The Performance, Physiology and Morphology of Female and Male Olympic-Distance Triathletes

Sex differences in triathlon performance have been decreasing in recent decades and little information is available to explain it. Thirty-nine male and eighteen female amateur triathletes were evaluated for fat mass, lean mass, maximal oxygen uptake (VO2 max), ventilatory threshold (VT), respiratory compensation point (RCP), and performance in a national Olympic triathlon race. Female athletes presented higher fat mass (p = 0.02, d = 0.84, power = 0.78) and lower lean mass (p < 0.01, d = 3.11, power = 0.99). VO2 max (p < 0.01, d = 1.46, power = 0.99), maximal aerobic velocity (MAV) (p < 0.01, d = 2.05, power = 0.99), velocities in VT (p < 0.01, d = 1.26, power = 0.97), and RCP (p < 0.01, d = 1.53, power = 0.99) were significantly worse in the female group. VT (%VO2 max) (p = 0.012, d = 0.73, power = 0.58) and RCP (%VO2 max) (p = 0.005, d = 0.85, power = 0.89) were higher in the female group. Female athletes presented lower VO2 max value, lower lean mass, and higher fat mass. However, females presented higher values of aerobic endurance (%VO2 max), which can attenuate sex differences in triathlon performance. Coaches and athletes should consider that female athletes can maintain a higher percentage of MAV values than males during the running split to prescribe individual training. Keywords: VO2 max; female athlete; sports medicine; sports physiology; triathlo

Return to classes impact on mental health of university students during the COVID-19 pandemic

BACKGROUND The Coronavirus Disease 2019 (COVID-19) pandemic and the necessary social isolation and distancing measures - that were adopted to prevent spreading the virus, including the suspension of university classes - negatively impacted the mental health of young adults. The aim of the current study was to investigate whether returning to online classes, even not presential, during the social isolation of the COVID-19 pandemic, affected the mental health of university students. METHODS Forty students (10 men and 30 women) (age, 22.3±3.8 years; body mass, 62.5±17.8 kg; height, 165.6±8.7cm) from undergraduate health courses participated in the study. The students answered a self-administered questionnaire designed to gather personal and quarantine information as well as information about the frequency of depression (PHQ-9) and anxiety (GAD-7) symptoms. The questionnaire was answered before and after the return to online classes. RESULTS There was a significantly lower frequency of depression symptoms after the return to online classes (Z = -2.27; p = 0.02). However, there was no difference in anxiety symptoms before and after returning to online classes (Z = -0.51; p = 0.61). CONCLUSIONS Return to online classes positively impacted the mental health (decrease of frequency of depression symptoms) of university students. Future studies are needed to observe whether the changes observed after returning to school are maintained over time

Quantitative Relationship Between Physical Activity And Antihypertensives in Elderly Women

Introduction: Physical activity is an important tool to manage systemic arterial hypertension. However, less is known about the relationship of physical activity with the number of antihypertensive drugs used by older adults. Objective: The aim of this study was to compare the number of antihypertensive drugs used by older female adults (aged ≥ 60 years) with a low level of physical activity with the number used by those with a high level of physical activity, and to verify how many participants used more than two antihypertensive drugs. Methods: Twenty-eight physically active older women with systemic arterial hypertension who participated in a physical activity program for community-dwelling older female adults were divided into two groups: participants who presented lower habitual physical activity levels were placed in group 1 and participants that presented higher habitual physical activity levels were placed in group 2, according to the Baecke questionnaire. In addition, the number of antihypertensive drugs used by participants was collected. Results: The number of prescribed antihypertensive drugs was 2.0 (median) for both groups investigated. There was no significant difference between groups regarding the number of antihypertensive tablets prescribed (p>0.05). Although there was no statistical difference, a higher proportion of participants from the lower physical activity group used more than two antihypertensive drugs. Conclusion: The level of habitual physical activity did not affect the number of antihypertensive tablets used by hypertensive elderly women. Level of evidence II; Therapeutic studies – investigation of treatment results

Comparison of physiological and psychobiological acute responses between high intensity functional training and high intensity continuous training

Little is known about the physiological and psychobiological responses that occur during and after high intensity functional training (HIFT). We compared physiological and psychobiological responses during and after a HIFT session with a high intensity continuous training (HICT) session. Twenty-one trained and healthy men were submitted to 20-min session of HIFT and HICT on separate days. The heart rate, blood lactate concentration [Lac], levels of state anxiety, rates of perceived exertion (RPE) and perceived discomfort (RPE-D), and affective valence were measured. Exercise intensity of the HICT was adjusted to the mean heart rate obtained in the HIFT session. The highest heart rate in the training sessions was significantly higher in HIFT (mean ​± ​standard deviation [SD]: [187 ​± ​9] bpm) than in HICT (mean ​± ​SD: [178 ​± ​8] bpm, p ​< ​0.001). The [Lac] was significantly higher immediately after the HIFT (median [interquartile range (IQR)]: 6.8 [4.4] mmol/L) than the HICT (median [IQR]: 3.2 [1.9], p ​= ​0.021) and 10 ​min after (median [IQR]: HIFT ​= ​6.8 [4.9] mmol/L, HICT ​= ​2.9 [2.4] mmol/L, p ​= ​0.003). The RPE was also significantly higher in the HIFT (median [IQR]: HIFT ​= ​20 [2], HICT ​= ​15 [5], p ​= ​0.009). The physiological and psychobiological responses compared between HIFT and HICT sessions are similar, except for the higher heart rate obtained during the sessions, [Lac] and RPE. Probably, the results found for the higher heart rate obtained during the sessions, [Lac] and RPE may be explained by the higher participation of the anaerobic glycolytic metabolism during the HIFT session

Amateur Female Athletes Perform the Running Split of a Triathlon Race at Higher Relative Intensity than the Male Athletes: A Cross-Sectional Study

Maximal oxygen uptake (V˙O2max), ventilatory threshold (VT) and respiratory compensation point (RCP) can be used to monitor the training intensity and the race strategy, and the elucidation of the specificities existing between the sexes can be interesting for coaches and athletes. The aim of the study was to compare ventilatory threshold (VT), respiratory compensation point (RCP), and the percentage of the maximal aerobic speed (MAS) that can be maintained in a triathlon race between sexes. Forty-one triathletes (22 men and 19 women), 42.1 ± 8.4 (26 to 60) years old, that raced the same Olympic triathlon underwent a cardiorespiratory maximal treadmill test to assess their VT, RPC, and MAS, and race speed. The maximal oxygen uptake (V˙O2max) (54.0 ± 5.1 vs. 49.8 ± 7.7 mL/kg/min, p < 0.001) and MAS (17 ± 2 vs. 15 ± 2 km/h, p = 0.001) were significantly higher in male than in female athletes. Conversely, there were no sex differences according to the percentage of V˙O2max reached at VT (74.4 ± 4.9 vs. 76.1 ± 5.4%, p = 0.298) and RCP (89.9 ± 3.6 vs. 90.6 ± 4.0%, p = 0.560). The mean speed during the race did not differ between sexes (12.1 ± 1.7 km/h and 11.7 ± 1.8 km/h, p = 0.506, respectively). Finally, men performed the running split at a lower percentage of speed at RCP than women (84.0 ± 8.7 vs. 91.2 ± 7.0%, respectively, p = 0.005). Therefore, male and female athletes accomplished the running split in an Olympic triathlon distance at distinct relative intensities, as female athletes run at a higher RCP percentage

Profile of Self-Care Capacity and Alcohol Use in Elderly Brazilians during the COVID-19 Outbreak: An Online Study

Background: Preventive and positive online coping strategies are essential for harm reduction associated with alcohol abuse among older adults in pandemic and social isolation scenarios. The objectives were to examine the relationship between alcohol use/abuse and physical capacity/self-care to perform the physical activities of daily living or impairment of the functional capacity of the elderly in the COVID-19 pandemic. Methods: An online cross-sectional survey was carried out. One hundred and one elderly people in the city of São Paulo, Brazil, participated in a community program. Results: Most participants (52.5%) showed excellent self-care skills. Approximately 12% of participants reported problems related to alcohol use/abuse. There was no association between self-care ability and abuse and probable alcohol dependence. Conclusions: Although most participants have excellent self-care and functional capacity and have not evidenced alcohol use/abuse, health professionals need to systematically provide information to prevent alcohol abuse, especially in scenarios of great emotional distress, such as in a pandemic. In addition, the online meetings held by the UAPI program were shown to be opportunities for social interaction and were essential to minimize the negative effects of the possible presence of alcohol use/abuse and the deteriorating performance of physical activities of daily living during a pandemic outbreak for the elderly

Motivation for Brazilian Older Adult Women to Join a Community Physical Activity Program Before COVID-19 Pandemic

Background: Intrinsic and extrinsic motivational factors can affect the levels of adherence of physical activity (PA) during the aging process. Objectives: Investigate the intrinsic and extrinsic aspects and motivation that led older women to enroll in and adhere to a community PA program before the COVID-19 pandemic. Methods: Data were collected via transversal survey before the COVID-19 pandemic. The sample consisted of 21 women, participants of a PA workshop, aged between 60 to 86 years [< 1-year (n = 8) and ≥ 1-year (n = 13) groups]. Motivation was assessed by the Motivation Inventory for Regular Physical Activity Practice (IMPRAF-54), using the 60th percentile to categorize high and low motivation, and two open questions. For qualitative assessment, content analysis was used and the answers were framed into subcategories regarding the motivation factors for adherence and permanence. Results: That adherence to the program was motivated by sociability purposes [total score: 36.0 (6.0), median (interquartile range)] and pleasure [34.0; (6.0)], while the main motivation for permanence was health [40.0 (11.0)]. Differences were noticed between the groups for sociability [38.0 (3.0) P = 0.030] and competitiveness [9.50 (12.0); P = 0.037] highest medians for the < 1 year group. Furthermore, the factors that least motivated older women were competitiveness and aesthetics. Conclusions: Health and sociability were the main motivators for the practice of physical activity among older adult women. Motivation played a fundamental role in the permanence of older adult women in the physical activity program

Profiling exercise intensity during the exergame Hollywood Workout on XBOX 360 Kinect®

Background Despite the increasing popularity of exergame practice and its promising benefits in counteracting physical inactivity, limited research has been performed to document the physiological responses during an exergame session. This study aims (i) to investigate the responses of heart rate (HR) and oxygen uptake (${\dot{\rm V}}{{\rm{O}}_{\rm{2}}}$V˙O2) during an exergame session and to compare with HR and ${\dot{\rm V}}{{\rm{O}}_{\rm{2}}}$V˙O2 measured during joystick session and (ii) to compare HR and ${\dot{\rm V}}{{\rm{O}}_{\rm{2}}}$V˙O2 obtained during exergame and joystick session with those HR and ${\dot{\rm V}}{{\rm{O}}_{\rm{2}}}$V˙O2 associated with first and second ventilatory thresholds (VT1 and VT2, respectively) obtained during a maximal graded exercise test. Methods A total of 39 participants performed a maximal graded exercise test to determine maximal oxygen uptake (${\dot{\rm V}}{{\rm{O}}_{\rm{2}}}\max$V˙O2max), VT1, and VT2. On separate days, participants performed an exergame and traditional sedentary game (with a joystick) sessions. The time that participants remained with HR and ${\dot{\rm V}}{{\rm{O}}_{\rm{2}}}$V˙O2 below the VT1, between the VT1 and VT2 and above the VT2 were calculated to determine exercise intensity. Results Heart rate and ${\dot{\rm V}}{{\rm{O}}_{\rm{2}}}$V˙O2 were below VT1 during 1,503 ± 292 s (86.1 ± 16.7%) and 1,610 ± 215 s (92.2 ± 12.3%), respectively. There was an increase in HR and ${{\dot {\rm V}}}{{\rm{O}}_{\rm{2}}}$V˙O2 as a function of exergame phases, since HR mean values in the ‘warm-up’ period (119 ± 13 bpm) were lower than the ‘main phase’ (136 ± 15 bpm) and ‘cool-down’ periods (143 ± 15 bpm) (p 0.05) and lower than the ‘cool-down’ (28.0 ± 4.8 mL.kg−1.min−1) (p < 0.001). For all times of the joystick session, average HR and ${\dot {\rm V}}{{\rm{O}}_{\rm{2}}}$V˙O2 were below the VT1 levels. Conclusion Exergames can be classified as light to moderate exercise. Thus, exergames could be an interesting alternative to traditional forms of exercise