Showing papers in "European Journal of Applied Physiology in 2014"

Blood pressure regulation IX: cerebral autoregulation under blood pressure challenges

Abstract: Cerebral autoregulation (CA) is integral to the delicate process of maintaining stable cerebral perfusion and brain tissue oxygenation against changes in arterial blood pressure. The last four decades has seen dramatic advances in understanding CA physiology, and the role that CA might play in the causation and progression of disease processes that affect the cerebral circulation such as stroke. However, the translation of these basic scientific advances into clinical practice has been limited by the maintenance of old constructs and because there are persistent gaps in our understanding of how this vital vascular mechanism should be quantified. In this review, we re-evaluate relevant studies that challenge established paradigms about how the cerebral perfusion pressure and blood flow are related. In the context of blood pressure being a major haemodynamic challenge to the cerebral circulation, we conclude that: (1) the physiological properties of CA remain inconclusive, (2) many extant methods for CA characterisation are based on simplistic assumptions that can give rise to misleading interpretations, and (3) robust evaluation of CA requires thorough consideration not only of active vasomotor function, but also the unique properties of the intracranial environment.

Longitudinal decline of lower extremity muscle power in healthy and mobility-limited older adults: influence of muscle mass, strength, composition, neuromuscular activation and single fiber contractile properties

Abstract: This longitudinal study examined the major physiological mechanisms that determine the age-related loss of lower extremity muscle power in two distinct groups of older humans. We hypothesized that after ~3 years of follow-up, mobility-limited older adults (mean age: 77.2 ± 4, n = 22, 12 females) would have significantly greater reductions in leg extensor muscle power compared to healthy older adults (74.1 ± 4, n = 26, 12 females). Mid-thigh muscle size and composition were assessed using computed tomography. Neuromuscular activation was quantified using surface electromyography and vastus lateralis single muscle fibers were studied to evaluate intrinsic muscle contractile properties. At follow-up, the overall magnitude of muscle power loss was similar between groups: mobility-limited: −8.5 % vs. healthy older: −8.8 %, P > 0.8. Mobility-limited elders had significant reductions in muscle size (−3.8 %, P 30 %), peak power (>200 %) and unloaded shortening velocity (>50 %) were elicited at follow-up. Different physiological mechanisms contribute to the loss of lower extremity muscle power in healthy older and mobility-limited older adults. Neuromuscular changes may be the critical early determinant of muscle power deficits with aging. In response to major whole muscle decrements, major compensatory mechanisms occur within the contractile properties of surviving single muscle fibers in an attempt to restore overall muscle power and function with advancing age.

Response inhibition impairs subsequent self-paced endurance performance.

Abstract: Purpose the aim of this study was to test the effects of mental exertion involving response inhibition on pacing and endurance performance during a subsequent 5-km run- ning time trial. Methods After familiarization, 12 physically active sub- jects performed the time trial on a treadmill after two differ -

Effects of probiotics supplementation on gastrointestinal permeability, inflammation and exercise performance in the heat.

Abstract: Purpose This study aimed to investigate the effects of multi-strain probiotics supplementation on gastrointestinal permeability, systemic markers of inflammation and running performance when exercising in the heat. Methods Ten male runners were randomized to 4 weeks of daily supplementation with a probiotics capsule (45 billion CFU of Lactobacillus, Bifidobacterium and Streptococcus strains) or placebo, separated by a washout period (double-blind, cross-over trial). After each treatment, the runners exercised to fatigue at 80% of their ventilatory threshold at 35 °C and 40% humidity. To assess gastrointestinal permeability, runners ingested lactulose and rhamnose before exercise and post-exercise urine was collected to measure sugar concentrations. Venous blood samples were collected before, immediately after and 1 h after exercise, and core temperature was monitored during exercise. Results Probiotics supplementation significantly increased run time to fatigue (min:s 37:44 ± 2:42 versus 33:00 ± 2:27; P = 0.03, d = 0.54). Average core temperature during exercise was similar between trials (probiotic 38.1 ± 0.2 °C, placebo 38.1 ± 0.1 °C; P = 0.77, d = 0.13). Serum lipopolysaccharide concentration increased post-exercise (P 0.05). There was a small to moderate reduction (d = 0.35) in urine lactulose:rhamnose and a small reduction (d = 0.25) in symptoms of gastrointestinal discomfort following probiotics supplementation (both P = 0.25). Conclusion Four weeks of supplementation with a multi-strain probiotic increased running time to fatigue in the heat. Further studies are required to elucidate the exact mechanisms for this performance benefit.

