Recent Submissions

  • Stiffness a coaches guide (Part 2): recommendations for testing and training

    Fletcher, Iain M.; Maloney, Sean J. (Uk Strength and Conditional Association, 2025-05-13)
    Abstract: High levels of vertical, leg and joint stiffness are generally advantageous for short time span performance actions, with stiffness changes sensitive to training. Consequently it is vital to monitor stiffness changes in any training intervention designed to enhance stiffness. Measures of stiffness are often seen as too complex to be carried out as part of a training intervention, but this approach misses key adaptations which drive performance. Part 2 of this narrative review focuses on measurement methods that are accessable to coaches and how subsets of stiffness can be trained. To measure a structures stiffness there is a requirement for the force applied to and the corresponding change in length of a given structure (Hookes law). Vertical stiffness focuses on centre of mass (COM) displacement, rather then compression of the leg-spring seen in leg stiffness measurements. This makes leg stiffness a preferable measure, compared to vertical stiffness, if more horizontal movements are explored. However, leg stiffness will miss torso deviations in vertical actions and should not be used to replace COM deviation seen in vertical stiffness measures. Joint stiffness measures individual joint actions giving valuable insight into how joints impact system stiffness. Measures of stiffness require high technical knowledge and complex equipment, often beyond the scope of coaches. However, practical monitoring of stiffness can be relatively easly accumplished by tracking temporal and performance outcomes interactions reliably via readly available high sampling frequency phone apps. Enhancing stiffness has been achieved with isometric, eccentric, isotonic and plyometric training, frequently linked to higher intensity interventions, whether acute or chronic stiffness increases are required. Interventions must maximise force output without increasing ground contact or contraction time, while it is recommended to sequence structural, neural and coordinative-based objectives in any training intervention.
  • Stiffness, a coaches guide (Part 1): underlying biomechanical concepts

    Fletcher, Iain M.; Maloney, Sean J.; (UK Strength and Conditioning Association, 2025-05-13)
    Abstract: The general concept of the stretch and recoil of elastic tissue during ground contact, storing and releasing energy to enhance the propulsive phase of an action is well understood. However different stiffness measures are frequently used incorrectly and interchangably, leading to ineffective monitoring of stiffness changes, limiting the impact of training designed to enhance stiffness. The aim of this narrative review is to discuss how different structures react to ground contacts, how this behaviour can be modeled and how stiffness impacts performance. Hill’s three-compartment model highlights the need for tendon compliance and muscle stiffness in efficient force generation. However, this does not really explain slow stretch shortening cycle (SSC) actions, were both muscle and tendon stretch and recoil. Different models are used to describe a bodies ground impact behaviour, including the spring-mass model which describes centre of mass movement, the torsional spring model which describes leg fuction, with three torsional springs representing the ankle, knee and hip. These models generally link an increase in stiffness to an increase in performance in high intensity action, with vertical stiffness a predictor of high intensity sporting actions independent of sex, age or maturation. Leg stiffness initially increases with running velocity, before remaining constant at high running velocities. When joint function is reviewed ankle stiffness is linked to fast SSC actions, with knee stiffness linked to slow SSC actions. It is concluded that different measures of stiffness should not be used interchangably as different aspects of stiffness impact performance independantly.
  • 'A challenging but rewarding path': working with disability populations

    Ferrandino, Louise; Briley, Simon; O'Brien, Tom (Routledge, 2023-06-29)
    This chapter discusses the different aspects that we feel need to be considered. It starts by exploring the practical considerations which are often neglected when starting out working with disabled populations and then looks at both the physiological and psychosocial considerations which need to be made to make support provision more effective. Whilst, like all members of society, each individual will have different motivations, aspirations, and requirements it is perhaps not surprising that disabled populations may have more specific and challenging needs than their able-bodied counterparts. Therefore, there is a clear need for sport and exercise practitioners to, not only have the required knowledge and skills to be an effective support provider, but also gain a better understanding of the complex and highly individual needs of disabled populations in order to provide the best support possible. The aim being to provide real-life considerations that we feel are key to help practitioners when providing support to disabled populations.
  • Differences in muscle activation and joint kinematics between deadlift styles when performed at high intensity training loads

