The acute effect of time-restricted feeding (12 & 16 h) and varying exercise intensities on fat-oxidation rate in inactive young adults - a randomized control trial.

Background And Purpose: Time-restricted feeding (TRF) is a dietary pattern that alternates between periods of fasting and feeding, which has gained significant attention in recent years. The 16/8 approach consists of fasting for 16 h and feeding for an 8-h window, while the 12/12 method consists of fasting for 12 h and a 12-h feeding window. Limited research exists comparing the effects of these methods coupled with physical activity (PA).

Performing one or more verification VO workload(s) immediately after an incremental to maximal graded exercise test significantly increases the proportion of participants who meet the job-related aerobic fitness standard for structural firefighters.

Purpose: Graded exercise tests (GXTs) are commonly used to determine the maximal oxygen consumption (VOmax) of firefighter applicants. However, the criteria used to confirm VOmax are inconsistent and have a high inter-subject variability, which can compromise the reliability of the results. To address this, a verification phase (VP) after the GXT has been proposed as a "gold standard" protocol for measuring VOmax.

Relationship of Fitness Combine Results and National Hockey League Performance: A 25-Year Analysis.

Purpose: Along with past performance, professional teams consider physical fitness and physiological potential in determining the value of prospective draft picks. The National Hockey League (NHL) Combine fitness results have been examined for their ability to predict draft order, but not bona fide hockey performance. Therefore, we sought to identify the relationships of combine fitness test results to short- and long-term NHL performance.

Examining wildland fire fighter candidate pass rates over five years post-implementation on a newly-developed physical employment standard1.

Background: To assess the post-implementation impact of the Canadian Type 1 Wildland Fire Fighter (WFF) Fitness Test Circuit (WFX-FIT), a retrospective descriptive analysis of anonymized aggregate data collected between 2012-2016 was conducted.

Objectives: The objectives were to examine the pass rates of Type 1 WFF in each fire jurisdiction and on the standard for exchanging Type 1 WFF between agencies, the interagency exchange standard, by age group and sex and to propose what other information could be of value in assessing the effectiveness of implementing a physical employment standard.

Methods: Frequencies and pass rate percentages were compared by sex and age groups (<40 years, ≥40 years).

Impact of applying different resting blood pressure cut-points to clear for maximal exercise.

Objective: The purpose of this study was to examine the impact of applying six commonly-used and two proposed resting blood pressure (BP) cut-points to clear individuals for maximal exercise in non-clinical health, wellness, commercial fitness agencies and physically demanding occupation test sites.

Methods: Participants (n = 1670) completed the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and had their resting BP measured. Individuals with a BP >160/90 mmHg were further screened for contraindications to exercise using the ePARMed-X+ (www.

Readiness for Firefighting: A Heart Transplant Patient's Quest to Return to Work.

Heart transplantation patients generally demonstrate exercise capacities that are below the minimal standards for firefighting. Therefore, it is unlikely that heart transplantation patients will receive medical and/or employer clearance for active duty. We report a case of a firefighter who sought to return to full-time active duty following heart transplantation.

Physical employment standard for Canadian wildland firefighters: examining test-retest reliability and the impact of familiarisation and physical fitness training.

To assess the impact of repeat performances (familiarisation) plus exercise training on completion time for the Ontario Wildland Firefighter (WFF) Fitness Test circuit (WFX-FIT), normally active general population participants (n = 145) were familiarised to the protocol then randomised into (i) exercise training, (ii) circuit only weekly performances or (iii) controls. At Baseline, the WFX-FIT pass rate for all groups combined was 11% for females and 73% for males, indicating that the Ontario WFX-FIT standard had a possible adverse impact on females. Following test familiarisation, mean circuit completion times improved by 11.

Physical employment standard for Canadian wildland fire fighters; identifying and characterising critical initial attack response tasks.

Physical employment standards evaluate whether a worker possesses the physical abilities to safely and efficiently perform all critical on-the-job tasks. Initial Attack (IA) wildland fire fighters (WFF) must perform such critical tasks in all terrains. Following a physical demands analysis, IA WFF (n = 946 out of a possible 965) from all fire jurisdictions ranked the most demanding tasks and identified mountains, muskeg and rolling hills as the most challenging terrains.

