Specific inspiratory muscle training in well-trained endurance athletes

PURPOSE: It has been reported that arterial O2 desaturation occurs during maximal aerobic exercise in elite endurance athletes and that it might be associated with respiratory muscle fatigue and relative hypoventilation. We hypothesized that specific inspiratory muscle training (SIMT) will result in improvement in respiratory muscle function and thereupon in aerobic capacity in well-trained endurance athletes. METHODS: Twenty well-trained endurance athletes volunteered to the study and were randomized into two groups: 10 athletes comprised the training group and received SIMT, and 10 athletes were assigned to a control group and received sham training. Inspiratory training was performed using a threshold inspiratory muscle trainer, for 0.5 h x d(-1) six times a week for 10 wk. Subjects in the control group received sham training with the same device, but with no resistance. RESULTS: Inspiratory muscle strength (PImax) increased significantly from 142.2 +/- 24.8 to 177.2 +/- 32.9 cm H2O (P < 0.005) in the training but remained unchanged in the control group. Inspiratory muscle endurance (PmPeak) also increased significantly, from 121.6 +/- 13.7 to 154.4 +/- 22.1 cm H2O (P < 0.005), in the training group, but not in the control group. The improvement in the inspiratory muscle performance in the training group was not associated with improvement in peak VEmax, VO2max breathing reserve (BR). or arterial O2 saturation (%SaO2), measured during or at the peak of the exercise test. CONCLUSIONS: It may be concluded that 10 wk of SIMT can increase the inspiratory muscle performance in well-trained athletes. However, this increase was not associated with improvement in aerobic capacity, as determined by VO2max, or in arterial O2 desaturation during maximal graded exercise challenge. The significance of such results is uncertain and further studies are needed to elucidate the role of respiratory muscle training in the improvement of aerobic-type exercise capacity.     

Skeletal muscle pathology in endurance athletes with acquired training intolerance

Background: It is well established that prolonged, exhaustive endurance exercise is capable of inducing skeletal muscle damage and temporary impairment of muscle function. Although skeletal muscle has a remarkable capacity for repair and adaptation, this may be limited, ultimately resulting in an accumulation of chronic skeletal muscle pathology. Case studies have alluded to an association between long term, high volume endurance training and racing, acquired training intolerance, and chronic skeletal muscle pathology.

Objective: To systematically compare the skeletal muscle structural and ultrastructural status of endurance athletes with acquired training intolerance (ATI group) with asymptomatic endurance athletes matched for age and years of endurance training (CON group).

Methods: Histological and electron microscopic analyses were carried out on a biopsy sample of the vastus lateralis from 18 ATI and 17 CON endurance athletes. The presence of structural and ultrastructural disruptions was compared between the two groups of athletes.

Results: Significantly more athletes in the ATI group than in the CON group presented with fibre size variation (15 v 6; p = 0.006), internal nuclei (9 v 2; p = 0.03), and z disc streaming (6 v 0; p = 0.02).

Conclusions: There is an association between increased skeletal muscle disruptions and acquired training intolerance in endurance athletes. Further studies are required to determine the nature of this association and the possible mechanisms involved.

     

Inspiratory flow resistive loading improves respiratory muscle function and endurance capacity in recreational runners

The purpose of this study was to assess the efficacy of inspiratory flow resistive loading (IFRL) on respiratory muscle function, exercise performance and cardiopulmonary and metabolic responses to exercise. Twenty‐four recreational road runners (12 male) were randomly assigned from each gender into an IFRL group (n=8) and sham‐IFRL group (n=8), which performed IFRL for 6 weeks, or a control group (n=8). Strength (+43.9%Δ), endurance (+26.6%Δ), maximum power output (+41.9%Δ) and work capacity (+38.5%Δ) of the inspiratory muscles were significantly increased (P<0.05) at rest following the study period in IFRL group only. In addition, ventilation (?25.7%Δ), oxygen consumption (?13.3%Δ), breathing frequency (?11.9%Δ), tidal volume (?16.0%Δ), heart rate (HR) (?13.1%Δ), blood lactate concentration (?38.9%Δ) and the perceptual response (?33.5%Δ) to constant workload exercise were significantly attenuated (P<0.05), concomitant with a significant improvement (P<0.05) in endurance exercise capacity (+16.4%Δ) during a treadmill run set at 80% in IFRL group only. These data suggest that IFRL can alter breathing mechanics, attenuate the oxygen cost, ventilation, HR, blood lactate and the perceptual response during constant workload exercise and improve endurance exercise performance in recreational runners.     

