Grit Had a Positive Impact on Moderate-to-high Intensity Physical Activity During the COVID-19 Health Crisis

Recently, moderate-to-vigorous intensity physical activity (MVPA) has attracted additional scientific interest (e.g., ACSM recommendations) not only thanks to a) the physical and psychological benefits that can be experienced by the general population following just a single bout, but also b) since high levels of MVPA seem to mitigate the mortality risk associated with high levels of sedentary behavior, such as sitting. Non-pharmaceutical interventions against the COVID-19 (e.g., stay-at-home orders) have altered people’s lifestyles (e.g., physical activity, sitting time). Grit, a higher-order personality trait based on two lower-order components (i.e., perseverance and consistency), is highly predictive of both success and performance. PURPOSE: To examine whether grit influenced MVPA during the first 16 weeks of the COVID health crisis on a general-population sample. METHODS: In total, 191 participants (mage = 37.2, SD = 15.8; 78% female) agreed to participate. Grit (via the 8-item Grit Scale; max. score is 5: extremely gritty; lowest score is 1: not at all gritty) and MVPA (mins/week) data were collected at baseline. Then, MVPA data were collected weekly 16 more times. Monthly MVPAs (i.e., weeks 1-4, 5-8, 9-12, and 13-16) were used as variables in a growth model within a multilevel modeling framework. Grit was used as a predictor of the intercept of MVPA at baseline. Differences based on sex and age were also investigated. RESULTS: On average, male and female respondents differed only trivially on grit and the correlation estimate between grit and age was .03. Using a multilevel growth model, grit and MVPA were related at baseline and MVPA was fairly stable across time. The expected amount of MVPA at baseline was 221.7 minutes/week if grit were equal to zero; however, for each one-unit increase in grit, the expected increase in MVPA was 99.4 minutes/week. Holding grit level constant, the reported MVPA decreased by only about 7 minutes per week across the four months of physical activity data. CONCLUSION: MVPA tended to decrease slightly over time; however, grit had a positive impact on MVPA. That is, people with higher grit scores (regardless of age/sex) tended to have higher MVPA at baseline and, consequently, over time. Findings infer the value of grit during this unique period in this predominately female, highly active, late-thirties sample

Physical Activity, Sitting Time, and Feelings of Energy and Fatigue During the Early Stages of the COVID-19 Pandemic: Does Grit Make a Difference?

Grit has been associated with feelings of energy when measured as the opposite end of fatigue. During the COVID-19 pandemic, grit has been linked to positive health-related behaviors, which are known to influence feelings of energy and fatigue. The objective of this study was to identify the association between grit, time spent sitting, physical activity (PA), and feelings of mental and physical energy (ME, PE) and fatigue (MF, PF) during the early stages of the COVID-19 pandemic in the United States. Participants (n = 859) completed surveys once. Using a series of multivariate regression models, we assessed the association between grit, time spent sitting, PA and ME, MF, PE, and PF. When accounting for all factors, performing vigorous PA was associated positively with PE and ME and negatively with PF and MF, whereas sitting was related negatively with PE and ME and positively with PF and MF. Grit was not associated with the four moods. Study findings underscore the need to adopt healthy lifestyle behavior to improve feelings of energy and fatigue in the face of a pandemic. During this ongoing global health crisis, these findings present novel and important evidence with possible immediate applications for health behavior, such as informing already-established health behavior theories to, ultimately, design COVID-19-specific interventions

Factors influencing motivation to perform mental and physical tasks during the initial lockdown period of the COVID-19 pandemic

