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Ovim istraživanjem nastojao se ispitati odnos tjelesne aktivnosti studenata, njihovo zadovoljstvo životom i kvaliteta života. U istraživanju je sudjelovalo 188 studenata prijediplomskog i diplomskog studija Kineziološkog fakulteta u Osijeku. Korišteni su Skala zadovoljstva životom, Međunarodni upitnik o tjelesnoj aktivnosti – kratka verzija, Upitnik tjelesnog samoopisivanja i Upitnik zdravstvenog statusa (SF-36). Većina sudionika, njih 89.4% provodi tjelesne aktivnosti visokog intenziteta. Provedenim istraživanjem utvrđeno je da su studenti tjelesno aktivniji u odnosu na studentice. Muški sudionici se značajno više bave tjelesnim aktivnostima visokog i umjerenog intenziteta od studentica. Rezultati pokazuju pozitivnu povezanost između tjelesne aktivnosti visokog intenziteta i tjelesne aktivnosti kao dijela samopoimanja pojedinca. Sudionici koji provode tjelesne aktivnosti visokog intenziteta izvještavaju o manje ograničenja zbog tjelesnih teškoća. Rezultati hijerarhijske regresijske analize pokazali su da značajni prediktori spol, indeks tjelesne mase, tjelesno vježbanje kao dio tjelesnog samopoimanja i tjelesno funkcioniranje ukupno predviđaju 14% varijance kriterija zadovoljstva životom. Iz provedenog istraživanja proizlazi zaključak da je za zadovoljstvo životom važniji doživljaj pojedinca o bavljenju tjelesnim aktivnostima od razine tjelesnih aktivnosti., The purpose of this research was to examine the relationship between the physical activity of students, their life satisfaction and quality of life. A total of 188 undergraduate and graduate students of the Faculty of Kinesiology Osijek participated in the research. Instruments used in this research were the Satisfaction with Life scale, The International Physical Activity Questionnaire, The Physical Self-Description Questionnaire – Short Form and The Short Form 36 Health Survey. Most of the participants, 89.4% of them, are highly physically active and engage in vigorous-intensity physical activities. The conducted study showed that male students are more physically active than female students. Male students engage in physical activities of vigorous and moderate intensity significantly more than female students. There is a positive relationship between vigorous-intensity physical activity and physical activity as part of an individual's self-concept. Students who engage in vigorous-intensity physical activity report fewer limitations due to physical health. The results of hierarchical regression analysis show that gender, body mass index, physical exercise as part of physical self-concept and physical functioning are significant predictors and predict 14% of the variance of the life satisfaction criteria. In conclusion, results from this research indicate that the individual's experience of engaging in physical activities is more important for life satisfaction than the level of physical activities.

Long-standing research in animal models and humans with stroke or incomplete spinal cord injury (iSCI) indicate that specific physical training variables, such as the specificity and amount of practice, may influence neurologic recovery and locomotor function. More recent data highlight the contributions of exercise intensity, as estimated indirectly by cardiovascular exertion, as potentially more important than previously considered. The effects of exercise intensity are well described in neurologically intact individuals, although confusion regarding the definitions of intensity and safety concerns have limited its implementation during physical rehabilitation of patients with neurologic injury. The purpose of this review is to delineate some of the evidence regarding the effects of exercise intensity during locomotor training in patients with stroke and iSCI. We provide specific definitions of exercise intensity used within the literature, describe methods used to ensure appropriate levels of exertion, and discuss potential adverse events and safety concerns during its application. Further details on the effects of locomotor training intensity on clinical outcomes, and on neuromuscular and cardiovascular function will be addressed as available. Existing literature across multiple studies and meta-analyses reveals that exercise training intensity is likely a major factor that can influence locomotor function after neurologic injury. To extend these findings, we describe previous attempts to implement moderate to high intensity interventions during physical rehabilitation of patients with neurologic injury, including the utility of specific strategies to facilitate implementation, and to navigate potential barriers that may arise during implementation efforts.

Rating of perceived exertion (RPE) can serve as a more convenient and economical alternative to heart rate (HR) for exercise intensity control. This study aims to explore the influence of factors, such as indicators of demographic, anthropometric, body composition, cardiovascular function and basic exercise ability on the relationship between HR and RPE, and to develop the model predicting RPE from HR. 48 healthy participants were recruited to perform an incrementally 6-stage pedaling test. HR and RPE were collected during each stage. The influencing factors were identified with the forward selection method to train Gaussian Process regression (GPR), support vector machine (SVM) and linear regression models. Metrics of R2, adjusted R2 and RMSE were calculated to evaluate the performance of the models. The GPR model outperformed the SVM and linear regression models, and achieved an R2 of 0.95, adjusted R2 of 0.89 and RMSE of 0.52. Indicators of age, resting heart rate (RHR), Central arterial pressure (CAP), body fat rate (BFR) and body mass index (BMI) were identified as factors that best predicted the relationship between RPE and HR. It is possible to use GPR model to estimate RPE from HR accurately, after adjusting for age, RHR, CAP, BFR and BMI.

The aim of this study was to determine whether total hemoglobin concentration (cHb) in the quadriceps muscle measured by near-infrared spectroscopy (NIRS) varies depending on the muscle pump action accompanying the muscle contraction during incremental exercise and whether this variation is enhanced by exercise intensity. The subjects of this study were 6 healthy adult males. After 5 minutes of rest, exercise intensity was gradually increased at a rate of 50 w per 5 min from 50 w to 200 w. From 200 w, the work rate was increased by 20 w per one min. The subjects continued to exercise until a pedal rotation speed of 60 rpm could not be maintained (exhaustion). cHb in the quadriceps muscle was measured continuously at 20 Hz during exercise. A decrease in cHb was observed in the first pedaling after starting the exercise. The dynamics of cHb during one pedaling was divided into three phases: the rapid decline (phase I), the rapid rise (phase II), and the transition phase from phase II to the next phase I (phase III). The height between the lowest value and the highest value of cHb during one cycle was defined as cHb amplitude. There was no significant change in amplitude of cHb with increasing exercise intensity. Also, each duration of cHb phases did not significantly change with increasing exercise intensity. Therefore, it was concluded that there is a muscle pumping effect on cHb dynamics during incremental exercise. However, it seemed that the defined amplitude for the cHb dynamics did not increase with increasing exercise intensity.

Dos Santos, WM, Tavares Junior, AC, Braz, TV, Lopes, CR, Brigatto, FA, and Dos Santos, JW. Resistance-trained individuals can underestimate the intensity of the resistance training session: An analysis among genders, training experience, and exercises. J Strength Cond Res 36(6): 1506-1510, 2022-Resistance training (RT) promotes improvements in healthy parameters for young to elderly adults and athletes' performance. Strength and muscle mass improvements are dependent on exercise intensity. This study verifies whether 53 healthy young adults underestimate exercise intensity in 3 different exercises, such as bench press (BP), biceps curl (BC), and leg press 45° (LP). Researchers asked the subjects "How much load do you use to perform 10 repetitions in this exercise usually in workout routines?" in each exercise. Individuals warmed up and then performed as many repetitions as possible until they reached the concentric failure. Deviations from data normality were found by using Levene's test; the number of repetitions per exercise within sex was tested by using Friedman's test and Conover's post hoc and Kruskal-Wallis tests to compare the number of repetitions between sex and RT experience. We correlated the number of repetitions and training experience using the Spearman test. The number of repetitions for both groups (male and female) is greater than 8-12 repetitions for BC and LP and BP of the female group, except for men who perform around 8-12 repetitions on BP. Frequency of maximal repetitions reached for 8-12 repetitions for women was 12% for BP, 28% for BC, and 28% for LP. The frequency men reached was 46.5% for BP, 14.3% for BC, and 14.3% for LP. Training experience did not influence the number of repetitions reached. Resistance training practitioners underestimate exercise load (56% of total sample) to be independent of experience. Women underestimate exercise load more than men. Based on the present results, it is possible to state that RT should not be prescribed considering a predefined number of repetitions and a linked percentage of loads, without the guidance for frequent adjustments of loads, according to the exercise performed.

