Heavy Resistance Research Articles

The influence of prolonged strength training upon muscle and fat in healthy and chronically diseased older adults.

Physical muscle function and brain hippocampus size declines with age, accelerating after the age of 60. Strength training over a few months improves physical function, but less is known about how long-term strength training affects physical function and hippocampus volume. Therefore, we aimed to investigate the effect of 1-year strength training of two different intensities upon muscle mass, function, and hippocampus volume in retirement-age individuals. In this multidisciplinary randomized controlled trial (clinicaltrials.gov: NCT02123641), participants were allocated to either a) supervised, heavy resistance training (HRT, n=149, 3/wk), b) moderate intensity resistance training (MIT, n=154, 3/wk) or c) non-exercise activities (CON, n=148). 451 participants were randomized (62-70yrs., women 61%, ≈80% with a chronic medical disease) and 419 were included in the intention-to-treat analysis (n=143, 144 and 132; HRT, MIT and CON). Changes in muscle power (primary outcome), strength and size, physical function, body composition, hippocampus volume and physical/mental well-being were analyzed. Of the participants (HRT+MIT), 83% completed training at least 2/week. Leg extensor power was unchanged in all groups, but strength training had a positive effect on isometric knee extensor strength in both groups, whereas an increased muscle mass, cross-sectional area of vastus lateralis muscle, a decreased whole-body fat percentage, visceral fat content and an improved mental health (SF-36) occurred in HRT only. Further, chair-stand performance improved in all groups, whereas hippocampus volume decreased in all groups over time with no influence of strength training. Together, the results indicate that leg extensor power did not respond to long-term supervised strength training, but this type of training in a mixed group of healthy and chronically diseased elderly individuals can be implemented with good compliance and induces consistent changes in physiological parameters of muscle strength, muscle mass and abdominal fat.

“Mais Médicos”: Discourses, Bodies, and the Biopolitics of Medical Internationalism

Abstract Starting in 2013, the Mais Médicos program brought over 11,400 Cuban doctors to work in Brazil. The program aimed to reduce inequality in access to medical care; but it was met with heavy resistance from Brazilian medical professionals. This article employs Foucault, Butler, and other post-modern thinkers to analyze Mais Médicos. Specifically, we argue that Mais Médicos did not lead to a politicization of Brazilian health care, but rather that pre-existing discourses were called upon to support or counter the arrival of Cuban doc-tors. This discursive struggle resulted in a dispute over biopower within Brazilian society. We base our claims on fieldwork and interviews conducted with Cuban doctors, Brazilian doc-tors, and Brazilian politicians.

The Importance of Lower Body Strength and Power for Future Success in Professional Men’s Basketball

Heavy resistance exercise is often prescribed for collegiate basketball players to enhance game performance, but few data are available concerning the transference of lower body strength and power to the opportunity to play professionally after college. This study investigated if lower body muscular power and strength measures obtained during the barbell squat are related to future professional playing opportunities. The data was collected over a seven year period from a collegiate men’s basketball program (n=37; X±SD, age=20.0±1.4 yrs, hgt=1.98±0.09 m, bw=94.5±11.8 kg). Lower body strength was determined from 1 repetition maximum (1RM) tests of the parallel high-bar squat. Maximum lower body squat power was determined from speed squat testing across a load spectrum (30-90% 1RM) while an external tethered dynamometer or a 3-D video motion capture system quantified barbell power. Repeated measures ANOVA with Tukey’s HSD post hoc, Spearman ρ correlations, and Cohen’s D effect sizes were used to analyze the results. Subjects who subsequently played in the NBA or in professional leagues elsewhere had greater lower body strength and power. This was mainly attributed to their greater body mass, since strength and power relative to body mass was not different between the groups. Even without statistically significant differences, effect sizes consistently indicated moderate to large differences between the NBA and other professional groups when compared to those who did not play professionally. Regardless, lower body strength and power were related to post-collegiate playing opportunities, with greater values related to higher levels of professional play.

