Dor muscular e atividade de creatina quinase após ações excêntricas: uma análise de cluster / Muscle soreness and creatine kinase activity after eccentric actions: a cluster analysis / Dolor muscular y actividad de creatina kinasa tras acciones excéntricas: un análisis de cluster

INTRODUÇÃO: O exercício excêntrico máximo promove queda da capacidade de geração de força, aumento de dor muscular de início tardio (DMIT) e extravasamento de creatina quinase (CK) no sangue. No entanto, essas respostas ao exercício excêntrico demonstram alta variabilidade interindivíduos. OBJETIVOS: Classificar e analisar essas respostas segundo a vulnerabilidade individual, por meio da magnitude da redução dos níveis de força após exercício excêntrico. MÉTODOS: Dezoito sujeitos (11 homens e sete mulheres com idade entre 18 e 71 anos) saudáveis realizaram cinco séries de seis ações excêntricas máximas para flexores do cotovelo em dinamômetro isocinético (90°s- 1, amplitude de movimento de 80 a 20°). Foram analisadas contração voluntária muscular concêntrica máxima (CVM), DMIT e CK pré, pós (exceto CK), 24 h, 48 h, 72 h e 96 h após o protocolo. Os indivíduos foram classificados como "baixos" (BR) e "altos" respondedores (AR) ao pico de queda de CVM pós-exercício seguindo-se uma análise de cluster e comparação entre grupos para CVM, DMIT e CK com teste-t independente. RESULTADOS: A comparação entre BR e AR indicou maiores valores de queda de CVM para o grupo AR (AR: -30,7 ± 3,3%; BR: -14,1 ± 2,2%, p < 0,001) e maior DMIT também para o grupo AR (AR: 33,0 ± 8,6 mm; BR: 10,2 ± 2,5 mm, p = 0,033); no entanto, os valores de pico de atividade de CK não diferiram entre os grupos (AR: 232,1 ± 54,8 UI.L- 1; BR: 306,1 ± 82,3 UI.L- 1, p = 0,490). CONCLUSÃO: A classificação dos indivíduos em grupos de baixos e altos respondedores foi importante para demonstrar que o grupo mais responsivo à queda de força após exercício excêntrico ...

INTRODUCTION: Maximal eccentric exercise promotes decreases in muscular strength, increases in delayed-onset muscle soreness (DMIT) and leakage of creatine kinase (CK) in the blood. However, these responses to eccentric exercise demonstrated large inter-individual variability. OBJECTIVES: To classify and analyze these responses according to individual vulnerability through the magnitude of the reduction of strength following eccentric exercise. METHODS: Eighteen healthy subjects (11 men and seven women aged 18 to 71 years) performed five sets of six maximal isokinetic eccentric actions of the elbow flexors using an isokinetic dynamometer (90°s- 1, range of motion 80-20°). Maximum voluntary concentric muscle contraction (CVM), DMIT and CK pre-, post (except CK), 24h, 48h, 72h and 96h were analyzed after the protocol. Individuals were classified as "low" (BR) and "high" (AR) responders at the peak of CVM decrease post-exercise using a k-means cluster analysis and compared between groups for CVM, DMIT and CK with independent t-test. RESULTS: The comparison between BR and AR showed higher CVM decrease for AR (AR: -30.7±3.3%, BR: -14.1±2.2%, p<0.001) and higher DMIT also for AR group (AR: 33.0±8.6 mm; BR: 10.2±2.5 mm, p=0.033) however, the peak values of CK activity did not differ between groups (AR: 232.1±54.8 UI.L- 1, BR: 306.1±82.3 UI.L- 1, p=0.490). CONCLUSION: The classification of the subjects into low and high responders groups was important to demonstrate that the most responsive group to strength decrease after eccentric exercise also shows higher DMIT levels; notwithstanding, for creatine kinase this relation could not be established. .