Physical employment standard for Canadian wildland fire fighters; developing and validating the test protocol.

Developing the Canadian initial attack (IA) wildland fire fighter (WFF) physical employment standard (WFX-FIT) began in a previous investigation with a physical demands analysis in which hand and back carrying a 28.5 kg pump, back carrying a 25 kg hose pack and advancing charged hose were identified as the critical IA emergency tasks. In the present study, a circuit was created incorporating simulations of the critical tasks with faster completion times required for provinces with more arduous terrains.

Echocardiographic Assessment of Young Male Draft-Eligible Elite Hockey Players Invited to the Medical and Fitness Combine by the National Hockey League.

The "athletic heart" is characterized by hypertrophy and dilation of the heart, in addition to functional and electrical remodeling. The aim of this study was to provide reference 2-dimensional (2DE) and 3-dimensional (3DE) echocardiographic measurements in a large database on draft-eligible elite ice hockey players and to determine the frequency of occult cardiac anomalies in this cohort of athletes. In this prospective cohort study, we performed a comprehensive cardiac assessment of the 100 top draft picks selected by the National Hockey League.

Aerobic Exercise Training Modalities and Prediabetes Risk Reduction.

Purpose: Prediabetes is linked to several modifiable risk factors, in particular, physical activity participation. The optimal prescription for physical activity remains uncertain. This pilot study aimed to investigate the effectiveness of continuous moderate intensity (CON) versus high-intensity interval training (HIIT) in persons with prediabetes.

Community-Based Culturally Preferred Physical Activity Intervention Targeting Populations at High Risk for Type 2 Diabetes: Results and Implications.

Objectives: In Canada, an ageing population, obesity rates and high risk among certain ethnocultural populations are driving diabetes prevalence. Given the burden associated with type 2 diabetes and its link to modifiable risk factors, this study aimed to implement culturally preferred physical activities at the community level, targeting individuals at high risk for type 2 diabetes. Glycated hemoglobin (A1C) levels were used to detect potential improvements in glycemic control.

Integration of the functional movement screen into the National Hockey League Combine.

The sport of ice hockey requires coordination of complex skills involving musculoskeletal and physiological abilities while simultaneously exposing players to a high risk for injury. The Functional Movement Screen (FMS) was developed to assess fundamental movement patterns that underlie both sport performance and injury risk. The top 111 elite junior hockey players from around the world took part in the 2013 National Hockey League Entry Draft Combine (NHL Combine).

Identifying persons at risk for developing type 2 diabetes in a concentrated population of high risk ethnicities in Canada using a risk assessment questionnaire and point-of-care capillary blood HbA1c measurement.

Background: Amidst the growing health care burden created by diabetes, this study aimed to assess the utility of a prediabetes/type 2 diabetes risk questionnaire in high risk ethnic communities in Toronto Canada.

Methods: Participants (n = 691) provided questionnaire responses and capillary blood tests collected via fingerstick and results were analysed for HbA1c using the Bio-Rad in2it point-of-care device. The Bland-Altman method was used to compare point-of-care HbA1c analysis (Bio-Rad, boronate affinity chromatography) to that using high performance liquid chromatography.

Scope and nature of sudden cardiac death before age 40 in Ontario: a report from the cardiac death advisory committee of the office of the chief coroner.

Background: Understanding sudden cardiac death in the young may inform prevention strategies.

Objective: To determine the scope and nature of sudden death in a geographically defined population.

Methods: We performed a retrospective population-based cohort study in Ontario, Canada, of all sudden cardiac death cases involving persons aged 2-40 years identified from the 2008 comprehensive Coroner database.

Catalog of Canadian fitness screening protocols for public safety occupations that qualify as a bona fide occupational requirement.

The purpose of this paper was to provide succinct descriptions of prominent job-specific physical fitness protocols (JSPFPs) that were constructed to satisfy the legal obligations to qualify as a bona fide occupational requirement for physically demanding public safety occupations. The intent of a JSPFP is to determine whether an applicant or incumbent possesses the necessary physical capabilities to safely and efficiently perform the critical on-the-job tasks encountered in a physically demanding occupation. The JSPFP information summarized in this report is accessible in full detail in the public domain.

