Effects of Drop Jump Training from Different Heights and Weight Training on Vertical Jump and Maximum Strength Performance in Female Volleyball Players.

ABSTRACT: Sotiropoulos, K, Smilios, I, Barzouka, K, Christou, M, Bogdanis, G, Douda, H, and Tokmakidis, SP. Effects of drop jump training from different heights and weight training on vertical jump, maximum strength and change of direction performance in female volleyball players. J Strength Cond Res 37(2): 423-431, 2023-This study compared the effects of drop jump (DJ) training from different drop heights and weight training on vertical jump and maximum strength performance. Fifty-five female volleyball players (age: 23.8 ± 4.3 years) were randomly and equally allocated to a control group (volleyball training, CG); a volleyball and weight training group (WG); and 3 volleyball, weight, and drop jump training groups. One group performed DJ training from the optimal drop height, i.e., the height that elicited the highest ratio of jump height to contact time (OG), a second group from a drop height 25% higher than the optimal (HG), and a third group from a drop height 25% lower than the optimal (LG). Drop jump and weight training were performed 1-2 times per week, for 8 weeks for a total of 13 sessions. After training, vertical jump performance improved by 3.6-17.4% ( p < 0.05; effect size [ES]: 1.03-1.23) in the OG and the HG compared with the LG, WG, and CG ( p < 0.05; ES: 0.03-0.58). Drop jump height from drop heights 20-70 cm increased by 10.0-20.2% ( p < 0.05; ES: 0.59-1.13) for the OG and the HG, while reactive strength index increased ( p < 0.05; ES: 0.74-1.40) by 19.6-33.9% only in the HG compared with the CG. Half-squat maximum strength was increased in all experimental groups by 17.4-19% compared with the CG ( p < 0.05) with no differences ( p > 0.05) observed among them. The use of the optimal height or a moderately higher drop height by 25% for DJ training, combined with weight training, seems to be the most beneficial option to improve vertical jump and reactive strength index in female volleyball players.

Endothelial progenitor cell mobilization based on exercise volume in patients with cardiovascular disease and healthy individuals: a systematic review and meta-analysis.

Endothelial progenitor cells (EPCs) play a vital role in protecting endothelial dysfunction and cardiovascular disease (CVD). Physical exercise stimulates the mobilization of EPCs, and along with vascular endothelial growth factor (VEGF), promotes EPC differentiation, and contributes to vasculogenesis. The present meta-analysis examines the exercise-induced EPC mobilization and has an impact on VEGF in patients with CVD and healthy individuals. Database research was conducted (PubMed, EMBASE, Cochrane Library of Controlled Trials) by using an appropriate algorithm to indicate the exercise-induced EPC mobilization studies. Eligibility criteria included EPC measurements following exercise in patients with CVD and healthy individuals. A continuous random effect model meta-analysis (PROSPERO-CRD42019128122) was used to calculate mean differences in EPCs (between baseline and post-exercise values or between an experimental and control group). A total of 1460 participants (36 studies) were identified. Data are presented as standard mean difference (Std.MD) and 95% confidence interval (95% CI). Aerobic training stimulates the mobilization of EPCs and increases VEGF in patients with CVD (EPCs: Std.MD: 1.23, 95% CI: 0.70-1.76; VEGF: Std.MD: 0.76, 95% CI:0.16-1.35) and healthy individuals (EPCs: Std.MD: 1.11, 95% CI:0.53-1.69; VEGF: Std.MD: 0.75, 95% CI: 0.01-1.48). Acute aerobic exercise (Std.MD: 1.40, 95% CI: 1.00-1.80) and resistance exercise (Std.MD: 0.46, 95%CI: 0.10-0.82) enhance EPC numbers in healthy individuals. Combined aerobic and resistance training increases EPC mobilization (Std.MD:1.84, 95% CI: 1.03-2.64) in patients with CVD. Adequate exercise volume (>60%VO2max >30 min; P = 0.00001) yields desirable results. Our meta-analysis supports the findings of the literature. Exercise volume is required to obtain clinically significant results. Continuous exercise training of high-to-moderate intensity with adequate duration as well as combined training with aerobic and resistance exercise stimulates EPC mobilization and increases VEGF in patients with CVD and healthy individuals.

