Medical Education Commons^™

The Relationship Between Dietary Intake And Sleep Quality In Endurance Athletes, Kamiah Moss, Andreas Kreutzer, Austin J. Graybeal, Yan Zhang, Robyn Braun-Trocchio, Ryan R. Porter, Meena Shah

International Journal of Exercise Science: Conference Proceedings

Athletes have a high prevalence of poor sleep quality. It is unknown if dietary intake affects sleep quality in athletes. PURPOSE: To examine if sleep quality in endurance athletes is related to dietary intake. METHODS: Endurance athletes (n=187), 42.0±13.7 y, participated in the study. Participants completed questionnaires on demographics, dietary intake, and sleep quality. Sleep quality was assessed using the Athlete Sleep Screening Questionnaire (ASSQ), a validated tool, with scores ranging from 0-40 (higher scores indicate poorer sleep quality). The ASSQ subscales included sleep difficulty (SD), chronotype (C), and sleep disordered breathing (SDB). ASSQ-SD was categorized as having …

The Effects Of Dance-Based Exercise On Body Composition, Physical Fitness, And Cognitive Function In Older Adults, Rasika Bhide, Anh N. Tran, Lisa M. Garcia, Lydia Acuna, Christanie Monreal

International Journal of Exercise Science: Conference Proceedings

Regular physical activity is widely recommended and has many benefits for older adults to maintain health and physical fitness. The excellent exercise program in older adults should include crucial components such as physical fitness and cognitive function. PURPOSE: To determine the effects of dance-based exercise training compared with traditional chair-based exercise on body composition, physical fitness, and cognitive function in the older adults. METHODS: Fourteen older adults (female: 11, male: 3), aged 71.2±8.0 years, were assigned into two groups: dance-based exercise (DE; n=8) and traditional chair-based exercise (TE; n=6). Both forms of exercise training were provided twice a …

Menstrual Phase Symptoms And Perceived Musculoskeletal Strength And Flexibility Among Ncaa Collegiate Athletes, Ashton N. Vasquez, Kristen Mcalexander

International Journal of Exercise Science: Conference Proceedings

Previous findings suggest that the associations among menstrual hormones, symptoms and human performance are inconsistent and lacking. Earlier research has measured hormonal fluctuations and symptoms from each of the four menstrual phases (menstrual, follicular, ovulation, and luteal), but their physiological effects on perceived musculoskeletal strength and perceived flexibility remain unclear, particularly among college athletes. PURPOSE: To measure the prevalence and associations among self-reported menstrual symptoms, perceived overall strength and perceived flexibility in NCAA female athletes during each of the four menstrual phases. METHODS: In the Fall of 2020, a survey consisting of demographic questions and questions of perceived strength, flexibility, …

Map Kinase Phosphatase-5 Regulates Cardiac Adapation To Endurance Exercise, Jaime A. Perales, Dr. Kisuk Min

International Journal of Exercise Science: Conference Proceedings

Endurance exercise induces a beneficial effect on the cardiovascular system and promotes cardio protection against heart disease. It has been established that the mitogen-activated protein kinases (MAPKs) promote the improvement of cardiac function in response to endurance exercise. However, molecular mechanisms of how MAPK signaling pathways regulate cardiac adaptation to endurance exercise remain unclear. The MAPKs are inactivated by MAP kinase phosphatases (MKPs) through direct dephosphorylation. Recently, growing evidence suggests the importance of MKP-5 signaling mechanisms in physiological and pathological processes. Previously, we have demonstrated that MKP-5-deficient skeletal muscle exhibits improved regenerative myogenesis in response to injury and mice lacking …

Exploring The Differences In Stress Mindset Between Former And Current College Student-Athletes, Creighton Avery, Amber M. Shipherd

