Effects of Small-Sided Soccer Games on Physical Fitness, Physiological Responses, and Health Indices in Untrained Individuals and Clinical Populations: A Systematic Review.


Journal

Sports medicine (Auckland, N.Z.)
ISSN: 1179-2035
Titre abrégé: Sports Med
Pays: New Zealand
ID NLM: 8412297

Informations de publication

Date de publication:
May 2020
Historique:
pubmed: 29 1 2020
medline: 7 4 2021
entrez: 29 1 2020
Statut: ppublish

Résumé

Small-sided soccer games (SSSG) are a specific exercise regime with two small teams playing against each other on a relatively small pitch. There is evidence from original research that SSSG exposure provides performance and health benefits for untrained adults. The aim of this systematic review was to summarize recent evidence on the acute and long-term effects of SSSG on physical fitness, physiological responses, and health indices in healthy untrained individuals and clinical populations. This systematic literature search was conducted in four electronic databases (PubMed, Web of Science, SPORTDiscus) from inception until June 2019. The following key terms (and synonyms searched for by the MeSH database) were included and combined using the operators "AND", "OR", "NOT": ((soccer OR football) AND ("soccer training" OR "football training" OR "soccer game*" OR "small-sided soccer game*") AND ("physical fitness" OR "physiological adaptation*" OR "physiological response*" OR health OR "body weight" OR "body mass" OR "body fat" OR "bone composition" OR "blood pressure")). The search syntax initially identified 1145 records. After screening for titles, abstracts, and full texts, 41 studies remained that examined the acute (7 studies) and long-term effects (34 studies) of SSSG-based training on physical fitness, physiological responses, and selected alth indices in healthy untrained individuals and clinical populations. No training-related injuries were reported in the 41 acute and long-term SSSG studies. Typically, a single session of SSSG lasted 12-20 min (e.g., 3 × 4 min with 3 min rest or 5 × 4 min with 4 min rest) involving 4-12 players (2 vs. 2 to 6 vs. 6) at an intensity ≥ 80% of HR In conclusion, findings from this systematic review suggest that acute SSSG may elicit high cardiovascular and metabolic demands in untrained healthy adults and clinical populations. Moreover, this type of exercise is safe with positive long-term effects on physical fitness and health indices. Future studies are needed examining the long-term effects on physical fitness and physiological adaptations of different types of SSSG training (e.g., 3 vs. 3; 6 vs. 6) in comparison to continuous or interval training in different cohorts.

Sections du résumé

BACKGROUND BACKGROUND
Small-sided soccer games (SSSG) are a specific exercise regime with two small teams playing against each other on a relatively small pitch. There is evidence from original research that SSSG exposure provides performance and health benefits for untrained adults.
OBJECTIVES OBJECTIVE
The aim of this systematic review was to summarize recent evidence on the acute and long-term effects of SSSG on physical fitness, physiological responses, and health indices in healthy untrained individuals and clinical populations.
METHODS METHODS
This systematic literature search was conducted in four electronic databases (PubMed, Web of Science, SPORTDiscus) from inception until June 2019. The following key terms (and synonyms searched for by the MeSH database) were included and combined using the operators "AND", "OR", "NOT": ((soccer OR football) AND ("soccer training" OR "football training" OR "soccer game*" OR "small-sided soccer game*") AND ("physical fitness" OR "physiological adaptation*" OR "physiological response*" OR health OR "body weight" OR "body mass" OR "body fat" OR "bone composition" OR "blood pressure")). The search syntax initially identified 1145 records. After screening for titles, abstracts, and full texts, 41 studies remained that examined the acute (7 studies) and long-term effects (34 studies) of SSSG-based training on physical fitness, physiological responses, and selected alth indices in healthy untrained individuals and clinical populations.
RESULTS RESULTS
No training-related injuries were reported in the 41 acute and long-term SSSG studies. Typically, a single session of SSSG lasted 12-20 min (e.g., 3 × 4 min with 3 min rest or 5 × 4 min with 4 min rest) involving 4-12 players (2 vs. 2 to 6 vs. 6) at an intensity ≥ 80% of HR
CONCLUSIONS CONCLUSIONS
In conclusion, findings from this systematic review suggest that acute SSSG may elicit high cardiovascular and metabolic demands in untrained healthy adults and clinical populations. Moreover, this type of exercise is safe with positive long-term effects on physical fitness and health indices. Future studies are needed examining the long-term effects on physical fitness and physiological adaptations of different types of SSSG training (e.g., 3 vs. 3; 6 vs. 6) in comparison to continuous or interval training in different cohorts.