Effects of Work and Recovery Duration and Their Ratio on Cardiorespiratory and Metabolic Responses During Aerobic Interval Exercise.

ABSTRACT: Myrkos, A, Smilios, I, Zafeiridis, A, Iliopoulos, S, Kokkinou, EM, Douda, H, and Tokmakidis, SP. Effects of work and recovery duration and their ratio on cardiorespiratory and metabolic responses during aerobic interval exercise. J Strength Cond Res 36(8): 2169-2175, 2022-This study examined the effect of work and recovery durations and of work-to-rest ratio (WRR) on total exercise time and oxygen consumption (V̇ o2 max), on exercise time above 80, 90, and 95% of V̇ o2 max and HRmax, and on blood lactate concentrations during aerobic interval exercise. Twelve men (22.1 ± 1 year) executed, until exhaustion, 4 interval protocols at an intensity corresponding to 100% of maximal aerobic velocity. Two protocols were performed with work bout duration of 120 seconds and recovery durations of 120 (WRR: 1:1) or 60 seconds (WRR: 2:1), and 2 protocols with work bout duration of 60 seconds and recovery durations of 60 (WRR: 1:1) or 30 seconds (WRR: 2:1). When compared at equal exercise time, total V̇ o2 and exercise time at V̇ o2 above 80, 90, and 95% of V̇ o2 max were longer ( p < 0.05) in 120:120, 120:60 and 60:30 vs. the 60:60 protocol. When analyzed for total exercise time (until exhaustion), total V̇ o2 was higher ( p < 0.01) in the 60:60 compared with all other protocols, and in the 120:120 compared with 120:60. Exercise time >95% of V̇ o2 max and HRmax was higher ( p < 0.05) in the 120:120 vs. the 60:60 protocol; there were no differences among protocols for exercise time >90% of V̇ o2 max and HRmax. Blood lactate was lower ( p < 0.05) in the 60:60 compared with all other protocols and in the 60:30 vs. the 120:60. In conclusion, when interval exercise protocols are executed at similar effort (until exhaustion), work and recovery durations do not, in general, affect exercise time at high oxygen consumption and HR rates. However, as work duration decreases, a higher work-to-recovery ratio (e.g., 2:1) should be used to achieve and maintain high (>95% of maximum) cardiorespiratory stimulus. Longer work bouts and higher work-to-recovery ratio seem to activate anaerobic glycolysis to a greater extent, as suggested by greater blood lactate concentrations.

Guidelines for exercise during normal pregnancy and gestational diabetes: a review of international recommendations.

OBJECTIVE: Τo summarize and present the main guidelines for exercise during normal pregnancy and pregnancy complicated by gestational diabetes mellitus (GDM). METHODS: Relevant guidelines were retrieved through the electronic databases PubMed (MEDLINE), CENTRAL (Cochrane), and Embase; reference sections of the retrieved publications; proceedings of the main congresses in the field; and websites of relevant organizations published during the years 2000-2018. RESULTS: All guidelines recommend aerobic training from 60 to 150 min/week, with an upper limit of 30 min/day. Exercise is safe, even on a daily basis. Resistance exercise is suggested by five national guidelines (Australia, Canada, Denmark, Norway, and the UK). Discrepancies exist regarding the recommended intensity of exercise. Canada, Japan, Spain, and the UK use both objective (heart rate and maximum oxygen consumption) and subjective criteria (Borg's Scale and talk test) to determine the effectiveness and safety of exercise. Only Canada provides specific recommendations, according to the woman's age and level of physical condition. Women with GDM on no insulin treatment do not need to take extra precautions during exercise. However, due to their condition of hyperglycemia, they must comply with the recommendation issued for type 2 diabetes. The prescription and supervision of exercise should be carried out in a similar way as for uncomplicated pregnancies. Finally, women with GDM on insulin treatment need to follow the same recommendations as for those for pregnant women with type 1 diabetes. CONCLUSION: Health professionals must be informed about the correct planning and execution of physical exercise programs so as to safely achieve the maximum effectiveness of exercise-induced health-related benefits in pregnant women.

The Effects of Recovery Duration During High-Intensity Interval Exercise on Time Spent at High Rates of Oxygen Consumption, Oxygen Kinetics, and Blood Lactate.