The effect of blood flow restriction exercise on exercise-induced hypoalgesia and endogenous opioid and endocannabinoid mechanisms of pain modulation.

This study aimed to investigate and compare the magnitude of exercise-induced hypoalgesia (EIH) with low-intensity blood flow restriction (BFR) resistance exercise (RE) at varying pressures to other intensities of resistance exercise and examine endogenous mechanisms of pain reduction. Twelve individuals performed four experimental trials involving unilateral leg press exercise in a randomized crossover design: low-load RE at 30% of one repetition maximum (1RM), high-load RE (70% 1RM), and BFR-RE (30% 1RM) at a low and high pressure. BFR pressure was prescribed relative to limb occlusion pressure at 40% and 80% for the low- and high-pressure trials. Pressure pain thresholds (PPT) were assessed before and 5 min and 24 h following exercise in exercising and nonexercising muscles. Venous blood samples were collected at the same timepoints to determine plasma concentrations of beta-endorphin and 2-arachidonoylglycerol. High-pressure BFR-RE increased PPTs in the exercising limb to a greater extent than all other trials. Comparable systemic EIH effects were observed with HLRE and both BFR-RE trials. PPTs in the exercising limb remained elevated above baseline at 24 h postexercise following both BFR-RE trials. Postexercise plasma beta-endorphin concentration was elevated during the BFR-RE trials. No changes to 2-arachidonoylglycerol concentration were observed. High pressure BFR-RE causes a greater EIH response in the exercising limb that persists for up to 24 h following exercise. The reduction in pain sensitivity with BFR-RE is partly driven by endogenous opioid production of beta-endorphin. BFR-RE should be investigated as a possible pain-modulation tool in individuals with acute and chronic pain.NEW & NOTEWORTHY High-pressure blood flow restriction (BFR) causes a greater hypoalgesia response in the exercising limb (48%) compared with light and heavy load resistance exercise (10-34%). Performing light load resistance exercise with BFR causes systemic hypoalgesia comparable with heavy load resistance exercise (10-18%). BFR resistance exercise prolonged the exercise-induced hypoalgesia response for 24 h in the exercising limb (15% and 24%, respectively). Activation of endogenous opioid production and a conditioned pain modulation effect partly mediate the relationship between exercise and hypoalgesia.

Effect of Varying Recovery Duration on Postactivation Potentiation of Explosive Jump and Short Sprint in Elite Young Soccer Players.

Köklü, Y, Köklü, Ö, Işıkdemir, E, and Alemdaroğlu, U. Effect of varying recovery duration on postactivation potentiation of explosive jump and short sprint in elite young soccer players. J Strength Cond Res 36(2): 534-539, 2022-The purpose of this study was to investigate the effects of postactivation potentiation (PAP) on vertical jump and sprint performances with different recovery durations. Twelve elite young soccer players (average age: 17.0 ± 0.6 years; body mass: 67.0 ± 5.4 kg; height: 175.0 ± 3.5 cm) voluntarily performed countermovement jump (CMJ) and 30-m sprints (with 10-m split times) under unloaded and 4 different recovery duration conditions (R1: 1 minute, R2: 2 minutes, R3: 3 minutes, and R4: 4 minutes) after a set of 3 repetitions of half-squat exercises at 90% of 1-repetition maximum. Electromyographic assessments of both limbs' vastus lateralis (VL) and semitendinosus (ST) muscle activity were also made during the tests. Vertical jump height, sprint time, and VL and ST muscle activity root mean square (RMS) values were analyzed. The results show that players demonstrated significantly better CMJ, 10-, and 30-m sprint performances in the R4 condition compared with the unloaded condition (p < 0.05). The players also showed significantly higher RMS values for VL and ST muscle activity in the CMJ and 30-m test performances for both legs in the R4 condition compared with the unloaded, R1, R2, and R3 conditions (p < 0.05). According to these results, if sports scientists and coaches desire to increase the PAP effect after heavy resistance training, 4 minutes of recovery time instead of 1, 2, or 3 minutes for CMJ, 10-, and 30-m sprint performances is recommended.