International Journal of Exercise Science: Conference Proceedings

Stress is a universal experience, often believed to be negative, that has been linked with negative consequences. However, recent studies have shown that stress can lead to positive outcomes as well, including an increase in health and performance in a variety of domains. Research has also found one’s beliefs about the nature of stress (e.g., stress mindset) play a large role in the extent to which one experiences these beneficial outcomes of stress. Although two athletes may encounter the same stressor, their beliefs on stress impact whether they experience detrimental or enhancing outcomes resulting from the stressor. Given some athletes …

Cross-Sectional And Longitudinal Relationships Between Skinfold Thicknesses Obtained By Ultrasonography And Body Fat Estimates Produced By Dual-Energy X-Ray Absorptiometry, Jacob J. Green, Robert W. Smith, Patrick S. Harty, Matthew T. Stratton, Christian Rodriguez, Sarah White, Abegale D. Williams, Baylor A. Johnson, Jacob Dellinger, Marqui Benavides, Madelin R. Siedler, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

Ultrasonography (US) and dual-energy X-ray absorptiometry (DXA) are frequently used to assess body composition. Although sometimes compared cross-sectionally, their agreement longitudinally requires further exploration. Purpose: The purpose of the present study was to examine the cross-sectional and longitudinal relationships between total and segmental raw skinfold thicknesses obtained by US and total and segmental body composition estimates produced by DXA over the course of an overfeeding study. Methods: Twenty healthy, resistance-trained males (mean ± SD; age: 22.0 ± 2.6 years; height: 179.1 ± 7.0 cm; body mass: 74.8 ± 11.5 kg, body fat: 17.5 ± 4.5%) completed a 6-week intervention that …

Anthropometric Predictors Of Concentric Hip, Knee, And Ankle Work During A 5x5 Conventional Deadlift Routine, Dale S. Keith, Daniel Scherrer, Brandon Nunley, John R. Harry, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

The deadlift is one of the most commonly performed exercises to strengthen the lower body, as well as one of the main lifts in powerlifting and strongman competitions. However, literature exploring the deadlift exercise and its variations remains quite limited compared to other popular exercises like squats and bench press. PURPOSE: The purpose of this exploratory analysis was to determine if there are relationships between anthropometric characteristics (arm length, torso length, thigh length, and shank length) and hip, knee, and ankle joint angular concentric work during a 5 sets of 5 repetitions (5x5) conventional deadlift (CDL) routine. METHODS: …

Offseason Body Composition Changes Detected By Dual-Energy X-Ray Absorptiometry Versus Multifrequency Bioelectrical Impedance Analysis In Collegiate American Football Athletes, Jake R. Boykin, Grant M. Tinsley, Christine M. Harrison, Jessica Prather, Javier Zaragoza, Matthias Tinnin, Shay Smith, Camden Wilson, Lem Taylor

International Journal of Exercise Science: Conference Proceedings

In American football, offseason training is designed to promote increases in muscle strength and size in athletes. Tracking changes in body composition may confer key information about the effectiveness of training programs to football practitioners. PURPOSE: The present study assessed the relationship between body composition changes estimated by dual-energy x-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA) in football players during the initial period of an offseason training program. METHODS: Body composition in 29 NCAA Division III American football players (mean ± SD; age: 19.7 ± 1.5 y; height: 179.8 ± 6.6 cm; body mass [BM]: 96.1 ± …

Acute Responses In Agonists Of Uegf To Moderate-Intensity And High-Intensity Interval Exercise In Mid-Spectrum Ckd, Kathleen E. Adair, Zacharias Papadakis, Matthew N. Peterson, Cassidy Beeson, James K. Taylor, Burritt W. Hess, D. Crawford Allison, Nick Schwedock, Jackson O. Griggs, Ron Wilson Md, Kathryn Dugan, Kathy Jones, Peter W. Grandjean, Jeff S. Forsse

International Journal of Exercise Science: Conference Proceedings

Urine epidermal growth factor (uEGF) is a novel biomarker utilized in assessing renal health in various renal diseases, specifically chronic kidney disease (CKD). uEGF promotes multiple intracellular pathways, stimulating renal cell growth, survival, and replication. uEGF production is activated by multiple agonists that bind to the uEGF receptor. Aerobic exercise initiates the upregulation of several of these agonists to increase the production of uEGF. Depending on the mode and intensity of aerobic exercise, uEGF agonists may activate differently in CKD populations. PURPOSE: To determine the influence of an acute bout of steady-state exercise (SSE) and high-intensity interval exercise (HIIE) on …

