrest. Moreover, a significant increase in adrenomedullin (day 5), a peptide with vasodepressor properties, was observed at day 5, which may contribute to the known reduced orthostatic capacity post-bedrest. We conclude that renal function is altered in simulated microgravity and is associated with an early increase in the risk of stone formation and reduced orthostatic capacity post-bedrest within a few days of inactivity.
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Affiliation(s)
- Grazia Tamma
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
| | - Annarita Di Mise
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
| | - Marianna Ranieri
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
| | - Mariangela Centrone
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
| | - Maria Venneri
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
| | - Mariagrazia D'Agostino
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
| | - Angela Ferrulli
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
| | - Boštjan Šimunič
- Institute of Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Marco Narici
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Rado Pisot
- Institute of Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Giovanna Valenti
- Department of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari, Bari, Italy
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16
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Baldassarre G, Zuccarelli L, Manferdelli G, Manfredini V, Marzorati M, Pilotto A, Porcelli S, Rasica L, Šimunič B, Pišot R, Narici M, Grassi B. Decrease in work rate in order to keep a constant heart rate: biomarker of exercise intolerance following a 10-day bed rest. J Appl Physiol (1985) 2022; 132:1569-1579. [PMID: 35511721 DOI: 10.1152/japplphysiol.00052.2022] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Aerobic exercise prescription is often set at specific heart rate (HR) values. Previous studies demonstrated that during exercise carried out at a HR slightly above that corresponding to the gas exchange threshold (GET), work rate (WR) has to decrease in order to maintain HR constant. We hypothesized a greater WR decrease at a fixed HR following simulated microgravity/inactivity (bed rest, BR). Ten male volunteers (23±5 yr) were tested before (PRE) and after (POST) a 10-day horizontal BR, and performed on a cycle ergometer: a) incremental exercise; b) 15-min HRCLAMPED exercise, in which WR was continuously adjusted to maintain a constant HR, corresponding to that at 120% of GET determined in PRE; c) two moderate-intensity constant WR (MOD) exercises. Breath-by-breath VO2, HR and other variables were determined. After BR, VO2peak and GET significantly decreased, by about 10%. During HRCLAMPED (145±11 b∙min-1), the decrease in WR needed to maintain a constant HR was greater in POST vs. PRE (-39±10 vs. -29±14%, p<0.01). In 6 subjects the decreased WR switched from the heavy- to the moderate-intensity domain. The decrease in WR during HRCLAMPED, in PRE vs. POST, was significantly correlated with the VO2peak decrease (R2=0.52; p=0.02). A greater amplitude of the slow component of the HR kinetics was observed during MOD following BR. Exercise at a fixed HR is not associated with a specific WR or WR domain; the problem, affecting exercise evaluation and prescription, is greater following BR. The WR decrease during HRCLAMPED is a biomarker of exercise intolerance following BR.
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Affiliation(s)
| | | | - Giorgio Manferdelli
- Institute of Biomedical Technologies, National Research Council, Segrate, Italy
| | | | - Mauro Marzorati
- Institute of Biomedical Technologies, National Research Council, Segrate, Italy
| | - Andrea Pilotto
- Department of Medicine, University of Udine, Udine, Italy.,Institute of Biomedical Technologies, National Research Council, Segrate, Italy
| | - Simone Porcelli
- Institute of Biomedical Technologies, National Research Council, Segrate, Italy.,Department of Molecular Medicine, University of Pavia, Italy
| | - Letizia Rasica
- Institute of Biomedical Technologies, National Research Council, Segrate, Italy
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Center, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Center, Koper, Slovenia
| | - Marco Narici
- Department of Biomedical Sciences, University of Padova, Italy
| | - Bruno Grassi
- Department of Medicine, University of Udine, Udine, Italy
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17
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Planinšec J, Matejek Č, Pišot S, Pišot R, Šimunič B. Consequences of COVID-19 Lockdown Restrictions on Children Physical Activity—A Slovenian Study. Front Public Health 2022; 10:843448. [PMID: 35359773 PMCID: PMC8960434 DOI: 10.3389/fpubh.2022.843448] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2021] [Accepted: 02/10/2022] [Indexed: 12/28/2022] Open
Abstract
During the COVID-19 pandemic, countries took several restrictions to contain the spread of coronavirus. In the second wave of the COVID-19 pandemic, primary schools in Slovenia were closed for a period long time (from October 19th 2020 until January 18th 2021 when they were partially reopened for 6–9 year olds until February 15th 2021 when they were reopened for all children) and organized sport activities for children and adolescents under the age of 15 was not allowed during this period. The aim of the study was to examine how these restrictions were reflected in the amount of different forms of physical activity (PA) of 6–12-year old children (N = 3,936). Data were collected using an online questionnaire (International Physical Activity Questionnaire Short Form) comparing different forms of PA before (BEFORE) and during (DURING) remote schooling. The results show that there has been a decline in children's PA DURING, specifically, only 4.3% of children had their physical education ≥ 45 min (or 77.7% ≤ 30 min), as is the usual duration in Slovenia. There was also a remarkable decline in extracurricular sports activities (p < 0.001), which BEFORE had been participated by 72.2% of children, while DURING remote schooling, as many as 83.5% of children did not participate these activities. 69.7% of children participated in organized sports in clubs at least once a week, while DURING remote schooling, as many as 88.1% (p < 0.001) did not participate in such form of activities. Furthermore, the time spent exercising in moderate to vigorous PA also decreased (BEFORE 8.2% vs. DURING 24.9%; p < 0.001). We found that during lockdown there has been an alarming decrease in the frequency and duration of organized PA at school and at sports clubs. These findings are a good starting point for designing (developing) an effective strategy for promoting health-enhancing PA of children in the event of a future lockdown or similar situations. The strategy should focus on the appropriate implementation of PA curriculum and motivate young people to participate regularly in extracurricular organized and non-organized activities.
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Affiliation(s)
- Jurij Planinšec
- Faculty of Education, University of Maribor, Maribor, Slovenia
- *Correspondence: Jurij Planinšec
| | - Črtomir Matejek
- Faculty of Education, University of Maribor, Maribor, Slovenia
| | - Saša Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Rado Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
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18
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Pišot S, Šimunič B, Gentile A, Bianco A, Coco GL, Pišot R, Drid P, Milovanović I. The differences of Slovenian and Italian daily practices experienced in the first wave of covid-19 pandemic. BMC Public Health 2022; 22:326. [PMID: 35172773 PMCID: PMC8848827 DOI: 10.1186/s12889-022-12664-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 01/24/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic situation with the lockdown of public life caused serious changes in people's everyday practices. The study evaluates the differences between Slovenia and Italy in health-related everyday practices induced by the restrictive measures during first wave of the COVID-19 pandemic. METHODS The cross-sectional cohort study examined changes through an online survey conducted in nine European countries from April 15-28, 2020. The survey included questions from a simple activity inventory questionnaire (SIMPAQ), the European Health Interview Survey, and some other questions. To compare difference in changes between European countries we examined Italy with severe and its neighbour country Slovenia with low incidence and victims of COVID-19 epidemic. 956 valid responses from Italy (N = 511; 50% males) and Slovenia (N = 445; 26% males) were investigated. RESULTS During the survey, there was a 4.7-fold higher incidence and 12.1-fold more deaths (per 100,000) in Italy than in Slovenia. Barring periods and measures were similar, the latter more stringent in Italy. We found more changes in Italy than in Slovenia: physical inactivity increased (Italy: + 65% vs. Slovenia: + 21%; p < 0.001), walking time decreased (Italy: -68% vs. Slovenia: -4.4%; p < 0.001); physical work increased by 38% in Slovenia (p < 0.001), and recreation time decreased by 37% in Italy (p < 0.001). Italians reported a decrease in quality of general health, fitness level, psychological well-being, quality of life and care for own health (p < 0.001); Slovenians showed a decline in psychological well-being and quality of life (p < 0.001) but generally had a higher concern for their own health (p = 0.005). In pooled participants, changes in eating habits (meal size and consumption of unhealthy food), age and physical inactivity were positively correlated with increases in body mass, while changes in general well-being and concern for health were negatively correlated. CONCLUSION The study shows that the negative impact of COVID -19 measures is greater in Italy where the pandemic COVID -19 was more prevalent than in Slovenia with low prevalence. Additional consideration should be given to the negative impact of COVID-19 measures on some health-related lifestyle variables when implementing further measures to mitigate the COVID-19 pandemic.
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Affiliation(s)
- Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia.
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Ambra Gentile
- Department of Psychology, Educational Science and Human Movement, Università Degli Studi Di Palermo, Palermo, Italy
| | - Antonino Bianco
- Department of Psychology, Educational Science and Human Movement, Università Degli Studi Di Palermo, Palermo, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, Università Degli Studi Di Palermo, Palermo, Italy
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Ivana Milovanović
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
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Divjak M, Sedej G, Murks N, Gerževič M, Marusic U, Pišot R, Šimunič B, Holobar A. Inter-Person Differences in Isometric Coactivations of Triceps Surae and Tibialis Anterior Decrease in Young, but Not in Older Adults After 14 Days of Bed Rest. Front Physiol 2022; 12:809243. [PMID: 35153817 PMCID: PMC8832055 DOI: 10.3389/fphys.2021.809243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 12/24/2021] [Indexed: 11/13/2022] Open
Abstract
We examined activation patterns of the gastrocnemius medialis (GM), gastrocnemius lateralis (GL), soleus (SO), and tibialis anterior (TA) muscles in eight older (58.4 ± 3.3 years) and seven young (23.1 ± 2.9 years) participants, before and after 14 days of horizontal bed rest. Visual feedback on the exerted muscle torque was provided to the participants. The discharge patterns of individual motor units (MUs) were studied in three repetitions of isometric plantar flexion at 30 and 60% of Maximum Voluntary Contraction (MVC), before, and 1 day after the 14-day bed rest, respectively. In the GL and GM muscles, the older participants demonstrated higher MU discharge rates than the young, regardless of the contraction level, both before and after the bed rest. In the TA and SO muscles, the differences between the older and young participants were less consistent. Detailed analysis revealed person-specific changes in the MU discharge rates after the bed rest. To quantify the coactivation patterns we calculated the correlation coefficients between the cumulative spike trains of identified MUs from each muscle, and measured the root mean square difference of the correlation coefficients between the trials of the same session (intra-session variability) and between different sessions (inter-session variability) in each participant (intra-person comparison) and across participants (inter-person comparison). In the intra-person comparison, the inter-session variability was higher than the intra-session variability, either before or after the bed rest. At 60% MVC torque, the young demonstrated higher inter-person variability of coactivation than the older participants, but this variability decreased significantly after the bed rest. In older participants, inter-person variability was consistently lower at 60% than at 30% MVC torque. In young participants, inter-person variability became lower at 60% than at 30% MVC torque only after the bed rest. Precaution is required when analyzing the MU discharge and coactivation patterns, as individual persons demonstrate individual adaptations to aging or bed rest.