There is controversial evidence regarding the effect of acute resistance exercise (ARE) on heart rate variability (HRV) parameters, which indicates the activities of the cardiac autonomic nervous system. The aim of this study was to perform a systematic review and meta-analysis of the literature on the effect of ARE on HRV parameters and identify its possible moderating factors.The PubMed-Medline, Web of Science, SPORTDiscus, and Cochrane Library databases were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) declaration was followed, and the methodological quality of the studies was evaluated. The level of significance was set at p ≤ 0.05. Twenty-six studies met the inclusion criteria. Main effect analyses between pre- and post-test interventions demonstrated an increase in normalized units low frequency (p0.001; standardized mean difference (SMD) = 0.78; 95% confidence interval (95%CI): 0.46‒1.11) and low frequency/high frequency ratio (p0.001; SMD = 0.82; 95%CI: 0.64‒0.99) and a decrease in standard deviation of the normal-to-normal (NN) interval (p0.001; SMD = -0.58; 95%CI: -0.85 to -0.30), root mean square of the successive differences (p0.001; SMD = -1.01; 95%CI: -1.29 to -0.74), and normalized units high frequency (p0.001; SMD: -1.08; 95%CI: -1.43 to -0.73) following ARE in healthy individuals range: 15 ± 1 to 48 ± 2 years; mean ± SD).There were differences between the subgroups in the number of sets used in an exercise (p = 0.05) for root mean square of the successive differences, as well as for exercise intensity (p = 0.01) and rest between sets (p = 0.05) for normalized units high frequency. Interestingly, there were differences between the subgroups in training volume for root mean square of the successive differences (p = 0.01), normalized units high frequency (p = 0.003) and normalized units low frequency (p = 0.02).Overall, there was a withdrawal of cardiac parasympathetic and activation of cardiac sympathetic modulations following ARE, and these changes were greater with higher training volume ∼30 min after ARE in healthy individuals. Furthermore, the number of sets, intensity, and rest between sets affected HRV parameters. However, gender, body mass index, and training status did not influence the changes in HRV parameters as a response to ARE.

本研究では、安全でより効果的な中学校の長距離走授業のカリキュラム作成に取り組むことを目的に、本校陸上競技部員３名を対象にした教材開発の予備実践を行った。内容は、生徒にアクティブトラッカー（バンド型脈拍数測定機器）を装着させ、ランニング中の脈拍の変化をリアルタイムに計測したデータをタブレットPCへ電波送信し、運動強度と脈拍数をランニング中の生徒が確認できるようにモニターに出力し可視化する。これにより生徒はランニング中の心拍数を知ることができ、より自分に合ったペースが調整できると仮定した。また走行中、主観的運動強度を5段階で指差しさせ、観察者が用紙に記録を行う。走った後に自己の心拍数データと主観的運動強度を用いて、自己の走りの振り返りをさせ、気づきをワークシートに記入をさせることを繰り返した。この記述を検証することで、本実践が生徒の記録の変化や長距離走に対する理解にどのような影響があったのかを調べ、今後の授業においてより効果的なアドバイスや教材開発を行うための資料とした。これらの成果を活かし、安全でより効果的な中学校の長距離走授業のカリキュラム作成に取り組む。

大学生におけるバスケットボールゲームの運動強度について3軸加速度計式の活動量計を用い簡易的に評価することを目的とし、競技者群と体育実技群のゲーム中の運動強度とゲーム時間に対する低強度、中強度、高強度の割合を算出した。その結果、競技者群の運動強度が体育実技群より高く、運動強度の割合は、高強度と低強度において差が認められた。競技者の運動強度が高いのは競技レベルの差による可能性が示唆された。また、活動量計を使用した運動強度の評価は、ゲーム全体やクォーター毎（10分間）のような比較的長い時間の評価はできる可能性があるが、ダッシュ等のような高速移動を伴う運動の割合の評価には適さない可能性が示唆された。

Purpose: Accumulated time at a high percentage of peak oxygen consumption (VO2peak) is important for improving performance in endurance athletes. The present study compared the acute physiological and perceived effects of performing high-intensity intervals with roller ski double poling containing work intervals with (1) fast start followed by decreasing speed (DEC), (2) systematic variation in exercise intensity (VAR), and (3) constant speed (CON). Methods: Ten well-trained cross-country skiers (double-poling VO2peak 69.6 [3.5] mL·min−1·kg−1) performed speed- and duration-matched DEC, VAR, and CON on 3 separate days in a randomized order (5 × 5-min work intervals and 3-min recovery). Results: DEC and VAR led to longer time ≥90% VO2peak (P = .016 and P = .033, respectively) and higher mean %VO2peak (P = .036, and P = .009) compared with CON, with no differences between DEC and VAR (P = .930 and P = .759, respectively). VAR, DEC, and CON led to similar time ≥90% of peak heart rate (HRpeak), mean HR, mean breathing frequency, mean ventilation, and mean blood lactate concentration ([La−]). Furthermore, no differences between sessions were observed for perceptual responses, such as mean rate of perceived exertion, session rate of perceived exertion or pain score (all Ps > .147). Conclusions: In well-trained XC skiers, DEC and VAR led to longer time ≥90% of VO2peak compared with CON, without excessive perceptual effort, indicating that these intervals can be a good alternative for accumulating more time at a high percentage of VO2peak and at the same time mimicking the pronounced variation in exercise intensities experienced during XC-skiing competitions.

Purpose: This study evaluated the power profile of a top 5 result achieved in World Tour cycling races of varying types, namely: flat sprint finish, semi-mountain race with a sprint finish, semi-mountain race with uphill finish, and mountain races (MT). Methods: Power output data from 33 professional cyclists were collected between 2012 and 2019. This large data set was filtered so that it only included top 5 finishes in World Tour races (18 participants and 177 races). Each of these top 5 finishes were subsequently classified as flat sprint finish, semi-mountain race with uphill finish, semi-mountain race with a sprint finish, and MT based on set criteria. Maximal mean power output (MMP) for a wide range of durations (5 s to 60 min), expressed in both absolute (in Watts) and relative terms (in Watts per kilogram), were assessed for each race type. Result: Short-duration power outputs (10 minutes seem to be a key determining factor for success in MT. These race-type specific MMPs of importance (ie, short-duration MMPs for sprint finishes, longer-duration MMPs for races with more elevation gain) are performed at a wide range (80%–97%) of the cyclist’s personal best MMP. Conclusions: This study shows that the relative importance of certain points on the power–duration spectrum varies with different race types and provides insight into benchmarks for achieving a result in a World Tour cycling race.

Using wireless multichannel near-infrared spectroscopy, regional difference in cortical activity over the prefrontal cortex (PFC) was examined before and during overground walking and in response to changes in speed and cognitive demand. Oxygenated-hemoglobin concentration (Oxy-Hb) as index of cortical activity in ventrolateral PFC (VLPFC), dorsolateral PFC (DLPFC), and frontopolar cortex (FPC) was measured in 14 subjects, whereas heart rate was measured as estimation of exercise intensity in six subjects. The impact of mental imagery on prefrontal Oxy-Hb was also explored. On both sides, Oxy-Hb in VLPFC, DLPFC, and lateral FPC was increased before the onset of normal-speed walking, whereas Oxy-Hb in medial FPC did not respond before walking onset. During the walking, Oxy-Hb further increased in bilateral VLPFC, whereas Oxy-Hb was decreased in DLPFC and lateral and medial FPC. Increasing walking speed did not alter the increase in Oxy-Hb in VLPFC but counteracted the decrease in Oxy-Hb in DLPFC (but not in lateral and medial FPC). Treadmill running evoked a greater Oxy-Hb increase in DLPFC ( n = 5 subjects). Furthermore, increasing cognitive demand during walking, by deprivation of visual feedback, counteracted the decrease in Oxy-Hb in DLPFC and lateral and medial FPC, but it did not affect the increase in Oxy-Hb in VLPFC. Taken together, the profound and localized Oxy-Hb increase is a unique response for the VLPFC. The regional heterogeneity of the prefrontal Oxy-Hb responses to natural overground walking was accentuated by increasing walking speed or cognitive demand, suggesting functional distinction within the PFC.