    Fletcher, Iain M.; Maddam, George; Charalambous, Laura H.; ; University of Bedfordshire (International Universities Strength and Conditioning Association, 2025-05-07)
    The purpose of this study was to compare the conventional (CDL), sumo (SDL) and hex-bar (HBD) deadlift actions at a high intensity training load across a wide range of leg and back muscles to explore which lift has the biggest impact on prime mover musculature. Twelve males (age: 19 ± 2 years; height: 1.81 ± 0.81 m; body mass: 85.64 ± 10.87 kg) performed 3 repetitions of HBD, CDL and SDL at a 90% 1RM intensity. Load lifted, EMG for the Erector Spinae Longissimus, Gluteus Maximus, Biceps Femoris, Semitendinosus, Rectus Femoris, and Vastus Medialis and knee and hip range were compared via effect size magnitude of change. The EMG results showed a general pattern of greater muscle activity, considered a large effect, during the HBD compared to the CDL and SDL, possibly due to the greater absolute load lifted during the HBD. The only anomaly to this was greater EMG activity for the bicep femoris within the CDL compared to the HBD, large effect, and the SDL, moderate effect. This finding was attributed to the greater hip flexion seen in the start position for the CDL compared to other lifts. These findings suggest that the HBD would be the preferred deadlift technique for total muscle recruitment and load lifted for high intensity (90% 1RM) training regimes. However, the CDL would be the preferred lift if bicep femoris muscle activity were a specific targeted requirement.
  • The ingestion of 39 or 64 g· hr− 1 of carbohydrate is equally effective at improving endurance exercise performance in cyclists

    Newell, Michael L.; Hunter, Angus M.; Lawrence, Claire; Tipton Kevin D.; Galloway, Stuart D. R. (Human Kinetics, 2015-06-01)
    In an investigator-blind, randomized cross-over design, male cyclists (mean± SD) age 34.0 (± 10.2) years, body mass 74.6 (±7.9) kg, stature 178.3 (±8.0) cm, peak power output (PPO) 393 (±36) W, and VO2max 62 (±9) ml·kg−1min−1 training for more than 6 hr/wk for more than 3y (n = 20) completed four experimental trials. Each trial consisted of a 2-hr constant load ride at 95% of lactate threshold (185 ± 25W) then a work-matched time trial task (~30min at 70% of PPO). Three commercially available carbohydrate (CHO) beverages, plus a control (water), were administered during the 2-hr ride providing 0, 20, 39, or 64g·hr−1 of CHO at a fluid intake rate of 1L·hr−1. Performance was assessed by time to complete the time trial task, mean power output sustained, and pacing strategy used. Mean task completion time (min:sec ± SD) for 39g·hr−1 (34:19.5 ± 03:07.1, p = .006) and 64g·hr−1 (34:11.3 ± 03:08.5 p = .004) of CHO were significantly faster than control (37:01.9 ± 05:35.0). The mean percentage improvement from control was −6.1% (95% CI: −11.3 to −1.0) and −6.5% (95% CI: −11.7 to −1.4) in the 39 and 64g·hr−1 trials respectively. The 20g·hr−1 (35:17.6 ± 04:16.3) treatment did not reach statistical significance compared with control (p = .126) despite a mean improvement of −3.7% (95% CI −8.8−1.5%). No further differences between CHO trials were reported. No interaction between CHO dose and pacing strategy occurred. 39 and 64g·hr−1 of CHO were similarly effective at improving endurance cycling performance compared with a 0g·hr−1 control in our trained cyclists.
  • Performance of the FreeStyle Libre Flash glucose monitoring system during an oral glucose tolerance test and exercise in healthy adolescents

