Undernutrition risk is independently associated with worsened indicators of hospital rehabilitation in COVID-19 patients.

OBJECTIVE: This study was designed to analyze the association between the risk of undernutrition and indicators of hospital rehabilitation in patients with COVID-19 while controlling for confounding variables. METHODS: This was an analytical study conducted by analyzing the medical records of patients with COVID-19. A total of 562 adult patients were eligible for the study. In addition to the risk of undernutrition (independent variable), indicators of hospital rehabilitation (dependent variables) were evaluated. These indicators included the length of hospital stay, clinical outcome (discharge or death), food intake, mobility (bedridden status), the use of mechanical ventilation, and the need for enteral nutrition. Pre-existing comorbidities (confounding/control variables) were grouped into cardiovascular, metabolic/endocrine, neurological, chronic obstructive pulmonary disease, and other categories (neoplasms, multiple sclerosis, and kidney disease). A dichotomization model was applied for data analysis. The Chi-Square test was used to verify the association between the risk of undernutrition and the dependent variables. Associations with a significance level of P < 0.05 were subjected to Poisson regression to identify the prevalence ratio. RESULTS: Patients at risk of undernutrition had a 90% higher chance of being bedridden and were 35 times more likely to experience a decrease in food intake. They also had an 89% higher chance of using invasive mechanical ventilation and a 91% higher chance of requiring enteral nutrition. Additionally, individuals at risk of undernutrition had a 73% higher chance of death. Adjustment for comorbidities did not alter these associations, demonstrating that the risk of undernutrition is independently associated with indicators of hospital rehabilitation. CONCLUSION: The risk of undernutrition is independently associated with worsened indicators of hospital rehabilitation in patients with COVID-19, including higher prevalence of mortality.

Impact of resistance exercise order on postexercise hemodynamic measures in middle-aged and older women

Abstract Aim: to compare the impact of different resistance exercise orders on postexercise hemodynamic measures in resistance-trained nonhypertensive middle-aged and older women. Methods: Twenty-three women (age 50-78 yrs) were randomized into two resistance training (RT) groups: one group started training sessions performing multi-joint exercises followed by single-joint exercises (MS, n = 12; 58.92 ± 5.53 yrs), while the other group performed their sessions in the opposite order (SM, n = 11; 57.93 ± 11.89 yrs). Both groups performed their RT sessions composed of 7 exercises performed in 3 sets of 10-15 repetitions maximum. Blood pressure was measured by automated equipment during pre-training and at 10, 20, 30, 40, 50, and 60 min after the training session. Results: Repeated-measures analysis of variance (ANOVA) identified an isolated effect of time only for systolic blood pressure (p = 0.003) with statistically significant reductions in pre-session measurement at 60 min post-session in both groups (MS: 117.67 ± 15.89 mmHg vs. 111.25 ± 11.84 mmHg and SM: 118.64 ± 15.13 mmHg vs. 111.50 ± 15.62 mmHg). Regarding diastolic blood pressure and subjective perception of effort, no difference was identified between groups (p > 0.05). Conclusion: We conclude that a RT session can promote post-exercise hypotension for systolic blood pressure after 60 min of recovery in middle-aged and nonhypertensive older women regardless of the exercise order.

Effect of Prior Information of the Number of Sets on Training Volume in Women / Efeito da Informação Prévia do Número de Séries Sobre o Volume de Treino em Mulheres

The induced adaptations from resistance training are dependent on the adequate manipulation of the variables involved in training, and volume is one of the most important. However, high volume training can be more stressful, thus prior information of the training volume to be performed may affect performance. The aim of this study is to verify the influence of prior knowledge of the number of sets to be performed on the training volume. For this, ten women (44 ± 2 years, 66 ± 9 kg, 165 ± 3 cm, 24 ± 2 kg / m2) with previous experience in resistance training (≥ 6 months) performed six sets in 45º leg press exercise in three conditions,: in the first (C1) the participants were informed that they would perform six sets and they completed them. In the second condition (C2), they were told they would perform three sets, however, after executing the third set, they were told to complete three more sets. In the third (C3), they did not receive information about how many sets they would complete, but they also did six sets. All sets were performed until the momentary concentric failure at 70% of the one repetition maximum. It was noted that there was no statistically significant difference among the conditions for the total number of repetitions (C1 = 119 ± 44; C2 = 123 ± 47; C3 = 121 ± 47; P = 0.98). Therefore, the results suggest that prior information on the number of sets to be performed in the session does not affect the volume of repetitions performed by middle-aged women. (AU)

