Concurrent Training Group Research Articles

Effects of Different Physical Training Protocols on Metabolic Syndrome Indicators and the Activity of Butyrylcholinesterase in Adolescents: A Randomized Clinical Trial.

Metabolic syndrome (MS) increases the risk of cardiovascular disease and affects children and adolescents. Butyrylcholinesterase (BChE) is an enzyme associated with obesity. The aim of this study was to investigate the effects of different physical training protocols on MS indicators and their relationship with BChE activity. This randomized clinical trial included 80 adolescents randomly assigned to 4 groups (CG: Control Group; ATG: Aerobic Training Group; STG: Strength Training Group; and CTG: Concurrent Training Group). The EFC, lipid profile, glycemia, waist circumference, and blood pressure were analyzed. With the exception of the CG, all the groups underwent training protocols for 12 consecutive weeks, 4 times a week, as follows: (ATG: 75% of heart rate on an electric treadmill; STG: 85% of 1 maximum repetition; CTG: 20 min of aerobic training at the same intensity as the ATG, and 20 min of resistance training in the same way as the STG). The training reduced MS-related biomarkers, such as the lipid profile, glycemia, waist circumference, and blood pressure. STG reduced BChE activity. The training methods led to improvements in the majority of the MS indicators. In addition, aerobic training significantly reduced BChE activity after a 12-week training protocol. The results suggest that different types of exercise can benefit MS.

Effects of concurrent training on glycemic and vascular parameters among patients with T2DM-associated Peripheral Artery Disease.

To evaluate the effects of CT to improve HbA1C and ABI among the T2DM-associated PAD population. A randomized, single-blinded, two-arm trial was conducted at the Department of Rehabilitation Sciences of Dr. Ziauddin Hospital in Karachi between July to September 2023. A total of 80 T2DM-associated PAD patients were included and randomly divided into Experimental Group (n=40) and Control Group (n=40), using the sealed envelope method. Experimental group patients received Concurrent Training (CT), whereas Control Group patients underwent Aerobic Training (AT) for 12 weeks. Both groups received thirty-minute sessions three times a week that was progressed to 60 minutes over 12 weeks. HbA1C and ABI were measured at baseline and after 12 weeks. Analysis revealed an average age of 46.75±3.59 and the duration of T2DM for developing PAD is 14.82±2.23 on average. Findings revealed that both training groups were significantly effective (p<0.000) at 95% CI in improving glycemic and vascular parameters after 12 weeks. Subsequently, findings showed that the CT group showed more significant improvement than AT group in improving HbA1C for glycemic control (p=0.002, CT: pre: 9.53±1.406, post: 7.81±0.81, AT: pre: 8.74±0.908, post: 8.15±0.83) and ABI for systemic blood flow (p=0.0001, CT: pre: 0.84±0.03, post: 0.94±0.03, AT: pre: 0.82±0.02, post: 0.86±0.02). CT showed a two-fold improvement in glycemic control and arterial blood flow than AT group, which represents that CT is an effective therapeutic approach for T2DM-associated Fontain's stage IIa PAD rehabilitation.

A comparison of the effects of two protocols of concurrent resistance and aerobic training on physical fitness in middle school students.

This study aimed to compare the effects of two concurrent training (CT) protocols on the physical fitness of middle school students. A 12-week quasi-experimental pre-test/post-test study was conducted with 157 middle school students (age = 12.48 ± 0.34, n = 90 females) divided into three groups: CT group A (CT-0h) received combined resistance training (RT) and aerobic training (AT) in each physical education session, CT group B (CT-48h) received RT and AT across two separate physical education classes 48 h apart, and a control group (Con) received no training. Training occurred twice a week. Test indicators included cardiorespiratory fitness (CRF) measured by estimated VO2max and 20 m shuttle run (laps), as well as muscle strength assessed through long jump, vertical jump, and handgrip strength. The intervention groups exhibited significant increases in estimated VO2max and muscle strength compared to their baseline values (p < 0.05). Both CT-0h and CT-48h groups demonstrated significant improvements in 20 m shuttle run (laps) (mean difference: 8.88 laps, p < 0.01; mean difference: 4.81 laps, p < 0.01, respectively), standing long jump (mean difference: 6.20 cm, p < 0.01; mean difference: 3.68 cm, p < 0.01, respectively), vertical jump (mean difference: 4.95 cm, p < 0.01; mean difference: 4.04 cm, p < 0.01, respectively), and handgrip strength (mean difference: 11.17 kg, p < 0.01; mean difference: 6.99 kg, p < 0.01, respectively). CT-0h group exhibited significantly increased estimated VO2max (mean difference: 1.47 ml/kg/min, p < 0.01) compared to the CT-48h group. Both CT programs effectively improved adolescents' physical fitness indicators. However, the program that integrated RT and AT within the same physical education class demonstrated superior enhancement in adolescents' CRF.

