Kinesiology Commons^™

International Society Of Sports Nutrition Position Stand: Nutritional Concerns Of The Female Athlete, Stacy T. Sims, Chad M. Kerksick, Abbie E. Smith-Ryan, Xanne A.K. Janse De Jonge, Katie R. Hirsch, Shawn M. Arent, Susan Joyce Hewlings, Susan M. Kleiner, Erik Bustillo, Jaime L. Tartar, Valerie G. Starratt, Richard B. Kreider, Casey Greenwalt, Liliana I. Renteria, Michael J. Ormsbee, Trisha A. Vandusseldorp, Bill I. Campbell, Douglas S. Kalman, Jose Antonio

Faculty Scholarship

Based on a comprehensive review and critical analysis of the literature regarding the nutritional concerns of female athletes, conducted by experts in the field and selected members of the International Society of Sports Nutrition (ISSN), the following conclusions represent the official Position of the Society: 1. Female athletes have unique and unpredictable hormone profiles, which influence their physiology and nutritional needs across their lifespan. To understand how perturbations in these hormones affect the individual, we recommend that female athletes of reproductive age should track their hormonal status (natural, hormone driven) against training and recovery to determine their individual patterns and …

Effects Of Continuous Exercise On Physiological Indexes Among Middle-Aged And Elderly Chronic Patients In Northwest China, Niu Jianzhuang, Niu Zhen, Ren Xiangyu, Yu Xuemei, Gao Nina, Shao Nina, Zhang Chengyi

International Journal of Physical Activity and Health

With the increase of aging population, accompanied by a series of aging problems, the study showed that the probability of chronic disease in the elderly population is 92.1%, and further research shows that the probability of having two or more chronic diseases is 70.0%. Therefore, understanding of the distribution and spatial-temporal variation trend of risk factors related to chronic diseases can provide scientific basis for the formulation of policies and intervention strategies for the prevention and treatment of chronic diseases. It is of urgent practical significance to improve the quality of life of the elderly and reduce the social medical …

Effects Of Exercise On Cardiopulmonary Function In Patients With Obstructive Sleep Apnea: A Systematic Review And Meta-Analysis, Jiale Peng, Hong Ren

International Journal of Physical Activity and Health

Obstructive sleep apnea (OSA) is a common sleep disorder characterized by repeated episodes of apnea and hypopnea during sleep. Snoring and daytime sleepiness are the most common manifestations of OSA. Patients with OSA are considered to have poor cardiopulmonary function. Exercise has been proposed as a treatment for OSA that could lower apnea hypopnea indices (AHI) and improve sleep quality. Study shows that constantly aerobic exercise improved cardiopulmonary function in patients with chronic heart failure. However, whether exercise training will benefit cardiopulmonary functioning in patients with OSA is still in doubt. The purpose of this review is to investigate the …

Effect Of Exercise Intervention On Social Ability Of Adhd Children, Haoye Shen, Xiaozan Wang, Meiyuan Chen, Xizhe Bai, Xinyue Mao, Hao Li, Yiang Yuan

International Journal of Physical Activity and Health

The incidence rate of attention deficit hyperactivity disorder (ADHD) is 7.25% in China. The main symptoms are attention deficit laxation, behavior impulsivity, social disorder and so on. Children aged 3-6 are in the golden age of social ability development. Therefore, if ADHD children at this age do not get correct and effective interventions, it will have a far-reaching impact on their social ability. In order to explore new intervention measures for ADHD children and improve their social ability, this study will intervene ADHD children through sports intervention, so as to provide theoretical and experimental basis for improving their social ability. …

Physical Activity And Exercise For Hot Flashes: Trigger Or Treatment?, Sarah Witkowski, Rose Evard, Jacquelyn J. Rickson, Quinn White, Lynnette Leidy Sievert

Exercise and Sport Studies: Faculty Publications

Importance and Objective: Hot flashes (HFs) are a prevalent feature of menopause. Hot flashes can be bothersome and affect quality of life. However, HFs have also been associated with the risk for cardiovascular disease. Therefore, providing current evidence on the effect of therapies to reduce HFs can help patients and providers with decision making. This review provides details on the scientific evidence to date related to the effect of physical activity (PA) and exercise to alter the HF experience in women

