As low physical fitness in adolescents increases their risk of all-cause mortality in future adulthood as well as regional public health budgets, many scholars have studied the factors influencing physical fitness in adolescents. However, the spatial non-stationarity and scale between physical fitness and influencing factors in adolescents are often neglected. To rectify this situation, this study constructed a multi-scale geographically weighted regression model based on data from the China National Student Fitness Survey and the China Statistical Yearbook in 2018 to investigate the spatial patterns of factors influencing low physical fitness among adolescents. The results showed that the influencing factors for measuring the physical fitness of Chinese adolescents had significant spatial heterogeneity and multi-scale effects. The local R² values were relatively low in the western region of China. Consideration should be given to increasing the lifestyle and ethnic and cultural characteristics of local residents when selecting influencing factors in the future. The physical fitness of men was mainly influenced by socio-economic factors, while that of women was influenced by natural environmental factors. According to the different spatial distribution patterns of MGWR, this study suggests that each region should develop regionalized strategies to cope with the low physical fitness of adolescents, including taking advantage of the natural environment to develop physical fitness promotion projects, accelerating the upgrading of industrial structures in the north-eastern and western regions, and the need to remain cautious of rapid urbanization in the east.

This study examines the spatial-temporal evolution of overweight and obesity among Chinese adolescents aged 14–17. Data from five national surveys conducted between 2016 and 2020 were analyzed to determine distribution patterns and trends. Results showed that overweight and obesity exhibit spatial clustering, with greater severity in the north and less severity in the south. The issue has spread from the northeast to the southwest of Mainland China. Using a local autocorrelation model, the regions were divided into a northern disease cold spot area (Inner Mongolia) and a southern disease hot spot area (Guangxi). Over the past five years, overweight rates among Chinese adolescents have not been effectively curbed, but obesity has shown some success in control and reversal until 2019. Future efforts should focus on the spatial-temporal pattern of disease spread, targeting hotspot areas and abnormal values for regional synergy and precise prevention and control.

Trimethylamine N-oxide (TMAO) has attracted interest because of its association with cardiovascular disease and diabetes, and evidence for the beneficial effects of TMAO is accumulating. This study investigates the role of TMAO in improving exercise performance and elucidates the underlying molecular mechanisms. Using C2C12 cells, we established an oxidative stress model and administered TMAO treatment. Our results indicate that TMAO significantly protects myoblasts from oxidative stress-induced damage by increasing the expression of Nrf2, heme oxygenase-1 (HO-1), NAD(P)H dehydrogenase (NQO1), and catalase (CAT). In particular, suppression of Nrf2 resulted in a loss of the protective effects of TMAO and a significant decrease in the expression levels of Nrf2, HO-1, and NQO1. In addition, we evaluated the effects of TMAO in an exhaustive swimming test in mice. TMAO treatment significantly prolonged swimming endurance, increased glutathione and taurine levels, enhanced glutathione peroxidase activity, and increased the expression of Nrf2 and its downstream antioxidant genes, including HO-1, NQO1, and CAT, in skeletal muscle. These findings underscore the potential of TMAO to counteract exercise-induced oxidative stress. This research provides new insights into the ability of TMAO to alleviate exercise-induced oxidative stress via the Nrf2 signaling pathway, providing a valuable framework for the development of sports nutrition supplements aimed at mitigating oxidative stress.

There is often significant spatial heterogeneity in the factors influencing physical fitness in adolescents, yet less attention has been paid to this in established studies. Based on the 2018 Chinese National Student Physical Fitness Standard Test data, this study uses a multi-scale, geographically weighted regression (MGWR) model combined with a K-means clustering algorithm to construct a spatial regression model of the factors influencing adolescent physical fitness, and to investigate the degree of spatial variation in the physical fitness of Chinese adolescents from a socio-ecological perspective of health promotion. The following conclusions were drawn: the performance of the youth physical fitness regression model was significantly improved after taking spatial scale and heterogeneity into account. At the provincial scale, the non-farm output, average altitude, and precipitation of each region were strongly related to youth physical fitness, and each influencing factor generally showed a banded spatial heterogeneity pattern, which can be summarized into four types: N–S, E–W, NE–SW, and SE–NW. From the perspective of youth physical fitness, China can be divided into three regions of influence: the socio-economic-influenced region, mainly including the eastern region and some of the central provinces of China; the natural-environment-influenced region, which mainly includes the northwestern part of China and some provinces in the highland region; and the multi-factor joint-influenced region, which mainly includes the provinces in the central and northeastern regions of China. Finally, this study provides syndemic suggestions for physical fitness and health promotion for youths in each region.

