Differences in muscle oxygenation between young and middle-aged recreationally active men during high-volume resistance exercise

The aim of this study was to compare muscle oxygenation of the vastus lateralis during a high-volume isokinetic resistance exercise protocol (HVP) between young adult (YA) and middle-aged adult (MA) men. Twenty recreationally trained men were assigned to either the YA (age 21.8±2.0 years, body mass 90.7±11.6 kg, body height 179±4.7 cm) or MA (age 47.0±4.4 years, body mass 96.1±21.6 kg, body height 177±7.7 cm) group. The HVP consisted of eight sets of 10 repetitions of unilateral isokinetic concentric knee extension and eccentric knee flexion at 60°·s-1. Changes in tissue hemoglobin saturation index (TSI), tissue oxygenated hemoglobin concentration (O2Hb), deoxygenated hemoglobin (HHb), and muscle oxidation index (O2Hb-HHb) were measured during the exercise session using the near-infrared spectroscopy (NIRS). Data were analyzed using two-way mix factorial analyses of variance. Prior to exercise, TSI was significantly greater (p=.024) for YA compared to MA. Significant decreases in O2Hb and O2Hb-HHb and increases in HHb were observed during each of the eight sets relative to the rest periods (p<.05) for both groups. The average change during the eight sets of the HVP revealed a significantly higher (p=.036) level of HHb and a lower (p=.029) level of O2Hb-HHb for MA compared to YA. A significant negative correlation was also noted at baseline between O2Hb-HHb index and the cross-sectional area of the vastus lateralis muscle (r=-.45, p=.045). During a high- volume resistance exercise, MA experienced reduced muscle oxygen saturation levels compared to YA. These results may be attributed to reductions in local tissue oxidative capacity and reduced blood delivery occurring during middle-age, and possibly due to group differences in muscle morphology

Klotho: An Emerging Factor With Ergogenic Potential

Sarcopenia and impaired cardiorespiratory fitness are commonly observed in older individuals and patients with chronic kidney disease (CKD). Declines in skeletal muscle function and aerobic capacity can progress into impaired physical function and inability to perform activities of daily living. Physical function is highly associated with important clinical outcomes such as hospitalization, functional independence, quality of life, and mortality. While lifestyle modifications such as exercise and dietary interventions have been shown to prevent and reverse declines in physical function, the utility of these treatment strategies is limited by poor widespread adoption and adherence due to a wide variety of both perceived and actual barriers to exercise. Therefore, identifying novel treatment targets to manage physical function decline is critically important. Klotho, a remarkable protein with powerful anti-aging properties has recently been investigated for its role in musculoskeletal health and physical function. Klotho is involved in several key processes that regulate skeletal muscle function, such as muscle regeneration, mitochondrial biogenesis, endothelial function, oxidative stress, and inflammation. This is particularly important for older adults and patients with CKD, which are known states of Klotho deficiency. Emerging data support the existence of Klotho-related benefits to exercise and for potential Klotho-based therapeutic interventions for the treatment of sarcopenia and its progression to physical disability. However, significant gaps in our understanding of Klotho must first be overcome before we can consider its potential ergogenic benefits. These advances will be critical to establish the optimal approach to future Klotho-based interventional trials and to determine if Klotho can regulate physical dysfunction

Initiation of Dialysis Is Associated With Impaired Cardiovascular Functional Capacity