Methods: The PubMed database was searched between June 2020 and June 2022 for currently available evidence regarding the relation …

Changes In Cognition And Brain Function Following 26 Weeks Of Progressive Resistance Training In Older Adults At Risk For Diabetes: A Pilot Randomized Controlled Trial, Joyla Furlano, Becky Horst, Robert Petrella, Kevin Shoemaker, Lindsay Nagamatsu

Kinesiology Publications

Introduction

Methods

The Relationship Between Motivational Music And Endurance Performance Of College-Aged Individuals, Sara Tan, Dy Say Der

Applied Health Sciences Student Works

Introduction: Music has shown beneficial ergogenic effects to exercise performance by increasing endorphins and catecholamines levels in the blood. However, the relationship between motivational lyrical music and endurance performance is still unclear. The purpose of this study is to examine the relationship between motivational music and endurance performance using the Sports-specific Endurance Plank Test.
Methods: 10 males and 26 females (age 21± 3 years) college-aged students were recruited to complete the study at Bethel University. All participants performed the Sports-specific Endurance Plank which assesses the trunk flexors and lumbar extensors in the same manner observed in sports performance movements. Participants …

International Society Of Sports Nutrition Position Stand: Nutritional Considerations For Single-Stage Ultra-Marathon Training And Racing, Stacy T. Sims, Chad M. Kerksick, Abbie E. Smith-Ryan, Xanne A.K. Janse De Jonge, Katie R. Hirsch, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Susan Joyce Hewlings, Susan M. Kleiner, Erik Bustillo, Jaime L. Tartar, Valerie G. Starratt, Richard B. Kreider, Casey Greenwalt, Liliana I. Rentería, Michael J. Ormsbee, Trisha A. Vandusseldorp, Bill I. Campbell, Douglas S. Kalman, Jose Antonio

Faculty Publications

Based on a comprehensive review and critical analysis of the literature regarding the nutritional concerns of female athletes, conducted by experts in the field and selected members of the International Society of Sports Nutrition (ISSN), the following conclusions represent the official Position of the Society: 1. Female athletes have unique and unpredictable hormone profiles, which influence their physiology and nutritional needs across their lifespan. To understand how perturbations in these hormones affect the individual, we recommend that female athletes of reproductive age should track their hormonal status (natural, hormone driven) against training and recovery to determine their individual patterns and …

The Effects Of Cannabidiol Cream On Soreness And Performance After Exercise In Untrained Individuals, Joseph Thomas Pastina

Theses and Dissertations--Kinesiology and Health Promotion

Background: Exercise-induced muscle damage (EIMD) results from unaccustomed exercise and can lead to delayed onset muscle soreness (DOMS). Impairments associated with EIMD and DOMS can result in moderate-to-severe discomfort and hindered performance. Recently, a compound derived from the cannabis plant, cannabidiol (CBD), has been used as a recovery tool for EIMD and DOMS. Despite the rising popularity of CBD products, their effectiveness in mitigating EIMD and DOMS is unknown. Purpose: The purpose of the present study was to investigate the effects of CBD cream on DOMS and performance after an intensive lower-body exercise protocol. In addition, the study sought to …

Effects Of High-Speed Training On Messenger Rna Expression In Two-Year-Old Thoroughbred Racehorses, Mackenzie Grace Johnson

Theses and Dissertations--Veterinary Science

Accumulating high-speed exercise has been identified as a significant risk factor for catastrophic injuries in racing Thoroughbreds. Injuries, regardless of severity, are a main cause of withdrawal from the racing industry, raising animal welfare concerns and resulting in significant economic losses. While most of the current literature focuses on catastrophic injuries incurred during racing rather than training, the present study aims to help fill this gap as well as discuss the associated risk factors. The evaluation of messenger RNA (mRNA) expression changes provides an efficient and straightforward approach to identifying horses at risk for catastrophic injury. While alternative injury risk …