INTRODUCCIÓN: El ejercicio excéntrico máximo promueve reducciones de capacidad de generación de energía, aumento de dolor muscular de aparición tardía (DMIT), y escape de creatina kinasa (CK) en la sangre. Sin embargo, estas respuestas al ejercicio excéntrico demostraron una gran variabilidad interindividual. OBJETIVOS: Clasificar y analizar las respuestas de acuerdo a la vulnerabilidad individual al grado de disminución de la fuerza después del ejercicio excéntrico. MÉTODOS: Dieciocho sujetos sanos (11 hombres y siete mujeres de entre 18 a 71 años) han realizado cinco series de seis acciones excéntricas isocinéticas máximas de los flexores del codo utilizando un dinamómetro isocinético (90º s- 1, rango de movimiento 80-20°). La contracción concéntrica muscular voluntaria máxima (CVM), DMIT y CK pre-, inmediatamente después (excepto CK), 24h, 48h, 72h y 96h fue analizada después del protocolo. Los individuos fueron clasificados en "bajos" (BR) y "altos" (AR) respondedores, conforme el pico de declinación en la CVM después del ejercicio mediante un análisis de cluster y comparados entre los grupos para la CVM, DMIT y CK con pruebas t-independientes. RESULTADOS: La comparación entre BR y AR indicó mayor disminución de la CVM para AR (AR: -30,7 ± 3,3%, BR: -14,1 ± 2,2%, p < 0,001) y mayor DMIT también para AR (AR: 33,0 ± 8,6 mm; BR : 10,2 ± 2,5 mm, p = 0,033), sin embargo, los valores de pico de actividad de la CK no difirieron entre los grupos (AR: 232,1 ± 54,8 UI.L-1, BR: 306,1 ± 82,3 UI.L-1, p = 0,490). CONCLUSIÓN: La clasificación de los sujetos en los grupos bajos y altos respondedores fue importante para demostrar que el grupo más sensible a la disminución de la fuerza después del ejercicio excéntrico ...

Comparison in responses to maximal eccentric exercise between elbow flexors and knee extensors of older adults.

OBJECTIVES: To compare the susceptibility of elbow flexors (EF) and knee extensors (KE) to eccentric exercise-induced muscle damage in older individuals, since ageing could modulate the difference in the susceptibility to muscle damage between muscles. DESIGN: Cross-sectional and cross-over study design. METHODS: Eight older (61.6 ± 1.8 years) adults performed 5 sets of 6 maximal isokinetic (90° s(-1)) eccentric contractions of the EF (range of motion: 80-20°) and KE (30-90°) with the non-dominant limb in a randomised, counterbalanced order with 2 weeks between bouts. Maximal voluntary isometric (MVC-ISO) and concentric contraction torque, optimum angle, range of motion (ROM), muscle soreness and serum creatine kinase (CK) activity were measured before, immediately after (except CK), and 24, 48, 72 and 96 h following exercise. Normalised changes in the variables following exercise were compared between EF and KE by a mixed model analysis of variance. RESULTS: Only MVC-ISO and ROM demonstrated significant group effects (p<0.05) for the comparison between EF and KE. Additionally, no significant group vs. time interactions (p>0.05) were found between EF and KE for any of the dependent variables changes. CONCLUSIONS: These results suggest that the KE of older adults are relatively as susceptible to muscle damage as their EF, or at the very least, the difference between EF and KE are small for older adults.

Sixteen weeks of resistance training can decrease the risk of metabolic syndrome in healthy postmenopausal women.

