Resistance exercise

阻力运动
  • 文章类型: Journal Article
    这项研究的目的是调查基线值和雄激素受体(AR)标志物的急性和慢性变化,包括总AR,细胞质(cAR)和核(nAR)部分,以及DNA结合活性(AR-DNA),通过比较年轻的无反应者和反应者个体,参与肌肉肥大反应。经过10周的阻力训练(RT),使用通过两次肌肉横截面积(mCSA)超声测量获得的两个典型误差(TE)(2×TE;4.94%),和我们样本中最高的响应者进行了数字匹配。在基线时进行肌肉活检,第一次RT会话后24h(急性反应)和最后一次会话后96h(慢性反应)。AR,使用蛋白质印迹分析cAR和nAR,和AR-DNA使用ELISA-寡核苷酸测定。12名参与者被确定为无反应者(ΔmCSA:-1.32%),12名响应者(ΔmCSA:21.35%)。mCSA组间无基线差异,AR,cAR,nAR或AR-DNA(P>0.05)。对于急性反应,AR-DNA无应答者(+19.5%)和应答者(-14.4%)之间存在显著差异(ES=-1.39;95%CI:-2.53至-0.16;P=0.015).其他AR标志物的急性组间差异无统计学意义(P>0.05)。在任何AR标记物的慢性反应中,组间没有观察到显著差异(P>0.05)。无反应者和反应者呈现相似的基线,大多数AR标志物的急性和慢性结果。因此,我们的研究结果不支持AR标志物对未经训练的个体对RT的肌肉肥大反应性的影响.
    The aim of this study was to investigate whether baseline values and acute and chronic changes in androgen receptors (AR) markers, including total AR, cytoplasmic (cAR) and nuclear (nAR) fractions, as well as DNA-binding activity (AR-DNA), are involved in muscle hypertrophy responsiveness by comparing young nonresponder and responder individuals. After 10 weeks of resistance training (RT), participants were identified as nonresponders using two typical errors (TE) obtained through two muscle cross-sectional area (mCSA) ultrasound measurements (2×TE; 4.94%), and the highest responders within our sample were numerically matched. Muscle biopsies were performed at baseline, 24h after the first RT session (acute responses) and 96h after the last session (chronic responses). AR, cAR and nAR were analyzed using Western blotting, and AR-DNA using an ELISA-oligonucleotide assay. Twelve participants were identified as nonresponders (ΔmCSA: -1.32%), and twelve as responders (ΔmCSA: 21.35%). There were no baseline differences between groups in mCSA, AR, cAR, nAR or AR-DNA (P > 0.05). For acute responses, there was a significant difference between nonresponders (+19.5%) and responders (-14.4%) in AR-DNA (ES = -1.39; 95% CI: -2.53 to -0.16; P = 0.015). There were no acute between-group differences in any other AR markers (P > 0.05). No significant differences between groups were observed in chronic responses across any AR markers (P > 0.05). Nonresponders and responders presented similar baseline, acute and chronic results for the majority of the AR markers. Thus, our findings do not support the influence of AR markers on muscle hypertrophy responsiveness to RT in untrained individuals.
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  • 文章类型: Systematic Review
    慢性肾脏病(CKD)导致骨骼肌萎缩,导致功能下降和无法独立生活。本系统综述严格评估了有关全身阻力训练对CKD临床相关功能测量的影响的科学文献。研究人群包括患有4或5期CKD且平均年龄为40岁以上的人的研究。在八个数据库中搜索了符合条件的研究:Pubmed,Embase,科克伦,CINAHL,Scopus,WebofScience,MEDLINE,和AGELINE。在PRISMA进行后,使用MeSH术语和关键词组合进行筛选。纳入标准基于PICO原则,未应用发布日期筛选。干预措施是使用主要的上部和下部肌肉群训练2天/周的结构性阻力练习。最短干预期为7周。对照组在没有结构化运动训练的情况下保持了习惯性活动。感兴趣的结果指标是:6分钟步行测试,握力,定时启动测试,坐着站着。8项随机对照试验和1项非等效比较组研究符合纳入标准,并进行了数据提取。所有研究均针对血液透析患者。证据表明,全身阻力锻炼显著提高了握力,定时并坐下来接受测试;与提高生活质量和数量相关的指标。
    Chronic kidney disease (CKD) causes skeletal muscle wasting, resulting in reduced function and inability to live independently. This systematic review critically appraised the scientific literature regarding the effects of full-body resistance training on clinically-relevant functional capacity measures in CKD. The study population included studies of people with Stage 4 or 5 CKD and a mean age of 40+ years old. Eight databases were searched for eligible studies: Pubmed, Embase, Cochrane, CINAHL, Scopus, Web of Science, MEDLINE, and AGELINE. MeSH terms and keyword combinations were used for screening following the PRISMA conduct. Inclusion criteria were based on PICO principles and no date of publication filter was applied. The intervention was training 2 days/week of structured resistance exercises using major upper and lower muscle groups. Minimum intervention period was 7 weeks. Comparison groups maintained their habitual activity without structured exercise training. Outcome measures of interest were: 6-min walk test, grip strength, timed up-and-go test, and sit-to-stand. Eight randomized controlled trials and one nonequivalent comparison-group study fulfilled the inclusion criteria and underwent data extraction. All studies were of hemodialysis patients. The evidence indicates that full-body resistance exercise significantly improved grip strength, timed up and go and sit to stand tests; metrics associated with enhanced quality and quantity of life.