Analyzing The Between-Day Reliability Of Three-Dimensional Body Scanners For Body Composition Assessment, Gabrielle C. Dehaven, Madelin R. Siedler, Matthew T. Stratton, Patrick S. Harty, Christian Rodriguez, Dale Keith, Jacob Green, Jake Boykin, Jacob Dellinger, Sarah White, Abegale D. Williams, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

In the growing world of health and well-being, three-dimensional (3D) scanning is emerging as a popular tool to assess body composition. While body composition cannot be truly “measured” in living humans, it can be approximated. This, however, leads to two types of errors (i.e., technical and biological) in the body composition assessment. PURPOSE: This study was used to determine what percent or range of percentages in body fat one must exceed before concluding a real change has occurred. By conducting assessments on separate days, with only a short period of time between them, true changes in body composition are …

Relationships Between Functional Performance And Quadriceps Muscle Size And Quality In Healthy Older Women, Ahalee C. Farrow, Chinonye C. Agu-Udemba, Ethan A. Mitchell, Ty B. Palmer

International Journal of Exercise Science: Conference Proceedings

Ultrasound assessments of quadriceps cross-sectional area (CSA) and echo intensity (EI) are commonly used to evaluate lower-body muscle size and quality in older adults. It has been hypothesized that muscle CSA and EI of the quadriceps may be important predictors of functional performances such as gait speed and vertical jump power. However, limited data exist regarding how these parameters associate with performance during a timed up-and-go (TUG) task. PURPOSE: The purpose of this study was to examine the relationships between TUG performance and muscle CSA and EI of the quadriceps in older women. METHODS: Twenty healthy older women …

Sex Moderates The Fitness Tests - Performance Index Relationship In Collegiate Basketball: A Case Study, Nicole Kingsley, Samuel Amsbaugh, Zacharias Papadakis, Grant Morgan, Ali Boolani, Andreas Stamatis Dr.

International Journal of Exercise Science: Conference Proceedings

Performance indicators are used widely in sports, including basketball. Those total performance metrics are mathematical models that are used to determine the “best” athlete per game/week/season. Players with higher metrics get recruited more and/or get offered better contracts. During offseason, strength and conditioning coaches (SCCs) perform tests to determine the fitness levels of their players. Although those scores differ by sex, the fitness levels are associated with in-season sport performance and, therefore, performance indices. More insight in the fitness tests - performance index relationship in the collegiate basketball and the differential effects by sex would be valuable for all stakeholders …

Hemodynamics After Glucose Loading In Hispanics With And Without Family History Of Type 2 Diabetes, Gabriel Figueroa, Ryan D. Russell, Yu Lun Tai

International Journal of Exercise Science: Conference Proceedings

Type 2 Diabetes (T2D) increases cardiovascular mortality 4-fold. Although ~9% of Americans are diagnosed with T2D, T2D incidence is substantially higher in Hispanics and those with a have family history of T2D. Traditionally, T2D is diagnosed via oral glucose testing which has been shown to impair microvascular function. However, the effects of glucose loading on hemodynamics and arterial elasticity between healthy Hispanics with and without a family history of T2D are unclear. PURPOSE: To determine the effects of an oral glucose challenge (OGC) and a mixed meal challenge (MMC) on hemodynamics in healthy Hispanic individuals with and without family …

Sex Differences In Absolute And Normalized Rapid Force During Maximal Handgrip Contractions, Alisa Soloveva, Garrett Augsburger, Joshua Carr