As adaptações induzidas pelo treinamento resistido são dependentes da adequada manipulação das variáveis envolvidas no treinamento, sendo o volume uma das de maior destaque. Porém, um treinamento com alto volume pode ser mais desgastante, logo, a informação prévia do volume de treino a ser realizado poderá afetar o desempenho. O objetivo deste estudo foi verificar a influência do conhecimento prévio do número de séries a serem executadas sobre o volume de treino. Para isso, 10 mulheres (44 ± 2 anos, 66 ± 9 kg, 165 ± 3 cm, 24 ± 2 kg/m2 ) com experiência prévia em treinamento resistido (≥ 6 meses) realizaram seis séries no exercício leg press 45º em três condições distintas, a saber: na primeira condição (C1) as participantes foram informadas que realizariam seis séries e as completaram. Na segunda condição (C2), foram comunicadas que fariam três séries, porém, após executar a terceira série, elas foram orientadas a completar mais três séries. Já na terceira condição (C3), não receberam informação sobre quantas séries cumpririam, mas também fizeram seis séries. Todas as séries foram realizadas até a falha momentânea concêntrica a 70% da força máxima, determinada mediante teste de uma repetição máxima. Notou-se que não houve diferença estatisticamente significante entre as condições para a quantidade total de repetições (C1 = 119 ± 44; C2 = 123 ± 47; C3 = 121 ± 47; P = 0,98). Portanto, os resultados sugerem que a informação prévia da quantidade de séries a serem executadas na sessão não afeta o volume de repetições praticadas por mulheres de meia idade. (AU)

Photobiomodulation Therapy at 808 nm Does Not Improve Biceps Brachii Performance to Exhaustion and Delayed-Onset Muscle Soreness in Young Adult Women: A Randomized, Controlled, Crossover Trial.

OBJECTIVE: This study aims to investigate the effects of laser photobiomodulation (PBM) at 808 nm on biceps brachii performance to exhaustion, rating of perceived exertion (RPE), and delayed onset muscle soreness (DOMS) in untrained young women. METHODS: Thirteen young women (20.1 ± 2.9 years) participated in a crossover study in which they received, in a counterbalanced manner, active and placebo laser PBM on two occasions (T1 and T2), separated by a 7-day washout period. During T1 and T2, participants received active (100 mW output power, irradiance of 35.7 W cm-2, and total energy of 28 J/arm) or placebo laser irradiation on the biceps brachii muscle at 20 min before the repetitions-to-failure test [six sets at 60% of one-repetition maximum (1RM) until failure] for elbow flexion exercise. The number of repetitions performed and RPE over the six sets, as well as DOMS from basal up to 72 h after the repetitions-to-failure test, were recorded. RESULTS: There was a significant (time, p < 0.05) reduction in the number of repetitions performed and an increase in RPE over six sets, with no statistical differences between placebo and active laser conditions (treatment × time, p > 0.05). DOMS increased at 24 h postexercise and progressively returned to baseline after 72 h in both conditions (time, p < 0.05; treatment × time, p > 0.05). CONCLUSION: Our results indicate that acute laser PBM at 808 nm does not improve biceps brachii performance to exhaustion, RPE, and DOMS in untrained women.

Are We Exploring the Potential Role of Specialized Techniques in Muscle Hypertrophy?

Specialized resistance training techniques (e.g., drop-set, rest-pause) are commonly used by well-trained subjects for maximizing muscle hypertrophy. Most of these techniques were designed to allow a greater training volume (i.e., total repetitions×load), due to the supposition that it elicits greater muscle mass gains. However, many studies that compared the traditional resistance training configuration with specialized techniques seek to equalize the volume between groups, making it difficult to determine the inherent hypertrophic potential of these advanced strategies, as well as, this equalization restricts part of the practical extrapolation on these findings. In this scenario, the objectives of this manuscript were 1) to present the nuance of the evidence that deals with the effectiveness of these specialized resistance training techniques and - primarily - to 2) propose possible ways to explore the hypertrophic potential of such strategies with greater ecological validity without losing the methodological rigor of controlling possible intervening variables; and thus, contributing to increasing the applicability of the findings and improving the effectiveness of hypertrophy-oriented resistance training programs.

Resistance training exercise selection: efficiency, safety and comfort analysis method / Seleção do exercício no treinamento resistido: método de análise eficiência, segurança e conforto

Abstract Manipulation of resistance training variables has been shown to have a substantial effect on muscular adaptations. A major variable in this process is exercise selection. In addition to the effectiveness of a given exercise to recruit the target muscle groups, safety considerations and individual comfort during execution of a lift should be considered. The correct biomechanics of the chosen exercise will assist in promoting desired muscle adaptations, while proper safety procedures will reduce risk of injury. Lifting comfort will facilitate enjoyment and foster adherence to the program. Therefore, the purpose of this paper was to offer guidelines for selection of resistance training exercises based on the Efficiency, Safety, and Comfort Analysis Method (ESCAM).

Resumo A manipulação das variáveis do treinamento resistido demonstraram ter um efeito substancial nas adaptações musculares. Uma variável importante neste processo é a seleção de exercícios. Além da eficácia de um determinado exercício para recrutar os grupos musculares-alvo, as considerações de segurança e conforto individual durante a execução de um levantamento devem ser considerados. A biomecânica correta do exercício escolhido ajudará a promover as adaptações musculares desejadas, enquanto os procedimentos de segurança adequados reduzirão o risco de lesões. O conforto no levantamento facilitará o prazer e promoverá a adesão ao programa. Portanto, o objetivo deste artigo é oferecer orientações para a seleção de exercícios no treinamento resistido com base no Método de Análise de Eficiência, Segurança e Conforto (ESCAM).

