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Modern consensus panel guidelines recommend restriction from most organized sports for patients with moderate or severe aortic stenosis (AS). However, there is little published data on how frequently physicians deviate from guidelines, how well patients adhere to exercise restrictions, or the effect of restriction on patient-reported quality of life. In this study, we surveyed 93 subjects with AS and their cardiologists regarding participation in organized sports, physical activity, weightlifting, and exercise restriction. Subjects completed the pediatric quality of life inventory (PedsQL) and the pediatric cardiac quality of life inventory (PCQLI). We found that subjects with severe AS (n = 3) were commonly, but not universally, restricted from organized sports (n = 2, 66%). Subjects with moderate AS (n = 40) were rarely restricted from organized sports (n = 6, 17%). No physician-specific characteristics were associated with increased likelihood of recommending exercise restriction. Subjects were more likely to be restricted if they were older (16 years vs. 13 years, p 0.02) and had moderate versus mild AS (p 0.013). PCQLI scores for teens and young adults with AS (age 13-25) were lower than a comparison group of patients with mild congenital heart disease. For all age groups, the PedsQL social functioning score was lower for subjects with exercise restriction (p 0.052). In summary, cardiologists apply consensus guidelines leniently when restricting patients with moderate/severe AS from organized sports and weightlifting. Patients with AS routinely adhere to exercise restriction recommendations. Children and young adults with AS and exercise restriction have lower QOL scores in the social functioning domain., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Abstract: Scott, KM, Kreisel, BR, Florkiewicz, EM, Crowell, MS, Morris, JB, McHenry, PA, and Benedict, TM. The effect of cautionary versus resiliency spine education on maximum deadlift performance and back beliefs: A randomized control trial. J Strength Cond Res 38(7): e341-e348, 2024-The purpose of this study was to determine the effect of cautionary information about the spine vs. a message of spine resiliency on maximum deadlift (MDL) performance and beliefs regarding the vulnerability of the spine. This cluster randomized control trial involved 903 military new cadets (n = 903) during their mandatory fitness test in cadet basic training (mean age 18.3 years, body mass index 23.8 kg·m-2, 22% female). Subjects were cluster randomized to 3 groups. The cautionary group received a message warning them to protect their backs while deadlifting, the resiliency group received a message encouraging confidence while deadlifting, and the control group received the standardized Army deadlift education only. The outcome measures were MDL weight lifted and perceived spine vulnerability. Significance was set at alpha ≤0.05. There were no between-group differences in weight lifted (p=0.40). Most subjects believed that the spine is vulnerable to injury. Three times as many subjects who received the resiliency education improved their beliefs about the vulnerability of their spines compared with those receiving the cautionary education (p<0.001). This study demonstrated the potential for brief resiliency education to positively influence beliefs about spine vulnerability, whereas cautionary education did not impair performance., (Copyright © 2024 National Strength and Conditioning Association.)

Perception of Velocity (PV) is the ability to estimate single repetition velocity during resistance training (RT) exercises. The main purpose of the study was to evaluate the effects of Mental Fatigue (MF) on the accuracy of barbell PV. The secondary aims were to evaluate whether MF affected RT performance and ratings of perceived exertion (RPE; OMNI-RES) in the back squat. Twenty-four (14 Females, 10 Males) resistance-trained participants underwent 2 familiarization sessions and 1RM test for the back squat. In two separate sessions, PV was tested for light, medium, and heavy loads in 2 conditions in random order: at rest (REST) and in MF condition (POST-MF) induced by previous incongruent Stroop color-word task. MF and Motivation were assessed through visual analog scales (VAS; 0-100) before and after the Stroop task. For each load subjects performed 2 repetitions and reported the RPE value. Mean propulsive velocity (Vr) of the barbell was recorded with a linear encoder, while the perceived velocity (Vp) of the subjects was self-reported using the Squat-PV scale. The PV accuracy was calculated through the delta score (ds: Vp-Vr). Following the Stroop task MF increased significantly (p < 0.001; F (1, 23) = 52.572), while motivation decreased (p < 0.05; F (1, 23) = 7.401). Ds, Vr, and RPE did not show significant differences between conditions (p > 0.05) for the three loads analyzed. MF induced by previous demanding cognitive task did not affect PV accuracy. Furthermore, subjects maintained unchanged both RT performance and RPE values associated with each load, even when mentally fatigued., (© 2024 The Authors. European Journal of Sport Science published by Wiley‐VCH GmbH on behalf of European College of Sport Science.)

Abstract: Kwan, K and Helms, E. Prevalence, magnitude, and methods of weight cutting used by world class powerlifters. J Strength Cond Res 36(4): 998-1002, 2022-Powerlifters compete in the squat, bench press, and deadlift, with winners determined by the highest 3-lift total in each weight class. As a weight class-based sport, athletes often compete in classes lower than their habitual weight, using various strategies to make weight. This study's purpose was to examine weight cutting prevalence, magnitude, and methods among 42 male and 22 female powerlifters (25 ± 8 years old; 4 ± 2.2 years of competitive experience) competing at the 2018 International Powerlifting Federation classic world championship. The lifters, 83% of whom cut weight losing an average 2.9 ± 4.3% of body mass, completed a previously validated weight cutting questionnaire. The most frequently used weight cutting methods were gradual dieting (42.18%, 31.25%), fluid restriction after fluid loading (32.8%, 34.4%), restricting fluid ingestion without fluid loading (23.4%, 9.4%), fasting (15.6%, 18.7%), increased activity (9.4%, 24.4%), laxatives (9.4%, 18.7%), sauna (7.8%, 6.3%), diuretics (7.8%, 6.3%), skipping meals (4.7%, 21.9%), and wearing rubber suits (1.6%, 2.6%). Most lifters experienced negative changes in psychological state, with only 9% reporting never experiencing any negative effect on psychological state across the 5 states measured. Lifters reported experiencing fatigue (15.6%, 45.3%), anger (3.2%, 26.6%), feelings of isolation (4.7%, 12.5%), and anxiety (14.1%, 35.95%), and 11 of the 12 lifters who reported a perceived decrement in training performance performed weight cutting. Both weight cutting methods and negative psychological changes experienced were reported as always, sometimes. Therefore, it is vital to provide specific recommendations based on scientific research to improve the efficacy and safety of making weight while minimizing performance decrements., (Copyright © 2022 National Strength and Conditioning Association.)

Purpose : It has been suggested that the media influence beliefs regarding ideal body appearance and drive for muscularity whilst also offering recommendations for achieving this; most commonly heavy load free weight resistance training (RT). However, evidence for media effects are inconsistent in the literature. This study investigated this "lift big-get big" culture and effects of imagery on males' beliefs regarding RT. Method : An online survey was conducted with male participants ( N  = 110) randomized to different images (hyper-muscular/lean/control) and RT information ("lift big-get big"/"evidence based RT"/control). Results : Descriptive data suggested belief in necessity of heavy loads and free weights was pervasive. There was a small significant effect of condition for multivariate analysis of beliefs regarding RT. Univariate analyses showed significant effects of condition regarding the importance of free weights and heavy loads for strength, and free weights for hypertrophy. Small to moderate effects were found comparing "evidence-based RT" with a hyper-muscular physique to "lift big-get big" conditions with both hyper-muscular and lean physiques, the latter more likely to agree free weights and heavy loads are necessary for strength. A small effect was found comparing "lift big-get big" conditions with both hyper-muscular and lean physiques and the control condition, the former more likely to agree free weights are necessary for hypertrophy. Conclusions : Although hyper-muscular bodies alone did not influence RT beliefs, new information, i.e., "evidence-based RT" combined with a hyper-muscular physique had a small effect. The "lift big-get big" culture is perhaps pervasive enough that most conditions merely reinforced existing beliefs.