The Effect of Concurrent Training on Some Cardiovascular Risk Factors, Serum Estradiol and Physical Fitness Indicators in Overweight Women With Type 2 Diabetes

Background and Purpose: Considering that diabetic patients have low physical fitness and are prone to cardiovascular diseases, there is a need to conduct studies for the prevention and treatment of these diseases. The present study investigates the effect of concurrent training (CT) on some cardiovascular risk factors, serum estradiol, and physical fitness indicators in overweight women with type 2 diabetes. Materials and Methods: The research method was quasi-experimental with a pre-test and post-test design. A total of 30 women with type 2 diabetes were randomly divided into CT and control (CON) groups. Concurrent training was performed for 8 weeks and 3 sessions per week. The CT program included resistance training with elastic bands, running with an intensity of 70%-85% of the maximum heart rate, and skipping rope training with 40-45 jumps per minute. Forty-eight hours before and after the intervention, blood samples were collected from all participants in a fasting state to evaluate serum glucose, triglyceride, cholesterol levels, and estradiol. The VO2 max and upper body and lower body strength indicators were also assessed in all participants. The data was analyzed using the statistical method of ANOVA with repeated measures. Results: The results showed a significant increase in VO2 max, serum estradiol, upper and lower body muscle strength, and a significant decrease in serum triglyceride and glucose in the CT group compared to the CON group (P&lt;0.05). No significant difference was observed in low-density lipoprotein/high-density lipoprotein ratio and total cholesterol (P&gt;0.05). Conclusion: Eight weeks of concurrent training can improve physical fitness indicators and some cardiovascular risk factors in overweight women with type 2 diabetes.

Effect of Concurrent Strength and Endurance Training on Distance Running Performances in Well-Trained Athletes

Athletes competing in distance competitions have used a combination of aerobic and anaerobic training approaches to train and enhance the performance-determining elements. Nevertheless, few studies have reported data related to the effect of concurrent training on well-trained distance (3,000 m – 10,000 m) runners. Because of limited evidence available for this population, this study aimed to investigate the effect of concurrent strength and endurance training on distance running performance. A randomized study was conducted. Thirty-nine distance runners (16.62±0.71 years) were randomly assigned into the endurance training group (ETG; n=13), strength training group (STG; n=13), and concurrent training group (CTG; n=13). The 12 weeks of training in which each group trained 3 times a week. The participants were tested on 1RM squat test, push-up test, VO2 max, and 5-km time trial. Findings showed that STG significantly higher than ETG enhancements on 1RMsquat (p&lt;0.001) and push-up (p&lt;0.001) and STG significantly higher than CTG enhancements on 1RM squat (p&lt;0.001), push up (p=0.045). ETG results were significantly better than those obtained by STG on VO2 max (p=0.002) and 5-km time trial (p=0.004). Finally, the improvements obtained by CTG were significantly higher than those attained by ETG on 1RM squat (p&lt;0.001), push-up (p&lt;0.001); VO2 max (p&lt;0.001) and 5-km time trial (p=0.002). In conclusion, performing 12-week concurrent training program improves performance variables that can be obtained with strength and endurance training in long-distance running. Athletes can acquire strength and endurance adaptations by engaging in concurrent training regimens.

The Effect of Cardio, Aerobic and Concurrent Rehabilitation on Hemodynamic and Biomechanical Indicators in Older Men With Coronary Artery Disease

