Alejandro Hernández-Belmonte

Bio: Alejandro Hernández-Belmonte is an academic researcher from University of Murcia. The author has contributed to research in topics: Medicine & Ultrasound. The author has an hindex of 7, co-authored 22 publications receiving 131 citations.

Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies.

Abstract: Sarcopenia and frailty are age-related syndromes with negative effects on the quality of life of older people and on public health costs. Although extensive research has been carried out on the effects of physical exercise and physical syndromes, there is a knowledge gap when it comes to the effect of resistance training on muscular strength, physical performance, and body composition at early (prevention) and late (treatment) stages in both syndromes combined. We conducted this systematic review and meta-analysis (CRD42019138253) to gather the evidence of randomized controlled trials examining the effects of resistance training programs lasting ≥8 weeks on strength, physical function, and body composition of adults ≥65 years old diagnosed with pre-sarcopenia, sarcopenia, pre-frailty, or frailty. A search from the earliest record up to and including December 2020 was carried out using the PubMed, Scopus, Web of Science, and Cochrane Library databases. A total of 25 studies (n = 2267 participants) were included. Meta-analysis showed significant changes in favour of resistance training for handgrip (ES = 0.51, p = 0.001) and lower-limb strength (ES = 0.93, p 0.12), being particularly effective in improving gait speed (ES = 0.63, p = 0.016) and functional strength (ES = 0.53, p = 0.011). Based on these results, resistance training should be considered as a highly effective preventive strategy to delay and attenuate the negative effects of sarcopenia and frailty in both early and late stages.

Impact of Contextual Factors on External Load During a Congested-Fixture Tournament in Elite U'18 Basketball Players.

Abstract: An understanding of basketball physical demands during official matches is fundamental for designing specific training, tactical, and strategic plans as well as recovery methods during congested fixture periods. Such assessments can be performed using wearable indoor time motion tracking systems. The purpose of this study was to analyze the time-motion profile of under 18-years of age (U'18) basketball players and compare their physical demands in relation to team ranking, playing position, match periods and consecutive matches during a 7-day tournament. Relative Distance (RD), percentage of High-Intensity Running (%HIR), Player Load (PL), Acceleration (Acc), Deceleration (Dec), Peak Speed (PSpeed), and Peak Acceleration (PAcc) were recorded from 94 players (13 centers, 47 forwards, and 34 guards) belonging to eight elite teams (age: 17.6 ± 0.8 years; height: 1.91 ± 0.08 m; body mass: 82.5 ± 8.8 kg). WIMU PROTM inertial measurement units with ultra-wide band (UWB) indoor-tracking technology recorded 13 matches during the Adidas Next Generation Tournament Finals in the 2016-2017 season. Paired t-tests and one-way analyses of variance with omega partial squared ( ωp2 ) and Cohen's effect sizes (d) were used to analyze for differences between variables. According to team quality, the best teams had lower RD (p = 0.04; d = -0.14). Guards presented higher RD (p < 0.01; ωp2 = 0.03), PSpeed (p < 0.01; ωp2 = 0.01) and PAcc (p < 0.01; ωp2 = 0.02) compared to forwards and centers. The first quarter showed differences with higher RD (p < 0.01; ωp2 = 0.03), %HIR (p < 0.01; ωp2 = 0.02), and PL (p < 0.01; ωp2 = 0.04) compared to all other quarters. The third match of the tournament presented higher demands in RD (p < 0.01; ωp2 = 0.03), HIR (p < 0.01; ωp2 = 0.01) and PL (p < 0.01; ωp2 = 0.02) compared with the first two matches. This study showed that team quality, playing position, match period, and consecutive matches throughout an U'18 basketball tournament influenced the kinematic demands experienced by players during official competition. Therefore, each of these contextual factors should be considered in managing the load and developing individualized strategies for players in tournament settings.

Reliability of technologies to measure the barbell velocity: Implications for monitoring resistance training

Abstract: This study investigated the inter- and intra-device agreement of four new devices marketed for barbell velocity measurement. Mean, mean propulsive and peak velocity outcomes were obtained for bench press and full squat exercises along the whole load-velocity spectrum (from light to heavy loads). Measurements were simultaneously registered by two linear velocity transducers T-Force, two linear position transducers Speed4Lifts, two smartphone video-based systems My Lift, and one 3D motion analysis system STT. Calculations included infraclass correlation coefficient (ICC), Bland-Altman Limits of Agreement (LoA), standard error of measurement (SEM), smallest detectable change (SDC) and maximum errors (MaxError). Results were reported in absolute (m/s) and relative terms (%1RM). Three velocity segments were differentiated according to the velocity-load relationships for each exercise: heavy (≥ 80% 1RM), medium (50% 0.990 and SDC < 0.07 m/s (~5% 1RM). The T-Force device shown the best intra-device agreement (SDC = 0.01-0.02 m/s, LoA <0.01m/s, MaxError = 1.3-2.2%1RM). The Speed4Lifts and STT were found as highly reliable, especially against lifting velocities ≤1.0 m/s (Speed4Lifts, SDC = 0.01-0.05 m/s; STT, SDC = 0.02-0.04 m/s), whereas the My Lift app showed the worst results with errors well above the acceptable levels (SDC = 0.26-0.34 m/s, MaxError = 18.9-24.8%1RM). T-Force stands as the preferable option to assess barbell velocity and to identify technical errors of measurement for emerging monitoring technologies. Both the Speed4Lifts and STT are fine alternatives to T-Force for measuring velocity against high-medium loads (velocities ≤ 1.0 m/s), while the excessive errors of the newly updated My Lift app advise against the use of this tool for velocity-based resistance training.

