High-intensity Training Research Articles

A Description of Exercise Programs Implemented During a Firefighter Training Academy.

The aim of the study is to thoroughly describe exercise programs that were performed during a firefighter training academy, including their effects on body composition and physical fitness. Fourteen recruits performed exercise programs during a 24-week training academy and several components of their body composition and physical fitness were measured. Moreover, their heart rate (HR) and session rating of perceived exertion (sRPE) were recorded during and after every training session, respectively. Fat-free mass, subcutaneous fat in the abdomen, cardiovascular fitness, flexibility, lower-body power, and muscular endurance significantly improved during the study ( P ≤ 0.05). The highest HR and sRPE responses were observed during aerobic training (AT) sessions. The average HR responses relative to maximum HR were similar during AT, high-intensity circuit training, multimodal high-intensity interval training, and high-intensity functional training; however, the sRPEs during high-intensity circuit training and multimodal high-intensity interval training were significantly lower than AT. Several effective exercise programs can be implemented during firefighter training academies.

Exercise combined with postbiotics treatment results in synergistic improvement of mitochondrial function in the brain of male transgenic mice for Alzheimer’s disease

BackgroundIt has been suggested that exercise training and postbiotic supplement could decelerate the progress of functional and biochemical deterioration in double transgenic mice overexpresses mutated forms of the genes for human amyloid precursor protein (APPsw) and presenilin 1 (m146L) (APP/PS1TG). Our earlier published data indicated that the mice performed better than controls on the Morris Maze Test parallel with decreased occurrence of amyloid-β plaques in the hippocampus. We investigated the neuroprotective and therapeutic effects of high-intensity training and postbiotic supplementation.MethodsThirty-two adult APP/PS1TG mice were randomly divided into four groups: (1) control, (2) high-intensity training (3) postbiotic, (4) combined (training and postbiotic) treatment for 20 weeks. In this study, the whole hemibrain without hippocampus was used to find molecular traits explaining improved brain function. We applied qualitative RT-PCR for gene expression, Western blot for protein level, and Zymography for LONP1 activity. Disaggregation analysis of Aβ-40 was performed in the presence of Lactobacillus acidophilus and Bifidobacterium longum lysate.ResultsWe found that exercise training decreased Alzheimer’s Disease (AD)-related gene expression (NF-kB) that was not affected by postbiotic treatment. The preparation used for postbiotic treatment is composed of tyndallized Bifidobacterium longum and Lactobacillus acidophilus. Both of the postbiotics effectively disaggregated amyloid-β/Aβ-40 aggregates by chelating Zn2+ and Cu2+ ions. The postbiotic treatment decreased endogenous human APPTG protein expression and mouse APP gene expression in the hemibrains. In addition, the postbiotic treatment elevated mitochondrial LONP1 activity as well.ConclusionOur findings revealed distinct mechanisms behind improved memory performance in the whole brain: while exercise training modulates NF-kB signaling pathway regulating immune response until postbiotic diminishes APP gene expression, disaggregates pre-existing amyloid-β plaques and activates mitochondrial protein quality control in the region of brain out of hippocampus. Using the above treatments complements and efficiently slows down the development of AD.

Mid- to long-term cardiac magnetic resonance findings in elite athletes recovered from COVID-19: results from an ongoing observational COVID-19 study at a German Olympic medical centre.

The cardiac magnetic resonance (CMR) data on mid- to long-term myocardial damage due to COVID-19 infections in elite athletes are scarce. Therefore, this study investigated the mid -to long-term consequences of myocardial involvement after a COVID-19 infection in elite athletes. This study included 27 athletes at the German Olympic Centre North Rhine-Westphalia (NRW)/Rhineland with a confirmed previous COVID-19 infection between January 2020 and October 2021. The athletes were part of an ongoing observational COVID-19 study at the Institute of Cardiology and Sports Medicine Cologne at the German Sport University (DSHS).Nine healthy non-athletes with no prior COVID-19 illness served as controls. CMR was performed within a mean of 182 days (standard deviation [SD] 99) of the initial positive test result. CMR did not reveal any signs of acute myocarditis (according to the current Lake Louise criteria) or myocardial damage in any of the 26 elite athletes with previous COVID-19 infection. Of these athletes, 92% experienced a symptomatic course, and 54% reported symptoms lasting for more than 4 weeks. One male athlete was excluded from the analysis because CMR revealed an arrhythmogenic right ventricular cardiomyopathy (ARVC). Athletes had significantly enlarged left and right ventricle volumes and increased left ventricular myocardial mass in comparison to the healthy control group (LVEDVi 103.4 vs 91.1 ml/m2, p = 0.031; RVEDVi 104.1 vs 86.6 ml/m2, p = 0.007; LVMi 59.0 vs 46.2 g/m2, p = 0.002). Only two cases of elevated high-sensitivity-Troponin were documented; in one, the participant had previously engaged in high-intensity training, and in the other, CMR revealed a diagnosis of an arrhythmogenic cardiomyopathy. Our findings suggest that the risk for mid- to long-term myocardial damage is very low to negligible in elite athletes. Our results do not allow conclusions to be drawn regarding myocardial injury in the acute phase of infection nor about possible long-term myocardial effects in the general population.

