Gary A. Sforzo

Gary A. Sforzo
Ithaca College | IC · Department of Exercise and Sport Sciences

Doctor of Philosophy

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83
Publications
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Publications

Publications (83)
Article
Objective To collect health and wellness coaching (HWC) literature related to treatment of obesity and Type 2 Diabetes (T2D) for systematic assessment using a novel rubric. Data Source Pubmed, CINAHL, and PsychInfo Study Inclusion and Exclusion Given 282 articles retrieved, only randomized and controlled trials meeting a HWC criteria-based defini...
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Health and wellness coaching (HWC) is an effective intervention for lifestyle disease such as obesity and type 2 diabetes. The evolving HWC profession needs recommendations to guide clinical practice, particularly the appropriate dose of coaching. The purpose of this paper was to systematically review and synthesize HWC literature to derive HWC pro...
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Apply It! •Guiding young adult clients to adopt an active lifestyle has a positive effect on developing well-being. •Identifying a client's barriers to physical activity, and healthy living in general, is critical to long-term wellness. •Barriers can be discovered during initial intake/screening or subsequent conversations. •Personalizing habit-for...
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The 2019 Addendum, in conjunction with the original health and wellness coaching (HWC) Compendium, organizes HWC literature with the aim of assisting researchers while providing a resource for practitioners. The 2019 Addendum to the HWC Compendium extends the initial work by adding HWC-related literature published in the past 2 years. The 2019 Adde...
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Although current guidelines for obesity treatment endorse lifestyle modifications to achieve weight loss, energy-restricted diets are still the most commonly used method for the management of overweight. Diet restriction, however, not only is ineffective in promoting long-term weight loss but also may have more costs than benefits, predisposing the...
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Phillips, J, Diggin, D, King, DL, and Sforzo, GA. Effect of varying self-myofascial release duration on subsequent athletic performance. J Strength Cond Res XX(X): 000-000, 2018-Self-myofascial release (SMR) treatments can enhance joint range-of-motion and restore movement function. The effects of different SMR durations on athletic performance hav...
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Medical fitness and health/wellness coaching (HWC) are emerging health care trends but potential synergistic effects are yet to be studied. Purpose: To determine the impact of integrating HWC within a community-based medical fitness program for patients with chronic health conditions. Methods: A before and after clinical trial, examining 3 freq...
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Betaine (BT) supplementation improves selected markers of physical performance, however, the mechanism(s) by which this change occurs remains largely unknown. Some speculate that BT may increase circulating nitrate concentrations, improving physical performance by augmentation of endothelial nitric oxide production. The purpose of this study was to...
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Health and wellness coaching (HWC) for lifestyle behavior change is emerging as a practice, role, and profession, in diverse health care, employee wellness, and community settings. Health care professionals apply HWC as a behavior change methodology for the prevention and treatment of diabetes, hypertension, hyperlipidemia, heart disease, cancer, a...
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Background The purpose of this study was to test the hypothesis that a health and wellness coaching (HWC)-based intervention for fibromyalgia (FM) would result in sustained improvements in health and quality of life, and reductions in health care utilization. Methods Nine female subjects meeting American College of Rheumatology criteria for a diag...
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To test whether health coaching would enhance the effectiveness of lifestyle medical advice, the authors examined health impacts of adding coaching to an employee wellness program. Random assignment of 302 volunteers to three coaching treatments or a control preceded 3 to 6 months of weekly 30 to 40 minute telephonic coaching sessions. All particip...
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Background: This study investigated the duration and repeatability of post-activation potentiation (PAP) benefits within a single exercise session. Specifically examined were the recurring effects, over multiple sets, of heavy back squats on repeated sprint times. Methods: A partially randomized, counterbalanced, repeated measures design was imp...
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Thousands of dollars are spent today with policies encouraging physical activity and healthy eating, but nutritional consultation per se has continuously failed to yield consistent and lasting results. The aim of this case report is to detail and evaluate nutritional coaching (employing health coaching techniques) in promoting lifestyle changes, en...
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Beneficial relationships exist between food preparation skills and improved dietary quality, and between times spent preparing food and mortality. Food shopping, meal planning, preparation and cooking skills are valuable in supporting good health. Thus experts are proposing nutritional counseling be expanded to include these beneficial behavioral s...
