Deconstructing the Ergogenic Effects of Photobiomodulation: A Systematic Review and Meta-analysis of its Efficacy in Improving Mode-Specific Exercise Performance in Humans.

BACKGROUND: Photobiomodulation therapy (PBMT) is defined as non-thermal electromagnetic irradiation through laser or light-emitting diode sources. In recent decades, PBMT has attracted attention as a potential preconditioning method. The current meta-analysis was conducted to assess the effectiveness of PBMT in improving mode-specific exercise performance in healthy young adults. METHODS: A computerized literature search was conducted, ending on 15 May 2022. The databases searched were PubMed, Cochrane Central Register of Controlled Trials, Embase, SPORTDiscus, and the Physiotherapy Evidence Database. Inclusion/exclusion criteria limited articles to crossover, double-blind, placebo-controlled studies investigating the PBMT effects as a preconditioning method. The included trials were synthesized according to exercise mode (single-joint, cycling, running, and swimming). All results were combined using the standardized mean differences (SMDs) method and the 95% confidence intervals (CIs) were described. RESULTS: A total of 37 individual studies, employing 78 exercise performance measurements in 586 participants, were included in the analyses. In single-joint exercises, PBMT improved muscle endurance performance (SMD 0.27, 95% CI 0.12-0.41; p < 0.01) but not muscle strength performance (p = 0.92). In cycling, PBMT improved time to exhaustion performance (SMD 0.35, 95% CI 0.10-0.59; p < 0.01) but had no effect on all-out sprint performance (p = 0.96). Similarly, PBMT had no effect on time to exhaustion (p = 0.10), time-trial (p = 0.61), or repeated-sprint (p = 0.37) performance in running and no effect on time-trial performance in swimming (p = 0.81). CONCLUSION: PBMT improves muscle endurance performance in single-joint exercises and time to exhaustion performance in cycling but is not effective for muscle strength performance in single-joint exercises, running, or swimming performance metrics.

Impacts of high-intensity exercise on the metabolomics profile of human skeletal muscle tissue.

The study aimed to identify and quantify the metabolites profile and metabolic pathways in human muscle tissue engaged during exhaustive high-intensity cycling exercise. Seven healthy physically active men performed a graded exercise test and an exhaustive supramaximal effort at 115% of maximal aerobic power with muscles biopsies performed in rest and immediately after exhaustion for quantifying of muscle metabolites changes by 1 H-NMR spectroscopy. The time until exhaustion (tlim) recorded was 224.7 ± 35.5 s whereas the muscle pH at exhaustion was 6.48 ± 0.05. A total of 54 metabolites were identified and quantified. The most enriched and impacted pathways included: beta oxidation of very long chain fatty acids, mitochondrial electron transport chain, alanine aspartate, and glutamate metabolism, citric acid cycle, arginine biosynthesis, propanoate metabolism, threonine and 2-oxobutanoate degradation and pyruvate metabolism. In addition, the muscle concentrations in Post exercise, compared to Pre increased significantly (p < 0.0398) for fumarate (42.0%), succinate (101.2%), glucose (249.7%), lactate (122.8%), O-acetylcarnitine (164.7%), glycerol (79.3%), AMP (288.2%), 2-oxobutyrate (121.0%), and methanol (58.5%), whereas decreased significantly (p < 0.010) for creatine phosphate (-70.2%), ADP (-56.5%), carnitine (-33.5%), and glutamate (-42.3%). Only the succinate was significantly correlated with tlim (r = -0.76; p = 0.0497). Besides the classical expected contribution of glycolytic and phosphagen energetic pathways, it was demonstrated that the high-intensity exercise is also associated with pathways indicatives of amino acid and fatty acid oxidation metabolisms, highlighting the inverse relation between changes in the intramuscular succinate levels and tlim.

The Effects of Regular Cold-Water Immersion Use on Training-Induced Changes in Strength and Endurance Performance: A Systematic Review with Meta-Analysis.