    Afeef, Sahar M.O.; Tolfrey, Keith; Zakrzewski-Fruer, Julia K.; Barrett, Laura A.; Loughborough University; King Abdulaziz University, Jeddah; University of Bedfordshire (MDPI, 2023-04-25)
    This study's aim was to assess FreeStyle Libre Flash glucose monitoring (FGM) performance during an oral glucose tolerance test (OGTT) and treadmill exercise in healthy adolescents. This should advance the feasibility and utility of user-friendly technologies for metabolic assessments in adolescents. Seventeen healthy adolescents (nine girls aged 12.8 ± 0.9 years) performed an OGTT and submaximal and maximal treadmill exercise tests in a laboratory setting. The scanned interstitial fluid glucose concentration ([ISFG]) obtained by FGM was compared against finger-prick capillary plasma glucose concentration ([CPG]) at 0 (pre-OGTT), -15, -30, -60, -120 min post-OGTT, pre-, mid-, post- submaximal exercise, and pre- and post- maximal exercise. Overall mean absolute relative difference (MARD) was 13.1 ± 8.5%, and 68% (n = 113) of the paired glucose data met the ISO 15197:2013 criteria. For clinical accuracy, 84% and 16% of FGM readings were within zones A and B in the Consensus Error Grid (CEG), respectively, which met the ISO 15197:2013 criteria of having at least 99% of results within these zones. Scanned [ISFG] were statistically lower than [CPG] at 15 (-1.16 mmol∙L-1, p < 0.001) and 30 min (-0.74 mmol∙L-1, p = 0.041) post-OGTT. Yet, post-OGTT glycaemic responses assessed by total and incremental areas under the curve (AUCs) were not significantly different, with trivial to small effect sizes (p ≥ 0.084, d = 0.14-0.45). Further, [ISFGs] were not different from [CPGs] during submaximal and maximal exercise tests (interaction p ≥ 0.614). FGM can be a feasible alternative to reflect postprandial glycaemia (AUCs) in healthy adolescents who may not endure repeated finger pricks.
  • The frail-LESS (LEss sitting and sarcopenia in frail older adults) remote intervention to improve sarcopenia and maintain independent living via reductions in sedentary behaviour: findings from a randomised controlled feasibility trial

    Bailey, Daniel Paul; Harper, Jamie H.; Kilbride, Cherry; McGowan, Laura J.; Victor, Christina; Brierley, Marsha Lynn; Chater, Angel M.; ; Brunel University London; Newcastle University; et al. (BioMed Central Ltd, 2024-09-09)
    Background: Sarcopenia leads to functional disability, dependence in activities of daily living (ADL), and is a key contributor to frailty. Reducing and breaking up sedentary time is associated with improved sarcopenia and frailty-related outcomes. The aim of this study was to determine the feasibility of delivering and evaluating a remote sedentary behaviour intervention to improve sarcopenia and independent living in older adults with frailty. Methods: A two-arm randomised controlled feasibility trial was conducted with a target of 60 older adults (mean age 74 ± 6 years) with very mild or mild frailty. Participants were randomised to the Frail-LESS (LEss Sitting and Sarcopenia in Frail older adults) intervention or usual care control group for six months. The intervention included tailored feedback on sitting, standing and stepping; an education workbook that included goal setting and action planning; one-to-one health coaching; peer support; and a wearable device to self-monitor sedentary behaviour. Partic
  • Energetic activity for depression in young people aged 13-17 years: the READY feasibility RCT

    Smith, Megan; James, Ryan; Howlett, Neil; Mengoni, Silvana E.; Jones, Julia; Sims, Erika; Turner, David; Grant, Kelly; Clark, Allan; Murdoch, Jamie; et al. (NIHR, 2024-12-18)
    Background: Prevalence of depression is increasing in young people (YP). Behaviour change interventions providing benefits equal to or greater than talking therapies or pharmacological alternatives are needed. Exercise could be beneficial for YP with depression, but we lack robust, trials of effectiveness. Objective(s): Test whether an exercise intervention targeting YP with depression is feasible, including recruitment and retention of YP, recruitment and training of exercise professionals and intervention delivery. Design: Three-arm cluster feasibility Randomised Controlled Trial (RCT) with embedded process evaluation and health economic data collection. Setting: Local community venues in Hertfordshire, Bedfordshire, and Norfolk. Participants: Young people aged 13-17 years experiencing mild to moderate low mood or depression (indicated by scoring 17-36 on the Child Depression Inventory version 2 (CDI 2)) identified by mental health services, schools or by self-referral. Interventions: Participants were rand
  • Validity of a wrist-worn consumer-grade wearable for estimating energy expenditure, sedentary behaviour, and physical activity in manual wheelchair users with spinal cord injury.