International Society Of Sports Nutrition Position Stand: Ketogenic Diets, Arny A. Ferrando, Robert R. Wolfe, Katie R. Hirsch Phd,Ep-C, Cissn, David D. Church, Shiloah A. Kviatkovsky, Michael D. Roberts, Jeffrey R. Stout, Drew E. Gonzalez, Ryan J. Sowinski, Richard B. Kreider, Chad M. Kerksick, Nicholas A. Burd, Stefan M. Pasiakos, Michael J. Ormsbee, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Paul J. Arciero, Bill I. Campbell, Trisha A. Vandusseldorp, Ralf Jager, Darryn S. Willoughby, Douglas S. Kalman, Jose Antonio

Faculty Publications

Position Statement: The International Society of Sports Nutrition (ISSN) presents this position based on a critical examination of literature surrounding the effects of essential amino acid (EAA) supplementation on skeletal muscle maintenance and performance. This position stand is intended to provide a scientific foundation to athletes, dietitians, trainers, and other practitioners as to the benefits of supplemental EAA in both healthy and resistant (aging/clinical) populations. EAAs are crucial components of protein intake in humans, as the body cannot synthesize them. The daily recommended intake (DRI) for protein was established to prevent deficiencies due to inadequate EAA consumption. The following conclusions …

The Accuracy Of Recreational Athletes In Self Detecting Ventilation Threshold During A Maximal Exercise Test, Andrew Biegner

Williams Honors College, Honors Research Projects

INTRODUCTION: Ventilatory threshold (VT) is where minute ventilation (VE) increases nonlinearly with increasing exercise intensity. Prior studies have shown that subjects can recognize VT by changes in breathing during exercise. Teaching recreational athletes to use VT as a training method could result in better quality training. PURPOSE: Determine if recreational athletes can accurately perceive changes in ventilation associated with VT during maximal exercise testing. METHODS: Subjects were recruited (n=20, age= 20.5 ± 1.7 yrs.) to participate in the study. Subjects performed a modified maximal treadmill protocol with gas analysis. Subjects indicated when they noticed a considerable change …

Self-Determination Theory And Exercise Performance For Individuals With Autism., Martin Calderon

Cal Poly Humboldt theses and projects

Individuals with Autism Spectrum Disorder (ASD) tend to demonstrate low levels of physical activity and exercise when compared to their developing peers. Low physical activity levels are associated with multiple factors, including lack of understanding of how to perform exercise movements and low intrinsic motivation. Token economy reward systems have shown to be practical in behavior analysis for changing behaviors however, there is limited research on the effects of token economy reward systems in an exercise setting. The purpose of this study was to determine the impact of a token economy board combined with self-determination theory (SDT) on the exercise …

The Effects Of Shuttle Run And Three Corner Drill On The Agility Of Soccer Players In Soccer Academy, Nawan Primasoni, Donny Mahendra Prakosa, Tama Anugrah

Jurnal Keolahragaan

Football is a game that is played by kicking the ball to get the ball into the opponent's goal. The game of soccer requires speed and agility. This study aims to determine the effects of shuttle runs and three corner drills on agility and to compare the effect of those exercises on the agility of twenty soccer players in the Soccer Academy. This experimental research employed the two groups of pretest-posttest design. The population used is a Kalasan soccer academy player with a total of 20 players. The sample used is the entire population and will be divided into two …

Effects Of Home-Based High-Intensity Interval Training Versus Continuous Walking On Cognition In Overweight And Obese Women, Kelsey C. Bourbeau

Health, Exercise, and Sports Sciences ETDs

Objective: The purpose of the present study was to determine whether six weeks of home-based high-intensity interval training versus six weeks of moderate-intensity walking improves cognition, depression, and anxiety in women that are overweight or obese. Design: A randomized control trial design. Subjects: Twelve sedentary women characterized as overweight or obese were randomized into either a six-week home-based high-intensity interval training (HIIT, n = 6, 26.6 ± 8.9 years, 37.4 ± 4.9% body fat) group or a six-week moderate-intensity walking (Walk, n = 6, 22.5 ± 3.7 years, 40.2 ± 4.1% body fat) group. Main Measures: Pre- and post-intervention, participants …

