Role of CaMKII and sarcolipin in muscle adaptations to strength training with different levels of fatigue in the set

Unveiling the role of CaMKII in retinal degeneration: from biological mechanism to therapeutic strategies

Ca2+/calmodulin-dependent protein kinase II (CaMKII) is a family of broad substrate specificity serine (Ser)/threonine (Thr) protein kinases that play a crucial role in the Ca2+-dependent signaling pathways. Its significance as an intracellular Ca2+ sensor has garnered abundant research interest in the domain of neurodegeneration. Accumulating evidences suggest that CaMKII is implicated in the pathology of degenerative retinopathies such as diabetic retinopathy (DR), age-related macular degeneration (AMD), retinitis pigmentosa (RP) and glaucoma optic neuropathy. CaMKII can induce the aberrant proliferation of retinal blood vessels, influence the synaptic signaling, and exert dual effects on the survival of retinal ganglion cells and pigment epithelial cells. Researchers have put forth multiple therapeutic agents, encompassing small molecules, peptides, and nucleotides that possess the capability to modulate CaMKII activity. Due to its broad range isoforms and splice variants therapeutic strategies seek to inhibit specifically the CaMKII are confronted with considerable challenges. Therefore, it becomes crucial to discern the detrimental and advantageous aspects of CaMKII, thereby facilitating the development of efficacious treatment. In this review, we summarize recent research findings on the cellular and molecular biology of CaMKII, with special emphasis on its metabolic and regulatory mechanisms. We delve into the involvement of CaMKII in the retinal signal transduction pathways and discuss the correlation between CaMKII and calcium overload. Furthermore, we elaborate the therapeutic trials targeting CaMKII, and introduce recent developments in the zone of CaMKII inhibitors. These findings would enrich our knowledge of CaMKII, and shed light on the development of a therapeutic target for degenerative retinopathy.

Advancing cancer cachexia diagnosis with -omics technology and exercise as molecular medicine

Muscle atrophy exacerbates disease outcomes and increases mortality, whereas the preservation of skeletal muscle mass and function play pivotal roles in ensuring long-term health and overall quality-of-life. Muscle atrophy represents a significant clinical challenge, involving the continued loss of muscle mass and strength, which frequently accompany the development of numerous types of cancer. Cancer cachexia is a highly prevalent multifactorial syndrome, and although cachexia is one of the main causes of cancer-related deaths, there are still no approved management strategies for the disease. The etiology of this condition is based on the upregulation of systemic inflammation factors and catabolic stimuli, resulting in the inhibition of protein synthesis and enhancement of protein degradation. Numerous necessary cellular processes are disrupted by cachectic pathology, which mediate intracellular signalling pathways resulting in the net loss of muscle and organelles. However, the exact underpinning molecular mechanisms of how these changes are orchestrated are incompletely understood. Much work is still required, but structured exercise has the capacity to counteract numerous detrimental effects linked to cancer cachexia. Primarily through the stimulation of muscle protein synthesis, enhancement of mitochondrial function, and the release of myokines. As a result, muscle mass and strength increase, leading to improved mobility, and quality-of-life. This review summarises existing knowledge of the complex molecular networks that regulate cancer cachexia and exercise, highlighting the molecular interplay between the two for potential therapeutic intervention. Finally, the utility of mass spectrometry-based proteomics is considered as a way of establishing early diagnostic biomarkers of cachectic patients.

