Debra A. Bemben

Musculoskeletal responses to high- and low-intensity resistance training in early postmenopausal women

PURPOSE The purpose of this study was to compare the effects of a high-load (80%, 1-repetition maximum (RM), 8 reps) and a high-repetition (40%, 1-RM, 16 reps) resistance training protocol on muscular strength and bone mineral density (BMD) in early postmenopausal, estrogen-deficient women. The 6-month programs were matched initially for training volume (3 sets, 3 d x wk(-1)) for 12 exercises selected to specifically load the spine and hip. METHODS Subjects included 25 women (41-60 yr) who were matched by spine BMD then randomly assigned to either the high-load (HL, N = 10), high-repetition (HR, N = 7), or control (C, N = 8) groups. Dietary calcium intakes were supplemented to approximately 1500 mg x d(-1). Total body, spine, and hip BMD (DXA, Lunar Model DPX-IQ), upper and lower body muscular strength, and biochemical markers of bone turnover were measured at baseline and after 6 months of training. RESULTS There were no group differences in the baseline measures. Both training groups showed similar increases in biceps (20%) and rectus femoris (28-33%) cross-sectional areas, in lower body strength (approximately 30%) and in hip strength (37-40%). HL showed greater improvements in upper body strength (HL 25%, HR 16%). Neither training group experienced significant increases in spine or hip BMD, although the HL total body BMD tended to decrease (-1.1%+/-0.4, P = 0.054) after training. Osteocalcin tended to increase (P = 0.08) in all groups after training, and the % change in osteocalcin was positively related to % changes in the total hip (r = 0.41, P = 0.048) and the trochanter (r = 0.42, P = 0.04) BMD. CONCLUSION The high-load and high-repetition resistance training protocols were both effective in improving muscular strength and size in postmenopausal women, indicating low-intensity resistance training can be beneficial for the muscular fitness in women for whom high-intensity exercise is contraindicated.

Isometric muscle force production as a function of age in healthy 20- to 74-yr-old men.

Typically, previous studies have focused on one muscle group, the finger flexors, and only one aspect of muscle function, strength, when assessing age-related muscle force production characteristics. In the present study, the maximal voluntary isometric contraction force-time curves of five muscle groups (right hand finger flexors, right thumb abductors, right forearm extensors, right leg dorsiflexors, and right leg plantar flexors) were assessed in men, ranging in age from 20 to 74 yr. One hundred fifty-three volunteers were placed into appropriate 5-yr age groups: 20-24 (N = 14), 25-29 (N = 15), 30-34 (N = 16), 35-39 (N = 13), 40-44 (N = 16), 45-49 (N = 11), 50-54 (N = 16), 55-59 (N = 12), 60-64 (N = 17), 65-69 (N = 13), and 70-74 (N = 10) years. Muscle function was characterized by a number of force-time parameters, including strength, time, rate, and impulse. The data were analyzed both with and without consideration of the influence of physique and body composition. The results indicated that there were significant age group differences in the ability to produce maximal force (strength) (P less than 0.05), to generate maximal rates of force production (P less than 0.05), and in the total forces generated (impulse) (P less than 0.05), with an overall and in the total forces generated (impulse) (P less than 0.05), with an overall decline with increasing age.(ABSTRACT TRUNCATED AT 250 WORDS)

Creatine supplementation during resistance training in college football athletes.

