Background: Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours. Methods: Following a structured review of the literature, the “Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)” Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North-Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to responses “before” and “during” confinement conditions. Results: 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly. Conclusion: While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.

Background. The COVID-19 lockdown could engender disruption to lifestyle behaviors, thus impairing mental wellbeing in the general population. This study investigated whether sociodemographic variables, changes in physical activity, and sleep quality from pre- to during lockdown were predictors of change in mental wellbeing in quarantined older adults. Methods. A 12-week international online survey was launched in 14 languages on 6 April 2020. Forty-one research institutions from Europe, Western-Asia, North-Africa, and the Americas, promoted the survey. The survey was presented in a differential format with questions related to responses “pre” and “during” the lockdown period. Participants responded to the Short Warwick–Edinburgh Mental Wellbeing Scale, the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and the short form of the International Physical Activity Questionnaire. Results. Replies from older adults (aged >55 years, n = 517), mainly from Europe (50.1%), Western-Asia (6.8%), America (30%), and North-Africa (9.3%) were analyzed. The COVID-19 lockdown led to significantly decreased mental wellbeing, sleep quality, and total physical activity energy expenditure levels (all p < 0.001). Regression analysis showed that the change in total PSQI score and total physical activity energy expenditure (F_{(2, 514)} = 66.41 p < 0.001) were significant predictors of the decrease in mental wellbeing from pre- to during lockdown (p < 0.001, R²: 0.20). Conclusion. COVID-19 lockdown deleteriously affected physical activity and sleep patterns. Furthermore, change in the total PSQI score and total physical activity energy expenditure were significant predictors for the decrease in mental wellbeing.

Ng varying foot positions in an attempt to alter medial (MG) and lateral (LG) gastrocnemius involvement. This investigation compared MG and LG activation during the concentric phase (CP) and eccentric phase (EP) of the heel-raise exercise using neutral (NE), internally rotated (IR), and externally rotated (ER) foot positions. Twenty healthy subjects (10 men, 10 women; age = 23.7 ± 3.1 years) with resistance training experience performed free-weight (130-135% body mass) heel-raise exercise on a 3.81-cm block. Surface electromyography activity was recorded during 10 repetitions of each foot position. Electromyography activity from 5 successful repetitions was normalized to maximum voluntary isometric contraction, ensemble averaged within phase (CP, EP), and the mean amplitude determined. Significant (p < 0.05) muscle-by-foot position interactions were revealed for both phases. The ER position prompted significantly greater MG activation than LG during both phases, whereas the IR position elicited significantly greater LG activation than MG. These data support the notion that altering foot position during heel-raise exercise will prompt varying degrees of MG and LG activation. Although this study cannot predict whether muscle-activation differences between foot positions will translate into greater training adaptations, it does provide some initial objective evidence upon which practitioners can base the selection of gastrocnemius exercises....

Context: Comprehensive analysis of ankle, knee, and hip kinematics and kinetics during anterior lunge performance in young adults has not been studied. In addition, the effects of adding external resistance on the kinematics and kinetics are unknown. Objective: To determine the effects of external load on ankle, knee, and hip joint kinematics and kinetics during the anterior lunge. Design: Crossover study. Setting: Laboratory environment. Patients or Other Participants: A total of 16 recreationally active, college-aged adults (8 men, 8 women). Intervention(s): Anterior lunges under 4 external-load conditions, 0% (control), 12.5%, 25%, and 50% of body mass. Main Outcome Measure(s): Ankle, knee, and hip peak flexion, net joint extensor moment impulse, and eccentric and concentric work were computed during the interval when the stepping limb was in contact with the ground. Additionally, 3 summary lunge characteristics were calculated. Results: No significant (P > .05) load effects were noted for peak flexion angles or the lunge characteristics except for peak vertical total-body center-of-mass displacement. Trend analysis of significant condition-by-joint interactions revealed significant linear trends for all 3 joints, with the hip greater than the ankle and the ankle greater than the knee. Additionally, as the external load increased, mechanical work increased linearly at the hip and ankle but not at the knee. Conclusions: From a kinematic perspective, the lunge involves greater motion at the knee, but from a kinetic perspective, the anterior lunge is a hip-extensor–dominant exercise. Adding external weight prompted the greatest joint kinetic increases at the hip and ankle, with little change in the knee contributions. These results can assist clinicians in deciding whether the characteristics of the anterior lunge match a patient's exercise needs during rehabilitation and performance-enhancement programs.

RIEMANN, B. L., J. B. MYERS, D. A. STONE, and S. M. LEPHART. Effect of Lateral Ankle Ligament Anesthesia on Single-Leg Stance Stability. Med. Sci. Sports Exerc., Vol. 36, No. 3, pp. 388–396, 2004.PurposeThis study was designed to determine, in isolation, the contribution of lateral ankle lig