Exercise-Induced Muscle Damage after a High-Intensity Interval Exercise Session: Systematic Review.

High-intensity interval training (HIIT) is considered an effective method to improve fitness and health indicators, but its high-intensity exercises and the mechanical and metabolic stress generated during the session can lead to the occurrence of exercise-induced muscle damage. Therefore, this study aimed to describe, by means of a systematic review, the effects of a single HIIT session on exercise-induced muscle damage. A total of 43 studies were found in the Medline/PubMed Science Direct/Embase/Scielo/CINAHL/LILACS databases; however, after applying the exclusion criteria, only 15 articles were considered eligible for this review. The total sample was 315 participants. Among them, 77.2% were men, 13.3% were women and 9.5 uninformed. Their age ranged from 20.1 ± 2 to 47.8 ± 7.5 years. HIIT protocols included running with ergometers (n = 6), CrossFit-specific exercises (n = 2), running without ergometers (n = 3), swimming (n = 1), the Wingate test on stationary bicycles (n = 2), and cycling (n = 1). The most applied intensity controls were %vVO2max, "all out", MV, MAV, Vmax, and HRreserve%. The most used markers to evaluate muscle damage were creatine kinase, myoglobin, and lactate dehydrogenase. The time for muscle damage assessment ranged from immediately post exercise to seven days. HIIT protocols were able to promote changes in markers of exercise-induced muscle damage, evidenced by increases in CK, Mb, LDH, AST, ALT, pain, and muscle circumference observed mainly immediately and 24 h after the HIIT session.

Blood Flow Restriction Attenuates Muscle Damage in Resistance Exercise Performed Until Concentric Muscle Failure.

The present study aimed to evaluate whether blood flow restriction (BFR) can prevent exercise-induced muscle damage in resistance exercise (RE) performed until concentric muscle failure (CMF). Twenty healthy volunteers (25 ± 4 years, 80.4 ± 11.8 kg, 175 ± 8 cm) performed three sets of unilateral biceps curl exercise (40% of 1RM) with (RE + BFR) and without (RE) BFR until CMF. A third condition was to perform the same number of repetitions as RE + BFR without using BFR (matched). Performing fewer repetitions, RE + BFR caused muscle fatigue post-exercise as high as that caused by RE. In addition, the range of motion, upper arm circumference, pressure pain threshold, and maximal voluntary contraction were immediately affected by our exercise protocol with BFR, returning rapidly to basal values within 24 h, while in RE, muscle damage markers remained elevated until 48 h post-exercise. The same results were observed concerning serum creatine kinase and lactate dehydrogenase activity. Thus, BFR + RE performed until CMF attenuated muscle damage following similar metabolic stress to RE alone performed until CMF, with less work volume.

Cardiopulmonary Exercise Testing with Elastic Resistance: A New Reproducible Proposal for Determination of Ventilatory Thresholds and Maximum Oxygen Consumption.

To propose a new Cardiopulmonary Exercise Test with Elastic Resistance (CPxEL) and compare the physiological responses to conventional cardiopulmonary exercise test (CPx) performed on a treadmill. In addition, we tested the reproducibility of the CPxEL. Twenty-four physically active participants completed the CPx (first session) and CPxEL twice (second and third sessions) interspersed by seven days. A treadmill protocol with increments of 1km·h-1 every minute until exhaustion was used in CPx. The CPxEL consisted of performing alternating steps back-and-forth against an elastic resistance attached to a belt and an incremental protocol with 1 stage (S) per minute following a cadence of 200 bpm controlled by a metronome in an 8-stage rubber mat. First analysis: first ventilatory threshold (VT1) occurred at 69.7% and 75.3% of maximal heart rate (HRmax) and 53.5% and 65.7% of maximal oxygen consumption (V̇O2max). Second VT (VT2) occurred at 93.3% and 96.8% of the HRmax and 87.0% and 96.9% of V̇O2max for CPx and CPxEL, respectively. At exhaustion, V̇O2max, perceived exertion (BORG-CR10 and OMNI-RES EB), and test duration presented lower values for CPxEL (P < 0.05). Second analysis: VT1 occurred at warm-up (S0) (P = 0.731), VT2 occurred at S5 (P = 0.912), and the exhaustion occurred at S6 and S7 (P = 0.271) for CPxEL and retest, respectively. The intraclass correlation coefficient (ICC) for V̇O2max was 0.921 and for HRmax was 0.930. The CPxEL has good test-retest reproducibility and represents a possible and interesting add-on to determine maximal oxygen consumption, maximal heart rate, and second ventilatory threshold without using traditional ergometers.

