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1.
Physical exercise, nutrition and hormones: three pillars to fight sarcopenia.
Sgrò, P, Sansone, M, Sansone, A, Sabatini, S, Borrione, P, Romanelli, F, Di Luigi, L
The aging male : the official journal of the International Society for the Study of the Aging Male. 2019;(2):75-88
Abstract
BACKGROUND Sarcopenia is a pathophysiological condition diffused in elderly people; it represents a social issue due to the longer life expectancy and the growing aging population. It affects negatively quality of life and it represents a risk factor for other pathologies, such as diabetes, cardiovascular disease, and obesity. No silver bullet exists to hinder sarcopenia, but it may be counteracted by physical exercise, nutrition, and a proper endocrine milieu. Indeed, we aim to analyze the scientific literature to give to clinician effective advices to counteract sarcopenia. Main text: Physical exercise, proper nutrition, optimized hormonal homeostasis represent the three pillars to fight sarcopenia. Physical exercise represents the most effective remedy to face sarcopenia, in particular if it is combined with a proper diet and with an adequate endocrine milieu. Consistency in training, adequate daily protein intake and eugonadism seems to be the keys to fight sarcopenia. The combination of these three pillars might act synergistically. CONCLUSIONS Optimization of these factors may increase their efficiency; however, scientific data may be sometimes confusing so far. Therefore, we aim to give practical advices to clinician to identify and to highlight the most important aspects in each of these three factors that should be addressed.
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2.
Carbohydrate restriction: Friend or foe of resistance-based exercise performance?
Cholewa, JM, Newmire, DE, Zanchi, NE
Nutrition (Burbank, Los Angeles County, Calif.). 2019;:136-146
Abstract
It is commonly accepted that adequate carbohydrate availability is necessary for optimal endurance performance. However, for strength- and physique-based athletes, sports nutrition research and recommendations have focused on protein ingestion, with far less attention given to carbohydrates. Varying resistance exercise protocols, such as differences in intensity, volume, and intraset rest prescriptions between strength-training and physique-training goals elicit different metabolic responses, which may necessitate different carbohydrate needs. The results of several acute and chronic training studies suggest that although severe carbohydrate restriction may not impair strength adaptations during a resistance training program, consuming an adequate amount of carbohydrate in the days leading up to testing may enhance maximal strength and strength-endurance performance. Although several molecular studies demonstrate no additive increases in postexercise mammalian target of rapamycin 1 phosphorylation with carbohydrate and protein compared with protein ingestion alone, the effects of chronic resistance training with carbohydrate restriction on muscle hypertrophy are conflicting and require further research to determine a minimal carbohydrate threshold necessary to optimize muscle hypertrophy. This review summarizes the current knowledge regarding carbohydrate availability and resistance training outcomes and poses new research questions that will better help guide carbohydrate recommendations for strength and physique athletes. In addition, given that success in physique sports is based on subjective appearance, and not objective physical performance, we also review the effects of subchronic carbohydrate ingestion during contest preparation on aesthetic appearance.
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3.
Resistance Priming to Enhance Neuromuscular Performance in Sport: Evidence, Potential Mechanisms and Directions for Future Research.
Harrison, PW, James, LP, McGuigan, MR, Jenkins, DG, Kelly, VG
Sports medicine (Auckland, N.Z.). 2019;(10):1499-1514
Abstract
Recent scientific evidence supports the use of a low-volume strength-power 'resistance priming' session prior to sporting competition in an effort to enhance neuromuscular performance. Though research evidence relating to this strategy is presently limited, it has been shown to be effective in improving various measures of neuromuscular performance within 48 h. Post-activation potentiation strategies have previously been shown to enhance strength-power performance within 20 min of completing maximal or near-maximal resistance exercise. Comparably, a delayed potentiation effect has been demonstrated following 'resistance priming' at various times between 1 and 48 h in upper- and lower-body performance measures. This may have significant implications for a range of athletes when preparing for competition. Various exercise protocols have been shown to improve upper- and lower-body neuromuscular performance measures in this period. In particular, high-intensity resistance exercise through high loading (≥ 85% 1 repetition maximum) or ballistic exercise at lower loads appears to be an effective stimulus for this strategy. Although current research has identified the benefits of resistance priming to some physical qualities, many questions remain over the application of this type of session, as well as the effects that it may have on a range of specific sporting activities. The aims of this brief review are to assess the current literature examining the acute effects (1-48 h) of resistance exercise on neuromuscular performance and discuss potential mechanisms of action as well as provide directions for future research.
