Effects of Short- and Long-Term Aerobic-Strength Training and Determinants of Walking Speed in the Elderly.

BACKGROUND/AIMS: Walking speed (WS) is an objective measure of physical capacity and a modifiable risk factor of morbidity and mortality in the elderly. In this study, we (i) determined effects of 3-month supervised aerobic-strength training on WS, muscle strength, and habitual physical activity; (ii) evaluated capacity of long-term (21 months) training to sustain higher WS; and (iii) identified determinants of WS in the elderly. METHODS: Volunteers (F 48/M 14, 68.4 ± 7.1 years) completed either 3-month aerobic-strength (3 × 1 h/week, n = 48) or stretching (active control, n = 14) intervention (study A). Thirty-one individuals (F 24/M 7) from study A continued in supervised aerobic-strength training (2 × 1 h/week, 21 months) and 6 (F 5/M 1) became nonexercising controls. RESULTS: Three-month aerobic-strength training increased preferred and maximal WS (10-m walk test, p < 0.01), muscle strength (p < 0.01) and torque (p < 0.01) at knee extension, and 24-h habitual physical activity (p < 0.001), while stretching increased only preferred WS (p < 0.03). Effect of training on maximal WS was most prominent in individuals with baseline WS between 1.85 and 2.30 m·s-1. Maximal WS measured before intervention correlated negatively with age (r = -0.339, p = 0.007), but this correlation was weakened by the intervention (r = -0.238, p = 0.06). WS progressively increased within the first 9 months of aerobic-strength training (p < 0.001) and remained elevated during 21-month intervention (p < 0.01). Cerebellar gray matter volume (MRI) was positively associated with maximal (r = 0.54; p < 0.0001) but not preferred WS and explained >26% of its variability, while age had only minor effect. CONCLUSIONS: Supervised aerobic-strength training increased WS, strength, and dynamics of voluntary knee extension as well as habitual physical activity in older individuals. Favorable changes in WS were sustainable over the 21-month period by a lower dose of aerobic-strength training. Training effects on WS were not limited by age, and cerebellar cortex volume was the key determinant of WS.

The effect of different training modalities on resting hormonal level in active young males.

The purpose of this study was to determine the changes in the resting level of serum cortisol, testosterone and T/C ratio in response to different training modalities and their variations. A secondary purpose was to identify if the various six weeks training programs are an effective way to improve physical fitness. 86 regularly active young males were assigned to one of six groups: Endurance constant running (ECR), Endurance interval running (EIR), Resistance training (RT), Explosive training (ET), Speed-endurance 50 m running (SER50) and Speed-endurance 150 m running (SER150) training. The resting levels of testosterone, cortisol and T/C ratio, as well as physical fitness, were measured. The ECR, EIR, and RT training program decreased COR level (P < 0.05). An increase of the T/C ratio was observed in the ECR and EIR group (P < 0.05). Except for SER50, each training program improved physical fitness. Our results suggest that endurance and resistance training modalities performed with a moderate to vigorous intensity may be a usable way to manage the resting cortisol level and enhance physical fitness in active young males.

Body morphology and handgrip strength parameters of the female canoe slalom paddlers.

