Search

Background: Prehabilitation is a promising modality for improving patient-related outcomes after major surgery; however, very little research has been done for those who may need it the most: the elderly and the frail. This study aimed to investigate the feasibility of a short course multimodal prehabilitation prior to primary surgery in high-risk, frail patients with colorectal cancer and WHO performance status I and II.Methods: The study was conducted as a single-center, prospective one-arm feasibility study of eight patients with colon cancer between October 4, 2018, and January 14, 2019. The intervention consisted of a physical training program tailored to the patients with both high-intensity interval training and resistance training three times a week in sessions of approximately 1 h in length, for a duration of at least 4 weeks, nutritional support with protein and vitamins, a consultation with a dietician, and medical optimization prior to surgery. Feasibility was evaluated regarding recruitment, retention, compliance and adherence, acceptability, and safety. Retention was evaluated as the number of patients that completed the intervention, with a feasibility goal of 75% completing the intervention. Compliance with the high-intensity training was evaluated as the number of sessions in which the patient achieved a minimum of 4 min > 90% of their maximum heart rate and adherence as the attended out of the offered training sessions.Results: During the study period, 64 patients were screened for eligibility, and out of nine eligible patients, eight patients were included and seven completed the intervention (mean age 80, range 66-88). Compliance to the high-intensity interval training using 90% of maximum heart rate as the monitor of intensity was difficult to measure in several patients; however, adherence to the training sessions was 87%. Compliance with nutritional support was 57%. Half the patients felt somewhat overwhelmed by the multipl

Purpose: We investigated whether 4 weeks of intensified training consisting of speed endurance training (SET) enhanced high-intensity exercise performance in youth national-team ice hockey players.Methods: Utilizing a randomized crossover design, we subjected 17 players to 4 weeks of SET, comprising 6 to 10 × 20 seconds at maximal effort (>95% maximum ice skating speed) with 120-second recovery performed 3 times weekly, or maintenance of regular training (control period). Before and after each period, players completed ice-hockey-specific tests on ice, including a Yo-Yo Intermittent Recovery Level 1 test, a 30-m sprint test, and an agility test. On a separate day, players were assessed for body composition with dual-energy X-ray absorptiometry and performed countermovement jump, maximal voluntary isometric knee extensor contraction, a 15-second maximal sprint test, and a submaximal and incremental test on a bike ergometer in which pulmonary oxygen consumption was determined.Results: Yo-Yo Intermittent Recovery Level 1 test performance increased (P < .001) by 14% (95% CI, 201-496 m) during the SET period. Maximal pulmonary oxygen consumption (P < .05) and time to exhaustion (P < .05) were 4.8% and 6.5% higher, respectively, after the SET period than before. Fat-free mass increased (P < .01) during the SET period by 1.7 kg (95% CI, 1.0-2.5), whereas fat mass remained unchanged. These effects were superior to the control period.Conclusions: These findings underpin the effectiveness of SET for improving on-ice high-intensity performance and highlight that elite ice hockey players can benefit from implementing SET.

Background: Prehabilitation is a promising modality for improving patient-related outcomes after major surgery; however, very little research has been done for those who may need it the most: the elderly and the frail. This study aimed to investigate the feasibility of a short course multimodal prehabilitation prior to primary surgery in high-risk, frail patients with colorectal cancer and WHO performance status I and II.Methods: The study was conducted as a single-center, prospective one-arm feasibility study of eight patients with colon cancer between October 4, 2018, and January 14, 2019. The intervention consisted of a physical training program tailored to the patients with both high-intensity interval training and resistance training three times a week in sessions of approximately 1 h in length, for a duration of at least 4 weeks, nutritional support with protein and vitamins, a consultation with a dietician, and medical optimization prior to surgery. Feasibility was evaluated regarding recruitment, retention, compliance and adherence, acceptability, and safety. Retention was evaluated as the number of patients that completed the intervention, with a feasibility goal of 75% completing the intervention. Compliance with the high-intensity training was evaluated as the number of sessions in which the patient achieved a minimum of 4 min > 90% of their maximum heart rate and adherence as the attended out of the offered training sessions.Results: During the study period, 64 patients were screened for eligibility, and out of nine eligible patients, eight patients were included and seven completed the intervention (mean age 80, range 66-88). Compliance to the high-intensity interval training using 90% of maximum heart rate as the monitor of intensity was difficult to measure in several patients; however, adherence to the training sessions was 87%. Compliance with nutritional support was 57%. Half the patients felt somewhat overwhelmed by the multipl