PURPOSE This investigation assessed the effects of a 9-wk regimen of creatine monohydrate (Cr x H2O) supplementation coupled with resistance training on body composition and neuromuscular performance in NCAA Division I football athletes. METHODS Twenty-five subjects were randomly assigned in a double-blind, randomized placebo-controlled design, to a treatment (Cr, N = 9), placebo (P, N = 8), or control group (C, N = 8). The Cr group received 20 g.d(-1) of creatine for the first 5 d in 5-g doses, four times daily, followed by 5 g.d(-1) for the remainder of the study. Each 5-g dose was mixed with 500 mL of glucose solution (Gatorade). The P group received a placebo (sodium phosphate monohydrate; NaH2PO4 x H2O) following the exact protocol as the Cr group. The C group received no supplementation. All subjects resistance trained 4 d.wk(-1). Measurements of neuromuscular performance and body composition were made pre- and post-training after supplementation while monitoring dietary intakes. RESULTS Repeated measures ANOVA indicated significant differences occurred between the Cr group and the other two groups (P and C) for total body weight, lean body mass, cell hydration, strength, peak torque at 300 degrees.s(-1) knee flexion, percent torque decrement, and anaerobic power and capacity. However, percent body fat, peak torque during both knee flexion and extension at 60 and 180 degrees.s(-1), peak torque at 300 degrees.s(-1) during knee extension, global muscular strength (power clean), and extracellular fluid remained statistically unchanged for all groups. CONCLUSIONS Our findings indicate that creatine, supplemented concurrently with resistance and anaerobic training, may positively affect cell hydration status and enhance performance variables further than augmentation seen with training alone.

Isometric intermittent endurance of four muscle groups in men aged 20-74 yr.

Muscular endurance of upper and lower extremities may provide a more practical measure of muscle function related to normal daily activity than measures of strength, especially with the elderly. Maximal isometric intermittent endurance of the finger flexors, thumb abductors, dorsiflexors, and plantar flexors were characterized by peak force, impulse, percent total impulse, and percent force decrement in men aged 20-74 yr. Volunteers (N = 153) were placed into appropriate 5-yr age groups: 20-24, 25-29, ..., 70-74 yr. The intermittent endurance task consisted of 11 consecutive, 2-s maximal contractions, each separated by 3-s rest. Age group differences within each 2-s interval as well as differences in endurance were determined by ANOVA, and after adjusting for differences in body composition, by ANCOVA. The lower extremities had the greatest declines in absolute measures of force within each 2-s interval, and declines occurred earlier than previously reported. When values were expressed as percent change over the entire endurance task, there was generally no age group difference in force or impulse; however, there were significant muscle group differences. In conclusion, declines in absolute measures of force occurred at different ages depending on the muscle group; however, relative measures of muscular endurance were maintained for all age groups but varied by muscle group location.

Bone density comparisons in male competitive road cyclists and untrained controls.

UNLABELLED Low bone mineral density (BMD) has been documented in endurance-trained runners; however, the bone status of cyclists is unclear. PURPOSE The purpose of this study was to compare total body, lumbar spine, and dual proximal femur BMD in male competitive road cyclists (n = 32) and in age- and body mass-matched controls (n = 30). METHODS The cyclists had an average of 9.4 yr of racing experience and trained 7-22 h wk(-1). BMD was measured using dual energy x-ray absorptiometry (DXA; GE Lunar Prodigy, v. 6.70.021). Calcium intake was estimated from a food frequency questionnaire. Resting serum total and free testosterone levels were measured by RIA (Diagnostic Systems Laboratory). RESULTS There were no significant differences (P > 0.050) between the cyclists (CYC) and the controls (CON) for age, height, body mass, or testosterone levels. CYC had significantly (P < 0.050) lower percent body fat and higher bone-free lean body mass than the CON. Calcium intake for CYC was significantly higher (P < 0.050) than for the CON group (1557 +/- 132 vs 1098 +/- 69 mg d(-1)). Anterior-posterior spine (L2-L4) and lateral spine (LS) BMD (g cm(-2)) were significantly lower (P < 0.050) for CYC (L2-L4 = 1.165 +/- 0.023 g cm(-2); LS = 0.781 +/- 0.025 g cm(-2)) than for CON (L2-L4 = 1.246 +/- 0.028 g cm(-2); LS = 0.911 +/- 0.027 g cm(-2)). Based on t-scores (SD from the young adult reference population mean), 9% of CYC and 3% of CON were classified as osteoporotic, whereas 25% and 10% of CYC and CON, respectively, were osteopenic. CONCLUSIONS Our findings indicated that male cyclists had lower spine BMD than controls, which was not associated with group differences in testosterone. Future studies are needed to elucidate the underlying mechanisms for low bone mass in cyclists.

