Effects of Resistance Training in Hypobaric vs. Normobaric Hypoxia on Circulating Ions and Hormones.

Hypobaric hypoxia (HH) seems to lead to different responses compared to normobaric hypoxia (NH) during physical conditioning. The aim of the study was to analyze the hormonal and circulating ion responses after performing high-intensity resistance training with different inter-set rest under HH and NH condition. Sixteen male volunteers were randomly divided into two training groups. Each group completed two counterbalanced resistance training sessions (three sets × ten repetitions, remaining two repetitions in reserve), with both one- and two-minute inter-set rest, under HH and NH. Blood samples were obtained to determine hormones and circulating ions (Ca2+, Pi, and HCO3-) at baseline and after training sessions (5, 10, and 30 min). Resistance training with one-minute rest caused greater hormonal stress than with two-minute rest in cortisol and growth hormone, although the hypoxic environmental condition did not cause any significant alterations in these hormones. The short inter-set rest also caused greater alterations in HCO3- and Pi than the longer rest. Additionally, higher levels of Ca2+ and Pi, and lower levels of HCO3-, were observed after training in HH compared to NH. Metabolic and physiological responses after resistance training are mediated by inter-set rest intervals and hypoxic environmental condition. According to the alterations observed in the circulating ions, HH could cause greater muscular fatigue and metabolic stress than NH.

Comparison of Starts and Turns between Individual and Relay Swimming Races.

The present study investigated swimmers' performances on the starting and turning segments between individual and relay races. A total number of 72 race performances of the same swimmers in both relay 4 × 100 m finals (freestyle, medley, and mixed freestyle) and individual 100 m finals or semi-finals (butterfly, breaststroke, and freestyle) from the LEN European Swimming Championships were compared with repeated measures MANOVA. Swimmers performed 5-7% faster starts in the relay than in the corresponding individual events, despite no differences in the flight phase and a lower performance (shorter distances and slower velocities) on the underwater start section. The 15 m turn times were slower in the butterfly relay races although no specific differences in the underwater parameters were observed. These results suggest that specific training of the starting and turning segments should be performed under relay conditions to optimise pacing and performance in the underwater sections.

Effects of Power-Oriented Resistance Training During an Altitude Camp on Strength and Technical Performance of Elite Judokas.

This study investigated the effect of a 3-week power-oriented resistance training program performed at moderate altitude on leg power output variables in a countermovement jump, a related judo technique (ippon-seoi-nage) and the relationship between them. Twenty-four elite male judokas were randomly assigned to a hypobaric hypoxia or normoxia group. Mechanical outputs from an incremental loaded countermovement jump test and the kinematic variables transferred to a dummy during an ippon-seoi-nage test (time to execution and movement accelerations) were assessed before, after, 1 and 2 weeks after training. Results indicated an increase in explosive leg capacity both at moderate altitude (2320 m.a.s.l.) and sea level. The hypoxia group showed additional benefits when compared to normoxia group for peak velocities with different percentages of the body weight, maximal theoretical velocity and jump height after the training period, and these additional benefits in jump height were maintained 2 weeks after training. The hypoxia group achieved a higher peak performance in peak velocity and jump height than normoxia group (peak velocity: 8.8 vs. 5.6%, jump height: 8.2 vs. 1.4%, respectively) and was achieved earlier in hypoxia (after training) than in normoxia (1 week after training). However, there was a detrimental effect for the hypoxia group on the times of execution and acceleration of the ippon-seoi-nage compared to the normoxia group. These results suggest that altitude training may induce faster and greater improvements in explosive leg extension capacity. Specific technique-oriented training should be included at altitude to prevent technique impairment.

Altitude-induced effects on muscular metabolic stress and hypertrophy-related factors after a resistance training session.