Inspiratory muscle training improves rowing performance

PURPOSE: To investigate the effects of a period of resistive inspiratory muscle training (IMT) upon rowing performance. METHODS: Performance was appraised in 14 female competitive rowers at the commencement and after 11 wk of inspiratory muscle training on a rowing ergometer by using a 6-min all-out effort and a 5000-m trial. IMT consisted of 30 inspiratory efforts twice daily. Each effort required the subject to inspire against a resistance equivalent to 50% peak inspiratory mouth pressure (PImax) by using an inspiratory muscle training device. Seven of the rowers, who formed the placebo group, used the same device but performed 60 breaths once daily with an inspiratory resistance equivalent to 15% PImax. RESULTS: The inspiratory muscle strength of the training group increased by 44 +/- 25 cm H2O (45.3 +/- 29.7%) compared with only 6 +/- 11 cm H2O (5.3 +/- 9.8%) of the placebo group (P < 0.05 within and between groups). The distance covered in the 6-min all-out effort increased by 3.5 +/- 1.2% in the training group compared with 1.6 +/- 1.0% in the placebo group (P < 0.05). The time in the 5000-m trial decreased by 36 +/- 9 s (3.1 +/- 0.8%) in the training group compared with only 11 +/- 8 s (0.9 +/- 0.6%) in the placebo group (P < 0.05). Furthermore, the resistance of the training group to inspiratory muscle fatigue after the 6-min all-out effort was improved from an 11.2 +/- 4.3% deficit in PImax to only 3.0 +/- 1.6% (P < 0.05) pre- and post-intervention, respectively. CONCLUSIONS: IMT improves rowing performance on the 6-min all-out effort and the 5000-m trial.     

Specificity of endurance, sprint and strength training on physical performance capacity in young athletes

Three prebubescent athlete groups of endurance runners (E; n = 4), sprinters (S; n = 4) and weightlifters (WL; n = 4) and one control group (C; n = 6) as well as one junior but postpubescent weightlifter group (JWL; n = 6) volunteered as subjects in order to investigate specific effects of endurance, sprint and strength training on physical performance capacity during a 1 year follow-up period. The prepubescent E-group had higher (p less than 0.05) VO2 max (66.5 +/- 2.9 ml x kg1 x min-1) already at the beginning of the study than the other three groups. The prepubescent WL-group demonstrated greater (p less than 0.05) maximal muscular strength than the E-group and the WL-group increased its strength greatly by 21.4% (p less than 0.05) during the follow-up. No significant differences were observed in physical performance capacity between the prepubescent WL- and S-groups. Both groups demonstrated a slightly (ns.) better force-time curve recorded from the leg extensor muscles than the E-group and significant (p less than 0.05) increases occurred in these two groups in dynamic explosive performance during the follow-up. The postpubescent JWL-group demonstrated much greater (p less than 0.001) muscular mass and maximal strength than the prepubescent groups. No significant changes occurred in explosive types of performances in these athletes but significant (p less than 0.05) increase took place in the maximal neural activation and strength of the leg extensor muscles during the 1 year.(ABSTRACT TRUNCATED AT 250 WORDS)     

Heredity and muscle adaptation to endurance training

To determine whether sensitivity of muscle characteristics and aerobic performances to endurance training was genotype-dependent, 6 pairs of monozygotic (MZ) twins, 21 +/- 4 yr of age (mean +/- SD), took part in a 15-wk ergocycle endurance training program. Tests were performed before and after 7 and 15 weeks of training. A biopsy of the vastus lateralis muscle was obtained for the determination of fiber type composition and activities of creatine kinase, hexokinase, phosphofructokinase, lactate dehydrogenase, malate dehydrogenase, 3-hydroxyacyl CoA dehydrogenase, and oxoglutarate dehydrogenase. Maximal oxygen uptake was measured with a progressive maximal ergocycle test, while endurance performance was determined as the total work output during a 90-min maximal ergocycle test. Results indicated that maximal oxygen uptake X kg-1 and endurance performance X kg-1 increased significantly (14 and 31%, respectively) with training, and intra-pair resemblance (intra-class) in response to 15 wk of training ranged from 0.65 to 0.83. Hexokinase (31%), phosphofructokinase (37%), lactate dehydrogenase (21%), malate dehydrogenase (31%), and 3-hydroxyacyl CoA dehydrogenase (60%) were significantly increased with training whereas no mean change in fiber-type proportions, oxoglutarate dehydrogenase and creatine kinase activities and the phosphofructokinase/oxoglutarate dehydrogenase ratio was observed. Similarity within twin pairs in the response to enzyme activities was mainly detected in the second half of the training program. The present results confirm, therefore, that both maximal oxygen uptake and endurance performance responses to training are largely genotype-dependent.(ABSTRACT TRUNCATED AT 250 WORDS)     

