Trevor C. Chen

Changes in running economy following downhill running

Abstract In this study, we examined the time course of changes in running economy following a 30-min downhill (−15%) run at 70% peak aerobic power ([Vdot]O2peak). Ten young men performed level running at 65, 75, and 85%[Vdot]O2peak (5 min for each intensity) before, immediately after, and 1 – 5 days after the downhill run, at which times oxygen consumption ([Vdot]O2), minute ventilation, the respiratory exchange ratio (RER), heart rate, ratings of perceived exertion (RPE), and blood lactate concentration were measured. Stride length, stride frequency, and range of motion of the ankle, knee, and hip joints during the level runs were analysed using high-speed (120-Hz) video images. Downhill running induced reductions (7 – 21%, P < 0.05) in maximal isometric strength of the knee extensors, three- to six-fold increases in plasma creatine kinase activity and myoglobin concentration, and muscle soreness for 4 days after the downhill run. Oxygen consumption increased (4 – 7%, P < 0.05) immediately to 3 days after downhill running. There were also increases (P < 0.05) in heart rate, minute ventilation, RER, RPE, blood lactate concentration, and stride frequency, as well as reductions in stride length and range of motion of the ankle and knee. The results suggest that changes in running form and compromised muscle function due to muscle damage contribute to the reduction in running economy for 3 days after downhill running.

Inflammatory gene changes associated with the repeated-bout effect

This study proposed that attenuated expression of inflammatory factors is an underlying mechanism driving the repeated-bout effect (rapid adaptation to eccentric exercise). We investigated changes in mRNA levels and protein localization of inflammatory genes after two bouts of muscle-lengthening exercise. Seven male subjects performed two bouts of lower body exercise (separated by 4 wk) in which one leg performed 300 eccentric-concentric actions, and the contralateral leg performed 300 concentric actions only. Vastus lateralis biopsies were collected at 6 h, and strength was assessed at baseline and at 0, 3, and 5 days after exercise. mRNA levels were measured via semiquantitative RT-PCR for the following genes: CYR61, HSP40, HSP70, IL1R1, TCF8, ZFP36, CEBPD, and MCP1. Muscle functional adaptation was demonstrated via attenuated strength loss (16% less, P = 0.04) at 5 days after bout 2 compared with bout 1 in the eccentrically exercised leg. mRNA expression of three of the eight genes tested was significantly elevated in the eccentrically exercised leg from bout 1 to bout 2 (+3.9-fold for ZFP36, +2.3-fold for CEBPD, and +2.6-fold for MCP1), while all eight mRNA levels were unaffected by bout in the concentrically exercised leg. Immunohistochemistry further localized the protein of one of the elevated factors [monocyte chemoattractant protein-1 (MCP1)] within the tissue. MCP1 colocalized with resident macrophage and satellite cell populations, suggesting that alterations in cytokine signaling between these cell populations may play a role in muscle adaptation to exercise. Contrary to our hypothesis, several inflammatory genes were transcriptionally upregulated (rather than attenuated) after a repeated exercise bout, potentially indicating a role for these genes in the adaptation process.

Responses of Elbow Flexors to Two Strenuous Eccentric Exercise Bouts Separated by Three Days

This study investigated whether the second eccentric exercise performed 3 days after the initial bout would exacerbate muscle damage and retard the recovery. Fifty-one athletes performed 30 eccentric actions of the elbow flexors using a dumbbell weighted 100% of the maximal isometric force (MIF) at the elbow joint angle of 908 (ECC1). Three days after ECC1, all subjects except those in the control group (n = 12) performed the second bout (ECC2) with the same (100%) intensity (n = 12), 90% (n = 13), or 80% (n = 14) of the ECC1. Some subjects, especially in the 100% group, required spotting for ECC2 but made maximal effort to complete the exercise. MIF, range of motion, upper-arm circumference, muscle soreness, muscle proteins in the blood, and ultrasound images were used to assess muscle damage. Changes in these measures for 9 days following ECC1 were compared among groups by 2-way analysis of variance (ANOVA) with repeated measures. All criterion measures changed significantly after ECC1; however, no significant differences between the groups were evident for any of the changes in the measures. These results suggest that it is possible for athletes to complete the second bout if the intensity is reduced 10–20% from the initial bout. No significant differences between the control group and other groups indicate that the second eccentric exercise performed 3 days after the initial bout does not exacerbate muscle damage and retard the recovery regardless of the intensity of the second bout. It is concluded that the elbow flexors can perform high-intensity eccentric exercise in the early stage of recovery from the initial bout and are not damaged further by performing a subsequent bout 3 days after the first.

Potent protective effect conferred by four bouts of low-intensity eccentric exercise.