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  • 文章类型: Journal Article
    蹲着,被归类为力量训练的传统阻力运动,依赖于厌氧途径,但其有氧方面仍不清楚。我们检查了下蹲时的心率和需氧量,探索不同强度状态的变化。它填补了理解蹲下对心肺影响的空白,尤其是在多套期间。参加了22名年轻的健康抵抗训练的男性(年龄:28±4岁)。测量了下蹲的最大耗氧量(V2max)和1次重复最大值(RM)。参与者以1RM的65%进行了5组深蹲运动,重复10次,休息间隔3分钟。在深蹲运动期间测量心率和肺气体交换。参与者根据其1RM深蹲值的中位数(归一化为体重)分为高强度(HS;高50%)和低强度(LS;低50%)组。在5组深蹲运动中,耗氧量(V²O2)增加到47.8±8.9ml/kg/min,对应于100.6%的预定V^O2max。与LS组相比,HS组获得了更大的V²O2相对于V²O2max的最高点(108.0vs.93.7%)。在锻炼间隔期间,在休息间隔期间,V?O2超过V?CO2,二氧化碳超过了二氧化碳。我们的研究结果表明,下蹲期间的需氧量非常大,这可能会根据培训状态而有所不同。
    Squatting, a traditional resistance exercise classified as strength training, relies on anaerobic pathways, but its aerobic aspects remain unclear. We examined heart rate and oxygen demand during squats, exploring variations across different strength statuses. It fills gaps in understanding the cardiorespiratory effects of squatting, especially during multiple sets. Twenty-two young healthy resistance trained men (age: 28 ± 4 years) participated. Maximal oxygen consumption (V̇O2max) and 1 repetition maximum (RM) of squat were measured. Participants performed 5 sets of squat exercises at 65% of 1RM for 10 repetitions with 3-min rest intervals. Heart rate and pulmonary gas exchange were measured during the squat exercise. Participants were divided into high strength (HS; upper 50%) and low strength (LS; lower 50%) groups based on a median split of their 1 RM squat values (normalized to their body weight). During 5 sets of squat exercise, oxygen consumption (V̇O2) increased up to 47.8 ± 8.9 ml/kg/min, corresponding to 100.6% of predetermined V̇O2max. The HS group achieved a greater highest point of V̇O2 in relation to V̇O2max than the LS group (108.0 vs. 93.7%). During the exercise intervals, V̇O2 exceeded V̇CO2, while during the rest intervals, V̇CO2 surpassed V̇O2. Our findings suggest that the oxygen demand during squatting is notably substantial, which may vary according to the training status.