The increased popularity of the bikini-physique competitions has not translated to greater research identifying the influence of age on adaptations during contest preparation. The purpose of this case series was to observe how age may influence the adaptations normally seen during preparation and the exploration of newer protocols to address adaptations more relative to the judging standards. Over a 16-week pre-contest preparation, a 32-y bikini competitor (BC) and 44-y master's bikini competitor (MBC) visited the laboratory bi-weekly to observe changes in body fat mass (BF), lean body mass (LBM), bone mineral density (BMD), total body water (TBW); exploratory measures of deltoid cross-sectional area (Delt CSA ), gluteus maximus muscle thickness (GM MT ), and subcutaneous adipose tissue thickness (SAT); reproductive hormones estradiol (E2), luteinizing hormone (LH), and energy balance hormones triiodothyronine (T 3 ), leptin and ghrelin; hydration status during contest preparation and the week of competition; resting metabolic rate (RMR); psychometric data related to perceived anxiety, stress, and body image were assessed. No differences between BC and MBC were observed in BF, LBM, BMD, and TBW. Both competitors showed a small loss in LBM. Both BC and MBC showed a contrasting increase in Delt CSA and a loss in GM MT . MBC showed to be slightly more dehydrated (1.025 vs 1.021 g·mL - 1 ) than BC. Both competitors maintained a euhydration status the day of the competition. No time differences were found between BC and MBC during RMR. BC showed a higher mean difference RMR compared to MBC (2.66 ± 0.75 kcal·kgLBM - 1 ·d - 1 ). MBC showed a higher mean difference in LH concentration (84.6 ± 6.01 IU·L - 1 ), which may be explained by perimenopausal status. MBC had a higher mean difference concentration of leptin (2.51 ± 0.24 ng·mL - 1 ·kgFM - 1 ), which was unperturbed by fat loss may be interrelated LH. BC self-reported a higher mean energy intake (15.07 ± 3.43 kcal·kgLBM - 1 ·d - 1 ) and higher aerobic training volume (93.26 ± 40.68 min·d). BC and MBC showed similar composition changes, slightly differing metabolic rates, and differing hormonal LH and leptin responses. This finding is in contrast to previous work showing both LH inhibition and leptin diurnal disturbance in younger, female athletes with low energy availability. The exploratory measures may have some benefit for bikini-physique competitors related to the judging criteria. Age did not seem to play a role in contest preparation adaptations.

Background: Anabolic androgenic steroid (AAS) use is associated with a wide range of adverse physical, psychological and social effects. While some experience few side effects, others might experience severe consequences. Aggression and violence are among the often-cited side effects associated with high-dose AAS use; however, most of the knowledge is generated from subgroups, such as prison populations. A likely hypothesis is that AAS use is associated with aggression and violence, but that these associations are complex and may be mediated by several factors, such as substance use, AAS dependence and personality traits., Methods: In the present study, we tested this hypothesis by examining the relations between long-term AAS use and AAS dependence, aggression, interpersonal violence and potential mediating factors in a sample of male AAS exposed and non-exposed weightlifting controls (WLC), using self-report questionnaires. Based upon AAS dependence criteria, a sample of male AAS users and WLC (N = 139) were stratified into three groups: WLC (n = 66), AAS dependents (n = 41) and AAS non-dependents (n = 32)., Results: The results demonstrate that AAS dependents reported significantly higher levels of aggression compared to WLC and AAS non-dependents. While interpersonal violence was reported in all three groups, the highest percentage was found in the AAS dependent group., Conclusion: In summary, our study confirms a link between AAS use, aggression and violence in a weightlifting population. However, the association is foremost seen in AAS dependent users and it seems that antisocial personality traits are an important mediator., (Copyright © 2021 The Author(s). Published by Elsevier B.V. All rights reserved.)

The assessment of parasympathetic nervous activity and psychophysiological responses infers the stress imposed by different resistance training systems. Therefore, we compare the effects of different sets configurations, with similar volume (~60 repetitions), on heart rate variability indices and internal training load. Twenty-nine resistance-trained adults completed the following conditions: traditional without and with muscle failure, inter-repetition rest, and rest-pause in the parallel squat. The heart rate variability indices (time-domain) were measured before and 30 min after each condition. The internal training load was obtained through the session-rating of perceived exertion method. Except for inter-repetition rest, all conditions reduced the heart rate variability indices after the session ( P <0.05), and the rest-pause triggered the higher reductions (≤-46.7%). The internal training load was higher in the rest-pause (≤68.9%). Our results suggest that rest-pause configuration leads to more considerable disruption of the parasympathetic nervous activity and higher internal training load in trained adults. In contrast, inter-repetition rest allows lower autonomic and psychophysiological stress., Competing Interests: The authors declare that they have no conflict of interest., (Thieme. All rights reserved.)

Rationale: Anabolic androgenic steroids are used to improve physical performance or increase lean muscle mass. About one-third of users develop a dependency syndrome, which is characterized by elevated rates of psychopathology, cognitive impairments, and aggressive and antisocial behaviors. The mechanisms behind these intra- and interpersonal problems are not known., Objective: To examine theory of mind (ToM), i.e., the ability to infer the mental state of others, in users of anabolic androgenic steroids. Reduced ToM may be one factor underlying the interpersonal problems that have been reported with prolonged use of anabolic androgenic steroids., Methods: The Movie for the Assessment of Social Cognition (MASC) was used to assess ToM. Study participants were male/female weightlifters who used anabolic androgenic steroids (AAS, n = 34/9), who were dependent on anabolic androgenic steroids (AASdep, n = 44/7), and a non-using weightlifting comparison group (WLC, n = 69/16)., Results: Analyses of variance showed that the AASdep group performed significantly worse than the WLC group, for all MASC measures (total ToM, cognitive ToM, affective ToM, overmentalizing/undermentalizing errors). Sex and sex x group interaction effects were non-significant., Conclusions: Male and female weightlifters who were dependent on anabolic androgenic steroids had impaired ToM. Their reduced social cognition may be one contributing factor to the elevated rates of antisocial behavior reported in this population.

Despite substantial growth in participation rates in physique sports, little is known about the modern day female physique athlete. The extreme physique traits of successful female physique athletes suggest this population may be particularly at risk of developing disordered eating (DE). The aim of this study was to determine if female physique athletes across the main divisions of bikini, fitness, figure and bodybuilding were at risk of DE and to explore possible associated risk factors. Furthermore, we aimed to investigate differences in incidence of DE across divisions given differences in physique requirements. Female physique athletes ( n  = 348) were recruited using targeted methods and completed an online survey based on validated questionnaires, including the Drive for Thinness, Body Dissatisfaction, and Bulimia subscales of the Eating Disorder Inventory (EDI), Pathogenic Weight Control Measures (PWCM), and the Cognitive Dietary Restraint subscale of the Three-Factor Eating Questionnaire (TFEQ-CDR). Athletes scoring above the cut off values for one or more of the EDI subscales or engaged in at least one of the most concerning PWCM (binge eating, laxative use, and self-induced vomiting) were considered at risk of DE. Approximately half of the participants were identified with DE (46.6%), independent of division, with 27.3% exhibiting clinical and 19.3% having subclinical DE. Furthermore, approximately half (48.9%) of participants engaged in at least one of the most concerning PWCM within the past three months, with a smaller proportion (5.2%) engaging in all three PWCM. Weak but significant correlations were found between some EDI subscales and reason for sport participation, BMI and body composition goals. Drive for thinness and body dissatisfaction were positively associated with use of PWCM. In conclusion, a high proportion of female physique athletes were identified with DE, with a concerning number of athletes engaging in harmful PWCM.