Background and Aims Nowadays, due to technological advances and sedentary or inactive lifestyle, non-communicable diseases have caused many health problems such as cardiovascular diseases. This study aims to examine the effect of two methods of aerobic training and concurrent training for cardiac rehabilitation on selected hemodynamic and biomechanical factors in older men with coronary artery disease. Methods This is a quasi-experimental causal-comparative study using the pre-test/post-test design. Participants were 24 older men with coronary artery disease, randomly divided into three groups of aerobic training, concurrent training, and control. They first underwent cardiac assessment using the echo Doppler device as well as sports performance test. Then, they were referred to the biomechanics laboratory of the Physical Medicine Center to start cardiac rehabilitation training. After 8 weeks of training, they underwent post-test assessments. The mean and standard deviation were used to describe the data. The Shapiro-Wilk test was used to check the normality of data distribution and the Levene’s test was used to determine the homogeneity of variances. The paired t-test was used to assess between-group differences and independent t-test was used for assessing differences between pretest and post-test scores of the groups. The significance level was set at 0.05. Results Significant improvement was reported in functional capacity, left ventricular ejection fraction (LVEF), and resting heart rate after both aerobic and concurrent training methods (P&lt;0.05), but no significant difference in diastolic blood pressure and systolic blood pressure were observed (P&gt;0.05). The improvements were more in the concurrent training group. Conclusion Both cardiac rehabilitation methods (aerobic and concurrent training) can improve functional capacity, LVEF, and resting heart rate of older mean with coronary artery disease, where concurrent training is more effective.

Synergistic Effects of Combined Concurrent Training and Eri-Polyunsaturated Fatty Acid Supplementation on Bone Mineral Density, Muscle Strength, and Inflammation.

Obesity has been associated with lower bone mineral density (BMD) and rapid muscle weakness. Regular exercise and polyunsaturated fatty acid (PUFA) consumption have been recognized as nonpharmaceutical approaches to increase BMD and ameliorate muscle weakness. This study aimed to determine the effects of concurrent training (CCT) and Eri-PUFA supplementation on BMD, muscular strength, and inflammation in obese adults. A total of 33 obese participants were randomly assigned to one of three groups (n=11 per group): (1) a placebo group; (2) an Eri-PUFA ingestion group (ERI); or (3) a CCT and Eri-PUFA ingestion group (CCT+ERI). The ERI and CCT+ERI groups received approximately 2.5 g of linolenic acid per day from Eri silkworm pupae. The exercise program included aerobic and resistance exercises performed under supervision three times per week for 8 weeks. Before and after the 8-week intervention, BMD, muscular strength, and inflammatory markers were measured. Only the CCT+ERI group showed a significant increase in lumbar spine BMD (5.1%, P<0.01) and upper-body muscle strength (16.9%, P<0.01) after the intervention, with differences between the groups. After the intervention, both the ERI and CCT+ERI groups showed a significant decrease in the monocyte-to-lymphocyte ratio (-25%, P<0.01 and -21.4%, P<0.05, respectively) and tumor necrosis factor-alpha (-21.6%, P<0.05 and -19.4%, P<0.05, respectively). These findings demonstrate that combining CCT and Eri-PUFA supplementation increases BMD and upper-body muscular strength and decreases inflammation. Although Eri-PUFA consumption did not affect BMD or muscle strength directly, it may have an additive effect on BMD by reducing inflammation.

Exercise Training and Nanocurcumin Induce Down-regulation of EGFR/MAPK/STAT5/FN14 Pathway Genes in Tumor Tissue of Glioblastoma Multiform Model Rats

Background: Since EGFR inhibitors show a limited therapeutic effect on Glioblastoma multiforme patients, the EGFR/MAPK/STAT5/FN14 signaling pathway becomes vulnerable to the invasive GBM cell population and may be a suitable target for the treatment of GBM. Nanocurcumin consumption and exercise training are probably effective interventions in this signaling pathway. Objectives: This study aimed to investigate the simultaneous effects of exercises training and Nanocurcumin consumption on the EGFR/MAPK/STAT5/FN14/FN14 pathway in the tumor tissue of GBM model rats. Methods: In this study, 40 male Wistar rats were randomly assigned to five groups: (1) control (CON), (2) glioblastoma multiform (GBM), (3) glioblastoma multiform+concurrent training (GBM+CT), (4) glioblastoma multiform+nanocurcumin (GBM+NC), and (5) glioblastoma multiform+nanocurcumin+concurrent training (GBM+NC+CT) groups. The target groups performed aerobic training (20 - 35 minutes at 18 m/min) along with resistance training (climbing the ladder in three sets repeated four times) and received Nanocurcumin at the rate of 100 mg.kg-1.day-1 for four weeks. Gene expression was measured by real-time PCR. Two-way analysis of variance was used for analyzing data. Results: According to our study results, concurrent training significantly reduced the expressions of EGFR, MAPK, STAT5, and Fn14, mRNA compared with GBM group (P &lt; 0.05). Furthermore, nanocurcumin significantly reduced the expressions of EGFR, MAPK, as well as Fn14, mRNA compared with GBM group (P &lt; 0.05). Nanocurcumin+Concurrent training decreased the expressions of EGFR, MAPK, STAT5 as well as Fn14, and mRNA compared with the GBM group (P &lt; 0.05). A significant reduction was recorded for all mRNA expression levels in the GBM+NC+CT group compared with those in the GBM+NC group (P &lt; 0.05). Conclusions: In sum, combined exercises and nano curcumin consumption may have been adopted as a non-pharmacological strategy to modulate the expression of EGFR/MAPK/STAT5/FN14 genes in tumor tissue of glioblastoma multiform.