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  • 文章类型: Journal Article
    本研究的目的是进行系统回顾,以评估不同形式的阻力练习(阻力练习,抗阻运动结合有氧运动,和阻力运动与其他运动相结合)对身体健康,生活质量(QOL),和癌症患者的疲劳。
    我们使用Cochrane干预措施系统评价手册指南进行了系统评价。我们搜索了PubMed,WebofScience,和Scopus数据库,用于从数据库建立到2023年9月的研究,包括随机对照试验和临床试验,评估不同抗阻运动对身体素质的影响,QOL,和所有癌症患者的疲劳。两名评审员使用Cochrane干预措施系统评审手册和MINORS量表独立评估了所有纳入研究的质量。我们将干预分为三种类型:抗阻运动,抗阻运动结合有氧运动,和阻力运动结合其他练习。
    总共,48项研究(3,843名参与者)符合纳入标准。三种运动干预形式对身体素质和生活质量有显著影响,但对疲劳的改善效果尚不清楚。总共有34项研究报道了抗阻运动对所有类型癌症的身体健康的显着和有益的影响。有28项研究报告了抗性对QOL的显着或临界改善作用,只有10项研究报道了抗阻运动干预对癌症患者疲劳改善的显著影响。
    阻力运动,抗阻运动结合有氧运动,抗阻运动与其他运动相结合对改善癌症患者的健康和生活质量均有积极作用。抗阻运动在提高肌肉力量方面有优势,虽然联合抗阻运动在改善生活质量方面有优势;然而,在改善疲劳方面没有一致的发现,虽然低强度阻力运动是有效的。
    www.inplasy.com,标识符INPLASY2023110034。
    UNASSIGNED: The purpose of this study is to conduct a systematic review to assess the effects of different forms of resistance exercises (resistance exercise, resistance exercise combined with aerobic exercise, and resistance exercise combined with other exercises) on physical fitness, quality of life (QOL), and fatigue of patients with cancer.
    UNASSIGNED: We conducted a systematic review using the Cochrane Handbook for Systematic Reviews of Interventions guidelines. We searched PubMed, Web of Science, and Scopus databases for the studies from the establishment of the database to September 2023, including randomized controlled trials and clinical trials that evaluated the effects of different resistance exercise on physical fitness, QOL, and fatigue in all patients with cancer. Two reviewers independently assessed the quality of all the included studies using the Cochrane Handbook for Systematic Reviews of Interventions and MINORS scale. We divided the intervention into three types: resistance exercise, resistance exercise combined with aerobic exercise, and resistance exercise combined with other exercises.
    UNASSIGNED: In total, 48 studies (3,843 participants) met the inclusion criteria. The three exercise intervention forms have significant effects on physical fitness and QOL, but the improvement effect on fatigue is not clear. A total of 34 studies reported significant and beneficial effects of resistance exercise on physical fitness across all types of cancer. There were 28 studies that reported significant or borderline improvement effects of resistance on QOL, and only 10 studies reported significant effects of resistance exercise interventions on fatigue improvement in patients with cancer.
    UNASSIGNED: Resistance exercise, resistance exercise combined with aerobic exercise, and resistance exercise combined with other exercises all have a positive effect on improving fitness and QOL in patients with cancer. Resistance exercise has an advantage in improving muscle strength, while combined resistance exercise has an advantage in improving QOL; however, there are no consistent findings in improving fatigue, although low-intensity resistance exercise is effective.
    UNASSIGNED: www.inplasy.com, identifier INPLASY2023110034.
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  • 文章类型: Journal Article
    目的:目的是确定在不同种族的乳腺癌幸存者中实施在线抗阻运动计划的可行性,并对肌肉力量的干预进行探索性分析。身体活动水平,与健康相关的生活质量,和自我效能感。
    方法:采用2组随机对照试验设计,在干预前后进行评估。参与者(n=52)从主办机构的诊所招募,并随机分为干预(n=28)或最小接触控制(MCC)条件(n=24)。所有参与者都根据基线功能强度评估接受了为期12周的个性化抗阻运动处方。干预参与者每周与锻炼教练在Zoom上进行一对一的锻炼。MCC参与者没有得到监督。描述性统计用于确定可行性和可接受性(主要结果)。重复测量ANOVAs用于检查探索性结果。
    结果:干预措施显示出很高的入组可行性结果(80.0%)和干预后评估完成率(92.9%)。会议出勤率(98.0%)和满意度(5分的Mscore=4.87,SD=0.18)的可接受性结果较高。与MCC条件相比,干预组增加了较高(p<.01)和较低(p<.02)的身体强度。
    结论:干预是可行的,可接受,肌肉力量增强.限制包括从一个癌症中心招募的小样本。需要进一步的研究来确定抵抗运动对生存结果的纵向影响。在线进行的抗阻运动在种族多样性的乳腺癌幸存者中显示出有希望的疗效。
    结果:政府注册:NCT04562233,2020年9月18日。
    OBJECTIVE: The aims are to determine the feasibility of an online-delivered resistance exercise program among racially diverse breast cancer survivors and to conduct an exploratory analysis of the intervention on muscular strength, physical activity levels, health-related quality of life, and self-efficacy.
