Kayo Leonardo Pereira

Ischemic Preconditioning and Exercise Performance: A Systematic Review and Meta-Analysis

Although the amount of evidence demonstrating the beneficial effects of ischemic preconditioning (IPC) on exercise performance is increasing, conclusions about its efficacy cannot yet be drawn. Therefore, the purposes of this review were to determine the effect of IPC on exercise performance and identify the effects of different IPC procedures, exercise types, and subject characteristics on exercise performance. The analysis comprised 19 relevant studies from 2000 to 2015, 15 of which were included in the meta-analyses. Effect sizes (ES) were calculated as the standardized mean difference. Overall, IPC had a small beneficial effect on exercise performance (ES = 0.43; 90% confidence interval [CI], 0.28 to 0.51). The largest ES were found for aerobic (ES = 0.51; 90% CI, 0.35 to 0.67) and anaerobic (ES = 0.23; 90% CI, -0.12 to 0.58) exercise. In contrast, an unclear effect was observed in power and sprint performance (ES = 0.16; 90% CI, -0.20 to 0.52). In conclusion, IPC can effectively enhance aerobic and anaerobic exercise performance.

Effects of ischemic preconditioning on maximal constant load cycling performance

This study investigated the effects of ischemic preconditioning (IPC) on the ratings of perceived exertion (RPE), surface electromyography, and pulmonary oxygen uptake (V̇o2) onset kinetics during cycling until exhaustion at the peak power output attained during an incremental test. A group of 12 recreationally trained cyclists volunteered for this study. After determination of peak power output during an incremental test, they were randomly subjected on different days to a performance protocol preceded by intermittent bilateral cuff pressure inflation to 220 mmHg (IPC) or 20 mmHg (control). To increase data reliability, the performance visits were replicated, also in a random manner. There was an 8.0% improvement in performance after IPC (control: 303 s, IPC 327 s, factor SDs of ×/÷1.13, P = 0.01). This change was followed by a 2.9% increase in peak V̇o2 (control: 3.95 l/min, IPC: 4.06 l/min, factor SDs of ×/÷1.15, P = 0.04), owing to a higher amplitude of the slow component of the V̇o2 kinetics (control: 0.45 l/min, IPC: 0.63 l/min, factor SDs of ×/÷2.21, P = 0.05). There was also an attenuation in the rate of increase in RPE (P = 0.01) and a progressive increase in the myoelectrical activity of the vastus lateralis muscle (P = 0.04). Furthermore, the changes in peak V̇o2 (r = 0.73, P = 0.007) and the amplitude of the slow component (r = 0.79, P = 0.002) largely correlated with performance improvement. These findings provide a link between improved aerobic metabolism and enhanced severe-intensity cycling performance after IPC. Furthermore, the delayed exhaustion after IPC under lower RPE and higher skeletal muscle activation suggest they have a role on the ergogenic effects of IPC on endurance performance.

Could small-diameter muscle afferents be responsible for the ergogenic effect of limb ischemic preconditioning?

originally developed with the aim of protecting cardiac muscle fibers from sustained ischemic insults, local or remote acute ischemic preconditioning (IP) consists of a potent endogenous mechanism that has been shown to protect various tissues and organs against ischemia-reperfusion injury ([16][1

High-intensity Interval Training in the Boundaries of the Severe Domain: Effects on Sprint and Endurance Performance

In order to compare the effects of two 4-week interval training programs performed at the lower (Critical Power, CP) or at the higher (The highest intensity at which V˙O 2 max is attained, I HIGH ) intensities of the severe exercise domain on sprint and endurance cycling performance, 21 recreationally trained cyclists performed the Wingate Anaerobic Test (WAnT) and a 250-kJ time trial. Accumulated oxygen deficit (AOD), surface electromyography (RMS), and blood lactate kinetics were measured during the WAnT. Subjects were assigned to 105% CP or I HIGH groups. During the WAnT, significantly greater improvements in peak (Mean ±95%CI) (5.7±2.3% vs. 0.2±2.2%), mean power output (MPO) (3.7±2.0% vs. 0.5±1.8%), and RMS (17.8±7.4% vs. −15.7±7.9%) were observed in the I HIGH group (P HIGH training. The changes in RMS and MPO induced by the training were significantly correlated (r=0.584). The 2 interventions induced improvements in the 250-kJ time trial. In conclusion, although the improvements in endurance performance were similar, training at I HIGH led to higher gains in WAnT performance than training at 105%CP.