Individual Adaptation Kinetics Following Heavy Resisted Sprint Training.

Morin, JB, Capelo-Ramirez, F, Rodriguez-Pérez, MA, Cross, MR, and Jimenez-Reyes, P. Individual adaptation kinetics following heavy resisted sprint training. J Strength Cond Res 36(4): 1158-1161, 2022-The aim of this study was to test individual adaptation kinetics to a high-resistance sprint training program designed to improve maximal horizontal power (Pmax), and compare the group and individual results of a classical "pre-post" analysis, and a "pre-peak" approach. Thirteen male and 9 female trained sprinters had their 30-m sprint performance and mechanical outputs assessed 1 week before (PRE), and one (POST, W1), 2 (W2), 3 (W3) and 4 (W4) weeks after a 10-week training block (10 repetitions of 20-m resisted sprints at the load associated to the apex of their velocity-power relationship: i.e., 90 ± 10% body mass on average (range: 75-112%). We observed clearly different outcomes on all variables for the PRE-POST vs. PRE-PEAK analyses. The PRE-PEAK analysis showed a larger (almost double) increase in Pmax (9.98 ± 5.27% on average, p < 0.01) than the PRE-POST (5.39 ± 5.87%, p < 0.01). Individual kinetics of post-training adaptations show that peak values were not captured in the POST (W1) assessment (generally observed at W3 and W4). Finally, the week of greatest Pmax output differed strongly among subjects, with most subjects (7/22) peaking at W4. In conclusion, after a 10-week high-resistance sprint training block, a classical 1-week-PRE to 1-week-POST assessment could not capture peak adaptation, which differed among athletes. Adopting a similar approach in practice or research should improve insight into the true effects of training stimuli on athletic capabilities.

Removal Performance of Antibiotic Resistance Genes and Heavy Metal Resistance Genes in Municipal Wastewater by Magnetic-Coagulation Process

Antibiotic resistance genes (ARGs) in municipal wastewater pose a potential threat to the environment. In this study, the change in absolute and relative abundance of ARGs, metal resistance genes (MRGs), and mobile genetic elements (MGTs) were investigated during an emergent municipal wastewater treatment by the magnetic separation process. Results indicate that all the concentrations of targeted ARGs, MRGs, and MGTs decreased significantly in the primary and secondary stirring tank. However, the absolute abundance of some ARGs and MRGs increased in the effluent, which is likely caused by the presence of ample MGTs, in the order of int1 (2.00×1010 copies·mL-1) > int2 (1.91×108 copies·mL-1) > Tn 916/1545e(5.38×108 copies·mL-1). The results obtained from network and PCA analysis showed that the removal of ARGs and MRGs were significantly associated with variations in the microbial community and common pollutants in urban wastewater, such as suspended solids, phosphorus, and COD, which are important factors for affecting the removal efficiency of antibiotic resistance genes and metal heavy resistance genes. These results show that magnetic separation can effectively reduce common pollutants in urban wastewater and might further restrict the transmission and transfer of ARGs. Moreover, it is necessary to strengthen the subsequent management of magnetic separation effluent and dehydrated sludge by disinfection technologies to lessen the risk of antimicrobial contamination.

Lunge exercises with blood-flow restriction induces post-activation potentiation and improves vertical jump performance.

