Journal Description
Physiologia
Physiologia
is an international, peer-reviewed, open access journal on physiology published quarterly online by MDPI.
- Open Access free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within ESCI (Web of Science), AGRIS, and other databases.
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 19.6 days after submission; acceptance to publication is undertaken in 3.9 days (median values for papers published in this journal in the second half of 2024).
- Recognition of Reviewers: APC discount vouchers, optional signed peer review and reviewer names are published annually in the journal.
- Physiologia is a companion journal of Life.
Latest Articles
Defining Running Intensity Domains from Critical Speed Derived from a 3-Minute All-Out Running Test
Physiologia 2025, 5(1), 6; https://doi.org/10.3390/physiologia5010006 - 13 Jan 2025
Abstract
Background/Objectives: This study examines the utility of the 3-min all-out test (3MT) in determining exercise intensity domains through critical speed (CS), offering a practical alternative to traditional -based methods. Methods: Eighteen trained runners completed both the 3MT
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Background/Objectives: This study examines the utility of the 3-min all-out test (3MT) in determining exercise intensity domains through critical speed (CS), offering a practical alternative to traditional -based methods. Methods: Eighteen trained runners completed both the 3MT and a graded treadmill test. CS, , and were measured and compared to markers such as ventilation threshold (VT), gas exchange threshold (GET), lactate threshold (LT), onset of blood lactate accumulation (OBLA), CS, and , which are threshold markers for defining six exercise intensity domains. Results: Results demonstrate that CS reliably distinguishes among six exercise intensity domains with greater precision and less variability than heart rate (HR) or -derived metrics. Notably, HR was unable to differentiate between high-intensity domains, highlighting its limitations for performance prescription. Compared to testing, the 3MT offers a simpler, non-invasive, and time-efficient approach to identifying training zones and monitoring performance. CS effectively delineated moderate-to-heavy, heavy-to-severe, and severe-to-extreme intensity domains, with strong correlations to performance thresholds. The findings emphasize the accessibility and reliability of the 3MT, particularly in overcoming the logistical challenges of traditional testing methods. Conclusions: This research underscores the potential of the running 3MT as a valuable tool for individualized training prescription and performance monitoring in both research and applied sports contexts, paving the way for a broader adoption in athletic training methodologies.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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Effects of Combined Plyometric and Sprint Training on Sprint Performance in Youth Soccer Players
by
Marc Niering, Jennifer Heckmann, Johanna Seifert, Elisa Ueding, Linus von Elling, Antonia Bruns and Rainer Beurskens
Physiologia 2025, 5(1), 5; https://doi.org/10.3390/physiologia5010005 - 9 Jan 2025
Abstract
Background/Objectives: Plyometrics is a widely used method to enhance the physical performance of athletes. Studies have demonstrated that the effectiveness of plyometrics increases when combined with other training methods. This study aims to determine whether the direct combination of plyometric and sprint
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Background/Objectives: Plyometrics is a widely used method to enhance the physical performance of athletes. Studies have demonstrated that the effectiveness of plyometrics increases when combined with other training methods. This study aims to determine whether the direct combination of plyometric and sprint training improves linear sprint speed and change-of-direction speed in youth soccer players. Methods: Twenty-eight male youth soccer players were randomly assigned to an intervention group (INT, n = 14, 12.9 ± 0.4 years) and a control group (CON, n = 14, 12.9 ± 0.7 years). The INT group performed two sessions per week, each including nine drop jumps, followed by a hurdle jump and one sprint. The CON group only performed nine sprints without any jumps. Both groups continued their regular soccer training over the 20-week intervention period. Pre- and post-intervention tests included 5 m, 10 m, and 30 m linear sprints and a modified agility t-test for change-of-direction speed. Results: Largest improvements were observed in the INT group (5 m = 6.7%, 10 m = 4.8%, 30 m = 2.7%, change-of-direction speed = 3.6%, 3.1%). A significant difference between the groups was noted for the 10 m sprint distance (p = 0.02). Furthermore, moderate to large correlations between linear sprint speed and change-of-direction speed were found in both groups (r = 0.33–0.82). Conclusions: Results suggest that the direct combination of plyometric training and sprint training over a 20-week period can improve both linear sprint speed and change-of-direction speed in youth soccer players, thus enhancing physical performance.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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Open AccessArticle
