@article{WallmannSperlichDuekingMuelleretal.2022, author = {Wallmann-Sperlich, Birgit and D{\"u}king, Peter and M{\"u}ller, Miriam and Frob{\"o}se, Ingo and Sperlich, Billy}, title = {Type and intensity distribution of structured and incidental lifestyle physical activity of students and office workers: a retrospective content analysis}, series = {BMC Public Health}, volume = {22}, journal = {BMC Public Health}, doi = {10.1186/s12889-022-12999-z}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-301217}, year = {2022}, abstract = {Background Physical activity (PA) guidelines acknowledge the health benefits of regular moderate-to-vigorous physical activity (MVPA) regardless of bout duration. However, little knowledge exists concerning the type and intensity distribution of structured and incidental lifestyle PA of students and office workers. The present study aimed to i) assess the duration and distribution of intensity of MVPAs during waking hours ≥50\% of heart rate reserve (HRR), ii) to identify the type of PA through diary assessment, iii) to assign these activities into structured and lifestyle incidental PA, and iv) to compare this information between students and office workers. Methods Twenty-three healthy participants (11 students, 12 office workers) recorded heart rate (HR) with a wrist-worn HR monitor (Polar M600) and filled out a PA diary throughout seven consecutive days (i.e. ≥ 8 waking h/day). Relative HR zones were calculated, and PA diary information was coded using the Compendium of PA. We matched HR data with the reported PA and identified PA bouts during waking time ≥ 50\% HRR concerning duration, HRR zone, type of PA, and assigned each activity to incidental and structured PA. Descriptive measures for time spend in different HRR zones and differences between students and office workers were calculated. Results In total, we analyzed 276.894 s (76 h 54 min 54 s) of waking time in HRR zones ≥50\% and identified 169 different types of PA. The participants spend 31.9 ± 27.1 min/day or 3.9 ± 3.2\% of their waking time in zones of ≥50\% HRR with no difference between students and office workers (p > 0.01). The proportion of assigned incidental lifestyle PA was 76.9 ± 22.5\%. Conclusions The present study provides initial insights regarding the type, amount, and distribution of intensity of structured and incidental lifestyle PA ≥ 50\% HRR. Findings show a substantial amount of incidental lifestyle PA during waking hours and display the importance of promoting a physically active lifestyle. Future research could employ ambulatory assessments with integrated electronic diaries to detect information on the type and context of MVPA during the day.}, language = {en} } @article{BauerSperlichHolmbergetal.2022, author = {Bauer, Nikolai and Sperlich, Billy and Holmberg, Hans-Christer and Engel, Florian A.}, title = {Effects of High-Intensity Interval Training in School on the Physical Performance and Health of Children and Adolescents: A Systematic Review with Meta-Analysis}, series = {Sports Medicine - Open}, volume = {8}, journal = {Sports Medicine - Open}, number = {1}, issn = {2199-1170}, doi = {10.1186/s40798-022-00437-8}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-301205}, year = {2022}, abstract = {Objectives To assess the impact of HIIT performed at school, i.e. both in connection with physical education (intra-PE) and extracurricular sports activities (extra-PE), on the physical fitness and health of children and adolescents. Methods PubMed and SPORTDiscus were searched systematically utilizing the following criteria for inclusion: (1) healthy children and adolescents (5-18 years old) of normal weight; (2) HIIT performed intra- and/or extra-PE for at least 5 days at an intensity ≥ 80\% of maximal heart rate (HR\(_{max}\)) or peak oxygen uptake (VO\(_{2peak}\)) or as Functional HIIT; (3) comparison with a control (HIIT versus alternative interventions); and (4) pre- and post-analysis of parameters related to physical fitness and health. The outcomes with HIIT and the control interventions were compared utilizing Hedges' g effect size (ES) and associated 95\% confidence intervals. Results Eleven studies involving 707 participants who performed intra-PE and 388 participants extra-PE HIIT were included. In comparison with the control interventions, intra-PE HIIT improved mean ES for neuromuscular and anaerobic performance (ES jump performance: 5.89 ± 5.67 (range 1.88-9.90); ES number of push-ups: 6.22 (range n.a.); ES number of sit-ups: 2.66 ± 2.02 (range 1.24-4.09)), as well as ES fasting glucose levels (- 2.68 (range n.a.)) more effectively, with large effect sizes. Extra-PE HIIT improved mean ES for neuromuscular and anaerobic performance (ES jump performance: 1.81 (range n.a.); ES number of sit-ups: 2.60 (range n.a.)) to an even greater extent, again with large effect sizes. Neither form of HIIT was more beneficial for parameters related to cardiorespiratory fitness than the control interventions. Conclusion Compared to other forms of exercise (e.g. low-to-moderate-intensity running or walking), both intra- and extra-PE HIIT result in greater improvements in neuromuscular and anaerobic performance, as well as in fasting levels of glucose in school children.