Duration, intensity, and type of exercise can affect serum cytokine levels and change inflammatory indices. The present study aimed to examine the acute effect of two different exercise intensity programs on levels of circulating interleukin (IL)-6, IL-1β and tumour necrosis factor-α (TNF-α) in athletes. Eleven female futsal players aged 20.6±1.2 years completed this cross-over study. Participants performed, either a MI (moderate intensity: 60-65%) or a HI (high intensity: 75-80% heart rate reserve) exercise program. The study was performed on different days separated by a 1-week washout period. Each session consisted of 30 min running, either MI or HI. Blood samples were taken before (Pre) and immediately after (Post) each exercise session from an antecubital vein by venous puncture in a seated position. A Student’s t-test (P

Proteinuria is a transient physiological phenomenon that occurs with a range of physical activities and during ascent to altitude. Exercise intensity appears to dictate the magnitude of postexercise proteinuria; however, evidence also indicates the possible contributions from exercise-induced hypoxemia or reoxygenation. Using an environmental hypoxic chamber, this crossover-designed study aimed to evaluate urinary alpha-1 acid glycoprotein (α1-AGP) excretion pre/postexercise performed in hypoxia (HYP) and normoxia (NOR). Sixteen individuals underwent experimental sessions in normoxia (NOR, 20.9% O

Maximum data in exercise (Max-Ex), including maximum heart rate (HRmax), peak oxygen uptake (VO2pk), maximum power (MaxP), etc., are frequently used, whether it is for the determination of exercise intensity, the measurement of an athlete’s performance, assessment of recovery from disease, and so on. However, very often this choice does not take into account the targeted individual. We recruited 32 males and 29 females to undergo an incremental graded exercise test (GXT). Therefore, our study seeks to determine variations in Max-Ex, according to the noninvasive static human data (Non-In data). Data showed a significant relationship (p < 0.001) between body composition and Max-Ex. Of the 41 types of Non-In data we collected in communities, the body composition generally showed high correlation (maximum r = 0.839). 57.5% of the data, of which r > 0.6 were about body composition. The muscle-related body composition data had a greater effect on power, and the fat-related ones had a greater effect on HRmax and VO2pk. For some types of Max-Ex, the older and younger ones showed specific differences. Therefore, these results can be employed to adequately prescribe personalized health promotion programs according to diversity and availability, and have some reference value for other studies using Max-Ex.

Background Resistance exercise has a beneficial impact on physical function for patients receiving oncological treatment. However, there is an inter-individual variation in the response to exercise and the tolerability to high-intensity exercise. Identifying potential moderating factors, such as inflammation and treatment type, for changes in muscle strength is important to improve the effectiveness of exercise programs. Therefore, we aimed to investigate if inflammation and type of oncological treatment moderate the effects of exercise intensity (high vs. low-moderate) on muscular strength changes in patients with breast (BRCA) or prostate cancer (PRCA). Methods Participants with BRCA (n = 286) and PRCA (n = 65) from the Physical training and Cancer study (Phys-Can) were included in the present study. Participants performed a combined resistance- and endurance exercise program during six months, at either high or low-moderate intensity. Separate regression models were estimated for each cancer type, with and without interaction terms. Moderators included in the models were treatment type (i.e., neo/adjuvant chemotherapy—yes/no for BRCA, adjuvant androgen deprivation therapy (ADT)—yes/no for PRCA)), and inflammation (interleukin 6 (IL6) and tumor necrosis factor-alpha (TNFα)) at follow-up. Results For BRCA, neither IL6 (b = 2.469, 95% CI [− 7.614, 12.552]) nor TNFα (b = 0.036, 95% CI [− 6.345, 6.418]) levels moderated the effect of exercise intensity on muscle strength change. The same was observed for chemotherapy treatment (b = 4.893, 95% CI [− 2.938, 12.724]). Similarly, for PRCA, the effect of exercise intensity on muscle strength change was not moderated by IL6 (b = − 1.423, 95% CI [− 17.894, 15.048]) and TNFα (b = − 1.905, 95% CI [− 8.542, 4.732]) levels, nor by ADT (b = − 0.180, 95% CI [− 11.201, 10.841]). Conclusions The effect of exercise intensity on muscle strength is not moderated by TNFα, IL6, neo/adjuvant chemotherapy, or ADT, and therefore cannot explain any intra-variation of training response regarding exercise intensity (e.g., strength gain) for BRCA or PRCA in this setting. Trial registration: ClinicalTrials.gov NCT02473003.

With the development of signal processing technology and the appearance of small, low-cost, and low-power microprocessors, mobile sensor networks have begun to emerge in large numbers. In view of the different exercise abilities of different body components, mobile network sensor technology is used to monitor various data. Lean body mass is positively correlated with physical strength, aerobic capacity, and maximum oxygen uptake and is the main factor affecting explosive power, speed, and endurance. This article mainly studies the effect of nutritional supplementation in sports on physical strength. The subjects in this article are 10 male physical athletes. Three solid sports drinks with different nutrient composition ratios were selected from the national team’s nutrition centralized procurement product list, and a placebo with sugar-free sweetener and purified water was used as a control group. The test measures the maximum oxygen uptake to determine the exercise intensity during the formal exercise test. Each stage includes exercise test day and washout period. Eat on the test day and provide a one-hour static rest after a unified breakfast, and then, perform a 1-hour power bicycle riding after the rest. During 0, 15, 30, and 45 minutes of exercise, drink the designated solution at 1.8 mL/kg body weight and record it as the corresponding solution group. Within 30 minutes immediately after the end of the cycling exercise, fluids should be refilled at 10 mL/kg of body weight. Experimental data showed that the levels of lactic acid in each group increased significantly after exercise compared to those at rest ( P < 0.05 ), and there was no difference between the groups. There was no significant difference in the duration of the exercise ability test between the sports drink group and the placebo group. The experiment in this article shows that athletes can take appropriate measures to improve athletes’ physical activity level, increase daily energy consumption and a reasonable and balanced diet, which can effectively reduce the athlete’s body fat percentage, improve, and maintain a reasonable body composition. Among all the monitoring actions, the monitoring results indicate that the evaluation value of the action of combat is the highest, reaching 8.7.

The purpose of the study was to evaluate the acute effect of different intensity aerobic (AE) and resistance training (RT) exercises on BI in adult women. Participants were 62 adult women (19.47 ± 2.53 yr., range 18 a 33 yr.), who were randomly assigned to three sessions of either: 1) Control group, 2) Low-intensity AE, 3) High-intensity AE, 4) Low-intensity RT, or 5) High-intensity RT. Before and immediately following each experimental intervention, BI, body weight, and arm and leg circumferences were measured. Three familiarization sessions were performed every 7 days before the AE and RT experimental interventions. Also, 5-RM tests were performed one week before the RT experimental interventions. Data were analyzed using mixed 3-way ANOVA, mixed 4-way ANOVA, and post-hoc analysis. An acute effect of RT on BI was observed, regardless of the exercise intensity, women felt more muscular immediately following the RT session. Regardless of the exercise intensity, 30-min of acute RT exercise changed BI perception, contrary to 30 min AE.