Purpose: The current study investigated the effect of attention on heaviness perception and its physiological and kinematic contributions. Method: Participants lifted objects that varied in mass and volume while their muscle activity and movement were recorded. Participants were instructed to pay attention to their arm (internal) or the object (external). Results: While heaviness perception did not change as a function of attention, whether muscle activity and movement combined for perception differed across attention conditions. Specifically, muscle activity and movement combined to significantly predict heaviness perception in the external condition, but not the internal condition. Additionally, movement was more salient for perception in both conditions compared to previous research investigating the contribution of muscle activity and movement to heaviness perception. Conclusion: It is suggested that these results support the constrained action hypothesis, which suggests that adopting an external focus of attention benefits motor task performance and learning, and should be further explored in the context of a theory of haptic perception that suggests that the medium for haptic perception is the multifractal tensegrity structure of the body.

Competing Interests: Competing interests: None declared.

Travis, SK, Mizuguchi, S, Stone, MH, Sands, WA, and Bazyler, CD. Preparing for a national weightlifting championship: A case series. J Strength Cond Res 34(7): 1842-1850, 2020-This study aimed to characterize psychological, physiological, and performance changes of a high-level female (24.5 years; 53.8 ± 0.3 kg; 155.4 cm) and male (25.8 years; 92.7 ± 1.2 kg; 189 cm) weightlifter over 28 weeks while preparing for a national championship. Body mass, hydration, psychological inventories, serum biomarkers, vastus lateralis muscle cross-sectional area (CSA), and squat jump (SJ) performance were assessed weekly beginning 11 weeks from the competition date. Weightlifting performance goals were met for the female athlete (actual total = 159 kg) but not for the male athlete (actual total = 292 kg). Reductions in vastus lateralis CSA possibly took place the week leading into competition for both athletes. Both athletes reported positive recovery-stress states on the day of competition relative to baseline values. Fluctuations between steroid hormone concentrations and inflammatory markers were unpredictable and inconsistent for both athletes throughout the training program. Unloaded SJ height and rate of force development were the highest on competition day for both athletes. Based on these findings, it is possible for high-level male and female weightlifters to achieve and maintain peak preparedness 3-4 days before competition following a 1-week overreach and 3-week exponential taper, where training volume-load is reduced by half and intensity maintained or slightly increased relative to pretaper values. Furthermore, the short recovery and stress scale and SJ testing seem to be useful tools for sport scientists and coaches when monitoring high-level weightlifters preparing for competition.

Background: Anabolic androgenic steroid (AAS) dependence is associated with a high prevalence of intra- and interpersonal problems, hence it is central to identify cognitive factors related to the development and maintenance of dependence., Methods: The study explores executive functions (EFs) in a sample of 174 male weightlifters, divided into three groups; 1) AAS dependents; n = 58, 2) AAS non-dependents; n = 38 and 3) AAS non-users; n = 78, using a targeted battery of neuropsychological (NP) tests, and self-report questionnaires assessing EFs in everyday life, ADHD symptoms and psychological distress., Results: Multivariate analysis of variance showed significant between-group differences on several EFs, including working memory [F (2, 169) = 13.79, p < .001, ηp² = 0.14], mental flexibility [F (2, 169) = 4.82, p = .009, ηp² = 0.05], problem-solving [F (2, 169) = 4.77 p = .010, ηp² = 0.05] and inhibition [F (2, 163) = 4.15, p = .017, ηp² = 0.05]. Additionally, significant between-group differences were seen for self-reported problems with EFs [F (2, 124) = 4.38 p = .015, ηp² = 0.07], ADHD symptoms [F (2, 124) = 7.02 p = .001, ηp² = 0.10], and psychological distress [F (2, 124) = 4.11 p = .019, ηp² = 0.06]. Post hoc tests showed that AAS dependents exhibited poorer EFs and reported more psychological distress compared to non-users., Conclusion: AAS dependence is associated with executive dysfunction, which might be related to continued abuse despite adverse side-effects and social consequences. Increased awareness of executive dysfunction could have important implications for treatment and rehabilitation., Competing Interests: Declarations of Competing Interest None., (Copyright © 2020 The Authors. Published by Elsevier B.V. All rights reserved.)

Older people who engage in sports and exercise in a group render greater benefits for socio-psychological aspects compared to exercising alone. The aim of this study was to identify the prevalence of specific types of sports and exercise groups and the association with self-rated health, depressive symptoms, and frequency of laughter among community-dwelling older people. We used cross-sectional data from the 2016 Japan Gerontological Evaluation Study and analysed 63,465 males and 68,497 females aged ≥65 years. The top three most popular types among males were golf (11.3%), walking (8.4%), and ground golf (6.3%). Among females, the top three were fitness exercises (13.8%), walking (8.3%), and weight exercises (6.2%). After adjusting for potential confounders, engaging in golf with a group was significantly related with excellent self-rated health (prevalence ratio, PR, 1.31 in male and 1.78 in female), low depressive symptoms (PR, 0.70 and 0.71), and a high frequency of laughter (PR, 1.12 and 1.13). Among females, walking displayed a significant relationship with all three characteristics (PR, 1.23, 0.79, and 1.06, respectively). Golf in older males and walking in older females might be the first choice for an effective programme to spread sports and exercise groups within the older Japanese community.

The main purpose of the present study was to investigate the acute effects of different training loads on ratings of perceived exertion and discomfort and feelings of pleasure/displeasure in resistance-trained men. Twelve resistance-trained men (26.7±3.5 years, 85.1±17.5 kg, and 174. 9±9.9 cm) performed 3 sets of the bench press, squat on a hack machine, and lat pulldown, until volitional concentric failure in two separate conditions: a moderate load (MOD) consisting of a relative load of 8-12 repetitions maximum (RM), and a light load (LIT) consisting of a relative load of 25-30RM. The session rating of perceived exertion (sRPE), session rating of perceived discomfort (sRPD), and session pleasure/displeasure feelings (sPDF) were assessed after 15 min after the ending of each session. A randomized, counterbalanced, crossover study was performed with 48 h recovery afforded between sessions. Differences between conditions were observed for sRPE and sRPD, in which scores for LIT were greater than MOD (sRPE: MOD=5.5±1.0 vs. LIT=6.4±0.7; sRPD: MOD=6.7±1.7 vs. LIT=8.7±1.0). For sPDF, MOD reported feelings of pleasure (1.2), whereas the LIT presented a feeling of displeasure (-2.3). Results suggest that resistance training performed with a light load until failure induces higher degrees of effort, discomfort and displeasure compared to a moderate load., Competing Interests: The authors declare that they have no conflict of interests regarding the publication of this paper., (© Georg Thieme Verlag KG Stuttgart · New York.)