This study examined the acute effects of exposure to moderate altitude on factors associated with muscular adaptations following whole-body hypertrophy-oriented resistance training (R T) sessions. Thirteen resistance-trained males completed both counterbalanced standard hypertrophic R T sessions (3 sets × 10RM, 2 min rest) at moderate-altitude (H; 2320 m asl) and under normoxic conditions (N; <700 m asl). Participants rested 72 h between training sessions. Before and after the exercise session, blood samples were obtained for determination of metabolites and ions (lactate, inorganic phosphate, liquid carbon dioxide and calcium) and hormones (testosterone and growth hormone). Session-related performance and perception of effort (s-RPE) were also monitored. Results showed no meaningful differences in performance or s-RPE (8.5 ± 1.4 vs 8.6 ± 0.8 respectively for N and H; p = 0.603). All blood variables displayed statistically significant changes throughout the recovery period compared to basal levels (p < 0.05), except for the testosterone. However, no altitude effect was observed in maximal blood lactate, calcium or anabolic hormones (p > 0.05). The reduction observed in the liquid carbon dioxide concentration in H (21.11 ± 1.46 vs 16.19 ± 1.61 mmol·l-1) seems compatible with an increase in buffering capacity. Compared to N, inorganic phosphate displayed lower recovery values after the R T in H (2.89 ± 0.64 vs 2.23 ± 0.60 mg dl-1; p = 0.007). The results of this study do not support an accentuated effect of acute moderate terrestrial hypoxia on metabolic and hormonal factors linked to muscle growth during hypertrophic resistance training.

Force-Velocity Relationship in the Countermovement Jump Exercise Assessed by Different Measurement Methods.

This study aimed to compare force, velocity, and power output collected under different loads, as well as the force-velocity (F-V) relationship between three measurement methods. Thirteen male judokas were tested under four loading conditions (20, 40, 60, and 80 kg) in the countermovement jump (CMJ) exercise, while mechanical output data were collected by three measurement methods: the Samozino's method (SAM), a force platform (FP), and a linear velocity transducer (LVT). The variables of the linear F-V relationship (maximum force [F0], maximum velocity [V0], F-V slope, and maximum power [P0]) were determined. The results revealed that (1) the LVT overestimated the mechanical output as compared to the SAM and FP methods, especially under light loading conditions, (2) the SAM provided the lowest magnitude for all mechanical output, (3) the F-V relationships were highly linear either for the SAM (r = 0.99), FP (r = 0.97), and LVT (r = 0.96) methods, (4) the F-V slope obtained by the LVT differed with respect to the other methods due to a larger V0 (5.28 ± 1.48 m·s-1) compared to the SAM (2.98 ± 0.64 m·s-1) and FP (3.06 ± 0.42 m·s-1), and (5) the methods were significantly correlated for F0 and P0, but not for V0 or F-V slope. These results only support the accuracy of the SAM and FP to determine the F-V relationship during the CMJ exercise. The very large correlations of the SAM and LVT methods with respect to the FP (presumed gold-standard) for the mean values of force, velocity and power support their concurrent validity for the assessment of mechanical output under individual loads.

Associations of the Force-velocity Profile with Isometric Strength and Neuromuscular Factors.

We aimed to explore relationships between the force-velocity (FV) profile and the isometric muscle torque performance during a knee extension task. The FV profile (force-intercept [F0], velocity-intercept [V0], maximum power [Pmax], and FV slope) during the countermovement jump (CMJ) exercise and isometric maximum voluntary torque (MVIC) and explosive voluntary torque production were assessed in 43 participants. Electromyography (EMG) was recorded during the isometric assessments and resting muscle architecture measurements were also performed (quadriceps thickness, vastus lateralis pennation angle and fascicle length). Pearson's correlation coefficients were computed to assess bivariate relationships between the FV profile, isometric torque, EMG activation and muscle architecture. F0 predictions from neuromuscular measurements were assessed through multiple linear regression. Associations of F0 and Pmax with isometric torque increased from explosive to MVIC torque (r≥0.47; P<0.05). Significant associations were found between muscle architecture and F0 and Pmax (r≥0.69; P<0.05), while V0 and FV slope were unrelated (r≤0.27; P>0.05). Quadriceps thickness and VL pennation angle explained ~62% of F0 variance. In conclusion, the knee extensors maximal isometric strength and their morphological architecture are strongly related to F0 estimated from a CMJ FV profile test.

Effect of acute exposure to moderate altitude on kinematic variables of the ippon-seoi-nage and its relationship with the countermovement jump in elite judokas.

