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        <title>Frontiers in Physiology | New and Recent Articles</title>
        <link>https://www.frontiersin.org/journals/physiology</link>
        <description>RSS Feed for Frontiers in Physiology | New and Recent Articles</description>
        <language>en-us</language>
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        <pubDate>2026-08-22T18:40:36.907+00:00</pubDate>
        <ttl>60</ttl>
        <item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1911653</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1911653</link>
        <title><![CDATA[Photoacoustic imaging of acupoint specificity and meridian transmission at Shousanli (LI10): a blood oxygen metabolism study]]></title>
        <pubdate>2026-08-21T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Cheng Zeng</author><author>Yameng Liu</author><author>Linping Pian</author><author>Jingjing Zhao</author><author>Linying Wang</author><author>Liping Pei</author><author>Jiawei Liu</author><author>Xueyan Gao</author><author>Danke Ma</author><author>Jing Gao</author>
        <description><![CDATA[ObjectiveTo examine how acupuncture at Shousanli (LI10) influences blood oxygen metabolism in tissues beneath acupoints along the Hand-Yangming Large Intestine Meridian, as well as at non-meridian sites, with the aim of validating acupoint specificity and meridian transmission.Methods60 healthy volunteers were randomized to acupoint (n=30, LI10) or non-meridian (n=30, 2 cm medial to LI10) groups. Photoacoustic imaging assessed oxygen saturation (SO2) at LI10, LI11, LI8, LI4, and corresponding non-meridian sites at baseline, post-deqi, post-withdrawal, and 15/30 min post-withdrawal.ResultsFollowing acupuncture at LI10, local SO2 at LI10 increased significantly (P<0.01), with transmission along the meridian to LI11 and LI8. No significant changes were observed at non-meridian non-acupoint sites.ConclusionAcupuncture at Shousanli can specifically regulate blood oxygen metabolism at acupoint regions and demonstrates meridian-oriented transmission characteristics, providing visualized evidence for acupoint specificity.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1917944</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1917944</link>
        <title><![CDATA[The seminal plasma sTLR4/IL-1β ratio as an independent factor associated with sperm chromatin condensation defects]]></title>
        <pubdate>2026-08-21T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Ying Zhao</author><author>Zegeng Lin</author><author>Liangju Chen</author><author>Fangmei Xie</author><author>Lin Zhong</author><author>Wenfeng Luo</author><author>Jinhua He</author><author>Mingyi Ye</author><author>Zeping Han</author>
        <description><![CDATA[ObjectiveTo investigate the associations between seminal plasma inflammatory biomarkers, particularly the sTLR4/IL-1β ratio, and sperm chromatin condensation deficiency (SCCD) in men undergoing fertility evaluation, and to assess its potential utility in identifying individuals at risk for SCCD.Methods74 men undergoing fertility evaluation were enrolled and categorized into a Normal SCCD group (SCCD ≤ 30%, n = 37) and an Impaired SCCD group (SCCD > 30%, n = 37) based on aniline blue staining. Seminal plasma levels of inflammatory markers, including HMGB1, sTLR4, IL-1β, TNF-α and oxidative stress markers, including 8-iso-PGF2α, total antioxidant capacity (T-AOC) were measured. Spearman correlation analysis, Firth’s penalized logistic regression, and receiver operating characteristic (ROC) curve analysis was employed to evaluate the discriminative performance of the biomarkers and the combined score, respectively.ResultsUnivariate Firth regression analysis revealed that the sTLR4/IL-1β ratio was a factor associated with reduced risk against SCCD (OR approaching 0, 95% CI: 0.00 - 0.04, P = 0.006), while T-AOC was significantly associated with increased risk of SCCD (OR = 200.99, 95% CI: 1.52 - 38205.02, P = 0.033). Multivariable analysis confirmed that sTLR4/IL-1β remained an independent factor associated with reduced SCCD risk after adjusting for confounders (P < 0.001), whereas T-AOC was not statistically significant in the multivariable model (P = 0.472). ROC curve analysis yielded an area under the curve (AUC) of 0.786 for sTLR4/IL-1β, indicating moderate-to-good discriminative ability.ConclusionA higher seminal plasma sTLR4/IL-1β ratio is independently associated with reduced SCCD risk, suggesting that preserved immunological buffering may protect sperm chromatin integrity. The sTLR4/IL-1β ratio demonstrates moderate-to-good discriminatory ability (AUC = 0.786) and, as an exploratory finding, may serve as a potential auxiliary assessment tool in future larger validation studies.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1912788</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1912788</link>
        <title><![CDATA[Divergent intestinal barrier and neuroimmune responses to supervised exercise across fibromyalgia, irritable bowel syndrome, and their comorbidity phenotypes: a prospective interventional study]]></title>
        <pubdate>2026-08-21T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Antonella Bianco</author><author>Francesco Russo</author><author>Laura Prospero</author><author>Gaetana Laselva</author><author>Marco Grasso</author><author>Benedetta D’Attoma</author><author>Nicola Verrelli</author><author>Antonia Ignazzi</author><author>Isabella Franco</author><author>Elisa Grazioli</author><author>Attilio Parisi</author><author>Giuseppe Riezzo</author>
