Simple Bodyweight Training Improves Cardiorespiratory Fitness With Minimal Time Commitment: A Contemporary Application of the 5BX Approach

International Journal of Exercise Science 14(3): 93-100, 2021. Bodyweight training (BWT) is a style of interval exercise based on classic principles of physical education. Limited research, however, has examined the efficacy of BWT on cardiorespiratory fitness. This is especially true for simple BWT protocols that do not require extraordinarily high levels of effort. We examined the effect of a BWT protocol, modelled after the original “Five Basic Exercises” (5BX) plan, on peak oxygen uptake (VO2peak) in healthy, inactive adults (20 ± 1 y; body mass index: 20 ± 5 kg/m2; mean ± SD). Participants were randomized to a training group that performed 18 sessions over six weeks (n=9), or a non-training control group (n = 10). The 11-minute session involved five exercises (burpees, high knees, split squat jumps, high knees, squat jumps), each performed for 60-seconds at a self-selected “challenging” pace, interspersed with active recovery periods (walking). Mean intensity during training was 82 ± 5% of maximal heart rate, rating of perceived exertion was 14 ± 3 out of 20, and compliance was 100%. ANCOVA revealed a significant difference between groups after the intervention, such that VO2peak was higher in the training group compared to control (34.2 ± 6.4 vs 30.3 ± 11.1 ml/kg/min; p = 0.03). Peak power output during the VO2peak test was also higher after training compared to control (211 ± 43 vs 191 ±50 W, p = 0.004). There were no changes in leg muscular endurance, handgrip strength or vertical jump height in either group. We conclude that simple BWT— requiring minimal time commitment and no specialized equipment — can enhance cardiorespiratory fitness in inactive adults. These findings have relevance for individuals seeking practical, time-efficient approaches to exercise

Scoring system for renal pathology in Fabry disease: report of the International Study Group of Fabry Nephropathy (ISGFN)

Background. In Fabry nephropathy, alpha-galactosidase deficiency leads to accumulation of glycosphingolipids in all kidney cell types, proteinuria and progressive loss of kidney function. Methods. An international working group of nephrologists from 11 Fabry centres identified adult Fabry patients, and pathologists scored histologic changes on renal biopsies. A standardized scoring system was developed with a modified Delphi technique assessing 59 Fabry nephropathy cases. Each case was scored independently of clinical information by at least three pathologists with an average final score reported. Results. We assessed 35 males (mean age 36.4 years) and 24 females (43.9 years) who mostly had clinically mild Fabry nephropathy. The average serum creatinine was 1.3mg/dl (114.9 μmol/l); estimated glomerular filtration rate was 81.7 ml/min/1.73 m2 and urine protein to creatinine ratio was 1.08 g/g (122.0 mg/mmol). Males had greater podocyte vacuolization on light microscopy (mean score) and glycosphingolipid inclusions on semi-thin sections than females. Males also had significantly more proximal tubule, peritubular capillary and vascular intimal inclusions. Arteriolar hyalinosis was similar, but females had significantly more arterial hyalinosis. Chronic kidney disease stage correlated with arterial and glomerular sclerosis scores. Significant changes, including segmental and global sclerosis, and interstitial fibrosis were seen even in patients with stage 1-2 chronic kidney disease with minimal proteinuria. Conclusions. The development of a standardized scoring system of both disease-specific lesions, i.e. lipid deposition related, and general lesions of progression, i.e. fibrosis and sclerosis, showed a spectrum of histologic appearances even in early clinical stage of Fabry nephropathy. These findings support the role of kidney biopsy in the baseline evaluation of Fabry nephropathy, even with mild clinical disease. The scoring system will be useful for longitudinal assessment of prognosis and responses to therapy for Fabry nephropath

Biological sex does not influence the peak cardiac output response to twelve weeks of sprint interval training

Abstract Sprint interval training (SIT) increases peak oxygen uptake (V̇O2peak) but the mechanistic basis is unclear. We have reported that 12 wk of SIT increased V̇O2peak and peak cardiac output (Q̇peak) and the changes in these variables were correlated. An exploratory analysis suggested that Q̇peak increased in males but not females. The present study incorporated best practices to examine the potential influence of biological sex on the Q̇peak response to SIT. Male and female participants (n = 10 each; 21 ± 4 y) performed 33 ± 2 sessions of SIT over 12 wk. Each 10-min session involved 3 × 20-s ‘all-out’ sprints on an ergometer. V̇O2peak increased after SIT (3.16 ± 1.0 vs. 2.89 ± 1.0 L/min, η2 p = 0.53, p < 0.001) with no sex × time interaction (p = 0.61). Q̇peak was unchanged after training (15.2 ± 3.3 vs. 15.1 ± 3.0 L/min, p = 0.85), in contrast to our previous study. The peak estimated arteriovenous oxygen difference increased after training (204 ± 30 vs. 187 ± 36 ml/L, p = 0.006). There was no effect of training or sex on measures of endothelial function. We conclude that 12 wk of SIT increases V̇O2peak but the mechanistic basis remains unclear. The capacity of inert gas rebreathing to assess changes in Q̇peak may be limited and invasive studies that use more direct measures are needed