This study investigated whether street soccer might be proposed as an alternative to recreational small-sided games on grass as a health-enhancing activity and, specifically, the effects of the boards surrounding the pitch. Eleven recreationally active young men (28.4 ± 4.2 SD years, 19.9 ± 4.2% body fat, and 47.7 ± 6.0 ml·min-1·kg-1), after familiarization, completed one to 2 sessions of 20 × 13-m 3v3 street soccer games with boards (WBs) and one to 2 sessions without boards (WOBs) in a randomized order. Movement pattern was measured using global positioning system, and heart rate recordings, blood sampling, and rating of perceived exertion (RPE) scales were used to evaluate exercise intensity and physiological strain. Total number of accelerations (19%) and player load (18%) were higher (p ≤ 0.005) in WB than in WOB, whereas total distance covered (12%), high-speed running (59%), and peak speed (11%) were lower (p ≤ 0.003) in WB than in WOB. Moreover, HRmean was higher in WB than in WOB (85.7 ± 5.4 vs. 81.3 ± 8.2% HRmax, p = 0.012, ES = 0.64), whereas time with HR > 90% HRmax did not differ between WB and WOB (42 ± 34 vs. 32 ± 30%, p = 0.243, ES = 0.32). Plasma ammonia increased more in WB than in WOB, with no differences found in mean and peak blood lactate. Rating of perceived exertion was higher after WB than after WOB (7.1 ± 1.0 vs. 5.5 ± 1.2, p < 0.001, ES = 1.39). In conclusion, intensity was sufficiently high in both game formats to expect short- and long-term health improvements as a result of regular participation. Boards affected movement pattern and physiological demands, producing higher number of accelerations, player load, average heart rate, plasma ammonia, and RPE but lower total distance, number of intense runs, and peak speed.

This study investigated whether street soccer might be proposed as an alternative to recreational small-sided games on grass as a health-enhancing activity and, specifically, the effects of the boards surrounding the pitch. Eleven recreationally active young men (28.4 ± 4.2 SD years, 19.9 ± 4.2% body fat, and 47.7 ± 6.0 ml·min-1·kg-1), after familiarization, completed one to 2 sessions of 20 × 13-m 3v3 street soccer games with boards (WBs) and one to 2 sessions without boards (WOBs) in a randomized order. Movement pattern was measured using global positioning system, and heart rate recordings, blood sampling, and rating of perceived exertion (RPE) scales were used to evaluate exercise intensity and physiological strain. Total number of accelerations (19%) and player load (18%) were higher (p ≤ 0.005) in WB than in WOB, whereas total distance covered (12%), high-speed running (59%), and peak speed (11%) were lower (p ≤ 0.003) in WB than in WOB. Moreover, HRmean was higher in WB than in WOB (85.7 ± 5.4 vs. 81.3 ± 8.2% HRmax, p = 0.012, ES = 0.64), whereas time with HR > 90% HRmax did not differ between WB and WOB (42 ± 34 vs. 32 ± 30%, p = 0.243, ES = 0.32). Plasma ammonia increased more in WB than in WOB, with no differences found in mean and peak blood lactate. Rating of perceived exertion was higher after WB than after WOB (7.1 ± 1.0 vs. 5.5 ± 1.2, p < 0.001, ES = 1.39). In conclusion, intensity was sufficiently high in both game formats to expect short- and long-term health improvements as a result of regular participation. Boards affected movement pattern and physiological demands, producing higher number of accelerations, player load, average heart rate, plasma ammonia, and RPE but lower total distance, number of intense runs, and peak speed.

Objectives: The influence of hormonal contraceptives (HC) on inflammation and body composition after high-intensity combined strength and endurance training was investigated. Design: Active healthy women formed two training groups: HC users (HCU, n = 9) and those who had never used HC (NHC, n = 9). Training included two strength training sessions and two high-intensity interval training sessions per week for 10 weeks. Methods: Before (PRE) and after (POST) the training intervention, high-sensitivity C-reactive protein (hs-CRP), tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1beta (IL-1β) concentrations were measured. Dual-energy X-ray absorptiometry was used to estimate fat mass (FM), abdominal fat mass (aFM), and lean mass (LM). Results: Circulating concentrations of hs-CRP decreased significantly in the NHC from pre to post with −0.46 mg l−1 (95% CI: −0.78, −0.14, p = 0.009, ES = 0.434), whereas a significant increase was observed in HCU from pre to post with 0.89 mg l−1 (95% CI: 1.66, 0.12, p = 0.048, ES = 1.988) with a significant between-group difference (p = 0.015). In addition, hs-CRP concentration was significantly higher in HCU than in NHC after training (p = 0.036) at post. Lean mass increased significantly more in NHC than in HCU (p = 0.049). Conclusions: High-intensity combined strength and endurance training can modify inflammation and body composition of women. The present study showed that inflammation, in terms of hs-CRP was higher post training in HCU than NHC, which may be associated with smaller gains in lean mass in response to training.