BACKGROUND: The postmenopausal phase has been considered an aggravating factor for developing metabolic syndrome. Notwithstanding, no studies have as yet investigated the effects of resistance training on metabolic syndrome in postmenopausal women. Thus, the purpose of this study was to verify whether resistance training could reduce the risk of metabolic syndrome in postmenopausal women. METHODS: Twenty postmenopausal women were randomly assigned to a resistance training protocol (n = 10, 53.40 ± 3.95 years, 64.58 ± 9.22 kg) or a control group (n = 10, 53.0 ± 5.7 years, 64.03 ± 5.03 kg). In the resistance training protocol, ten exercises were performed, with 3 × 8-10 maximal repetitions three times per week, and the load was increased every week. Two-way analysis of variance was used to evaluate specific metabolic syndrome Z-score, high density lipoprotein cholesterol, fasting blood glucose, triglycerides, waist circumference, blood pressure, strength, and body composition. The level of statistical significance was set at P < 0.05. RESULTS: The main results demonstrated a significant decrease of metabolic syndrome Z-score when the postmenopausal women performed resistance training (P = 0.0162). Moreover, we observed decreases in fasting blood glucose for the resistance training group (P = 0.001), and also significant improvements in lean body mass (P = 0.042, 2.46%), reduction of body fat percentage (P = 0.001, -6.75%) and noticeable increases in muscle strength after resistance training to leg press (P = 0.004, 41.29%) and bench press (P = 0.0001, 27.23%). CONCLUSION: It was concluded that resistance training performed three times a week may reduce the metabolic syndrome Z-score with concomitant decreases in fasting blood glucose, improvements in body composition, and muscle strength in postmenopausal women.

Comparison of maximal muscle strength of elbow flexors and knee extensors between younger and older men with the same level of daily activity.

BACKGROUND: Aging promotes neuromuscular loss, significantly reducing muscle strength. The magnitude of loss of strength seems to be different between the limbs, probably because of differences in activities of daily living (ADL). Therefore, the present study compared the muscle strength of the elbow flexors and knee extensors in younger (n = 7, mean age 23.3 ± 1.2 years) and older (n = 5, mean age 61.8 ± 2.6 years) men matched by ADL level. METHODS: The study participants performed maximal concentric, isometric, and eccentric contractions of the elbow flexors and knee extensors using an isokinetic dynamometer following a crossover study design. Changes in the dependent variables were compared using mixed model analysis (limb versus age). RESULTS: The main results demonstrated that concentric, eccentric, and mean contraction torques for knee extensors were significantly (P < 0.05) higher for younger men than for elderly men. On the other hand, no statistically significant difference (P > 0.05) was found in concentric, isometric, eccentric, and mean torques for elbow flexors between younger and older individuals. CONCLUSION: These results show that elbow flexors maintain better strength than knee extensors through aging, even when comparing individuals with similar ADL levels.

Dano muscular: resposta inflamatória sistêmica após ações excêntricas máximas / Muscle damage: systemic inflammatory response after maximal eccentric actions / Daño muscular: respuesta inflamatoria sistémica después de acciones excéntricas máximas

O objetivo deste estudo foi analisar a resposta inflamatória induzida por grande número de ações excêntricas (AE) máximas realizadas pelos flexores do cotovelo. Participaram do estudo nove homens jovens, que realizaram 35 séries de seis AE nos flexores de cotovelo, com intervalo de um minuto, utilizando um dinamômetro isocinético em uma velocidade de 210º.s-1. As variáveis mensuradas foram: a contração isométrica voluntaria máxima (CIVM), a amplitude de movimento (AM), a dor muscular de inicio tardio (DMIT), a interleucina-6 (IL-6) e o fator de necrose tumoral alfa (TNF-α). Alterações significantes foram observadas para os marcadores indiretos de dano muscular (CIVM, AM e DMIT), entretanto não houve modificações para os marcadores inflamatórios (IL-6 e TNF-α). Em conclusão, os resultados demonstraram que mesmo com alterações nos marcadores indiretos de dano muscular após a realização de um grande número de AE não foram observadas alterações na resposta inflamatória sistêmica.

The objective of this study was to analyze the magnitude of the inflammatory response induced by a high number of eccentric actions (AE) of the elbow flexors. Participated on this study nine young men who performed 35 sets of six AE of the elbow flexors, with an one minute interval, using an isokinetic dynamometer at 210º.s-1. Maximum voluntary isometric contraction (MVIC), range of motion (ROM), delayed onset muscle soreness (DOMS), interleukin 6 (IL-6) and tumor necrosis factor alpha (TNF-α) were measured. Significant changes were observed for markers of muscle damage (MVIC, ROM and DOMS), however, there were no changes on inflammatory markers IL-6 and TNF-α. In conclusion, the results show that even with large numbers of AE and changes in indirect markers of muscle damage, no change was observed in the systemic inflammatory response.

