The purpose of this investigation was to determine the agreement between multifrequency bioelectrical impedance analysis (BIA) and dual-energy x-ray absorptiometry (DXA) for measuring body fat percentage (BF%), fat-free mass (FFM), and total body and segmental lean soft tissue (LST) in collegiate female athletes. Forty-five female athletes (age = 21.2 ± 2.0 years, height = 166.1 ± 7.1 cm, weight = 62.6 ± 9.9 kg) participated in this study. Variables measured through BIA and DXA were as follows: BF%, FFM, and LST of the arms (ARMS(LST)), the legs (LEGS(LST)), the trunk (TRUNK(LST)), and the total body (TOTAL(LST)). Compared with the DXA, the InBody 720 provided significantly lower values for BF% (-3.3%, p < 0.001) and significantly higher values for FFM (2.1 kg, p < 0.001) with limits of agreement (1.96 SD of the mean difference) of ±5.6% for BF% and ±3.7 kg for FFM. No significant differences (p < 0.008) existed between the 2 devices (InBody 720-DXA) for ARMS(LST) (0.05 kg), TRUNK(LST) (0.14 kg), LEGS(LST) (-0.4 kg), and TOTAL(LST) (-0.21 kg). The limits of agreement were ±0.79 kg for ARMS(LST), ±2.62 kg for LEGS(LST), ±3.18 kg for TRUNK(LST), and ±4.23 kg for TOTAL(LST). This study found discrepancies in BF% and FFM between the 2 devices. However, the InBody 720 and DXA appeared to provide excellent agreement for measuring total body and segmental LST. Therefore, the InBody 720 may be a rapid noninvasive method to assess LST in female athletes when DXA is not available.
Emergency medical services (EMS) in the United States are frequently used for nonurgent medical needs. Use of 911 and the emergency department (ED) for primary care-treatable conditions is expensive, inefficient, and undesirable for patients and providers. The objective is to describe the outcomes from community paramedicine (CP) and mobile integrated health care (MIH) interventions related to the Quadruple Aim. Three electronic databases were searched for peer-review literature on CP-MIH interventions in the United States. Eight articles reporting data from 7 interventions were included. Four studies reported high levels of patient satisfaction, and only 3 measured health outcomes. No study reported provider satisfaction measures. Reducing ED and inpatient utilization were the most common study outcomes, and programs generally were successful at reducing utilization. With reduced utilization, costs should be reduced; however, most studies did not quantify savings. Future studies should conduct economic analyses that not only compare the intervention to traditional EMS services, but also measure potential cost savings to the EMS agencies running the intervention. Most cost savings from reduced utilization will be to insurance companies and patients, but more efficient use of EMS agencies' resources could lead to cost savings that could offset intervention implementation costs. The other 3 aims (health, patient satisfaction, and provider satisfaction) were reported inconsistently in these studies and need to be addressed further. Given the small number of heterogeneous studies reviewed, the potential for CP-MIH interventions to comprehensively address the Quadruple Aim is still unclear, and more research on these programs is needed.
The purpose of this study was to determine if the HRindex Method (VO2max = [6 x HRindex – 5] x 3.5, where HRindex = HRmax/HRrest) was accurate for tracking changes in VO2max following 8-weeks of endurance training among collegiate female soccer players. Predicted VO2max via the HRindex Method and observed VO2max from a maximal exercise test on a treadmill were determined for a group of female soccer athletes (n = 15) before and following an 8-week endurance training protocol. The predicted (pVO2max) and observed (aVO2max) values were compared at baseline and within 1-week post-training. Change values (i.e., the difference between pre to post) for each variable were also determined and compared. There was a significant difference between aVO2max before (43.2 ± 2.8 ml·kg·min−1) and following (46.2 ± 2.1 ml·kg·min−1) the 8-week training program (p < 0.05). However, pVO2max did not significantly change following training (pre = 43.4 ± 4.6 ml·kg·min−1, post = 42.9 ± 4.1 ml·kg·min−1, p = 0.53). Furthermore, the correlation between the change in aVO2max and the change in pVO2max was trivial and non-significant (r = 0.30, p = 0.28). The HRindex Method does not appear to be suitable for predicting changes in VO2max following 8-weeks of endurance training in female collegiate soccer players.
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