A common practice among bodybuilders is the use of carbohydrate loading to improve physical appearance during competition, while limited documented data is available about this issue. The aim of the present study was to evaluate muscle thickness, mood states, gastrointestinal symptoms and subjective silhouette assessment following carbohydrate loading in bodybuilders. Twenty-four male bodybuilders were evaluated at the weighing period following three days of carbohydrate depletion (M1), and 24h of carbohydrate loading leading up to the competition (M2), stratified into: no carbohydrate load (NC, n = 9) and carbohydrate loading (CL, n =1 5). The silhouette scale, Brunel mood scale (BRUMS), muscle thickness (ultrasound), circumferences, and gastrointestinal symptoms (GIS) were evaluated at M1 and M2. The NC displayed no differences in muscle thickness and circumferences between M1 and M2. Body mass, muscle thickness (elbow flexors, a combination of biceps brachii/ brachialis muscle, and triceps brachii) and circumferences (chest, hip, thigh, arm, calves, and forearm) increased significantly (p < 0.05) in the CL at M2. There was a significant increase in photo silhouette scores (p < 0.05) in the CL at M2. There was no significant difference in mood states between groups or time. The most reported GIS was constipation: 7/9 (NC) and 9/15 (CL) during M1 and 6/9 (NC), and 5/15 (CL) at M2 with symptoms described as 'moderate' or 'severe'. Diarrhea was reported by 7/15 CL (4/15 as severe). These data suggest that carbohydrate loading may contribute to an acute increase in muscle volume and physical appearance, however, it needs to be better planned to minimize gastrointestinal symptoms in bodybuilders., (© Journal of Sports Science and Medicine.)

Objectives: Excessive bodybuilding as a pathological syndrome has been classified based on two different theories: bodybuilding as dependency or as muscle dysmorphic disorder (MDD). This study is a first attempt to find psychophysiological data supporting one of these classifications. Methods: Twenty-four participants (bodybuilders vs healthy controls) were presented with pictures of bodies, exercise equipment or general reward stimuli in a control or experimental condition, and were measured with functional near-infrared spectroscopy (fNIRS). Higher activation in the dorsolateral prefrontal cortex (DLPFC) and the orbitofrontal cortex (OFC) while watching bodies and training equipment in the experimental condition (muscular bodies and bodybuilding-typical equipment) would be an indicator for the addiction theory. Higher activation in motion-related areas would be an indicator for the MDD theory. Results: We found no task-related differences between the groups in the DLPFC and OFC, but a significantly higher activation in bodybuilders in the primary somatosensory cortex (PSC) and left-hemispheric supplementary motor area (SMA) while watching body pictures (across conditions) as compared to the control group. Conclusions: These neurophysiological results could be interpreted as a first evidence for the MDD theory of excessive bodybuilding.

Objectives : The aim of this research was to establish cognitive changes in relation to blood lactate levels obtained during slow performance of a regimen of exercise sessions. Methods : A total of 15 male professional bodybuilders participated in the study; CrossFit® professionals performed the Workout 15.5, Week 5 Open 2015 consisting of 27-21-15-9 repetitions for time of Row (calories) and Thrusters, with 1-min recovery. Blood lactate, blood glucose, reaction time (RT), execution time of a dual cognitive task, number of errors, and number of omissions were measured at rest, at conclusion of the session, and after recovery for 15 min. Results : The bodybuilders had slightly elevated basal lactate levels than in untrained individuals. The bodybuilders showed significantly increased lactacidemia and decreased RT after completing the training session. Need to define what onset of blood lactate accumulation (OBLA) means. Conclusion : We conclude that bodybuilding fitness regimens lead to an increase in basal lactate levels to 3.16 mmol/L and that acute training sessions can improve attentional performance in relation to lactacidemia, suggesting pro-cognitive effects of a workout.

In this study, we assumed that correct functional movements for weightlifting can be learned with the help of a music-based biofeedback system. We compared musical feedback with verbal feedback from experienced trainers using two independent groups. The focus was on one specific movement called deadlift. Physical parameters under considerations were the spine (i.e. loss of midline stability resulting in flexion) and the forward displacement of the barbell during the repetitions relative to the mid-foot. We recruited 31 recreational weight lifters (21-42 years of age). Results revealed that both feedback types are effective in improving the movements for deadlift. No significant differences were found across the two feedback types, neither in terms of movement, nor in terms of clarity and motivation. The results suggest that the proposed feedback system is a valid tool for technology-aided training and self-training practices., Competing Interests: The authors have declared that no competing interests exist.

Vigotsky, AD, Bryanton, MA, Nuckols, G, Beardsley, C, Contreras, B, Evans, J, and Schoenfeld, BJ. Biomechanical, anthropometric, and psychological determinants of barbell back squat strength. J Strength Cond Res 33(7S): S26-S35, 2019-Previous investigations of strength have only focused on biomechanical or psychological determinants, while ignoring the potential interplay and relative contributions of these variables. The purpose of this study was to investigate the relative contributions of biomechanical, anthropometric, and psychological variables to the prediction of maximum parallel barbell back squat strength. Twenty-one college-aged participants (male = 14; female = 7; age = 23 ± 3 years) reported to the laboratory for 2 visits. The first visit consisted of anthropometric, psychometric, and parallel barbell back squat 1 repetition maximum (1RM) testing. On the second visit, participants performed isometric dynamometry testing for the knee, hip, and spinal extensors in a sticking point position-specific manner. Multiple linear regression and correlations were used to investigate the combined and individual relationships between biomechanical, anthropometric, and psychological variables and squat 1RM. Multiple regression revealed only 1 statistically predictive determinant: fat-free mass normalized to height (standardized estimate ± SE = 0.6 ± 0.3; t(16) = 2.28; p = 0.037). Correlation coefficients for individual variables and squat 1RM ranged from r = -0.79 to 0.83, with biomechanical, anthropometric, experiential, and sex predictors showing the strongest relationships, and psychological variables displaying the weakest relationships. These data suggest that back squat strength in a heterogeneous population is multifactorial and more related to physical rather than psychological variables.

The sport of competitive bodybuilding requires an intense regimen of weightlifting and dieting, often aided with muscle-building or fat-burning drugs, and culminating in an on-stage posing competition. Despite these rigorous demands, competitive bodybuilding is popular, with thousands of competitions performed annually around the world. Although many studies have addressed the psychological features of various sports and the athletes who compete in them, few have examined the psychological aspects of bodybuilding. Even fewer studies have specifically examined competitive bodybuilders, as opposed to the much larger group of "recreational" bodybuilders who do not compete. The limited available literature suggests that competitive bodybuilders may show an increased risk for four categories of psychopathology: muscle dysmorphia, eating disorders, abuse of appearance- and performance-enhancing drugs, and exercise dependence. However, in each of these categories, one must carefully distinguish between the planned and dedicated behaviors required for success in the sport, as opposed to frankly pathological behaviors that impair social or occupational function, cause subjective distress, or lead to adverse health consequences. Future work should attempt to better assess the nature and prevalence of these conditions among competitive bodybuilders, with perhaps greatest attention to the issue of drug use.

When lifting an object, it takes time to decide how heavy it is. How does this weight judgment develop? To answer this question, we examined when visual size information has to be present to induce a size-weight illusion. We found that a short glimpse (200 ms) of size information is sufficient to induce a size-weight illusion. The illusion occurred not only when the glimpse was before the onset of lifting but also when the object's weight could already be felt. Only glimpses more than 300 ms after the onset of lifting did not influence the judged weight. This suggests that it takes about 300 ms to reach a perceptual decision about the weight.

