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2016

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Early Parental Loss, Socioeconomic Stressors, And Health In Later Life: Evidence For Gender Disparity, Rong Fu Aug 2016

Early Parental Loss, Socioeconomic Stressors, And Health In Later Life: Evidence For Gender Disparity, Rong Fu

Open Access Dissertations

Drawing from the stress process model and the cumulative disadvantage theory, this dissertation examined how childhood and later life stressors affected cognitive and subjective health in older adults. Using three main articles, this dissertation investigated (1) the effect of early parental loss on cognitive well-being in Chinese oldest old; (2) the effect of intergenerational socioeconomic mobility on cognitive and subjective health in advanced age; and (3) the effect of different dimensions of socioeconomic status and perceived financial strain on subjective health in later life. Data were derived from the 2002 and 2005 waves of the Chinese Longitudinal Healthy Longevity Survey. …


August 2016 Commencement Program, Bowling Green State University Aug 2016

August 2016 Commencement Program, Bowling Green State University

Commencement Programs

No abstract provided.


A Comparison Of Stride Length And Lower Extremity Kinematics During Barefoot And Shod Running In Well Trained Distance Runners, Peter Francis, James Ledingham, Sarah B. Clarke Phd, Dj Collins, Philip Jakeman Aug 2016

A Comparison Of Stride Length And Lower Extremity Kinematics During Barefoot And Shod Running In Well Trained Distance Runners, Peter Francis, James Ledingham, Sarah B. Clarke Phd, Dj Collins, Philip Jakeman

Journal Articles

Stride length, hip, knee and ankle angles were compared during barefoot and shod running on a treadmill at two speeds. Nine well-trained (1500m time: 3min:59.80s ± 14.7 s) male (22 ±3 years; 73 ±9 kg; 1.79 ±0.4 m) middle distance (800 m – 5,000 m) runners performed 2 minutes of running at 3.05 m·s-1 and 4.72 m·s-1 on an treadmill. This approach allowed continuous measurement of lower extremity kinematic data and calculation of stride length. Statistical analysis using a 2X2 factorial ANOVA revealed speed to have a main effect on stride length and hip angle and footwear to …


Effects Of Acute Exercise On Postprandial Lipemia And Postprandial Glycemia, Stephen Decker Aug 2016

Effects Of Acute Exercise On Postprandial Lipemia And Postprandial Glycemia, Stephen Decker

Electronic Theses and Dissertations

Introduction: Moderate-intensity aerobic exercise has been shown to attenuate the rise in triglycerides in during the postprandial period, however the effects of acute bouts of high-intensity exercise on postprandial lipemia and glycemia have not been explored. The purpose of this study was to examine the effects of acute high-intensity interval training on postprandial lipemia and postprandial glycemia.

Methods: Ten healthy males participated in a randomized crossover design consisting of one high-intensity exercise session and one sedentary control session, followed by consumption of a mixed meal. Blood triglyceride and glucose concentrations were monitored following the consumption of the meal.

Results: High-intensity …


Collaborative Law At 25: A Canadian Study Of A Global Phenomenon Aug 2016

Collaborative Law At 25: A Canadian Study Of A Global Phenomenon

UBC Law Review

No abstract provided.


Exploring The Interface Of Genetics, Genomics, And Older Adults, Scott Emory Moore Aug 2016

Exploring The Interface Of Genetics, Genomics, And Older Adults, Scott Emory Moore

All Dissertations

This dissertation addresses the interface of genetics, genomics, and older adults through a collection of three manuscripts that examine genetic and genomic testing and decision-making across age groups. The dissertation offers evaluations of a new lens for decision-making in genetics and genomics, a contextualization of the differences and similarities of perceptions and beliefs that exist among age groups engaging in direct-to-consumer personal genetic testing (DTC PGT), an identification of two factors that influence the decision to engage in DTC PGT, and an expansion of the current applications of Protection Motivation Theory to include disclosure, finance, and advance directive-management behaviors related …