This study examined the post-activation potentiation effects of body-weight lunge exercises with blood-flow restriction on jump performance. Eighteen anaerobically trained men took part in this study across 3 weeks. During the first week, participants were familiarised with the lunge exercises with blood-flow restriction and the drop-jump protocol. In the second and third week, participants were randomly allocated to complete body-weight lunges (three sets of eight repetitions) either with or without blood-flow restriction (occlusion set at 130% of systolic blood pressure) to induce post-activation potentiation. Drop-jump performance was assessed between blood-flow conditions, and prior to, and at the third, sixth, ninth, twelfth and fifteenth minute following each lunge exercise. Relationships between mechanical contributors of jump performance and final jump performance were examined via Pearson correlation coefficients. Lunges with blood-flow restriction significantly improved jump height (~ 4.5% ± 0.8%), flight time (~ 3.4% ± 0.3%) and power (~ 4.1% ± 0.3%) within 6-15min post-exercise (p < 0.05) with the magnitude of effect between blood-flow conditions, moderate-large (0.54-1.16). No significant changes (p > 0.05) were found in jump performance measures following lunge exercises without blood-flow restriction. Significant correlations (p < 0.05) between mechanical contributors of jump performance and jump performance highlighted the potential of blood-flow restriction to enhance stretch-shortening cycle mechanics in the current study. Lunge exercises with blood-flow restriction improved subsequent jump performance in anaerobically trained men. The use of blood-flow restriction may be a practical alternative to heavy resistance training equipment during warm-up protocols.

Experimental Researches to Establish the Optimum Hardbanding Technology and Materials of the Heavy Weight Drill Pipe

The heavy weight drill pipe, one of the most expensive components of the drill string, is exposed, beside fatigue and corrosion, to an intensive wear process as a result of the friction with the inner wall of the casing or the borehole wall, that lead to a drastically decrease of it durability. In order to improve the durability, the worldwide specialists apply the hardbanding technology to increase the heavy weight drill pipe wear resistance. The major problem raised by the hardbanding process is the selection of the most suitable wear resistant alloy and the optimum hardbanding technology. The present research work investigate the possibility of hardbanding the heavy weight drill pipes by using the gas metal arc welding process, taking into considerations three different wear resistant materials with the trade name ARNCO 100XT, ARNCO 300XT and FLUXOFIL M58.

Acute effects of plyometric warm-up with different box heights on sprint and agility performance in national-level field hockey athletes

BACKGROUND: Postactivation potentiation (PAP) is an acute and temporary enhancement of muscular performance resulting from previous muscular contraction. Extensive research exists examining the PAP effect after a heavy resistance exercise but there is limited research examining the PAP effect after a plyometric stimulus to the pre-competition practices (e.g., warm-up) of well-trained athletes. OBJECTIVE: The purpose of this study was to investigate the acute effects of plyometric warm-up with different box heights on sprint and agility performance in national-level field hockey athletes at recovery time of immediately, 5 minutes and 10 minutes. METHODS: In a randomized crossover design, ten male national-level field hockey athletes performed 30-m sprint (with 10-m split) and agility test at baseline, immediately (∼ 15 sec), 5 minutes and 10 minutes after a high-intensity plyometric warm-up (HIPW), a low-intensity plyometric warm-up (LIPW) and a control trial (CT). RESULTS: Mean 10-m sprint times, 30-m sprint times and agility times were similar between trials at baseline (p&gt; 0.05). Significant trial x time interactions (p⩽ 0.05) were observed for 10-m sprint time, 30-m sprint time and agility time. 10-m sprint times were significantly decreased after HIPW at all time-points and LIPW at immediately time-point, relative to baseline (p⩽ 0.05). HIPW 10-m sprint times were faster at all time-points and LIPW sprint time was faster at 10 minutes when compared with CT (p⩽ 0.05). Thirty-meter sprint times were significantly decreased after HIPW and LIPW at all time-points, relative to baseline (p⩽ 0.05). HIPW 30-m sprint times at all time-points and LIPW at both the 5 and 10 minute time-points were faster than CT (p⩽ 0.05). Agility times were significantly decreased after HIPW at all time-points and LIPW at both the immediately and 5 minutes time-points, relative to baseline (p⩽ 0.05). HIPW and LIPW agility times were faster than CT, at all time-points (p⩽ 0.05). CONCLUSIONS: Both HIPW and LIPW may be effective in enhancing the pre-training or pre-competition practices in off-season for national-level field hockey athletes. However, the individualization of HIPW is highly recommended in order to maintain PAP effects for 10-m sprint times, 30-m sprint times and agility times throughout the 10 minutes when compared to LIPW.

