Search Results (22,741)

Quantifying mechanical loading during daily physical activities is essential for designing and evaluating bone health interventions. Accelerometers are a promising tool for estimating these loads under free-living conditions, yet existing prediction models depend on prior knowledge of the activity being performed. This study developed and validated machine learning models to automatically distinguish between walking, running, and jumping using accelerometer data. Forty-eight healthy adults completed a protocol of walking, running, and jumping tasks while wearing ActiGraph GT9X Link accelerometers at the ankle, lower back, and hip. Three algorithms (Random Forest, Support Vector Machine, and K-Nearest Neighbors) were trained and evaluated through multiple performance metrics. All models achieved excellent classification accuracy across sensor placements, with percent agreement between 93.8% and 97.7%, receiver operating characteristic area under the curve values consistently above 0.97, and Kappa coefficients exceeding 0.89. These results demonstrate that accelerometer-based activity classification can reliably differentiate walking, running, and jumping, establishing a practical framework for applying activity-specific mechanical loading prediction equations under free-living conditions. Full article

Background/Objectives: Diet and mental health constitute two significant modifiable factors affecting Inflammatory Bowel Disease (IBD). The present exploratory study explores potential interrelationships between mental health and eating patterns in IBD patients in Greece. Methods: A mixed-methods approach was followed. Two hundred and eighty-three individuals living with IBD in Greece (n = 110 UC, n = 173 CD) participated in an online questionnaire survey examining demographic characteristics, anxiety, depression, and dietary attitudes. Fourteen semi-structured interviews explored the lived experiences of diet, mental health, and disease among IBD patients. Results: Quantitative study revealed that 45.77% of patients scored above the clinical cutoff for anxiety (GAD-7 ≥ 10) and 48.37% for depression (PHQ-9 ≥ 10). Patients with UC exhibited a significantly higher prevalence of moderate to severe anxiety (54.5% vs 37.0%, p = 0.004) and depression (54.5% vs 42.2%, p = 0.042) compared to CD. Disordered eating attitudes were present in 27.22% of the total sample, with no significant differences between diagnostic groups (p = 0.985). Thematic analysis revealed three overarching themes, namely (a) ‘life in two phases: IBD impact on health’, (b) ‘mental health and diet interplay—their perceived impact on IBD’ and (c) ‘coping strategies for managing IBD’. Conclusions: Our findings highlight the dynamic interplay among diet, mental health, and IBD experience. The study underscores the importance of developing holistic biopsychosocial interventions integrating medical, dietary, and psychological components for IBD management. Full article

The placement of sensors in an environment can significantly impact the sensing performance of a sensor fusion system. In this paper, the placement of cameras and radars is optimized based on the log determinant of the fused measurement noise of the sensor measurements. This is achieved by mapping the measurements into 3D Cartesian space and applying covariance intersection to obtain a final measurement distribution, which is taken as the measurement noise. The method was tested against random initial placements and optimization runs of sensors for a system that is intended for ball tracking in sports. The particular use case involves the tracking of a cricket ball for the purpose of match evaluation and assisted umpiring. However, in principle, the method is applicable to any sensor placement problem in which the objective is localization and tracking. The results indicate an improved root mean squared error for the optimized sensor placements, which in turn implies a reduction in the measurement noise covariance. Full article