Retracted: Optimal Modeling and Simulation of the Relationship between Athletes' High-Intensity Training and Sports Injuries.

[This retracts the article DOI: 10.1155/2022/8447453.].

Prevalence of degenerative vertebral disc changes in elite female Crossfit athletes – a cross-sectional study

BackgroundCrossfit athletes consistently recruit or transfer high levels of repetitive forces through the spine, and MRI has documented a higher rate of intervertebral disc degeneration in athletes compared with matched controls. The aim of this study was to evaluate early degenerative spinal disc changes in elite female CrossFit athletes quantified by 3.0 Tesla magnetic resonance imaging (MRI) matched with female none-athletes.MethodsIn a cross-sectional single-center study 19 asymptomatic adult participants, nine German female elite Crossfit athletes and ten female participants underwent spinal MRI (3.0T). Demographic data, spinal clinical examination results and sport-specific performance parameters were collected prior to the MRI. The primary outcome was the prevalence of degenerative spinal disc changes. The secondary outcome was the grade of degeneration using Pfirrmann grading.ResultsA total of 437 discs underwent spinal MRI (3.0T). The prevalence of early degenerative disc disease was not increased. Pfirrmann degenerative grade did not show significant differences among groups.ConclusionAsymptomatic female elite Crossfit athletes do not show an increased prevalence of degenerative disc disease. Compared to a sex-matched control group, high training volume in Crossfit does not correlate to a higher incidence of degenerative disc changes in young females.

Effects of high-intensity functional training on physical fitness and sport-specific performance among the athletes: A systematic review with meta-analysis.

This study aims to meta-analyze the impact of high-intensity functional training on athletes' physical fitness and sport-specific performance. A systematic search was conducted in five well-known academic databases (PubMed, Scopus, Web of Science, EBSCOhost, and the Cochrane Library) up to July 1, 2023. The literature screening criteria included: (1) studies involving healthy athletes, (2) a HIFT program, (3) an assessment of outcomes related to athletes' physical fitness or sport-specific performance, and (4) the inclusion of randomized controlled trials. The Physical Therapy Evidence Database (PEDro) scale was used to evaluate the quality of studies included in the meta-analysis. 13 medium- and high-quality studies met the inclusion criteria for the systematic review, involving 478 athletes aged between 10 and 24.5 years. The training showed a small to large effect size (ES = 0.414-3.351; all p < 0.05) in improving upper and lower body muscle strength, power, flexibility, and sport-specific performance. High-intensity functional training effectively improves athletes' muscle strength, power, flexibility, and sport-specific performance but has no significant impact on endurance and agility. Future research is needed to explore the impact of high-intensity functional training on athletes' speed, balance, and technical and tactical performance parameters.

Impact of Fatigue on the Balance and Reaction Time of Amateur Padel Athletes

Background: Physical features, such as body balance and reaction time, can significantly influence the overall performance of Padel's professional athletes. Objectives: In this paper, we aimed to compare motor performance abilities before and after exhaustion in amateur padel athletes. Methods: A total of 32 padel amateur athletes participated in our study and performed Y balance test trials and a complex sensometric examination to measure their capabilities before and after exhaustion by the Bruce test. Results: Our results showed a significant change in both balance and reaction time before and after exhaustion (P &lt; 0.05 for both parameters), indicating that fatigue had a negative effect on the motor performance of padel players. Cohen’s d was considered moderate (0.2 &lt; d &lt; 0.5) both for balance (d = 0.44) and reaction time (d = 0.41). Data suggested that amateur padel athletes struggled to maintain or improve their balance quality after long-term physical activity, showing the importance of high-intensity training for adapting the central nervous system. Reaction time is negatively affected by fatigue compared to resting reaction time due to the exhaustion effect of the muscle reception of central nervous system stimuli. Conclusions: Based on our results, focusing on body balance and reaction time training would help reduce the negative impact of fatigue, improve the effectiveness of technical abilities, increase the possibility of scoring during a competitive game, and prevent injuries. Coaches of amateur players should focus on improving the physical abilities of players and give more importance to fitness training in addition to padel training.