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4.
The importance of protein intake and strength exercises for older adults.
Paproski, JJ, Finello, GC, Murillo, A, Mandel, E
JAAPA : official journal of the American Academy of Physician Assistants. 2019;(11):32-36
Abstract
Sarcopenia, the progressive deterioration of muscle mass, quality, and strength, is prevalent among older adults. Since the first Baby Boomers reached age 65 years in 2010, primary care providers have faced a challenge to address sarcopenia in this growing older population. Preventing sarcopenia is essential for reducing falls, preventing chronic disease, and improving longevity. This article reviews new dietary and exercise guidelines for sarcopenia prevention in older adults.
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5.
Mechanisms Behind Blood Flow-Restricted Training and its Effect Toward Muscle Growth.
Hwang, PS, Willoughby, DS
Journal of strength and conditioning research. 2019;:S167-S179
Abstract
Hwang, P and Willoughby, DS. Mechanisms behind blood flow-restricted training and its effect toward muscle growth. J Strength Cond Res 33(7S): S167-S179, 2019-It is widely established throughout the literature that skeletal muscle can induce hypertrophic adaptations after progressive overload of moderate-to-high-intensity resistance training. However, there has recently been a growing body of research that shows that the combination of blood flow-restricted (BFR) training with low-intensity resistance exercise can induce similar gains in muscular strength and hypertrophic adaptations. The implementation of external pressure cuffs over the most proximal position of the limb extremities with the occlusion of venous outflow of blood distal to the occlusion site defines the BFR training protocol. There are various mechanisms through which BFR training may cause the stimulations for skeletal muscle hypertrophy and increases in strength. These may include increases in hormonal concentrations, increases within the components of the intracellular signaling pathways for muscle protein synthesis such as the mTOR pathway, increases within biomarkers denoting satellite cell activity and apparent patterns in fiber type recruitment. There have also been scientific findings demonstrating hypertrophic effects within both BFR limbs and non-BFR muscles during BFR training programs. The purpose behind this critical review will be to provide a comprehensive discussion on relevant literature that can help elucidate the potential underlying mechanisms leading to hypertrophic adaptations after BFR training programs. This review will also explicate the various findings within the literature that focalizes on both BFR limb and non-BFR muscle hypertrophy after bouts of BFR training. Furthermore, this critical review will also address the various needs for future research in the many components underlying the novel modality of BFR training.
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6.
Partial Compared with Full Range of Motion Resistance Training for Muscle Hypertrophy: A Brief Review and an Identification of Potential Mechanisms.
Newmire, DE, Willoughby, DS
Journal of strength and conditioning research. 2018;(9):2652-2664
Abstract
Newmire, DE and Willoughby, DS. Partial compared to full range of motion resistance training for muscle hypertrophy: A brief review and an identification of potential mechanisms. J Strength Cond Res 32(9): 2661-2673, 2018-Resistance training promotes skeletal muscle hypertrophy; there are specific recommendations of intensity, volume, and duration that appear to facilitate hypertrophy the greatest. However, currently, there is not a definitive consensus on optimal range of motion. It appears that the partial range of motion (pROM) mode of exercise may have some similar benefit on muscle hypertrophy as the conventional full range of motion (fROM). Because of the dynamic and multiplanar movement pattern of a multijoint resistance exercise, there may be variation in human force-length and strength-curve theories, which may influence optimal muscle force production at differing portions of a fROM. This suggests specific muscle groups may potentially be optimally recruited during a specific portion of the exercise. The majority of previous research has primarily focused on strength outcomes opposed to muscle hypertrophy. The purpose of this brief review is to highlight the limited and relative pROM literature on muscle hypertrophy and some potential pROM mechanisms that require investigation to assess any plausible relationships. Some potential mechanisms and outcomes of interest are muscle time under tension, muscle activation, and nonuniform hypertrophy. This mode of resistance exercise requires further evaluation on hypertrophic responses; if proven efficacious, it may be employed to those in rehabilitative environments and those that seek more specific regional, local hypertrophic responses such as physique competitors.