    METHODS: A 2-arm randomized controlled trial study design with assessments at pre- and post-intervention was used. Participants (n = 52) were recruited from clinics at the host institution and randomized to either intervention (n = 28) or minimal contact control (MCC) conditions (n = 24). All participants received a 12-week individualized resistance exercise prescription based on their baseline functional strength assessment. Intervention participants exercised one-on-one once per week over Zoom with an exercise trainer. MCC participants received no supervision. Descriptive statistics were used to determine feasibility and acceptability (primary outcomes). Repeated measures ANOVAs were used to examine exploratory outcomes.
    RESULTS: The intervention demonstrated high rates for feasibility outcomes of enrollment (80.0%) and post-intervention assessment completion (92.9%). Acceptability outcomes were high for session attendance (98.0%) and satisfaction (Mscore = 4.87 out of 5, SD = .18). The intervention group increased upper- (p < .01) and lower- (p < .02) body strength compared to MCC condition.
    CONCLUSIONS: The intervention was feasible, acceptable, and demonstrated increases in muscular strength. Limitations include a small sample recruited from one cancer center. Future research is needed to determine longitudinal impacts of resistance exercise on survivorship outcomes. Online-delivered resistance exercise shows promising efficacy among racially diverse breast cancer survivors.
    RESULTS: gov registration: NCT04562233 on September 18, 2020.
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  • 文章类型: Journal Article
    目的:阿尔茨海默病(AD)是痴呆的常见原因之一。补充疗法,如阻力运动(RE),已被提议作为AD治疗的替代方案。我们进行了系统评价和荟萃分析,以探讨RE对AD动物模型认知功能的影响及其生理机制。
    方法:本综述提交给PROSPERO(CRD42011131266),并根据PRISMA检查表进行。搜索中使用了四个数据库:MEDLINE/PUBMED,Scopus,WebofScience和谷歌学者。我们使用SYRCLE和CAMAREDES评估偏倚风险和方法学质量。我们使用95%置信区间计算了标准化的平均差,并考虑了随机效应模型和p<0.05来确定显著性。
    结果:共建立了1,807项研究,在选择过程之后,本综述仅纳入11项研究,纳入8项研究进行荟萃分析.四项研究在AD诱导前应用RE,7项研究在AD诱导后或在AD条件下应用RE。所有研究包括550只体重为25-280g的成年和年长动物。我们的分析显示,RE在AD动物模型中对记忆有积极作用,但对焦虑没有显着影响。
    结论:RE进行了4或6周,一周三天以上,对记忆有明显的保护作用。纳入的研究具有较高的偏倚风险和中等的方法学质量。因此,RE可能是预防动物模型认知功能下降的潜在策略。
    OBJECTIVE: Alzheimer\'s disease (AD) is among common cause of dementia. Complementary therapies, such as resistance exercise (RE), have been proposed as an alternative for the treatment of AD. We performed a systematic review and meta-analysis to investigate the effects of RE on the cognitive function of AD animal models and their physiological mechanisms.
    METHODS: This review was submitted to PROSPERO (CRD42019131266) and was done according to PRISMA checklist. Four databases were used in the search: MEDLINE/PUBMED, SCOPUS, Web of Science and Google Scholar. We used SYRCLE and CAMAREDES to assess the risk of bias and methodological quality. We calculated the standardized mean difference using 95% confidence intervals and considered the random effects model and p < 0.05 to determine significance.
    RESULTS: A total of 1,807 studies were founded, and after the selection process, only 11 studies were included in this review and 8 studies were included for meta-analysis. Four studies applied RE before AD induction, 7 studies applied RE after AD induction or in the AD condition. All studies included 550 adult and older animals weighing 25-280g. Our analysis revealed that RE had a positive effect on memory in AD animal models but did not show a significant impact on anxiety.
    CONCLUSIONS: RE performed four or six weeks, more than three days a week, had a significant protective effect on memory. The included studies had a high risk of bias and moderate methodological quality. Therefore, RE can be a potential strategy for preventing cognitive decline in animal models.