Background The transition to dialysis period carries a substantial increased cardiovascular risk in patients with chronic kidney disease. Despite this, alterations in cardiovascular functional capacity during this transition are largely unknown. The present study therefore sought to assess ventilatory exercise response measures in patients within 1 year of initiating dialysis. Methods and Results We conducted a cross‐sectional study of 241 patients with chronic kidney disease stage 5 from the CAPER (Cardiopulmonary Exercise Testing in Renal Failure) study and from the intradialytic low‐frequency electrical muscle stimulation pilot randomized controlled trial cohorts. Patients underwent cardiopulmonary exercise testing and echocardiography. Of the 241 patients (age, 48.9 [15.0] years; 154 [63.9%] men), 42 were predialytic (mean estimated glomerular filtration rate, 14 mL·min −1 ·1.73 m −2 ), 54 had a dialysis vintage ≤12 months, and 145 had a dialysis vintage &gt;12 months. Dialysis vintage ≤12 months exhibited a significantly impaired cardiovascular functional capacity, as assessed by oxygen uptake at peak exercise (18.7 [5.8] mL·min −1 ·kg −1 ) compared with predialysis (22.7 [5.2] mL·min −1 ·kg −1 ; P &lt;0.001). Dialysis vintage ≤12 months also exhibited reduced peak workload, impaired peak heart rate, reduced circulatory power, and increased left ventricular mass index ( P &lt;0.05 for all) compared with predialysis. After excluding those with prior kidney transplant, dialysis vintage &gt;12 months exhibited a lower oxygen uptake at peak exercise (17.0 [4.9] mL·min −1 ·kg −1 ) compared with dialysis vintage ≤12 months (18.9 [5.9] mL·min −1 ·kg −1 ; P =0.033). Conclusions Initiating dialysis is associated with a significant impairment in oxygen uptake at peak exercise and overall decrements in ventilatory and hemodynamic exercise responses that predispose patients to functional dependence. The magnitude of these changes is comparable to the differences between low‐risk New York Heart Association class I and higher‐risk New York Heart Association class II to IV heart failure

Effects of an Acute High-Volume Isokinetic Intervention on Circulating Levels of TNF-α and STNFR: Influence of Age

The immune system has been implicated in recovery and muscle regeneration following exercise. In response to muscle damage, the immune system responds with an increase in circulating pro-inflammatory cytokines with the goal of recruiting leukocytes to the damaged area. Tumor Necrosis Factor-alpha (TNF-α), in particular, has been shown to be implicated in both muscle regeneration and muscle wasting. However, it remains unclear whether TNF-α is responsible for the age-related losses in muscle size and function. Also, due to the high clearance rate of TNF-α from circulation, analyzing the circulating levels of soluble TNF-α receptors 1 and 2 (STNFR1 and STNFR2) may provide a better indication of inflammatory events. Therefore, the purpose of this study was to compare changes in circulating levels of TNF-α, STNFR1, and STNFR2 following an acute muscle damaging intervention in young age (YA) and middle-aged (MA) males. Recreationally active young (YA; N=9, 21.8 ± 2.2 y, 179.5 ± 4.9 cm, 91.2 ± 12.2 kg, 21.8 ± 4.3% BF) and middle-aged (MA; N=10, 47.0 ± 4.4 y, 176.8 ± 7.6 cm; 96.0 ± 21.5 kg, 25.4 ± 5.3% BF) males completed an acute muscle damaging protocol (MDP). Blood samples were obtained at baseline (BL), immediately (IP), 30 minutes (30P), 60 minutes (60P), 120 minutes (120P), 24 hours (24H), and 48 hours (48H) post-MDP. Lower body performance was analyzed via isokinetic dynamometer at BL, IP, 120P, 24H, and 48H. No significant group x time interactions or main group effects were observed for TNF-α, STNFR1, STNFR2 or any marker of muscle damage. When collapsed across groups, plasma lactate was significantly elevated at IP (p \u3c 0.001) and 30P (p = 0.003); serum myoglobin was increased at 30P (p = 0.002), 60P (p = 0.001), and 120P (p = 0.007); creatine kinase was elevated at 24H (p = 0.001) and 48H (p = 0.005). Plasma concentrations of TNF-α were unchanged following MDP. With both groups combined, serum STNFR1 was decreased at 30P (p = 0.001) and increased at 48H (p = 0.028). Serum STNFR2 was decreased at 30P (p = 0.008), 60P (p = 0.003), and 120P (p = 0.002). The results of this study indicate that the TNF-α and STNFRs response to exercise is similar between young and middle-aged males. Measuring STNFRs may be a more appropriate method of assessing the acute inflammatory response to muscle damage. In addition, an acute bout of exercise may attenuate ectodomain shedding of TNFR1 and TNFR2