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7.
The effect of progressive resistance training on aerobic fitness and strength in adults with coronary heart disease: A systematic review and meta-analysis of randomised controlled trials.
Hollings, M, Mavros, Y, Freeston, J, Fiatarone Singh, M
European journal of preventive cardiology. 2017;(12):1242-1259
Abstract
Design We aimed to evaluate the effect of progressive resistance training on cardiorespiratory fitness and muscular strength in coronary heart disease, when compared to control or aerobic training, and when combined with aerobic training. Secondary aims were to evaluate the safety and efficacy of progressive resistance training on other physiological and clinical outcomes. Methods and results Electronic databases were searched from inception until July 2016. Designs included progressive resistance training vs control, progressive resistance training vs aerobic training, and combined training vs aerobic training. From 268,778 titles, 34 studies were included (1940 participants; 71.9% male; age 60 ± 7 years). Progressive resistance training was more effective than control for lower (standardized mean difference 0.57, 95% confidence interval (0.17-0.96)) and upper (1.43 (0.73-2.13)) body strength. Aerobic fitness improved similarly after progressive resistance training (16.9%) or aerobic training (21.0%); (standardized mean difference -0.13, 95% confidence interval (-0.35-0.08)). Combined training was more effective than aerobic training for aerobic fitness (0.21 (0.09-0.34), lower (0.62 (0.32-0.92)) and upper (0.51 (0.27-0.74)) body strength. Twenty studies reported adverse event information, with five reporting 64 cardiovascular complications, 63 during aerobic training. Conclusion Isolated progressive resistance training resulted in an increase in lower and upper body strength, and improved aerobic fitness to a similar degree as aerobic training in coronary heart disease cohorts. Importantly, when progressive resistance training was added to aerobic training, effects on both fitness and strength were enhanced compared to aerobic training alone. Reporting of adverse events was poor, and clinical gaps were identified for women, older adults, high intensity progressive resistance training and long-term outcomes, warranting future trials to confirm safety and effectiveness.
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8.
Can Resistance Training Enhance the Rapid Force Development in Unloaded Dynamic Isoinertial Multi-Joint Movements? A Systematic Review.
Van Hooren, B, Bosch, F, Meijer, K
Journal of strength and conditioning research. 2017;(8):2324-2337
Abstract
Van Hooren, B, Bosch, F, and Meijer, K. Can resistance training enhance the rapid force development in unloaded dynamic isoinertial multi-joint movements? A systematic review. J Strength Cond Res 31(8): 2324-2337, 2017-The objectives of this systematic review were to (a) evaluate whether resistance training can improve the rapid force development in unloaded dynamic isoinertial multi-joint movements and (b) investigate whether these effects differ between untrained/recreationally trained and well-trained individuals. Four electronic databases were screened for studies that measured the effects of resistance training on rapid force development in unloaded dynamic isoinertial multi-joint movements. Twelve studies with a total of 271 participants were included. 10/26 (38%) and 6/14 (43%) of the measures of rapid force development in unloaded dynamic isoinertial multi-joint movements significantly improved following training in the untrained/recreationally trained and well-trained individuals, respectively. Additionally, 7/14 (50%) and 3/12 (25%) of the measures significantly improved during a countermovement and squat jump in the untrained/recreationally trained individuals and 4/6 (67%) and 2/8 (25%) significantly improved during a countermovement and squat jump in the well-trained individuals, respectively. These findings indicate that resistance training has a limited transfer to rapid force development in unloaded dynamic isoinertial multi-joint movements, especially for well-trained individuals and in movements without a countermovement. Furthermore, rapid force development has likely a limited transfer from movements with countermovement to movements without a countermovement and from bilateral movements to unilateral movements. Therefore, it is important to specifically mimic the actual sport movement in order to maximize the transfer of training and testing.
