Original article - Effect of different resistance training intensities on endothelial function in people with type 2 diabetes mellitus: A systematic review.

AIMS: The objective of this systematic review was to analyze the effects of different resistance training (RT) intensities compared with group control (GC) or control conditions (CON) on endothelial function (EF) in people with type 2 diabetes mellitus (T2DM). METHODS: Seven electronic databases were searched Pubmed, Embase, Cochrane, Web of Science, Scopus, PEDro and CINAHL) until February 2021. RESULTS: This systematic review retrieved a total of 2,991 studies of which 29 articles fulfilled the eligibility criteria. Four studies were included in the systematic review compared RT intervention with GC or CON. One study demonstrated an increase in blood flow-mediated dilation (FMD) of the brachial artery immediately after (95% CI: 3.0% to 5.9%; p < 0.05), 60 min after (95% CI: 0.8 % to 4.2%; p < 0.05) and 120 min after (95%CI: 0.7% to 3.1%; p < 0.05) a single high-intensity resistance training session (RPE âˆ¼ 5 "hard"), compared to the control condition. Nevertheless, this increase was not significantly demonstrated in three longitudinal studies (more than 8 weeks). CONCLUSIONS: This systematic review suggest that a single session of high-intensity resistance training improves the EF of people with T2DM. More studies are needed to establish the ideal intensity and effectiveness for this training method.

Variations in Postmenopausal Body Composition: A Cross-Sectional Comparison between Physical Activity Practitioners and Sedentary Individuals.

Physical activity is broadly recognized for promoting weight reduction and bestowing numerous health benefits. Nonetheless, robust evidence concerning the impact of physical activity on postmenopausal women, undergoing physiological shifts, remains scant. This study aimed to elucidate the relationship between physical activity and body composition among postmenopausal women. Employing a cross-sectional and retrospective design, 702 women were examined. Data on physical activity and body composition were amassed through anthropometric assessments and Dual-Energy X-ray Absorptiometry (DEXA). A significant proportion of women exhibited anthropometric alterations indicative of overweight/obesity, alongside elevated values in Waist Circumference (WC), Waist-to-Hip Ratio, Waist-to-Height, and bone mass, signifying a heightened risk for disease onset. While a majority engaged in some form of physical activity, this did not yield notable reductions in the assessed metrics. Noteworthy changes were only discerned in BMI and bone mass among pre-menopausal women; whereas among postmenopausal women, in addition to disparities in bone mass, those inactive were 1.18 times more prone to a very high disease risk, as gauged by WC.

Acute Effects of Parallel Back Squat Performed in Different Set Configurations on Neuromuscular Performance.

We compared the acute effects of parallel back squat performed from different resistance training configurations on neuromuscular performance. Twenty-eight young adults underwent 4 experimental conditions: inter-repetition rest, traditional, traditional to failure, and rest-pause in the parallel back squat in a randomized, counterbalanced, and cross-over design. The neuromuscular performance was assessed through peak torque of knee extensors and flexors at two angular velocities (90 and 120 º/s) in three moments (before, post, and post-30 min). The peak torque of the knee extensors and flexors at 90 and 120 º/s decreased immediately after training for traditional, traditional to failure, and rest-pause (-8.1% to -17.7%, P<0.001). A greater reduction in the extensor peak torque was found at 120 º/s (P<0.05) in the rest-pause (-17.7%) when compared to traditional (-10.8%). The peak torque returned to baseline values only at post-30 min for the traditional configuration for the knee flexion action at 120 º/s. The peak torque remained similar for the muscular actions and angular velocities for the inter-repetition rest (P>0.05). Our results suggest the inter-repetition rest configuration seems to be a more appropriate strategy for maintaining the lower limb neuromuscular performance after a resistance training session.

Evaluation of anthropometry as an alternative to DXA as predictor of low bone mineral density in children and adolescents with cystic fibrosis.

BACKGROUND & AIMS: Low bone mineral density (BMD) for age in people with Cystic Fibrosis (CF) is associated with worse nutritional status. The aim of this study is to assess body composition by anthropometry as a predictor of BMD in people with CF. METHODS: Multicenter cross-sectional study with 39 people aged 5 and 20 years with CF. BMD was assessed by dual energy x-ray emission (DXA) in the incidence of the total body less head (TBLH) and the TBLH Z-score (Z-TBLH) was calculated, adjusted by sex, age, height and ethnicity. Anthropometry was assessed by weight, height, mid-upper arm circumference (MUAC) and triceps skinfold (TSF). Arm muscle area (AMA) and Body Mass Index (BMI) were calculated. Lean mass (LM), fat mass (FM) and free-fat mass (FFM) were identified by DXA. The molecular analysis method by sequencing was used to identify and classify the participants regarding the presence of the F508del pathogenic variant of the CFTR gene. Statistical models of simple and multiple linear regression were created to establish the predictive power of Z-TBLH in the variables. RESULTS: Average age of the participants was 13.31 ± 3.86 years, 59% of whom were male. They showed more LM (30.97 Kg ± 11.29) than females (23 Kg ± 6.73). 20 of 30 participants (66.7%) had at least copy of F508del. Among the multiple models, adjusted by height, age and sex, it found BMI (R2 = 0.367), Weight (R2 = 0.220), AMA (R2 = 0.338) as significant predictors of Z-TBLH. The final model composed of AMA, TSF and Age (p = 0.001; R2 = 0.381) had AMA and Age as significant predictors. AMA was associated with an increase in the BMD Z-score in the participants studied. 66.7% of genetically tested participants had the F508del pathogenic variant. The presence of the F508del variant was associated with worse nutritional status. CONCLUSION: A statistical model composed of the values of AMA, TSF and Age can predict Z-TBLH, as well as anthropometric variables Weight, or BMI, or AMA associated with height, age and sex, in children and adolescents aged 5-20 years old, of both sexes. Anthropometric markers, as they are easy and relatively inexpensive to obtain, it is a promising alternative to the use of DXA in predicting BMD in these people with CF.