International Journal of Exercise Science: Conference Proceedings

Sex differences in strength are well documented. However, the influence of the strength disparity on the absolute and normalized rate of force development (RFD) is not as well described, particularly for the handgrip. PURPOSE: The purpose of this study was to examine differences in absolute and normalized RFD between sexes during maximal handgrip contractions. METHODS: During a single visit, 32 right-hand dominant participants (n = 16 males, n = 16 females) performed maximal, unilateral isometric handgrip contractions with their dominant hands. Maximal force, the RFD from 0-50ms (RFD₅₀), 0-100ms (RFD₁₀₀), and peak RFD (RFD …

Intermittent Hypoxia Increases Erythropoietin Levels In Healthy Individuals, Frank Wojan, Sten Stray-Gundersen, Mercedes J. Nagel, Sophie Lalande

International Journal of Exercise Science: Conference Proceedings

Few minutes of hypoxic exposure stabilizes hypoxia-inducible factor-1α, resulting in erythropoietin (EPO) gene transcription and production. PURPOSE: The objective of this study was to identify the shortest intermittent hypoxia protocol necessary to increase serum EPO levels in healthy individuals. We hypothesized that two separate intermittent hypoxia protocols would significantly increase EPO levels in healthy individuals. METHODS: A total of seven individuals (4 women and 3 men, age: 28±7 years, height: 177±9 cm, weight: 79.7±18.4 kg) participated in the study. In Experiment 1, the spontaneous EPO changes under normoxia (NORM) and the EPO response to five 4-minute cycles of …

A Case Study: Femoroacetabular Impingement In Collegiate Baseball, Candace Parker, Morgan Spencer-Roth

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: The patient is a 19-year-old collegiate baseball infielder who presented with an ongoing pain in his left hip that had originally presented when the patient was in high school. After becoming a member of a collegiate baseball team, his hip pain persisted, followed shortly by a new pain in his right hip. The patient had been dealing with and conservatively treating the left hip pain for a year, and with the presentation of right hip pain during his first collegiate semester a decision was made to visit the team physician. PHYSICAL EXAM: Examination of the patient’s …

Partial Rupture Of The Distal Biceps Tendon In A Collegiate Football Player, Derran J. Strydom, Melissa D. Long

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: The patient is a 20-year-old collegiate football player who presented to the athletic training staff with pain in his left arm near his elbow. He states that he was attempting to make a tackle and that his arm was pushed into hyperextension by another player. He reported discomfort, pain, and numbness in his arm. He attempted to continue to play after completing arm flexion and extension in between plays. His pain levels increased as his range of motion activity continued. The patient could no longer continue during practice and was taken to the medical tent for further …

The Relationship Between Squat Jump Performance And Sprint Profile In Collegiate Track And Field Athletes, Martin S. Dietze-Hermosa, Sergio Rodriguez, Samuel Montalvo, Matthew P. Gonzalez, Nicholas R. Cubillos, Emily Martinez, Joshua Del Rio, Sandor Dorgo

International Journal of Exercise Science: Conference Proceedings

The squat jump (SJ) necessitates the inter-play of various biomechanical components for better jump performance. Good sprint performance requires the inter-play of many of the same biomechanical components. Researchers have previously examined how the speed, force, velocity, and power interact during sprinting, but have yet to examine how these measures are associated with SJ performance measures. PURPOSE: Examine the relationship between squat jump performance measures and the sprint profile measurements of collegiate track and field athletes. METHODS: Twenty-five athletes (18 males and 7 females) completed two squat jump trials with a linear encoder attached to a 45 lbs. …

Differences In Acute:Chronic Workload Ratio Preceding Injury Occurrence In United Soccer League Players, Steve P. Fell, Brennen Hodge, Andreas Stamatis, Zacharias Papadakis

International Journal of Exercise Science: Conference Proceedings

Professional soccer players are prone to injuries. Training loads (TL), including games, are associated with injury occurrence. Acute:Chronic workload ratio (ACWR), an index of TL, is considered an accurate injury rate metric. In respect to the relationship between injury occurrence and ACWR load obtained using global positioning systems (GPS), little evidence exists in United Soccer League (USL) teams. It is possible high ACWR during the season to lead to injuries. PURPOSE: To investigate the interaction effect of players’ injury status with ACWR of professional soccer players of a USL team. METHODS: In 2019-20, in-season data were gathered from 20 …