Metabolic Foundations Of Exercise-Induced Cardiac Growth., Kyle Fulghum

Electronic Theses and Dissertations

Regular aerobic exercise promotes physiological cardiac growth, which is an adaptive response thought to enable the heart to meet higher physical demands. Cardiac growth involves coordination of catabolic and anabolic activities to support ATP generation, macromolecule biosynthesis, and myocyte hypertrophy. Although previous studies suggest that exercise-induced reductions in cardiac glycolysis are critical for physiological myocyte hypertrophy, it remains unclear how exercise influences the many interlinked pathways of metabolism that support adaptive remodeling of the heart. In this thesis project, we tested the general hypothesis that aerobic exercise promotes physiological cardiac growth by coordinating myocardial metabolism to promote glucose-supported anabolic pathway …

Temporal Effects Of Acute Moderate Intensity Physical Activity On Working Memory Performance In Young Adults, Kimberly Loy Seibold

Graduate Theses and Dissertations

An ample amount of research suggests that increases in physical activity in young adults could help improve memory and cognitive functions which may aid in academic success (Johnson & Loprinzi, 2019; Perini et al., 2016). A sufficient working memory is critical to learning because it allows us to temporarily store and compare multiple informational items at one time to form a new concept or solve a problem (Cowan, 2013). The purpose of this study was to examine the temporal effects of acute moderate intensity physical activity on working memory in young adults. This study utilized a within-groups (repeated measures) cross-over …

Measurement Of Physical Activity With Wrist-Worn Actigraph Gt3x+ In Older Women, Michal T. Smith, Erin E. Kishman, Robert G. Weaver, Jennifer R. O'Neill, Xuewen Wang

International Journal of Exercise Science

International Journal of Exercise Science 15(7): 1538-1553, 2022. Higher wear compliance has been seen with wrist placed accelerometers versus hip placed. Performance of wrist placed ActiGraph GT3X+ accelerometer (GT3X+, ActiGraph LLC, Pensacola, FL) in assessing physical activity (PA) remains unclear. PURPOSE: This study examined GT3X+’s performance in measuring PA energy expenditure (PAEE) and classifying PA intensity in older women. METHODS: Women [n = 89, age = 65.6 (4.3)] wore GT3X+ and SenseWear Armband Mini (SWAM, BodyMedia Inc. Pittsburgh, PA) for 2 weeks. Concurrently, doubly labeled water (DLW) determined total daily energy expenditure (TDEE). Resting energy expenditure (REE) was determined …

Cognitive Function Is Unaffected During Acute Hypoxic Exposure But Was Improved Following Exercise, Jasmin R. Jenkins, Owen F. Salmon, Cory M. Smith

International Journal of Exercise Science

International Journal of Exercise Science 15(5): 1481-1491, 2022. To investigate the effects of two levels of acute hypoxic exposure and exercise compared to normoxia on the Stroop color word test. A total of 14 (4 females and 10 males) active participants with a self-reported (mean±SEM) 8.54±1.44 h/week of physical activity, performed a 3-repetition maximum hex/trap bar deadlift, Hand-Release Push-Up, and Leg Tuck events from the Army Combat Fitness Test at normoxia and normobaric hypoxia of fraction of inspired oxygen (FiO₂) of 16% and 14.3%. The Stroop color-word test was administered on a touch screen device before and after …

Impact Of Two Types Of Fitness Programs On Soldier Physical Fitness, Aaron G. Parks, William H. Murrah, Wendi H. Weimar, Paige A. Mchenry, Donald Bigham, Kkevin Giordano, Joellen M. Sefton

International Journal of Exercise Science

International Journal of Exercise Science 15(4): 1326-1346, 2022. This study compared an expert supervised, fully resourced physical training (PT) program compared to a traditional physical training PT plan on Army Officer Candidate School (OSC) soldier fitness outcomes. This retrospective cohort study compared 228 OCS soldiers (179 male [26.74±3.78 years] and 49 female [26.55±4.18 years]) in two companies for 12 weeks. One company participated in a fully resourced PT program designed by fitness experts to improve overall fitness and mobility (TAP-C). One company participated in traditional physical training designed to excel on the Army combat fitness test (ACFT, includes deadlift, power …

Comparison Of The Effect Of Aerobic And Resistance Exercise On Short Term Memory On Healthy Adults, Frederick P. Wijaya, Ery Hermawati M.Sc, Willy Handoko M.Biomed

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Background: Exercise is known to improve the cognitive function, including short-term memory. Exercise can induce structural and functional changes of the brain, i.e. synaptic plasticity. Exercise is categorized into two groups: aerobic exercise and resistance exercise. Studies have shown that both groups of exercises can improve short-term memory function.