BACKGROUND: Aphasia is the loss or impairment of language functions and affects everyday social life. The disorder leads to the inability to understand and be understood in both written and verbal communication and affects the linguistic modalities of auditory comprehension, verbal expression, reading, and writing. Due to heterogeneity of the impairment, therapy must be adapted individually and dynamically to patient needs. An important factor for successful aphasia therapy is dose and intensity of therapy. Tablet computer-based apps are a promising treatment method that allows patients to train independently at home, is well accepted, and is known to be beneficial for patients. In addition, it has been shown to ease the burden of therapists. OBJECTIVE: The aim of this project was to develop an adaptive multimodal system that enables aphasic patients to train at home using language-related tasks autonomously, allows therapists to remotely assign individualized tasks in an easy and time-efficient manner, and tracks the patient's progress as well as creation of new individual exercises. METHODS: The system consists of two main parts: (1) the patient's interface, which allows the patient to exercise, and (2) the therapist's interface, which allows the therapist to assign new exercises to the patient and supervise the patient's progress. The pool of exercises is based on a hierarchical language structure. Using questionnaires, therapists and patients evaluated the system in terms of usability (ie, System Usability Scale) and motivation (ie, adapted Intrinsic Motivation Inventory). RESULTS: A total of 11 speech and language therapists (age: mean 28, SD 7 years) and 15 patients (age: mean 53, SD 10 years) diagnosed with aphasia participated in this study. Patients rated the Bern Aphasia App in terms of usability (scale 0-100) as excellent (score >70; Z=-1.90; P=.03) and therapists rated the app as good (score >85; Z=-1.75; P=.04). Furthermore, patients enjoyed (scale 0-6)

BACKGROUND: Aphasia is the loss or impairment of language functions and affects everyday social life. The disorder leads to the inability to understand and be understood in both written and verbal communication and affects the linguistic modalities of auditory comprehension, verbal expression, reading, and writing. Due to heterogeneity of the impairment, therapy must be adapted individually and dynamically to patient needs. An important factor for successful aphasia therapy is dose and intensity of therapy. Tablet computer-based apps are a promising treatment method that allows patients to train independently at home, is well accepted, and is known to be beneficial for patients. In addition, it has been shown to ease the burden of therapists. OBJECTIVE: The aim of this project was to develop an adaptive multimodal system that enables aphasic patients to train at home using language-related tasks autonomously, allows therapists to remotely assign individualized tasks in an easy and time-efficient manner, and tracks the patient's progress as well as creation of new individual exercises. METHODS: The system consists of two main parts: (1) the patient's interface, which allows the patient to exercise, and (2) the therapist's interface, which allows the therapist to assign new exercises to the patient and supervise the patient's progress. The pool of exercises is based on a hierarchical language structure. Using questionnaires, therapists and patients evaluated the system in terms of usability (ie, System Usability Scale) and motivation (ie, adapted Intrinsic Motivation Inventory). RESULTS: A total of 11 speech and language therapists (age: mean 28, SD 7 years) and 15 patients (age: mean 53, SD 10 years) diagnosed with aphasia participated in this study. Patients rated the Bern Aphasia App in terms of usability (scale 0-100) as excellent (score >70; Z=-1.90; P=.03) and therapists rated the app as good (score >85; Z=-1.75; P=.04). Furthermore, patients enjoyed (scale 0-6)

The effect of high-intensity training (HIT) on mitochondrial ADP sensitivity and respiratory capacity was investigated in human skeletal muscle and subcutaneous adipose tissue (SAT). Twelve men and women underwent 6 weeks of HIT (7 × 1 min at app. 100% of maximal oxygen uptake (VO 2max )). Mitochondrial respiration was measured in permeabilized muscle fibers and in abdominal SAT. Mitochondrial ADP sensitivity was determined using Michaelis Menten enzyme kinetics. VO 2max , body composition and citrate synthase (CS) activity (skeletal muscle) and mtDNA (SAT) were measured before and after training. VO 2max increased from 2.6 ± 0.2 to 2.8 ± 0.2 L O 2 /min (P = 0.011) accompanied by a decreased mitochondrial ADP sensitivity in skeletal muscle (K m : 0.14 ± 0.02 to 0.29 ± 0.03 mmol/L ADP (P = 0.002)), with no changes in SAT (K m : 0.12 ± 0.02 to 0.16 ± 0.05 mmol/L ADP; P = 0.186), following training. Mitochondrial respiratory capacity increased in skeletal muscle from 57 ± 4 to 67 ± 4 pmol O 2 ·mg -1 ·sec -1 (P < 0.001), but decreased with training in SAT from 1.3 ± 0.1 to 1.0 ± 0.1 pmol O 2 ·mg -1 ·sec -1 (P < 0.001). CS activity increased (P = 0.027) and mtDNA was unchanged following training. Intrinsic mitochondrial respiratory capacity was unchanged in skeletal muscle, but increased in SAT after HIT. In summary, our results demonstrate that mitochondrial adaptations to HIT in skeletal muscle are comparable to adaptations to endurance training, with an increased mitochondrial respiratory capacity and CS activity. However, mitochondria in SAT adapts differently compared to skeletal muscle mitochondria, where mitochondrial respiratory capacity decreased and mtDNA remained unchanged after HIT.

The present study examined the effect of intense intermittent running with 5 s sprints on body composition, fitness level, and performance in untrained subjects aged 36-53 years. For 7 weeks, the subjects carried out 3 days a week 5-10-15 training consisting of 3-9 blocks of 4 repetitions of 15, 10, and 5 s low-, moderate-, and high-speed running, respectively. Body fat mass was 4.3% lower (P < 0.01), and lean body mass and bone mineral density was 1.1 and 0.9% higher (P < 0.01), respectively, after compared to before the intervention period (INT). The plasma bone turnover markers osteocalcin increased (P < 0.01) by 147%, and procollagen-type I N propeptide and carboxy-terminal collagen crosslinks increased (P < 0.05) by 84 and 76%, respectively. Furthermore, the training improved performance in 1500 m (P < 0.001), 3 km (P < 0.001), Yo-Yo intermittent endurance test (P < 0.01), and incremental treadmill running (P < 0.001) by 8.1, 9.9, 17.2, and 23.9%, respectively. Furthermore, blood lactate after running at 85% of maximal aerobic speed was lower (P < 0.01) after compared to before the INT. Thus, 7 weeks of 5-10-15 training resulted in significant health beneficial changes and better performance in untrained subject.

