Summer Cook Associate Professor of Kinesiology (COLA) travels to Australia

I was partially supported by a CIE International development grant to travel to Perth, Australia for one month in 2016. Dr. Timothy Fairchild, a colleague and friend, invited me to visit the Department of Psychology and Exercise Science at Murdoch University in the hopes of establishing a research relationship with the University of New Hampshire Department of Kinesiology. Over the last several years, I have had students earn Summer Undergraduate Research Fellowships (SURF) from the Hamel Center and have always wanted to give students an opportunity to apply for SURF abroad grants or to study abroad while conducting research within our field. The idea of international collaboration and the opportunity to leave the New England winter to work on the coast of Western Australia made the decision to travel very simple

Cardiorespiratory and Metabolic Responses to Low-Intensity Blood-Flow Restricted Running

Low-intensity (LI) aerobic exercise with blood-flow restriction (BFR) increases heart rate (HR), oxygen consumption (VO2), and ratings of perceived exertion (RPE), sometimes to similar levels as high-intensity (HI) exercise. Distance runners may benefit from LI-BFR running in periods of reduced volume or intensity, possibly due to injury. PURPOSE: To compare HR, VO2, blood lactate (BLa), and RPE during LI-BFR running and HI running without BFR. METHODS: Fifteen female distance runners (age 23+4yrs, height 1.67+0.50m, body mass 57.6+5.7kg, VO2max 51.0+4.5mL•kg-1•min-1) completed three randomized 12-minute running conditions: LI control (40% VO2max), HI (80% VO2max), and LI-BFR (40% VO2max). VO2, HR, and RPE were measured at rest, and every 3-minutes. BLa was measured at rest, immediately-post (ImmPost), and 3-minutes post-exercise (3minPost). RESULTS: VO2 remained steady among each condition (p=0.075,ηp2=0.155). The average VO2 differed between the conditions (p\u3c0.001), as HI (39.4+3.9mL•kg-1•min-1) \u3e LI-BFR (25.3+2.6mL•kg-1•min-1) \u3e LI (22.5+3.1mL•kg-1•min-1). HR increased at the onset of exercise and differed between the conditions (p\u3c0.001,ηp2=0.745). The average HR for HI, LI-BFR, and LI were 166+8bpm, 142+13bpm, and 124+11bpm, respectively. BLa was similar in HI and LI-BFR ImmPost and 3minPost (p\u3e0.05), and both were higher than LI (p\u3c0.017). Average RPE in the HI and LI-BFR conditions were similar (p=0.236). CONCLUSION: HI elicits greater VO2 and HR responses than LI-BFR running, suggesting that HI would result in more robust long-term training responses. However, if one cannot engage in HI running because of injury and rehabilitation, LI-BFR running could be a feasible temporary alternative

Core Stability and Athletic Performance in Male and Female Lacrosse Players

International Journal of Exercise Science 12(4): 1138-1148, 2019. This study determined the relationship of core stability with power production, agility, and dynamic stability of collegiate lacrosse players and whether core stability is more evident in these performance variables in either males or females. Twenty male and female collegiate lacrosse players (20.3 ± 1.0 years, 173.2 ± 11.8 cm, 72.6 ± 13.0 kg) performed the pro-agility shuttle, the countermovement jump (CMJ), the Star Excursion Balance Test (SEBT), and prone, right lateral, and left lateral planks on two sessions- familiarization and testing. Independent T-tests were used to compare sexes. SPSS 24.0 was used; significance was accepted at p\u3c 0.05. Pearson correlations were used to compare the relationship of core stability to the performance variables in participants. There was a significant relationship found between the prone plank and pro-agility shuttle in all participants (r = -0.50). No significant relationships were found between core stability and performance variables. A significant difference was found in the pro-agility shuttle (p= 0.001) and the CMJ (p= 0.001) but not in core stability or dynamic stability. Agility, power production, and dynamic stability were not related to core stability in neither male or female lacrosse players. There were no significant differences in core stability and dynamic stability between males and females. A significant difference was found in dynamic stability in the SEBT right leg and left leg composite scores between sexes. From these results, it is suggested that core stability may not directly influence the performance variables in collegiate male and female lacrosse players

Simple guide to starting a research group

Conducting cutting-edge research and scholarship becomes more complicated with each passing year; forming a collaborative research group offers a way to navigate this increasing complexity. Yet many individuals whose work might benefit from the formation of a collaborative team may feel overwhelmed by the prospect of attempting to build and maintain a research group. We propose this simple guide for starting and maintaining such an enterprise