Cardiovascular and Enjoyment Comparisons after Active Videogame and Running in Type 1 Diabetes Patients: A Randomized Crossover Trial.

Background: Active videogames (AVGs) have been primarily studied in healthy individuals. To use the technology in type 1 diabetes mellitus (T1DM) patients, cardiovascular and enjoyment responses should be studied and compared with traditional exercises. Objective: To compare the effects of AVG and running exercises on cardiovascular and enjoyment responses in T1DM patients. Methods: Cardiovascular (heart rate, HR; blood pressure, BP; double product, DP; vessel diameter, VD; % endothelial function, %EF) and enjoyment levels were recorded during 3 weeks and twice per week. On the first day, patients completed baseline assessments, familiarization, and a 30-minute control session. On the second day and after 24 hours, the measurements were repeated. Patients repeated the same protocol in the second and third weeks and performed randomized active sessions. Results: T1DM patients had similar cardiovascular responses during active exercises without significant postexercise hypotension to HR, BP, and DP over time. However, VD and %EF values were higher in AVG, followed by running and rest, 30 minutes and after 24 hours (VD-AVG: 39.6 ± 9.5, 48.8 ± 12.3 and 56.6 ± 13.9 mm; VD-running: 41.5 ± 9.9, 47.4 ± 10.1 and 46.4 ± 12.4 mm; %EF-AVG: 9.6 ± 8.5, 29.6 ± 17.1 and 45.4 ± 25.9%; %EF-running: 7.3 ± 9.4, 14.8 ± 14.1 and 26.8 ± 18.9%, p < 0.05). Enjoyment was also higher in AVG compared with the running session (9.4 ± 0.7 vs. 7.7 ± 1.6; p < 0.05). Conclusions: AVG presented similar cardiovascular responses to running with higher endothelial and enjoyment levels.

Parasympathetic Nervous Activity Responses to Different Resistance Training Systems.

The assessment of parasympathetic nervous activity and psychophysiological responses infers the stress imposed by different resistance training systems. Therefore, we compare the effects of different sets configurations, with similar volume (~60 repetitions), on heart rate variability indices and internal training load. Twenty-nine resistance-trained adults completed the following conditions: traditional without and with muscle failure, inter-repetition rest, and rest-pause in the parallel squat. The heart rate variability indices (time-domain) were measured before and 30 min after each condition. The internal training load was obtained through the session-rating of perceived exertion method. Except for inter-repetition rest, all conditions reduced the heart rate variability indices after the session (P<0.05), and the rest-pause triggered the higher reductions (≤-46.7%). The internal training load was higher in the rest-pause (≤68.9%). Our results suggest that rest-pause configuration leads to more considerable disruption of the parasympathetic nervous activity and higher internal training load in trained adults. In contrast, inter-repetition rest allows lower autonomic and psychophysiological stress.

Effect of active versus passive recovery on performance-related outcome during high-intensity interval exercise.

INTRODUCTION: It has been suggested that recovery mode may contribute to performance during high-intensity interval exercise. However, there is no consensus regarding the effects of active and passive recovery modes on subsequent performance. The aim of this study was to compare the effect of active versus passive recovery on performance during repeated high-intensity interval exercise. EVIDENCE ACQUISITION: Two reviewers independently conducted a search using the PRISMA systematic approach in three electronic databases (PubMed, Scopus and Cochrane Central) searching for randomized controlled trials (RCTs) comparing the effects of recovery mode on performance (until February 2020). EVIDENCE SYNTHESIS: Twenty-six studies were included for analysis (17 for power output, nine for repeated-sprint ability and two for distance covered). Four studies found higher mechanical performance for passive recovery compared with active recovery. Six out of nine studies reported faster sprinting performance with passive recovery compared to active recovery. Two studies demonstrated that passive recovery resulted in a greater distance covered during intermittent sprint exercise. CONCLUSIONS: This systematic review suggests that performing high-intensity interval exercise with passive recovery results in greater performance when compared with active recovery.

The Compact Wheelchair Roller Dynamometer.

The equipment for evaluating the propulsion of a wheelchair is very complex and expensive. To validate a new dynamometer prototype for assessing the propulsion capacity of wheelchairs, 21 healthy subjects (age: 20.9±2.4 yr; weight: 68.9±7.9 kg; height: 174.0±7.1 cm; BMI: 22.7±2.5 kg·m -2 ) who do not normally require wheelchairs performed a sprint protocol for 20 s after a 1-min warm-up. The power and rotation data acquired by the prototype (both right and left sides) were compared with those of a reference system via high-speed videography (240 fps). The results showed high levels of accordance (95% CI), excellent values for the intraclass correlation coefficient (ICC: .99; P <0.00), no significant differences in the rotation ( P =0.91) and power ( P =0.94) between the methods. The proposed equipment met the validation criteria and thus can be applied as a new tool for assessing wheelchair propulsion.