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Exercise professionals will begin to understand health and wellness coaching concepts, including mindfulness, compassion, positive emotions, autonomous motivation, appreciative inquiry, motivational interviewing, reflections, self-efficacy, visioning, and goal setting. Exercise professionals will consider if, how, and when to apply these coaching c...
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Binaural beats are an auditory illusion perceived when two or more pure tones of similar frequencies are presented dichotically through stereo headphones. Although this phenomenon is thought to facilitate state changes (e.g., relaxation), few empirical studies have reported on whether binaural beats produce changes in autonomic arousal. Therefore,...
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Tobacco abuse is a well-recognized scourge on health and healthcare costs. Attempts to facilitate tobacco cessation are rarely better than marginally effective. To describe an observational trial of an existing and highly successful tobacco cessation program featuring health coaching as the primary intervention. Core components of program design an...
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LEARNING OBJECTIVE To give exercise professionals and other clinicians an understanding of the issues complicating waist circumference as a clinical measure while providing information on how to use this simple tool to determine cardiometabolic risk and intervention (e.g., exercise or weight loss program) effectiveness.
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Review the operational definitions of health and wellness coaching as published in the peer-reviewed medical literature. As global rates of preventable chronic diseases have reached epidemic proportions, there has been an increased focus on strategies to improve health behaviors and associated outcomes. One such strategy, health and wellness coachi...
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Health coaching (HC) is a process holding tremendous potential as a complementary medical intervention to shape healthy behavior change and affect rates of chronic lifestyle diseases. Empirical knowledge of effectiveness for the HC process, however, is lacking. The purposes of this paper are to present the study protocol for the Ithaca Coaching Pro...
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Examine effects of voluntary participation in employer-sponsored, multipoint wellness education programming on employee wellness. A randomized and controlled design was used to organize 96 participants into an education + access group; an access-only group, and control group. Outcome measures were made at start and end of a 12-week intervention per...
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The effects of varying interrepetition rest and eccentric velocity on power output (PO) and the number of repetitions performed during a bench press set were examined in 24 college-aged resistance trained men. On 6 separate occasions, subjects performed a set of bench press at 80% 1 repetition maximum until volitional fatigue. For each of the 6 rep...
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This study was undertaken to determine whether combined elastic and free weight resistance (CR) provides different strength and power adaptations than free weight resistance (FWR) training alone. Forty-four young (age 20 +/- 1 years), resistance-trained (4 +/- 2 years' experience) subjects were recruited from men's basketball and wrestling teams an...
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LEARNING OBJECTIVE: • To understand the shortcomings of using postexercise heart rate palpation to monitor exercise intensity.
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The use of the stability ball as a platform for upper-body resistance training has gained much attention in recent years. However, the efficacy of such training regimens remains largely unstudied. The purpose of this study was to evaluate the influence of platform (unstable vs. stable, stability ball vs. flat bench) on strength and work capacity du...
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Improving performance in strength tasks requires modifications charateristic of motor skill learning, such as more efficacious motor-unit firing behavior. Because domain-specific knowledge is integral to learning and performing motor kills, the present purpose was to examine selected factors of strength-specific knowledge and effects they might hav...
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The purpose of this study was to investigate the physiological and psychological effects of massage on delayed onset muscle soreness (DOMS). Eighteen volunteers were randomly assigned to either a massage or control group. DOMS was induced with six sets of eight maximal eccentric contractions of the right hamstring, which were followed 2 h later by...
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The purpose of this study was to examine the effects of postexercise feeding on plasma levels of insulin, testosterone, cortisol, and testosterone:cortisol (T:C). Ten experienced, resistance trained males (20.7 +/- 0.95 years) were given whole food (WF: protein 38 g; carbohydrate 70 g; fat 7 g), a supplemental drink (SD; isocaloric and isonitrogeno...
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The purpose of this study was to examine the effects of rapid weight loss (RWL) on cognitive function in collegiate wrestlers. Wrestlers (N = 14) and controls (N = 15) were college-aged males who were tested at three different times: baseline, RWL, and rehydration. Wrestlers practiced RWL in preparation for competition while controls maintained nor...
