Relative pedaling forces are low during cycling.

We quantified and compared the mechanical force demands relative to the maximum dynamic force (MDF) of 11 cyclists when pedaling at different intensities (ventilatory threshold, maximum lactate steady state, respiratory compensation point, and maximal aerobic power), cadences (free, 40, 60 and 80 rpm), and all-out resisted sprints. Relative force demands (expressed as %MDF) progressively increased with higher intensities (p < 0.001) and lower cadences (p < 0.001). Notwithstanding, relative force demands were low (<54 % MDF) for all conditions, even during the so-called 'torque training'. These results might be useful when programming on-bike resistance training to improve torque production capacity.

Is all work the same? Performance after accumulated work of differing intensities in male professional cyclists.

OBJECTIVES: Although the ability to attenuate power output (PO) declines after accumulated work (i.e., 'durability') is increasingly recognized as a major determinant of cycling performance, the potential role of the intensity of the previous work is unclear. We assessed the effect of work-matched levels of accumulated work at different intensities on performance in male professional cyclists. DESIGN: Observational field-based study. METHODS: PO data was registered in 17 cyclists during a competition season, and the critical power (CP) was repeatedly determined every 4 weeks from training sessions and competitions. Participants' maximum mean power (MMP) for different durations (5 s, 5 min, 10 min, and 20 min) and the CP were determined under 'fresh' conditions (0 kJ·kg-1) and after varying levels of accumulated work (2.5, 5.0 and 7.5 kJ·kg-1) at intensities below and above the CP. RESULTS: A significant decline was found for all MMP values following all levels of accumulated work above the CP (-4.0 %, -1.7 %, -1.8 %, and -3.2 % for 30s, 5 min, 10 min and 20 min-MMP, respectively; all p < 0.001), versus no change after any level of accumulated work below the CP (all p > 0.05). Similar results were observed for the CP, which decreased after all levels of accumulated work above (-2.2 %, -6.1 %, and -16.2 %, after 2.5, 5.0 and 7.5 kJ·kg-1, p < 0.001) but not below this indicator (p > 0.05). CONCLUSIONS: In male professional cyclists, accumulated work above the CP impairs performance compared with work-matched, albeit less intense efforts. This raises concerns on the use of mechanical work per se as a single fatigue/stress indicator in these athletes.

Effects of multicomponent training and HMB supplementation on disability, cognitive and physical function in institutionalized older adults aged over 70 years: a cluster-randomized controlled trial.

OBJECTIVES: To investigate the synergist effects of exercise and ß-hydroxy ß-methylbutyrate (HMB) supplementation on disability, cognitive and physical function, and muscle power in institutionalized older people. DESIGN: Cluster-randomized controlled trial. PARTICIPANTS: Seventy-two institutionalized older adults (age = 83 ± 10 years old; 63% women) were randomized in four groups: exercise plus placebo (EX), HMB supplementation, EX plus HMB supplementation (EX + HMB), and control (CT). INTERVENTION: The exercising participants completed a 12-week tailored multicomponent exercise intervention (Vivifrail; 5 days/week of an individualized resistance, cardiovascular, balance and flexibility program), whereas the HMB groups received a drink containing 3 g/day of HMB. MEASUREMENTS: Participants were assessed Pre and Post intervention for disability and cognitive function (validated questionnaires), physical function (short physical performance battery, SPPB), handgrip strength and sit-to-stand relative muscle power. Linear mixed-effect models were used to compare changes among groups. RESULTS: Compared to baseline, both EX and EX + HMB improved cognitive function (+2.9 and +1.9 points; p < 0.001), SPPB score (+2.9 points and +2.4 points; p < 0.001) and relative muscle power (+0.64 and +0.48 W·kg-1; p < 0.001), while CT and HMB remained unchanged (p > 0.05). Significant between-group differences were noted between CT, EX and EX + HMB for cognitive function (p < 0.01), between CT and EX + HMB for physical function (p = 0.043), and between CT, EX and EX + HMB for relative muscle power (p < 0.001). CONCLUSION: The Vivifrail exercise program was effective in improving cognitive and physical function, and muscle power in nursing home residents, while HMB supplementation did not provide additional benefits when combined with exercise. These results emphasize the importance of physical exercise interventions in very old people as an essential basis for improving their overall health and quality of life.

