Resistance bands serve as another space and equipment saver. These elastic bands typically have handles on the end, and you can perform a variety of exercises with them. If you'd like to increase the intensity and resistance, you can use two bands at once. Surgical tubing makes and extremely inexpensive resistance band, provided you create a safe way to hold onto the ends so that you don't accidentally let go.
17.  If you're getting a normal amount of usable protein (about one gram per five pounds of body weight), your body will require a bit more protein than usual as you increase lean muscle tissue). Uncooked protein is preferable to cooked protein (cooking denatures proteins, damaging them, and making them appear as a foreign invader to the body which can trigger an autoimmune response). A good source of protein is fruits, vegetables, and nuts. (Yes, nuts have fat too, but it's "good" fat, and your body needs fat in your diet; you can have a lean body while eating the right kinds of fat!) Give your body the additional protein as it asks for it. Listen carefully, and you'll know when. Remember, it's very difficult to get too little protein; most people get way too much, and too much protein is a cause of degenerative disease. (See Fact or Fiction: High protein diets are great for losing weight)
During your workout you have “target” heart rate zones that are expressed as a percentage of your max heart rate. For low-intensity cardio, you want to aim for 60 to 70 percent of your max heart rate, for moderate-intensity cardio the goal is 70 to 85 percent, and for high-intensity cardio, 85 percent or above. This can help you see if you’re really working as hard as you think you are and adjust as needed to make sure you’re hitting your workout goals. Here’s how to calculate your max and target heart rate zones.

To strengthen and tone your abs, Marks says to go with V-Ups. Here’s his instruction: Begin lying on your back with your legs straight and arms extended overhead. Engage your core by pressing your lower back into the ground. Keeping your legs and arms straight, simultaneously lift your legs and torso up, reaching your hands toward your feet. Your body will form a “V.” Slowly lower to the starting position. And if you want an added challenge? Dempsey says “don’t let your arms and legs rest on the ground in between reps.” Ouch! If you’re working this hard (even for just 30 seconds!) don’t undo your efforts by making any of these 30 Flat-Belly Mistakes Women Make.
This is one way to spend your “rest” day. So instead of lounging on the couch all day you’ll schedule some sort of low-intensity activity like light walking or gentle yoga. The reason why you might want to do this, instead of nothing, is that incorporating gentle movement into these days can help with circulation (which can ease soreness and reduce muscle fatigue). And remember, whether it’s gentle activity or complete rest, your body needs time to recover—when you work out, you’re breaking down muscle fibers, and recovery is when the real magic happens as your muscles rebuild stronger.
This move works best if you use a low bench. With the low bench at your right side, start with knees slightly bent and hips back. Shift weight to left foot then jump over the bench first with right foot, allowing the left foot to follow. Land lightly on right foot first then left foot. Reverse the move, starting with left foot, to return to starting position.
First, we must follow the same guidelines and general protocols for building a stronger ‘foundation’ as we have outlined in the fibromyalgia protocol articles here on this website. The idea is to build a stronger core and immune status. After we have created a support system for the immune and nervous system involvement, we can begin to incorporate an exercise program best suited for fibromyalgia chronic fatigue syndrome.
Where did we come up with the moves? Well, we tapped Josey Greenwell, certified trainer and Barry's Bootcamp instructor, to show us some of his favorite heart-pumping exercises. You can create your own routine by following our guidelines—or try his workout at the end of the article. Either way, you'll be burning fat and upping your cardiovascular endurance—win-win!
In just 30 minutes a day, you can get definition you’ve always wanted with Tony Horton’s P90X3 Base kit. You will enjoy unprecedented moves that bust your muscles on a daily basis and you won’t have to work out for hours at a time. These workouts are great for really challenging the user to push their limits and stick with a program that will get massive results. Included in the P90X3 workout are 16 30 minutes workouts, a Fitness Guide, a Nutrition Plan, Workout Calendar, “How to Accelerate” DVD and 24/7 support online. One of the things that make these exercise videos so popular is that there is a different workout every single day so boredom is a thing of the past.
Gentle stretching and progressive loading of the Achilles' tendon is necessary to successfully treat Achilles tendinopathy.  Some studies indicate that eccentric loading of the tendon is favorable to other types of exercise.  The Alfredson protocol is a method that is used to progressively load your injured Achilles' tendon to treat the tendinopathy.