A Mango Leaf Extract (Zynamite®) Combined with Quercetin Has Exercise-Mimetic Properties in Human Skeletal Muscle

Zynamite PX^®, a mango leaf extract combined with quercetin, enhances exercise performance by unknown molecular mechanisms. Twenty-five volunteers were assigned to a control (17 males) or supplementation group (8 males, receiving 140 mg of Zynamite^® + 140 mg quercetin/8 h for 2 days). Then, they performed incremental exercise to exhaustion (IE) followed by occlusion of the circulation in one leg for 60 s. Afterwards, the cuff was released, and a 30 s sprint was performed, followed by 90 s circulatory occlusion (same leg). Vastus lateralis muscle biopsies were obtained at baseline, 20 s after IE (occluded leg) and 10 s after Wingate (occluded leg), and bilaterally at 90 s and 30 min post exercise. Compared to the controls, the Zynamite PX^® group showed increased basal protein expression of Thr²⁸⁷-CaMKIIδ_D (2-fold, p = 0.007) and Ser⁹-GSK3β (1.3-fold, p = 0.005) and a non-significant increase of total NRF2 (1.7-fold, p = 0.099) and Ser⁴⁰-NRF2 (1.2-fold, p = 0.061). In the controls, there was upregulation with exercise and recovery of total NRF2, catalase, glutathione reductase, and Thr²⁸⁷-CaMKIIδ_D (1.2-2.9-fold, all p < 0.05), which was not observed in the Zynamite PX^® group. In conclusion, Zynamite PX^® elicits muscle signaling changes in resting skeletal muscle resembling those described for exercise training and partly abrogates the stress kinases responses to exercise as observed in trained muscles.

Changes in Muscle Deoxygenation During Squat Exercise After 6-Week Resistance Training With Different Percentages of Velocity Loss

ABSTRACT

Costilla, M, Casals, C, Marín-Galindo, A, Sánchez-Sixto, A, Muñoz-López, A, Sañudo, B, Corral-Pérez, J, and Ponce-González, JG. Changes in muscle deoxygenation during squat exercise after 6-week resistance training with different percentages of velocity loss. J Strength Cond Res XX(X): 000-000, 2022-The present study compared, for the first time, the effects of 6 weeks of 20% (20VL) vs. 40% (40VL) velocity loss (VL) resistance training (RT) programs on muscle oxygen dynamics during the squat exercise. Twenty-three young men (21.4 ± 2.4 years) were randomly allocated into the 20VL group (n = 8), 40VL group (n = 7), or control group (CG; n = 8). The RT program consisted of 3 sets of Smith machine back squat exercise at 20VL or 40VL with a 3-minute rest between sets, twice per week for 6 weeks. Tissue oxygenation index (TOI) was measured using near-infrared spectroscopy in the vastus medialis and vastus lateralis during a squat test (8-repetition 1 m·s-1 load test), and the maximum (maxTOI) and minimum (minTOI) TOIs were measured during a 3-min recovery period. After the 6-week RT program, TOI increased significantly at the beginning of the test in both muscles (during the first 4 repetitions in the vastus lateralis and 5 repetitions in the vastus medialis) in the 20VL group (p < 0.05), with nonsignificant changes in the 40VL group and CG. The maxTOI was significantly increased in the vastus medialis (+3.76%) and vastus lateralis (+3.97%) after the training only in the 20VL group (p < 0.05). The minTOI in the vastus medialis reached during the test remained unchanged postintervention for both training groups, with the CG showing significantly higher values compared with the 20VL group (+14.1%; p < 0.05). In conclusion, depending on the VL reached during a squat RT program, different changes in muscle oxygen dynamics can be expected. Training at 20% of VL improves metabolic efficiency and the reoxygenation peak after the set.

The Acute and Chronic Effects of Implementing Velocity Loss Thresholds During Resistance Training: A Systematic Review, Meta-Analysis, and Critical Evaluation of the Literature

BACKGROUND

Velocity loss (VL) experienced in a set during resistance training is often monitored to control training volume and quantify acute fatigue responses. Accordingly, various VL thresholds are used to prescribe resistance training and target different training adaptations. However, there are inconsistencies in the current body of evidence regarding the magnitude of the acute and chronic responses to the amount of VL experienced during resistance training.