        <description><![CDATA[BackgroundFibromyalgia (FM) and irritable bowel syndrome (IBS) are overlapping functional somatic syndromes characterized by gut-brain axis dysregulation and low-grade systemic inflammation. We investigated whether a 16-week supervised combined exercise program is associated with phenotype-specific biomarker changes in patients with FM, IBS, or their comorbidity (FM+IBS).MethodsIn this prospective, single-center, pre-post interventional study, 55 patients (FM, n=15; FM+IBS, n=21; IBS, n=19) completed a 16-week supervised program of aerobic, resistance, and flexibility training three times weekly. Pre- and post-intervention assessments included a panel of intestinal barrier, neuroimmune, and inflammatory biomarkers, together with the Global Physical Capacity Score (GPCS).ResultsIn the FM+IBS group, exercise was associated with significant reductions in urinary lactulose excretion (mean delta: -0.160%, p=0.001), L/M ratio (mean delta: -0.011, p=0.026), serum zonulin (mean delta: -6.2 ng/mL, p=0.016), fecal zonulin (mean delta: -65.9 ng/mL, p=0.007), and urinary indoxyl sulfate (mean delta: -23.6 mg/L, p=0.046), with post-intervention L/M values falling below the 0.030 pathological threshold. In the IBS group, serum 5-HT increased (mean delta: +30.0 ng/mL, p=0.028) and IBS-SSS decreased by 85.8 points (p<0.001), exceeding the minimally important difference; both findings were confirmed in a sensitivity analysis restricted to 14 female patients (5-HT: p=0.033; IBS-SSS: p=0.004). In the FM group, IL-6 increased (mean delta: +0.37 pg/mL, p=0.013) and GPCS improved (p=0.047). BDNF, I-FABP, DAO, and LPS remained unchanged across all groups.ConclusionsSixteen weeks of combined exercise were associated with phenotype-specific biological patterns. FM+IBS patients showed reductions in barrier-related markers, supported by two independent assays (L/M ratio and indoxyl sulfate), while IBS patients exhibited enhanced serotonergic signaling and symptom relief, both robust to sex-stratified sensitivity analysis. The isolated IL-6 increase in FM patients requires caution, since an acute myokine effect and a chronic inflammatory drift are both compatible with a single measurement taken 16 weeks apart. These exploratory findings, constrained by this proof-of-concept design, support phenotype-stratified randomized controlled trials with active comparators to validate and characterize these differential responses.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1909505</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1909505</link>
        <title><![CDATA[Feasibility of heart rate monitoring in hemodialysis patients using visible imaging: a pilot study]]></title>
        <pubdate>2026-08-20T00:00:00Z</pubdate>
        <category>Brief Research Report</category>
        <author>Uday Debnath</author><author>Sreya Deb Srestha</author><author>Sungho Kim</author>
        <description><![CDATA[BackgroundContinuous vital signal monitoring is essential for patients undergoing hemodialysis sessions in which physiological instability, body fatigue, and cardiovascular complications may occur and require early medical interventions. However, conventional contactbased sensors such as electrocardiogram (ECG) have several limitations due to increased skin sensitivity, skin irritation, and interference with clinical procedures.ObjectiveThis study proposes a remote photoplethysmography (rPPG) framework for continuous heart rate monitoring of stage-5 chronic kidney disease (CKD-5) patients.MethodsA pilot cohort of eight patients diagnosed with stage-5 chronic kidney disease undergoing hemodialysis sessions were monitored using synchronized RGB video and ECG reference measurements to generate 32 hours of video data. The proposed framework incorporates an automated facial landmark tracking and a dual-masking-based skin detection approach to robustly define regions-of-interest (ROI). A multimethod ensemble fusion is integrated through spectral analysis, peak detection, and harmonic product spectrum analysis for confidence-weighted final heart rate estimation.ResultsThe proposed framework achieved a mean absolute error (MAE) of 1.16 beats per minute (BPM) and root mean squared error (RMSE) of 1.86 BPM with a mean bias error of −0.68 BPM among all patients irrespective of lower visibility due to mask and partial occlusion.ConclusionThese findings suggest that noncontact heart rate monitoring of patients diagnosed with advanced renal diseases is feasible using visible imaging and the rPPG method. By addressing clinical variability, the proposed framework suggests the potential of remote heart rate monitoring in a controlled dialysis-unit environment.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1817927</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1817927</link>
        <title><![CDATA[Integrating reflex, feedback, and prediction: a tiered model of physiological regulation for contemporary medical education]]></title>
        <pubdate>2026-08-20T00:00:00Z</pubdate>
        <category>Hypothesis and Theory</category>
        <author>Changiz Mohiyeddini</author><author>Suzan Kamel-ElSayed</author>
        <description><![CDATA[Medical education traditionally presents physiological regulation through homeostatic feedback loops—reactive mechanisms that correct deviations from set points. More recently, allostatic models have emphasized the brain’s anticipatory role in regulation. However, presenting these frameworks as competing paradigms creates conceptual confusion for learners. This paper proposes a unified, three-tiered model of physiological regulation that positions reflexive, homeostatic, and predictive mechanisms as complementary systems operating across different timescales. Tier 1 encompasses local reflexive responses providing millisecond-to-second protection. Tier 2 comprises systemic homeostatic feedback maintaining core variables over minutes to hours. Tier 3 involves brain-centered predictive regulation integrating cognition, emotion, and context to anticipate demands. Critically, these tiers interact hierarchically: reflexive mechanisms provide immediate protective boundaries, homeostatic systems coordinate whole-body stability, and predictive processes adjust regulatory set points in anticipation of future needs. In turn, reflexive and homeostatic mechanisms constrain predictive regulation within biological limits. This hierarchical framework provides medical educators with coherent scaffolding for teaching regulation and prepares students to understand how psychological and contextual factors influence health outcomes.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1930628</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1930628</link>
        <title><![CDATA[Gastrointestinal motility in microgravity: a critical review of multi-level mechanisms and model-dependent effects]]></title>
        <pubdate>2026-08-20T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Qian Niu</author><author>Tong Mu</author><author>Junhai Zhang</author><author>Yue Chen</author><author>Zhikun Guo</author><author>Yuanmin Zhu</author><author>Lin Li</author>