A comparison of methods for quantifying training load: relationships between modelled and actual training responses.

Abstract: To assess the validity of methods for quantifying training load, fitness and fatigue in endurance athletes using a mathematical model. Seven trained runners ( $$\dot{V}$$ O2max: 51.7 ± 4.5 mL kg−1 min−1, age: 38.6 ± 9.4 years, mean ± SD) completed 15 weeks of endurance running training. Training sessions were assessed using a heart rate (HR), running pace and rating of perceived exertion (RPE). Training dose was calculated using the session-RPE method, Banisters TRIMP and the running training stress score (rTSS). Weekly running performance (1,500-m time trial), fitness (submaximal HR, resting HR) and fatigue [profile of mood states, heart rate variability (HRV)] were measured. A mathematical model was applied to the training data from each runner to provide individual estimates of performance, fitness and fatigue. Correlations assessed the relationships between the modelled and actual weekly performance, fitness and fatigue measures within each runner. Training resulted in 5.4 ± 2.6 % improvement in 1,500-m performance. Modelled performance was correlated with actual performance in each subject, with relationships being r = 0.70 ± 0.11, 0.60 ± 0.10 and 0.65 ± 0.13 for the rTSS, session-RPE and TRIMP input methods, respectively. There were moderate correlations between modelled and actual fitness (submaximal HR) for the session-RPE (−0.43 ± 0.37) and TRIMP (−0.48 ± 0.39) methods and moderate-to-large correlations between modelled and actual fatigue measured through HRV indices for both session-RPE (−0.48 ± 0.39) and TRIMP (−0.59 ± 0.31) methods. These findings showed that each of the training load methods investigated are appropriate for quantifying endurance training dose and that submaximal HR and HRV may be useful for monitoring fitness and fatigue, respectively.

Muscle damage responses and adaptations to eccentric-overload resistance exercise in men and women.

Abstract: This study assessed markers of muscle damage and training adaptations to eccentric-overload flywheel resistance exercise (RE) in men and women. Dynamic strength (1 RM), jump performance, maximal power at different percentages of 1 RM, and muscle mass in three different portions of the thigh were assessed in 16 men and 16 women before and after 6 weeks (15 sessions) of flywheel supine squat RE training. Plasma creatine kinase (CK) and lactate dehydrogenase (LDH) concentrations were measured before, 24, 48 and 72 h after the first and the last training session. After training, increases in 1 RM were somewhat greater (interaction P < 0.001) in men (25 %) than in women (20 %). Squat and drop jump height and power performance at 50, 60, 70 and 80 % of 1 RM increased after training in both sexes (P < 0.05). Power improvement at 80 % of 1 RM was greater (interaction P < 0.02) in men than women. Muscle mass increased ~5 % in both groups (P < 0.05). CK increased in men after the first training session (P < 0.001), whereas the response in women was unaltered. In both sexes, LDH concentration was greater after the first training session compared with basal values (P < 0.05). After the last session, CK and LDH remained at baseline in both groups. These results suggest that although improvements in maximal strength and power at high loads may be slightly greater for men, eccentric-overload RE training induces comparable and favorable gains in strength, power, and muscle mass in both men and women. Equally important, it appears muscle damage does not interfere with the adaptations triggered by this training paradigm.

Thermal sensitivity to warmth during rest and exercise: a sex comparison

Abstract: Purpose The study aimed to compare thermal sensation in response to a fixed warm stimulus across 31 body locations in resting and active males and females.

Hands and feet: physiological insulators, radiators and evaporators

Abstract: The purpose of this review is to describe the unique anatomical and physiological features of the hands and feet that support heat conservation and dissipation, and in so doing, highlight the importance of these appendages in human thermoregulation. For instance, the surface area to mass ratio of each hand is 4–5 times greater than that of the body, whilst for each foot, it is ~3 times larger. This characteristic is supported by vascular responses that permit a theoretical maximal mass flow of thermal energy of 6.0 W (136 W m2) to each hand for a 1 °C thermal gradient. For each foot, this is 8.5 W (119 W m2). In an air temperature of 27 °C, the hands and feet of resting individuals can each dissipate 150–220 W m2 (male–female) of heat through radiation and convection. During hypothermia, the extremities are physiologically isolated, restricting heat flow to <0.1 W. When the core temperature increases ~0.5 °C above thermoneutral (rest), each hand and foot can sweat at 22–33 mL h−1, with complete evaporation dissipating 15–22 W (respectively). During heated exercise, sweat flows increase (one hand: 99 mL h−1; one foot: 68 mL h−1), with evaporative heat losses of 67–46 W (respectively). It is concluded that these attributes allow the hands and feet to behave as excellent radiators, insulators and evaporators.