OBJECTIVE

The aim of this systematic review was to (1) evaluate the acute training volume, neuromuscular, metabolic, and perceptual responses to the amount of VL experienced during resistance training; (2) synthesize the available evidence on the chronic effects of different VL thresholds on training adaptations; and (3) provide an overview of the factors that might differentially influence the magnitude of specific acute and chronic responses to VL during resistance training.

METHODS

This review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Five databases were searched, and studies were included if they were written in English, prescribed resistance training using VL, and evaluated at least one (1) acute training volume, neuromuscular, metabolic, or perceptual response or (2) training adaptation. Risk of bias was assessed using a modified Cochrane Collaboration's tool for assessing the risk of bias in randomized trials. Multilevel and multivariate meta-regressions were performed where possible.

RESULTS

Eighteen acute and 19 longitudinal studies met the inclusion criteria, of which only one had more than one risk of bias item assessed as high risk. Based on the included acute studies, it seems that the number of repetitions per set, blood lactate concentration, and rating of perceived exertion generally increase, while countermovement jump height, running sprint times, and velocity against fixed loads generally decrease as VL increases. However, the magnitude of these effects seems to be influenced, among other factors, by the exercise and load used. Regarding training adaptations, VL experienced during resistance training did not influence muscle strength and endurance gains. Increases in VL were associated with increases in hypertrophy (b = 0.006; 95% confidence interval [CI] 0.001, 0.012), but negatively affected countermovement jump (b = - 0.040; 95% CI - 0.079, - 0.001), sprint (b = 0.001; 95% CI 0.001, 0.002), and velocity against submaximal load performance (b = - 0.018; 95% CI - 0.029, - 0.006).

CONCLUSIONS

A graded relationship exists between VL experienced during a set and acute training volume, neuromuscular, metabolic, and perceptual responses to resistance training. However, choice of exercise, load, and individual trainee characteristics (e.g., training history) seem to modulate these relationships. The choice of VL threshold does not seem to affect strength and muscle endurance gains whereas higher VL thresholds are superior for enhancing hypertrophy, and lower VL thresholds are superior for jumping, sprinting, and velocity against submaximal loads performance.

CLINICAL TRIAL REGISTRATION

The original protocol was prospectively registered ( https://osf.io/q4acs/ ) with the Open Science Framework.

Effects of Low- Versus High-Velocity-Loss Thresholds With Similar Training Volume on Maximal Strength and Hypertrophy in Highly Trained Individuals

AIMS

In the present intervention study, low-velocity-loss (LVL) versus high-velocity-loss (HVL) thresholds in the squat and bench press were compared for changes in muscle strength, power, and hypertrophy.

METHODS

Strength-trained volunteers (7♀ and 9♂; age: 27.2 [3.4] y; height: 174.6 [8.0] cm; body mass: 75.3 [10.1] kg) were randomized into an LVL or HVL threshold group (LVL n = 3♀ + 5♂, and HVL n = 4♀ + 4♂). Training took place 3 times per week over 6 weeks (loads: ∼75%-90% of 1-repetition maximum [1RM]). The thresholds of LVLs and HVLs were set at 20% and 40% of maximal velocity, respectively, for the squat, and at 30% and 60%, respectively, for the bench press. Before and after the intervention, 1RM, leg press power, and squat jump were tested. The load (∼45% of 1RM) corresponding to 1-m/s velocity was assessed in all sessions for both exercises. In addition, the thickness of the vastus lateralis and triceps brachii and body composition (dual-energy X-ray absorptiometry [DEXA]) were measured.

RESULTS

Squat and bench-press 1RM increased similarly in both groups by 7% to 11% (SD: 4%-6%, P < .05). No group differences were observed for changes in jump height, leg press power, or DEXA lean mass. However, HVL showed a small increase in muscle thickness of the vastus lateralis compared with LVL (6 ± 6% [95% CI] group difference, P < .05).