    Bailey, Daniel Paul; Ahmed, Imran; Cooper, Daniel L.; Finlay, Katherine A.; Froome, Hannah M.; Nightingale, Tom E.; Romer, Lee M.; Goosey-Tolfrey, Victoria L.; Ferrandino, Louise; Brunel University London; et al. (Taylor & Francis, 2024-09-20)
    To evaluate the validity of a consumer-grade wearable for estimating energy expenditure, sedentary behaviour, and physical activity in manual wheelchair users with spinal cord injury (SCI). Fifteen manual wheelchair users with SCI (C5-L1, four female) completed activities of daily living and wheelchair propulsion (2-8 km·h-1). Wrist-worn accelerometry data were collected using consumer-grade (z-Track) and research-grade (ActiGraph GT9X) devices. Energy expenditure was measured via indirect calorimetry. Linear regression was used to evaluate the prediction of criterion metabolic equivalent of task (MET) by each accelerometer's vector magnitude (VM). Area under the receiver operating characteristic curve (ROC-AUC) evaluated the accuracy of VM for discriminating between physical activity intensities and for identifying accelerometer cut-points. Standardised β-coefficients for the association between z-Track and ActiGraph VM for criterion MET were 0.791 (p < 0.001) and 0.774 (p < 0.001), respectively. The z-Track had excellent accuracy for classifying time in sedentary behaviour (ROC-AUC = 0.95) and moderate-to-vigorous physical activity (ROC-AUC = 0.93); similar values to the ActiGraph (ROC-AUC = 0.96 and 0.88, respectively). Cut-points for the z-Track were ≤37 g·min-1 for sedentary behaviour and ≥222 g·min-1 for moderate-to-vigorous physical activity. This study supports the validity of a consumer-grade wearable to measure sedentary time and physical activity in manual wheelchair users with SCI.
  • Women trail runners' encounters with vulnerability to male harassment in rural off-road spaces

    Gubby, Laura; Hill, Joanne; Canterbury Christchurch University; University of Bedfordshire (Routledge, 2024-08-21)
    The #metoo movement and high-profile coverage of murders of women in public spaces have reignited investigation of public harassment and women’s actions as they make decisions where and how to engage in outdoor physical activity. This paper draws from the ideas of Lefebvre (1991) and Massey (1994) to understand women trail runners’ spatial experiences in England. Sixteen women who trail run by themselves participated in go-along interviews in their usual running trails. This method allowed participants to recall moments in specific spaces or address spaces that generate particular feelings, and encouraged the researcher to gain a sensory understanding of the spaces which were important to participants. We analyse the production of the trail through runners’ interactions with people and environment inside and outside the trail, and discuss enjoyment as well as perceptions of vulnerability to male harassment and ‘risky’ moments. Ultimately, despite runners regularly feeling vulnerable when running, they refused to stop. At a time when physical activity and natural environments are being promoted as key contributors to personal wellbeing and public health, this research provides evidence of how the production of spaces and safety negotiations affect women’s running experiences.
  • Identifying the number of steps required for familiarisation to athletic footwear in healthy older adults

    Soares, Diana; Fletcher, Iain M.; Mitchell, Andrew C.S.; Charalambous, Laura H.; ; University of Bedfordshire (Karger Publishers, 2024-07-24)
    Introduction: Research on athletic footwear familiarisation within an older population is sparse. This is problematic because unfamiliar footwear may act as a new perturbation and modify older adults’ walking gait and stability. In addition, while athletic footwear has been suggested to enhance older adults’ comfort and support during activities of daily living, the necessary period for familiarisation with athletic footwear is unknown. Therefore, this study aimed to identify the number of steps required for older adults to be familiarised with athletic footwear of different midsole thicknesses. Methods: Twenty-six healthy and physically active community-dwelling older adults, 21 females (71.1 ± 4.5 years; 164.5 ± 5.3 cm; 68.4 ± 11.4 kg) and five males (70.6 ± 2.3 years; 175.2 ± 7.8 cm; 72.8 ± 9.7 kg) completed a walking-based protocol. Participants walked two trials of 200 steps at their habitual speed on a 10 m track of an optical measurement system in three footwear conditions: 1) New Balance® REVlite 890v6 (thick midsole); 2) New Balance® REVlite 1400v5 (moderate midsole); and 3) New Balance® Minimus 20v7 (thin midsole). Gait speed (m.s-1) and walking time (min) were analysed for each participant over the 400 steps. Number of required familiarisation steps were established over three analysis phases, consisting of steady state gait assessment, averaging and analysis of blocks of 40 steps, and sequentially comparing these steps with a pre-determined threshold. Footwear familiarisation was assumed when the mean gait speed fell within an acceptable level (± 2 SD from 320 to 360 step values) and subsequently maintained. Results: Most participants were familiarised with all three footwear conditions (thick n= 18; moderate and thin n= 20) after walking 80 steps. For all participants, the moderate midsole had the shortest familiarisation period (160 steps). The highest number of familiarisation steps were found in the thick (320 steps) and thin midsoles (240 steps) for some participants. Conclusion: A minimum of 320 familiarisation steps is recommended to account for both individual differences and midsole thicknesses. Implementing this walking-based footwear familiarisation protocol would improve validity of future studies, ensuring they analyse footwear effects rather than familiarisation with the footwear.
  • Stress and work performance responses to a multicomponent intervention for reducing and breaking up sitting in office workers: a cluster randomized controlled trial