Maximal and explosive strength training elicit distinct neuromuscular adaptations, specific to the training stimulus

Abstract: To compare the effects of short-term maximal (MST) vs. explosive (EST) strength training on maximal and explosive force production, and assess the neural adaptations underpinning any training-specific functional changes. Male participants completed either MST (n = 9) or EST (n = 10) for 4 weeks. In training participants were instructed to: contract as fast and hard as possible for ~1 s (EST); or contract progressively up to 75 % maximal voluntary force (MVF) and hold for 3 s (MST). Pre- and post-training measurements included recording MVF during maximal voluntary contractions and explosive force at 50-ms intervals from force onset during explosive contractions. Neuromuscular activation was assessed by recording EMG RMS amplitude, normalised to a maximal M-wave and averaged across the three superficial heads of the quadriceps, at MVF and between 0–50, 0–100 and 0–150 ms during the explosive contractions. Improvements in MVF were significantly greater (P < 0.001) following MST (+21 ± 12 %) than EST (+11 ± 7 %), which appeared due to a twofold greater increase in EMG at MVF following MST. In contrast, early phase explosive force (at 100 ms) increased following EST (+16 ± 14 %), but not MST, resulting in a time × group interaction effect (P = 0.03), which appeared due to a greater increase in EMG during the early phase (first 50 ms) of explosive contractions following EST (P = 0.052). These results provide evidence for distinct neuromuscular adaptations after MST vs. EST that are specific to the training stimulus, and demonstrate the independent adaptability of maximal and explosive strength.

The contribution of muscle hypertrophy to strength changes following resistance training.

Abstract: Whilst skeletal muscle hypertrophy is considered an important adaptation to resistance training (RT), it has not previously been found to explain the inter-individual changes in strength after RT. This study investigated the contribution of hypertrophy to individual gains in isometric, isoinertial and explosive strength after 12 weeks of elbow flexor RT. Thirty-three previously untrained, healthy men (18–30 years) completed an initial 3-week period of elbow flexor RT (to facilitate neurological responses) followed by 6-week no training, and then 12-week elbow flexor RT. Unilateral elbow flexor muscle strength [isometric maximum voluntary force (iMVF), single repetition maximum (1-RM) and explosive force], muscle volume (V m), muscle fascicle pennation angle (θ p) and normalized agonist, antagonist and stabilizer sEMG were assessed pre and post 12-week RT. Percentage gains in V m correlated with percentage changes in iMVF (r = 0.527; P = 0.002) and 1-RM (r = 0.482; P = 0.005) but not in explosive force (r ≤ 0.243; P ≥ 0.175). Percentage changes in iMVF, 1-RM, and explosive force did not correlate with percentage changes in agonist, antagonist or stabilizer sEMG (all P > 0.05). Percentage gains in θ p inversely correlated with percentage changes in normalized explosive force at 150 ms after force onset (r = 0.362; P = 0.038). We have shown for the first time that muscle hypertrophy explains a significant proportion of the inter-individual variability in isometric and isoinertial strength gains following 12-week elbow flexor RT in healthy young men.

Force-velocity relationship of leg extensors obtained from loaded and unloaded vertical jumps.

Abstract: Purpose Resent research has suggested that loaded multi-joint movements could reveal a linear force–velocity (F–V) relationship. The aim of the present study was to evaluate the F–V relationship both across different types of vertical jumps and across different F and V variables.

The effects of 12 weeks of beta-hydroxy-beta-methylbutyrate free acid supplementation on muscle mass, strength, and power in resistance-trained individuals: a randomized, double-blind, placebo-controlled study

Abstract: Introduction Studies utilizing beta-hydroxy-beta-methylbutyrate (HMB) supplementation in trained populations are limited. No long-term studies utilizing HMB free acid (HMB-FA) have been conducted. Therefore, we investigated the effects of 12 weeks of HMB-FA supplementation on skeletal muscle hypertrophy, body composition, strength, and power in trained individuals. We also determined the effects of HMB-FA on muscle damage and performance during an overreaching cycle.