This study aimed to assess the effect of acute exposure to moderate altitude on kinematic variables of the ippon-seoi-nage and on the mechanical outputs of the countermovement jump (CMJ). Thirteen elite male judokas from the Spanish Judo Training Centre in Valencia (age: 21.54 ± 2.15 years) participated in the study. All of them performed an incremental CMJ test and an ippon-seoi-nage technique test before (N) and after the ascent to a moderate altitude of 2320 m above the sea level (H). A linear velocity transducer was attached to the bar to assess the mechanical outputs of each loaded CMJ at different percentages of their own body weight (25, 50, 75 and 100%). A wearable sensor was used to assess the kinematic variables (times, accelerations and angular velocities) transferred to a dummy during the technique test. The kinematic variables showed great individual reliability (CV = 8.46% in N; CV = 8.37% in H), which contrasted with low reliability observed when the whole group was considered. The smallest important CV ratio (>1.15) showed that H caused changes in the reliability of the kinematic variables, with some variables becoming more reliable and others losing the reliability they had in N. H also caused small increments in peak velocity across all loads tested in the CMJ (+3.67%; P<0.05). In contrast, no changes in the kinematic variables were verified. In addition, there was no association between leg extension capability and the acceleration (r = -0.16 ± 0.19 in N; r = -0.24 ± 0.19 in H) or angular velocity (r = -0.19 ± 0.24 in N; r = -0.30 ± 0.26 in H) of the ippon-seoi-nage, nor was acute exposure to H found to affect this association (P>0.05). Differences between individual and within-groups CV confirm the individual adaptations that each judoka makes during this technique. Additionally, the CV ratio shows a change in the space-time pattern of the technique in H. Therefore, it would be necessary to include an adaptation period to adapt the technique after the ascent in altitude. Further studies are needed to confirm the relationship and transference from the velocity gains in CMJ during altitude training.

Intermittent Resistance Training at Moderate Altitude: Effects on the Force-Velocity Relationship, Isometric Strength and Muscle Architecture.

Intermittent hypoxic resistance training (IHRT) may help to maximize the adaptations following resistance training, although conflicting evidence is available. The aim of this study was to explore the influence of moderate altitude on the functional, neural and muscle architecture responses of the quadriceps muscles following a power-oriented IHRT intervention. Twenty-four active males completed two 4-week consecutive training blocks comprising general strengthening exercises (weeks 1-4) and power-oriented resistance training (weeks 5-8). Training sessions were conducted twice a week at moderate altitude (2320 m; IHRT, n = 13) or normoxia (690 m; NT, n = 11). Training intensity during the second training block was set to the individual load corresponding to a barbell mean propulsive velocity of 1 m·s-1. Pre-post assessments, performed under normoxic conditions, comprised quadriceps muscle architecture (thickness, pennation angle and fascicle length), isometric maximal (MVF) and explosive strength, and voluntary muscle activation. Dynamic strength performance was assessed through the force-velocity relationship (F0, V0, P0) and a repeated CMJ test (CMJ15MP). Region-specific muscle thickness changes were observed in both training groups (p < 0.001, ηG2 = 0.02). A small opposite trend in pennation angle changes was observed (ES [90% CI]: -0.33 [-0.65, -0.01] vs. 0.11 [-0.44, 0.6], in the IHRT and NT group, respectively; p = 0.094, ηG2 = 0.02). Both training groups showed similar improvements in MVF (ES: 0.38 [0.20, 0.56] vs. 0.55 [0.29, 0.80], in the IHRT and NT group, respectively; p = 0.645, ηG2 < 0.01), F0 (ES: 0.41 [-0.03, 0.85] vs. 0.52 [0.04, 0.99], in the IHRT and NT group, respectively; p = 0.569, ηG2 < 0.01) and P0 (ES: 0.53 [0.07, 0.98] vs. 0.19 [-0.06, 0.44], in the IHRT and NT group, respectively; p = 0.320, ηG2 < 0.01). No meaningful changes in explosive strength performance were observed. In conclusion, contrary to earlier adverse associations between altitude and resistance-training muscle adaptations, similar anatomical and functional muscle strength responses can be achieved in both environmental conditions. The observed region-specific muscle thickness changes may encourage further research on the potential influence of IHRT on muscle morphological changes.

The Maximal Mechanical Capabilities of Leg Muscles to Generate Velocity and Power Improve at Altitude.