Creatine supplementation effect on oxidative stress and physical exercise

This article explores the role of creatine supplementation in the processes of oxidative stress during exercise. Oxidative stress is the result of an imbalance between the formation and elimination of reactive oxygen species (ROS), which degrade biogenic substances: deoxyribonucleic acid (DNA), proteins, lipids, and can lead to tissue damage. In the course of physical activity, there is a physiological increase in the processes of oxidative stress. Although intense exercise contributes to oxidative damage to muscle fibers, regular physical activity enhances the ability of cells to eliminate excess ROS. Moderateintensity exercise has been shown to increase antioxidant protection. Endogenous antioxidants cannot completely prevent oxidative damage under physiological and pathological conditions (high-intensity and elevated training). The latter can cause endogenous antioxidant imbalance and increase oxidative stress. Scientific studies show the presence of an antioxidant effect in creatine and demonstrate that the use of creatine supplements increases adaptation to physical activity.

Effect of High-Intensity Circuit Training versus Low-Intensity Interval Training on Functional Strength and Weight Efficacy in Overweight and Obese Young Females: A Randomized Clinical Trial

Effect of High-Intensity Circuit Training versus Low-Intensity Interval Training on Functional Strength and Weight Efficacy in Overweight and Obese Young Females: A Randomized Clinical Trial

Translating scientific recommendations into reality: a feasibility study using group-based high-intensity functional exercise training in adolescents with cerebral palsy

Purpose To examine the feasibility and effects of a functional high-intensity exercise intervention performed in a group-setting on functionality, cardiovascular health and physical performance in adolescents with cerebral palsy (CP). Methods Ten adolescents with a diagnosis of CP (2 females; 16.6 ± 3.4 years; GMFCS: I-II) participated in a 12-week training intervention, containing progressive resistance training using free weights and high-intensity workouts twice a week. The six-minute walking test, arterial stiffness and physical performance (strength and power tests) were measured before and after the intervention. Results No adverse events were reported. We measured small increases in the six-minute walking test (Δ = 28.8 m, 95% CI [-1.78;52.7]; g = 0.34 [-0.04;0.72]) and a small reduction in arterial stiffness (Δ = −4.65% [-10.90;1.25]; g = −0.46 [-1.36;0.21]). All measures of physical performance increased (0.24 ≤ g ≤ 0.88). Conclusion Functional training with free weights in high-functioning adolescents with CP is safe and effective in increasing parameters of physical performance and cardiovascular health. Positively influenced indicators of everyday independence (i.e. strength parameters) showed a transfer into movements of daily life. Concerns about adverse events through high-intensity training in adolescents with CP appear unjustified when training is performed progressively, following basic training principles.

A Preliminary Investigation into the Frequency Dose Effects of High-Intensity Functional Training on Cardiometabolic Health.

The objective of this study was to explore the effects of three weekly frequency doses of high-intensity functional training (HIFT) on an array of cardiometabolic markers in adults with metabolic syndrome (MetS). Twenty-one men and women, randomized into one (HIFT1), two (HIFT2), or three (HIFT3) days per week of HIFT, completed 3-weeks of familiarization plus a 12-week progressive training program. Pre- and post-intervention, several cardiometabolic, body composition, oxygen consumption, metabolic syndrome severity, and perceptions of fitness measurements were assessed. Additionally, an exercise enjoyment survey was administered post-intervention. A Cohen's d was used to demonstrate within-group change effect size. Although this study was not fully powered, a one-way and two-way ANOVA were used to compare the dose groups to provide provisional insights. No differences were found when frequency dose groups were compared. Many cardiometabolic, body composition, and fitness improvements were seen within each group, with clinically meaningful improvements in the metabolic syndrome severity score (MSSS) (HIFT1: -0.105, d = 0.28; HIFT2: -0.382, d = 1.20; HIFT3: -0.467, d = 1.07), waist circumference (HIFT1: -4.1cm, d = 3.33; HIFT2: -5.4cm, d = 0.89; HIFT3: -0.7cm, d = 0.20), and blood glucose (HIFT1: -9.5mg/dL, d = 0.98; HIFT2: -4.9mg/dL, d = 1.00; HIFT3: -1.7mg/dL, d = 0.23). All three groups similarly reported high exercise enjoyment and likeliness to continue after the intervention. In conclusion, HIFT performed once, twice, or thrice a week elicits improvements in MetS and is considered enjoyable. HIFT, even at a low weekly dose, therefore represents a potential strategy to reduce the global MetS burden.