}, language = {en} } @article{SarebanWinkertSperlichetal.2018, author = {Sareban, Mahdi and Winkert, Kay and Sperlich, Billy and Berger, Marc M. and Niebauer, Josef and Steinacker, J{\"u}rgen M. and Treff, Gunnar}, title = {Speckle tracking-derived bi-atrial strain before and after eleven weeks of training in elite rowers}, series = {Scientific Reports}, volume = {8}, journal = {Scientific Reports}, doi = {10.1038/s41598-018-32542-8}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-227362}, pages = {14300, 1-9}, year = {2018}, abstract = {The left (LA) and right (RA) atria undergo adaptive remodeling in response to hemodynamic stress not only induced by endurance exercise but also as part of several cardiovascular diseases thereby confounding differential diagnosis. Echocardiographic assessment of the atria with novel speckle tracking (STE)-derived variables broadens the diagnostic spectrum compared to conventional analyses and has the potential to differentiate physiologic from pathologic changes. The purpose of this study was to assess and categorize baseline values of bi-atrial structure and function in elite rowers according to recommended cutoffs, and to assess the cardiac changes occurring with endurance training. Therefore, fifteen elite rowers underwent 2D-echocardiographic analysis of established variables of cardiac structure and function as well as STE-derived variables of bi-atrial function. Measurements were performed at baseline and after eleven weeks of extensive training. 40\% of athletes displayed mildly enlarged LA and 47\% mildly enlarged RA at baseline, whereas no athlete fell below the lower reference values of LA and RA reservoir strain. Average power during a 2000 m ergometer rowing test (P2000 m) improved from 426 +/- 39 W to 442 +/- 34 W (p = 0.010) but there were no changes of echocardiographic variables following training. In elite rowers, longitudinal bi-atrial strain assessment indicates normal resting function of structurally enlarged atria and thereby may assist to differentiate between exercise-induced versus disease-associated structural cardiac changes in which function is commonly impaired.}, language = {en} } @article{TrabelsiAmmarBoukhrisetal.2020, author = {Trabelsi, Khaled and Ammar, Achraf and Boukhris, Omar and Glenn, Jordan M. and Bott, Nick and Stannard, Stephen R. and Engel, Florian A. and Sperlich, Billy and Garbarino, Sergio and Bragazzi, Nicola L. and Shephard, Roy J. and Chtourou, Hamdi}, title = {Effects of Ramadan observance on dietary intake and body composition of adolescent athletes: systematic review and meta-analysis}, series = {Nutrients}, volume = {12}, journal = {Nutrients}, number = {6}, issn = {2072-6643}, doi = {10.3390/nu12061574}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-205856}, year = {2020}, abstract = {To evaluate the effects of Ramadan observance on dietary intake, body mass and body composition of adolescent athletes (design: systematic review and meta-analysis; data sources: PubMed and Web of Science; eligibility criteria for selecting studies: single-group, pre-post, with or without control-group studies, conducted in athletes aged <19 years, training at least 3 times/week, and published in any language before 12 February 2020). Studies assessing body mass and/or body composition and/or dietary intake were deemed eligible. The methodological quality was assessed using 'QualSyst'. Of the twelve selected articles evaluating body mass and/or body composition, one was of strong quality and eleven were rated as moderate. Ten articles evaluated dietary intake; four were rated as strong and the remaining moderate in quality. Continuation of training during Ramadan did not change body mass from before to the first week (trivial effect size (ES) = -0.011, p = 0.899) or from before to the fourth week of Ramadan (trivial ES = 0.069, p = 0.277). Additionally, Ramadan observance did not change body fat content from before to the first week (trivial ES = -0.005, p = 0.947) and from before to the fourth week of Ramadan (trivial ES = -0.057, p = 0.947). Lean body mass remained unchanged from before to the fourth week of Ramadan (trivial ES = -0.025, p = 0.876). Dietary data showed the intake of energy (small ES = -0.272, p = 0.182), fat (trivial ES = 0.044, p = 0.842), protein (trivial ES = 0.069, p = 0.720), carbohydrate (trivial ES = 0.075, p = 0.606) and water (trivial ES = -0.115, p = 0.624) remained essentially unchanged during as compared to before Ramadan. Continued training of adolescent athletes at least three times/week during Ramadan observance has no effect on body mass, body composition or dietary intake.