El objetivo del presente estudio fue analizar la magnitud de la respuesta inflamatoria inducida por un gran número de acciones excéntricas (AE) de los flexores del codo. Han participado del estudio nueve jóvenes que llevaron a cabo 35 series de seis AE de los flexores del codo, con un intervalo de un minuto, utilizando un dinamómetro isocinético a 210º.s-1. Fueran mensurados la máxima contracción voluntaria isométrica (CIVM), la amplitud de movimiento (AM), el dolor muscular de aparición tardía (DMIT), la interleucina 6 (IL-6) y el factor de necrosis tumoral alfa (TNF-α). Se observaron cambios significativos para los marcadores de daño muscular (CIVM, AM y DMIT), sin embargo, no hubo cambios en los marcadores de inflamación IL-6 y TNF-α. En conclusión, los resultados indican que mismo con un gran número de AE y cambios en los marcadores indirectos de daño muscular, no se observaron cambios en la respuesta inflamatoria sistémica.

Effects of eccentric exercise on systemic concentrations of pro- and anti-inflammatory cytokines and prostaglandin (E2): comparison between young and postmenopausal women.

The present study aimed to analyze the magnitude of muscle damage and inflammatory responses induced by eccentric exercise in young (YW) and postmenopausal women (PMW). Seventeen healthy women (nine YW, 23.89 ± 2.03 years; and eight PMW, 51.13 ± 5.08 years) performed five sets of six maximal eccentric actions of the elbow flexors. Changes in isometric strength, range of motion, muscle soreness, and upper-arm circumference were evaluated pre, post, 24, 48, and 72 h following eccentric exercise. Changes in creatine kinase activity, interleukin 6 (IL-6), interleukin 10 (IL-10), tumor necrosis factor-α (TNF-α), and prostaglandin E(2) (PGE(2)) were measured pre, 24, 48, and 72 h following eccentric exercise. For intra and inter-group analysis, a two-way repeated measures ANOVA was applied followed by a Tukey's post hoc test. Pearson's correlation was used to analyze the correlations between variables. It was observed no differences between groups for the markers of muscle damage, although significant modifications (p < 0.05) occurred within groups throughout time for all variables. Post menopausal women showed significantly higher values for TNF-α (p < 0.05). Also, IL-6 presented superior pre value for PMW. For YW, IL-6 and IL-10 values increased 72 h post-eccentric exercise compared to pre. Further, IL-10 was higher for YW than PMW 72 h post-eccentric exercise. Significant correlations (p < 0.05) were found between age and soreness, and between age and PGE(2). In conclusion, YW do not have attenuated muscle damage compared to PMW who do not make use of hormonal replacement therapy. In addition, YW have a greater anti-inflammatory response after eccentric exercise compared to PMW.

Efeito do treinamento concorrente sobre a força e área de secção transversa muscular / Effects of concurrent training on strength and muscle cross sectional area

O treinamento de força (TF) induz aumentos na força e hipertrofia muscular. Por outro lado, o treinamento aeróbio (TA) é capaz de elevar a potência aeróbia (VO2pico). Porém a associação entre o TF e TA, conhecido como treinamento concorrente (TC), parece diminuir os ganhos de força e hipertrofia muscular quando comparado ao TF isolado. Dessa forma, esse estudo comparou os efeitos de 16 semanas de TF, TA e TC na área de secção transversa de coxa (ASTC) e força muscular em 49 homens de meia-idade idade não ativos fisicamente. Para tanto os sujeitos foram randomizados em TF (n=12), TA (n=12), TC (n=12) e grupo controle (GC, n=13). Os protocolos de treinamento foram compostos de duas etapas (E1 e E2) com duração de oito semanas cada, e frequência de três sessões/semana (TF: 10 exercícios 3 x 8 10RM; TA: 60 min de caminhada ou corrida a 55-85%VO2pico; TC: 6 exercícios 3 x 8-10RM somados de 30 min de caminhada ou corrida a 55-85%VO2pico; GC não realizou nenhum protocolo de treinamento durante o período do estudo). A ASTC foi mensurada pela equação de Knapik; força máxima por teste de 1-RM; VO2pico por meio de teste ergométrico em esteira. Os principais resultados demonstraram que o TF e TC obtiveram aumentos similares da ASTC (5,7 e 5,6%; respectivamente) e concomitante aumento da força máxima no exercício leg press após 16 semanas de intervenção (48,6 e 54,8%; respectivamente). Os resultados referentes ao VO2pico evidenciaram aumentos similares apenas para os grupos TC (14,8%) e TA (21,7%) após a intervenção. Dessa forma, concluímos que o protocolo de TC utilizado no presente estudo, não promove o efeito de interferência na ASTC e força muscular de membros inferiores de homens de meia-idade.