Effects of Different Dispositions of Resistance Exercises on Subjective Perception of Effort, Discomfort and Affectivity in Older Women / Efeitos de Diferentes Disposições de Exercícios Resistidos Sobre Percepção Subjetiva de Esforço, Desconforto e Afetividade em Mulheres Idosas

The purpose of the study was to verify the effect of two dispositions of resistance exercises on rate of perceived of effort (RPE), discomfort and affectivity in older women. Twenty older women (68.0±6.6 years, 69.8±12.7 kg, and 155.9±7.0 cm) performed in a balanced and randomized design two experimental conditions, namely: a circuit (CIRC) fashion and another in a traditional (TRAD) fashion. In both conditions, six resistance exercises in the following order were performed: push press with kettlebell, swing with kettlebell, plantar flexion, squatting, ladder displacement and shoulder flexion with naval rope, with the same load and three sets of 15 repetitions/exercise. In the CIRC condition, the exercises were performed in stations, with no interval among them, and at the end of the last exercise, a three-minute interval was performed. For the TRAD condition the exercises were performed in consecutive sets, with intervals of 90s between the sets and the exercises. After 15 min of the closure of each session, the RPE (OMNI), feeling (Hardy and Rejeski) and a discomfort scale were applied. There was no significant difference (P>0.05) among the sessions for PSE (TRAD = 6.0±1.2 vs. CIRC = 6.1±0.9), feeling (TRAD = 3.7±1.6 vs. CIRC = 3.6±1.2) and discomfort (TRAD = 5.2±1.4 vs. CIRC = 5.1±1.3). The results suggest that PSE, discomfort and affective response to resistance exercises are similar when performed in CIRC or TRAD in older women. (AU)

O objetivo do estudo foi verificar o efeito de duas diferentes disposições de execução de exercícios resistidos sobre a percepção subjetiva de esforço (PSE), o desconforto e a afetividade em mulheres idosas. Vinte mulheres idosas (68,0±6,6 anos, 69,8±12,7 kg e 155,9±7,0 cm) foram distribuídas de forma balanceada e aleatorizada para duas condições experimentais: disposição de circuito (CIRC) e disposição tradicional (TRAD). Em ambas as condições, seis exercícios resistidos foram executados na seguinte ordem: push press com kettlebell, swing com kettlebell, flexão plantar, agachamento, deslocamento em escada e flexão de ombros com corda naval, com mesma carga e três séries de 15 repetições/exercício. Na condição CIRC os exercícios foram executados em forma de estações, sem intervalo entre os exercícios e, ao final de cada série foi concedido intervalo de três minutos. Para condição TRAD os exercícios foram executados em séries consecutivas, com intervalos de 90s entre os exercícios e as séries. Após 15 min do termino de cada sessão foram aplicadas as escalas de PSE (OMNI), sentimento (Hardy e Rejeski) e desconforto. Não ocorreram diferenças significativas (P>0,05) entre as sessões para PSE (TRAD = 6,0±1,2 vs CIRC = 6,1±0,9), sentimento (TRAD = 3,7±1,6 vs CIRC = 3,6±1,2) e desconforto (TRAD = 5,2±1,4 vs CIRC = 5,1±1,3). Os resultados sugerem que a PSE, o desconforto e a resposta afetiva aos exercícios resistidos são semelhantes quando realizados em CIRC ou TRAD em mulheres idosas. (AU)

Selection-Related Aspects of Resistance Exercises for Elderly / Aspectos Relacionados à Seleção de Exercícios Resistidos Para Idosos

Resistance exercise has been widely recommended for elderly population, since this type of exercise induces important health benefits, especially to improve functional capacity and preserve muscle mass, thus reflecting on the quality of life of older individuals. Among the several components of the resistance exercises the selection of movements to be performed is one of the most important and must be carefully analyzed. Although there may be a wide range of options, the most important recommendations do not specifically indicate the movements that should be included and muscle groups that should be prioritized when prescribing resistance exercise for the elderly. Therefore, considering that there is a lack of information for the Physical Education professional about the topic, this study was developed to support the choices of the movements that will compose the resistance exercise program for the elderly. The study was carried out by compiling and analyzing assumptions and scientific evidences related to resistance exercises and needs of elderly individuals. In conclusion, the choice of movements should be based on the principles of kinesiology, the needs of the elderly, muscle action and exercise safety in order to obtain beneficial results for general health and attenuate possible risks. (AU)