Torque-Cadence Profile and Maximal Dynamic Force in Cyclists: A Novel Approach.

We aimed to determine the feasibility, test-retest reliability and long-term stability of a novel method for assessing the force (torque)-velocity (cadence) profile and maximal dynamic force (MDF) during leg-pedaling using a friction-loaded isoinertial cycle ergometer and a high-precision power-meter device. Fifty-two trained male cyclists completed a progressive loading test up to the one-repetition maximum (1RM) on a cycle ergometer. The MDF was defined as the force attained at the cycle performed with the 1RM-load. To examine the test-retest reliability and long-term stability of torque-cadence values, the progressive test was repeated after 72 h and also after 10 weeks of aerobic and strength training. The participants' MDF averaged 13.4 ± 1.3 N·kg-1, which was attained with an average pedal cadence of 21 ± 3 rpm. Participants' highest power output value was attained with a cadence of 110 ± 16 rpm (52 ± 5% MDF). The relationship between the MDF and cadence proved to be very strong (R2 = 0.978) and independent of the cyclists' MDF (p = 0.66). Cadence values derived from this relationship revealed a very high test-retest repeatability (mean SEM = 4 rpm, 3.3%) and long-term stability (SEM = 3 rpm, 2.3%); despite increases in the MDF following the 10-week period. Our findings support the validity, reliability and long-term stability of this method for the assessment of the torque-cadence profile and MDF in cyclists.

The Influence of High-Intensity Work on the Record Power Profile of Under-23, Pro Team, and World Tour Cyclists.

BACKGROUND: Durability (ie, the ability to attenuate the decline in performance after accumulated work) has been identified as a performance determinant in elite cyclists. The aim of the present study was to compare durability in elite cyclists of various performance levels, particularly after high-intensity work, referred to as "high-intensity durability." METHODS: Forty-nine (N = 49) male road cyclists were categorized as either under 23 years of age (U23) (N = 11), Pro Team (N = 13), or World Tour (N = 24). The participants' critical power (CP) was assessed during the preseason. Thereafter, the participants' maximum mean power (MMP) values were determined for efforts of different durations (from 5 s to 30 min) after different levels of accumulated work above CP (from 0 to 7.5 kJ·kg-1). RESULTS: U23 cyclists showed a significant reduction of all relative MMP values for durations ≥1 minute after ≥5 kJ·kg-1 above CP compared with the "fresh" state (0 kJ·kg-1), whereas in Pro Team and World Tour cyclists, a significant reduction was not observed until 7.5 kJ·kg-1 above CP. In the "fresh" state, both Pro Team and particularly World Tour cyclists attained higher MMP values for efforts ≥10 minutes than U23 riders. However, more differences emerged with greater previous work levels, and indeed after 7.5 kJ·kg-1 above CP World Tour cyclists attained higher MMP values than both U23 and Pro Team cyclists for most efforts (≥30 s). CONCLUSION: Pro Team and particularly World Tour cyclists tolerate greater levels of accumulated work at high intensity, which might support the importance of high-intensity durability for performance.

Load-velocity Relationship of the Bench Press Exercise is not Affected by Breast Cancer Surgery and Adjuvant Therapy.

