The effect of inspiratory and expiratory respiratory muscle training in rowers.

This study examined inspiratory and expiratory resistive loading combined with strength and endurance training on pulmonary function and rowing performance. Twenty-one male (n = 9) and female (n = 12) rowers were matched on 2000 m simulated rowing race time and gender and randomly assigned to two groups. The experimental group trained respiratory muscles using a device that provided both an inspiratory and expiratory resistance while the control group used a SHAM device. Respiratory muscle training (RMT) or SHAM was performed 6 d/wk concurrent with strength (3 d/wk) and endurance (3 d/wk) training on alternate days for 10 weeks. Respiratory muscle training (RMT) enhanced maximum inspiratory (PI(max)) and expiratory (PE(max)) strength at rest and during recovery from exercise (P < 0.05). Both groups showed improvements in peak VO2, strength, and 2000 m performance time (P < 0.05). It was concluded that RMT is effective for improving respiratory strength but did not facilitate greater improvements to simulated 2000 m rowing performance.

Improved cardiovascular health following a progressive walking and dietary intervention for type 2 diabetes.

AIM: To examine the impact of two different lifestyle programmes on cardiovascular health and glycaemic control among people with type 2 diabetes. METHODS: A two-phase 24-week randomized trial. During the first phase, participants were to increase daily steps using a pedometer. At week 12, participants were randomly allocated to either an enhanced lifestyle programme (ELP) targeting walking speed or a basic lifestyle programme (BLP) targeting total daily steps. Both programmes focused on increasing the intake of low glycaemic index foods but utilized different goal setting strategies. Clinical measurements were completed at baseline, week 12 and week 24. Principal outcomes were change in resting pulse rate (PR) and glycated haemoglobin A1c (A1c) between week 12 and week 24 compared between groups using analysis of covariance. RESULTS: Forty-one participants [mean +/- s.d. : age = 56.5 +/- 7.2 years, body mass index (BMI) = 32.7 +/- 6.1 kg/m(2)] were randomized. After 12 weeks, we observed an increase in average total daily steps of 1688 (95% confidence interval: 330-3040, [corrected] p = 0.02). Weight, BMI and systolic and diastolic blood pressure improved (p < 0.01 for all). No changes were observed for energy intake. At week 24, those in the ELP had a lower resting PR (71 +/- 12 b.p.m.) compared with those in the BLP (78 +/- 12 b.p.m.) (adjusted p = 0.03), while no group differences for total daily steps or glycaemic control were observed. CONCLUSIONS: Improvements in cardiovascular health can be expected following a pedometer-based lifestyle modification programme that progresses from walking more to walking faster.

Acute effect of metformin on exercise capacity in active males.

AIM: Physical activity and metformin are often used concomitantly in the treatment of diabetes, even though little is known about possible interactions between these treatment modalities. This study was designed to examine the acute effect of metformin on oxygen consumption and lactate concentration during exercise. METHODS: Eleven healthy, active men [mean +/- s.d.: age = 29.9 +/- 3.7 years; body mass index = 25.2 +/- 2.8 kg/m2; maximal oxygen consumption (VO2max) = 53.5 +/- 8.9 ml/kg/min] completed a randomized, double-blind, placebo-controlled, crossover study. The testing protocol consisted of a standardized breakfast with metformin (1000 mg) or placebo. Three hours after breakfast, participants underwent a graded maximal exercise test on a cycle ergometer. Approximately 30 min after this exercise test, participants cycled continuously at an intensity below their ventilatory threshold for 45 min (mean exercise intensity = 69 +/- 5.5% of VO2max). RESULTS: During the graded exercise test, average oxygen consumption was higher for the metformin condition (2.9 vs. 2.8 l/min, p = 0.04); however, there was no treatment effect on VO2max or ventilatory threshold. During continuous exercise, lactate was lower for the metformin condition (4.7 vs. 5.4 mmol/l, p = 0.05). Following a standardized lunch, glucose concentrations were lower in the metformin compared with the placebo condition (5.8 vs. 6.4 mmol/l, p = 0.04). CONCLUSION: A single dose of metformin does not acutely influence maximal oxygen consumption or ventilatory threshold in healthy active males. The lower lactate concentration observed during continuous exercise with metformin was an unexpected finding considering that, in the resting state, metformin has been previously associated with a modest increase in lactate concentrations.