        <description><![CDATA[BackgroundGastrointestinal motility disturbances rank among the most frequently reported medical complications of spaceflight. Astronauts experience delayed gastric emptying, erratic small intestinal transit and reduced colonic propulsion. The underlying mechanisms are multifactorial. Microgravity alters intra-abdominal physical mechanics, disrupts autonomic and enteric neural circuits, shifts gastrointestinal hormone secretion profiles, inflicts oxidative stress upon effector cells, and perturbs gut microbial communities. Cross-model comparisons reveal substantial disagreement, suggesting that no single ground-based analog fully captures the pathophysiology of orbital flight.AimTo critically review how weightlessness affects gastric emptying, small intestinal transit and colonic motility; to critically evaluate contradictory findings across simulation platforms; and to delineate the neural, humoral, cellular and microbiological mechanisms involved.MethodsWe searched PubMed, Web of Science and the NASA Technical Reports Server for articles published between January 1990 and June 2026 (last search 30 June 2026). Search terms included: “microgravity”, “weightlessness”, “spaceflight”, “gastrointestinal motility”, “gastric emptying”, “intestinal transit”, “gut microbiome”, “interstitial cells of Cajal” and “oxidative stress”. Studies using head-down bed rest, hindlimb unloading, clinorotation, parabolic flight and actual spaceflight were included. The review follows a critical narrative design; the full search strategy and the framework used to appraise the evidence are described in Section 1.1.ResultsAltered-gravity studies suggest that gastrointestinal dysmotility may involve neurohumoral dysregulation, oxidative injury to interstitial cells of Cajal and smooth muscle, barrier dysfunction and altered enteric signaling; however, most mechanistic evidence derives from simulated models and has not been directly validated during human spaceflight. Direct human motility measurements remain sparse, and the evidence comprises a mixture of direct observations, model-dependent inferences and testable hypotheses. Cross-study agreement is poor: some head-down bed rest trials report accelerated small-bowel transit, whereas tail-suspension models and limited flight observations suggest motor suppression. These divergences may reflect model-specific confounding rather than a uniform effect of microgravity.ConclusionCurrent ground-based models each capture only partial aspects of orbital GI pathophysiology. Future work should combine multi-omics profiling with next-generation simulation platforms to develop evidence-based countermeasures for long-duration missions.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1926017</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1926017</link>
        <title><![CDATA[Effects of 8-week polarized vs. threshold training on cardiorespiratory fitness, post-exercise heart-rate recovery, and target accuracy under fatigue in table tennis players]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Wenyuan Wang</author><author>Yushan He</author><author>Enli Xie</author>
        <description><![CDATA[BackgroundTable tennis training requires appropriate intensity distributions to improve physical conditioning without impairing skill execution. This study compared the effects of an 8-week polarized training (POL) model with those of a threshold training (THR) protocol in table tennis players.MethodsThirty-two male table tennis players (Tier 2) were randomly allocated (1:1) to either the POL intervention (80% Zone 1, 5% Zone 2, and 15% Zone 3) or the THR intervention (50% Zone 1, 45% Zone 2, and 5% Zone 3). Participants completed five supervised on-court training sessions per week, with internal workload monitored and targeted to be similar between groups. Cardiopulmonary exercise testing was used to quantify maximal oxygen uptake (V˙O2max) and ventilatory thresholds (VT1 and VT2). An incremental topspin protocol was used to assess sport-specific time to exhaustion (TTE), target accuracy during the terminal stage of the incremental protocol, and heart rate recovery at 60 s (HRR60).ResultsThe POL intervention produced greater physiological and performance adaptations than the THR intervention. VT1 increased to a greater extent in the POL group than in the THR group (+9.8% vs. +6.4%, p = 0.03). VT2 improved only in the POL group (+5.0% vs. −1.0%, p < 0.001). The POL protocol also increased sport-specific TTE (+2.7%, p = 0.049), improved target accuracy under fatigue (+7.8%, p = 0.041), and enhanced HRR60 (+11.7%, p = 0.040). The THR group showed no statistically significant improvements in these outcomes. No significant group-by-time interaction was observed for absolute V˙O2max (p = 0.821).ConclusionThis study suggests that an 8-week polarized training program may be more effective than threshold training for improving submaximal cardiorespiratory fitness, sport-specific endurance, fatigue-induced technical stability, and autonomic recovery in competitive male table tennis players.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1924373</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1924373</link>
        <title><![CDATA[From single-pathway cascade to network pathophysiology: how genetically engineered mouse models reshaped our understanding of pancreatitis]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Ting Yan</author><author>Qinghua Lin</author><author>Shaoqun Huang</author><author>Lingxiang Wang</author>
        <description><![CDATA[Pancreatitis remains a common gastrointestinal disease with no mechanism-specific therapy. Its pathogenesis was long explained by the autodigestion hypothesis: a single linear cascade initiated by premature intra-acinar trypsinogen activation. This trypsin-centric view cannot account for the amplification of inflammation, the switching of cell-death modality, the acute-to-chronic transition, organ failure, or the chronic pancreatitis caused by protein-misfolding genes that act outside the protease system. Here we synthesize evidence from genetically engineered mouse models (GEMMs); their loss- and gain-of-function designs, spanning global and conditional knockouts, knock-ins, and CRISPR/Cas9 editing, can separate molecular events that are necessary, sufficient, or merely correlated. These models show, for example, that enhanced trypsinogen autoactivation alone is sufficient for spontaneous disease, that NF-κB-driven inflammation can be initiated independently of trypsin, and that loss of autophagy alone disrupts acinar homeostasis. On this basis we reframe pancreatitis as a network pathophysiology with two coupled layers. First, acinar homeostasis is maintained by several semi-independent control modules (digestive-enzyme safety, endoplasmic reticulum protein quality control, the autophagy–lysosome system, the calcium–mitochondria axis, and NF-κB signaling), so that disease can be initiated at any of several independent nodes. Second, the injured acinar cell dies through an interconnected, switchable network of regulated cell death (apoptosis, necroptosis, pyroptosis, ferroptosis, and PANoptosis), sharing nodes such as caspase-8, RIPK3, and GPX4, whose configuration, more than the initiating trigger, determines severity. This framework recasts the heterogeneity of human pancreatitis as different entry points into one network and argues for therapies directed at shared nodes rather than single pathways.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1907835</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1907835</link>