García-Ramos, A, Stirn, I, Padial, P, Argüelles-Cienfuegos, J, De la Fuente, B, Strojnik, V, and Feriche, B. The maximal mechanical capabilities of leg extensors muscles to generate velocity and power improve at altitude. J Strength Cond Res 32(2): 475-481, 2018-This study aimed (a) to analyze the effect of an acute exposure to terrestrial altitude on the force-velocity relationship parameters (maximum force [F0], maximum velocity [V0], and maximum power [P0]) during a loaded squat jump (SJ), and (b) to compare unloaded SJ and countermovement jump (CMJ) performance between sea level and altitude conditions. Seventeen international swimmers were tested at sea level (295 m asl) and 7 days later at terrestrial altitude (2,320 m asl) during their first 24 hours of altitude exposure. The maximum values of force and velocity were recorded during a loaded SJ (25-100% of body weight) to determine F0, V0, and P0 parameters. Inconsequential differences between environmental conditions were found for F0 (p = 0.993, 0.02%). However, V0 (p = 0.038, 7.6%) and P0 (p = 0.004, 6.8%) were higher at altitude. Peak values of force (SJ: p = 0.420, 1.19%; CMJ: p = 0.010, 3.6%), power (SJ: p = 0.028, 3.5%; CMJ: p = 0.005, 3.82%), and take-off velocity (SJ: p = 0.071, 1.6%; CMJ: p = 0.009, 1.9%) recorded during the SJ and CMJ were also higher at altitude. These results highlight the potential effect of an acute exposure to terrestrial altitude on enhancing vertical jump performance. The increase in maximal power of the leg muscles at altitude is caused by an improvement in the theoretical maximal velocity at which lower limbs can extend with no significant changes in the theoretical maximal force.

The Effect of Acute and Chronic Exposure to Hypobaric Hypoxia on Loaded Squat Jump Performance.

The present study aimed (1) to compare loaded squat jump performance after an acute and chronic exposure to a moderate natural altitude between normoxia and hypobaric hypoxia conditions, and (2) to analyze the effect of an altitude training camp on loaded jump squat development. Sixteen male swimmers (17.1 ± 0.8 years) took part in a 17-day training camp at a natural moderate altitude. They were randomly tested in counterbalanced order on days 1 and 3 in normoxia and hypoxia (pretest) and on days 15 and 17 again in normoxia and hypoxia (posttest). The peak velocity reached with loads equivalent to 25%, 50%, 75% and 100% of swimmers' pretest body weight in the loaded squat jump exercise was the dependent variable analyzed. An overall increase in peak velocity during the test performed in hypoxia of 6.5% in pretest (p < 0.001, ES = 0.98) and 4.5% in posttest (p < 0.001, ES = 0.81) was observed. An overall increment in peak velocity of 4.0% considering the data for normoxia tests (p < 0.001, ES = 0.61) and 2.1% considering the data for hypoxia tests (p = 0.008, ES = 0.36) was achieved after the altitude training camp. These results highlight the beneficial effects of hypobaric hypoxia on jump performance after short and longer term exposure to a natural moderate altitude. The increase in loaded squat jump performance following the 17-day training camp suggests that altitude training could constitute a favorable stimulus in explosive strength.

The Effect of an Altitude Training Camp on Swimming Start Time and Loaded Squat Jump Performance.

This study evaluated the influence of an altitude training (AT) camp on swimming start time and loaded squat jump performance. To accomplish this goal, 13 international swimmers (8 women, 5 men) were allocated to both the control (Sea Level Training, SLT) and experimental conditions (AT, 2320 m above sea level) that were separated by a one year period. All tests (15 m freestyle swimming start and loaded squat jumps with additional loads of 25%, 50%, 75%, and 100% of swimmers' body weight) were performed before and after a concurrent 3-week strength and endurance training program prescribed by the national coach. Following the SLT camp, significant impairments in swimming start times to 10 (+3.1%) and 15 m (+4.0%) were observed (P < 0.05), whereas no significant changes for the same distances were detected following the AT camp (-0.89%; P > 0.05). Trivial changes in peak velocity were obtained during the loaded squat jump after both training periods (effect sizes: < 0.20). Based on these results we can conclude that a traditional training high-living high strategy concurrent training of 3 weeks does not adversely affect swimming start time and loaded squat jump performance in high level swimmers, but further studies are necessary to assess the effectiveness of power-oriented resistance training in the development of explosive actions.