Objective: The primary aim of this study was to compare eccentric knee flexion isokinetic performance at two commonly used angular velocities (60°·s⁻¹ and 180°·s⁻¹) between dominant and non-dominant limbs in healthy professional soccer players through the analysis of peak torque, mean peak torque, angle of peak torque, total work, and rate-of-torque-development-related variables. The secondary aim was to describe concentric knee extension and knee flexion strength variables assessed at 60°·s⁻¹. Methods: Forty male professional soccer players performed concentric knee flexion–extension testing at 60°·s⁻¹ and eccentric knee flexion testing at 60°·s⁻¹ and 180°·s⁻¹ using an isokinetic dynamometer. Peak torque (PT), mean peak torque (MPT), angle of peak torque (APT), total work (TW), and hamstrings: quadriceps ratios (H:Q ratios) were analyzed for dominant and non-dominant limbs. Inter-limb differences, repetition effects, and reliability indices were calculated. Results: No significant inter-limb differences were observed for most variables (trivial–small effect sizes), except for higher eccentric TW at 180°·s⁻¹ in the dominant limb (p = 0.009). Eccentric PT and MPT decreased at higher velocities in both dominant (p = 0.002 and p < 0.001, respectively) and non-dominant (p = 0.008 and p < 0.001, respectively) limbs, while APT shifted toward more flexed knee angles (p < 0.001). Reliability was good to excellent (ICC = 0.81–0.87), with low measurement error. Conclusion: Eccentric knee flexion assessment at 60°·s⁻¹ and 180°·s⁻¹ angular velocities provided different results in PT, MPT, and APT for the same group of players, supporting the use of more than one eccentric test for obtaining information about these variables in elite soccer. Full article

Background: Operational performance in security-force settings depends on maintaining accurate motor–cognitive and shooting performance under acute physical strain. This descriptive pilot study examined pre–post performance patterns during a fixed-order acute-load protocol and explored whether trial-level and spatial analyses identified changes beyond aggregate scores. Methods: Nineteen applicants (10 men, 9 women; 21.6 ± 1.0 years) completed two testing sequences separated by one week. All participants completed Sequence 1 first and Sequence 2 second; therefore, sequence-related observations were interpreted descriptively rather than causally. In both sequences, participants performed Hawk Eye testing, IPSC-based shooting, and the Jaciak Motor Coordination Test, with the order of Hawk Eye and shooting reversed between sequences. Primary outcomes were first-shot hit rate and Hawk Eye error count. Secondary and exploratory outcomes included shooting miss rate and time, Hawk Eye stimulus time, minimum and maximum response times, trial-level timing, spatial distributions, and cross-task coupling. Results: Heart rate increased markedly after the Jaciak test in both sequences, with end-of-test values corresponding to approximately 86–88% of age-predicted HRmax. Model-based analysis indicated lower post-load odds of a first-shot hit compared with pre-load performance. In contrast, no detectable pre–post change was observed for Hawk Eye error probability. Descriptively, first-shot hit rate decreased in Sequence 1 (62.1 ± 19.9% vs. 42.1 ± 28.2%; p = 0.029), while the decrease in Sequence 2 was smaller and not statistically significant (61.1 ± 24.5% vs. 52.6 ± 28.4%; p = 0.267). Hawk Eye error count showed no statistically detectable pre–post change in either sequence, although maximum response time decreased in Sequence 1 (p = 0.008). Trial-level and spatial analyses indicated additional temporal and location-specific patterns, but exploratory cross-task spatial associations were inconsistent. Conclusions: In this fixed-order descriptive pilot study, post-load testing was associated with lower first-shot shooting performance in this sample, whereas no statistically detectable deterioration was observed for Hawk Eye error probability. However, because the design lacked a no-load control condition and all participants completed the same sequence order, the observed pre-to-post differences cannot be attributed specifically to acute physical load. They should be interpreted as descriptive performance patterns within the implemented protocol. Full article

This study investigates the spatial distribution of ambient dose equivalent rates (ADER) on Avala and Kosmaj mountains, two protected landscapes located within the territory of the City of Belgrade, Serbia. Both sites, characterized by rich biodiversity and cultural heritage, were analyzed to assess their radiological safety and suitability for outdoor recreation. In mid-October 2025, in situ measurements were conducted at 42 sampling points using the Radex RD1503+ GM counter. The recorded values ranged from 0.085 to 0.2 µSv/h, remaining below the recommended safety threshold of 0.2 µSv/h. To visualize the gamma dose spatial variability, all field data were georeferenced and processed in QGIS 3.28.10 using the Inverse Distance Weighting (IDW) interpolation method. Integration of GIS and Remote Sensing techniques enabled the correlation between gamma radiation patterns, land cover, and elevation gradients derived from digital elevation models (DEMs). The comprehensive GIS-based approach confirms that Avala and Kosmaj maintain low natural background radiation levels comparable to global averages for similar geomorphological settings, and therefore are safe and suitable for sports, tourism and recreation. The applied combination of field dosimetry, Remote Sensing, and geostatistical modeling provides a valuable framework for continuous environmental monitoring and sustainable landscape management in protected mountainous landscapes in Central Serbia. Full article