Super High-Intensity Continuous Training: A New Approach to Aerobic Training with Huge Effects on Elite Team Handball Players

Super High-Intensity Continuous Training: A New Approach to Aerobic Training with Huge Effects on Elite Team Handball Players

Research on the protection of athletes from injury by flexible conjugated materials in sports events

Sports are essential to everyone’s health because they assist athletes to establish physical and mental balance by strengthening muscles and ligaments. High-intensity training and low-quality equipment for sports tend to cause a wide range of injuries to the athlete. Higher education graduates’ regular education and lives are disrupted, either directly or indirectly, by sports injuries. Therefore, understanding the prevalence and root causes of college athletes’ injuries is crucial for enhancing student athletes’ performance and fostering healthy development. The ever-changing nature of injuries associated with sports and the patchy availability of rehabilitation facilities across India cause alarm. Inaccurately identifying players’ physical indications, uncomfortable clothing, and dissatisfaction with sports equipment are among the issues that can arise. The study investigates the potential of nanoparticles combined with sports flexible conjugate materials for injury prevention in athletes. The article proposed nanotechnology combined with flexible conjugated materials in sports events (Nano-FCM-SE) in sports training, explores the possibility of conjugated materials in enhancing the training effects of athletes, monitoring the status of sports, and bettering equipment. Sports equipment can help keep athletes safe by incorporating nanotechnology and flexible conjugated materials with superior optical, electrical, and other capabilities. Convenience, waterproof materials, flexibility, lightweight, aesthetics, breathability, and durability are evaluated for use in Nano-conjugated sports equipment materials. Evidence suggests that using flexible conjugated materials in athletic training can improve athlete performance and help the overall development of sports. The proposed method yields less negative results than MSI-TENG, TCM-MS, and RANSAC. The proposed damage severity model performs poorly relative to competitors (0.2). Compared to conventional models, the given models are effective on equipment. The sports injury protection system reported in this research has 5.17 percentage points greater detection efficiency than the current state of the art. Hierarchical strategies have the best RMSE for athlete safety. The findings of such methodologies in athlete safety on Nano conjugate materials and sports biology on sporting events and equipment underline the importance of precise data for athlete safety and performance.

Effect of Blood Flow-Restricted Strength Training on Body Composition: a Randomized Controlled Study of Patients with Metabolic Syndrome

INTRODUCTION. Low-intensity resistance training with blood flow restriction is an effective strategy for increasing muscle mass and strength, as well as reducing excess subcutaneous and visceral fat deposition. In recent years, this method has been used in various populations. The purpose of this study was to evaluate the effect of low-intensity resistance training with blood flow restriction on anthropometric parameters and body composition in men with metabolic syndrome.&#x0D; AIM. To evaluate the effect of low-intensity strength training with blood flow restriction on anthropometric indices and body composition in men with metabolic syndrome.&#x0D; MATERIALS AND METHODS. The study involved 60 untrained men (mean age 38.7 ± 5.6 years) who meet the criteria for metabolic syndrome due to health reasons. Participants were divided into three groups according to resistance training regimens: low-intensity resistance with blood flow restriction; high-intensity training; low-intensity training without blood flow restriction. Before and after 12 weeks of training, the groups were assessed for body mass index, fat mass, visceral fat area, musculoskeletal mass, waist circumference.&#x0D; RESULTS. There was a statistically significant decrease in fat mass, visceral fat area, waist circumference and an increase in musculoskeletal mass (p 0.05) in the groups of low-intensity strength training with blood flow restriction and high-intensity strength training. In the parameters of men belonging to the group of low-intensity strength training without blood flow restriction, no statistically significant changes were found (p 0.05).&#x0D; CONCLUSION. In summary, the study found that low-intensity resistance training with blood flow restriction effectively altered the body composition of men with metabolic syndrome.

