Combined Exercise Modulates Cortisol, Testosterone, and Immunoglobulin A Levels in Individuals Living With HIV/AIDS.

BACKGROUND: Combined exercise (CE) has been recommended for individuals living with HIV/AIDS (ILWHA) under antiretroviral therapy. However, depending on the intensity and duration, physical exercise may occasionally increase inflammatory parameters and reduce immunological responses that if not reversed, cause health injury specifically in this population. Information about immunological and hormonal responses after CE in ILWHA has not been completely elucidated. Therefore, the aim is to verify the acute effects of CE on cortisol, testosterone, immunoglobulin A, and pro-inflammatory and anti-inflammatory cytokines over 24 hours in ILWHA. METHODS: Noninfected individuals and ILWHA undergone 5 sessions of CE prior to the acute assessment session. Seventy-two hours after the last session, the subjects were submitted to one session of CE (aerobic exercise: 25 min at 60-70% reserve heart rate and resistance exercise: 3 sets of 15 maximum repetitions of 6 exercises). Saliva samples were collected before, immediately, 6 and 24 hours after CE. RESULTS: CE reduced cortisol (6 h: 2.54 [0.58] vs 0.65 [0.22] pg·mL-1; P = .02), increased testosterone (all moments) and immunoglobulin A levels (24 h: 255.3 [44.7] vs 349.2 [41.9] µm·mL-1; P = .01) without significant difference in cytokines levels in ILWHA. CONCLUSION: CE modulates cortisol, testosterone, and immunoglobulin A levels without the change in immunological parameters in ILWHA.

Effects of physical training for people with HIV-associated lipodystrophy syndrome: a systematic review.

INTRODUCTION: Human immunodeficiency virus-associated lipodystrophy syndrome (HALS) is a major problem among people living with HIV/aids. The exercise training has been used for its treatment; however, the knowledge about benefits and safety still is emerging. The aim was systematically review the literature for physiological, metabolic, immunologic, and morphologic adaptations to aerobic, resistance, and concurrent training in people living with HALS. EVIDENCE ACQUISITION: A search of the Medline, Embase, Cinahl, Lilacs, Scielo, Web of Science, the Cochrane Controlled Trials Register Library and PEDro was performed. The study selection was performed by two blinded researchers follow screening of titles, abstracts, and full-text articles. Therefore, only randomised clinical trials, which investigated the effects of physical training in people with HALS, were included in the present review. The risk of bias was assessed using a Jadad's scale. EVIDENCE SYNTHESIS: From the electronic and manual searches, 332 studies were selected by title, 139 abstracts were read and 95 were excluded, leaving 44 studies, which were read in full. After full text examination only five studies were included in the qualitative analyses. The limitations were: heterogeneity in training prescription, nutritional recommendations, and diagnosis of lipodystrophy, small sample size, utilization of methods with questionable validity for assessments. CONCLUSIONS: There is no effect of physical training on CD4 cell count. In addition, aerobic and concurrent training improve VO2max, likewise resistance and concurrent training improve muscular strength.

Effects of 16 Weeks of Concurrent Training on Resting Heart Rate Variability and Cardiorespiratory Fitness in People Living With HIV/AIDS Using Antiretroviral Therapy: A Randomized Clinical Trial.

Pedro, RE, Guariglia, DA, Okuno, NM, Deminice, R, Peres, SB, and Moraes, SMF. Effects of 16 weeks of concurrent training on resting heart rate variability and cardiorespiratory fitness in people living with HIV/AIDS using antiretroviral therapy: a randomized clinical trial. J Strength Cond Res 30(12): 3494-3502, 2016-The study evaluated the effects of concurrent training on resting heart rate variability (HRVrest) and cardiorespiratory fitness in people living with HIV/AIDS undergoing antiretroviral therapy (ART). Fifty-eight participants were randomized into 2 groups (control and training group); however, only 33 were analyzed. The variables studied were HRVrest indices, submaximal values of oxygen uptake (V[Combining Dot Above]O2sub) and heart rate (HR5min), peak speed (Vpeak), and peak oxygen uptake (V[Combining Dot Above]O2peak). The training group performed concurrent training (15-20 minutes of aerobic exercise plus 40 minutes of resistance exercise), 3 times per week, for 16 weeks. Posttraining V[Combining Dot Above]O2peak and Vpeak increased, and HR5min decreased. Resting heart rate variability indices did not present statistical differences posttraining; however, the magnitude-based inferences demonstrated a "possibly positive effect" for high frequency (HF) and low frequency (LF) plus high frequency (LF + HF) and a "likely positive effect" for R-Rmean posttraining. In conclusion, concurrent training was effective at improving cardiorespiratory fitness and endurance performance. Moreover, it led to probably a positive effect on HF and a likely positive effect on R-Rmean in people living with HIV/AIDS undergoing ART.

Cardiac autonomic recovery after a single session of resistance exercise with and without vascular occlusion.