Identifiants

pubmed: 31989457
doi: 10.1007/s40279-019-01256-w
pii: 10.1007/s40279-019-01256-w
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

987-1007

Références

Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP. The continuing epidemics of obesity and diabetes in the United States. JAMA. 2001;286(10):1195–200.
pubmed: 11559264
Faigenbaum AD, Myer GD. Exercise deficit disorder in youth: play now or pay later. Curr Sports Med Rep. 2012;11(4):196–200.
pubmed: 22777330
Pedersen BK, Saltin B. Exercise as medicine—evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25((Suppl. 3)):1–72.
pubmed: 26606383
Leslie E, Owen N, Salmon J, Bauman A, Sallis JF, Lo SK. Insufficiently active Australian college students: perceived personal, social, and environmental influences. Prev Med. 1999;28(1):20–7.
pubmed: 9973584
Hammami A, Chamari K, Slimani M, Shephard RJ, Yousfi N, Tabka Z, et al. Effects of recreational soccer on physical fitness and health indices in sedentary healthy and unhealthy subjects. Biol Sports. 2016;33(2):127–37.
Krustrup P, Aagaard P, Nybo L, Petersen J, Mohr M, Bangsbo J. Recreational football as a health promoting activity: a topical review. Scand J Med Sci Sports. 2010;20(Suppl 1):1–13.
pubmed: 20210908
Bangsbo J, Hansen PR, Dvorak J, Krustrup P. Recreational football for disease prevention and treatment in untrained men: a narrative review examining cardiovascular health, lipid profile, body composition, muscle strength and functional capacity. Br J Sports Med. 2015;49(9):568–76.
pubmed: 25878072 pmcid: 4413738
Castagna C, Belardinelli R, Impellizzeri FM, Abt GA, Coutts AJ, D’Ottavio S. Cardiovascular responses during recreational 5-a-side indoor-soccer. J Sci Med Sport. 2007;10(2):89–95.
pubmed: 16797233
Krustrup P, Christensen JF, Randers MB, Pedersen H, Sundstrup E, Jakobsen MD, et al. Muscle adaptations and performance enhancements of soccer training for untrained men. Eur J Appl Physiol. 2010;108(6):1247–58.
pubmed: 20039057
Beato M, Impellizzeri FM, Coratella G, Schena F. Quantification of energy expenditure of recreational football. J Sports Sci. 2016;34(24):2185–8.
pubmed: 27018845
Hill-Haas SV, Dawson B, Impellizzeri FM, Coutts AJ. Physiology of small-sided games training in football a systematic review. Sports Med. 2011;41(3):199–220.
pubmed: 21395363
Hammami A, Kasmi S, Farinatti P, Fgiri T, Chamari K, Bouhlel E. Blood pressure, heart rate and perceived enjoyment after small-sided soccer games and repeated sprint in untrained healthy adolescents. Biol Sports. 2017;34(3):219–25.
Aguiar M, Botelho G, Lago C, Macas V, Sampaio J. A review on the effects of soccer small-sided games. J Hum Kinet. 2012;33:103–13.
pubmed: 23486554 pmcid: 3588672
Bujalance-Moreno P, Latorre-Roman PA, Garcia-Pinillos F. A systematic review on small-sided games in football players: Acute and chronic adaptations. J Sports Sci. 2019;37(8):921–49.
pubmed: 30373471
Clemente F, Couceiro MS, Martins FML, Mendes R. The usefulness of small-sided games on soccer training. J Phys Educ Sport. 2012;12(1):93–102.
Clemente FM, Martins F, Mendes R. Developing aerobic and anaerobic fitness using small-sided soccer games: methodological proposals. Strength Cond J. 2014;36(3):76–87.
Clemente FM, Wong DP, Martins FML, Mendes RS. Acute effects of the number of players and scoring method on physiological, physical, and technical performance in small-sided soccer games. Res Sports Med. 2014;22(4):380–97.
pubmed: 25295476