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  • 文章类型: Journal Article
    背景:非甾体抗炎药(NSAID)通过抑制环氧合酶(COX)酶而具有镇痛和抗炎特性。关于NSAIDs是否影响与肌肉适应和运动相关的信号,存在矛盾的证据,一些研究发现通过AKT-mTOR通路减少肌肉蛋白合成信号。卫星细胞信号的变化,减少肌肉蛋白质降解,和细胞增殖的减少。在这项研究中,我们确定了单一最大剂量的氟比洛芬(FLU),塞来昔布(CEL),布洛芬(IBU),或安慰剂(PLA)会影响短期肌肉信号对补强运动的反应。
    方法:这是一个随机分组,双面蒙面,交叉设计,其中12名参与者进行了四次屈光度运动,包括10组10次屈光度跳跃,1RM为40%。锻炼前两小时,参与者服用单剂量的塞来昔布(CEL200mg),IBU(800毫克),FLU(100毫克)或PLA与食物。运动前和运动后3小时从股外侧肌收集肌肉活检样本。使用重复测量(RM)方差分析分析数据,方差分析,或者弗里德曼测试.在p<0.05时考虑显著性。
    结果:我们发现对PTSG1,PTSG2,MYC,TBP,RPLOP,MYOD1,Pax7,MYOG,Atrogin-1或MURF1(全部,p>0.05)。我们还发现,通过mTORS2441,mTORS2448,RPS6235/236,RPS240/244,4EBP1,ERK1/2,p38T180/182的磷酸化状态测量,对AKT-mTOR信号或MAPK信号没有治疗作用。p>0.05)。然而,我们确实发现与FLU相比,PLA中MNK1T197/202之间存在显着差异(p<0.05)。
    结论:单个,最大剂量的IBU,CEL,或者运动前服用的FLU不会影响肌肉蛋白合成的信号,蛋白质降解,或核糖体生物发生在一次定量训练后三小时。
    BACKGROUND: Non-steroidal anti-inflammatory drugs (NSAIDs) possess analgesic and anti-inflammatory properties by inhibiting cyclooxygenase (COX) enzymes. Conflicting evidence exists on whether NSAIDs influence signaling related to muscle adaptations and exercise with some research finding a reduction in muscle protein synthesis signaling via the AKT-mTOR pathway, changes in satellite cell signaling, reductions in muscle protein degradation, and reductions in cell proliferation. In this study, we determined if a single maximal dose of flurbiprofen (FLU), celecoxib (CEL), ibuprofen (IBU), or a placebo (PLA) affects the short-term muscle signaling responses to plyometric exercise.
    METHODS: This was a block randomized, double-masked, crossover design, where 12 participants performed four plyometric exercise bouts consisting of 10 sets of 10 plyometric jumps at 40% 1RM. Two hours before exercise, participants consumed a single dose of celecoxib (CEL 200 mg), IBU (800 mg), FLU (100 mg) or PLA with food. Muscle biopsy samples were collected before and 3-h after exercise from the vastus lateralis. Data were analyzed using a repeated measures (RM) ANOVA, ANOVA, or a Friedman test. Significance was considered at p < 0.05.
    RESULTS: We found no treatment effects on the mRNA expression of PTSG1, PTSG2, MYC, TBP, RPLOP, MYOD1, Pax7, MYOG, Atrogin-1, or MURF1 (all, p > 0.05). We also found no treatment effects on AKT-mTOR signaling or MAPK signaling measured through the phosphorylation status of mTORS2441, mTORS2448, RPS6 235/236, RPS 240/244, 4EBP1, ERK1/2, p38 T180/182 normalized to their respective total abundance (all, p > 0.05). However, we did find a significant difference between MNK1 T197/202 in PLA compared to FLU (p < .05).
    CONCLUSIONS: A single, maximal dose of IBU, CEL, or FLU taken prior to exercise did not affect the signaling of muscle protein synthesis, protein degradation, or ribosome biogenesis three hours after a plyometric training bout.