Respiratory muscle endurance after training in athletes and non-athletes: A systematic review and meta-analysis

The objectives of this systematic review was to evaluate the effects of respiratory muscle training (RMT) on respiratory muscle endurance (RME) and to determine the RME test that demonstrates the most consistent changes after RMT. Electronic searches were conducted in EMBASE, MEDLINE, COCHRANE CENTRAL, CINHAL and SPORTDiscus. The PEDro scale was used for quality assessment and meta-analysis were performed to compare effect sizes of different RME tests. Twenty studies met the inclusion criteria. Isocapnic hyperpnea training was performed in 40% of the studies. Meta-analysis showed that RMT improves RME in athletes (P = 0.0007) and non-athletes (P = 0.001). Subgroup analysis showed differences among tests; maximal sustainable ventilatory capacity (MSVC) and maximal sustainable threshold loading tests demonstrated significant improvement after RMT (P = 0.007; P = 0.003 respectively) compared to the maximal voluntary ventilation (MVV) (P = 0.11) in athletes whereas significant improvement after RMT was only shown by MSVC in non-athletes. The effect size of MSVC was greater compared to MVV in studies that performed both tests. The meta-analysis results provide evidence that RMT improves RME in athletes and non-athletes and MSVC test that examine endurance over several minutes are more sensitive to improvement after RMT.     

Changes in fast-twitch muscle oxidative capacity and myosin isoforms modulation during endurance training

AIM: The purpose of this study was to investigate the effect of endurance training on changes in myosin heavy (MyHC) and light (MyLC) chains expression, their turnover rate in fast-twitch (FT) skeletal muscles, and relations with changes in contractile proteins degradation rate and muscle oxidative capacity. METHODS: Wistar rats were run at 35 m/min for 6 weeks (from 10 min to 60 min per day, from 1.8 kJ to 7 kJ per training session and power of work was 1.5 W). The FT muscles were used for measurement of myosin isoforms and oxidative capacity. Double isotope method ((3)H/(14)C) was used. RESULTS: During endurance training in plantaris and extensor digitorum longus (EDL) muscles the relative content of MyHC IIb isoform decreased while there was an increase in the relative content of MyHC IIa and IId isoforms. MyLC 3(fast) isoform increased in FT muscles. Degradation rate of MyHC isoforms increased during endurance training simultaneously with the increase of contractile proteins degradation and increase of cytochrome aa3 content in FT muscles. Endurance training increased MyHC I, IIa and IId isoform turnover rate, whereas MyHC IIb and MyLC isoforms turnover rate did not change significantly. CONCLUSIONS: Adaptation of FT skeletal muscles to endurance training shows coordination between increase in oxidative capacity and faster turnover rate of MyHC isoforms in contractile apparatus. FT muscles show high potential of recruitment in endurance training.     

NRF2 genotype improves endurance capacity in response to training

The aim of this work was to examine the association between the polymorphisms in nuclear respiratory factor (NRF2) gene and endurance capacity measured prior to and after an 18-wk endurance training program in young Chinese men. The phenotypes measured were running economy (RE) and VO(2max). The RE was determined by measuring submaximal VO(2) for 5 min at a constant running speed of 12 km x h (-1) and VO(2max) was measured during an incremental test to volitional exhaustion. Genomic DNA was extracted from white cells of peripheral blood and the genotypes were examined in SNPrs12594956, rs8031031 and rs7181866 by PCR-RFLP. Genotype distributions were in Hardy-Weinberg equilibrium at three loci, and linkage disequilibrium was observed (LD D' = 1 and r (2) = 0.903) between rs8031031 and rs7181866. The VO(2max) was associated with rs12594956 at baseline while the training response of VO(2) at RE, was associated with rs12594956, rs8031031 and rs7181866. When the three SNPs were considered together, those carrying the ATG haplotype had 57.5 % higher training response in VO(2) at RE (p = 0.006) than non-carriers. In conclusion, polymorphisms in NRF2 gene may explain some of the between-person variance in endurance capacity.     

Impact of reduced training on performance in endurance athletes.