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Affiliation(s)
- Matjaž Divjak
- System Software Laboratory, Institute of Computer Science, Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia
| | - Gašper Sedej
- System Software Laboratory, Institute of Computer Science, Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia
| | - Nina Murks
- System Software Laboratory, Institute of Computer Science, Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia
| | - Mitja Gerževič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea – ECM, Maribor, Slovenia
| | - Uros Marusic
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
- Department of Health Sciences, Alma Mater Europaea – ECM, Maribor, Slovenia
| | - Rado Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Aleš Holobar
- System Software Laboratory, Institute of Computer Science, Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia
- *Correspondence: Aleš Holobar,
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20
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Abazović E, Paravlić A, Zubac D, Kovačević E, Šimunič B. Decomposition of tensiomyogram and comparison with torque twitch responses after post-activation potentiation. J Musculoskelet Neuronal Interact 2022; 22:316-325. [PMID: 36046987 PMCID: PMC9438518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This study evaluates the effect of post-activation potentiation (PAP) after 5x5s maximal voluntary isometric contractions (activation stimulus, AS) on tensiomyography (TMG) and torque twitch contractile parameters of vastus lateralis (VL) and medialis (VM), respectively. Further, we validated the decomposition of TMG response to separate responses of three fiber types. METHODS 15 healthy individuals participated in this study (40% women; age 19±2.3 years). A decomposition of VL TMG response was done after optimal fitting of three exponential curves. RESULTS We found main effects in contraction time (Tc) for muscle, method and time. Furthermore, we found interactions between muscle*method, method*time and muscle*method*time. Compared to PRE AS, we found shorter TMG Tc in VL and VM during the first two minutes after AS. Torque Tc remained unchanged in VL, while it increased in VM within 30 seconds after AS. A decomposition of VL TMG response confirmed PAP effects being present only in decomposed type IIb muscle fibers. CONCLUSION The TMG is a sensitive method to detect PAP effects with a sensor mounted directly above the muscle belly. After the decomposition of the TMG signal to three separate muscle fiber phenotypes, we provided a non-invasive insight in the contribution of each muscle fiber phenotype to the PAP of the whole muscle.
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Affiliation(s)
- Ensar Abazović
- Faculty of Sport and Physical Education, University of Sarajevo, Sarajevo, Bosnia and Herzegovina,Corresponding author: Ensar Abazović, Faculty of Sport and Physical Education, University of Sarajevo, BiH E-mail:
| | - Armin Paravlić
- Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia,Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia,Faculty of Sports Studies, Masaryk University, Brno, Czech Republic
| | - Damir Zubac
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia,Faculty of Kinesiology, University of Split, Split, Croatia
| | - Erol Kovačević
- Faculty of Sport and Physical Education, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
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21
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Zuccarelli L, Baldassarre G, Magnesa B, Degano C, Comelli M, Gasparini M, Manferdelli G, Marzorati M, Mavelli I, Pilotto A, Porcelli S, Rasica L, Šimunič B, Pišot R, Narici M, Grassi B. Peripheral impairments of oxidative metabolism after a 10-day bed rest are upstream of mitochondrial respiration. J Physiol 2021; 599:4813-4829. [PMID: 34505290 PMCID: PMC9293208 DOI: 10.1113/jp281800] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 09/08/2021] [Indexed: 11/20/2022] Open
Abstract
Abstract In order to identify peripheral biomarkers of impaired oxidative metabolism during exercise following a 10‐day bed rest, 10 males performed an incremental exercise (to determine peak pulmonary V̇O2 (V̇O2p)) and moderate‐intensity exercises, before (PRE) and after (POST) bed rest. Blood flow response was evaluated in the common femoral artery by Eco‐Doppler during 1 min of passive leg movements (PLM). The intramuscular matching between O2 delivery and O2 utilization was evaluated by near‐infrared spectroscopy (NIRS). Mitochondrial respiration was evaluated ex vivo by high‐resolution respirometry in isolated muscle fibres, and in vivo by NIRS by the evaluation of skeletal muscle V̇O2 (V̇O2m) recovery kinetics. Resting V̇O2m was estimated by NIRS. Peak V̇O2p was lower in POST vs. PRE. The area under the blood flow vs. time curve during PLM was smaller (P = 0.03) in POST (274 ± 233 mL) vs. PRE (427 ± 291). An increased (P = 0.03) overshoot of muscle deoxygenation during a metabolic transition was identified in POST. Skeletal muscle citrate synthase activity was not different (P = 0.11) in POST (131 ± 16 nmol min–1 mg–1) vs. PRE (138 ± 19). Maximal ADP‐stimulated mitochondrial respiration (66 ± 18 pmol s–1 mg–1 (POST) vs. 72 ± 14 (PRE), P = 0.41) was not affected by bed rest. Apparent Km for ADP sensitivity of mitochondrial respiration was reduced in POST vs. PRE (P = 0.04). The V̇O2m recovery time constant was not different (P = 0.79) in POST (22 ± 6 s) vs. PRE (22 ± 6). Resting V̇O2m was reduced by 25% in POST vs. PRE (P = 0.006). Microvascular‐endothelial function was impaired following a 10‐day bed rest, whereas mitochondrial mass and function (both in vivo and ex vivo) were unaffected or slightly enhanced. Key points Ten days of horizontal bed rest impaired in vivo oxidative function during exercise. Microvascular impairments were identified by different methods. Mitochondrial mass and mitochondrial function (evaluated both in vivo and ex vivo) were unchanged or even improved (i.e. enhanced mitochondrial sensitivity to submaximal [ADP]). Resting muscle oxygen uptake was significantly lower following bed rest, suggesting that muscle catabolic processes induced by bed rest/inactivity are less energy‐consuming than anabolic ones.
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Affiliation(s)
| | | | | | | | - Marina Comelli
- Department of Medicine, University of Udine, Udine, Italy
| | | | - Giorgio Manferdelli
- Institute of Biomedical Technologies, National Research Council, Milan, Italy
| | - Mauro Marzorati
- Institute of Biomedical Technologies, National Research Council, Milan, Italy
| | - Irene Mavelli
- Department of Medicine, University of Udine, Udine, Italy
| | - Andrea Pilotto
- Department of Medicine, University of Udine, Udine, Italy.,Institute of Biomedical Technologies, National Research Council, Milan, Italy
| | - Simone Porcelli
- Institute of Biomedical Technologies, National Research Council, Milan, Italy.,Department of Molecular Medicine, University of Pavia, Pavia, Italy
| | - Letizia Rasica
- Institute of Biomedical Technologies, National Research Council, Milan, Italy
| | - Boštjan Šimunič
- Institute of Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Rado Pišot
- Institute of Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Marco Narici
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Bruno Grassi
- Department of Medicine, University of Udine, Udine, Italy
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22
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Di Girolamo FG, Fiotti N, Milanović Z, Situlin R, Mearelli F, Vinci P, Šimunič B, Pišot R, Narici M, Biolo G. The Aging Muscle in Experimental Bed Rest: A Systematic Review and Meta-Analysis. Front Nutr 2021; 8:633987. [PMID: 34422875 PMCID: PMC8371327 DOI: 10.3389/fnut.2021.633987] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 04/07/2021] [Indexed: 12/30/2022] Open
Abstract
Background: Maintaining skeletal muscle mass and function in aging is crucial for preserving the quality of life and health. An experimental bed rest (BR) protocol is a suitable model to explore muscle decline on aging during inactivity. Objective: The purpose of this systematic review and meta-analysis was, therefore, to carry out an up-to-date evaluation of bed rest, with a specific focus on the magnitude of effects on muscle mass, strength, power, and functional capacity changes as well as the mechanisms, molecules, and pathways involved in muscle decay. Design: This was a systematic review and meta-analysis study. Data sources: We used PubMed, Medline; Web of Science, Google Scholar, and the Cochrane library, all of which were searched prior to April 23, 2020. A manual search was performed to cover bed rest experimental protocols using the following key terms, either singly or in combination: "Elderly Bed rest," "Older Bed rest," "Old Bed rest," "Aging Bed rest," "Aging Bed rest," "Bed-rest," and "Bedrest". Eligibility criteria for selecting studies: The inclusion criteria were divided into four sections: type of study, participants, interventions, and outcome measures. The primary outcome measures were: body mass index, fat mass, fat-free mass, leg lean mass, cross-sectional area, knee extension power, cytokine pattern, IGF signaling biomarkers, FOXO signaling biomarkers, mitochondrial modulation biomarkers, and muscle protein kinetics biomarkers. Results: A total of 25 studies were included in the qualitative synthesis, while 17 of them were included in the meta-analysis. In total, 118 healthy elderly volunteers underwent 5-, 7-, 10-, or 14-days of BR and provided a brief sketch on the possible mechanisms involved. In the very early phase of BR, important changes occurred in the skeletal muscle, with significant loss of performance associated with a lesser grade reduction of the total body and muscle mass. Meta-analysis of the effect of bed rest on total body mass was determined to be small but statistically significant (ES = -0.45, 95% CI: -0.72 to -0.19, P < 0.001). Moderate, statistically significant effects were observed for total lean body mass (ES = -0.67, 95% CI: -0.95 to -0.40, P < 0.001) after bed rest intervention. Overall, total lean body mass was decreased by 1.5 kg, while there was no relationship between bed rest duration and outcomes (Z = 0.423, p = 672). The meta-analyzed effect showed that bed rest produced large, statistically significant, effects (ES = -1.06, 95% CI: -1.37 to -0.75, P < 0.001) in terms of the knee extension power. Knee extension power was decreased by 14.65 N/s. In contrast, to other measures, meta-regression showed a significant relationship between bed rest duration and knee extension power (Z = 4.219, p < 0.001). Moderate, statistically significant, effects were observed after bed rest intervention for leg muscle mass in both old (ES = -0.68, 95% CI: -0.96 to -0.40, P < 0.001) and young (ES = -0.51, 95% CI: -0.80 to -0.22, P < 0.001) adults. However, the magnitude of change was higher in older (MD = -0.86 kg) compared to younger (MD = -0.24 kg) adults. Conclusion: Experimental BR is a suitable model to explore the detrimental effects of inactivity in young adults, old adults, and hospitalized people. Changes in muscle mass and function are the two most investigated variables, and they allow for a consistent trend in the BR-induced changes. Mechanisms underlying the greater loss of muscle mass and function in aging, following inactivity, need to be thoroughly investigated.