Are we ready to measure running power? Repeatability and concurrent validity of five commercial technologies

Abstract: Training prescription in running activities have benefited from power output (PW) data obtained by new technologies. Nevertheless, to date, the suitability of PW data provided by these tools is sti...

Effects of range of motion on resistance training adaptations: A systematic review and meta-analysis

Abstract: Background Nowadays, there is a lack of consensus and high controversy about the most effective range of motion (ROM) to minimize the risk of injury and maximize the resistance training adaptations. Objective To conduct a systematic review and meta-analysis of the scientific evidence examining the effects of full and partial ROM resistance training interventions on neuromuscular, functional, and structural adaptations. Methods The original protocol (CRD42020160976) was prospectively registered in the PROSPERO database. Medline, Scopus, and Web of Science databases were searched to identify relevant articles from the earliest record up to and including March 2021. The RoB 2 and GRADE tools were used to judge the level of bias and quality of evidence. Meta-analyses were performed using robust variance estimation with small-sample corrections. Results Sixteen studies were finally included in the systematic review and meta-analyses. Full ROM training produced significantly greater adaptations than partial ROM on muscle strength (ES = 0.56, p = 0.004) and lower-limb hypertrophy (ES = 0.88, p = 0.027). Furthermore, although not statistically significant, changes in functional performance were maximized by the full ROM training (ES = 0.44, p = 0.186). Finally, no significant superiority of either ROM was found to produce changes in muscle thickness, pennation angle, and fascicle length (ES = 0.28, p = 0.226). Conclusion Full ROM resistance training is more effective than partial ROM to maximize muscle strength and lower-limb muscle hypertrophy. Likewise, functional performance appears to be favored by the use of full ROM exercises. On the contrary, there are no large differences between the full and partial ROM interventions to generate changes in muscle architecture.

International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines

Abstract: The human ageing process is universal, ubiquitous and inevitable. Every physiological function is being continuously diminished. There is a range between two distinct phenotypes of ageing, shaped by patterns of living - experiences and behaviours, and in particular by the presence or absence of physical activity (PA) and structured exercise (i.e., a sedentary lifestyle). Ageing and a sedentary lifestyle are associated with declines in muscle function and cardiorespiratory fitness, resulting in an impaired capacity to perform daily activities and maintain independent functioning. However, in the presence of adequate exercise/PA these changes in muscular and aerobic capacity with age are substantially attenuated. Additionally, both structured exercise and overall PA play important roles as preventive strategies for many chronic diseases, including cardiovascular disease, stroke, diabetes, osteoporosis, and obesity; improvement of mobility, mental health, and quality of life; and reduction in mortality, among other benefits. Notably, exercise intervention programmes improve the hallmarks of frailty (low body mass, strength, mobility, PA level, energy) and cognition, thus optimising functional capacity during ageing. In these pathological conditions exercise is used as a therapeutic agent and follows the precepts of identifying the cause of a disease and then using an agent in an evidence-based dose to eliminate or moderate the disease. Prescription of PA/structured exercise should therefore be based on the intended outcome (e.g., primary prevention, improvement in fitness or functional status or disease treatment), and individualised, adjusted and controlled like any other medical treatment. In addition, in line with other therapeutic agents, exercise shows a dose-response effect and can be individualised using different modalities, volumes and/or intensities as appropriate to the health state or medical condition. Importantly, exercise therapy is often directed at several physiological systems simultaneously, rather than targeted to a single outcome as is generally the case with pharmacological approaches to disease management. There are diseases for which exercise is an alternative to pharmacological treatment (such as depression), thus contributing to the goal of deprescribing of potentially inappropriate medications (PIMS). There are other conditions where no effective drug therapy is currently available (such as sarcopenia or dementia), where it may serve a primary role in prevention and treatment. Therefore, this consensus statement provides an evidence-based rationale for using exercise and PA for health promotion and disease prevention and treatment in older adults. Exercise prescription is discussed in terms of the specific modalities and doses that have been studied in randomised controlled trials for their effectiveness in attenuating physiological changes of ageing, disease prevention, and/or improvement of older adults with chronic disease and disability. Recommendations are proposed to bridge gaps in the current literature and to optimise the use of exercise/PA both as a preventative medicine and as a therapeutic agent.

