Background: The extreme social circumstances caused by declared COVID-19 pandemic deeply intervene people’s everyday life and should not be neglected but seen through the view of social reality pinpointing the ‘ordinary’ people. In this article, authors explored basic segments of everyday and their subjective perception to what extent sleeping habits, physical inactivity, physical activity, nutritional habits and smoking have changed. Methods: The online survey was conducted in nine European countries (Bosnia and Herzegovina, Croatia, Greece, Kosovo*, Italy, Serbia, Slovakia, Slovenia and Spain) in 4108 participants, aged 15–82 years. The survey took place 30–40 days after World Health Organization declared COVID-19 pandemic state, from 15 April to 3 May 2020. Results: The results have shown 30 min longer sleeping time, 50% longer physical inactivity time, 65% longer screen time, 43% shorter walking time, 24% shorter sport time and 37% longer physical work time. Additionally, body mass gains (0.3 kg) could be explained in 20.6% with meals sizes, unhealthy food consumption, screen time and sport time. Further, respondents reported more regular meals (44%) and healthier meals with less alcohol consumption and less smoking, which have been positive outcomes of home confinement. Conclusion: The findings draw attention to negative changes in everyday praxis (inactivity, body mass gain) after such a short period. Because of possible risk to population’s health (especially of countries such as Italy and Spain with serious threat and more stringent measures), findings enable development of recommendations for maintaining healthy lifestyle habits with minimal negative health consequences in similar pandemic circumstances.

Ofiles of European half-heavyweight judokas by success in competition. For this purpose, we compared 5 international medalists (elite) with 5 national medalists (subelite). All male judokas won at least 1 medal in the half-heavyweight category during the previous 2 years. The testing in this cross-sectional study was performed during 4 days. All subjects underwent anthropometric assessment with body mass, height, skinfold, and limb circumference measures, and the body fat percentage was estimated by manual bioimpedance. The physical fitness evaluation consisted in peak torques for thigh and shoulder muscles, handgrip strength, high and long jumps, medicine ball throw, pull-ups, deadlift, bench press, deep squat, V[Combining Dot Above]O2max, Max Power, and Tokui Waza tests. The statistical analysis by the Student's t test showed significant differences for forearm and upper-arm circumferences, peak torques, pull-ups, bench press, deadlift, deep squat, V[Combining Dot Above]O2max, Max Power, and Tokui Waza tests. Our results showed that elite judokas have a superior fitness profile than subelite athletes from the half-heavyweight category. Moreover, elite judokas seem to have a higher arm muscle mass than subelite athletes but a similar body fat percentage. This study could be of interest for judo coaches with athletes competing in the half-heavyweight category, as some tests that discriminate by judo success for this specific weight category are described. Few studies analyze anthropometric and fitness profiles in half-heavyweight male judokas, so additionally our results can be used as a reference for coaches, athletes, and scientists....

Casals, C, Huertas, JR, Franchini, E, Sterkowicz-Przybycień, K, Sterkowicz, S, Gutiérrez-García, C, and Escobar-Molina, R. Special judo fitness test level and anthropometric profile of elite spanish judo athletes. J Strength Cond Res 31(5): 1229–1235, 2017—The aim of this study was to determine the anthropometric variables that best predict Special Judo Fitness Test (SJFT) performance. In addition, anthropometric profiles of elite Spanish judo athletes were compared by sex and age category (seniors and juniors). In this cross-sectional study, a total of 51 (29 females) athletes from the Spanish National Judo Team were evaluated during a competitive period. All athletes performed the SJFT and underwent an anthropometric assessment through skinfold thickness measurements. Mann-Whitney comparisons by sex and age category showed that males had significantly higher muscle mass and lower fat mass than females (p < 0.001), whereas juniors and seniors exhibited few differences in body composition. Linear regression analyses (stepwise method) were performed to explore the relationships between anthropometric characteristics and SJFT variables. Model 1 included sex, age category, and body mass as predictors. Body mass and sex significantly predicted the SJFT index (R ² = 0.27, p < 0.001); thus, both criteria should be considered before interpreting the test. The predictors of model 2 were quick-assessment variables, including skinfolds, breadths, girths, and height. This regression model showed that the biceps skinfold significantly predicted the SJFT index in elite athletes (R ² = 0.31, p < 0.001). Model 3 included body compositions and somatotypes as predictors. Higher muscle and bone masses and lower ectomorphy were associated with better SJFT performance (R ² = 0.44, p < 0.001). Hence, training programs should attempt to increase the muscle mass percentage and reduce the upper arm fat, whereas the bone percentage could be considered in the selection of talented athletes in conjunction with other factors.