We examined the effect of breast cancer surgery and adjuvant therapy on the relationship between bar velocity and relative intensity (load-velocity [L-V] relationship) of the bench press (BP) exercise. Twenty-two breast cancer survivors (age: 48.0±8.2 yr., relative strength: 0.40±0.08) completed a loading test up to the one-repetition maximum (1RM) in the BP using a lightweight carbon bar. General and individual relationships between relative intensity (%1RM) and mean propulsive velocity (MPV) were studied. Furthermore, the mean test velocity (MPVTest) and velocity attained to the 1RM (MPV1RM) were analyzed. These procedures and analyses were also conducted in 22 healthy women (age: 47.8±7.1 yr., relative strength: 0.41±0.09) to examine the differences in velocity parameters derived from these L-V relationships. Polynomial regressions showed very close relationships (R2≥0.965) and reduced estimation errors (≤4.9% 1RM) for both groups. Between-group differences in MPV attained to each %1RM were small (≤0.01 m·s-1) and not significant (p≥0.685). Similarly, the MPVTest (0.59±0.06 m·s-1) and MPV1RM (0.17±0.03 m·s-1) were identical for breast cancer survivors and healthy women. These results suggest that practitioners could use the same velocity parameters derived from the BP L-V relationship to prescribe this exercise in middle-aged women, regardless of whether they have suffered from breast cancer.

Free-Weight and Machine-Based Training Are Equally Effective on Strength and Hypertrophy: Challenging a Traditional Myth.

PURPOSE: This study aimed to compare the effects of free-weight and machine-based resistance training on strength, hypertrophy, and joint discomfort. METHODS: Thirty-eight resistance-trained men participated in an 8-wk resistance program allocated into free-weight ( n = 19) or machine-based ( n = 19) groups. Training variables were identical for both modalities, so they only differed in the use of barbells or machines to execute the full squat, bench press, prone bench pull, and shoulder press exercises. The velocity-based method was implemented to accurately adjust the intensity throughout the program. Strength changes were evaluated using eight velocity-monitored loading tests (four exercises × two modalities) and included the relative one-repetition maximum (1RM Rel ), as well as the mean propulsive velocity against low (MPV Low ) and high (MPV High ) loads. Ultrasound-derived cross-sectional area of quadriceps (proximal and distal regions), pectoralis major, and rectus abdominis was measured to examine hypertrophy. Complementarily, Western Ontario and McMaster Universities and Disabilities of the Arm, Shoulder and Hand questionnaires were administrated to assess changes in lower- and upper-limb joint discomfort. Outcomes were compared using ANCOVA and percentage of change (∆) statistics. RESULTS: Each group significantly ( P < 0.001) increased 1RM Rel , MPV Low , and MPV High for both modalities tested, but especially in the one they trained. When considering together the eight exercises tested, strength changes for both modalities were similar (∆ differences ≤1.8%, P ≥ 0.216). Likewise, the cross-sectional area of all the muscles evaluated was significantly increased by both modalities, with no significant differences between them (∆ difference ≤2.0%, P ≥ 0.208). No between-group differences ( P ≥ 0.144) were found for changes in stiffness, pain, and functional disability levels, which were reduced by both modalities. CONCLUSIONS: Free-weight and machine-based modalities are similarly effective to promote strength and hypertrophy without increasing joint discomfort.

Between-Seasons Variability of Cyclists' Peak Performance: A Longitudinal Analysis of "Real-World" Power Output Data in Male Professional Cyclists.

PURPOSE: The record power profile (RPP) has gained popularity as a method of monitoring endurance cycling performance. However, the expected variation of cyclists' performance between seasons remains unknown. We aimed to assess the between-seasons variability of peak performance (assessed through the RPP) in male professional cyclists. METHODS: The study followed a longitudinal observational design. Sixty-one male professional cyclists (age 26 [5] y) with power output data from both training sessions and competitions were analyzed for a median of 4 consecutive seasons (range 2-12). The highest mean maximum power values attained for different durations (from 10 s to 30 min), as well as the resulting critical power, were determined for each season. Within-cyclist variability between seasons was assessed, and the upper threshold of expected changes (ie, twice the normal coefficient of variation) was determined. RESULTS: All mean maximum power values showed an overall high agreement and low variability between seasons (intraclass correlation coefficient [ICC] = .76-.88 and coefficient of variation [CV] = 3.2%-5.9%), with the lowest variability observed for long efforts (>1 min). Critical power showed an ICC and CV of .79 (95% CI, .70-.85) and 3.3% (95% CI, 3.0%-3.7%), respectively. Upper thresholds of expected variation were <12% for short efforts (≤1 min) and <8% for long efforts. CONCLUSIONS: "Real-world" peak performance assessed through the RPP shows a low variability between seasons in male professional cyclists-especially for long efforts-with expected variation being around 6% and 3% for short (≤1 min) and long efforts, respectively, and with changes >12% and >8%, respectively, being infrequent for these effort durations.