The Effect of Eight Weeks of Concurrent Training on Serum Levels of Paraxonase-1, Irisin, Lipid Profile, and Insulin Resistance in Men With Metabolic Syndrome

Background: Irisin is a myokine suggested to exert anti-obesity benefits. On the other hand, paraxonase-1 (PON 1) is one of the most important free radical scavenging enzymes and is among the main protectors of lipoproteins against oxidizing compounds. This study aimed to evaluate the effect of 8 weeks of concurrent training on serum levels of irisin, PON 1, lipid profile, and insulin resistance in men with metabolic syndrome. Methods: In this quasi-experimental study, 30 men with metabolic syndrome (aged 25-35 years and with body mass&gt;25 kg.m-2) were purposefully selected and randomly divided into two groups of concurrent training (n=15) and control (n=15). Three sessions of the training program were held per week over an 8-week interval. Concurrent training included warm-up, resistance (20 minutes of resistance training), and endurance (25 minutes of activity on a stationary bike with an intensity of 50%-80% of maximum heart rate). Blood samples were collected before and 24 hours after exercise to measure serum levels of variables. Data were analyzed using independent and dependent t-tests. Results: At baseline, serum levels of PON 1, irisin, and high-density lipoprotein (HDL) were higher in the concurrent training group. The results of the study also indicated that 8 weeks of concurrent training significantly reduced the levels of insulin resistance, triglycerides (TG), cholesterol, low-density lipoprotein (LDL), systolic, and diastolic blood pressure in men with metabolic syndrome. Conclusion: Eight weeks of concurrent training improves the levels of irisin, insulin resistance, PON 1, and lipid profile of men with metabolic syndrome.

Comparison of Different Time Course of Concurrent Training on Lipid Profile and Total Antioxidant in Cardiac Patients

Introduction: Oxidative stress is involved in the pathogenesis of many diseases, including atherosclerosis. Lipid profile conditions, oxidative stress and antioxidant imbalances play a major role in the development of the disease. The purpose of this study was to compare the different time course of concurrent training on lipid profile and total antioxidant capacity of cardiac patients.&#x0D; Methods: The present study was a quasi-experimental study. Twenty male patients, mean age 56±9.75, were voluntarily divided into the control and combination training groups The concurrent training group performed aerobic and resistance training for eight and three days a week. Aerobic exercise was performed for 15-20 minutes at 50-80% of maximal heart rate and resistance training program consisted of three upper extremity movements and two lower extremity movements with three sets and 10 repetitions.Blood samples were taken before and after four and eight weeks, and lipid profile and total antioxidant capacity were measured. Data were analyzed by repeated measures ANOVA using SPSS version 16 software.&#x0D; Results: Concurrent training has reduced the significant levels in LDL, cholesterol and triglycerides after four and eight weeks, and has also reduced a significant increase level in HDL. Concurrent exercise had a significantly effect on the amount of total antioxidant after eight weeks (P &lt;0.05).&#x0D; Conclusion: According to the findings of the study, it can be concluded that with eight weeks of concurrent training, there is a significant difference in the levels of lipid profiles and total antioxidant capacity of cardiac patients.

Overweight and Obese Adult Patients Show Larger Benefits from Concurrent Training Compared with Pharmacological Metformin Treatment on Insulin Resistance and Fat Oxidation.

