Social environmental impact of COVID-19 and erectile dysfunction: an explorative review

BACKGROUND

To date, no attempt has been made to collate literature on the relationship between the social environmental impact of COVID-19 and erectile dysfunction. The aim of this explorative review was to assess and compare the prevalence of erectile dysfunction (ED) in male healthcare workers and males during the COVID-19 pandemic.

METHODS

A systematic review of major databases from inception to February 2021 was conducted. Prevalence data were extracted, and a random-effects meta-analysis was undertaken.

OUTCOMES

The pooled prevalence of ED amongst healthcare workers working in COVID-19 specific environments, and non-healthcare during the COVID-19 pandemic.

RESULTS

Of 52 initial studies, six were included for the final analysis. The pooled prevalence of ED in healthcare workers working in a COVID-19 environment was 63.6% (95% CI 20.3-92.3%), and in non-healthcare workers during the COVID-19 pandemic was 31.9% (95% CI 19.5-47.6%).

CONCLUSION

The prevalence of ED in healthcare workers working in COVID-19 environments was higher than representative samples and is of concern. Sexual health (and by extension, overall health), should be a priority when considering ways to care for this population. Considering the social environmental impact of COVID-19 on sexual health and in particular on ED, it is important to provide adequate psychological support systems and to promote quality of life with particular attention to sexual health.

A longitudinal analysis of morphological characteristics and body proportionality in young elite sprint paddlers

Introduction: There are certain anthropometric attributes common to most high-level paddlers and among the determinants for optimal performance consecution in senior categories.Objective: The present investigation aimed to determine the evolution of morphological characteristics of elite paddlers during adolescence and to compare them with the values exhibited by Olympic competitors.Methods: In a longitudinal study, thirteen young elite paddlers (seven boys and six girls) completed a battery of anthropometric tests (heights, weight, girths, lengths, and sum of skinfolds) and on-water performance assessments (200 and 500 m) during three consecutive years.Results: Body mass and upper body sizes significantly change over the years (p < .05), especially in boys. Both male and female paddlers presented significant differences and large effect sizes in muscle mass and skin mass values (η²_p > .64) whereas bone mass and fat mass remained stable from the 1st to the 3rd year. Proportionality analysis revealed girths and breadths differences in arm and chest variables as well as large effect sizes in biacromial breadth among all years (η²_p > .62; p < .05), particularly in boys. Similarly, significant improvements in 200-m performance times were observed for both sexes.Conclusions: The findings of the current investigation might suggest a tendency towards a leaner and more robust morphological profile of elite paddlers in the transition from young to senior categories. In addition, the presence of superior relative body dimensions from young categories seems to be paramount in the evolution to later successful paddling.

Association of Trunk Rotational Velocity with Spine Mobility and Curvatures in Para Table Tennis Players

This study investigates the relationship of trunk rotational velocity with mobility and curvature of the spine in wheelchair table tennis players. Eleven para table tennis players and 13 able-bodied athletes performed 5 seated trunk rotations to each side with 1 kg barbell placed on the shoulders. Trunk rotational velocity and respective angular displacement were significantly lower in para table tennis players compared to able-bodied athletes. Both groups showed similar values of thoracic kyphosis. However, para table tennis players exhibited lower lumbar inversion and pelvic retroversion compared to able-bodied athletes. Peak and mean velocity in the acceleration phase of trunk rotation correlated with angular displacement in both para table tennis players (r=0.912, p=0.001; r=0.819, p=0.013) and able-bodied athletes (r=0.790, p=0.026; r=0.673, p=0.032). These velocity values were also associated with lumbar curvature (r=-0.787, p=0.003; r=- 0.713, p=0.009) and pelvic tilt angle (r=0.694, p=0.014; r=0.746, p=0.007) in para table tennis players. Findings indicate that slower velocity of trunk rotations in para table tennis players might be due to their limited range of trunk rotational motion. Decreased posterior concavity could also contribute to these lower values. However, other biomechanical factors may have an impact on the association between these variables and have yet to be documented.

Differences in Anthropometry, Biological Age and Physical Fitness Between Young Elite Kayakers and Canoeists

The aim of this study was to determine the anthropometric and physical characteristics of youth elite paddlers and to identify the differences between kayakers and canoeists. A total of 171 male paddlers (eighty-nine kayakers and eighty-two canoeists), aged 13.69 ± 0.57 years (mean ± SD) volunteered to participate in this study. The participants completed basic anthropometric assessments (body mass, stretch stature, sitting height, body mass index, maturity level, sum of 6 skinfolds and fat mass percentage) as well as a battery of physical fitness tests (overhead medicine ball throw, counter movement jump, sit-and-reach and 20 m multi-stage shuttle run tests). The anthropometric results revealed a significantly larger body size (stretch stature and sitting height) and body mass in the kayakers (p < 0.01) as well as a more mature biological status (p = 0.003). The physical fitness level exhibited by the kayakers was likewise significantly greater than that of the canoeists, both in the counter movement jump and estimated VO2max (p < 0.05), as well as in the overhead medicine ball throw and sit-and-reach test (p < 0.01). These findings confirm the more robust and mature profile of youth kayakers that might be associated with the superior fitness level observed and the specific requirements of this sport discipline.

