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OBJECTIVE: Research indicates that among the many elements of resistance exercise protocols, training volume and total training load are the key factors for post-exercise increase in the secretion of testosterone (T), growth hormone (GH), insulin-like growth factor (IGF-1) and cortisol (C). The aim of this study was to determine the effects of resistance exercises with variable volume and constant intensity and movement tempo on post-exercise concentrations of selected ana-bolic and catabolic hormones. MATERIALS AND METHODS: 28 experienced powerlifters (27.8 ± 2.9 years, with 6.64 ± 1.29 years of training experience, average body mass of 85.3 ± 3.3 kg and body height of 165.8 ± 10.3 cm) who compete at the national and international level performed three repetitions of barbell squats with a constant external load of 90% 1RM and variable volume (3, 6 and 12 sets of squats) in three stages (pre-exercise, immediately post exercise, and 1h after exercise) over three consecutive weeks. Venous blood samples (10ml) were collected from the antecubital vein, to determine pre-and post-exercise values of the following variables T, GH, IGF-1, C, at rest, immediately after the cessation of the last set of squats, and after 60 minutes of recovery. RESULTS: The T test showed that performing 6 and 12 sets resulted in increases of post exercise GH (p<0.01). Performing 6 sets of squats resulted in post exercise decrease (p<0.01) in IGF-1 and C. Performing 3 sets of squats resulted in immediate post exercise decrease of IGF-1 (p<0.01), which was not maintained 1h after exercise. There were no other significant differences in analysed variables, with the training volume of three sets of three repetitions, confirming previous data suggesting that low volume is the limiting factor in increased post-exercise secretion. CONCLUSION: This study demonstrated that in terms of endocrine response, the optimal volume of high intensity strength exercise is six sets. Therefore, intentionally high volume (12 sets) or low volume (3 sets) are not an effective stimuli for endocrine responses of trained individuals. The 6 sets of squats seems to drive 343
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Neuroendocrinol Lett 2018; 39(4):342–348
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Endocrine response to high intensity barbell
squats performed with constant movement
tempo and variable training volume
Michal W 1, Miroslav P 2, Michal K 1, Adam Z1, Petr S 2
1 Department of Sports Training, The Jerzy Kukuczka Academy of Physical Education in Katowice,
Poland
2 Charles University in Prague, Faculty of Physical Education and Sport, Department of Sport Games,
Prague, Czech Republic
Correspondence to: Petr Stastny
Charles University, Faculty of Physical Education and Sport, Department of Sports
Games, Jose Martiho 31, 162 52 Prague, Czech Republic
.: +420 777198764; -: stastny@ftvs.cuni.cz
Submitted: 2018-08-24 Accepted: 2018-10-12 Published online: 2018-09-00
Key words: testosterone; cortisol; hypertrophy; resistance training; insulin-like growth
factor; growth hormone; time under tension
Neuroendocrinol Lett 2018; 39(4):342–348 PMID: 30531700 NEL39041814 © 2018 Neuroendocrinology Letters www.nel.edu
Abstract
OBJECTIVE: Research indicates that among the many elements of resistance
exercise protocols, training volume and total training load are the key factors for
post-exercise increase in the secretion of testosterone (T), growth hormone (GH),
insulin-like growth factor (IGF-1) and cortisol (C). The aim of this study was to
determine the effects of resistance exercises with variable volume and constant
intensity and movement tempo on post-exercise concentrations of selected ana-
bolic and catabolic hormones.
MATERIALS AND METHODS: 28 experienced powerlifters (27.8 ± 2.9 years, with
6.64 ± 1.29 years of training experience, average body mass of 85.3 ± 3.3 kg and
body height of 165.8 ± 10.3 cm) who compete at the national and international
level performed three repetitions of barbell squats with a constant external load
of 90% 1RM and variable volume (3, 6 and 12 sets of squats) in three stages (pre-
exercise, immediately post exercise, and 1h after exercise) over three consecutive
weeks. Venous blood samples (10ml) were collected from the antecubital vein, to
determine pre- and post-exercise values of the following variables T, GH, IGF-1,
C, at rest, immediately after the cessation of the last set of squats, and after 60
minutes of recovery.
RESULTS: The T test showed that performing 6 and 12 sets resulted in increases
of post exercise GH (p<0.01). Performing 6 sets of squats resulted in post exercise
decrease (p<0.01) in IGF-1 and C. Performing 3 sets of squats resulted in immedi-
ate post exercise decrease of IGF-1 (p<0.01), which was not maintained 1h after
exercise. There were no other significant differences in analysed variables, with
the training volume of three sets of three repetitions, confirming previous data
suggesting that low volume is the limiting factor in increased post-exercise secre-
tion.
CONCLUS ION: This study demonstrated that in terms of endocrine response, the
optimal volume of high intensity strength exercise is six sets. Therefore, intention-
ally high volume (12 sets) or low volume (3 sets) are not an effective stimuli for
endocrine responses of trained individuals. The 6 sets of squats seems to drive
343
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Wilk et al: Response to barbell squat
hormonal responses of GH, C and IGF-1, which may
play a significant role in stimulating muscle growth and
tissue regeneration.
INTRODUCTION
Resistance exercises, especially those performed with
high intensity, cause significant endocrine changes,
both acute and chronic (Kraemer & Ratamess, 2005;
Uchida et al. 2009; Crewther et al. 2011). The endocrine
system is particularly sensitive to resistance exercise and
changes in anabolic and catabolic hormones have been
associated with the process of post-exercise rebuilding of
damaged muscle cells, and thus the magnitude and rate
of the post-exercise adaptation (Kraemer & Ratamess,
2005; Sedliak et al. 2007; Kadi, 2008). Hormones, par-
ticularly growth hormone (GH) and testosterone, have
a significant effect on the rate of protein synthesis, and
the type of substrates metabolized during and imme-
diately after exercise (Uchida et al. 2009). These hor-
mones also stimulate the activation and proliferation of
satellite cells which facilitate myofibrillar hypertrophy
(Kadi et al. 2005). GH has an anabolic effect on skeletal
muscles, stimulates the synthesis of proteins, facilitates
the transport of amino acids into skeletal muscles, thus
affecting hypertrophy of both Type I and Type II muscle
fibres (Hansen et al. 2001). Research has demonstrated
that blocking the effects of anabolic hormones reduces
the rate of adaptive changes and the effectiveness of
weight training programs (Kvorning et al. 2006). These
hormones play a significant role in mediating increases
in muscle mass and muscle strength (Kadi, 2008).