Measuring Brain Haemodynamic Activity and Afferent Visual Function: A Preliminary Study on the Relationship Between fNIRS, the King–Devick Test and Suspected Sport-Related Concussions
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Mark Hecimovich, Terence Moriarty, Doug King, Tricia Majewski-Schrage and Kate Hermsen
Physiologia 2025, 5(1), 4; https://doi.org/10.3390/physiologia5010004 - 7 Jan 2025
Abstract
Background/Objectives: Functional near-infrared spectroscopy (fNIRS) may help quantify changes in brain haemodynamics during sport-related concussions (SRCs). This study compared post-match prefrontal cortex (PFC) brain haemodynamics measured by fNIRS during the King–-Devick test (K-DT) with players suspected of having sustained an SRC. It
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Background/Objectives: Functional near-infrared spectroscopy (fNIRS) may help quantify changes in brain haemodynamics during sport-related concussions (SRCs). This study compared post-match prefrontal cortex (PFC) brain haemodynamics measured by fNIRS during the King–-Devick test (K-DT) with players suspected of having sustained an SRC. It was hypothesized that changes in the K-DT would correspond with brain haemodynamic processes. Methods: Twenty-two male and female collegiate rugby players (six males and twenty-two females; age range: 18–22) completed a baseline K-DT+fNIRS assessment. Over the course of two to three matches, all participants were invited to complete at least one post-match K-DT+fNIRS assessment. If a player was suspected of having sustained an SRC, they were re-assessed with the K-DT+fNIRS. If a participant who was not suspected of having sustained an SRC performed worse on the K-DT post-match, they were included in the participant category of ‘concussion’ for the analysis. A repeated measures ANOVA was performed. Test–retest reliability was calculated using the intra-class correlation coefficient (ICC). A Pearson correlation coefficient (r) assessed the linear relationship between the changes in the K-DT and the measurements of the left and right PFC. Results: Differences were identified in the K-DT for the players with a suspected concussive injury post-match (χ2(1) =5.0; p = 0.0253; z = −2.0; p = 0.0431; d = 0.16). There were also significant differences between the baseline and post-match results for all concussed players in the right PFC (t(8) = 250; p = 0.0371; d = 0.92) and for the concussed females in the right PFC (t(6) = 2.78; p = 0.0319; d = 0.52). There were no correlations between the K-DT and PFC values in the suspected concussed group. Conclusions: The SRC group had decreased cognitive performance and a notable change in PFC activation, while the non-concussed group showed an increase in the activation in the PFC and no change in cognitive performance scores. This represents a possible acute adjustment in brain haemodynamics and provides insight into how SRCs can negatively impact cognitive performance.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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Open AccessArticle
Indexes of Fat Oxidation from Ramp vs. Graded Incremental Protocols in Postmenopausal Women
by
Massimo Teso, Luca Ferrari, Alessandro L. Colosio and Silvia Pogliaghi
Physiologia 2025, 5(1), 3; https://doi.org/10.3390/physiologia5010003 - 6 Jan 2025
Abstract
The maximal rate of fat oxidation (MFO, in g∙min−1) and the relative exercise intensity at which it occurs (FATmax, as %V̇O2max) are indexes of metabolic flexibility. The time-consuming, graded exercise protocol required for MFO/FATmax determination hinders
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The maximal rate of fat oxidation (MFO, in g∙min−1) and the relative exercise intensity at which it occurs (FATmax, as %V̇O2max) are indexes of metabolic flexibility. The time-consuming, graded exercise protocol required for MFO/FATmax determination hinders the extensive use of these indexes for individualized exercise prescription and monitoring. Purpose: validate ramp testing for MFO and FATmax measures in postmenopausal women. Methods: Seventeen healthy women (age: 54 ± 4 years, BMI 22 ± 3 kg·m−2, and V̇O2max 36.4 ± 5.3 mL·min−1), who were 4 ± 3 years from menopause, performed on a cycle-ergometer, a ramp, and a graded incremental test. Based on V̇O2 and respiratory exchange ratio from the ramp and graded protocol (i.e., the 5th minute of each step), MFO and FATmax were determined. Data from the two protocols were compared using paired t-tests, linear regression, and Bland–Altman analysis. Results: The MFO measured with a ramp protocol was not different from (0.24 ± 0.09 vs. 0.20 ± 0.08 g·min−1, p = 0.10), and moderately associated with, that of the graded protocol (r2 = 0.46). FATmax occurred at similar exercise intensity for both protocols (47.8 ± 5.1 vs. 47.5 ± 4.3 %V̇O2max, p = 0.91, r2 = 0.52). The comparison of MFO and FATmax across the protocols yields a non-significant bias but a relatively large limit of agreement (respectively, 0.05 g·min−1, LOA = −0.08, and 0.19 g·min−1; 0.3 %V̇O2max, LOA = −7.8, and 10.6 %V̇O2max). Conclusions: In postmenopausal women, ramp testing offers a valid alternative to the graded protocol for identifying MFO and FATmax. The availability of a time- and cost-efficient approach, which can be incorporated into standard ramp incremental testing, can facilitate using these indexes of metabolic flexibility in research and medicine.