Effects of combined whole-body vibration and resistance training on muscular strength and bone metabolism in postmenopausal women.

Whole-body vibration (WBV) has been shown to be osteogenic in animal models; however, its application in humans is not clear. The purpose of this study was to examine the effects of an 8-month program involving WBV plus resistance training on bone mineral density (BMD) and bone metabolism in older postmenopausal women. Fifty-five estrogen-deficient postmenopausal women were assigned to a resistance training group (R, n=22), a WBV plus resistance training group (WBVR, n=21), or a control group (CON, n=12). R and WBVR performed upper and lower body resistance exercises 3 days/week at 80% 1 Repetition Maximum (1RM). WBVR received vibration (30-40 Hz, 2-2.8 g) in three different positions preceding the resistance exercises. Daily calcium intake, bone markers (Bone alkaline phosphatase (Bone ALP); C-terminal telopeptide of Type I collagen (CTX), and BMD of the spine, dual femur, forearm, and total body (DXA) were measured at baseline and after the intervention. At baseline, there were no significant group differences in strength, BMD, or bone marker variables. After 8 months of R or WBVR, there were no significant group or time effects in Bone ALP, CTX, or total body, spine, left hip or right trochanter BMD. However, right total hip and right femoral neck BMD significantly (p<0.05) decreased in all groups. A group x time interaction (p<0.05) was detected at radius 33% BMD site, with CON slightly increasing, and WBVR slightly decreasing. R and WBVR significantly (p<0.05) increased 1RM strength for all exercises, while CON generally maintained strength. WBVR had significantly (p<0.05) greater percent increases in muscular strength than R at 4 months for lat pull down, seated row, hip abduction and hip adduction and at 8 months for lat pull down, hip abduction and hip adduction. Bone metabolism in postmenopausal women was not affected by resistance training either with or without WBV. In contrast, the addition of WBV augmented the positive effects of resistance training on muscular strength in these older women.

Chromium picolinate effects on body composition and muscular performance in wrestlers.

PURPOSE The purpose of this study was to assess the effects of 14 wk of chromium picolinate supplementation during the final 16 wk of a preseason resistance and conditioning program on body composition and neuromuscular performance in NCAA Division I wrestlers. During this phase of training, wrestlers are primarily interested in trying to improve physical performance and wrestling technique and are not engaged in severe, acute weight loss practices commonly employed before competition. METHODS This double-blinded, randomized placebo-controlled study involved 20 wrestlers from the University of Oklahoma assigned to either a treatment group (Cr+3; N = 7; 20.4 yr +/- 0.1) receiving 200 micrograms chromium picolinate daily, a placebo group (P; N = 7; 19.9 yr +/- 0.2), or a control group (C; N = 6; 20.2 yr +/- 0.1) using a stratified random sampling technique based on weight classification. Body composition, neuromuscular performance, metabolic performance, and serum insulin and glucose were measured before and immediately following the supplementation and training period. RESULTS Repeated measures ANOVA indicated no significant changes in body composition for any of the groups. Aerobic power increased significantly (P < 0.002) in all groups, independent of supplementation. There were significant trial and group x trial interactions for upper body endurance (P = 0.038) and relative bench press power (P = 0.050). Post-hoc analyses revealed that the C group increased upper body endurance (P = 0.006), but none of the pre- to post-test changes in bench press power were significant. CONCLUSIONS These results suggest that chromium picolinate supplementation coupled with a typical preseason training program does not enhance body composition or performance variables beyond improvements seen with training alone.

