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Giraud D, Pomportes L, Nicol C, Bertin D, Gardarein JL, Hays A. Mechanism involved of post-exercise cold water immersion: Blood redistribution and increase in energy expenditure during rewarming. Temperature (Austin) 2024; 11:137-156. [PMID: 38846524 PMCID: PMC11152100 DOI: 10.1080/23328940.2024.2303332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 01/03/2024] [Indexed: 06/09/2024] Open
Abstract
Thermogenesis is well understood, but the relationships between cold water immersion (CWI), the post-CWI rewarming and the associated physiological changes are not. This study investigated muscle and systemic oxygenation, cardiorespiratory and hemodynamic responses, and gastrointestinal temperature during and after CWI. 21 healthy men completed randomly 2 protocols. Both protocols consisted of a 48 minutes heating cycling exercise followed by 3 recovery periods (R1-R3), but they differed in R2. R1 lasted 20 minutes in a passive semi-seated position on a physiotherapy table at ambient room temperature. Depending on the protocol, R2 lasted 15 minutes at either ambient condition (R2_AMB) or in a CWI condition at 10°C up to the iliac crest (R2_CWI). R3 lasted 40 minutes at AMB while favoring rewarming after R2_CWI. This was followed by 10 minutes of cycling. Compared to R2_AMB, R2_CWI ended at higherV ˙ O2 in the non-immersed body part due to thermogenesis (7.16(2.15) vs. 4.83(1.62) ml.min-1.kg-1) and lower femoral artery blood flow (475(165) vs. 704(257) ml.min-1) (p < 0.001). Only after CWI, R3 showed a progressive decrease in vastus and gastrocnemius medialis O2 saturation, significant after 34 minutes (p < 0.001). As blood flow did not differ from the AMB protocol, this indicated local thermogenesis in the immersed part of the body. After CWI, a lower gastrointestinal temperature on resumption of cycling compared to AMB (36.31(0.45) vs. 37.30(0.49) °C, p < 0.001) indicated incomplete muscle thermogenesis. In conclusion, the rewarming period after CWI was non-linear and metabolically costly. Immersion and rewarming should be considered as a continuum rather than separate events.
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Affiliation(s)
- Dorian Giraud
- Faculty of Medical and Paramedical Sciences, Aix-Marseille University, HIPE Human Lab, Marseille, France
- Polytech Marseille, Aix-Marseille University, CNRS, IUSTI, Marseille, France
| | - Laura Pomportes
- Faculty of Sport Science, Aix-Marseille University, CNRS, ISM, Marseille, France
| | - Caroline Nicol
- Faculty of Sport Science, Aix-Marseille University, CNRS, ISM, Marseille, France
| | - Denis Bertin
- Faculty of Medical and Paramedical Sciences, Aix-Marseille University, HIPE Human Lab, Marseille, France
- Faculty of Sport Science, Aix-Marseille University, CNRS, ISM, Marseille, France
| | | | - Arnaud Hays
- Faculty of Medical and Paramedical Sciences, Aix-Marseille University, HIPE Human Lab, Marseille, France
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Wang X, Lai B, Yan R, Li Y, Ning B, Wang Q. Enhancing physiological recovery and subsequent exercise performance in the heat using a phase-change material cooling blanket. J Therm Biol 2024; 119:103810. [PMID: 38350267 DOI: 10.1016/j.jtherbio.2024.103810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Revised: 12/24/2023] [Accepted: 01/26/2024] [Indexed: 02/15/2024]
Abstract
This study aimed to assess the effect of a phase-change material (PCM) cooling blanket for cooling between exercise bouts on recovery of physiological parameters and subsequent exercise performance in the heat. Eighteen male volunteers were recruited to participate in human trials involving two exhaustive treadmill running bouts (Bout1 for 3 km and Bout2 for 1.5 km) in a climate chamber (temperature = 33 °C; relative humidity = 40%). Participants were randomly subjected to one of two cooling conditions for a 10-min period between exercise bouts: CON: natural cooling; 10-min PCM: with a PCM cooling blanket for 10 min. Several physiological parameters including mean skin temperature (Tskin), oral temperature (Toral), core temperature (Tcore), heart rate (HR), mean arterial pressure (MAP), respiratory rate (RR), peripheral capillary oxygen saturation (SpO2), average running speed and rating of perceived exertion (RPE) scale score were analyzed. The results showed that compared to the CON group, participants in the 10-min PCM group had a significant lower Tskin, Tcore, HR and RR at post-cooling, as well as greater reductions in mean skin temperature (ΔTskin) and core temperature (ΔTcore) from post-Bout1 to post-cooling. Additionally, the 10-min PCM group exhibited significantly lower peak Tcore, peak HR and RPE scale score during Bout2, while the average running speed during Bout2 was significantly higher. The present study suggests that cooling with a PCM cooling blanket can enhance physiological recovery and subsequent exercise performance in the heat.