Handgrip Strength And Vo2max Trends In Police Cadets: A Case Study, Kendrick Morris, Filip Kukic, Nenad Koropanovski, Andreas Stamatis Dr., Zacharias Papadakis

International Journal of Exercise Science: Conference Proceedings

Among other components of physical fitness, performance on tactical tasks depends on cardiorespiratory endurance (CE) and muscular strength (MS). Police academies’ curriculum aim to increase cadets’ CE and MS, with males outscoring females in both tests. Curricula should assist cadets to adopt and adhere to a physically-active lifestyle while in the academy and upon graduation, for both health-related benefits and success in their tactical tasks. PURPOSE: To explore both CE-MS and sex trends between a four-year curriculum. METHODS: Retrospective data of 98 males and 79 females analyzed. Besides the senior year, cadets receive physical education classes. This serves as the …

United States Special Operations Command South Training Program’S Effectiveness: A Case Study, Gene Hansen, Steve Fell, Jarrod Lubbers, Mindy Langlois, Jacob Talcott, Andreas Stamatis, Zacharias Papadakis

International Journal of Exercise Science: Conference Proceedings

United States Special Operations Command South (SOCSOUTH) plans and coordinates Special Operations to find and fix threats and enable the Interagency, Intelligence Community, and Partner Nations to counter threats to US interests, maintain regional stability and compete in a complex environment. Physical readiness, performance optimization, and injury prevention are critical to the individual operator. SOCSOUTH has allocated significant financial resources associated with operational training and human performance programs in order to improve and maintain operators’ tactical and physical readiness. Whether these efforts are pointed to the right direction are under evaluation. PURPOSE: To evaluate the effectiveness of a 3 months’ …

Fear Of Covid-19 And Adherence To Lockdown Deteriorated Police Cadets’ Handgrip Strength Relative To Bmi, Courtnie R. Moodie, Filip Kukic, Nenad Koropanovski, Ana Vesković, Nicola Petrović, Andreas Stamatis Dr., Zacharias Papadakis

International Journal of Exercise Science: Conference Proceedings

Due to COVID-19 pandemic, police academies enforced lockdowns to protect cadets’ well-being. Fear of health issues (e.g., perceived severity) influences ones’ adherence (e.g., readiness to act) to changes in exercise behavior. According to WHO, modifications in exercise behavior during the pandemic influence health status. A well-established clinical health marker is the handgrip strength relative to body mass index (HS_R). The relationship between fear and physical well-being during COVID-19 is still under investigation. The mediating effect of adherence to COVID-19 restrictions on the fear-health status relationship in police cadetsis unknown. PURPOSE: To explore a) the fear-HS_R relationship and …

Covid-19 Adherence To Physical Activity Guidelines Moderates The Mental Health/Toughness Relationship On Black/Hispanic Females, Melissa Dorvily, Michelle Etchebaster, Andreas Stamatis Dr., Jeff S. Forsse, Tal Amasay, Zacharias Papadakis

International Journal of Exercise Science: Conference Proceedings

Physical activity (PA) improves mental health (MH). Mental toughness (MT) positively correlates to MH. Only 45% of Hispanics and Blacks over 18 years and less than 40% of US females meet the ACSM PA guidelines. PA has been decreasing during the COVID-19. PURPOSE: Investigate during the pandemic the effect of PA adherence on the MT-MH relationship on previously physically active, Black and Hispanic females. METHODS: Fifteen females (age 21.3±3.6 yr), six Hispanic and nine Black, who met the ACSM guidelines before the pandemic, completed the Mental Health Continuum and Mental Toughness Index inventories, while reporting their PA habits during …

Wellness Review 2020, Part 2, Brian Ferguson, Martin Huecker

Journal of Wellness

Introduction: This article comprises Part 2 of the Journal of Wellness review of 2020 wellness literature (July – December). In this review, JWellness editors continue the goal of offering a cohesive summary of recent publications within the wellness domain. We summarize new science and resilience initiatives published outside of JWellness that seek understanding of either burnout and its prevention or thriving in the medical community.