Halouani J, Chtourou H, Gabbett T, Chaouachi A, Chamari K. Small-sided games in team sports training: a brief review. J Strength Cond Res. 2014;28:3594–618.
pubmed: 24918302
Little T. Optimizing the use of soccer drills for physiological development. Strength Cond J. 2009;31(3):67–74.
Michailidis Y. Small sided games in soccer training. J Phys Educ Sport. 2013;13(3):392–9.
Morgans R, Orme P, Anderson L, Drust B. Principles and practices of training for soccer. J Sport Health Sci. 2014;3(4):251–7.
Sarmento H, Clemente FM, Harper LD, Costa IT, Owen A, Figueiredo AJ. Small sided games in soccer—a systematic review. Int J Perf Anal Sport. 2018;15:693–749. https://doi.org/10.1080/24748668.2018.1517288 .
doi: 10.1080/24748668.2018.1517288
Krustrup P, Nielsen JJ, Krustrup BR, Christensen JF, Pedersen H, Randers MB, et al. Recreational soccer is an effective health-promoting activity for untrained men. Br J Sports Med. 2009;43(11):825–31.
pubmed: 19098116
Krustrup P, Hansen PR, Andersen LJ, Jakobsen MD, Sundstrup E, Randers MB, et al. Long-term musculoskeletal and cardiac health effects of recreational football and running for premenopausal women. Scand J Med Sci Sports. 2010;20(Suppl 1):58–71.
pubmed: 20546545
Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
pubmed: 2707599 pmcid: 2707599
Maher CG, Sherrington C, Herbert RD, et al. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713–21.
pubmed: 12882612
Faude O, Kerper O, Multhaupt M, Winter C, Beziel K, Junge A, et al. Football to tackle overweight in children. Scand J Med Sci Sports. 2010;20(s1):103–10.
pubmed: 20136766
Helge EW, Aagaard P, Jakobsen MD, Sundstrup E, Randers MB, Karlsson MK, et al. Recreational football training decreases risk factors for bone fractures in untrained premenopausal women. Scand J Med Sci Sports. 2010;20(Suppl 1):31–9.
pubmed: 20210909
Toh SH, Guelfi KJ, Wong P, Fournier PA. Energy expenditure and enjoyment of small-sided soccer games in overweight boys. Hum Mov Sci. 2011;30(3):636–47.
pubmed: 21255856
Zouch M, Zribi A, Alexandre C, Chaari H, Frere D, Tabka Z, et al. Soccer increases bone mass in prepubescent boys during growth: a 3-yr longitudinal study. J Clin Densitom. 2015;18(2):179–86.
pubmed: 25592396
Bendiksen M, Williams CA, Hornstrup T, Clausen H, Kloppenborg J, Shumikhin D, et al. Heart rate response and fitness effects of various types of physical education for 8- to 9-year-old schoolchildren. Eur J Sport Sci. 2014;14(8):861–9.
pubmed: 24533471
Aslan A. Cardiovascular responses, perceived exertion and technical actions during small-sided recreational soccer: effects of pitch size and number of players. J Hum Kinet. 2013;38:95–105.
pubmed: 24233236 pmcid: 3827765
Randers MB, Nielsen JJ, Bangsbo J, Krustrup P. Physiological response and activity profile in recreational small-sided football: no effect of the number of players. Scand J Med Sci Sports. 2014;24(Suppl 1):130–7.
pubmed: 24944137
Randers MB, Andersen TB, Rasmussen LS, Larsen MN, Krustrup P. Effect of game format on heart rate, activity profile, and player involvement in elite and recreational youth players. Scand J Med Sci Sports. 2014;24(Suppl 1):17–26.
pubmed: 24944130
Brito J, Krustrup P, Rebelo A. The influence of the playing surface on the exercise intensity of small-sided recreational soccer games. Hum Mov Sci. 2012;31(4):946–56.
pubmed: 22534211