CONCLUSION

For strength-trained individuals, high-volume lower-velocity-loss thresholds were as effective as higher thresholds for improvements in 1RM strength; but local hypertrophy was seemingly elicited faster with higher velocity-loss thresholds.

Toward a New Paradigm in Resistance Training by Means of Velocity Monitoring: A Critical and Challenging Narrative

For more than a century, many concepts and several theories and principles pertaining to the goals, organization, methodology and evaluation of the effects of resistance training (RT) have been developed and discussed between coaches and scientists. This cumulative body of knowledge and practices has contributed substantially to the evolution of RT methodology. However, a detailed and rigorous examination of the existing literature reveals many inconsistencies that, unless resolved, could seriously hinder further progress in our field. The purpose of this review is to constructively expose, analyze and discuss a set of anomalies present in the current RT methodology, including: (a) the often inappropriate and misleading terminology used, (b) the need to clarify the aims of RT, (c) the very concept of maximal strength, (d) the control and monitoring of the resistance exercise dose, (e) the existing programming models and (f) the evaluation of training effects. A thorough and unbiased examination of these deficiencies could well lead to the adoption of a revised paradigm for RT. This new paradigm must guarantee a precise knowledge of the loads being applied, the effort they involve and their effects. To the best of our knowledge, currently this can only be achieved by monitoring repetition velocity during training. The main contribution of a velocity-based RT approach is that it provides the necessary information to know the actual training loads that induce a specific effect in each athlete. The correct adoption of this revised paradigm will provide coaches and strength and conditioning professionals with accurate and objective information concerning the applied load (relative load, level of effort and training effect). This knowledge is essential to make rational and informed decisions and to improve the training methodology itself.

Fast regulation of the NF-κB signalling pathway in human skeletal muscle revealed by high-intensity exercise and ischaemia at exhaustion: Role of oxygenation and metabolite accumulation

The NF-κB signalling pathway plays a critical role in inflammation, immunity, cell proliferation, apoptosis, and muscle metabolism. NF-κB is activated by extracellular signals and intracellular changes in Ca2+, Pi, H+, metabolites and reactive oxygen and nitrogen species (RONS). However, it remains unknown how NF-κB signalling is activated during exercise and how metabolite accumulation and PO2 influence this process. Eleven active men performed incremental exercise to exhaustion (IE) in normoxia and hypoxia (PIO2:73 mmHg). Immediately after IE, the circulation of one leg was instantaneously occluded (300 mmHg). Muscle biopsies from m. vastus lateralis were taken before (Pre), and 10s (Post, occluded leg) and 60s after exercise from the occluded (Oc1m) and free circulation (FC1m) legs simultaneously together with femoral vein blood samples. NF-κB signalling was activated by exercise to exhaustion, with similar responses in normoxia and acute hypoxia, as reflected by the increase of p105, p50, IKKα, IκBβ and glutathione reductase (GR) protein levels, and the activation of the main kinases implicated, particularly IKKα and CaMKII δD, while IKKβ remained unchanged. Postexercise ischaemia maintained and stimulated further NF-κB signalling by impeding muscle reoxygenation. These changes were quickly reverted at the end of exercise when the muscles recovered with open circulation. Finally, we have shown that Thioredoxin 1 (Trx1) protein expression was reduced immediately after IE and after 1 min of occlusion while the protein expression levels of glutathione peroxidase 1 (Gpx1) and thioredoxin reductase 1 (TrxR1) remained unchanged. These novel data demonstrate that exercising to exhaustion activates NF-κB signalling in human skeletal muscle and regulates the expression levels of antioxidant enzymes in human skeletal muscle. The fast regulation of NF-κB at exercise cessation has implications for the interpretation of published studies and the design of new experiments.