Smilios, I, Myrkos, A, Zafeiridis, A, Toubekis, A, Spassis, A, and Tokmakidis, SP. The effects of recovery duration during high-intensity interval exercise on time spent at high rates of oxygen consumption, oxygen kinetics, and blood lactate. J Strength Cond Res 32(8): 2183-2189, 2018-The recovery duration and the work-to-recovery ratio are important aspects to consider when designing a high-intensity aerobic interval exercise (HIIE). This study examined the effects of recovery duration on total exercise time performed above 80, 90, and 95% of maximum oxygen consumption (V[Combining Dot Above]O2max) and heart rate (HRmax) during a single-bout HIIE. We also evaluated the effects on V[Combining Dot Above]O2 and HR kinetics, blood lactate concentration, and rating of perceived exertion (RPE). Eleven moderately trained men (22.1 ± 1 year) executed, on 3 separate sessions, 4 × 4-minute runs at 90% of maximal aerobic velocity (MAV) with 2, 3, and 4 minutes of active recovery. Recovery duration did not affect the percentage of V[Combining Dot Above]O2max attained and the total exercise time above 80, 90, and 95% of V[Combining Dot Above]O2max. Exercise time above 80 and 90% of HRmax was longer with 2 and 3 minutes (p ≤ 0.05) as compared with the 4-minute recovery. Oxygen uptake and HR amplitude were lower, mean response time slower (p ≤ 0.05), and blood lactate and RPE higher with 2 minutes compared with 4-minute recovery (p ≤ 0.05). In conclusion, aerobic metabolism attains its upper functional limits with either 2, or 3 or 4 minutes of recovery during the 4 × 4-minute HIIE; thus, all rest durations could be used for the enhancement of aerobic capacity in sports, fitness, and clinical settings. The short (2 minutes) compared with longer (4 minutes) recovery, however, evokes greater cardiovascular and metabolic stress and activates to a greater extent anaerobic glycolysis and hence, could be used by athletes to induce greater overall physiological challenge.

Active recovery intervals restore initial performance after repeated sprints in swimming.

The purpose of this study was to examine the effects of active recovery (AR) and passive recovery (PR) using short (2-min) and long (4-min) intervals on swimming performance. Twelve male competitive swimmers completed a progressively increasing speed test of 7 × 200-m swimming repetitions to locate the speed before the onset of curvilinear increase in blood lactate concentration (LT1). Subsequently, performance time of 6 × 50-m sprints was recorded during four different conditions: (i) 2-min PR (PR-2), (ii) 4-min PR (PR-4), (iii) 2-min AR (AR-2) and (iv) 4-min AR (AR-4) intervals. Blood lactate concentration was measured before the first and after the last 50-m repetition. AR was applied at an intensity corresponding to LT1. Performance as indicated by the time needed to complete 6 × 50-m sprints was impaired after AR-4 compared to PR-4 (AR-4: 28.65 ± 1.04, PR-4: 28.17 ± 0.72 s; mean% difference: MD% ±s; ±90% confidence limits: 90%CL, 1.71 ± 3.01%; ±1.43%, p = .01) but was not different between AR-2 compared to PR-2 conditions (AR-2: 28.68 ± 0.85, PR-2: 28.69 ± 0.82 s; MD%: 0.03 ± 1.61%; 90%CL ± 0.77%, p = .99). Performance in sprint-6 was improved after AR compared to PR independent of interval duration (AR: 28.55 ± 0.81, PR: 29.01 ± 1.03 s; MD%: 1.52 ± 2.61%; 90%CL ± 1.2%; p = .03). Blood lactate concentration was lower after AR-4 compared to PR-4 but did not differ between AR-2 and PR-2 conditions. In conclusion, AR impaired performance after a 4-min but not after a 2-min interval. A better performance during sprint-6 after AR could be attributed to a faster metabolic recovery or anticipatory regulatory mechanisms towards the end of the series especially when adequate 4-min active recovery interval is applied.

Contrast Loading Increases Upper Body Power Output in Junior Volleyball Athletes.