Some research indicates that among the many vari-
ables of strength training protocols, training volume
and total training load are key factors for post-exercise
increase in the secretion of various hormones (Krae-
mer et al. 1991). Other research results indicate that
duration of the force production and the length of
rest periods between sets are the most significant fac-
tors stimulating plasma and serum cortisol (C). These
hormonal responses are particularly intense in the case
of high-intensity, medium or high volume training
programs (Kraemer et al. 1991) and when the train-
ing protocol targets large muscle groups (Kraemer &
Ratamess, 2005). Research on the effects of strength
training on muscle hypertrophy showed an important
role not only of anabolic hormones like testosterone
(T), but also for growth factors, including the insulin-
like growth factor-1 (IGF-1). Serum IGF-1 elevations
are induced by strength training (Kraemer & Ratamess,
2005), but some studies suggested that this is the case
only when resting concentrations are low (Kraemer et
al. 1991). The divergent findings concerning the effect
of strength training on the process of adaptation and
response of the endocrine system may result from the
fact that most procedures did not specify the movement
speed for an exercise or the whole strength training ses-
sion. Only a few publications have analysed the effects
of movement tempo (cadence) on adaptive processes
in terms of strength, power, muscle hypertrophy or
endocrine responses (Wilk et al. 2018a; Headley et al.
2011; Hatfield et al. 2006; Sakamoto and Sinclair 2006;
Hunter et al. 2003; Keeler et al. 2001; Westcott et al.
2001). Repetition speed is the only variable which has
not been widely explored scientifically with respect to
adaptation and response of the endocrine system. In
most studies, the tempo of performing strength exer-
cises is volitional, according to the natural movement
rhythm. Studies have found that the lower the move-
ment speed the more intensive decline in the generated
muscle force (Hutchins 1993, Westcott et al. 2001, Krae-
mer et al. 2002). Wilk et al. (2018b) showed that the
movement tempo in strength training impacts train-
ing volume, both in terms of repetitions and total time
under tension (TUT). The optimal volume and inten-
sity of training loads in resistance exercises that may
most effectively stimulate the anabolic hormones while
diminishing the secretion of catabolic ones has not been
determined. This may be due to numerous factors such
as movement speed for an exercise, age, sex, training
experience, type of muscular contractions used which
complicate this issue. Additional factors include type
of equipment, diet, supplementation and how these
factors interact with genetic endowment (Wilk et al.
2018c). Exceeding the optimal training volume causes
the anabolic hormone peak to occur during training,
and continuation of exercise results in an excess con-
centration of catabolic hormones (Viru & Viru, 2004;
Uchida et al. 2009; West et al. 2012).
The aim of this study was to determine the effect of
variable volume in squat exercise with constant intensity
and constant tempo on post-exercise concentrations of
selected anabolic and catabolic hormones and growth
factors (GH, T, IGF-1 and C). An additional objective
was to determine the range of training volume, which
elicited the greatest anabolic hormone secretion while
limiting the increase in C.
MATERIALS AND METHODS
Experimental Approach to the Problem
All testing was performed in the Strength and Power
Laboratory at the Jerzy Kukuczka Academy of Physical
Education in Katowice. The experiment was performed
following a randomized cross sectional design, where
each participant performed a familiarization session
with a1-RM test and three different testing protocols
a week apart. During the experimental sessions, sub-
jects performed barbell squats at low volume - 3 sets
(LV3); medium volume - 6 sets (MV6); high volume- 12
sets (HV12). In each set 3 repetitions were done using
90% 1RM and a 2/0/3/0 tempo. Subjects were required
to refrain from resistance training 72 hours prior to
each experimental session, were familiarized with the
exercise protocol and were informed about the benefits
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Wilk et al: Response to barbell squat
and risks of the research before expressing their consent
for participation in the experiment.
Subjects
Participants for this study were 28 experienced power-
lifters who competed at the national and international
level. The age of the subjects was 27.8 ± 2.9 years, with
6.64 ± 1.29 years of training experience, average body
mass of 85.3 ± 3.3 kg and body height of 165.8 ± 10.3
cm. The participants were allowed to withdraw from
the experiment at any moment and were free of inju-
ries. The study protocol was approved by the Bioeth-
ics Committee for Scientific Research, at the Academy
of Physical Education in Katowice, Poland, according
to the ethical standards of the Declaration of Helsinki,
2013. Participants were instructed to maintain their
normal dietary habits over the entire study period and
did not use any dietary supplements or stimulants for
the duration of the study.
Procedures
Familiarization session and one repetition maximum test
The participants arrived at the laboratory at the same
time of day (in the morning between 09:00 and 11:00)
and cycled on an ergometer for 5 minutes at an intensity
that resulted in a heart rate of around 130 bpm, then
performed a general lower body warm-up. Next, the
participants completed 15, 10, 5 and 3 barbell squat rep-
etitions using 20%, 40%, 60%, 80% of their estimated
1RM using a 2/0/2/0 cadence. Knee wraps were allowed
and three spotters were present at all times during the
testing protocol. The participants then executed single
repetitions using a volitional cadence with 5 min of rest
between successful trials. The load for each subsequent
attempt was increased by 5 kg, and the process was
repeated until failure.
Experimental sessions
The participants arrived at the laboratory in the morn-
ing (09:00 to 11:00 am). After completing the same
warm-up as in the familiarization session, they per-
formed 3 sets (LV3), 6 sets (MV6) or 12 sets (HV12) of
the squat with 90% 1RM (Table 1) using 2/0/3/0 met-
ronome guided cadence (Korg MA-30,Korg, Melville,
New York, USA). The time between experimental ses-
sions of training was one week. The participants were
verbally encouraged throughout all testing sessions. All
repetitions were performed without intentionally paus-
ing at the transition between the eccentric and concen-
tric phases.
Blood sampling and analysis
During the experiment, 10 ml venous blood samples
were collected from the antecubital vein to determine
pre- and post-exercise concentrations of T, GH, IGF-1,
and C at rest, immediately after the cessation of the last
set of squats, and after 60 minutes of recovery. Com-
mercially available radioimmunoassay evaluations
Table 1. The testing protocols applied during the experiment
Low volume
(LV3)
Medium volume
(MV6)
High volume
(HV3)
Load (%1RM) 90%1RM 90%1RM 90%1RM
Tempo 2/0/3/0 2/0/3/0 2/0/3/0
Set / repetition 3 / 3 6 / 3 12 / 3
Rest interval
between sets 5 min 5 min 5 min
were performed for the evaluation of T (DSL-4000),
GH (DSL-1900), IGF-1 (DSL-2800), and cortisol (DSL-
2100). The ICC for the biochemical analysis varied
from 0,88 to 0,99 for the 4 conducted test.