Relationships Between Hex Bar Deadlift One-Repetition Maximum and Maximal Isometric Pulls

International Journal of Exercise Science 15(4): 45-57, 2022. This study sought to determine relationships between hexagonal barbell (HBB) deadlift one-repetition maximum (1-RM) and force-time characteristics of maximal isometric pulls. Twenty-three healthy adults (13 men [8 trained], 10 women [4 trained]) completed three visits consisting of a familiarization and anthropometrics session, a HBB deadlift 1-RM session, and a performance session with three maximal isometric pulls at three positions: lift-off (FLOOR), knee-passing (KNEE), and mid-thigh (MT). Correlation analyses assessed relationships between 1-RM and force-time characteristics at each position with significance set a priori at α ≤ 0.05. Correlation coefficients between 1-RM and force-time characteristics at all positions presented large to very large relationships to peak force (PF; r = 0.695-0.879, p ≤ 0.001), large to very large relationships to all time-specific force variables (r = 0.506-0.812; p ≤ 0.014), moderate to very large relationships between rate of force development (RFD) time-bands (r = 0.430-0.752; p ≤ 0.041), and large to very large relationships to impulse (r = 0.575-0.778; p ≤ 0.004). Collectively, more very large effect sizes (r = 0.7-0.89) were observed at FLOOR (n = 8) and KNEE (n = 6) than MT (n = 0). PF at FLOOR and KNEE presented as strongest predictors of maximal strength in the 1-RM HBB deadlift. The observed differences between positions may be due to exercise-specific disadvantageous positions commonly observed as isometric sticking points. Coaches should consider incorporating isometric pulls from the lift-off or knee passing positions as it appears to be better related to maximal strength than the isometric mid-thigh pull

Comparison Of The Recovery Response From High-Intensity And High-Volume Resistance Exercise In Trained Men

Purpose: The purpose of this study was to compare the physiological responses of a high-volume (HV; 8 sets of 10 repetitions) versus high-intensity (HI; 8 sets of 3 repetitions) exercise protocol in resistance-trained men. Methods: Twelve men (24.5 ± 4.2 years; 82.3 ± 8.4 kg; 175.2 ± 5.5 cm) with 6.3 ± 3.4 years of resistance training experience performed each protocol in a counterbalanced, randomized order. Performance [counter movement jump peak power (CMJP), isokinetic (ISOK) and isometric leg extension (MVIC), isometric mid-thigh pull (IMTP), and isometric squat (ISQ)] and muscle morphological [cross-sectional area (CSA) of vastus lateralis] assessments were performed at baseline (BL), 30-min (P-30 min), 24-h (P-24 h), 48-h (P-48 h), and 72-h (P-72 h) post-exercise for each testing session. In addition, endocrine (testosterone and cortisol), inflammatory [interleukin-6 (IL-6) and C-reactive protein (CRP)], and markers of muscle damage [creatine kinase (CK), lactate dehydrogenase (LDH), and myoglobin (Mb)] were assessed at the same time points. Results: Significantly greater reductions in CMJP (p \u3c 0.001), and peak torque during both ISOK (p = 0.003) and MVIC (p = 0.008) at P-30 min were detected in HV compared to HI protocol. MVIC was still impaired at P-72 h following the HV protocol, while no differences were noted following HI. Markers of muscle damage (LDH, CK, and Mb) were significantly elevated following both HV and HI (p \u3c 0.05), while cortisol and IL-6 concentrations were significantly elevated at P-30 min following HV only (p \u3c 0.001 and p \u3c 0.05, respectively). Conclusions: Results indicate that high-volume resistance exercise results in greater performance deficits, and a greater extent of muscle damage, than a bout of high-intensity resistance exercise

Tumor Necrosis Factor-Alpha And Soluble Tnf-Alpha Receptor Responses In Young Vs. Middle-Aged Males Following Eccentric Exercise