PURPOSE: This study examined the acute effects of contrast loading on mechanical power output during bench-press throws in junior volleyball players. METHOD: Eleven males (age: 16.5 ± 0.5 years) performed a contrast loading and a control protocol. The contrast protocol included the execution of 3 bench-throws with a 30% load of 1RM, after 3 min a conditioning set of 5 bench-throws with a 60% load of 1RM and after 3 and 5 min two more sets of 3 bench-throws with a 30% load of 1RM. The control protocol included the execution of 3 sets of 3 bench-throws with a 30% load of 1RM at the same time points as in the contrast protocol without the execution of the conditioning set. RESULTS: Mechanical power with a 30% load was higher (p < .05) 3 and 5 min following the conditioning set at the contrast protocol compared with the control protocol (8.7 ± 7.5 and 10.4 ± 3.4%, respectively). High correlations (p < .05) were obtained between participant's relative maximal strength (r = .87) and power (r = .82) and the increases in power output. CONCLUSION: Contrast loading increases upper body power output produced with a light load by junior athletes. The potential for increased upper body performance is more evident in stronger or more powerful individuals.

Normal tissue radioprotection by amifostine via Warburg-type effects.

The mechanism of Amifostine (WR-2721) mediated radioprotection is poorly understood. The effects of amifostine on human basal metabolism, mouse liver metabolism and on normal and tumor hepatic cells were studied. Indirect calorimetric canopy tests showed significant reductions in oxygen consumption and of carbon dioxide emission in cancer patients receiving amifostine. Glucose levels significantly decreased and lactate levels increased in patient venous blood. Although amifostine in vitro did not inhibit the activity of the prolyl-hydroxylase PHD2, experiments with mouse liver showed that on a short timescale WR-1065 induced expression of the Hypoxia Inducible Factor HIF1α, lactate dehydrogenase LDH5, glucose transporter GLUT2, phosphorylated pyruvate dehydrogenase pPDH and PDH-kinase. This effect was confirmed on normal mouse NCTC hepatocytes, but not on hepatoma cells. A sharp reduction of acetyl-CoA and ATP levels in NCTC cells indicated reduced mitochondrial usage of pyruvate. Transient changes of mitochondrial membrane potential and reactive oxygen species ROS production were evident. Amifostine selectively protects NCTC cells against radiation, whilst HepG2 neoplastic cells are sensitized. The radiation protection was correlates with HIF levels. These findings shed new light on the mechanism of amifostine cytoprotection and encourage clinical research with this agent for the treatment of primary and metastatic liver cancer.

Aerobic, resistance and combined training and detraining on body composition, muscle strength, lipid profile and inflammation in coronary artery disease patients.

Fifty-six elderly individuals diagnosed with coronary artery disease participated in the study and were divided into four groups: an aerobic exercise group, a resistance exercise group, a combined (aerobic + resistance) exercise group and a control group. The three exercise groups participated in 8 months of exercise training. Before, at 4 and at 8 months of the training period as well as at 1, 2 and 3 months after training cessation, muscle strength was measured and blood samples were collected. The resistance exercise caused significant increases mainly in muscle strength whereas aerobic exercise caused favourable effects mostly on lipid and apolipoprotein profiles. On the other hand, combined exercise caused significant favourable effects on both physiological (i.e. muscle strength) and biochemical (i.e. lipid and apolipoprotein profile and inflammation status) parameters, while the return to baseline values during the detraining period was slower compared to the other exercise modalities.

Telerehabilitation Solution Conceptual Paper for Community-Based Exercise Rehabilitation of Patients Discharged After Critical Illness.

A novel service oriented platform has been developed under the framework of the Telerehabilitation Service funded by the Cross Border Cooperation Programme Greece Cyprus 2007 - 2013 to support tele-supervised exercise rehabilitation for patients after hospitalization in intensive care units (ICU). The platform enables multiparty, interregional bidirectional audio/visual communication between clinical practitioners and post-ICU patients. It also enables patient group-based vital sign real time monitoring, patients' clinical record bookkeeping, and individualized and group-based patient online exercise programs. The exercise programs intended for the service are based on successful cardiorespiratory rehabilitation programs, individualized and monitored by a multidisciplinary team. The eligibility study of former ICU patients to participate in such a service as well as a cost benefit analysis are presented to support the cost effectiveness of the telerehabilitation program in addition to the expected health benefits to a large proportion of former ICU patients.

Acute pro- and anti-inflammatory responses to resistance exercise in patients with coronary artery disease: a pilot study.