Vasconcellos F, Seabra A, Cunha F, Montenegro R, Penha J, Bouskela E, et al. Health markers in obese adolescents improved by a 12-week recreational soccer program: a randomised controlled trial. J Sports Sci. 2016;34(6):564–75.
pubmed: 26208409
Connolly LJ, Scott S, Mohr M, Ermidis G, Julian R, Bangsbo J, et al. Effects of small-volume soccer and vibration training on body composition, aerobic fitness, and muscular PCr kinetics for inactive women aged 20–45. J Sport Health Sci. 2014;3(4):284–92.
Barene S, Krustrup P, Brekke OL, Holtermann A. Soccer and Zumba as health-promoting activities among female hospital employees: a 40-weeks cluster randomised intervention study. J Sports Sci. 2014;32(16):1539–49.
pubmed: 24720526
Andersen LJ, Hansen PR, Søgaard P, Madsen JK, Bech J, Krustrup P. Improvement of systolic and diastolic heart function after physical training in sedentary women. Scand J Med Sci Sports. 2010;20(Suppl 1):50–7.
pubmed: 20136765
Randers MB, Nielsen JJ, Krustrup BR, Sundstrup E, Jakobsen MD, Nybo L, et al. Positive performance and health effects of a football training program over 12 weeks can be maintained over a 1-year period with reduced training frequency. Scand J Med Sci Sports. 2010;20(Suppl 1):80–9.
pubmed: 20210904
Helge EW, Andersen TR, Schmidt JF, Jørgensen NR, Hornstrup T, Krustrup P, et al. Recreational football improves bone mineral density and bone turnover marker profile in elderly men. Scand J Med Sci Sports. 2014;24(Suppl 1):98–104.
pubmed: 24903207
Bangsbo J, Nielsen JJ, Mohr M, Randers MB, Krustrup BR, Brito J, et al. Performance enhancements and muscular adaptations of a 16-week recreational football intervention for untrained women. Scand J Med Sci Sports. 2010;20(Suppl 1):24–30.
pubmed: 19954496
Andersen LJ, Randers MB, Westh K, Martone D, Hansen PR, Junge A, et al. Football as a treatment for hypertension in untrained 30-55-year-old men: a prospective randomized study. Scand J Med Sci Sports. 2010;20(Suppl 1):98–102.
pubmed: 20210907
Knoepfli-Lenzin C, Sennhauser C, Toigo M, Boutellier U, Bangsbo J, Krustrup P, et al. Effects of a 12-week intervention period with football and running for habitually active men with mild hypertension. Scand J Med Sci Sports. 2010;20(Suppl 1):72–9.
pubmed: 20136764
Mohr M, Lindenskov A, Holm PM, Nielsen HP, Mortensen J, Weihe P, et al. Football training improves cardiovascular health profile in sedentary, premenopausal hypertensive women. Scand J Med Sci Sports. 2014;24(Suppl 1):36–42.
pubmed: 24944131
Krustrup P, Randers MB, Andersen LJ, Jackman SR, Bangsbo J, Hansen PR. Soccer improves fitness and attenuates cardiovascular risk factors in hypertensive men. Med Sci Sports Exerc. 2013;45(3):553–60.
pubmed: 23059865
Mohr M, Helge EW, Petersen LF, Lindenskov A, Weihe P, Mortensen J, et al. Effects of soccer vs swim training on bone formation in sedentary middle-aged women. Eur J Appl Physiol. 2015;115(12):2671–9.
pubmed: 26255288
Uth J, Hornstrup T, Schmidt JF, Christensen JF, Frandsen C, Christensen KB, et al. Football training improves lean body mass in men with prostate cancer undergoing androgen deprivation therapy. Scand J Med Sci Sports. 2014;24(Suppl 1):105–12.
pubmed: 24944134
Uth J, Hornstrup T, Christensen JF, Christensen KB, Jørgensen NR, Schmidt JF, et al. Efficacy of recreational football on bone health, body composition, and physical functioning in men with prostate cancer undergoing androgen deprivation therapy: 32-week follow-up of the FC prostate randomised controlled trial. Osteoporos Int. 2016;27(4):1507–18.
