Lessons From COVID-19: Physical Exercise Can Improve and Optimize Health Status

The outbreak of Coronavirus Disease 2019 (COVID-19) has caused increasing challenges for healthcare systems globally. The disease spread rapidly from Wuhan to the rest of the world, involving more than 400 million individuals and including more than 5 million deaths. In dealing with the pandemic, China and other countries took protective measures such as promoting social distancing, canceling public gatherings, closing schools, quarantining, and imposing lockdowns. All these measures lead to physical inactivity. Being physically inactive has significant repercussions on the status of physical and mental wellbeing, and it is associated with anxiety, stress, increased chronic disease risk, and worsening of chronic conditions. In this sense, the relevance of maintaining a healthy lifestyle through physical exercise has been outlined by the World Health Organization (WHO). The aim of this mini review is to discuss the importance of physical activity in the context of the COVID-19 pandemic, highlighting the benefits of physical activity and exercise that could be potentially effective treatment strategies for comorbid chronic conditions, long covid syndrome (LCS), and symptoms such as depression and anxiety

Analysis of anaerobic power in club level young rowers

Aim: To date, assessment of the anaerobic components to determine performance in rowers is not part of standard evaluation or monitoring set for training. The aim of this study was to evaluate the relation between anaerobic power output and ergometer rowing performance over 2000 meters, in a group of 14 -17 years old rowers (n = 11). Methods: Each subject performed, in three separate days, two “all-out” tests, over 20 and 60 seconds, and a 2000 meters trial, using a Concept II rowing ergometer. Mean power values over 20 sec (W20) and 60 sec (W60) were measured and compared with the time to perform the 2000 m trial (t2000). Results: Statistical analysis showed high and significant correlation between 2000 meters performance (6.90 ± 0.1 min) and anaerobic power over 20 sec (479.5 ± 93.90 watts; r = 0.941, P = 0.00002) and 60 sec (435.5 ± 64.60 watts; r = 0.964, P = 0.000002). Conclusions: The data of our study confirm that parameters of anaerobic power strongly affect the performance and that the determination of these variables by testing on rowing ergometer can be an useful tool for planning and monitoring of training in young rowers

Effetti cardiorespiratori degli sprint ripetuti in giovani calciatori

Scopo: Nel calcio la performance dipende da attività caratterizzate da sforzi di breve durata, talora ad alta intensità, con ridotti tempi di recupero. Questo tipo di sforzo può avere maggiore potenzialità aritmogena rispetto a sforzi, anche massimali, iniziati e terminati in modo graduale. Gli sprint ripetuti permettono di valutare la performance e lo stato di allenamento in giovani calciatori. Scopo del nostro lavoro è stato quello di valutare gli effetti degli sprint ripetuti sul sistema cardiorespiratorio in giovani calciatori delle rappresentative regionali siciliane della FIGC. Metodi: Sono stati esaminati 12 calciatori, di età media di 15±1 anni. Per valutare lo stato di fitness cardiorespiratoria sono stati determinati, al test da sforzo incrementale massimale al treadmill (SI), il VO2max in ml.Kg-1.min-1 (VO2maxSI) e la FCmax in bpm (FCmaxSI). Per valutare gli effetti cardiorespiratori degli sprint ripetuti, gli atleti hanno eseguito un test da sforzo al cicloergometro a freno meccanico (SR) che prevedeva 10 sprint massimali “all-out” di 6 sec, intervallati da 30 sec di recupero passivo. Nella serie dei 10 sprint, sono stati determinati il valore più elevato di VO2 in ml.Kg-1.min-1 (VO2maxSR) e di FC in bpm (FCmaxSR). Risultati: Il valore medio di VO2maxSI (56,22±3,93 ml.Kg-1.min-1) indica che i soggetti esaminati hanno un buon livello di potenza aerobica, raggiunta ad una FCmaxSI di 190±8 bpm. I dati di VO2maxSR rilevati al test degli sprint ripetuti evidenziano un valore medio di 42,67±5,57 ml.Kg-1.min-1 (70% del VO2maxSI), raggiunto ad una FCmaxSR di 175±11 bpm (92% della FCmaxSI). Conclusioni: I dati del nostro studio indicano che nei soggetti esaminati gli sprint ripetuti determinano incrementi della frequenza cardiaca rapidi, elevati e persistenti nella fase di recupero. Questo dato deve essere preso in considerazione non solo per la valutazione della performance ma anche nella formulazione dell’idoneità a praticare la disciplina sportiva del calcio