        <title><![CDATA[Characterization of calcium sources and downstream signaling pathways following electrical field stimulation of rodent longitudinal esophageal muscle]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Michelle Gräfe</author><author>Julius-Neven Kriese</author><author>Timo Kirschstein</author><author>Rüdiger Köhling</author><author>Felix Bock</author><author>Felix Schulze</author><author>Guido Hildebrandt</author><author>Bernd Frerker</author>
        <description><![CDATA[AimsTo explore the mechanisms involved in esophageal body longitudinal muscle contraction induced by electrical field stimulation.MethodsIsometric contractions of esophageal segments from wistar rats in an organ bath were induced by electrical field stimulation (duration 1 s, frequency 1-100 Hz, intensity 30-90 V) before and after application of pharmacological probes to test involvement of muscarinic receptors, Rho kinase, Ca2+ release, protein kinase C, calmodulin and L-type Ca2+ channels.ResultsElectrical field stimulation (EFS) induced contractions showed a frequency and intensity-dependent behavior. Based on the effect size, expressed by the Cohen’s d, they were insensitive to the muscarinic receptor blocker atropine (1 µM), the Rho kinase inhibitor Y-27632 (10 µM) as well as the inhibitors of Ca2+ release 2-aminoethoxydiphenylborane (2-APB, 100µM) and 1,1’-diheptyl-4,4’-bipyridinium (DHBP, 100 µM). In contrast, contractions were reduced by the protein kinase C inhibitor chelerythrine (10µM) and by the calmodulin antagonist N-[6-aminohexyl]-5-chloro-1-naphthalenesulfonamide hydrochloride (W-7, 100 µM). Verapamil (100 µM) abolished EFS-induced contractions.ConclusionsBased on our findings with 2-APB, DHBP, and verapamil, extracellular Ca²+ appears to be the source of the increase in intracellular Ca²+ underlying EFS-induced EB contractions. Furthermore, the effects observed with chelerythrine and W-7 may suggest that this increase in intracellular Ca²+ may subsequently activate PKC- and calmodulin-dependent signaling pathways.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1835199</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1835199</link>
        <title><![CDATA[Serum calcium-magnesium-phosphate-potassium metabolic dysregulation in nephrolithiasis: predictive model development and mechanistic insights]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Yunhan Wang</author><author>Caitao Dong</author><author>Wenbiao Liao</author><author>Sixing Yang</author>
        <description><![CDATA[PurposeTo explore the pathophysiological interplay of serum calcium, magnesium, phosphate, and potassium (Ca, Mg, P, K) homeostasis in nephrolithiasis and establish an integrated risk prediction framework incorporating these routine homeostatic biomarkers.MethodsThis retrospective, hospital-based case-control study enrolled 611 patients with radiologically confirmed nephrolithiasis and 624 strict gender-matched controls to eliminate sex-related baseline biases. Fasting morning serum biochemical data were analyzed. Multivariable logistic regression identified core risk determinants. Model performance was rigorously validated through receiver operating characteristic (ROC) analysis, calibration curves, and decision curve analysis (DCA), followed by the construction of a diagnostic nomogram.ResultsThe predictive model based on electrolyte indices demonstrated exceptional discriminative capacity (AUC = 0.812, 95% CI: 0.789–0.836) and high calibration accuracy (Brier score = 0.177, Hosmer-Lemeshow p = 0.852). Key independent predictors included an elevated serum calcium magnesium ratio (Ca/Mg, aOR = 5.50), increased calcium phosphate product (Ca×IP, aOR = 1.82), hypokalemia (aOR = 0.13), BMI ≥ 24, and reduced hemoglobin levels. DCA confirmed the model’s net clinical benefit across a wide range of threshold probabilities.ConclusionDysregulation of serum Ca, Mg, P, K homeostasis is strongly associated with nephrolithiasis. Our nomogram may offer a complementary, blood-based initial assessment when 24-hour urine testing is not feasible, pending further validation.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1916986</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1916986</link>
        <title><![CDATA[Time-dependent changes in aerobic capacity of acute sub-high altitude exposure in elite youth endurance athletes]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Junpeng Feng</author><author>Fengming Ning</author><author>Xuchang Zhang</author><author>Ye Tao</author><author>Mingyue Sun</author><author>Wenqiang Wu</author>
        <description><![CDATA[PurposeThis study investigated the non-linear, time-dependent alterations in cardiorespiratory fitness, running economy (RE), and metabolic kinetics during the first week of acute exposure to a sub-high altitude (1,300 m) in elite youth endurance athletes.MethodsFourteen male national-level middle- and long-distance runners (age: 19.8 ± 0.7 years; sea-level V˙O2max: 67.2 ± 3.8 mL·kg-¹·min-¹) completed field-based incremental exhaustion tests on a standard 400-m outdoor track at sea level (T0) and on day 1 (T1, within 18 h post-arrival), day 4 (T2), and day 6 (T3) after rapid rail-based ascent to 1,300 m. Maximal oxygen uptake (V˙O2max), peak running speed (vV˙O2max), and submaximal RE (steady-state V˙O2 at 12, 14, and 16 km·h-¹) were assessed using an automated metabolic cart. Blood lactate concentration ([La-]b) and maximal heart rate (HRmax) were measured. Daily waking morning heart rate (morning HR) and resting arterial oxygen saturation (SpO2) were continuously monitored. Training volume was strictly standardized to 70% of the habitual sea-level load.ResultsOne-way RM ANOVA revealed a significant main effect of time on V˙O2max (F[3,39]=18.42,p<0.001,ηp2=0.59). Crucially, polynomial contrasts confirmed a highly significant quadratic trend (Fquadratic[1,13]=34.21,ptrend<0.001,ηp2=0.72), statistically