O exercício resistido vem sendo amplamente recomendado para população idosa, uma vez que esse tipo de exercício físico induz a importantes benefícios para saúde; sobretudo, no aprimoramento da capacidade funcional e na preservação da massa muscular, refletindo, desse modo, na qualidade de vida do indivíduo idoso. Dentre os diversos componentes dos exercícios resistidos, a seleção dos movimentos a serem executados é um dos mais importantes e deve ser cuidadosamente analisado. Embora possa existir vasta gama de opções, as principais recomendações não indicam especificamente os movimentos que devem ser incluídos e os grupos musculares que devem ser priorizados nos programas de exercícios resistidos. Portanto, considerando haver uma lacuna de informações sobre o tema, o estudo foi realizado com intuito de subsidiar a seleção dos movimentos que deverão compor os programas de exercícios resistidos para idosos. O estudo foi realizado mediante compilação e análise de pressupostos e evidências científicas referentes aos exercícios resistidos e as necessidades dos idosos. Concluiu-se que a seleção dos movimentos deve ser baseada nos princípios da cinesiologia, nas necessidades dos idosos, na ação muscular e na segurança de execução para se alcançar resultados benéficos para saúde em geral e atenuar possíveis riscos. (AU)

Branched-chain amino acids do not improve muscle recovery from resistance exercise in untrained young adults.

The purpose of this study was to investigate the effects of BCAA supplementation on muscle recovery from resistance exercise (RE) in untrained young adults. Twenty-four young adults (24.0 ± 4.3 years old) were assigned to 1 of 2 groups (n = 12 per group): a placebo-supplement group or a BCAA-supplement group. The groups were supplemented for a period of 5 days. On day 1 and 3, both groups underwent a RE session involving two lower body exercises (hack squat and leg press) and then were evaluated for muscle recovery on the 3 subsequent moments after the RE session [30 min (day 3), 24 h (day 4), and 48 h (day 5)]. The following indicators of muscle recovery were assessed: number of repetitions, rating of perceived exertion in the last RE session, muscle soreness and countermovement jump (CMJ) during recovery period (30 min, 24 h, and 48 h after RE session). Number of repetitions remained unchanged over time (time, P > 0.05), while the rating of perceived exertion increased (time, P < 0.05) over 3 sets, with no difference between groups (group × time, P > 0.05). Muscle soreness increased (time, P < 0.05) and jumping weight decreased (time, P < 0.05) at 30 min post-exercise and then progressively returned to baseline at 24 and 48 h post-exercise, with no difference between groups (group × time, P > 0.05). The results indicate that BCAA supplementation does not improve muscle recovery from RE in untrained young adults.

Effects of linear versus nonperiodized resistance training on isometric force and skeletal muscle mass adaptations in sarcopenic older adults.

The aim of this study was to compare the effects of linear periodization (LP) versus nonperiodized (NP) resistance training on upper-body isometric force and skeletal muscle mass (SMM) in sarcopenic older adults. Twenty sarcopenic older adults were randomly assigned into the LP and NP groups and performed 16 weeks of resistance training. The SMM was measured by octopolar bioelectrical impedance. The isometric force for handgrip and trunk were assessed by dynamometer. Evaluations were performed at baseline, after 4, 8, 12, and 16 weeks of resistance training. For total weight lifted, there was a main effect for time (F=126.986, P<0.001), statistically significant difference between condition (F=13.867, P=0.001) and interaction (F=8.778, P<0.001), whereby total weight lifted was greater for NP after 4 months of training. Isometric force for handgrip and trunk increased across time (P<0.001) but no significant differences between groups or interaction were observed (P>0.05). The SMM increased across time (P<0.05), however no significant difference between groups or interaction were observed (P>0.05). There were strong and significant correlations between handgrip maximum force and SMM (LP: rho=0.79, P=0.004 vs. NP: rho=-0.43, P=0.244) and handgrip mean force and SMM (LP: rho=0.68, P=0.021 vs. NP: rho=-0.37, P=0.332) only for the LP group. In conclusion, LP and NP resistance training induced similar benefits on upper-body isometric force and SMM in sarcopenic older adults. However, LP presented lower total weight lifted, suggesting that it is possible to obtain similar gains in isometric force and SMM with less total work.

Effects of beta-alanine supplementation on muscle function during recovery from resistance exercise in young adults.

ß-Alanine supplementation has been shown to increase muscle carnosine levels and exercise performance. However, its effects on muscle recovery from resistance exercise (RE) remains unknown. The purpose of this study was to investigate the effects of ß-alanine supplementation on muscle function during recovery from a single session of high-intensity RE. Twenty-four untrained young adults (22.1 ± 4.6 years old) were assigned to one of two groups (N = 12 per group): a placebo-supplement group (4.8 g/day) or an ß-alanine-supplement group (4.8 g/day). The groups completed a single session of high-intensity RE after 28 days of supplementation and were then evaluated for muscle function on the three subsequent days (at 24, 48, and 72 h postexercise) to assess the time course of muscle recovery. The following indicators of muscle recovery were assessed: number of repetitions until failure, rating of perceived exertion, muscle soreness, and blood levels of creatine kinase (CK). Number of repetitions until failure increased from 24 to 48 h and 72 h of recovery (time P < 0.01), with no difference between groups. There was a significant increase in the rating of perceived exertion among the sets during the RE session (time P < 0.01), with no difference between the groups. No difference was observed over time and between groups in rating of perceived exertion in the functional tests during recovery period. Blood CK levels and muscle soreness increased at 24 h postexercise and then progressively declined at 48 and 72 h postexercise, respectively (time P < 0.05), with no difference between groups. In conclusion, our data indicate that ß-alanine supplementation does not improve muscle recovery following a high-intensity RE session in untrained young adults.

