Intelligent Physical Exercise Training (IPET) in the Offshore Wind Industry: a Feasibility Study With an Adjusted Conceptual Model

Background: Good physical health and capacity is a requirement for offshore wind service technicians (WTs) who have substantial physical work demands and are exposed to numerous health hazards. Workplace physical exercise has shown promising results as a strategy for maintaining and improving physical health and work ability among various types of workers. Therefore, we aimed to assess the feasibility and preliminary efficacy of the Intelligent Physical Exercise Training (IPET) concept among WTs in the offshore wind industry.Methods: The present study used a within-subject design to assess the feasibility and preliminary efficacy of IPET (one hour/week individualized exercise during working hours). The intervention period was 12 weeks, with the first eight weeks performed on site as supervised or partly supervised exercise during work hours and the last four weeks planned as home-administered exercise after termination of the seasonal offshore service period. Three assessments, T1 (six months prior to intervention start), T2 (start of intervention) and T3 (end of intervention), of physical health and capacity (self-reported and objective measurements) were conducted and the period between T1 and T2 served as a within-subject control period. Primary outcome was feasibility measured as compliance, adherence, adverse events, and participant acceptability. Descriptive statistics were used to present feasibility outcomes and pairwise comparisons were performed to assess for differences in outcomes between T1, T2 and T3. Results: All WTs at the included wind farm (n=24, age: 40 years (SD±8)) participated in the study. No serious adverse events were reported. Compliance and adherence of 95 and 80% respectively, were reached in the eight-week supervised part, but lower when exercise was home-administered (<20%). Acceptability was high for the supervised part, with 83% indicating that the exercise program worked well and 100% that exercise should be implemented as an integrated part of the working structure. Physical capacity and health parameters collected at T1, T2 and T3 increased before and during the intervention period, indicating seasonal fluctuations in addition to possible improvements caused by the intervention.Conclusion: Implementation of Intelligent Physical Exercise Training on site and during working hours seems to be feasible and well received among WTs in the offshore wind industry.Trial registration: ClinicalTrials.gov (Identifier: NCT04995718). Retrospectively registered on August 6, 2021, https://clinicaltrials.gov/ct2/show/NCT04995718?term=NCT04995718&draw=2&rank=1

A - 01 Baseline Executive Functioning and Mood in Older Adults before a Remote Physical Exercise Training Program

Objective Physical exercise shows benefits to executive functioning (EF), a cognitive process that is relevant to goal-directed planning, application of complex rules, and dynamic control of action. However, many older adults have not engaged in exercise due to social distancing measures implemented to combat the Covid-19 pandemic. The present study aims to administer a remote physical exercise training program to older adults in Canada and examine its effects on EF and mood, beginning with the collection of the following baseline data. Methods So far, nine older adults (78% females, 66–78 years-old) have completed a remote assessment that examines current physical exercise engagement, Covid-related distress, general mood, and executive behavior. In addition, the assessment included computerized tasks measuring various aspects of EF. Pattern analyses were used to characterize trends in baseline data. Results 67% of participants reported undergoing no moderate-vigorous physical exercise in a typical week. Compared to other participants, more individuals in this subgroup performed at a lower rate on a higher-order EF task (i.e., the Balloon Analogue Risk Task). Similarly, more participants who endorsed higher Covid-related psychological distress performed worse in the same task compared to others (40% in the lower third of performance vs. 0%), and also endorsed more difficulties with organization. Conclusions These results suggest that those who do not engage in physical exercise are potential candidates to experience the mental health and cognitive benefits of a physical exercise training program.

The Effects of Combined Physical Exercise on Serum Redox Biomarkers and Leukocyte DNA Damage of Obese Women

Obesity is usually linked to oxidative stress, which can lead to damage to biomolecules. The combination of aerobic and strength exercises seems to induce health benefits in obese individuals, but little is known about the effects of combined physical exercise on redox homeostasis and DNA damage in this population. Thus, the aim of the current study was to determine the effects of 16 weeks of combined physical exercise on biomarkers of oxidative stress and DNA damage in obese women. 17 obese women underwent 16 weeks of a combined physical training program, 3 times per week. Anthropometric and biochemical parameters, serum superoxide dismutase (SOD) and glutathione peroxidase activity, plasma 8-isoprostane levels, and DNA and chromosomal damage were evaluated before and after physical training. Combined physical exercise training decreased body weight ( 83.2 ± 9.6 vs. 80.2 ± 9.6 kg), body mass index ( 33.8 ± 3.6 vs. 32.6 ± 3.7 kg·m-2), body fat ( 40.2 ± 2.6 vs. 39.0 ± 3.2 %), and waist circumference ( 99.3 ± 9.4 vs. 94.1 ± 8.8 cm), while the fat-free mass was augmented ( 59.9 ± 2.9 vs. 60.7 ± 3.1 kg). Moreover, blood glucose reduced ( 113.5 ± 29.6 vs. 107.3 ± 28.9 mg/dL) along with high-density lipoprotein ( 54.6 ± 18.1 vs. 59.0 ± 18.8 mg/dL), TSH ( 2.1 ± 1.1 vs. 2.6 ± 1.2 mIU/mL), and free T4 ( 0.9 ± 0.1 vs. 1.12 ± 0.2 ng/dL) increase after physical exercise training. Plasma 8-isoprostane levels ( 17.24 ± 7.9 vs. 29.11 ± 17.44 pg/mL) and DNA damage ( 34.16 ± 7.1 vs. 45.96 ± 5.8 % DNA in tail) were also higher after physical training. No changes were observed in chromosomal damage levels. These results suggest that 16 weeks of combined exercise training 3 times per week is effective in reducing body fat but also increases oxidative stress and DNA damage in obese women.