Choose clothes that suit your activity. In general, wear clothes that won’t restrict your movement or blood flow. For some forms of exercise, like biking, you might want to wear form-fitting clothes, but they still shouldn’t be too tight. Looser workout clothes are better for strength training, brisk walking, and sports such as basketball or soccer.[35]
Budget IS Important, But… – It’s always a good idea to have a budget in mind when it comes to buying anything, but don’t look for the cheapest exercise videos on the market. The adage you get what you pay for is definitely true. That doesn’t mean to spend way over your budget either. The point of this particular tip is that you should look for good quality videos and keep your budget in mind as well. Not all inexpensive videos are bad of course, but buying simply from a price point can quickly add up to nothing but a collection of dusty, unused exercise videos on your shelf.
Cardiovascular activity. Start by doing an aerobic activity, like walking or running, for a sustained 20-30 minutes, four to five times a week, says Bryant. To ensure you're working at an optimum level, try the "talk test": Make sure you can carry on a basic level of conversation without being too winded. But if you can easily sing a song, you're not working hard enough.
When you go to purchase an exercise video, check the description to see if they offer anything else along with it. Many videos come with nutrition plans, workout calendars or journals, quick start guides and other bonuses that help the user get the most from their purchase. Some exercise videos have access to online tools as well such as websites and support forums that users can participate in. Don’t let the bonuses overshadow the importance of the video being what you want and need, but having these extras is always a nice bonus.
What is your current fitness level? – knowing where you are fitness wise may be a hard thing for some to admit, but answering yourself honestly will ensure that you don’t start off with videos you may not even be able to keep up with not to mention finish. There is nothing more discouraging than getting an exercise video and then finding out that you can’t even handle their warm up. The most important thing to keep in mind is that just because you may be starting off at the very beginner’s level, you certainly don’t have to stay there. The more you exercise the stronger you will get and the more your fitness level will increase. It didn’t take over night to end up where you’re starting from so you shouldn’t expect yourself to fix it over night as well.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Our methodology, classes + 1:1 training incorporate what a lot of fitness methods are missing [regardless of pregnancy]. So while we provide you necessary tools and guide you to a strong + functional core and body, we won’t just teach you to “kegel”  or  “pull your belly button to your spine” because those techniques need to stay in the past. Instead, we create a balance in your pelvic floor and core that will continue to support you for life, preparing you for your birth marathon and motherhood with every pulse, hold, and full range move we guide you through. 

Interval training is a type of training, which consists of alternating periods of high and low-intensity workouts interspersed with rest or relief periods. The high-intensity parts can be close to or in the anaerobic zone while the rest and relief periods involve lower intensity exercise. Interval training gets your rate up and burns more fat in less time than less intense forms of exercise. Here’s an example of an interval training routine:

Endurance performance (i.e. exercise duration > 1 min) is extensively studied in exercise physiology using cycling and/or running exercise (e.g. [1–4]). Despite being close to real competition events by involving the whole-body, the use of cycling and/or running exercise presents some important limitations to understand the role of the central nervous system (CNS) in the regulation of muscle fatigue and endurance performance. Indeed, as whole-body exercise involves greater systemic responses than isolated exercise [5], it is difficult to interpret some specific experimental manipulations aiming to understand CNS processes regulating muscle fatigue and endurance performance (e.g. manipulation of III-IV muscle afferents [6, 7]). Furthermore, due to the need to transfer the participant from the treadmill/bicycle to the ergometer, the true extent of muscle fatigue at exhaustion is underestimated [8], leading to inconclusive results on how peripheral (i.e. fatigue produced by changes at or distal to the neuromuscular junction [9]) and central (i.e. decrease in maximal voluntary activation level [9]) components of muscle fatigue might interact between each other’s (for review see [2, 9]). Therefore, due to the aforementioned limitations, the development of a new exercise model is required to better investigate the CNS processes regulating endurance performance.
Dancer, choreographer, stunt woman and fitness expert Kelly Connolly says you can shrink your waist in 30 seconds a day with “salsa swivels.” “It’s no secret that dancing is a great way to trim down and tone without even realizing you’re exercising,” she says. “The high energy and twisting motions of Salsa dancing can have a significant impact on your body while giving you some new moves to take to the dance floor.”
