Effects of short sprint interval training on aerobic and anaerobic indices: A systematic review and meta-analysis

The effects of short sprint interval training (sSIT) with efforts of ≤10 s on maximal oxygen consumption (V̇O2max), aerobic and anaerobic performances remain unknown. To verify the effectiveness of sSIT in physically active adults and athletes, a systematic literature search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The databases PubMed/MEDLINE, ISI Web of Science, and SPORTDiscus were systematically searched on May 9, 2020, and updated on September 14, 2021. Inclusion criteria were based on PICO and included healthy athletes and active adults of any sex (≤40 years), performing supervised sSIT (≤10 s of “all-out” and non-“all-out” efforts) of at least 2 weeks, with a minimum of 6 sessions. As a comparator, a non-sSIT control group, another high-intensity interval training (HIIT) group, or a continuous training (CT) group were required. A total of 18 studies were deemed eligible. The estimated SMDs based on the random-effects model were −0.56 (95% CI: −0.79, −0.33, p  0.05) for all outcomes when comparing sSIT vs. HIIT/CT. Our findings indicate a very high effectiveness of sSIT protocols in different exercise modes (e.g., cycling, running, paddling, and punching) to improve V̇O2max, aerobic, and anaerobic performances in physically active young healthy adults and athletes

Burpee interval training is associated with a more favorable affective valence and psychological response than traditional high intensity exercise

Acute psychological responses to physical activity may help explain long-term adherence to it. Thus, we compared acute psychological responses to different exercise protocols with identical durations. Eighteen moderately active young adults [Mage = 23, SD = 3 years; MVO2max (maximum oxygen consumption) = 42.8, SD = 4.3 mL kg1 min1 ; MBMI (body mass index) = 24, SD = 2 kg m2 ] completed three low-volume exercise sessions in a crossover research design: (a) sprint interval training (SIT), (b) burpee interval training (BIT) requiring 10 × 5 second efforts with 35 seconds of passive recovery, and (c) a single bout of vigorous intensity continuous training (VICT) requiring 6 minutes and 5 seconds of running at ∼85% of peak heart rate (HRpeak). We assessed participants’ ratings of perceived exertion (RPE), affective valence, enjoyment, intention, preference, and self-reported recovery and wellness before, during, and after each session. BIT was associated with significantly greater enjoyment, preference, and exercise intention (at 5 × week) than VICT (p ≤ .05). SIT elicited greater RPE (M = 5.38, SD = 2.00) than both BIT (M = 2.88, SD = 1.23) and VICT (M = 3.55, SD = 1.38) (p ≤ .05), and we observed a higher increase in RPE over time with SIT versus BIT (p = .019). For affective valence, SIT (M = 0.55, SD = 2.12) elicited a more aversive response than both BIT (M = 2.55, SD = 1.09) and VICT (M = 1.94, SD = 1.51) (p ≤ .05), and there was a higher increase in this aversive response to SIT over time (p < .05). Forty-eight-hour postexercise session muscle soreness was significantly lower with VICT than with BIT (p = .03). Overall, BIT was associated with more positive psychological responses than SIT and VICT

Change of Direction Performance and its Physical Determinants Among Young Basketball Male Players

The main aim of the present study was to examine the effects of the age group (U-15, U-17 and U-19) on change of direction (COD) performance and its specific physical determinants among young basketball male players. Thirty-one young male basketball players (13-18 years) volunteered to participate in this study. The sample was divided into 3 age groups (U-15, U-17, U-19). All the evaluations were carried out in the same order in 3 sessions as follows: 1) body composition, self-reported sexual maturation, COD performance, and intermittent endurance capacity; 2) reactive strength index (RSI), 15-m sprint, and repeated sprint ability (RSA) test; 3) vertical and horizontal jumps and lower-limb strength. The results showed significant differences between groups for age, sexual maturation, endurance capacity, horizontal and vertical jump performances, RSI, COD, RSA, and lower-limb strength (p < 0.05). Significant correlations were identified between COD performances and some physical determinants such as jumping ability and RSA performance (-0.43 < r < 0.85; p <= 0.05). In conclusion, there are age effects on COD performance and its specific physical determinants among young basketball male players. The associations between COD performance and its determinants should be considered by practitioners when programing athletic talent development for this population