Statistical Analyses
Means, standard deviations, confidence levels and
standard errors were calculated for all measured vari-
ables, and all variables were tested for normality by the
quantile-quantile test. To identify significant group
by time interactions, t test for independent trials was
used for each dependent variable. When a significant
interaction occurred post hoc test by Rodger’s method
was performed for detecting differences among groups
(pair wise comparisons). Rodger’s method belongs to
the most powerful post-hoc tests for detecting differ-
ences among groups. This test protects against loss of
statistical power as the degrees of freedom increase. The
statistical significance was set at p ≤ 0.05.
RESULTS
All variables were normally distributed as determined
by the quantile-quantile test results (p > 0.05). Among
28 experienced powerlifters (N = 28), there were sta-
tistically significant differences of GH concentration in
MV6, between the mean post-workout values (1.278 ±
4.89 ηg/ml) and the mean rest value (0.393 ± 0.234 ηg/
ml) t(7) = 5.87, p ≤ .01, as well as between the value
obtained one hour after exercise (0.573 ± 0.347 ηg/ml)
t(7) = 5.01, p ≤ .01. Statistically significant difference
also occurred in GH during HV12, between the mean
post-workout value (1.141 ± 0.432 ηg/ml) and the mean
rest value (0.199 ± 0.171 ηg/ml) t(7) = 6.15, p ≤ .01, as
well as the value obtained one hour after exercise (0.293
± 0.137 ηg/ml) t(7) = 6.07, p ≤ .01. Therefore, we reject
the null hypothesis that there is no difference in con-
centration of growth hormone at rest and post-workout
in MV6 and HV12 training. For LV3 training, GH con-
centrations were not significantly different between
mean values at rest, post-exercise and after one hour of
recovery when LV3 was applied. Significant differences
were found just for GH with MV6, and HV12 (Figure 1).
With regard to testosterone, no significant differ-
ences in concentration were observed as a result of
training volume at any time point. Therefore, we fail to
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Wilk et al: Response to barbell squat
Fig. 1. The average concentration of the growth hormone at various levels of
training volume. **p<0.01.
Fig. 2. The average concentration of the testosterone at various levels of training
volume.
reject the null hypothesis that there is no difference in
concentration of testosterone between training volume
at each time point (Figure 2).
For IGF-1, there were no significant differences in
HV12 between the mean rest concentration and the
post-exercise value. In the moderate volume trial, sig-
nificant differences were found between the mean rest
value (657.29 ± 205.36 ηg/ml) and the value obtained
one hour after exercise (534.77 ± 102.3 ηg/ml) t(7) =
3.10, p ≤ .01. Statistically significant differences also
occurred in LV3s, between post-exercise value (476.43 ±
197.82 ηg/ml) and the mean rest value (573.42 ± 169.76
ηg/ml) t(7) = 3.69, p ≤ .01. Therefore, we reject the null
hypothesis that there is no difference in concentration
of the IGF-1 between values at rest and post-exercise
in LV3s, as well as between rest and after one hour of
recovery in MV6s (Figure 3).
For C, only the MV6 trial yielded significant dif-
ferences between the concentrations at rest (673.76 ±
251.32 ηmol/l) and after one hour of recovery (320.28
± 114.17 ηmol/l) t(7) = 6.89, p ≤ .01, as well as post-
exercise (479.54 ± 218.24 ηmol/l) t(7) = 4.17, p ≤ .01.
Therefore, we reject the null hypothesis that there is
no difference in concentration of the cortisol between
training volume at every time point (Figure 4).
DISCUSSION
The main finding of this study is that the different
training volume (LV3, MV6, HV12) with constant
movement tempo in resistance exercise doesn’t impact
on post-exercise concentrations of T, only MV6 and
HV12 can elicit anabolic GH post-exercise response,
and only HV6 can elicit post-exercise IGF-1 response
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Wilk et al: Response to barbell squat
Fig. 3. The average concentration of the IGF-1 at various levels of training volume.
**p<0.01.
Fig. 4. The average concentration of the cortisol at various levels of training volume.
**p<0.01.
with decreased post-exercise C level. Therefore, the
MV6 resulted in most efficient hormonal post-exercise
response in terms of post exercise recovery.
Despite our use of variable-volume of exercise (LV3,
MV6, HV12) in the present study, no significant differ-
ences in post-exercise plasma testosterone levels were
observed, contrary to previous findings (Crewther et
al. 2008). While Kraemer and Ratamess (2005) sug-
gested that strong increases in serum testosterone
levels occur in participants with a relatively high base-
line levels of this hormone, this was not confirmed by
the results of the present study. The absence of sig-
nificant differences between resting and post-exercise
values may have resulted from high initial resting tes-
tosterone levels in these young participants (mean age
24), extensive training experience (mean of 6 years),
and/or time of day of sampling (9 am). It is possible
that circadian rythym changes masked exercise-related
changes of in testosterone (Sedliak et al. 2007; Cook
and Crewther, 2012). It is also possible that the lack
of significant differences in post-exercise testosterone
levels could have been due to the length of rest periods
between sets (5 minutes), since Kraemer et al. (1991)
suggested that the length of rest periods between sets
determines the effective impact of strength training
on the elevation of testosterone levels and should not
exceed two minutes. Kraemer et al. (1991) also sug-
gested that exercise-induced changes in testosterone
may be influenced by the type of exercise performed.
While an increase in plasma testosterone levels was
observed when powerlifting exercises targeting sev-
eral muscle groups were performed at the same time
(Kraemer et al. 1991), the present study did not find
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Wilk et al: Response to barbell squat
this association with just one exercise being used (back
barbell squat), even at varying exercise volumes.
Strength training which results in a significant
increase in C levels generally involves a higher number
of repetitions than three and significantly shorter
rest intervals between sets than were performed in
the present study (Smilios et al. 2003). Our findings
suggest that a five-minute rest period between sets,
despite a large number of sets performed at 90% of the
1RM load, does not stimulate glycolysis significantly,
and thus does not result in a significant increase in
C levels. Research showed that when the resting con-
centration of C is high, no post-exercise elevation was
found (Beaven et al. 2008), and in some cases a post-
exercise decrease in concentrations of this hormone
was observed, compared to resting levels. This study
demonstrated a significant difference in cortisol con-
centrations only in the MV6 where exercise-induced
C levels were significantly lower than baseline values
prior to exercise.