Background: Bodybuilding is a demanding sport, which requires high-volume, high-resistance weight training and augmented nutritional intake, toward an increase of overall body muscle mass accompanied by an overall decrease of body fat percentage and mass. Among bodybuilders, the use of various legal and illegal supplements is common. These supplements may be naturally occurring or man-made., Case Report: We discuss the case of a 30-year-old male bodybuilder presenting with coma due to severe hypoglycemia from unknown cause, necessitating iterative glucose infusions, which was subsequently found to be related to cryptic insulin injections. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: In strength athletes, especially amateurs, the recourse to performance-enhancement drugs (e.g., insulin) is frequent. Beyond the specificity of care required for surreptitious insulin intoxication, emergency physicians should be alert to the possibility that exogenous insulin has been injected for use as an ergogenic aid by bodybuilders and others seeking to increase their body muscle mass when they encounter a patient with a decreased level of consciousness and treatment-refractory hypoglycemia. Moreover, in case of suspicion of such intoxication, the use of other illegal supplements should be screened, due to potentially associated risks of complication., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Background: The aim of the present study was to analyse the effects of placebo on bench throw performance in Paralympic weightlifting athletes., Methods: The study involved four Paralympic weightlifting male athletes (age: 40.25 ± 9.91 years, weight: 60.5 ± 8.29 kg, height: 1.60 ± 0.15 m) that visited the laboratory in three occasions, separated by 72 h. In the first session, the athletes were tested for bench press one repetition maximum (1RM). The other two sessions were performed in a randomized counter-balanced order and involved bench throw tests performed either after taking placebo while being informed that the capsule contained caffeine or without taking any substance (control). The bench throw tests were performed with loads corresponding to 50, 60, 70 and 80% of the bench press 1RM., Results: According to the results, mean velocity (∆: 0.08 m/s, ES 0.36, p < 0.05) and mean propulsive velocity (∆: 0.11 m/s, ES 0.49, p < 0.05) at 50% of 1RM were significantly higher during placebo than control (p < 0.05). However, there were no difference between control and placebo for 60, 70 and 80% of 1RM (p > 0.05)., Conclusion: Our results suggest that placebo intake, when the athletes were informed they were taking caffeine, might be an efficient strategy to improve the performance of explosive movements in Paralympic weightlifting athletes when using low-loads. This brings the possibility of using placebo in order to increase performance, which might reduce the risks associated with ergogenic aids, such as side-effects and positive doping testing.

The use of performance- and image-enhancing drugs in the past seventy years or so has sparked a number of responses, including heated public debates, the creation of dedicated organisations and drug policies, as well as the emergence of communities of practice and belief in support of or in opposition to the phenomenon. Drug-free, known in the field as 'natural', bodybuilding has been developing since the 1970 s as a response to a dominant bodybuilding culture where the use of performance- and image-enhancing drugs has become normalised. Recent years have seen a multiplication of national and international governing bodies, competitions, and participants in drug-free bodybuilding in different parts of the globe. As the field grows, the questions of what constitutes natural bodybuilding and who can authentically represent it become central. Adopting a multi-method, qualitative approach, this article explores the ways organisations and their key figures define and defend their versions of drug-free bodybuilding. The discussion focus is on the policies, meanings and identities embedded in these different versions, and how their production and negotiation makes sense in light of antagonisms between players in the field of natural bodybuilding as well as their relation to drug-enhanced bodybuilding and the wider world of sport. In examining this previously uncharted body culture, the article explores how the use of performance- and image-enhancing drugs provokes responses and processes of contestation and differentiation. In the process, what becomes apparent is the designation and negotiation of drug-free, natural bodies as an ongoing, dynamic, social process., (Copyright © 2018 Elsevier B.V. All rights reserved.)

Bodybuilding has increasingly become popular between males since male body shape has become a subject of interest in the last decades. Bodybuilders have desired to gain more muscle and paid attention to their body shape. Based on this purpose, they have string rules that include restrictive eating and excessive exercise program. Recent research has demonstrated that desiring more muscular body shape exhibits eating behavior problems and body dissatisfaction issues in bodybuilders. Limited research exists on the relationship between body dissatisfaction and eating disorders in male bodybuilders. The aim of this study was to determine the relationship between body image disturbance and eating disorders in 120 male bodybuilders. The Eating Attitude Test (EAT-40) was used to determine eating disorders, the Muscle Dysmorphia Disorder Inventory was used to determine bigorexia symptoms, and Bodybuilder Image Grid-Original (BIG O) and Scaled (BIG S) forms were used to detect the factors associated with body dissatisfaction. There was a positive relationship between Eating Attitude Test and Muscle Dysmorphia Disorder Inventory total scores. Eating Attitude Test was positively correlated with both fat and muscle dissatisfaction. Our results indicated that eating disorder psychopathology is positively related to body dissatisfaction and body dysmorphic disorders in male bodybuilders.

Background: Anabolic-androgenic steroids (AAS) are said to be frequently used by both professional and amateur athletes. In addition to having a negative impact on health, steroids defy the concept of fair play. The aim of the study was to evaluate the scale of the problem related to using anabolic-androgenic steroids (AAS) by gym athletes and to analyze possible causes., Methods: The study involved 435 participants aged between 18-66 (mean age 27.49±7.48). Out of them, 61.4% were male and 38.6% were female. The subjects were divided into two groups: Group A included 154 (35.4%) amateur and recreational athletes and group B included 281 (64.6%) professional athletes concerned with fitness, bodybuilding and powerlifting. A survey prepared by the authors was conducted in the study, and it consisted of 23 closed questions about AAS use, body confidence, and exercise dependence. In addition, a stadiometer and a body composition analyzer were utilized to take necessary measurements., Results: Between 1-23% of group A participants admitted to using AAS. For group B, it was between 7-30%. Males were reported to use AAS more frequently than females in both groups. With regard to group A, differences in body confidence and exercise dependence were found between males using and not using AAS. Exercise dependence was reported to be different between group A and group B participants. This was true for both males and females. Also, it was shown that group A and group B females differed in terms of metabolic age, body mass and body composition (fat mass, fat-free mass, muscle mass, and total body water)., Conclusions: Most gym athletes do not use AAS. Amateur athletes tend to use AAS more frequently than professional athletes. Factors that contribute to AAS use are: male gender, low body confidence, young age, and long training.

Durguerian, A, Filaire, E, Drogou, C, Sauvet, F, Bougard, C, and Chennaoui, M. Hyperactivity of the sympatho-adrenomedullary system without any modification of the hypothalamic-pituitary-adrenal axis after food restriction among high-level weightlifters. J Strength Cond Res 32(6): 1643-1655, 2018-We examined the effects of 6 days of food restriction on salivary α-amylase (sAA), cortisol and dehydroepiandrostenedione (DHEA) awakening responses, psychological parameters and performance among 11 international weightlifters. Assessments were made at baseline (T1) and 6 days after a normal period of training while maintaining body weight (T2). Then, participants were assigned to 2 groups depending on whether they lost (Diet group) or maintained (Control group) their body mass. Anthropometric, psychological, physical, and physiological assessments were also realized 6 days (T3) after the restricted dietary period for the Diet group. Food restriction (T3) induced a significant rise of sAA awakening response (364.6%, p ≤ 0.05), whereas no significant variations were observed among the hypothalamic-pituitary-adrenal axis (cortisol and DHEA). Significant alterations of the general Recovery Score and General stress Score, evaluated through the Recovery-Stress Questionnaire for athletes, were noted after food restriction. Weightlifting performance, evaluated during a simulated weightlifting competition, was maintained after the 6-day food restriction; we even noted an increased weightlifting performance related to body mass (Sinclair coefficient). Our findings support the hypothesis that food restriction induces a challenging situation to the organism, resulting in an asymmetry between the 2 stress systems activation. These results reinforce the necessity to cautiously plan and monitor the weight regulation process before competition to avoid potential negative outcomes on psychophysiological parameters. In this regard, the psychobiological approach, especially the awakening responses, seems a useful tool.