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Affiliation(s)
- Filippo Giorgio Di Girolamo
- Clinica Medica, Azienda Sanitaria Universitaria Giuliano Isontina, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.,SC Assistenza Farmaceutica, Azienda Sanitaria Universitaria Giuliano Isontina, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
| | - Nicola Fiotti
- Clinica Medica, Azienda Sanitaria Universitaria Giuliano Isontina, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
| | - Zoran Milanović
- Faculty of Sport and Physical Education, University of Niš, Niš, Serbia.,Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia.,Faculty of Sports Studies, Incubator of Kinanthropological Research, Masaryk University, Brno, Czechia
| | - Roberta Situlin
- Clinica Medica, Azienda Sanitaria Universitaria Giuliano Isontina, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
| | - Filippo Mearelli
- Clinica Medica, Azienda Sanitaria Universitaria Giuliano Isontina, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
| | - Pierandrea Vinci
- Clinica Medica, Azienda Sanitaria Universitaria Giuliano Isontina, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Rado Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Marco Narici
- Department of Biomedical Sciences, Neuromuscular Physiology Laboratory, University of Padova, Padova, Italy
| | - Gianni Biolo
- Clinica Medica, Azienda Sanitaria Universitaria Giuliano Isontina, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
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23
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Zuccarelli L, Baldassarre G, Magnesa B, Degano C, Comelli M, Gasparini M, Manferdelli G, Marzorati M, Mavelli I, Pilotto A, Porcelli S, Rasica L, Šimunič B, Pišot R, Narici M, Grassi B. Short-term Bed Rest Exposure Impairs Peripheral Vascular And Endothelial Functions Whereas Mitochondrial Respiration Is Unaffected. Med Sci Sports Exerc 2021. [DOI: 10.1249/01.mss.0000760324.25032.2a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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24
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Zubac D, Ivančev V, Valić Z, Pišot R, Meulenberg CJW, Trozić I, Goswami N, Šimunič B. A Randomized Crossover Trial on the Acute Cardiovascular Demands During Flywheel Exercise. Front Physiol 2021; 12:665462. [PMID: 34248660 PMCID: PMC8267577 DOI: 10.3389/fphys.2021.665462] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 04/29/2021] [Indexed: 02/05/2023] Open
Abstract
In a randomized crossover trial, we examined whether age plays a role in the mean arterial pressure (MAP) response during a vigorous flywheel exercise of varying load. We hypothesized that the magnitude of increase in the MAP during the flywheel exercise would increase in proportion to advancing age, thereby imposing a significant challenge to the cardiovascular system. A total of 30 participants of both sexes (age range from 20-55 y, 37% women) underwent a detailed medical examination, and their maximal oxygen uptake was determined. They performed a squat exercise (2 sets × 7 repetitions) on a flywheel ergometer at three randomly assigned moments of inertia set at 0.025, 0.05, and 0.075 kg m2, while the cardiovascular response was continuously recorded via a Task force monitor. Compared to the resting values, robust rises in the MAP were observed during all three flywheel loads, reaching the highest value of 179 ± 4 mmHg (p = 0.001) during the highest load. In parallel, the cardiac index (cardiac output normalized by the body surface area) was two-fold greater during all the flywheel loads compared to rest, and at a high load, exclusively, the total peripheral resistance increased by 11% (p = 0.001). The rise in heart rate compensated for a load-dependent drop in the stroke index (stroke volume normalized by the body surface area). In our study population, no correlations were observed between the relative increase in the MAP and the participants' age for the three flywheel loads. The present findings suggest that the larger moments of inertia impose a substantial burden to the cardiovascular system, without apparent associated age-differences of the relative magnitude of MAP rise throughout the exercise.
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Affiliation(s)
- Damir Zubac
- Science and Research Center Koper, Institute for Kinesiology Research, Koper, Slovenia.,Faculty of Kinesiology, University of Split, Split, Croatia
| | | | - Zoran Valić
- Department of Integrative Physiology, School of Medicine, University of Split, Split, Croatia
| | - Rado Pišot
- Science and Research Center Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Cécil J W Meulenberg
- Science and Research Center Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Irhad Trozić
- Gravitational Physiology, Aging and Medicine Research Unit, Physiology Division, Otto Loewi Center of Vascular Biology, Immunity and Inflammation, Medical University of Graz, Graz, Austria
| | - Nandu Goswami
- Gravitational Physiology, Aging and Medicine Research Unit, Physiology Division, Otto Loewi Center of Vascular Biology, Immunity and Inflammation, Medical University of Graz, Graz, Austria
| | - Boštjan Šimunič
- Science and Research Center Koper, Institute for Kinesiology Research, Koper, Slovenia
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25
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Trabelsi K, Ammar A, Masmoudi L, Boukhris O, Chtourou H, Bouaziz B, Brach M, Bentlage E, How D, Ahmed M, Mueller P, Mueller N, Hsouna H, Elghoul Y, Romdhani M, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Bragazzi NL, Strahler J, Washif JA, Andreeva A, Bailey SJ, Acton J, Mitchell E, Bott NT, Gargouri F, Chaari L, Batatia H, Khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Moalla W, Souissi N, Aloui A, Souissi N, Gemert-Pijnen LV, Riemann BL, Riemann L, Delhey J, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Dergaa I, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Pišot S, Gaggioli A, Steinacker J, Zmijewski P, Apfelbacher C, Glenn JM, Khacharem A, Clark CC, Saad HB, Chamari K, Driss T, Hoekelmann A. Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during COVID-19 Lockdown: ECLB COVID-19 International Online Survey. Int J Environ Res Public Health 2021; 18:4329. [PMID: 33921852 PMCID: PMC8073845 DOI: 10.3390/ijerph18084329] [Citation(s) in RCA: 80] [Impact Index Per Article: 26.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/15/2021] [Accepted: 04/16/2021] [Indexed: 12/18/2022]
Abstract
BACKGROUND The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether sociodemographic variables, changes in physical activity, and sleep quality from pre- to during lockdown were predictors of change in mental wellbeing in quarantined older adults. METHODS A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research institutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses "pre" and "during" the lockdown period. Participants responded to the Short Warwick-Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. RESULTS Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F(2, 514) = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre- to during lockdown (p < 0.001, R2: 0.20). CONCLUSION COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.
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Affiliation(s)
- Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Achraf Ammar
- Institute of Sport Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Bassem Bouaziz
- Multimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Department of Neurology, Medical Faculty, Otto-Von-Guericke University, 39120 Magdeburg, Germany
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Department of Neurology, Medical Faculty, Otto-Von-Guericke University, 39120 Magdeburg, Germany
| | - Hsen Hsouna
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Yousri Elghoul
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Laisa Liane Paineiras-Domingos
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-170, Brazil;
- Departamento de Fisioterapia, Faculdade Bezerra de Araújo, Rio de Janeiro 23052-180, Brazil
| | - Annemarie Braakman-Jansen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brasil;
| | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Nicola L. Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
- Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, 35394 Gießen, Germany;
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur 57000, Malaysia;
| | - Albina Andreeva
- Department of Sports Biomechanics, Moscow Center of Advanced Sport Technologies, 129272 Moscow, Russia;
| | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Jarred Acton
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Emma Mitchell
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK; (S.J.B.); (J.A.); (E.M.)
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA;
| | - Faiez Gargouri
- Multimedia InfoRmation Systems and Advanced Computing Laboratory (MIRACL), Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, 421 00 Trikala, Greece;
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Kerala 689645, India;
| | - Waseem N. Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala 680664, India;
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Nafaa Souissi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (O.B.); (H.C.); (H.H.); (Y.E.); (O.H.); (M.J.); (K.E.A.); (W.M.); (N.S.)
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (M.R.); (A.A.); (N.S.)
| | - Lisette Van Gemert-Pijnen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA;
| | | | - Jan Delhey
- Institute of Social Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
| | - Jonathan Gómez-Raja
- FundeSalud, Department of Health and Social Services, Government of Extremadura, 06800 Merida, Spain;
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands;
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan;
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan;
| | - Ismail Dergaa
- PHCC, Primary Health Care Corporation, Doha 3050, Qatar;
| | - Mohamed Jmail
- Digital Research Centre of Sfax, Sfax 3000, Tunisia;
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Andrea Gaggioli
- Department of Psychology, Catholic University of the Sacred Heart I UNICATT, 20123 Milano, Italy;
| | - Jürgen Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Piotr Zmijewski
- Faculty of Physical Education, Jozef Pilsudski University of Physical Education in Warsaw, 00-809 Warsaw, Poland;
| | - Christian Apfelbacher
- Institute for Social Medicine and Health Economy, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA;
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Creteil, France;
| | - Cain C.T. Clark
- Centre for Intelligent Healthcare, Coventry University, Coventry CV1 5FB, UK;
| | - Helmi Ben Saad
- Hôpital Farhat HACHED de Sousse, Laboratoire de Recherche “Insuffisance Cardiaque”, Université de Sousse, Sousse LR12SP09, Tunisie;
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar;
- Laboratory “Sport Performance Optimization”, (CNMSS), ISSEP Ksar-Said, Manouba University, Manouba 2010, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-Von-Guericke University, 39106 Magdeburg, Germany;
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Jan Z, Drab M, Drobne D, Bedina Zavec A, Benčina M, Drasler B, Hočevar M, Krek JL, Pađen L, Pajnič M, Repar N, Šimunič B, Štukelj R, Kralj-Iglič V. Decrease in Cellular Nanovesicles Concentration in Blood of Athletes More Than 15 Hours After Marathon. Int J Nanomedicine 2021; 16:443-456. [PMID: 33505159 PMCID: PMC7829122 DOI: 10.2147/ijn.s282200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 11/12/2020] [Indexed: 12/30/2022] Open
Abstract
Introduction Cellular nanovesicles (CNVs), that are shed from cells, have been recognized as promising indicators of health status. We analyzed the effect of long-distance running on concentration of CNVs, along with some standard blood parameters, in 27 athletes two days before and >15 hours after physical effort. Methods CNVs were isolated by repetitive centrifugation and washing of samples, and assessed by flow cytometry. Cholinesterase (ChE) and glutathione S-transferase (GST) activity were measured spectrophotometrically. Interleukin 6 (IL-6) and tumor necrosis factor-α (TNF-α) concentrations were measured using enzyme-linked immunosorbent assay (ELISA). C-reactive protein (CRP) was measured with immunoturbidimetric determination and lipidogram parameters were measured by enzymatic colorimetric assay. Flow cytometry was used for blood cell count and mean platelet volume (MPV) measurement. Results More than 15 hours after physical effort a decrease was found in CNVs' concentration in isolates from blood (46%; p<0.05), in ChE activity in whole blood (47%; p<0.001), in plasma (34%; p<0.01), and in erythrocyte suspension (54%; p<0.001), as well as in GST activity in erythrocyte suspension (16%; p<0.01) and in IL-6 concentration in plasma (63%; p<0.05). We found no change in GST activity in plasma and in TNF-α concentration in plasma. Correlations (>0.8; p<0.001) between CNVs' concentration and ChE activity, and GST activity, respectively, in erythrocyte suspension were found. Conclusion We found that >15 hours post-physical effort, CNVs' concentration was below the initial value, concomitant with other measured parameters: ChE and GST activity as well as IL-6 concentration, indicating a favorable effect of physical effort on health status. CNVs' concentration and ChE activity in isolates from peripheral blood proved to have potential as indicators of the response of the human body to inflammation after physical effort. Physical activity should be considered as an important factor in preparation of subjects for blood sampling in procedures focusing on CNV-containing diagnostic and therapeutic compounds.
