Effect of prehabilitation programmes on functional capacity in patients awaiting oncological resections: a systematic review and meta-analysis of randomised controlled trials.

PURPOSE: To investigate the effects of prehabilitation on the perioperative functional capacity of patients awaiting oncological resections. METHODS: A systematic review and meta-analysis were performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist and within the databases Cochrane Library, EBSCOhost, Google Scholar, MEDLINE PubMed, and Web of Science. The eligibility criteria were set to include peer-reviewed randomised control trials including only adult (≥ 18 years old) patients undergoing any type of prehabilitation (PREHAB) prior to any type of oncological resection. The studies had to feature at least one control group undergoing standard care (SC) and had to assess functional capacity by means of a 6-min walk distance (6MWD) or peak oxygen uptake (VO2Peak) at different stages pre- and post- operatively. RESULTS: Twenty-seven randomised controlled trials involving 1994 patients were included. After processing the data, the number of patients was 1889. Studies featured different cancer specialties: lung (11), colorectal (5), urological (4), abdominal (3), esophagogastric (2), liver (1), and gastrointestinal (1). Overall, PREHAB enhanced both 6MWD (g = 0.273, 95% CI 0.174 to 0.371, Z = 5.406, p < 0.001) and VO2Peak (g = 0.615, 95% CI 0.243 to 0.987, Z = 3.240, p = 0.001) compared with SC. The 6MWD subgroup analysis revealed a small mean effect size favouring both unimodal and multimodal PREHAB interventions. CONCLUSION: These findings support that prehabilitation, whether implemented as unimodal or multimodal format, elicits small preoperative improvements in functional capacity in patients awaiting oncological resections. PROSPERO registration number CRD42023428676.

Effects of protein-carbohydrate vs. carbohydrate alone supplementation on immune inflammation markers in endurance athletes: a randomized controlled trial.

PURPOSE: The impact of ingesting carbohydrates alone or combined with proteins to support exercise immune adaptation in endurance athletes is scarcely investigated. The present study compares the effect of ingesting a combined protein-carbohydrate supplement vs. a carbohydrate-only supplement post-workout on immune inflammation markers following a 10 week periodized endurance training program in well-trained athletes. METHODS: Twenty-five men completed the study after being randomly assigned to one of the following intervention groups: combined protein-carbohydrate (PRO-CHO n = 12, 31 ± 9 years, [Formula: see text]O2peak 61.0 ± 5.6 ml.kg-1.min-1) or non-protein isoenergetic carbohydrate (CHO, n = 13, 33 ± 8 years, [Formula: see text]O2peak 60.6 ± 6.9 ml.kg-1.min-1). Treatment consisted of ingesting 24 g of assigned supplement, mixed with 250 ml of orange juice, once a day for 10 weeks immediately post-workout (or before breakfast on non-training days). Measurements were conducted pre- and post-intervention on total leukocytes, leukocyte subsets (i.e., neutrophils, eosinophils, basophils, monocytes, and lymphocytes), and platelets. The inflammatory status was assessed by the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), and the systemic-immune inflammation index (SII). RESULTS: Post-intervention, significant increases were observed for CHO group only for the three inflammatory markers: NLR (p = 0.050, d = 0.58), PLR (p = 0.041, d = 0.60), and SII (p = 0.004, d = 0.81) but not for PRO-CHO (p > 0.05). CONCLUSION: Ingesting a post-workout protein-carbohydrate combined beverage promoted a more favourable immune status than carbohydrate-only ingestion by attenuating cellular inflammation over a 10 week training period in endurance male athletes. TRIAL REGISTRATION: The study was registered in ClinicalTrials.gov with the following ID: NCT02954367. The study was registered by 3 November 2016.

Review of 451 Patients Presenting With Orbital Wall Fractures: A Retrospective Analysis.

