Combined Endurance and Strength or Only Endurance Training? Effects of Training Mode on Neuromuscular Characteristics and Functional Abilities in Obese Adolescent Girls Enrolled in a Weight-Reduction Program.

The aim of the present study was to examine whether combining strength and endurance training would promote better improvements in neuromuscular characteristics and functional abilities than endurance training alone in obese adolescent girls enrolled in a weight-reduction program. Twenty-four obese adolescent girls (12-15 years) volunteered to participate in a 9-month training program. Participants were allocated into two groups following either (i) combined training (endurance + strength; E+ST) or (ii) endurance training (ET) program. Absolute and specific maximal torque, muscle size, and maximal voluntary activation level (VA) of the knee extensor (KE) and plantar flexor (PF) muscles were assessed. Moreover, functional abilities such as balance and fatigability during a maximal isometric intermittent contraction test of the KE muscles were measured before and after the intervention. The force of the adductor pollicis (AP) muscles was used as a control to account for any effect of growth or mechanical unloading on neuromuscular properties and muscle size. While absolute and specific torque of the KE (+14.7 ± 12.1% and +14.4 ± 15.5%; p < 0.05) and PF (+19.2 ± 16.7% and +18.3 ± 17.5%; p < 0.001) muscles increased in the E+ST group, PF torque decreased, and KE torque did not change in the ET group (-22.6 ± 10.5% and -15.0 ± 17.2%; p < 0.001). Moreover, the VA of the KE muscles increased for the E+ST (+6.1 ± 5.6%; p < 0.01) group and decreased for the ET group (-5.4 ± 5.4%; p < 0.05). In contrast, VA remained similar in the PF muscles for both groups. The number of repetitions during the fatigability test increased in the ET group (38.4 ± 22.3 vs. 84.1 ± 33.3; p = 0.032) and was unchanged in the E+ST group (50.8 ± 14.1 vs. 54.2 ± 37.8), but it was associated with a higher force level. Moreover, balance improved in the E+ST group, but not in the ET group. To conclude, physical training combining strength and endurance training promoted larger improvement in neuromuscular characteristics and functional abilities than endurance training alone in obese adolescent girls. Greater neuromuscular adaptations resulting from the E+ST training may be beneficial for preserving or even increasing functional abilities and possibly induce greater engagement in the active lifestyle of obese adolescents. However, the endurance component seems necessary in training programs to reduce fatigability during daily living activities.

Sex-Related Neuromuscular Adaptations to Youth Obesity: Force, Muscle Mass, and Neural Issues.

Young obese are generally stronger than their typically developing counterparts. Strength differences could be partly ascribed to nervous adaptations, due to the loading effect of carrying overweight. We hypothesized that central adaptations of the muscles highly involved in weight bearing, i.e., plantar flexors (PF) and knee extensors (KE) could be greater in girls than boys due to their reduced potential for muscle hypertrophy. Furthermore, it is possible that neuromuscular adaptations in weight-bearing muscles will be greater compared to the unloaded muscles such as the adductor pollicis (AP).Twenty-four non-obese and 21 obese (body mass index: 33 ± 4 kg·m-2) adolescent girls and boys (12-15 years) performed maximal voluntary isometric contractions (MVC) of the PF and KE muscles. Voluntary activation (VA), assessed with the twitch interpolation technique, the antagonist co-activation (Co-Act) level, and the normalized root-mean-square value (RMS) of the agonist muscles were measured to account for central adaptations.The results revealed a weight status effect (p < 0.001) on the absolute MVC torque and VA of both KE and PF muscles. Moreover, these differences were also related to the sex of the participants (p < 0.05) for the PF muscles. While the VA, absolute, and specific MVC torque were greater in obese compared with non-obese girls, no difference was found between boys. A similar Co-Act level was observed between groups, whatever the sex and muscle group considered. Finally, no significant differences were found for the AP regarding peripheral and neural factors.This study highlighted a favorable effect of obesity on the central mechanisms (i.e., VA) responsible for force production within the lower limb muscles. However, obesity-related central adaptation was only observed in girls for the PF muscles. Thus, the excess of body mass supported by the muscles involved in weight-bearing could act as a chronic training stimulus responsible for these adaptations in obese adolescents but mostly in girls.

Maturation-related changes in the development and etiology of neuromuscular fatigue.

PURPOSE: The aim of the present study was to investigate the role of maturation on the etiology of neuromuscular fatigue induced by repeated maximal voluntary isometric contractions (MVIC). METHODS: Nine prepubertal boys (9.9 ± 1.3 years), eight male adolescents (13.6 ± 1.3 years) and eleven men (23.4 ± 3.0 years) performed a series of repeated isometric MVICs of the knee extensors until the MVIC torque reached 60% of its initial value. Magnetic stimulations were delivered to the femoral nerve every five MVICs to follow the course of voluntary activation level (VA) and the potentiated twitch torque (Qtwpot). RESULTS: Task failure was reached after 52.9 ± 12.7, 42.6 ± 12.5, and 26.6 ± 6.3 repetitions in boys, adolescents and men, respectively. VA remained unchanged in men whereas it decreased significantly and similarly in boys and adolescents (p < 0.001). In contrast, Qtwpot remained unchanged in boys and decreased significantly less in adolescents than adults (p < 0.05). CONCLUSIONS: Children and adolescents experience less peripheral and more central fatigue than adults. However, adolescents experience more peripheral fatigue than children for a comparable amount of central fatigue. This finding supports the idea that the tolerance of the central nervous system to peripheral fatigue could increase during maturation.

Effect of muscle length on voluntary activation of the plantar flexors in boys and men.