Effects of resistance training frequency on physical functioning and quality of life in prostate cancer survivors: a pilot randomized controlled trial.

BACKGROUND: Resistance training (RT) improves muscular strength, physical functioning and quality of life in prostate cancer survivors, but the optimal frequency of RT is unknown. We conducted a pilot randomized controlled trial to compare the effects of 3 versus 2 days per week of RT in prostate cancer survivors diagnosed within the past 2 years. METHODS: Prostate cancer survivors (N=30) were randomized to 12 weeks of supervised RT performed either 3 days per week (n=16) or 2 days per week (n=14). The primary outcome was muscular strength assessed by a multiple repetition maximum test at baseline and postintervention. Secondary outcomes were objective physical functioning, quality of life and psychosocial functioning. RESULTS: A trend (P<0.10) and/or potentially meaningful effects (standardized effect size d⩾0.20) were found favoring 3 days per week over 2 days per week for the primary outcome of lower body strength (mean difference=27.8 kg; 95% confidence interval=-0.9 to 56.5; P=0.057; d=0.72) and for the secondary outcomes of 30-s chair stand (d=0.29; P=0.31), sit and reach (d=0.24; P=0.33), 6 -min walk (d=0.21; P=0.42) and the physical component summary (d=0.21; P=0.41). Conversely, a trend and/or potentially meaningful effects were found favoring 2 days per week over 3 days per week for the mental component summary (d=-0.38; P=0.10), mental health (d=-0.44; P=0.11), vitality (d=-0.31; P=0.28), role-emotional (d=-0.23; P=0.43), anxiety (d=0.32; P=0.29), happiness (d=-0.31; P=0.36) and perceived stress (d=0.23; P=0.39). CONCLUSIONS: This pilot randomized dose-comparison trial provides preliminary data to suggest that RT 3 days per week compared with 2 days per week may improve the strength and physical functioning in prostate cancer survivors, but may also blunt improvements in psychosocial functioning. Larger and more targeted phase II and III trials are needed to confirm the potentially complex effects of RT frequency in prostate cancer survivors.

Altered distribution of mitochondria in rat soleus muscle fibers after spaceflight.

The influence of spaceflight on the distribution of succinate dehydrogenase (SDH) activity throughout the cross section of fibers in the soleus was studied in five male rats and in five rats maintained under ground-based simulated flight conditions (control). The flight (COSMOS 1887) was 12.5 days in duration, and the animals were killed approximately 2 days after return to 1 G. Fibers were classified as slow-twitch oxidative or fast-twitch oxidative-glycolytic in histochemically prepared tissue sections. The distribution of SDH activity throughout the cross section of 20-30 fibers (each type) was determined using quantitative histochemical and computer-assisted image analysis techniques. In all the fibers, the distribution of SDH activity was significantly higher in the subsarcolemmal than in intermyofibrillar region. After spaceflight the entire regional distribution of SDH activity was significantly altered in the slow-twitch oxidative fibers. The fast-twitch oxidative-glycolytic fibers of the spaceflight muscles exhibited a significantly lower SDH activity only in their subsarcolemmal region. These data suggest that when determining the influence of spaceflight on muscle fiber oxidative metabolism enzymes, it is important to consider the location of the enzyme throughout the cross section of a fiber. Furthermore the functional properties of the soleus that depend on the metabolic support of mitochondria in the subsarcolemmal region may be primarily affected by exposure to microgravity.

The interactions of intensity, frequency and duration of exercise training in altering cardiorespiratory fitness.