Adaptations in athletic performance and muscle architecture are not meaningfully conditioned by training free-weight versus machine-based exercises: Challenging a traditional assumption using the velocity-based method.

BACKGROUND: Although the superior effectiveness of free-weight over machine-based training has been a traditionally widespread assumption, longitudinal studies comparing these training modalities were scarce and heterogeneous. OBJECTIVE: This research used the velocity-based method to compare the effects of free-weight and machine-based resistance training on athletic performance and muscle architecture. METHODS: Thirty-four resistance-trained men participated in an 8-week resistance training program allocated into free-weight (n = 17) or machine-based (n = 17) groups. Training variables (intensity, intraset fatigue, and recovery) were identical for both groups, so they only differed in the use of a barbell or specific machines to execute the full squat, bench press, prone bench pull, and shoulder press exercises. The velocity-based method was implemented to accurately adjust the planned intensity. Analysis of covariance and effect size (ES) statistics were used to compare both training modalities on a comprehensive set of athletic and muscle architecture parameters. RESULTS: No between-group differences were found for any athletic (p ≥ 0.146) and muscle architecture (p ≥ 0.184) variable. Both training modalities significantly and similarly improved vertical jump (Free-weight: ES ≥ 0.45, p ≤ 0.001; Machine-based: ES ≥ 0.41, p ≤ 0.001) and lower limb anaerobic capacity (Free-weight: ES ≥ 0.39, p ≤ 0.007; Machine-based: ES ≥ 0.31, p ≤ 0.003). Additionally, the machine-based group meaningfully enhanced upper limb anaerobic power (ES = 0.41, p = 0.021), whereas the free-weight group significantly improved the change of direction (ES = -0.54, p = 0.003) and 2/6 balance conditions analyzed (p ≤ 0.012). Changes in sprint capacity (ES ≥ -0.13, p ≥ 0.274), fascicle length, and pennation angle (ES ≤ 0.19, p ≥ 0.129) were not significant for either training modality. CONCLUSION: Adaptations in athletic performance and muscle architecture would not be meaningfully influenced by the resistance modality trained.

Velocity-Based Method in Free-Weight and Machine-Based Training Modalities: The Degree of Freedom Matters.

ABSTRACT: Hernández-Belmonte, A, Buendía-Romero, Á, Pallares, JG, and Martínez-Cava, A. Velocity-based method in free-weight and machine-based training modalities: the degree of freedom matters. J Strength Cond Res 37(9): e500-e509, 2023-This study aimed to analyze and compare the load-velocity relationships of free-weight and machine-based modalities of 4 resistance exercises. Moreover, we examined the influence of the subject's strength level on these load-velocity relationships. Fifty men completed a loading test in the free-weight and machine-based modalities of the bench press, full squat, shoulder press, and prone bench pull exercises. General and individual relationships between relative intensity (%1RM) and velocity variables were studied through the coefficient of determination ( R2 ) and standard error of the estimate ( SEE ). Moreover, the velocity attained to each %1RM was compared between both modalities. Subjects were divided into stronger and weaker to study whether the subject's strength level influences the mean test (mean propulsive velocity [MPV Test ]) and 1RM (MPV 1RM ) velocities. For both modalities, very close relationships ( R2 ≥ 0.95) and reduced estimation errors were found when velocity was analyzed as a dependent ( SEE ≤ 0.086 m·s -1 ) and independent ( SEE ≤ 5.7% 1RM) variable concerning the %1RM. Fits were found to be higher ( R2 ≥ 0.995) for individual load-velocity relationships. Concerning the between-modality comparison, the velocity attained at each intensity (from 30 to 100% 1RM) was significantly faster for the free-weight variant. Finally, nonsignificant differences were found when comparing MPV Test (differences ≤ 0.02 m·s -1 ) and MPV 1RM (differences ≤ 0.01 m·s -1 ) between stronger and weaker subjects. These findings prove the accuracy and stability of the velocity-based method in the free-weight and machine-based variants but highlight the need to use the load-velocity relationship (preferably the individual one) specific to each training modality.