Introduction: Canoe slalom is a physically very demanding discipline, in which body constitution, body composition, and relative strength are significant factors in high performance. Although anthropometric and strength parameters are relatively well-studied in male athletes, there is a lack of evidence for any conclusions in women. Therefore, the objective of this study was to determine the morphology and upper-limb strength parameters of female canoe slalom paddlers and identify whether morphological differences exist between performance groups. Methods: Altogether, 63 female competitors of the 2023 ICF Canoe Slalom World Cup (n = 29) and 2023 ICF Canoe Slalom World Ranking Competition (n = 34) in Prague (Czech Republic) were examined with a battery of anthropometric tests, segmental bioimpedance analysis, and handgrip strength test. The athletes were divided into groups according to age and performance: elite athletes belonging to the world top 10 according to the ICF World Ranking (WORLD, n = 7), international-level athletes competing during the World Cup (ELITE, n = 22), international-level junior athletes competing in the World Ranking Race (JUNIOR, n = 17), and other lower performance-level athletes competing in the World Ranking Race (REST, n = 17). Results: Female slalom paddlers are, in general, of average body height (∼165 cm), lower body mass (∼60 kg), BMI (∼22 kg/m2), and body fat (∼20%) and without exceptional anthropometric dimensions and proportions. However, differences were detected when performance was factored in. Female paddlers belonging to the world TOP 10 have the largest circumferences of arms and forearms, and their somatotype is more mesomorphic, with a lower proportion of total body fat and a higher proportion of muscle mass. In addition, the WORLD group differs significantly in upper-limb strength. Discussion: The results shows the significance of muscular strength and power for canoe slalom athletes and the importance of well-developed musculature in operating the boat in the unstable environment. Being a successful female canoe slalom athlete requires a well-developed musculature, maximizing strength capabilities while maintaining a low body weight through limited hypertrophy of the lower limbs and a low level of body fat.

Test-retest reliability of four flatwater performance-related tests in canoe slalom athletes.

Purpose: This study aims to evaluate the test-retest reliability of four flatwater performance-related tests in canoe slalom athletes. Methods: Twenty-two Slovak national team members of junior and U23 age group racing in a category K1 men (K1M), K1 women (K1W) or C1 men (C1M) volunteered to take part in this study. During both test and retest testing sessions athletes performed 4 flatwater tests: SPS-Sprints with a turn to the preferred side (2 × 15 m shuttle sprints), SNPS-Sprints with a turn to the non-preferred side (2 × 15 m shuttle sprints), SBS-Sprints with turns to both sides (2 × 15 m shuttle sprints) as well as 12 × 15 AOT-12 × 15 m all out shuttle test (12 × 15 m shuttle sprints). Each athlete completed two sessions separated by a minimum of days and a maximum of 5 days. Results: The results have shown the excellent test-retest reliability of all four flatwater tests (ICC-SPS: 0.98; SPNPS 0.97; SBS: 0.98 and 12 × 15 m AOT: 0.96). Additionally, results have shown SEM (SPS: 0.14; SPNPS 0.18; SBS: 0.13 and 12 × 15 m AOT: 1.05) and SWC (SPS: 0.21; SPNPS 0.26; SBS: 0.19 and 12 × 15 m AOT: 1.58). Conclusion: Based on our results we suggest that coaches use these valid and reliable tests to assess changes in their athletes' performance-related physical fitness over time, to verify the effectiveness of training programs focused on improvement in specific physical fitness of athletes as well as to identify asymmetries between the preferred and non-preferred side in canoe slalom athletes.

Benefits of Eccentric Training with Emphasis on Demands of Daily Living Activities and Feasibility in Older Adults: A Literature Review.

Aging is associated with a decline in physical capabilities and several other health-related conditions. One of the most common age-related processes is sarcopenia. Sarcopenia is usually accompanied with a decline in skeletal muscle mass and physical functioning. A decrease in these markers usually impacts basic daily living activities (DLAs), which become somewhat harder to accomplish for older individuals. Several research studies have examined the demands of DLA in older individuals with results indicating that activities such as walking, sitting, standing, stair climbing, stair descending, and running generate high demands on older adults. The forces that act on individuals are in most cases equal or multiple times higher relative to their body mass. For instance, it was reported that the GRF (ground reaction force) during stair descent ranged from 1.43 to 1.50 of BW (body weight) in an older population. Even higher demands were recorded during other related activities. These demands of DLA raise the question of appropriate rehabilitative or training management procedures. During the past decades, an eccentric form of resistance training gained popularity due to its effectiveness and lower metabolic demands, which seems to be an appropriate method to develop and maintain a basic level of strength capabilities in higher age. Multiple factors of eccentric training have been examined including modality of exercise, intensity, frequency, and safety of the elderly. Several modalities of eccentric exercise have been shown to be effective including traditional methods, as well as machine-based ones, with or without using some equipment. The studies included in this review varied in intensity from low to high; however, the most frequently used intensity was ≥50% of the maximal eccentric strength during two or three eccentric sessions per week. Importantly, the prevalence of injury of older adults appears to have been low to none, highlighting the safety of this approach. In summary, eccentric training prescriptions for older adults should consider the demands of DLA and the characteristics of the elderly for appropriate management of training recommendations.

