Purpose of Review: This consensus statement from the Italian Society of Motor and Sports Sciences (Società Italiana di Scienze Motorie e Sportive, SISMeS) and the Italian Society of Phlebology (Società Italiana di Flebologia, SIF) provides the official view on the role of exercise as a non-pharmacological approach in lipedema. In detail, this consensus statement SISMeS - SIF aims to provide a comprehensive overview of lipedema, focusing, in particular, on the role played by physical exercise (PE) in the management of its clinical features. Recent Findings: Lipedema is a chronic disease characterized by abnormal fat accumulation. It is often misdiagnosed as obesity, despite presenting distinct pathological mechanisms. Indeed, recent evidence has reported differences in adipose tissue histology, metabolomic profiles, and gene polymorphisms associated with this condition, adding new pieces to the complex puzzle of lipedema pathophysiology. Although by definition lipedema is a condition resistant to diet and PE, the latter emerges for its key role in the management of lipedema, contributing to multiple benefits, including improvements in mitochondrial function, lymphatic drainage, and reduction of inflammation. Summary: Various types of exercise, such as aquatic exercises and strength training, have been shown to alleviate symptoms and improve the quality of life of patients with lipedema. However, standardized guidelines for PE prescription and long-term management of patients with lipedema are lacking, highlighting the need for recommendations and further research in this area in order to optimise therapeutic strategies.

The influence of playing formations and team ranking on the physical performance of professional soccer players is an open question that needs to be explored. The present study aimed to investigate the impact of these factors on the physical exertion of Serie A soccer players. We analyzed match data from 375 players, categorizing teams based on their final ranking and comparing performance across different playing formations. The Kruskal–Wallis test and the Dunn test with Bonferroni adjustment revealed that high-ranking (HR) teams exhibited a higher percentage of high-intensity (HI) accelerations compared to mid-ranking teams, suggesting the critical role of HI efforts in achieving favorable match outcomes. Moreover, the 4-3-3 playing formation was associated with greater acceleration demands than other formations, particularly in HR teams. Our study also established benchmarks for various performance metrics, enabling coaches to assess player performance and identify potential signs of overtraining. These findings contribute to a deeper understanding of the physical demands in soccer and offer practical implications for coaches and players in optimizing training and performance strategies.

The influence of playing formations and team ranking on the physical performance of professional soccer players is an open question that needs to be explored. The present study aimed to investigate the impact of these factors on the physical exertion of Serie A soccer players. We analyzed match data from 375 players, categorizing teams based on their final ranking and comparing performance across different playing formations. Krustal-Wallies test, and Dunn test with Bonferroni adjustment, revealed that high-ranking (HR) teams exhibited a higher percentage of high-intensity (HI) accelerations compared to mid-ranking teams, suggesting the critical role of HI efforts in achieving favorable match outcomes. Moreover, the 4-3-3 playing formation was associated with greater acceleration demands than other formations, particularly in HR teams. Our study also established benchmarks for various performance metrics, enabling coaches to assess player performance and identify potential signs of overtraining. These findings contribute to a deeper understanding of the physical demands in soccer and offer practical implications for coaches and players in optimizing training and performance strategies.

In soccer, roles and substitutions can make it unclear how different physical capacities decrease over time and impact performance. This investigation aimed to analyze kinematic parameters and their changes over game time, and provide information to effectively prescribe training programs. Data from four professional teams were analyzed, and all the teams competed in the Italian First Division (Serie A). Average metabolic power and high-intensity activities associated with critical moments in the match were considered in the comparisons. The video analysis system STATS SportVU collected the data during official matches. Players were assigned to a specific group according to their time played, categorized as follows: 0–15’, 15–30’, 30–45’, 45–60’, 60–75’, 75–90’, and > 90 min. Different roles, including forwards and wingers (FW), midfielders (MF), center-backs (CB), and side-backs (SB) were also considered. Significant differences (p<0.05) were found in different roles and within roles at different times played. The results highlighted how MF performance decreased over time, whereas CB was unaffected by time. SB spent more time at very high velocity than other roles, independently from the time played. These findings provide valuable information about the physical demands of official soccer matches and could be used to review training prescriptions.

Background: Short sessions of isometric exercise have been shown to reduce blood pressure (BP) in normotensive and hypertensive subjects. However, there are few data in hypertensive patients with underlying ischemic heart disease (IHD). In the present study, we compared post-exercise hypotension (PEH) induced by isometric versus combined, aerobic plus dynamic resistance exercise in IHD patients. Methods: Twenty-five stable patients with established IHD and with treated hypertension were enrolled. The study had a cross-over design. All patients performed in a random order and on different days: (1) isometric exercise session (IES) consisting of bilateral knee extension, performed at 20% of maximal voluntary contraction and lasting 20 min; (2) combined exercise session (CES) including moderate-intensity continuous exercise at and dynamic resistance exercise performed at 60% of one repetition maximum, and lasting 60 min and (3) control session (no exercise). BP was measured at rest, immediately after the training and then every 15 min up to 90 min. Results: The repeated measures ANOVA analysis showed that systolic BP significantly decreased after the CES session compared to the control (F = 6.2; p 0.001) and IES (F = 4.4; p 0.004). Systolic BP significantly decreased after IES compared to the control (F = 3.6; p 0.036). Diastolic BP did not show significant changes after CES and IES compared to the control (CES vs. control: F = 2.2; p 0.142; IES vs. control (F = 2.5; p 0.062). There were no significant differences in diastolic BP changes between CES and IES (CES vs. IES: F = 1.8; p 0.156). Conclusions: We observed that CES was more effective than IES in reducing systolic BP; IES was as effective as CES in inducing diastolic PEH in hypertensive patients with underlying IHD.

Bartolomei, S, Francesco, L, Latini, D, and Hoffman, JR. Autoregulation does not provide additional benefits to a mixed session periodized resistance training program in trained men. J Strength Cond Res 38(9): 1535–1542, 2024—The aim of this investigation was to study how autoregulation impacted training volume, performance, and muscle size on a 10-week mixed session periodized (MSP) resistance training program, characterized by the inclusion of different training foci in each session. Twenty-four resistance trained men were assigned to an autoregulated mixed session periodized (AMSP group; n = 13; age = 26.2 ± 4.9 y; body mass = 82.0 ± 8.7 kg; height = 176.8 ± 6.0 cm) or into an MSP ( n = 11; age = 24.0 ± 2.6; body mass = 81.3 ± 10.5 kg; height = 174.0 ± 5.4 cm) group. Subjects in both groups trained 5 days per week for 10 weeks and performed the same exercises. The difference between the groups consisted in the use of a perceived recovery-based scale to adjust the individual training volume in the AMSP program. Maximal strength (bench press and squat 1 repetition maximum), power (bench press throw and countermovement jump), and muscle architecture (muscle thickness [MT] of biceps brachii, trapezius, vastus lateralis and vastus medialis) were collected before and after the 10-week training period. In addition, training volume and session load were calculated for each training session. A higher total training volume ( p < 0.001) was seen in AMSP program compared with MSP program, but no differences ( p > 0.05) were noted in the average session load. No significant differences between the groups were detected for MT of both upper-body and lower-body muscles ( p's > 0.05) and lean body mass ( p = 0.681). No significant differences between the groups were detected for any strength or power measurements. Results of this study indicate that a perceived recovery-based AMSP training program was not more effective than an MSP training program for increasing muscle size and performance in resistance trained men.