The squat exercise is one of the most widely practiced globally, prompting an investigation into the interplay among dimensional (particularly body height, BH), kinematic, and kinetic metrics. The study involved physically active men (n = 18, age: 23.8 ± 5 years, BH: 177.3 ± 10 cm, body mass: 78.1 ± 9 kg, body mass index: 24.9 ± 2.3 kg/m², at least 6 months of squat training experience). They performed five squat repetitions (hands at midwaist) while being recorded with a Basler camera (100 Hz, sagittal plane) to estimate kinematic metrics (segmental inclination and joint angles at the lowest descending position), in synchronization with vertical ground reaction force and center of pressure recording (forceplate 1000 Hz, Kistler Type-9286AA, Bioware v. 5.5.1.0 software). Statistical analysis (SPSS 30.0, p ≤ 0.05) included one-way ANOVA to test the BH effect and allometric analysis to produce scaling exponents for the squat performance indices (Force, Leverage, and Stability Index) used to rank participants’ performance efficiency while neutralizing the influence of body size. The body-dimensional metrics differed significantly among the 3 BH groups, except for segmental proportions (p > 0.05). Apart from the more upright shank (about 6 degrees) in the Tall than in the Medium and Short BH groups (p < 0.05), no significant BH effect was observed in the kinematic and kinetic metrics (p > 0.05). Allometric scaling allowed us to rank participants’ performance across geometrically similar body sizes and underpinned the overall mechanical disadvantage of taller participants, as well as the role of the trunk-to-thigh body proportion in postural stability during squatting. Full article

Background/Objectives: Melatonin (MEL) promotes sleep and recovery, while caffeine (CAF) enhances alertness and performance. Despite their common use among athletes, their potential interaction remains underexplored. This study examined the effects of MEL and CAF, administered separately or in combination, on sleep, physical performance, physiological, biochemical, and perceptual responses in trained males. Methods: In a randomized double-blind placebo-controlled crossover study, fourteen trained males (22.4 ± 2.9 years) underwent four conditions, designed to isolate the effects of each substance and their interaction: (1) PLA + PLA: placebo before sleep and placebo in the morning; (2) PLA + CAF: placebo before sleep and caffeine (3 mg·kg⁻¹) in the morning; (3) MEL + PLA: melatonin (6 mg) before sleep and placebo in the morning; and (4) MEL + CAF: melatonin before sleep followed by caffeine in the morning. One hour after the morning ingestion, participants performed the 5 m shuttle run test (5mSRT). Blood samples were collected pre- and post-exercise to assess markers of muscle damage (creatine kinase, lactate dehydrogenase, aspartate aminotransferase, and alanine aminotransferase) and inflammation (C-reactive protein). Peak heart rate (HR_peak) and rating of perceived exertion (RPE) were recorded throughout the test. Sleep was assessed only during the night following melatonin or placebo ingestion. Results: No differences were observed in sleep parameters between conditions (p > 0.05). Total distance in the 5mSRT increased following MEL + CAF and PLA + CAF conditions compared with PLA + PLA. Moreover, MEL + CAF reduced muscle damage and inflammation markers compared with PLA + PLA, MEL + PLA, and PLA + CAF conditions (p < 0.05). Conclusions: The ingestion of nocturnal MEL and next-day CAF was associated with improvements in certain high-intensity exercise performance outcomes, along with changes in muscle damage and inflammation. Full article