The European Commission - DG EAC - Directorate General for Education and Culture - has dedicated programs and funds for HEPA - Health Enhancing Physical Activity projects[134] within its Horizon 2020 and Erasmus+ program, as research showed that too many Europeans are not physically active enough. Financing is available for increased collaboration between players active in this field across the EU and around the world, the promotion of HEPA in the EU and its partner countries and the European Sports Week. The DG EAC regularly publishes a Eurobarometer on sport and physical activity.
Jump up ^ Zhou Y, Zhao M, Zhou C, Li R (July 2015). "Sex differences in drug addiction and response to exercise intervention: From human to animal studies". Front. Neuroendocrinol. 40: 24–41. doi:10.1016/j.yfrne.2015.07.001. PMC 4712120. PMID 26182835. Collectively, these findings demonstrate that exercise may serve as a substitute or competition for drug abuse by changing ΔFosB or cFos immunoreactivity in the reward system to protect against later or previous drug use. ... As briefly reviewed above, a large number of human and rodent studies clearly show that there are sex differences in drug addiction and exercise. The sex differences are also found in the effectiveness of exercise on drug addiction prevention and treatment, as well as underlying neurobiological mechanisms. The postulate that exercise serves as an ideal intervention for drug addiction has been widely recognized and used in human and animal rehabilitation. ... In particular, more studies on the neurobiological mechanism of exercise and its roles in preventing and treating drug addiction are needed.

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Jump up ^ Zhou Y, Zhao M, Zhou C, Li R (July 2015). "Sex differences in drug addiction and response to exercise intervention: From human to animal studies". Front. Neuroendocrinol. 40: 24–41. doi:10.1016/j.yfrne.2015.07.001. PMC 4712120. PMID 26182835. Collectively, these findings demonstrate that exercise may serve as a substitute or competition for drug abuse by changing ΔFosB or cFos immunoreactivity in the reward system to protect against later or previous drug use. ... As briefly reviewed above, a large number of human and rodent studies clearly show that there are sex differences in drug addiction and exercise. The sex differences are also found in the effectiveness of exercise on drug addiction prevention and treatment, as well as underlying neurobiological mechanisms. The postulate that exercise serves as an ideal intervention for drug addiction has been widely recognized and used in human and animal rehabilitation. ... In particular, more studies on the neurobiological mechanism of exercise and its roles in preventing and treating drug addiction are needed.

Choose clothes that suit your activity. In general, wear clothes that won’t restrict your movement or blood flow. For some forms of exercise, like biking, you might want to wear form-fitting clothes, but they still shouldn’t be too tight. Looser workout clothes are better for strength training, brisk walking, and sports such as basketball or soccer.[35]


The bench press or dumbbell bench-press is performed while lying face up on a bench, by pushing a weight away from the chest. This is a compound exercise that also involves the triceps and the front deltoids, also recruits the upper and lower back muscles, and traps. The bench press is the king of all upper body exercises and is one of the most popular chest exercises in the world. It is the final exercise in 'The big 3'.
Jump up ^ Carroll ME, Smethells JR (February 2016). "Sex Differences in Behavioral Dyscontrol: Role in Drug Addiction and Novel Treatments". Front. Psychiatry. 6: 175. doi:10.3389/fpsyt.2015.00175. PMC 4745113. PMID 26903885. There is accelerating evidence that physical exercise is a useful treatment for preventing and reducing drug addiction ... In some individuals, exercise has its own rewarding effects, and a behavioral economic interaction may occur, such that physical and social rewards of exercise can substitute for the rewarding effects of drug abuse. ... The value of this form of treatment for drug addiction in laboratory animals and humans is that exercise, if it can substitute for the rewarding effects of drugs, could be self-maintained over an extended period of time. Work to date in [laboratory animals and humans] regarding exercise as a treatment for drug addiction supports this hypothesis. ... However, a RTC study was recently reported by Rawson et al. (226), whereby they used 8 weeks of exercise as a post-residential treatment for METH addiction, showed a significant reduction in use (confirmed by urine screens) in participants who had been using meth 18 days or less a month. ... Animal and human research on physical exercise as a treatment for stimulant addiction indicates that this is one of the most promising treatments on the horizon. [emphasis added]
Torque signal and knee angle signal were recorded using the same dynamometer as for the OLDE (Cybex NORM isokinetic dynamometer, CMSi, Computer Sports Medicine Inc., Stoughton, USA). During the tests a two shoulder harnesses and a belt across the abdomen limited extraneous movement of the upper body. Torque signal and knee angle signal were digitized on-line at a sampling frequency of 1 kHz using a computer, and stored for analysis with commercially available software. Torque signal was filtered prior to data analysis (Butterworth low-pass filter at 100 Hz). Torque signal, knee angle signal and EMG signal were recorded with the same device (MP150, Biopac Systems Inc., Goleta, USA) and analyzed with the same commercially available software (Acqknowledge 4.2 for MP Systems, Biopac Systems Inc., Goleta, USA).