Many endurance athletes and coaches fear a decrement in physical conditioning and performance if training is reduced for several days or longer. This is largely unfounded. Maximal exercise measures (VO2max, maximal heart rate, maximal speed or workload) are maintained for 10 to 28 days with reductions in weekly training volume of up to 70 to 80%. Blood measures (creatine kinase, haemoglobin, haematocrit, blood volume) change positively or are maintained with 5 to 21 days of reduced training, as are glycogen storage and muscle oxidative capacities. Submaximal or improved with a 70 to 90% reduction in weekly volume over 6 to 21 days, provided that or improved with a 70 to 90% reduction in weekly volume over 6 to 21 days, provided that exercise frequency is reduced by no more than 20%. Athletic performance is improved or maintained with a 60 to 90% reduction in weekly training volume during a 6 to 21 day reduced training period, primarily due to an enhanced ability to exert muscular power. These findings suggest that endurance athletes should not refrain from reduced training prior to competition in an effort to improve performance, or for recovery from periods of intense training, injury, or staleness.     

Inspiratory muscle fatigue in trained cyclists: effects of inspiratory muscle training

PURPOSE: This study evaluated the influence of simulated 20- and 40-km time trials upon postexercise inspiratory muscle function of trained competitive cyclists. In addition, we examined the influence of specific inspiratory muscle training (IMT) upon the responses observed. METHODS: Using a double-blind placebo-controlled design, 16 male cyclists (mean +/- SEM VO2max 64 +/- 2 mL.kg-1.min-1) were assigned randomly to either an experimental (IMT) or sham-training control (placebo) group. Maximum static and dynamic inspiratory muscle function was assessed immediately pre- and <2, 10, and 30 min post-simulated 20- and 40-km time trials before and after 6-wk of IMT or sham-IMT. RESULTS: Maximum inspiratory mouth pressure (P0) measured within 2 min of completing the 20- and 40-km time trial rides was reduced by 18% and 13%, respectively, and remained below preexercise values at 30 min. The 20- and 40-km time trials induced a reduction in inspiratory flow rate at 30% P0 by 14% and 6% in the IMT group versus 13% and 7% for the placebo group, and also remained below preexercise values at 30 min. There was also a significant slowing of inspiratory muscle relaxation rate postexercise; these trends were almost completely reversed by 30 min postexercise. Significant improvements in 20- and 40-km time trial performance were seen (3.8 +/- 1.7% and 4.6 +/- 1.9%, respectively; P < 0.05) and postexercise reductions in muscle function were attenuated with IMT. CONCLUSION: These data support existing evidence that there is significant global inspiratory muscle fatigue after sustained heavy endurance exercise. Furthermore, the present study provides new evidence that performance enhancements observed after IMT are accompanied by a decrease in inspiratory muscle fatigue.     

O2 arterial desaturation in endurance athletes increases muscle deoxygenation

PURPOSE: The aim of this study was to compare the muscle deoxygenation measured by near infrared spectroscopy in endurance athletes who presented or not with exercise-induced hypoxemia (EIH) during a maximal incremental test in normoxic conditions. METHODS: Nineteen male endurance sportsmen performed an incremental test on a cycle ergometer to determine maximal oxygen consumption (VO2max) and the corresponding power output (P(max)). Arterial O2 saturation (SaO2) was measured noninvasively with a pulse oxymeter at the earlobe to detect EIH, which was defined as a drop in SaO2 > 4% between rest and the end of the exercise. Muscle deoxygenation of the right vastus lateralis was monitored by near infrared spectroscopy and was expressed in percentage according to the ischemia-hyperemia scale. RESULTS: Ten athletes exhibited arterial hypoxemia (EIH group) and the nine others were nonhypoxemic (NEIH group). Training volume, competition level, VO2max, Pmax, and lactate concentration were similar in the two groups. Nevertheless, muscle deoxygenation at the end of the exercise was significantly greater in the EIH group (P < 0.05). CONCLUSION: Greater muscle deoxygenation at maximal exercise in hypoxemic athletes seems to be due, at least in part, to reduced oxygen delivery--that is, exercise-induced hypoxemia--to working muscle added to the metabolic demand. In addition, our finding is also consistent with the hypothesis of greater muscle oxygen extraction in order to counteract reduced O2 availability.     

Effects of resistance training on endurance capacity and muscle fiber composition in young top-level cyclists

Equivocal findings exist on the effect of concurrent strength (S) and endurance (E) training on endurance performance and muscle morphology. Further, the influence of concurrent SE training on muscle fiber-type composition, vascularization and endurance capacity remains unknown in top-level endurance athletes. The present study examined the effect of 16 weeks of concurrent SE training on maximal muscle strength (MVC), contractile rate of force development (RFD), muscle fiber morphology and composition, capillarization, aerobic power (VO2max), cycling economy (CE) and long/short-term endurance capacity in young elite competitive cyclists (n=14). MVC and RFD increased 12-20% with SE (P<0.01) but not E. VO2max remained unchanged. CE improved in E to reach values seen in SE. Short-term (5-min) endurance performance increased (3-4%) after SE and E (P<0.05), whereas 45-min endurance capacity increased (8%) with SE only (P<0.05). Type IIA fiber proportions increased and type IIX proportions decreased after SE training (P<0.05) with no change in E. Muscle fiber area and capillarization remained unchanged. In conclusion, concurrent strength/endurance training in young elite competitive cyclists led to an improved 45-min time-trial endurance capacity that was accompanied by an increased proportion of type IIA muscle fibers and gains in MVC and RFD, while capillarization remained unaffected.     