Muscle Daily Undulating Periodization for Strength and Body Composition: The Proposal of a New Model.

The traditional linear periodization model is designed for modifications to be performed over several weeks, whereas alterations in the undulating model are applied on a more frequent basis. The study investigated a novel periodization scheme, the muscle daily undulating periodization model (mDUP). Thirty-seven men were randomly assigned into 2 groups: (a) a group that performed 12 weeks of daily undulating periodization with fix overload (DUP-F) resistance training (n = 19) and (b) a group that performed 12-weeks of muscle daily undulating periodization with variation overload (mDUP) (n = 18). Body composition and strength assessments (muscular endurance and one repetition maximum [1 RM] for barbell bench press, 45º leg press, lat pull down, and standing arm curl) were completed before and after the program. Two-way MANOVA with repeated measures was used to compare groups with significance set at p<0.05. There were no differences between periodization programs for anthropometric variables (p > 0.05, η2p = 0.04), but improvement was noted over time (p < 0.001, η2p = 0.60). No differences were observed between periodization programs for strength (p > 0.05, η2p = 0.056), but strength increased over time (p < 0.001, η2p = 0.95). Similarly, no muscular endurance differences were seen between periodization programs (p > 0.05, η2p = 0.15), but measures increased over time (p < 0.001, η2p = 0.60). When it comes to body composition, muscle strength, and muscle endurance, the present study provides evidence that both periodization models displayed similar results, with more evident improvements in strength. Thus, it seems pertinent to consider this new periodization model plausible for RT practitioners in order to achieve new adaptations.

Effects of Different Number of Sets of Resistance Training on Flexibility.

The aim of this study was to investigate the effects of six months of training with three different number of sets of resistance training on flexibility in young men. Forty-seven men (mean ± SD age = 24 ± 1yrs; body mass = 79.39 ± 9.12 kg; height = 174.5 ± 5.6 cm) were randomly divided into three training groups performing either one set (G1S), three sets (G3S), or five sets (G5S) of all exercises in a resistance training session or a control group (CG). All groups were assessed pre- and post-training for Sit-and-Reach test and range of motion of 10 joints using goniometry. The training protocol included three weekly sessions and was composed of nine exercises performed at a moderate intensity (eight to 12RM). The results demonstrated significant differences pre- to post-training for the Sit-and-Reach test for all training groups; however, only the G5S showed significant differences when compared to the CG (31.04 ± 5.94cm vs. 23.56 ± 6.76cm, respectively; p < 0.05). Of the ten joint movements measured, there were range of motion increases only to shoulder flexion (G1S), shoulder extension (G3S), elbow flexion (G3S), and knee flexion (G3S) when comparing pre- to post-training (p < 0.05). In conclusion, different resistance training volumes improved flexibility for some joints of young men. These findings indicate that performing only resistance training can result in increases in flexibility.

Effect of exercise training and detraining in autonomic modulation and cardiorespiratory fitness in breast cancer survivors.

