Reliability of a high-intensity endurance cycling test.

This study assessed the reproducibility of performance and selected metabolic variables during a variable high-intensity endurance cycling test. 8 trained male cyclists (age: 35.9 ± 7.7 years, maximal oxygen uptake: 54.3 ± 3.9 mL·kg - 1·min - 1) completed 4 high-intensity cycling tests, performed in consecutive weeks. The protocol comprised: 20 min of progressive incremental exercise, where the power output was increased by 5% maximal workload (Wmax) every 5 min from 70% Wmax to 85% Wmax; ten 90 s bouts at 90% Wmax, separated by 180 s at 55% Wmax; 90% Wmax until volitional exhaustion. Blood samples were drawn and heart rate was monitored throughout the protocol. There was no significant order effect between trials for time to exhaustion (mean: 4 113.0 ± 60.8 s) or total distance covered (mean: 4 6126.2 ± 1 968.7 m). Total time to exhaustion and total distance covered showed very high reliability with a mean coefficient of variation (CV) of 1.6% (95% Confidence Intervals (CI) 0.0 ± 124.3 s) and CV of 2.2% (95% CI 0.0 ± 1904.9 m), respectively. Variability in plasma glucose concentrations across the time points was very small (CV 0.46-4.3%, mean 95% CI 0.0 ± 0.33 to 0.0 ± 0.94 mmol·L - 1). Plasma lactate concentrations showed no test order effect. The reliability of performance and metabolic variables makes this protocol a valid test to evaluate nutritional interventions in endurance cycling

Lifestyle behaviours of men and women and implications for healthy lifestyle service providers in the large municipality of Leeds, UK

Objectives Men in the municipal setting of Leeds, UK were known to be at greater risk of preventable premature mortality compared to women (20% of male deaths occurring before age 65 compared to 12% of female deaths). Unhealthy lifestyles typically increase the risk of developing acute and chronic disease and dying prematurely. The objective of the research was to obtain knowledge of the difference between men’s and women’s lifestyles in order to develop specific gendered recommendations for the city’s healthy lifestyle service providers to improve men’s health behaviours. Methods Data for smoking status, alcohol consumption, physical activity status, weight classification and Healthy Lifestyles Service use of working age (16-64 years) males and females were obtained through General Practitioner (GP) audit data and reported at city level and across the 107 localities within Leeds. For each lifestyle factor, prevalence and proportion of the population with recorded data (known status) were calculated. Results The male vs. female prevalence of poor lifestyle factors were: smoker, 28% vs. 21%; alcohol consumption associated with increased or high risk to health, 20% vs. 13%; physically inactive, 24% vs. 29%; and above normal weight, 52% vs. 47%. Prevalence varied dramatically between localities, often higher in more deprived areas. Known status of unhealthy lifestyles differed across localities, with physical activity status and alcohol consumption not known for >80% of some local male populations. In total, 31.6% of Healthy Lifestyles Service users were men. Conclusions Compared to women in Leeds, men are generally more likely to engage in unhealthy lifestyle behaviours and yet are less likely to use available services. These findings suggest the importance of appreciating the different needs of men and women, and services developing suitable strategies to specifically reach out and target men. Improvements in data collection should be made to ensure those with the greatest health needs are identified

Successful mental health promotion with men: evidence from 'tacit knowledge'

There remains significant concern about men’s mental health, particularly in terms of personal and societal barriers to help-seeking, negative coping mechanisms and high suicide rates. This paper presents findings from a multi-phase study looking at ‘what works’ in mental health promotion for men. Work here reports the collection and analysis of the tacit knowledge of those working within mental health promotion interventions for men. A ‘multiple hub and spoke’ approach was used to assist data collection. Thirteen key players, active in the men’s mental health field, half from the UK and half beyond, formed an Investigative Network collecting data, mainly through interviews, from wider geographical and professional community contexts where they had networks. The focus of data collection was on ‘what works’ in mental health promotion for men. Data was analysed using thematic analysis techniques. Findings suggest that settings which created safe male spaces acted to promote trust, reduce stigma and normalise men’s engagement in interventions. Embedding interventions within the communities of men being engaged, fully involving these men, and holding ‘male-positive’ values engendered familiarity and consolidated trust. Using ‘male-sensitive’ language and activity-based approaches allowed for positive expressions of emotions, facilitated social engagement, and provided a base for open communication. Appropriate partnerships were also seen as a necessary requirement for success and as crucial for maximising intervention impact. The importance of gender and ‘masculinity’ was apparent throughout these findings and taking time to understand gender could facilitate positive ways of working alongside men, increasing levels of engagement and successful outcomes

Promoting Mental Health and Wellbeing with Men and Boys: What Works?

In May 2014 the Movember Foundation commissioned the Centre for Men’s Health, Leeds Beckett University, in collaboration with the Men’s Health Forum (England & Wales), to gather the current research evidence and practical (‘tacit’) knowledge about the core elements that make for successful work with boys and men around mental health promotion, early intervention and stigma reduction

A review of sex-related differences in colorectal cancer incidence, screening uptake, routes to diagnosis, cancer stage and survival in the UK

Background Colorectal cancer (CRC) is an illness strongly influenced by sex and gender, with mortality rates in males significantly higher than females. There is still a dearth of understanding on where sex differences exist along the pathway from presentation to survival. The aim of this review is to identify where actions are needed to improve outcomes for both sexes, and to narrow the gap for CRC. Methods A cross-sectional review of national data was undertaken to identify sex differences in incidence, screening uptake, route to diagnosis, cancer stage at diagnosis and survival, and their influence in the sex differences in mortality. Results Overall incidence is higher in men, with an earlier age distribution, however, important sex differences exist in anatomical site. There were relatively small differences in screening uptake, route to diagnosis, cancer staging at diagnosis and survival. Screening uptake is higher in women under 69 years. Women are more likely to present as emergency cases, with more men diagnosed through screening and two-week-wait. No sex differences are seen in diagnosis for more advanced disease. Overall, age-standardised 5-year survival is similar between the sexes. Conclusions As there are minimal sex differences in the data from routes to diagnosis to survival, the higher mortality of colorectal cancer in men appears to be a result of exogenous and/or endogenous factors pre-diagnosis that lead to higher incidence rates. There are however, sex and gender differences that suggest more targeted interventions may facilitate prevention and earlier diagnosis in both men and women