The effects of aerobic exercise training at two different intensities in obesity and type 2 diabetes: implications for oxidative stress, low-grade inflammation and nitric oxide production.

Abstract: To investigate the effect of 16 weeks of aerobic training performed at two different intensities on nitric oxide (tNOx) availability and iNOS/nNOS expression, oxidative stress (OS) and inflammation in obese humans with or without type 2 diabetes mellitus (T2DM). Twenty-five sedentary, obese (BMI > 30 kg/m2) males (52.8 ± 7.2 years); 12 controls versus 13 T2DM were randomly allocated to four groups that exercised for 30 min, three times per week either at low (Fat-Max; 30–40 % VO2max) or moderate (T vent; 55–65 % VO2max) intensity. Before and after training, blood and muscle samples (v. lateralis) were collected. Baseline erythrocyte glutathione was lower (21.8 ± 2.8 vs. 32.7 ± 4.4 nmol/ml) and plasma protein oxidative damage and IL-6 were higher in T2DM (141.7 ± 52.1 vs. 75.5 ± 41.6 nmol/ml). Plasma catalase increased in T2DM after T vent training (from 0.98 ± 0.22 to 1.96 ± 0.3 nmol/min/ml). T2DM groups demonstrated evidence of oxidative damage in response to training (elevated protein carbonyls). Baseline serum tNOx were higher in controls than T2DM (18.68 ± 2.78 vs. 12.34 ± 3.56 μmol/l). Training at T vent increased muscle nNOS and tNOx in the control group only. Pre-training muscle nNOS was higher in controls than in T2DMs, while the opposite was found for iNOS. No differences were found after training for plasma inflammatory markers. Exercise training did not change body composition or aerobic fitness, but improved OS markers, especially when performed at T vent. Non-diabetics responded to T vent training by increasing muscle nNOS expression and tNOx levels in skeletal muscle while these parameters did not change in T2DM, perhaps due to higher insulin resistance (unchanged after intervention).

Muscle activation during low- versus high-load resistance training in well-trained men

Abstract: Purpose It has been hypothesized that lifting light loads to muscular failure will activate the full spectrum of MUs and thus bring about muscular adaptations similar to high-load training. The purpose of this study was to investigate EMG activity during low- versus high-load training during performance of a multi-joint exercise by well-trained subjects.

Reducing muscle fatigue during transcutaneous neuromuscular electrical stimulation by spatially and sequentially distributing electrical stimulation sources

Abstract: A critical limitation with transcutaneous neuromuscular electrical stimulation is the rapid onset of muscle fatigue. We have previously demonstrated that spatially distributed sequential stimulation (SDSS) shows a drastically greater fatigue-reducing ability compared to a single active electrode stimulation (SES). The purposes of this study were to investigate (1) the fatigue-reducing ability of SDSS in more detail focusing on the muscle contractile properties and (2) the mechanism of this effect using array-arranged electromyogram (EMG). SDSS was delivered through four active electrodes applied to the plantarflexors, sending a stimulation pulse to each electrode one after another with 90° phase shift between successive electrodes. In the first experiment, the amount of exerted ankle torque and the muscle contractile properties were investigated during a 3 min fatiguing stimulation. In the second experiment, muscle twitch potentials with SDSS and SES stimulation electrode setups were compared using the array-arranged EMG. The results demonstrated negligible torque decay during SDSS in contrast to considerable torque decay during SES. Moreover, small changes in the muscle contractile properties during the fatiguing stimulation using SDSS were observed, while slowing of muscle contraction and relaxation was observed during SES. Further, the amplitude of the M-waves at each muscle portion was dependent on the location of the stimulation electrodes during SDSS. We conclude that SDSS is more effective in reducing muscle fatigue compared to SES, and the reason is that different sets of muscle fibers are activated alternatively by different electrodes.