Vitamin D insufficiency may be associated with increased risk of upper respiratory tract infection (URTI) in athletes. This study examined the effects of vitamin D3 supplementation on salivary immune functions and symptoms of URTI in vitamin D-insufficient taekwondo athletes. Twenty-five male taekwondo athletes, aged 19–22 years with vitamin D insufficiency [serum 25-hydroxyvitamin-D concentrations (25(OH)D, 31.3 ± 1.39 nmol/L)], participated in this study. They were randomized to receive 5000 IU/day of vitamin D3 (n = 13) or placebo capsule (n = 12) during 4 weeks of winter training. Blood samples were collected two times (pre- and post-tests) for analyzing serum 25(OH)D concentration while salivary samples were obtained three times (pre-, mid-, and post-tests) for secretory immunoglobulin A (SIgA) and lactoferrin analyses. The symptoms of URTI were reported daily during the intervention. Serum 25(OH)D concentration significantly increased by 255.6% in the vitamin D group, whereas in the placebo group it did not change (p < 0.001). While the significant increase in SIgA was observed in both groups (p < 0.001), elevated salivary lactoferrin level in response to winter training was found only in the placebo group (p = 0.011). The change in serum 25(OH)D concentration was negatively associated with total URTI symptoms (r = −0.435, p = 0.015). Vitamin D3 supplementation may be effective in reducing the symptoms of URTI during winter training in vitamin D-insufficient taekwondo athletes.

The effect of high-intensity training (HIT) on mitochondrial ADP sensitivity and respiratory capacity was investigated in human skeletal muscle and subcutaneous adipose tissue (SAT). Twelve men and women underwent 6 weeks of HIT (7 × 1 min at app. 100% of maximal oxygen uptake (VO 2max )). Mitochondrial respiration was measured in permeabilized muscle fibers and in abdominal SAT. Mitochondrial ADP sensitivity was determined using Michaelis Menten enzyme kinetics. VO 2max , body composition and citrate synthase (CS) activity (skeletal muscle) and mtDNA (SAT) were measured before and after training. VO 2max increased from 2.6 ± 0.2 to 2.8 ± 0.2 L O 2 /min (P = 0.011) accompanied by a decreased mitochondrial ADP sensitivity in skeletal muscle (K m : 0.14 ± 0.02 to 0.29 ± 0.03 mmol/L ADP (P = 0.002)), with no changes in SAT (K m : 0.12 ± 0.02 to 0.16 ± 0.05 mmol/L ADP; P = 0.186), following training. Mitochondrial respiratory capacity increased in skeletal muscle from 57 ± 4 to 67 ± 4 pmol O 2 ·mg -1 ·sec -1 (P < 0.001), but decreased with training in SAT from 1.3 ± 0.1 to 1.0 ± 0.1 pmol O 2 ·mg -1 ·sec -1 (P < 0.001). CS activity increased (P = 0.027) and mtDNA was unchanged following training. Intrinsic mitochondrial respiratory capacity was unchanged in skeletal muscle, but increased in SAT after HIT. In summary, our results demonstrate that mitochondrial adaptations to HIT in skeletal muscle are comparable to adaptations to endurance training, with an increased mitochondrial respiratory capacity and CS activity. However, mitochondria in SAT adapts differently compared to skeletal muscle mitochondria, where mitochondrial respiratory capacity decreased and mtDNA remained unchanged after HIT.

The present study examined the effect of intense intermittent running with 5 s sprints on body composition, fitness level, and performance in untrained subjects aged 36-53 years. For 7 weeks, the subjects carried out 3 days a week 5-10-15 training consisting of 3-9 blocks of 4 repetitions of 15, 10, and 5 s low-, moderate-, and high-speed running, respectively. Body fat mass was 4.3% lower (P < 0.01), and lean body mass and bone mineral density was 1.1 and 0.9% higher (P < 0.01), respectively, after compared to before the intervention period (INT). The plasma bone turnover markers osteocalcin increased (P < 0.01) by 147%, and procollagen-type I N propeptide and carboxy-terminal collagen crosslinks increased (P < 0.05) by 84 and 76%, respectively. Furthermore, the training improved performance in 1500 m (P < 0.001), 3 km (P < 0.001), Yo-Yo intermittent endurance test (P < 0.01), and incremental treadmill running (P < 0.001) by 8.1, 9.9, 17.2, and 23.9%, respectively. Furthermore, blood lactate after running at 85% of maximal aerobic speed was lower (P < 0.01) after compared to before the INT. Thus, 7 weeks of 5-10-15 training resulted in significant health beneficial changes and better performance in untrained subject.