Little is known about the inflammatory effects of resistance exercise in healthy and even less in diseased individuals such as cardiac patients. The purpose of this study was to examine the acute pro- and anti-inflammatory responses during resistance exercise (RE) in patients with coronary artery disease. Eight low risk patients completed two acute RE protocols at low (50% of 1 RM; 2x18 rps) and moderate intensity (75% of 1 RM; 3x8 rps) in random order. Both protocols included six exercises and had the same total load volume. Blood samples were obtained before, immediately after and 60 minutes after each protocol for the determination of lactate, TNFα, INF-γ, IL-6, IL-10, TGF-ß1, and hsCRP concentrations. IL-6 and IL-10 levels increased (p < 0.05) immediately after both RE protocols with no differences between protocols. INF-γ was significantly lower (p < 0.05) 60 min after the low intensity protocol, whereas TGF-ß1 increased (p < 0.05) immediately after the low intensity protocol. There were no differences in TNF-& and hs-CRP after both RE protocols or between protocols. The above data indicate that acute resistance exercise performed at low to moderate intensity in low risk, trained CAD patients is safe and does not exacerbate the inflammation associated with their disease. Key pointsAcute resistance exercise is safe without exacerbating inflammation in patients with CAD.Both exercise intensities (50 and 75% of 1 RM) elicit desirable pro-and anti-inflammatory responses.With both exercise intensities (50 and 75% of 1 RM) acceptable clinical hemodynamic alterations were observed.

Physical Improvement and Biological Maturity of Young Athletes (11-12 Years) with Systematic Training.

AIM: The aim of this study was to investigate the influence of systematic training in physical growth and biological maturity in prepubertal males and estimate how this affects the physical growth and skeletal maturity. MATERIALS AND METHODS: 177 primary school students of the fifth and sixth grade, from schools in Alexandroupolis, participated voluntarily in our study. Questionnaires were used in order to measure physical activity levels. The subjects were subdivided into two groups; control group (prepubertal, whose physical activity was the physical education of their school and which had never participated in systematic training, n = 95) and experimental group (prepubertal, whose weekly physical activity included physical education in their schools and additionally 3-4 training units organized training in various sports clubs in the city, n = 82). The following parameters were recorded: biological age measured by determination of skeletal age; bone density measured by ultrasound methods; anthropometric and morphological features such as height, body composition, selected diameters, circumferences and skinfolds; motor ability features. RESULTS: The experimental group exhibited older biological age (p = 0.033), higher bone density (p < 0.001), lower BMI and body fat (p < 0.001), better anthropometric features and higher performance throughout all motor ability tests (p < 0.05), compared to the control group. CONCLUSION: The present study demonstrates that systematic physical activity has a positive effect on both the physical and biological maturity of pre-pubertal children. This effect is mainly expressed in bone strengthening as a result of the increased bone density and in improvement of the kinetic skills of pupils who participated in organized extracurricular sport-activities.

Community-Based Training-Detraining Intervention in Older Women: A Five-Year Follow-Up Study.

This five-year follow-up nonrandomized controlled study evaluated community-based training and detraining on body composition and functional ability in older women. Forty-two volunteers (64.3 ± 5.1 years) were divided into four groups: aerobic training, strength training, combined aerobic and strength, and control. Body composition and physical fitness were measured at baseline, after nine months of training and after three months of detraining every year. After five years of training, body fat decreased, and fat free mass, strength, and chair test performance increased (p < .05) in all training groups. Training-induced favorable adaptations were reversed during detraining but, eventually, training groups presented better values than the control group even after detraining. Thus, nine months of annual training, during a five-year period, induced favorable adaptations on body composition, muscular strength, and functional ability in older women. Three months of detraining, however, changed the favorable adaptations and underlined the need for uninterrupted exercise throughout life.

Hormonal responses after resistance exercise performed with maximum and submaximum movement velocities.