Enhancing the effectiveness of clearance for physical activity participation: background and overall process.

Recent feedback from physical activity (PA) participants, fitness professionals, and physicians has indicated that there are limitations to the utility and effectiveness of the existing PAR-Q and PARmed-X screening tools for PA participation. The aim of this study was to have authorities in exercise and chronic disease management to work with an expert panel to increase the effectiveness of clearance for PA participation using an evidence-based consensus approach and the well-established Appraisal of Guidelines for Research and Evaluation (AGREE) Instrument. Systematic reviews were conducted to develop a new PA clearance protocol involving risk stratification and a decision-tree process.

Evidence-based risk assessment and recommendations for physical activity clearance: Consensus Document 2011.

The Physical Activity Readiness Questionnaire (PAR-Q) and the Physical Activity Readiness Medical Evaluation (PARmed-X) are internationally known preparticipation screening tools developed on the basis of expert opinion. The primary purposes of this consensus document were to seek evidence-based support for the PAR-Q and PARmed-X forms, to identify whether further revisions of these instruments are warranted, to determine how people responding positively to questions on the PAR-Q can be safely cleared without medical referral, and to develop exercise clearance procedures appropriate for various clinical conditions across the human lifespan. Seven systematic reviews were conducted, examining physical-activity-related risks and effective risk-stratification procedures for various prevalent chronic conditions.

Evidence-based risk assessment and recommendations for physical activity clearance: an introduction.

The Physical Activity Readiness Questionnaire (PAR-Q) and the Physical Activity Readiness Medical Evaluation (PARmed-X) are internationally renowned and extensively used preparticipation screening tools. However, recent feedback from end-users has identified limitations to the existing PAR-Q and PARmed-X screening process. As such, a systematic evaluation of the PAR-Q and PARmed-X forms was conducted, adhering to the Appraisal of Guidelines for Research and Evaluation (AGREE) criteria.

A cross-sectional examination of the physical fitness and selected health attributes of recreational all-terrain vehicle riders and off-road motorcyclists.

The aims of this study were: (1) to characterize selected fitness and health attributes of two types of habitual recreational off-road vehicle riders - off-road motorcyclists and all-terrain vehicle riders; (2) to explore differences among riders in terms of vehicle type, age, and gender; and (3) to compare the fitness and health of riders to population norms and clinical health standards. Canadian off-road riders (n = 141) of both sexes aged 16 years and over were recruited through local and national off-road riding organizations. Anthropometry, fitness, and health measures of off-road motorcycle and all-terrain vehicle riders were compared with population norms, health standards, and physical activity guidelines.

Applying the Meiorin Decision requirements to the fitness test for correctional officer applicants; examining adverse impact and accommodation.

The fitness test for correctional officer applicants (FITCO) was constructed a priori to conform to requirements established by the Meiorin Decision of the Supreme Court of Canada. A critical obligation from this decision is to determine whether the FITCO has the potential of adverse impact on any subpopulation of applicants and, if so, whether it is possible to provide accommodation. The FITCO pass rate was 28.

Construction, validation, and derivation of performance standards for a fitness test for correctional officer applicants.

The purpose of this investigation was to develop and validate a fitness test for correctional officer (CO) applicants (FITCO) and to establish associated standards of acceptability. The FITCO incorporated the most important, physically demanding, and frequently occurring tasks of a CO. It consists of (i) a simulated cell search; (ii) an emergency response circuit (ERC), involving a 60-m run while scaling 4 sets of stairs, followed by simulations of an inmate control, wrist restraint, arm retraction, and 40-m mannequin drag; and (iii) a test of aerobic fitness.

Identification and characterization of the critical physically demanding tasks encountered by correctional officers.

The purpose of this investigation was to identify the critical tasks encountered by correctional officers (COs) on the job and to conduct a comprehensive assessment and characterization of the physical demands of these tasks. These are the first steps in developing a fitness screening test for COs in compliance with recent legislation. The most important, physically demanding, and frequently occurring tasks were identified using Delphi methodology, focus groups, and questionnaire responses from 190 experienced front-line COs.