The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle Aug 2016

The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle

Graduate Theses and Dissertations

The purpose of this study was to examine the influence of strength-training exercises on the functional fitness in older adults. The original convenience sample consisted of 658 participants who attended group strength-training classes offered through the Cooperative Extension Service. The Senior Fitness Test was used to assess baseline fitness levels at the beginning and end of the 12-week strength-training program. Data was collected from 2008 to 2015. Of the 658 participants, 110 were aged 60 to 94 and presented posttest scores occurring approximately 12 weeks after pretest dates. Of the 110 subjects, 99 were female and 11 were male. The …


Hearing And Vision Screening Tools For Long-Term Care Residents With Dementia: Protocol For A Scoping Review, Katherine Mcgilton, Fiona Hobler, Jennifer Campos Ph.D, Kate Dupuis, Tammy Labreche, Dawn M. Guthrie, Jonathan Jarry, Walter Wittich Jul 2016

Hearing And Vision Screening Tools For Long-Term Care Residents With Dementia: Protocol For A Scoping Review, Katherine Mcgilton, Fiona Hobler, Jennifer Campos Ph.D, Kate Dupuis, Tammy Labreche, Dawn M. Guthrie, Jonathan Jarry, Walter Wittich

Kinesiology and Physical Education Faculty Publications

Introduction Hearing and vision loss among long-term care (LTC) residents with dementia frequently goes unnoticed and untreated. Despite negative consequences for these residents, there is little information available about their sensory abilities and care assessments and practices seldom take these abilities or accessibility needs into account. Without adequate knowledge regarding such sensory loss, it is difficult for LTC staff to determine the level of an individual's residual basic competence for communication and independent functioning. We will conduct a scoping review to identify the screening measures used in research and clinical contexts that test hearing and vision in adults aged over …


When Actions Speak Louder Than Words: Extending The Reach Of Qualitative Data Collecting, Justine M. Mcgovern Jul 2016

When Actions Speak Louder Than Words: Extending The Reach Of Qualitative Data Collecting, Justine M. Mcgovern

Publications and Research

Through the lens of a study exploring dementia care partnering, the purpose of this methods article is to focus on the role of artifacts and embodied data in data collection. In addition, it illustrates how to use a range of data collecting methods. The article identifies benefits of additional data collecting methods to research and care. These include the need to expand data collecting methods beyond spoken word, integrate a range of data collecting approaches into research courses across disciplines, increase support of qualitative research, and advocate for greater inclusivity in research. Data collecting approaches can also have implications for …


Spirituality And The Travel Motivations Of Older Adults, Gaëlle Moal - Ulvoas Jul 2016

Spirituality And The Travel Motivations Of Older Adults, Gaëlle Moal - Ulvoas

International Journal of Religious Tourism and Pilgrimage

This research explores the travel motivations of retired adults. The influence of aging is investigated through the impact of the spiritual dimension of the older traveler characterized by his gerotranscendence. The results of 17 depth interviews with retired adults followed by a quantitative survey of 645 respondents lead to the identification of the travel motivations of retired French adults and demonstrate the influence of gerotranscendence. Recommendations are made to help professionals reach this specific segment and answer its needs.


Comparison Of Power Training Using Plate-Loaded Vs. Pneumatic Machines On Strength, Power, And Physical Function In Older Adults, Anoop Thozhuthungal Balachandran Jul 2016

Comparison Of Power Training Using Plate-Loaded Vs. Pneumatic Machines On Strength, Power, And Physical Function In Older Adults, Anoop Thozhuthungal Balachandran

Open Access Dissertations

Background: In randomized controlled trials, power training has been shown to be more effective than conventional resistance training for improving physical function in older adults; however, most of these trials used pneumatic machines for power training. Considering that the majority of the people only have access to plate-loaded machines, it is important to examine the benefits and adverse effects of power training using plate-loaded machines compared to pneumatic machines to determine the feasibility of their use. Objective: The purpose of this investigation was to compare high-velocity training using pneumatic machines and standard plate-loaded machines on power, physical function, strength and …


Analyzing Relationships Among Principal Instructional Leadership, Teacher Empowerment, Teacher Creative Practices And Student Creative Problem Solving Skills In Public And Private Schools, Keri D. Mina Jul 2016

Analyzing Relationships Among Principal Instructional Leadership, Teacher Empowerment, Teacher Creative Practices And Student Creative Problem Solving Skills In Public And Private Schools, Keri D. Mina