Effects of order of resistance training exercises on muscle hypertrophy in young adult men.

The purpose of the present study was to analyze the effects of the order of resistance training (RT) exercises on hypertrophy in young adult men. Thirty-six young adult men (age, 21.9 ± 2.5 years; body mass, 72.6 ± 12.1 kg, height, 176.9 ± 7.4 cm; body mass index, 23.1 ± 3.3 kg/m2) were randomly assigned to 1 of 2 training groups that performed a 6-week RT program in either (i) a traditional approach starting with multi-joint (MJ) exercises followed by single-joint exercises (SJ) (MJ-SJ, n = 19) or (ii) in reverse order (SJ-MJ, n = 17). Muscle thickness of the biceps brachii and mid-thigh were assessed by ultrasound. Lean soft tissue (LST) was assessed by dual-energy X-ray absorptiometry. Both groups similarly increased (P < 0.05) biceps brachii thickness (MJ-SJ = +14.2%, SJ-MJ = +13.8%). Alternatively, only the MJ-SJ group presented an increase in mid-thigh thickness from pre- to post-training (MJ-SJ = +7.2%, SJ-MJ = +3.9%). Upper limb LSTs (MJ-SJ = +5.2%, SJ-MJ = +7.5%) were statistically similar between conditions, and a trend for significance (P = 0.07) was found for trunk LST (MJ-SJ = +7.2%, SJ-MJ = +1.7%). Nonsignificant pre- to post-training changes were observed for lower limb LSTs (MJ-SJ = +0.7%, SJ-MJ = +1.8%). Our data suggest that both sequences are effective for increasing muscle hypertrophy over a short-term RT period; there may be a potentially beneficial hypertrophic effect for the mid-thigh by performing exercises in a manner that progresses from MJ to SJ exercises.

Effect of resistance training with different frequencies and subsequent detraining on muscle mass and appendicular lean soft tissue, IGF-1, and testosterone in older women.

OBJECTIVE: To analyse the effect of resistance training (RT) frequency on muscle mass, appendicular lean soft tissue, insulin-like growth factor 1 (IGF-1), testosterone, and their changes with detraining in older women. METHODS: Forty-five physically independent older women (≥ 60 years) were randomly assigned to perform RT either two (G2X, n = 21) or three times/week (G3X, n = 24), during 12 weeks (8 exercises, 1 set of 10-15 repetition maximum). Muscle mass and appendicular lean soft tissue, IGF-1, testosterone, and dietary intake were measured at pre-training, post-training, and after detraining (12 weeks). RESULTS: Muscle mass and appendicular lean soft tissue significantly increased post-training (G2X = +5.5% and G3X = +5.8%, P < .0001) with no differences between groups, and gains were retained after detraining (G2X = 100% and G3X = 99%, P < .0001). IGF-1 and dietary intake did not change for the groups during the study. Testosterone did not change post-training but significantly decreased after detraining (G2X = -21% and G3X = -50%, P < .0001). CONCLUSION: We conclude that lower RT frequency is as effective as higher frequency to improve muscle mass and appendicular lean soft tissue, and to maintain testosterone and IGF-1. Additionally, detraining may reduce testosterone regardless of RT frequency. These results are specifically for community-dwelling older women and may not be generalized to other populations.

Impact of nutritional status on body composition and muscle strength of older women enrolled in a resistance training program / Impacto do estado nutricional na composição corporal e força muscular de idosas inseridas em um programa de treinamento com pesos

Abstract Overweight among older adults has increased considerably, and resistance training (RT) is a very attractive intervention strategy for positive changes associated with its practice. The aim was to evaluate the impact of nutritional status on body composition and muscle strength of older women in a RT program. Forty-eight older women were divided into three groups: eutrophic (EUT, BMI ≤ 24.9 kg/m2), overweight (OVE, BMI between 25.0 and 29.9 kg/m2) and obese (OBE, BMI ≥ 30.0 kg/m2). RT was performed for 12 weeks, one set of 10 to 15 repetitions, eight exercises, three weekly sessions. Body composition assessments (muscle mass, fat mass and trunk fat), strength and muscle quality were performed. Interaction for muscle mass in EUT had significant effect (+ 4.0%) when compared to OVE (+ 1.4%) and OBE (+ 1.4%). Time effect was observed for muscle strength (EUT = + 10.6%, OVE = + 7.5% and OBE = + 11.0%), muscle quality (EUT = + 6.1%, OVE = + 6.3% and OBE = + 9.8%), trunk fat (EUT = - 3.3%, OVE = - 0.7% and OBE = - 0.7%) and fat mass (EUT = - 3.0%, OVE = - 1.5% and OBE = - 0.5%). The results suggest that RT is effective for improving strength, muscle quality, muscle mass, trunk fat and fat mass of older women, but nutritional status may be determinant in muscle mass changes.