To elucidate the mechanisms underlying the differences in adaptation of arm and leg muscles to sprint training, over a period of 11 days 16 untrained men performed six sessions of 4-6 x 30-s all-out sprints (SIT) with the legs and arms, separately, with a 1-h interval of recovery. Limb-specific VO(2)peak, sprint performance (two 30-s Wingate tests with 4-min recovery), muscle efficiency and time-trial performance (TT, 5-min all-out) were assessed and biopsies from the m. vastus lateralis and m. triceps brachii taken before and after training. VO(2)peak and Wmax increased 3-11% after training, with a more pronounced change in the arms (P < 0.05). Gross efficiency improved for the arms (+8.8%, P < 0.05), but not the legs (-0.6%). Wingate peak and mean power outputs improved similarly for the arms and legs, as did TT performance. After training, VO2 during the two Wingate tests was increased by 52 and 6% for the arms and legs, respectively (P < 0.001). In the case of the arms, VO2 was higher during the first than second Wingate test (64 vs. 44%, P < 0.05). During the TT, relative exercise intensity, HR, VO2, VCO2, V-E, and V-t were all lower during arm-cranking than leg-pedaling, and oxidation of fat was minimal, remaining so after training. Despite the higher relative intensity, fat oxidation was 70% greater during leg-pedaling (P = 0.017). The aerobic energy contribution in the legs was larger than for the arms during the Wingate tests, although VO2 for the arms was enhanced more by training, reducing the O-2 deficit after SIT. The levels of muscle glycogen, as well as the myosin heavy chain composition were unchanged in both cases, while the activities of 3-hydroxyacyl-CoA-dehydrogenase and citrate synthase were elevated only in the legs and capillarization enhanced in both limbs. Multiple regression analysis demonstrated that the variables that predict TT performance differ for the arms and legs. The primary mechanism of adaptation to SIT by both the ar

To elucidate the mechanisms underlying the differences in adaptation of arm and leg muscles to sprint training, over a period of 11 days 16 untrained men performed six sessions of 4-6 x 30-s all-out sprints (SIT) with the legs and arms, separately, with a 1-h interval of recovery. Limb-specific VO(2)peak, sprint performance (two 30-s Wingate tests with 4-min recovery), muscle efficiency and time-trial performance (TT, 5-min all-out) were assessed and biopsies from the m. vastus lateralis and m. triceps brachii taken before and after training. VO(2)peak and Wmax increased 3-11% after training, with a more pronounced change in the arms (P < 0.05). Gross efficiency improved for the arms (+8.8%, P < 0.05), but not the legs (-0.6%). Wingate peak and mean power outputs improved similarly for the arms and legs, as did TT performance. After training, VO2 during the two Wingate tests was increased by 52 and 6% for the arms and legs, respectively (P < 0.001). In the case of the arms, VO2 was higher during the first than second Wingate test (64 vs. 44%, P < 0.05). During the TT, relative exercise intensity, HR, VO2, VCO2, V-E, and V-t were all lower during arm-cranking than leg-pedaling, and oxidation of fat was minimal, remaining so after training. Despite the higher relative intensity, fat oxidation was 70% greater during leg-pedaling (P = 0.017). The aerobic energy contribution in the legs was larger than for the arms during the Wingate tests, although VO2 for the arms was enhanced more by training, reducing the O-2 deficit after SIT. The levels of muscle glycogen, as well as the myosin heavy chain composition were unchanged in both cases, while the activities of 3-hydroxyacyl-CoA-dehydrogenase and citrate synthase were elevated only in the legs and capillarization enhanced in both limbs. Multiple regression analysis demonstrated that the variables that predict TT performance differ for the arms and legs. The primary mechanism of adaptation to SIT by both the ar

To elucidate the mechanisms underlying the differences in adaptation of arm and leg muscles to sprint training, over a period of 11 days 16 untrained men performed six sessions of 4-6 x 30-s all-out sprints (SIT) with the legs and arms, separately, with a 1-h interval of recovery. Limb-specific VO(2)peak, sprint performance (two 30-s Wingate tests with 4-min recovery), muscle efficiency and time-trial performance (TT, 5-min all-out) were assessed and biopsies from the m. vastus lateralis and m. triceps brachii taken before and after training. VO(2)peak and Wmax increased 3-11% after training, with a more pronounced change in the arms (P < 0.05). Gross efficiency improved for the arms (+8.8%, P < 0.05), but not the legs (-0.6%). Wingate peak and mean power outputs improved similarly for the arms and legs, as did TT performance. After training, VO2 during the two Wingate tests was increased by 52 and 6% for the arms and legs, respectively (P < 0.001). In the case of the arms, VO2 was higher during the first than second Wingate test (64 vs. 44%, P < 0.05). During the TT, relative exercise intensity, HR, VO2, VCO2, V-E, and V-t were all lower during arm-cranking than leg-pedaling, and oxidation of fat was minimal, remaining so after training. Despite the higher relative intensity, fat oxidation was 70% greater during leg-pedaling (P = 0.017). The aerobic energy contribution in the legs was larger than for the arms during the Wingate tests, although VO2 for the arms was enhanced more by training, reducing the O-2 deficit after SIT. The levels of muscle glycogen, as well as the myosin heavy chain composition were unchanged in both cases, while the activities of 3-hydroxyacyl-CoA-dehydrogenase and citrate synthase were elevated only in the legs and capillarization enhanced in both limbs. Multiple regression analysis demonstrated that the variables that predict TT performance differ for the arms and legs. The primary mechanism of adaptation to SIT by both the ar