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Affiliation(s)
- Zala Jan
- Laboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Mitja Drab
- Laboratory of Physics, Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia
| | - Damjana Drobne
- Nanobiology and Nanotoxicology Group, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Apolonija Bedina Zavec
- Department of Molecular Biology and Nanobiotechnology, National Institute of Chemistry, Ljubljana, Slovenia
| | - Mojca Benčina
- Department of Synthetic Biology and Immunology, National Institute of Chemistry, Ljubljana, Slovenia
| | - Barbara Drasler
- Nanobiology and Nanotoxicology Group, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Matej Hočevar
- Physics and Chemistry of Materials, Laboratory of Surface Engineering and Applied Surface Science, The Institute of Metals and Technology, Ljubljana, Slovenia
| | - Judita Lea Krek
- Laboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Ljubiša Pađen
- Laboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Manca Pajnič
- Laboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Neža Repar
- Nanobiology and Nanotoxicology Group, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Roman Štukelj
- Laboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Veronika Kralj-Iglič
- Laboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
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Volmut T, Pišot R, Planinšec J, Šimunič B. Physical Activity Drops During Summer Holidays for 6- to 9-Year-Old Children. Front Public Health 2021; 8:631141. [PMID: 33537285 PMCID: PMC7848070 DOI: 10.3389/fpubh.2020.631141] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 12/21/2020] [Indexed: 11/13/2022] Open
Abstract
Regular physical activity (PA) reduces the health risk of childhood obesity and associated chronic diseases as well as mental health problems. Since PA declines as children age as well with future generations it is of highest importance to intervene in school and out-of-school settings. Out-of-school periods affect children's PA as it is mainly left to the interest and motivation of their parents. We compared accelerometer-based PA patterns in 93 6- to 9-year old children assessed four times: before (May/June), during (August), and after (September) summer holidays and at a 1-year follow up (May/June). Before summer holidays children were assessed also for anthropometry and motor tests. During summer holidays overall PA decreased by 18% (p < 0.001), physical inactivity increased by 5.5% (p < 0.001), moderate PA decreased by 53% (p < 0.001) and moderate to vigorous PA decreased by 45% (p < 0.001) when compared to before summer holidays. Furthermore, overall PA remained diminished also after summer holidays by 8.8% (p = 0.001) but recovered to baseline values at 1-year follow up. About 30% of overall PA and moderate to vigorous PA decrease during summer holidays could be explained by children's fitness level as a greater decrease was found in children with better results in standing long jump and 300-meter running time. Our finding detects an alarming summer holiday decrease in children PA that should not be neglected in future studies and intervention designs.
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Affiliation(s)
- Tadeja Volmut
- Faculty of Education, University of Primorska, Koper, Slovenia
| | - Rado Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Jurij Planinšec
- Faculty of Education, University of Maribor, Maribor, Slovenia
| | - Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
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Pišot S, Milovanović I, Šimunič B, Gentile A, Bosnar K, Prot F, Bianco A, Lo Coco G, Bartoluci S, Katović D, Bakalár P, Kovalik Slančová T, Tlučáková L, Casals C, Feka K, Christogianni A, Drid P. Maintaining everyday life praxis in the time of COVID-19 pandemic measures (ELP-COVID-19 survey). Eur J Public Health 2021; 30:1181-1186. [PMID: 32750114 PMCID: PMC7454518 DOI: 10.1093/eurpub/ckaa157] [Citation(s) in RCA: 56] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The extreme social circumstances caused by declared COVID-19 pandemic deeply intervene people's everyday life and should not be neglected but seen through the view of social reality pinpointing the 'ordinary' people. In this article, authors explored basic segments of everyday and their subjective perception to what extent sleeping habits, physical inactivity, physical activity, nutritional habits and smoking have changed. METHODS The online survey was conducted in nine European countries (Bosnia and Herzegovina, Croatia, Greece, Kosovo*, Italy, Serbia, Slovakia, Slovenia and Spain) in 4108 participants, aged 15-82 years. The survey took place 30-40 days after World Health Organization declared COVID-19 pandemic state, from 15 April to 3 May 2020. RESULTS The results have shown 30 min longer sleeping time, 50% longer physical inactivity time, 65% longer screen time, 43% shorter walking time, 24% shorter sport time and 37% longer physical work time. Additionally, body mass gains (0.3 kg) could be explained in 20.6% with meals sizes, unhealthy food consumption, screen time and sport time. Further, respondents reported more regular meals (44%) and healthier meals with less alcohol consumption and less smoking, which have been positive outcomes of home confinement. CONCLUSION The findings draw attention to negative changes in everyday praxis (inactivity, body mass gain) after such a short period. Because of possible risk to population's health (especially of countries such as Italy and Spain with serious threat and more stringent measures), findings enable development of recommendations for maintaining healthy lifestyle habits with minimal negative health consequences in similar pandemic circumstances.
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Affiliation(s)
- Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper 6000, Slovenia
| | - Ivana Milovanović
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad 21000, Serbia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper 6000, Slovenia
| | - Ambra Gentile
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | - Ksenija Bosnar
- Faculty of Kinesiology, University of Zagreb, Zagreb 10000, Croatia
| | - Franjo Prot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper 6000, Slovenia
| | - Antonino Bianco
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | | | - Darko Katović
- Faculty of Kinesiology, University of Zagreb, Zagreb 10000, Croatia
| | - Peter Bakalár
- Faculty of Sports, University of Presov, Prešov 080 01, Slovakia
| | | | - Lenka Tlučáková
- Faculty of Sports, University of Presov, Prešov 080 01, Slovakia
| | - Cristina Casals
- MOVE-IT Research Group and Department of Physical Education, Faculty of Education Sciences, University of Cadiz, Cádiz 11003, Spain.,Biomedical Research and Innovation Institute of Cadiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cadiz, Cádiz 11003, Spain
| | - Kaltrina Feka
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | | | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad 21000, Serbia
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Trabelsi K, Ammar A, Masmoudi L, Boukhris O, Chtourou H, Bouaziz B, Brach M, Bentlage E, How D, Ahmed M, Mueller P, Mueller N, Hsouna H, Romdhani M, Hammouda O, Paineiras-Domingos L, Braakman-jansen A, Wrede C, Bastoni S, Pernambuco C, Mataruna-Dos-Santos L, Taheri M, Irandoust K, Khacharem A, Bragazzi N, Strahler J, Washif J, Andreeva A, Bailey S, Acton J, Mitchell E, Bott N, Gargouri F, Chaari L, Batatia H, khoshnami S, Samara E, Zisi V, Sankar P, Ahmed W, Ali G, Abdelkarim O, Jarraya M, Abed K, Moalla W, Souissi N, Aloui A, Souissi N, Gemert-Pijnen L, Riemann B, Riemann L, Delhey J, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Dergaa I, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Pišot S, Gaggioli A, Steinacker J, Zmijewski P, Clark CC, Apfelbacher C, Glenn J, Saad H, Chamari K, Driss T, Hoekelmann A. Globally altered sleep patterns and physical activity levels by confinement in 5056 individuals: ECLB COVID-19 international online survey. Biol Sport 2021. [DOI: 10.5114biolsport.2021.10160510.5114/biolsport.2021.101605] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Fabiani E, Herc M, Šimunič B, Brix B, Löffler K, Weidinger L, Ziegl A, Kastner P, Kapel A, Goswami N. Correlation between timed up and go test and skeletal muscle tensiomyography in female nursing home residents. J Musculoskelet Neuronal Interact 2021; 21:247-254. [PMID: 34059569 PMCID: PMC8185258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Tensiomyography (TMG) derived contraction time (Tc) and amplitude (Dm) are related to muscle fibre composition and to muscle atrophy/tone, respectively. However, the link between mobility and TMG-derived skeletal muscle contractile properties in older persons is unknown. The aim of the study was to correlate lower limb skeletal muscle contractile properties with balance and mobility measures in senior female residents of retirement homes in Austria. METHODS Twenty-eight female participants (aged from 67-99 years) were included in measurements of contractile properties (TMG) of four skeletal muscles: vastus lateralis, vastus medialis, biceps femoris and gastrocnemius medialis. Their balance and mobility performance was measured using a timed up and go test (TUG). RESULTS Time needed to complete TUG is negatively correlated to biceps femoris (r= -0.490; p= 0.008), vastus lateralis (r= -0.414; p=0.028) and vastus medialis (r= -0.353; p=0.066) Dm and positively correlated to vastus lateralis Tc (r=0.456; p=0.015). Overall, vastus lateralis Tc and vastus medialis Dm explained 37% of TUG time variance. CONCLUSIONS Our study demonstrates that TMG-derived quadriceps muscle contractile parameters are correlated with the balance and mobility function in female nursing home residents.
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Affiliation(s)
- Ester Fabiani
- Alma Mater Europaea ECM, Maribor, Slovenia,Department of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | | | - Boštjan Šimunič
- Alma Mater Europaea ECM, Maribor, Slovenia,Science and Research Centre Koper, Koper, Slovenia,Corresponding authors: Boštjan Šimunič, Science and Research Centre Koper, Garibaldijeva 1, Koper, Slovenia E-mail:
| | - Bianca Brix
- Head of Gravitational Physiology and Medicine Research Unit, Physiology Division, Medical University of Graz, Graz, Austria
| | - Kerstin Löffler
- Geriatrische Gesundheitszentren der Stadt Graz, Graz Austria
| | - Lisa Weidinger
- Geriatrische Gesundheitszentren der Stadt Graz, Graz Austria
| | - Andreas Ziegl
- AIT Austrian Institute of Technology GmbH, Graz, Austria,Institute of Neural Engineering, Graz University of Technology, Graz, Austria
| | - Peter Kastner
- AIT Austrian Institute of Technology GmbH, Graz, Austria
| | - Alen Kapel
- Alma Mater Europaea ECM, Maribor, Slovenia,Modus Medical, Maribor, Slovenia
| | - Nandu Goswami
- Alma Mater Europaea ECM, Maribor, Slovenia,Head of Gravitational Physiology and Medicine Research Unit, Physiology Division, Medical University of Graz, Graz, Austria,Nandu Goswami, Medical University of Graz, Neue Stitftingtalstrasse 6, 5-D, Graz, Austria E-mail:
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31
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Ammar A, Mueller P, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Brach M, Schmicker M, Bentlage E, How D, Ahmed M, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Adrian Washif J, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Romdhani M, Souissi N, Van Gemert-Pijnen L, Bailey SJ, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Zmijewski P, Steinacker JM, Strahler J, Riemann L, Riemann BL, Mueller N, Chamari K, Driss T, Hoekelmann A. Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study. PLoS One 2020; 15:e0240204. [PMID: 33152030 PMCID: PMC7643949 DOI: 10.1371/journal.pone.0240204] [Citation(s) in RCA: 160] [Impact Index Per Article: 40.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 09/22/2020] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. METHODS The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement. RESULTS Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement. CONCLUSION The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.