Theses and Dissertations

The purpose of this study was to comparatively examine relationships among principal instructional leadership, teacher empowerment, teacher creative practices and student creative problem solving in public and private schools. Specifically, the study examined whether principal instructional leadership, teacher empowerment and teacher creative practices predict students’ problem solving performance in these two different types of schooling (e.g., public schools and private schools). The data source of the study was U.S. data sets of PISA 2012. To make meaningful comparisons, student groups in performing in the top and bottom quartiles problem solving were used in the analyses. The results of the study …


Supportive Hand Feeding In Dementia: Establishing Evidence For Three Hand Feeding Techniques, Melissa K. Batchelor-Murphy, Elaine Amella, Ruth A. Anderson, Eleanor S. Mcconnell, Connie Bales, Tracey L. Yap, Susan M. Kennerly, Susan G. Silva, Angel Barnes, Cornelia K. Beck, Cathleen Colon-Emeric Jul 2016

Supportive Hand Feeding In Dementia: Establishing Evidence For Three Hand Feeding Techniques, Melissa K. Batchelor-Murphy, Elaine Amella, Ruth A. Anderson, Eleanor S. Mcconnell, Connie Bales, Tracey L. Yap, Susan M. Kennerly, Susan G. Silva, Angel Barnes, Cornelia K. Beck, Cathleen Colon-Emeric

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Providing nutritional support has been a cornerstone of nursing practice since its inception. Nightengale, 1859. Many things have changed since 1859: life expectancy has increased, and rates of dementia have increased exponentially. Although times have changed, nursing's responsibility for basic nursing care has never been more important for persons with dementia (residents) in the nursing home (NH) setting. The establishment of an evidence-base for the complex basic care needs of this vulnerable population is critical for eradicating malnutrition. Feeding Assistants, often certified nursing assistants (CNAs), are faced daily with challenging, 'aversive' feeding …


The Etiology And Experience Of Falls: Community-Dwelling Older Adults' Perspectives, Anthony A. Adeniran Jul 2016

The Etiology And Experience Of Falls: Community-Dwelling Older Adults' Perspectives, Anthony A. Adeniran

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Community-dwelling older adults' falls represent a significant public health problem, and prevention is an important step to reducing healthcare costs and improving quality. According to Kochera (2002), 78% of all injuries that occurred from elderly falls happened in the community. Despite the fact that community-dwelling older adults have a higher risk for falls, there is less focus on fall prevention for this group. With the shift in the models of healthcare delivery from institutional to community settings; it is imperative that clinicians begin to understand fall prevention from community-dwelling older adults' perspectives. …


Addressing The Needs Of Direct Care Staff When Affected By Natural Disasters Globally, Lynn M. Hood, Marie O. Etienne, Patricia R. Messmer, Nahomie Mirville, Marjorie Lozama, Guerna Blot, Amina Dubuisson Jul 2016

Addressing The Needs Of Direct Care Staff When Affected By Natural Disasters Globally, Lynn M. Hood, Marie O. Etienne, Patricia R. Messmer, Nahomie Mirville, Marjorie Lozama, Guerna Blot, Amina Dubuisson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: A competent workforce committed to providing patient-centered care is vital since retention and turnover rates of direct care staff in skilled nursing facilities are directly related to quality of patient care (Austrom et al, 2015). Turnover and retention rates can become extremely challenged when a workforce is in crisis. Following the 2010 devastating earthquake in Haiti, 31 skilled nursing facilities in Florida and Georgia actively engaged in providing support to Haitian employees and their families both in USA and Haiti. Administrators, leaders and line staff participated in the support and relief efforts …


Attitudes Of Health Professions' Students Toward Older Adults, Michele M. Shuman Jul 2016

Attitudes Of Health Professions' Students Toward Older Adults, Michele M. Shuman

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Purpose: Across the world, the population of older adults is growing exponentially. This growing population will not only tax each socio-economic system in which the growth is occurring, but especially the health care systems in each respective country. For many of these older adults, as they live longer, suffer from at least one chronic illness. Older adults occupy more than half the beds in acute care institutions. Their age and health status makes older adults an especially vulnerable population who deserve the most compassionate and competent care possible. …


The Hunt For Good Nursing Workforce Data: Lessons Learned, Lisa Wright Eichelberger, Rebecca Wheeler Jul 2016

The Hunt For Good Nursing Workforce Data: Lessons Learned, Lisa Wright Eichelberger, Rebecca Wheeler

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: The purpose of presentation is to share Georgia's nursing workforce survey results, identify strategies used to significantly increase response rates, describe lessons learned from the collaboration processes critical to the success in obtaining the statewide workforce data and identify all state, national, legislative, and political agents needed to accomplish the task.