The effectiveness of traditional vs. velocity-based strength training on explosive and maximal strength performance: A network meta-analysis

This network meta-analysis aimed at evaluating the effectiveness of different velocity-based (VBT) and traditional 1RM-based resistance training (TRT) interventions on strength and power indices in healthy participants. The research was conducted until December 2021 using the online electronic databases PubMed, Web of Science, PsycNet, and SPORTDiscus for studies with the following inclusion criteria: 1) controlled VBT trials, 2) strength and/or jump and/or sprint parameters as outcomes (c), participants aged between 18 and 40 years, and 4) peer-reviewed and published in English. Standardized mean differences (SMD) using a random effects models were calculated. Fourteen studies with 311 healthy participants were selected and 3 networks (strength, jump, and sprint) were achieved. VBT, TRT, repetitions in reserve (RIR), low velocity loss (lowVL), and high velocity loss (highVL) were ranked for each network. Based on P-score rankings, lowVL (P-score ≥ 0.59; SMD ≥ 0.33) and highVL (P-score ≥ 0.50; SMD ≥ 0.12) revealed favorable effects on strength, jump, and sprint performance compared to VBT (P-score ≤ 0.47; SMD ≤0.01), TRT (P-score ≤0.46; SMD ≤ 0.00), and RIR (P-score ≤ 0.46; SMD ≤ 0.12). In conclusion, lowVL and highVL showed notable effects on strength, jump, and sprint performance. In particular for jump performance, lowVL induced favorable improvements compared to all other resistance training approaches.

Specific Adaptations to 0%, 15%, 25%, and 50% Velocity-Loss Thresholds During Bench Press Training

PURPOSE

To compare the effect of 4 velocity-loss (VL) thresholds-0% (VL0), 15% (VL15), 25% (VL25), and 50% (VL50)-on strength gains, neuromuscular adaptations, and muscle hypertrophy during the bench press (BP) exercise using intensities ranging from 55% to 70% of 1-repetition maximum (1RM).

METHODS

Fifty resistance-trained men were randomly assigned to 4 groups that followed an 8-week (16 sessions) BP training program at 55% to 70% 1RM but differed in the VL allowed in each set (VL0, VL15, VL25, and VL50). Assessments performed before (pre) and after (post) the training program included (1) cross-sectional area of pectoralis major muscle, (2) maximal isometric test, (3) progressive loading test, and (4) fatigue test in the BP exercise.

RESULTS

A significant group × time interaction was found for 1RM (P = .01), where all groups except VL0 showed significant gains in 1RM strength (P < .001). The VL25 group attained the greatest gains in 1RM strength and most load-velocity relationship parameters analyzed. A significant group × time interaction was observed for EMG root mean square in pectoralis major (P = .03) where only the VL25 group showed significant increases (P = .02). VL50 showed decreased EMG root mean square in triceps brachii (P = .006). Only the VL50 group showed significant increases in cross-sectional area (P < .001).

CONCLUSIONS

These findings indicate that a VL threshold of about 25% with intensities from 55% to 70% 1RM in BP provides an optimal training stimulus to maximize dynamic strength performance and neuromuscular adaptations, while higher VL thresholds promote higher muscle hypertrophy.

Effects of Velocity Loss Threshold during Resistance Training on Strength and Athletic Adaptations: A Systematic Review with Meta-Analysis