Detection and Monitoring of Repetitions Using an mHealth-Enabled Resistance Band

Sarcopenia is defined as an age-related loss of muscle mass and strength which impairs physical function leading to disability and frailty. Resistance exercises are effective treatments for sarcopenia and are critical in mitigating weight-loss induced sarcopenia in older adults attempting to lose weight. Yet, adherence to home-based regimens, which is a cornerstone to lifestyle therapies, is poor and cannot be ascertained by clinicians as no objective methods exist to determine patient compliance outside of a supervised setting. Our group developed a Bluetooth connected resistance band that tests the ability to detect exercise repetitions. We recruited 6 patients aged 65 years and older and recorded 4 specific, physical therapist-led exercises. Three blinded reviewers examined the findings and we also applied a peak finding algorithm to the data. There were 16.6 repetitions per exercise across reviewers, with an intraclass correlation of 0.912 (95%CI: $0.853-0.953$, $p\u3c0.001$) between reviewers and the algorithm. Using this novel resistance band, we feasibly detected repetition of exercises in older adults. Sarcopenia is defined as an age-related loss of muscle mass and strength which impairs physical function leading to disability and frailty. Resistance exercises are effective treatments for sarcopenia and are critical in mitigating weight-loss induced sarcopenia in older adults attempting to lose weight. Yet, adherence to home-based regimens, which is a cornerstone to lifestyle therapies, is poor and cannot be ascertained by clinicians as no objective methods exist to determine patient compliance outside of a supervised setting. Our group developed a Bluetooth connected resistance band that tests the ability to detect exercise repetitions. We recruited 6 patients aged 65 years and older and recorded 4 specific, physical therapist-led exercises. Three blinded reviewers examined the findings and we also applied a peak finding algorithm to the data. There were 16.6 repetitions per exercise across reviewers, with an intraclass correlation of 0.912 (95%CI: $0.853-0.953$, $p\u3c0.001$) between reviewers and the algorithm. Using this novel resistance band, we feasibly detected repetition of exercises in older adults

Barriers and facilitators in implementing a pilot, pragmatic, telemedicine-delivered healthy lifestyle program for obesity management in a rural, academic obesity clinic

Few evidence-based strategies are specifically tailored for disparity populations such as rural adults. Two-way video-conferencing using telemedicine can potentially surmount geographic barriers that impede participation in high-intensity treatment programs offering frequent visits to clinic facilities. We aimed to understand barriers and facilitators of implementing a telemedicine-delivered tertiary-care, rural academic weight-loss program for the management of obesity

A Weight-Loss Intervention Augmented by a Wearable Device in Rural Older Adults with Obesity: A Feasibility Study

Background Older persons with obesity aged 65+ residing in rural areas have reduced access to weight management programs due to geographic isolation. The ability to integrate technology into health promotion interventions shows a potential to reach this underserved population. Methods A 12-week pilot in 28 older rural adults with obesity (body mass index [BMI] ≥ 30 kg/m2) was conducted at a community aging center. The intervention consisted of individualized, weekly dietitian visits focusing on behavior therapy and caloric restriction with twice weekly physical therapist-led group strengthening training classes in a community-based aging center. All participants were provided a Fitbit Flex 2. An aerobic activity prescription outside the strength training classes was provided. Results Mean age was 72.9 ± 5.3 years (82% female). Baseline BMI was 37.1 kg/m2, and waist circumference was 120.0 ± 33.0 cm. Mean weight loss (pre/post) was 4.6 ± 3.2 kg (4.9 ± 3.4%; p \u3c .001). Of the 40 eligible participants, 33 (75%) enrolled, and the completion rate was high (84.8%). Objective measures of physical function improved at follow-up: 6-minute walk test improved: 35.7 ± 41.2 m (p \u3c .001); gait speed improved: 0.10 ± 0.24 m/s (p = .04); and five-times sit-to-stand improved by 2.1 seconds (p \u3c .001). Subjective measures of late-life function improved (5.2 ± 7.1 points, p = .003), as did Patient-Reported Outcome Measurement Information Systems mental and physical health scores (5.0 ± 5.7 and 4.4 ± 5.0, both p \u3c .001). Participants wore their Fitbit 93.9% of all intervention days, and were overall satisfied with the trial (4.5/5.0, 1–5 low–high) and with Fitbit (4.0/5.0). Conclusions A multicomponent obesity intervention incorporating a wearable device is feasible and acceptable to older adults with obesity, and potentially holds promise in enhancing health