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(This article belongs to the Special Issue Feature Papers in Human Physiology—3rd Edition)
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Thermoregulation and Endocrine Response During Exercise in Pregnancy
by
Manuela Filipec and Marinela Jadanec Đurin
Physiologia 2025, 5(1), 2; https://doi.org/10.3390/physiologia5010002 - 2 Jan 2025
Abstract
Pregnancy is followed by complex and intense physiological changes in the maternal body, whose goal is to provide all the needs of the mother and the growing fetus. The endocrine system and thermoregulation integrate physiologic responses and play an important role in maintaining
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Pregnancy is followed by complex and intense physiological changes in the maternal body, whose goal is to provide all the needs of the mother and the growing fetus. The endocrine system and thermoregulation integrate physiologic responses and play an important role in maintaining homeostatic conditions during exercise in pregnancy. Changes and adaptations during exercise in pregnancy are conditioned by the influence of numerous metabolic and biochemical events, which act on the target tissues through physiological mechanisms. Many hormones are released during exercise and a variety of cells are responsible for a number of different responses. Pregnancy involves changes in thermoregulation that lead to an increase in heat production and its preservation. Physiological mechanisms that enable the release of excess body temperature in order for the body to maintain an ideal temperature during exercise are increased, such as sweating and vasodilation of blood vessels. The reaction of a mother to exercise training depends on the exercise duration and intensity of training, the nutrient profile, and the level of fitness. Exercise has many improving effects on functional aspects of tissues and organs, resulting in improved health and/or performance.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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Open AccessArticle
Running Efficiency and Muscle Activation Are Unaffected by Knee Taping Techniques During Acute Treadmill Running
by
Andrew R. Moore, Amador J. Landaverde and Andrew Craig-Jones
Physiologia 2025, 5(1), 1; https://doi.org/10.3390/physiologia5010001 - 2 Jan 2025
Abstract
Background/Objectives: The purpose of this study was to determine the effects of various muscle taping applications on running efficiency. Methods: Recreational runners (N = 14; 7 women; age = 22.80 ± 4.61 years; BMI = 25.08 ± 3.97 kg/m2) completed four
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Background/Objectives: The purpose of this study was to determine the effects of various muscle taping applications on running efficiency. Methods: Recreational runners (N = 14; 7 women; age = 22.80 ± 4.61 years; BMI = 25.08 ± 3.97 kg/m2) completed four bouts of treadmill running at a preferred speed. Each bout used a different taping technique, as follows: control (no tape), athletic tape, Kinesio tape, and a novel spring-type technique of Kinesio tape. Oxygen consumption, muscle activation of the rectus femoris and biceps femoris, and stride frequency were observed during each bout to assess running efficiency. The data for these variables were analyzed with repeated-measures ANOVAs (α = 0.05). Results: There were no differences among any of the four conditions for oxygen consumption (p = 0.232, η2 = 0.103), muscle activation of the rectus femoris (p = 0.173, η2 = 0.118) or biceps femoris (p = 0.085, η2 = 0.184), or stride frequency (p = 0.230, η2 = 0.107). Conclusions: None of the three taping methods tested in this study had a significant impact on oxygen consumption, agonist muscle activation, or stride frequency during short running bouts at a preferred speed compared to a control condition. There appeared to be no ergogenic benefit to the use of these taping techniques during this manner of activity. Runners opting to use a taping method to enhance joint stability at the knee during preferred-intensity running activity may do so without any substantial impact on their running efficiency.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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Open AccessReview
Per- and Polyfluoroalkyl Substances (PFAS) as Emerging Obesogens: Mechanisms, Epidemiological Evidence, and Regulatory Challenges
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Niya Lewis, Abubakar Abdulkadir, Shila Kandel, Raphyel Rosby and Ekhtear Hossain
Physiologia 2024, 4(4), 517-567; https://doi.org/10.3390/physiologia4040035 - 16 Dec 2024
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The pervasive presence of per- and polyfluoroalkyl substances (PFAS) in the environment and their persistent nature raise significant concerns regarding their impact on human health. This review delves into the obesogenic potential of PFAS, shedding light on their mechanisms of action, epidemiological correlations
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The pervasive presence of per- and polyfluoroalkyl substances (PFAS) in the environment and their persistent nature raise significant concerns regarding their impact on human health. This review delves into the obesogenic potential of PFAS, shedding light on their mechanisms of action, epidemiological correlations with obesity and metabolic disorders, and the challenges faced in regulatory frameworks. PFAS, characterized by their carbon-fluorine chains, are ubiquitous in various consumer products, leading to widespread exposure through ingestion of contaminated food and water. Emerging evidence suggests that PFAS may act as endocrine-disrupting chemicals, interfering with lipid metabolism and hormone functions related to obesity. We examine in vitro, in vivo, human, and in silico studies that explore the interaction of PFAS with PPARs and other molecular targets, influencing adipogenesis and lipid homeostasis. Furthermore, the review highlights epidemiological studies investigating the association between maternal PFAS exposure and the risk of obesity in offspring, presenting mixed and inconclusive findings that underscore the complexity of PFAS effects on human health. Presently, there are major challenges in studying PFAS toxicity, including their chemical diversity and the limitations of current regulatory guidelines, potential remediation, and detoxification. This review emphasizes the need for a multidisciplinary approach, combining advanced analytical methods, in silico models, and comprehensive epidemiological studies, to unravel the obesogenic effects of PFAS and inform effective public health strategies.