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  • 文章类型: Journal Article
    本研究旨在探讨在并发运动训练计划中不同量的有氧训练(AT)和抗阻训练(RT)对脊髓损伤(SCI)女性的体能和肺功能指标的影响。
    从T6到L5,有完整或不完整SCI的23名不活跃女性被分为三组:同时训练,重点是AT(CTAT;每周两次AT和一次RT),同时进行培训,重点是RT(CTRT;每周两次RT和一次AT),和控制(CON)。在8周的实验期前和后进行肺功能指标的测试,有氧力量,耐久性能,肌肉力量和耐力,速度,和改变方向。
    在CTAT和CTRT组中,有氧和肌肉适应性的标记都增加了,但不是在CON。CTAT组和CTRT组之间的有氧能力和耐力表现存在显着差异。CTAT的变化更大。CTAT和CTRT都能改善呼吸功能,它们之间没有差异(p>0.05)。
    CTAT和CTRT改善了大多数身体素质指标。然而,CTAT应用于在不损害肌肉力量的情况下获得更高的有氧力量和耐力。
    UNASSIGNED: This study aimed to investigate the effects of different volumes of aerobic training (AT) and resistance training (RT) during a concurrent exercise training program on selected indicators of physical fitness and pulmonary function in women with spinal cord injury (SCI).
    UNASSIGNED: Twenty-three inactive females with complete or incomplete SCI from T6 to L5 were divided into three groups: concurrent training with a focus on AT (CTAT; two weekly sessions of AT and one of RT), concurrent training with a focus on RT (CTRT; two weekly sessions of RT and one of AT), and control (CON). Tests were performed before and after an 8-week experimental period for indicators of pulmonary function, aerobic power, endurance performance, muscular strength and endurance, speed, and change of direction.
    UNASSIGNED: Markers of both aerobic and muscular fitness increased in the CTAT and CTRT groups, but not in CON. There were significant differences in aerobic power and endurance performance between the CTAT and CTRT groups, with greater changes in CTAT. Both CTAT and CTRT improved respiratory functions, with no differences between them (p > 0.05).
    UNASSIGNED: CTAT and CTRT improved most of the indicators of physical fitness. However, CTAT should be used to achieve higher aerobic power and endurance without compromising muscle strength.
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  • 文章类型: Journal Article
    这项研究评估了肌肉活动(均方根,RMS,和中值频率,MDF)评估对血流限制(BFR)抗阻运动(RE)和常规中等强度(MI)RE的急性反应。我们还基于性别和运动引起的痛觉减退(EIH)对差异进行了探索性分析。在两种运动条件下:BFRRE和MIRE,十四名无症状者用优势腿进行了四组单侧腿部按压以进行自愿疲劳。通过运动使用表面肌电图(sEMG)测量显性侧股直肌(RF)和股外侧肌(VL)肌肉活动。使用线性混合模型计算RMS和MDF并在条件和时间点之间进行比较。在运动前和运动后立即测试压力疼痛阈值(PPT),并用于量化EIH。然后将参与者分为EIH响应者和无响应者,使用Hedges\'g比较两组之间RMS和MDF的差异。RMS随时间显着增加(RF:p=0.0039;VL:p=0.001),但在条件之间没有增加(RF:p=0.4;VL:p=0.67)。MDF随时间降低(RF:p=0.042;VL:p<0.001),但条件之间没有降低(RF:p=0.74;VL:p=0.77)。与男性相比,女性的肌肉激活持续较低(BRF,RF:g=0.63;VL,g=0.5。MI,RF:g=0.72;VL:g=1.56),MDF变化的异质性发现更多。对于BFR,与无反应者相比,EIH反应者显示出更大的RMS变化(ΔRMS)(RF:g=0.90;VL:g=1.21),但MDF变化相似(ΔMDF)(RF:g=0.45;VL:g=0.28)。对于MI,EIH反应者在RF中表现出ΔRMS(g=0.61)的增加和ΔMDF(g=0.68)的减少,但VL的变化相似(ΔRMS:g=0.40;ΔMDF:g=0.39)。这些结果表明,当锻炼到疲劳时,在ΔRMS和ΔMDF中,BFRRE和常规MIRE之间未观察到统计学上的显着差异。女性的肌肉活动较低。在锻炼意志疲劳时,肌肉活动可能有助于EIH。
    This study assessed muscle activity (root mean square, RMS, and median frequency, MDF) to evaluate the acute response to blood flow restriction (BFR) resistance exercise (RE) and conventional moderate intensity (MI) RE. We also performed exploratory analyses of differences based on sex and exercise-induced hypoalgesia (EIH). Fourteen asymptomatic individuals performed four sets of unilateral leg press with their dominant leg to volitional fatigue under two exercise conditions: BFR RE and MI RE. Dominant side rectus femoris (RF) and vastus lateralis (VL) muscle activity were measured using surface electromyography (sEMG) through exercise. RMS and MDF were calculated and compared between conditions and timepoints using a linear mixed model. Pressure pain thresholds (PPT) were tested before and immediately after exercise and used to quantify EIH. Participants