Steven T. Devor

Crossfit-based high-intensity power training improves maximal aerobic fitness and body composition.

The purpose of this study was to examine the effects of a crossfit-based high-intensity power training (HIPT) program on aerobic fitness and body composition. Healthy subjects of both genders (23 men, 20 women) spanning all levels of aerobic fitness and body composition completed 10 weeks of HIPT consisting of lifts such as the squat, deadlift, clean, snatch, and overhead press performed as quickly as possible. Additionally, this crossfit-based HIPT program included skill work for the improvement of traditional Olympic lifts and selected gymnastic exercises. Body fat percentage was estimated using whole-body plethysmography, and maximal aerobic capacity (VO2max) was measured by analyzing expired gasses during a Bruce protocol maximal graded treadmill test. These variables were measured again after 10 weeks of training and compared for significant changes using a paired t-test. Results showed significant (p < 0.05) improvements of VO2max in men (43.10 ± 1.40 to 48.96 ± 1.42 ml · kg · min) and women (35.98 ± 1.60 to 40.22 ± 1.62 ml · kg · min) and decreased body fat percentage in men (22.2 ± 1.3 to 18.0 ± 1.3) and women (26.6 ± 2.0 to 23.2 ± 2.0). These improvements were significant across all levels of initial fitness. Significant correlations between absolute oxygen consumption and oxygen consumption relative to body weight was found in both men (r = 0.83, p < 0.001) and women (r = 0.94, p < 0.001), indicating that HIPT improved VO2max scaled to body weight independent of changes to body composition. Our data show that HIPT significantly improves VO2max and body composition in subjects of both genders across all levels of fitness.

The Effects of Land vs. Aquatic Plyometrics on Power, Torque, Velocity, and Muscle Soreness in Women

The purpose of this study was to compare changes in performance indicators (power, torque, and velocity) and muscle soreness between plyometric training on land and in water. Thirty-two college age women were randomly assigned to 8 weeks of an identical plyometric training program on land or in an aquatic setting. Performance indicators were assessed pretraining, midtraining, and posttraining. Muscle soreness (ordinal scale) and pain sensitivity (palpation) were assessed after a training bout (0, 48, and 96 hours) during the first week of training and when training intensity was increased (weeks 3 and 6). Performance indictors increased for both groups (pretraining < midtraining < posttraining, p < 0.001). Muscle soreness was significantly greater in the land compared to the aquatic plyometric training group at baseline and each time training intensity was increased, p = 0.01. Aquatic plyometrics provided the same performance enhancement benefits as land plyometrics with significantly less muscle soreness.

Soy versus whey protein bars: Effects on exercise training impact on lean body mass and antioxidant status

BackgroundAlthough soy protein may have many health benefits derived from its associated antioxidants, many male exercisers avoid soy protein. This is due partly to a popular, but untested notion that in males, soy is inferior to whey in promoting muscle weight gain. This study provided a direct comparison between a soy product and a whey product.MethodsLean body mass gain was examined in males from a university weight training class given daily servings of micronutrient-fortified protein bars containing soy or whey protein (33 g protein/day, 9 weeks, n = 9 for each protein treatment group). Training used workouts with fairly low repetition numbers per set. A control group from the class (N = 9) did the training, but did not consume either type protein bar.ResultsBoth the soy and whey treatment groups showed a gain in lean body mass, but the training-only group did not. The whey and training only groups, but not the soy group, showed a potentially deleterious post-training effect on two antioxidant-related related parameters.ConclusionsSoy and whey protein bar products both promoted exercise training-induced lean body mass gain, but the soy had the added benefit of preserving two aspects of antioxidant function.

Effects of insulin resistance on skeletal muscle growth and exercise capacity in type 2 diabetic mouse models

Type 2 diabetes mellitus is associated with an accelerated muscle loss during aging, decreased muscle function, and increased disability. To better understand the mechanisms causing this muscle deterioration in type 2 diabetes, we assessed muscle weight, exercise capacity, and biochemistry in db/db and TallyHo mice at prediabetic and overtly diabetic ages. Maximum running speeds and muscle weights were already reduced in prediabetic db/db mice when compared with lean controls and more severely reduced in the overtly diabetic db/db mice. In contrast to db/db mice, TallyHo muscle size dramatically increased and maximum running speed was maintained during the progression from prediabetes to overt diabetes. Analysis of mechanisms that may contribute to decreased muscle weight in db/db mice demonstrated that insulin-dependent phosphorylation of enzymes that promote protein synthesis was severely blunted in db/db muscle. In addition, prediabetic (6-wk-old) and diabetic (12-wk-old) db/db muscle exhibited an increase in a marker of proteasomal protein degradation, the level of polyubiquitinated proteins. Chronic treadmill training of db/db mice improved glucose tolerance and exercise capacity, reduced markers of protein degradation, but only mildly increased muscle weight. The differences in muscle phenotype between these models of type 2 diabetes suggest that insulin resistance and chronic hyperglycemia alone are insufficient to rapidly decrease muscle size and function and that the effects of diabetes on muscle growth and function are animal model-dependent.