Is the Record Power Profile Repeatable? A Practical Analysis and Interpretation in Professional Cyclists.

ABSTRACT: Muriel, X, Hernández-Belmonte, A, Mateo-March, M, Valenzuela, PL, Zabala, M, Barranco-Gil, D, Lucia, A, and Pallares, JG. Is the record power profile repeatable? A practical analysis and interpretation in professional cyclists. J Strength Cond Res 37(5): 1131-1134, 2023-This study assessed the repeatability of the Record Power Profile (RPP, i.e., the highest power output that a cyclist can attain for different effort durations under field-based conditions). We registered the RPP of 12 professional cyclists (age 32 ± 5 years) for efforts lasting between 30 seconds and 60 minutes during 3 periods of a season, each of 23-day duration: preparation (including training data only), specific (training and competition data), and competition (competition data only) periods. Repeatability was assessed using the highest 2 (RPP 2 ), 3 (RPP 3 ), and 5 (RPP 5 ) values of mean maximum power obtained by the cyclists for each effort duration in each of the 3 periods. Smaller standard errors of measurement ( SEM ) were found as the competitive period approached, especially for short-duration efforts (i.e., 30 seconds, 1 minute, and 5 minutes, where SEM ranged from 4.3 to 12.5%, 4.1-8.5%, and 2.6-7.0% in the preparation, specific, and competition periods, respectively). However, similar SEM values were found in the 3 periods for RPP 2 , RPP 3 , or RPP 5. In conclusion, the RPP appears as a repeatable parameter for monitoring field-based performance within the different phases of the season in professional cyclists.

Effects of a concurrent training, respiratory muscle exercise, and self-management recommendations on recovery from post-COVID-19 conditions: the RECOVE trial.

The aim of this study was to determine the effectiveness of physical exercise, respiratory muscle training, and the self-management World Health Organization (WHO) recommendations leaflet on the recovery of physical fitness, quality of life, and symptom status in people with post-COVID-19 conditions. Eighty nonhospitalized adults with a post-COVID-19 condition were randomly assigned to one of four 8-wk parallel intervention groups: 1) multicomponent exercise program based on concurrent training (CT, number of subjects (n) = 20; 3 resistance and endurance supervised sessions per week at low-moderate intensity); 2) inspiratory muscle training (RM, n = 17; 2 standardized daily sessions); 3) a combination of both of the above (CTRM, n = 23); and 4) control group (CON, n = 20; following the WHO guidelines for post-COVID-19-related illness rehabilitation). No significant differences between groups were detected at baseline. Although no significant differences between interventions were detected in the V̇o2max, significant individual improvements were identified in the CT (7.5%; effect size, ES = 0.28) and CTRM (7.8%; ES = 0.36) groups. Lower body muscle strength significantly improved in the CT and CTRM (14.5%-32.6%; ES = 0.27-1.13) groups compared with RM and CON (-0.3% to 11.3%; ES = 0.10-0.19). The CT and CTRM groups improved significantly for dyspnea and fatigue, as did the health status. In addition, significant differences between interventions were described in fatigue and depression scales favoring CT and CTRM interventions. An individualized and supervised concurrent training with or without inspiratory muscle training was safe and more effective than self-care recommendations and inspiratory muscle training alone, to regain cardiovascular and muscular fitness, improve symptom severity, and health status in outpatients with post-COVID-19 conditions.NEW & NOTEWORTHY Eight weeks of concurrent training, with or without inspiratory muscle exercise, was better than WHO "Support for Rehabilitation: Self-Management after COVID-19-Related Illness" recommendations or inspiratory muscle training alone to improve cardiopulmonary fitness, strength, and symptom severity, in a safe and effective manner. The RECOVE trial proved the benefits and utility of a supervised exercise program in people with post-COVID-19 conditions after mild COVID-19 in an ambulatory setting.