A retrospective review of the electronic medical records of patients presenting to the University Medical Center in Lubbock, Texas with orbital wall fractures. Clinical data such as associated ocular injuries and different management approaches are analyzed and discussed to help clarify the specific indications for, and timing of, a formal ophthalmologic examination. All patients who presented to the emergency department for an orbital fracture after suffering various types of traumas between 2008 and 2017 were included. The study reviewed 451 patients with orbital wall fractures with a wide variety of presentations as well as demographics. There were 411 cases of adults presenting with an average age of 34 years and 40 pediatric presentations with an average age of 14 years. The average age of the combined study population was 30 years. Only 16.9% of patients required surgical correction for their orbital fractures and assault accounted for nearly 50% of all the orbital fractures reviewed in this study. In this large retrospective review, no notable relationship was found between orbital wall fractured and ocular injury. Alarm symptoms for more visual threatening injuries such as retinal tears, detachments, open globe injury, and extraocular muscle entrapment are all reasonable indications to consult ophthalmology emergently. Most orbital fractures are not vision threatening, do not usually require surgical correction, and typically occur in the setting of assault.

Effects of Physical Training on Heart Rate Variability in Children and Adolescents with Chronic Diseases: A Systematic Review and Meta-analysis.

This study analyzed the effects of physical training programs on heart rate variability, as a measure of sympathovagal balance, in children and adolescents with chronic diseases. Relevant articles were systematically searched in Pubmed, Science Direct, Web of Science, Scopus, Google Scholar and Embase scientific databases. We performed a meta-analysis using an inverse variance heterogeneity model. Effect size calculation was based on the standardized mean differences between pre- and post-intervention assessments, assuring at least a single-group repeated-measures model for each extracted group. Ten studies (252 participants) were included, seven in obese subjects, two in type-1 diabetes, and one in cerebral palsy. When time-domain variables were analyzed, exercise was found to moderately increase RMSSD (SMD=0.478; 95%CI: 0.227 to 0.729; p<0.001), SDNN (SMD=0.367; 95%CI: 0.139 to 0.595; p=0.002) and pNN50 (SMD=0.817; 95%CI: 0.139 to 0.595; p=0.002). As for frequency-domain variables, exercise presented a moderate increasing effect on HF (SMD=0.512; 95%CI: 0.240 to 0.783; p<0.001), a negligible effect for LF (SMD=0.077; 95%CI: -0.259 to 0.412; p<0.001) and a non-significant reduction for LF/HF (SMD=-0.519; 95%CI: -1.162 to 0.124; p=0.114). In conclusion, physical training programs are able to modulate heart rate variability in children and adolescents with chronic diseases, affecting mainly the time-domain variables.

Estimation of peak vertical velocity and relative load changes by subjective measures in weightlifting movements.

To investigate the ability of the OMNI-RES (0-10) scale to estimate velocity and loading changes during sets to failure in the hang power clean (HPC) exercise. Eleven recreationally resistance-trained males (28.5 ± 3.5 years) with an average one-repetition maximum (1RM) value of 1.1 ± 0.07 kg body mass-1 in HPC, were assessed on five separate days with 48 hours of rest between sessions. After determining the 1RM value, participants performed four sets to self-determined failure with the following relative loading ranges: 60% < 70%, 70 < 80%, 80 < 90% and > 90%. The peak vertical velocity (PVV), and Rating of Perceived Exertion (RPE) were measured for every repetition of each set. The RPE expressed after the first repetition (RPE-1) and when the highest value of PVV was achieved during the set (RPE-max) were similar and significantly lower than the RPE associated with a 5% (RPE-5%) and 10% (RPE-10%) drop in PVV. In addition, the RPE produced at failure was similar to RPE-5% only for the heaviest range (≥ 90%). Furthermore, RPE-1 was useful to distinguish loading zones between the four assessed ranges (60 < 70%, vs. 70 < 80%, vs. 80 < 90%, vs. ≥ 90%). The RPE seems to be useful to identify PVV changes (maximal, 5% and 10% drop) during continuous sets to self-determined failure and to distinguish 10% loading zone increments, from 60 to 100% of 1RM in the HPC exercise.

Effects of Beef Protein Supplementation in Male Elite Triathletes: A Randomized, Controlled, Double-Blind, Cross-Over Study.