BACKGROUND: Breast cancer is one of the leading causes of death worldwide. Heart rate variability (HRV) has attracted scientific community attention in different pathologies, becoming thus an ultimate importance tool in both clinical and research setting, being a good predictor of cardiac events and mortality risk and also used in physical exercise and sports in general. The aim of the present study was to evaluate 12 weeks of exercise training and six weeks of detraining in cardiorespiratory capacity, and autonomic modulation in breast cancer patients. METHODS: The sample was composed of 18 females (9 controls and 9 exercised), (aged 30-60 years). The HRV in the time and frequency domain was performed using an electrocardiogram before, after 12 weeks of the session of exercise training and after six weeks of detraining. Shapiro-Wilk and Mann-Whitney tests were made. RESULTS: No significant changes in time domain were found. In the frequency domain, 12 weeks of exercise training promote a decrease in LF (nu) and decrease in HF (nu) Index. The exercise training period promoted a decrease in LF/HF. The autonomic data returned to baseline levels after the detraining period. However, cardiorespiratory capacity remained increased after the detraining period. CONCLUSIONS: These data demonstrated that exercise training can be used to prevent autonomic dysfunction in breast cancer patients, but detraining promotes loss of all autonomic benefits.

Resistance training and hormone replacement increase MMP-2 activity, quality and quantity of bone in ovariectomized rats

AIMS: The aim of the present study was to investigate the influence of resistance training (RT) and hormone replacement (HR) on MMP-2 activity, biomechanical and physical properties bone of ovariectomized (OVX) rats. METHODS: Sprague-Dawley female rats were grouped into six experimental groups (n = 11 per group): sham-operated sedentary (SHAM Sed), ovariectomized sedentary (OVX Sed), sham-operated resistance training (SHAM RT), ovariectomized resistance training (OVX RT), ovariectomized sedentary hormone replacement (OVX Sed-HR), and ovariectomized resistance training hormone replacement (OVX RT-HR). HR groups received implanted silastic capsules with a 5% solution of 17ß-estradiol (50 mg 17ß-estradiol/ml of sunflower oil). In a 12-week RT period (27 sessions; 4-9 climbs) the animals climbed a 1.1 m vertical ladder with weights attached to their tails. Biomechanical and physical bone analyses were performed using a universal testing machine, and MMP-2 activity analysis was done by zymography. RESULTS: Bone density and bone mineral content was higher in the RT and HR groups. The MMP-2 activity was higher in the RT and HR groups. The biomechanical analysis (stiffness, fracture load and maximum load) demonstrated better bone tissue quality in the RT associated with HR. CONCLUSION: The RT alone as well as when it is associated with HR was efficient in increasing MMP-2 activity, biomechanical and biophysical properties bone of ovariectomized rats.(AU)

Autonomic modulation analysis in active and sedentary kidney transplanted recipients.

Modulation of the autonomic nervous system on heart rate can be compromised in chronic kidney disease and may result in changes in the frequency and duration of the cardiac cycle. The aim of this study was to evaluate autonomic modulation in active and sedentary renal transplant recipients. Twenty renal-transplanted individuals were analyzed at the Centro de Prevenção de Doenças Renais (Kidney Disease Education Centre), in the academic hospital of Universidade Federal do Maranhão, and were divided into the active group (AG) and the sedentary group (SG). The AG comprised of six men and four women (age 43.10 ± 13.02) and was in regular concurrent training intervention for 8 weeks, while the SG was composed of three men and seven women (age 36.8 ± 9.26). Analysis of heart rate (HR) variability in time and frequency domain demonstrated that HR mean values in the SG and AG were 787.32 ± 79.60 and 870 ± 106.66 ms, respectively. Differences were observed in the time domain and frequency domain. The total index of low frequency and high frequency showed no differences between the SG and AG. Biochemical variables presented significantly lower levels after 8 weeks of training. Higher heart rate variability in the time domain and greater vagal modulation was observed in the AG. The AG ad greater vagal modulation when compared to the SG, with removal of the sympathetic and increased parasympathetic in the behaviour was confirmed by sympatho-vagal balance. The AG also presented significant improvements in the frequency domain.

Influence of strength and flexibility training, combined or isolated, on strength and flexibility gains.