    Maylor, Benjamin David; Hough, John; Edwardson, Charlotte L.; Zakrzewski-Fruer, Julia K.; Bailey, Daniel Paul; ; University of Bedfordshire; University of Leicester; Nottingham Trent University; Brunel University London (Lippincott, Williams & Wilkins, 2023-12-01)
    Objective: The aim of the study is to explore the potential of a sitting reduction workplace intervention for improving stress and work performance. Methods: A cluster randomized controlled trial evaluated an intervention to reduce and break up occupational sitting in 12 clusters ( n = 89 office workers) over 8 weeks. Outcomes were physiological stress (cortisol concentrations), perceived stress, and work performance. Results: Linear mixed model group × time interaction effects were nonsignificant. Exploratory analyses showed a trend, with a large effect, for lower cortisol concentrations over the day in the intervention group relative to controls at 8 weeks (-0.85; 95% confidence interval, -1.70 to 0.03 nmol·L -1 ; P = 0.06, d = 0.79). The intervention group had higher vigor and cognitive liveliness at 8 weeks relative to controls ( P ≤ 0.05). Conclusions: This exploratory study suggests that there could be meaningful changes in physiological stress and work-related outcomes that should be investigated in future studies.
  • Metabolic responses to exercise

    Zakrzewski-Fruer, Julia K.; Thackray, Alice E.; Newell, Michael L. (Oxford University Press, 2023-08-10)
    Exercise is associated with a complex interplay of distinct metabolic responses among children and adolescents. Using a variety of techniques and study designs, considerable progress to characterise these metabolic responses has been made over the last 90 years. Yet, measures in the paediatric literature are often bound to more stringent ethical and technical constraints than the adult literature. As such, minimally invasive respiratory gas and blood indicators of substrate and energy use have provided a platform for much of the evidence among children and adolescents, whereas insight into the underlying mechanisms at the muscle cell level remains profoundly limited and reliant on studies conducted ~40– 50 years ago. This chapter provides a critical discussion and synthesis of the available paediatric- specific literature on the metabolic responses to exercise, highlighting relevant methodological issues, gaps in knowledge, and current views. The initial focus centres on energy provision during exercise in relation to key influencing factors, particularly chronological age and puberty. Carbohydrate and fat metabolism are central to these discussions, as the contribution of protein to energy expenditure during exercise is often deemed negligible. With the acute metabolic responses to exercise having implications for cardiometabolic disease risk, the chapter culminates in a discussion of this growing evidence base in relation to postprandial glycaemia, insulinaemia, and lipaemia. Distinguishing between chronological age (referred to as ‘age’ for simplicity) and pubertal stage is a key theme throughout; where this is not essential to the interpretation of findings or findings are based on mixed samples of children and adolescents, the collective term ‘young people’ is used. Where relevant, findings from adult samples are used to provide insight into underlying mechanisms and highlight gaps in knowledge among young people.
  • The grief cycle: investigating the influence of cycling on grief outcomes in individuals who have experienced a bereavement

    Williams, Jane; Wingfield, Harriet; Chater, Angel M.; University of Bedfordshire; Sheffield Hallam University (SAGE, 2024-06-23)
    Background: There is a lack of research that investigates the influence of physical activity on grief outcomes. This research aimed to examine the influence of cycling on grief outcomes in individuals who have experienced a bereavement. Method: Semi-structured interviews with 14 participants (n = 8 males; age M = 47.5 years) who engaged in cycling behaviour and had experienced a bereavement. Reflexive thematic analysis was used to guide analysis. Results: Four key themes were generated, providing: an 1) Embodied experience of cycling, within the 2) Cycling community, helping to provide support, alongside the 3) Nature connectedness, which led to 4) Post traumatic growth, following bereavement. Conclusion: Evidence suggest that cycling can provide an opportunity for a physical challenge, an immense connection to nature and a community of support from likeminded individuals. These therapeutic qualities of cycling should be considered for future interventions and adds novel findings to the area of cycling, bereavement and grief.
  • Sport, leisure, and social justice at the neoliberal moment: challenges for integrity and activist scholarship