Study design Cross-sectional cohort study. Objectives To compare ratings of perceived exertion (RPE) on Borg’s 6–20 RPE scale and Category Ratio 10 (CR10) in able-bodied (AB) participants during upper and lower body exercise, and recreationally active participants with paraplegia (PARA) and athletes with tetraplegia (TETRA) during upper body exercise only. Setting University and rehabilitation centre-based laboratories in UK and Netherlands. Methods Twenty-four participants were equally split between AB, PARA, and TETRA. AB performed maximal tests using cycle (AB-CYC) and handcycle (AB-HC) ergometry. PARA and TETRA performed maximal handcycle and wheelchair propulsion tests, respectively. Oxygen uptake (V̇O2) and blood lactate concentration were monitored throughout. RPE was rated each stage on Borg’s RPE scale and CR10. Thresholds were identified according to log-V̇O2 plotted against log-blood lactate (LT1), and 1.5 mmol L−1 greater than LT1 (LT2). Results RPE from both scales were best fit against each other using a quadratic model, with high goodness of fit between scales that was independent of exercise mode and participant group (range R2: 0.965–0.970, P 2 was significantly greater in TETRA (P 1 or LT2 between groups on Borg’s RPE scale or CR10. Conclusion Strong association between Borg’s RPE scale and CR10 suggests they can be used interchangeably. RPE at lactate thresholds were independent of mode of exercise and level of spinal cord injury. However, inter-individual variation precludes from making firm recommendations about using RPE for prescribing homogenous exercise intensity.

Roberts, SSH, Aisbett, B, Teo, W-P, and Warmington, S. Monitoring effects of sleep extension and restriction on endurance performance using heart rate indices. J Strength Cond Res 36(12): 3381-3389, 2022-Heart rate (HR) indices are useful for monitoring athlete fatigue or "readiness to perform." This study examined whether HR indices are sensitive to changes in readiness following sleep restriction (SR) and sleep extension (SE). Nine athletes completed a crossover study with 3 conditions: SR, normal sleep (NS), and SE. Each condition required completion of an endurance time trial (TT) on 4 consecutive days (D1-D4). Athletes slept habitually before D1; however, time in bed was reduced by 30% (SR), remained normal (NS), or extended by 30% (SE), on subsequent nights (D1-D3). Daily resting HR and HR variability were recorded. The maximal rate of HR increase and HR recovery was determined from a constant-load test before TTs. Exercise intensity ratios incorporating mean HR, mean power (W), and perceived exertion (RPE) were recorded at steady state during constant-load tests (W:HR SS ) and during TTs (W:HR TT , RPE:HR TT ). Compared with D4 of NS, RPE:HR TT was lower on D4 of SE ( p = 0.008)-when TT performances were faster. Compared with D1 of SR, RPE:HR TT was higher on D3 and D4 of SR ( p0.02). Moderate correlations were found between percentage changes in W:HR TT and changes in TT finishing time in SR ( r = -0.67, p = 0.049) and SE ( r = -0.69, p = 0.038) conditions. Intensity ratios incorporating mean HR seem sensitive to effects of sleep duration on athlete readiness to perform. When interpreting intensity ratios, practitioners should consider potential effects of prior sleep duration to determine whether sleep-promoting interventions are required (e.g., SE).

During incremental exercise, two thresholds may be identified from standard gas exchange and ventilatory measurements. The first signifies the onset of blood lactate accumulation (the lactate threshold, LT) and the second the onset of metabolic acidosis (the respiratory compensation point, RCP). The ability to explain why these thresholds occur and how they are identified, non-invasively, from pulmonary gas exchange and ventilatory variables is fundamental to the field of exercise physiology and requisite to the understanding of core concepts including exercise intensity, assessment, prescription, and performance. This review is intended as a unique and comprehensive theoretical and practical resource for instructors, clinicians, researchers, lab technicians, and students at both undergraduate and graduate levels to facilitate the teaching, comprehension, and proper non-invasive identification of exercise thresholds. Specific objectives are to: (1) explain the underlying physiology that produces the LT and RCP; (2) introduce the classic non-invasive measurements by which these thresholds are identified by connecting variable profiles to underlying physiological behaviour; (3) discuss common issues that can obscure threshold detection and strategies to identify and mitigate these challenges; and (4) introduce an online resource to facilitate learning and standard practices. Specific examples of exercise gas exchange and ventilatory data are provided throughout to illustrate these concepts and a novel online application tool designed specifically to identify the estimated LT (θLT) and RCP is introduced. This application is a unique platform for learners to practice skills on real exercise data and for anyone to analyze incremental exercise data for the purpose of identifying θLT and RCP.

The determination of the maximal lactate steady state (MLSS) requires at least two constant load tests. Therefore, different testing procedures to indirectly determine MLSS based on one single test have been developed. One such method is the application of the lactate minimum tests (LMT), where workload and heart rate-based protocols exist. The latter showed significant correlations between parameters at lactate minimum (LM) and MLSS for running and cycling. However, LM clearly underestimated MLSS. Therefore, the aim of this study was to optimize the already existing test protocol in terms of an improved agreement between LM and MLSS. Fourteen healthy endurance-trained male athletes (age: 39.7±8.2 y; height: 180.9±6.2 cm; body mass: 78.6±7.1 kg) performed four different heart rate-based LMT protocols, the original and three new protocols. Additionally, they performed several constant heart rate endurance tests for assessing MLSS exercise intensity. Heart rate, blood lactate concentration, oxygen uptake and power at LM of two of our new test protocols with an increased start intensity were closer to and no longer different from MLSS data. We conclude that these two new test protocols can be used in practice to estimate heart rate-based MLSS by means of one single exercise test.

We aimed to examine the effects of a 16-week multimodal exercise program (MEP) on activities of daily living (ADL) in individuals with dementia (IWD). Furthermore, we investigated the participants’ individual response to the MEP and whether baseline cognitive and motor performance explain ADL performance. We conducted a multicenter randomized controlled trial (RCT) involving 319 participants aged ≥ 65 years with mild to moderate dementia. ADL were assessed at baseline and after the 16-week intervention using the Barthel Index (BI), the Erlangen Test of Activities of Daily Living (E-ADL) and the 7‑item Physical Performance Test (PPT-7). We additionally assessed cognitive and motor performance using standardized and validated assessments. Intervention effects were examined through two-factor analysis of variance with repeated measurements applying a per protocol and an intention-to-treat analysis. We compared baseline cognitive and motor performance between positive-responders (positive-R), non-responders (non-R), and negative-responders (negative-R) and examined cognitive and motor performance as potential cofounders of ADL by conducting multiple regression analyses. There were no significant time×group effects on ADL. Between 20 and 32% of participants responded positively to the intervention, i.e., improved ADL performance from baseline to follow-up. Positive-R had worse baseline motor performance compared to non-R. Cognitive and motor performance explained up to 51.4% of variance in ADL. The MEP had no significant overall effect on ADL in IWD. This may be related to insufficient exercise intensity. However, our results indicate that the response to the MEP depends on individual prerequisites which should thus be considered in further research on individual exercise approaches.

Background The usual accelerometry-based measures of physical activity (PA) are dependent on physical performance. We investigated the associations between PA relative to walking performance and the prevalence and incidence of early and advanced walking difficulties compared to generally used measures of PA. Methods Perceived walking difficulty was evaluated in 994 community-dwelling participants at baseline (age 75, 80, or 85 years) and 2 years later over 2 km (early difficulty) and 500 m (advanced difficulty). We used a thigh-mounted accelerometer to assess moderate-to-vigorous PA, daily mean acceleration, and relative PA as movement beyond the intensity of preferred walking speed in a 6-minute walking test (PArel). Self-reported PA was assessed using questionnaires. Results The prevalence and incidence were 36.2% and 18.9% for early and 22.4% and 14.9% for advanced walking difficulty, respectively. PArel was lower in participants with prevalent (mean 42 [SD 45] vs 69 [91] min/week, p < .001) but not incident early walking difficulty (53 [75] vs 72 [96] min/week, p = .15) compared to those without difficulty. The associations between absolute measures of PA and incident walking difficulty were attenuated when adjusted for preferred walking speed. Conclusions The variation in habitual PA may not explain the differences in the development of new walking difficulty. Differences in physical performance explain a meaningful part of the association of PA with incident walking difficulty. Scaling of accelerometry to preferred walking speed demonstrated independence on physical performance and warrants future study as a promising indicator of PA in observational studies among older adults.