The present study demonstrated that the volume of
12 sets (HV12) did not result in a greater GH secretion
in comparison to the LV3 and MV6. Thus, we suggest
that the unfavorable increase in C levels associated
with a higher volume indicates that the MV6 could be
more beneficial with respect to post-exercise endo-
crine adaptation. Previous research suggested that
when the optimal volume is exceeded, the GH peak
occurs already during the training session (Schwarz et
al. 1996; West el al., 2012). It is possible that this was
the case during the maximal volume protocol (HV12),
yet no measurements were performed between par-
ticular sets to confirm this hypothesis.
Analyses of changes in IGF-1 concentrations during
our different strength training protocols demonstrated
decreases in the LV3 and MV6 trials, and despite com-
parable training variables, the results we obtained were
contradictory to those reported in earlier research
(Kraemer et al. 1991). Some research results indicate
that when anabolic processes in the body are predomi-
nant, strength training stimulates the exercise-induced
elevation of IGF-1 concentrations, as demonstrated by
previous research Forbes et al. (1989). The results of
the present research, may be indicative of the predomi-
nance of catabolic environment in the subjects (with
exception of decreased C level in MV6), which could
partly explain the absence of exercise-induced increase
in IGF-1 levels. It is known that the metabolic state of
the body and the level of target cell sensitivity to the
released IGF-1 is the essential stimulating mechanism
for changes in IGF-1 concentrations (Ambrosio et al.
1996). In this study, a significant elevation of IGF-1
concentrations was not observed, and even decreased
significantly after the low volume training proto-
col (Figure 3). A significant decrease also occurred
between the concentrations measured prior to exercise
and after one hour of recovery, in the moderate train-
ing volume trial. Resting IGF-1 levels were high in this
study, what confirms a previous hypotheses that the
exercise-induced elevation of IGF-1 levels are more
likely to be observed when baseline concentrations
are low (Kraemer et al. 1991). The high resting con-
centration of IGF-1 may be associated with the effects
of nocturnal GH secretion (Ohlsson et al. 2009). The
measurement of resting IGF-1 concentration was per-
formed at approximately 9 am. Research showed that
the duration of IGF-1 secretion due to the influence
of GH can be approximately 12 hours long (Kraemer
& Ratamess, 2005), which may partly explain the high
resting IGF-1 concentrations.
A negative correlation between the concentrations of
cortisol and testosterone has been reported (Brownlee
et al. 2005). The study by Brownlee et al. (2005) also
show a positive correlation between concentrations of
cortisol and free testosterone. In addition to the effects
of testosterone, the important post-training role of GH
or IGF-1 should be taken into account. Anabolic hor-
mones were identified as having a significant impact on
muscle tissue remodelling (Viru & Viru, 2004). Hansen
et al. (2001) suggested that the adaptation is dependent
on the exercise-induced concentrations of anabolic hor-
mones, therefore optimizing the volume may be crucial
for maximal training effects. Research suggests that
the first hour of recovery is critical for the endocrine
response. After this period, the concentration of hor-
mones and growth factors generally returns to resting
levels (Tremblay et al. 2005; West et al. 2014) which was
confirmed by the present study but not in IGF-1 and
cortisol. The results of global research also indicate that
there are significant differences in individual hormonal
responses to specific types of exercise, (McGuigan et al.
2004; Beaven et al. 2008).
PRACTICAL APPLICATION
This study demonstrated that in terms of anabolic hor-
mone response, the most effective volume is close to
6 sets. It has been established that performing 12 sets
resulted in an increase of cortisol concentrations, while
6 sets led to a significant decrease in exercise-induced
cortisol levels compared to baseline. We believe it is rea-
sonable to suggest the volume of training which should
not be exceeded, since our data did not demonstrate
any favorable changes in hormone response with higher
volume training in experienced powerlifters.
CONCLUSIONS
This research indicates that among the many variables
of strength exercise, training volume and total training
load are the key factors stimulating the secretion of var-
ious hormones, both anabolic and catabolic. The con-
ducted study demonstrated that in terms of endocrine
response, the optimal volume of high intensity strength
exercise is about 6 sets in experienced powerlifters.
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Wilk et al: Response to barbell squat
ACKNOWLEDGEMENTS
This work was supported by the Charles University
UNCE/HUM/032.
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... Resistance exercises, especially those performed at high intensity, cause significant endocrine changes, both acute and chronic in an effective stimulus for the hypothalamic-pituitary-adrenal axis, resulting in a significant increase in circulating cortisol levels (Becker et al., 2020;Wilk et al., 2018a). ...
... The endocrine system is particularly sensitive to resistance exercises and changes in anabolic and catabolic hormones and has been associated with the post-exercise reconstruction process of damaged muscle cells and, therefore, the magnitude and the taxed post-exercise adaptation (Wilk et al., 2018a). ...
... This is consistent with the findings of Klemp et al. (2016), showing that one set and 3 sets resistance training protocol causes a more robust response to cortisol during exercise and recovery compared to a single set protocol. On the other hand, Wilk et al. (2018a) found that acute cortisol can regulate long-term changes in muscle strength and hypertrophy, especially due to HIT volume. ...
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Aguiar RS, Lopes GC, Castro JBP, Principe VA, Mazini Filho ML, Gama DRN, Nunes RAM, Santos JLP, Vale RGS. Effects of high-intense resistance training on salivary cortisol in trained individuals: a systematic review. Retos 2021;41:265-271. This study aimed to evaluate the effects of high-intensity training (HIT) on salivary cortisol levels in physically trained individuals. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. The search for scientific articles was carried out on the Scopus and MEDLINE (via PubMed) databases with the terms resistance training, saliva, cortisol, and their synonyms. We included interventions with high-intense resistance training that analyzed the salivary cortisol levels in physically trained men and women. From the 399 articles found, eight studies met the inclusion criteria. A population of 135 physically trained men and 12 women with an average age of 23.26 ± 3.10 years, body mass of 85.53 ± 12.68 kg, and height of 1.80 ± 0.04 m. The intervention period ranged from 3 to 15 weeks with the use of 1 to 5 sets of 5 to 10 repetitions. Most protocols have been shown to provide significant stimuli to increase the level of cortisol acutely (p<0.05). The practice of HIT seems to be an effective intervention to stimulate the increase in acute and chronic salivary cortisol levels and thus induce possible changes in physiological and hormonal levels. Moreover, cortisol seems to represent physical activity in some populations and may be useful in monitoring physiology in large-scale observational physical activity surveys. However, more research is needed to elucidate the effects of HIT on cortisol and adaptive results.
