Jan Helgerud

Superior Cardiovascular Effect of Aerobic Interval Training Versus Moderate Continuous Training in Heart Failure Patients A Randomized Study

Background— Exercise training reduces the symptoms of chronic heart failure. Which exercise intensity yields maximal beneficial adaptations is controversial. Furthermore, the incidence of chronic heart failure increases with advanced age; it has been reported that 88% and 49% of patients with a first diagnosis of chronic heart failure are >65 and >80 years old, respectively. Despite this, most previous studies have excluded patients with an age >70 years. Our objective was to compare training programs with moderate versus high exercise intensity with regard to variables associated with cardiovascular function and prognosis in patients with postinfarction heart failure. Methods and Results— Twenty-seven patients with stable postinfarction heart failure who were undergoing optimal medical treatment, including &bgr;-blockers and angiotensin-converting enzyme inhibitors (aged 75.5±11.1 years; left ventricular [LV] ejection fraction 29%; &OV0312;o2peak 13 mL · kg−1 · min−1) were randomized to either moderate continuous training (70% of highest measured heart rate, ie, peak heart rate) or aerobic interval training (95% of peak heart rate) 3 times per week for 12 weeks or to a control group that received standard advice regarding physical activity. &OV0312;o2peak increased more with aerobic interval training than moderate continuous training (46% versus 14%, P<0.001) and was associated with reverse LV remodeling. LV end-diastolic and end-systolic volumes declined with aerobic interval training only, by 18% and 25%, respectively; LV ejection fraction increased 35%, and pro-brain natriuretic peptide decreased 40%. Improvement in brachial artery flow-mediated dilation (endothelial function) was greater with aerobic interval training, and mitochondrial function in lateral vastus muscle increased with aerobic interval training only. The MacNew global score for quality of life in cardiovascular disease increased in both exercise groups. No changes occurred in the control group. Conclusions— Exercise intensity was an important factor for reversing LV remodeling and improving aerobic capacity, endothelial function, and quality of life in patients with postinfarction heart failure. These findings may have important implications for exercise training in rehabilitation programs and future studies.

Aerobic endurance training improves soccer performance

PURPOSE The aim of the present study was to study the effects of aerobic training on performance during soccer match and soccer specific tests. METHODS Nineteen male elite junior soccer players, age 18.1 +/- 0.8 yr, randomly assigned to the training group (N = 9) and the control group (N = 10) participated in the study. The specific aerobic training consisted of interval training, four times 4 min at 90-95% of maximal heart rate, with a 3-min jog in between, twice per week for 8 wk. Players were monitored by video during two matches, one before and one after training. RESULTS In the training group: a) maximal oxygen uptake (VO2max) increased from 58.1 +/- 4.5 mL x kg(-1) x min(-1) to 64.3 +/- 3.9 mL x kg(-1) x min(-1) (P < 0.01); b) lactate threshold improved from 47.8 +/- 5.3 mL x kg(-1) x min(-1) to 55.4 +/- 4.1 mL x kg(-1) x min(-1) (P < 0.01); c) running economy was also improved by 6.7% (P < 0.05); d) distance covered during a match increased by 20% in the training group (P < 0.01); e) number of sprints increased by 100% (P < 0.01); f) number of involvements with the ball increased by 24% (P < 0.05); g) the average work intensity during a soccer match, measured as percent of maximal heart rate, was enhanced from 82.7 +/- 3.4% to 85.6 +/- 3.1% (P < 0.05); and h) no changes were found in maximal vertical jumping height, strength, speed, kicking velocity, kicking precision, or quality of passes after the training period. The control group showed no changes in any of the tested parameters. CONCLUSION Enhanced aerobic endurance in soccer players improved soccer performance by increasing the distance covered, enhancing work intensity, and increasing the number of sprints and involvements with the ball during a match.

Strong correlation of maximal squat strength with sprint performance and vertical jump height in elite soccer players

Background: A high level of strength is inherent in elite soccer play, but the relation between maximal strength and sprint and jumping performance has not been studied thoroughly. Objective: To determine whether maximal strength correlates with sprint and vertical jump height in elite male soccer players. Methods: Seventeen international male soccer players (mean (SD) age 25.8 (2.9) years, height 177.3 (4.1) cm, weight 76.5 (7.6) kg, and maximal oxygen uptake 65.7 (4.3) ml/kg/min) were tested for maximal strength in half squats and sprinting ability (0–30 m and 10 m shuttle run sprint) and vertical jumping height. Result: There was a strong correlation between maximal strength in half squats and sprint performance and jumping height. Conclusions: Maximal strength in half squats determines sprint performance and jumping height in high level soccer players. High squat strength did not imply reduced maximal oxygen consumption. Elite soccer players should focus on maximal strength training, with emphasis on maximal mobilisation of concentric movements, which may improve their sprinting and jumping performance.