OBJECTIVE: Beef protein extracts are growing in popularity in recent years due to their purported anabolic effects as well as to their potential benefits on hematological variables. The present randomized, controlled, double-blind, cross-over study aimed to analyze the effects of beef protein supplementation on a group of male elite triathletes (Spanish National Team). METHODS: Six elite triathletes (age, 21 ± 3 years; VO2max, 71.5 ± 3.0 ml·kg·min-1) were randomly assigned to consume daily either 25 g of a beef supplement (BEEF) or an isoenergetic carbohydrates (CHO) supplement for 8 weeks, with both conditions being separated by a 5-week washout period. Outcomes, including blood analyses and anthropometrical measurements, were assessed before and after each 8-week intervention. RESULTS: No effects of supplement condition were observed on body mass nor on skinfold thicknesses, but BEEF induced significant and large benefits over CHO in the thigh cross-sectional area (3.02%, 95%CI = 1.33 to 4.71%; p = 0.028, d = 1.22). Contrary to CHO, BEEF presented a significant increase in vastus lateralis muscle thickness (p = 0.046), but differences between conditions were not significant (p = 0.173, d = 0.87). Although a significantly more favorable testosterone-to-cortisol ratio (TCR) was observed for BEEF over CHO (37%, 95% CI = 5 to 68%; p = 0.028, d = 1.29), no significant differences were found for the hematological variables (i.e., iron, ferritin, red blood cell count, hemoglobin or hematocrit). CONCLUSION: Beef protein supplementation seems to facilitate a more favorable anabolic environment (i.e., increased TCR and muscle mass) in male elite triathletes, with no impact on hematological variables.

Velocity Change Estimation by Subjective Measures Over a Wide-Load Spectrum in Squat and Bench Press.

ABSTRACT: Chapman, M, Larumbe-Zabala, E, Triplett, NT, and Naclerio, F. Velocity change estimation by subjective measures over a wide-load spectrum in squat and bench press. J Strength Cond Res 35(2S): S51-S56, 2021-This study compared whether the perception of effort measured on a repetition-by-repetition basis during continuous sets to failure is different between squat (SQ) and bench press (BP). After determining the one repetition maximum (1RM) value in both SQ and BP, 18 subjects (28.2 ± 5 years, 50% women) performed 7 sets to failure per exercise, separated by 24-48 hours, alternating SQ and BP, using the following relative load ranges: 30 < 40%, 40 < 50%, 50 < 60%, 60% < 70%, 70 < 80%, 80 < 90%, and >90%. The mean accelerative velocity (MAV) and rating of perceived exertion (RPE) using the OMNI-RES (0-10) scale were measured for every repetition of each set. The ability of the OMNI-RES (0-10) scale to identify velocity changes during continuous sets to volitional failure and to distinguish loading zones divided into 10% slots, from 30 to 100% of 1RM was confirmed for both SQ and BP. The RPE values measured at (a) the first repetition; (b) the repetition where MAV peaks; (c) the repetition where MAV drops by ≤10% compared the maximum and (d) the last repetition, showed no differences (p > 0.05, d < 0.2) between exercises. In conclusion, the same RPE scores can be applied to both exercises, for either estimating the relative load or monitoring changes in MAV during continuous sets to failure.

Injury Prevention Programs Based on Flywheel vs. Body Weight Resistance in Recreational Athletes.

ABSTRACT: Monajati, A, Larumbe-Zabala, E, Sampson, MG, and Naclerio, F. Injury prevention programs based on flywheel vs. body weight resistance in recreational athletes. J Strength Cond Res 35(2S): S188-S196, 2021-This study compares the effect of an isoinertial flywheel technology vs. a traditional gravity-dependent exercise protocol on modifiable factors associated with the incidence of hamstring strain (HAM) and anterior cruciate ligament (ACL) injuries. Furthermore, the effect on repeated sprint ability was also considered. Eighteen recreationally trained volleyball players completed one of the following 6-week protocols: (a) flywheel (FY) included 3 exercises using a YoYo isoinertial-squat machine and 3 exercises with a Versa-Pulley isoinertial device, and (b) gravity-dependent (GT) involved 6 similar exercises with no external resistance (participants' body weight). Both programs consisted in 2 sessions·wk-1 performing 2 sets of 8 repetitions with 2 minutes of rest. Outcomes included a 10-second tuck jump assessment (TJA), landing knee valgus score, hamstring and quadriceps concentric and eccentric isokinetic 60°·s-1 peak torque, optimal peak torque localization, conventional and functional hamstring-to-quadriceps ratio, and 30-m repeated shuttle sprint ability (RSSA) test. FY improved TJA (-2, interquartile range [IQR] = -3 to -1) and valgus (-1, IQR = -1 to 0) scores, hamstring eccentric (20.37, 95% confidence interval [CI] = 9.27-31.47 N·m) and concentric (17.87, 95% CI = 0.40-35.34 N·m) peak torque, as well as the RSSA (-0.28, 95% CI = -0.45 to -0.10 seconds), whereas GT only improved hamstring eccentric peak torque (21.41, 95% CI = 9.00-33.82 N·m). A 6-week protocol using flywheel technology seems to elicit better positive adaptations to protect athletes from HAM and ACL injuries and to enhance RSSA performance compared to exercising with no external resistance other than athletes' body weight.