Uth J, Hornstrup T, Christensen JF, Christensen KB, Jørgensen NR, Helge EW, et al. Football training in men with prostate cancer undergoing androgen deprivation therapy: activity profile and short-term skeletal and postural balance adaptations. Eur J Appl Physiol. 2016;116(3):471–80.
pubmed: 26620651
de Sousa MV, Fukui R, Krustrup P, Pereira RMR, Silva PRS, Rodrigues AC, et al. Positive effects of football on fitness, lipid profile, and insulin resistance in Brazilian patients with type 2 diabetes. Scand J Med Sci Sports. 2014;24(Suppl 1):57–65.
pubmed: 24944132
Bangsbo J. The physiology of soccer–with special reference to intense intermittent exercise. Acta Physiol Scand Suppl. 1994;619:1–155.
pubmed: 8059610
Balsom P. Precision Football. Kempele: Polar Electro Oy; 2000.
Beato M, Coratella G, Stiff A, Iacono AD. The validity and between-unit variability of GNSS units (STATSports Apex 10 and 18 Hz) for measuring distance and peak speed in team sports. Front Physiol [Internet]. 2018;9:1288.
pubmed: 30298015 pmcid: 6161633
Andersen TR, Schmidt JF, Nielsen JJ, Randers MB, Sundstrup E, Jakobsen MD, et al. Effect of football or strength training on functional ability and physical performance in untrained old men. Scand J Med Sci Sports. 2014;24(Suppl 1):76–85.
pubmed: 24903323
Hammami A, Kasmi S, Yousfi N, Bouamra M, Tabka Z, Bouhlel E. Cardiac parasympathetic reactivation after small-sided soccer games and repeated sprints in untrained healthy adolescents. J Sports Med Phys Fit. 2018;58(3):341–7.
Hammami A, Kasmi S, Razgallah M, Tabka Z, Shephard R, Bouhlel E. Recreational soccer training improves heart-rate variability indices and physical performance in untrained healthy adolescent. Sport Sci Health. 2016;13(3):507–14.
Sundstrup E, Jakobsen MD, Andersen LL, Andersen TR, Randers MB, Helge JW, et al. Positive effects of 1-year football and strength training on mechanical muscle function and functional capacity in elderly men. Eur J Appl Physiol. 2016;116(6):1127–38.
pubmed: 27068158
Milanović Z, Pantelić S, Sporiš G, Mohr M, Krustrup P. Health-related physical fitness in healthy untrained men: effects on VO2max, jump performance and flexibility of soccer and moderate-intensity continuous running. PLoS One. 2015;10(8):e0135319.
pubmed: 26305880 pmcid: 4549149
Jakobsen MD, Sundstrup E, Krustrup P, Aagaard P. The effect of recreational soccer training and running on postural balance in untrained men. Eur J Appl Physiol. 2011;111(3):521–30.
pubmed: 20924596
Karlsson M. Has exercise an antifracture efficacy in women? Scand J Med Sci Sports. 2004;14(1):2–15.
pubmed: 14723782
Jackman SR, Scott S, Randers MB, Orntoft C, Blackwell J, Zar A, et al. Musculoskeletal health profile for elite female footballers versus untrained young women before and after 16 weeks of football training. J Sports Sci. 2013;31(13):1468–74.
pubmed: 23829604
Nebigh A, Rebai H, Elloumi M, Bahlous A, Zouch M, Zaouali M, et al. Bone mineral density of young boy soccer players at different pubertal stages: relationships with hormonal concentration. Jt Bone Spine. 2009;76(1):63–9.
Seabra A, Serra H, Seabra A, Brito J, Krustrup P, Mota J, et al. Effects of a 6-month football intervention program on bone mass and physical fitness in overweight children. Spine Res [Internet]. 2016;2(1):9.
Schmidt JF, Hansen PR, Andersen TR, Andersen LJ, Hornstrup T, Krustrup P, et al. Cardiovascular adaptations to 4 and 12 months of football or strength training in 65- to 75-year-old untrained men. Scand J Med Sci Sports. 2014;24(Suppl 1):86–97.