Aerobic capacity is important for speed skaters to achieve good results in middle–long distance events. The technical characteristics of speed skating cause intermittent blood flow blockage in the lower limbs. Therefore, an athlete’s aerobic capacity on ice may differ from that measured by cycling or running. Now, the on-ice aerobic capacity lacks methods for conducting aerobic capacity tests on ice. Objective: The objective of this study was to develop a method for measuring on-ice aerobic capacity for young athletes and to compare it with the VO_2max test on cycling. Methods: This study established a test method for the on-ice aerobic capacity of young, high-level speed skaters with incremental load (on-ice incremental skating test, OIST) through expert interviews and literature review. In the first part, OIST was used to test the aerobic abilities of 65 youth professional speed skaters (51 males and 14 females) on ice and to explore the correlation with their specific performance. The second part compares the relationship between aerobic capacity on ice and aerobic capacity on bicycle of 18 young high-level male athletes. The third part establishes the regression formula of ice ventilation threshold heart rate. The OIST established in this study can evaluate the on-ice aerobic capacity of athletes from National Level and Level 1&2 in China. The athletes’ on-ice aerobic capacity indicators were significantly lower than those of the cycling test. However, the values of absolute VO_2max and absolute ventilatory threshold had a high correlation (R = 0.532, p < 0.05; R = 0.584, p < 0.05). The regression formula of ventilatory threshold heart rate on ice = 0.921 × HRmax (Cycling test) −9.243. The OIST established in this study meets the characteristics and requirements of the VO_2max measurement method. The OIST seems to be able to better evaluate the aerobic capacity of athletes skating on ice. The indicators of maximum oxygen uptake and ventilation threshold in OIST were significantly lower than those in the aerobic cycling test, but there was a good correlation. The aerobic cycling test can be used as an important selection index of the ice aerobic capacity of speed skaters. The regression formula will provide an important basis for coaches to accurately monitor the intensity of ice training.

Background: This study aimed to compare the acute and residual physiological responses elicited by three different priming exercise strategies, including high-intensity priming exercise (HIPE), low-intensity priming exercise (LIPE), and low-intensity priming exercise with blood flow restriction (LIPE-BFR), on oxygen uptake kinetics, muscle oxygenation, and metabolic load during severe-intensity cycling in trained anaerobic athletes. Methods: Sixteen trained anaerobic athletes completed a randomized crossover protocol with three priming conditions (HIPE, LIPE, and LIPE-BFR) in a randomized order. The experimental protocol began with an incremental exercise test to determine maximal oxygen uptake (VO ₂ max), followed by five submaximal constant-load cycling trials to derive individual power–VO ₂ regression equations. The three priming interventions included HIPE, LIPE, and LIPE-BFR. Key physiological parameters, including pulmonary oxygen uptake kinetics, muscle oxygen saturation (SmO ₂ ), accumulated blood lactate (ABLa) concentration, accumulated oxygen uptake (AVO ₂ ), and accumulated oxygen deficit (AOD), were assessed to quantify oxygen utilization and metabolic demand across sessions. Results: Compared with HIPE, both LIPE and LIPE-BFR induced significantly lower amplitude (A) and longer time delay (TD), along with reduced reduced minimum SmO ₂ (SmO ₂ min) and steady-state SmO ₂ (SmO ₂ ss) during exercise ( P < 0.05). HIPE elicited greater metabolic responses, including higher AVO ₂ , AOD, and ABLa. Significant correlations were observed between VO ₂ kinetics and metabolic demand, as well as between SmO ₂ -derived indices and ABLa ( P < 0.05). However, no significant differences were found among the three conditions in VO ₂ kinetics or metabolic outcomes during the subsequent severe-intensity cycling bout ( P > 0.05), except for a higher VO ₂ baseline in the HIPE group ( P < 0.05). Conclusion: Although the three priming strategies elicited distinct acute physiological responses, their residual effects on oxygen uptake kinetics and metabolic outcomes during subsequent severe-intensity exercise were largely comparable. Future studies should further explore alternative priming protocols and refine experimental designs to better clarify the effects of priming.