Jagim, AR, Dominy, TA, Camic, CL, Wright, G, Doberstein, S, Jones, MT, and Oliver, JM. Acute effects of the elevation training mask on strength performance in recreational weightlifters. J Strength Cond Res 32(2): 482-489, 2018-The Elevation Training Mask 2.0 (ETM) is a novel device that purportedly simulates altitude training. The purpose of this study was to investigate the acute effects of the ETM on resistance exercise performance, metabolic stress markers, and ratings of mental fatigue. Twenty male recreational weight lifters completed 2 training sessions of back squat and bench press (6 sets of 10 repetitions at 85% of 5-repetition maximum and seventh set to failure) as well as a maximal effort sprint test (18% body mass) with the mask (ETM) and without the mask (NM). Training evaluation included baseline and postexercise blood lactate and oxygen saturation measures. Performance evaluation included peak and average velocity bar velocity, total volume load, total work, total repetitions completed, and sprint performance. Adverse side effects were reported in 12% (n = 3) of participants, which included feelings of light headedness, anxiety, and discomfort. No differences were found in repetitions or total workload in back squat (p = 0.07) or bench press (p = 0.08) between conditions. A lower peak velocity was identified during the back squat, bench press, and sprint test in the ETM condition (p = 0.04). Blood lactate values were lower after bench press and sprint during the ETM condition (p < 0.001). Significantly lower ratings of alertness and focus for task were found after squat, bench press, and sprint test in the ETM condition compared with the NM condition (p < 0.001). Wearing the ETM during bouts of resistance training did not hinder the ability to achieve desired training volumes during the resistance training session. However, wearing the ETM does seem to attenuate the ability to maintain working velocity during training bouts and negatively influence ratings of alertness and focus for task.

Dietary supplement intake and associated factors among gym users in a university community in Sharjah, United Arab Emirates (UAE), were assessed using a structured, self-administered questionnaire in this cross-sectional study. Adults (N = 320) from five gyms in the University City of Sharjah participated in this cross-sectional study. The prevalence of dietary supplement intake was 43.8%. Statistically significant associations were found between the use of dietary supplements and sex (47.7% males, 28.1% females; p = .006), as well as weight lifting (88.6% taking supplements vs. 11.4% not taking supplements; p < .001), favoring male gym users. The reasons attributed to the use of dietary supplements varied between the sexes. Male exercisers used supplements to increase or maintain muscles mass, strength, and power and to boost exercise recovery. Females mainly used dietary supplements to increase energy, maintain their health, and prevent nutrition deficiency. Overall, protein supplements (whey proteins [48.6%] and protein powder [45.7%]) were among the most-consumed dietary supplements, followed by multivitamins (38.6%), branched-chain amino acids (36.4%), caffeine (35.0%), and creatine (29.3%). A widespread use of Internet-driven, self-prescribed dietary supplement intake was reported among gym users (60.7%). Only 12.8% of dietary supplement users sought information from dietitians. Practical implications suggest that gym instructors and coaches should be sufficiently trained to be able to provide accurate and scientifically sound information on dietary supplements to the exercisers in gyms in the university environment.

The aim of this study is to investigate the relationship between the risk of muscle dysmorphia and psychopathological symptoms in an Italian sample of male bodybuilders., Method: The sample was recruited online (145 men with a mean age of 30.0 years) and participants were asked to fill out the Muscle Dysmorphic Disorder Inventory (MDDI), Symptom Cheklist-90-R (SCL-90-R), Dissociative Experiences Scale (DES-II), and to provide other socio-demographic data. Bodybuilders at risk of muscle dysmorphia display greater global psychopathology and present higher scores on all SCL-90-R dimensions when compared to bodybuilders not at risk of muscle dysmorphia. Furthermore, risk of muscle dysmorphia is positively associated to dissociative symptoms. The Competitiveness dimension and anabolic steroid intake were not related to muscle dysmorphia, while age appeared to be more significant. Findings are discussed based upon previous studies and directions for future research are suggested., (Copyright © 2017 Elsevier B.V. All rights reserved.)

The purpose of this study was to test reports that size and arrangement manipulations of weight plates (i.e., inducing a size-weight illusion [SWI]) effect athletic weightlifting performance. The participants were 72 experienced, weight-trained collegiate American football players. Across three weeks, each athlete performed three different repetitions-to-fatigue bench press tests (NFL-225, SWI-225, and SWI-215). A multiple regression revealed a positive association between participants' strength relative to the test load and repetitions for NFL-225 and SWI-215, but no association with SWI-225. To explore these results, players were ranked into quartiles based on their one-repetition maximum relative to 102.27 kg (225 lb), and a 3 × 4 repeated measures analysis of variance was conducted. The primary finding was a significant Test Condition × Quartile interaction ( p = .004). Bonferroni-corrected pairwise comparisons revealed that Quartile 4 (those with lowest strength relative to test load) completed more repetitions for SWI-225 compared with NFL-225 ( p = .049). These results suggest that alternate weight plate arrangements may be beneficial for those whose bench press load is near the lifter's one-repetition maximum. However, variations of the SWI do not appear to affect the performance of repetitions-to-fatigue bench press tests for the majority of collegiate American football players.

Background: Muscle dysmorphia (MD) is associated with a self-perceived lack of size and muscularity, and is characterized by a preoccupation with and pursuit of a hyper-mesomorphic body. MD symptoms may hypothetically be more prevalent in bodybuilders (BBs) than in non-bodybuilder resistance trainers (NBBRTs)., Objective: Our objective was to compare MD symptomatology in BBs versus NBBRTs and identify psychological and other characteristics associated with MD in these groups., Methods: We searched relevant databases from earliest record to February 2015 for studies examining MD symptoms in BBs and/or NBBRTs. Included studies needed to assess MD using a psychometrically validated assessment tool. Study quality was evaluated using an adapted version of the validated Downs and Black tool. We calculated between-group standardized mean difference (effect sizes [ESs]) and 95 % confidence intervals (CIs) for each MD subscale, and performed meta-analysis when five or more studies used the same MD tool. We also extracted data describing psychological or other characteristics associated with MD., Results: Of the 2135 studies initially identified, 31 analyzing data on 5880 participants (BBs: n = 1895, NBBRTs: n = 3523, controls: n = 462) were eligible for inclusion, though study quality was generally poor-moderate (range 7-19/22). Most participants were male (90 %). Eight different MD assessment tools were used. Meta-analysis for five studies all using the Muscle Dysmorphia Inventory (MDI) revealed there was a medium to large pooled ES for greater MD symptomatology in BBs than in NBBRTs on all MDI subscales (ES 0.53-1.12; p ≤ 0.01). Competitive BBs scored higher than non-competitive BBs (ES 1.21, 95 % CI 0.82-1.60; p < 0.001). MD symptoms were associated with anxiety (r 0.32-0.42; p ≤ 0.01), social physique anxiety (r 0.26-0.75; p < 0.01), depression (r 0.23-0.53; p ≤ 0.01), neuroticism (r 0.38; p < 0.001), and perfectionism (r 0.35; p < 0.05) and were inversely associated with self-concept (r -0.32 to -0.36; p < 0.01) and self-esteem (r -0.42 to -0.47; p < 0.01)., Conclusions: MD symptomatology was greater in BBs than in NBBRTs. Anxiety and social physique anxiety, depression, neuroticism, and perfectionism were positively associated with MD, while self-concept and self-esteem were negatively associated. It remains unclear whether these characteristics are exacerbated by bodybuilding, or whether individuals with these characteristics are attracted to the bodybuilding context.