Metformin, a drug widely used to treat insulin resistance, and training that combines aerobic and strength exercise modalities (i.e., concurrent training) may improve insulin sensitivity. However, there is a paucity of clinical trials investigating the effects of concurrent training, particularly on insulin resistance and fat oxidation in overweight and obese patients. Furthermore, only a few studies have compared the effects of concurrent training with metformin treatment. Therefore, the aim of this study was to examine the effects of a 12-week concurrent training program versus pharmaceutical treatment with metformin on maximum fat oxidation, glucose metabolism, and insulin resistance in overweight or obese adult patients. Male and female patients with insulin resistance were allocated by convenience to a concurrent training group (n = 7 (2 males); age = 32.9 ± 8.3 years; body mass index = 30 ± 4.0 kg·m-2) or a metformin group (n = 7 (2 males); age = 34.4 ± 14.0 years; body mass index = 34.4 ± 6.0 kg·m-2). Before and after the interventions, all participants were assessed for total body mass, body mass index, fat mass, fat-free mass, maximum oxygen consumption, maximal fat oxidization during exercise, fasting glucose, and insulin resistance through the homeostatic model assessment (HOMA-IR). Due to non-normal distribution of the variable maximal fat oxidation, the Mann-Whitney U test was applied and revealed better maximal fat oxidization (Δ = 308%) in the exercise compared with the metformin group (Δ = -30.3%; p = 0.035). All other outcome variables were normally distributed, and significant group-by-time interactions were found for HOMA-IR (p &lt; 0.001, Δ = -84.5%), fasting insulin (p &lt; 0.001, Δ = -84.6%), and increased maximum oxygen consumption (p = 0.046, Δ = 12.3%) in favor of the exercise group. Similar changes were found in both groups for the remaining dependent variables. Concurrent training seems to be more effective compared with pharmaceutical metformin treatment to improve insulin resistance and fat oxidation in overweight and obese adult patients with insulin resistance. The rather small sample size calls for more research in this area.

Interindividual variability of adaptations following either traditional strength or power training combined to endurance training in older men: A secondary analysis of a randomized clinical trial

This study aimed to investigate the interindividual responses following two different concurrent training (CT) regimens in neuromuscular, cardiorespiratory and functional outcomes of older men. Thirty-five older men (65.8 ± 3.9 years) were randomly allocated into one of two CT groups: power training (PT) + high-intensity interval training (HIIT) (n = 17); or traditional strength training (TST) + HIIT (n = 18). Maximal dynamic strength (one-repetition maximum, 1RM), rate of force development at 100 milliseconds (RDF100), countermovement jump power (CMJ), quadriceps femoris muscle thickness (QF MT), functional tests (sit-to-stand, timed-up-and-go, and stair climbing), and peak oxygen consumption (VO2peak) were assessed pre-, post-8 and post-16 weeks of training. The Chi-squared test was used for assessing differences in the prevalence of responders (Rs), non-responders (NRs), and adverse responders (ARs). Similar prevalence of individual responses (Rs, NRs and ARs) between groups were observed after intervention in almost all outcomes: 1RM; power at CMJ; QF MT, and functional tests (P > 0.05). However, a significant difference in the distribution of Rs, NRs and ARs between groups was observed in the RFD100 after 16 weeks (p = 0.003), with PT + HIIT group presenting high prevalence of Rs than TST + HIIT (100 % vs. 50 %). The inclusion of explosive-type of contractions in a concurrent training regime induces greater responsiveness in the RFD100 in older men, while no differences compared to traditional strength training are observed in maximal strength, muscle size, VO2peak, and functional performance.

Acute response in glycemia and lipemia postprandial after resistance and concurrent training in overweight postmenopausal women

Introduction: In postmenopausal women, metabolic responses to lipids during postprandial periods following combined exercise training are unknown. Objective: To examine the acute effects of resistance training (RT) and concurrent training (CT) on postprandial lipemia and glycemia in postmenopausal women. Methods: This quasi-experimental, exposure response study, linked 27 women who were randomly divided into three groups and evaluated for anthropometry, physical fitness, and nutrition status. Two experimental groups did a session of different types of physical activities (RT or CT), and a control group did not do any training activities (only aerobic exercise). At 12 hours post-training, in fasting conditions, a hypercaloric nutritional compound equivalent to 50% of the basal metabolic rate (BMR) of each woman was supplied. Pre and post hypercaloric intake, biochemical markers (lipemia and glycemia) were determined and compared with the control group. Results: A reduction in total energy expenditure was observed due to RT and CT training (p&lt;0.005). The changes are associated with decreased total cholesterol and low-density lipoprotein levels in the RT group, as well as decreased triglyceride levels and increased high-density lipoprotein levels in the CT and aerobic exercise groups. Conclusion: RT and CT performed 12 hours before the consumption of the hyper caloric nutritional compound can change postprandial lipid and glucose levels. Acute physical training could influence the reduction of energy expenditure and the improvement of glycaemia and lipemia in postmenopausal women. Keywords: exercise; fitness; glycemia; lipemia; nutrition; postmenopausal; trainings.

Characterizing the interindividual postexercise hypotension response for two order groups of concurrent training in patients with morbid obesity.