Efficacy of morning versus afternoon aerobic exercise training on reducing metabolic syndrome components: A randomized controlled trial.

A supervised intense aerobic exercise program improves the health of individuals with metabolic syndrome (MetS). However, it is unclear whether the timing of training within the 24h day would influence those health benefits. The present study aimed to determine the influence of morning vs. afternoon exercise on body composition, cardiometabolic health and components of MetS. One hundred thirty-nine individuals with MetS were block randomized into morning (AMEX; n=42) or afternoon (PMEX; n=59) exercise training groups, or a non-training control group (Control; n=38). Exercise training was comprised of 48supervised high-intensity interval sessions distributed over 16weeks. Body composition, cardiorespiratory fitness (assessed by ), maximal fat oxidation (FOmax ), blood pressure and blood metabolites were assessed before and after the intervention. Compared with the non-training Control, both exercise groups improved similarly body composition (-0.7% fat loss; P=0.002), waist circumference (-2.1 cm; P<0.001), diastolic blood pressure (-3.8mmHg; P=0.004) and (3.5mLkg-1 min-1 ; P<0.001) with no differences between training groups. AMEX, in comparison with PMEX, reduced systolic blood pressure (-4% vs. -1%; P=0.019), plasma fasting insulin concentration (-12% vs. -5%; P=0.001) and insulin resistance (-14% vs. -4%; P=0.006). Furthermore, MetS Zscore was further reduced in the AMEX compared to PMEX (-52% vs. -19%; P=0.021) after training. In summary, high-intensity aerobic exercise training in the morning in comparison to training in the afternoon is somewhat more efficient at reducing cardiometabolic risk factors (i.e. systolic blood pressure and insulin sensitivity). KEY POINTS: The effect of exercise time of day on health promotion is an area that has gained interest in recent years; however, large-scale, randomized-control studies are scarce. People with metabolic syndrome (MetS) are at risk of developing cardiometabolic diseases and reductions in this risk with exercise training can be precisely gauged using a compound score sensitive to subtle evolution in each MetS component (i.e. Z score). Supervised aerobic exercise for 16weeks (morning and afternoon), without dietary restriction, improved cardiorespiratory and metabolic fitness, body composition and mean arterial pressure compared to a non-exercise control group. However, training in the morning, without changes in exercise dose or intensity, reduced systolic blood pressure and insulin resistance further compared to when training in the afternoon. Thus, high-intensity aerobic exercise training in the morning is somewhat more efficient in improving the health of individuals with metabolic syndrome.

Shoulder Tensiomyography and Isometric Strength in Swimmers Before and After a Fatiguing Protocol.

Shoulder muscles are active during front-crawl swimming to provide propulsion and stabilize the glenohumeral and scapulothoracic joints. Researchers have proposed that fatigue might contribute to altered activation of these muscles and represent a risk factor for injuries. Tensiomyography (TMG) might function as a noninvasive tool to detect changes in contractile measures of the skeletal muscles due to exercise-induced neuromuscular fatigue, though it has not yet been used in the shoulder muscles of swimmers. To assess the effects of a fatiguing swimming protocol on shoulder muscle TMG measures and isometric strength in competitive swimmers. Cross-sectional study. Swimming pool facility. A total of 14 young front-crawl competitive swimmers (11 males and 3 females; age = 21 ± 3 years [range, 17-26 years], height = 1.78 ± 0.06 m, mass = 73.1 ± 9.2 kg). Participants completed TMG and isometric strength assessments before and after 30-minute, high-intensity swim training. The TMG assessment was performed on 7 muscles of the shoulder according to front-crawl biomechanics and the applicability of the technique to obtain data, such as time to contraction and muscle-belly radial displacement. Isometric strength was assessed using a digital handheld dynamometer during shoulder flexion, extension, external rotation, and internal rotation. Fatigue induced a smaller radial displacement, mostly observable in latissimus dorsi (-1.0 mm; 95% CI = -1.7, -0.3 mm; P = .007) and pectoralis major muscles (-1.4 mm; 95% CI = -2.4, -0.4 mm; P = .007). Only shoulder extension showed an isometric strength reduction after the fatiguing protocol (-0.03 N/kg; 95% CI = -0.05, -0.01 N/kg; F1,13 = 4.936; P = .045; ηp2 = 0.275). This study provides preliminary evidence for the usefulness of TMG to detect fatigue-induced changes in contractile properties of the shoulder muscles in swimmers, in particular the latissimus dorsi and pectoralis major.