Influence of Torque and Cadence on Power Output Production in Cyclists.

PURPOSE: No information is available on the torque/cadence relationship in road cyclists. We aimed to establish whether this relationship differs between cyclists of different performance levels or team roles. METHODS: Mean maximal power (MMP) output data from 177 riders were obtained from 2012 to 2021 from training and competitions. Cyclists were categorized according to their performance level (world-tour [WT, n = 68], procontinental [PC, n = 63], or under 23 [U23, n = 46]) and team role (time trialists [n = 12], all-rounders [n = 94], climbers [n = 64], or team leaders [n = 7]). RESULTS: A significant interaction effect was found for absolute and relative MMP (P < .001), with higher values in PC than WT for short (5-60 s) efforts and the opposite trend for longer durations. MMP was also greater in PC than in U23 for short efforts (30-60 s), with WT and PC attaining higher MMP than U23 for longer bouts (5-60 min). A significant interaction effect was found for cadence (P = .007, but with no post hoc differences) and absolute (P = .010) and relative torque (P = .002), with PC and WT showing significantly higher torque (all P < .05) than U23 for 5- to 60-minute efforts, yet with no differences between the former 2 performance levels. No interaction effect between team roles was found for cadence (P = .185) or relative torque (P = .559), but a significant interaction effect was found for absolute torque (P < .001), with all-rounders attaining significantly higher values than climbers for 5-second to 5-minute efforts. CONCLUSIONS: Differences in MMP between cycling performance levels and rider types are dependent on torque rather than cadence, which might support the role of torque development in performance.

Road gradient and cycling power: An observational study in male professional cyclists.

OBJECTIVES: To investigate the influence of road gradient on cycling power output in male professional cyclists, and to determine whether cyclist typology (i.e., flat or climbing specialist) moderates this influence. DESIGN: Observational study. METHODS: Ninety-eight professional cyclists (27 ±â€¯6 years; 53 flat and 45 climbing specialists). We collected power output data during both training sessions and competitions over 10 years (2013-2022). We determined the maximal mean power values attained for efforts lasting 1, 5, 10 and 20 min, during both level cycling and uphill cycling (average slope< or ≥5 %, respectively), as well as the average road gradients on which cyclists attained their maximal mean power. RESULTS: Maximal mean power values were higher during uphill cycling than during level cycling for all effort durations (difference ranging between 0.4 and 3.6 %, all p < 0.003). This finding was confirmed for flat and uphill specialists separately (p < 0.003 for both), with a similar increase in maximal mean power values between level cycling and uphill cycling in the two typologies except for longer efforts (≥10 min), in which maximal mean power values tended to increase more in climbers. Participants attained maximal mean power at an average slope of 6.0-7.3 %, with no differences between effort durations or cyclist typologies. CONCLUSIONS: Professional cyclists attain higher maximal mean power values on steep than on level road gradients regardless of their typology, with an average gradient of 6-7 % appearing optimal (or at least the most common) for achieving the highest maximal mean power values.

Rehabilitation for post-COVID-19 condition through a supervised exercise intervention: A randomized controlled trial.