Heavy Resistance Training in Breast Cancer Patients Undergoing Adjuvant Therapy.

Adjuvant breast cancer therapy may reduce maximal muscle strength, muscle mass, and functional performance. Although maximal strength training (MST) has the potential to counteract this debilitating outcome and is shown to be superior to low- and moderate-intensity strength training, it is unknown if it can elicit effective adaptations in patients suffering treatment-induced adverse side effects. Fifty-five newly diagnosed stage I to III breast cancer patients (49 ± 7 yr) scheduled for adjuvant therapy were randomized to MST or a control group. The MST group performed 4 × 4 repetitions of dynamic leg press at approximately 90% of one-repetition maximum (1RM) twice a week for 12 wk. In the MST group, improvements in 1RM (20% ± 8%; P < 0.001) were accompanied by improved walking economy (9% ± 8%) and increased time to exhaustion during incremental walking (9% ± 8%; both P < 0.01). Moreover, the MST group increased 6-min walking distance (6MWD; 10% ± 7%), and chair rising (30% ± 20%) and stair climbing performance (12% ± 7%; all P < 0.001). All MST-induced improvements were different from the control group (P < 0.01) which reduced their 1RM (9% ± 5%), walking economy (4% ± 4%), time to exhaustion (10% ± 8%), 6MWD (5% ± 5%), chair rising performance (12% ± 12%), and stair climbing performance (6% ± 8%; all P < 0.01). Finally, although MST maintained estimated quadriceps femoris muscle mass, a decrease was observed in the control group (7% ± 10%; P < 0.001). The change in 1RM correlated with the change in walking economy (r = 0.754), time to exhaustion (r = 0.793), 6MWD (r = 0.807), chair rising performance (r = 0.808), and stair climbing performance (r = 0.754; all P < 0.001). Lower-extremity MST effectively increases lower-extremity maximal muscle strength in breast cancer patients undergoing adjuvant therapy and results in improved work economy, functional performance, and maintenance of muscle mass. These results advocate that MST should be considered in breast cancer treatment.

Denial of Service Attacks Prevention using Traffic Pattern Recognition over Software-Defined Network

Recent trends have shown a migration of software from local machines to server-based services. These service-based networks depend on high up-times and heavy resistance in order to compete in the market. Along with this growth, denial of service attacks have equally grown. Defending against these at

Influence of resisted sled-push training on the sprint force-velocity profile of male high school athletes.

Sled pushing is a commonly used form of resisted sprint training; however, little empirical evidence exists, especially in youth populations. The aim of this study was to assess the effectiveness of unresisted and resisted sled pushing across multiple loads. Fifty high school athletes were assigned to an unresisted (n=12), or 3 resisted groups; light (n=14), moderate (n=13), and heavy (n=11) resistance that caused a 25%, 50%, and 75% velocity decrement in maximum sprint speed, respectively. All participants performed two sled-push training sessions twice weekly for 8weeks. Before and after the training intervention, the participants performed a series of jump, strength, and sprint testing to assess athletic performance. Split times between 5 and 20m improved significantly across all resisted groups (all P<.05, d=0.34-1.16) but did not improve significantly with unresisted sprinting. For all resisted groups, gains were greatest over the first 5m (d=0.67-0.84) and then diminished over each subsequent 5m split (d=0.08-0.57). The magnitude of gains in split times was greatest within the heavy group. Small but non-significant within-group effects were found in pre to post force-velocity profiles. There was a main effect of time but no interaction effects as all groups increased force and power, although the greatest increases were observed with the heavy load (d=0.50-0.51). The results of this study suggest that resisted sled pushing with any load was superior to unresisted sprint training and that heavy loads may elicit the greatest gains in sprint performance over short distances.