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Open AccessReview
Ultra Short Race Pace Training (USRPT) in Swimming. Do the Volume and Interval Matter? A Scoping Review
by
Konstantinos Papadimitriou
Physiologia 2024, 4(4), 506-516; https://doi.org/10.3390/physiologia4040034 - 16 Dec 2024
Abstract
Background: Ultra-short race-pace training (USRPT) is designed to accustom swimmers to the pace of an event by using high volume and submaximal intensity with short intervals. However, due to imprecise data on volume and interval, further investigation is necessary. This scoping review
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Background: Ultra-short race-pace training (USRPT) is designed to accustom swimmers to the pace of an event by using high volume and submaximal intensity with short intervals. However, due to imprecise data on volume and interval, further investigation is necessary. This scoping review aims to provide evidence-based insights into the advantages and disadvantages of recommended volumes and intervals during USRPT, guiding swimming coaches and offering practical advice regarding this training method. Methods: For this analysis, 90,613 studies from PubMed, Scopus, Web of Science, and Google Scholar were screened to examine the volume and interval of the USRPT method. Results: Only five studies met the inclusion criteria, were further assessed using a PRISMA-P document, and were analyzed for biases with the revised Cochrane risk-of-bias tool for randomized crossover trials. Excessive daily use of USRPT in training volume is discouraged due to potential psychological strain. Reaching failure should involve modifying variables such as intensity and interval. Additionally, interval periods should vary based on the targeted event’s physiological demands and the USRPT set’s volume. For short-distance events (50–100 m), it is recommended that USRPT protocols include a work-to-rest ratio of 1:1 or 1:2, allowing more time for aerobic contribution to replenish energy supplies (consistent with HIIT and SIIT principles). Conclusions: Further research on specific elements of USRPT, including volume and interval, is essential to identify the most effective training sets for swimmers across different distances and styles.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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Open AccessSystematic Review
Influence of Oestradiol Fluctuations in the Menstrual Cycle on Respiratory Exchange Ratio at Different Exercise Intensities: A Systematic Review, Meta-Analysis and Pooled-Data Analysis
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Catherine A. Rattley, Paul Ansdell, Louise C. Burgess, Malika Felton, Susan Dewhurst and Rebecca A. Neal
Physiologia 2024, 4(4), 486-505; https://doi.org/10.3390/physiologia4040033 - 16 Dec 2024
Abstract
Background: Oestradiol has been implicated as a factor in substrate utilisation in male and mouse studies but the effect of acute changes during the menstrual cycle is yet to be fully understood. Objective: To determine the role of oestradiol in respiratory exchange ratio
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Background: Oestradiol has been implicated as a factor in substrate utilisation in male and mouse studies but the effect of acute changes during the menstrual cycle is yet to be fully understood. Objective: To determine the role of oestradiol in respiratory exchange ratio (RER) during exercise at various intensities. Methods: This systematic review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. From inception to November 2023, four online databases (Cochrane, SPORTDiscus, MEDline and Web of Science) were searched for relevant articles. Studies that reported a resting oestradiol measurement in naturally menstruating women with exercise at a percentage of maximal aerobic capacity (%V˙O2max) were included. Mean and standard deviation for oestradiol, RER and exercise intensity were extracted and study quality assessed using a modified Downs and Black checklist. Risk of bias was assessed using I2 measure of heterogeneity and Egger’s regression test, assessment of bias from methodological quality was identified by sensitivity analysis. Eligible datasets were extracted for pairwise comparisons within a meta-analysis and correlation between change in oestradiol and change in RER. Data were also pooled to produce a mean and standard deviation for RER for menstrual stage and for low and high oestradiol groups. Results: Twenty-four articles were identified, over 50% were identified as high quality. Sixteen articles included datasets eligible for meta-analysis. Eleven articles utilised a submaximal constant-load exercise intensity, finding a standardised mean difference of − 0.09 ([CI: −0.35–0.17], p = 0.5) suggesting no effect of menstrual phase on constant-load exercise RER. In six articles using incremental exercise tests to exhaustion, a standardised mean difference of 0.60 ([CI 0.00–1.19], p = 0.05) was identified towards a higher maximal RER attained in follicular compared to luteal phase. There was no correlation (R = −0.26, p = 0.2) between change in oestradiol and change in RER between phases. All 24 articles, totalling 650 participants, were included in pooled analysis. When grouped by menstrual cycle phase or when grouped by oestradiol levels, RER was higher in the follicular phase than the luteal phase at low and high constant load exercise intensities. Discussion: Findings from the pooled-analysis and meta-analysis suggest that there may be menstrual cycle phase differences in RER that are intensity dependent. These differences may be related to sex hormone levels, but this was not supported by evidence of correlation between differences in RER and differences in oestradiol. At present, it remains best practice to assess performance in the same menstrual cycle phase if seeking to assess change from baseline.