Background Tumor necrosis factor-alpha (TNF-α) has been shown to be implicated in both muscle regeneration and muscle wasting. However, it remains unclear whether TNF-α is responsible for the age-related losses in muscle size and function. Also, due to the high clearance rate of TNF-α from circulation, analyzing the circulating levels of soluble TNF-α receptors 1 and 2 (STNFR1 and STNFR2) may provide a better indication of inflammatory events. The aim of this study was to examine changes in circulating concentrations of TNF-α, STNFR1, and STNFR2 following acute eccentric exercise in young (YA) and middle-aged (MA) men. Methods and materials Nine YA (N = 9, 21.8 ± 2.2 y, 179.5 ± 4.9 cm, 91.2 ± 12.2 kg, 21.8 ± 4.3% body fat) and ten MA (N = 10, 47.0 ± 4.4 y, 176.8 ± 7.6 cm; 96.0 ± 21.5 kg, 25.4 ± 5.3% body fat) men completed an acute muscle damaging protocol (MDP). Blood samples were obtained at baseline (BL), immediately (IP), 30-minute (30P), 60-minute (60P), 120-minute (120P), 24-hour (24H), and 48-hour (48H) post-MDP. Lower body performance was assessed via isokinetic dynamometer at BL, IP, 120P, 24H, and 48H. Results YA displayed higher values of peak torque (p = 0.023) and mean torque (p = 0.036) at BL. No significant group differences were observed for markers of muscle damage or TNF-α. Plasma concentrations of TNF-α were unchanged following MDP. STNFR1 concentrations were significantly higher in the YA group compared to MA (p = 0.036). Significant time effects were observed for STNFR1 (p \u3c 0.001) and STNFR2 (p = 0.001). With both groups combined, serum STNFR1 was decreased at 30P (p = 0.001), while STNFR2 was decreased at 30P (p = 0.008), 60P (p = 0.003), and 120P (p = 0.002) relative to BL. Conclusions The pro-inflammatory response to muscle damage does not appear to decline at middle age when individuals are recreationally trained. However, young men showed significantly higher serum STNFR1 concentrations than middle age men. This may suggest that natural inhibitors of TNF-α decline as early as middle age

Skeletal Muscle Complications in Chronic Kidney Disease

Purpose of Review To provide an overview of the recent literature investigating the pathophysiology of skeletal muscle changes, interventions for skeletal muscle, and effects of exercise in chronic kidney disease (CKD). Recent Findings There are multiple CKD-related changes that negatively impact muscle size and function. However, the variability in the assessment of muscle size, in particular, hinders the ability to truly understand the impact it may have in CKD. Exercise interventions to improve muscle size and function demonstrate inconsistent responses that warrant further investigation to optimize exercise prescription. Summary Despite progress in the field, there are many gaps in the knowledge of the pathophysiology of sarcopenia of CKD. Identifying these gaps will help in the design of interventions that can be tested to target muscle loss and its consequences such as impaired mobility, falls, and poor quality of life in patients with CKD

Effects Of Supine Rest Duration On Ultrasound Measures Of The Vastus Lateralis

Introduction: Due to the potential for intramuscular fluid shifts from changing body position, researchers often utilize a 10- to 15-min period of supine rest as a standardizing procedure prior to ultrasound assessment of the lower limbs. However, no previous research has observed the changes in muscle morphological characteristics via ultrasonography of the lower limbs depending on the length of time of supine rest to determine whether 10–15 min of supine rest is necessary. The aim of this study was to examine changes in muscle morphology of the vastus lateralis (VL) at various time-points over the course of 15 min of supine rest. Methods: Muscle thickness (MT), cross-sectional area (CSA) and echo intensity (EI) of the VL were assessed in 24 adults at four time-points including the following: immediately upon moving from a standing to supine position (T0), after 5 (T5), 10 (T10) and 15 min (T15) of lying in a supine position. Results: CSA significantly decreased from T0 to T10 (P = 0·001) and T15 (P\u3c0·001), with no difference between any other time-points (P = 0·055–0·666). However, the reported changes in CSA did not exceed the standard error of the measurement for this procedure. No significant differences between any time-points for MT (P = 0·726–0·966) or EI (P = 0·061–0·783) were observed. Discussion: These findings suggest extended periods of supine rest may not be needed to obtain consistent muscle morphological measurements of the VL using ultrasonography