The searches identified 80 studies, of which 11 met the inclusion criteria. In 5 studies, the diagnosis of RCIS was confirmed using an impingement test consisting of lidocaine injected into the subacromial space and elimination of pain with the impingement sign. Randomization methods were used in 6 studies, and blinded, independent examiners were involved in follow-up data collection in only 3 studies. Validated outcome measures were used in all studies. Follow-up was very good in 10 studies and was less than 90% in only 1 study. The specific exercise programs varied among studies. However, general treatment principles were identified among the different studies and included frequency, ROM, stretching or flexibility, strengthening, manual therapy (joint and/or soft tissue mobilizations), modalities, and others.


Video Abstract for the ESSR 44.4 article “The Age-Associated Reduction in Propulsive Power Generation in Walking” from author Jason R. Franz. Propulsive power generation during push-off in walking decreases with advancing age. A common explanation is an accommodation for sarcopenia and muscle weakness. Yet, muscle strengthening often yields disappointing outcomes for walking performance. We examine the hypothesis that declines in force or power generating capacity of propulsive leg muscles cannot fully explain the age-related reduction in propulsive power generation during walking.

The overhead squat requires strength and flexibility. HOW TO DO IT: You can take the bar from a squat rack by snatching it overhead or by cleaning and jerking it. The arms should be wider on the bar, very similar to a snatch grip. The feet should be a little outside of shoulder-width. Brace your core, and send your butt back into a squat position while keeping your arms locked overhead. A good cue to think of is “show me your pits” or bending the bar, which automatically externally rotates the shoulders and locks them into a strong position. Once you have reached below parallel, drive your knees out, squeeze your glutes and stand the bar back up. MUSCLES USED: Glutes, quads, hamstrings, calves, core, shoulders and back.
^ Jump up to: a b Kyu, Hmwe H; Bachman, Victoria F; Alexander, Lily T; Mumford, John Everett; Afshin, Ashkan; Estep, Kara; Veerman, J Lennert; Delwiche, Kristen; Iannarone, Marissa L; Moyer, Madeline L; Cercy, Kelly; Vos, Theo; Murray, Christopher J L; Forouzanfar, Mohammad H (9 August 2016). "Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013". BMJ. 354: i3857. doi:10.1136/bmj.i3857. PMC 4979358. PMID 27510511.
I've been climbing for about a year. This book provides a lot of fundamental techniques for things such as warmup and antagonist training. It's easy to get overzealous when it comes to training but the book gives you keys to build a strong foundation and helps you identify what your already doing right. I will be applying the information to my training.
Selection bias may limit generalizability to other populations of older adults since the included participants in the Generation 100 study were healthier, more educated and more physically active than nonparticipants [19]. However, our study population was diverse and included both healthy as well as older adults with comorbidities, and both inactive and very active older adults were included. The findings in the present study are based on a very large data material, and represent the most comprehensive data material on exercise patterns among older adults to date.
In line with Martin and colleagues [29] we found that women more often engaged in walking, swimming and dancing compared to men, while men more often performed jogging, cycling and winter sports. Our data also showed that men performed a higher amount of sessions with domestic activities and combined endurance and resistance training compared to women. The sex differences were the same in both training groups, indicating that disparities in type of exercise between older women and men are independent of the exercise intensity they are instructed to perform.