Resumo O objetivo do presente estudo foi avaliar o impacto do estado nutricional na composição corporal e força muscular de idosas inseridas em um programa de treinamento com pesos (TP). Quarenta e oito idosas foram divididas em três grupos: eutróficas (EUT, IMC ? 24,9 kg/m²), sobrepeso (SOB, IMC entre 25,0 e 29,9 kg/m²) e obesas (OBE, IMC ? 30,0 kg/m2). O TP foi realizado por 12 semanas, uma série de 10 a 15 repetições, oito exercícios, três sessões semanais. Avaliações da composição corporal (massa muscular, massa gorda e gordura de tronco), força e qualidade muscular foi realizado. Interação foi encontrada para a massa muscular onde o grupo EUT apresentaram efeito significativo (+ 4,0%) quando comparado ao SOB (+ 1,4%) e OBE (+ 1,4%). Efeito do tempo foi observado para a força muscular (EUT = + 10,6%, SOB = + 7,5% e OBE = + 11,0%), qualidade muscular (EUT = + 6,1%, SOB = + 6,3% e OBE = + 9,8%), gordura de tronco (EUT = - 3,3%, SOB = - 0,7% e OBE = - 0,7%) e massa gorda (EUT = - 3,0%, SOB = - 1,5% e OBE = - 0,5%). Os resultados sugerem que o TP é efetivo para a melhora da força, qualidade muscular, massa muscular, gordura de tronco e massa gorda de mulheres idosas, porém o estado nutricional pode ser determinante nas modificações da massa muscular.

Free leucine supplementation during an 8-week resistance training program does not increase muscle mass and strength in untrained young adult subjects.

The purpose of this study was to examine the effects of free leucine supplementation on changes in skeletal muscle mass and strength during a resistance training (RT) program in previously untrained, young subjects. In a double-blind, randomized, placebo-controlled study, 20 healthy young (22 ± 2 years) participants were assigned to two groups: a placebo-supplement group (PLA, N = 10) or a leucine-supplement group (LEU, N = 10). Both groups underwent an 8-week hypertrophic RT program (2 days/week), consuming an equivalent amount of leucine (3.0 g/day in a single post-training dose) or placebo (cornstarch). Quadriceps muscle strength, cross-sectional area (CSA) of the vastus lateralis (VL), and rectus femoris (RF), as well as the habitual dietary intake were assessed before and after the 8-week intervention period. There was a similar improvement in muscle strength (Leg press, LEU: +33% vs. PLA: +37%; P > 0.05, and knee extension, LEU: +31% vs. PLA: 34%; P > 0.05) and CSA (VL, LEU: 8.9% vs. PLA: 9.6%; P > 0.05, and RF, LEU: +21.6% vs. PLA: + 16.4%; P > 0.05) in the both groups from pre- to post-training. In addition, there was no significant (P > 0.05) difference in daily dietary intake between the LEU and PLA groups before and after the intervention period. Free leucine supplementation (3.0 g/day post-training) does not increase muscle strength or CSA during RT in healthy young subjects consuming adequate dietary protein intake.

Comparison of Skillful vs. Less Skilled Young Soccer Players on Anthropometric, Maturation, Physical Fitness and Time of Practice.

This study compared maturation, body composition and physical fitness between youth soccer athletes with different technical skills levels. Sixty-two young athletes (11-17 years) were categorized dichotomously in more skilled (n=31) and less skilled (n=31) groups based on 3 specific technical tests (Dribbling Speed Test [DST], Shuttle Dribble Test [SDT] and Slalom Dribble Test [SLDT]). Chronological and skeletal age, time of practice, body composition and 4 physical fitness tests were performed for comparisons. As expected, the 3 technical tests were correlated (r=0.47-0.54, P<0.05). More skilled subjects in DST and SDT showed (respectively) higher time of practice (effect size [ES]=0.72 and 0.90), and greater performance sit-ups (ES=1.23 and 0.81), squat jump (ES=1.10 and 1.08), countermovement jump (ES=1.11 and 1.10), and Yo-Yo test (ES=1.17 and 1.40) compared to the less skilled subjects (P<0.05). However, more skilled subjects in SLDT showed greater performance (P<0.05) only in the squat jump (ES=0.67) and Yo-Yo tests (ES=0.83). The results suggest that technical performance is associated with greater time of practice and some physical capabilities. Moreover, the DST and SDT tests seem to be good options to discriminate technical performance in youth soccer athletes.

Chronic Blood Pressure Reductions and Increments in Plasma Nitric Oxide Bioavailability.