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Affiliation(s)
- Xin Wang
- Department of Critical Care Medicine, The Fifth Medical Center of Chinese PLA General Hospital, No.8 of East Street, Beijing, 100071, China
| | - Bin Lai
- Department of Emergency Medicine, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China
| | - Rui Yan
- Department of Thoracic Surgery, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China
| | - Yan Li
- Department of Critical Care Medicine, The Fifth Medical Center of Chinese PLA General Hospital, No.8 of East Street, Beijing, 100071, China
| | - Bo Ning
- Department of Intensive Care Unit, Air Force Medical Center of China, No.30 of Fucheng Road, Beijing, 100142, China.
| | - Qian Wang
- Department of Emergency Medicine, The Third Medical Center of Chinese PLA General Hospital, No.69 of Yongding Road, Beijing, 100039, China.
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Choo HC, Lee M, Yeo V, Poon W, Ihsan M. The effect of cold water immersion on the recovery of physical performance revisited: A systematic review with meta-analysis. J Sports Sci 2023; 40:2608-2638. [PMID: 36862831 DOI: 10.1080/02640414.2023.2178872] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Abstract
This review evaluated the effect of CWI on the temporal recovery profile of physical performance, accounting for environmental conditions and prior exercise modality. Sixty-eight studies met the inclusion criteria. Standardised mean differences were calculated for parameters assessed at <1, 1-6, 24, 48, 72 and ≥96 h post-immersion. CWI improved short-term recovery of endurance performance (p = 0.01, 1 h), but impaired sprint (p = 0.03, 1 h) and jump performance (p = 0.04, 6h). CWI improved longer-term recovery of jump performance (p < 0.01-0.02, 24 h and 96 h) and strength (p < 0.01, 24 h), which coincided with decreased creatine kinase (p < 0.01-0.04, 24-72 h), improved muscle soreness (p < 0.01-0.02, 1-72 h) and perceived recovery (p < 0.01, 72 h). CWI improved the recovery of endurance performance following exercise in warm (p < 0.01) and but not in temperate conditions (p = 0.06). CWI improved strength recovery following endurance exercise performed at cool-to-temperate conditions (p = 0.04) and enhanced recovery of sprint performance following resistance exercise (p = 0.04). CWI seems to benefit the acute recovery of endurance performance, and longer-term recovery of muscle strength and power, coinciding with changes in muscle damage markers. This, however, depends on the nature of the preceding exercise.
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Affiliation(s)
- Hui Cheng Choo
- Sport Physiology Department, Sport Science and Medicine Centre, Singapore Sport Institute, Singapore
| | - Marcus Lee
- Sports Science, National Youth Sports Institute, Singapore
| | - Vincent Yeo
- Sport Physiology Department, Sport Science and Medicine Centre, Singapore Sport Institute, Singapore
| | - Wayne Poon
- School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
| | - Mohammed Ihsan
- Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Chaillou T, Treigyte V, Mosely S, Brazaitis M, Venckunas T, Cheng AJ. Functional Impact of Post-exercise Cooling and Heating on Recovery and Training Adaptations: Application to Resistance, Endurance, and Sprint Exercise. SPORTS MEDICINE - OPEN 2022; 8:37. [PMID: 35254558 PMCID: PMC8901468 DOI: 10.1186/s40798-022-00428-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Accepted: 02/16/2022] [Indexed: 12/25/2022]
Abstract
The application of post-exercise cooling (e.g., cold water immersion) and post-exercise heating has become a popular intervention which is assumed to increase functional recovery and may improve chronic training adaptations. However, the effectiveness of such post-exercise temperature manipulations remains uncertain. The aim of this comprehensive review was to analyze the effects of post-exercise cooling and post-exercise heating on neuromuscular function (maximal strength and power), fatigue resistance, exercise performance, and training adaptations. We focused on three exercise types (resistance, endurance and sprint exercises) and included studies investigating (1) the early recovery phase, (2) the late recovery phase, and (3) repeated application of the treatment. We identified that the primary benefit of cooling was in the early recovery phase (< 1 h post-exercise) in improving fatigue resistance in hot ambient conditions following endurance exercise and possibly enhancing the recovery of maximal strength following resistance exercise. The primary negative impact of cooling was with chronic exposure which impaired strength adaptations and decreased fatigue resistance following resistance training intervention (12 weeks and 4–12 weeks, respectively). In the early recovery phase, cooling could also impair sprint performance following sprint exercise and could possibly reduce neuromuscular function immediately after endurance exercise. Generally, no benefits of acute cooling were observed during the 24–72-h recovery period following resistance and endurance exercises, while it could have some benefits on the recovery of neuromuscular function during the 24–48-h recovery period following sprint exercise. Most studies indicated that chronic cooling does not affect endurance training adaptations following 4–6 week training intervention. We identified limited data employing heating as a recovery intervention, but some indications suggest promise in its application to endurance and sprint exercise.