Whole-body vibration augments resistance training effects on body composition in postmenopausal women

UNLABELLED Age-related changes in body composition are well-documented with a decrease in lean body mass and a redistribution of body fat generally observed. Resistance training alone has been shown to have positive effects on body composition, however, these benefits may be enhanced by the addition of a vibration stimulus. OBJECTIVE The purpose of this study was to determine the effects of 8 months of resistance training with and without whole-body vibration (WBV) on body composition in sedentary postmenopausal women. METHODS Fifty-five women were assigned to resistance only (RG, n=22), vibration plus resistance (VR, n=21) or non-exercising control (CG, n=12) groups. Resistance training (3 sets 10 repetitions 80% strength) was performed using isotonic weight training equipment and whole-body vibration was done with the use of the power plate (Northbrooke, IL) vibration platform for three times per week for 8 months. Total and regional body composition was assessed from the total body DXA scans at baseline (pre) and after 8 months (post) of training. RESULTS In the VR group, total % body fat decreased from pre- to post-time points (p<0.05), whereas, the CG group had a significant increase in total % body fat (p<0.05). Both training groups exhibited significant increases in bone free lean tissue mass for the total body, arm and trunk regions from pre to post (p<0.05). CG did not show any changes in lean tissue. CONCLUSION In older women, resistance training alone and with whole-body vibration resulted in positive body composition changes by increasing lean tissue. However, only the combination of resistance training and whole-body vibration was effective for decreasing percent body fat.

Effects of oral contraceptives on hormonal and metabolic responses during exercise.

This study examined the influence of oral contraceptives (OC) on GH and PRL responses and on energy substrate utilization during prolonged submaximal exercise in moderately active women (21-30 yr). Eight women taking OC (OC) and eight women with normal menstrual cycles (C) performed a standardized treadmill test of 90 min at 50% maximal oxygen uptake. Blood samples were withdrawn from an indwelling venous catheter during a 2-h rest period, at 10-min intervals during exercise and at 3 and 15 min of recovery. Serum concentrations of glucose, GH, PRL, E2, and P4 were assayed. Carbohydrate and fat utilization were estimated from respiratory exchange ratios. Basal serum levels of GH, PRL, and glucose were not significantly different (P greater than 0.05) between OC and C. OC had significantly higher (P less than 0.05) serum GH levels than C at 10 and 20 min of exercise, but the integrated areas for GH responses were not different (P = 0.059). Serum PRL levels significantly decreased (P less than 0.05) during exercise, and PRL responses were similar for the two groups. OC exhibited significantly lower blood glucose levels (P less than 0.05) during exercise and utilized significantly lower total grams of carbohydrate (P less than 0.05) during exercise than C. In conclusion, OC use was associated with enhanced GH responses, lower glucose levels, and diminished carbohydrate utilization during prolonged exercise. These results indicated that OC users demonstrated a greater carbohydrate-sparing ability than eumenorrheic women, which may be related to the contra-insulin effects of GH. The lower blood glucose levels, however, suggest the sparing of carbohydrate may act to compensate for decreased hepatic glucose output, similar to animal data.

Muscular adaptations to fatiguing exercise with and without blood flow restriction.

The purpose of this study was to determine the muscular adaptations to low‐load resistance training performed to fatigue with and without blood flow restriction (BFR). Middle‐aged (42–62 years) men (n = 12) and women (n = 6) completed 18 sessions of unilateral knee extensor resistance training to volitional fatigue over 6 weeks. One limb trained under BFR, and the contralateral limb trained without BFR [free flow (FF)]. Before and after the training, measures of anterior and lateral quadriceps muscle thickness (MTh), strength, power and endurance were assessed on each limb. The total exercise training volume was significantly greater for the FF limb compared with the BFR limb (P<0·001). Anterior quadriceps thickness and muscle function increased following the training in each limb with no differences between limbs. Lateral quadriceps MTh increased significantly more (P<0·05) in the limb trained under BFR (BFR: 3·50 ± 0·61 to 3·67 ± 0·62 cm; FF: 3·49 ± 0·73 to 3·56 ± 0·70 cm). Low‐load resistance training to volitional fatigue both with and without BFR is viable options for improving muscle function in middle‐aged individuals. However, BFR enhanced the hypertrophic effect of low‐load training and reduced the volume of exercise needed to elicit increases in muscle function.