Background: Patients with advanced cancer, receiving at-home palliative care, are subject to numerous symptoms that are changeable and often require attention, a stressful situation that also impacts on the family caregiver. It has been suggested that music therapy may benefit both the patient and the caregiver. We propose a study to analyse the efficacy and cost utility of a music intervention programme, applied as complementary therapy, for cancer patients in palliative care and for their at-home caregivers, compared to usual treatment.Method: A randomised, double-blind, multicentre clinical trial will be performed in cancer patients in at-home palliative care and their family caregivers. The study population will include two samples of 40 patients and two samples of 41 caregivers. Participants will be randomly assigned either to the intervention group or to the control group. The intervention group will receive a seven-day programme including music sessions, while the control group will receive seven sessions of (spoken word) therapeutic education. In this study, the primary outcome measure is the assessment of patients’ symptoms, according to the Edmonton Symptom Assessment System, and of the overload experienced by family caregivers, measured by the Caregiver Strain Index. The secondary outcomes considered will be the participants’ health-related quality of life, their satisfaction with the intervention, and an economic valuation.Discussion: This study is expected to enhance our understanding of the efficacy and cost-utility of music therapy for cancer patients in palliative care and for their family caregivers. The results of this project are expected to be applicable and transferrable to usual clinical practice for patients in home palliative care and for their caregivers. The approach described can be incorporated as an additional therapeutic resource within comprehensive palliative care. To our knowledge, no previous high quality studies, based on a double-blind clinical trial, have been undertaken to evaluate the cost-effectiveness of music therapy. The cost-effectiveness of the project will provide information to support decision making, thereby improving the management of health resources and their use within the health system.Trial registration: The COMTHECARE study is registered at Clinical Trials.gov,NCT04052074. Registered 9 August, 2019.

There is controversy about the relationship between ACE I/D polymorphism and health. Seventy-four healthy adults (n = 28 women; 22.5 ± 4.2 years) participated in this cross-sectional study aimed at determining the influence of ACE I/D polymorphism, ascertained by polymerase chain reaction, on cardiometabolic risk (i.e., waist circumference, body fat, blood pressure (BP), glucose, triglycerides, and inflammatory markers), maximal fat oxidation (MFO), cardiorespiratory fitness (maximal oxygen uptake), physical activity and diet. Our results showed differences by ACE I/D polymorphism in systolic BP (DD: 116.4 ± 11.8 mmHg; ID: 116.7 ± 6.3 mmHg; II: 109.4 ± 12.3 mmHg, p = 0.035) and body fat (DD: 27.3 ± 10.8%; ID: 22.6 ± 9.7%; II: 19.3 ± 7.1%, p = 0.030). Interestingly, a genotype*sex interaction in relativized MFO by lean mass (p = 0.048) was found. The DD polymorphism had higher MFO values than ID/II polymorphisms in men (8.4 ± 3.0 vs. 6.5 ± 2.9 mg/kg/min), while the ID/II polymorphisms showed higher R-MFO values than DD polymorphism in women (6.6 ± 2.3 vs. 7.6 ± 2.6 mg/kg/min). In conclusion, ACE I/D polymorphism is apparently associated with adiposity and BP, where a protective effect can be attributed to the II genotype, but not with cardiorespiratory fitness, diet and physical activity. Moreover, our study highlighted that there is a sexual dimorphism in the influence of ACE I/D gene polymorphism on MFO.

Background: This study anlyzed whether family caregivers of patients with advanced cancer suffer impaired sleep quality, increased strain, reduced quality of life or increased care burden due to the presence and heightened intensity of symptoms in the person being cared for. Method: A total of 41 patient-caregiver dyads (41 caregivers and 41 patients with advanced cancer) were recruited at six primary care centres in this cross-sectional study. Data were obtained over a seven-month period. Caregiver’s quality of sleep (Pittsburgh Sleep Quality Index), caregiver’s quality of life (Quality of Life Family Version), caregiver strain (Caregiver Strain Index), patients’ symptoms and their intensity (Edmonton Symptom Assessment System), and sociodemographic, clinical and care-related data variables were assessed. The associations were determined using non-parametric Spearman correlation. Results: Total Edmonton Symptom Assessment System was significantly related to overall score of the Pittsburgh Sleep Quality Index (r = 0.365, p = 0.028), the Caregiver Strain Index (r = 0.45, p = 0.005) and total Quality of Life Family Version (r = 0.432, p = 0.009), but not to the duration of daily care (r = -0.152, p = 0.377). Conclusions: Family caregivers for patients with advanced cancer suffer negative consequences from the presence and intensity of these patients’ symptoms. Therefore, optimising the control of symptoms would benefit not only the patients but also their caregivers. Thus, interventions should be designed to improve the outcomes of patient-caregiver dyads in such cases.