Background: Postexercise hypotension (PEH) is a common physiological phenomenon occurring immediately after endurance training (ET), resistance training (RT), and ET plus RT, also termed concurrent training (CT); however, there is little knowledge about the interindividual and magnitude response of PEH in morbidly obese patients. Aim: The aims of this study were (1) to investigate the effect of CT order (ET + RT vs. RT + ET) on the blood pressure responses; 2) characterize these responses in responders and nonresponders, and 3) identify potential baseline outcomes for predicting blood pressure decreases as responders. Methods: A quasi-experimental study developed in sedentary morbidly obese men and women (age 43.6 ± 11.3 years; body mass index [BMI] ≥40 kg/m2) was assigned to a CT group of ET plus RT (ET + RT; n = 19; BMI 47.8 ± 16.7) or RT plus ET order group (RT + ET; n = 17; BMI 43.0 ± 8.0). Subjects of both groups received eight exercise sessions over four weeks. Primary outcomes include systolic (SBP), diastolic (DBP), mean arterial pressure [MAP], heart rate at rest [HR], and pulse pressure [PP] measurements before and after 10 min post-exercise. Secondary outcomes were other anthropometric, body composition, metabolic, and physical fitness parameters. Using the delta ∆SBP reduction, quartile categorization (Q) in “high” (Rs: quartile 4), “moderate” (MRs: quartile 3), “low” (LRs: quartile 2), and “nonresponders” (NRs: quartile 1) was reported. Results: Significant pre–post changes were observed in ET + RT in session 2 for SBP (131.6 vs. 123.4 mmHg, p = 0.050) and session 4 (131.1 vs. 125.2 mmHg, p = 0.0002), while the RT + ET group showed significant reductions in session 4 (134.2 vs. 125.3 mmHg, p < 0.001). No significant differences were detected in the sum of the eight sessions for SBP (∑∆SBP) between ET + RT vs. RT + ET (−5.7 vs. −4.3 mmHg, p = 0.552). Interindividual analyses revealed significant differences among frequencies comparing Q1 “NRs” (n = 8; 22.2%), Q2 “LRs” (n = 8; 22.2%), Q3 “MRs” (n = 9; 25.0%), and Q4 “HRs” (n = 11; 30.5%), p < 0.0001. Quartile comparisons showed significant differences in SBP changes (p = 0.035). Linear regression analyses revealed significant association between ∑∆SBP with body fat % (β –3.826, R 2 0.211 [21.1%], p = 0.031), skeletal muscle mass [β –2.150, R 2 0.125 (12.5%), p = 0.023], fasting glucose [β 1.273, R 2 0.078 (7.8%), p = 0.003], triglycerides [β 0.210, R 2 0.014 (1.4%), p = 0.008], and the 6-min walking test [β 0.183, R 2 0.038 (3.8%), p = 0.044]. Conclusion: The CT order of ET + RT and RT + ET promote a similar ‘magnitude’ in the postexercise hypotensive effects during the eight sessions of both CT orders in 4 weeks of training duration, revealing “nonresponders” and ‘high’ responders that can be predicted from body composition, metabolic, and physical fitness outcomes.

The eight-week concurrent training effect on functional capacity in person living with unilateral transtibial amputation: A randomized controlled trial

IntroductionThe main causes of amputation include vascular diseases, trauma, cancer, and congenital limb abnormalities. The person with transtibial amputation (TA) is affected by a greater cardiorespiratory, metabolic, and muscular load to walk and perform daily activities. The sedentary lifestyle contributes to the process of chronic non-communicable diseases. The purpose of the study was to compare the effects of eight-week concurrent training (CT) for dependent variables as muscle strength, cardiorespiratory fitness, agility, and postural balance in persons with unilateral TA. MethodsA eight-week, randomized, controlled trial. Thirty-one people using prostheses for three or more months were selected. They were randomly divided into two groups: Experimental Group (EG; n = 17) – concurrent training and Control group (CG; n = 14) - no training. All patients were evaluated at the baseline and after eight weeks by the functional performance, isokinetic knee evaluation, static and dynamic posturography and cardiopulmonary test. ResultsThe patients showed improvements in all measures after training (size effect >0.80). ConclusionThe main limitations are the sample size, related to the socioeconomic status and availability training and no comparison to other types of training. Eight weeks of CT was effective and favorably modified the dependent variables in TA patients. Therefore, CT is a good option to improve functional performance after the regular rehabilitation program discharge and decreases the metabolic and functional deficits of these patients.