研究グループは、運動を行った際に酸化ストレスが増加する心不全患者が、予後不良となることを明らかにしました。慢性心不全患者は超高齢化社会において、急激に増加しており、現在は「心不全パンデミック」とも呼ばれています。しかし、治療は対症療法が中心で、病気の進展を防ぐことができないため、高い再入院率・死亡率が社会的に問題となっています。これまで心不全患者の予後改善には有酸素運動が有効とされていましたが、適切な運動量や運動方法はまだ定められていません。本研究では、2013年7月から2015年3月に大阪市立大学医学部附属病院に入院した94人の心不全患者を対象に、運動に伴う酸化ストレスの増減が心不全の予後に与える影響を検討しました。その結果、心肺運動負荷実験で、酸化ストレスが上昇した心不全患者の予後は不良であることが明らかになりました。この結果から、心不全患者の適切な運動量は、運動時の酸化ストレスの変化を評価することで決定できる可能性があることを示唆します。, Aims: Oxidative stress plays an important role in the development and progression of heart failure (HF). Although exercise and oxidative stress are closely related, the effect of acute exercise on reactive oxygen species production and the fluctuation on prognosis are unclear....

This study aimed to examine the changes in the blood fatigue indicators, inflammatory markers, and stress hormones following an 8-week intensity interval training in sprinters, and to investigate the effects on changes in the 100-m sprint records. Twenty sprinters from a boys’ high school were equally assigned to high-intensity and medium-intensity interval training groups, and three 60-min interval training sessions were performed per week for 8 weeks, for a total of 24 sessions. Exercise intensity was defined as 85%–95% and 75%–85% of heart rate reserve for high- and medium-intensity training, respectively. At rest, both groups had an exercise intensity of 60% of the heart rate reserve. Our results showed decreased fatigue indicators, inflammatory markers, and stress hormone levels after high-intensity and medium-intensity interval training, with no difference between the training levels. In addition, the 100-m sprint records were different in high- and medium-intensity interval training groups, based on the lactate dehydrogenase and adrenocorticotropic hormone levels. In conclusion, medium-intensity interval training with a reserve heart rate of ≥ 75% can have a positive effect on blood fatigue indicators, inflammatory markers, and stress hormones in sprinters. Specifically, the changes in adrenocorticotropic hormone level seen in the high-intensity interval training group were found to have a significant effect on the 100-m sprinting records.

Objective To examine whether 5 years of high-intensity interval training (HIIT) increases high-density lipoprotein cholesterol (HDL-C) concentration more than moderate-intensity continuous training (MICT) and control (CON) in older men and women. Methods A total of 1567 older adults (790 [50.4%] women) were randomized (2:1:1) to either CON (n=780; asked to follow the national recommendations for physical activity) or 2 weekly sessions of HIIT (10-minute warm-up followed by 4×4-minute intervals at ∼90% of peak heart rate) or MICT (50 minutes of continuous work at ∼70% of peak heart rate). Serum HDL-C concentration was measured by standard procedures at baseline and at 1 year, 3 years, and 5 years. The study took place between August 21, 2012, and June 31, 2018. Linear mixed models were used to determine between-group differences during 5 years using the per protocol approach. Results Men in HIIT had a smaller reduction in HDL-C (−1.2%) than men in CON (−6.9%) and MICT (−7.8%) after 5 years (P=.01 and P=.03 for CON vs HIIT and MICT vs HIIT, respectively). No effect of exercise intensity on HDL-C was seen in women. Changes in peak oxygen uptake were associated with changes in HDL-C in both men and women, whereas changes in body weight and fat mass were not. Conclusion In men, HIIT seems to be the best strategy to prevent a decline in HDL-C during a 5-year period. No effect of exercise intensity was seen for older women. Trial registration ClinicalTrials.gov identifier: NCT01666340.

Acute aerobic exercise increases the brain cortical activity in alpha frequency. Eye closure also increases alpha activity. However, whether the two have an additive or a synergistic effect on alpha activity has never been explored. This study observed electroencephalography (EEG) from fifteen participants seated on the cycle ergometer before, during, and after a cycling exercise with the eyes open and with them closed. Exercise intensity was set to a target heart rate (120–130 bpm), corresponding to light-to-moderate intensity exercise. Each epoch was 6 min and the last 4 min (eyes closed in the first 2 min and eyes open in the second 2 min) were analyzed. The EEG power spectrum densities were calculated for alpha frequency band activity (8–13 Hz). At rest, alpha activity was significantly greater with the eyes closed than open. Exercise significantly increased alpha activity in both eye conditions. More importantly, in the occipital site, the alpha-increasing effect of their combination was significantly greater than the sum of the effect of each, showing a synergistic effect. We concluded that acute light-to-moderate intensity exercise with the eyes closed has a synergistic effect on alpha activity.

Professional organizations advise prescribing intensity of aerobic exercise using heart rate reserve (%HRR) which is presumed to have a 1:1 relationship with either maximal oxygen uptake (%VO2max) or %VO2 reserve (%VO2R). Even though running and cycling are popular modes of training, these relationships have not been investigated in a group of males and females during both running and cycling. This study evaluated the %HRR-%VO2max and %HRR–%VO2R relationships in 41 college-aged males (n = 21) and females (n = 20) during treadmill running and cycling. Heart rate (HR) and VO2 data were collected at rest and during maximal exercise tests on a treadmill and cycle ergometer. The HR and VO2 data were analyzed using a Bayesian approach. Both the %HRR-%VO2max and %HRR–%VO2R relationships did not coincide with the line of identity in males and females in both treadmill running and cycling. %HRR was closer to %VO2max than to %VO2R. There were no significant differences in the intercepts of the %HRR–%VO2max and %HRR–%VO2R relationships between males and females during running or cycling, or between running and cycling in males or females. The credible intervals of the intercepts and slopes suggest interindividual variability in the HR–VO2 relationship that would yield significant error in the prescription of intensity of aerobic exercise for an individual.

Background Physical activity may protect the mental health of medical students, yet it is unknown which types and intensities of physical activity have the greatest potential to improve medical student well-being. Objective We characterize the relationship between exercise intensity and stress levels of U.S. medical students, thereby informing the design of future well-being interventions. Design Two cross-sectional validated surveys assessing stress and physical activity were administered one year apart at the David Geffen School of Medicine at UCLA. A total of 1,046 out of 1,392 medical students responded (75%). An ordered logistic regression was used to determine the association between stress and each level of exercise intensity (inactivity, moderate-activity, and health-enhancing physical activity [HEPA]). These exercise intensity groupings were compared to the CDC guidelines for aerobic exercise. Results While achieving either moderate-activity or HEPA is compliant with the CDC guidelines for aerobic exercise, the additional intensity of exercise required to achieve HEPA was associated with a 26% increase in the probability of being in the lowest stress quartile and a 22% decrease in the probability of being in the highest stress quartile. Medical student physical activity levels were on-par with the national average per the CDC exercise guidelines (65% vs. 58%), but medical student HEPA levels were significantly lower than the national average (27% vs. 64%; OR 0.21; 95% CI 0.12–0.37). Conclusions There is a large disparity in rates of the highest intensity physical activity (HEPA) between medical students and the age-adjusted national average, which has previously been overlooked by the binary CDC exercise guidelines. The fact that HEPA levels are not optimized and more strongly associated with lower stress levels relative to less intense forms of exercise makes it a promising new target for future well-being interventions among medical trainees.