validating a non-linear V-shaped temporal kinetic profile. V˙O2max dropped from T1 to a distinct nadir at T2 (−7.0%, 95% CI:[60.1,64.7] mL·kg−1·min−1,p<0.001), and partially rebounded at T3. Concurrently, submaximal RE at 14 km/h significantly deteriorated at T2, as evidenced by a 5.3% increase in distance-specific oxygen cost (from 210.5±12.4 at T1 to 221.7±14.2 mL·kg−1·km−1 at T2, p=0.010), which also exhibited a significant quadratic pattern (ptrend=0.008). Post-exercise blood lactate peaked at T2 (11.2±1.4 mmol·L−1,p=0.015), while HRmax remained statistically stable (F[3,39]=0.21,p=0.885,ηp2=0.015).ConclusionAcute relocation to 1,300 m induces a distinct physiological nadir on Day 4, which may be related to transient autonomic adjustments and respiratory muscle work, rather than hematological adaptations. Early adaptation emerges by Day 6. Coaches may consider closer monitoring and temporary adjustment of training intensity during the early days following ascent, particularly around day 4.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1810924</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1810924</link>
        <title><![CDATA[Does kidney function in experimental porcine sepsis fulfill the RIFLE criteria for acute kidney injury? A systematic review]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Systematic Review</category>
        <author>Kjellbjørn Jakobsen</author><author>Viktoria Instanes Markussen</author><author>Hendrik Joachim Backmann</author><author>Eirik Reierth</author><author>Anders Benjamin Kildal</author><author>Lars Marius Ytrebø</author>
        <description><![CDATA[IntroductionSepsis is a leading cause of acute kidney injury (AKI) in patients treated in intensive care units. Due to close resemblance between porcine and human anatomy and physiology, porcine models are increasingly utilized in investigations of pathophysiological mechanisms behind sepsis associated AKI.ObjectiveThe aim of this review was to assess the renal function in untreated porcine models of sepsis using the Risk, Injury, Failure, Loss, End-stage kidney disease (RIFLE) criteria at the group level.DesignThe review was pre-registered in the Open Science Framework, DOI 10.17605/OSF.IO/FC29M. A systematic literature search was performed to identify porcine sepsis models which fulfilled the RIFLE criteria in the absence of active treatment. Three databases (Medline, Embase, and Web of Science) were systematically searched from 1946 until April 29th, 2025. In vivo studies aiming to induce sepsis or sepsis like conditions were included if the RIFLE criteria could be assessed at the group level in at least one study group. A meta-analysis was performed to study the relation between sepsis induction method and the likelihood of fulfilling the RIFLE criteria.Results1270 records were retrieved via databases and registers. Additional 309 records were identified from citation searching. 64 studies were included in the systematic review. 30 of 64 (47%) studies fulfilled one of the RIFLE criteria. 16, 9 and 5 studies fulfilled the RIFLE Risk, Injury and Failure criteria, respectively. 28 out of 64 studies (44%) reported renal dysfunction, but only two studies defined AKI using a diagnostic criterion. Exogenous markers of glomerular filtration rate (GFR) were applied in three studies. Fulfilment of the RIFLE criteria was associated with GFR being reported (p = 0.007), while the meta-analysis found no difference in the rate of AKI between different sepsis induction methods (Q_between = 2.49, p = 0.48).ConclusionsAKI at the group level was identified in 47% of the included studies. Exploratory meta-analyses did not identify any statistically robust differences in RIFLE fulfilment between sepsis induction methods, but methodological heterogeneity significantly limited the interpretability of the meta-analysis. Measurement of GFR was associated with a higher likelihood of RIFLE fulfilment, while the use of precise markers appeared limited.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1928397</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1928397</link>
        <title><![CDATA[Decoding vascular calcification-neutrophil signature in pathogenesis of chronic IgA nephropathy: evidence from artificial intelligence-driven multi-omics and in vitro validation]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Chunyu Cao</author><author>Wencheng Yan</author><author>Mingyue Li</author><author>Jing Lu</author>
        <description><![CDATA[BackgroundDysregulation of neutrophil and consistent vascular calcification(VC) contributes to the pathogenesis and progression of chronic IgA nephropathy(C-IgAN). However, its integrated mechanism in IgAN has not yet been elucidated.MethodsWe integrated GSVA, CIBERSORT and WGCNA algorithms in C-IgAN patient bulk profiles(GSE35487 and GSE93798) downloaded from GEO database for identified VC and neutrophil (VN)-related shared DEGs. Next, explainable and systemic machine learning algorithms in C-IgAN training and validation bulk profiles identified VN-associated diagnostic model and hub gene. In addition, based on VN-associated shared gene signature, we performed NMF analysis for identification of VN-related molecular subgroups, and then we also investigated the molecular and immune patterns between subgroups. Besides, we also investigated hub gene, VC and neutrophil molecular landscapes at C-IgAN patient single-cell level via advanced analytical frameworks, such as sctenifoldknk and Bayes-prism algorithms. Novelty, deep learning algorithm (DrugRefLector) and molecular docking based on C-IgAN identified optimal therapeutic agent targeting hub gene. Finally, in vitro assays examined the expression pattern of hub gene.ResultsOur study first traced dynamic VN patterns in C-IgAN and identified VN-associated diagnostic and molecular subgroups. Besides, CLEC4D can be considered as neutrophil-distributed hub gene involved in VC and C-IgAN pathogenesis, which also can be considered as a drug target of BRD-K27184429 in C-IgAN.ConclusionOur study first identified VN-related patterns for C-IgAN patients, which provides novel idea into clinical applications.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1907874</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1907874</link>
        <title><![CDATA[Extended secondhand smoke exposure alters potassium channel activity and reduces excitability of cardiac vagal neurons in mice]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Junqing Sun</author><author>Shiyue Pan</author><author>Emma Karey</author><author>Kent E. Pinkerton</author><author>Chao-Yin Chen</author>