Skeletal Muscle Regeneration and Plasticity of Grafts

The sequence of molecular and cellular events of muscle ontogeny leads to the proliferation, fusion, and differentiation of myoblasts to muscle cells. This sequence is closely paralleled in the grafting-ischemia model in which adult myoblast-satellite cells function as the muscle precursor cells. The study of skeletal muscle regeneration is a fertile and promising area of research in myogenesis. The early regenerative development and maturation of muscle is similar regardless of the perturbation that induced the degeneration-regeneration sequelae. In light of this, we maintain that the skeletal muscle graft model is useful to rigorously evaluate many regulatory aspects of skeletal muscle development and maturation in an adult animal host. One advantage of the graft model is that manipulation of the adult host, such as with exercise or hormone treatment, allows insight into their regulatory roles in muscle development and maturation. These approaches are often not possible for developing skeletal muscle in utero or in ovo. After skeletal muscle grafting, many structural and functional characteristics change with time until they reach a stable value. Successful regeneration requires revascularization, cellular infiltration, phagocytosis of necrotic muscle fibers, proliferation and fusion of muscle precursor cells, reinnervation, and recruitment and loading. The time taken to reach stable values varies among different structural and functional variables, and many reach stable values that are less than those of control skeletal muscle. There are differences in the degree of regenerative success because of the size of muscle mass grafted. In small and large grafts, regeneration is enhanced by facilitation of the reinnervation. Regeneration is evident without vascular repair in grafts of up to approximately 6 g, although in all but the 100 to 150-mg grafts in rats, a significant necrotic core is present. Regeneration is typically unsuccessful when muscle masses greater than 6 g are grafted without vascular repair. Large muscles can be grafted with vascular repair, and in this case, the cellular response is quite different, as the majority of fibers survive rather than degenerate and regenerate. Changing the components of physical activity during skeletal muscle regeneration can alter several attributes of the graft phenotype. The consensus of several experiments supports the interpretation that proper recruitment and force development by grafts are essential variables in the regulation of the development and maturation of muscle grafts. Morphological and physiological attributes of grafts adapt to changes in the habitual level of physical activity in a qualitatively similar fashion to control muscle.(ABSTRACT TRUNCATED AT 400 WORDS)

Weight status and differences in mobility performance, pain symptoms, and physical activity in older, knee osteoarthritis patients.

Knee osteoarthritis (OA) is a leading cause of functional disability among American adults. Obesity is a strong independent risk factor for OA. While research emphasizes the role of obesity in the OA-physical function relationship, the extent to which weight status impacts salient physical, health, and pain measures in older, knee OA patients is not well delineated. The primary aim of this study was to assess differences in mobility performance (stair climb and 400-meter walk), mobility-related self-efficacy, pain symptoms (WOMAC), and measures of accelerometer-determined physical activity (PA) as a function of weight status. Analysis of covariance was conducted to examine differences on the dependent variables. Obese class III patients were outperformed by their counterparts on nearly every measure of mobility, mobility-related self-efficacy, and the assessment of pain symptoms. These outcomes did not differ among other weight comparisons. Normal weight subjects outperformed classes I, II, and III counterparts on most measures of PA (engagement in moderate or greater PA and total weekly steps). Additionally, overweight participants outperformed obese class II participants and obese class I participants outperformed obese classes II and III participants on total weekly steps. Collectively, these findings underscore the meaningful differences observed in relevant OA outcomes as a function of increasing levels of body weight.

V˙O2max Measured with a Self-selected Work Rate Protocol on an Automated Treadmill

PURPOSE The use of graded maximal exercise tests for measuring maximal oxygen consumption (VO2max) is common practice in both cardiopulmonary rehabilitation settings and in sports medicine research. Recent alterations of common testing protocols to allow for self-selected work rates (SPV) have elicited V˙O2max values similar to or higher than more traditional style protocols (TP). Research is lacking in the delivery of the SPV protocol using a treadmill modality. The purpose of the study was to examine the validity of an SPV using an automated treadmill for measuring cardiorespiratory fitness. METHODS Thirteen experienced endurance runners completed three maximal exercise tests on a treadmill. Oxygen consumption was measured using a computerized system and averaged more than 30-s time periods. SPV was completed using an automated treadmill that consisted of a sonar range finder, microcontroller, and customized computer software. Subject deviations from the middle of the treadmill belt resulted in rapid, graded increases or decreases in speed. TP was completed on the same treadmill without the use of the automated software. A verification phase protocol (VP) was used to verify if VO2 was maximal. RESULTS Peak work rate achieved during SPV was significantly greater than that achieved during TP by 1.2 METs; P < 0.05, d = 0.564. Oxygen consumption was significantly greater in TP (64.9 ± 8.2 mL·kg·min) than SPV (63.4 ± 7.8 mL·kg·min); P < 0.005, d = 0.195. CONCLUSION An automated treadmill allowed for the completion of SPV similar to what has been reported for cycling. SPV with an automated treadmill did not provide a higher VO2max than TP despite higher work rates.