To elucidate the mechanisms underlying the differences in adaptation of arm and leg muscles to sprint training, over a period of 11 days 16 untrained men performed six sessions of 4-6 x 30-s all-out sprints (SIT) with the legs and arms, separately, with a 1-h interval of recovery. Limb-specific VO(2)peak, sprint performance (two 30-s Wingate tests with 4-min recovery), muscle efficiency and time-trial performance (TT, 5-min all-out) were assessed and biopsies from the m. vastus lateralis and m. triceps brachii taken before and after training. VO(2)peak and Wmax increased 3-11% after training, with a more pronounced change in the arms (P < 0.05). Gross efficiency improved for the arms (+8.8%, P < 0.05), but not the legs (-0.6%). Wingate peak and mean power outputs improved similarly for the arms and legs, as did TT performance. After training, VO2 during the two Wingate tests was increased by 52 and 6% for the arms and legs, respectively (P < 0.001). In the case of the arms, VO2 was higher during the first than second Wingate test (64 vs. 44%, P < 0.05). During the TT, relative exercise intensity, HR, VO2, VCO2, V-E, and V-t were all lower during arm-cranking than leg-pedaling, and oxidation of fat was minimal, remaining so after training. Despite the higher relative intensity, fat oxidation was 70% greater during leg-pedaling (P = 0.017). The aerobic energy contribution in the legs was larger than for the arms during the Wingate tests, although VO2 for the arms was enhanced more by training, reducing the O-2 deficit after SIT. The levels of muscle glycogen, as well as the myosin heavy chain composition were unchanged in both cases, while the activities of 3-hydroxyacyl-CoA-dehydrogenase and citrate synthase were elevated only in the legs and capillarization enhanced in both limbs. Multiple regression analysis demonstrated that the variables that predict TT performance differ for the arms and legs. The primary mechanism of adaptation to SIT by both the ar

To elucidate the mechanisms underlying the differences in adaptation of arm and leg muscles to sprint training, over a period of 11 days 16 untrained men performed six sessions of 4-6 x 30-s all-out sprints (SIT) with the legs and arms, separately, with a 1-h interval of recovery. Limb-specific VO(2)peak, sprint performance (two 30-s Wingate tests with 4-min recovery), muscle efficiency and time-trial performance (TT, 5-min all-out) were assessed and biopsies from the m. vastus lateralis and m. triceps brachii taken before and after training. VO(2)peak and Wmax increased 3-11% after training, with a more pronounced change in the arms (P < 0.05). Gross efficiency improved for the arms (+8.8%, P < 0.05), but not the legs (-0.6%). Wingate peak and mean power outputs improved similarly for the arms and legs, as did TT performance. After training, VO2 during the two Wingate tests was increased by 52 and 6% for the arms and legs, respectively (P < 0.001). In the case of the arms, VO2 was higher during the first than second Wingate test (64 vs. 44%, P < 0.05). During the TT, relative exercise intensity, HR, VO2, VCO2, V-E, and V-t were all lower during arm-cranking than leg-pedaling, and oxidation of fat was minimal, remaining so after training. Despite the higher relative intensity, fat oxidation was 70% greater during leg-pedaling (P = 0.017). The aerobic energy contribution in the legs was larger than for the arms during the Wingate tests, although VO2 for the arms was enhanced more by training, reducing the O-2 deficit after SIT. The levels of muscle glycogen, as well as the myosin heavy chain composition were unchanged in both cases, while the activities of 3-hydroxyacyl-CoA-dehydrogenase and citrate synthase were elevated only in the legs and capillarization enhanced in both limbs. Multiple regression analysis demonstrated that the variables that predict TT performance differ for the arms and legs. The primary mechanism of adaptation to SIT by both the ar

Aim The overall aim of this study was to develop a broader understanding on how to optimize the organization of aerobic endurance training programs, and especially how to better organize high-intensity training (HIT) and low intensity training (LIT) to give an optimum endurance performance progress. Method This study compared the effects of two different training organization methods in trained cross-country (XC) skiers and biathletes. During a 5 week intervention period, one group of athletes (n = 10, 7 men and 3 women, age 23 ± 9 years) performed block periodization (BP) training with 5-1-3-1-1 HIT sessions in the respective weeks. The other group of athletes(n = 9, 7 men and 2 women, age 22 ± 5) followed a more traditional periodization (TRAD) method performing 2-2-3-2-2 HIT sessions. LIT was interspersed between the HIT sessions so that both groups performed similar total volumes of HIT and LIT during the intervention period. Results The BP group increased relative and absolute VO2max (2.6 ± 3.6% and 2.0 ± 2.5%, P < 0.05) and time to exhaustion (6.1 ± 6.4%, P < 0.01). No changes were seen in the TRAD group on relative or absolute VO2max (0.8 ± 3.5% and -0.1 ± 3.0%) or time to exhaustion (-2.0 ± 7.7%). Mean effects size (ES) of the relative and absolute improvement in VO2max and time to exhaustion revealed small to moderate effects of performing BP training vs. TRAD training (ES range from 0.51 to 1.14). Conclusions This study indicates that organizing endurance training in XC skiers with block periodization training give better adaptations compared to performing traditional periodization training during a 5 week training period when performing similar volumes of high-intensity and low intensity training.