Acute Effects of Resistance Exercise and the Use of GH or IGF-1 Hormones on Oxidative Stress and Antioxidant Markers in Bodybuilders.

The aim of this study was to examine the influence of peptide hormone use on oxidative stress and antioxidant responses to a single session of resistance exercise in male bodybuilders. Forty-five male bodybuilders were divided into three groups: bodybuilders using growth hormone for at least 1 year (i.e., 3 to 4 times in the year) (GH-user, n = 15), bodybuilders using insulin-like growth factor-1 for at least 1 year (i.e., 3 to 4 times in the year) (IGF-1-user, n = 15), and peptide hormone-free bodybuilders (Non-user, n = 15). The heavy resistance exercise protocol consisted of five sets with 80% of one repetition maximum for six exercises. Blood samples were obtained pre and post heavy resistance exercise (HRE) in order to evaluate changes in oxidative stress (8-hydroxy-2-deoxyguanosine (8-OHdG), malondialdehyde (MDA), and nitric oxide (NO)) and antioxidant biomarkers (glutathione peroxidase (GPx), catalase (CAT) and glutamate (GLU)) level. All the experimental groups showed increases in MDA (p = 0.038), NO (p = 0.028), GPx (p = 0.012), and GLU (p = 0.003) concentrations after resistance exercise. For 8-OHdG, the Non-user and IGF-1-user groups indicated increases at post-exercise (p = 0.001), without any significant changes in the GH-user group (p = 0.87). In addition, the changes in serum GPx and GLU levels were greater for the GH-user group than the Non-user and IGF-1-user groups (p = 0.001). In conclusion, HRE induced significant increases in 8-OHdG (except to GH-user group), MDA, NO, GPx, and GLU levels with greater changes in GPx and GLU for the GH-user group.

Field experiments evaluating a biomimetic shark-inspired (BioS) subsoiler for tillage resistance reduction

Due to the increasingly severe soil compaction and plough pan thickening prevalent in agricultural practice, an increase in operating energy consumption and a decrease in crop growth has been observed. This paper aims to solve the problem of heavy tillage resistance by using riblet structures extracted from shark scales in the design a biomimetic shark-inspired (BioS) subsoiler. To produce better quality work, the design parameters of the BioS subsoiler, including the ratio of the riblet height to the riblet spacing h/s, the riblet height h, and the internal friction angle α, were considered, and a mechanical analysis of the relationship between the BioS subsoiler and the soil was performed to evaluate tillage resistance, total energy consumption and soil disturbance. The minimum tillage resistance and energy consumption of the shank and tine were achieved with an h of 5 mm and h/s of 0.57 obtained from the simulation results. Then, the parametrically optimized BioS subsoilers were fabricated and used to perform field experiments at different tillage speeds. The effects of subsoiling with BioS subsoilers and with an ordinary subsoiler (O–S) on the soil moisture, root morphology and crop yield were also discussed. The results showed that the BioS subsoiler would be helpful to increase the root absorption capacity of water and nutrients, which promote crop growth and increase the crop yield.

The Influence of Prolonged Strength Training Upon Muscle and Fat in Healthy and Chronically Diseased Elderly Close to Retirement Age