One of the beautiful things about yoga is that you can do it anywhere, anytime. (Even in the middle of a desert, as this video proves.) But sometimes you need some instruction to get through an entire sequence. That’s where Tara Stiles comes in. The New York City-based yogi teaches a full flow class in this excellent 50-minute video (one of the best YouTube workouts, in our opinion). Her detailed, easy-to-follow instructions make it seem as though you’re working one-on-one with her, and by the end of it, you’ve had a super solid yoga experience.
This is what you should be doing before exercise to raise your heart rate and body temperature in preparation for the workout. During this type of warm-up, you moving through stretches and light exercises without stopping (as opposed to a passive stretches, which are held in place, like you do in a cool-down). This helps increase mobility and range of motion so you can get deeper into exercises. Here are five great dynamic warm-up stretches to try.
What type of exercise do you enjoy? – Do you love to dance? Do you like ballroom moves or hip hop? Do you enjoy martial arts inspired moves like kickboxing? Do you prefer walking? There are so many varieties of exercise videos available that you can find many that cater to the type of exercise you like to do. Don’t get locked into only one form though because learning something new can keep you from getting workout burnout. This is one of the reasons a popular exercise series called P90X3 is so popular. Every day you will have a new form of exercise to look forward to.
The goal in training competitive athletes is to provide training loads that are effective in improving performance. At some stages during the training process, athletes may experience an unexplainable decrease in performance. This might happen when prolonged excessive training takes place concurrent with other stressors and insufficient recovery. This unexplainable performance decrements can result in chronic maladaptations that can lead to the overtraining syndrome (OTS). A keyword in the recognition of OTS might be “prolonged maladaptation” not only of the athletic performance but also of several biological, neurochemical and hormonal regulation mechanisms. When athletes deliberately use a short-term period (eg, training camp) to increase training load, they can experience short-term performance decrement, without severe psychological or lasting other negative symptoms.1 2 This functional over reaching (FO) will eventually lead to an improvement in performance after recovery. However, when athletes do not sufficiently respect the balance between training and recovery, non-functional over-reaching (NFO) can occur.1 2 At this stage, the first signs and symptoms of prolonged maladaptation such as performance decrements, psychological disturbance (decreased vigour, increased fatigue) and hormonal disturbances are present, and the athlete will need weeks or months to recover. The distinction between NFO and OTS is very difficult and will depend on the clinical outcome and exclusion diagnosis.
We recently developed a high intensity one leg dynamic exercise (OLDE) protocol to measure muscle endurance and investigate the central and peripheral mechanisms of muscle fatigue. The aims of the present study were to establish the reliability of this novel protocol and describe the isokinetic muscle fatigue induced by high intensity OLDE and its recovery. Eight subjects performed the OLDE protocol (time to exhaustion test of the right leg at 85% of peak power output) three times over a week period. Isokinetic maximal voluntary contraction torque at 60 (MVC60), 100 (MVC100) and 140 (MVC140) deg/s was measured pre-exercise, shortly after exhaustion (13 ± 4 s), 20 s (P20) and 40 s (P40) post-exercise. Electromyographic (EMG) signal was analyzed via the root mean square (RMS) for all three superficial knee extensors. Mean time to exhaustion was 5.96 ± 1.40 min, coefficient of variation was 8.42 ± 6.24%, typical error of measurement was 0.30 min and intraclass correlation was 0.795. MVC torque decreased shortly after exhaustion for all angular velocities (all P < 0.001). MVC60 and MVC100 recovered between P20 (P < 0.05) and exhaustion and then plateaued. MVC140 recovered only at P40 (P < 0.05). High intensity OLDE did not alter maximal EMG RMS of the three superficial knee extensors during MVC. The results of this study demonstrate that this novel high intensity OLDE protocol could be reliably used to measure muscle endurance, and that muscle fatigue induced by high intensity OLDE should be examined within ~ 30 s following exhaustion.
Yoga, which when translated from Sanskrit means “to control” or “to unite,” is said to have originated in India thousands of years ago. While its origins are based upon religion, many yoga classes today focus more on the connection between mind, body and spirit and achieving a balance within the body. Yoga concentrates heavily on body awareness, breathing and stretching.