}, language = {en} } @article{GuederWilkesmannScholzetal.2022, author = {G{\"u}der, G{\"u}lmisal and Wilkesmann, Joana and Scholz, Nina and Leppich, Robert and D{\"u}king, Peter and Sperlich, Billy and Rost, Christian and Frantz, Stefan and Morbach, Caroline and Sahiti, Floran and Stefenelli, Ulrich and Breunig, Margret and St{\"o}rk, Stefan}, title = {Establishing a cardiac training group for patients with heart failure: the "HIP-in-W{\"u}rzburg" study}, series = {Clinical Research in Cardiology}, volume = {111}, journal = {Clinical Research in Cardiology}, issn = {1861-0692}, doi = {10.1007/s00392-021-01892-1}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-266678}, pages = {406-415}, year = {2022}, abstract = {Background Exercise training in heart failure (HF) is recommended but not routinely offered, because of logistic and safety-related reasons. In 2020, the German Society for Prevention\&Rehabilitation and the German Society for Cardiology requested establishing dedicated ""HF training groups."" Here, we aimed to implement and evaluate the feasibility and safety of one of the first HF training groups in Germany. Methods Twelve patients (three women) with symptomatic HF (NYHA class II/III) and an ejection fraction ≤ 45\% participated and were offered weekly, physician-supervised exercise training for 1 year. Patients received a wrist-worn pedometer (M430 Polar) and underwent the following assessments at baseline and after 4, 8 and 12 months: cardiopulmonary exercise test, 6-min walk test, echocardiography (blinded reading), and quality of life assessment (Kansas City Cardiomyopathy Questionnaire, KCCQ). Results All patients (median age [quartiles] 64 [49; 64] years) completed the study and participated in 76\% of the offered 36 training sessions. The pedometer was worn ≥ 1000 min per day over 86\% of the time. No cardiovascular events occurred during training. Across 12 months, NT-proBNP dropped from 986 pg/ml [455; 1937] to 483 pg/ml [247; 2322], and LVEF increased from 36\% [29;41] to 41\% [32;46]\%, (p for trend = 0.01). We observed no changes in exercise capacity except for a subtle increase in peak VO2\% predicted, from 66.5 [49; 77] to 67 [52; 78]; p for trend = 0.03. The physical function and social limitation domains of the KCCQ improved from 60 [54; 82] to 71 [58; 95, and from 63 [39; 83] to 78 [64; 92]; p for trend = 0.04 and = 0.01, respectively. Positive trends were further seen for the clinical and overall summary scores. Conclusion This pilot study showed that the implementation of a supervised HF-exercise program is feasible, safe, and has the potential to improve both quality of life and surrogate markers of HF severity. This first exercise experiment should facilitate the design of risk-adopted training programs for patients with HF.}, language = {en} } @article{McIlroyPassfieldHolmbergetal.2021, author = {McIlroy, Benjamin and Passfield, Louis and Holmberg, Hans-Christer and Sperlich, Billy}, title = {Virtual training of endurance cycling - A summary of strengths, weaknesses, opportunities and threats}, series = {Frontiers in Sports and Active Living}, volume = {3}, journal = {Frontiers in Sports and Active Living}, doi = {10.3389/fspor.2021.631101}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-258876}, year = {2021}, abstract = {Virtual online training has emerged as one of the top 20 worldwide fitness trends for 2021 and continues to develop rapidly. Although this allows the cycling community to engage in virtual training and competition, critical evaluation of virtual training platforms is limited. Here, we discuss the strengths, weaknesses, opportunities and threats associated with virtual training technology and cycling in an attempt to enhance awareness of such aspects. Strengths include immersive worlds, innovative drafting mechanics, and versatility. Weaknesses include questionable data accuracy, inadequate strength and reliability of power-speed algorithms. Opportunities exist for expanding strategic partnerships with major cycling races, brands, and sponsors and improving user experience with the addition of video capture and "e-coaching." Threats are present in the form of cheating during competition, and a lack of uptake and acceptance by a broader community.