Decreased abdominal fat and improved bone metabolism after taekwondo training in obese adolescents

Accumulation of abdominal fat during adolescence is associated with early metabolic dysfunctions and interrupting bone metabolism. This study aimed at investigating the effects of taekwondo training on abdominal fat and bone metabolism in obese adolescents. Twenty male obese adolescents, with a body mass index above 95th percentile (BMI: 29.4±1.90 kg/m2), aged 12-15 years, were assigned to the taekwondo training group (TKD, n=11) and control group (CON, n=9). Supervised taekwondo training was performed for 60 minutes/day, three times/week at 60-80% of participants’ heart rate reserve for 16 weeks. Body composition and bone mineral density (BMD) were estimated by dual X-ray absorptiometry. A computerized tomography scan was applied to estimate total abdominal fat (TAF), abdominal visceral fat (AVF), abdominal subcutaneous fat (ASF), and AVF to ASF ratio (VSR). Blood samples were analyzed for adipocytokines (leptin and adiponectin) and bone turnover markers (osteocalcin- OC and C-terminal telopeptide-CTx). There were significant interaction effects between abdominal fat variables and training where TAF (p<.01) and AVF (p<.05) decreased in TKD group. Bone metabolism including bone formation (OC, p<.05) and resorption markers (CTx, p<.05) were significantly increased only in the TKD group. The present study suggests that taekwondo training can be an effective afterschool activity program for providing health benefits including improving abdominal fat and bone metabolism in obese adolescents

Identification of the optimal hiit protocol for fatigue resistance in adolescent athletes: a randomized controlled trial

The combat sports athletes developed great gains in both muscular function and fatigue resistance by utilizing high-intensity interval training (HIIT). However, it has not been investigated fully whether different work-to-rest ratios of HIIT show the effectiveness on muscle function in adolescent athletes. The purpose of the study was to compare different work-to-rest ratios by applying different rest times in response to the identical work time during HIIT on muscle function in adolescent taekwondo athletes. Forty-seven adolescent male taekwondo athletes (mean age: 16.7±0.8 years) were randomly assigned to the control group (n=11) vs. three HIIT groups by work-to-rest ratios; (1) 1:2 [30s:60s] (n=12), (2) 1:4 [30s:120s] (n=12), and (3) 1:8 [30s:240s] (n=12). All groups completed 10 experimental sessions over four weeks, while the control group maintained their regular taekwondo training. Muscular functions were measured by assessing isokinetic muscle strength and endurance of the knee extensor and flexor. The participants performed three sets of twenty maximal extension and flexion contractions at 120°s-1 with a 1-min interval between the sets for fatigue resistance. Blood samples were collected to measure free-testosterone, cortisol, creatine kinase, and urea as stress-to-recovery indicators. A positive effect on improving muscle fatigue resistance was observed at the first set of assessments in the HIIT with 1:4 (Δ10.2%, p<.05) and 1:8 groups (Δ8.6%, p<.05). Additionally, the 1:4 group exhibited fatigue resistance improvement in the second set (Δ7.7%, p<.01) without any changes of stress-to-recovery indicators, while the other groups did not show any improvement. The 30s all-out work with 120s rest time, lasting over a brief 4-week period, improved participants’ fatigue resistance. A certain amount of rest time between high-intense movements is required to optimize muscle development in adolescent athletes compared with insufficient rest time

Acetonitrile­{3-[bis­(2-pyridyl­methyl-κN)amino-κN]propanol-κO}(perchlorato-κO)copper(II) perchlorate

In the title compound, [Cu(ClO4)(C2H3N)(C15H19N3O)]ClO4, the CuII ion is coordinated by three N atoms and a hydroxyl-O atom of the tetra­dentate ligand, an O atom of a perchlorate ion and an N atom of an acetonitrile ligand giving a tetra­gonally distorted octa­hedral environment around the copper(II) atom. There is an offset inter-complex face-to-face π–π inter­action [centroid–centroid distance = 3.718 (2) Å] involving one of the pyridine rings of the ligand as well as an intra-complex O—H⋯O hydrogen-bonding inter­action between the coordinated hydroxyl group of the ligand and the perchlorate counter-ion

Psycho-oncology in Korea: Past, present and future

Background: Psycho-oncology in Korea was introduced among the circle of consultation-liaison psychiatrists, in the 1990s. For almost 25 years, the field has been developing at a steady pace as the psychosocial needs of patients with cancer continue to increase. In this study, we review the history of psycho-oncology in Korea, in a chronological order, within the domains of clinical practice, research activity, training, and public policy. Main body: Before the 1990s, patients with cancer with psychiatric comorbidities were usually taken care of by consultation-liaison psychiatrists in general hospitals. In 1993, psycho-oncology was first introduced by psychiatrists. Psychologists, nurses, and social workers have also been increasingly involved in providing psychosocial care for patients with cancer. Professionals from various disciplines began to communicate, and agreed to found the Korean Psycho-Oncology Study Group (KPOSG) in 2006, the first academic society in this field. In 2009, National Cancer Center published the Recommendations for Distress Management in Patients with Cancer, which are consensus-based guidelines for Korean patients. In 2014, the KPOSG was dissolved and absorbed into a new organization, the Korean Psycho-Oncology Society (KPOS). It functions as a center of development of psycho-oncology, publishing official journals, and hosting annual conferences. There are many challenges, including, low awareness of psycho-oncology, presence of undertreated psychiatric disorders in patients with cancer, shortage of well-trained psycho-oncologists, stigma, and suicide risk. It is important to improve the cancer care system to the extent that psycho-oncology is integrated with mainstream oncology. Considering the socio-cultural characteristics of Korean cancer care, a Korean model of distress management is being prepared by the KPOS. Conclusion: This article provides an overview of the development, current issues, and future challenges of psycho-oncology in Korea. Through its long journey to overcome the many barriers and stigmas of cancer and mental illnesses, psycho-oncology is now acknowledged as an essential part of integrated supportive care in cancer. Active research and international cooperation can gradually shape the Korean model of distress management.ope