Neck cooling and cognitive performance following exercise-induced hyperthermia

Abstract: Purpose to assess the efficacy of neck cooling on cogni- tive performance following exertional hyperthermia. Methods twelve healthy men completed two experimen- tal trials (control (cOn) and neck cooling collar (ncc)) in a counter-balanced design. they ran on a treadmill at 70 % VO 2peak under warm and humid conditions (dry bulb tempera- ture: 30.2 ± 0.3 °c, relative humidity: 71 ± 2 %) for 75 min or until volitional exhaustion. gastrointestinal, neck and skin temperatures, heart rate and subjective ratings were assessed. Serum brain-derived neurotrophic factor (BDnF) levels were measured before and after each run. cognitive performance comprising symbol digit matching, search and memory, digit span, choice reaction time and psychomotor vigilance test (PVt) were assessed before and after exercise. Results Mean gastrointestinal temperature was simi- lar after exercise between trials (cOn: 39.5 ± 0.4 °c vs.

Exercise volume and intensity: a dose–response relationship with health benefits

Abstract: The health benefits of exercise are well established. However, the relationship between exercise volume and intensity and health benefits remains unclear, particularly the benefits of low-volume and intensity exercise. The primary purpose of this investigation was, therefore, to examine the dose–response relationship between exercise volume and intensity with derived health benefits including volumes and intensity of activity well below international recommendations. Generally healthy, active participants (n = 72; age = 44 ± 13 years) were assigned randomly to control (n = 10) or one of five 13-week exercise programs: (1) 10-min brisk walking 1×/week (n = 10), (2) 10-min brisk walking 3×/week (n = 10), (3) 30-min brisk walking 3×/week (n = 18), (4) 60-min brisk walking 3×/week (n = 10), and (5) 30-min running 3×/week (n = 14), in addition to their regular physical activity. Health measures evaluated pre- and post-training including blood pressure, body composition, fasting lipids and glucose, and maximal aerobic power (VO2max). Health improvements were observed among programs at least 30 min in duration, including body composition and VO2max: 30-min walking 28.8–34.5 mL kg−1 min−1, 60-min walking 25.1–28.9 mL kg−1 min−1, and 30-min running 32.4–36.4 mL kg−1 min−1. The greater intensity running program also demonstrated improvements in triglycerides. In healthy active individuals, a physical activity program of at least 30 min in duration for three sessions/per week is associated with consistent improvements in health status.

Sleep onset is disrupted following pre-sleep exercise that causes large physiological excitement at bedtime

Abstract: Many studies have failed to show that pre-sleep exercise has a negative effect on sleep onset. However, since only a moderate level of physiological excitement was observed at bedtime in these studies, it remains unclear whether a larger magnitude of physiologic excitement present at bedtime would disrupt sleep onset. This study compared the effects of pre-sleep exercise, which led to different levels of physiologic excitement at bedtime (moderate and heavy), on sleep onset. Twelve active young men underwent non-exercise, moderate-intensity exercise, and high-intensity exercise conditions. The subjects maintained a sedentary condition on a reclining seat throughout the day. On the non-exercise day, the subjects remained seated at rest until going to bed. On the moderate- and high-intensity exercise days, the subject exercised for 40 min (21:20–22:00) at 60 and 80 % heart rate reserve, respectively. Sleep polysomnography, core body and skin temperatures, heart rate (HR), and heart rate variability (HRV) were recorded. We observed a delay in sleep onset (+14.0 min, P < 0.05), a marked physiological excitement at bedtime as reflected by an increased HR (+25.7 bpm, P < 0.01), and a lower high-frequency power of HRV (−590 ms2, P < 0.01) only on the high-intensity exercise day. These results indicate that pre-sleep vigorous exercise, which causes a large physiologic excitement at bedtime, might disrupt the onset of sleep.

Is Borg's perceived exertion scale a useful indicator of muscular and cardiovascular load in blue-collar workers with lifting tasks?: A cross-sectional workplace study

Abstract: Purpose To investigate associations between perceived exertion and objectively assessed muscular and cardiovascular load during a full working day among workers with manual lifting tasks.