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Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Marlen Schmicker
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa, Tunisia
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | | | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy
| | | | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313. Université Paris Est Créteil Val de Marne, Créteil, France
| | - Nicola L. Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Toronto, ON, Canada
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur, Malaysia
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, United States of America
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States of America
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, Volos, Greece
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Pathanamthitta, Kerala, India
| | - Waseem N. Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala, India
| | | | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | | | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid, Jordan
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- I.R.C.C.S. Istituto Auxologico Italiano, Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, Gießen, Germany
| | - Laurel Riemann
- PharmD, BCBS; PharmIAD, Inc, Savannah, GA, United States of America
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, United States of America
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Laboratory ''Sport Performance Optimization'', ISSEP Ksar-Said, Manouba University, Manouba, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
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Ammar A, Chtourou H, Boukhris O, Trabelsi K, Masmoudi L, Brach M, Bouaziz B, Bentlage E, How D, Ahmed M, Mueller P, Mueller N, Hsouna H, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Strahler J, Washif JA, Andreeva A, khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Romdhani M, Delhey J, Bailey SJ, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Souissi N, Gemert-Pijnen LV, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Pišot S, Gaggioli A, Zmijewski P, Apfelbacher C, Steinacker J, Saad HB, Glenn JM, Chamari K, Driss T, Hoekelmann A. COVID-19 Home Confinement Negatively Impacts Social Participation and Life Satisfaction: A Worldwide Multicenter Study. Int J Environ Res Public Health 2020; 17:E6237. [PMID: 32867287 PMCID: PMC7503681 DOI: 10.3390/ijerph17176237] [Citation(s) in RCA: 228] [Impact Index Per Article: 57.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 08/24/2020] [Accepted: 08/25/2020] [Indexed: 12/14/2022]
Abstract
Public health recommendations and governmental measures during the new coronavirus disease (COVID-19) pandemic have enforced numerous restrictions on daily living including social distancing, isolation, and home confinement. While these measures are imperative to mitigate spreading of COVID-19, the impact of these restrictions on psychosocial health is undefined. Therefore, an international online survey was launched in April 2020 to elucidate the behavioral and lifestyle consequences of COVID-19 restrictions. This report presents the preliminary results from more than one thousand responders on social participation and life satisfaction. METHODS Thirty-five research organizations from Europe, North-Africa, Western Asia, and the Americas promoted the survey through their networks to the general society, in 7 languages (English, German, French, Arabic, Spanish, Portuguese, and Slovenian). Questions were presented in a differential format with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 participations (54% women) from Asia (36%), Africa (40%), Europe (21%), and others (3%) were included in the analysis. Findings revealed psychosocial strain during the enforced COVID-19 home confinement. Large decreases (p < 0.001) in the amount of social activity through family (-58%), friends/neighbors (-44.9%), or entertainment (-46.7%) were triggered by the enforced confinement. These negative effects on social participation were also associated with lower life satisfaction (-30.5%) during the confinement period. Conversely, the social contact score through digital technologies significantly increased (p < 0.001) during the confinement period with more individuals (+24.8%) being socially connected through digital technology. CONCLUSION These preliminary findings elucidate the risk of psychosocial strain during the early COVID-19 home confinement period in 2020. Therefore, in order to mitigate the negative psychosocial effects of home confinement, implementation of national strategies focused on promoting social inclusion through a technology-based solution is strongly suggested.
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Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany;
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Hamdi Chtourou
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Omar Boukhris
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, Sfax 3000, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Hsen Hsouna
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa 2112, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Laisa Liane Paineiras-Domingos
- Programa de Pós-graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-170, Brazil;
- Departamento de Fisioterapia, Faculdade Bezerra de Araújo, Rio de Janeiro 23052-180, Brazil
| | - Annemarie Braakman-Jansen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy;
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brazil;
| | - Leonardo Jose Mataruna-Dos-Santos
- Department of Sport Management, Faculty of Management, Canadian University of Dubai, 1st Interchange Sheikh Zayed Rd, Dubai, UAE PO Box 117781, UAE;
| | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France;
| | - Nicola L. Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, 35394 Gießen, Germany;
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur 57000, Malaysia;
| | - Albina Andreeva
- Department of Sports Biomechanics, Moscow Center of Advanced Sport Technologies, 129272 Moscow, Russia;
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, 382 21 Volos, Greece;
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Kerala 689645, India;
| | - Waseem N. Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala 680664, India;
| | - Mohamed Romdhani
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
| | - Jan Delhey
- Institute of Social Science, Otto-von-Guericke University, 39106 Magdeburg, Germany;
| | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK;
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA;
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122 Toulouse, France; (L.C.); (H.B.)
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (H.H.); (A.A.); (M.R.); (N.S.)
| | - Lisette Van Gemert-Pijnen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands; (A.B.-J.); (C.W.); (S.B.); (L.V.G.-P.)
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA;
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain;
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands;
| | - Sebastian Schulz
- Sports and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Achim Jerg
- Sports and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan;
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan;
| | - Mohamed Jmail
- Digital Research Centre of Sfax, Sfax 3000, Tunisia;
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal;
| | | | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.); (S.P.)
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy;
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, 00-809 Warsaw, Poland;
| | - Christian Apfelbacher
- Institute for Social Medicine and Health Economy, Otto-von-Guericke University, 39106 Magdeburg, Germany;
| | - Jürgen Steinacker
- Sports and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.S.); (A.J.); (J.S.)
| | - Helmi Ben Saad
- Hôpital Farhat Hached de Sousse, Laboratoire de Recherche “Insuffisance Cardiaque’’, Université de Sousse, Sousse LR12SP09, Tunisie;
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA;
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar and Laboratory “Sport Performance Optimization”, (CNMSS), ISSEP Ksar-Said, Manouba University, 2010 Manouba, Tunisia;
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany;
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Zubac D, Ivančev V, Valić Z, Šimunič B. Long-lasting exercise involvement protects against decline in V̇O 2max and V̇O 2 kinetics in moderately active women. Appl Physiol Nutr Metab 2020; 46:108-116. [PMID: 32640173 DOI: 10.1139/apnm-2020-0307] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
We studied the effects of age on different physiological parameters, including those derived from (i) maximal cardiopulmonary exercise testing (CPET), (ii) moderate-intensity step transitions, and (iii) tensiomyography (TMG)-derived variables in moderately active women. Twenty-eight women (age, 19 to 53 years), completed 3 laboratory visits, including baseline data collection, TMG assessment, maximal oxygen uptake test via CPET, and a step-transition test from 20 W to a moderate-intensity cycling power output (PO), corresponding to oxygen uptake at 90% gas exchange threshold. During the step transitions, breath-by-breath pulmonary oxygen uptake, near infrared spectroscopy derived muscle deoxygenation (ΔHHb), and beat-by-beat cardiovascular response were continuously monitored. There were no differences observed between the young and middle-aged women in their maximal oxygen uptake and peak PO, while the maximal heart rate (HR) was 12 bpm lower in middle-aged compared with young (p = 0.016) women. Also, no differences were observed between the age groups in τ pulmonary oxygen uptake, ΔHHb, and τHR during on-transients. The first regression model showed that age did not attenuate the maximal CPET capacity in the studied population (p = 0.638), while in the second model a faster τ pulmonary oxygen uptake, combined with shorter TMG-derived contraction time (Tc) of the vastus lateralis (VL), were associated with a higher maximal oxygen uptake (∼30% of explained variance, p = 0.039). In conclusion, long lasting exercise involvement protects against a maximal oxygen uptake and τpulmonary oxygen uptake deterioration in moderately active women. Novelty: Faster τ pulmonary oxygen uptake and shorter Tc of the VL explain 33% of the variance in superior maximal oxygen uptake attainment. No differences between age groups were found in τ pulmonary oxygen uptake, τΔHHb, and τHR during on-transients.
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Affiliation(s)
- Damir Zubac
- Institute for Kinesiology Research, Science and Research Center of Koper, Koper, Slovenia.,Faculty of Kinesiology, University of Split, Split, Croatia
| | | | - Zoran Valić
- Department of Integrative Physiology, University of Split, School of Medicine, Split, Croatia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Center of Koper, Koper, Slovenia
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34
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Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Bentlage E, How D, Ahmed M, Müller P, Müller N, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna L, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Chamari K, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Souissi N, Van Gemert-Pijnen L, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz SV, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Bailey SJ, Steinacker JM, Driss T, Hoekelmann A. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients 2020. [PMID: 32481594 DOI: 10.1101/2020.05.05.20091066] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/24/2023] Open
Abstract
BACKGROUND Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. METHODS Following a structured review of the literature, the "Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)" Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. CONCLUSION While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.
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Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Patrick Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa 2112, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Laisa Liane Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas, LAVIMPI-UERJ, Universidade do Estado do Rio de Janeiro, Rio de Janeiro RJ 20950-003, Brazil
- Faculdade Bezerra de Araújo, Rio de Janeiro Rj 23052-180, Brazil
| | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brazil
| | - Leonardo Mataruna
- College of Business Administration, American University in the Emirates, 503000-Dubai Academic City, Dubai, UAE
| | - Morteza Taheri
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Khadijeh Irandoust
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar
- Laboratory "Sport Performance Optimization", (CNMSS), ISSEP Ksar-Said, Manouba University, Manouba 2010, Tunisia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Lotfi Chaari
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Hadj Batatia
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | | | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands
| | - Sebastian Vw Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK
| | - Jürgen M Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
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35
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Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Bentlage E, How D, Ahmed M, Müller P, Müller N, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna L, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Chamari K, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Souissi N, Van Gemert-Pijnen L, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz SVW, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Bailey SJ, Steinacker JM, Driss T, Hoekelmann A. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients 2020; 12:E1583. [PMID: 32481594 PMCID: PMC7352706 DOI: 10.3390/nu12061583] [Citation(s) in RCA: 1113] [Impact Index Per Article: 278.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/22/2020] [Accepted: 05/25/2020] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. METHODS Following a structured review of the literature, the "Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)" Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. CONCLUSION While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.
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Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany; (A.H.)
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany; (M.B.); (E.B.); (D.H.); (M.A.)
| | - Patrick Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany; (P.M.); (N.M.)
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
- High Institute of Sport and Physical Education, University of Gafsa, 2112 Gafsa, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia;
| | - Laisa Liane Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas, LAVIMPI-UERJ, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ 20950-003, Brazil;
- Faculdade Bezerra de Araújo, Rio de Janeiro, Rj 23052-180, Brazil
| | - Annemarie Braakman-Jansen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
| | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy; (S.B.); (A.G.)
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brasil;
| | - Leonardo Mataruna
- College of Business Administration, American University in the Emirates, 503000 Dubai Academic City, Dubai, UAE;
| | - Morteza Taheri
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Khadijeh Irandoust
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran; (M.T.); (K.I.)
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France;
| | - Nicola L. Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar;
- Laboratory “Sport Performance Optimization”, (CNMSS); ISSEP Ksar-Said, Manouba University, 2010 Manouba, Tunisia
| | - Jordan M. Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA;
| | - Nicholas T. Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA;
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia; (B.B.); (F.G.)
| | - Lotfi Chaari
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, 31500 Toulouse, France; (L.C.); (H.B.)
| | - Hadj Batatia
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, 31500 Toulouse, France; (L.C.); (H.B.)
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt; (G.M.A.); (O.A.)
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia; (H.C.); (O.B.); (A.A.); (N.S.)
| | - Lisette Van Gemert-Pijnen
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherland; (A.B.-J.); (C.W.); (L.V.G.-P.)
| | - Bryan L. Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA;
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia; (K.T.); (L.M.); (M.J.); (K.E.A.); (W.M.)
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain;
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands;
| | - Sebastian V. W. Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.V.W.S.); (A.J.); (J.M.S.)
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.V.W.S.); (A.J.); (J.M.S.)
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan;
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, 11942 Amman, Jordan;
| | - Mohamed Jmail
- Digital Research Centre of Sfax, Sfax 3000, Tunisia;
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.B.); (F.F.-S.)
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.)
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia; (B.Š.); (R.P.)
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy; (S.B.); (A.G.)
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Stephen J. Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK;
| | - Jürgen M. Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany; (S.V.W.S.); (A.J.); (J.M.S.)
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France;
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany; (A.H.)
| | - On Behalf of the ECLB-COVID19 Consortium
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany; (A.H.)