Background: Physical and cognitive function declines with age, accelerating after the age of 60. Strength training over a few months improves physical function, but less is known about how long-term strength training affects physical and cognitive function. Therefore, we aimed to investigate the effect of 1 year strength training of two different intensities upon muscle mass, function, and cognition in retirement-age individuals. Methods: In this randomized controlled trial (clinicaltrials.gov: NCT02123641), participants were allocated to either a) supervised, heavy resistance training (HRT, n=149, 3/wk), b) moderate intensity resistance training (MIT, n=154, 3/wk) or c) non-exercise activities (CON, n=148). 451 participants were randomized (62-70 yrs, women 61%, ≈80% with a chronic medical disease) and 419 were included in the intention-to-treat analysis (n=143, 144 and 132; HRT, MIT and CON). Changes in muscle power (primary outcome), strength and size, physical function, body composition, hippocampus volume and physical/mental well-being were analysed. Findings: Of the participants (HRT+MIT), 83% completed training at least 2/wk. Leg extensor power was unchanged in all groups, but strength training had positive effects on isometric knee extensor strength and muscle mass, whereas an increased cross-sectional area of vastus lateralis muscle, a decreased whole-body fat percentage and visceral fat content occurred in HRT only. Further, chair-stand performance and 400 m walking time improved in all groups. Hippocampus volume decreased in all groups over time with no influence of strength training, whereas mental health (SF-36) improved more in HRT than MIT. Interpretation:Together, the results indicate that long-term supervised strength training in both healthy and chronically diseased elderly individuals can be implemented with good compliance and induces consistent changes in physiological parameters of muscle and fat. Trial Registration: Clinicaltrials.gov (NCT02123641). Funding Statement: Nordea Foundation (Centre for Healthy Ageing grant). Declaration of Interests: Dr. Gylling reports grants from Nordea Foundation (Centre for Healthy Ageing grant), during the conduct of the study. All other authors declare no conflicts of interest. Ethics Approval Statement: All participants signed an informed consent before participating in the study. The study was approved by the regional ethical committee (Capital Region, Copenhagen, Denmark, No. H-3-2014-017), and complied with the declaration of Helsinki, and the study was approved by the Danish Data Protection Agency.

PROTEIN SUPPLEMENTATION DOES NOT RESCUE MUSCLE MASS AND FUNCTION–HEAVY RESISTANCE TRAINING IS REQUIRED

The requirement of an enhanced dietary protein intake to counteract the age-related loss of muscle mass is still debated. Further, the dinner meal generally contains the majority of protein and energy and since, the muscle of older adults responds less to protein intake than that of younger adults it is hypothesized that older adults would benefit from taking more protein in at other meals. The aim of this study was to investigate whether the provision of protein supplements for breakfast and lunch meals over the course of a year would make healthy, older, home-dwelling adults (N=136) take in more protein and whether that then would affect their muscle mass (primary outcome) and a number of metabolic health parameters, muscle strength parameters and functional capabilities. More than 77% ingested more than 75% of the provided supplements, irrespective of supplementation type (isocaloric carbohydrate; collagen hydrolysate low quality protein: whey hydrolysate high quality protein). Providing supplementation for a year among older adults makes them comply very well. However, provision of extra protein has no impact on the muscle mass or strength or on the functional parameters. Further, we studied the impact of adding resistance training on top of WHEY protein supplementation and found that heavy more than light-load resistance training affects fat-free mass and maximal-voluntary contraction. Daily protein intake can be enhanced by supplementation but do not impact muscle mass and function over the course of a year, where heavy resistance training on top benefits, but to a lesser than expected degree.

The Management of Mid-Portion Achilles Tendinopathy from aPhysiotherapeutic Point of View: A Systematic Review

Tendinopathy of the mid-portion of the Achilles tendon is common in athletes and non-athletes. From a physiotherapeutic view, calf muscle training is the most recommended kind of treatment. However, there is no current systematic review evaluating the efficacy of physiotherapy in due consideration of the entire spectrum of therapeutic options. A systematic review of the literature in several databases and journals revealed 19 relevant studies. Good evidence was found for eccentric training compared to no therapy, satisfactory evidence for eccentric training compared to concentric training, satisfactory to good evidence for the same effect by using eccentric training and heavy slow resistance training, poor evidence for the same effect by using eccentric training and stretching, and poor to good evidence that eccentric training may have the same effect as several therapies applied by physicians. The Alfredson protocol and heavy slow resistance training may be the most recommendable types of calf muscle training. There is no high-quality evidence for the efficacy of other hands off or hands on treatment options.