This study examined the effects of maximum and submaximum movement velocities after a muscular hypertrophy type resistance exercise protocol on testosterone, human growth hormone (hGH) and cortisol concentrations and on neuromuscular performance assessed with a vertical jump. Eleven males performed a control and 3 resistance exercise protocols (4 sets of squat and 4 sets of leg-press exercises, 8 repetitions/set, 10-repetition maximum load). The first exercise protocol was performed at maximum velocity (Vmax); the second at 70% of Vmax with equal training volume (70%VmaxEV) to Vmax; and the third at 70% of Vmax (70%Vmax) with a 10.6% higher training volume to Vmax. Testosterone and hGH increased after all exercise protocols (p < 0.05) compared with baseline and were higher versus control values (p < 0.05). Cortisol concentrations gradually decreased in 70%Vmax, 70%VmaxEV and control protocols following a typical circadian rhythm (p < 0.05), but remained relatively constant in Vmax protocol. Comparisons among protocols showed that hGH was higher in 70%Vmax versus Vmax (p < 0.05), while cortisol was higher in Vmax versus 70%VmaxEV and control (p < 0.05). The greatest reduction in vertical jump and increase in heart rate were observed after the Vmax protocol (p < 0.05). In conclusion, a hypertrophy type resistance exercise protocol performed at maximum movement velocity increases testosterone and hGH and generates a greater biological stress, as evident by a higher cortisol concentrations and heart rate responses, and a greater reduction in neuromuscular performance. A protocol, however, performed at submaximum movement velocity combined with greater training volume stimulates to a greater extent the hGH response with no effect on cortisol.

Contrast loading: power output and rest interval effects on neuromuscular performance.

PURPOSE: This study examined the effect of rest interval after the execution of a jump-squat set with varied external mechanical-power outputs on repeated-jump (RJ) height, mechanical power, and electromyographic (EMG) activity. METHODS: Twelve male volleyball players executed 6 RJs before and 1, 3, 5, 7, and 10 min after the execution of 6 repetitions of jump squats with a load: maximized mechanical-power output (Pmax), 70% of Pmax, 130% of Pmax, and control, without extra load. RESULTS: RJ height did not change (P = .44) after the jump squats, mechanical power was higher (P = .02) 5 min after the 130%Pmax protocol, and EMG activity was higher (P = .001) after all exercise protocols compared with control. Irrespective of the time point, however, when the highest RJ set for each individual was analyzed, height, mechanical power, and EMG activity were higher (P = .001-.04) after all loading protocols compared with control, with no differences observed (P = .53-.72) among loads. CONCLUSIONS: Rest duration for a contrast-training session should be individually determined regardless of the load and mechanical-power output used to activate the neuromuscular system. The load that maximizes external mechanical-power output compared with a heavier or a lighter load, using the jump-squat exercise, is not more effective for increasing jumping performance afterward.

Competitive performance, training load and physiological responses during tapering in young swimmers.

The study examined the changes of training load and physiological parameters in relation to competitive performance during a period leading to a national championship. The training content of twelve swimmers (age: 14.2±1.3 yrs) was recorded four weeks before the national championship (two weeks of normal training and two weeks of the taper). The training load was calculated: i) by the swimmer's session-RPE score (RPE-Load), ii) by the training intensity levels adjusted after a 7×200-m progressively increasing intensity test (LA-Load). Swimmers completed a 400-m submaximal intensity test, a 15 s tethered swimming and hand-grip strength measurements 34-35 (baseline: Test 1), 20-21 (before taper: Test 2) and 6-7 (Test 3) days before the national championship. Performance during the national championship was not significantly changed compared to season best (0.1±1.6%; 95% confidence limits: -0.9, 1.1%; Effect Size: 0.02, p=0.72) and compared to performance before the start of the two-week taper period (0.9±1.7%; 95% confidence limits: 0.3, 2.1%; Effect size: 0.12, p=0.09). No significant changes were observed in all measured physiological and performance related variables between Test 1, Test 2, and Test 3. Changes in RPE-Load (week-4 vs. week-1) were correlated with changes in performance (r=0.63, p=0.03) and the RPE-Load was correlated with the LA-Load (r=0.80, p=0.01). The estimation of the session-RPE training load may be helpful for taper planning of young swimmers. Increasing the difference between the normal and last week of taper training load may facilitate performance improvements.

Exercise in the prevention and rehabilitation of breast cancer.