Comparison of the force-, velocity-, and power-time curves recorded with a force plate and a linear velocity transducer.

This study aimed to correlate, compare, and determine the reliability of force, velocity, and power values collected with a force plate (FP) and a linear transducer during loaded jumps. Twenty-three swimmers performed an incremental loading test at 25, 50, 75, and 100% of their own body weight on a FP. A linear velocity transducer (LVT) was attached to the bar to assess the peak and the mean values of force, velocity, and power. Both the peak variables (r = 0.94 - 0.99 for peak force, r = 0.83 - 0.91 for peak velocity, and r = 0.90-0.94 for peak power; p < 0.001) and the mean variables (r = 0.96-0.99 for mean force, r = 0.87-0.89 for mean velocity, and r = 0.93-0.96 for mean power; p < 0.001) were strongly correlated between both measurement tools. Differences in the shape of the force-, velocity-, and power-time curves were observed. The LVT data showed a steeper increase in these variables at the beginning of the movement, while the FP recorded larger values in the latter part. Peak values were more reliable than mean values. These results suggest that the LVT is a valid tool for the assessment of loaded squat jump.

The Relationship Between the Lower-Body Muscular Profile and Swimming Start Performance.

This study aimed to examine the correlation of different dry land strength and power tests with swimming start performance. Twenty international level female swimmers (age 15.3 ± 1.6 years, FINA point score 709.6 ± 71.1) performed the track freestyle start. Additionally, dry land tests were conducted: a) squat (SJ) and countermovement jumps (CMJ), b) squat jumps with additional resistance equivalent to 25, 50, 75 and 100% of swimmers' body weight [BW]), and c) leg extension and leg flexion maximal voluntary isometric contractions. Correlations between dry land tests and start times at 5, 10 and 15 m were quantified through Pearson's linear correlation coefficients (r). The peak bar velocity reached during the jumps with additional resistance was the variable most correlated to swimming start performance (r = -0.57 to -0.66 at 25%BW; r = -0.57 to -0.72 at 50%BW; r = -0.59 to -0.68 at 75%BW; r = -0.50 to - 0.64 at 100%BW). A few significant correlations between the parameters of the SJ and the CMJ with times of 5 and 10 m were found, and none with the isometric variables. The peak velocity reached during jumps with external loads relative to BW was found a good indicator of swimming start performance.

Relationship Between Vertical Jump Height and Swimming Start Performance Before and After an Altitude Training Camp.

This study aimed (a) to analyze the development in the squat jump height and swimming start performance after an altitude training camp, (b) to correlate the jump height and swimming start performance before and after the altitude training period, and (c) to correlate the percent change in the squat jump height with the percent change in swimming start performance. Fifteen elite male swimmers from the Spanish Junior National Team (17.1 ± 0.8 years) were tested before and after a 17-day training camp at moderate altitude. The height reached in the squat jump exercise with additional loads of 0, 25, 50, 75, and 100% of swimmers' pretest body weight and swimming start performance (time to 5, 10, and 15 m) were the dependent variables analyzed. Significant increases in the jump height (p ≤ 0.05; effect size [ES]: 0.35-0.48) and swimming start performance (p < 0.01; ES: 0.48-0.52) after the training period were observed. The start time had similar correlations with the jump height before training (r = -0.56 to -0.77) and after training (r = -0.50 to -0.71). The change in the squat jump height was inversely correlated with the change in the start time at 5 m (r = -0.47), 10 m (r = -0.73), and 15 m (r = -0.62). These results suggest that altitude training can be suitable to enhance explosive performance. The correlations obtained between the squat jump height and start time in the raw and change scores confirm the relevance of having high levels of lower-body muscular power to optimize swimming start performance.

Relationship between different push-off variables and start performance in experienced swimmers.