... It is worth mentioning that the external load for 12 repetitions varied depending on the tempo of movement, which is why we decided to use the RIR scale in our protocol. Several studies have found that tempo combined with the number of repetitions will affect total TUT, which will consequently translate into hormonal changes [22][23][24]. It is worth referring to the work [9] where interesting results were obtained. ...
... The group with a faster tempo of movement (2/0/2/0) performed a significantly higher number of repetitions (59.4 ± 5.5) than the other group (42.4 ± 5.4). Another study [23] comparing GH and IGF-1 levels in three different volumes (sets) in a barbell squat at 90% 1RM with three repetitions, a tempo of 2/0/3/0, and a break of 5 min between sets showed significant changes in hormone levels. The highest concentrations were observed in 3 sets and the highest in 6 and 12 sets of barbell squat. ...
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The aim of the study was to determine the effect of step load in hypoxia on the effectiveness of preoperative rehabilitation (PR) and hormone levels based on a case study. Introduction: We assessed the impact of variables such as rate of movement and time under tension (TUT) in normobaric hypoxia on the levels of growth hormone (GH), insulin-like growth factor 1 (IGF-1), and erythropoietin (EPO). Additionally, the impact of step load on the hypertrophy and strength of knee extensors and flexors was assessed. Methods: The work uses a case study, the research subject of which was a 23-year-old female professional handball player. The tests included an isokinetic assessment of the peak torque of knee extensors and flexors as well as body composition analysis. Results: The results showed a more than (10.81-fold) increase in GH after the microcycle with time under tension (TUT). The deficit between the lower limbs was also reduced. Conclusions: Using a hypoxic environment based on an appropriate altitude, combined with changes such as a short rest break between sets and a controlled tempo of movement with an eccentric phase, TUT may offer an alternative to the PR process, especially among athletes who care about fast RTS.
... The metabolites and hormonal accumulation during and after resistance training are the primary stimuli for changes in strength and muscle hypertrophy, where the key hormones in training adaptations are testosterone (T), growth hormone (GH), cortisol (C), and insulin-like growth factor 1 (IGF-1) [8]. Taking into account the post-exercise hormonal responses, optimal training loads should have a limited post-exercise response in cortisol levels, and at the same time an induced high post-exercise response of hGH, T, and IGF-1 [12]. It seems that these hormones and growth factors are influenced by resistance exercise movement tempo [8,[12][13][14]. ...
... Taking into account the post-exercise hormonal responses, optimal training loads should have a limited post-exercise response in cortisol levels, and at the same time an induced high post-exercise response of hGH, T, and IGF-1 [12]. It seems that these hormones and growth factors are influenced by resistance exercise movement tempo [8,[12][13][14]. Previous research has shown that different movement tempos impact acute physiological responses, including hormone and blood lactate concentration [8]. ...
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Background: Resistance training is a significant part of ice-hockey players’ conditioning, where optimal loading should ensure strength development and proper recovery. Therefore, this study aimed to compare the acute physiological responses to fast and medium movement tempo resistance exercises in ice-hockey players. Methods: Fourteen ice-hockey players (26.2 � 4.2 years; 86.4 � 10.2 kg; squat one repetition maximum (1RM) = 130.5 � 18.5) performed five sets of the barbell squat and barbell bench press at 80% 1RM until failure in a crossover design one week apart using either 2/0/2/0 or 6/0/2/0 (eccentric/isometric/concentric/isometric) tempo of movement. The blood samples to evaluate the concentration of cortisol, testosterone, insulin-like growth factor 1 (IGF-1), and growth hormone (hGH) were taken before exercise, 3 min after the last set of the squat exercise, 3 min after the last set of the bench press exercise, and after 30 min of recovery. Results: The 2/0/2/0 tempo resulted in a higher number of repetitions (p < 0.001) and lower time under tension (p < 0.001) in the squat and bench press exercises compared to the 6/0/2/0 movement tempo. The endocrine responses to exercise were significantly higher during the 2/0/2/0 compared to the 6/0/2/0 movement tempo protocol for IGF-1, hGH, and cortisol (p < 0.01). There were no differences in testosterone responses between exercises performed with fast and medium movement tempos. Conclusion: Fast eccentric tempo induced higher cortisol, IGF-1, and hGH responses compared to the medium tempo. Therefore, fast eccentric movement tempo seems to be more useful in eliciting training stimulus than medium eccentric tempo during resistance training in ice-hockey players. However, future studies are needed to confirm our findings.
... These results are consistent with the results obtained in the presented study, where we demonstrated significant Post-Ex increase levels of C, GH, IGF-1, T, compared to Pre-Ex independently for MED and SLO movement tempo. However, it should be noted that there were no significant differences between Pre-Ex and Post-Ex levels of CK in training with MED and SLO movement tempo which is consistent with the results of Wilk et al. (2018c). Furthermore, the study did not show significant differences between Pre-Ex and Post-Ex levels of BL, but only in training with MED movement tempo. ...
... Our study showed significant Post-Ex changes in metabolic and hormone concentrations compared to Pre-Ex, however, the main objective of the study was to assess the impact of movement tempo on the level of post-exercise metabolic and hormonal changes. The previous study indicates that among the many variables of strength exercise, training volume is the key factor stimulating the secretion of various hormones, both anabolic and catabolic (Wilk et al. 2018c). It should be noted that training with controlled movement tempo allows controlling REP, but also the TUT as an important variable in the evaluation of training volume (Wilk The study by Goto et al. (2008Goto et al. ( , 2009) and Tanimoto et al. (2008) showed that tempo of movement impacts the level of absolute post-exercise hormonal changes after exercise performed to muscle failure. ...