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(This article belongs to the Section Exercise Physiology)
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Open AccessSystematic Review
Effects of Saddle Position on Cycling: An Umbrella Review
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Pedro Castro Vigário, Ricardo Maia Ferreira, António Rodrigues Sampaio and Pedro Nunes Martins
Physiologia 2024, 4(4), 465-485; https://doi.org/10.3390/physiologia4040032 - 9 Dec 2024
Abstract
Objective: This study aimed to perform an umbrella review of existing systematic reviews on the effects of saddle position on cycling. Material and methods: We conducted a systematic search across the electronic databases EBSCO, PubMed, Scopus, Web of Science, and B-On for systematic
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Objective: This study aimed to perform an umbrella review of existing systematic reviews on the effects of saddle position on cycling. Material and methods: We conducted a systematic search across the electronic databases EBSCO, PubMed, Scopus, Web of Science, and B-On for systematic reviews investigating the effects of saddle position on cycling, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. To prevent the risk of bias, two researchers independently performed the search. To evaluate the methodological quality of the included reviews, the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR 2) checklist was used. Results: A total of seven systematic reviews that met the eligible criteria were included. The systematic reviews showed high heterogeneity among themselves (e.g., type of included studies, participants’ characteristics, or evaluated outcomes) and low to critically low methodological quality. Relationships have been found between the rider’s saddle position and health issues (such as low back pain (four studies), knee injury or pain (three studies), lumbar kyphosis (one study), and impact on perineum (two studies)), and on performance alterations (such as, muscle activation, oxygen uptake, load and intensity, efficiency (one study), and comfort (one study)). The results showed that some research provided conflicting evidence in regard to the studied relations (e.g., knee injury or pain, impact on perineum, and efficiency). Conclusions: Cyclists’ saddle position impacts various issues related to health and performance. More research is needed, and future studies should focus on the clarification of the conflicting evidence observed in this review.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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The Effect of Concurrent Resistance Training on Tethered Force, Lower Limbs Strength, Anaerobic Critical Velocity, and Swimming Performance: A Randomized Controlled Trial
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Xitong Liu, Radomyos Matjiur, Wirat Sonchan, Sukanya Charoenwattana, Phornpot Chainok, Ana Gay, Niromlee Makaje and Rodrigo Zacca
Physiologia 2024, 4(4), 454-464; https://doi.org/10.3390/physiologia4040031 - 5 Dec 2024
Abstract
Background: Combining pool-based and resistance workouts, both in the pool and on dry land, is a valuable approach to enhancing swimming performance. However, few investigations have been conducted on this topic. Through a randomized controlled trial study, we investigated the effects of a
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Background: Combining pool-based and resistance workouts, both in the pool and on dry land, is a valuable approach to enhancing swimming performance. However, few investigations have been conducted on this topic. Through a randomized controlled trial study, we investigated the effects of a 10-week concurrent resistance training program, which integrated resistance workouts both in the pool and on dry land on tethered force, lower limbs strength, anaerobic critical velocity, and swimming performance, in regional age-group breaststroke swimmers. Methods: Regional age-group swimmers (N = 24, males) were randomly divided into two groups. The experimental group (EG: 15.1 ± 0.5 years old) performed combined pool-based + resistance workouts, both in the pool and on dry land. The control group (CG: 15.1 ± 0.7 years old) performed their usual training regime, i.e., pool-based + resistance workouts on dry land only. The tethered swimming force, muscular strength, anaerobic critical velocity, and swimming performance and technique of the swimmers were evaluated before the training program began and after 10 weeks. Results: Improvements were observed in the EG vs. the CG in terms of the mean force (30.04%, p = 0.02; d = 0.75), one-repetition maximum back squat (20.57%, p = 0.01; d = 2.05), maximal force (19.23%, p = 0.03; d = 0.69), and anaerobic critical velocity (4.2%, p = 0.04; d = 0.61). The 50 and 200 m breaststroke performance times improved (4.3 and 5.4%, p = 0.01, d = 0.88–0.92, respectively) after 10 weeks. Conclusions: With the increasing demands of contemporary swimming competitions, which often include heats, semifinals, and finals, achieving optimal physical fitness to compete at an elite level, in every round, is vital for swimmers. The combination of resistance training workouts both in the pool and on dry land seems to enhance swimming performance in age-group swimmers, particularly in sprint to middle-distance breaststroke swimmers.
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(This article belongs to the Special Issue Resistance Training Is Medicine)
Open AccessCase Report
Advancing Recovery by Incorporating Physiological Insights into the Surgical Management of Chronic Proximal Rectus Femoris Tendon Avulsion
by
Bruno Capurro-Soler, Francesco Vecchi, Eduardo Badillo-Pérez, Jonathan Vazquez, Alexander Ortega, Wilson Pizarro-Geraldo, Joel Gambín and Ignacio Muñoz Criado
Physiologia 2024, 4(4), 445-453; https://doi.org/10.3390/physiologia4040030 - 2 Dec 2024
Abstract
Background: Tendon lesions affecting the proximal rectus femoris (PRF) muscle represent about 1.5% of hip injuries. Most acute cases are managed conservatively with physiotherapy. There is a lack of consensus regarding surgical intervention for chronic injuries. This article, alongside a literature review,
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Background: Tendon lesions affecting the proximal rectus femoris (PRF) muscle represent about 1.5% of hip injuries. Most acute cases are managed conservatively with physiotherapy. There is a lack of consensus regarding surgical intervention for chronic injuries. This article, alongside a literature review, presents a case of anatomical surgical reinsertion for chronic complete avulsion rupture of the PRF tendon. Case Report: A 34-year-old amateur athlete experienced acute inguinal pain from overexertion, with conservative treatment having failed over 3 months. Seven months later, proximal tendon rupture involving both PRF muscle heads was confirmed. An anterior Hueter approach released the tendon from the adhesions and fibrosis. The direct portion was reinserted into the inferior anterior iliac spine, and the reflex portion was reattached to the supraacetabular groove. The patient showed excellent improvement on the modified Harris Hip and Lysholm–Tegner scales. The quadriceps muscle force decreased by 20% compared to the contralateral leg at 3 months, reducing to 4% by 12 months. Normal activities resumed after six weeks, and sports resumed after 4 months. Conclusions: The patient experienced significant postoperative improvement, as shown by the enhanced functional scores and muscle force recovery over one year. The success of the anatomical reconstruction in restoring tendon continuity underscores the importance of tendon healing mechanisms, including tissue remodeling and revascularization, in chronic avulsion injuries. This case highlights the efficacy of anatomical reconstruction for chronic PRF tendon avulsion. The literature review offers further insights into treatment options and the physiological basis of recovery for such injuries.