}, language = {en} } @article{DuekingZinnerReedetal.2020, author = {D{\"u}king, Peter and Zinner, Christoph and Reed, Jennifer L. and Holmberg, Hans-Christer and Sperlich, Billy}, title = {Predefined vs data-guided training prescription based on autonomic nervous system variation: A systematic review}, series = {Scandinavian Journal of Medicine \& Science in Sports}, volume = {30}, journal = {Scandinavian Journal of Medicine \& Science in Sports}, number = {12}, doi = {10.1111/sms.13802}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-217893}, pages = {2291 -- 2304}, year = {2020}, abstract = {Monitoring variations in the functioning of the autonomic nervous system may help personalize training of runners and provide more pronounced physiological adaptations and performance improvements. We systematically reviewed the scientific literature comparing physiological adaptations and/or improvements in performance following training based on responses of the autonomic nervous system (ie, changes in heart rate variability) and predefined training. PubMed, SPORTDiscus, and Web of Science were searched systematically in July 2019. Keywords related to endurance, running, autonomic nervous system, and training. Studies were included if they (a) involved interventions consisting predominantly of running training; (b) lasted at least 3 weeks; (c) reported pre- and post-intervention assessment of running performance and/or physiological parameters; (d) included an experimental group performing training adjusted continuously on the basis of alterations in HRV and a control group; and (e) involved healthy runners. Five studies involving six interventions and 166 participants fulfilled our inclusion criteria. Four HRV-based interventions reduced the amount of moderate- and/or high-intensity training significantly. In five interventions, improvements in performance parameters (3000 m, 5000 m, Loadmax, Tlim) were more pronounced following HRV-based training. Peak oxygen uptake (VO\(_{2peak}\)) and submaximal running parameters (eg, LT1, LT2) improved following both HRV-based and predefined training, with no clear difference in the extent of improvement in VO\(_{2peak}\). Submaximal running parameters tended to improve more following HRV-based training. Research findings to date have been limited and inconsistent. Both HRV-based and predefined training improve running performance and certain submaximal physiological adaptations, with effects of the former training tending to be greater.}, language = {en} } @article{DuekingHolmbergKunzetal.2020, author = {D{\"u}king, Peter and Holmberg, Hans‑Christer and Kunz, Philipp and Leppich, Robert and Sperlich, Billy}, title = {Intra-individual physiological response of recreational runners to different training mesocycles: a randomized cross-over study}, series = {European Journal of Applied Physiology}, volume = {120}, journal = {European Journal of Applied Physiology}, issn = {1439-6319}, doi = {10.1007/s00421-020-04477-4}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-235022}, pages = {2705-2713}, year = {2020}, abstract = {Purpose Pronounced differences in individual physiological adaptation may occur following various training mesocycles in runners. Here we aimed to assess the individual changes in performance and physiological adaptation of recreational runners performing mesocycles with different intensity, duration and frequency. Methods Employing a randomized cross-over design, the intra-individual physiological responses [i.e., peak (\(\dot{VO}_{2peak}\)) and submaximal (\(\dot{VO}_{2submax}\)) oxygen uptake, velocity at lactate thresholds (V\(_2\), V\(_4\))] and performance (time-to-exhaustion (TTE)) of 13 recreational runners who performed three 3-week sessions of high-intensity interval training (HIIT), high-volume low-intensity training (HVLIT) or more but shorter sessions of HVLIT (high-frequency training; HFT) were assessed. Results \(\dot{VO}_{2submax}\), V\(_2\), V\(_4\) and TTE were not altered by HIIT, HVLIT or HFT (p > 0.05). \(\dot{VO}_{2peak}\) improved to the same extent following HVLIT (p = 0.045) and HFT (p = 0.02). The number of moderately negative responders was higher following HIIT (15.4\%); and HFT (15.4\%) than HVLIT (7.6\%). The number of very positive responders was higher following HVLIT (38.5\%) than HFT (23\%) or HIIT (7.7\%). 46\% of the runners responded positively to two mesocycles, while 23\% did not respond to any. Conclusion On a group level, none of the interventions altered \(\dot{VO}_{2submax}\), V\(_2\), V\(_4\) or TTE, while HVLIT and HFT improved \(\dot{VO}_{2peak}\). The mean adaptation index indicated similar numbers of positive, negative and non-responders to HIIT, HVLIT and HFT, but more very positive responders to HVLIT than HFT or HIIT. 46\% responded positively to two mesocycles, while 23\% did not respond to any. These findings indicate that the magnitude of responses to HIIT, HVLIT and HFT is highly individual and no pattern was apparent.