Our methodology, classes + 1:1 training incorporate what a lot of fitness methods are missing [regardless of pregnancy]. So while we provide you necessary tools and guide you to a strong + functional core and body, we won’t just teach you to “kegel”  or  “pull your belly button to your spine” because those techniques need to stay in the past. Instead, we create a balance in your pelvic floor and core that will continue to support you for life, preparing you for your birth marathon and motherhood with every pulse, hold, and full range move we guide you through. 
Use your toilet time wisely. Take advantage of that toilet time by doing some kegels. Kegels are the muscles used to stop the flow of urination, so practice clenching those muscles the next time you're doing your business. Both men and women can do kegels, which will not only help guard against incontinence, but may also improve bedroom endurance, if you catch my drift.
You'll need a box or sturdy bench to complete this move. If you've never attempted box jumps, start with a box that is mid-calf height and progress to higher heights from there. Stand in front of box with feet shoulder-width apart. Bend knees, send hips back, swing arms back, and, as you swing arms forward, explode up onto box. Land lightly on toes (no loud thuds!) then step down one foot at a time and repeat.
Element 5 Day Yoga offers five 15-minute sequences to pick and choose from based on your mood and motivation. "It's an easy way to get to the mat every day," one tester said, whether your body needs a Stretch & Restore session or more of an invigorating Energy & Flexibility set. Plus "the instructor provided just enough guidance, no unnecessary chatter." Namaste to that.

Workouts are an extremely efficient experience for our clients. You will be in and out in less than 30 minutes. You will come in no more than twice per week. Don't worry, that's all the time we need to target all major muscle groups and the cardiovascular system. Our instructors set up the equipment, keep detailed notes, and guide our clients through every step of the workout.
Checkley, Müller, Alexander, and Pilates initiated their interests from a self-requirement to improve health or overcome functional loss. They subsequently used their bodies as a model to demonstrate their method’s effectiveness and encourage others. Despite their turn of the 20th century separation from the gymnasium ‘Physical Culture’ and new independence, all six MMB pioneers advocated their exercises as an adjunct to other sports and regular daily activity; Müller recommended running on the balls of the feet as an aerobic activity, Pilates worked with dancers, while Morris, who besides her dedication to dance and dancers’ health also published ‘Tennis by Simple Exercises’ in 1937 together with French tennis mega-star Suzanne Lenglen.60 Lenglen S, Morris M. Tennis by simple exercises. London: Heinemann; 1937. [Google Scholar]
Trainer Sara Haley loves 30 seconds a day of a core building exercise called resistance fight, which is especially great for those who’ve had children. “Lie on your back and lift one leg up to tabletop so that your knee is in line with your hip. Take your opposite hand and push against your thigh,” she says. “As you try to push your leg away with your hand, resist by pushing your leg into your hand in opposition. While all this is happening, you should be focusing on pulling your navel towards your spine and closing your rib cage. You may feel your body start to shake.” Be sure to hold for 15 seconds on each side. If your ears perked up at the mention of this being a great move for moms, then make sure you also look out for your kiddos with our report on 13 Scary Ingredients in Your Kid’s Lunch Box, Exposed!.
A simple example of an eccentric contraction is to hold something in your hand with your elbow bent. Slowly allow your elbow to straighten out while holding the weight.  You can visualize your bicep muscle lengthening as you are holding the weight while you are slowly straightening your elbow.  This is an eccentric contraction or eccentric loading of your bicep muscle.
Pull-ups have become the quintessential move to any CrossFit workout. HOW TO DO IT: To complete a pull-up, start by hanging from a secured bar with your hands in an overhand grip (palm pointing outward, away from your body) and slightly wider than shoulder-width apart. While squeezing your traps together and engaging your abs, pull yourself up to the bar so that your chin passes over. MUSCLES USED: Back, core, shoulders and chest.
Limitation of the Study. One potential limit of the present study undoubtedly regards the limited number of subjects involved in the study and the operating loss of the control group. Unfortunately, too many participants of the latter did not satisfy the requirements during the study, thus impeding a comparative statistical approach. Further studies are therefore needed to confirm our conclusions, in particular with a larger sample and control group.
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