PURPOSE It is known that submaximal eccentric exercise does not confer as strong a protective effect as maximal eccentric exercise. This study tested the hypothesis that four bouts of submaximal eccentric exercise would confer a similar protective effect to one bout maximal eccentric exercise. METHODS Thirty untrained men were placed into 4 x 40% (40%) or control (CON) groups (n = 15 per group) by matching preexercise maximal voluntary isometric contraction strength (MVC). The 40% group performed 30 eccentric contractions with a load of 40% MVC (40% ECC) every 2 wk for four times followed 2 wk later by 30 maximal eccentric exercise (100% ECC) of the elbow flexors of the nondominant arm. The CON group performed two bouts of the 100% ECC separated by 2 wk. MVC at six angles, optimum angle (OA), concentric isokinetic strength (30 degrees x s(-1) and 300 degrees x s(-1)), range of motion, upper arm circumference, plasma creatine kinase activity and myoglobin concentration, muscle soreness, and echo intensity of B-mode ultrasound images were taken before to 5 d after each exercise. RESULTS No significant differences in the changes in any measures were evident between the 100% ECC of the 40% group and the second 100% ECC of the CON group. Changes in all measures except for OA and upper arm circumference after the second to the fourth 40% ECC bouts were significantly smaller than those after the first 40% ECC bout. The changes in the measures after any of the 40% ECC bouts were significantly (P < 0.05) smaller than those after the first 100% ECC bout of the CON group. CONCLUSIONS These results suggest that repeating submaximal eccentric exercise confers the same magnitude of protective effect as one bout of maximal eccentric exercise against the subsequent maximal eccentric exercise.

Changes in running economy at different intensities following downhill running

Abstract In this study, we tested the hypothesis that running economy assessed at a high intensity [e.g. 90% maximal oxygen capacity ([Vdot]O2max)] would be affected more than at a lower intensity (e.g. 70%[Vdot]O2max) after downhill running. Fifteen untrained young men performed level running at 70, 80, and 90%[Vdot]O2max (5 min for each intensity) before and 2 and 5 days after a 30-min downhill run (gradient of −16%) at the intensity of their pre-determined 70%[Vdot]O2max. Oxygen consumption, minute ventilation, respiratory exchange ratio, heart rate, rating of perceived exertion, and blood lactate concentration were measured during the level runs together with kinematic measures (e.g. stride length and frequency) using high-speed video analysis. Downhill running resulted in significant (P < 0.05) decreases in maximal isometric strength of the knee extensors, the development of muscle soreness, and increases in plasma creatine kinase activity and myoglobin concentration, which lasted for 5 days after downhill running. Significant (P < 0.05) changes in all running economy and kinematic measures from baseline were evident at 2 and 5 days after downhill running at 80% and 90%[Vdot]O2max, but not at 70%[Vdot]O2max. These results suggest that running economy assessed at high intensity is affected more than at low intensity (lower than the lactate threshold).

Attenuation of eccentric exercise-induced muscle damage by preconditioning exercises

PURPOSE This study compared the effect of an initial exercise consisting of either low-intensity eccentric or maximal isometric contractions (ISOs) on protective effect against maximal eccentric contraction (MaxECC)-induced muscle damage. METHODS Untrained young men were placed into one of five groups (n = 13 per group): MaxECC, 10% ECC, 20% ECC, 90° ISO, and 20° ISO. The MaxECC, 10% ECC, and 20% ECC groups performed 30 ECCs of the elbow flexors using a dumbbell equivalent to 100%, 10%, and 20% of maximal voluntary isometric contraction strength, respectively. The 90° ISO and 20° ISO groups performed 30 ISOs at 90° and 20° of elbow flexion, respectively. Three weeks later, all subjects performed 30 MaxECCs with the arm used for the first bout. Changes in maximal voluntary isometric and concentric contraction strength, range of motion, upper arm circumference, plasma creatine kinase and myoglobin concentration, and muscle soreness before and for 5 d after the first and second exercise bouts were compared among groups by a two-way repeated-measure ANOVA. RESULTS Changes in all measures after the first bout were smaller (P < 0.05) for 10% ECC, 20% ECC, 90° ISO, and 20° ISO groups compared with MaxECC group, and the changes were smaller (P < 0.05) for 10% ECC and 90° ISO than 20° ISO and 20% ECC groups. When compared with the first bout of MaxECC group, changes in the measures after the second bout were smaller for 20% ECC and 20° ISO groups with greater protective effect evident for 20° ISO group, but the protective effect conferred by these was smaller (P < 0.05) compared with MaxECCs. CONCLUSION These results suggest that there is threshold intensity for ECCs to confer protective effect, and ISOs at a long muscle length provide preconditioning effect.