    Lawrence, Stefan; Hill, Joanne; Mowatt, Rasul (Routledge, 2024-05-23)
    The introductory chapter of this handbook serves as a contextual framework for the subsequent sections, highlighting notable recent events that demonstrate the growing influence of sport and leisure in advancing social justice causes. The chapter aims to situate social justice as a political concept typically associated with state intervention in promoting equity, diversity, and inclusion. It documents the dominant leftist perspective that has shaped conventional discourses on social justice, which in turn has strongly influenced political debates within the field of sport and leisure studies. However, the chapter also acknowledges the appropriation of social justice by groups and organisations on the political right, particularly neoliberals, suggesting the need for alternative approaches and a comprehensive understanding of social justice in the specific contexts of sport and leisure studies. It argues for the development and refinement of a more nuanced definition of social justice within these fields as well as developing methodologies that contribute to greater human emancipation.
  • Routledge handbook of sport, leisure, and social justice

    Lawrence, Stefan; Hill, Joanne; Mowatt, Rasul (Routledge, 2024-05-26)
    This is the first book to explore in breadth and in depth the complex intersections between sport, leisure, and social justice. This book examines the relations of power that produce social inequalities and considers how sport and leisure spaces can perpetuate those relations, or act as sites of resistance, and makes a powerful call for an activist scholarship in sport and leisure studies. Presenting original theoretical and empirical work by leading international researchers and practitioners in sport and leisure, this book addresses the central social issues that lie at the heart of critical social science - including racism, sexism, homophobia, transphobia, ableism, religious persecution, socio-economic deprivation, and the climate crisis - and asks how these issues are expressed or mediated in the context of sport and leisure practices. Covering an incredibly diverse range of topics and cases - including sex testing in sport; sport for refugees; pedagogical practices in physical education; community sport development; events and human rights; and athlete activism - this book also surveys the history of sport and social justice research, as well as outlining theoretical and methodological foundations for this field of enquiry. The Routledge Handbook of Sport, Leisure and Social Justice is an indispensable resource for any advanced student, researcher, policymaker, practitioner, or activist with an interest in the sociology, culture, politics, history, development, governance, media and marketing, and business and management of sport and leisure.
  • Doing and undoing gender in physical education and youth sport: the potential for practice

    Kettley-Linsell, Hannah; Hill, Joanne (Routledge, 2024-05-23)
    This chapter provides an academic review of the literature on gendered practices in physical education (PE) and explores the concept of doing and undoing gender within this educational setting. The concept of doing gender refers to the process of maintaining, reproducing, and legitimising institutional arrangements and practices based on sex categories. The production and reproduction of gender in PE have been extensively studied, revealing the significant role of pedagogical and organisational practices in conveying and reinforcing dominant gender norms and discourses. The chapter concludes by discussing implications for future PE practices, such as reconfiguring activities traditionally attributed to specific genders, incorporating student voice in curriculum choices, and exploring the potential benefits of coeducational classes. These recommendations aim to foster a more inclusive and equitable PE environment that allows young people to explore and express their gender identities freely.
  • Creating space for meaningful physical activity at home: women’s stories of social interaction, micro-adventure, and the joy of feeling strong

    Hill, Joanne; Flemons, Olivia; University of Bedfordshire (Taylor and Francis, 2024-02-08)
    During COVID-19 stay-at-home orders and social distancing, the home, garden and local spaces became focal points for physical activity (PA). These restrictions may have influenced the meaningfulness of PA. This paper draws on feminist perspectives on space and the body alongside the concept of meaningful PA to examine women’s PA at home towards the end of pandemic restrictions. In this visual ethnographic project, 11 women who were physically active at home each engaged in photo diaries and two online interviews for a retrospective and in-the-moment exploration of their PA at home during and after social distancing. Analysis considered the changing and subjective nature of meaningfulness in these contexts. Three composite vignettes are presented, titled ‘Everything is on your own terms’, ‘Expanding the four walls’, and ‘A micro-adventure all by myself’. These written and visual stories illuminate meaningful PA at a time shaped by reactions to stay-at-home orders and changing (gendered) relations to the home as a leisure, domestic, and work space. At-home PA was variously a compromise and a personally relevant choice. Participants found meaning in adapting PA to create the right challenge for them and expressed joy in developing physical strength. Digital and home PA spaces helped women to challenge normative PA practices while fostering different forms of social interaction. Constructions of meaningful PA are dynamic and socially situated in resistance to lockdown and loss of access of nature. The personal relevance of PA is affected by personal values and histories, and broader discourses of space and the body.
  • The reliability and suitability of strength assessments in frail and pre-frail older adults: recommendations for strength testing in older populations