Spirulina Supplementation with High-Intensity Interval Training Decreases Adipokines Levels and Cardiovascular Risk Factors in Men with Obesity

Adiposity, a state characterized by excessive accumulation of body fat, is closely linked to metabolic complications and the secretion of specific adipokines. This study explores the potential of exercise and Spirulina supplementation to mitigate these complications and modulate adipokine release associated with obesity. The primary objective of this investigation was to examine the impact of a 12-week regimen of high-intensity training combined with Spirulina supplementation on adipokine concentrations and lipid profiles in male individuals with obesity (N = 44). The participants were randomly distributed into four groups, each consisting of 11 participants: a control group (CG), a supplement group (SG), a training group (TG), and a training plus supplement group (TSG). The intervention comprised a 12-week treatment involving Spirulina supplementation (6 g capsule daily), a 12-week high-intensity interval training (HIIT) protocol with three sessions per week, or a combined approach. Following the interventions, metabolic parameters, anthropometric measurements, cardiorespiratory indices, and circulating adipokines [CRP, Sema3C, TNF-α, IL-6, MCP1, IL-8] were assessed within 48 h of the before and final training session. Statistical analyses revealed significant differences across all measures among the groups (p &lt; 0.05). Notably, post hoc analyses indicated substantial disparities between the CG and the three interventional groups regarding body weight (p &lt; 0.05). The combined training and supplementation approach led to noteworthy reductions in low-density lipoprotein (LDL), total cholesterol (TC), and triglyceride (TGL) levels (all p &lt; 0.0001), coupled with an elevation in high-density lipoprotein–cholesterol (HDL-C) levels (p = 0.0001). Furthermore, adipokine levels significantly declined in the three intervention groups relative to the CG (p &lt; 0.05). The findings from this 12-week study demonstrate that Spirulina supplementation in conjunction with high-intensity interval training reduced adipokine levels, improved body weight and BMI, and enhanced lipid profiles. This investigation underscores the potential of Spirulina supplementation and high-intensity interval training as a synergistic strategy to ameliorate obesity-related complications and enhance overall cardiometabolic well-being in obese males.

Association between “cluster of differentiation 36 (CD36)” and adipose tissue lipolysis during exercise training: a systematic review

Fatty acid translocase (FAT/CD36) is a transmembrane glycoprotein belonging to the scavenger class B receptor family and is encoded by the cluster of differentiation 36 (CD36) gene. This receptor has a high affinity for fatty acids and is involved in lipid metabolism. An abundance of FAT/CD36 during exercise occurs in mitochondria and solitary muscles. As such, we aimed to systematically review the evidence for the relationship FAT/CD36 and adipose tissue lipolysis during exercise training. Five electronic databases were selected for literature searches until June 2022: PubMed, Web of Science, Scopus, science direct, and Google Scholar. We combined the different synonyms and used the operators (“AND”, “OR”, “NOT”): (CD36 gene) OR (CD36 polymorphism) OR (cluster of differentiation 36) OR (FAT/CD36) OR (fatty acid translocase) OR (platelet glycoprotein IV) OR (platelet glycoprotein IIIb) AND (adipose tissue lipolysis) OR (fatty acids) OR (metabolism lipid) OR (adipocytes) AND (physical effort) OR (endurance exercise) OR (high-intensity training). All published cross-sectional, cohort, case-control, and randomized clinical trials investigating CD36 polymorphisms and adipose tissue lipolysis during exercise in subjects (elite and sub-elite athletes, non-athletes, sedentary individuals and diabetics), and using valid methods to measure FAT/CD36 expression and other biomarkers, were considered for inclusion in this review. We initially identified 476 publications according to the inclusion and exclusion criteria, and included 21 studies investigating FAT/CD36 and adipose tissue lipolysis during exercise in our systematic review after examination of titles, abstracts, full texts, and quality assessments using the PEDro scale. There were nine studies with male-only participants, three with female-only participants, and nine studies included both female and male participants. There were 859 participants in the 21 selected studies. Studies were classified as either low quality (n = 3), medium quality (n = 13), and high quality (n = 5). In general, the data suggests an association between FAT/CD36 and adipose tissue lipolysis during exercise training. Improvements in FAT/CD36 were reported during or after exercise in 6 studies, while there were no changes reported in FAT/CD36 in 4 studies. An association between fat oxidation and FAT/CD36 expression during exercise was reported in 7 studies. No agreement was reached in 5 studies on FAT/CD36 content after dietary changes and physical interventions. One study reported that FAT/CD36 protein expression in muscle was higher in women than in men, another reported that training decreased FAT/CD36 protein in insulin-resistant participants, while another study reported no differences in FAT/CD36 in young, trained individuals with type 2 diabetes. Our analysis shows an association between FAT/CD36 expression and exercise. Furthermore, an association between whole-body peak fat oxidation and FAT/CD36 expression during exercise training was demonstrated.Systematic Review Registration: [PROSPERO], identifier [CRD42022342455]