Strength training (TF) promotes muscle hypertrophy and enhances muscle strength. On the other hand, endurance training (TA) raises the peak oxygen uptake (VO2peak). However, the association between TF and TA, known as concurrent training (TC), might impair gains of muscle hypertrophy and strength compared to isolated TF. Therefore, this study analyzed the effects of 16 weeks of TF, TA and TC in muscle strength and thigh cross sectional area (AST) in 49 non-physically active middle-aged men. Subjects were randomized in TF (n=12), TA (n=12), TC (n=12) and control group (GC, n=13). Trainings were composed of two periods (E1 and E2) of 8 weeks each and frequency of 3 days/week (TF: 10 exercises-3x8-10RM; TA: 60 min of walking or running; TC: 6 exercises-3x8-10RM followed by 30 min of walking or running at 55-85%VO2peak; GC did not performed any training during study period). Thigh AST was analyzed through the equation of Knapik; muscle strength through 1-RM test; VO2peak through a cardiorespiratory treadmill test. Main results showed that TF and TC enhanced similarly muscle strength in leg press (5,7 e 5,6%; respectively) and thigh AST (48,6 e 54,8%; respectively) following 16 weeks of intervention. The results regarding VO2peak demonstrated similar increases for TC (14,8%) and TA (21,7%) after intervention. We concluded that 16 weeks of TC did not produce the interference effect either for thigh AST or lower limbs muscle strength in middle-aged men.

Efeito do treinamento com pesos sobre a flexibilidade de homens de meia-idade / Effect of weight training on the flexibility of middle-aged men

O presente estudo teve como objetivo investigar o efeito de 12 semanas de treinamento com pesos (TP) na flexibilidade de homens de meia-idade. Possivelmente, indivíduos na meia-idade sedentários apresentem melhoras na flexibilidade somente com a realização de TP. Foram selecionados 16 indivíduos de meia-idade (48,8 ± 5,0 anos) divididos aleatoriamente em dois grupos: grupo controle (GC, n=8) e grupo treinamento (GT, n=8). O GT realizou TP duas vezes por semana, em dias não consecutivos (3 séries de 15 repetições, 1 minuto de pausa). A flexibilidade de ombro, tronco, quadril e joelhos foram aferidas bilateralmente (com exceção do tronco) antes e após o período experimental. Não foi verificado efeito do tempo para nenhuma das variáveis analisadas (p>0,05). O TP de baixa intensidade não reduz a flexibilidade de homens de meia-idade.

The aim of the present study was to investigate the effect of 12 weeks of resistance training on flexibility levels of middle-aged men. Possibly, middle-aged sedentary subjects might show flexibility improvements only performing resistance training. Sixteen middle-aged men (48.8 ± 5.0 years) were selected for the present study. They were randomly divided in two groups: control group (GC, n=8) and training group (GT, n=8). The GT performed resistance training twice a week, in alternate days (3 sets of 15 repetitions, with 1 minute rest between sets). Shoulder, trunk, hips and knees flexibility were assessed bilaterally (with the exception of trunk) pre- and post- study period. No significant time interaction was found for any variable (p>0.05). Low-intensity resistance training does not reduce middle-aged men flexibility.