BACKGROUND: Cold-water immersion (CWI) is one of the main recovery methods used in sports, and is commonly utilized as a means to expedite the recovery of performance during periods of exercise training. In recent decades, there have been indications that regular CWI use is potentially harmful to resistance training adaptations, and, conversely, potentially beneficial to endurance training adaptations. The current meta-analysis was conducted to assess the effects of the regular CWI use during exercise training on resistance (i.e., strength) and endurance (i.e., aerobic exercise) performance alterations. METHODS: A computerized literature search was conducted, ending on November 25, 2019. The databases searched were MEDLINE, Cochrane Central Register of Controlled Trials, and SPORTDiscus. The selected studies investigated the effects of chronic CWI interventions associated with resistance and endurance training sessions on exercise performance improvements. The criteria for inclusion of studies were: (1) being a controlled investigation; (2) conducted with humans; (3) CWI performed at ≤ 15 °C; (4) being associated with a regular training program; and (5) having performed baseline and post-training assessments. RESULTS: Eight articles were included before the review process. A harmful effect of CWI associated with resistance training was verified for one-repetition maximum, maximum isometric strength, and strength endurance performance (overall standardized mean difference [SMD] = - 0.60; Confidence interval of 95% [CI95%] = - 0.87, - 0.33; p < 0.0001), as well as for Ballistic efforts performance (overall SMD = - 0.61; CI95% = - 1.11, - 0.11; p = 0.02). On the other hand, selected studies verified no effect of CWI associated with endurance training on time-trial (mean power), maximal aerobic power in graded exercise test performance (overall SMD = - 0.07; CI95% = - 0.54, 0.53; p = 0.71), or time-trial performance (duration) (overall SMD = 0.00; CI95% = - 0.58, 0.58; p = 1.00). CONCLUSIONS: The regular use of CWI associated with exercise programs has a deleterious effect on resistance training adaptations but does not appear to affect aerobic exercise performance. TRIAL REGISTRATION: PROSPERO CRD42018098898.

Cycling Performance Enhancement After Drop Jumps May Be Attributed to Postactivation Potentiation and Increased Anaerobic Capacity.

de Poli, RAB, Boullosa, DA, Malta, ES, Behm, D, Lopes, VHF, Barbieri, FA, and Zagatto, AM. Cycling performance enhancement after drop jumps may be attributed to postactivation potentiation and increased anaerobic capacity. J Strength Cond Res 34(9): 2465-2475, 2020-The study aimed to investigate the effects of drop jumps (DJs) on supramaximal cycling performance, anaerobic capacity (AC), electromyography, and fatigue. Thirty-eight recreational cyclists participated into 3 independent studies. In study 1 (n = 14), neuromuscular fatigue was assessed with the twitch interpolation technique. In study 2 (n = 16), the AC and metabolic contributions were measured with the maximal accumulated oxygen deficit method and the sum of the glycolytic and phosphagen pathways. In study 3 (n = 8), postactivation potentiation (PAP) induced by repeated DJs was evaluated. The DJ protocol was effective for significantly improving cycling performance by +9.8 and +7.4% in studies 1 and 2, respectively (p ≤ 0.05). No differences were observed in electromyography between conditions (p = 0.70); however, the force evoked by a doublet at low (10 Hz) and high frequencies (100 Hz) declined for control (-16.4 and -23.9%) and DJ protocols (-18.6 and -26.9%) (p < 0.01). Force decline was greater in the DJ condition (p < 0.03). Anaerobic capacity and glycolytic pathway contributions were +7.7 and +9.1% higher after DJ protocol (p = 0.01). Peak force during maximal voluntary contraction (+5.6%) and doublet evoked force at 100 Hz (+5.0%) were higher after DJs. The DJ protocol induced PAP, improved supramaximal cycling performance, and increased AC despite higher peripheral fatigue.

Metabolic Profile and Performance Responses During Two Consecutive Sessions of Sprint Interval Training.