Outcomes of Physiotherapy Exercises After Total Knee Replacement Surgery

Introduction: Total knee replacement (TKR) surgery is a common procedure for severe knee osteoarthritis, improving the quality of life for many patients. Despite surgical success, optimal recovery heavily relies on effective post-operative rehabilitation. This systematic review aimed to evaluate the effectiveness of various physiotherapy exercises in enhancing recovery outcomes following TKR, focusing on knee function, pain reduction, and patient satisfaction. Methods: A comprehensive search of PubMed, Scopus, Cochrane Library, and Web of Science was conducted, focusing on interventional studies and clinical trials published in the last five years up to 2022. Studies included were those evaluating physiotherapy interventions post-TKR, with clear measures on efficacy regarding patient outcomes. Exclusion criteria encompassed non-exercise-based rehabilitations, observational studies, and non-English publications. Data extraction focused on intervention types, sample sizes, and outcome measures. Results: Twelve studies were included, with sample sizes ranging from 30 to over 200 participants. Interventions varied from in-person physiotherapy, home-based exercises, high-intensity training, to tele-rehabilitation. High-intensity physiotherapy programs were associated with a 40% greater improvement in knee function compared to standard care. Tele-rehabilitation provided comparable outcomes in terms of pain management and mobility improvements, with patient satisfaction exceeding 80% in some studies. However, adherence and exercise intensity were noted challenges in remote settings. Conclusions: The review highlights physiotherapy's pivotal role in post-TKR recovery, with high-intensity programs showing significant benefits in knee function. Tele-rehabilitation emerges as a promising alternative, potentially increasing access to care. These findings support the integration of structured physiotherapy into rehabilitation protocols to maximize recovery outcomes. Future research should explore strategies to enhance adherence and effectiveness of tele-rehabilitation services.

The Effect of High-intensity Functional Training on LRG1 Levels and Its Relationship with Cardiovascular Risk Factors and Atherogenic Indices in Overweight and Obese Women

Introduction: The present study aimed to investigate the effect of high-intensity functional training on leucine-rich alpha-2 glycoprotein 1(LRG1) levels and its relationship with cardiovascular risk factors and atherogenic indicators in overweight and obese women. Method: In this semi-experimental study, 19 overweight and obese women were randomly divided into two groups of high-intensity functional training (n=9) and control (n=10). The participants of the training group performed high-intensity functional exercises three times per week for eight weeks. Before and after the intervention, blood samples were taken to measure LRG1 concentration and lipid profile, in addition to the calculation of atherogenic indices. Analysis of covariance test was used to analyze the data. Results: After eight weeks of high-intensity functional training, LRG1 concentration (P=0.027), plasma atherogenic index (P=0.000), Castelli risk index-I (CRI-I) (P=0.001), and Castelli risk index-II (CRI-II) (P=0.002) were significantly decreased in the experimental group compared to the control group. A positive and significant correlation was observed between changes in LRG1 concentration and changes in body fat percentage (r=0.437, P=0.041), plasma atherogenic index (r=0.512, P=0.025), and CRI-I (r=0.479, P=0.038). A negative and significant correlation was observed between the changes of LRG1 and high-density lipoprotein cholesterol (HDL-C) (r =-0.569, P=0.011). Conclusion: Eight weeks of high-intensity functional training in overweight and obese women is effective in reducing LRG1 and improving cardiovascular risk factors and atherogenic indicators. Therefore, high-intensity functional exercises can be effective as auxiliary exercise interventions in controlling and reducing complications related to overweight and obesity