Background and Significance: Nursing workforce supply data are key for any kind of state workforce planning. Georgia, like so many other states, have been challenged to meet the growing health care needs of its citizens and …


The Gerontological Nursing Leadership Academy: Impacting The Future Of Care Delivery And Policy, Deborah F. Cleeter Bailey, Claudia Jean Beverly, Amy A. Cotton, Amy J. Berman Jul 2016

The Gerontological Nursing Leadership Academy: Impacting The Future Of Care Delivery And Policy, Deborah F. Cleeter Bailey, Claudia Jean Beverly, Amy A. Cotton, Amy J. Berman

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

The rising prominence of focus upon caring for older adults throughout the world drives the necessity to prepare and position nurse leaders to influence the future for this population. A growing need exists for large scale strategic intervention and innovation related to planning and providing health and wellness services to these older adults. Nurse leaders must facilitate advancements in awareness, interprofessional team leadership, delivery of care, and policy development in various settings and with diverse stakeholders to achieve measurable impact on health, cost and quality. The international Gerontological Nursing Leadership Academy (GNLA) provides …


New Service-Learning Fellows Selected, Traci Bratton Jul 2016

New Service-Learning Fellows Selected, Traci Bratton

Browse All News

No abstract provided.


Self-Care And Mobility Disability At Mid-Life In Lucky Few, Early-, And Late-Baby Boom Birth-Cohorts, Carlos Siordia Jul 2016

Self-Care And Mobility Disability At Mid-Life In Lucky Few, Early-, And Late-Baby Boom Birth-Cohorts, Carlos Siordia

Journal of Health Disparities Research and Practice

Disability is related in definite ways with makers of social stratum, as it can be influenced by and has the potential to contribute to the production and reproduction of social stratification. Intersectional markers of social stratification processes are ignored determinants of health. The Class, Race, Sex (CRS) hypothesis presented here argues that a low-education, racial-minority, and female disadvantage will compound to affect the prevalence and risks of disability. The evidence presented validates the CRS hypothesis by showing that disability prevalence and risk clusters first by class, race, and then sex. The cross-sectional study of community-dwelling adults in the Unites States, …


Intersecting Positions Of Social Disadvantage And Self-Reported Health Status Disparities, Carla S. Alvarado, Chunhuei Chi Jul 2016

Intersecting Positions Of Social Disadvantage And Self-Reported Health Status Disparities, Carla S. Alvarado, Chunhuei Chi

Journal of Health Disparities Research and Practice

Health disparities along the gender, race and class are particularly important to monitor and study given the predicted differential distribution of health along these social identities. Intersectionality is a theoretical framework that allows public health and health disparities researchers to account for the simultaneous, mutually constitutive, reinforcing and multidimensional effects of gender, class, and race with the aim to better understand health disparities. Disparities along gender, race and class have been noted in self-reported health status (SRHS) which has been shown to be a strong predictive factor of mortality, morbidity and mental health independent of other physiologic, behavioral and psychosocial …


Using The Theory Of Fundamental Causes To Show The Potential Effects Of Socioeconomic Status On Surgical Outcomes, Mehwish Qasim, A.B.D. Jul 2016

Using The Theory Of Fundamental Causes To Show The Potential Effects Of Socioeconomic Status On Surgical Outcomes, Mehwish Qasim, A.B.D.