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy;
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36
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Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Bentlage E, How D, Ahmed M, Müller P, Müller N, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna L, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Chamari K, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Ali GM, Abdelkarim O, Jarraya M, Abed KE, Souissi N, Van Gemert-Pijnen L, Riemann BL, Riemann L, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz SV, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Bailey SJ, Steinacker JM, Driss T, Hoekelmann A. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients 2020; 12:nu12061583. [PMID: 32481594 DOI: 10.1101/2020.05.04.20072447] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/22/2020] [Accepted: 05/25/2020] [Indexed: 05/22/2023] Open
Abstract
BACKGROUND Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. METHODS Following a structured review of the literature, the "Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)" Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses "before" and "during" confinement conditions. RESULTS 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. CONCLUSION While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.
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Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax 3000, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, 48149 Münster, Germany
| | - Patrick Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Notger Müller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Leipziger Str. 44, 39120 Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany
| | - Asma Aloui
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa 2112, Tunisia
| | - Omar Hammouda
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia
| | - Laisa Liane Paineiras-Domingos
- Laboratório de Vibrações Mecânicas e Práticas Integrativas, LAVIMPI-UERJ, Universidade do Estado do Rio de Janeiro, Rio de Janeiro RJ 20950-003, Brazil
- Faculdade Bezerra de Araújo, Rio de Janeiro Rj 23052-180, Brazil
| | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
| | - Sofia Bastoni
- Department of Psychology, Health & Technology, University of Twente, 7522 Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
| | - Carlos Soares Pernambuco
- Laboratório de Fisiologia do Exercício, Estácio de Sá University, Rio de Janeiro 20261-063, Brazil
| | - Leonardo Mataruna
- College of Business Administration, American University in the Emirates, 503000-Dubai Academic City, Dubai, UAE
| | - Morteza Taheri
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Khadijeh Irandoust
- Faculty of social science, Imam Khomeini International University, Qazvin 34148-96818, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes, LIRTES-EA 7313, Université Paris Est Créteil Val de Marne, 94000 Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences (DISSAL), Postgraduate School of Public Health, University of Genoa, 16132 Genoa, Italy
- Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar
- Laboratory "Sport Performance Optimization", (CNMSS), ISSEP Ksar-Said, Manouba University, Manouba 2010, Tunisia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR 72701, USA
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Lotfi Chaari
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Hadj Batatia
- Computer science department, University of Toulouse, IRIT-INP-ENSEEIHT (UMR 5505), BP 7122, Toulouse, France
| | - Gamal Mohamed Ali
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
| | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut 71515, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, 76131 Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Nizar Souissi
- Research Unit: Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia
| | | | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA 30458, USA
| | | | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, 06800 Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, 9712 Groningen, The Netherlands
| | - Sebastian Vw Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid 21163, Jordan
| | - Taiysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman 11942, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milano, Italy
- Applied Technology for Neuro-Psychology Lab, I.R.C.C.S. Istituto Auxologico Italiano, 20149 Milan, Italy
| | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough E11 3TU, UK
| | - Jürgen M Steinacker
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Leimgrubenweg 14, 89075 Ulm, Germany
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2-2APS), UFR STAPS, UPL, Paris Nanterre University, 92000 Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany
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37
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Ammar A, Mueller P, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Brach M, Schmicker M, Bentlage E, How D, Ahmed M, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Adrian Washif J, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Romdhani M, Souissi N, Van Gemert-Pijnen L, Bailey SJ, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Zmijewski P, Steinacker JM, Strahler J, Riemann L, Riemann BL, Mueller N, Chamari K, Driss T, Hoekelmann A. Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study. PLoS One 2020. [PMID: 33152030 DOI: 10.1101/2020.05.05.20091058v1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023] Open
Abstract
BACKGROUND Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. METHODS The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement. RESULTS Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement. CONCLUSION The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.
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Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Marlen Schmicker
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa, Tunisia
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | | | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy
| | | | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313. Université Paris Est Créteil Val de Marne, Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Toronto, ON, Canada
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur, Malaysia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, United States of America
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States of America
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, Volos, Greece
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Pathanamthitta, Kerala, India
| | - Waseem N Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala, India
| | | | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | | | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid, Jordan
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- I.R.C.C.S. Istituto Auxologico Italiano, Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, Gießen, Germany
| | - Laurel Riemann
- PharmD, BCBS; PharmIAD, Inc, Savannah, GA, United States of America
| | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, United States of America
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Laboratory ''Sport Performance Optimization'', ISSEP Ksar-Said, Manouba University, Manouba, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
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Ammar A, Mueller P, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, Bouaziz B, Brach M, Schmicker M, Bentlage E, How D, Ahmed M, Aloui A, Hammouda O, Paineiras-Domingos LL, Braakman-Jansen A, Wrede C, Bastoni S, Pernambuco CS, Mataruna-Dos-Santos LJ, Taheri M, Irandoust K, Khacharem A, Bragazzi NL, Adrian Washif J, Glenn JM, Bott NT, Gargouri F, Chaari L, Batatia H, Khoshnami SC, Samara E, Zisi V, Sankar P, Ahmed WN, Ali GM, Abdelkarim O, Jarraya M, El Abed K, Romdhani M, Souissi N, Van Gemert-Pijnen L, Bailey SJ, Moalla W, Gómez-Raja J, Epstein M, Sanderman R, Schulz S, Jerg A, Al-Horani R, Mansi T, Jmail M, Barbosa F, Ferreira-Santos F, Šimunič B, Pišot R, Gaggioli A, Zmijewski P, Steinacker JM, Strahler J, Riemann L, Riemann BL, Mueller N, Chamari K, Driss T, Hoekelmann A. Psychological consequences of COVID-19 home confinement: The ECLB-COVID19 multicenter study. PLoS One 2020. [PMID: 33152030 DOI: 10.1371/%20journal.pone.0240204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/17/2023] Open
Abstract
BACKGROUND Public health recommendations and government measures during the COVID-19 pandemic have enforced restrictions on daily-living. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on mental health and emotional wellbeing is undefined. Therefore, an international online survey (ECLB-COVID19) was launched on April 6, 2020 in seven languages to elucidate the impact of COVID-19 restrictions on mental health and emotional wellbeing. METHODS The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online-survey-platform and was promoted by thirty-five research organizations from Europe, North-Africa, Western-Asia and the Americas. All participants were asked for their mental wellbeing (SWEMWS) and depressive symptoms (SMFQ) with regard to "during" and "before" home confinement. RESULTS Analysis was conducted on the first 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%). The COVID-19 home confinement had a negative effect on both mental-wellbeing and on mood and feelings. Specifically, a significant decrease (p < .001 and Δ% = 9.4%) in total score of the SWEMWS questionnaire was noted. More individuals (+12.89%) reported a low mental wellbeing "during" compared to "before" home confinement. Furthermore, results from the mood and feelings questionnaire showed a significant increase by 44.9% (p < .001) in SMFQ total score with more people (+10%) showing depressive symptoms "during" compared to "before" home confinement. CONCLUSION The ECLB-COVID19 survey revealed an increased psychosocial strain triggered by the home confinement. To mitigate this high risk of mental disorders and to foster an Active and Healthy Confinement Lifestyle (AHCL), a crisis-oriented interdisciplinary intervention is urgently needed.
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Affiliation(s)
- Achraf Ammar
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Patrick Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Khaled Trabelsi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax, Tunisia
| | - Hamdi Chtourou
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Omar Boukhris
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Liwa Masmoudi
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Bassem Bouaziz
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Michael Brach
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Marlen Schmicker
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
| | - Ellen Bentlage
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Daniella How
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Mona Ahmed
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Asma Aloui
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
- High Institute of Sport and Physical Education, University of Gafsa, Gafsa, Tunisia
| | - Omar Hammouda
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
- Research Laboratory, Molecular Bases of Human Pathology, LR12ES17, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | | | | | - Christian Wrede
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
| | - Sophia Bastoni
- Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands
- Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy
| | | | | | - Morteza Taheri
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Khadijeh Irandoust
- Faculty of Social Science, Imam Khomeini International University, Qazvin, Iran
| | - Aïmen Khacharem
- UVHC, DeVisu, Valenciennes; LIRTES-EA 7313. Université Paris Est Créteil Val de Marne, Créteil, France
| | - Nicola L Bragazzi
- Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy
- Department of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Toronto, ON, Canada
| | - Jad Adrian Washif
- Sports Performance Division, National Sports Institute of Malaysia, Kuala Lumpur, Malaysia
| | - Jordan M Glenn
- Exercise Science Research Center, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, United States of America
| | - Nicholas T Bott
- Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States of America
| | - Faiez Gargouri
- Higher Institute of Computer Science and Multimedia of Sfax, University of Sfax, Sfax, Tunisia
| | - Lotfi Chaari
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | - Hadj Batatia
- Computer Science Department, University of Toulouse, IRIT-INP-ENSEEIHT, Toulouse, France
| | | | | | - Vasiliki Zisi
- Department of Physical Education and Sports Sciences, University of Thessaly, Volos, Greece
| | - Parasanth Sankar
- Consultant in Internal Medicine and Diabetes, MGM Muthoot Hospitals Pathanamthitta, Pathanamthitta, Kerala, India
| | - Waseem N Ahmed
- Consultant Family Physician, CRAFT Hospital and Research Centre, Kodungallur, Kerala, India
| | | | - Osama Abdelkarim
- Faculty of Physical Education, Assiut University, Assiut, Egypt
- Institute for Sports and Sports Science, Karlsruher Institut für Technologie, Karlsruher, Germany
| | - Mohamed Jarraya
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Kais El Abed
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Mohamed Romdhani
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | - Nizar Souissi
- Physical Activity, Sport, and Health, UR18JS01, National Observatory of Sport, Tunis, Tunisia
| | | | - Stephen J Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
| | - Wassim Moalla
- High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Jonathan Gómez-Raja
- FundeSalud, Dept. of Health and Social Services, Government of Extremadura, Merida, Spain
| | | | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Sebastian Schulz
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Achim Jerg
- Sports- and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Ramzi Al-Horani
- Department of Exercise Science, Yarmouk University, Irbid, Jordan
| | - Taysir Mansi
- Faculty of Physical Education, The University of Jordan, Amman, Jordan
| | | | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Fernando Ferreira-Santos
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Andrea Gaggioli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- I.R.C.C.S. Istituto Auxologico Italiano, Milan, Italy
| | - Piotr Zmijewski
- Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
| | | | - Jana Strahler
- Department of Psychology and Sport Science, University of Gießen, Gießen, Germany
| | - Laurel Riemann
- PharmD, BCBS; PharmIAD, Inc, Savannah, GA, United States of America
| | - Bryan L Riemann
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, United States of America
| | - Notger Mueller
- Research Group Neuroprotection, German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
- Medical Faculty, Department of Neurology, Otto-von-Guericke University, Magdeburg, Germany
| | - Karim Chamari
- ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Laboratory ''Sport Performance Optimization'', ISSEP Ksar-Said, Manouba University, Manouba, Tunisia
| | - Tarak Driss
- Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning, UFR STAPS, UPL, Paris Nanterre University, Nanterre, France
| | - Anita Hoekelmann
- Institute of Sport Science, Otto-von-Guericke University, Magdeburg, Germany
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Abstract
Abstract The present study investigated the effect of a 3% rapid weight loss (RWL) procedure on neuromuscular performance in elite, Olympic-style boxers. Nine boxers were randomly assigned to two experimental procedures (RWL and control, in a randomized counter-balance order) to perform 5-s maximum isometric voluntary contractions (MVC) of the dominant leg knee extensors prior to (MVC1), and following (MVC2), a sustained, isometric contraction at 70% MVC until exhaustion. The voluntary activation (VA) was determined using percutaneous muscle stimulation and interpolated twitch technique. High (at 80 Hz) and low (at 20 Hz) frequency tetanic impulses were also delivered before and after the sustained 70% MVC to assess peripheral fatigue. Hydration status, hemodynamic parameters, and lactate concentration were assessed throughout the study. Body-mass was reduced by ∼3% (during RWL) compared to control (p = .001). As a result of the RWL protocol, MVC1 force output was 12% lower and VA deficits of 7% were observed after the fatigue protocol compared to control (p = .001). Following RWL, time to exhaustion for the sustained 70% MVC was 69 ± 20 s compared to 86 ± 34 s for control (p = .020). Peak lactate production was 53% lower in RWL compared to control (p = .001). In conclusion, the 3% RWL procedure translated into significant decline in neuromuscular performance for both brief and sustained contractions in competitive boxers.
