bluuebunny/crossref_metadata_2025_split huggingface dataset:
BENEFICIAL EFFECTS OF A COMBINED AEROBIC AND STRENGTH TRAINING PROGRAM IN PATIENTS WITH MOTOR NEURON DISEASE
Authors: Ferri Dr Alessandra , Lanfranconi Francesca 
Published: May 2024

INTRODUCTION & AIMS
Motor Neuron Disease (MND) is a neurodegenerative disease characterised by the progressive degeneration and death of motor neurons, which leads to a reduction in muscle strength and physical function. Although “Exercise as Medicine” is accepted for many diseases, the role of exercise in individuals with MND is still debated. The aim of this study was to evaluate the effect of a combined, moderate-intensity, aerobic and strength training program on aerobic capacities, strength and physical function in individuals with MND.

METHODS
Fifteen individuals with MND were randomly assigned to either a training (3 times/week for 12 weeks; TRAIN, n=8) or a control (continued their usual standard of care; CTRL, n=7) group. The peak aerobic capacity (VO2peak) and the maximal capacity of oxygen extraction (via Near-Infrared Spectroscopy) were evaluated during an incremental test to exhaustion on a cycle ergometer. The strength of both the lower- and upper-limb muscles was evaluated with a 1-Repetition Maximum (1RM) test on the leg press, leg extension, biceps curl, and vertical chest press. Participants also performed the “Timed Up and Go” test (TUG) and the 6-min walking test (6MWT).

RESULTS
The adherence to training was 86 ± 6%, and the satisfaction with the exercise program was 9.6 out of 10. VO2peak did not change significantly in both groups, but the maximal capacity of O2 extraction improved significantly in TRAIN (from 44 ± 3 to 67 ± 4%). In TRAIN, the 1RM for the leg press and leg extension increased significantly by 47 ± 8% and 50 ± 13%, respectively, while this parameter did not change in CTRL. While the 6MWT increased by 5% in TRAIN and decreased by 3% in CTRL, the change was not significant.

CONCLUSION
These preliminary results support the beneficial role of a combined aerobic and strength training program in individuals with MND.
DEVELOPMENT OF THE SUBJECTIVE TRAINING QUALITY SCALE FOR TEAM SPORTS SCALE
Authors: McGrath Jed , Coutts Distinguished Professor Aaron , Slattery Dr Katie , Davies Steph 
Published: May 2024

INTRODUCTION & AIMS
In team sports, training is strategically designed to incorporate all training factors (i.e., physical, technical, tactical, mental) to improve an athlete’s performance during competition. The ultimate goal is for individual athletes to work together as a cohesive unit to complete training objectives and train at high quality. Although anecdotal, training quality is considered a key component in the training process. However, there is currently no team sport literature that has defined this construct. Nor a validated measurement instrument available to assess the quality of team sport training. Therefore, the present study developed the Subjective Training Quality for Team Sports (STQ-TS) scale. Furthermore, this study investigated the application of this scale within the context of a professional National Rugby League (NRL) team.

METHODS
Eleven rugby league players (24 ± 2 y; 62 ± 47 NRL games) were interviewed to explore how they define and assess training quality. Thematic analysis was used to analyse interview transcripts. The identified themes were used to develop a preliminary STQ-TS scale. The STQ-TS scale was completed by forty-two NRL players across two seasons.

RESULTS
Four themes were identified for the STQ-TS scale. These themes included physical, technical, mental, and teamwork (i.e., communication; connectedness). Players perceived pre-season training to be lower quality compared to in-season. In-season training quality showed a gradual improvement throughout both seasons, reaching its peak late in the season.

CONCLUSION
Professional rugby league players perceive training quality as their ability to complete physical, technical, mental, and teamwork objectives. The STQ-TS scale serves as a valuable tool for practitioners to assess training quality in team sports. The integration of the STQ-TS scale with external load, internal load, and athlete response measures can provide practitioners with a more nuanced and holistic understanding of the training process.
EXPLORING THE EFFECTS OF VIGOROUS INTERVAL TRAINING, MODERATE RESISTANCE TRAINING AND PILATES ON ARTERIAL STIFFNESS AND BLOOD PRESSURE DURING PREGNANCY: A RANDOMISED CROSS-OVER TRIAL
Authors: Giles Courtney , Beetham Dr Kassia , Spathis Dr Jemima , Johnston Dr Rich , Baker Associate Professor Michael 
Published: May 2024

INTRODUCTION
Regular moderate intensity exercise throughout pregnancy provides significant benefits to both maternal and foetal cardiovascular health outcomes. Current exercise guidelines recommend a combination of moderate intensity aerobic and resistance training (RT). However, there is limited research exploring the cardiovascular effects of higher intensities (vigorous/high) in comparison to common pregnancy exercise modalities such as RT and Pilates (PIL). AIM: To investigate the acute effects of three modes of exercise (resistance, vigorous aerobic intervals and Pilates) during trimester two (T2) and three (T3) of pregnancy on measures of arterial stiffness (pulse wave velocity [PWV]) and blood pressure (BP).