Effects of Running-Specific Strength Training, Endurance Training, and Concurrent Training on Recreational Endurance Athletes' Performance and Selected Anthropometric Parameters.

Objective: The present study aimed to verify the effects of running-specific strength training alone, endurance training alone, and concurrent training on recreational endurance athletes’ performance and selected anthropometric parameters. Method: Thirty male recreational endurance runners were randomly assigned using a blocking technique to either a running-specific strength training group (RSSTG), an endurance training group (ETG), or a concurrent training group (CTG). RSSTG performed three strength-training sessions per week orientated to running, ETG underwent three endurance sessions per week, and CTG underwent a 3-day-per-week concurrent training program performed on non-consecutive days, alternating the strength and endurance training sessions applied to RSSTG and ETG. The training protocol lasted 12 weeks and was designed using the ATR (Accumulation, Transmutation, Realization) block periodization system. The following assessments were conducted before and after the training protocol: body mass (BM), body mass index (BMI), body fat percentage (BFP), lean mass (LM), countermovement jump (CMJ), 1RM (one-repetition maximum) squat, running economy at 12 and 14 km/h (RE12 and RE14), maximum oxygen consumption (VO2max), and anaerobic threshold (AnT). Results: RSSTG significantly improved the results in CMJ, 1RM squat, RE12, and RE14. ETG significantly improved in RE12, RE14, VO2max, and AnT. Finally, CTG, obtained significant improvements in BFP, LM, CMJ, 1RM squat, RE12, RE14, VO2max, and AnT. RSSTG obtained improvements significantly higher than ETG in CMJ, 1RM squat, and RE14. ETG results were significantly better than those attained by RSSTG in AnT. Moreover, CTG marks were significantly higher than those obtained by ETG in CMJ and RE14. Conclusion: Performing a 12-week concurrent training program integrated into the ATR periodization system effectively improves body composition and performance variables that can be obtained with exclusive running-specific strength and endurance training in recreational runners aged 30 to 40. Running-specific strength training enhances maximum and explosive strength and RE, whereas exclusive endurance training improves VO2max, AnT, and RE. Performing concurrent training on non-consecutive days effectively prevents the strength and endurance adaptations attained with single-mode exercise from being attenuated. The ATR periodization system is useful in improving recreational endurance athletes’ performance parameters, especially when performing concurrent training programs.

Residual Impact of Concurrent, Resistance, and High-Intensity Interval Training on Fasting Measures of Glucose Metabolism in Women With Insulin Resistance.

We sought to assess the residual effects (post 72-h training cessation) on fasting plasma glucose (FPG) and fasting insulin (FI) after 12-weeks of high-intensity interval training (HIIT), resistance training (RT), or concurrent training (CT) in women with insulin resistance (IR). We also aimed to determine the training-induced, post-training residual impact of CT. A total of adult 45 women (age 38.5±9.2years) were included in the final analysis and were assigned to a control (CG; n=13, BMI 28.3±3.6kg/m2), HIIT [n=14, BMI 28.6±3.6kg/m2, three sessions/wk., 80–100% of the maximum heart rate (HRmax)], RT [n=8, BMI 29.4±5.5kg/m2, two sessions/wk., 8–10 points of the modified Borg, corresponding to 20 to 50% range of one maximum repetition test (1RM)], or CT group (n=10, BMI 29.1±3.0kg/m2, three sessions/wk., 80–100% of HRmax, and 8–10 Borg, or 20 to 50% range of 1RM, to each HIIT and RT compounds), with the latter including both HIIT and RT regimens. Training interventions lasted 12-weeks. The main outcomes were FPG and FI measured at pre- and 24-h and 72-h post-training (FPG24h, FI24h, and FPG72h, FI72h, respectively). Secondary endpoints were body composition/anthropometry and the adiposity markers waist circumference (WC) and tricípital skinfold (TSF). The residual effects 72-h post-training [delta (∆)] were significantly poorer (all p<0.01) in the CT group (∆FPG72h+6.6mg/dl, η2: 0.76) than in the HIIT (∆FPG72h+1.2mg/dl, η2: 0.07) and RT (∆FPG72h+1.0mg/dl, η2: 0.05) groups. These findings reveal that HIIT reduces FPG and RT reduces FI 24-h post-training; both exercise interventions alone have remarkably better residual effects on FPG and FI (post-72h) than CT in women with insulin resistance.

Antioxidant Effects of Aerobic Training and Crocin Consumption on Doxorubicin-Induced Testicular Toxicity in Rats.