Asymmetries in paddle force influence choice of stroke type for canoe slalom athletes.

Canoe slalom is an Olympic discipline where athletes race down a whitewater course in kayaks (K1) or canoes (C1) navigating a set of down-stream and up-stream gates. Kayak paddles are symmetrical and have a blade at each end, whereas C1 paddles have only one blade that must be moved across the boat to perform strokes on either the right or left side. Asymmetries in paddle force between the two sides of the boat may lead to a reduction in predicted race time. The purpose of this study was to quantify asymmetries in the paddle forces between the two sides for slalom paddling. Paddle forces for 42 canoe slalom athletes (C1 and K1) were quantified from the straight sections of a flat-water figure-of-eight course. Paddle forces were measured using strain gauges embedded in the paddle shaft, stroke type was identified using video, and boat trajectory was tracked using inertial measurement units and high-speed GPS: data were fused using in-house analysis software. Paddle forces were quantified by their peak force, and impulse during the stroke. Paddle forces for the kayakers had asymmetries of 14.2 to 17.1% for the male K1M and 11.1 to 14.4% for the women K1W. Canoeists were no more asymmetrical than the kayakers for their 'on-side' strokes between the right and left sides. However, there were considerable differences for their 'off-side' strokes: male C1M off-side paddle forces were similar to their 'on-side' forces for the same side, but the women C1W had a significantly lower (-20.8% to -29.5%) paddle forces for their 'off-side' strokes compared to their 'on-side' strokes on that same side. Despite an increasing number of younger male athletes being introduced to the switching technique, and it being used by C1M athletes in international competitions since 2014, C1M paddlers still do not use switching transitions as much as C1W. The data from this study indicate that there is a biomechanical reason for this sex-based difference in the higher proportion of off-side strokes used by the C1M athletes compared to C1W athletes: and this needs to be considered for optimal technique development and race performance.

Can lifelong endurance exercise improve ageing through beneficial effects on circadian timing function, muscular performance and health status in men? Protocol for a comparative cross-sectional study.

A well-synchronized circadian system is a manifestation of an individual's health. A gradual weakening of the circadian timing function characterizes aging. Regular exercise has been suggested as a modality to improve many detrimental changes associated with aging. Therefore, we aim to examine the benefits and risks of lifelong endurance exercise on age-dependent changes in the circadian time-keeping function, the performance of the muscular system and health status. The study protocol has a comparative cross-sectional design, including groups of senior (65 to 75 years old, n=16) and young (20-30 years old, n=16) endurance runners and triathletes. Age-matched groups of young and elderly sedentary men are included as controls. The circadian function is evaluated mainly by measurement of urinary 6-sulphatoxymelatonin, a metabolite of the hormone melatonin shown to participate in the modulation of sleep cycles. The 6-sulphatoxymelatonin will be assessed in urine samples collected upon awakening in the morning and in the late evening, as a marker of melatonin production. In addition, sleep/activity rhythms and sleep quality will be measured by wrist actigraphy. Performance of the muscular system will be assessed by examination of muscular strength and quantifying of gene expression in the skeletal muscle tissue samples. Health status and age-induced reduction in immune function are to be analysed via the balance of pro- and anti-inflammatory immune markers in the plasma and skeletal muscle, body composition, bone density and physical fitness.

Relationship Between Flat-Water Tests and Canoe Slalom Performance on 4 Different Grades of Water Terrain Difficulty.