Importance of aerobic fitness in cardiovascular risks in sedentary overweight and obese African-American women

Background: Whether the level of aerobic fitness significantly impacts cardiovascular disease (CVD) risks in healthy, nondiabetic, overweight or obese African-American women remains uncertain. Objective: To examine the clinical and metabolic risk factors of CVD in nondiabetic, sedentary overweight or obese African-American women with varying degrees of aerobic fitness. Methods: Forty-eight African-American women, with mean age of 43 ± 4.2 years and body mass index of 32.3 ± 3.6 kg/m2, participated in the study. Fasting and 2-hr postprandial serum glucose, insulin, and C-peptide levels were obtained during oral glucose tolerance test. Insulin sensitivity was calculated by Homeostasis Model Assessment (HOMA-IR). Aerobic fitness was categorized empirically as very low aerobic fitness (VLAF; n = 17, VO2max < 21 ml/kg/min), low aerobic fitness (LAF; n = 12, between 21 and 24.4 ml/kg/min), and moderate aerobic fitness (MAF; n = 19, >24.4 ml/kg/min). Results: Significant differences were found in serum glucose, insulin, and C-peptide levels, and HOMA-IR in the VLAF vs. LAF and MAF groups. Mean HOMA-IR was statistically greater in the VLAF and LAF when compared to MAF. Mean fasting serum cholesterol, triglycerides, and low-density lipoprotein cholesterol levels were higher in the VLAF group compared to the MAF group, whereas high-density lipoprotein cholesterol was lower in the VLAF group. Despite differences in the obesity indices and insulin resistance in the three groups, the atherogenic lipids and lipoproteins were within normal limits, irrespective of degree of VO2max. Discussion: Modest aerobic fitness has significant impact on insulin sensitivity and atherogenic lipids and lipoprotein parameters and the overall risks for CVD in sedentary overweight or obese African-American women. Whether modest physical fitness translates into prevention of type 2 diabetes and CVD in African-American women remains to be determined.

Myosin heavy chain phenotype in regenerating skeletal muscle is affected by thyroid hormone.

The purpose was to test hypotheses regarding the affect of thyroid hormone status on development of myosin heavy chain (MHC) protein phenotype in regenerating skeletal muscle. Soleus (SOL) and extensor digitorum longus (EDL) muscle grafts were studied 30 and 60 d following graft operations in eu-, hypo-, and hyperthyroid rats. Hyperthyroidism had a more profound affect on MHC phenotype than did hypothyroidism, and this was noted in SOL grafts more so than EDL grafts. For example, compared with euthyroid hosts at 30 d, SOL grafts from hyperthyroid hosts demonstrated a decrease from 83% to 3% in Type I MHC, and a decrease from 11% to 4% in Type IIa. Furthermore, Type IIx MHC increased from 5% to 12%, and Type IIb MHC increased from 3% to 82%. The change in Type I and IIb MHC noted at 30 d partially or fully reversed to euthyroid values by 60 d, whereas the hyperthyroid-induced differences in Type IIa and IIx were sustained. The adaptation of control muscles to hypo- and hyperthyroidism was qualitatively similar to muscle grafts for all MHC protein isoforms with the exception of Type IIx, which was expressed more so in grafts. For both grafts and control muscles, the adaptive response of MHC phenotype to sustained hyperthyroidism is transient for several of the MHC isoforms.

Influence of Racial Origin and Skeletal Muscle Properties on Disease Prevalence and Physical Performance

AbstractSkeletal muscle properties are related to disease (e.g. obesity) and physical performance. For example, a predominance of type I muscle fibres is associated with better performance in endurance sports and a lower risk of obesity. Disease and physical performance also differ among certain racial groups. African Americans are more likely than Caucasians to develop obesity, diabetes mellitus and hypertension. Empirical studies indicate that aerobic capacity is lower in African Americans than Caucasians. Because genetics is a partial determinant of skeletal muscle properties, it is reasonable to assume that skeletal muscle properties vary as a function of race. As such, genetically determined and race-specific skeletal muscle properties may partially explain racial disparities in disease and physical performance. However, additional research is needed in this area to enable the development of more definitive conclusions.