The aim of this study was to analyze the strength and flexibility gains after 12 weeks of strength and flexibility training (FLEX), isolated or combined. Twenty-eight trained women (age = 46 ± 6.52 years; body mass = 56.8 ± 5.02 kg; height = 162 ± 5.58 cm; mean ± SD) were randomly divided into 4 groups: strength training (ST) (n = 7), FLEX (n = 7), combination of strength and flexibility (ST + FLEX) (n = 7), and combination of flexibility and strength (FLEX + ST) (n = 7). All groups were assessed before and after training for the sit and reach test, goniometry, and 10 repetition maximum in bench press (BP) and leg press (LP) exercises. The training protocol for all groups included training sessions on alternate days and was composed of 8 exercises performed at periodized intensities. The FLEX consisted of dynamic stretching performed for a total duration of 60 minutes. The results demonstrated significant strength gains in all groups in the LP exercise (FLEX: p = 0.0187; ST: p = 0.0001; FLEX + ST: p = 0.0034; ST + FLEX: p = 0.0021). All groups except the FLEX improved in BP strength (FLEX: p = 0.1757; ST: p = 0.0001; FLEX + ST: p = 0.0017; ST + FLEX: p = 0.0035). Statistical analyses did not show significant differences between groups; however, effect sizes demonstrated slightly different treatment effects for each group. Largest treatment effects were calculated for the ST group (LP: 2.72; BP: 1.25) and the lowest effects in the FLEX group (LP: 0.41; BP: -0.06). Both combination groups demonstrated lower effect sizes for both LP and BP as compared with the ST group. No significant differences in flexibility were seen in any group, in any of the comparisons (p > 0.05). In conclusion, these findings suggest that combining strength and FLEX is not detrimental to flexibility development; however, combined training may slightly reduce strength development, with little influence of order in which these exercises are performed.

Dose-response of 1, 3, and 5 sets of resistance exercise on strength, local muscular endurance, and hypertrophy.

The study's purpose was to compare the response of performing 1, 3, and 5 sets on measures of performance and muscle hypertrophy. Forty-eight men, with no weight training experience, were randomly assigned to one of the 3 training groups, 1 SET, 3 SETS, 5 SETS, or control group. All training groups performed 3 resistance training sessions per week for 6 months. The 5 repetition maximum (RM) for all training groups increased in the bench press (BP), front lat pull down (LPD), shoulder press (SP), and leg press (LP) (p ≤ 0.05), with the 5 RM increases in the BP and LPD being significantly greater for 5 SETS compared with the other training groups (p ≤ 0.05). Bench press 20 RM in the 3-SET and 5-SET groups significantly increased with the increase being significantly greater than the 1-SET group and the 5-SET group increase being significantly greater than the 3-SET group (p ≤ 0.05). LP 20 RM increased in all training groups (p ≤ 0.05), with the 5-SETS group showing a significantly greater increase than the 1-SET group (p ≤ 0.05). The 3-SET and 5-SET groups significantly increased elbow flexor muscle thickness (MT) with the 5-SET increase being significantly greater than the other 2 training groups (p ≤ 0.05). The 5-SET group significantly increased elbow extensor MT with the increase being significantly greater than the other training groups (p ≤ 0.05). All training groups decreased percent body fat, increased fat-free mass, and vertical jump ability (p ≤ 0.05), with no differences between groups. The results demonstrate a dose-response for the number of sets per exercise and a superiority of multiple sets compared with a single set per exercise for strength gains, muscle endurance, and upper arm muscle hypertrophy.

Chronic aerobic exercise associated to dietary modification improve endothelial function and eNOS expression in high fat fed hamsters.