Objectives: this research is aimed to compare the effect of aerobic and resistance exercise on short-term memory on healthy adults.

Methods: Participants were given the choice to be admitted into either exercise group, aerobic or resistance. Short-term memory (forward digit span) were measured before and after the intervention.

Results: there were …

Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Clinical Scenario: Inflammatory Bowel Disease (IBD) can present several challenges to athletic participation due to unpredictable disease activity and uncontrollable systemic symptoms that severely impact daily activities, and limit exercise/sports participation. Limited studies and a lack of standardized guidelines for physical activity (PA) and exercise are additional barriers for patients. Limited sources have determined that exercise interventions of low-to-moderate intensity are safe and feasible for IBD patients. In theory, such interventions could promote improvements in exercise capacity and overall well-being. Focused Clinical Question: Is there evidence to suggest that established safe exercise-intensities promote improvements in exercise capacity in collegiate athletes …

The Exercise Metabolome: Acute Aerobic And Anaerobic Signatures, Joseph K. Pellegrino, Tracy G. Anthony, Peter Gillies, Shawn M. Arent

Faculty Publications

Background

Exercise modality differentially alters body composition and physical performance. Metabolic changes underlying these outcomes can be tracked through assessment of circulating metabolites. Here, global responses to an acute bout of aerobic or anaerobic exercise were compared in the serum of male and female subjects using a discovery-based metabolomics platform.

Methods

On separate days, 40 healthy, active participants completed 45 min of aerobic cycling or resistance exercise, and blood samples were collected at rest, immediately after (T1) and 1 hour post-exercise (T2) to examine the serum metabolomic landscape.

Results

The two exercise metabolomes appeared more similar than different in this …

Genome-Wide Association Analyses Of Physical Activity And Sedentary Behavior Provide Insights Into Underlying Mechanisms And Roles In Disease Prevention, Zhe Wang, Andrew Emmerich, Nicolas J. Pillon, Tim Moore, Daiane Hemerich, Marilyn C. Cornelis, Eugenia Mazzaferro, Siacia Broos, Tarunveer S. Ahluwalia, Traci M. Bartz, Amy R. Bentley, Lawrence F. Bielak, Mike Chong, Audrey Y. Chu, Diane Berry, Rajkumar Dorajoo, Nicole D. Dueker, Elisa Kasbohm, Bjarke Feenstra, Mary F. Feitosa, Mark A. Sarzynski Ph.D., Faha, Facsm, Et. Al.

Faculty Publications

Although physical activity and sedentary behavior are moderately heritable, little is known about the mechanisms that influence these traits. Combining data for up to 703,901 individuals from 51 studies in a multi-ancestry meta-analysis of genome-wide association studies yields 99 loci that associate with self-reported moderate-to-vigorous intensity physical activity during leisure time (MVPA), leisure screen time (LST) and/or sedentary behavior at work. Loci associated with LST are enriched for genes whose expression in skeletal muscle is altered by resistance training. A missense variant in ACTN3 makes the alpha-actinin-3 filaments more flexible, resulting in lower maximal force in isolated type IIA muscle …

The Effects Of A Multi-Ingredient Supplement On Various Cognitive Measures, Jason M. Curtis, Cassandra Evans, Veronica Mekhail, Paulina Czartoryski, Juan Carlos Santana, Jose Antonio

Journal for Sports Neuroscience

The purpose of this study was to investigate the effects of a multi-ingredient pre-workout supplement (MIPS) on mental and physical performance. Seventeen exercise-trained men (n = 7) and women (n=10) completed this randomized, placebo-controlled, double-blind, counterbalanced, crossover trial. Participants consumed either a multi-ingredient pre-workout supplement (MIPS) or a placebo in a randomized, counterbalanced order. Forty-five minutes post-consumption, the following assessments were conducted: psychomotor vigilance test (PVT), Profile of Mood States (POMS), Stroop test, vertical jump test, and a Cold pressor test. There was a one-week washout period between assessments. There were significant differences in the incongruent task for the Stroop …