Aim The overall aim of this study was to develop a broader understanding on how to optimize the organization of aerobic endurance training programs, and especially how to better organize high-intensity training (HIT) and low intensity training (LIT) to give an optimum endurance performance progress. Method This study compared the effects of two different training organization methods in trained cross-country (XC) skiers and biathletes. During a 5 week intervention period, one group of athletes (n = 10, 7 men and 3 women, age 23 ± 9 years) performed block periodization (BP) training with 5-1-3-1-1 HIT sessions in the respective weeks. The other group of athletes(n = 9, 7 men and 2 women, age 22 ± 5) followed a more traditional periodization (TRAD) method performing 2-2-3-2-2 HIT sessions. LIT was interspersed between the HIT sessions so that both groups performed similar total volumes of HIT and LIT during the intervention period. Results The BP group increased relative and absolute VO2max (2.6 ± 3.6% and 2.0 ± 2.5%, P < 0.05) and time to exhaustion (6.1 ± 6.4%, P < 0.01). No changes were seen in the TRAD group on relative or absolute VO2max (0.8 ± 3.5% and -0.1 ± 3.0%) or time to exhaustion (-2.0 ± 7.7%). Mean effects size (ES) of the relative and absolute improvement in VO2max and time to exhaustion revealed small to moderate effects of performing BP training vs. TRAD training (ES range from 0.51 to 1.14). Conclusions This study indicates that organizing endurance training in XC skiers with block periodization training give better adaptations compared to performing traditional periodization training during a 5 week training period when performing similar volumes of high-intensity and low intensity training.

The present study investigated the physiological characteristics of eight world class (WC) and eight national class (NC) Norwegian sprint cross-country skiers. To measure physiological response and treadmill performance, the skiers performed a submaximal test, a peak aerobic capacity (VO2peak) test, and a peak treadmill speed (Vpeak) test in the skating G3 technique. Moreover, the skiers were tested for G3 acceleration outdoors on asphalt and maximal strength in the lab. The standard of sprint skating performance level on snow was determined by FIS points, and the training distribution was quantified. WC skiers showed 8%higher VO2peak and twice as long VO2 plateau time at the VO2peak test, and higher gross efficiency (GE) at the submaximal test (all P < 0.05). Furthermore, WC skiers showed 8%higher Vpeak (P < 0.05), but did not differ from NC skiers in acceleration and maximal strength. WC skiers performed more low and moderate-intensity endurance training and speed training (both P < 0.05). The current results indicate that aerobic capacity, efficiency and high speed capacity differentiate WC and NC sprint skiers and are strong determinants of sprint performance., Integrative Physiologi & Biomechanics

Bakgrund: Syftet med studien var att undersöka svenska fotbollsspelaresrörelsemönster och kravprofil för att analysera betydelsen av explosivitets- ochsnabbhetsträning och dessutom analysera prioriteten och värdet av den här träningen iden vetenskapliga litteraturen, i tränarutbildningen och i praktiken.Metod: Begreppet snabbhetsträning har analyserats utifrån tre perspektiv;Forskningens, Utbildningens och det Praktiska utförandets perspektiv.Forskningsperspektivet har analyserats genom relevanta forskningsresultat inomområdet. Utbildningsperspektivet har analyserats utifrån Svenska Fotbollförbundetstränarutbildning och det Praktiska utförandet har analyserats genom en intervjustudiemed representativa tränare i svensk elitfotboll. Dessa perspektiv har ställts mot varandrai en modell som skall ses som en kunskapsstege där information och kunskap skapasgenom forskning, där utbildningen fungerar som länk och där det praktiska utförandetspeglar den kunskapsinhämtning och kompetensutveckling som skett över tid.Resultat: Explosiviteten kan bevisligen ökas väsentligt genom funktionell träning. Bådeforskningen och kurslitteraturen till tränarutbildningen visar att förbättringar kan nåsgenom isolerad snabbhetsträning i t.ex. sprintövningar eller genom relevantstyrketräning men att det mest optimala är att träna snabbhetsförmågan ifotbollsspecifika situationer med boll. Ändå verkar det fortfarande vara underprioriterati praktiken Tränarna i studien genomför främst isolerade snabbhetsövningar utan boll.Trots att den explosiva förmågan är en färskvara som kontinuerligt behöver stimuleras,förklarar tränarna att de inte genomför någon form av snabbhetsträning underförsäsongen., Aim: The objective of the study is to examine the Swedish soccer players movementpatterns to justify the importance of high-intensity and sprint training, and further toanalyse the priority and the value of this training in the scientific literature, in trainerseducation and in practice.Method: The concept of high-intensity and sprint training is analyzed from threeangles; Research, Education and the Practical execution perspective. The researchperspective has been analyzed through the relevant results in the field. The educationperspective has been analyzed according to the Swedish Football Federation trainereducation and the practical performance has been analyzed by a interview study onrelevant coaches in Swedish professional soccer teams. These perspectives have beendiscussed against each other in a model that can be viewed as a ladder of knowledge,where information and knowledge is generated by research, where education serves as alink and where the practical performance reflects the knowledge and competencydevelopment that has taken place over time.Conclusion: High-intensity sprints can be shown to be substantially increased byfunctional training. Both the research and the literature in coach education shows thatimprovements can be achieved by isolated sprint training or through relevant resistanttraining, but that the most optimal is to train this aspect in soccerspecific situations withthe ball. Yet it seems that this still has a low priority in practice. The coaches in thestudy carries out mainly isolated sprint exercises without the ball. Although theexplosive capacity is a fresh product that continuously needs to be stimulated, thetrainers explains that they do not implement form of training at all during pre-season.