Obesity is epidemic in the western world and central adipose tissue deposition points to increased cardiovascular morbidity and mortality, independently of any association between obesity and other cardiovascular risk factors. Physical exercise has been used as non-pharmacological treatment to significantly reverse/attenuate obesity comorbidities. In this study we have investigated effects of exercise and/or dietary modification on microcirculatory function, body composition, serum glucose, iNOS and eNOS expression on 120 male hamsters treated for 12 weeks with high fat chow (HF, n = 30) starting on the 21st day of birth. From week 12 to 20, animals were randomly separated in HF (no treatment change), return to standard chow (HFSC, n = 30), high fat chow associated to an aerobic exercise training program (AET) (HFEX, n = 30) and return to standard chow+AET (HFSCEX, n = 30). Microvascular reactivity in response to acetylcholine and sodium nitroprusside and macromolecular permeability increase induced by 30 minutes ischemia followed by reperfusion were assessed on the cheek pouch preparation. Total body fat and aorta eNOS and iNOS expression by immunoblotting assay were evaluated on the experimental day. Compared to HFSC and HFSCEX groups, HF and HFEX ones presented increased visceral fat [(mean±SEM) (HF)4.9±1.5 g and (HFEX)4.7±0.9 g vs. (HFSC)*3.0±0.7 g and (HFSCEX)*1.9±0.4 g/100 g BW]; impaired endothelial-dependent vasodilatation [Ach 10(-8) M (HF)87.9±2.7%; (HFSC)*116.7±5.9%; (HFEX)*109.1±4.6%; (HFSCEX)*105±2.8%; Ach10(-6) M (HF)95.3±3.1%; (HFSC)*126±6.2%; (HFEX)*122.5±2.8%; (HFSCEX)*118.1±4.3% and Ach10(-4) M (HF)109.5±4.8%; (HFSC)*149.6±6.6%; (HFEX)*143.5±5.4% and (HFSCEX)*139.4±5.2%], macromolecular permeability increase after ischemia/reperfusion [(HF)40.5±4.2; (HFSC)*19.0±1.6; (HFEX)*18.6±2.1 and (HFSCEX)* 21.5±3.7 leaks/cm2), decreased eNOS expression, increased leptin and glycaemic levels. Endothelial-independent microvascular reactivity was similar between groups, suggesting that only endothelial damage had occurred. Our results indicate that an aerobic routine and/or dietary modification may cause significant improvements to high fat fed animals, diminishing visceral depots, increasing eNOS expression and reducing microcirculatory dysfunction.

Does aerobic exercise intensity affect health-related parameters in overweight women?

The aim of this study was to compare the effect of a cycling training programme performed at intensity corresponding to the lowest value of the respiratory quotient (RQ) versus at intensity corresponding to the ventilatory threshold (VT), on body composition and health-related parameters in overweight women. Thirty-two sedentary obese women (27-42 years old) were studied in a randomized trial of either RQ (n = 17) or VT (n = 15). RQ and VT training sessions were equalized by time (60 min) and performed in a cycloergometer. Anthropometry, body composition, lipid profile, glucose, basal metabolic rate (BMR) and fitness (maximal oxygen uptake) were evaluated before and after 12 weeks of intervention. Body weight, body mass index, fatness and fitness were improved in both groups (P<0·001). Triglycerides (TG) levels decreased only in response to RQ (P<0·001) and fat-free mass (FFM) to VT (P = 0·002). No differences were observed between groups. Both exercise intensities seem to be effective for improving health in overweight women. However, low-intensity compared with the high-intensity exercise training appears to have additional benefits on TG levels and to maintenance of FFM.

Strength and hypertrophy responses to constant and decreasing rest intervals in trained men using creatine supplementation.