PURPOSE: To assess the relationship between flat-water tests and canoe slalom performance on 4 different grades of water terrain difficulty. METHODS: Nineteen elite canoe slalom athletes racing in category K1 men (n = 7), K1 women (n = 5), or C1 men (n = 7) completed flat-water tests: (1) a sprint with a turn to the preferred side, (2) a sprint with a turn to the nonpreferred side, (3) a sprint with a turn to both sides, and (4) a 12 × 15-m all-out shuttle test. Canoe slalom performance was measured in competitions with 4 different grades of water terrain difficulty. RESULTS: There were relationships between 12 × 15-m all-out shuttle test and performance across different water terrain grades (P < .001; r = .706-.871)); however, the magnitude of the relationship decreased with increasing water terrain grade difficulty. Similar trends were observed for the sprint with a turn to the preferred side (r = .588-.884), sprint with a turn to the nonpreferred side (r = .544-.864), and sprint with a turn to both sides (r = .638-.909). In addition, small to moderate differences were observed between preferred and nonpreferred side in K1 women (P = .050, ES = 0.37), K1 men (P = .019, ES = 0.66), and C1 men (P = .003, ES = 0.69). CONCLUSION: The novel battery of flatwater tests can be used to measure the performance-related physical fitness of canoe slalom athletes. Sprint with a turn to the preferred side and sprint with a turn to the nonpreferred side can also be used to assess the imbalance between an athlete's preferred and nonpreferred side. Accordingly, to our findings, practitioners could consider adapting the training program in preparation for important competitions specifically to water terrain difficulty grades where these competitions will be organized.

Linear Motor Driven Leg-Press Dynamometer for Testing, Training, and Rehabilitation: A Scoping Review with a Focus on the Concept of Serial Stretch Loading.

BACKGROUND: The purpose of this scoping review was to analyze the evidence of acute and long-term effects of the application of leg-press strength training with or without serial stretch-loading stimuli on various biomechanical and physiological outcomes. METHODS: This review was performed in accordance with PRISMA for Scoping Reviews recommendations, and two researchers independently searched the following databases: PubMed, Web of Science, Scopus, ScienceDirect, ProQuest, Cochrane, and Google Scholar. All studies that used unique leg-press device for testing, acute responses and long-term adaptation were included in this review, irrespective of the measured outcomes. A total of 13 studies were included in this review, with 5 focused on the testing capabilities of the device and acute training responses and 8 focused on the long-term adaptations in various physical and physiological outcomes. RESULTS: Regarding the acute responses after leg-press strength training with or without serial stretch-loading stimuli, visible changes were observed in the muscle force, rate of force development, and hormonal concentrations between pre- and postmenopausal women (only one study). Long-term studies revealed different training adaptations after performing leg-press strength training with unique serial stretch-loading stimuli. A positive trend for leg-press strength training with serial stretch-loading was recorded in the young population and athletes; however, more variable training effects favoring one or the other approach were achieved in the older population. CONCLUSIONS: In summary, this review shows the uniqueness and usability of a leg-press device that is capable of various exercising modes, including special serial stretch-loading stimuli. The use of this device can serve as a positive addition to training regiments, and the main application appears to be suitable for rehabilitation needs.

Aging and Possible Benefits or Negatives of Lifelong Endurance Running: How Master Male Athletes Differ from Young Athletes and Elderly Sedentary?

Regular physical activity, recommended by the WHO, is crucial in maintaining a good physical fitness level and health status and slows down the effects of aging. However, there is a lack of knowledge of whether lifelong endurance running, with a volume and frequency above the WHO limits, still brings the same benefits, or several negative effects too. The present study aims to examine the protentional benefits and risks of lifelong endurance running training in Master male athletes, as this level of physical activity is above the WHO recommendations. Within the study, four main groups of participants will be included: (1) endurance-trained master athletes, (2) endurance-trained young athletes, (3) young sedentary adults, and (4) elderly sedentary. Both groups of athletes are strictly marathon runners, who are still actively running. The broad spectrum of the diagnostic tests, from the questionnaires, physical fitness testing, and blood sampling to muscle biopsy, will be performed to obtain the possibility of complexly analyzing the effects of lifelong endurance physical activity on the human body and aging. Moreover, the study will try to discover and explain new relationships between endurance running and diagnostic parameters, not only within aging.