PURPOSE: The aim of the study was to compare the outcomes of patients with post-COVID-19 condition undergoing supervised therapeutic exercise intervention or following the self-management WHO (World Health Organization) rehabilitation leaflet. METHODS: A randomized controlled trial was carried out that included 39 participants with post-COVID-19 condition who had a chronic symptomatic phase lasting >12 weeks. Comprehensive medical screening, patient-reported symptoms, and cardiorespiratory fitness and muscular strength were assessed. Patients were randomly assigned to a tailored multicomponent exercise program based on concurrent training for 8 weeks (two supervised sessions per week comprised resistance training combined with aerobic training [moderate intensity variable training], plus a third day of monitored light intensity continuous training), or to a control group which followed the WHO guidelines for rehabilitation after COVID-19. RESULTS: After follow-up, there were changes in physical outcomes in both groups, however, the magnitude of the change pre-post intervention favored the exercise group in cardiovascular and strength markers: VO2 max +5.7%, sit-to-stand -22.7% and load-velocity profiles in bench press +6.3%, and half squat +16.9%, (p < 0.05). In addition, exercise intervention resulted in a significantly better quality of life, less fatigue, less depression, and improved functional status, as well as in superior cardiovascular fitness and muscle strength compared to controls (p < 0.05). No adverse events were observed during the training sessions. CONCLUSION: Compared to current WHO recommendations, a supervised, tailored concurrent training at low and moderate intensity for both resistance and endurance training is a more effective, safe, and well-tolerated intervention in post-COVID-19 conditions.

Relationship between the severity of persistent symptoms, physical fitness, and cardiopulmonary function in post-COVID-19 condition. A population-based analysis.

The aim of this study was to determine the relationship between physical fitness, cardiopulmonary function and patient-reported severity of symptoms in people with post-COVID-19 condition. We examined ambulatory patients (n = 72) with post-COVID-19 condition who had a chronic symptomatic phase lasting > 12 weeks from the onset of symptoms, but had not been hospitalized for acute COVID-19. A comprehensive medical screening was conducted, including clinical history, symptomatology, comorbidities, body composition and physical activity levels. We then identified the relationship between physical fitness (cardiorespiratory fitness and muscular strength), cardiopulmonary function (echocardiographic and spirometry parameters) and patient-reported severity of symptoms (fatigue, dyspnea, health-related quality of life, anxiety, and depression). Age, body mass index, sex, number of comorbidities and duration of symptoms were included as potential confounders. Results showed that greater physical fitness and cardiopulmonary function were associated with lower severity of symptoms in people with post-COVID-19 condition. Cardiorespiratory fitness, lower-limb muscle strength, maximal voluntary ventilation and left ventricular ejection fraction account for reducing fatigue and dyspnea. Greater physical activity levels were associated with fewer symptoms and less-severe fatigue and dyspnea. In conclusion, preserving better cardiopulmonary health and physical condition during the course of the disease-even in mild cases-was related to a lower intensity of symptoms in non-hospitalized people with post-COVID-19 condition. It is probable that exercise and physical conditioning are valuable pre- and post-COVID-19 countermeasures that could help decrease the severity, not only of acute infection, but of post-COVID-19 persistent symptoms and prognosis.

Field-Derived Maximal Power Output in Cycling: An Accurate Indicator of Maximal Performance Capacity?

PURPOSE: To determine the validity of field-derived mean maximum power (MMP) values for monitoring maximal cycling endurance performance. METHODS: Twenty-seven male professional cyclists performed 3 timed trials (TTs) of 1-, 5-, and 20-minute duration that were used as the gold standard reference. Field-based power output data (3336 files; 124 [25] per cyclist) were registered during the preparatory (60 d pre-TT, including training data only) and specific period of the season (60 d post-TT, including both training and competitions). Comparisons were made between TT performance (mean power output) and MMP values obtained for efforts of the same duration as TT (MMP of 1-, 5-, and 20-min duration). The authors also compared TT- and MMP-derived values of critical power (CP) and anaerobic work capacity. RESULTS: A large correlation (P < .001, r > .65) was found between MMP and TT performance regardless of the effort duration or season period. However, considerable differences (P < .05, standard error of measurement [SEM] > 5%) were found between MMP and TT values for all effort durations in the preparatory period, as well as for the derived CP and anaerobic work capacity. Significant differences were also found between MMP and TT of 1 minute in the specific period, as well as for anaerobic work capacity, yet with no differences for MMP of 5- and 20-minute duration or the derived CP (P > .05, SEM < 5%). CONCLUSION: MMP values (for efforts ≥5 min) and the associated CP obtained from both training sessions and competitions can be considered overall accurate indicators of the cyclist's maximal capabilities, but specific tests might be necessary for shorter efforts or when considering training sessions only.