        <description><![CDATA[BackgroundDespite the decline in secondhand smoke (SHS) exposure since the implementation of smoking bans in public places, SHS exposure remains a significant health risk factor affecting about 1/3 of non-smokers worldwide. We previously showed that 12 weeks of SHS exposure reduces heart rate variability, an effect that peaks at week 4. We further showed that 4 weeks of SHS exposure significantly reduces cardiac vagal neuron’s (CVN) excitability that is associated with a reduced small conductance calcium-dependent potassium (SK) channel activity.ObjectivesThis study aimed to test whether the reduced excitability in CVNs also wanes with longer exposure duration (12 weeks) and whether 4-aminopyridine sensitive voltage-gated potassium channels contribute to the SHS-induced decreases in neuronal excitability.MethodsAdult male mice were exposed to 12 weeks of filtered air or SHS at an environmental-relevant concentration (3 mg/m3, 6 hr/d, 5d/wk). We performed whole-cell patch-clamp recordings on anatomically identified CVNs in the nucleus ambiguus.Results12 weeks of SHS exposure significantly increased action potential (AP) thresholds and reduced spiking responses to excitation. SHS exposure did not significantly alter resting membrane potential, or 4-aminopyridine sensitive channel activity, suggesting that leak potassium channels and voltage gated potassium channels were unlikely to contribute to the reduced excitability. We found two adaptations that may serve to counteract the reduced excitability. First, APs inactivated at higher voltages that helped to maintain the spiking response range and increase maximum discharge frequency. Second, blocking SK channels with apamin had smaller effects on the spiking response in CVNs from SHS-exposed mice, suggesting that a reduced SK channel activation during spiking activity may help to dampen the reduced excitability.ConclusionEnvironmentally relevant SHS exposure reduces neuronal excitability of CVNs through mechanisms other than enhanced SK and voltage-gated potassium channel functions.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1923189</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1923189</link>
        <title><![CDATA[Patient education for neuromyelitis optica spectrum disorder using large language models: combining expert assessment and real-world patient interaction]]></title>
        <pubdate>2026-08-19T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Chen Li</author><author>Yuting Hu</author><author>Xiaoyan Wang</author><author>Ruoyi Yao</author><author>Jiahao Ye</author><author>Shanshan Diao</author><author>Yanhui Xiao</author><author>Yingming Wang</author><author>Mingying Lai</author><author>Weihua Yang</author>
        <description><![CDATA[ObjectivesThis study aimed to compare the educational performance of six mainstream LLMs for neuromyelitis optica spectrum disorder (NMOSD) and evaluated patient satisfaction during real-world interactions.MethodsThis study was conducted from March to April 2026. In the first Phase, Twenty NMOSD-related questions derived from clinical guidelines and patient concerns were submitted to six LLMs (ChatGPT-5.4, Gemini-3.1-pro, Claude-4.6-Sonnet, DeepSeek-3.2, Kimi-2.5, and Qwen-3.5-plus). Responses were anonymized and independently evaluated by three neuro-ophthalmology specialists using Likert framework assessing accuracy, completeness, readability, safety, and humanity. Inter-rater reliability was assessed using the intraclass correlation coefficient (ICC). In the second Phase, the three best-performing models were subsequently evaluated through real-world interactions with ten NMOSD patients, and satisfaction scores were analyzed using linear mixed-effects models.ResultsA total of 120 chatbot responses were evaluated. With a comprehensive evaluation, significant differences were observed across all assessment domains. Gemini-3.1-pro achieved the highest scores for accuracy and safety, while Qwen-3.5-plus demonstrated superior completeness and humanity. DeepSeek-3.2 generated the most accessible responses, exhibiting the lowest reading difficulty score. However, its completeness advantage should be interpreted with caution, as it may be partially influenced by its longer response length. Inter-rater reliability was good, with single-measure ICC values ranging from 0.535 to 0.759, and average-measure ICC values ranging from 0.775 to 0.904. In patient interactions, Qwen-3.5-plus achieved the highest satisfaction score, significantly outperforming Gemini-3.1-pro and DeepSeek-3.2. Although all LLMs demonstrate superior performance in patient education, the real-world interaction with patient needs to pay attention.ConclusionsLLMs demonstrate considerable potential for NMOSD patient education but exhibit variability across educational dimensions, and require further validation in larger cohorts. These findings highlight the importance of selecting LLMs according to specific patient education goals and underscore the importance of clinicians in rare disease counseling.]]></description>
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        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1911464</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1911464</link>
        <title><![CDATA[Exercise patterns and atherosclerosis: a network meta-analysis based on randomized controlled trials]]></title>
        <pubdate>2026-08-18T00:00:00Z</pubdate>
        <category>Systematic Review</category>
        <author>Cheng Xu</author><author>Shuxin Yan</author><author>Yuxin Liu</author><author>Hui Zhang</author><author>Fei Li</author><author>Yu Zhang</author><author>Yiying Liu</author><author>Yulian Yuan</author><author>Shujing Zhang</author><author>Xianggen Zhong</author><author>Yan Sun</author>