Irisin and FNDC5: effects of 12-week strength training, and relations to muscle phenotype and body mass composition in untrained women

Abstract: To investigate the effects of strength training on abundances of irisin-related biomarkers in skeletal muscle and blood of untrained young women, and their associations with body mass composition, muscle phenotype and levels of thyroid hormones. Eighteen untrained women performed 12 weeks of progressive whole-body heavy strength training, with measurement of strength, body composition, expression of irisin-related genes (FNDC5 and PGC1α) in two different skeletal muscles, and levels of serum-irisin and -thyroid hormones, before and after the training intervention. The strength training intervention did not result in changes in serum-irisin or muscle FNDC5 expression, despite considerable effects on strength, lean body mass (LBM) and skeletal muscle phenotype. Our data indicate that training affects irisin biology in a LBM-dependent manner. However, no association was found between steady-state serum-irisin or training-associated changes in serum-irisin and alterations in body composition. FNDC5 expression was higher in m.Biceps brachii than in m.Vastus lateralis, with individual expression levels being closely correlated, suggesting a systemic mode of transcriptional regulation. In pre-biopsies, FNDC5 expression was correlated with proportions of aerobic muscle fibers, a relationship that disappeared in post-biopsies. No association was found between serum-thyroid hormones and FNDC5 expression or serum-irisin. No evidence was found for an effect of strength training on irisin biology in untrained women, though indications were found for a complex interrelationship between irisin, body mass composition and muscle phenotype. FNDC5 expression was closely associated with muscle fiber composition in untrained muscle.

Effect of countermovement on power–force–velocity profile

Abstract: To study the effect of a countermovement on the lower limb force–velocity (F–v) mechanical profile and to experimentally test the influence of F–v mechanical profile on countermovement jump (CMJ) performance, independently from the effect of maximal power output (P max). Fifty-four high-level sprinters and jumpers performed vertical maximal CMJ and squat jump (SJ) against five to eight additional loads ranging from 17 to 87 kg. Vertical ground reaction force data were recorded (1,000 Hz) and used to compute center of mass vertical displacement. For each condition, mean force, velocity, and power output were determined over the entire push-off phase of the best trial, and used to determine individual linear F–v relationships and P max. From a previously validated biomechanical model, the optimal F–v profile maximizing jumping performance was determined for each subject and used to compute the individual mechanical F–v imbalance (Fv IMB) as the difference between actual and optimal F–v profiles. A multiple regression analysis clearly showed (r 2 = 0.952, P < 0.001, SEE 0.011 m) that P max, Fv IMB and lower limb extension range (h PO) explained a significant part of the interindividual differences in CMJ performance (P < 0.001) with positive regression coefficients for P max and h PO and a negative one for Fv IMB. Compared to SJ, F–v relationships were shifted to the right in CMJ, with higher P max, maximal theoretical force and velocity (+35.8, 20.6 and 13.3 %, respectively). As in SJ, CMJ performance depends on Fv IMB, independently from the effect of P max, with the existence of an individual optimal F–v profile (Fv IMB having an even larger influence in CMJ).

Repeated core temperature elevation induces conduit artery adaptation in humans.

Abstract: Shear stress is a known stimulus to vascular adaptation in humans. However, it is not known whether thermoregulatory reflex increases in blood flow and shear can induce conduit artery adaptation. Ten healthy young volunteers therefore underwent 8 weeks of 3 × weekly bouts of 30 min lower limb heating (40 °C) during which the upper body was not directly heated. Throughout each leg heating session, a pneumatic cuff was placed on one forearm and inflated to unilaterally restrict reflex-mediated blood flow responses. Each bout of leg heating significantly increased brachial artery shear rate in the uncuffed arm (96 ± 97 vs 401 ± 96 l/s, P < 0.01), whereas no change was apparent in the cuffed arm (83 ± 69 vs 131 ± 76 l/s, P = 0.67). Repeated episodic exposure to leg heating enhanced brachial artery endothelial function (measured by flow-mediated dilation) in the uncuffed arm from week 0 (5.2 ± 1.9 %) to week 4 (7.7 ± 2.6 %, P < 0.05), before returning to baseline levels by week 8. No adaptation was evident in the cuffed arm. We conclude that repeated increases in core temperature, induced via lower limb heating, resulted in upper limb conduit artery vascular adaptation which was dependent upon increases in shear stress. To our knowledge this is the first study to establish a beneficial systemic impact of thermoregulatory reflexes on conduit artery function in humans.

Effects of isometric training on the knee extensor moment-angle relationship and vastus lateralis muscle architecture.