A influência de variáveis aeróbias e anaeróbias no teste de “sprints” repetidos

This study aimed to determine the manner and degree to which aerobic and anaerobic variables influence repeated running sprint performance and ability. Twenty four males (sprinters = 8, endurance runners = 8 and physical active subjects = 8) performed in a synthetic track the following tests: 1) incremental test to determine the VO2max and the maximum aerobic velocity (MAV); 2) constant velocity test performed at 110% of MAV to determine the VO2 kinetics and the maximum accumulated oxygen deficit (MAOD); 3) repeated sprint test (10 sprints of 35-m interspersed by 20s) to determine sprint total time (TT), best sprint time (BT) and score decrement (Sdec). Between-groups comparisons and the correlations between variables were analyzed by one-way ANOVA with a Tukey post-hoc tests and Pearson correlation, respectively. TT was significantly different among all groups (sprinters = 49.5 ± 0.8 s; endurance = 52.6 ± 3.1 s; active = 55.5 ± 2.6 s) and Sdec was significantly lower in endurance runners as compared with sprinters and physical active subjects (sprinters = 8.9 ± 2.1%; endurance = 4.0 ± 2.0%; active = 8.4 ± 4.4%). TT correlated significantly with BT (r = 0.85, p < 0.01) and MAOD (r = −0.54, p < 0.01). Moreover, Sdec was significantly correlated with aerobic parameters (VO2max, r = −0.58, p < 0.01; MAV, r = −0.59, p < 0.01; time constant tau, r = 0.45, p = 0.03). In conclusion, although the aerobic parameters have an important contribution to RS ability, RS performance is mainly influenced by anaerobic parameters.

Decreasing Power Output Increases Aerobic Contribution During Low-volume Severe-intensity Intermittent Exercise

Abstract Lisbôa, FD, Salvador, AF, Raimundo, JAG, Pereira, KL, de Aguiar, RA, and Caputo, F. Decreasing power output increases aerobic contribution during low-volume severe-intensity intermittent exercise. J Strength Cond Res 29(9): 2434–2440, 2015—High-intensity interval training applied at submaximal, maximal, and supramaximal intensities for exercising at V[Combining Dot Above]O2max (t95V[Combining Dot Above]O2max) has shown similar adaptation to low-volume sprint interval training among active subjects. Thus, the aim of the present study was to investigate t95V[Combining Dot Above]O2max during 2 different intermittent exercises in the severe-intensity domain (e.g., range of power outputs over which V[Combining Dot Above]O2max can be elicited during constant-load exercise) and to identify an exercise protocol that reduces the time required to promote higher aerobic demand. Eight active men (22 ± 2 years, 72 ± 5 kg, 174 ± 4 cm, 47 ± 8 ml·kg−1·min−1) completed the following protocols on a cycle ergometer: (a) incremental test, (b) determination of critical power (CP), (c) determination of the highest constant intensity (IHIGH) and the lowest exercise duration (TLOW) in which V[Combining Dot Above]O2max is attained, and (d) 2 exercise sessions in a randomized order that consisted of a constant power output (CPO) session at IHIGH and a decreasing power output (DPO) session that applied a decreasing work rate profile from IHIGH to 110% of CP. Time to exhaustion was significantly longer in DPO (371 ± 57 seconds vs. 225 ± 33 seconds). Moreover, t95V[Combining Dot Above]O2max (186 ± 72 seconds vs. 76 ± 49 seconds) and O2 consumed (29 ± 4 L vs. 17 ± 3 L) were higher in DPO when compared with the CPO protocol. In conclusion, data suggest that the application of a DPO protocol during intermittent exercise increases the time spent at high percentages of V[Combining Dot Above]O2max.