Impact of Two High-Volume Set Configuration Workouts on Resistance Training Outcomes in Recreationally Trained Men.

ABSTRACT: Karsten, DB, Fu, Y, Larumbe-Zabala, DE, Seijo, DM, and Naclerio, DF. Impact of two high-volume set configuration workouts on resistance training outcomes in recreationally trained men. J Strength Cond Res 35(2S): S136-S143, 2021-This study compared the effects of 2 weekly equalized by volume, loading zone and frequency resistance training designs using repetition to failure (RTF) or not to failure (NTF), on body composition, strength, and mechanical power. Based on individual baseline maximal strength, 18 recreationally resistance-trained men were pair-matched and consequently randomly assigned to an RTF (n = 9) or an NTF (n = 9) protocol. Subjects trained for 6 weeks using 2 different routines performed once per week (2 workouts per week). The RTF protocol comprised 4 sets of 10 repetitions per exercise with 2-minute rest and the NTF involved 8 sets of 5 repetitions per exercise with 1-minute rest. Subjects were tested pre- and post-intervention for maximal strength, upper- and lower-body power, fat-free mass, limb circumferences, and muscle thickness. Compared to baseline, both groups improved (p < 0.01) the maximal loads lifted in the bench press (RTF +9.44 ± 3.00 kg; NTF +7.22 ± 4.41 kg) and the squat (RTF +9.44 ± 4.64 kg; NTF +11.1 ± 10.33 kg) exercises, but only the NTF group increased (p < 0.05) upper-body power (+15.73 ± 12.59 W). Conversely, only the RTF group showed significant (p < 0.05) increase of the elbow flexors (+3.44 ± 5.11 mm) and vastus medialis (+3.28 ± 2.32 mm) thickness, whereas both groups enhanced anterior deltoid thickness (RTF +1.84 ± 1.68 mm, p < 0.05; NTF +2.76 ± 2.63 mm, p < 0.01). Although both training strategies improved strength, the RTF group elicited superior hypertrophic outcomes, whereas the NTF protocol resulted in more favorable improvements for upper-body power.

Predicting Recreational Runners' Marathon Performance Time During Their Training Preparation.

ABSTRACT: Esteve-Lanao, J, Del Rosso, S, Larumbe-Zabala, E, Cardona, C, Alcocer-Gamboa, A, and Boullosa, DA. Predicting marathon performance time throughout the training preparation in recreational runners. J Strength Cond Res 35(11): 3218-3224, 2021-The objective of this study was to predict marathon performance at different time points along the season using different speeds derived from ventilatory thresholds and running economy (RE). Sixteen recreational runners (8 women and 8 men) completed a 16-week marathon training macrocycle. Aerobic threshold (AeT), anaerobic threshold (AnT), and maximal oxygen uptake were assessed at the beginning of the season, whereas speeds eliciting training zones at AeT and AnT, and RE were evaluated at 5-time points during the season (M1-M5). Analyses of variance and hierarchical regression analyses were conducted. Training improved AeT and AnT speeds at M2 vs. M1 (p = 0.001) and remained significantly higher at M3, M4, and M5 (p = 0.001). There was a significant effect of time (p = 0.003) for RE, being higher at M4 and M5 compared with M1 and M3. Significant correlations were found between marathon performance and speeds at AeT and AnT at every time point (r = 0.81-0.94; p < 0.05). Speed at AnT represented the main influence (65.9 and 71.41%) in the final time prediction at M1 and M2, whereas speed at AeT took its place toward the end of the macrocycle (76.0, 80.4, and 85.0% for M3, M4, and M5, respectively). In conclusion, assessment of speeds at AeT and AnT permits for reasonable performance prediction during the training preparation, therefore avoiding maximal testing while monitoring 2 fundamental training speeds. Future research should verify if these findings are applicable to runners of different levels and other periodization models.