Background: Artificial intelligence (AI) has shown promise in the interpretation of electrocardiograms (ECGs) using signal-based deep learning models. In parallel, large language models (LLMs) have gained increasing visibility in clinical practice, including exploratory applications in ECG analysis. Whether a general-purpose LLM can meaningfully discriminate cardiovascular disease from athlete ECGs during PPS remains unknown. We aimed to evaluate the diagnostic performance of a general-purpose LLM for this task. Methods: In this multicentre diagnostic accuracy study, we evaluated a commercially available LLM (ChatGPT, version 5) in 2950 competitive athletes undergoing PPS. All athletes underwent resting 12-lead ECG, with second- and third-line investigations performed when clinically indicated. The reference outcome was confirmed cardiovascular disease after full diagnostic work-up (n = 450, 15.3%). For each ECG, the LLM generated a numeric score (0–100) representing the inferred likelihood of underlying disease using a standardized prompt and without task-specific fine-tuning. Discriminative performance was assessed using receiver operating characteristic (ROC) analysis. Misclassification patterns were analysed according to International ECG Criteria. Results: GPT-derived scores demonstrated a marked floor effect, with a median value of 0 (IQR 0–2) in both diseased and non-diseased athletes and substantial overlap between groups. The area under the ROC curve was 0.52 (95% CI 0.49–0.55), indicating performance close to random classification. At the Youden-derived threshold, 79% of athletes with confirmed disease were incorrectly classified as negative. False-negative cases were predominantly characterized by borderline ECG patterns (82%), and a substantial number of red-flag ECG abnormalities were also missed. Conclusions: In this PPS cohort, a general-purpose LLM used in a naïve configuration showed no clinically meaningful ability to discriminate between cardiovascular disease and athlete ECGs. Without task-specific training or domain adaptation, such models should not be used for diagnostic triage in athlete screening. Full article

Background: This study aimed to investigate the extent and time course of peripheral neuromuscular fatigue of the knee extensors following different concurrent training protocols in recreationally active men. Methods: In a randomized, counterbalanced, crossover design, ten participants completed one exercise session of three concurrent exercise protocols in consecutive weeks and in similar resting conditions: traditional concurrent training (TCT), sprint interval training (SIT), and high-intensity resistance circuit training (HRC). Maximal voluntary isometric contraction (MVIC) and electrically evoked tetanic force of the knee extensors were assessed before, immediately after, and at 24 and 48 h following each exercise session. Linear mixed models were used to examine the differences among exercise modalities and time points. Results: No significant changes were found in MVIC force following HRC and TCT at any time point (p > 0.05), while significant declines were observed post-exercise (p = 0.015), 24 h (p = 0.001) and at 48 h (p = 0.003) after SIT. Moreover, MVIC force was significantly lower for SIT than HRC at 48 h (p = 0.001). Tetanic force significantly declined in SIT from pre-exercise to post-exercise (p = 0.034), with significant differences when compared to HRC (p = 0.003) and TCT (p = 0.003). HRC and TCT induced no knee extensor fatigue, contrary to a single session of SIT. Conclusions: Peripheral fatigue seemed to prevail following SIT in comparison with HRC and TCT, as seen by the decreased tetanic force in the former only. From an applied perspective, practitioners should carefully plan training activities to be performed the days following a SIT session, as force-generating capacity may be impaired for up to 48 h. Full article

Background/Objectives: Acute health impacts and longer-term sequelae of sport-related concussion (SRC) are recognized concerns in football (soccer), warranting investigation of interventions to reduce the incidence. The purpose of this study was to identify, synthesize and evaluate interventions used in preventing sport-related concussion (SRC) in adult soccer players. Methods: Five databases (MEDLINE, CINAHL, Embase, SPORTDiscus, PsycINFO) were searched on 6 September 2024 and updated on 17 December 2025 for concussion prevention intervention studies involving adult footballers. Study quality was assessed with the Modified Downs and Black Checklist. A narrative synthesis of all included studies followed Synthesis Without Meta-Analysis (SWiM) guidelines. Results: From 3463 records, five studies met inclusion criteria: three reported rule changes and two reported head-neck training interventions. The low volume of studies discovered were non-randomized and rated fair or poor on quality assessment. Whilst these interventions were grounded in sound and well-reasoned mechanisms to mitigate SRC risks, none reported statistically significant directional effects. This, combined with high heterogeneity, prevented data pooling and no firm conclusions could be drawn about the effectiveness of any intervention. Conclusions: Sparce, preliminary, heterogeneous evidence represents research to reduce SRC in adult soccer players, and this is limited to investigating rule changes and head-neck training and interventions. A larger volume of primary research is needed to determine meaningful practice recommendations of these and other conceivable interventions. Full article