BACKGROUND: The purpose of the current study was to compare strength and hypertrophy responses to resistance training programs that instituted constant rest intervals (CI) and decreasing rest intervals (DI) between sets over the course of eight weeks by trained men who supplemented with creatine monohydrate (CR). METHODS: Twenty-two recreationally trained men were randomly assigned to a CI group (n = 11; 22.3 ± 1 years; 77.7 ± 5.4 kg; 180 ± 2.2 cm) or a DI group (n = 11; 22 ± 2.5 years; 75.8 ± 4.9 kg; 178.8 ± 3.4 cm). Subjects in both groups supplemented with CR; the only difference between groups was the rest interval instituted between sets; the CI group used 2 minutes rest intervals between sets and exercises for the entire 8-weeks of training, while the DI group started with a 2 minute rest interval the first two weeks; after which the rest interval between sets was decreased 15 seconds per week (i.e. 2 minutes decreasing to 30 seconds between sets). Pre- and post-intervention maximal strength for the free weight back squat and bench press exercises and isokinetic peak torque were assessed for the knee extensors and flexors. Additionally, muscle cross-sectional area (CSA) of the right thigh and upper arm was measured using magnetic resonance imaging. RESULTS: Both groups demonstrated significant increases in back squat and bench press maximal strength, knee extensor and flexor isokinetic peak torque, and upper arm and right thigh CSA from pre- to post-training (p ≤ 0.0001); however, there were no significant differences between groups for any of these variables. The total volume for the bench press and back squat were significantly greater for CI group versus the DI group. CONCLUSIONS: We report that the combination of CR supplementation and resistance training can increase muscular strength, isokinetic peak torque, and muscle CSA, irrespective of the rest interval length between sets. Because the volume of training was greater for the CI group versus the DI group, yet strength gains were similar, the creatine supplementation appeared to bolster adaptations for the DI group, even in the presence of significantly less volume. However, further research is needed with the inclusion of a control group not receiving supplementation combined and resistance training with decreasing rest intervals to further elucidate such hypotheses.

Influência da ordem dos exercícios sobre a resposta do hormônio do crescimento e cortisol / Influence of exercise order in GH and cortisol hormonal response

O objetivo deste estudo foi investigar a resposta hormonal aguda ao treinamento de força em diferentes ordens de exercícios. Dez homens treinados (22,4 ± 2,7 anos; 80,3 ± 5,7 kg; 180 ± 8 cm; 21,5 ± 0,3 kg.m-2) participaram do estudo e completaram dois protocolos experimentais com diferentes ordenações de exercícios. As sequências foram compostas de três séries para cada exercício usando 70% de 1RM, com dois minutos de intervalo de descanso entre séries e exercícios com intervalo de sete dias entre elas. A ordem dos exercícios para SEQA foram: supino reto (SR), puxada no pulley pela frente (PF), desenvolvimento (DES), rosca direta (RD) e tríceps no pulley (TP). A ordem dos exercícios para SEQB foram TP, RD, DES, PF e SR. As variáveis sanguíneas analisados foram hormônio de crescimento (GH) e cortisol pré e imediamente pós-esforço a execução da sessão de treinamento. Os resultados demonstram que a SEQA promoveu maior e significativo aumento na concentração do GH imediatamente após a sessão, quando comparado a SEQB. A concentração de cortisol apresentou um aumento significativo quando comparado os momentos pré e pós para ambas as sequências. No entanto, não houve diferença estatisticamente significativa quando feita a comparação entre as sequências. Portanto, parece que a ordem dos exercícios pode influenciar as respostas do GH sendo que exercícios para grandes grupos musculares promovem um aumento significativo deste hormônio do que exercícios para pequenos grupos musculares no início da sessão.

The aim of this study was to investigate the acute hormonal response to resistance training sessions with different exercises order in men. Ten recreationally trained men (22.4 ± 2.7 years; 80.3 ± 5.7 kg; 180 ± 8 cm; 21.5 ± 0.3 kg.m-2) participated in the study. All subjects completed two experimental protocols with different exercises order. The exercise sequences were composed by three sets using 70%of 1RM for each exercise with 2 minutes rest between sets and exercises and separated by seven days between them. Exercise order for SEQA was bench press (BP), lat-pull down (LPD), seated shoulder press(SP), biceps curl (BC) and tríceps extension (TE). The exercises order for SEQB order were TE, BC, SP,LPD and BP. The blood variables analyzed were: growth hormone (GH), cortisol before (Pre) and immediately after (Post) each exercise session. The results shown that SEQA promoted higher and significantly increases in GH concentration immediately post session, as compared with SEQB. The cortisol concentration presented a significantly increase when compared pre and post moments for both sequences. However, there were not statistically differences when compared SEQA and SEQB post session. In conclusion, seems that exercises order can influences the GH responses, being exercises for large muscle group promoted a significantly increase in this hormone than exercises for small muscle group at the beginning of training session.