International Journal of Exercise Science 15(5): 1600-1615, 2022. Drastic changes to lifestyles have occurred during the COVID-19 pandemic. An unintended consequence of stay at home orders is increased isolation and less social interaction for many people. For overall wellbeing it is important to stay both physically and mentally active; however, for many individual’s motivation may be a barrier. There are non-modifiable (e.g. sex, age, personality, infection rates in the area) and modifiable factors (e.g. physical activity, diet, sleep) that may be associated with motivation to perform physical and mental tasks. We collected data from 794 subjects using an online survey between April 13th to May 3rd of 2020. Survey questionnaires included demographics, personality traits, diet, sleep, physical activity levels, mental workload and motivation to perform mental and physical tasks. Multiple linear regression analyses were used to assess the association between non-modifiable and modifiable variables on motivation to perform mental and physical tasks. The results of our analyses suggest that those who reported a higher quality of diet (REAP-S score), exercised vigorously, and reduced their sedentary time, reported higher motivation to perform both mental and physical tasks. Those who were employed and had higher grit were more motivated to perform physical tasks. Lower trait physical energy was associated with greater motivation to perform mental tasks. Our findings support that during challenging times, such as the COVID-19 pandemic, it is important for healthcare practitioners to emphasize the importance healthy lifestyle behaviors to prevent individuals from experiencing a lack of motivation to perform both mental and physical tasks. Future research should focus on trying to determine the directionality of the relationship between specific healthy lifestyle behaviors and motivation

The epidemiology of NCAA men’s lacrosse injuries, 2009/10-2014/15 academic years

BACKGROUND: Participation in lacrosse has grown at the collegiate levels. However, little research has examined the epidemiology of collegiate men's lacrosse injuries. This study describes the epidemiology of injuries in National Collegiate Athletic Association (NCAA) men's lacrosse during the 2009/10-2014/15 academic years. METHODS: Twenty-five men's lacrosse programs provided 63 team-seasons of data for the NCAA Injury Surveillance Program (NCAA-ISP) during the 2009/10-2014/15 academic years. Injuries occurred from participation in an NCAA-sanctioned practice or competition, and required attention from an AT or physician. Injuries were further classified as time loss (TL) injuries if the injury restricted participation for at least 24 h. Injuries were reported through electronic medical record application used by the team medical staff throughout the academic year. Injury rates per 1000 athlete-exposures (AE), injury rate ratios (RR), 95% confidence intervals (CI), and injury proportions were reported. RESULTS: Overall, 1055 men's lacrosse injuries were reported, leading to an injury rate of 5.29/1000AE; 95%CI: 4.98-5.61. The TL injury rate was 2.74/1000AE (95%CI: 2.51-2.96). The overall injury rate was higher in competition than practice (12.35 vs. 3.90/1000AE; RR = 3.16; 95%CI: 2.79-3.58). Most injuries were to the lower extremity (58.3%), particularly the ankle (14.1%) in competition and the upper leg (14.3%) in practice. Sprains and strains were the most common diagnoses in both competition (26.9 and 23.7%, respectively) and practice (20.2% and 27.4%, respectively). Most injuries in competitions and practices were due to player contact (32.8 and 17.5%, respectively) and non-contact (29.6 and 40.0%, respectively). CONCLUSIONS: Our estimated injury rates are lower than those from previous college men's lacrosse research. This may be due to increased injury awareness, advances in injury prevention exercise programs, or rule changes. Still, injury prevention can aim to continue reducing the incidence and severity of injury, particularly those sustained in competitions and to the lower extremity

Verifying head impacts recorded by a wearable sensor using video footage in rugby league: A preliminary study

Background: Rugby league is a full-contact collision sport with an inherent risk of concussion. Wearable instrumented technology was used to observe and characterize the level of exposure to head impacts during game play. Purpose: To verify the impacts recorded by the x-patch™ with video analysis. Study design: Observational case series. Methods: The x-patch™ was used on eight men’s semi-professional rugby league players during the 2016 Newcastle Rugby League competition (five forwards and three backs). Game day footage was recorded by a trained videographer using a single camera located at the highest midfield location to verify the impact recorded by the x-patch™. Videographic and accelerometer data were time synchronized. Results: The x-patch™ sensors recorded a total of 779 impacts ≥ 20 g during the games, of which 732 (94.0%) were verified on video. In addition, 817 impacts were identified on video that did not record an impact on the sensors. The number of video-verified impacts ≥ 20 g, per playing hour, was 7.8 for forwards and 4.8 for backs (range = 3.9–19.0). Impacts resulting in a diagnosed concussion had much greater peak linear acceleration (M = 76.1 g, SD = 17.0) than impacts that did not result in a concussion (M = 34.2g, SD = 18.0; Cohen’s d = 2.4). Conclusions: The vast majority (94%) of impacts ≥ 20 g captured by the x-patch™ sensor were video verified in semi-professional rugby league games. The use of a secondary source of information to verify impact events recorded by wearable sensors is beneficial in clarifying game events and exposure levels