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Objective: The squat exercise is one of the most exhaustive one in which different resistance training methods can elicit various changes in the concentration of many metabolites circulating in the blood. Therefore, the aim of this study is to assess the differences between slow (5/0/3/0) and conventional (2/0/2/0) barbell squat movement tempo to concentric failure on acute metabolites and hormonal responses. Materials and methods: Ten experienced powerlifters (24.3 ± 3.2 y; 77.9 ± 7.2 kg; 141 ± 17.5 kg Squat 1RM) who compete at the national and international level performed five sets of the barbell squat exercise (SQ) to failure at load 80% 1RM with two different tempo of movement: a 2/0/2/0 medium tempo (MED) and a 5/0/3/0 slow tempo (SLO) randomly one week apart. Venous blood samples (10ml) were collected from the antecubital vein, to determine acute pre and post-exercise values of testosterone (T), growth hormone (GH), insulin-like growth factor I (IGF-1), cortisol (C), creatine kinase (CK) and lactate acid (LA). Results: The SLO protocol resulted in higher time under tension (p<0.01) and lower number of performed repetition (p<0.01) than MED protocol. Both exercise protocols test showed high increase of T, C, GH, IGF-1, CK and LA between pre and post exercise (p<0.01). Performing 5 sets of SLO squats resulted in higher post exercise increase of LA (p < 0.03) and CK (p < 0.02) than MED protocol. There were no other significant differences in analysed endocrine variables. Therefore, the SLO exercise tempo elicit higher lactate and muscle damage, but not the acute hormonal response. Conclusion: This study demonstrated that in terms of endocrine response, the optimal moderate exercise tempo result in high endocrine response, which is not dramatically increased by longer time under tension resulting from slow exercise execution. On the other hand, slow speed resulting in longer time under tension cause more muscle damage and lactate production, which may play a large role in stimulating muscle growth and tissue regeneration. PMID: 33315342
... The relationship between muscular strength and various factors, including hormonal factors and testosterone levels, has been widely studied (Landram et al., 2020;Sönksen et al., 2018;Wilk et al., 2018). That is, the 2D:4D digit ratio has been proposed as a marker of prenatal testosterone exposure and also of the testosterone-estradiol ratio. ...
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Presenta la relación 2d: ¿4d una relación con los indicadores de fuerza estática en el levantamiento de pesas paralímpico de élite? Abstract. Background: Paralympic Powerlifting is a strength sport. On the other hand, the relationship between force indicators and the ratio of the lengths of the second and fourth fingers of the hand (D2:D4) has been investigated. Objectives: To evaluate the relationship of the D2:D4 finger length ratio with performance in Paralympic Powerlifting. Methodology: Thirteen elite Paralympic Powerlifting athletes were evaluated for static force indicators, Rate of Force Development (RFD), Maximum Isometric Force (MIF), Impulse, Variability, and Time to MIF. The D2:D4 ratios were measured , and correlations were made between the various possibilities of D2:D4 ratios and static force indicators. Results: Moderate correlations were found between RFD and Left D4 ("r" = 0.569) and between Variability and R-L D2:D4 Difference. ("r" = 0.570). However, no correlation was found between D2:D4 ratios and static force indicators in Para-lympic Powerlifting athletes for the other variables. Conclusion: The D2:D4 ratio does not seem to be a reliable predictor of static force indicators in Paralympic Powerlifting athletes. Resumen. Antecedentes: el levantamiento de pesas paralímpico es un deporte de fuerza. Por otro lado, se ha investigado la relación entre los indicadores de fuerza y la relación entre las longitudes del segundo y cuarto dedo de la mano (D2:D4). Objetivos: Evaluar la relación de la relación de longitud de los dedos D2:D4 con el rendimiento en levantamiento de pesas paralímpico. Metodología: Trece atletas de levantamiento de pesas paralímpico de élite fueron evaluados en cuanto a indi-cadores de fuerza estática, tasa de desarrollo de fuerza (RFD), fuerza isométrica máxima (MIF), impulso, variabilidad y tiempo hasta MIF. Se midieron las relaciones D2:D4 y se hicieron correlaciones entre las diversas posibilidades de relacio-nes D2:D4 y los indicadores de fuerza estática. Resultados: Se encontraron correlaciones moderadas entre RFD y Left D4 ("r" = 0,569) y entre Variabilidad y R-L D2:D4 Diferencia. ("r" = 0,570). Sin embargo, no se encontró correlación entre las proporciones D2:D4 y los indicadores de fuerza estática en atletas de levantamiento de pesas paralímpicos para las otras variables. Conclusión: La relación D2:D4 no parece ser un predictor confiable de los indicadores de fuerza estática en atletas de Powerlifting Paralímpico. Palabras clave: predictor de rendimiento, testosterona prenatal, levantamiento de pesas paralímpico Fecha recepción: 24-08-23.
... The relationship between muscular strength and various factors, including hormonal factors and testosterone levels, has been widely studied (Landram et al., 2020;Sönksen et al., 2018;Wilk et al., 2018). That is, the 2D:4D digit ratio has been proposed as a marker of prenatal testosterone exposure and also of the testosterone-estradiol ratio. ...
Article
Full-text available
Background: Paralympic Powerlifting is a strength sport. On the other hand, the relationship between force indicators and the ratio of the lengths of the second and fourth fingers of the hand (D2:D4) has been investigated. Objectives: To evaluate the relationship of the D2:D4 finger length ratio with performance in Paralympic Powerlifting. Methodology: Thirteen elite Paralympic Powerlifting athletes were evaluated for static force indicators, Rate of Force Development (RFD), Maximum Isometric Force (MIF), Impulse, Variability, and Time to MIF. The D2:D4 ratios were measured, and correlations were made between the various possibilities of D2:D4 ratios and static force indicators. Results: Moderate correlations were found between RFD and Left D4 ("r" = 0.569) and between Variability and R-L D2:D4 Difference. ("r" = 0.570). However, no correlation was found between D2:D4 ratios and static force indicators in Paralympic Powerlifting athletes for the other variables. Conclusion: The D2:D4 ratio does not seem to be a reliable predictor of static force indicators in Paralympic Powerlifting athletes. Keywords: Performance predictor, Prenatal testosterone, Paralympic Powerlifting
... [52][53][54] Increased plasma IGF-1 is beneficial for health 55,56 ; in contrast, decreased IGF-1 is seen in aging human plasma and is related to sarcopenia 57,58 by reducing DNA synthesis and altering the dynamics of mitochondria. 59,60 Like other myokines, the serum levels of IGF-I can increase, 61-64 decrease, [65][66][67] or remain unchanged 68 as a result of various types and intensities of exercise. We confirmed that IGF-1 expression and secretion was the highest in 2% static loading of myoblasts as compared with 5% and 10%. ...