Abstract: To analyse the muscle adaptations induced by two protocols of isometric training performed at different muscle lengths. Twenty-eight subjects were divided into three groups: one (K90) performed isometric training of the knee extensors at long muscle lengths (90° of knee flexion) for 8 weeks, and the second group (K50) at short muscle lengths (50°). The subjects of the third group acted as controls. Isokinetic dynamometry was utilized to analyse the net moment–angle relationship and vastus lateralis muscle thickness at three different locations, and pennation angles and fascicle length at 50 % of thigh length were measured at rest with ultrasonography. Only subjects from K90 group showed significant increases in isokinetic strength (23.5 %, P 0.05). There was a shift in the angle of peak torque of the K90 group to longer muscle lengths (+14.6 %, P = 0.002) with greater increases in isokinetic strength, while the K50 angle shifted to shorter muscle lengths (−7.3 %, P = 0.039). Both training groups showed significant increases in muscle thickness, (K90 9–14 % vs. K50 5–9 %) but only K90 significantly increased their pennation angles (11.7 %, P = 0.038). Fascicle lengths remained unchanged. Isometric training at specific knee angles led to significant shifts of peak torque in the direction of the training muscle lengths. The greater strength gains and the architectural changes with training at long muscle lengths probably come from a combination of different factors, such as the different mechanical stresses placed upon the muscle–tendon complex.

Blood pressure regulation X: what happens when the muscle pump is lost? Post-exercise hypotension and syncope

Abstract: Syncope which occurs suddenly in the setting of recovery from exercise, known as post-exercise syncope, represents a failure of integrative physiology during recovery from exercise. We estimate that between 50 and 80% of healthy individuals will develop pre-syncopal signs and symptoms if subjected to a 15-min head-up tilt following exercise. Post-exercise syncope is most often neurally mediated syncope during recovery from exercise, with a combination of factors associated with post-exercise hypotension and loss of the muscle pump contributing to the onset of the event. One can consider the initiating reduction in blood pressure as the tip of the proverbial iceberg. What is needed is a clear model of what lies under the surface; a model that puts the observational variations in context and provides a rational framework for developing strategic physical or pharmacological countermeasures to ultimately protect cerebral perfusion and avert loss of consciousness. This review summarizes the current mechanistic understanding of post-exercise syncope and attempts to categorize the variation of the physiological processes that arise in multiple exercise settings. Newer investigations into the basic integrative physiology of recovery from exercise provide insight into the mechanisms and potential interventions that could be developed as countermeasures against post-exercise syncope. While physical counter maneuvers designed to engage the muscle pump and augment venous return are often found to be beneficial in preventing a significant drop in blood pressure after exercise, countermeasures that target the respiratory pump and pharmacological countermeasures based on the involvement of histamine receptors show promise.

Trunk motor variability in patients with non-specific chronic low back pain.

Abstract: Purpose To identify and characterize trunk neuromuscular adaptations during muscle fatigue in patients with chronic low back pain (LBP) and healthy participants.

Short-term high-intensity interval and continuous moderate-intensity training improve maximal aerobic power and diastolic filling during exercise

Abstract: This study examined the effects of short-term high-intensity interval training (HIT) and continuous moderate-intensity training (CMT) on cardiac function in young, healthy men. Sixteen previously untrained men (mean age of 25.1 ± 4.1 years) were randomly assigned to HIT and CMT (n = 8 each) and assessed before and after six sessions over a 12-day training period. HIT consisted of 8–12 intervals of cycling for 60 s at 95–100 % of pre-training maximal aerobic power ( $$\dot{V}$$ O2max), interspersed by 75 s of cycling at 10 % $$\dot{V}$$ O2max. CMT involved 90–120 min of cycling at 65 % pre-training $$\dot{V}$$ O2max. Left ventricular (LV) function was determined at rest and during submaximal exercise (heart rate ~105 bpm) using two-dimensional and Doppler echocardiography. Training resulted in increased calculated plasma volume (PV) in both groups, accompanied by improved $$\dot{V}$$ O2max in HIT (HIT: from 39.5 ± 7.1 to 43.9 ± 5.5 mL kg−1 min−1; CMT: from 39.9 ± 5.9 to 41.7 ± 5.3 mL kg−1 min−1; P < 0.001). Resting LV function was not altered. However, increased exercise stroke volume (P = 0.02) and cardiac output (P = 0.02) were observed, secondary to increases in end-diastolic volume (P < 0.001). Numerous Doppler and speckle tracking indices of diastolic function were similarly enhanced during exercise in both training groups and were related to changes in PV. Short-term HIT and CMT elicit rapid improvements in $$\dot{V}$$ O2max and LV filling without global changes in cardiac performance at rest.