METHODS
Eleven women with uncomplicated pregnancies (age 32 ± 3 years, pre-pregnancy BMI 23.9 ± 3.5 kg/m2) completed testing in T2 (average 20 ± 1.6 weeks gestation) and T3 (average 29 ± 2.5 weeks gestation). Participants performed one each of vigorous intensity interval training (VIIT) (∼33 min), resistance training (RT) (∼35 min) and Pilates (PIL) (∼35 min) in T2 and T3 in randomised order approximately 1 week apart each trimester. Resting outcome measures of PWV, BP and foetal heart rate (FHR) were obtained following 5 minutes of rest and again immediately and 10 minutes post exercise session. BP, maternal heart rate (MHR), and rating of perceived exertion (RPE) were monitored throughout.

RESULTS
There was no difference in the acute PWV response to each type of exercise across the trimesters (1 min VIIT: T2 = 5.53 ± 0.85m/s, T3 = 5.26 ± 0.67m/s, 95%CI[-1.36-0.67]; RT: T2 = 5.4 ± 0.80m/s, T3 = 5.48 ± 0.56m/s, 95%CI[-0.88-1.10]; PIL: T2 = 5.44 ± 0.68m/s, T3 = 5.44 ± 0.68m/s, 95%CI[-0.93-1.01]). There was no significant difference in the acute response in SBP to VIIT (T2 = 116 ± 12.1mmHg, T3 = 122 ± 7.2mmHg, 95%CI[-0.42 - 1.65]. SBP was significantly higher in T3 than T2 1 minute following PIL (T2 = 110 ± 5.8mmHg, T3 = 121 ± 11.7mmHg, 95%CI[0.04-2.1]) and 10 minutes following RT (T2 = 105 ± 10.1mmHg, T3 = 116 ± 5.0mmHg, 95%CI[0.27 - 2.46].

CONCLUSION
VIIT, RT and PIL appear to elicit similar post-exercise haemodynamic and arterial stiffness responses in both the mother and foetus. As such, VIIT may be a suitable addition to standard moderate intensity and RT prescription during an uncomplicated pregnancy.
IMPROVING MENTAL HEALTH, PAIN AND QUALITY OF LIFE IN PERSONS LIVING WITH OSTEOPOROSIS AND DEPRESSION OR ANXIETY: A SYSTEMATIC REVIEW
Authors: Fitzgerald Caroline , Burley Dr Claire , Wright Dr Kemi , McLeod Dr Kelly , Parmenter A/Prof Belinda 
Published: May 2024

Osteoporosis (OP) is a progressive, age-related condition impacting approximately 3.8% of Australians. OP is associated with increased psychological distress, increased pain and decreased quality of life. Correlations exist between OP and psychological distress, with people living with OP three times more likely to experience very high levels of psychological distress compared to those without. Emerging evidence suggests a connection between bone loss and depressive symptoms. For people living with OP, depression and/or anxiety, increasing physical activity is recommended to improve overall health outcomes. Currently, no guidelines for exercise recommendations exist for people living with these co-occurring conditions. The aim of this systematic review is to identify the most effective physical activity intervention to improve mental and physical health, quality of life and pain in people with co-occurring OP and symptoms of depression and/or anxiety. The research question, eligibility criteria and search strategy were developed, and peer reviewed by the research team, and the search was registered through PROSPERO (CRD42023440020). A systematic search of the following databases was conducted using the Cochrane Highly Sensitive Search Strategy for identifying randomized trials and Polyglot search translator: PubMed, CINAHL, Embase, PsycInfo, Scopus & Web of Science. From 7,405 results, 2,372 were excluded as duplicates leaving 5,033. Covidence was used to screen by title and abstract, with a further 5,009 excluded based on study design, population and outcome measures. Full-text screening by two researchers (CF & KM) led to 19 studies included for data extraction, with 5 excluded based on population (OP diagnosis), questionnaire validity and availability of data. Data extraction and analysis is currently underway with results to be presented at the conference. Findings will be used to design and implement a tailored lifestyle intervention program for people living with OP and symptoms of anxiety and/or depression.
This research has been generously funded by the Estate of the Late Faye Patricia Williams.
COMPARING THE EFFECTS OF AROMATASE INHIBITORS AND SELECTIVE OESTROGEN RECEPTOR MODULATORS ON BODY COMPOSITION, EXERCISE TOLERANCE AND MARKERS OF CARDIOVASCULAR RISK IN FEMALES WITH BREAST CANCER
Authors: Alexander Dr Sarah , Foulkes Stephen J , Haykowsky Mark J , Antill Yoland , Nightingale Sophie , Burnham Lauren , Daly Robin M , Fraser Steve F , Gerche Andre La , Howden Erin 
Published: May 2024