}, language = {en} } @article{DuekingTaflerWallmannSperlichetal.2020, author = {D{\"u}king, Peter and Tafler, Marie and Wallmann-Sperlich, Birgit and Sperlich, Billy and Kleih, Sonja}, title = {Behavior Change Techniques in Wrist-Worn Wearables to Promote Physical Activity: Content Analysis}, series = {JMIR Mhealth and Uhealth}, volume = {8}, journal = {JMIR Mhealth and Uhealth}, number = {11}, doi = {10.2196/20820}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-230556}, year = {2020}, abstract = {Background: Decreasing levels of physical activity (PA) increase the incidences of noncommunicable diseases, obesity, and mortality. To counteract these developments, interventions aiming to increase PA are urgently needed. Mobile health (mHealth) solutions such as wearable sensors (wearables) may assist with an improvement in PA. Objective: The aim of this study is to examine which behavior change techniques (BCTs) are incorporated in currently available commercial high-end wearables that target users' PA behavior. Methods: The BCTs incorporated in 5 different high-end wearables (Apple Watch Series 3, Garmin V{\´i}voactive 3, Fitbit Versa, Xiaomi Amazfit Stratos 2, and Polar M600) were assessed by 2 researchers using the BCT Taxonomy version 1 (BCTTv1). Effectiveness of the incorporated BCTs in promoting PA behavior was assessed by a content analysis of the existing literature. Results: The most common BCTs were goal setting (behavior), action planning, review behavior goal(s), discrepancy between current behavior and goal, feedback on behavior, self-monitoring of behavior, and biofeedback. Fitbit Versa, Garmin V{\´i}voactive 3, Apple Watch Series 3, Polar M600, and Xiaomi Amazfit Stratos 2 incorporated 17, 16, 12, 11, and 11 BCTs, respectively, which are proven to effectively promote PA. Conclusions: Wearables employ different numbers and combinations of BCTs, which might impact their effectiveness in improving PA. To promote PA by employing wearables, we encourage researchers to develop a taxonomy specifically designed to assess BCTs incorporated in wearables. We also encourage manufacturers to customize BCTs based on the targeted populations.}, language = {en} } @article{DuekingGiessingFrenkeletal.2020, author = {D{\"u}king, Peter and Giessing, Laura and Frenkel, Marie Ottilie and Koehler, Karsten and Holmberg, Hans-Christer and Sperlich, Billy}, title = {Wrist-Worn Wearables for Monitoring Heart Rate and Energy Expenditure While Sitting or Performing Light-to-Vigorous Physical Activity: Validation Study}, series = {JMIR mhealth and uhealth}, volume = {8}, journal = {JMIR mhealth and uhealth}, number = {5}, doi = {10.2196/16716}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-229413}, year = {2020}, abstract = {Background: Physical activity reduces the incidences of noncommunicable diseases, obesity, and mortality, but an inactive lifestyle is becoming increasingly common. Innovative approaches to monitor and promote physical activity are warranted. While individual monitoring of physical activity aids in the design of effective interventions to enhance physical activity, a basic prerequisite is that the monitoring devices exhibit high validity. Objective: Our goal was to assess the validity of monitoring heart rate (HR) and energy expenditure (EE) while sitting or performing light-to-vigorous physical activity with 4 popular wrist-worn wearables (Apple Watch Series 4, Polar Vantage V, Garmin Fenix 5, and Fitbit Versa). Methods: While wearing the 4 different wearables, 25 individuals performed 5 minutes each of sitting, walking, and running at different velocities (ie, 1.1 m/s, 1.9 m/s, 2.7 m/s, 3.6 m/s, and 4.1 m/s), as well as intermittent sprints. HR and EE were compared to common criterion measures: Polar-H7 chest belt for HR and indirect calorimetry for EE. Results: While monitoring HR at different exercise intensities, the standardized typical errors of the estimates were 0.09-0.62, 0.13-0.88, 0.62-1.24, and 0.47-1.94 for the Apple Watch Series 4, Polar Vantage V, Garmin Fenix 5, and Fitbit Versa, respectively. Depending on exercise intensity, the corresponding coefficients of variation were 0.9\%-4.3\%, 2.2\%-6.7\%, 2.9\%-9.2\%, and 4.1\%-19.1\%, respectively, for the 4 wearables. While monitoring EE at different exercise intensities, the standardized typical errors of the estimates were 0.34-1.84, 0.32-1.33, 0.46-4.86, and 0.41-1.65 for the Apple Watch Series 4, Polar Vantage V, Garmin Fenix 5, and Fitbit Versa, respectively. Depending on exercise intensity, the corresponding coefficients of variation were 13.5\%-27.1\%, 16.3\%-28.0\%, 15.9\%-34.5\%, and 8.0\%-32.3\%, respectively. Conclusions: The Apple Watch Series 4 provides the highest validity (ie, smallest error rates) when measuring HR while sitting or performing light-to-vigorous physical activity, followed by the Polar Vantage V, Garmin Fenix 5, and Fitbit Versa, in that order. The Apple Watch Series 4 and Polar Vantage V are suitable for valid HR measurements at the intensities tested, but HR data provided by the Garmin Fenix 5 and Fitbit Versa should be interpreted with caution due to higher error rates at certain intensities. None of the 4 wrist-worn wearables should be employed to monitor EE at the intensities and durations tested."}, language = {en} }