High intensity aerobic interval exercise is superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease

Background Increased aerobic exercise capacity appears to reduce both all-cause mortality and cardiovascular disease mortality. Physical exercise to improve peak oxygen uptake (VO2peak) is thus strongly recommended, however evidence regarding the most efficient training intensity for patients with coronary artery disease (CAD) is still lacking. The purpose of this randomized study was therefore to assess the effects of high intensity aerobic interval exercise compared to moderate intensity exercise, representing the same total training load, for increasing VO2peak in stable CAD-patients. Methods Twenty-one stable CAD-patients were randomized to supervised treadmill walking at either high intensity (80–90% of VO2peak) or moderate intensity (50–60% of VO2peak) three times a week for 10 weeks. Results After training VO2peak increased by 17.9% (P = 0.012) in the high intensity group and 7.9% (P = 0.038) in the moderate intensity group. The training-induced adaptation was significantly higher in the high intensity group (P = 0.011). Conclusions High intensity aerobic interval exercise is superior to moderate exercise for increasing VO2peak in stable CAD-patients. As VO2peak seems to reflect a continuum between health and cardiovascular disease and death, the present data may be useful in designing effective training programmes for improved health in the future.

Strength and endurance of elite soccer players

PURPOSE The major purpose of the present study was to examine whether there exists a relationship between preseasonal physiological tests and performance results in the soccer league. Further, it investigated maximal oxygen uptake and maximal strength in proportion to body mass for soccer players. A secondary aim was to establish some normative data of Norwegian elite soccer players. METHODS Two teams from the Norwegian elite soccer league participated in the study. RESULTS/CONCLUSION The present study supports previous investigations indicating a positive relationship between maximal aerobic capacity, physical strength, and performance results in the elite soccer league. It is concluded that for soccer players, maximal oxygen uptake should be expressed in relation to body mass raised to the power of 0.75 and maximal strength in relation to body mass raised to the power of 0.67, when the aim is to evaluate maximal aerobic capacity when running and strength capacity among players with different body mass. Midfield players had significantly higher maximal oxygen uptake compared with defense players using the traditional expression, mL x kg(-1) x min(-1), while no significant differences were found expressing maximal oxygen uptake either absolutely (L x min[-1]) or in relation to body mass raised to the power of 0.75 (mL x kg[-0.75] x min[-1]) among players grouped by position. There was a significant correlation (r = 0.61, P < 0.01) between squat IRM and vertical jump height. Vertical jump heights for defense and forward players were significantly higher compared with midfield players. Mean results from the laboratory test were 63.7 mL x kg(-1) x min(-1) or 188.6 mL x kg[-0.75] x min(-1) for maximal oxygen uptake, 150 kg or 8.0 kg x mb(-0.67) for 90 degrees squats, 79.9 kg or 4.4 kg x mb(-0.67) for bench press. Mean values of vertical jump height were 54.9 cm.

Endurance and Strength Training for Soccer Players Physiological Considerations

Top soccer players do not necessarily have an extraordinary capacity in any of the areas of physical performance. Soccer training is largely based on the game itself, and a common recruitment pattern from player to coach and manager reinforces this tradition. New developments in understanding adaptive processes to the circulatory system and endurance performance as well as nerve and muscle adaptations to training and performance have given rise to more effective training interventions. Endurance interval training using an intensity at 90–95% of maximal heart rate in 3- to 8-minute bouts have proved to be effective in the development of endurance, and for performance improvements in soccer play. Strength training using high loads, few repetitions and maximal mobilisation of force in the concentric mode have proved to be effective in the development of strength and related parameters. The new developments in physical training have important implications for the success of soccer players. The challenge both for coaches and players is to act upon the new developments and change existing training practice.

Physiological adaptations to soccer specific endurance training in professional youth soccer players

Background: Improved oxygen uptake improves soccer performance as regards distance covered, involvements with the ball, and number of sprints. Large improvements in oxygen uptake have been shown using interval running. A similar physiological load arising from interval running could be obtained using the soccer ball in training. Objectives: The main aim was to study physiological adaptations to a 10 week high intensity aerobic interval training program performed by professional youth soccer players, using a soccer specific ball dribbling track. Methods: Eleven youth soccer players with a mean (SD) age of 16.9 (0.4) years performed high intensity aerobic interval training sessions twice per week for 10 weeks in addition to normal soccer training. The specific aerobic training consisted of four sets of 4 min work periods dribbling a soccer ball around a specially designed track at 90–95% of maximal heart frequency, with a 3 min recovery jog at 70% of maximal heart frequency between intervals. Results: Mean Vo2max improved significantly from 63.4 (5.6) to 69.8 (6.6) ml kg−1 min−1, or 183.3 (13.2) to 201.5 (16.2) ml kg−0.75 min−1 (p<0.001). Squat jump and counter movement jump height increased significantly from 37.7 (6.2) to 40.3 (6.1) cm and 52.0 (4.0) to 53.4 (4.2) cm, respectively (p<0.05). No significant changes in body mass, running economy, rate of force development, or 10 m sprint times occurred. Conclusion: Performing high intensity 4 min intervals dribbling a soccer ball around a specially designed track together with regular soccer training is effective for improving the Vo2max of soccer players, with no negative interference effects on strength, jumping ability, and sprinting performance.