PURPOSE: The aim of the present study was to compare the effect of muscle length on the maximal voluntary activation level (VA) of the plantar-flexors between children and adults. METHODS: Fourteen boys (10.0 ± 1.0 years) and fifteen men (24.6 ± 4.2 years) performed 5-s maximal isometric voluntary contractions (MVC) of the plantar-flexor muscles at seven ankle angles [from 10° in dorsi-flexion (DF) to 20° in plantar-flexion (PF); 0° = reference position; the angle between the plantar surface and leg is a right angle]. Single magnetic stimulations were delivered to the posterior tibial nerve during MVCs to determine VA. RESULTS: Results showed a higher absolute torque of the plantar-flexor muscles at long (10° DF) than at short muscle length (20° PF) in men (89.4 ± 19.4 vs. 46.8 ± 17.0 N m, P < 0.001) and boys (44.9 ± 18.5 vs. 26.6 ± 12.8 N m, P < 0.001). On average, VA was significantly higher in men than in boys (92.4 ± 1.7 vs. 87.6 ± 1.6 %, P < 0.05). However, no significant main effect of the ankle angle was observed on VA. CONCLUSIONS: The VA partly accounts for the plantar-flexors MVC torque difference between children and adults but is not affected by the muscle length changes in both groups. Therefore, VA cannot account for the shape of the torque-angle relationship on the plantar-flexor muscles.

Obesity-related differences in neuromuscular fatigue in adolescent girls.

PURPOSE: The aim of this study was to investigate the effect of obesity on neuromuscular fatigue in adolescent girls. METHODS: Twelve lean (13.6 ± 0.8 years) and 12 obese (13.9 ± 0.9 years) girls repeated 5-s maximal voluntary contractions (MVC) of the knee extensors until the generated torque reached 55 % of its initial value. Magnetic stimulations were delivered to the femoral nerve every five MVCs to follow the course of voluntary activation (VA) and potentiated twitch torque (Qtwpot). RESULTS: Torque reached 55 % of its initial value after 52.6 ± 20.4 and 74.9 ± 22.8 repetitions in obese and lean girls, respectively (p < 0.01). Furthermore, the decline of VA was smaller in obese girls (p < 0.001). In contrast, Qtwpot decreased to a greater extent in obese girls (p < 0.05). CONCLUSIONS: Obese girls fatigue faster than their lean counterparts. The peripheral factors mainly account for fatigue in obese girls, whereas central factors are mainly involved in lean girls.

Insights into the Mechanisms of Neuromuscular Fatigue in Boys and Men.

PURPOSE: The aim of the present study was to investigate the role of central and peripheral factors in neuromuscular fatigue induced by repeated maximal contractions in children and adults. METHODS: Eleven boys (9.9 ± 1.2 yr) and 12 men (23.9 ± 3.5 yr) completed a fatigue protocol consisting in a repetition of 5-s maximal isometric voluntary contractions (MVC) of the knee extensors separated by 5-s passive recovery periods until the generated torque reached 60% of its initial value. Single magnetic stimulations were delivered to the femoral nerve every five MVC to follow the course of voluntary activation level and the amplitude of the potentiated twitch torque (Qtw(pot)) and vastus lateralis and rectus femoris concomitant M-waves (Mmax). RESULTS: Torque reached 60% of initial value after 49.5 ± 16.8 and 34.0 ± 19.6 repetitions in boys and men, respectively (P < 0.05). Furthermore, men showed significantly higher knee extensor MVC decline than boys between 50% and 90% of total repetitions (P < 0.05). Voluntary activation remained unchanged in men, whereas it decreased significantly in boys (P < 0.05). In contrast, whereas Qtw(pot) remained unchanged in boys, Qtw(pot) decreased progressively up to 60% of total repetitions in men (P < 0.001). Finally, Mmax remained unchanged for vastus lateralis and rectus femoris muscles in both groups. CONCLUSIONS: Children experienced no apparent peripheral fatigue and higher central fatigue than adults. The greater fatigue resistance in children could be related to a strategy of the CNS aimed at limiting the recruitment of motor units to prevent any extensive peripheral fatigue.

Effect of muscle length on voluntary activation level in children and adults.

PURPOSE: The aim of the present study was to compare the effect of muscle length on the level of voluntary activation (VA) at short and long muscle lengths between children and adults. METHODS: Thirteen prepubertal boys (10.2 ± 1.1 yr) and 10 men (23.9 ± 2.9 yr) performed 5-s maximal isometric voluntary contractions of the knee extensor muscles at three muscular angles (20°, 90°, 100°; 0°, full extension) interspersed with at least 60-s passive recovery periods. Single magnetic stimulations were delivered to the femoral nerve during maximal isometric voluntary contractions to determine the level of VA using the twitch interpolation technique. The specific torque was calculated as the absolute torque divided by thigh muscle mass, as assessed using dual-energy x-ray absorptiometry. Finally, the theoretical specific torque that could be produced with a complete (i.e., 100%) activation level (specific torque at 100% VA) was estimated from the values of specific torque and VA. RESULTS: Results showed a higher specific torque in adults at 90° and 100° but not at 20°. Accordingly, VA was significantly higher in adults at 90° (94% ± 4% vs 88% ± 8%, P < 0.05) and 100° (93% ± 6% vs 86% ± 8%, P < 0.05), whereas no significant difference was observed at 20°. Interestingly, the specific torque at 100% VA was not different between groups whatever the joint angle. CONCLUSIONS: The lower ability of children to fully activate their motor units at long muscle length could account for their lower specific torque because no difference in theoretical specific torque was observed between groups at 90° and 100°.