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(This article belongs to the Section Exercise Physiology)
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The Role of Exogenous Ketones in Road Cycling: Evidence, Mechanisms, and Performance Claims
by
Sebastian Sitko
Physiologia 2024, 4(4), 433-444; https://doi.org/10.3390/physiologia4040029 - 24 Nov 2024
Abstract
Background: Ketone body supplementation has emerged as a potential ergogenic aid in cycling. Exogenous ketones, primarily in the form of beta-hydroxybutyrate, offer an alternative fuel source, bypassing the need for strict ketogenic diets. However, the science surrounding their efficacy remains complex, with
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Background: Ketone body supplementation has emerged as a potential ergogenic aid in cycling. Exogenous ketones, primarily in the form of beta-hydroxybutyrate, offer an alternative fuel source, bypassing the need for strict ketogenic diets. However, the science surrounding their efficacy remains complex, with mixed field findings and unexplored mechanisms. Methods: A narrative review of the current literature was conducted, synthesizing studies on the metabolic and cognitive effects of ketone bodies in cycling. The review included an examination of human and mechanistic studies, along with emerging hypotheses on ketone bodies and their role in modulating red blood cell production and recovery processes. Results: Ketone body supplementation can theoretically spare glycogen, reduce muscle protein breakdown, enhance fat oxidation, and improve recovery by mitigating oxidative stress and inflammation. Additionally, ketone bodies may support cognitive function, reducing perceived mental fatigue. Preliminary evidence also suggests a potential role in modulating erythropoietin levels through histone acetylation, though further research is needed to establish its impact on oxygen delivery. Despite the theoretical potential, the practical assessment of field studies shows disappointing effects on performance from ketone body supplementation. Conclusions: While ketone bodies offer several potential benefits for cyclists, the variability in individual responses, lack of long-term data, and inconsistent findings in performance studies highlight the need for further research. Optimizing dosage, timing, and understanding the broader implications of ketone body supplementation will be crucial for their practical application in cycling.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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The Impact of Seasonal Variation on Salivary Hormone Responses During Simulated Mountain Warfare
by
Jesse A. Stein, Laura J. Palombo, Andrea C. Givens, Jake R. Bernards, Emily B. Kloss, Daniel W. Bennett, Brenda A. Niederberger and Karen R. Kelly
Physiologia 2024, 4(4), 424-432; https://doi.org/10.3390/physiologia4040028 - 20 Nov 2024
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Military personnel routinely complete stressful training exercises in harsh environmental conditions to prepare for intense operational demands. Purpose: This study determined the effect of environmental conditions on salivary hormone profiles in Marines during a mountain warfare training exercise (MTX). Methods: Two cohorts of
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Military personnel routinely complete stressful training exercises in harsh environmental conditions to prepare for intense operational demands. Purpose: This study determined the effect of environmental conditions on salivary hormone profiles in Marines during a mountain warfare training exercise (MTX). Methods: Two cohorts of Marines (age 22 ± 4, height 174 ± 7 cm, body mass 79.2 ± 11.5 kg) completed an MTX (elevation 2100 to 3500 m) in the Fall (n = 63, temperature 11 ± 2 °C) and Winter (n = 64, temperature −5 ± 4 °C). Saliva samples were provided before (PRE), during (MID), and after (POST) the MTX, and were assayed for α-amylase, cortisol, DHEA, testosterone, and osteocalcin. Results: Linear mixed models were used to determine significant interactions (time × season) and found differences in DHEA, testosterone, and osteocalcin. Testosterone and DHEA were lower at MID compared to PRE and POST during the Fall MTX. Testosterone was higher at MID compared to PRE and POST during the Winter MTX, while DHEA remained stable. Osteocalcin was higher in Fall participants compared to Winter but demonstrated a similar trend to increase at MID and decrease at POST in both groups. Cortisol was higher during the Winter MTX compared to the Fall. Conclusions: These findings highlight the differential physiological stress responses in varying seasonal conditions, suggesting the need for tailored training strategies to enhance military readiness and prevent hormonal dysregulation. Further research is needed to elucidate the mechanisms underlying these seasonal effects.
