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Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People

This protocol describes the simultaneous use of a broad span of methods to examine muscle aerobic capacity, glucose tolerance, strength, and power in ...

The Swedish School of Sport and Health Sciences, GIH

Karolinska Institutet

Cardiopulmonary kinetics and electromyographic activity (EMG) during exhausting exercise were measured in 8 males performing three maximal combined arm+leg exercises (cA+L). These exercises were performed at different rates of work (mean+/-SD; 373+/-48, 429+/-55 and 521+/-102 W) leading to different average exercise work times in all tests and subjects. VO2 reached a plateau versus work rate in every maximal cA+L exercise (range 6 min 33 s to 3 min 13 s). The three different exercise protocols gave a maximal oxygen consumption (VO2MAX) of 4.67+/-0.57, 4.58+/-0.52 and 4.66+/-0.53 l min(-1) (P=0.081), and a maximal heart rate (HRmax) of 190+/-6, 189+/-4 and 189+/-6 beats min(-1) (P=0.673), respectively. Root mean square EMG (EMGRMS) of the vastus lateralis and the triceps brachii muscles increased with increasing rate of work and time in all three cA+L protocols. The study demonstrates that despite different maximal rates of work, leading to different times to exhaustion, the circulatory adaptation to maximal exercise was almost identical in all three protocols that led to a VO2 plateau. The EMG(RMS) data showed increased muscle recruitment with increasing work rate, even though the HRmax and VO2MAX was the same in all three cA+L protocols. In conclusion, these findings do not support the theory of the existence of a central governor (CG) that regulates circulation and neuronal output of skeletal muscles during maximal exercise.

Neuromuscular and circulatory adaptation during combined arm and leg exercise with different maximal work loads.

The deepest muscle of the human ventro-lateral abdominal wall, the Transversus Abdominis (TrA), has been ascribed a specific role in spine stabilization, which has motivated special core stability exercises and hollowing instruction to specifically involve this muscle. The purpose here was to evaluate the levels of activation of the TrA and the superficial Rectus Abdominis (RA) muscles during five common stabilization exercises performed in supine, bridging and four-point kneeling positions, with and without instruction to hollow, i.e. to continuously pull the lower part of the abdomen towards the spine. Nine habitually active women participated and muscle activity was recorded bilaterally from TrA and RA with intramuscular fine-wire electrodes introduced under the guidance of ultrasound. Results showed that subjects were able to selectively increase the activation of the TrA, isolated from the RA, with the specific instruction to hollow and that side differences in the amplitude of TrA activity, related to the asymmetry of the exercises, remained even after the instruction to hollow. The exercises investigated caused levels of TrA activation from 4 to 43% of that during maximal effort and can thus be used clinically to grade the load on the TrA when designing programs aiming at training that muscle.

Deep and superficial abdominal muscle activation during trunk stabilization exercises with and without instruction to hollow.

Neural activation is generally lower during maximal voluntary lengthening compared with shortening and isometric muscle actions, but the mechanisms underlying these differences are unclear. In maximal voluntary isometric actions, reduced Ia-afferent input induced by prolonged tendon vibration has been shown to impair neural activation and strength.

Effects of prolonged vibration on H-reflexes, muscle activation, and dynamic strength.

To study the outcome of acute otitis media (AOM) with otorrhoea in children managed initially without antibiotics, in relation to bacterial and clinical findings, and to identify those who may benefit from antibiotics.

Spontaneously draining acute otitis media in children: an observational study of clinical findings, microbiology and clinical course.

A conditioning maximal voluntary muscle action (MVC) has been shown to induce postactivation potentiation, that is, improved contractile muscle properties, when muscles are contracted isometrically. It is still uncertain how the contractile properties are affected during ongoing muscle length changes. The purpose of this study was to investigate the effects of a 6-s conditioning MVC on twitch properties of the plantarflexors during ongoing muscle length changes.

Passive muscle length changes affect twitch potentiation in power athletes.

This study aimed to investigate conditioning effects from a single 6-s plantar flexion maximal voluntary isometric contraction (MVIC) on Achilles tendon stiffness (ATS) and twitch properties of the triceps surae in athletes.

Post activation potentiation can be induced without impairing tendon stiffness.

Comparing lifestyle of people remaining sedentary during longer periods of their life with those favourably changing their behaviour can provide cues to optimize interventions targeting sedentary behaviour. The objective of this study was to determine lifestyle predictors of sustained leisure time sedentary behaviour and assess whether these predictors were dependent on gender, age, socioeconomic position and occupational sedentary behaviour. Data from a large longitudinal population-based cohort of adults (aged 18-97years) in Stockholm responding to public health surveys in 2010 and 2014 were analysed (n=49,133). Leisure time sedentary behaviour was defined as >3h per day of leisure sitting time e.g. watching TV, reading or using tablet. Individuals classified as sedentary at baseline (n=9562) were subsequently categorized as remaining sedentary (n=6357) or reduced sedentary behaviour (n=3205) at follow-up. Lifestyle predictors were unfavourable alcohol consumption, smoking, nutrition, and physical activity. Odds ratios (OR) and corresponding 95% Confidence Intervals (CI) were calculated, adjusting for potential confounders. Unfavourable alcohol consumption (OR=1.22, CI:1.11-1.34), unfavourable candy- or cake consumption (OR=1.15, CI:1.05-1.25), and unfavourable physical activity in different contexts were found to predict sustained sedentary behaviour, with negligible differences according to gender, age, socioeconomic position and occupational sedentary behaviour. People with unfavourable lifestyle profiles regarding alcohol, sweets, or physical activity are more likely to remain sedentary compared to sedentary persons with healthier lifestyle. The impact of combining interventions to reduce leisure time sedentary behaviour with reducing alcohol drinking, sweet consumption and increasing physical activity should be tested as a promising strategy for behavioural modification.

Maria Ekblom

Åstrand Laboratory of Work Physiology

The Swedish School of Sport and Health Sciences, GIH

Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People