Breast cancer is the most common type of cancer among women worldwide. Several epidemiological studies have shown an inverse relationship between the risk of breast cancer and physical activity levels, whereas exercise training has been recognized as a significant means in the rehabilitation process of breast cancer survivors. The relative risk reduction of breast cancer for women who engaged in moderate to vigorous physical activity for 3-5 days peek week ranged between 20-40 %. Furthermore, several studies demonstrated a 24-67 % reduction in the risk of total deaths and 50-53 % reduction in the risk of breast cancer deaths in women who are physically active after breast cancer diagnosis compared with sedentary women. Breast cancer survivors should be encouraged to participate in rehabilitation programs in order to obtain numerous physiological and psychological benefits. These include reductions in fatigue and improvements in immune function, physical functioning, body composition, and quality of life. Based on recent scientific evidence, a complete rehabilitation program for patients with breast cancer should combine both strength and aerobic exercise in order to maximize the expected benefits.

Metabolic responses at various intensities relative to critical swimming velocity.

To avoid any improper training load, the speed of endurance training needs to be regularly adjusted. Both the lactate threshold (LT) velocity and the velocity corresponding to the maximum lactate steady state (MLSS) are valid and reliable indices of swimming aerobic endurance and commonly used for evaluation and training pace adjustment. Alternatively, critical velocity (CV), defined as the velocity that can be maintained without exhaustion and assessed from swimming performance of various distances, is a valid, reliable, and practical index of swimming endurance, although the selection of the proper distances is a determinant factor. Critical velocity may be 3-6 and 8-11% faster compared with MLSS and LT, respectively. Interval swimming at CV will probably show steady-lactate concentration when the CV has been calculated by distances of 3- to 15-minute duration, and this is more evident in adult swimmers, whereas increasing or decreasing lactate concentration may appear in young and children swimmers. Therefore, appropriate corrections should be made to use CV for training pace adjustment. Findings in young and national level adult swimmers suggest that repetitions of distances of 100-400 m, and velocities corresponding to a CV range of 98-102% may be used for pacing aerobic training, training at the MLSS, and possibly training for improvement of VO2max. Calculation of CV from distances of 200-400, 50-100-200-400, or 100-800 m is an easy and practical method to assess aerobic endurance. This review intends to study the physiological responses and the feasibility of using CV for aerobic endurance evaluation and training pace adjustment, to help coaches to prescribe training sets for different age-group swimmers.

Maximum power training load determination and its effects on load-power relationship, maximum strength, and vertical jump performance.

This study examines the changes in maximum strength, vertical jump performance, and the load-velocity and load-power relationship after a resistance training period using a heavy load and an individual load that maximizes mechanical power output with and without including body mass in power calculations. Forty-three moderately trained men (age: 22.7 ± 2.5 years) were separated into 4 groups, 2 groups of maximum power, 1 where body mass was not included in the calculations of the load that maximizes mechanical power (Pmax - bw, n = 11) and another where body mass was included in the calculations (Pmax + bw, n = 9), a high load group (HL-90%, n = 12), and a control group (C, n = 11). The subjects performed 4-6 sets of jump squat and the repeated-jump exercises for 6 weeks. For the jump squat, the HL-90% group performed 3 repetitions at each set with a load of 90% of 1 repetition maximum (1RM), the Pmax - bw group 5 repetitions with loads 48-58% of 1RM and the Pmax + bw 8 repetitions with loads 20-37% of 1RM. For the repeated jump, all the groups performed 6 repetitions at each set. All training groups improved (p < 0.05) maximum strength in the semisquat exercise (HL-90%: 15.2 ± 7.1, Pmax - bw: 6.6 ± 4.7, Pmax + bw: 6.9 ± 7.1, and C: 0 ± 4.3%) and the HL-90% group presented higher values (p < 0.05) than the other groups did. All training groups improved similarly (p < 0.05) squat (HL-90%: 11.7 ± 7.9, Pmax - bw: 14.5 ± 11.8, Pmax + bw: 11.3 ± 7.9, and C: -2.2 ± 5.5%) and countermovement jump height (HL-90%: 8.6 ± 7.9, Pmax - bw: 10.9 ± 9.4, Pmax + bw: 8.8 ± 4.3, and C: 0.4 ± 6%). The HL-90% and the Pmax - bw group increased (p < 0.05) power output at loads of 20, 35, 50, 65, and 80% of 1RM and the Pmax + bw group at loads of 20 and 35% of 1RM. The inclusion or not of body mass to determine the load that maximizes mechanical power output affects the long-term adaptations differently in the load-power relationship. Thus, training load selection will depend on the required adaptations. However, the use of heavy loads causes greater overall neuromuscular adaptations in moderately trained individuals.