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Open AccessSystematic Review
Impact of High-Intensity Exercise on BDNF Levels and Its Implications in High-Performance Sport: A Systematic Review
by
Fernando Moreno-Infantes, Gema Díaz-Quesada, Krizia Radesca-Fabiano, Guilermo Muñoz-Andradas and Diego Domínguez-Balmaseda
Physiologia 2024, 4(4), 414-423; https://doi.org/10.3390/physiologia4040027 - 19 Nov 2024
Abstract
The brain-derived neurotrophic factor (BDNF) is a crucial protein in the development of the cognitive system. It regulates the growth of neurons and glial cells, synaptic plasticity, and neuroprotection. Background/Objectives: It has been suggested that high-intensity exercise could modulate the mechanisms of BDNF
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The brain-derived neurotrophic factor (BDNF) is a crucial protein in the development of the cognitive system. It regulates the growth of neurons and glial cells, synaptic plasticity, and neuroprotection. Background/Objectives: It has been suggested that high-intensity exercise could modulate the mechanisms of BDNF release, with potentially significant implications in the professional sports world. However, this is not yet fully proven, and the underlying physiological alterations are unknown. Methods: This paper reviews the current scientific literature to clarify the uncertainties about how high-intensity physical exercise influences BDNF release and its relationship with high-performance sports. Results: Strenuous exercise appears to increase BDNF synthesis through the action of lactate and the PGC-1α/FNDC5 pathway. Additionally, cognitive function has been described as an element to consider for maximizing sports performance. Conclusions: In this regard, this review provides a solid starting point for further investigation into the molecular mechanisms that promote BDNF expression mediated by exercise, as well as for seeking a direct correlation between the role of cognitive development and athletic performance in high-performance athletes.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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Open AccessArticle
Resistance Training or Whey Protein as an Intervention to Preserve Lean Mass in Men Observing Ramadan
by
Ahmed S. Amjed, Arwa Abdelhakiem, Natalie Allen, Cory Brune, Matthew L. Sokoloski and Ryan A. Gordon
Physiologia 2024, 4(4), 404-413; https://doi.org/10.3390/physiologia4040026 - 16 Nov 2024
Abstract
Background: Individuals observe Ramadan fasting for ~11 h per day for 28–30 days, which can negatively affect lean mass. Resistance training or increased protein intake can potentially preserve lean mass in these individuals. Methods: Twenty-three young and healthy adult Muslim men were divided
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Background: Individuals observe Ramadan fasting for ~11 h per day for 28–30 days, which can negatively affect lean mass. Resistance training or increased protein intake can potentially preserve lean mass in these individuals. Methods: Twenty-three young and healthy adult Muslim men were divided into three groups: Ramadan fasting (RAM), Ramadan fasting combined with resistance training (RAM + RT), and Ramadan fasting combined with 30 g of daily whey protein (RAM + WH). Participants’ body mass, body mass index (BMI), body fat percentage, fat mass, and lean mass were measured the week prior to and during the last week of Ramadan via a stadiometer and dual-energy X-ray absorptiometry (DXA). Results: Body mass (kg) was decreased for all three groups (RAM = −1%, RAM + RT = −1%, RAM + WH = −1.3%; p = 0.033), though there were no differences between groups. Lean mass (kg) was decreased for all three groups (RAM = −1%, RAM + RT = −1%, RAM + WH = −2%; p = 0.013), though there were no differences between groups. No differences were observed for body weight, BMI, or body fat percentage. Conclusions: These results indicate resistance training or whey protein did not provide any advantage for preserving lean mass in individuals participating in Ramadan fasting.
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(This article belongs to the Special Issue Resistance Training Is Medicine)
Open AccessArticle
Proteinuria and Significant Dehydration in a Short-Steep Triathlon: Preliminary Observational Report
by
Daniel Rojas-Valverde, Cindy Castro, Diego A. Bonilla, Luis A. Cardozo and Carlos D. Gómez-Carmona
Physiologia 2024, 4(4), 393-403; https://doi.org/10.3390/physiologia4040025 - 6 Nov 2024
Abstract
Background/Objectives: Endurance triathlons impose substantial physiological stress, yet the effects of short-course formats remain relatively unexplored. This preliminary study presents novel findings on proteinuria and hydration levels in well-trained triathletes. Methods: 27 participants (41.9 ± 7.4 years) who completed a sprint triathlon consisting
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Background/Objectives: Endurance triathlons impose substantial physiological stress, yet the effects of short-course formats remain relatively unexplored. This preliminary study presents novel findings on proteinuria and hydration levels in well-trained triathletes. Methods: 27 participants (41.9 ± 7.4 years) who completed a sprint triathlon consisting of a 1500 m swim, 26 km cycle, and 8 km run. Urine samples were collected before and after the race. Results: Our results revealed a significant increase in post-race proteinuria cases from four to nine (p = 0.03) and the first reported case of post-race urobilinuria and ketoacidosis in this context. Additionally, pre-race glucosuria, present in nine cases, decreased to three post-race. Hematuria cases decreased from six to two (p = 0.13) and pre-race leukocyturia resolved post-race. There was a significant increase in urine specific gravity (from 1.018 to 1.023, p = 0.03), indicating dehydration. Conclusions: Short-course triathlons significantly induced post-race proteinuria, urobilinuria, and dehydration, highlighting the substantial physiological stress on kidney function and hydration status despite the shorter distances. These findings underscore the importance of monitoring urinary biomarkers and hydration levels in athletes before and after competition.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry)
Open AccessCommentary
An Evidence-Based Approach to Utilizing Cold Therapies for Post-Exercise Recovery
by
Adam Grainger, James J. Malone, Joseph T. Costello, Chris M. Bleakley and Robert Allan
Physiologia 2024, 4(4), 387-392; https://doi.org/10.3390/physiologia4040024 - 31 Oct 2024
Abstract
Whilst cold therapies such as cold-water immersion are regularly used in practice, the practical application does not always align with best practices. In this commentary, we highlight the key components of the British Association of Sport and Exercise Sciences (BASES) Expert Statement on
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Whilst cold therapies such as cold-water immersion are regularly used in practice, the practical application does not always align with best practices. In this commentary, we highlight the key components of the British Association of Sport and Exercise Sciences (BASES) Expert Statement on the use of cooling therapies for post-exercise recovery and provide additional discussion on the empirical evidence and rationale that informed our perspective. We developed a series of specific questions to ensure that cold therapy recovery protocols are context-specific and tailored to the needs of the individual athletes. These questions, which cover the WHEN, WHAT, and HOW of cold therapy, were central to the development of the Expert Statement. This was presented as a decision tree to ensure that key messages could be concisely disseminated across a range of sporting environments and populations (e.g., gyms, locker rooms, and treatment rooms), supporting and informing decision-making for those wanting to use cold therapy to assist their recovery in line with previously published peer-reviewed work. Discussion points included the suitability of cooling therapies in some contexts, how athletes’ choice of cooling mode should be largely driven by practicalities (e.g., budget and availability), and, lastly, future research directions.