Helms, ER, Storey, A, Cross, MR, Browm, SR, Lenetsky, S, Ramsay, H, Dillen, C, and Zourdos, MC. RPE and velocity relationships for the back squat, bench press, and deadlift in powerlifters. J Strength Cond Res 31(2): 292-297, 2017-The purpose of this study was to compare average concentric velocity (ACV) and rating of perceived exertion (RPE) based on repetitions in reserve on the squat, bench press, and deadlift. Fifteen powerlifters (3 women and 12 men, mean age 28.4 ± 8.5 years) worked up to a one repetition maximum (1RM) on each lift. Rating of perceived exertion was recorded on all sets, and the ACV was recorded for all sets performed at 80% of estimated 1RM and higher, up to 1RM. Rating of perceived exertion at 1RM on squat, bench press, and deadlift was 9.6 ± 0.5, 9.7 ± 0.4, and 9.6 ± 0.5, respectively and was not significantly different (p > 0.05). The ACV at 1RM on squat, bench press and deadlift was 0.23 ± 0.05, 0.10 ± 0.04, and 0.14 ± 0.05 m·second, respectively. Squat was faster than both bench press and deadlift (p > 0.001), and deadlift was faster than bench press (p = 0.05). Very strong relationships (r = 0.88-0.91) between percentage 1RM and RPE were observed on each lift. The ACV showed strong (r = -0.79 to -0.87) and very strong (r = -0.90 to 92) inverse relationships with RPE and percentage 1RM on each lift, respectively. We conclude that RPE may be a useful tool for prescribing intensity for squat, bench press, and deadlift in powerlifters, in addition to traditional methods such as percentage of 1RM. Despite high correlations between percentage 1RM and ACV, a "velocity load profile" should be developed to prescribe intensity on an individual basis with appropriate accuracy.

We describe the case of a young man with repeated hospital presentations for a variety of symptoms related to excessive bodybuilding and associated behaviours. He presented to our department (radiology) with right arm pain and loss of function. Ultrasound showed complete triceps rupture, rare in young patients and multiple cystic areas within the muscles of the arm. MRI revealed these to be multiple proteinaceous lesions within the muscle bellies and the possibility of self-innoculation was raised by the reporting radiologist. The patient subsequently admitted to injecting coconut oil to improve muscle contour lost secondary to injury. A review of his hospital presentations was then made and revealed further concerning practices performed by the patient to enhance his muscular appearance., Competing Interests: Conflicts of Interest: None declared., (2016 BMJ Publishing Group Ltd.)

Judge, LW, Urbina, LJ, Hoover, DL, Craig, BW, Judge, LM, Leitzelar, BM, Pearson, DR, Holtzclaw, KA, and Bellar, DM. The impact of competitive trait anxiety on collegiate powerlifting performance. J Strength Cond Res 30(9): 2399-2405, 2016-The purpose of this study was to determine the relationship between competitive trait anxiety measures and powerlifting (PL) performance. Thirty-six collegiate powerlifters on club teams from 3 universities were recruited during a competition (men = 26, women = 10; age = 19.9 ± 1.5 years; height = 172.5 ± 8.6 cm; weight = 81.4 ± 21.0 kg). The athletes were distributed across weight classes for collegiate PL (47.6 kg: 1; 51.7 kg: 1; 54.9 kg: 1; 59.8 kg: 3; 67.1 kg: 2; 74.8 kg: 7; 82.1 kg: 4; 89.8 kg: 9; 99.8 kg: 5; super heavyweight: 3). A survey containing questions about PL performance history and the 15-item Sport Competition Anxiety Test (SCAT) were administered to the participants before competing. The SCAT total was negatively correlated (r = -0.397; p = 0.02) to the athletes' percentage of best total achieved in the competition (actual performance total/best comp total × 100). Of the individual lifts, the SCAT score was negatively correlated to the personal best for bench press (r = -0.368; p = 0.03) and deadlift (r = -0.317, p = 0.05), but did not significantly correlate for squat (r = -0.182, p = 0.27). These results indicate a negative correlation between the SCAT score and athletes' personal best totals in PL. Increased SCAT scores were associated with decreased personal best PL totals. The results suggest that competitive trait anxiety may have negatively impacted performance and that some PL athletes may benefit from interventions aimed at decreasing anxiety before and during performance.

We examine the relationships that internalization, need thwarting (NT), and drive for muscularity (DFM), along with their interactions, had with weightlifting, muscle dissatisfaction (MD), and muscle-related-worry (MRW). A sample of 552 men (MAge=20.5 years, SD=3.1) completed the Psychological Need Thwarting Scale, the Internalization subscale of the male version of the Sociocultural Attitudes Towards Appearance Questionnaire, the Drive for Muscularity Scale-Attitudes subscale, the Male Body Attitudes Scale-Muscularity subscale, the Body Change Inventory-Worry subscale, and an inventory assessing weightlifting behavior. DFM significantly predicted weightlifting, MRW, and MD. Internalization significantly predicted weightlifting and MRW. NT significantly predicted weightlifting and MD, and its relationship with MRW approached significance. The interaction terms did not predict weightlifting or MRW. The NT/DFM and NT/Internalization interaction terms predicted MD. These results highlight the role of NT in predicting appearance variables in men., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

Purpose: This systematic review was conducted to evaluate the effect of Olympic weightlifting (OW) on vertical jump (VJ) height compared to a control condition, traditional resistance training and plyometric training., Methods: Five electronic databases were searched using terms related to OW and VJ. Studies needed to include at least one OW exercise, an intervention lasting ≥6 weeks; a comparison group of control, traditional resistance training or plyometric training; and to have measured VJ height. The methodological quality of studies was assessed using the Downs and Black Checklist. Random and fixed effects meta-analyses were performed to pool the results of the included studies and generate a weighted mean effect size (ES)., Results: Six studies (seven articles) were included in the meta-analyses and described a total of 232 participants (175 athletes and 57 physical education students) with resistance training experience, aged 19.5±2.2 years. Three studies compared OW versus control; four studies compared OW versus traditional resistance training; and three studies compared OW versus plyometric training. Meta-analyses indicated OW improved VJ height by 7.7% (95% CI 3.4 to 5.4 cm) compared to control (ES=0.62, p=0.03) and by 5.1% (95% CI 2.2 to 3.0 cm) compared to traditional resistance training (ES=0.64 p=0.00004). Change in VJ height was not different for OW versus plyometric training., Conclusions: OW is an effective training method to improve VJ height. The similar effects observed for OW and plyometric training on VJ height suggests that either of these methods would be beneficial when devising training programmes to improve VJ height., (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/)