Race profiles of rowers during the 2014 Youth Olympic Games

Aim: Strategy plays a relevant role. The purpose of this study was to analyze the race profiles of youth athletes competing at the 2014 Youth Olympic Games over a distance of 1000-m. Methods: According to the competition outcome of sculling and sweep events, 48 male and 48 female youth (17\u201318 years) rowers were divided in medallist (W), not medallist (NW), qualified (Q) and not qualified (NQ) athletes. Time at 0\u2013500 m (T1) and 500\u20131000 m (T2) was considered. The average speed for T1 and T2 were normalized in relation to the average speed of the whole race. ANOVA for repeated measures was applied to performance 1xJ and 2-J during qualifying: 2 (sex: females vs. males) 9 2 (outcome: qualified vs. notqualified), repechages and semi-finals: 2 (sex: females vs. males) x 2 (outcome: FB vs. NFB) 9 2 (boat: 1xJ vs. 2-J) and final: 2 (sex: females vs. males) 9 2 (outcome: M vs NM) 9 2 (boat: 1xJ vs. 2-J). Results: Qualifying 1xJ show a difference (F(1, 44) = 57.76, p.001; ES = 0.75) and emerged only between competition sectors, with higher values for T1 (101.9 \ub1 1.7 %) respect to T2 (98.1 \ub1 1.7 %). Similarly, for repechages and semifinals phase 1xJ and 2-J, a difference (F(1,40) = 31.8, p.001; ES = 0.57) was found between competition sectors, with highest values for T1 (101.6 \ub1 2.3 %) and lowest for T2 (98.4 \ub1 2.3 %). For the final phase of the 1xJ and 2-J competitions, no main effect was found. In repechages and semifinals, rowers adopting a positive strategy (88 %), while during the final phase medallist (67 %) adopting a negative strategy. Conclusions: in this study emerges that athletes who adopted a negative strategy had more chance of winning respect to athletes who adopted a positive strategy. Reference Garland SW (2005) An analysis of the pacing strategy adopted by elite competitors in 2000 m rowing. Br J Sports Med 39:39\u201342

Relationship Between Heart Rate Recovery After Exercise and Maximal Oxygen Uptake in Sedentary Patients with Type 2 Diabetes

AIMS: Heart rate recovery after exercise (HRR) is an estimate of autonomic modulation of the heart, and has been shown to be inversely associated with type 2 diabetes. Type 2 diabetes is associated with decreased maximal oxygen consumption (VO2max). Aim of our study was to assess the relationship between HRR and VO2max in sedentary patients with type 2 diabetes. METHODS: Maximal exercise testing to determine VO2max (ml ∙ Kg-1 ∙ min-1) was performed in 16 sedentary patients with type 2 diabetes (DP) and in 16 age-matched sedentary healthy controls (HS). HRR (bpm) 2 min after cessation of the exercise was recorded. Simple linear regression was used to assess the relations between HRR and VO2max. RESULTS: VO2max and HRR were significantly lower in DP compared to HS (P = 0.002 and P = 0.008 respectively). A correlation between HRR and VO2max has been found, stronger in DP (r = 0.672, P = 0.004) than HS (r = 0.620, P = 0.01). CONCLUSIONS: Our study suggests that regular physical activity aimed to improve the levels of VO2max in subjects with diabetes may improve the HRR and reduce the risk of cardiovascular events

Relationship between heart rate variability and repeated sprint exercise in young soccer players

Aim: The sport of soccer is characterized by neuromuscular performance resulting in short bursts interspersed by brief recovery periods over an extended period of time. Several studies suggest that the cardiac autonomic nervous system (ANS) assessed by heart rate variability (HRV) may provide useful information regarding the functional adaptations to training stimulus. Although HRV has often been associated with aerobic power and cardiovascular fitness, the influence of sympathovagal balance on neuromuscular performance in young athletes is not well assessed. The aim of this study was to assess the influence of the autonomic system on the performance of repeated sprints, involving predominantly muscular power and anaerobic metabolism, in young soccer players. Method: Twelve young soccer players, selected for the Sicilian Regional Representative of the Italian Football Federation, mean age 15 years, were recruited. Resting HRV was measured and indices of power spectral analysis (ratio LF/HF) were calculated to evaluate the sympathovagal balance. To assess the state of physical fitness of subjects, VO2max was determined by maximal graded treadmill test. Finally, the athletes performed 10 maximal all-out 6-sec cycling sprints (RS), interspersed with 30-sec of passive recovery, to measure the peak power (PP) represented by the highest value recorded during a single sprint, and the average of the values of maximum power (AP) recorded during all sprints. Results: On the basis of their VO2max (56.22 ± 3.93 ml/Kg/min), all subjects showed good levels of physical fitness. HRV index (LF/HF = 1.31 ± 0.74) showed an inverse correlation with PP (14.05 ± 0.89 W/Kg; r = -0.709, P = 0.01), and with AP (12.82 ± 0.88 W/Kg; r = -0.606, P = 0.04). Conclusion: Our study shows that a low ratio LF/HF, which reflects a parasympathetic predominance in the ANS balance, is associated with a better anaerobic contribution to performance resulting in higher values of PP and AP during brief repeated maximal cycling sprints. The assessment of resting HRV before exercise may be useful for performance monitoring of young soccer players