Shorter sprints elicit greater cardiorespiratory and mechanical responses with less fatigue during time-matched sprint interval training (sit) sessions

The aim of this study was to compare the physiological, mechanical and perceptual responses to two sprint interval training (SIT) sessions with very short vs. long sprints, and to verify if those differences could be reflected in measures of acute fatigue. Eleven physically active men performed, after the maximum oxygen consumption (VO2max) determination, SIT5s (16×5s with 24s of recovery) and SIT20s (4×20s with 120s of recovery) in random order on a cycle ergometer. Physiological, mechanical, and perceptual responses were evaluated during and after the sessions. The countermovement jump (CMJ) height and autonomic control of heart rate (HR) were evaluated before and after the sessions. Diet was also controlled through recall questionnaires. During the training, SIT5s exhibited greater HR, VO2, power output, and total work (TW) (p.05). A faster HR recovery (HRR) and a higher CMJ height were observed after the SIT5s (p.05). Some correlations between the mechanical and physiological responses were revealed only in the SIT5s. SIT5s was demonstrated to be more efficient as exhibited by greater mechanical responses associated with a higher aerobic activity, when compared to the volume-matched SIT protocol of longer sprints. Simple monitoring tools such as HRR and CMJ could help practitioners to detect differences in acute fatigue after different SIT sessions

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Relationships between Different Field Test Performance Measures in Elite Goalball Players

Goalball is a Paralympic sport involving people with visual impairment. Little is known about the physical fitness of elite players of this sport, as previous studies only evaluated body composition and aerobic capacity. Thus, the aim of this study was to describe the performance of elite goalball players in different physical tests and to look for relationships between them. Eleven elite Brazilian goalball players, seven males and four females, were evaluated for body composition, maximal handgrip isometric force (MHGF), countermovement jump (CMJ), throwing velocity (TV) and the Yo-Yo intermittent recovery test level 1 (Yo-Yo IR1). Players produced 41.54 &plusmn; 8.41 kgf in MHGF, 34.81 &plusmn; 7.2 cm in CMJ, 14.21 &plusmn; 1.89 m∙s&minus;1 in TV, and 505 &plusmn; 313 m in Yo-Yo IR1, with an estimated maximum oxygen consumption (VO2max) of 40.64 &plusmn; 2.63 mL∙kg&minus;1∙min&minus;1. Most performance tests exhibited moderate to high correlations among them, while the percentage of body fat correlated with both the CMJ and Yo-Yo IR1 results. The current study reveals that CMJ could be a valuable monitoring tool as it was correlated with all other performance tests. The highest correlation observed was with TV (r = 0.754; p &lt; 0.05), which is a key capacity in goalball. Moreover, high levels of body fat could be detrimental to anaerobic performance

Combined effects of very short "all out" efforts during sprint and resistance training on physical and physiological adaptations after 2 weeks of training

PURPOSE: The aim of this study was to compare the combined effects of resistance and sprint training, with very short efforts (5 s), on aerobic and anaerobic performances, and cardiometabolic health-related parameters in young healthy adults. METHODS: Thirty young physically active individuals were randomly allocated into four groups: resistance training (RTG), sprint interval training (SITG), concurrent training (CTG), and control (CONG). Participants trained 3 days/week for 2 weeks in the high-intensity interventions that consisted of 6-12 "all out" efforts of 5 s separated by 24 s of recovery, totalizing ~ 13 min per session, with 48-72 h of recovery between sessions. Body composition, vertical jump, lower body strength, aerobic and anaerobic performances, heart rate variability (HRV), and redox status were evaluated before and after training. Total work (TW), rating of perceived exertion (CR-10 RPE) and mean HR (HRmean) were monitored during sessions. Incidental physical activity (PA), dietary intake and perceived stress were also controlled. RESULTS: Maximum oxygen consumption (VO2max) significantly increased in SITG and CTG (P  0.05). CONCLUSIONS: RT and SIT protocols with very short "all out" efforts, either performed in isolation, or combined, demonstrated improvement in several physical fitness- and health-related parameters. However, CT was the most efficient exercise intervention with improvement observed in the majority of the parameters

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2