This review has grouped many studies on different populations with different protocols to show the interactive effects of intensity, frequency and duration of training as well as the effects of initial fitness levels and programme length on cardiorespiratory fitness as reflected by aerobic power (VO2max). Within each level of exercise duration, frequency, programme length or initial fitness level, the greatest improvements in aerobic power occur when the greatest challenge to aerobic power occurs i.e., when intensity is from 90 to 100% of VO2max. The pattern of improvement where different intensities are compared with different durations suggests that when exercise exceeds 35 minutes, a lower intensity of training results in the same effect as those achieved at higher intensities for shorter durations. Frequencies of as low as 2 per week can result in improvements in less fit subjects but when aerobic power exceeds 50 ml/kg/min, exercise frequency of at least 3 times per week is required. As the levels of initial fitness improve, the changes in aerobic power decreases regardless of the intensity, frequency or duration of exercise. Although these pooled data suggest that maximal gains in aerobic power are elicited with intensities between 90 to 100% VO2max, 4 times per week with exercise durations of 35 to 45 minutes, it is important to note that lower intensities still produce effective changes and reduce the risks of injury in non-athletic groups.

Physiological adaptations to velocity-controlled resistance training.

The force-velocity characteristics of skeletal muscle are such that maximal force is inversely related to the velocity of shortening. This relationship has been observed using isolated muscle preparations and intact muscle groups (e.g. knee extensors). Isokinetic dynamometry has revealed some specific physiological adaptations to different velocities of training: an increase in torque and power that are greater at or near the velocity of training; a transfer of torque gains to slower and faster angular velocities after intermediate velocity resistance training; increases in maximal oxygen consumption and cardiac output in response to circuit training; increases in anaerobic power output; changes in skeletal muscle size and changes in myofibrillar ATPase activity; and new applications for rehabilitation of muscular and ligamentous injuries, and post-coronary patients.

Effect of high velocity resistance training on peak torque, cross sectional area and myofibrillar ATPase activity.

The purpose of this investigation was to determine the effect of high velocity resistance (HVR) training on peak torque (PT), cross sectional area (CSA) and myofibrillar ATPase activity of the knee extensors. HVR training was performed in a circuit on hydraulic exercise equipment, 4 times a week for 5 weeks at an angular velocity of approximately 3.14 rad.s-1. Knee extension PT was determined on a Cybex II isokinetic dynamometer and CSA of the quadriceps femoris muscle was assessed using computer tomography (CT) scanning. Muscle biopsies were obtained from the lateral quadriceps muscle and were analyzed for myofibrillar ATPase activity. Knee extension peak torque was significantly increased at 1.57, 2.09, 3.14, 3.66 and 4.19 rad.s-1. Myofibrillar ATPase activity and CSA was also significantly increased after HVR training. These findings showed that short-term high velocity resistance training enhances the in vivo torque/velocity curve especially at fast angular velocities and these changes are partly attributed to an increase in muscle CSA and activity of myofibrillar ATPase.

Exercise after acute hyperbaric oxygenation: is there an ergogenic effect?

The purpose of this study was to determine the effects of a 1-h exposure to 2.0 atm abs (202.6 kPa) and 100% oxygen on subsequent maximal O2 consumption (VO2max), ventilation threshold (VT), lactate threshold (LT), and muscle oxygenation (%Mox) during incremental exercise to maximum on a cycle ergometer. Two baseline exercise tests (T1 and T2) were performed on separate occasions without prior exposure to hyperbaric oxygen (HBO2) and a third test (T3-HBO2) was performed after (22.5 +/- 5.6 min) HBO2 Near infared spectroscopy was used to monitor oxygenation of the left vastus lateralis muscle during T2 and T3-HBO2. No significant differences were observed between VO2max VT, or LT among any of the exercise tests. There was no significant difference in %Mox between T2 and T3-HBO2 except at 235 W where there was a significant elevation in %Mox during T3-HBO2 relative to T2. These results suggest that prior exposure to HBO2 (100% O2 at 2 atm abs for 1 h) has no ergogenic effect on subsequent incremental exercise performance.

The effect of high-intensity rowing and combined strength and endurance training on left ventricular systolic function and morphology.