INTRODUCTION
Adjuvant endocrine therapy (AET) blocks the action of estrogens and is commonly prescribed in hormone receptor-positive breast cancer. Given the putative cardioprotective role of estrogens in females, AET may exacerbate the negative metabolic side-effects of anthracycline chemotherapy. This study examined the early effects of combined anthracycline chemotherapy and AET on body composition, exercise tolerance and markers of cardiovascular risk in a cohort of females with breast cancer.

METHODS
This was a secondary analysis of the BReast cancer EXercise InTervention (BREXIT) Trial. Females with breast cancer (n=105, aged 51 ± 8 years, BMI 27.4 ± 5.1, mean ± SD) scheduled for anthracycline chemotherapy participated in this study. Aerobic exercise capacity, body composition, physical function, and blood pressure were measured before anthracycline treatment and after 4- and 12-months follow-up. Linear mixed models assessed whether aromatase inhibitors (AI) or selective estrogen receptor modulators (SERMS) affected exercise tolerance, body composition and markers of cardiovascular risk compared to non-endocrine breast cancer treatments.

RESULTS
Twelve months of anthracycline treatment combined with AI or SERMs decreased total body lean mass by 1.4 kg (2%; interaction p=0.01) and 1kg (1%; interaction p=0.16) respectively, when compared to non-endocrine therapies. There were trends for AET to decrease total fat (-1.5%, interaction p=0.05) and android fat (-2.3%, interaction p=0.07) mass compared to non-endocrine therapy after 12 months. AIs significantly increased both systolic (5.8mmHg, interaction p=0.05) and diastolic (4.0mmHg, interaction p=0.05) blood pressure after 12 months of treatment compared to SERMs or non-endocrine therapies. There was no effect of either AET or SERMS on VO2peak, leg press or seated row 1RM, 30 second sit to stand or handgrip strength.

DISCUSSION AND CONCLUSION
Short-term treatment with adjuvant endocrine therapies may accelerate muscle loss and increase blood pressure compared to non-endocrine therapies. However, these changes were not associated with worsening of physical function.
FREQUENCY OF POST-EXERTIONAL MALAISE AMONG INDIVIDUALS WITH POST ACUTE SEQUELAE OF SARS-COV-2 INFECTION
Authors: Burnham Lauren , Howden Erin , Dillon Hayley , Smith Joel , Marwick Professor Tom , Alexander Dr Sarah , Whitmore Kristyn , Silvaruiz Catalina , Shultz Martin 
Published: May 2024

INTRODUCTION AND AIM
Post acute sequelae of SARS-CoV-2 infection (PASC) is a multifaceted disorder with varying symptoms. Fatigue is commonly reported; however, it is unclear if similarities exist between PASC and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). We sought to determine the frequency of post-exertional malaise in individuals with PASC; a hallmark symptom of ME/CFS.

METHODS
116 participants (Age: 53.4±8.4, 36% Male) were identified to have PASC through medical screening. The Duke Activity Status Index (DASI) subjectively evaluated functional capacity, and participants achieving &lt;100% of age and sex defined norms were eligible for the study. Participants attended one of three sites across Victoria and Tasmania to complete Cardiopulmonary Exercise Testing (CPET). Two days post CPET they were asked to complete the DePaul Symptom Questionnaire (DSQ) post-exertional malaise (PEM). PEM was defined as a score ≥ 2 for frequency and severity on DSQ-PEM items 1-5. A personalised exercise rehabilitation program is currently underway for participants, with results on responses to training to be available at the time of the conference.