This study aimed to systematically review the effects of the different velocity loss (VL) thresholds during resistance training (RT) on strength and athletic adaptations. The VL was analyzed as both a categorical and continuous variable. For the categorical analysis, individual VL thresholds were divided into Low-ModVL (≤ 25% VL) or Mod-HighVL (> 25% VL). The efficacy of these VL thresholds was examined using between-group (Low-ModVL vs. Mod-HighVL) and within-group (pre–post effects in each group) analyses. For the continuous analysis, the relationship (R2) between each individual VL threshold and its respective effect size (ES) in each outcome was examined. Ten studies (308 resistance-trained young men) were finally included. The Low-ModVL group trained using a significantly (p ≤ 0.001) lower VL (16.1 ± 6.2 vs. 39.8 ± 9.0%) and volume (212.0 ± 102.3 vs. 384.0 ± 95.0 repetitions) compared with Mod-HighVL. Between-group analyses yielded higher efficacy of Low-ModVL over Mod-HighVL to increase performance against low (ES = 0.31, p = 0.01) and moderate/high loads (ES = 0.21, p = 0.07). Within-group analyses revealed superior effects after training using Low-ModVL thresholds in all strength (Low-ModVL, ES = 0.79–2.39 vs. Mod-HighVL, ES = 0.59–1.91) and athletic (Low-ModVL, ES = 0.35–0.59 vs. Mod-HighVL, ES = 0.05–0.36) parameters. Relationship analyses showed that the adaptations produced decreased as the VL threshold increased, especially for the low loads (R2 = 0.73, p = 0.01), local endurance (R2 = 0.93, p = 0.04), and sprint ability (R2 = 0.61, p = 0.06). These findings prove that low–moderate levels of intra-set fatigue (≤25% VL) are more effective and efficient stimuli than moderate–high levels (> 25% VL) to promote strength and athletic adaptations.

Methods for Controlling and Reporting Resistance Training Proximity to Failure: Current Issues and Future Directions

Resistance training variables such as volume, load, and frequency are well defined. However, the variable proximity to failure does not have a consistent quantification method, despite being defined as the number of repetitions in reserve (RIR) upon completion of a resistance training set. Further, there is between-study variability in the definition of failure itself. Studies have defined failure as momentary (inability to complete the concentric phase despite maximal effort), volitional (self-termination), or have provided no working definition. Methods to quantify proximity to failure include percentage-based prescription, repetition maximum zone training, velocity loss, and self-reported RIR; each with positives and negatives. Specifically, applying percentage-based prescriptions across a group may lead to a wide range of per-set RIR owing to interindividual differences in repetitions performed at specific percentages of 1 repetition maximum. Velocity loss is an objective method; however, the relationship between velocity loss and RIR varies set-to-set, across loading ranges, and between exercises. Self-reported RIR is inherently individualized; however, its subjectivity can lead to inaccuracy. Further, many studies, regardless of quantification method, do not report RIR. Consequently, it is difficult to make specific recommendations for per-set proximity to failure to maximize hypertrophy and strength. Therefore, this review aims to discuss the strengths and weaknesses of the current proximity to failure quantification methods. Further, we propose future directions for researchers and practitioners to quantify proximity to failure, including implementation of absolute velocity stops using individual average concentric velocity/RIR relationships. Finally, we provide guidance for reporting self-reported RIR regardless of the quantification method.

The Effect of Load and Volume Autoregulation on Muscular Strength and Hypertrophy: A Systematic Review and Meta-Analysis

Background

Autoregulation has emerged as a potentially beneficial resistance training paradigm to individualize and optimize programming; however, compared to standardized prescription, the effects of autoregulated load and volume prescription on muscular strength and hypertrophy adaptations are unclear. Our objective was to compare the effect of autoregulated load prescription (repetitions in reserve-based rating of perceived exertion and velocity-based training) to standardized load prescription (percentage-based training) on chronic one-repetition maximum (1RM) strength and cross-sectional area (CSA) hypertrophy adaptations in resistance-trained individuals. We also aimed to investigate the effect of volume autoregulation with velocity loss thresholds ≤ 25% compared to > 25% on 1RM strength and CSA hypertrophy.

Methods

This review was performed in accordance with the PRISMA guidelines. A systematic search of MEDLINE, Embase, Scopus, and SPORTDiscus was conducted. Mean differences (MD), 95% confidence intervals (CI), and standardized mean differences (SMD) were calculated. Sub-analyses were performed as applicable.