Comparison of Aerobic and Muscular Power Between Junior/U23 Slalom and Sprint Paddlers: An Analysis of International Medalists and Non-medalists.

This study aimed to compare the aerobic power (treadmill running) and muscle power (bench press and bench pull) of Junior/U23 paddlers from Slovakia who won medals in international championships with that of those who did not take the podium. Forty-three Slovak Junior/U23 paddlers (sprint = 24, medalists = 8, non-medalists = 16; slalom = 19, medalists = 11, non-medalists = 8) were tested in 2018 and 2019 after the world championships. The maximal oxygen uptake (VO2max) and the velocity at maximal oxygen uptake (vVO2max) were determined by the incremental running protocol (0% slope and 1 km⋅h-1 increments every minute until volitional exhaustion). Mean maximal power from the entire concentric phase was recorded during bench press and bench pull exercises by the validated TENDO weightlifting analyzer. No interaction was obtained between medal and canoe discipline for VO2max (p = 0.069, F = 3.495), vVO2max (p = 0.552, F = 0.361) and absolute (bench press: p = 0.486, F = 0.495; bench pull: p = 0.429, F = 0.640) or relative (bench press: p = 0.767, F = 0.089; bench pull: p = 0.696, F = 0.155) mean maximal power. Conversely, a significant effect for the medal on the bench press (absolute p = 0.017, F = 6.170; relative p = 0.043, F = 4.384) and the bench pull (absolute p = 0.041, F = 4.470) mean maximal power were observed. Our study indicates the absolute mean power on the bench press as a prerequisite for success in international Junior/U23 championships of slalom and sprint canoeing. However, the mean power on bench pull seems to have a deeper influence on sprint paddlers when compared to slalom athletes. Regarding the aerobic power, the data from the treadmill testing did not reveal outcomes between medalists and non-medalists. This result can be associated with the lack of specificity of the incremental treadmill testing for canoeing, and future studies are encouraged to propose specific protocols to compare the aerobic power of medalists and non-medalists in international slalom and sprint championships.

The effectiveness of two different multimodal training modes on physical performance in elderly.

The study compared the effect of 12-week multimodal training programme performed twice a week at the regular exercise facility (REF) with the 12-week multimodal training programme performed three times per week as a part of the research programme (EX). Additionally, the study analysed how the experimental training programme affect the physical performance of cognitive healthy and mild cognitive impaired elderly (MCI). The REF training group included 19 elderly (65.00±3.62 years). The experimental training programme combined cognitively healthy (EXH: n=16; 66.3±6.42 years) and age-matched individuals with MCI (EXMCI: n=14; 66.00±4.79 years). 10m maximal walking speed (10mMWS), Five Times Sit-to-Stand Test (FTSS), maximal and relative voluntary contraction (MVC & rel. MVC) were analysed. The REF group improved in 10mMWS (t=2.431, p=.026), the MVC (t=-3.528, p=.002) and relative MVC (t=3.553, p=.002). The EXH group improved in FTSS (t=5.210, P=.000), MVC (t=2.771, p=.018) and relative MVC (t=-3.793, p=.004). EXMCI improved in FTSS (t=2.936, p=.012) and MVC (t=-2.276, p=.040). According to results, both training programmes sufficiently improved walking speed and muscle strength in cognitively healthy elderly. Moreover, the experimental training programme improved muscle strength in MCI elderly.

Acute and regular exercise distinctly modulate serum, plasma and skeletal muscle BDNF in the elderly.