Effects of submaximal and supramaximal interval training on determinants of endurance performance in endurance athletes

We compared the effects of submaximal and supramaximal cycling interval training on determinants of exercise performance in moderately endurance‐trained men. Maximal oxygen consumption (VO_2max), peak power output (P_peak), and peak and mean anaerobic power were measured before and after 6 weeks (3 sessions/week) of submaximal (85% maximal aerobic power [MP], HIIT₈₅, n = 8) or supramaximal (115% MP, HIIT₁₁₅, n = 9) interval training to exhaustion in moderately endurance‐trained men. High‐intensity training volume was 47% lower in HIIT₁₁₅ vs HIIT₈₅ (304 ± 77 vs 571 ± 200 min; P < 0.01). Exercise training was generally associated with increased VO_2max (HIIT₈₅: +3.3 ± 3.1 mL/kg/min; HIIT₁₁₅: +3.3 ± 3.6 ml/kg/min; Time effect P = 0.002; Group effect: P = 0.95), P_peak (HIIT₈₅: +18 ± 9 W; HIIT₁₁₅: +16 ± 27 W; Time effect P = 0.045; Group effect: P = 0.49), and mean anaerobic power (HIIT₈₅: +0.42 ± 0.69 W/kg; HIIT₁₁₅: +0.55 ± 0.65 W/kg; Time effect P = 0.01; Group effect: P = 0.18). Six weeks of submaximal and supramaximal interval training performed to exhaustion seems to equally improve VO_2max and anaerobic power in endurance‐trained men, despite half the accumulated time spent at the target intensity.     

Adding strength to endurance training does not enhance aerobic capacity in cyclists

The molecular signaling of mitochondrial biogenesis is enhanced when resistance exercise is added to a bout of endurance exercise. The purpose of the present study was to examine if this mode of concurrent training translates into increased mitochondrial content and improved endurance performance. Moderately trained cyclists performed 8 weeks (two sessions per week) of endurance training only (E, n = 10; 60‐min cycling) or endurance training followed by strength training (ES, n = 9; 60‐min cycling + leg press). Muscle biopsies were obtained before and after the training period and analyzed for enzyme activities and protein content. Only the ES group increased in leg strength (+19%, P < 0.01), sprint peak power (+5%, P < 0.05), and short‐term endurance (+9%, P < 0.01). In contrast, only the E group increased in muscle citrate synthase activity (+11%, P = 0.06), lactate threshold intensity (+3%, P < 0.05), and long‐term endurance performance (+4%, P < 0.05). Content of mitochondrial proteins and cycling economy was not affected by training. Contrary to our hypothesis, the results demonstrate that concurrent training does not enhance muscle aerobic capacity and endurance performance in cyclists.     

Pregnancy in endurance athletes

The purpose of the present study was to examine pregnancy and delivery among Finnish endurance athletes at the national top level. A questionnaire concerning first. pregnancy was sent to 30 Finnish endurance athletes who had been at national top level in cross-country skiing, running, speed-skating or orienteering. Data on labour were collected retrospectively through a questionnaire and from the diaries in the hospital concerned. The next primipara in the diaries formed a member of the control group. Twenty-three athletes (77%) had regular menstrual cycles, seven (23%) had irregularities, and four of them had received hormonal treatment for this. Seven athletes (23%) had experienced spontaneous abortion during the first trimester in previous pregnancy. Sixteen (53%) did not notice any change in their exercise performance, three (10%) subjectively felt themselves to be in a better physical condition, and seven (23%) felt themselves to be in a worse condition than before the pregnancy. Four did not respond on the question. After delivery, 18 athletes continued to compete, the median interval being 8.2 months (range 2–24 months). Two of them (11%) achieved a better condition than before the pregnancy, 11 (61%) reached the same level and five (28%) did not achieve the same performance level. There were no significant differences in labour parameters between the athletes and controls. Endurance training had no harmful side-effects on the pregnancies or deliveries of the athletes. The effect of pregnancy on exercise performance is individual.