Acute effect of orange chromatic environment on perceived health status, pain, and vital signs during chemotherapy treatment.

PURPOSE: The study is aimed at assessing the acute effect of orange color and natural light exposure on cancer patients during chemotherapy sessions. Warmer environments and rooms receiving more sunlight hours were expected to impact vital signs, quality of life, and pain symptoms. METHODS: We used a single-group repeated-measures clinical trial design. For the purpose of the study, chemotherapy rooms were modified based on two experimental factors: color (white vs. orange) and sunlight orientation (south vs. north). On four consecutive sessions, cancer patients were randomly assigned to one of the following conditions: orange-north, orange-south, white-north, and white-south. They received chemotherapy per standard of care. The following outcomes were assessed: blood pressure, body temperature, heart rate, and European Quality of Life Five-Dimension Five-Level Scale Questionnaire (EUROQOL-5D-5L) including the visual analogue scale (EQ-VAS). RESULTS: Statistically significant beneficial effect of orange color room in self-rated health was found (p = 0.036, d = 0.28). Small differences in other parameters (body temperature, d = 0.34; diastolic blood pressure, d = 0.37; systolic blood pressure, d = 0.28) did not reach statistical significance. No differences were found based on room orientation. CONCLUSIONS: Compared with a cool-color design, a warm-color living environment could have a positive effect on patients' well-being during chemotherapy sessions. Although the clinical effect size on perceived health status and vital signs could be considered small, the cost-effectiveness analysis would support the use of the proposed configurations. More research is still needed. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03873519.

Correction to: Effectiveness of combining microcurrent with resistance training in trained males.

The original version of this article unfortunately contained a mistake.

Effects of a Multi-ingredient Beverage on Recovery of Contractile Properties, Performance, and Muscle Soreness After Hard Resistance Training Sessions.

Naclerio, F, Larumbe-Zabala, E, Cooper, K, and Seijo, M. Effects of a multi-ingredient beverage on recovery of contractile properties, performance, and muscle soreness after hard resistance training sessions. J Strength Cond Res 34(7): 1884-1893, 2020-Carbohydrate-protein-based supplements have been proposed for maximizing postexercise recovery. This study compared the effects of postworkout supplementation ingesting a multi-ingredient (MTN) vs. carbohydrate alone (CHO) on the recovery of muscle function and perceived of delayed onset of muscle soreness (DOMS) after hard resistance workouts. In a double-blinded, crossover design, 10 resistance trained men (26.9 ± 7.4 years) performed 2 identical 5-day intervention periods while ingesting either MTN or CHO. The subjects performed one workout per day during the first 3 days. Thereafter, they were assessed 1, 24, and 48 hours after the completion of the third workout session. Primary outcome was tensiomyography (muscle displacement [Dm], contraction time [Tc], and contraction velocity [Vc]) of the vastus medialis (VM) and biceps femoris long head (BFLH). Secondary outcomes were performance and DOMS. At 24 hours, both conditions decreased (p < 0.05) Dm (MTN -1.71 ± 1.8, CHO -1.58 ± 1.46 mm) and Vc (MTN -0.03 ± 0.03, CHO 0.03 ± 0.04 m·s) in the VM. At 48 hours, all tensiomyography variables were recovered under the MTN while remained depressed (p < 0.01) in CHO (VM, Dm 1.61 ± 1.60, Vc -0.04 ± 0.04 m·s; BFLH, Dm 1.54 ± 1.52, Vc -0.02 ± 0.02 m·s). Vertical jump performance decreased in CHO, but not in MTN. Although both conditions decreased upper-body strength and power at 1 hour, values returned to baseline in 24 hours for MTM while needed 48 hours in CHO. DOMS similarly increased at both 24 and 48 hours in both conditions. Compared with the ingestion of only carbohydrates, postworkout multi-ingredient supplementation seems to hasten recovery of muscular contractile properties and performance without attenuating DOMS after hard resistance workouts.