Results

Fifteen studies were included in the meta-analysis: six studies on load autoregulation and nine studies on volume autoregulation. No significant differences between autoregulated and standardized load prescription were demonstrated for 1RM strength (MD = 2.07, 95% CI – 0.32 to 4.46 kg, p = 0.09, SMD = 0.21). Velocity loss thresholds ≤ 25% demonstrated significantly greater 1RM strength (MD = 2.32, 95% CI 0.33 to 4.31 kg, p = 0.02, SMD = 0.23) and significantly lower CSA hypertrophy (MD = 0.61, 95% CI 0.05 to 1.16 cm², p = 0.03, SMD = 0.28) than velocity loss thresholds > 25%. No significant differences between velocity loss thresholds > 25% and 20–25% were demonstrated for hypertrophy (MD = 0.36, 95% CI – 0.29 to 1.00 cm², p = 0.28, SMD = 0.13); however, velocity loss thresholds > 25% demonstrated significantly greater hypertrophy compared to thresholds ≤ 20% (MD = 0.64, 95% CI 0.07 to 1.20 cm², p = 0.03, SMD = 0.34).

Conclusions

Collectively, autoregulated and standardized load prescription produced similar improvements in strength. When sets and relative intensity were equated, velocity loss thresholds ≤ 25% were superior for promoting strength possibly by minimizing acute neuromuscular fatigue while maximizing chronic neuromuscular adaptations, whereas velocity loss thresholds > 20–25% were superior for promoting hypertrophy by accumulating greater relative volume.

Protocol Registration The original protocol was prospectively registered (CRD42021240506) with the PROSPERO (International Prospective Register of Systematic Reviews).

Supplementary Information

The online version contains supplementary material available at 10.1186/s40798-021-00404-9.

Effects of velocity based training vs. traditional 1RM percentage-based training on improving strength, jump, linear sprint and change of direction speed performance: A Systematic review with meta-analysis

Background

There has been a surge of interest on velocity-based training (VBT) in recent years. However, it remains unclear whether VBT is more effective in improving strength, jump, linear sprint and change of direction speed (CODs) than the traditional 1RM percentage-based training (PBT).

Objectives

To compare the training effects in VBT vs. PBT upon strength, jump, linear sprint and CODs performance.

Data sources

Web of science, PubMed and China National Knowledge Infrastructure (CNKI).

Study eligibility criteria

The qualified studies for inclusion in the meta-analysis must have included a resistance training intervention that compared the effects of VBT and PBT on at least one measure of strength, jump, linear sprint and CODs with participants aged ≥16 yrs. and be written in English or Chinese.

Methods

The modified Pedro Scale was used to assess the risk of bias. Random-effects model was used to calculate the effects via the mean change and pre-SD (standard deviation). Mean difference (MD) or Standardized mean difference (SMD) was presented correspondently with 95% confidence interval (CI).

Results

Six studies met the inclusion criteria including a total of 124 participants aged 16 to 30 yrs. The differences of training effects between VBT and PBT were not significant in back squat 1RM (MD = 3.03kg; 95%CI: -3.55, 9.61; I² = 0%) and load velocity 60%1RM (MD = 0.02m/s; 95%CI: -0.01,0.06; I² = 0%), jump (SMD = 0.27; 95%CI: -0.15,0.7; I² = 0%), linear sprint (MD = 0.01s; 95%CI: -0.06, 0.07; I² = 0%), and CODs (SMD = 0.49; 95%CI: -0.14, 1.07; I² = 0%).

Conclusion

Both VBT and PBT can enhance strength, jump, linear sprint and CODs performance effectively without significant group difference.