Combined strength and endurance training may result in alterations in left ventricular (LV) systolic function and morphology, however, the acute effect of high-intensity rowing exercise and concurrent training-induced adaptations on LV systolic function are not well known. The purpose of this investigation was to assess LV systolic function before and after a simulated 2000-m rowing race on a Concept II rowing ergometer and evaluate these adaptations following 10 weeks of concurrent strength and endurance training. Furthermore, resting LV morphology was assessed prior to and following the 10-week training program. Ten male subjects underwent two-dimensional echocardiograms at rest, immediately following (95 +/- 27 s), as well as 5 and 45 minutes after, a simulated 2000-m rowing race. These measurements were also made before and after 10 weeks of training. Irrespective of testing time, performance of a 2000-m rowing race resulted in an increase in fractional area change (0.51 +/- 0.06 vs. 0.63 +/- 0.09; p < 0.05) due to an increase in LV contractility. Concurrent strength and endurance training resulted in an increase in the resting LV diastolic cavity area (20.64 +/- 2.59 vs. 22.82 +/- 2.17 cm (2); p < 0.05), end systolic myocardial area (23.27 +/- 4.86 vs. 24.56 +/- 4.00 cm (2); p < 0.05) and LV mass (179.07 +/- 46.91 g vs. 210.46 +/- 51.13 g; p < 0.05). These findings suggest that the acute increase in LV systolic function following a simulated 2000-m rowing race was due to heightened LV contractile reserve. Further, 10 weeks of combined strength and endurance training resulted in an increase in resting LV diastolic cavity size, wall thickness and mass.

The effect of one-legged sprint training on intramuscular pH and nonbicarbonate buffering capacity.

To determine the effect of one-legged sprint training on muscle pH and nonbicarbonate buffering capacity (BC), 9 subjects completed 15 to 20 intervals at 90 RPM, 4 days a week for 7 weeks on a bicycle ergometer adapted for one-legged pedaling. Needle biopsies from the vastus lateralis and blood samples from an antecubital vein were taken at rest and twice during recovery (1 and 4 minutes) from a 60 s one-legged maximal power test on a cycle ergometer. pH one minute after exercise in both the trained and untrained legs following the training period was not different but both were higher than before training. BC increased from 49.9 to 57.8 mumol HCl x g-1 x pH-1 after training (p less than 0.05). Blood lactate levels after exercise were significantly higher for the trained leg when compared to the untrained leg after spring training. Peak and average power output on the 60 s power test increased significantly after training. One-legged aerobic power (VO2max) was significantly increased in the untrained and trained legs. Two-legged VO2max also improved significantly after training. These data suggest that nonbicarbonate buffering capacity and power output can be enhanced with one-legged sprint training. Also, small but significant improvements in VO2max were also observed.

A comparison of critical velocity estimates to actual velocities in predicting simulated rowing performance.

The most accurate critical velocity (CV) estimate for the prediction of velocity during a simulated 2,000-m rowing race and the relationship to aerobic power were studied. Sixteen male rowers completed randomized maximal exertion trials (200, 400, 600, 800, 1,000, and 1,200 m), a maximal oxygen consumption (VO(2)max) on a Concept II rowing machine, and an actual 2,000-m simulated rowing race. Three mathematical models were applied to 4 rowing distance combinations producing 12 CV estimates. Seven of the 12 possible CV estimates were not significantly different from actual 2,000-m velocity. Comparison of the 3 CV models using all 6 trial distances revealed that the nonlinear model produced a CV estimate lower than the 2 linear CV models. CV was significantly correlated to VO(2)max (r = 0.91) and the mean velocity achieved during the 2,000-m simulated rowing race (r = 0.97). VO(2)max was significantly correlated to 2,000-m simulated rowing race velocity (r = 0.93).

Modification of the Wingate anaerobic power test for rowing: optimization of the resistance setting.