Variability in Muscle Damage after Eccentric Exercise and the Repeated Bout Effect.

The first purpose of this study was to determine a possible explanation for the variability in the response to eccentric exercise by having participants repeat the same exercise 1 year apart. The second purpose was to examine whether initial injury in response to eccentric exercise was associated with the extent of the repeated bout effect (RBE). Male students performed 30 eccentric contractions (ECC) of the elbow flexors using a dumbbell set at 80% of the pre-exercise maximal isometric force (MIF). Participants were then classified into low (LR; n = 6), medium (MR; n = 6), high (HR; n = 5), and higher (HrR; n = 7) based on the increase in blood creatine kinase (CK) activity. A year later, participants repeated this exercise (ECC30). Four days after ECC30, participants performed 70 eccentric contractions (ECC70). Range of motion, MIF, upper arm circumference, soreness, and blood CK activity were measured before and up to 9 days after each bout. The change in the criterion measures following ECC and ECC30 were similar for each group. There were no further changes in all parameters after ECC70 for MR, HR, and HrR, although there was a small increase in CK after ECC70 for LR. LR showed a smaller RBE after ECC70 compared with the other groups. It is concluded that participants who exercised 1 year apart showed remarkably similar responses between the bouts. The extent of the RBE following the second bout for the LR group is less for participants who demonstrate the least evidence of muscle damage after a first exercise bout.

Mechanisms and Mediators of the Skeletal Muscle Repeated Bout Effect

Skeletal muscle adapts to exercise-induced damage by orchestrating several but still poorly understood mechanisms that endow protection from subsequent damage. Known widely as the repeated bout effect, we propose that neural adaptations, alterations to muscle mechanical properties, structural remodeling of the extracellular matrix, and biochemical signaling work in concert to coordinate the protective adaptation.

Two maximal isometric contractions attenuate the magnitude of eccentric exercise-induced muscle damage.

This study investigated whether maximal voluntary isometric contractions (MVC-ISO) would attenuate the magnitude of eccentric exercise-induced muscle damage. Young untrained men were placed into one of the two experimental groups or one control group (n = 13 per group). Subjects in the experimental groups performed either two or 10 MVC-ISO of the elbow flexors at a long muscle length (20° flexion) 2 days prior to 30 maximal isokinetic eccentric contractions of the elbow flexors. Subjects in the control group performed the eccentric contractions without MVC-ISO. No significant changes in maximal voluntary concentric contraction peak torque, peak torque angle, range of motion, upper arm circumference, plasma creatine kinase (CK) activity and myoglobin concentration, muscle soreness, and ultrasound echo intensity were evident after MVC-ISO. Changes in the variables following eccentric contractions were smaller (P < 0.05) for the 2 MVC-ISO group (e.g., peak torque loss at 5 days after exercise, 23% ± 3%; peak CK activity, 1964 ± 452 IU·L(-1); peak muscle soreness, 46 ± 4 mm) or the 10 MVC-ISO group (13% ± 3%, 877 ± 198 IU·L(-1), 30 ± 4 mm) compared with the control (34% ± 4%, 6192 ± 1747 IU·L(-1), 66 ± 5 mm). The 10 MVC-ISO group showed smaller (P < 0.05) changes in all variables following eccentric contractions compared with the 2 MVC-ISO group. Therefore, two MVC-ISO conferred potent protective effects against muscle damage, whereas greater protective effect was induced by 10 MVC-ISO, which can be used as a strategy to minimize muscle damage.

Susceptibility to Exercise-Induced Muscle Damage: a Cluster Analysis with a Large Sample.

We investigated the responses of indirect markers of exercise-induced muscle damage (EIMD) among a large number of young men (N=286) stratified in clusters based on the largest decrease in maximal voluntary contraction torque (MVC) after an unaccustomed maximal eccentric exercise bout of the elbow flexors. Changes in MVC, muscle soreness (SOR), creatine kinase (CK) activity, range of motion (ROM) and upper-arm circumference (CIR) before and for several days after exercise were compared between 3 clusters established based on MVC decrease (low, moderate, and high responders; LR, MR and HR). Participants were allocated to LR (n=61), MR (n=152) and HR (n=73) clusters, which depicted significantly different cluster centers of 82%, 61% and 42% of baseline MVC, respectively. Once stratified by MVC decrease, all muscle damage markers were significantly different between clusters following the same pattern: small changes for LR, larger changes for MR, and the largest changes for HR. Stratification of individuals based on the magnitude of MVC decrease post-exercise greatly increases the precision in estimating changes in EIMD by proxy markers such as SOR, CK activity, ROM and CIR. This indicates that the most commonly used markers are valid and MVC orchestrates their responses, consolidating the role of MVC as the best EIMD indirect marker.