The aim of this study was to investigate the heart rate variability (HRV) after resistance training with and without vascular occlusion. It was hypothesized that low intensity (LI) with vascular occlusion (LIO) would elicit comparable postexercise HRV responses with that of high intensity (HI) without vascular occlusion. Nine subjects undertook 4 experimental sessions of leg press exercise on different days: (a) 1 repetition maximum (1RM) test, (b) 4 sets of 8 repetitions + 1 set until exhaustion at 80% of 1RM without vascular occlusion (HI), (c) 4 sets of 16 repetitions + 1 set until exhaustion at 40% of 1RM with vascular occlusion (LIO), and (d) 4 sets of 16 repetitions + 1 set with the number of repetitions equal to the last set of LIO but at 40% of 1RM without vascular occlusion (LI). Heart rate variability was analyzed 10 minutes, 20 minutes, 30 minutes, 1 hour, 5 hours, and 24 hours after the HI, LIO, and LI sessions. The HI session increased the heart rate (HR) and reduced the root mean square of the successive difference of R-R intervals (RMSSD) and log-transformed high-frequency (lnHF) power during prolonged recovery (HR = 5 hours; RMSSD = 30 minutes; lnHF = 1 hour) at a greater magnitude when compared with LIO and LI. Despite the same intensity of exercise for LIO and LI, the occlusion delayed the recovery of HR and HRV variables. Postexercise blood lactate concentration was moderate to strongly correlated with peak HR (r = 0.87), RMSSD (r = -0.64), and lnHF (r = -0.68). This study has demonstrated that LIO was able to reduce cardiac autonomic stress when compared with HI.

Running speeds at ventilatory threshold and maximal oxygen consumption discriminate futsal competitive level.

We tested the hypothesis that maximal oxygen uptake and ventilatory threshold (VT), and their respective speeds (S(VO2max) and S(VT)) could discriminate the competitive level of futsal players. The outfield players of a high-level Brazilian professional futsal team (N = 9; age 22.6 ± 4.2 years; body mass 70.6 ± 6.4 kg; height 174.3 ± 6.0 cm), and a semiprofessional team (N = 11; age 17.2 ± 0.8 years; body mass 70.4 ± 6.5 kg; height 175.0 ± 4.0 cm), volunteered for participation in this study. Subsequently, they were evaluated during an incremental treadmill test for the determination of cardiorespiratory variables, S(VO2max), and S(VT). Both teams exhibited a similar body mass and VO2max (p = 0.542 and p = 0.427), whereas the S(VO2max) and the S(VT) were significantly higher in the professional team (p = 0.001 and p = 0.030, respectively). Additionally, the professional team exhibited both lower HR at VT (p = 0.046) and HRmax (p = 0.002). However, the %HRmax at VT did not differ between groups (p = 0.912). These results remained similar after adjusting for the age differences between groups (p = 0.106). It was concluded that both S(VO2max) and S(VT) were sensitive for detecting differences in the competitive level of futsal players, whereas VO2max and VT were not.

The role of aerobic fitness on session rating of perceived exertion in futsal players.

PURPOSE: The aim of this study was to verify the influence of aerobic fitness (VO2max) on internal training loads, as measured by the session rating of perceived exertion (session-RPE) method. METHODS: Nine male professional outfield futsal players were monitored for 4 wk of the in-season period with regards to the weekly accumulated session-RPE, while participating in the same training sessions. Single-session-RPE was obtained from the product of a 10-point RPE scale and the duration of exercise. Maximal oxygen consumption was determined during an incremental treadmill test. RESULTS: The average training load throughout the 4 wk period varied between 2,876 and 5,035 arbitrary units. Technical-tactical sessions were the predominant source of loading. There was a significant correlation between VO2max (59.6 ± 2.5 mL · kg-1 · min-1) and overall training load accumulated over the total period (r = -0.75). CONCLUSIONS: The VO2max plays a key role in determining the magnitude of an individual's perceived exertion during futsal training sessions.

Fourier and wavelet spectral analysis of EMG signals in maximal constant load dynamic exercise.

Frequency domain analyses of changes in electromyographic (EMG) signals over time are frequently used to assess muscle fatigue. Fourier based approaches are typically used in these analyses, yet Fourier analysis assumes signal stationarity, which is unlikely during dynamic contractions. Wavelet based methods of signal analysis do not assume stationarity and may be more appropriate for joint time-frequency domain analysis. The purpose of this study was to compare Short-Time Fourier Transform (STFT) and Continuous Wavelet Transform (CWT) in assessing muscle fatigue in maximal constant load dynamic exercise (100% W(max)). The results of this study indicate that CWT and STFT analyses give similar fatigue estimates (slope of median frequency) in maximal constant load dynamic exercise (P>0.05). However, the results of the variance was significantly lower for at least one of the muscles studied in CWT compared to STFT (P〈0.05) indicating more variability in the EMG signal analysis using STFT. Thus, the stationarity assumption may not be the sole factor responsible for affecting the Fourier based estimates.