Sprint kayaking and canoeing performance prediction based on the relationship between maturity status, anthropometry and physical fitness in young elite paddlers

This study aimed to identify the maturity-related differences and its influence on the physical fitness, morphological and performance characteristics of young elite paddlers. In total, 89 kayakers and 82 canoeists, aged 13.69 ± 0.57 years (mean ± s), were allocated in three groups depending on their age relative to the age at peak height velocity (pre-APHV, circum-APHV and post-APHV) and discipline (kayak and canoe). Nine anthropometric variables, a battery of four physical fitness tests (overhead medicine ball throw, countermovement jump, sit-and-reach test and 20 m multistage shuttle run test) and three specific performance tests (1000, 500 and 200 m) were assessed. Both disciplines presented significant maturity-based differences in all anthropometric parameters (except for fat and muscle mass percentage), overhead medicine ball throw and all performance times (pre > circum > post; P < 0.05). Negative and significant correlations (P < 0.01) were detected between performance times, chronological age and anthropometry (body mass, height, sitting height and maturity status), overhead medicine ball throw and sit and reach for all distances. These findings confirm the importance of maturity status in sprint kayaking and canoeing since the more mature paddlers were also those who revealed largest body size, physical fitness level and best paddling performance. Additionally, the most important variables predicting performance times in kayaking and canoeing were maturity status and chronological age, respectively.

Load release balance test under unstable conditions effectively discriminates between physically active and sedentary young adults

This study investigates test-retest reliability and diagnostic accuracy of the load release balance test under four varied conditions. Young, early and late middle-aged physically active and sedentary subjects performed the test over 2 testing sessions spaced 1week apart while standing on either (1) a stable or (2) an unstable surface with (3) eyes open (EO) and (4) eyes closed (EC), respectively. Results identified that test-retest reliability of parameters of the load release balance test was good to excellent, with high values of ICC (0.78-0.92) and low SEM (7.1%-10.7%). The peak and the time to peak posterior center of pressure (CoP) displacement were significantly lower in physically active as compared to sedentary young adults (21.6% and 21.0%) and early middle-aged adults (22.0% and 20.9%) while standing on a foam surface with EO, and in late middle-aged adults on both unstable (25.6% and 24.5%) and stable support surfaces with EO (20.4% and 20.0%). The area under the ROC curve >0.80 for these variables indicates good discriminatory accuracy. Thus, these variables of the load release balance test measured under unstable conditions have the ability to differentiate between groups of physically active and sedentary adults as early as from 19years of age.

Road Cycling and Mountain Biking Produces Adaptations on the Spine and Hamstring Extensibility

The purposes of this study were as follows: 1) to analyse the influence of training in road cycling or cross-country mountain biking on sagittal spinal curvatures, pelvic tilt and trunk inclination in cyclists of both cycling modalities; 2) to evaluate the specific spinal posture and pelvic tilt adopted on the road bicycle and cross-country mountain bike; and 3) to compare the spinal sagittal capacity of flexion and pelvic tilt mobility as well as hamstring muscle extensibility among road cyclists, cross-country mountain bikers and non-cyclists. Thirty matched road cyclists, 30 mountain bikers and 30 non-cyclists participated in this study. The road cyclists showed significantly greater thoracic kyphosis and trunk inclination than did the mountain bikers and non-cyclists in a standing posture. On the bicycle, the road bicycling posture was characterised by greater lumbar flexion and more significant anterior pelvic tilt and trunk inclination compared with the mountain biking posture. The thoracic spine was more flexed in mountain biking than in road cycling. Road cyclists had significantly greater hamstring muscle extensibility in the active knee extension test, and showed greater anterior pelvic tilt and trunk inclination capacity in the sit-and-reach test, compared with mountain bikers and non-cyclists.

[CRITERION-RELATED VALIDITY OF SIT-AND-REACH TEST AS A MEASURE OF HAMSTRING EXTENSIBILITY IN OLDER WOMEN]

INTRODUCTION

lumbo-sacral posture and the sit-andreach score have been proposed as measures of hamstring extensibility. However, the validity is influenced by sample characteristics.

OBJECTIVE

to determine the validity of lumbo-horizontal angle and score in the sit-and-reach test as measures of hamstring extensibility in older women.

METHOD

a hundred and twenty older women performed the straight leg raise test with both leg, and the sit-and-reach test (SR) in a random order. For the sitand- reach test, the score and the lumbo-sacral posture in bending (lumbo-horizontal angle, L-Hfx) were measured.