Journal of Health Disparities Research and Practice

Surgical procedures are both costly and common. There are large differences in surgical outcomes both within and between hospitals based on patient characteristics such as measures of income. In both 2000 and 2009, patients residing in low-income communities had worse morbidity and mortality rates, across a wide range of quality indicators. In this review, the author will explicate the Theory of Fundamental Causes as it relates to surgical care, review key empirical findings and address potential limitations of the theory. This review will provide a platform for researchers to discuss current research in surgical disparities using the Theory of Fundamental …


Physical Activity Among Older American Indians And Alaska Natives, David Hodgins, Linda Larkey, Barbara E. Ainsworth, Colleen Keller Jul 2016

Physical Activity Among Older American Indians And Alaska Natives, David Hodgins, Linda Larkey, Barbara E. Ainsworth, Colleen Keller

Journal of Health Disparities Research and Practice

Introduction: Life style behaviors contribute to poor health among older Americans Indians/Alaska Native (AI/AN) in the United States, with low levels of physical activity (PA) particularly tied to the chronic disease profile of this population. Searched reviews of physical activity among AI/ANs are limited in assessing prevalence and correlates to PA among older adults > 40 years.

Methods: A literature search of reported physical activity studies among older AI/AN was assessed for prevalence and predictive factors associated with levels of physical activity.

Results: Fourteen studies were included in this review that either specifically quantified the amount of physical activity among older …


Blood Pressure Control For African American Parents And Children: Feasibility And Initial Outcomes Of A Faith-Based Intervention Pilot Study, Penny A. Ralston Ph.D., Tammye Farmer M.S., Iris Young-Clark Ph.D., Catherine Coccia Ph.D., R.D. Jul 2016

Blood Pressure Control For African American Parents And Children: Feasibility And Initial Outcomes Of A Faith-Based Intervention Pilot Study, Penny A. Ralston Ph.D., Tammye Farmer M.S., Iris Young-Clark Ph.D., Catherine Coccia Ph.D., R.D.

Journal of Health Disparities Research and Practice

The overall purpose was to determine the feasibility and initial outcomes of a faith-based intervention to improve blood pressure (BP) control in African American (AA) parents/guardians and their children, using a pre/post without control group design. Sample included AA parents and children (n=17) from three churches in North Florida. Health behaviors (daily servings of fruits/vegetables [F/V], minutes of physical activity [PA]) and physical health (BMI, systolic BP and diastolic SB) were examined. Data were analyzed using descriptive statistics, paired t-tests, and correlations. Feasibility outcomes showed high attendance (91% children, 88% parents) and completion (100%) rates. F/V significantly increased at post-test …


High Resting Metabolic Rate Among Amazonian Forager-Horticulturalists Experiencing High Pathogen Burden, Michael Gurven, Benjamin C. Trumble, Jonathan Stieglitz, Gandhi Yetish, Daniel Cummings, Aaron D. Blackwell, Bret Beheim, Hillard Kaplan, Herman Pontzer Jul 2016

High Resting Metabolic Rate Among Amazonian Forager-Horticulturalists Experiencing High Pathogen Burden, Michael Gurven, Benjamin C. Trumble, Jonathan Stieglitz, Gandhi Yetish, Daniel Cummings, Aaron D. Blackwell, Bret Beheim, Hillard Kaplan, Herman Pontzer

ESI Publications

Objectives—Resting metabolic rate (RMR) reflects energetic costs of homeostasis and accounts for 60-75% of total energy expenditure (TEE). Lean mass and physical activity account for much RMR variability, but the impact of prolonged immune activation from infection on human RMR is unclear in naturalistic settings. We evaluate the effects of infection on mass-corrected RMR among Bolivian forager-horticulturalists, and assess whether RMR declines more slowly with age than in hygienic sedentary populations, as might be expected if older adults experience high pathogen burden.

Materials and Methods—RMR was measured by indirect calorimetry (Fitmate MED, Cosmed) in 1,300 adults aged 20-90 …


Creating Environments Through The Art Of Occupational Therapy, Lydia Royeen Jul 2016

Creating Environments Through The Art Of Occupational Therapy, Lydia Royeen

The Open Journal of Occupational Therapy

Dr. Lori Reynolds has an interest in therapeutic gardens and the creation of living spaces that promote well-being for older adults. Dr. Reynolds educates various stakeholders on the benefits of occupational therapy, including landscape architects and senior living administrators. Her advocacy to expand occupational therapy beyond its mainstream roles is infectious. She speaks passionately about her work in helping to create therapeutic gardens and how her role as an occupational therapist offers great perspective in this process. She appreciates the environmental impact on an individual’s health and well-being and practices from a person-environment-occupation theory.