Effects of Protein Versus Carbohydrate Supplementation on Markers of Immune Response in Master Triathletes: A Randomized Controlled Trial.

Objective: This study examines the long-term effects of ingesting hydrolyzed beef protein versus carbohydrate on indirect markers of immunity during 10 weeks of endurance training in master-aged triathletes (n = 16, age 35-60 years). Methods: Participants were randomly assigned to either a hydrolyzed beef protein (PRO, n = 8) or nonprotein isoenergetic carbohydrate (CHO, n = 8) condition, which consisted of ingesting 20 g of each supplement, mixed with water, once a day immediately post workout, or before breakfast on nontraining days. Salivary human neutrophil peptides (HNP1-3) were measured before and after performing an incremental endurance test to volitional exhaustion at both pre and post intervention. Additionally, baseline levels of platelets, neutrophils, eosinophil basophils, monocytes, and lymphocytes were determined at pre and post intervention. Results: No significant changes in baseline concentration and secretion rate of salivary HNP1-3 were observed for either treatment. The CHO group showed a nonsignificant decrease in resting HNP1-3 concentrations following the intervention (p = 0.052, effect size d = 0.53). Protein supplementation demonstrated a significant reduction in lymphocyte counts pre to post intervention (mean [SD]: 2.30 [0.57] vs. 1.93 [0.45] 103/mm3, p = 0.046, d = 0.77), along with a moderate but not statistically significant increase (d = 0.75, p = 0.051) of the neutrophil-to-lymphocyte ratio. Conclusions: In master-aged triathletes, postworkout ingestion of only protein, with no carbohydrate, may not be as effective as carbohydrate alone to attenuate negative long-term changes of some salivary and cellular immunological markers. Future studies should consider the co-ingestion of both macronutrients.

Effectiveness of combining microcurrent with resistance training in trained males.

INTRODUCTION: Microcurrent has been used to promote tissue healing after injury or to hasten muscle remodeling post exercise. PURPOSE: To compare the effects of resistance training in combination with either, microcurrent or sham treatment, on-body composition and muscular architecture. Additionally, changes in performance and perceived delayed onset muscle soreness (DOMS) were determined. METHODS: Eighteen males (25.7 ± 7.6 years) completed an 8-week resistance training program involving 3 workouts per week (24 total sessions) wearing a microcurrent (MIC, n = 9) or a sham (SH, n = 9) device for 3-h post-workout or in the morning during non-training days. Measurements were conducted at pre and post intervention. RESULTS: Compared to baseline, both groups increased (p < 0.05) muscle thickness of the elbow flexors (MIC + 2.9 ± 1.4 mm; SH + 3.0 ± 2.4 mm), triceps brachialis (MIC + 4.3 ± 2.8 mm; SH + 2.7 ± 2.6 mm), vastus medialis (MIC + 1.5 ± 1.5 mm; SH + 0.9 ± 0.8 mm) and vastus lateralis (MIC + 6.8 ± 8.0 mm; SH + 3.2 ± 1.8 mm). Although both groups increased (p < 0.01) the pennation angle of vastus lateralis (MIC + 2.90° ± 0.95°; SH + 1.90° ± 1.35°, p < 0.01), the change measured in MIC was higher (p = 0.045) than that observed in SH. Furthermore, only MIC enlarged (p < 0.01) the pennation angle of brachialis (MIC + 1.93 ± 1.51). Both groups improved (p < 0.05) bench press strength and power but only MIC enhanced (p < 0.01) vertical jump height. At post intervention, only MIC decreased (p < 0.05) DOMS at 12-h, 24-h, and 48-h after performing an exercise-induced muscle soreness protocol. CONCLUSION: A 3-h daily use of microcurrent maximized muscular architectural changes and attenuated DOMS with no added significant benefits on body composition and performance.