    Swales, Bridgitte; Ryde, Gemma C.; Fletcher, Iain M.; Whittaker, Anna C.; University of Stirling; University of Glasgow; University of Bedfordshire (BMC, 2023-12-08)
    Lifelong strength is fundamental to physical function, health, and quality of life. Reliable appropriate strength assessment measures for older adults play an important role in effective evaluation of baseline ability and exercise prescription to counter disease and disuse. This study aimed to investigate the within-session reliability of maximal isometric knee extension and flexion, hip abduction and adduction, and handgrip strength measures in frail and pre-frail older adults. The study was conducted at a residential care home in Birmingham, UK. All care home residents aged ≥ 65 years; pre-frail or frail according to the Fried Frailty phenotype criteria; able to speak and read English; not currently involved in any other clinical trial; without severe sensory impairments; and with a predicted life expectancy greater than the trial length were eligible. Maximal isometric lower limb testing was performed using specialised resistance training equipment and a portable measurement device, and grip strength was assessed using a portable dynamometer. All eligible participants attended a single testing session and performed three trials per measure. Peak force measures were obtained for analysis. Within-session reliability for each measure was calculated from repeated-measures analysis of variance, intraclass correlation coefficients (ICC), and coefficients of variation (CV) with 95% confidence intervals. Eleven frail and eleven pre-frail older adults participated in the study. Within-session absolute and relative measures were found to be reliable with the highest overall repeatability indicated between trial 2 and trial 3 for knee extension, hip abduction, and handgrip (CV ≤ 4.65%, ICC ≥ 0.96) with variation evident across all measures, except knee extension, from trial 1 to 2. Overall, maximal isometric strength in frail and pre-frail older adults with no previous testing experience can be measured with good to high reliability within their first testing session. An initial two familiarisation trials followed by two measurement trials is recommended to achieve the highest level of overall repeatability. The trial was registered with ClinicalTrials.gov: NCT03141879 on 05/05/2017.
  • Interrupting sitting acutely attenuates cardiometabolic risk markers in South Asian adults living with overweight and obesity

    Dey, Kamalesh Chandra; Zakrzewski-Fruer, Julia K.; Smith, Lindsey Rachel; Jones, Rebecca Louise; Bailey, Daniel Paul; University of Bedfordshire; Queen Mary University of London; University of Lincoln; Brunel University London (Springer, 2023-11-11)
    Purpose: This study examined the acute effects of interrupting sitting with light-intensity walking on postprandial cardiometabolic risk markers in South Asian adults. Methods: South Asians with overweight/obesity (n=19; body mass index [BMI] >23 kg·m-2) and normal-weight (n=8; BMI 18.0-22.9 kg·m-2) aged 48.8 ± 5.6 years completed two, 5-h conditions: (1) prolonged sitting (SIT), and (2) interrupted sitting with 5-min bouts of light-intensity walking every 30-min (INT-SIT). Blood samples and resting expired air samples were collected throughout each condition. Statistical analyses were completed using linear mixed models. Results: In participants with overweight/obesity, postprandial glucose, triglycerides (TAG) and metabolic load index (MLI) over time were lower, whereas resting substrate utilisation and resting energy expenditure (REE) were higher, in INT-SIT than SIT (all p≤0.05). Compared with SIT (0.18 [95% CI 0.13, 0.22] kcal.min-1), INT-SIT (0.23 [95% CI 0.18, 0.27] kcal.min-1) increased postprandial REE iAUC in participants with overweight/obesity (p=0.04, d=0.51). Postprandial TAG concentrations over time were lower in INT-SIT versus SIT (p=0.01, d=30) in normal-weight participants, with no differences in any other outcomes for this sample group. Conclusion: These findings suggest that interrupting sitting with 5-min bouts of light walking every 30-min acutely attenuates cardiometabolic risk markers among South Asians living with overweight/obesity, whereas limited effects may be seen in individuals with normal-weight.

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