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Exercise is widely recognized as beneficial for tendon healing. Recently, it has been described that muscle‐derived molecules secreted in response to static exercise influence tendon healing. In this study, the optimal static loading intensity for tendon healing and the composition of secretome released by myoblasts in response to different intensities of static strain were investigated. In an in vitro coculture model, myoblasts were mechanically loaded using a Flexcell Tension System. Tenocytes were seeded on transwell inserts that allowed communication between the tenocytes and myoblasts without direct contact. Proliferation and migration assays, together with RNA sequencing, were used to determine potential cellular signaling pathways. The secretome from myoblasts exposed to 2% static loading increased the proliferation and migration of the cocultured tenocytes. RNA‐seq analysis revealed that this loading condition upregulated the expression of numerous genes encoding secretory proteins, including insulin‐like growth factor‐1 (IGF‐1). Confirmation of IGF‐1 expression and secretion was carried out using qPCR and enzyme‐linked immunosorbt assay (ELISA), revealing a statistically significant upregulation in response to 2% static loading in comparison to both control conditions and higher loading intensities of 5% and 10%. Addition of an inhibitor of the IGF‐1 receptor (PQ401) to the tenocytes significantly reduced myoblast secretome‐induced tenocyte proliferation. In conclusion, IGF‐1 may be an important molecule in the statically loaded myoblast secretome, which is responsible for influencing tenocytes during exercise‐induced healing.
... Since the squat exercise is a basic resistance exercise for developing lower body strength and power [20][21][22][23] , the aim of the study was to evaluate the influence of ischemic pressure, used only during rest intervals between successive sets of the squat exercise on power output. It was hypothesized that ischemia would increase power output during the squat exercise. ...
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Abstract The study aimed to evaluate the impact of ischemia, used only before particular sets of a lower limb resistance exercise on power output. Ten healthy resistance-trained males (age = 26 ± 6 years; body mass = 90 ± 9 kg; training experience = 9 ± 7 years) performed two experimental sessions (with ischemia; control without ischemia) following a randomized crossover design. During the ischemic condition, the cuffs were inflated to 60% of arterial occlusion pressure. The cuffs were applied before each set for 4.5 min and released 30 s before the start of the set as the reperfusion (4.5 min ischemia + 0.5 min reperfusion). In the control condition, ischemia was not applied. During the experimental sessions, the subjects performed the Keiser machine squat exercise protocol which consisted of 5 sets of two repetitions, at a load of 60% of one-repetition maximum (1RM), with 5 min rest intervals between sets. The repetitions were performed with maximal velocity. The two-way repeated-measures ANOVA showed a statistically significant interaction effect for power output (p
... These single bouts of resistance exercise lead to acute physiological responses, which may be significant mediators of adaptation to the imposed stimuli [1]. The magnitude of these acute responses may be affected by several factors, such as the training variables (i.e., volume and intensity, exercise order) [2,3], as well as exercise type [4,5]. One of the basic exercises used to develop upper body strength and power is the bench press [6,7]. ...
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This study aimed to analyze acute changes in the muscle mechanical properties of the triceps brachii long head after bench press exercise performed at different external loads and with different intensities of effort along with power performance. Ten resistance-trained males (age: 27.7 ± 3.7 yr, body mass: 90.1 ± 17.1 kg, height: 184 ± 4 cm; experience in resistance training: 5.8 ± 2.6 yr, relative one-repetition maximum (1RM) in the bench press: 1.23 ± 0.22 kg/body mass) performed two different testing conditions in a randomized order. During the experimental session, participants performed four successive sets of two repetitions of the bench press exercise at: 50, 70, and 90% 1RM, respectively, followed by a set at 70% 1RM performed until failure, with a 4 min rest interval between each set. Immediately before and after each set, muscle mechanical properties of the dominant limb triceps brachii long head were assessed via a Myoton device. To determine fatigue, peak and average barbell velocity were measured at 70% 1RM and at 70% 1RM until failure (only first and second repetition). In the control condition, only muscle mechanical properties at the same time points after the warm-up were assessed. The intraclass correlation coefficients indicated “poor” to “excellent” reliability for decrement, relaxation time, and creep. Therefore, these variables were excluded from further analysis. Three-way ANOVAs (2 groups × 2 times × 4 loads) indicated a statistically significant group × time interaction for muscle tone (p = 0.008). Post hoc tests revealed a statistically significant increase in muscle tone after 70% 1RM (p = 0.034; ES = 0.32) and 90% 1RM (p = 0.011; ES = 0.56). No significant changes were found for stiffness. The t-tests indicated a significant decrease in peak (p = 0.001; ES = 1.02) and average barbell velocity (p = 0.008; ES = 0.8) during the first two repetitions of a set at 70% 1RM until failure in comparison to the set at 70% 1RM. The results indicate that low-volume, high-load resistance exercise immediately increases muscle tone but not stiffness. Despite no significant changes in the mechanical properties of the muscle being registered simultaneously with a decrease in barbell velocity, there was a trend of increased muscle tone. Therefore, further studies with larger samples are required to verify whether muscle tone could be a sensitive marker to detect acute muscle fatigue.
... Considering that the TUL in the CB will gradually increase during each subsequent repetition, and the higher the number of repetitions, the greater the TUL differences in particular sets between the CB and the SB. According to Wilk et al. (2018Wilk et al. ( , 2020c and McBride et al. (2009), TUL is one of the indicators of resistance training volume. Longer TUL may affect metabolic stress and endocrine responses during resistance exercise (Wilk et al., , 2020d. ...