Dual-Task Exercise to Improve Cognition and Functional Capacity of Healthy Older Adults

BackgroundIt has been suggested that physical inactivity and lack of stimulating cognitive activity are the two most significant modifiable risk factors to impair cognitive function. Although many studies that investigated the cognitive effects of physical exercise and cognitive stimuli in dual-task conditions showed improved cognitive performance, others have not confirmed these findings. The main aim of the present work is to analyze the effects of a dual-task multimodal physical exercise training, at moderate intensity, and cognitive stimulation on cognitive and physical function in healthy older adults.MethodsThis clinical trial was registered on the Brazilian Registry of Clinical Trials (RBR-9zrx3d). Here we tested the effects of a dual-task multimodal physical exercise training, at moderate intensity, on cognitive and physical function and quality of life in community dwelling older adults. The training protocol included 24 group sessions, 2/week, per 75 min. Cognition was assessed using CANTAB automated neuropsychological tests and Functional Capacity to Exercise tests. Performance was compared from baseline to post intervention and to a non-exercise control group using Mixed Linear Model for repeated measures.ResultsControl (CG) and dual-task (DTEx) groups progressed differentially over time on performance of episodic memory, sustained visual attention, functional mobility, cardiorespiratory fitness, lower limbs strength resistance, agility, quality of life and dual-task performance with significant improved DTEx performance. Control group did not show any significant changes on these tests except for showing a reduction in dual-task performance.ConclusionWe suggest that the dual-task combination of multisensory cognitive stimulation and multimodal moderate physical exercise training, twice a week, may be adopted as an effective program to reduce progression of age-related cognitive decline and improve physical fitness and quality of life on healthy older adults.Clinical Trial RegistrationBrazilian Registry of Clinical Trials: https://ensaiosclinicos.gov.br/rg/RBR-9zrx3d -UTN code: U1111-1233-6349.

Stay Home: Role of Physical Exercise Training in Elderly Individuals’ Ability to Face the COVID-19 Infection

Recently, the novel coronavirus epidemic occurred in China and spread worldwide to become a global pandemic. COVID-19 is a fatal viral infection causing death, particularly in aged individuals, due to impaired immunity. To date, no intervention is available to prevent COVID-19 and its manifestations. Physical exercise training generally has health benefits, and it assists in the prevention of several chronic diseases. Therefore, this review is aimed at exploring the role of physical exercise training in the face of COVID-19 in older adults and elderly individuals. From this point of view, this review suggests that physical exercise training plays a key role in promoting immune system regulation, delaying immunity dysfunction, reducing circulatory inflammation markers, and preventing sarcopenia and thus could prevent the risk of acquiring COVID-19 infection and reduce the complications of recommended self-isolation in older adults and elderly individuals. Additionally, immunity biomarkers were optimistically demonstrated in older adults following physical exercise training, thereby reducing mortality and morbidity rates. Finally, in accordance with recommendations to stay home and perform self-isolation to prevent the spread of COVID-19, all populations are strongly recommended to practice regular home exercise training at home to promote immune system functioning.

The Effect of Physical Exercise Training on Neck and Shoulder Muscle Function Among Military Helicopter Pilots and Crew: A Secondary Analysis of a Randomized Controlled Trial

Introduction: This study presents secondary outcome analyses, in terms of muscle function [i.e., maximal voluntary contraction (MVC) and rate of torque development (RTD)] from a parallel group, single blinded, randomized controlled trial introducing a physical exercise training intervention aiming to reduce neck pain among military helicopter pilots and crew-members.Methods: Participants (50 pilots, 58 crew-members) were recruited from the Royal Danish Air Force and randomized to either an exercise-training-group (ETG; n = 35) or a reference-group (REF; n = 34). Participants in ETG received 20 weeks of self-administered exercise training specifically tailored to target the neck and shoulder muscles. REF received no training. Outcome: (1) MVC was measured for cervical extension and flexion as well as shoulder elevation and abduction, (2) RTD was measured for cervical extension and flexion. Adherence to training was self-reported and categorized as regular if performed at least once a week.Results: MVC for cervical extension was significantly increased at follow-up in ETG (37.5 ± 11.2 Nm at baseline, change: 2.1 ± 8.3 Nm) compared to REF (38.1 ± 10.7 Nm at baseline, change: −2.4 ± 6.8 Nm) according to intension-to-treat analysis (p = 0.018). Likewise, RTD was significantly increased in ETG for cervical extension (149.6 ± 63.3 Nm/s at baseline, change: 14.7 ± 49.0 Nm/s) compared to REF (165.4 ± 84.7 Nm/s at baseline, change: −16.9±70.9 Nm/s) (p = 0.034). The cervical extension/flexion MVC-ratio was significantly different at follow-up (p = 0.039) between ETG (1.5 ± 0.5 at baseline, change: −0.0 ± 0.3) compared to REF (1.5 ± 0.5 at baseline, change: −0.2 ± 0.4). Per-protocol analysis of MVC, including only participants in ETG with regular training adherence (n = 10), showed a significant increase for cervical extension (33.2 ± 7.3 Nm at baseline, change: 6.0 ± 5.4 Nm) and shoulder elevation right side (143.0 ± 25.8 Nm at baseline, change: 15.8 ± 18.1 Nm).Conclusion: Physical exercise training significantly improved MVC and RTD in the upper neck extensors. Only approximately 1/3 of participants in ETG adhered to training regularly, which likely attenuated the effectiveness of the training intervention on neck and shoulder muscle function. Future studies should focus on the practical implementation of self-administered exercise training to improve adherence.