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Ottone VDO, De Paula F, Brozinga PFA, de Matos MA, Duarte TC, Costa KB, Garcia BCC, Silva TJ, Magalhães FDC, Coimbra CC, Esteves EA, Pinto KMDC, Amorim FT, Rocha-Vieira E. Modulation of Leukocyte Subsets Mobilization in Response to Exercise by Water Immersion Recovery. Front Physiol 2022; 13:867362. [PMID: 36051913 PMCID: PMC9425101 DOI: 10.3389/fphys.2022.867362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 06/24/2022] [Indexed: 01/11/2023] Open
Abstract
Purpose: To investigate the effect of different water immersion temperatures on the kinetics of blood markers of skeletal muscle damage and the main leukocyte subpopulations. Methods: Eleven recreationally trained young men participated in four experimental sessions consisting of unilateral eccentric knee flexion and 90 min of treadmill running at 70% of peak oxygen uptake, followed by 15 min of water immersion recovery at 15, 28 or 38°C. In the control condition participants remained seated at room temperature. Four hours after exercise recovery, participants completed a performance test. Blood samples were obtained before and immediately after exercise, after immersion, immediately before and after the performance test and 24 h after exercise. The number of leukocyte populations and the percentage of lymphocyte and monocytes subsets, as well as the serum activity of creatine kinase and aspartate aminotransferase were determined. Results: Leukocytosis and increase in blood markers of skeletal muscle damage were observed after the exercise. Magnitude effect analysis indicated that post-exercise hot-water immersion likely reduced the exercise-induced lymphocytosis and monocytosis. Despite reduced monocyte count, recovery by 38°C immersion, as well as 28°C, likely increased the percentage of non-classical monocytes in the blood. The percentage of CD25+ cells in the CD4 T cell subpopulation was possibly lower after immersion in water at 28 and 15°C. No effect of recovery by water immersion was observed for serum levels of creatine kinase and aspartate aminotransferase. Conclusions: Recovery by hot-water immersion likely attenuated the leukocytosis and increased the mobilization of non-classical monocytes induced by a single session of exercise combining resistance and endurance exercises, despite no effect of water immersion on markers of skeletal muscle damage. The monocyte response mediated by hot water immersion may lead to the improvement of the inflammatory response evoked by exercise in the skeletal muscle.
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Affiliation(s)
- Vinícius de Oliveira Ottone
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil,Faculty of Medicine, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Fabrício De Paula
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Paula Fernandes Aguiar Brozinga
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | | | - Tamiris Campos Duarte
- Graduate Program on Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Karine Beatriz Costa
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Bruna Caroline Chaves Garcia
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Thyago José Silva
- Faculty of Medicine, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Flavio De Castro Magalhães
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil,Departament of Physical Education, Faculty of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Cândido Celso Coimbra
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil,Departament of Physiology and Biophysics, Faculty of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Elizabethe Adriana Esteves
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil,Departament of Nutrition, Faculty of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | | | - Fabiano Trigueiro Amorim
- Exercise Physiology Laboratory, Department of Health, Exercise and Sport Science, University of New Mexico, Albuquerque, NM, United States
| | - Etel Rocha-Vieira
- Exercise Biology and Immunometabolism Laboratory, Centro Integrado de Pós-graduação e Pesquisa em Saúde, Graduate Program in Physiological Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil,Faculty of Medicine, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil,Graduate Program on Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil,*Correspondence: Etel Rocha-Vieira,
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The Effects of Regular Cold-Water Immersion Use on Training-Induced Changes in Strength and Endurance Performance: A Systematic Review with Meta-Analysis. Sports Med 2021; 51:161-174. [PMID: 33146851 DOI: 10.1007/s40279-020-01362-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Cold-water immersion (CWI) is one of the main recovery methods used in sports, and is commonly utilized as a means to expedite the recovery of performance during periods of exercise training. In recent decades, there have been indications that regular CWI use is potentially harmful to resistance training adaptations, and, conversely, potentially beneficial to endurance training adaptations. The current meta-analysis was conducted to assess the effects of the regular CWI use during exercise training on resistance (i.e., strength) and endurance (i.e., aerobic exercise) performance alterations. METHODS A computerized literature search was conducted, ending on November 25, 2019. The databases searched were MEDLINE, Cochrane Central Register of Controlled Trials, and SPORTDiscus. The selected studies investigated the effects of chronic CWI interventions associated with resistance and endurance training sessions on exercise performance improvements. The criteria for inclusion of studies were: (1) being a controlled investigation; (2) conducted with humans; (3) CWI performed at ≤ 15 °C; (4) being associated with a regular training program; and (5) having performed baseline and post-training assessments. RESULTS Eight articles were included before the review process. A harmful effect of CWI associated with resistance training was verified for one-repetition maximum, maximum isometric strength, and strength endurance performance (overall standardized mean difference [SMD] = - 0.60; Confidence interval of 95% [CI95%] = - 0.87, - 0.33; p < 0.0001), as well as for Ballistic efforts performance (overall SMD = - 0.61; CI95% = - 1.11, - 0.11; p = 0.02). On the other hand, selected studies verified no effect of CWI associated with endurance training on time-trial (mean power), maximal aerobic power in graded exercise test performance (overall SMD = - 0.07; CI95% = - 0.54, 0.53; p = 0.71), or time-trial performance (duration) (overall SMD = 0.00; CI95% = - 0.58, 0.58; p = 1.00). CONCLUSIONS The regular use of CWI associated with exercise programs has a deleterious effect on resistance training adaptations but does not appear to affect aerobic exercise performance. TRIAL REGISTRATION PROSPERO CRD42018098898.