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Females engaged in athletic activities frequently select to follow severe dietary restrictions, depriving their bodies of essential nutrients such as calcium in an effort to achieve some idealized body shape. Calcium poor diets are associated with stress fractures in the athlete and a rising prevalence in osteoporosis. The purpose of this study was...
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Bone mineral density (BMD) development and maintenance is enhanced with weight-bearing exercise, while bed rest and zero gravity results in BMD loss. The purpose of this study is to determine if BMD is significantly different in female athletes engaged in weight-bearing versus nonweight-bearing sports. Six BMD sites and anthropometric measurements...
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This study examined the effect of resistance training on blood lactate (BL), heart rate (HR), and rating of perceived exertion (RPE) responses to an exhaustive set of squats in 7 college-age women, Baseline testing consisted of a dual set of squats at 70 and 50% of 1-RM performed to exhaustion. Immediate postexercise BL response was elevated 6.5-fo...
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This investigation looked at the effects of exercise order on performance of isotonic muscle contractions. Subjects, 17 trained men between the ages of 18 and 29, were strength tested using 6 standard lifts. Each then completed 2 sessions consisting of 4 sets of 8 contractions (or until muscle failure), for each exercise with 2 min rest between set...
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The effects of cognitive strategies on pain tolerance and performance in subjects with muscle soreness were investigated. Female (n = 18) and male (n = 12) subjects were matched for strength and then randomly assigned to dissociation, association, or control groups. Muscle soreness was induced in the quadriceps and hamstrings muscle groups by repea...
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To determine the effects of stopping and restarting two types of exercise programs in older adults. A controlled, longitudinal study that utilized random assignment of volunteers. Treatments were exercise programs designed to improve cardiovascular or neuromuscular fitness. Dependent variables measured before and after implementation of treatments...
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This study investigated the effect of varying exercise intensity on the thermic effect of food (TEF). Sixteen lean male subjects were matched for VO2 max and randomly assigned to either a high or low intensity group for 30 min of treadmill exercise. Caloric expenditure was measured using indirect calorimetry at rest and at 30-min intervals over 3 h...
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This study investigated the effect of varying exercise intensity on the thermic effect of food (TEF). Sixteen lean male subjects were matched for and randomly assigned to either a high or low intensity group for 30 min of treadmill exercise. Caloric expenditure was measured using indirect calorimetry at rest and at 30-min intervals OYer 3 hrs follo...
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Twenty-seven normotensive, college-aged, female subjects were studied to assess the effects of training in breathing techniques on blood pressure during isometric contractions. Subjects were randomly and equally assigned to one of three training groups: 1) a group that was taught to perform a Valsalva maneuver during isometric efforts (VAL Group),...
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This study examined the effect of prophylactic knee bracing upon performance in 35 college-aged athletes. Twenty-five male and ten female subjects completed two sets of tests to determine quadriceps peak torque, rise time, time to fatigue, anaerobic power, and blood lactate accumulation. On one trial the subjects wore a Stromgren dual-hinged prophy...
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Nine young (26.1 +/- 2.52 years) (M +/- SD) and seven elderly (66.0 +/- 5.85 years) untrained men performed a graded exercise to peak VO2 to compare whether serum beta-endorphin (B-EP) would respond similarly with age. B-EP levels were not different at rest (31.8 +/- 3.3 and 25.3 +/- 4.1 pg/ml in the old and young groups, respectively), and both gr...
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Serum beta-endorphin levels during a graded exercise test to exhaustion. Med. Sci. Sports Exerc., Vol. 19, No. 2, pp. 78-82, 1987. Nine untrained college age males completed a graded exercise protocol to maximal capacity on a bicycle ergometer to determine if there was a relationship between intensity of exercise and serum beta-endorphin (beta-EP)...
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The effects of prolonged swim-stress (2 h and 1 h) upon brain opioid receptor binding of tritiated [3H]diprenorphine were investigated in male Sprague-Dawley rats. This was accomplished by injecting the label intravenously immediately following the swim, then allowing 20 min for tracer washout from non-specific binding sites, sacrificing the animal...
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A method of in vivo autoradiography was utilized which allows the visualization of local changes in opiate receptor occupation in the intact rat brain. The method is based on the exclusion of [3H]diprenorphine binding in areas in which the release of endogenous opiate peptides is increased by behavioral manipulation. The technique lends itself to t...
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Thesis (Ph. D.)--University of Maryland, 1984. Vita. Includes bibliographical references (leaves 82-94).

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