Skeletal Muscle Fiber Type and Morphology in a Middle-Aged Elite Male Powerlifter Using Anabolic Steroids

Powerlifting regularly exposes athletes to extreme stimuli such as chronic heavy resistance training (HRT), and many powerlifters choose to augment their performance with anabolic–androgenic steroids (AAS). However, little is known about the myocellular adaptations that occur from long-term HRT and AAS use, especially into middle age. We were presented with the unique opportunity to study muscle cells from an elite-level powerlifter (EPL; age 40 years) with ≥ 30 years of HRT experience and ≥ 15 years of AAS use. The purpose of this case study was to identify myocellular characteristics [myosin heavy chain (MHC) fiber type, fiber size, and myonuclear content] in EPL, as well as compare these data to existing literature. The participant underwent a resting vastus lateralis muscle biopsy and single fibers were analyzed for MHC content via SDS-PAGE. A subset of fibers underwent MHC-specific imaging analysis via confocal microscopy to identify cell size (cross-sectional area, CSA) and myonuclear domain (MND) size. MHC fiber type distribution was 9% I, 12% I/IIa, 79% IIa, and 0% other isoforms. This pure MHC IIa (fast-twitch) fiber content was amongst the highest reported in the literature. Imaging analysis of MHC IIa fibers revealed a mean CSA of 4218 ± 933 μm2 and MND of 12,548 ± 3181 μm3. While the fast-twitch fiber CSA was comparable to values in previous literature, mean MND was smaller than has been reported in untrained men, implying greater capacity for growth and repair. These findings showcase the unique muscle cell structure of an elite powerlifter, extending the known physiological limits of human muscle size and strength.

THE EFFICACY AND VALIDITY OF BLOOD FLOW RESTRICTION TRAINING IN CLINICAL AND POST-SURGICAL POPULATIONS

Background: We currently know BFR training is a viable modality for strength gains in the healthy population. However, it is unknown the effect of BFR training on post-surgical and clinical populations. Furthermore, the optimal use of the BFR modality regarding resistance vs. no-resistance (bodyweight) is also unknown. This literature review adds new information to the field of BFR training specifically in the post-surgical and clinical populations. The objective of the study is to explore the validity and efficacy of blood-restriction training (BFR) in conjunction with low-load resistance training (LL-BFR) versus low-load training without BFR and high-load resistance training without BFR to determine which is superior for strength gains.Methods: The authors used SPORTDiscus, EBSCO, PubMed, and Science Direct to search for peer-reviewed articles. The articles chosen had the keywords/phrases “BFR,” “vascular occlusion,” “strength training,” “resistance training.” The studied emphasized patients with either clinical conditions (osteoarthritis) or musculoskeletal injuries (ACL reconstruction, total knee arthroplasty, knee arthroscopy). One hundred seventy-one articles were screened, and 17 articles reviewed.Results: BFR, in conjunction with low-load resistance training yields superior strength gains when compared to lowload training alone (p<.05). The outcome measures show a higher 1-rep max (isotonic strength) and greater muscle size (cross-sectional area, muscle mass, muscle volume) (p<.05). However, BFR with low-load resistance training does not yield superior strength gains in comparison to high-load resistance training alone (p<.03).Conclusion: As healthcare providers treating patients with musculoskeletal conditions, we know the importance of resistance training as a tool for rehabilitation and activities of daily living. However, at times heavy resistance training is contraindicated either due to joint instability/degeneration, pain, surgical restrictions. BFR training can be implemented with a 10-30% 1-rep max for comparable strength gains. This can be a potential tool used to offset post-surgical atrophy and atrophy due to arthralgia seen in certain systemic conditions. This can translate to better functional outcomes in post-surgical patients and superior quality of life in the geriatric population.