Malta, ES, Brisola, GMP, de Poli, RAB, Dutra, YM, Franchini, E, and Zagatto, AM. Metabolic profile and performance responses during two consecutive sessions of sprint interval training. J Strength Cond Res 34(4): 1078-1085, 2020-The study aimed to (a) typify the cardiorespiratory, metabolic, and performance responses during a single sprint interval training (SIT) session, (b) investigate the interference of 2 subsequent sessions on cardiorespiratory, metabolic, and performance responses, and (c) verify the relationships of SIT total work performed with aerobic fitness indices. Thirty-six untrained men performed 2 SIT sessions (SIT1 and SIT2) separated by 24 hours of recovery. Each session was composed of 4 Wingate bouts interspersed by 4 minutes. Within SIT sessions, bout work, peak power, and mean power of each Wingate bout decreased significantly, while the fatigue index increased over time (p < 0.001). The SIT elicited lower acute responses of oxygen uptake and heart rate than maximal values (≈67 and ≈79%, respectively) (p < 0.05) as well as a short time spent at high cardiorespiratory demand. For SIT outcomes, no interactions were verified between Wingate bout performance, average heart rate, and average oxygen uptake. In addition, the oxygen uptake integral (SIT1:300.5 ± 38.6 ml·kg; SIT2:306.9 ± 41.1 ml·kg) and total work (SIT1:54.6 ± 10.4 kJ; SIT2:54.9 ± 10.6 kJ) did not differ between SIT sessions (p > 0.05). Furthermore, significant moderate to strong correlations were found between SIT1 and SIT2 total work and peak oxygen uptake (r = 0.48; r = 0.52, respectively), maximal aerobic power (r = 0.89; r = 0.89, respectively), and respiratory compensation point (r = 0.80; r = 0.78, respectively). In summary, an SIT session elicited a short time spent at high cardiorespiratory demand, while the SIT total work was significantly correlated with aerobic fitness indices. In addition, 2 consecutive SIT sessions interspaced by 24 hours did not affect performance outcomes, or cardiorespiratory and blood responses.

Effects of Seasonal Training Load on Performance and Illness Symptoms in Water Polo.

Brisola, GMP, Claus, GM, Dutra, YM, Malta, ES, de Poli, RAB, Esco, MR, and Zagatto, AM. Effects of seasonal training load on performance and illness symptoms in water polo. J Strength Cond Res 34(2): 406-413, 2020-The purpose of the study was to describe the training load distribution of a young female water polo team in different cycles of the season and verify its subsequent effects on specific fitness measured by the repeated sprints ability (RSA) test, aerobic endurance measured by the lactate minimum test, incidence and severity of upper respiratory tract infection (URTI) symptoms, and muscle damage markers. The training load (i.e., rating of perceived exertion × session duration) of 20 young female water polo players (mean ± SD: age = 15.65 ± 1.3 years; body mass = 60.93 ± 11.0 kg; height = 1.62 ± 0.1 m) was monitored, and the incidence and severity of URTI was assessed during part of the season. In addition, we assessed the lactate minimum speed (LMS), RSA, creatine kinase (CK), and lactate dehydrogenase (LDH) blood concentration during the season. The level of significance set was p < 0.05. The training loads were higher in the specific period (p < 0.01), whereas a high incidence of URTI was observed in the general cycle. The LMS was greater in the general cycle (p < 0.05), whereas total time and best time in the RSA test were greater in the competitive cycle (p < 0.05). The CK and LDH concentrations were significantly lower during the competitive cycle (p < 0.01). The general cycle of a female water polo team is critical regarding URTI and muscle damage, even with smaller training loads than the specific period.

Hyperlactemia induction modes affect the lactate minimum power and physiological responses in cycling.

The aim of this study was to verify the influence of hyperlactemia and blood acidosis induction on lactate minimum intensity (LMI). Twenty recreationally trained males who were experienced in cycling (15 cyclists and 5 triathletes) participated in this study. The athletes underwent 3 lactate minimum tests on an electromagnetic cycle ergometer. The hyperlactemia induction methods used were graded exercise test (GXT), Wingate test (WAnT), and 2 consecutive Wingate tests (2 × WAnTs). The LMI at 2 × WAnTs (200.3 ± 25.8 W) was statistically higher than the LMI at GXT (187.3 ± 31.9 W) and WAnT (189.8 ± 26.0 W), with similar findings for blood lactate, oxygen uptake, and pulmonary ventilation at LMI. The venous pH after 2 × WAnTs was lower (7.04 ± 0.24) than in (p ≤ 0.05) the GXT (7.19 ± 0.05) and WAnT (7.19 ± 0.05), whereas the blood lactate response was higher. In addition, similar findings were observed for bicarbonate concentration [HCO3] (2 × WAnTs lower than WAnT; 15.3 ± 2.6 mmol·L and 18.2 ± 2.7 mmol·L1, respectively) (p ≤ 0.05). However, the maximal aerobic power and total time measured during the incremental phase also did not differ. Therefore, we can conclude that the induction mode significantly affects pH, blood lactate, and [HCO3] and consequently they alter the LMI and physiological parameters at LMI.