        <description><![CDATA[BackgroundIn 2023, cardiovascular diseases caused an estimated 19.2 million deaths worldwide, accounting for approximately one-third of all global deaths. Despite this heavy burden, there is limited evidence comparing the effects of various exercise modalities on functional capacity, arterial stiffness, and lipid profiles in patients with atherosclerotic cardiovascular disease (ASCVD). This network meta-analysis evaluated 12 exercise interventions to guide personalized exercise prescriptions.MethodsA systematic search of PubMed, Embase, the Cochrane Library, and Web of Science was conducted from their inception until June 10, 2026, to identify randomized controlled trials assessing exercise interventions in adults with ASCVD. The primary outcomes measured included the 6-minute walk distance (6MWD), pulse wave velocity (PWV), total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C). A network meta-analysis was conducted, and the ranking of interventions was determined using the surface under the cumulative ranking curve (SUCRA). The protocol was registered with PROSPERO (registration No. CRD420261412964).ResultsA comprehensive analysis incorporating 29 RCTs with a cumulative sample size of 2,496 participants was conducted. The network meta-analysis (NMA) indicated that various exercise modalities exhibited unique benefits for specific health outcomes. Resistance Training (RT) was identified as the most effective intervention for enhancing the 6MWD. Both Qigong combined with Dancing (QD) and Aerobic Exercise (AE) were associated with the most pronounced improvements in PWV. In terms of lipid profile modulation, QD was the most efficacious in reducing total cholesterol levels and increasing HDL-C, whereas RT combined with Blood Flow Restriction (BFRT) was superior in improving LDL-C levels.ConclusionDifferent exercise interventions yield specific benefits in managing ASCVD. This study endorses the concept of “goal-oriented exercise prescription” and suggests that exercise regimens should be meticulously tailored to align with patients’ individualized treatment goals, in conjunction with standard pharmacological therapy.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD420261412964, identifier CRD420261412964.]]></description>
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        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1885059</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1885059</link>
        <title><![CDATA[Effects of high-intensity interval training on cardiorespiratory fitness in adolescents with overweight or obesity: a systematic review and dose–response meta-analysis]]></title>
        <pubdate>2026-08-18T00:00:00Z</pubdate>
        <category>Systematic Review</category>
        <author>Jinchen Pan</author><author>Xusong Dong</author><author>Ruiqi Cheng</author><author>Jianmei Cui</author><author>Weian Lin</author><author>Lei Zheng</author>
        <description><![CDATA[BackgroundAdolescents with overweight or obesity commonly exhibit reduced cardiorespiratory fitness (CRF), which is closely associated with cardiometabolic risk and premature mortality in adulthood. High-intensity interval training (HIIT) has been proposed as a time-efficient exercise strategy; however, quantitative evidence regarding the dose of HIIT in adolescents with overweight or obesity remains limited. Objective: This study aimed to evaluate the effects of HIIT on CRF in adolescents with overweight or obesity and to explore the nonlinear association between weekly HIIT dose and improvements in CRF using dose–response meta-analysis.MethodsPubMed, Embase, Web of Science, Scopus, and CNKI were searched from database inception to March 2026. Eligible studies were randomized controlled trials involving adolescents aged 10–18 years with overweight or obesity. Interventions consisted of structured HIIT or sprint interval training, and comparators included usual care, health education, or no additional structured exercise. The outcomes were VO2max/VO2peak measured in the laboratory, or equivalent CRF indices estimated using standardized field tests. Two reviewers independently performed study screening, data extraction, and risk-of-bias assessment using the RoB 2 tool. Random-effects meta-analysis was used to Hedges’ g, and restricted cubic splines were further applied to examine the nonlinear relationship between weekly HIIT dose (MET-min/week) and CRF improvement.ResultsSixteen randomized controlled trials, including 19 effect sizes were included. Compared with control conditions, HIIT significantly improved CRF (Hedges’ g, 1.13, 95% CrI: 0.80–1.50). Exploratory subgroup analyses suggested more stable positive effects in studies using three sessions per week, a work-to-recovery ratio of approximately 1:1, and VO2max/VO2peak as the CRF outcome. Exploratory dose–response analysis suggested an inverted U-shaped association between weekly HIIT dose and CRF improvement, with the largest predicted effect observed at approximately 360 MET-min/week. However, this estimate should be interpreted cautiously because of the limited number of trials, between-study heterogeneity, and assumptions involved in MET-min/week conversion.ConclusionsHIIT may be an effective strategy for improving CRF in adolescents with overweight or obesity. Its benefits appear to depend not only on the use of HIIT per se, but also on training frequency, work–recovery structure, and weekly dose. Current evidence suggests a possible nonlinear association between weekly HIIT dose and CRF improvement; however, this finding is hypothesis-generating rather than definitive and should be verified in larger trials with standardized HIIT prescription reporting, transparent dose coding, and longer follow-up.Systematic review registrationshttps://www.crd.york.ac.uk/PROSPERO, identifier CRD420261392042.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1898182</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1898182</link>
        <title><![CDATA[Form informs function: innervation patterns of projection neurons correspond to response profiles of mushroom body output neurons during olfactory-visual integration]]></title>
        <pubdate>2026-08-18T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Athil Althaf Aliyam Veetil Zyndheen</author><author>Andrea Rafaela Nicolaidou</author><author>Claudia Groh</author><author>Volker Dürr</author><author>Wolfgang Rössler</author><author>Martin Strube-Bloss</author>
        <description><![CDATA[Several studies have shown that honeybees have a remarkable ability to detect, learn, and discriminate different floral qualities such as colour patterns and odour bouquets. However, how they integrate this multi-sensory information at the neuronal level is less understood. The sites for multi-sensory convergence in honeybees and other insects are the mushroom bodies (MB). In this study, we focus on MB output neurons (MBON) to examine how different MBONs process olfactory, visual, and olfactory-visual compound stimuli using extracellular multi-unit recordings. By analysing functional responses, we defined three MBON subpopulations: “bimodal”, “unimodal light”, and “unimodal odour”. All three groups exhibit compound-mediated modulation in both directions, meaning that compared to the unimodal response, the response strength to the compound can be either higher or lower. This suggests the presence of a separate compound-activated pathway, especially for unimodal MBONs. Comparing our results to the morphology of the MB input regions, the calyces, which are both divided into the lip (olfaction), collar (vision), and the basal ring (bimodal), we provide evidence that the latter region might play a key role in compound signalling. By establishing a model based on information flow through the MB circuitry, we reproduced the functional phenotypes exhibited by the different MBON types.]]></description>