The 2-Point Method: A Quick, Accurate, and Repeatable Approach to Estimate Ultrasound-Derived Quadriceps Femoris Cross-Sectional Area.

PURPOSE: To analyze the feasibility of the 2-point method for estimating ultrasound-derived quadriceps femoris cross-sectional area (QUADACSA). First, (1) the agreement between QUADACSA measured by panoramic ultrasound and magnetic resonance imaging (MRI) was studied, and thereafter, we examined 2 approaches of the 2-point method in terms of (2) estimation errors and (3) test-retest repeatability. METHODS: Both thighs of 16 young men were analyzed. Ultrasound-QUADACSA versus MRI-QUADACSA comparison was conducted at 6 thigh lengths (20%-70% of the thigh length). Thereafter, ultrasound-QUADACSA corresponding to 30% and 60% (2-point30%-60%) or 20% and 70% (2-point20%-70%) were used to estimate QUADACSA of the remaining regions. Estimated QUADACSA resulting from both 2-point approaches was compared with the measured one. Finally, the test-retest repeatability was examined by comparing the errors generated on 2 separate estimations. Statistics included the standard error of measurement (SEM) expressed in absolute (in square centimeters) and relative terms (in percentage) as a coefficient of variation (CV), as well as the intraclass correlation cofficient (ICC) and bias. RESULTS: An excellent agreement (ICC ≥ 0.980) and reduced errors (SEM ≤ 2.43 cm2) resulted from the ultrasound-QUADACSA versus MRI-QUADACSA comparison. Although estimation errors found were reduced (CV ≤ 7.50%), they proved to be lower and less biased for the 2-point30%-60%, especially at the central regions (SEM ≤ 2.01 cm2; bias ≤ 0.89 cm2). Similarly, repeatability analysis revealed lower test-retest errors for the 2-point30%-60% (CV ≤ 1.9%) than for the 2-point20%-70% (CV ≤ 4.6%). CONCLUSION: The 2-point method, especially that implemented using the 30% and 60% regions, represents an accurate and repeatable strategy to evaluate QUADACSA.

Strength and Athletic Adaptations Produced by 4 Programming Models: A Velocity-Based Intervention Using a Real-Context Routine.

PURPOSE: To compare the strength and athletic adaptations induced by 4 programming models. METHODS: Fifty-two men were allocated into 1 of the following models: linear programming (intensity increased while intraset volume decreased), undulating programming (intensity and intraset volume were varied in each session or set of sessions), reverse programming (intensity decreased while intraset volume increased), or constant programming (intensity and intraset volume kept constant throughout the training plan). All groups completed a 10-week resistance-training program made up of the free-weight bench press, squat, deadlift, prone bench pull, and shoulder press exercises. The 4 models used the same frequency (2 sessions per week), number of sets (3 per exercise), interset recoveries (4 min), and average intensity throughout the intervention (77.5%). The velocity-based method was used to accurately adjust the planned intensity for each model. RESULTS: The 4 programming models exhibited significant pre-post changes in most strength variables analyzed. When considering the effect sizes for the 5 exercises trained, we observed that the undulating programming (mean effect size = 0.88-2.92) and constant programming (mean effect size = 0.61-1.65) models induced the highest and lowest strength enhancements, respectively. Moreover, the 4 programming models were found to be effective to improve performance during shorter (jump and sprint tests) and longer (upper- and lower-limb Wingate test) anaerobic tasks, with no significant differences between them. CONCLUSION: The linear, undulating, reverse, and constant programming models are similarly effective to improve strength and athletic performance when they are implemented in a real-context routine.