This study analyzed the effects of 12 weeks of resistance training (RT) on resting blood pressure (BP) and plasma levels of nitric oxide metabolites (NOx) in pre- and hypertensive older women, and evaluated the relationship between these 2 parameters. Thirty-five older women (68.2±5.7 years, 70.0±14.4 kg, 157.1±6.4 cm, 28.3±5.0 kg.m-2) were randomly allocated into a training group (TG; n=17), which performed a 12-week RT program, and a control group (CG; n=18), which did not perform any physical exercise. Anthropometry, one repetition maximum (1RM), body composition analysis by dual energy X-ray absorptiometry, blood samples, and resting BP were measured. There was a significant interaction for all variables analyzed, in which reductions of systolic BP (-8.5%), diastolic BP (-8.4%), and mean arterial pressure (-8.5%), and increases of NOx (+35.2%) were observed only for the TG. Moreover, a negative and significant correlation was observed (P<0.05; r=-0.63) between NOx and systolic BP in the TG. Results suggest that a 12-week RT program is sufficient to induce reductions in BP in pre- and hypertensive older women and that the decrease in systolic BP is associated with an increase in plasma NOx concentration.

Effect of two different weekly resistance training frequencies on muscle strength and blood pressure in normotensive older women / Efeito de duas diferentes frequências semanais de treinamento com pesos sobre a força muscular e pressão arterial em mulheres idosas normotensas

Abstract The aim of this study was to analyze the effect of two different weekly resistance training (RT) frequencies on muscle strength and blood pressure (BP) in normotensive older women. Thirty normotensive and physically independent older women participated in the study, which were divided into two groups: RT performed in two weekly sessions (G2X, n = 17; 67.6 ± 4.6 years; 69.7 ± 13.4 kg; 156.6 ± 5.8 cm) and three weekly sessions (G3X; n = 13; 68.7 ± 5.0 years; 69.8 ± 16.1 kg, 155.2 ± 7.8 cm). The RT program was composed by eight exercises for different muscle groups (upper limbs, trunk and lower limbs), lasting 24 weeks (two phases of 12 weeks each). In the first phase, exercises were performed in one set of 10-15 maximum repetitions per exercise, while in the second phase, two sets were performed. BP and muscle strength (1RM) measures were performed at pre-training and after 12 and 24 weeks of RT. Increases in total muscle strength (P < 0.05) were observed in both groups (G2X = 16.8% and G3X = 18.9%), with no difference between groups. On the other hand, no significant changes (P > 0.05) in systolic BP and diastolic BP were found in both groups. The results suggest that 24 weeks of a supervised RT program improve muscle strength without affecting BP in normotensive older women, regardless of frequency of two or three weekly sessions.

Resumo O objetivo do presente estudo foi analisar o efeito de duas diferentes frequências semanais ao treinamento com pesos (TP) sobre a força muscular e pressão arterial (PA) em mulheres idosas normotensas. Trinta mulheres normotensas e fisicamente independentes foram divididas em dois grupos: TP realizado em duas sessões semanais (G2X; n = 17; 67,6 ± 4,6 anos; 69,7 ± 13,4 kg; 156,6 ± 5,8 cm) e em três sessões semanais (G3X; n = 13; 68,7 ± 5,0 anos; 69,8 ± 16,1 kg; 155,2 ± 7,8 cm). O programa de TP foi composto por oito exercícios para os diferentes segmentos corporais (membros superiores, tronco e membros inferiores) e teve a duração de 24 semanas (duas etapas com duração de 12 semanas cada). Na primeira etapa todos os exercícios foram executados em uma única série de 10-15 repetições máximas, ao passo que na segunda etapa houve a progressão para duas séries por exercício. Medidas de pressão arterial (PA) e força muscular (testes de 1RM) foram realizadas nos momentos pré-treinamento, após 12 e 24 semanas de TP. Aumentos significantes na força muscular (P < 0,05) foram encontrados em ambos os grupos (G2X = +16,8% vs. G3X = +18,9%), sem diferenças entre eles. Por outro lado, nenhuma alteração significante foi identificada na PA sistólica e diastólica ao longo do tempo em nenhum dos grupos (P > 0,05). Os resultados do presente estudo sugerem que 24 semanas de um programa de TP supervisionado melhoram a força muscular, sem acarretar modificações na PA, em mulheres idosas normotensas, independente da frequência de duas ou três sessões semanais.

Conjugated linoleic acid supplementation does not maximize motor performance and abdominal and trunk fat loss induced by aerobic training in overweight women / Suplementação de ácido linoléico conjugado não maximiza o desempenho motor e a perda de gordura de tronco e abdominal induzida pelo treinamento aeróbio em mulheres com excesso de peso