Lower extremity hypermobility, but not core muscle endurance influences balance in female collegiate dancers

Background Dance is a physically demanding activity, with almost 70% of all injuries in dancers occurring in the lower extremity (LE). Prior researchers report that muscle function (e.g. muscle endurance) and anatomical factors (e.g. hypermobility) affect physical performance (e.g. balance) and can subsequently influence LE injury risk. Specifically, lesser core muscle endurance, balance deficits, and greater hypermobility are related to increased LE injury risk. However, the potentials interrelationships among these factors in dancers remain unclear. Purpose The purposes of this study were to examine the relationships among core muscle endurance, balance, and LE hypermobility, and determine the relative contributions of core muscle endurance and LE hypermobility as predictors of balance in female collegiate dancers. Study Design Cross-sectional Methods Core muscle endurance was evaluated using the combined average anterior, left, and right lateral plank test time scores(s). LE hypermobility was measured using the LE-specific Beighton hypermobility measure, defining hypermobility if both legs had greater than 10 ° knee hyperextension. Balance was measured via the composite anterior, posterolateral, and posteromedial Star Excursion Balance Test (SEBT) reach distances (normalized to leg length) in 15 female healthy collegiate dancers (18.3 + 0.5yrs, 165.5 + 6.9cm, 63.7 + 12.1kg). Point-biserial-correlation-coefficients examined relationships and a linear regression examined whether core endurance and hypermobility predicted balance (p<.05). Results LE hypermobility (Yes; n = 3, No; n = 12) and balance (87.2 + 8.3% leg length) were positively correlated r(14)=.67, (p=.01). However, core endurance (103.9 + 50.6 s) and balance were not correlated r(14)=.32, (p=.26). LE hypermobility status predicted 36.9% of the variance in balance scores (p=.01). Conclusion LE hypermobility, but not core muscle endurance may be related to balance in female collegiate dancers. While LE hypermobility status influenced balance in the female collegiate dancers, how this LE hypermobility status affects their longitudinal injury risk as their careers progress needs further study. Overall, the current findings suggest that rather than using isolated core endurance-centric training, clinicians may encourage dancers to use training programs that incorporate multiple muscles - in order to improve their balance, and possibly reduce their LE injury risk

The Limited Role of Grit in the Associations between Lifestyle Behavior and Feelings of Energy and Fatigue during the Early Stages of the COVID-19 Pandemic

Grit has been positively associated with feelings of energy (when measured as the opposite end of fatigue). During the COVID-19 pandemic, grit has been inter-related with positive health-related behaviors, which are known to influence feelings of energy and fatigue. PURPOSE: To identify the association between grit, health-related behaviors and feelings of mental and physical energy (ME, PE) and fatigue (MF, PF) during the COVID-19 health crisis. METHODS: Using snowball sampling method during the early stages of the pandemic, participants (n=859) completed validated online surveys regarding physical activity (PA), diet, time sitting, grit, and feelings of ME, MF, PE and PF. Using a series of multi-variate regression models, we assessed the association between grit, health-related lifestyle, and the moods of ME, MF, PE and PF. RESULTS: Approximately, 31% of participants reported testing positive for COVID-19. In our models that accounted for all factors, only vigorous PA (βPE=.229, p\u3c.001; βPF=-.102, p\u3c.01;βME=.091, p\u3c.05 ;βMF=-.097, p\u3c.05), time sitting (βPE=-.183, p\u3c.001; βPF=.164, p\u3c.001; βME=-.139, p\u3c.001; βMF=.193, p\u3c.001), and diet habits (βPE=.173, p\u3c.001; βPF=-.182, p\u3c.001; βME=.118, p\u3c.001; βMF=-.133, p\u3c.001) were associated with the four moods, while grit and all COVID-associated factors (e.g., COVID-19 diagnosis, 7-day inflection rates) measured in this study were not (p\u3e.05). CONCLUSION: This study is innovative as it examines the aforementioned relationships in the context of a pandemic. Our findings underscore the need to adopt a healthy lifestyle behavior (i.e., performing vigorous PA, sitting less, eating a high-quality diet) to improve feelings of energy and fatigue in the face of high-stress situations, such as a global pandemic. Unlike previous literature, our results indicate that grit is not associated with feelings of energy and fatigue during at least the early stages of the COVID-19 health crisis