Validity and reliability of a novel optoelectronic device to measure movement velocity, force and power during the back squat exercise.

This study analysed the validity and reliability of a new optoelectronic device (Velowin) for the measurement of vertical displacement and velocity as well as to estimate force and mechanical power. Eleven trained males with Mean (SD) age = 27.4 (4.8) years, completed an incremental squat exercise test with 5 different loads (<30-90% of their 1-repetition maximum) while displacement and vertical velocity of the barbell were simultaneously measured using an integrated 3D system (3D motion capture system + force platform) and Velowin. Substantial to almost perfect correlation (concordance correlation coefficient = 0.75-0.96), root mean square error as coefficient of variation ±90% confidence interval ≤10% and good to excellent intraclass correlation coefficient = 0.84-0.99 were determined for all the variables. Passing and Bablock regression methods revealed no differences for average velocity. However, significant but consistent bias were determined for average or peak force and power while systematic and not proportional bias was found for displacement. In conclusion, Velowin, in holds of some potential advantages over traditionally used accelerometer or linear transducers, represents a valid and reliable alternative to monitor vertical displacement and velocity as well as to estimate average force and mechanical power during the squat exercise.

Intake of Animal Protein Blend Plus Carbohydrate Improves Body Composition With no Impact on Performance in Endurance Athletes.

The impact of animal protein blend supplements in endurance athletes is scarcely researched. The authors investigated the effect of ingesting an admixture providing orange juice and protein (PRO) from beef and whey versus carbohydrate alone on body composition and performance over a 10-week training period in male endurance athletes. Participants were randomly assigned to a protein (CHO + PRO, n = 15) or a nonprotein isoenergetic carbohydrate (CHO, n = 15) group. Twenty grams of supplement mixed with orange juice was ingested postworkout or before breakfast on nontraining days. Measurements were performed pre- and postintervention on body composition (by dual-energy X-ray absorptiometry), peak oxygen consumption (V˙O2peak), and maximal aerobic speed. Twenty-five participants (CHO + PRO, n = 12; CHO, n = 13) completed the study. Only the CHO + PRO group significantly (p < .05) reduced whole-body fat (mean ± SD) (-1.02 ± 0.6 kg), total trunk fat (-0.81 ± 0.9 kg), and increased total lower body lean mass (+0.52 ± 0.7 kg), showing close to statistically significant increases of whole-body lean mass (+0.57 ± 0.8 kg, p = .055). Both groups reduced (p < .05) visceral fat (CHO + PRO, -0.03 ± 0.1 kg; CHO, -0.03 ± 0.5 kg) and improved the speed at maximal aerobic speed (CHO + PRO, +0.56 ± 0.5 km/hr; CHO, +0.35 ± 0.5 km/hr). Although consuming animal protein blend mixed with orange juice over 10 weeks helped to reduce fat mass and to increase lean mass, no additional performance benefits in endurance runners were observed.

Perceptual, Mechanical, and Electromyographic Responses to Different Relative Loads in the Parallel Squat.

Chapman, M, Larumbe-Zabala, E, Gosss-Sampson, M, Colpus, M, Triplett, NT, and Naclerio, F. Perceptual, mechanical, and electromyographic responses to different relative loads in the parallel squat. J Strength Cond Res 33(1): 8-16, 2019-The effectiveness of the OMNI-RES (0-10) Scale and the electromyographic signal for monitoring changes in the movement velocity were examined during a set to muscular failure using different percentages of 1 repetition maximum (1RM) in the parallel squat exercise (PSQ). Twelve men (26.3 ± 5.8 years) were evaluated on 8 separate days with 48 hours of rest between sessions. After determining the 1RM value, participants underwent 7 tests until achieving muscular failure with the following percentage ranges: 30 to <40%, 40 to <50%, 50 to <60%, 60 to <70%, 70 to <80%, 80 to <90%, and >90%. An optical rotary encoder measured mean accelerative velocity (MAV), and the OMNI-RES (0-10) Scale was used to express the rating of perceived exertion (RPE) after every repetition of each set. In addition, the normalized root mean square signal of the surface electromyography (N-EMG) was calculated for the vastus medialis muscle. The RPE expressed after the first repetition and when the maximum value of MAV was achieved along the sets was lower (p < 0.001, d > 0.8) than the RPE that corresponded to a 10% drop in MAV and at failure. In addition, the initial RPE was useful to distinguish different loading zones by anchoring the OMNI-RES value to the magnitude of the relative load (<60%, 60 to <70% or ≤70% 1RM). Similar patterns were observed using the N-EMG. In conclusion, apart from differentiating between relative loads during a set to failure in the PSQ, the RPE and the N-EMG can both reflect changes associated with the initial, maximal, 10% drop in movement velocity and the muscular failure.