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(This article belongs to the Section Exercise Physiology)
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Plyometric and Resistance Training: A Dual Approach to Enhance Physical Fitness in 12–15-Year-Old Girls
by
Tanja Petrušič
Physiologia 2024, 4(4), 373-386; https://doi.org/10.3390/physiologia4040023 - 31 Oct 2024
Abstract
Background/Objectives: This study aimed to evaluate the effects of an 8-week combined plyometric and resistance training program on the physical fitness (PF) of adolescent girls aged 12 to 15 years. The objective was to determine whether combined training (CT) would yield greater improvements
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Background/Objectives: This study aimed to evaluate the effects of an 8-week combined plyometric and resistance training program on the physical fitness (PF) of adolescent girls aged 12 to 15 years. The objective was to determine whether combined training (CT) would yield greater improvements in performance measures compared to resistance training (RT) alone. Methods: Forty-seven adolescent girls were randomly assigned to either the CT group or the RT group. Performance measures such as the 20 m sprint, squat jump, vertical jump, handgrip strength, and flexibility (sit and reach test) were assessed before and after the 8-week intervention. Changes in these measures were analyzed to compare the effects of the two training approaches. Results: The CT group showed a significant reduction in sprint time (−6.5%) compared to the RT group (−4.1%), although the difference was not statistically significant. Squat jump height improved significantly by 5.6% in the CT group compared to 1.1% in the RT group (p < 0.05). Similarly, vertical jump height increased by 6.7% in the CT group and by 2.4% in the RT group (p < 0.05). Handgrip strength improved by 7.5% in the CT group and 4.6% in the RT group, with no significant differences between the groups. Flexibility showed slight, non-significant improvements in both groups. Conclusions: The findings suggest that a combined plyometric and RT program is more effective in enhancing explosive power, specifically squat and vertical jump performance, in adolescent girls compared to RT alone. These results highlight the potential of CT programs for improving overall physical performance in this population.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
Open AccessArticle
The Effect of Post-Exercise Warm Water Immersion on Anaerobic Power Performance in College Students
by
Chloe E. Newlands, Michele Aquino, Kevin Z. Young, Soniya T. Gupta, John Petrizzo, John W. Wygand and Robert M. Otto
Physiologia 2024, 4(4), 363-372; https://doi.org/10.3390/physiologia4040022 - 29 Oct 2024
Abstract
Background/Objectives: The purpose of this study was to investigate the effect of a short-term passive post-exercise heat acclimation (HA) protocol on anaerobic performance in college students. Methods: In total, 28 participants (age 22.3 ± 2.1 years, height 168 ± 9.1 cm, mass 71.5
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Background/Objectives: The purpose of this study was to investigate the effect of a short-term passive post-exercise heat acclimation (HA) protocol on anaerobic performance in college students. Methods: In total, 28 participants (age 22.3 ± 2.1 years, height 168 ± 9.1 cm, mass 71.5 ± 16.6 kg) volunteered and were randomly divided into either an intervention (INT) or control (CON) group. Both groups followed a consecutive two-day protocol, consisting of a 25 min submaximal cycle @ 50–60% heart rate reserve (HRR), followed by a 25 min hot water immersion (INT) or nothing (CON). All participants performed a 30 s Wingate Anaerobic Test (WAnT) on four separate occasions—familiarization, pre-intervention, acutely post-intervention, and 24 h post intervention. The WAnT measured their peak power (W), relative peak power (W/kg), mean power (W), fatigue index (%), and total work (kJ). Results: From the results of the Factorial ANOVA, it was found that there were no significant differences, with no main effect for group (INT vs. CON) or time (Trials 1–4) and no significant interaction across all measured variables (p > 0.05). Conclusions: A two-day post-exercise passive HA protocol utilizing hot water immersion had no significant effect on the measurement of anaerobic performance in college students.
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(This article belongs to the Special Issue Exercise Physiology and Biochemistry: 2nd Edition)
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