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Purpose: To investigate the effects of a supervised aerobic exercise training intervention on health-related quality of life (HRQL), cardiorespiratory fitness, cardiometabolic profile, and affective response in overweight/obese women with polycystic ovary syndrome (PCOS)., Methods: Twenty-seven overweight/obese inactive women with PCOS (body mass index, ≥ 25 kg·m; age 18 to 34 yr) were allocated into an exercise group (n = 14) and a control group (n = 13). Progressive aerobic exercise training was performed three times per week (~150 min·wk) over 16 wk. Cardiorespiratory fitness, HRQL, and cardiometabolic profile were evaluated before and after the intervention. Affective response (i.e., feeling of pleasure/displeasure) was evaluated during the exercise sessions., Results: The exercise group improved 21% ± 12% of cardiorespiratory fitness (P < 0.001) and HRQL in the following domains: physical functioning, general health, and mental health (P < 0.05). Moreover, the exercise group decreased body mass index, waist circumference, systolic and diastolic blood pressure, and total cholesterol level (P < 0.05). The affective response varied from "good" to "fairly good" (i.e., positive affective response) in an exercise intensity-dependent manner during the exercise training sessions., Conclusions: Progressive aerobic exercise training improved HRQL, cardiorespiratory fitness, and cardiometabolic profile of overweight/obese women with PCOS. Moreover, the participants reported the exercise training sessions as pleasant over the intervention. These results reinforce the importance of supervised exercise training as a therapeutic approach for overweight/obese women with PCOS.

Purpose: We investigated the effects of acute and chronic repeated-sprint exercise (RSE) on the skeletal muscle messenger RNA (mRNA) expression and protein abundance/phosphorylation associated with mitochondrial biogenesis., Methods: Ten healthy young adults (seven males, three females) performed the RSE trial, comprising three sets of 5 × 4-s maximal sprints on a nonmotorized treadmill, with a 20-s recovery between sprints and 4.5 min between sets. After 4 wk of repeated-sprint training, three times per week, participants repeated the RSE. A vastus lateralis muscle biopsy was obtained at rest, immediately after, and 1 and 4 h after RSE, before and after training. Venous blood lactate and glucose were measured at rest and during recovery. Real-time reverse transcriptase polymerase chain reaction and Western blot techniques were used to measure mRNA expression and protein abundance, respectively., Results: Acute RSE increased the phosphorylation of acetyl-CoA carboxylase (86%, effect size (ES) = 1.4 ± 0.8, P < 0.001) and Ca calmodulin-dependent protein kinase II (69%, ES = 0.7 ± 0.6). Peroxisome proliferator-activated receptor γ coactivator 1α (PGC-1α; 208%, ES = 1.5 ± 0.7, P < 0.001) and nuclear respiratory factor 1 (92%, ES = 0.7 ± 0.8) mRNA expression was increased after RSE. Four weeks of training increased the abundance of PGC-1α protein at rest (33%, ES = 0.9 ± 0.7)., Conclusions: Both acute and chronic RSE, despite only 60 s and 12 min of exercise, respectively, altered the molecular signaling associated with mitochondrial adaptations and PGC-1α mRNA expression in skeletal muscle. However, the small-to-moderate changes in resting PGC-1α protein abundance after training, together with the absence of changes in aerobic fitness, require further research to understand the functional significance of PGC-1α in response to RSE.