This study examined the critical sustainability challenge of regional demographic decline in South Korea by analyzing how young people’s mobility decisions are intricately influenced by structurally and socially constructed meaning systems. Countering strictly economic deterministic views, this research posited that youth out-migration is a complex socio-cognitive process mediated by social representations of place—collectively constructed and circulated meanings attached to regions. Applying a secondary analysis of Q-sort data from 24 undergraduate students at a regional national university, the study integrated Q methodology with Social Representation Theory to systematically identify youth typologies regarding regional identity, territorial stigma, and local extinction. Participants sorted 44 statements encompassing place attachment, local consumption, cultural experiences, and policy effectiveness. Rigorous factor analysis revealed four distinct perception typologies: identity-based strategic mobility, conditional leaving based on internalized success norms, re-anchoring toward alternative lifestyles, and skeptical leaving rooted in profound institutional distrust. The findings empirically demonstrated that identical structural constraints can produce highly divergent mobility trajectories—ranging from active retention to complete resignation—depending entirely on the region’s socio-cognitive representation. This study demonstrates that local extinction is not merely a demographic condition, but a socially constructed framework of meaning and an object of social representation that shapes youth perception typologies and mobility judgments. Accordingly, moving beyond conventional technical interventions, meaning governance, and strategic communication are needed to help reimagine regional futures. Full article

Background/Objectives: Taping is widely used as an adjunctive intervention in musculoskeletal and neurological rehabilitation due to its low cost, noninvasive nature, and clinical versatility. However, reported clinical effects remain inconsistent across studies, largely because of the heterogeneity in tape material properties, structural characteristics, application parameters, and clinical contexts. This structured narrative review aimed to synthesize the current evidence on the material composition, structural characteristics, mechanisms of action, and condition-specific application strategies of therapeutic taping in rehabilitation. Methods: A structured narrative review of the literature published between January 2000 and March 2025 was conducted using PubMed, Scopus, Web of Science, and Google Scholar. Peer-reviewed studies involving human participants were selected based on predefined inclusion criteria and screened through title/abstract and full-text review. Evidence was prioritized according to study design, with greater emphasis placed on randomized controlled trials, systematic reviews, and meta-analyses. Studies investigating the effects of elastic taping, non-elastic taping, and specialized techniques (e.g., diamond taping and Mulligan taping) on pain, neuromuscular function, proprioception, balance, circulation, and functional outcomes were included. Evidence was synthesized according to taping type, material characteristics, and clinical context. Results: Non-elastic taping demonstrated greater effectiveness in providing mechanical stabilization and load redistribution in acute injuries and mechanically driven joint instability. In contrast, elastic taping showed more consistent relevance in chronic musculoskeletal conditions and neurological rehabilitation, primarily through proprioceptive facilitation and neuromuscular modulation. Across studies, clinical outcomes varied substantially according to tape width, elasticity, material composition, and application tension, highlighting the influence of tape-related factors on therapeutic effects. Overall, the observed effects were predominantly short-term and condition-specific, with considerable heterogeneity across studies. Conclusions: Current evidence suggests that taping may be most appropriately used as an adjunctive intervention rather than a stand-alone treatment, particularly when combined with exercise therapy or other rehabilitation approaches. Individualized, goal-directed application that considers material properties and dose–response characteristics may be more appropriate than uniform taping protocols. However, the overall strength of the evidence remains variable, and further research with standardized protocols, longer follow-up periods, and mechanistic investigation is required to strengthen evidence-based clinical application. Full article