Brain-derived neurotrophic factor (BDNF) participates in orchestrating the adaptive response to exercise. However, the importance of transient changes in circulating BDNF for eliciting whole-body and skeletal muscle exercise benefits in humans remains relatively unexplored. Here, we investigated effects of acute aerobic exercise and 3-month aerobic-strength training on serum, plasma and skeletal muscle BDNF in twenty-two sedentary older individuals (69.0 ±â€¯8.0 yrs., 9 M/13F). BDNF response to acute exercise was additionally evaluated in young trained individuals (25.1 ±â€¯2.1 yrs., 3 M/5F). Acute aerobic exercise transiently increased serum BDNF in sedentary (16%, p = .007) but not in trained elderly or young individuals. Resting serum or plasma BDNF was not regulated by exercise training in the elderly. However, subtle training-related changes of serum BDNF positively correlated with improvements in walking speed (R = 0.59, p = .005), muscle mass (R = 0.43, p = .04) and cognitive performance (R = 0.41, p = .05) and negatively with changes in body fat (R = -0.43, p = .04) and triglyceridemia (R = -0.53, p = .01). Individuals who increased muscle BDNF protein in response to 3-month training (responders) displayed stronger acute exercise-induced increase in serum BDNF than non-responders (p = .006). In addition, muscle BDNF protein content positively correlated with type II-to-type I muscle fiber ratio (R = 0.587, p = .008) and with the rate of post-exercise muscle ATP re-synthesis (R = 0.703, p = .005). Contrary to serum, acute aerobic exercise resulted in a decline of plasma BDNF 1 h post-exercise in both elderly-trained (-34%, p = .002) and young-trained individuals (-48%, p = .034). Acute circulating BDNF regulation by exercise was dependent on the level of physical fitness and correlated with training-induced improvements in metabolic and cognitive functions. Our observations provide an indirect evidence that distinct exercise-induced changes in serum and plasma BDNF as well as training-related increase in muscle BDNF protein, paralleled by improvements in muscle and whole-body clinical phenotypes, are involved in the coordinated adaptive response to exercise in humans.

Aerobic-Strength Exercise Improves Metabolism and Clinical State in Parkinson's Disease Patients.

Regular exercise ameliorates motor symptoms in Parkinson's disease (PD). Here, we aimed to provide evidence that exercise brings additional benefits to the whole-body metabolism and skeletal muscle molecular and functional characteristics, which might help to explain exercise-induced improvements in the clinical state. 3-months supervised endurance/strength training was performed in early/mid-stage PD patients and age/gender-matched individuals (n = 11/11). The effects of exercise on resting energy expenditure (REE), glucose metabolism, adiposity, and muscle energy metabolism (31P-MRS) were evaluated and compared to non-exercising PD patients. Two muscle biopsies were taken to determine intervention-induced changes in fiber type, mitochondrial content, and expression of genes related to muscle energy metabolism, as well as proliferative and regenerative capacity. Exercise improved the clinical disability score (MDS-UPDRS), bradykinesia, balance, walking speed, REE, and glucose metabolism and increased muscle expression of energy sensors (AMPK). However, the exercise-induced increase in muscle mass/strength, mitochondrial content, type II fiber size, and postexercise phosphocreatine (PCr) recovery (31P-MRS) were found only in controls. Nevertheless, MDS-UPDRS was associated with muscle AMPK and mechano-growth factor (MGF) expression. Improvements in fasting glycemia were positively associated with muscle function and the expression of Sirt1 and Cox7a1, and the parameters of fitness/strength were positively associated with the expression of MyHC2, MyHC7, and MGF. Moreover, reduced bradykinesia was associated with better muscle metabolism (maximal oxidative capacity and postexercise PCr recovery; 31P-MRS). Exercise training improved the clinical state in early/mid-stage Parkinson's disease patients, including motor functions and whole-body metabolism. Although the adaptive response to exercise in PD was different from that of controls, exercise-induced improvements in the PD clinical state were associated with specific adaptive changes in muscle functional, metabolic, and molecular characteristics. CLINICAL TRIAL REGISTRATION: www.ClinicalTrials.gov, identifier NCT02253732.