pubmed: 24902992
Krustrup P, Hansen PR, Nielsen CM, Larsen MN, Randers MB, Manniche V, et al. Structural and functional cardiac adaptations to a 10-week school-based football intervention for 9-10-year-old children. Scand J Med Sci Sports. 2014;24(Suppl 1):4–9.
pubmed: 24944128
Krustrup P, Skoradal M-B, Randers MB, Weihe P, Uth J, Mortensen J, et al. Broad-spectrum health improvements with one year of soccer training in inactive mildly hypertensive middle-aged women. Scand J Med Sci Sports. 2017;27(12):1893–901.
pubmed: 28124381
De Sousa MV, Fukui R, Dagogo-Jack S, Krustrup P, Zouhal H, da Silva MER. Biomarkers of insulin action during single soccer sessions before and after a 12-week training period in type 2 diabetes patients on a caloric-restricted diet. Physiol Behav. 2019;209:112618. https://doi.org/10.1016/j.physbeh.2019.112618 (Epub 2019 Jul 16).
doi: 10.1016/j.physbeh.2019.112618 pubmed: 31323295
Bjerre ED, Brasso K, Jørgensen AB, Petersen TH, Eriksen AR, Tolver A, et al. Football compared with usual care in men with prostate cancer (FC prostate community trial): a pragmatic multicentre randomized controlled trial. Sports Med. 2019;49(1):145–58.
pubmed: 30506427
Seabra AC, Seabra AF, Brito J, Krustrup P, Hansen PR, Mota J, et al. Effects of a 5-month football program on perceived psychological status and body composition of overweight boys. Scand J Med Sci Sports. 2014;24(Suppl 1):10–6.
pubmed: 24944129
Cvetković N, Stojanović E, Stojiljković N, Nikolić D, Scanlan AT, Milanović Z. Exercise training in overweight and obese children: recreational football and high-intensity interval training provide similar benefits to physical fitness. Scand J Med Sci Sports. 2018;28(Suppl 1):18–32.
pubmed: 29979479
Nam GB. Exercise, heart and health. Korean Circ J. 2011;41:113–21.
pubmed: 21519508 pmcid: 3079129
Dönmez G, Korkusuz F, Özçakar L, Karanfil Y, Dursun E, Kudas S, Doral MN. Injuries among recreational football players: results of a prospective cohort study. Clin J Sport Med. 2018;28(3):249–54.
pubmed: 28727642
Bjerre ED, Petersen TH, Jørgensen AB, Johansen C, Krustrup P, Langdahl B, et al. Community-based football in men with prostate cancer: 1-year follow-up on a pragmatic, multicentre randomised controlled trial. PLoS Med. 2019;16(10):e1002936.
pubmed: 31574097 pmcid: 6771996

Auteurs

Hassane Zouhal (H)

Univ Rennes, M2S (Laboratoire Mouvement, Sport, Santé), EA 1274, 35000, Rennes, France. hassane.zouhal@univ-rennes2.fr.

Amri Hammami (A)

Higher Institute of Sport and Physical Education of Ksar-Said, Ksar Said, Tunisia.

Jed M Tijani (JM)

Higher Institute of Sport and Physical Education of Ksar-Said, Ksar Said, Tunisia.

Ayyappan Jayavel (A)

SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur Kancheepuram (DT), Tamilnadu, India.

Maysa de Sousa (M)

University of São Paulo, São Paulo, Brazil.

Peter Krustrup (P)

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Shanghai University of Sport, Shanghai, China.

Zouita Sghaeir (Z)

Higher Institute of Sport and Physical Education of Ksar-Said, Ksar Said, Tunisia.

Urs Granacher (U)

Division of Training and Movement Sciences, University of Potsdam, Potsdam, Germany. urs.granacher@uni-potsdam.de.

Abderraouf Ben Abderrahman (A)

Higher Institute of Sport and Physical Education of Ksar-Said, Ksar Said, Tunisia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH