Designing Healthier Communities

Research conducted by Pham, Cowman, and Williamson, and advised by Kendall House and Amy Spurlock indicates that generational distribution differences and the variation between pre-licensure Bachelor of Science in Nursing versus online RN-BSN in the Boise State University College of Nursing provided different descriptive outlook statistics in regards to motivation to remain in healthcare and perception of risk for mask wearing in a clinical setting with patients. Results from a survey of 50 individuals (pre-licensure BSN & online RN-BSN) indicated a negative desire to remain in healthcare proceeding the COVID-19 pandemic, with the largest proportion stemming from the millennial generation or online RN-BSN. A larger neutral viewpoint on a healthcare career proceeding COVID-19 was found for the pre-licensure BSN and Gen Z/Gen X generations. Significant positive correlation among patient interaction and mask wearing were also found in all the respondents, with all generations reporting a higher perception of risk when not wearing masks in a clinical setting. Results have suggested that varying demographic categorization for the nursing field will result in differing perspectives for their career outlooks and perception of risk

Citrus Aurantium and caffeine complex versus placebo on biomarkers of metabolism: a double blind crossover design

BACKGROUOND: The purpose of this study was to examine resting the metabolic response to the ingestion of a complex containing Citrus Aurantium + Caffeine (CA + C) and if its consumption influences metabolic recovery following a high-intensity anaerobic exercise bout in habitual caffeine users. METHODS: Ten physically active males (25.1 ± 3.9 years; weight 78.71 ± 9.53 kg; height 177.2 ± 4.6 cm; body fat 15.5 ± 3.13%) participated in this study. This study was performed in a double-blind, randomized crossover fashion consisting of two exhaustive exercise protocols. On each visit the participants consumed either a CA + C (100 mg of CA and 100 mg of C) or placebo (dextrose) capsule. After consumption, participants were monitored throughout a 45-min ingestion period, then completed a repeated Wingate protocol, and were then monitored throughout a 45-min recovery period. Metabolic function was measured through blood glucose, plasma insulin, plasma triglycerides, and plasma catecholamines: epinephrine (E) and norepinephrine (NE). Biomarkers were taken at four different time points; Ingestion period: baseline (I1), post-ingestion period (I2); Recovery period: immediately post-exercise (R1), post-recovery period (R2). RESULTS: A repeated measures ANOVA revealed significant time-dependent increases in plasma E and NE at I2 only in the CA + C trial (p \u3c 0.05), and a significant decrease in blood glucose at I2 in the PLA trial (p \u3c 0.05); however, no meaningful changes in glucose was observed following CA + C ingestion. No changes in insulin or triglycerides were observed during the ingestion period. No trial-dependent differences were observed in the Recovery period. All biomarkers of metabolic recovery were equivalent when evaluating R1 v R2. Participants recovered in a similar time-dependent manner in all markers of metabolism following the PLA and CA + C trials. CONCLUSION: The findings of this study suggested that normal recommended dosages of 100 mg CA + 100 mg C is sufficient to promote glucose sparing at rest, with modest increases in SNS activity; however, the individual role of CA or C in this response cannot be determined

Four weeks of trauma-informed yoga intervention and autonomic tone in female veteran and non-veteran college students

Introduction: Female college students (veteran and non-veteran) are exposed to cumulative stressors and trauma that may lead to an imbalanced autonomic nervous system. Yoga has emerged as an efficacious intervention for psychological and physical trauma; however, the therapeutic dose of intervening yoga is unknown. Additionally, the frequency, duration, and type of yoga needed to achieve a therapeutic dose appear to be population specific when applied to trauma victims. The purpose of the study was to examine whether a short-term trauma-informed yoga intervention altered metrics of autonomic tone as assessed by heart rate variability (HRV) in female veteran and non-veteran college students. Methods: Nine female college students (age: 33 years ± 11, veteran, n = 4, non-veteran, n = 5) engaged in trauma-informed yoga once per week for one-hour over a four-week intervention. Repeated measures ANOVA were performed on the HRV variables lnRMSSD, lnHF, lnLF, and LF:HF. Results: Findings indicated no effect of the intervention on HRV as measured by lnRMSSD (p = .116), lnHF (p = .073), lnLF (p = .316), and LF:HF (p = .131). Further, no acute alterations in HRV were observed following a single session of trauma-informed yoga (p > .05). Conclusion: The findings of the study revealed no significant effect of trauma-informed yoga on HRV following a single session or after a four-week yoga intervention

Health and fitness benefits using a heart rate intensity-based group fitness exercise regimen

Inactivity leads to morbidity and mortality, while novel and engaging approaches to fitness improve health outcomes. The current study examined an 8-week commercial group exercise regimen for high intensity interval training (HIIT) in order to examine comprehensive metrics of health and fitness. Aerobic fitness, body composition, resting metabolic rate, blood cholesterol and glucose, in addition to resting blood pressure were quantified in a laboratory setting independent of the training facilities. Exercise training utilized multimodal HIIT-based exercises and work intensity was gauged by real-time heart rate feedback. All participants completed the required two sessions per week. Pre-Post analyses indicate aerobic fitness (Pre VO2max = 36.8 ml•kg-1•min-1; Post VO2max = 40.8 ml•kg-1•min-1), % fat (Pre = 28.1%; Post = 27.0%), resting metabolic rate (Pre = 1557 kcals; Post = 1664 kcals), resting blood pressure (Pre = 128.8/78.1 mmHg; Post = 116.7/75.4 mmHg), and circulating triacylglycerol (Pre = 100.0 mg/dl; Post = 78.7 mg/dl) were significantly altered. This study quantified improvements in aerobic fitness, body composition, resting metabolic rate, resting blood pressure, and triacylglycerol after an 8-week HIIT regimen. The implications of heart rate (HR) monitoring within franchised group exercise with wearable technology serves as an unexplored scientific approach to understand novel exercise prescriptions on health-fitness outcomes. Future research should investigate sociological aspects of program adherence, while biological applications should examine the adaptive stimuli of HIIT training on health and fitness improvements.This work was supported by the Ultimate Fitness Group, LLC dba Orange Theory Fitness

Metabolic biomarkers following a short and long bout of high-intensity functional training in recreationally trained men

Glucose regulation is a fundamental process of metabolic function, and is acutely altered by physical activity. High-Intensity Functional Training (HIFT) is a form of exercise performed using combinations of various modalities and durations. It is unknown if the metabolic responses to HIFT are similar to more commonly studied modalities (e.g., cycling and treadmill exercise), or if exercise duration will influence glucose regulation. The purpose of this study was to determine the effect of a Short (0.05), except for lowered 3HR E (p=0.007). This study demonstrated that both SHORT and LONG bouts of HIFT elicited GLU, INS, E, and NE responses similar to those reported in response to high-intensity treadmill and cycling exercise, and that duration of the HIFT bouts may not be a determining factor in glucose regulation in healthy individuals

A Comparison of Anaerobic Power Tests using Cycle Ergometry and Non-motorized Treadmill Ergometry at Optimized Loads

International Journal of Exercise Science 16(4): 1293-1305, 2023. The purpose of this study was to compare performance markers derived from a 30-second maximal bout on a cycle ergometer (CE) and non-motorized treadmill (NMT) under optimized loads. Recreationally active participants (n = 40) volunteered for the study. Force-velocity tests on the CE and NMT were used to determine optimal resistance for peak power (PP) production. The remaining visits were randomized and counterbalanced, with a single 30-second maximal test on CE or NMT to assess PP, mean power (MP), fatigue index (FI), over the course of the 30-second test, and maximum heart rate (HRmax) and blood lactate (BLa-) taken 1-minute post. Results were that PP and MP were higher (P\u3c0.05) on CE compared to NMT for both sexes. FI did not differ among males (P=0.201) whereas females showed higher FI (P=0.002) on the CE. HRmax and BLa- were higher (P\u3c0.05) after NMT for both sexes. There was no difference for optimal braking force on NMT between males (16.65±4.49%BW) and females (14.30±3.10%BW) (P=0.061). CE optimal torque factor was higher for males (0.78±0.16 Nm/kg) compared to females (0.62±0.14 Nm/kg) (P=0.001). Overall, CE produced higher power output using optimized loads in recreationally active males and females, while NMT test resulted in a higher HRmax andBLa- concentration. These tests for anaerobic power, when performed with optimized loads, produced different results for several variables, therefore these modalities should not be considered interchangeable. Practitioners should consider which modality best mimics the activities of the person being tested when selecting a protocol

The Influence of Citrus urantium and Caffeine Complex versus Placebo on the Cardiac Autonomic Response: A Double Blind Crossover Design

Background: The purpose of this study was to examine the resting cardiac autonomic nervous system’s response to the ingestion of a complex containing Citrus aurantium + Caffeine (CA + C) and its influence on recovery following a high-intensity anaerobic exercise bout in habitual caffeine users. Methods: Ten physically active males (25.1 ± 3.9 years; weight 78.71 ± 9.53 kg; height 177.2 ± 4.6 cm; body fat 15.5 ± 3.13%) participated in this study, which consisted of two exhaustive exercise protocols in a randomized crossover design. On each visit the participants consumed either a CA + C (100 mg of CA and 100 mg of C) or placebo (dextrose) capsule. After consumption, participants were monitored throughout a 45-min ingestion period, then completed a repeated Wingate protocol, and were then monitored throughout a 45-min recovery period. Cardiac autonomic function (Heart Rate (HR) and Heart Rate Variability (HRV)) and plasma epinephrine (E) and norepinephrine(NE) were taken at four different time points; Ingestion period: baseline (I1), post-ingestion period (I2); Recovery period: immediately post-exercise (R1), post-recovery period (R2). Heart rate variability was assessed in 5-min increments. Results: A repeated measures ANOVA revealed significant time-dependent increases in HR, sympathetic relatedmarkers of HRV, and plasma E and NE at I2 only in the CA + C trial (p\u3c 0.05); however, no meaningful changes in parasympathetic markers of HRV were observed. Participants recovered in a similar time-dependent manner in all markers of HRV and catecholamines following the PLA and CA + C trials. Conclusion: The consumption of CA + C results in an increase of sympathetic activity during resting conditions without influencing parasympathetic activity. CA + C provides no influence over cardiac autonomic recovery

Carbohydrate Rinse Fails to Enhance Cycling Performance or Alter Metabolic and Autonomic Recovery in Recreational Cyclists

The purpose of the study was to examine the effects of carbohydrate (CHO) mouth rinsing on autonomic and metabolic recovery as well as cycling performance. Ten male recreational cyclists (age = 30 ± 6 years, VO2peak = 54.5 ± 8.1 mL·kg-1·min-1) completed a randomized, double-blind, placebo-controlled, crossover designed study. A CHO or a placebo (PLA) rinse was administered every 12.5% of a work to completion trial (75%Wmax). Heart rate variability (lnRMSSD), the respiratory exchange ratio, and plasma epinephrine, norepinephrine, insulin, glucose, free fatty acids (FFA), and lactate were measured pre- and post-exercise. The CHO rinse did not improve time to completion of the test trial (CHO: 4108 ± 307 s, PLA: 4176 ± 374 s, p = 0.545). Further, the CHO rinse did not impact autonomic recovery, as measured by lnRMSSD (p = 0.787) and epinephrine (p = 0.132). Metabolic biomarkers were also unaffected by the CHO rinse, with no differences observed in responses of FFA (p = 0.064), lactate (p = 0.302), glucose (p = 0.113) or insulin (p = 0.408). Therefore, the CHO mouth rinse does not reduce the acute sympathetic response following strenuous exercise and does not result in improvements in cycling time to completion

Acute inflammatory responses to high-intensity functional training programming: An observational study

Effects of varying types of short duration workouts in high-intensity functional training (HIFT) on inflammatory biomarkers have not been adequately characterized. Objectives: The purpose of this descriptive study was to examine the acute effects of HIFT workouts on biomarkers of inflammation, over time, in two HIFT bouts. Materials and Methods: Ten apparently healthy males (28.1 ± 5 yrs) completed two HIFT sessions (“short bout:” sub-5-minute vs. “long bout:” 15-minute) in a randomized crossover design. Blood was drawn pre and post-exercise, and 1 hour, 3 hours, and 6 hours post-exercise, centrifuged, and plasma frozen for analysis. Inflammation was assessed through plasma interleukin-6 (IL-6), interleukin-10 (IL-10), and tumour necrosis factor alpha (TNF-α). Results: Repeated measures ANOVA revealed a single trial-dependent difference (IL-6, p≤ 0.05), and while statistically significant, this difference may not be biologically significant. The biomarkers IL-6, IL-10, and TNF-α all follow a similar pattern of peaking post-exercise and returning to baseline within 6 hours in both trials. Conclusions: Both temporal responses and concentrations were similar in the short and long bout. A practical implication is that both bouts of a HIFT elicit certain specific physiologic inflammatory responses

Evaluating the Effects of SARS-CoV-2 Spike Mutation D614G on Transmissibility and Pathogenicity.

Global dispersal and increasing frequency of the SARS-CoV-2 spike protein variant D614G are suggestive of a selective advantage but may also be due to a random founder effect. We investigate the hypothesis for positive selection of spike D614G in the United Kingdom using more than 25,000 whole genome SARS-CoV-2 sequences. Despite the availability of a large dataset, well represented by both spike 614 variants, not all approaches showed a conclusive signal of positive selection. Population genetic analysis indicates that 614G increases in frequency relative to 614D in a manner consistent with a selective advantage. We do not find any indication that patients infected with the spike 614G variant have higher COVID-19 mortality or clinical severity, but 614G is associated with higher viral load and younger age of patients. Significant differences in growth and size of 614G phylogenetic clusters indicate a need for continued study of this variant