ABSTRACT Objective: To analyze the effect of eight weeks of conjugated linoleic acid supplementation on physical performance, and trunk and abdominal fat in overweight women submitted to an aerobic training program. Methods: Twenty-eight overweight women (body mass index ³25 kg/m2) were divided randomly and double-blindly to receive conjugated linoleic acid or placebo, both associated with an aerobic exercise program (frequency = three times a week, duration=30 min/session, intensity=80% of maximum heart rate). Conjugated linoleic acid (3.2 g) and placebo (4.0 g) supplements were consumed daily (four capsules) for eight weeks. Maximum speed and time to exhaustion were determined in incremental treadmill test. Trunk fat was estimated by dual-energy X-Ray absorptiometry. Waist circumference was used as indicator of abdominal fat. Results: Main effect of time (p<0.05) showed increased maximum speed (conjugated linoleic acid=+6.3% vs. placebo=+7.5%) and time to exhaustion (conjugated linoleic acid=+7.1% vs. placebo=+8.6%) in the incremental treadmill test, with no differences between the groups (p>0.05). Similarly, significant reductions (p<0.05) in trunk fat (conjugated linoleic acid=-1.7% vs. placebo=-1.5%) and abdominal fat (conjugated linoleic acid=-4.7% vs. placebo=-4.0%) were found after eight weeks of intervention, with no differences between the groups (p>0.05). Conclusion: The results of this study suggest that conjugated linoleic acid supplementation does not maximize motor performance, and loss of body and abdominal fat induced by aerobic training in overweight women.

RESUMO Objetivo: Analisar o efeito de oito semanas de suplementação de ácido linoleico conjugado sobre o desempenho físico, a gordura de tronco e abdominal em mulheres com excesso de peso submetidas a um programa de treinamento aeróbio. Métodos: Vinte e oito mulheres com excesso de peso (índice de massa corporal ³ 25 kg/m2) foram separadas aleatoriamente por meio de um delineamento duplo cego para receber suplementação de ácido linoleico ou placebo associado a um programa de exercícios aeróbios (frequência = três sessões semanais, duração=30 min/sessão, intensidade=80% da frequência cardíaca máxima). A suplementação de ácido linoleico (3,2 g) ou de placebo (4,0 g) foi consumida diariamente (quatro cápsulas), durante oito semanas. As variáveis velocidade máxima atingida e tempo de permanência até a exaustão foram determinadas em teste incremental em esteira. A gordura de tronco foi estimada por absortometria radiológica de dupla energia. A circunferência de cintura foi utilizada como indicador de gordura abdominal. Resultados: Efeito principal do tempo (p<0,05) revelou aumento da velocidade máxima atingida (suplementação de ácido linoleico=+6,3% versus placebo=+7,5%) e tempo de duração até a exaustão (suplementação de ácido linoleico=+7,1% versus placebo=+8,6%) em teste incremental em esteira, sem diferenças entre os grupos (p>0,05). De forma similar, uma redução significante (p<0,05) na gordura relativa de tronco (suplementação de ácido linoleico=-1,7% versus placebo=-1,5%) e na gordura abdominal (suplementação de ácido linoleico=-4,7% versus placebo=-4,0%) foi encontrada após oito semanas de intervenção, sem diferenças entre os grupos (p>0,05). Conclusão: Os resultados do presente estudo sugerem que a suplementação de ácido linoleico não maximiza o desempenho motor e a redução da gordura de tronco e abdominal induzida pelo treinamento aeróbio em mulheres com excesso de peso.

Effect of resistance training and detraining on the oxidative stress in obese older women / Efeito do treinamento com pesos e do destreinamento sobre o estresse oxidativo em mulheres idosas obesas

Abstract The aim of this study was to investigate the effect of resistance training (RT) followed by a similar detraining period on the modulation of oxidative stress (OS) in obese older women. Fourteen obese women (age: 68.7 ± 4.8 years, body mass: 71.3 ± 14.8 kg, height: 156.3 ± 7.2 cm, body fat: 44.3 ± 4.4%) were submitted to 12 weeks of a RT program followed by a similar detraining period. Advanced oxidation protein products (AOPP) and total radical-trapping antioxidant potential (TRAP) were used as oxidative stress indicators. AOPP was not changed by RT or detraining (P = 0.31). Furthermore, TRAP was increased with RT (+ 15.1%; P < 0.001) and remained high even after 12 weeks of detraining (10.5%; P < 0.001). The results suggest that OS can be improved by RT and the 12-week detraining period does not seem to be enough to reverse adaptations induced by RT in obese older women.

Resumo O objetivo deste estudo foi investigar a efetividade do treinamento com pesos (TP), seguido por um período semelhante de destreinamento, sobre a modulação do estresse oxidativo (EO) em mulheres idosas obesas. Quatorze mulheres (idade: 68,7 ± 4,8 anos; massa corporal: 71,3 ± 14,8 kg; estatura: 156,3 ± 7,2 cm; gordura corporal: 44,3 ± 4,4%) obesas (gordura corporal relativa ≥ 30%) foram submetidas a 12 semanas de um programa de TP seguido por igual período de destreinamento. Os produtos de proteínas de oxidação avançada (AOPP) e a capacidade antioxidante total plasmática (TRAP) foram utilizados como indicadores de estresse oxidativo. A AOPP não foi alterada pelo TP ou pelo destreinamento (P = 0,31). Por outro lado, a TRAP foi aumentada com o TP (+15,1%; P < 0,001) e se manteve elevada mesmo após 12 semanas de destreinamento (+10,5%; P < 0,001). Os resultados sugerem que o EO pode ser melhorado pelo TP e o período de 12 semanas de destreinamento não parece ser suficiente para desfazer as adaptações induzidas pelo TP em mulheres idosas obesas.