Achieving Teaching, Scholarship, And Service Through Community Engagement, Carole K. Ivey, Jodi L. Teitelman, Kelli W. Gary, Dianne F. Simons, Jayne T. Shepherd, Albert E. Copolillo Jul 2016

Achieving Teaching, Scholarship, And Service Through Community Engagement, Carole K. Ivey, Jodi L. Teitelman, Kelli W. Gary, Dianne F. Simons, Jayne T. Shepherd, Albert E. Copolillo

The Open Journal of Occupational Therapy

Occupational therapy faculty currently face enormous challenges in meeting teaching load expectations, while also under pressure to participate in scholarly projects and to make administrative and service contributions. Community engagement projects may provide opportunities for faculty to effectively and efficiently meet the goals in each of these areas while imparting benefits to students and community partners as well. Faculty at the Department of Occupational Therapy (OT) at Virginia Commonwealth University (VCU) embraced this idea as consistent with the university’s mission and strategic plan, and recognized its benefits in assisting faculty to meet workload demands. Four community partnerships reflecting the range …


Eportfolio: The Scholarly Capstone For The Practice Doctoral Degree In Occupational Therapy, Jim Hinojosa, Tsu-Hsin Howe Jul 2016

Eportfolio: The Scholarly Capstone For The Practice Doctoral Degree In Occupational Therapy, Jim Hinojosa, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

A critical decision doctoral faculty must make is deciding what is the most appropriate capstone or terminal requirement for the practice doctorate degree that is consistent with the program’s curriculum. EPortfolios are a viable option for documenting doctoral students’ advanced knowledge and competence. After creating a professional development plan, the students record individual experiences and reflections framed by a self-selected metaphor, provide objective documentation of achievements, and verify advanced competence in a specific area in their ePortfolios. As the students construct their ePortfolios, they must engage in self-directed learning that is grounded in evidence-based and reflective practice, with a focus …


Outcomes Of Peer Mentoring At An Associate Degree Nursing Program, Melissa B. Harper Jul 2016

Outcomes Of Peer Mentoring At An Associate Degree Nursing Program, Melissa B. Harper

Nursing Theses and Capstone Projects

Nursing students have described clinical experiences as being stressful, yet the application of classroom knowledge to the clinical health care setting is a requirement. The purpose of this mixed-method study is to compare students’ perceptions of the peer mentoring leadership experience (PMLE) and the student charge nurse experience (SCNE). The PMLE was piloted at a southeastern community college’s associate degree nursing (ADN) program. Hand-selected PMLE second-year nursing students (n=5) were paired with hand-selected PMLE first-year nursing students (n=5) for medical/surgical clinical rotations. The ADN program’s purpose for these clinical rotations was to provide a mutually beneficial mentoring experience. The remaining …


Comparison Of High-Intensity Vs. High-Volume Resistance Training On The Bdnf Response To Exercise, David D. Church, Jay R. Hoffman, Gerald T. Mangine, Adam R. Jajtner Jul 2016

Comparison Of High-Intensity Vs. High-Volume Resistance Training On The Bdnf Response To Exercise, David D. Church, Jay R. Hoffman, Gerald T. Mangine, Adam R. Jajtner

Faculty Articles

This study compared the acute and chronic response of circulating plasma brain-derived neurotrophic factor (BDNF) to high-intensity low-volume (HI) and low-intensity high volume (HV) resistance training. Twenty experienced resistance-trained men (23.5 ± 2.6 y, 1.79 ± 0.05 m, 75.7 ± 13.8 kg) volunteered for this study. Before the resistance training program (PRE), participants performed an acute bout of exercise using either the HI [3-5 reps; 90% of one repetition maximum (1RM)] or HV (10–12 reps; 70% 1RM) training paradigm. The acute exercise protocol was repeated after 7 wk of training (POST). Blood samples were obtained at rest (BL), immediately (IP), …