Bakgrund: Syftet med studien var att undersöka svenska fotbollsspelaresrörelsemönster och kravprofil för att analysera betydelsen av explosivitets- ochsnabbhetsträning och dessutom analysera prioriteten och värdet av den här träningen iden vetenskapliga litteraturen, i tränarutbildningen och i praktiken.Metod: Begreppet snabbhetsträning har analyserats utifrån tre perspektiv;Forskningens, Utbildningens och det Praktiska utförandets perspektiv.Forskningsperspektivet har analyserats genom relevanta forskningsresultat inomområdet. Utbildningsperspektivet har analyserats utifrån Svenska Fotbollförbundetstränarutbildning och det Praktiska utförandet har analyserats genom en intervjustudiemed representativa tränare i svensk elitfotboll. Dessa perspektiv har ställts mot varandrai en modell som skall ses som en kunskapsstege där information och kunskap skapasgenom forskning, där utbildningen fungerar som länk och där det praktiska utförandetspeglar den kunskapsinhämtning och kompetensutveckling som skett över tid.Resultat: Explosiviteten kan bevisligen ökas väsentligt genom funktionell träning. Bådeforskningen och kurslitteraturen till tränarutbildningen visar att förbättringar kan nåsgenom isolerad snabbhetsträning i t.ex. sprintövningar eller genom relevantstyrketräning men att det mest optimala är att träna snabbhetsförmågan ifotbollsspecifika situationer med boll. Ändå verkar det fortfarande vara underprioriterati praktiken Tränarna i studien genomför främst isolerade snabbhetsövningar utan boll.Trots att den explosiva förmågan är en färskvara som kontinuerligt behöver stimuleras,förklarar tränarna att de inte genomför någon form av snabbhetsträning underförsäsongen., Aim: The objective of the study is to examine the Swedish soccer players movementpatterns to justify the importance of high-intensity and sprint training, and further toanalyse the priority and the value of this training in the scientific literature, in trainerseducation and in practice.Method: The concept of high-intensity and sprint training is analyzed from threeangles; Research, Education and the Practical execution perspective. The researchperspective has been analyzed through the relevant results in the field. The educationperspective has been analyzed according to the Swedish Football Federation trainereducation and the practical performance has been analyzed by a interview study onrelevant coaches in Swedish professional soccer teams. These perspectives have beendiscussed against each other in a model that can be viewed as a ladder of knowledge,where information and knowledge is generated by research, where education serves as alink and where the practical performance reflects the knowledge and competencydevelopment that has taken place over time.Conclusion: High-intensity sprints can be shown to be substantially increased byfunctional training. Both the research and the literature in coach education shows thatimprovements can be achieved by isolated sprint training or through relevant resistanttraining, but that the most optimal is to train this aspect in soccerspecific situations withthe ball. Yet it seems that this still has a low priority in practice. The coaches in thestudy carries out mainly isolated sprint exercises without the ball. Although theexplosive capacity is a fresh product that continuously needs to be stimulated, thetrainers explains that they do not implement form of training at all during pre-season.

peer-reviewed, The debate over low-volume, high-intensity training versus high-volume, low-intensity training, commonly known as Quality versus Quantity, respectively, is a frequent topic of discussion among swimming coaches and academics. The aim of this study was to explore expert coaches’ perceptions of quality and quantity coaching philosophies in competitive swimming and to investigate their current training practices. A purposeful sample of 11 expert swimming coaches was recruited for this study. The study was a mixed methods design and involved each coach participating in 1 semi-structured interview and completing 1 closed-ended questionnaire. The main findings of this study were that coaches felt quality training programmes would lead to short term results for youth swimmers, but were in many cases more appropriate for senior swimmers. The coaches suggested that quantity training programmes built an aerobic base for youth swimmers, promoted technical development through a focus on slower swimming and helped to enhance recovery from training or competition. However, the coaches continuously suggested that quantity training programmes must be performed with good technique and they felt this was a misunderstood element. This study was a critical step towards gaining a richer and broader understanding on the debate over Quality versus Quantity training from an expert swimming coaches’ perspective which was not currently available in the research literature.