Rago, V, Vigh-Larsen, JF, Deylami, K, Muschinsky, A, and Mohr, M. Use of rating of perceived exertion-based training load in elite ice hockey training and match-play. J Strength Cond Res 36(10): 2837-2843, 2022-Training load (TL) based on the subjective rating of perceived exertion (RPE) may be a useful athlete monitoring alternative when wearable technology is unavailable. The aim of this study was to examine the validity of RPE-based TL monitoring in elite ice hockey. A male ice hockey team ( n = 18) was monitored using a 200-Hz accelerometer, heart rate (HR) and RPE (0-10 scale), throughout a 4-week competitive period ( n = 309 individual observations). Session-RPE (RPE × duration) averaged 244.8 ± 135.2 and 728.6 ± 150.9 arbitrary units (AU) during practice sessions and during official games, respectively. The smallest worthwhile change was 19.8 AU. Within-individual correlations between session-RPE and total accelerations >0.5 m·s -2 (Acc tot ), accelerations >2 m·s -2 (Acc2), total decelerations >-0.5 m·s -2 (Dec tot ), decelerations < -2 m·s -2 (Dec2), time > 85% maximum HR, Edwards' TL, and modified training impulse were very large ( r = 0.70-0.89; p < 0.001). In addition, correlations between RPE and measures of exercise intensity (Acc tot per min, Acc2 per min, Dec tot per min, mean HR, and peak HR) were small ( r = 0.02-0.29; p < 0.05) except for Dec2 being unclear ( p = 0.686). Differences in intensity parameters between RPE range (easy to very hard, 2-7 AU) were small ( r = 0.22-0.31; p < 0.05). The session-RPE method can be used as a global indicator of TL in ice hockey. Specific ranges of time-motion and HR intensity variables can be demarcated between RPE categories (easy to very hard; 2-7 AU). Accounting for training volume (session-RPE) more accurately reflects objective methods of TL based on accelerative efforts and HR, than the RPE score (based on the perception of the intensity).

Dosis latihan perlu dipilih untuk menentukan hasil yang diharapkan. Dosis Latihan juga dipilih berdasarkan tujuan latihan. Penerapan dosis latihan akan memberikan pengaruh terhadap variabel yang diharapkan. Latihan untuk penurunan berat badan memiliki ciri membakar lemak. Terdapat pilihan dalam menentukan dosis latihan untuk penurunan berat badan. Tujuan penelitian ini untuk membandingkan dosis intensitas latihan 75% dan 100% terhadap fluktuasi penurunan berat badan. Penelitian ini tidak terfokus pada pres tes dan post tes semata, tetapi lebih pada membuktikan sebarapa efektif antara 75% dab 100% . Desain penelitian dengan eksperimen memberikan perlakukan 75% latihan sirkuit training dengan beban dan sirkuit 100%. Penelitian dilakukan terhadap 12 Mahasiswa sebagai sampel. Latihan dilakukan dengan menggunakan 12 alat. Sebelum dan setelah latihan dilakukan penimbangan berat badan. Berdasarkan pencatatan selama latihan ternyata berat badan akan turun lebih besar jika menggunakan intensitas yang lebih tinggi (100%) dengan nilai mean 0.3113 dan 0.2592, berdasarkan uji normalitas ternyata data dinyatakan tidak normal. Analisis non parameterik dengan Wilcoxon W signigikansi hitung 0.033 sehingga dapat disimpulkan, pertama, intensitas 75% dan 100% berpengaruh terhadap penurunan berat badan sesudah latihan, bahwa terdapat perbedaan diantara kedua intensitas tersebut dengan intensitas 100% lebih efektif.

Purpose: Cyclists may increase exercise intensity by prolonging exercise duration and/or shortening the recovery period during self-paced interval training, which could impact the time spent near . Thus, the main objective of this study was to compare the time spent near during 4 different self-paced interval training sessions. Methods: After an incremental test, 11 cyclists (mean [SD]: age = 34.4 [6.2] y; ) performed in a randomized order 4 self-paced interval training sessions characterized by a work–recovery ratio of 4:1 or 2:1. Sessions comprised 4 repetitions of 4 minutes of cycling with 1 minute (4/1) or 2 minutes (4/2) of active recovery or 8 minutes of cycling with 2 minutes (8/2) or 4 minutes (8/4) of active recovery. Time spent at 90% to 94% (), ≥95% (), and 90% to 100% () was analyzed in absolute terms and relative to the total work duration. Power output, heart rate, blood lactate, and rating of perceived exertion were compared. Results: The 8/4 session provided higher absolute and than 8/2 (P = .015 and .029) and 4/1 (P = .002 and .047). The 4/2 protocol elicited higher relative (47.7% [26.9%]) and (23.5% [22.7%]) than 4/1 (P = .015 and .028) and 8/2 (P P Conclusions: Self-paced interval training composed of 4-minute and 8-minute work periods efficiently elicit , but protocols with a work–recovery ratio of 2:1 (ie, 4/2 and 8/4) could be prioritized to maximize .

BACKGROUND Blood flow-restricted resistance training (BFR-RT) has been proven to be safe and efficacious in healthy older adults, but not in cardiovascular disease. OBJECTIVE The aim of this study was to investigate the acute and training induced effects of BFR-RT on hemostatic and hemodynamic responses in patients with coronary artery disease (CAD). METHODS Stable patients with CAD were randomized to 8 weeks of BFR-RT (30%-40% 1-repetition maximum unilateral knee extension) combined with aerobic training or aerobic training alone (control group). At baseline and after 4 and 8 weeks, blood samples were taken before and after BFR exercise, whereas hemodynamic parameters were monitored throughout the exercise. RESULTS Twenty-four patients (12 per group; mean age, 60 ± 2 years; mostly male [75%]) completed the study. The BFR-RT significantly improved systolic blood pressure (-10 mm Hg; P = .020) and tended to lower diastolic blood pressure (-2 mm Hg; P = .066). In contrast, no posttraining alterations were observed in N-terminal prohormone B-type natriuretic hormone, fibrinogen, and D-dimer values. During BFR exercise, all hemodynamic variables significantly increased after the first and second set, whereas blood pressure immediately lowered after the cuff was released in the third set. Last, significant interaction was only observed for repetitions × intensity (P < .001; partial η2 = 0.908) of diastolic blood pressure at higher exercise intensity (40% 1-repetition maximum). CONCLUSIONS The BFR-RT was proven to be safe, with favorable hemodynamic and hemostatic responses in patients with CAD, and can be recommended as an additional exercise modality in cardiac rehabilitation.Trial Registration:ClinicalTrial.gov Identifier: NCT03087292.

STUDY DESIGN Descriptive study. OBJECTIVES To examine grouped and intra-individual relationships between 1) exercise intensity and heart rate (EI-HR); 2) EI and oxygen uptake (EI-VO2); 3) VO2 and HR (VO2-HR); and 4) perceived exertion and VO2 (PE-VO2) in persons with tetraplegia (C4/5-C8) during different modes of exercise. SETTING Community in Winnipeg, Canada. METHODS Participants exercised at 3 graded intensities during arm ergometry (ERG), wheeling indoors on cement (MWC), or hand-cycling outdoors (HC). EI (Watts, km/hr) and VO2, HR and PE were recorded. RESULTS 22 persons completed ERG, 14/22 also completed MWC and 5/22 completed ERG, MWC and HC. Regression analysis of grouped data showed a significant relationship between EI-VO2 but not for EI-HR or HR-VO2. Intra-individual analyses showed a strong correlation (r or ρ > 0.7) for VO2-HR for 16/22 during ERG. In the participants completing multiple exercise modes, a strong VO2-HR relationship was present in 12/14 in ERG, but in only 6/14 in MWC. The 5 persons exercising with all 3 modes had a strong HR-VO2 relationship in 5/5 for ERG, 2/5 in MWC and 1/5 in HC. A strong relationship for PE-VO2 was observed in a higher proportion of participants (versus HR-VO2) during MWC (9/14) and HC (2/4). CONCLUSION Within the same individual, the HR-VO2 relationship varies across modes, despite exercising over similar ranges of steady-state VO2. HR appears less able to predict VO2 compared to PE. Based on these new findings, systematic investigation of the HR-VO2 relationship across modes of exercise in tetraplegia is warranted.