Post-COVID-19 Syndrome and the Potential Benefits of Exercise

Abstract: The coronavirus disease (COVID-19), caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection, is leading to unknown and unusual health conditions that are challenging to manage. Post-COVID-19 syndrome is one of those challenges, having become increasingly common as the pandemic evolves. The latest estimates suggest that 10 to 20% of the SARS-CoV-2 patients who undergo an acute symptomatic phase are experiencing effects of the disease beyond 12 weeks after diagnosis. Although research is beginning to examine this new condition, there are still serious concerns about the diagnostic identification, which limits the best therapeutic approach. Exercise programs and physical activity levels are well-known modulators of the clinical manifestations and prognosis in many chronic diseases. This narrative review summarizes the up-to-date evidence on post-COVID-19 syndrome to contribute to a better knowledge of the disease and explains how regular exercise may improve many of these symptoms and could reduce the long-term effects of COVID-19.

Accelerometry as a method for external workload monitoring in invasion team sports. A systematic review

Abstract: Accelerometry is a recent method used to quantify workload in team sports. A rapidly increasing number of studies supports the practical implementation of accelerometry monitoring to regulate and optimize training schemes. Therefore, the purposes of this study were: (1) to reflect the current state of knowledge about accelerometry as a method of workload monitoring in invasion team sports according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, and (2) to conclude recommendations for application and scientific investigations. The Web of Science, PubMed and Scopus databases were searched for relevant published studies according to the following keywords: "accelerometry" or "accelerometer" or "microtechnology" or "inertial devices", and "load" or "workload", and "sport". Of the 1383 studies initially identified, 118 were selected for a full review. The main results indicate that the most frequent findings were (i) devices' body location: scapulae; (b) devices brand: Catapult Sports; (iii) variables: PlayerLoadTM and its variations; (iv) sports: rugby, Australian football, soccer and basketball; (v) sex: male; (vi) competition level: professional and elite; and (vii) context: separate training or competition. A great number of variables and devices from various companies make the comparability between findings difficult; unification is required. Although the most common location is at scapulae because of its optimal signal reception for time-motion analysis, new methods for multi-location skills and locomotion assessment without losing tracking accuracy should be developed.

A Survey to Assess the Quality of the Data Obtained by Radio-Frequency Technologies and Microelectromechanical Systems to Measure External Workload and Collective Behavior Variables in Team Sports.

Abstract: Electronic performance and tracking systems (EPTS) and microelectromechanical systems (MEMS) allow the measurement of training load (TL) and collective behavior in team sports so that match performance can be optimized. Despite the frequent use of radio-frequency (RF) technology (i.e., global positioning navigation systems (GNSS/global positioning systems (GPS)) and, local position systems (LPS)) and MEMS in sports research, there is no protocol that must be followed, nor are there any set guidelines for evaluating the quality of the data collection process in studies. Thus, this study aims to suggest a survey based on previously used protocols to evaluate the quality of data recorded by RF technology and MEMS in team sports. A quality check sheet was proposed considering 13 general criteria items. Four additional items for GNSS/GPS, eight additional items for LPS, and five items for MEMS were suggested. This information for evaluating the quality of the data collection process should be reported in the methods sections of future studies.

Reliability of technologies to measure the barbell velocity: Implications for monitoring resistance training

Abstract: This study investigated the inter- and intra-device agreement of four new devices marketed for barbell velocity measurement. Mean, mean propulsive and peak velocity outcomes were obtained for bench press and full squat exercises along the whole load-velocity spectrum (from light to heavy loads). Measurements were simultaneously registered by two linear velocity transducers T-Force, two linear position transducers Speed4Lifts, two smartphone video-based systems My Lift, and one 3D motion analysis system STT. Calculations included infraclass correlation coefficient (ICC), Bland-Altman Limits of Agreement (LoA), standard error of measurement (SEM), smallest detectable change (SDC) and maximum errors (MaxError). Results were reported in absolute (m/s) and relative terms (%1RM). Three velocity segments were differentiated according to the velocity-load relationships for each exercise: heavy (≥ 80% 1RM), medium (50% 0.990 and SDC < 0.07 m/s (~5% 1RM). The T-Force device shown the best intra-device agreement (SDC = 0.01-0.02 m/s, LoA <0.01m/s, MaxError = 1.3-2.2%1RM). The Speed4Lifts and STT were found as highly reliable, especially against lifting velocities ≤1.0 m/s (Speed4Lifts, SDC = 0.01-0.05 m/s; STT, SDC = 0.02-0.04 m/s), whereas the My Lift app showed the worst results with errors well above the acceptable levels (SDC = 0.26-0.34 m/s, MaxError = 18.9-24.8%1RM). T-Force stands as the preferable option to assess barbell velocity and to identify technical errors of measurement for emerging monitoring technologies. Both the Speed4Lifts and STT are fine alternatives to T-Force for measuring velocity against high-medium loads (velocities ≤ 1.0 m/s), while the excessive errors of the newly updated My Lift app advise against the use of this tool for velocity-based resistance training.