were then divided into EIH responders and nonresponders, and the differences on RMS and MDF were compared between the two groups using Hedges\' g. RMS significantly increased over time (RF: p = 0.0039; VL: p = 0.001) but not between conditions (RF: p = 0.4; VL: p = 0.67). MDF decreased over time (RF: p = 0.042; VL: p < 0.001) but not between conditions (RF: p = 0.74; VL: p = 0.77). Consistently lower muscle activation was found in females compared with males (BRF, RF: g = 0.63; VL, g = 0.5. MI, RF: g = 0.72; VL: g = 1.56), with more heterogeneous findings in MDF changes. For BFR, EIH responders showed greater RMS changes (Δ RMS) (RF: g = 0.90; VL: g = 1.21) but similar MDF changes (Δ MDF) (RF: g = 0.45; VL: g = 0.28) compared to nonresponders. For MI, EIH responders demonstrated greater increase on Δ RMS (g = 0.61) and decrease on Δ MDF (g = 0.68) in RF but similar changes in VL (Δ RMS: g = 0.40; Δ MDF: g = 0.39). These results indicate that when exercising to fatigue, no statistically significant difference was observed between BFR RE and conventional MI RE in Δ RMS and Δ MDF. Lower muscle activity was noticed in females. While exercising to volitional fatigue, muscle activity may contribute to EIH.
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  • 文章类型: Journal Article
    睡眠障碍在普通人群中普遍存在,在患有慢性疾病的个体中更是如此。最近的数据揭示了体育锻炼作为改善睡眠和管理各种睡眠障碍的非药物方法的有希望的效果。然而,将来应进行更多具有适当设计和方法的研究,以更清楚地了解该主题。运动在预防和改善睡眠障碍方面的作用可能比目前所利用的作用高得多。为了充分利用身体活动对未来睡眠障碍的潜在益处,有必要确定评估睡眠-觉醒障碍的相关工具,并建立针对不同睡眠障碍的特定运动方案。本手稿旨在回顾有关使用运动来管理某些睡眠障碍的文献。经常锻炼,包括短期有氧活动,阻力训练,和身心锻炼,能有效改善睡眠质量,特别是在失眠和睡眠呼吸紊乱的情况下。此外,越来越多的证据支持有氧和力量训练的有效性,以及诸如瑜伽之类的身心锻炼来管理与睡眠有关的运动障碍。锻炼可以是安全的,负担得起的,和有效的工具,以提高睡眠质量和改善睡眠障碍。本身,定期运动可以与既定的疗法一起发挥辅助作用,或有效的替代方案,当药理学方法受到副作用的限制时,互动,或无效。需要更多的研究来确定运动如何影响睡眠生理,以及如何在睡眠障碍患者中使用锻炼。
    Sleep disorders are prevalent among the general population and even more in individuals suffering from chronic diseases. Recent data reveal promising effects of physical exercise as a non-pharmacological approach for improving sleep and managing various sleep disorders. However, more studies with proper design and methodology should be conducted in the future to obtain a clearer understanding of the subject. The role of exercise in preventing and improving sleep disorders is probably much higher than what is currently exploited. To fully exploit the potential benefit of physical activity on sleep disorders in the future, it is necessary to identify the relevant tools to assess sleep-wake disorders and establish specific exercise protocols tailored to different sleep disorders. The present manuscript aims to review the literature on the use of exercise in managing selected sleep disorders. Regular exercise, including short-term aerobic activity, resistance training, and mind-body exercises, can effectively improve sleep quality, particularly in cases of insomnia and sleep-disordered breathing. Additionally, increasing evidence supports the effectiveness of aerobic and strength training, and body-mind exercises such as yoga in managing sleep-related movement disorders. Exercise can be a safe, affordable, and efficient tool in enhancing sleep quality and improving sleep disorders. Per se, regular exercise could play an adjuvant role alongside with established therapies, or a valid alternative when the pharmacological approach is limited by side effects, interactions, or inefficacy. More research is needed to define how exercise affects the physiology of sleep, and consequently how to use exercise in patients with sleep disorders.
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