RESULTS
106 (91%) of the participants who completed a CPET achieved less than 85% of predicted relative VO2peak (21.79±5.72ml.min-1.kg-1). The DSQ-PEM questionnaire was completed in 75% (n=79) of participants. Among these individuals 78% (n=62) met the threshold for PEM. The PEM group were older (53±8 vs 48±8 years, p=0.04), had higher BMI (30.5±7.6 vs 26.7±3.9kg.m2, p=0.02), lower VO2peak (21.6±5.7 vs 25.6±5.4ml.min-1.kg-1, p=0.01) and six-minute walk distance (491±131 vs 583±112m, p=0.02). There was a similar proportion of men and women between both groups.

CONCLUSION
Like with ME/CFS, PEM is a common symptom in PASC. Additionally, these individuals are more deconditioned than PASC sufferers without PEM. Thus, practitioners should carefully consider the impact of PEM and deconditioning when developing rehabilitation programs.
DEVELOPMENT OF THE NEXT ESSA RESEARCH STRATEGY
Authors: Curtis Ali , Powell Judy , Muir Jess 
Published: May 2024

INTRODUCTION
The generation and use of research is a function within ESSA and the first research strategy was developed for the period 2018 - 2021. Research program activities are diverse. ESSA has hosted the Research Committee and the Publications Committee for 5 years. ESSA has facilitated the development of member-driven Guidelines, Consensus and Position Statements for use by professionals in practice. ESSA has hosted an annual Research Grant Program and a biannual scientific conference. This paper outlines the research strategy development project.

METHODS
The previous strategy delivered research grants and ESSA publications. Investments were made into administration and research governance including release of the ESSA Research Publications Development Guideline. Consultation on the development of the next Research Strategy included presentations and surveys to engage members, key stakeholders and staff about: the program; the key strategy pillars; principles; and actions. Actions were assessed for feasibility and priority.

RESULTS
The outcomes of the consultation on the ESSA Research Strategy 2023-2026 identified four pillars of capacity building, engagement, translation and data, and research for policy and practice priorities. The use of research publications by ESSA accredited professionals and industry will be guided by a translation framework, aligning with the objectives of the National Health and Medical Research Council (NHMRC) Translation Strategy 2022-2025, the resources of the National Centre of Implementation Science and the ESSA Strategic Plan. This will support members to leverage research findings, to encourage researchers to develop translation collateral and to implement new research results. The strategy will have actions, references and tools to help accredited professionals to engage in research translation.

CONCLUSIONS
The Research Strategy and translation framework will be outlined. The paper will include examples relating to physical activity. ESSA’s next Research Strategy is to further support research generation and use by ESSA accredited professionals, staff and the industry.
THE EFFECTS OF ACUTE AND CHRONIC HYPOXIC PLYOMETRIC EXERCISE ON POST ACTIVATION POTENTIATION
Authors: Coskun Dr Betul , Hamlin Prof Michael J. 
Published: May 2024

INTRODUCTION
In the literature, only acute effects of exercise, mostly combined with plyometrics or blood flow restriction (BFR), have been examined on post-activation-potentiation (PAP). Although systemic and local hypoxia have some similar effects, we found only one study (Ramos-Campo et al., 2020) reporting a PAP effect with systemic hypoxia. There is no study investigating chronic effects, and there is also no study examining acute and chronic effects of exercise together, not only in hypoxia but also in normoxia. The aim of this study is to examine the acute and chronic effects of plyometric exercise in hypoxia on PAP, and to test differences between high and low hypoxia.

METHOD
Nineteen team-sports athletes undertook 8-week drop-jump (DJ) training in Low-Hypoxia (LH, n=8), Normoxia (N, n=6), and High-Hypoxia (HH, n=5) using a hypoxicator set using a biofeedback system to sustain a SpO2 of 90%, 97-100%, and 80%, respectively. PAP assessments were applied under both normoxia and hypoxia on different days. Two DJ trials from 40-cm height were obtained as baseline measurements, and then 7.5 min passive rest was given under each group’s hypoxia level. Following 1x5 DJs for pre-test, and 1x8 DJs for post-test as PAP protocol, DJ tests were applied at 2nd and 4th min.

RESULTS
RM-ANOVA, to assess acute effect, showed a significant conditionxtest interaction (F=3.40, p=0.044), and only under normoxia condition DJ-height was significantly higher at 2nd (31.7cm) and 4th min (31.6cm) than baseline (30.1cm)(p&lt;0.05). For chronic effect, mixed-ANOVA represented a significant groupxtest interaction (F=2.70, p=0.048). Only HH significantly increased DJ-height from baseline (30.0cm) to 2nd (31.9cm) and 4th min (32.9cm) (p&lt;0.05).