The Acute Effect Of In Natura Beetroot Juice Intake On Intra-Session Exercise Sequences During Concurrent Training, Diego Souza, Julio Ribeiro, Andrea Simão, Millán Aguilar-Navarro, Marcos Polito

International Journal of Exercise Science

International Journal of Exercise Science 15(2): 1075-1085, 2022. The purpose of this study was to analyze the acute effects of in natura beetroot juice intake on intra-session exercise sequences during concurrent training. Following a randomized double-blind placebo-controlled crossover design, 20 well-trained men (21.4 ± 2.9 years; 74.8 ± 6.3 kg; 175.7 ± 5.0 cm) performed two concurrent training sessions with different intra-session exercise sequences: CT1 (aerobic exercise + resistance exercises) and CT2 (resistance exercises + aerobic exercise). The resistance exercises were bench-press, lat-pull down, and shoulder-press (three sets to failure; 2 s cadence for the concentric and eccentric phases; 90 …

Health And Fitness Comparisons Among Middle-Aged And Older Adults With Long-Term Participation In Four Different Sports, Peixuan Zheng, Lei Zhang, Feng Shi, Kaiwen Man, Elroy J. Aguiar

International Journal of Exercise Science

International Journal of Exercise Science 15(6): 1028-1039, 2022. Physical activity is known to confer numerous health benefits. However, few studies have assessed the prolonged impact of participation in different sports on health and fitness. The purpose of this cross-sectional study was to compare the impact of long-term participation (i.e., ≥9 years) in four different sports, including two traditional Chinese (Tai Chi; diabolo) and two modern sports (aerobics; track and field [TF]) on health and fitness measures among middle-aged and older adults. Participants (n=252, 56.6±8.5y, 66% female) completed the following measures: height, weight, BMI, waist circumference, waist-hip ratio (WHR), body fat%, …

Efficacy Of Six Weeks Stability Exercises On The Glenohumeral Joint Of Female Tennis Players With Scapular Dyskinesia, Sahar Modares Gorji, Omid Kazemi, Parisa Shahrzad, Paulo H. Marchetti

International Journal of Exercise Science

International Journal of Exercise Science 15(3): 962-973, 2022. Background: Stabilizing exercises reduce pain intensity, improves shoulder position and scapular function, and provides an appropriate strategy for the improvement of scapular dyskinesia. The purpose of this study was to investigate the effect of six weeks of stability exercises (stretching-strengthening) on joint proprioception, strength, and range of motion of the glenohumeral joint in female tennis players with scapular dyskinesia. Methods: Thirty-six female elite tennis players with scapular dyskinesia in both experimental and control groups participated in this study. Goniometer, Isokinetic and Biodex devices were used to evaluate the range of motion, internal …

High And Low-Speed Resistance Training Induce Similar Physical And Functional Responses In Older Women, Ádria S. N. Noronha, Eduardo M. Penna, Rayra K. N. Dias, Antenor B. C. De Azevedo, Victor S. Coswig

International Journal of Exercise Science

International Journal of Exercise Science 15(4): 771-782, 2022. This study aimed to compare the effects of high-speed resistance training (HSRT) and low-speed resistance training (LSRT) in physical fitness, and functional performance in untrained older women. Twenty-four women (62.2 ± 2.7 years old) were allocated to the HSRT or LSRT groups. The HSRT and LSRT groups underwent a similar training program [3 sets of 8 to 12 repetitions at 90% of 10 maximum repetitions] for 14 weeks, twice a week. The LSRT group performed the exercises with 3 seconds in the concentric and eccentric phases, while the HSRT group performed with …

The Impact Of Exercise On The Mental Health Of College Students In The United States, Maryam Eltomy

Kean Quest

Student mental health and well-being are a significant and growing concern on college campuses across the United States. As a result, to better meet students' mental health demands and decrease strain on existing services, the current quantitative research focused on exploring the impact of exercise on a college student’s mental health. An online survey involving Kean University students was conducted and information was primarily gathered through an online questionnaire. Approximately, 40 students were randomly selected to participate in this research study. The results of the study revealed that participants felt that consistent exercise was beneficial in helping reduce their mental …