Maximal strength training improves running economy in distance runners.

PURPOSE The present study investigated the effect of maximal strength training on running economy (RE) at 70% of maximal oxygen consumption (V[spacing dot above]O2max) and time to exhaustion at maximal aerobic speed (MAS). Responses in one repetition maximum (1RM) and rate of force development (RFD) in half-squats, maximal oxygen consumption, RE, and time to exhaustion at MAS were examined. METHODS Seventeen well-trained (nine male and eight female) runners were randomly assigned into either an intervention or a control group. The intervention group (four males and four females) performed half-squats, four sets of four repetitions maximum, three times per week for 8 wk, as a supplement to their normal endurance training. The control group continued their normal endurance training during the same period. RESULTS The intervention manifested significant improvements in 1RM (33.2%), RFD (26.0%), RE (5.0%), and time to exhaustion at MAS (21.3%). No changes were found in V[spacing dot above]O2max or body weight. The control group exhibited no changes from pre to post values in any of the parameters. CONCLUSION Maximal strength training for 8 wk improved RE and increased time to exhaustion at MAS among well-trained, long-distance runners, without change in maximal oxygen uptake or body weight.

Maximal strength training improves aerobic endurance performance

The aim of this experiment was to examine the effects of maximal strength training with emphasis on neural adaptations on strength‐ and endurance‐performance for endurance trained athletes. Nineteen male cross‐country skiers about 19.7 ± 4.0 years of age and a maximal oxygen uptake (VO2 max) of 69.4 ± 2.2 mL × kg−1 × min−1 were randomly assigned to a training group (n = 9) or a control group (n = 10). Strength training was performed, three times a week for 8 weeks, using a cable pulley simulating the movements in double poling in cross‐country skiing, and consisted of three sets of six repetitions at a workload of 85% of one repetition maximum emphasizing maximal mobilization of force in the concentric movement. One repetition maximum improved significantly from 40.3 ± 4.5 to 44.3 ± 4.9 kg. Time to peak force (TPF) was reduced by 50 and 60% on two different submaximal workloads. Endurance performance measured as time to exhaustion (TTE) on a double poling ski ergometer at maximum aerobic velocity, improved from 6.49 to 10.18 min; 20.5% over the control group. Work economy changed significantly from 1.02 ± 0.14 to 0.74 ± 0.10 mL × kg−0.67 × min−1. Maximal strength training with emphasis on neural adaptations improves strength, particularly rate of force development, and improves aerobic endurance performance by improved work economy.

Maximal strength training improves work economy in trained female cross-country skiers.

PURPOSE The present study examines the hypothesis that maximal strength training improves work economy and anaerobic threshold in trained female cross-country skiers while working on a ski ergometer. METHODS Fifteen female cross-country skiers (17.9 +/- 0.3 yr, 166.7 +/- 1.3 cm, 60.1 +/- 1.9 kg, and 55.3 +/- 1.3 mL x kg(-1) x min(-1)) participated in the study. Eight skiers made up the high-intensity strength-trained group, and seven served as the control group. Endurance performance was tested on a specially instrumented ski ergometer. Strength training and testing simulated double poling in cross-country skiing. RESULTS A significant (P < 0.001) improvement in double-poling economy on the ski ergometer was observed among the strength-trained group. Anaerobic threshold did not change during the experimental period for either group. After a 9-wk training period, time to exhaustion increased from 5.2 (+/-0.9) to 12.3 (+/-1.6) min (P < 0.001) and from 4.0 (+/-0.9) to 6.3 (+/-0.9) min (P < 0.01) for the strength and control group, respectively. Time to exhaustion was significantly higher (P < 0.001) for the strength group compared with the control group after training. One repetition maximum increased 14.5% (1.8) (P < 0.001) in the strength group but was unchanged in the control group. Expressed in relation to peak force at one repetition maximum, strength training resulted in a significant reduction in the relative available force employed working on the ski ergometer (P < 0.01). Time to peak force at maximal aerobic velocity on the ski ergometer was significantly reduced in the strength-training group (P < 0.01). CONCLUSIONS It is concluded that maximal strength training in the upper-body improved the double-poling performance by improved work economy. Work economy was improved by a reduction in relative workload and time to peak force while double poling.