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9.
Can the Critical Power Model Explain the Increased Peak Velocity/Power During Incremental Test After Concurrent Strength and Endurance Training?
Denadai, BS, Greco, CC
Journal of strength and conditioning research. 2017;(8):2319-2323
Abstract
Denadai, BS and Greco, CC. Can the critical power model explain the increased peak velocity/power during incremental test after concurrent strength and endurance training? J Strength Cond Res 31(8): 2319-2323, 2017-The highest exercise intensity that can be maintained at the end of a ramp or step incremental test (i.e., velocity or work rate at V[Combining Dot Above]O2max - Vpeak/Wpeak) can be used for endurance performance prediction and individualization of aerobic training. The interindividual variability in Vpeak/Wpeak has been attributed to exercise economy, anaerobic capacity, and neuromuscular capability, alongside the major determinant of aerobic capacity. Interestingly, findings after concurrent strength and endurance training performed by endurance athletes have challenged the actual contribution of these variables. The critical power model usually derived from the performance of constant-work rate exercise can also explain tolerance to a ramp incremental exercise so that, Vpeak/Wpeak can be predicted accurately. However, there is not yet discussion of possible concomitant improvements in the parameters of the critical power model and Vpeak/Wpeak after concurrent training and whether they can be associated with and therefore depend on different neuromuscular adaptations. Therefore, this brief review presents some evidence that the critical power model could explain the improvement of Vpeak/Wpeak and should be used to monitor aerobic performance enhancement after different concurrent strength- and endurance-training designs.
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10.
Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review.
Rio, E, Kidgell, D, Moseley, GL, Gaida, J, Docking, S, Purdam, C, Cook, J
British journal of sports medicine. 2016;(4):209-15
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Abstract
Tendinopathy can be resistant to treatment and often recurs, implying that current treatment approaches are suboptimal. Rehabilitation programmes that have been successful in terms of pain reduction and return to sport outcomes usually include strength training. Muscle activation can induce analgesia, improving self-efficacy associated with reducing one's own pain. Furthermore, strength training is beneficial for tendon matrix structure, muscle properties and limb biomechanics. However, current tendon rehabilitation may not adequately address the corticospinal control of the muscle, which may result in altered control of muscle recruitment and the consequent tendon load, and this may contribute to recalcitrance or symptom recurrence. Outcomes of interest include the effect of strength training on tendon pain, corticospinal excitability and short interval cortical inhibition. The aims of this concept paper are to: (1) review what is known about changes to the primary motor cortex and motor control in tendinopathy, (2) identify the parameters shown to induce neuroplasticity in strength training and (3) align these principles with tendon rehabilitation loading protocols to introduce a combination approach termed as tendon neuroplastic training. Strength training is a powerful modulator of the central nervous system. In particular, corticospinal inputs are essential for motor unit recruitment and activation; however, specific strength training parameters are important for neuroplasticity. Strength training that is externally paced and akin to a skilled movement task has been shown to not only reduce tendon pain, but modulate excitatory and inhibitory control of the muscle and therefore, potentially tendon load. An improved understanding of the methods that maximise the opportunity for neuroplasticity may be an important progression in how we prescribe exercise-based rehabilitation in tendinopathy for pain modulation and potentially restoration of the corticospinal control of the muscle-tendon complex.