Multifactorial Exercise Intervention Decreases Falls Risk in High-risk and Low-risk Older Adults

Background: Each year, 1 in 4 people over the age of 65 years of age will experience a fall. It is important to identify and address modifiable risk factors that are associated with falls in adults at high and low risk for falls. Hypothesis: Falls risk improves in both high-risk and low-risk participants with the implementation of Stay Active and Independent for Life (SAIL). Study Design: Cohort study Level of Evidence: Level 3. Methods: Seventy-eight older adults (age, 70.9 ± 5.1 years) were included in this study and categorized into high risk and low risk for falling based on the falls risk score from the Physiological Profile Assessment. High risk was defined as having a preintervention falls risk score >1, whereas low risk was defined as having a preintervention falls risk score <1. Both groups had the same 10-week intervention. A multivariate analysis of covariance was used to compare differences pre- and postintervention, using preintervention falls risk score as covariate. Results: Results showed that regardless of preintervention falls risk, participants showed significant improvements in right and left knee extensor strength and sit-to-stand after participation in the 10-week SAIL program. Also, noteworthy is that 15 participants who were considered at high risk for falling preintervention were considered low risk for falling postintervention. Conclusion: The positive outcomes noted on modifiable risk factors suggest SAIL can be beneficial for decreasing falls risk in older adults, regardless of risk of falling, using a multifactorial exercise intervention. Our results also showed that it was possible for participants not only to improve falls risk but to improve to such a degree that they change from high risk to low risk of falling. Clinical Relevance: Our results demonstrated that SAIL was effective in improving overall fall risk after a 10-week intervention. Targeted community-based interventions for the aging population can bring physical health benefits that can decrease falls risk

Factors Influencing Motivation to Perform Mental and Physical Tasks during the Initial Lockdown Period of the COVID-19 Pandemic

Drastic changes to lifestyles have occurred during the COVID-19 pandemic. A consequence of non-pharmaceutical interventions (NPIs) used against this health crisis, such as stay-at-home orders, has been increased isolation and less social interaction for a majority of people. For overall wellbeing, it is important to stay both physically and mentally active. However, for many individuals motivation may be a barrier. There are non-modifiable (e.g., sex, age) and modifiable factors (e.g., physical activity, diet) that may be associated with motivation to perform physical/mental tasks. PURPOSE: To explore if there is an association between non-modifiable and modifiable variables on motivation to perform mental/physical tasks under COVID-19 NPIs. METHODS: We collected data from 794 subjects using Qualtrics and each subject completed our survey once each week during April 1st to May 3rd of 2020. This is an ongoing study that will terminate when the COVID-19 pandemic ends. Survey questionnaires included demographics, personality traits, diet, physical activity levels, and motivation to perform mental/physical tasks. Multiple linear regression analyses were used for statistical analysis. RESULTS: Significant results include: a) those who reported a higher quality of diet (REAP-S score) (β=.015, p\u3c0.05; β=0.000, p\u3c0.001), exercised vigorously (β=0.005, p\u3c0.01; β=0.000, p\u3c0.001), and reduced their sedentary time (β=.000, p\u3c0.01; β=.000, p\u3c0.001), reported higher motivation to perform both mental and physical tasks, respectively; b) those who were employed (β=.043, p\u3c0.05) and had higher grit (β=.041, p\u3c0.05) were more motivated to perform physical tasks; and c) lower trait physical energy was associated with greater motivation to perform mental tasks (β=.027, p\u3c0.05). CONCLUSION: Our findings indicate that living a healthy lifestyle is associated with motivation to perform both mental and physical tasks during the initial lockdown period of the COVID-19 pandemic. These preliminary results support the continuation of data collection. Future research should focus on trying to determine the directionality of the relationship between healthy lifestyle behaviors and motivation