The objective of this study was to determine the relationship between different variables measured with a force plate during the swimming start push-off phase and start performance presented by times to 5, 10 and 15 m. Twenty-one women from the Slovenian national swimming team performed two different swim starts (freestyle and undulatory) on a portable force plate to a distance further than 15 m. Correlations between push-off variables and times to 5, 10 and 15 m were quantified through Pearson's product-moment correlation coefficient (r). The variables that significantly correlated (p < .05) to all times measured in the two starts performed were: average horizontal acceleration (freestyle: r = -0.58 to -0.71; and undulatory: r = -0.55 to -0.66), horizontal take-off velocity (freestyle: r = -0.56 to -0.69; and undulatory: r = -0.53 to -0.67) and resultant take-off velocity (freestyle: r = -0.53 to -0.65; and undulatory: r = -0.52 to -0.61). None of the variables derived from the vertical force were correlated to swimming start performance (p > .05). Based on the results of this study, we can conclude that horizontal take-off velocity and average horizontal acceleration (calculated as the average horizontal force divided by swimmer's body mass) are the variables most related to swimming start performance in experienced swimmers, and therefore could be the preferred measures to monitor swimmers' efficiency during the push-off phase.

Predicting vertical jump height from bar velocity.

The objective of the study was to assess the use of maximum (Vmax) and final propulsive phase (FPV) bar velocity to predict jump height in the weighted jump squat. FPV was defined as the velocity reached just before bar acceleration was lower than gravity (-9.81 m·s(-2)). Vertical jump height was calculated from the take-off velocity (Vtake-off) provided by a force platform. Thirty swimmers belonging to the National Slovenian swimming team performed a jump squat incremental loading test, lifting 25%, 50%, 75% and 100% of body weight in a Smith machine. Jump performance was simultaneously monitored using an AMTI portable force platform and a linear velocity transducer attached to the barbell. Simple linear regression was used to estimate jump height from the Vmax and FPV recorded by the linear velocity transducer. Vmax (y = 16.577x - 16.384) was able to explain 93% of jump height variance with a standard error of the estimate of 1.47 cm. FPV (y = 12.828x - 6.504) was able to explain 91% of jump height variance with a standard error of the estimate of 1.66 cm. Despite that both variables resulted to be good predictors, heteroscedasticity in the differences between FPV and Vtake-off was observed (r(2) = 0.307), while the differences between Vmax and Vtake-off were homogenously distributed (r(2) = 0.071). These results suggest that Vmax is a valid tool for estimating vertical jump height in a loaded jump squat test performed in a Smith machine. Key pointsVertical jump height in the loaded jump squat can be estimated with acceptable precision from the maximum bar velocity recorded by a linear velocity transducer.The relationship between the point at which bar acceleration is less than -9.81 m·s(-2) and the real take-off is affected by the velocity of movement.Mean propulsive velocity recorded by a linear velocity transducer does not appear to be optimal to monitor ballistic exercise performance.

Quality indicators and specifications for the extra-analytical phases in clinical laboratory management.

BACKGROUND: Quality management systems should cover all the steps involved in the overall testing and non-testing processes. AIM: To identify quality indicators for extra-analytical processes in the clinical laboratory and to specify acceptability limits, in order to provide a useful tool for continuous improvement of laboratory service. METHODS: A literature review by Medline search was performed using the keywords: Q-Tracks and Q-probes alone, and management, error, mistake, and indicator crossed with quality, laboratory and medicine. The indicators retrieved were organized according to the various laboratory processes. Their expression was standardized in relation to the total activity of each process reported in each paper reviewed. The magnitude of the errors reported was considered to be the current state of the art for the extra-analytical step and was proposed as the quality specification. RESULTS: Examples of indicators and specifications for the pre-analytical process: Analytical request: Error in patient identification (0.08%), request unintelligible (0.1%). SAMPLING: Requested but not collected (7%), redraws (2%). Transport and reception of samples: Inadequate transportation conditions (0.005%), hemolyzed sample (0.2%). Examples of indicators and specifications for the post-analytical process: Report validation: Test not performed (1.4%), test performed but not requested (1.1%). Intra-laboratory reports: Laboratory reporting errors (0.05%), delivery outside specified time (11%). Consulting service: average time to communicate critical values for inpatients (6 min). CONCLUSIONS: These extra-analytical indicators and their specifications, expressed in a standardized manner, constitute a preliminary basis for comparison of individual laboratory performance with the purpose of improving laboratory quality.