Using Perceptual and Neuromuscular Responses to Estimate Mechanical Changes During Continuous Sets in the Bench Press.

Chapman, M, Larumbe-Zabala, E, Gosss-Sampson, M, Triplett, NT, and Naclerio, F. Using perceptual and neuromuscular responses to estimate mechanical changes during continuous sets in the bench press. J Strength Cond Res 33(10): 2722-2732, 2019-This study analyzed the effectiveness of the OMNI-RES (0-10) and the electromyographic signal for monitoring changes in the movement velocity during a set to muscular failure performed with different relative loads in the bench press (BP) exercise. Ten males (30.8 ± 5.7 years) were evaluated on 8 separate days with 48 hours of rest between sessions. After determining the 1 repetition maximum value, participants performed 7 sets to failure with the following relative loads ranges: 30 < 40%, 40 < 50%, 50 < 60%, 60 < 70%, 70 < 80%, 80 < 90%, and >90%. The mean accelerative velocity (MAV), the rating of perceived exertion (RPE), and the normalized root-mean-square (N-RMS) signal from the anterior deltoids were measured for every repetition of each set. The RPE expressed after the first repetition and when the maximum value of MAV was achieved over the sets was lower (p < 0.001, d > 0.80) than the RPE associated with a 10% drop in MAV and at failure. Furthermore, the initial RPE was useful to distinguish different loading zones between the light relative loads (30 < 40% vs. 40 < 50% vs. 50 < 60%) and from these 3 zones to the higher relative load ranges (60 to >90%). Similar, but less clear, differences were observed for the N-RMS. In conclusion, apart from differentiating between relative loads, the RPE and in some cases N-RMS can both reflect changes associated with the initial, maximal, 10% drop in movement velocity, and muscular failure during a continuous set in the BP.

Effects of resistance training on MRI-derived epicardial fat volume and arterial stiffness in women with obesity: a randomized pilot study.

AIM: To date, few studies have analyzed the effects of exercise on cardiac adipose tissue. Overall, exercise programs did not meet the recommendations for significant weight loss, the utilization of resistance training was minimal, and the conclusions derived from these studies have diminished exercise as a strategy for cardiac fat loss. PURPOSE: The objective of this pilot study was to analyze the effects of 3-week high-intensity, moderate-volume muscular endurance resistance training (RT) on cardiac fat and arterial stiffness. METHODS: A total of 11 young females with obesity, BMI = 34.13 (± 3.16) kg/m2 (n = 5 control, n = 6 intervention) completed the study. Absolute strength was assessed using one repetition maximum test (1RM) for bench press (BP) and leg press (LP), and relative strength was calculated using body weight (BW) as BP-to-BW and LP-to-BW ratio. Magnetic resonance was used to quantify epicardial and paracardial adipose tissue (EAT and PAT) volume, and applanation tonometry was used to assess arterial stiffness by estimating pulse wave velocity (PWV). RESULTS: EAT and PAT volumes (ml) showed significant interaction effects (p = 0.037 and p = 0.031), and very large changes (d > 1) of EAT (p = 0.006) and PAT (p = 0.036) in the intervention group. In addition, strength was significantly improved, including BP (p = 0.003), LP (p = 0.001), BP-to-BW ratio (p = 0.001), and LP-to-BW ratio (p = 0.002), while no changes were found in PWV. CONCLUSIONS: High-intensity, moderate-volume RT, designed to enhance muscular endurance following the recommendations reduces EAT and PAT volumes, improves physical fitness in females with obesity, and has no negative effects on arterial stiffness.