Background: Anterior cruciate ligament (ACL) injuries are increasing in young athletes and many are related to non-contact, spontaneous mechanical fatigue-related ruptures. The objective of this narrative review is to identify and synthesize the anatomical, histological, physiological, and biomechanical basis of extracellular matrix (ECM) factors that contribute to ACL injuries and suggest ways to decrease their occurrence. Methods: The primary investigator searched PubMed, Web of Science, and Google Scholar database titles and abstracts using search phrases with Boolean operators: “anterior cruciate ligament” OR “ACL”, OR “cranial cruciate ligament” AND “disease”; “anterior cruciate ligament” OR “ACL”, OR “cranial cruciate ligament” AND “spontaneous rupture” OR “non-contact injury”; and “anterior cruciate ligament” OR ACL, OR cranial cruciate ligament” AND “crosslink”, “collagen” OR “extracellular matrix”; and “anterior cruciate ligament” OR “ACL”, OR “cranial cruciate ligament” AND “microtrauma”, OR “sudden” OR “fatigue failure”. The primary investigator and a sports orthopedic surgeon reviewed titles and abstracts of diverse evidence sources. From these identified sources, the study team performed full text reviews, selected contributing articles, performed Strength of Recommendation Taxonomy (SORT) grading, and synthesized the following themes: A Hostile Environment, ACL Strain, and Poor Nutrient Delivery; Accumulative ACL Microtrauma and Mechanical Failure; The ACL Differs From Other Ligaments; Collagen, the ECM, and ACL Mechanobiology; Crimps and ACL ECM Stretch; Crosslinks Improve ECM Mechanical Properties; The Delicate Collagen Synthesis and Degradation Balance; Exercise Training and the ACL; Can Nutraceuticals Help Restore the Balance?; Training Induced ACL Hypoxia; Estrogen and the Female Athlete; Counting Pitches or Counting Collagen Fiber Ruptures; and Restoring A Positive Anabolic–Catabolic Collagen Balance. Results: Regular exercise training within a physiologically safe loading range is vital to ACL ECM health. However, low or moderate evidence suggested that poor blood supply, slow metabolism, and a hypoxic environment may unbalance anabolic and catabolic homeostasis. Active rest and recovery concepts that prevent youth baseball shoulder and elbow injuries may help prevent non-contact ACL injuries. Conclusions: More prescriptive active rest and recovery intervals and neuromuscular control training may restore the anabolic–catabolic balance that increases mature crosslink density and improves ACL ECM strength. Confirmatory studies are needed to better establish therapeutic intervention mode(s), timing, dosage, and frequency optimization. Full article

Aerodynamic drag is a key factor influencing performance in high-speed winter sports, and even small reductions in drag may contribute to meaningful improvements in race time. This study investigated the effects of seam position and seam-folding direction on the aerodynamic characteristics of skiwear fabrics using wind tunnel experiments with two simplified models: a cylinder model and a wing-shaped model. In the cylinder model, the seam position directly facing the airflow was defined as 0° and shifted in 30° increments, whereas in the wing-shaped model, the seam was moved rearward from the foremost point in 5 cm increments. The inward-folded portion of the seam was arranged either toward the airflow or opposite to it. Wind tunnel tests were conducted at wind speeds ranging from 40 to 120 km/h, and drag coefficients were calculated from measured drag forces. The results show that aerodynamic drag varied with seam position in both models. In the cylinder model, the lowest drag coefficient was observed at 30° from the front, whereas in the wing-shaped model, the lowest drag was obtained at the foremost seam position (0 cm). At 100 km/h, shifting the seam position from 0 cm to 5 cm increased the drag coefficient by approximately 54.5% in seam type A and 50.0% in seam type B. These findings suggest that seam position may be a potentially relevant aerodynamic design variable in skiwear research, whereas seam-folding direction appeared to be of secondary importance under the present test conditions. However, the present conclusions are restricted to simplified experimental geometries and should not be directly generalized to specific body regions or full-garment systems. Full article