The purpose of the study was to determine the resistance factor that would elicit the highest peak 5 s and mean 30 s power output (PO) during a maximal 30 s anaerobic power test on a rowing ergometer. Thirty-one rowers (17 male and 14 female) were recruited based on the light-weight (LW) (6 male; age 23 +/- 6 yrs and 6 female; age 19 +/- 2 yrs) and heavy-weight (HW) (11 male; age 24 +/- 4 yrs and 8 female; age 27 +/- 8 yrs) rowing categories. Each group completed 5 randomized series of maximal 30 s sprints equivalent to the following forces: 58.9, 63.8, 68.7, 73.7 and 78.6 N for LW males; 83.5, 88.4, 93.4, 98.2 and 103.1 N for HW males; 29.4, 34.3, 39.2, 44.1 and 49.1 N for LW females; and 44.1, 49.1, 54.0, 58.6 and 63.8 N for HW females. The tests were performed on a Gjessing rowing ergometer modified to accommodate greater resistance settings and computer linked to obtain the necessary data. The peak 5 s and mean 30 s PO (W) were determined for each test. A relative load factor (RLF) for determining the amount of resistance to be applied was calculated based on body mass (BM). The RLF settings that elicited the highest peak 5 s PO were 0.109 and 0.102 kg. kg (-1) BM for LW and HW male rowers and 0.111 kg. kg (-1) BM and 0.076 kg. kg (-1) BM for LW and HW female rowers, respectively. The RLF settings for eliciting the highest mean 30 s PO were 0.102 and 0.095 kg. kg (-1) BM for LW and HW male rowers and 0.103 kg. kg (-1) BM and 0.068 kg. kg (-1) BM for LW and HW female rowers, respectively. A 30 second anaerobic test was also performed on a Concept II rowing machine for comparison and it was found to elicit a significantly lower peak 5 s but not 30 s PO in both male and female rowers. Our findings provide RLFs for assessing anaerobic power using a 30 s test in male and female rowers. As well, peak 5 s but not mean 30 s PO is underestimated using the Concept II rowing machine.

The effect of strength training on estimates of mitochondrial density and distribution throughout muscle fibres.

The purpose of this study was to investigate the effect of strength training (12 weeks, 3 days/week, four lower-body exercises) of young individuals (mean age 23.6 years) on estimates of mitochondrial distribution throughout muscle fibres. A control group (mean age 21. 7 years) was followed simultaneously. Skeletal muscle biopsy samples were obtained from the vastus lateralis, pre- and post-training. The regional distribution of subsarcolemmal and intermyofibrillar mitochondrial populations was determined using quantitative histochemical staining of succinate dehydrogenase (SDH) in type I and II muscle fibres. Strength training resulted in significant increases of 26% and 28% in the cross-sectional area of type I and II fibres, respectively (P < 0.05). Overall SDH activity decreased by 13% with strength training (P < 0.05). The decrease in SDH activity with strength training between fibre types and between subsarcolemmal and intermyofibrillar regions of muscle fibres was not different. Fibre area and SDH activity was unchanged in the control group. We conclude that the muscle hypertrophy associated with strength training results in reduced density of regionally distributed mitochondria, as indicated by the reduction in the activity of SDH.

The effect of concurrent endurance and strength training on quantitative estimates of subsarcolemmal and intermyofibrillar mitochondria.

We examined the effect of combined strength and endurance training on quantitative estimates of mitochondria in subsarcolemmal and intermyofibrillar regions of muscle fibers. Ten subjects (five males, five females) participated in a 12 week program of combined strength and endurance training. Seven subjects (three males and four females) served as controls. Biopsy samples from the vastus lateralis were obtained before and after training in both groups and also at the mid-point of training in the exercise group. Measurement of succinate dehydrogenase activity throughout muscle fibers, as a quantitative estimate of mitochondrial subpopulations, revealed no differences between exercise and control groups before and after training. Within the exercise group, there was a significant increase in succinate dehydrogenase activity in all regions of muscle fibers from before to after training. There was also a significant increase in succinate dehydrogenase activity in the subsarcolemmal, relative to the intermyofibrillar region from mid-(six weeks) to after-training ( regional distribution x time; p < 0.05). This may have been associated with an oxidative shift in fiber types, as type I fiber percentage was increased in the exercise, compared to the control group (group x time; p < 0.05). We conclude that mitochondrial populations undergo differential changes throughout training. IMF mitochondria increase in a linear manner throughout training, while SS mitochondria undergo a preferential increase late in training. This increase late in training may be related to an increase in proportion of type I fibers.