Objective: Doxorubicin (DOX) treatment has been reported to increase the risk of serious toxicity in testis, therefore the aim of the present study was to investigate the antioxidant effects of training and Crocin on doxorubicin-induced testicular toxicity in rats. Materials and methods:⊆max) 5 day/w. Also, groups 2 to 7 administered 2 mg/kg/w DOX intraperitoneal. The testes were removed and glutathione peroxidase (GPX), total antioxidant capacity (TAC) and protein carbonyl (PC) were analyzed using ELISA methods, one-way analysis of variance along with Bonferroni’s post hoc test were used for analysis in SPSS (P≤0.05). Results: The results of the present study showed that doxorubicin induced oxidative stress in testicular tissue by decreasing the level of GPX and TAC and increasing PC level (P≤0.05); TAC and GPX improved in all groups except groups 2 and 5, respectively, and their increase in the group 7 was significantly higher compared to other groups (P≤0.05). Increased PC levels were significantly reduced in the groups 5, 6 and 7. Conclusion: The increase in antioxidant levels in the concurrent Crocin and training group seems to be dose-dependent, but the oxidative stress in both Crocin and training groups of 10 and 50 mg/kg/d is associated with a decrease, but its modulation in the Crocin consumption group alone depends on the dose.

Effects of Velocity Loss Threshold Within Resistance Training During Concurrent Training on Endurance and Strength Performance.

This study analyzed the effects of 3 training interventions: 1 isolated endurance training (ET) and 2 concurrent training (CT), which differed in the velocity loss (VL) magnitude allowed during the resistance training (RT) set: 15% (VL15) versus 45%, on strength and endurance running performance. A total of 33 resistance- and endurance-trained men were randomly allocated into 3 groups: VL15, VL 45%, and ET. ET was similar across all groups. The CT groups differed in the VL allowed during the RT set. Before and after the 8-week training program the following tests were performed: (1) running sprints, (2) vertical jump, (3) progressive loading test in the squat exercise, and (4) incremental treadmill running test up to maximal oxygen uptake. Significant differences (P < .001) in RT volume (approximately 401 vs 177 total repetitions for VL 45% and VL15, respectively) were observed. Significant "group" × "time" interactions were observed for vertical jump and all strength-related variables: the CT groups attained significantly greater gains than ET. Moreover, a significant "group" × "time" interaction (P = .03) was noted for velocity at maximal oxygen uptake. Although all groups showed increases in velocity at maximal oxygen uptake, the VL15 group achieved greater gains than the ET group. CT interventions experienced greater strength gains than the ET group. Although all groups improved their endurance performance, the VL15 intervention resulted in greater gains than the ET approach. Therefore, moderate VL thresholds in RT performed during CT could be a good strategy for concurrently maximizing strength and endurance development.

Effect of a 12-Week Concurrent Training Intervention on Cardiometabolic Health in Obese Men: A Pilot Study.

The present study aimed to investigate the effects of a 12-week concurrent training intervention on cardiometabolic health in obese men. Twelve obese men (42.5 ± 5.3 years old) participated in the current 12−week randomized controlled trial with a parallel group design. The participants were randomly assigned to a concurrent training group or to a no-exercise control group. Anthropometry and body composition assessment were determined by electrical bio-impedance. Blood samples were obtained and a cardiometabolic risk Z-Score was calculated. Energy metabolism-related parameters [i.e., resting metabolic rate (RMR), respiratory quotient (RQ), and substrate oxidation in both resting conditions and during exercise] were determined by indirect calorimetry. Echocardiographic studies were performed using an ultrasound system equipped with a transducer to measure cardiac function. A significant decrease of weight (Δ = −4.21 kg; i.e., primary outcome), body mass index (Δ = −1.32 kg/m2), fat mass (FM; Δ = −3.27 kg), blood pressure (BP; Δ = −10.81 mmHg), and cardiometabolic risk Z-Score (Δ = −0.39) was observed in the exercise group compared with the control group (all P < 0.05), while no significant changes were noted in waist circumference (WC), lean mass (LM), bone mineral content, glycemic and lipid profiles, liver function, nor in energy metabolism-related parameters (all P > 0.1). Moreover, a significant increment of left ventricular (LV) end diastolic diameter (Δ = −4.35 mm) was observed in the exercise group compared with the control group (P = 0.02). A 12-week concurrent training intervention is an effective strategy to induce weight and fat loss with simultaneous reductions of BP and cardiometabolic risk, and improving cardiac function in obese men.