CONCLUSION
We conclude that while acute hypoxia drop jump exercise may damage net balance between potentiation and fatigue which occurred after conditioning activity, high hypoxia drop jump training may affect this balance in favour of potentiation without any condition difference.
KNOWLEDGE PRODUCTS TO HELP EXERCISE PROFESSIONALS IMPLEMENT EXERCISE RECOMMENDATIONS FOR PEOPLE WITH BONE METASTASES: CO-DESIGN OF A HEALTH INFORMATION FORM
Authors: Lane Kirstin N. , Bland Kelcey A. , Neil-Sztramko Sarah E. , Nadler Michelle B. , Langelier David M. , Chalmers Alana , Dinardo Rhoda , Prestley Nicole , Weller Sarah , Alibhai Shabbir M.H. , Capozzi Lauren , Papadakos Janet , McDonald Karen , Copp Jane , McNeely Margaret , Simmons Christine , Lambert Leah , Bates Alan , Campbell Kirstin L 
Published: May 2024

INTRODUCTION
People with bone metastases have historically been advised to limit exercise due to risk of skeletal adverse events, such as bone fracture. Published recommendations by the International Bone Metastases Exercise Working Group (IBMEWG) emphasize regular exercise may benefit people with bone metastases; however, there are barriers to adopting these guidelines into clinical practice. For example, exercise professionals (EPs) report challenges obtaining necessary medical information about bone metastases to develop/design safe exercise programs. To address this, a Health Information Form (HIF) was developed using an experience-based co-design approach with three knowledge user (KU) groups: patient/family partners (PFPs), oncology healthcare providers (HCPs), and EPs. The aim of this study was to gather feedback from an international audience on the usability of the HIF.

METHODS
An online survey was advertised widely to KU groups using a social media toolkit and targeted email invitations to professional organizations. Questions included demographic information, usability of the HIF, and suggestions for dissemination. Analysis of survey responses was descriptive.

RESULTS
69 respondents from North America (71%), Europe (20%), and Australasia (9%) provided feedback on the HIF. Most were EPs (54%) or PFPs (36%), and half (54%) had some awareness of the IBMEWG exercise recommendations. 81% of respondents found the purpose of the HIF easy to understand and 77% rated the content as excellent or very good. The design was rated as excellent or very good by 62% with feedback such as “… covers a lot of areas in a way that is brief and effective”. 14 respondents suggested information that could be added to the HIF (e.g., fracture risk factors, recent surgeries).

CONCLUSION
Overall, the HIF was well received by an international audience. The feedback provided by respondents will be utilized to enhance both the design and content of the form.
A QUALITATIVE EXPLORATION OF THE EFFECT OF A METASTATIC BREAST CANCER DIAGNOSIS ON PHYSICAL ACTIVITY AND QUALITY OF LIFE
Authors: Scott Dr Andrew , Walter Miss Natasha , Uwadiae Mr Monday , Alaga Mr Abdulmalik Agboola Ayodeji 
Published: May 2024

BACKGROUND
Physical activity is beneficial for people living with metastatic breast cancer, a cancer that has spread to other body parts such as liver, lungs and lymph nodes, but less is known about patient views on supporting them in an active lifestyle. Through a qualitative scope this study aimed to investigate the effect of a metastatic breast cancer diagnosis on physical activity and quality of life aiming to capture exercise motivators, barriers, and preferences to inform and introduce feasible and effective physical activity in treatment plans.

METHODS
This study involved semi-structured interviews with eight female participants from the local Metastatic Breast Cancer Support Group in Portsmouth.

RESULTS
Reflexive thematic analysis was conducted on the data, and five higher order themes were developed: (i) Life is affected by diagnosis and treatment, (ii) Limitations to being more physically active, (iii) Physical activity’s impact on quality of life, (iv) Factors supporting/enhancing physical activity and quality of life, and (v) Actions to support physical activity and quality of life. Generally, participants reported that living with metastatic breast cancer had negatively altered their quality of life, including their ability to be physically active. Perceptions of the introduction or continuation of physical activity were welcomed. Despite the benefits and factors found to support physical activity engagement several barriers were identified, such as treatment focus and exercise misconceptions.

CONCLUSION
Metastatic breast cancer impacts quality of life and the ability to be physically active, being active is generally perceived to be beneficial, and social and environmental support is important to being physically active.