RESULTS AND DISCUSSION

the mean values of straight leg raise in left and right leg were 81.70 ± 13.83º and 82.10 ± 14.36º, respectively. The mean value of EPR of both legs was 81.90 ± 12.70º. The mean values of SR score and L-Hfx were -1.54 ± 8.09 cm and 91.08º ± 9.32º, respectively. The correlation values between the mean straight leg raise test with respect to lumbo-sacral posture and SR score were moderate (L-Hfx: r = -0.72, p < 0.01; SR: r = 0.70, p < 0.01). Both variables independently explained about 50% of the variance (L-Hfx: R2 = 0.52, p < 0,001; SR: R2 = 0.49, p < 0,001).

CONCLUSIONS

the validity of lumbo-sacral posture in bending as measure of hamstring muscle extensibility on older women is moderate, with similar values than SR score.

[Body image; literature review]

INTRODUCTION

Nowadays, in developed countries there are standards of beauty based on pro-thin models, which are internalized by adolescents and young people especially in the case of women, assuming it as risk factor for developing changes in body image and perception.

OBJECTIVE

To analyze the current state of research in relation to body image, the sociodemographic variables that influence it, the relationship between body composition, conducting diets, eating disorders, sports and intervention programs and prevention, and the body image.

METHODS

It was searched in Medline, Isi Web of knowledge and Dialnet as well as a manual search among the references of selected studies and in different libraries.

RESULTS AND DISCUSSION

A increased socio-cultural influence is associated with a greater perception of body fat, greater body image dissatisfaction and lower self assessment of overall fitness. This leads to a lot of teenagers and young adults to abuse to the restrictive diets and to suffer eating disorders. Numerous studies have analyzed the relationship between sports practice with body image disturbance; there are conflictive results. Moreover it is necessary to design objective tools to detect changes and enhance the design of prevention and intervention programs in order to avoid distortion of body image, especially in those age ranges where the population is more vulnerable to this phenomenon.

CONCLUSIONS

The excessive current preoccupation about body image has resulted in the realization of diets and changes as eating disorders. There are other factors that influence body image and perception as the realization of physical exercise, although the results about the relationship between these factors are contradictory. Therefore, further work is needed on the issue by creating tools to detect changes and enhance the design of prevention and intervention programs.

[Habit based consumptions in the mediterranean diet and the relationship with anthropometric parameters in young female kayakers]

INTRODUCTION

Dietary habits and body composition are possibly two of the most modifiable aspects that influence athletic performance in competition and training, especially in individual sports.

OBJECTIVE

To determine Mediterranean diet adherence in a group of elite women paddlers and the relationship between these variables with anthropometric parameters and somatotype of the athlete.

METHODS

A 90 women cadets who belonged to the national elite canoeing underwent a complete anthropometry according to ISAK instructions; and they selfcompleted KIDMED test to know their adherence to the Mediterranean diet. After that, anthropometric characteristics were compared based on their adherence to the Mediterranean diet.

RESULTS AND DISCUSSION

One kayaker had a low adherence to the Mediterranean diet, 38 a medium adherence and 51 an excellent adherence. However, one in every three not eats nuts and one in every five makes sweets more than once a day or industrial pastries for breakfast. When it was dividing paddlers based on their Mediterranean diet adherence it was found that the two groups (low and medium adherence and excellent adherence) did not show differences in most of the anthropometric variables, composition body percentages, somatotype and body mass index.

CONCLUSIONS

The paddlers show a medium or excellent Mediterranean diet adherence. There was not clear relationship between anthropometric parameters and the degree of Mediterranean diet adherence in these athletes. It is necessary to continue researching the interaction between these fields in order to indentify possible relationships with health and sport performance in elite kayakers.

A comparison of the thoracic spine in the sagittal plane between elite cyclists and non-athlete subjects

AIM

to evaluate and compare the angular disposition of the thoracic spine (at different postures) in elite cyclists and a group of individuals who do not exercise in a systematic manner.

METHODS

Sixty elite cyclists and sixty-eight sedentary individuals (control group), mean age: 21.91 (2.86) years participated in this study. Thoracic spine was measure with a Spinal Mouse® while relaxed standing, lying prone and sitting on the bicycle in three handlebar positions (upper, middle and lower handlebar).

RESULTS

The mean (SEM) thoracic kyphosis while standing was 48.17 (8.05°) and 42.68 (8.02°) in cyclists and control group, respectively (p< 0.001). The thoracic curve adopted in lying prone was 34.69 (8.28°) in cyclists and 30.96 (7.24°) in control group (p< 0.05). On the bicycle, cyclists showed lower thoracic kyphosis with respect to control group (p> 0.05). The thoracic spine was adopted more neutral in the posture sitting on bicycle than in relaxed standing, in both groups analyzed.

CONCLUSION

The posture adopted in cycling is not the only result of the higher thoracic curvature in cyclists when standing. It is necessary to include spinal postural awareness in the training plan and thoracic muscle resistance exercises that favour more aligned postures while standing.