Objective. The aim of this study was to examine the promoting effects of mindfulness training on female college students’ mental toughness in endurance exercise. Methods. A cluster sampling method was used to select 60 female college students as subjects. Based on the body mass index (BMI), stratified randomization was used to divide them into the mindfulness-training group and the control group. Participants in mindfulness-training group had an 8-week mindfulness training, while participants in control group waited. Before and after training, Five Facet Mindfulness Questionnaire (FFMQ) and Connor–Davidson Resilience Scale (CD-RISC) were used for pretest and posttest, and paired t-test and covariance analysis were performed on pretest and posttest between-group data. Results. (1) Paired t-test results showed the posttest scores (26.67 ± 3.56; 20.97 ± 3.66; 126.53 ± 8.59) of the three dimensions of description, nonresponse and FFMQ total score of the mindfulness-training group were higher than the pretest scores (25.53 ± 3.74; 19.23 ± 3.59; 121.43 ± 6.78). Statistical significance was shown in their differences (t = −2.25; −2.70; −3.25, p < 0.05 ). However, there was no statistical significance in the pretest and posttest of control group. The covariance analyses showed the posttest scores of the mindfulness-training group in three dimensions of description, nonresponse, and FFMQ were higher than the posttest scores of the control group. Statistical significance was shown in their differences (F = 6.55; 6.08; 5.91; p < 0.05 ). (2) Paired t-test showed posttest scores (46.50 ± 5.93; 30.40 ± 3.75; 15.00 ± 2.34) were significantly higher than pretest scores (42.60 ± 7.68; 26.50 ± 4.32; 12.87 ± 2.51) in all dimensions of the mental toughness of the mindfulness-training group. Statistical significance was shown in their differences (t = −3.135, −4.765, −4.922, p < 0.01 ). However, there was no significant difference in the pretest and posttest scores in all dimensions of the mental toughness of the control group. The covariance analysis showed that the posttest scores of all dimensions of the mental toughness of the mindfulness-training group were higher than those of the control group, and the differences were statistically significant (F = 11.133, 12.101, 16.053, all p < 0.001 ). (3) Paired t-test showed that the posttest score of the mindfulness-training group on exercise intensity perception immediately after 800-meter endurance run (5.67 ± 2.61) was lower than the pretest score (7.03 ± 1.24) and the difference was statistically significant (t = 4.18, p < 0.001 ), while the difference was not statistically significant in the control group. The covariance analysis showed that the posttest score of the mindfulness-training group on exercise intensity perception was lower than that of the control group, and the difference was statistically significant (F = 15.81, p < 0.001 ). Conclusion. Mindfulness training improved the level of female college students’ mindfulness and mental toughness in their endurance sports, while reducing the fatigue feeling of female college students in endurance sports.

To identify the changes of ventilation ( $$\dot{\mathrm{V}}$$ E), tidal volume (VT) and respiratory frequency (fr) at different incremental step test intensities during maturation of children and adolescents. A semi-longitudinal study was conducted on 68 healthy untrained boys and girls aged 11–17 years. The subjects were separated into three distinct age groups. $$\dot{\mathrm{V}}$$ E, VT and fr parameters were evaluated annually during 3 years by modifying incremental step test intensities according to ventilatory threshold (VTh) level (30, 60 and 90% of $$\dot{\mathrm{V}}$$ O2max). Absolute and relative values of ventilatory responses were analyzed and compared according to age and developmental phase. (1) Height, weight, lean body mass and vital capacity increased significantly from 11 to 17 years of age. (2) $$\dot{\mathrm{V}}$$ O2max, $$\dot{\mathrm{V}}$$ E, and VT increased during maturation even when exercise intensity changed, especially from 11 to 15 years of age. On the other hand, fr showed a decreasing trend. Increases of VT are the main reason for $$\dot{\mathrm{V}}$$ E increases during maturation of children. fr decreased independently of total body mass during maturation. $$\dot{\mathrm{V}}$$ E.kg−1 was stable despite intensity variations. VT.kg−1 increased significantly from 11 to 15 years then stabilized at 17 years. Lean body mass seems to explain the evolution of VT.kg−1 during maturation.

Objectives: Although Baduanjin (a traditional Chinese physical activity) has been reported to promote general health, the optimal exercise intensity and kinematic characteristics of this intervention remain poorly understood. This investigation aimed to quantify and compare the exercise intensities of traditional standing Baduanjin (TB) and sitting Baduanjin (SB) using cardiopulmonary exercise testing, to further clarify the sources of the previously observed benefits of this modality. Study design: Observational study. Interventions: Healthy individuals were recruited to perform TB, SB, and cycling (in order) until they reached their ventilatory threshold. Intensity-relevant parameters based on type of exercise and specific time points (exercise start and the end of the 2nd, 4th, 6th, and 8th set of motion) were compared between TB and SB with ventilatory threshold as control. Results: Forty individuals (18 male and 22 female) completed the trial. Significant differences in peak oxygen uptake, metabolic equivalent of task, and Borg scale existed among the three exercise types, indicating a decreasing overall exercise intensity in the order of ventilatory threshold, TB, and SB. All parameters except the respiratory exchange ratio fluctuated significantly across the time points. Conclusions: Both TB and SB resulted in a significantly lower exercise intensity when compared with the ventilatory threshold established through cycling exercise. The benefits of Baduanjin might be explained partly by its appropriate exercise intensity and intermittent intensity pattern. Baduanjin might be a potential alternative to existing schemes for exercise rehabilitation.

This study compared the effects of self-selected exercise intensity (SEI) versus predetermined exercise intensity (PEI) on blood pressure (BP) and arterial stiffness in adolescents with obesity. A total of 37 adolescents, 14.7 (1.6) years old, body mass index ≥95th percentile were randomly allocated into SEI (n = 18; 12 boys) or PEI (n = 19; 13 boys). Both groups exercised for 35 minutes on a treadmill, 3 times per week, for 12 weeks. The SEI could set the speed at the beginning of the sessions and make changes every 5 minutes. The PEI adolescents were trained at an intensity set at 60% to 70% of heart rate reserve. Brachial and central BP, pulse pressure, augmentation index, and carotid–femoral pulse wave were determined at baseline and after 12 weeks. Both groups reduced brachial systolic BP (SEI, Δ = −9 mm Hg; PEI, Δ = −4 mm Hg; P P = .01), and central pulse pressure (SEI, Δ = −4 mm Hg; PEI, Δ = −3 mm Hg; P = .02) without differences between groups. No changes in the augmentation index and carotid–femoral pulse wave were observed in either group. The SEI induced similar changes in various cardiovascular outcomes compared with PEI in adolescents with obesity.

Quevedo-Jerez, K, Gil-Rey, E, Maldonado-Martin, S, and Herrero-Roman, F. Exercise-intensity adherence during aerobic training and cardiovascular response during resistance training in cancer survivors. J Strength Cond Res 35(8): 2338-2345, 2021-Combined aerobic-resistance training has shown the best benefits has proved beneficial for cancer survivors (CS). To understand the adherence to the aerobic training program (in terms of the intensity and duration of the sessions) and the cardiovascular response to the resistance training program, heart rate (HR) of 48 CS was monitored in each training session with an HR monitor for a 2-year period. During aerobic training, CS had to maintain the intensity in zone 2 (Z2) (between the ventilatory threshold and respiratory compensation point). The time spent below Z2 (Z1), in Z2, and above Z2 (Z3) was assessed in both aerobic and resistance training. The exercise-intensity distribution (aerobic vs. resistance training) was as follows: Z1 6.6 ± 12.8% vs. 34.3 ± 29.9% (p < 0.001); Z2 66.6 ± 29.3% vs. 54.5 ± 27.6% (p < 0.05); and Z3 26.9 ± 29.9% vs. 11.2 ± 20.6% (p < 0.001). The most deconditioned CS (

Secreted protein acidic and rich in cysteine (SPARC), an exercise-induced myokine, has been suggested as a potential endogenous factor that suppresses colon tumorigenesis. However, the effects of different exercise protocols on circulating SPARC levels are unclear. The main purpose of this study was to examine the effects of both exercise intensity and duration on circulating SPARC levels. This study also examined the relationship between responsiveness of SPARC levels and physical characteristics, including body composition and skeletal muscle function. Nineteen healthy adult men participated in four experimental interventions: two 30-min exercises at workloads corresponding to 60% (W60) and 40% (W40) peak oxygen uptake (VO2peak), a 45-min session of W40, and a 30-min session of complete rest. Blood SPARC and lactate concentrations were measured before and after each session. Only W60 significantly increased serum SPARC levels (p