Purpose: We used gene microarray analysis to compare the global expression profile of genes involved in adaptation to training in skeletal muscle from chronically strength-trained (ST), endurance-trained (ET), and untrained control subjects (Con)., Methods: Resting skeletal muscle samples were obtained from the vastus lateralis of 20 subjects (Con n = 7, ET n = 7, ST n = 6; trained [TR] groups >8 yr specific training). Total RNA was extracted from tissue for two color microarray analysis and quantative (Q)-PCR. Trained subjects were characterized by performance measures of peak oxygen uptake (V x O 2peak) on a cycle ergometer and maximal concentric and eccentric leg strength on an isokinetic dynamometer., Results: Two hundred and sixty-three genes were differentially expressed in trained subjects (ET + ST) compared with Con (P < 0.05), whereas 21 genes were different between ST and ET (P < 0.05). These results were validated by reverse transcriptase polymerase chain reaction for six differentially regulated genes (EIFSJ, LDHB, LMO4, MDH1, SLC16A7, and UTRN. Manual cluster analyses revealed significant regulation of genes involved in muscle structure and development in TR subjects compared with Con (P

Purpose: To investigate the metabolic demands of a single session of intense aerobic interval training in highly trained competitive endurance cyclists., Methods: Seven cyclists (peak O2 uptake [VO2 peak] 5.14 +/- 0.23 L x min(-1), mean +/-SD) performed 8 x 5 min work bouts at 86 +/- 2% of VO2 peak with 60-s recovery. Muscle biopsies were taken from the vastus lateralis immediately before and after the training session, whereas pulmonary gas exchange and venous blood were sampled at regular intervals throughout exercise., Results: Muscle glycogen concentration decreased from 501 +/- 91 to 243 +/- 51 mmol x kg (-1) dry mass (P < 0.01). High rates of total carbohydrate oxidation were maintained throughout exercise (340 micromol.kg(-1).min(-1)), whereas fat oxidation increased from 16 +/- 8 during the first to 25 +/- 13 micromol x kg(-1) x min(-1) during the seventh work bout (P < 0.05). Blood lactate concentration remained between 5 and 6 mM throughout exercise, whereas muscle lactate increased from 6 +/- 1 at rest to 32 +/- 12 mmol x kg(-1) d.m. immediately after the training session (P < 0.01). Although muscle pH decreased from 7.09 +/- 0.06 at rest to 7.01 +/- 0.03 at the end of the session (P < 0.01), blood pH was similar after the first and seventh work bouts (7.34). Arterial oxygen saturation (% S(P)O2) fell to 95.6 +/- 1% during the first work bout and remained at 94% throughout exercise: the 60-s rest intervals were adequate to restore % S(P)O2) to 97%., Conclusion: Highly trained cyclists are able to sustain high steady state aerobic power outputs that are associated with high rates of glycogenolysis and total energy expenditure similar to those experienced during a 60-min competitive ride.

Purpose: We have investigated the effect of varying the intensity of interval training on 40-km time-trial performance in 20 male endurance cyclists (peak oxygen uptake 4.8+/-0.6 L x min(-1), mean +/- SD)., Methods: Cyclists performed a 25-kJ sprint test, an incremental test to determine peak aerobic power (PP) and a simulated 40-km time-trial on a Kingcycle ergometer. They were then randomly assigned to one of five types of interval-training session: 12x30 s at 175% PP, 12x60 s at 100% PP, 12x2 min at 90% PP, 8x4 min at 85% PP, or 4x8 min at 80% PP. Cyclists completed 6 sessions over 3 wk, in addition to their usual aerobic base training. All laboratory tests were then repeated., Results: Performances in the time trial were highly reliable when controlled for training effects (coefficient of variation = 1.1%). The percent improvement in the time trial was modeled as a polynomial function of the rank order of the intensity of the training intervals, a procedure validated by simulation. The cubic trend was strong and statistically significant (overall correlation = 0.70, P = 0.005) and predicted greatest enhancement for the intervals performed at 85% PP (2.8%, 95% CI = 4.3-1.3%) and at 175% PP (2.4%, 95% CI = 4.0-0.7%). Intervals performed at 100% PP and 80% PP did not produce statistically significant enhancements of performance. Quadratic and linear trends were weak or insubstantial., Conclusions: Interval training with work bouts close to race-pace enhance 1-h endurance performance; work bouts at much higher intensity also appear to improve performance, possibly by a different mechanism.