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Affiliation(s)
- Damir Zubac
- Faculty of Kinesiology, University of Split, Split, Croatia.,Science and Research Center Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Boštjan Šimunič
- Science and Research Center Koper, Institute for Kinesiology Research, Koper, Slovenia
| | - Alex Buoite Stella
- Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy
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Šimunič B. Two-dimensional spatial error distribution of key tensiomyographic parameters. J Biomech 2019; 92:92-97. [PMID: 31160126 DOI: 10.1016/j.jbiomech.2019.05.035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 05/22/2019] [Accepted: 05/22/2019] [Indexed: 10/26/2022]
Abstract
Tensiomyography detects the contraction time (Tc) and amplitude (Dm) of muscle belly thickening during maximal isometric twitch contraction. The assessment of both parameters is highly reliable; however, it seems that their calculation depends on the measurement point. The aim of the study was to determine spatial relative error distribution of Tc and/or Dm within a two-dimensional array of 27 (3 × 9) measurement points in comparison to the reference point (RP) in 12 male participants (22.5 ± 3.1 years). The RPs were determined as follows: in the biceps brachii (BB) at 50% of the humerus length; in the erector spinae (ES) at the height of the iliac crest; in the vastus lateralis (VL), vastus medalis (VM), and rectus femoris (RF) at 30%, 20%, and 50% of femur length above the patella, respectively. The surface area under the 3% relative error in Dm (BB: 4.0; VL: 3.8; VM; 8.2; RF: 6.2; ES: 2.4 cm2) was lower than in Tc (BB: 6.9; VL: 3.8; VM; 4.6; RF: 9.5; ES: 3.7 cm2), yielding merged values (BB: 3.9; VL: 3.7; VM; 4.8; RF: 5.1; ES: 2.4 cm2). Dm show twice as steep relative error rate when moving away from the RP in comparison to Tc, which seems to be less sensitive to spatial sensor positioning.
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Buso A, Comelli M, Picco R, Isola M, Magnesa B, Pišot R, Rittweger J, Salvadego D, Šimunič B, Grassi B, Mavelli I. Mitochondrial Adaptations in Elderly and Young Men Skeletal Muscle Following 2 Weeks of Bed Rest and Rehabilitation. Front Physiol 2019; 10:474. [PMID: 31118897 PMCID: PMC6504794 DOI: 10.3389/fphys.2019.00474] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 04/04/2019] [Indexed: 12/21/2022] Open
Abstract
The aim of the study was to evaluate the expression levels of proteins related to mitochondrial biogenesis regulation and bioenergetics in vastus lateralis muscle biopsies from 16 elderly and 7 young people subjected to 14 days of bed-rest, causing atrophy, and subsequent 14 days of exercise training. Based on quantitative immunoblot analyses, in both groups a reduction of two key regulators of mitochondrial biogenesis/remodeling and activity, namely PGC-1α and Sirt3, was revealed during bed-rest, with a subsequent up-regulation after rehabilitation, indicating an involvement of PGC-1α-Sirt3 axis in response to the treatments. A difference was observed comparing the young and elderly subjects as, for both proteins, the abundance in the elderly was more affected by immobility and less responsive to exercise. The expression levels of TOM20 and Citrate Synthase, assayed as markers of outer mitochondrial membrane and mitochondrial mass, showed a noticeable sensitivity in the elderly group, where they were affected by bed-rest and rehabilitation recalling the pattern of PGC-1α. TOM20 and CS remained unchanged in young subjects. Single OXPHOS complexes showed peculiar patterns, which were in some cases dissimilar from PGC-1α, and suggest different influences on protein biogenesis and degradation. Overall, exercise was capable to counteract the effect of immobility, when present, except for complex V, which was markedly downregulated by bed-rest, but remained unaffected after rehabilitation, maybe as result of greater extent of degradation processes over biogenesis. Phosphorylation extent of AMPK, and its upstream activator LKB1, did not change after bed-rest and rehabilitation in either young or elderly subjects, suggesting that the activation of energy-sensing LKB1-AMPK signaling pathway was “missed” due to its transient nature, or was not triggered under our conditions. Our study demonstrates that, as far as the expression of various proteins related to mitochondrial biogenesis/remodeling, adaptations to bed-rest and rehabilitation in the two populations were different. The impact of bed-rest was greater in the elderly subjects, where the pattern (decrease after bed rest and recovery following rehabilitation) was accompanied by changes of mitochondrial mass. Modifications of protein abundance were matched with data obtained from gene expression analyses of four public human datasets focusing on related genes.
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Affiliation(s)
- Alessia Buso
- Department of Medicine, University of Udine, Udine, Italy
| | - Marina Comelli
- Department of Medicine, University of Udine, Udine, Italy
| | | | - Miriam Isola
- Department of Medicine, University of Udine, Udine, Italy
| | | | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Joern Rittweger
- Department of Pediatrics and Adolescent Medicine, University of Cologne, Cologne, Germany.,Institute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany
| | - Desy Salvadego
- Department of Medicine, University of Udine, Udine, Italy
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre, Koper, Slovenia
| | - Bruno Grassi
- Department of Medicine, University of Udine, Udine, Italy.,Institute of Bioimaging and Molecular Physiology, National Research Council, Milan, Italy
| | - Irene Mavelli
- Department of Medicine, University of Udine, Udine, Italy.,INBB Istituto Nazionale Biostrutture e Biosistemi, Rome, Italy
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Šimunič B, Koren K, Rittweger J, Lazzer S, Reggiani C, Rejc E, Pišot R, Narici M, Degens H. Tensiomyography detects early hallmarks of bed-rest-induced atrophy before changes in muscle architecture. J Appl Physiol (1985) 2019; 126:815-822. [PMID: 30676871 DOI: 10.1152/japplphysiol.00880.2018] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
In young and older people, skeletal muscle mass is reduced after as little as 7 days of disuse. The declines in muscle mass after such short periods are of high clinical relevance, particularly in older people who show a higher atrophy rate and a slower or even a complete lack of muscle mass recovery after disuse. Ten men (24.3 yr; SD 2.6) underwent 35 days of 6° head-down tilt bed rest, followed by 30 days of recovery. During bed rest, a neutral energy balance was maintained, with three weekly passive physiotherapy sessions to minimize muscle soreness and joint stiffness. All measurements were performed in a hospital at days 1-10, 16, 28, and 35 of bed rest (BR1-BR10, BR16, BR28, and BR35, respectively) and days 1, 3, and 30 after reambulation (R + 1, R + 3, and R + 30, respectively). Vastus medialis obliquus (VMO), vastus medialis longus (VML), and biceps femoris (BF) thickness (d) and pennation angle (Θ) were assessed by ultrasonography, whereas twitch muscle belly displacement (Dm) and contraction time (Tc) were assessed with tensiomyography (TMG). After bed rest, d and Θ decreased by 13-17% in all muscles ( P < 0.001) and had recovered at R + 30. Dm was increased by 42.3-84.4% ( P < 0.001) at BR35 and preceded the decrease in d by 7, 5, and 3 days in VMO, VML, and BF, respectively. Tc increased only in BF (32.1%; P < 0.001) and was not recovered at R + 30. TMG can detect early bed-rest-induced changes in muscle with higher sensitivity before overt architectural changes, and atrophy can be detected. NEW & NOTEWORTHY Detection of early atrophic processes and irreversible adaptation to disuse are of high clinical relevance. With the use of tensiomyography (TMG), we detected early atrophic processes before overt architectural changes, and atrophy can be detected using imaging technique. Furthermore, TMG detected irreversible changes of biceps femoris contraction time.
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Affiliation(s)
- Boštjan Šimunič
- University of Primorska , Koper , Slovenia.,Science and Research Centre Koper, Institute for Kinesiology Research , Koper , Slovenia
| | - Katja Koren
- Science and Research Centre Koper, Institute for Kinesiology Research , Koper , Slovenia
| | - Jörn Rittweger
- Institute of Aerospace Medicine, German Aerospace Center , Cologne , Germany.,Department of Pediatrics and Adolescent Medicine, University of Cologne , Cologne , Germany
| | - Stefano Lazzer
- Department of Medicine, University of Udine , Udine , Italy.,School of Sport Sciences, University of Udine , Udine , Italy
| | - Carlo Reggiani
- Science and Research Centre Koper, Institute for Kinesiology Research , Koper , Slovenia.,Department of Biomedical Sciences, University of Padova , Padova , Italy
| | - Enrico Rejc
- Kentucky Spinal Cord Injury Research Center, University of Louisville , Louisville, Kentucky
| | - Rado Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research , Koper , Slovenia
| | - Marco Narici
- Science and Research Centre Koper, Institute for Kinesiology Research , Koper , Slovenia.,Department of Biomedical Sciences, University of Padova , Padova , Italy
| | - Hans Degens
- School of Healthcare Science, Manchester Metropolitan University , Manchester , United Kingdom.,Institute of Sport Science and Innovations, Lithuanian Sports University , Kaunas , Lithuania.,University of Medicine and Pharmacy of Targu Mures , Targu Mures , Romania
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Zubac D, Paravlić A, Koren K, Felicita U, Šimunič B. Plyometric exercise improves jumping performance and skeletal muscle contractile properties in seniors. J Musculoskelet Neuronal Interact 2019; 19:38-49. [PMID: 30839302 PMCID: PMC6454255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
OBJECTIVE This study investigated the effects of an 8-week plyometric training (PT) session on countermovement jump (CMJ) height, take-off velocity, and Tensiomyography (TMG) derived contractile parameters in seniors. METHODS Twenty-three senior adults (age 66.7±5.2 years) were randomly divided into two groups: PLYO (n=11) and CTRL (n=12). Tensiomyography was measured in vastus lateralis (VL), biceps femoris (BF), tibialis anterior (TA), gastrocnemius medialis (GM), and lateralis (GL). Additionally, the electromechanical efficiency (EME) index was calculated in GM as a ratio between amplitudes of peak-to-peak M-wave and TMG (Dm) responses. Biochemical markers of muscle damage and inflammation were evaluated to provide indirect indices of exercise protocol safety. RESULTS The main effect of time (for take-off velocity p=.023; ɳ2= .236) and group x time interactions (for CMJ, Tc (BF, GM), Dm (BF) and EME p<.05; ɳ2= .136 - .236) were observed. Post hoc analysis showed a significant increase in CMJ height and take-off velocity, namely by 14.2% (p=.001) and 8.2% (p=.01) in PLYO, respectively. Contraction time (Tc) decreased in BF -5.7% (p=.001) and GM -9.6% (p=.001). Dm decreased only in BF -20.8% (p=.001), while the EME index of the GM improved by 22.9% (p=.002). There were no differences between groups or assessment time points for C-reactive protein (p=.122). CONCLUSION The present study clearly supports the application of supervised PT exercise in seniors, since explosive power, muscle contractility, and EME of the lower limbs were markedly improved after training.
