However, insufficient evidence was obtained for the preference of any anchorage method in terms of the duration of treatment, number of appointments, quality of treatment, patient perception, or adverse effects. The effectiveness of skeletal anchorage can be enhanced when directly loaded, used in the mandible rather than the maxilla, used buccally rather than palatally, using dual rather than single miniscrews, used for en-masse retraction, and in adults.

The level of evidence regarding anchorage effectiveness is moderate. Nevertheless, compared to conventional anchorage, skeletal anchorage can be used with more anchorage preservation. Further high-quality randomized clinical trials are required to confirm these findings.

The level of evidence regarding anchorage effectiveness is moderate. Nevertheless, compared to conventional anchorage, skeletal anchorage can be used with more anchorage preservation. Further high-quality randomized clinical trials are required to confirm these findings.

This article describes the process and methods used in the development of the first ever Physical Activity Guidelines for the Brazilian Population.

The steering committee established 8 working groups based on other guidelines and the Brazilian agenda for public health and physical activity (PA) promotion (1)understanding PA; (2)children up to 5 years; (3)children and youth (6-17y); (4)adults; (5)older adults (60 years and above); (6)physical education at school; (7)pregnant and postpartum women; and (8)people with disabilities. Working groups were formed to (1)synthesize the literature on each topic; (2)conduct workshops with stakeholders, health professionals, researchers, and the public; and (3)prepare a draft chapter for open online consultation.

The document provides guidance for the population on the benefits of being active and recommendations regarding the amount (frequency, intensity, and duration) of PA recommended across all chapters. It also includes information on supporting networks for PA.

The PA guidelines are widely accessible in Portuguese, including versions in English, Spanish, audiobook, and Braille, and will assist policy makers and professionals from several sectors to promote PA. The ultimate goal is to increase population levels of PA in Brazil.

The PA guidelines are widely accessible in Portuguese, including versions in English, Spanish, audiobook, and Braille, and will assist policy makers and professionals from several sectors to promote PA. The ultimate goal is to increase population levels of PA in Brazil.This study aimed to quantify and compare physical activity, sitting time, and sleep behaviors among US adults with and without disabilities using the 2020 Canadian 24-hour movement framework. The weighted prevalence of 24-hour movement guideline adherence was estimated among a nationally representative sample from the 2017 to 2018 National Health and Nutrition Examination Survey of US adults (18-65 years old) with (n = 1070) and without (n = 33,370) functional disabilities in vision, hearing, mobility, cognitive, and self-care domains. The adjusted odds of single and combination guideline compliance were estimated by disability type, in reference to adults without disabilities, using separate multivariable logistic regressions. After adjusting for age, sex, and income, adults with disabilities in mobility, cognitive, or self-care domains had approximately half the odds of meeting all 3 guidelines, compared with adults without disabilities (adjusted odds range 0.49-0.77). Significantly lower adherence was observed among adults with functional disabilities, compared with no disabilities, for sleep, and moderate to vigorous physical activity, but not sedentary guidelines. This report establishes baseline prevalence estimates for guidelines compliance among US adults with functional disabilities ages 18-65 years old. Low guideline adherence, and evidence for significant differences in physical activity and sleep, signals a need to further explore combination health behaviors among adults with disabilities.

This article presents the recommendations from the Physical Activity Guidelines for the Brazilian Population.

A steering committee composed of a chair, 6 experts in physical activity, and representatives from the Ministry of Health/Brazil, Pan American Health Organization, Brazilian Society of Physical Activity and Health designed the guidelines, which was implemented by 8 working groups, as follows (1)understanding physical activity, (2)children up to 5 years old, (3)children and youth from 6 to 17 years old, (4)adults, (5)older adults (60 years and above), (6)physical education at school, (7)pregnant and postpartum women, and (8)people with disabilities. The methodological steps included evidence syntheses, hearings with key stakeholders, and public consultation.

Across 8 chapters, the guidelines provide definitions of physical activity and sedentary behavior, informing target groups on types of physical activity, dosage (frequency, intensity, and duration), benefits, and supporting network for physical activity adoption. The guidelines are openly available in Portuguese, Spanish, English, and Braille and in audio versions, with a supplementary guide for health professionals and decision makers, and a report about the preparation and references.

The Physical Activity Guidelines for the Brazilian Population provide evidence-based recommendations, being a public-directed resource to contribute to the physical activity promotion in Brazil.

The Physical Activity Guidelines for the Brazilian Population provide evidence-based recommendations, being a public-directed resource to contribute to the physical activity promotion in Brazil.To date, there has been little research considering both autism spectrum disorder (ASD) symptom severity and motor impairment simultaneously when investigating their associations with obesity. This study was designed to identify the moderating role of symptom severity in the relationship between motor competence and overweight/obesity for children with ASD. Seventy-eight children with a clinical diagnosis were recruited from a large autism rehabilitation center in Wuhan, China. Chi-square, partial correlation, and moderation regression analyses revealed that the prevalence of overweight and obesity was similar regardless of symptom severity. Balance was the only motor skill that correlated with body mass index. Furthermore, symptom severity significantly moderated the correlation. Children with low autism severity might be more likely to demonstrate the relationship between balance and body mass index than those with high autism severity. Combating obesity by enhancing motor competence should cautiously consider personal and environment factors such as individual severity of ASD.