Cardiovascular disease (CVD) is a primary cause of morbidity and mortality in individuals with chronic spinal cord injuries (SCI). This review focuses on the importance of exercise, specifically functional electrical stimulation (FES) exercise, as an intervention to reduce CVD risk in individuals with SCI. Regular exercise of sufficient intensity (~6 METS) decreases overall risk of CVD in able-bodied individuals. Individuals with SCI have difficulty achieving this intensity since paralyzed muscle cannot contribute to the exercise response. FES is a practical intervention in which paralyzed musculature is stimulated to create joint movements that mimic exercise. FES increases oxygen consumption, cardiac output, and cardiovascular stress but to a much lesser extent than exercise performed by non-paralyzed muscle, possibly due to numerous disrupted feedforward and feedback neural pathways that limit cardiovascular and pulmonary adjustments. FES can be combined with exercise of non-paralyzed muscle (hybrid-FES) to overcome some of these limitations and further increase exercise intensity and cardiovascular responses. However, the addition of supplemental therapies may still be needed for individuals with SCI to obtain health benefits of exercise and reductions in CVD risk similar to uninjured individuals. Hybrid-FES is a practical intervention to increase exercise intensity and oxygen consumption to levels identified to reduce CVD risk, but FES alone should not be considered synonymous with voluntary exercise. However, potential adjunctive therapies may still be needed for individuals with SCI to obtain health benefits of exercise and reductions in CVD risk similar to uninjured individuals.

The effect of exercise on stress has been demonstrated in several studies which have shown that exercise intensity and duration have various effects on the reproductive axis. This study evaluated the effect of different intensities and durations of exercise on the hormonal indices of stress, such as corticosterone (CORT), norepinephrine (NEP), and also reproductive performance indices, including gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), and testosterone (T). In this experimental study, 30 adult Wistar rats were randomly divided into five groups as follows: no-exercise, RME-1 (regular moderate exercise for 1 month), RME-6 (regular moderate exercise for 6 months), RIE-1 (regular intensive exercise for 1 month), and RIE-6 (regular intensive exercise for 6 months). At the end of the experiment, the serum levels of the abovementioned hormones and hypothalamic expression of the Gnrh gene were measured using the enzyme-linked immunosorbent assay and the real-time polymerase chain reaction method, respectively. The levels of stress hormones, including CORT and NEP, increased only in the RIE-1 group compared with the no-exercise group. In addition, an increase was observed in T hormone levels in the RME-1 group compared with those in the no-exercise group, whereas LH and T hormone levels showed a greater decrease in the RIE-6 group than in the no-exercise group. Gnrh expression levels showed an increase and a decrease in the RME-1 and RIE-6 groups compared with the no-exercise group, respectively. These results confirmed the effects of different intensities and durations of exercise on sex hormone levels.

Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary in design and outcome. The present systematic review and meta-analysis included 22 studies, involving 274 children with ASD, to quantify the effect of exercise on SMB and its potential moderators. Multi-level modelling revealed a large overall effect, Hedges’ g = 1.16, with significant heterogeneity across participant, treatment, and study levels. Further, a more appropriate model using between-case estimation for within-subject effects to improve comparability between single-case and group-design studies, yielded a smaller but still significant effect, g = 0.51. Lastly, higher exercise intensity, but not age, exercise duration or settings, reliably predicted treatment effectiveness. Implications for clinical practice and research are discussed.

The first aim of this experiment was to evaluate the appropriateness of linear and non-linear (allometric) models to scale peak aerobic power (oxygen consumption) against body mass. The possibilities that oxygen consumption would scale allometrically across the complete metabolic range, and that the scaling exponents would differ significantly between basal and maximal-exercise states, were then evaluated. It was further hypothesised that the scaling exponent would increase in a stepwise manner with elevations in exercise intensity. Finally, the utility of applying the scaling exponent derived for peak aerobic power to another population sample was evaluated. Basal, steady-state walking and peak (treadmill) oxygen-consumption data were measured using 60 relatively homogeneous men (18–40 year; 56.0–117.1 kg), recruited across five mass classes. Linear and allometric regressions were applied, with the utility of each scaling method evaluated. Oxygen consumption scaled allometrically with body mass across the complete metabolic range, and was always superior to both ratiometric analysis and linear regression. The scaling exponent increased significantly from rest (mass0.57) to maximal exercise (mass0.75; P 0.05). When used with an historical database, the maximal-exercise exponent successfully removed the mass bias. It has been demonstrated that the oxygen consumption of healthy humans scales allometrically with body mass across the entire metabolic range. Moreover, only two scaling exponents (rest and exercise) were required to produce mass-independent outcomes from those data. Accordingly, ratiometric and linear regression analyses are not recommended as scaling methods.

Background Although structured exercise training is strongly recommended in cardiac patients, uncertainties exist about the methods for determining exercise intensity (EI) and their correspondence with effective EI obtained by ventilatory thresholds. We aimed to determine the first (VT1 ) and second ventilatory thresholds (VT2 ) in cardiac patients, sedentary subjects, and athletes comparing VT1 and VT2 with EI defined by recommendations. Methods We prospectively enrolled 350 subjects (mean age: 50.7±12.9 years; 167 cardiac patients, 150 healthy sedentary subjects, and 33 competitive endurance athletes). Each subject underwent ECG, echocardiography, and cardiopulmonary exercise testing. The percentages of peak VO2 , peak heart rate (HR), and HR reserve were obtained at VT1 and VT2 and compared with the EI definition proposed by the recommendations. Results VO2 at VT1 corresponded to high rather than moderate EI in 67.1% and 79.6% of cardiac patients, applying the definition of moderate exercise by the previous recommendations and the 2020 guidelines, respectively. Most cardiac patients had VO2 values at VT2 corresponding to very-high rather than high EI (59.9% and 50.3%, by previous recommendations and 2020 guidelines, respectively). A better correspondence between ventilatory thresholds and recommended EI domains was observed in healthy subjects and athletes (90% and 93.9%, respectively). Conclusions EI definition based on percentages of peak HR and peak VO2 may misclassify the effective EI, and the discrepancy between the individually determined and the recommended EI is particularly relevant in cardiac patients. A ventilatory threshold-based rather than a range-based approach is advisable to define an appropriate level of EI.

A large body of research supports the use of exercise to improve symptoms, quality of life, and physical function in patients with chronic heart failure. Previous reviews have focused on reporting outcomes of exercise interventions such as cardiorespiratory fitness. However, none have critically examined exercise prescription. The aim of this review was to evaluate the reporting and application of exercise principles in randomised control trials of exercise training in patients with chronic heart failure. A systematic review of exercise intervention RCTs in patients with CHF, using the Consensus on Exercise Reporting Template (CERT), was undertaken. The Ovid Medline/PubMed, Embase, Scopus/Web of Science, and Cochrane Library and Health Technology Assessment Databases were searched from 2000 to June 2020. Prospective RCTs in which patients with CHF were randomized to a structured exercise programme were included. No limits were placed on the type or duration of exercise structured exercise programme or type of CHF (i.e. preserved or reduced ejection fraction). We included 143 studies, comprising of 181 different exercise interventions. The mean CERT score was 10 out of 19, with no study achieving a score of 19. Primarily, details were missing regarding motivational strategies, home‐based exercise components, and adherence/fidelity to the intervention. Exercise intensity was the most common principle of exercise prescription missing from intervention reporting. There was no improvement in the reporting of exercise interventions with time (R 2 = 0.003). Most RCTs of exercise training in CHF are reported with insufficient detail to allow for replication, limiting the translation of evidence to clinical practice. We encourage authors to provide adequate details when reporting future interventions. Where journal word counts are restrictive, we recommend using supplementary material or publishing trial protocols prior to beginning the study.