Drive for Muscularity (DM) has been shown to be a relevant construct for measuring and understanding male body image. For this reason, it is important to have reliable and valid instruments with which to measure DM, and to date no such instruments exist in Spain. This study analyzes the psychometric and structural properties of the Drive for Muscularity Scale (DMS) in a sample of Spanish adolescent males (N=212), with the aim of studying the structural validity of the scale by using a confirmatory factor analysis (CFA), as well as analyzing the internal consistency and construct (convergent and discriminant) and concurrent validity of the instrument. After testing three models, results indicated that the best structure was a two-dimensional model, with the factors of muscularity-oriented body image (MBI) and muscularity behavior (MB). The scale showed good internal consistency (α=.90) and adequate construct validity. Furthermore, significant associations were found between DM and increased difficulties in emotional regulation (rho=.37) and low self-esteem (rho=-.19). Findings suggest that the two-factor structure may be used when assessing drive for muscularity among adolescent males in Spain., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

We examined the effects of a rapid weight loss on dietary intakes, psychological parameters and physical performance of 11 international weightlifters. During the first period (T1), all subjects maintained their body weight and participated in a simulated weightlifting competition. Then, they were assigned into 2 groups depending on whether they lost (Group 2) or maintained (Group 1) their body weight over 6 days. A battery of tests was performed at T1 and after a 6-day food restriction (T2), including assessment for body composition, performance, evaluation of mood states and fatigue. Dietary data were collected using a 6-day diet record. A 4.34% reduction of body weight was achieved by a significant reduction of total energy intakes (- 40%), inducing a significant alteration of the general recovery score (p<0.05) and evaluated through the Recovery-Stress Questionnaire for Athletes. Increase in conflicts/pressure, emotional stress and physical complaints were observed. Intakes of vitamins B1, B3, B6, B9 and magnesium were significantly lower than the recommendations during the weight loss period. However, the food restriction did not impair weightlifting performance. Reduced energy and micronutrient intakes, inducing a rapid weight loss, could be a limiting factor to training adaptations and a threat towards athlete's health if frequently used., (© Georg Thieme Verlag KG Stuttgart · New York.)

We sought to identify and evaluate the tolerance to, and consequences of, short-term variations in training load in competitive weightlifters. Seven international-level lifters performed 1 week of initial training followed by 2 weeks of intensified (INT: +100%, 36.5 ± 11.3 × 10(3)  kg/week) and 1 week of subsequently reduced (RED: -25%) training within their annual program. After INT, but not RED, 90 min of weightlifting increased mRNA levels of chemokine (C-C motif) ligand 4 (CCL4), chemokine (C-X-C motif) receptor 4 (CXCR4) and cellular stress-associated DNA-damage-inducible transcript 4 (DDIT4) in peripheral blood mononuclear cells by 40-240%. Resting- and weightlifting-induced changes in plasma protein carbonyls, indicative of oxidative stress, but not pro-inflammatory CCL4 concentrations differed between INT and RED. Symptoms of stress (Daily Analysis of Life Demands of Athletes questionnaire) were reported as worse than normal more frequently during INT and RED than initial training. Global (negative) mood state increased during INT and declined during RED. Maximal snatch (-4.3 ± 3.7%) and vertical jump (-7.2 ± 6.5%), but not clean and jerk, were reduced after INT and restored after RED. Chemokine signaling may thus be part of the stress response to intense weightlifting and short-term reductions in training load support recovery from periodic INT training in weightlifters., (© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)

Purpose: Rapid force development is a key factor influencing performance and injury risk in movements where little time is available for force production; thus there is a need to develop interventions that enhance this ability. In the present study, the influence of load knowledge on mechanical output [rate of force development; (RFD) and power] and muscle activation [electromyographic (EMG) responses] in the concentric-only bench press throw exercise was studied., Methods: Fifteen strength-trained individuals performed 6 sets of 6 maximal explosive repetitions in a single test session after extensive familiarization. In three of these sets the subjects were given knowledge about the load before each repetition (known condition; KC), whereas in the other three sets they were given no information (unknown condition; UC). In both conditions the loads were 30, 50 and 70 % of maximum, but condition and load orders were randomized., Results: RFD (24-50 %) and power output (20-39 %) were significantly higher in UC in the early time intervals from movement onset (<150 ms). In addition, UC elicited greater EMG amplitudes in anterior deltoid both prior to movement onset (pre50-0 ms) and in the early time intervals (<100 ms) after movement onset, and in pectoralis major after movement onset (<100 ms)., Conclusions: UC resulted in a greater initial activation of the muscles and both a higher RFD and mechanical power output in the early phase of the movement under all loading conditions (30-70 % of maximum). UC appears to offer a novel neuromuscular stimulus, and further research on the effects of continued exposure is warranted.

Although perceived exertion scales were initially applied to endurance and cyclic exercises, they have been also used to monitor resistance training. The current article analyzes different criteria for the application of perception scales to resistance exercises. In addition, the proper use of perceived exertion to reflect the effect of different resistance training configurations including the fluctuation of velocity is also discussed. Furthermore, this paper also speaks to the issues of correct instructions and anchored scaling procedures, as well as how to use the perception scales to accurately select the loads, determine the number of repetitions per set, or to assess the effects of the training volume associated with different strength manifestations.

Identifying the factors that influence the body image of body builders is important for understanding this construct. The aim of this study was to analyze the association between body image and age, socioeconomic status, and place of residence of body builders from two cities in Brazil. A cross-sectional study of 301 body builders with an average age of 25.2 yr. (SD = 3.5) was carried out. The Muscle Silhouette Measure scale was used, in which the discrepancy between current and desired silhouette was examined. Older body builders showed greater discrepancy between current and desired silhouette, reflecting their desire for a more muscular body.

Objectives: The purpose of this study was to examine relationships among bodybuilding dependence, muscle satisfaction, body image-related quality of life and body image-related coping strategies, and test the hypothesis that muscle dysmorphia characteristics may predict quality of life via coping strategies., Design: Participants (294 males, Mage=20.5 years, SD=3.1) participated in a cross-sectional survey., Methods: Participants completed questionnaires assessing muscle satisfaction, bodybuilding dependence, body image-related quality of life and body image-related coping., Results: Quality of life was correlated positively with muscle satisfaction and bodybuilding dependence but negatively with body image coping (P<0.05). Body image coping was correlated positively with bodybuilding dependence and negatively with muscle satisfaction (P<0.05). Mediation analysis found that bodybuilding dependence and muscle satisfaction predicted quality of life both directly and indirectly via body image coping strategies (as evidenced by the bias corrected and accelerated bootstrapped confidence intervals)., Conclusions: These results provide preliminary evidence regarding the ways that muscularity concerns might influence body image-related quality of life., (Copyright © 2014 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

Listening to music during strength workouts has become a very common practice. The goal of this study was to assess the effect of listening to self-selected music on strength performances. Thirty-one resistance-trained men (M age = 24.7 yr., SD = 5.9; M height = 178.7 cm, SD = 4.7; M body mass = 83.54 kg, SD = 12.0) were randomly assigned to either a Music group (n = 19) or to a Control group (n = 12). Both groups took part in two separate sessions; each session consisted in a maximal strength test (1-RM) and a strength-endurance test (repetitions to failure at 60% 1-RM) using the bench press exercise. The music group listened to music in the second assessment session, while the control group performed both tests without music. Listening to music induced a significant increase of strength endurance performance and no effects on maximal strength. These findings have implications for the use of music during strength workouts.