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The main goal of this study was to assess the impact of the cambered bar (CB) during the bench press exercise on power output and bar velocity when compared to a standard bar (SB). Ten healthy strength-trained men (age = 27.9 ± 3.7 years; body mass = 90.1 ± 12.5 kg; resistance training experience = 6.5 ± 2.7 years; bench press one-repetition maximum (1RM) = 118.5 ± 21 kg) performed a single set of 3 repetitions of the bench press exercise with an SB and a CB at 50%1RM to assess differences in peak power output (PP), mean power output (MP), peak bar velocity (PV), and mean bar velocity (MV), range of motion (ROM), and positive work time under load (TUL) between conditions. The t-test indicated significantly higher mean ROM for the cambered bar in comparison to the standard bar (52.7 vs. 44.9 cm; P < 0.01; ES = 1.40). Further, there was a significantly higher PP (907 vs. 817 W; P < 0.01; ES = 0.35), MP (556 vs. 496 W; P < 0.01; ES = 0.46), PV (1.24 vs. 1.14 m/s; P < 0.01; ES = 0.35) and MV (0.89 vs. 0.82 m/s; P < 0.01; ES = 0.34) for the CB condition when compared to the SB. A significantly longer TUL for the CB was observed, when compared to the SB (1.89 vs. 1.51 s; P < 0.01; ES = 1.38). The results of this study showed that the CB significantly increased power output and bar velocity in the bench press exercise at 50%1RM compared to the SB. Therefore, the additional ROM, made possible through the use of the CB, allows for the acceleration of the bar through a significantly longer displacement, which has a positive impact on power output. However, a simultaneous increase in TUL may cause higher fatigue when the bench press is performed with the CB compared to the SB.
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Volume and intensity of exercise are the basic components of training loads, having a direct impact on adaptive patterns. Exercise volume during resistance training has been conventionally evaluated as a total number of repetitions performed in each set, regardless of the time and speed of performing individual exercises. The aim of this study was to evaluate the effect of varied tempos i.e. regular (REG) 2/0/2/0, medium (MED) 5/0/3/0 and slow (SLO) 6/0/4/0 during resistance exercise on training volume, based on the total number of performed repetitions (REPsum1-5) and time under tension (TUTsum1-5). Significant differences in TUT (s) were found in particular sets for each tempo of 2/0/2/0, 5/0/3/0 and 6/0/4/0 (p < 0.001). The ANOVA also revealed substantial differences in the REP for individual sets (p < 0.001). Post-hoc analyses showed that TUT for each set and total TUTsum1-5 were significantly higher in the 5/0/3/0 and 6/0/4/0 tempos compared to 2/0/2/0 (p < 0.001). REP was significantly higher for the 2/0/2/0 tempo compared to 5/0/3/0 and 6/0/4/0 tempo in each set. Total REPsum1-5, TUTsum1-5 between 5/0/3/0 and 6/0/4/0 tempos were not significantly different. The main finding of this study is that the movement tempo in strength training impacts training volume, both in terms of repetitions and total time under tension.
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Objectives: Increasing muscular hypertrophy is one of the main reasons for participating in a resistance training program, where different movement task such as eccentric cadences may serve as a potent hypertrophic stimulus and improve movement stability. Aim of this study was to investigate the physiological responses between slow 6/0/2/0 (SLOW) and moderate 2/0/2/0 (REG) eccentric cadences during five sets of bench press to failure using 70% 1 repetition maximum (1RM). Materials and methods: Blood samples from sixteen men (21-29y, 85.9±7.7kg, 130±17.5kg bench press 1RM) with at least five years of resistance training experience were taken before, immediately after, 30 min after, and 60 min after both protocols in a randomized cross over study design. Results: ANOVA showed that more repetitions were performed during each set in REG and for the entire REG protocol (p<0.001), but total time under tension was greater during SLOW in each set and for the entire protocol (p<0.001). The post-exercise levels of lactate (p=0.02), creatine kinase (p=0.04), and testosterone (p=0.01) were greater after SLOW. Post-exercise cortisol levels decreased in both protocols (p<0.001), but these decreases were not significantly different between protocols. Conclusions: Therefore, intentionally slow eccentric speeds and increased eccentric time under tension seem to be effective for increasing acute hormonal responses after exercise. As such, although a SLOW tempo may decrease the amount of total work (i.e. fewer repetitions with the same load), the increased time under tension seems to drive hormonal responses and neurological response, which may play a large role in stimulating muscle growth, coordination and movement stability.
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This study examined the effects of training volume and competition on the salivary cortisol (Sal-C) concentrations of Olympic weightlifters. Male (n = 5) and female (n = 4) Olympic weightlifters provided saliva samples across a 5-week experimental = period. The first aim was to assess the weekly effects of high (≥ 200 sets) and low (≤ 100 sets) training volume on Sal-C. The second aim was to compare Sal-C concentrations and 1 repetition maximum (1RM) performance during 2 simulated and 2 actual competitions. Performance was assessed using the snatch, clean and jerk, and the Olympic total lift. Data from each competition setting were pooled before analysis. There were no significant weekly changes in Sal-C levels (p > 0.05). The actual competitions produced higher (128-130%) Sal-C concentrations (p < 0.001) and superior 1RM lifts (1.9-2.6%) for the clean and jerk, and the Olympic total, than the simulated competitions (p < 0.05). Individual Sal-C concentrations before the simulated competitions were positively correlated to all of the 1RM lifts (r = 0.48-0.49, p < 0.05). In conclusion, actual competitions produced greater Sal-C responses than simulated competitions, and this appeared to benefit the 1RM performance of Olympic weightlifters. Individuals with higher Sal-C concentrations also tended to exhibit superior 1RM lifts during the simulated competitions. Given these findings, greater emphasis should be placed upon the monitoring of C to establish normative values, training standards and to assist with performance prediction.
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IGF-I is expressed in virtually every tissue of the body, but with much higher expression in the liver than in any other tissue. Studies using mice with liver-specific IGF-I knockout have demonstrated that liver-derived IGF-I, constituting a major part of circulating IGF-I, is an important endocrine factor involved in a variety of physiological and pathological processes. Detailed studies comparing the impact of liver-derived IGF-I and local bone-derived IGF-I demonstrate that both sources of IGF-I can stimulate longitudinal bone growth. We propose here that liver-derived circulating IGF-I and local bone-derived IGF-I to some extent have overlapping growth-promoting effects and might have the capacity to replace each other (= redundancy) in the maintenance of normal longitudinal bone growth. Importantly, and in contrast to the regulation of longitudinal bone growth, locally derived IGF-I cannot replace (= lack of redundancy) liver-derived IGF-I for the regulation of a large number of other parameters including GH secretion, cortical bone mass, kidney size, prostate size, peripheral vascular resistance, spatial memory, sodium retention, insulin sensitivity, liver size, sexually dimorphic liver functions, and progression of some tumors. It is clear that a major role of liver-derived IGF-I is to regulate GH secretion and that some, but not all, of the phenotypes in the liver-specific IGF-I knockout mice are indirect, mediated via the elevated GH levels. All of the described multiple endocrine effects of liver-derived IGF-I should be considered in the development of possible novel treatment strategies aimed at increasing or reducing endocrine IGF-I activity.
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