Angiotensin-Converting Enzyme 2 (SARS-CoV-2 receptor) expression in human skeletal muscle

The study aimed to determine the levels of skeletal muscle angiotensin-converting enzyme 2 (ACE2, the SARS-CoV-2 receptor) protein expression in men and women and assess whether ACE2 expression in skeletal muscle is associated with cardiorespiratory fitness and adiposity. The level of ACE2 in vastus lateralis muscle biopsies collected in previous studies from 170 men (age: 19-65 years, weight: 56-137 kg, BMI: 23-44) and 69 women (age: 18-55 years, weight: 41-126 kg, BMI: 22-39) was analyzed in duplicate by western blot. VO₂ max was determined by ergospirometry and body composition by DXA. ACE2 protein expression was 1.8-fold higher in women than men (p = 0.001, n = 239). This sex difference disappeared after accounting for the percentage of body fat (fat %), VO₂ max per kg of legs lean mass (VO₂ max-LLM) and age (p = 0.47). Multiple regression analysis showed that the fat % (β = 0.47) is the main predictor of the variability in ACE2 protein expression in skeletal muscle, explaining 5.2% of the variance. VO₂ max-LLM had also predictive value (β = 0.09). There was a significant fat % by VO₂ max-LLM interaction, such that for subjects with low fat %, VO₂ max-LLM was positively associated with ACE2 expression while as fat % increased the slope of the positive association between VO₂ max-LLM and ACE2 was reduced. In conclusion, women express higher amounts of ACE2 in their skeletal muscles than men. This sexual dimorphism is mainly explained by sex differences in fat % and cardiorespiratory fitness. The percentage of body fat is the main predictor of the variability in ACE2 protein expression in human skeletal muscle.

The Effects of Set Structure Manipulation on Chronic Adaptations to Resistance Training: A Systematic Review and Meta-Analysis

BACKGROUND

The acute effects of resistance training (RT) set structure alteration are well established; however, less is known about their effects on chronic training adaptations.

OBJECTIVE

The aim of this systematic review and meta-analysis was to synthesise the available evidence on the effectiveness of traditional (TS), cluster (CS) and rest redistribution (RR) set structures in promoting chronic RT adaptations, and provide an overview of the factors which might differentially influence the magnitude of specific training adaptations between set structure types.

METHODS

This review was performed using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines encompassing the literature search of five databases. Studies in English that compared muscular strength, endurance, and/or hypertrophy adaptations, as well as vertical jump performance, velocity and power at submaximal loads and shifts in the slopes of force-velocity profiles between TS and CS or RR set structures (i.e., alternative set structures) were included. Risk of bias assessment was performed using a modified Cochrane Collaboration's tool for assessing risk of bias in randomised trials. Random-effects meta-analyses and meta-regressions were performed where possible.

RESULTS

17 studies met the inclusion criteria, none had more than one risk of bias item assessed as high risk. Pooled results revealed that none of the set structures were more effective at inducing strength (standardised mean difference (SMD) = - 0.06) or hypertrophy (SMD = - 0.03). TS were more effective at improving muscular endurance compared to alternative set structures (SMD = - 0.38), whereas alternative set structures tended to be more effective for vertical jump performance gains (SMD = 0.13), but this effect was not statistically significant (p = 0.190). Greater velocity and power outputs at submaximal loads (SMD = 0.18) were observed when using alternative set structures compared to TS. In addition, alternative set structures promoted greater shifts of the slope of force-velocity profiles towards more velocity dominant profiles compared to TS (SMD = 0.28). Sub-group analyses controlling for each alternative set structure independently showed mixed results likely caused by the relatively small number of studies available for some outcomes.

CONCLUSION

Modifying TS to an alternative set structure (CS or RR) has a negligible impact on strength and hypertrophy. Using CS and RR can lead to greater vertical jump performance, velocity and power at submaximal loads and shifts to more velocity dominant force-velocity profiles compared to training using TS. However, TS may provide more favourable effects on muscle endurance when compared to CS and RR. These findings demonstrate that altering TS to alternative set structures may influence the magnitude of specific muscular adaptations indicating set structure manipulation is an important consideration for RT program design.

PROTOCOL REGISTRATION

The original protocol was prospectively registered (CRD42019138954) with the PROSPERO (International Prospective Register of Systematic Reviews).