Maximal strength, power, and aerobic endurance adaptations to concurrent strength and sprint interval training.

Abstract: This study was designed to examine whether concurrent sprint interval and strength training (CT) would result in compromised strength development when compared to strength training (ST) alone. In addition, maximal oxygen consumption (VO2max) and time to exhaustion (TTE) were measured to determine if sprint interval training (SIT) would augment aerobic performance. Fourteen recreationally active men completed the study. ST (n = 7) was performed 2 days/week and CT (n = 7) was performed 4 days/week for 12 weeks. CT was separated by 24 h to reduce the influence of acute fatigue. Body composition was analyzed pre- and post-intervention. Anaerobic power, one-repetition maximum (1RM) lower- and upper-body strength, VO2max and TTE were analyzed pre-, mid-, and post-training. Training intensity for ST was set at 85 % 1RM and SIT trained using a modified Wingate protocol, adjusted to 20 s. Upper- and lower-body strength improved significantly after training (p 0.05). VO2max increased 40.9 ± 8.4 to 42.3 ± 7.1 ml/kg/min (p < 0.05) for CT, whereas ST remained unchanged. A significant difference in VO2max (p < 0.05) was observed between groups post-intervention (CT: 42.3 ± 7.1 vs. ST: 36.0 ± 3.0 ml/kg/min). A main effect for time and group was observed in TTE (p < 0.05). A significant main effect for time was observed in average power (p < 0.05). Preliminary findings suggest that performing concurrent sprint interval and strength training does not attenuate the strength response when compared to ST alone, while also improves aerobic performance measures, such as VO2max at the same time.

The influence of acetaminophen on repeated sprint cycling performance

Abstract: Introduction The aim of this study was to investigate the effect of acetaminophen on repeated sprint cycling performance.

Maximal oxygen consumption in healthy humans: theories and facts.

Abstract: This article reviews the concept of maximal oxygen consumption ([Formula: see text]) from the perspective of multifactorial models of [Formula: see text] limitation. First, I discuss procedural aspects of [Formula: see text] measurement: the implications of ramp protocols are analysed within the theoretical work of Morton. Then I analyse the descriptive physiology of [Formula: see text], evidencing the path that led to the view of monofactorial cardiovascular or muscular [Formula: see text] limitation. Multifactorial models, generated by the theoretical work of di Prampero and Wagner around the oxygen conductance equation, represented a radical change of perspective. These models are presented in detail and criticized with respect to the ensuing experimental work. A synthesis between them is proposed, demonstrating how much these models coincide and converge on the same conclusions. Finally, I discuss the cases of hypoxia and bed rest, the former as an example of the pervasive effects of the shape of the oxygen equilibrium curve, the latter as a neat example of adaptive changes concerning the entire respiratory system. The conclusion is that the concept of cardiovascular [Formula: see text] limitation is reinforced by multifactorial models, since cardiovascular oxygen transport provides most of the [Formula: see text] limitation, at least in normoxia. However, the same models show that the role of peripheral resistances is significant and cannot be neglected. The role of peripheral factors is greater the smaller is the active muscle mass. In hypoxia, the intervention of lung resistances as limiting factors restricts the role played by cardiovascular and peripheral factors.

The effect of muscle fatigue on stimulus intensity requirements for central and peripheral fatigue quantification

Abstract: The present study was designed to determine the stimulation intensity necessary for an adequate assessment of central and peripheral components of neuromuscular fatigue of the knee extensors. Three different stimulation intensities (100, 120 and 150 % of the lowest intensity evoking a plateau in M-waves and twitch amplitudes, optimal stimulation intensity, OSI) were used to assess voluntary activation level (VAL) as well as M-wave, twitch and doublet amplitudes before, during and after an incremental isometric exercise performed by 14 (8 men) healthy and physically active volunteers. A visual analog scale was used to evaluate the associated discomfort. There was no difference (p > 0.05) in VAL between the three intensities before and after exercise. However, we found that stimulating at 100 % OSI may overestimate the extent of peripheral fatigue during exercise, whereas 150 % OSI stimulations led to greater discomfort associated with doublet stimulations as well as to an increased antagonist co-activation compared to 100 % OSI. We recommend using 120 % OSI, as it constitutes a good trade-off between discomfort and reliable measurements.