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Magalhães FDC, Aguiar PF, Tossige-Gomes R, Magalhães SM, Ottone VDO, Fernandes T, Oliveira EM, Dias-Peixoto MF, Rocha-Vieira E, Amorim FT. High-intensity interval training followed by postexercise cold-water immersion does not alter angiogenic circulating cells, but increases circulating endothelial cells. Appl Physiol Nutr Metab 2019; 45:101-111. [PMID: 31167081 DOI: 10.1139/apnm-2019-0041] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
High-intensity interval training (HIIT) induces vascular adaptations that might be attenuated by postexercise cold-water immersion (CWI). Circulating angiogenic cells (CAC) participate in the vascular adaptations and circulating endothelial cells (CEC) indicate endothelial damage. CAC and CEC are involved in vascular adaptation. Therefore, the aim of the study was to investigate postexercise CWI during HIIT on CAC and CEC and on muscle angiogenesis-related molecules. Seventeen male subjects performed 13 HIIT sessions followed by 15 min of passive recovery (n = 9) or CWI at 10 °C (n = 8). HIIT comprised cycling (8-12 bouts, 90%-110% peak power). The first and the thirteenth sessions were similar (8 bouts at 90% of peak power). Venous blood was drawn before exercise (baseline) and after the recovery strategy (postrecovery) in the first (pretraining) and in the thirteenth (post-training) sessions. For CAC and CEC identification lymphocyte surface markers (CD133, CD34, and VEGFR2) were used. Vastus lateralis muscle biopsies were performed pre- and post-training for protein (p-eNOSser1177) and gene (VEGF and HIF-1) expression analysis related to angiogenesis. CAC was not affected by HIIT or postexercise CWI. Postexercise CWI increased acute and baseline CEC number. Angiogenic protein and genes were not differently modulated by post-CWI. HIIT followed by either recovery strategy did not alter CAC number. Postexercise CWI increased a marker of endothelial damage both acutely and chronically, suggesting that this postexercise recovery strategy might cause endothelial damage. Novelty HIIT followed by CWI did not alter CAC. HIIT followed by CWI increased CEC. Postexercise CWI might cause endothelial damage.
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Affiliation(s)
- Flávio de Castro Magalhães
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil.,Exercise Physiology Laboratory, Department of Health, Exercise and Sports Sciences, University of New Mexico, Albuquerque, NM 87131-0001, USA
| | - Paula Fernandes Aguiar
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil
| | - Rosalina Tossige-Gomes
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil
| | - Sílvia Mourão Magalhães
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil
| | - Vinícius de Oliveira Ottone
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil
| | - Tiago Fernandes
- Laboratory of Biochemistry of the Motor Activity, School of Physical Education and Sport, University of São Paulo, São Paulo 05508-030, Brazil
| | - Edilamar Menezes Oliveira
- Laboratory of Biochemistry of the Motor Activity, School of Physical Education and Sport, University of São Paulo, São Paulo 05508-030, Brazil
| | - Marco Fabrício Dias-Peixoto
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil
| | - Etel Rocha-Vieira
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil
| | - Fabiano Trigueiro Amorim
- Laboratory of Exercise Biology, Integrated Center of Health Research, Programa Multicêntrico de Pós-Graduação em Ciências Fisiológicas, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais 39100-000, Brazil.,Exercise Physiology Laboratory, Department of Health, Exercise and Sports Sciences, University of New Mexico, Albuquerque, NM 87131-0001, USA
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