[OP.2D.05] RELATIONSHIP OF OXIDATIVE STRESS WITH CARDIAC HYPERTROPHY IN HYPERTENSIVE PATIENTS

OBJECTIVE: Left ventricular hypertrophy is common in hypertensive patients. In these subjects increased oxidative stress has been observed. Our aim was to evaluate the association of biomarkers of both oxidative stress and inflammation with markers of cardiovascular damage in a large group of hypertensives with different stages of renal function. DESIGN AND METHOD: In 517 hypertensives we analyzed left ventricular mass indexed for body surface area, and we assayed plasma levels of 8-isoprostaglandin F2alpha and high sensitivity C reactive protein. RESULTS: Multivariate analysis carried out considering left ventricular mass as dependent variable, and including 8-isoprostaglandin F2alpha, high sensitivity C reactive protein, age, sex, body mass index, estimated glomerular filtration rate, serum glucose, (log)triglycerides, hemoglobin, pulse pressure or systolic blood pressure, mean or diastolic blood pressure, and antihypertensive treatment showed that in hypertensives plasma levels of 8-isoprostaglandin F2alpha were correlated with left ventricular mass (beta=0.269, p\u200a<\u200a0.0001).The bivariate relationship of left ventricular mass with 8-isoprostaglandin F2alpha in hypertensives with estimated glomerular filtration rate higher and lower than 60\u200aml/min/1.73m2 was also calculated separately, demonstrating no significant differences in both correlations coefficients and slopes of the regression lines (r\u200a=\u200a0.254, p\u200a<\u200a0.001 and r\u200a=\u200a0.226, p\u200a<\u200a0.002; respectively).In the overall group, receiver operating characteristic curves showed that 8-isoprostaglandin F2alpha and high sensitivity C reactive protein were predictors of left ventricular hypertrophy, p\u200a<\u200a0.0001. CONCLUSIONS: To the best of our knowledge, this is the first demonstration that in hypertensives oxidative stress is correlated to left ventricular hypertrophy independently of other confounding factors. Oxidative stress might participate in the development of hypertensive cardiac hypertrophy

Frequency of left ventricular hypertrophy in non-valvular atrial fibrillation

Left ventricular hypertrophy (LVH) is significantly related to adverse clinical outcomes in patients at high risk of cardiovascular events. In patients with atrial fibrillation (AF), data on LVH, that is, prevalence and determinants, are inconsistent mainly because of different definitions and heterogeneity of study populations. We determined echocardiographic-based LVH prevalence and clinical factors independently associated with its development in a prospective cohort of patients with non-valvular (NV) AF. From the "Atrial Fibrillation Registry for Ankle-brachial Index Prevalence Assessment: Collaborative Italian Study" (ARAPACIS) population, 1,184 patients with NVAF (mean age 72 \ub1 11 years; 56% men) with complete data to define LVH were selected. ARAPACIS is a multicenter, observational, prospective, longitudinal on-going study designed to estimate prevalence of peripheral artery disease in patients with NVAF. We found a high prevalence of LVH (52%) in patients with NVAF. Compared to those without LVH, patients with AF with LVH were older and had a higher prevalence of hypertension, diabetes, and previous myocardial infarction (MI). A higher prevalence of ankle-brachial index 640.90 was seen in patients with LVH (22 vs 17%, p = 0.0392). Patients with LVH were at significantly higher thromboembolic risk, with CHA2DS2-VASc 652 seen in 93% of LVH and in 73% of patients without LVH (p &lt;0.05). Women with LVH had a higher prevalence of concentric hypertrophy than men (46% vs 29%, p = 0.0003). Logistic regression analysis demonstrated that female gender (odds ratio [OR] 2.80, p &lt;0.0001), age (OR 1.03 per year, p &lt;0.001), hypertension (OR 2.30, p &lt;0.001), diabetes (OR 1.62, p = 0.004), and previous MI (OR 1.96, p = 0.001) were independently associated with LVH. In conclusion, patients with NVAF have a high prevalence of LVH, which is related to female gender, older age, hypertension, and previous MI. These patients are at high thromboembolic risk and deserve a holistic approach to cardiovascular prevention