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        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1828577</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1828577</link>
        <title><![CDATA[Membrane-decisional architecture: a framework for multigenomic signal prioritization in the plasma membrane nanobiome]]></title>
        <pubdate>2026-08-18T00:00:00Z</pubdate>
        <category>Review</category>
        <author>João Francisco Pollo Gaspary</author><author>Luis Felipe Dias Lopes</author><author>Fernanda Peron Gaspary</author><author>Carmen Brum Rosa</author><author>Eduarda Grando Lopes</author><author>Alfred Lee Edgar</author><author>Eduardo Poletti Camara</author><author>Antonio Geraldo Camara</author>
        <description><![CDATA[BackgroundClassical models of cellular signaling assume that ligand recognition at the plasma membrane is sufficient to initiate intracellular cascades. However, experimental evidence consistently shows that extracellular signals can engage receptors without producing functional cellular responses and that identical ligand–receptor interactions may generate divergent outcomes depending on membrane organization, receptor clustering, and intracellular routing dynamics.Conceptual frameworkTo address this discrepancy, the concept of membrane-decisional architecture is introduced, in which plasma membrane organization is interpreted as a signal prioritization interface. Within this framework, membrane structure governs signaling competence by regulating signal access, receptor clustering, intracellular routing, and compartmental signal conversion, thereby determining which extracellular inputs acquire functional relevance.MethodsA structured integrative synthesis was conducted using a Work Breakdown Structure (WBS) framework (WP1–WP5), encompassing evidence acquisition, mechanistic mapping, integrative synthesis, cross-system structural calibration, and formal systems integration. Mechanistic findings from membrane biology and cellular signaling were reorganized to evaluate whether a coherent architecture of signaling competence emerges across biological systems. A conceptual mathematical formalization was developed to represent the relationship between signal availability and membrane-dependent competence.ImplicationsThis framework does not propose new molecular mechanisms but provides an integrative interpretation of how established membrane-level processes collectively constrain signaling outcomes under heterogeneous input conditions. Membrane organization is therefore positioned as an upstream determinant of cellular responsiveness. The proposed formalization provides a basis for experimental investigation of membrane-dependent signaling competence and its role in physiological variability.]]></description>
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        <guid isPermaLink="true">https://www.frontiersin.org/articles/10.3389/fphys.2026.1911093</guid>
        <link>https://www.frontiersin.org/articles/10.3389/fphys.2026.1911093</link>
        <title><![CDATA[Baseline cognitive performance moderates ACL injury–related knee biomechanics during unanticipated sidestep cutting in highly trained male soccer players]]></title>
        <pubdate>2026-08-18T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Weipeng Liu</author><author>Zilong Wang</author><author>Zhuangzhuang Wang</author><author>Zhiyuan Qin</author><author>Zhengwei Wu</author><author>Weihua Zheng</author><author>Congjie Cheng</author><author>Weichao Li</author><author>Wenhua Li</author>
        <description><![CDATA[ObjectiveTo compare anterior cruciate ligament (ACL) injury–related knee biomechanics between anticipated and unanticipated sidestep cutting and to investigate whether baseline cognitive performance moderated these biomechanical responses in highly trained male soccer players.MethodsThirty highly trained male soccer players completed a computerized Go/No-Go task to assess inhibitory control, including reaction time (RT), commission error rate (CER; responses incorrectly made during No-Go trials), and omission error rate (OER; failures to respond during Go trials). Participants subsequently performed anticipated and unanticipated 90° sidestep cutting tasks while three-dimensional motion capture and force plate data were simultaneously collected. Peak knee flexion angle, peak knee abduction angle, peak knee abduction moment, peak anterior tibial shear force (ATSF), peak vertical ground reaction force (vGRF), and loading rate were analyzed. Paired comparisons were first performed to examine overall biomechanical differences between the anticipated and unanticipated conditions. Linear mixed-effects models were then used to investigate whether cognitive performance moderated the biomechanical responses to task anticipation.ResultsCompared with the anticipated condition, unanticipated sidestep cutting resulted in greater peak knee flexion angle (d = 0.389, 95% CI, 0.118–0.660, p = 0.006), peak knee abduction angle (d = 0.339, 95% CI, 0.189–0.489, p < 0.001), and peak knee abduction moment (d = 1.481, 95% CI, 0.857–2.104, p < 0.001). Significant anticipation × RT interactions were observed for peak knee abduction angle (βstd = 0.156, 95% CI, 0.039–0.274, p = 0.031), peak knee abduction moment (βstd = 0.380, 95% CI, 0.168–0.592, p < 0.001), and peak ATSF (βstd = 0.517, 95% CI, 0.350–0.684, p < 0.001). Significant anticipation × CER and anticipation × OER interactions were observed for peak knee abduction moment (βstd = 0.504, 95% CI, 0.299–0.710, p < 0.001) and peak vGRF (βstd = 0.463, 95% CI, 0.245–0.682, p < 0.001), respectively.ConclusionUnanticipated sidestep cutting altered multiple ACL injury–related biomechanical variables in highly trained male soccer players. More importantly, athletes’ baseline cognitive performance moderated several ACL injury–related biomechanical responses.]]></description>
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