This review aimed to determine (1)performance and training characteristics such as training intensity distribution (TID), volume, periodization, and methods in highly trained/elite distance runners and (2)differences in training volume and TID between event distances in highly trained/elite distance runners.

A systematic review of the literature was carried out using the PubMed/MEDLINE, Scopus, and Web of Science databases.

Ten articles met the inclusion criteria. Highly trained/elite distance runners typically follow a pyramidal TID approach, characterized by a decreasing training volume from zone 1 (at or below speed at first ventilatory/lactate threshold [LT]) to zone 2 (between speeds associated with either both ventilatory thresholds or 2 and 4 mmol·L-1 LTs [vLT1 and vLT2, respectively]) and zone 3 (speed above vVT2/vLT2). Continuous-tempo runs or interval training sessions at vLT2 in zone 2 (ie,medium and long aerobic intervals) and those in zone 3 (ie,anaerobic or short-interval training) were both used at least once per week each in elite runners, and they were used to increase the number of either vLT2 or z3 sessions to adopt either a pyramidal or a polarized approach, respectively. More pyramidal- and polarized-oriented approaches were used by marathoners and 1500-m runners, respectively.

Highly trained and elite middle- and long-distance runners are encouraged to adopt a traditional periodization pattern with a hard day-easy day basis, consisting in a shift from a pyramidal TID used during the preparatory and precompetitive periods toward a polarized TID during the competitive period.

Highly trained and elite middle- and long-distance runners are encouraged to adopt a traditional periodization pattern with a hard day-easy day basis, consisting in a shift from a pyramidal TID used during the preparatory and precompetitive periods toward a polarized TID during the competitive period.Limited community ambulation, defined as independent mobility outside the home, predicts adverse outcomes in older adults. We performed a systematic review and meta-analysis to examine outdoor community ambulation intervention effectiveness in older adults. We searched six databases until October 2021. Studies with an evaluative research objective, older adult population, and outdoor community ambulation interventions were eligible. After reviewing 23,172 records, five studies were included. The meta-analysis found no significant difference in walking endurance and depression outcomes between outdoor community ambulation and comparison interventions. For outcomes not suitable for meta-analysis, studies showed no significant difference in walking activity, anxiety, and general and health-related quality of life, and possible improvements in gait speed and lower extremity function and strength. Most evidence was of low to very low certainty. Considering the limited evidence base, the design, implementation, and evaluation of outdoor community ambulation interventions in older adults should be prioritized in primary research.

This study examined the acute effects of lower-body high-intensity interval loading (HIIT) on explosive upper- and lower-body strength, as well as the combined effect of HIIT and bench-press loading versus HIIT and squat loading on the explosive upper- and lower-body strength.

Fifteen physically active men completed 2 sessions consisting of HIIT (4 × 4min cycling at 80% of peak power output) immediately followed by lower- (HIIT + LBS) or upper-body (HIIT + UBS) strength loading (3 × 5 + 3 × 3 repetitions at 80% 1-repetition maximum [ie,6 sets in total]) in a randomized order. Squat and bench-press mean propulsive velocity (MPV) was assessed before HIIT (T0), immediately after HIIT (T1), immediately after the strength loading (T2), and 24hours after the experimental session (T3).

Squat MPV decreased to a similar magnitude at T1 in HIIT + LBS (-5.3% [7.6%], P = .117, g = .597) and HIIT + UBS (-5.7% [6.9%], P = .016, g = .484), while bench press remained unchanged (-1.4% [4.7%], P = 1.000, g = .152, and -1.0% [7.0%], P = 1.000, g = .113, respectively). Both squat and bench-press MPV were statistically reduced at T2 compared to T0 (HIIT + LBS -7.5% [7.8%], P = .016, g = .847, and -6.8% [4.6%], P < .001, g = .724; HIIT + UBS -3.9% [3.8%], P = .007, g = .359, and -15.5% [6.7%], P < .001, d = 1.879). Bench-press MPV at T2 was significantly lower in HIIT + UBS when compared to HIIT + LBS (P = .002, d = 1.219).

These findings indicate lower- but not upper-body explosive strength to be acutely reduced by preceding lower-body HIIT. However, lower-body HIIT combined with either upper- or lower-body strength loading resulted in a similar acute reduction of both squat and bench-press explosive strength.

These findings indicate lower- but not upper-body explosive strength to be acutely reduced by preceding lower-body HIIT. However, lower-body HIIT combined with either upper- or lower-body strength loading resulted in a similar acute reduction of both squat and bench-press explosive strength.