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Affiliation(s)
- Damir Zubac
- University of Split, Faculty of Kinesiology, Croatia,Science and Research Center Koper, Institute for Kinesiology Research, Slovenia,Corresponding author: Damir Zubac, PhD, University of Split, Faculty of Kinesiology, Teslina 6, 21000 Split, Croatia; Science and Research Centre Koper, Garibaldijeva 1, 6000 Koper, Slovenia E-mail:
| | - Armin Paravlić
- Science and Research Center Koper, Institute for Kinesiology Research, Slovenia
| | - Katja Koren
- Science and Research Center Koper, Institute for Kinesiology Research, Slovenia
| | - Urzi Felicita
- University of Primorska, Faculty of Mathematics, Natural Sciences and Information Technologies, Slovenia
| | - Boštjan Šimunič
- Science and Research Center Koper, Institute for Kinesiology Research, Slovenia
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Abstract
The purpose of this study was to create a valid and reliable assessment scale for the evaluation of three basic tennis strokes (forehand, backhand, serve) for 6-12-year-old tennis players, named the Tennis Rating Score for Children (TRSC). Altogether 60 players (21: forehand, 22: backhand, 17: serve) were video recorded (30 frames per second) while performing three main tennis strokes and later evaluated using the TRSC by five tennis trainers at Day 1 and Day 7. Agreement between days and raters was examined using the intraclass correlation coefficients (ICC). A Pearson's correlation was calculated to determine convergent validity (score related to participant's level of experience). The reliability between raters was very high for all three main strokes (ICCFOREHAND = 0.874; ICCBACKHAND = 0.877; ICCSERVE = 0.877). The intra-rater test-retests ICCs were also very high (ICCFOREHAND = 0.885; ICCBACKHAND = 0.891; ICCSERVE = 0.887). A large (rFOREHAND = 0.660) and very large (rBACKHAND = 0.730; rSERVE = 0.772) Pearson's correlations were found between all the ratings and the level of experience. The TRSC is shown to be highly reliable and valid when assessing technical skills in novice players, when compared to actual assessment from coaching experts; this tool may be helpful for tennis coaches to make a more objective diagnostic of the technical level of young tennis players.
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Affiliation(s)
- Luka Šlosar
- a Applied Kinesiology, Faculty of Health Sciences , University of Primorska , Koper , Slovenia
| | - Boštjan Šimunič
- b Institute for Kinesiology Research , Science and Research Centre Koper , Koper , Slovenia
| | - Rado Pišot
- b Institute for Kinesiology Research , Science and Research Centre Koper , Koper , Slovenia.,c Faculty of Sport , University of Ljubljana , Ljubljana , Slovenia
| | - Uros Marusic
- b Institute for Kinesiology Research , Science and Research Centre Koper , Koper , Slovenia.,d Department of Health Sciences , Alma Mater Europaea - ECM , Maribor , Slovenia
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Šimunič B, Pišot R, Rittweger J, Degens H. Age-Related Slowing of Contractile Properties Differs Between Power, Endurance, and Nonathletes: A Tensiomyographic Assessment. J Gerontol A Biol Sci Med Sci 2018; 73:1602-1608. [DOI: 10.1093/gerona/gly069] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Indexed: 12/25/2022] Open
Affiliation(s)
- Boštjan Šimunič
- Science and Research Centre Koper, Institute for Kinesiology Research, Slovenia
| | - Rado Pišot
- Science and Research Centre Koper, Institute for Kinesiology Research, Slovenia
| | - Jörn Rittweger
- Institute of Aerospace Medicine, German Aerospace Center, Cologne, Germany
- Department of Pediatrics and Adolescent Medicine, University of Cologne, Germany
| | - Hans Degens
- School of Healthcare Science, Manchester Metropolitan University, UK
- Institute of Sport Science and Innovations, Lithuanian Sports University, Kaunas, Lithuania
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Rejc E, Floreani M, Taboga P, Botter A, Toniolo L, Cancellara L, Narici M, Šimunič B, Pišot R, Biolo G, Passaro A, Rittweger J, Reggiani C, Lazzer S. Loss of maximal explosive power of lower limbs after 2 weeks of disuse and incomplete recovery after retraining in older adults. J Physiol 2018; 596:647-665. [PMID: 29266264 DOI: 10.1113/jp274772] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Accepted: 12/11/2017] [Indexed: 01/01/2023] Open
Abstract
KEY POINTS Disuse in older adults can critically decrease lower limb muscle power, leading to compromised mobility and overall quality of life. We studied how muscle power and its determinants (muscle mass, single muscle fibre properties and motor control) adapted to 2 weeks of disuse and subsequent 2 weeks of physical training in young and older people. Disuse decreased lower limb muscle power in both groups; however, different adaptations in single muscle fibre properties and co-contraction of leg muscles were observed between young and older individuals. Six physical training sessions performed after disuse promoted the recovery of muscle mass and power. However, they were not sufficient to restore muscle power to pre-disuse values in older individuals, suggesting that further countermeasures are required to counteract the disuse-induced loss of muscle power in older adults. ABSTRACT Disuse-induced loss of muscle power can be detrimental in older individuals, seriously impairing functional capacity. In this study, we examined the changes in maximal explosive power (MEP) of lower limbs induced by a 14-day disuse (bed-rest, BR) and a subsequent 14-day retraining, to assess whether the impact of disuse was greater in older than in young men, and to analyse the causes of such adaptations. Sixteen older adults (Old: 55-65 years) and seven Young (18-30 years) individuals participated in this study. In a subgroup of eight Old subjects, countermeasures based on cognitive training and protein supplementation were applied. MEP was measured with an explosive ergometer, muscle mass was determined by magnetic resonance, motor control was studied by EMG, and single muscle fibres were analysed in vastus lateralis biopsy samples. MEP was ∼33% lower in Old than in Young individuals, and remained significantly lower (-19%) when normalized by muscle volume. BR significantly affected MEP in Old (-15%) but not in Young. Retraining tended to increase MEP; however, this intervention was not sufficient to restore pre-BR values in Old. Ankle co-contraction increased after BR in Old only, and remained elevated after retraining (+30%). Significant atrophy occurred in slow fibres in Old, and in fast fibres in Young. After retraining, the recovery of muscle fibre thickness was partial. The proposed countermeasures were not sufficient to affect muscle mass and power. The greater impact of disuse and smaller retraining-induced recovery observed in Old highlight the importance of designing suitable rehabilitation protocols for older individuals.
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Affiliation(s)
- Enrico Rejc
- Department of Medicine, University of Udine, Udine, Italy.,Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA
| | - Mirco Floreani
- Department of Medicine, University of Udine, Udine, Italy.,School of Sport Sciences, University of Udine, Udine, Italy
| | - Paolo Taboga
- Department of Medicine, University of Udine, Udine, Italy.,Department of Kinesiology and Health Science, California State University, Sacramento, CA, USA
| | - Alberto Botter
- Department of Medicine, University of Udine, Udine, Italy.,School of Sport Sciences, University of Udine, Udine, Italy
| | - Luana Toniolo
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Lina Cancellara
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Marco Narici
- Department of Biomedical Sciences, University of Padova, Padova, Italy.,MRC/ARUK Centre for Musculoskeletal Ageing Research, University of Nottingham, Derby Royal Hospital, Derby, UK
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Center of Koper, Koper, Slovenia
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Center of Koper, Koper, Slovenia
| | - Gianni Biolo
- Department of Medical Sciences, Surgical and Health Sciences, Clinica Medica AOUTS, University of Trieste, Italy
| | - Angelina Passaro
- Department of Medical Sciences, Section of Internal and Cardiorespiratory Medicine, University of Ferrara, Ferrara, Italy
| | - Joern Rittweger
- Institute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany
| | - Carlo Reggiani
- Department of Biomedical Sciences, University of Padova, Padova, Italy
| | - Stefano Lazzer
- Department of Medicine, University of Udine, Udine, Italy.,School of Sport Sciences, University of Udine, Udine, Italy
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Urzi F, Šimunič B, Buzan E. Basis for Sarcopenia Screening With the SARC-CalF in Nursing Homes. J Am Med Dir Assoc 2017; 18:991.e5-991.e10. [DOI: 10.1016/j.jamda.2017.07.011] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 07/17/2017] [Indexed: 12/21/2022]
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Abstract
The aim of the study was to examine whether an improvement in jumping performance after 8 weeks of plyometric training (PT) runs in parallel with changes in lower-limb skeletal muscle contractile properties. Using noninvasive tensiomyography (TMG), we assessed contraction time (Tc) and the maximal amplitude of radial displacement (Dm) in 20 subjects (50% men; age 22.4 ± 4.7 years of age), randomly divided in PT group (N = 10; PLYO) and a control group (N = 10; CTRL). The PLYO performed 8 weeks of PT. Tensiomyography was measured in 5 leg skeletal muscles: vastus lateralis (VL), biceps femoris (BF), tibialis anterior (TA), gastrocnemius medialis (GM), and gastrocnemius lateralis (GL). Additionally, we evaluated countermovement jump (CMJ) height improvement on a ground force plate. Assessments were repeated before and after PT. After 8 weeks of PT, CMJ height increased by 12.2% in PLYO (p = 0.015), but not in CRTL. Contraction time, which is related to myosin heavy-chain type 1 (MHC-1) proportion, decreased in VL (-8.7%; p < 0.001), BF (-26.7%; p = 0.032), TA (-32.9%; p = 0.004), and GL (-25.8%; p = 0.044), but not in GM (-8.1%; p = 0.158). The estimated VL MHC-1 proportion decreased by -8.2% (p = 0.041). The maximal amplitude of radial displacement, inversely related to muscle tone, decreased in BF (-26.5%; p = 0.032), GM (-14.9%; p = 0.017), GL (-31.5%; p = 0.017), but not in TA (-16.8%; p = 0.113) and VL (-6.0%; p = 0.654). After PT, jumping performance increased, which was paralleled by decreased Tc and decreased muscle tone. Additionally, adaptations to contractile properties were muscle specific, which is important for future studies. It seems that adjustments were dose dependent, being higher in muscles with lower habitual load.
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Affiliation(s)
- Damir Zubac
- 1Faculty of Kinesiology, University of Split, Split, Croatia; and 2Science and Research Center, Institute for Kinesiology Research, University of Primorska, Koper, Slovenia
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Paravlic AH, Marušič U, Pišot R, Šimunič B. Acute Effects Of Cooling On Muscle Contractile Properties. Med Sci Sports Exerc 2017. [DOI: 10.1249/01.mss.0000518152.36723.a9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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50
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Pisot R, Paravlic A, Marusič U, Šimunič B. Physical Activity Intervention In Older Adults. Med Sci Sports Exerc 2017. [DOI: 10.1249/01.mss.0000517820.25334.99] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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