Methods: From the interval of 01 July – 31 Dec 2020, PubMed was queried for empirical research studies, review articles, and editorials in accordance with the following algorithm: an article was required to …

Week Of February 9, 2021, New York Medical College

InTouch

• Medical Students Present Research on Wide Range of Topics During 25th Annual Medical Student Research Forum
• NYMC Welcomes Zuleika Cuevas, M.A., M.B.A., as Assistant to the Vice Chancellor for Diversity and Inclusion

Common Questions And Misconceptions About Creatine Supplementation: What Does The Scientific Evidence Really Show?, Jose Antonio, Darren G Candow, Scott C Forbes, Bruno Gualano, Andrew R Jagim, Richard B Kreider, Eric S Rawson, Abbie E Smith-Ryan, Trisha A Vandusseldorp, Darryn S Willoughby, Tim N Ziegenfuss

Faculty, Staff and Students Publications

Supplementing with creatine is very popular amongst athletes and exercising individuals for improving muscle mass, performance and recovery. Accumulating evidence also suggests that creatine supplementation produces a variety of beneficial effects in older and patient populations. Furthermore, evidence-based research shows that creatine supplementation is relatively well tolerated, especially at recommended dosages (i.e. 3-5 g/day or 0.1 g/kg of body mass/day). Although there are over 500 peer-refereed publications involving creatine supplementation, it is somewhat surprising that questions regarding the efficacy and safety of creatine still remain. These include, but are not limited to: 1. Does creatine lead to water retention? 2. …

Propelling Adolescents Toward Careers In Healthcare (Patch): A Medical Student Led Pipeline Program For High School Students Underrepresented In Medicine, Maggie Brownrigg, Sagar Patel Md, Kyle Roedersheimer Md, Melissa Wooten Md, Radhika Ghodasara Md, Banks Kooken Md, Iris Cheng Md

Journal of Health Disparities Research and Practice

Despite the growing diversity of the United States population, individuals from many racial and ethnic minority groups and low-income families continue to be underrepresented in the health professions. A diverse healthcare workforce would improve cultural competency and create a system better suited to address the vast health disparities in many disadvantaged communities, yet the current educational pipeline needs to expand opportunities to provide students traditionally underrepresented in medicine (UIM) a path to become a part of the healthcare field. The Propelling Adolescents Towards Careers in Healthcare (PATCH) program was founded to address this gap in the current health professions pipeline …

2021 February 2 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Demographic Backgrounds And Career Goals Of First-Generation Medical Students, Brianna Kunes, Ricky Burns, Allison Casola, Phd, Mph

Phase 1

Purpose: Little research is available on the demographics and career goals of first-generation medical students. Undergraduate research suggests first-generation students are more likely to come from lower-income households, speak English as a second language, and experience higher drop-out rates. These diverse experiences could make first-generation medical students valuable members of the healthcare team. However, without more information, it is difficult for medical schools to identify and support them. Therefore, the purpose of this study is to define the following inquiry statements: What are the demographic backgrounds and intended career goals of first-generation medical students; How do they differ from non-first-generation …

Assessment For Simulation Training For Prehospital Ems Providers In Bermuda, David Duperreault, Roger Band, Md, Amy Gutman, Md, Dimitri Papanagnou, Md

Phase 1

Introduction

The island of Bermuda is 21 sq miles and located approximately 650 miles east of North Carolina, US. ^[1] There is only one hospital to serve the population of approximately 65,000. There are approximately 95 registered EMTs (Emergency Medical Technician) and AEMTs (Advanced Emergency Medical Technician) currently serving the island. ^[2] It is hypothesized that due to the remote/isolated nature of the island, low ratio of 911 call volume to population, and limited access to continuing education, there is difficulties for EMTs and AEMTs to maintain their skill and knowledge base. ^{[3, 4, 5, 6]} The Goal of this …