Assessment of Physical Fitness in Medical Students

Introduction: Physical activity promotes cerebral blood flow during cognitive tasks and possibly enhances performance. It is relevant to find relationship between post exercise recovery heart rate (RHR) and resting pulse rate in medical students. Aims: To assess physical fitness in medical students. Methods: In this cross-sectional study, 57 consenting healthy medical students, age 1730 years, underwent 3-Minutes Step Test to assess their physical fitness. Students were divided into four fitness groups based on RHR; good (n=9, RHR=50-84 bpm), satisfactory (n=17, RHR=88-100 bpm), poor (n=12, RHR=102-107 bpm), and very poor (n= 19, RHR=111-157 bpm) groups. The groups were compared using one-way ANOVA. A p<0.05 was considered statistically significant. Results: Results showed that there were few numbers of students who fall in good fitness group (n= 9, Resting pulse rate mean 72.00 ± 9.29) in comparison to satisfactory fitness group (n= 17, Resting pulse rate mean (68.35 ± 5.95), poor fitness group (n= 12, Resting pulse rate mean 75.67 ± 6.88) and very poor fitness group (n=19, Resting pulse rate mean 78.89 ± 7.67). The level of significance between satisfactory fitness group and very poor fitness group, p <0.05 was statistically significant. Conclusion: Most of the medical students fall under very poor fitness group. Satisfactory fitness group have less resting pulse rate in compare to very poor fitness group of medical students.

Cryostimulation for Post-exercise Recovery in Athletes: A Consensus and Position Paper

Recovery after exercise is a crucial key in preventing muscle injuries and in speeding up the processes to return to homeostasis level. There are several ways of developing a recovery strategy with the use of different kinds of traditional and up-to-date techniques. The use of cold has traditionally been used after physical exercise for recovery purposes. In recent years, the use of whole-body cryotherapy/cryostimulation (WBC; an extreme cold stimulation lasting 1–4 min and given in a cold room at a temperature comprised from −60 to −195°C) has been tremendously increased for such purposes. However, there are controversies about the benefits that the use of this technique may provide. Therefore, the main objectives of this paper are to describe what is whole body cryotherapy/cryostimulation, review and debate the benefits that its use may provide, present practical considerations and applications, and emphasize the need of customization depending on the context, the purpose, and the subject's characteristics. This review is written by international experts from the working group on WBC from the International Institute of Refrigeration.

Impact of Inter-Set Short Rest Interval Length on Inhibitory Control Improvements Following Low-Intensity Resistance Exercise in Healthy Young Males

The length of rest interval between sets (i.e., inter-set rest interval) is an important variable for resistance exercise program. However, the impact of the inter-set rest interval on improvements in cognitive function following resistance exercise remains unknown. In this study, we compared the effect of short rest interval (SRI) vs. long rest interval (LRI) protocols on post-exercise cognitive inhibitory control (IC) improvements induced by low-intensity resistance exercise. Twenty healthy, young males completed both SRI and LRI sessions in a crossover design. The bilateral knee extensor low-intensity resistance exercise was programed for six sets with 10 repetitions per set using 40% of one-repetition maximum. The inter-set rest interval lengths for SRI and LRI protocols were set for 1 and 3min, respectively. The color-word Stroop task (CWST) was administrated at six time points: baseline, pre-exercise, immediate post-exercise, and every 10min during the 30-min post-exercise recovery period. The levels of blood lactate, which may be an important determinant for improving IC, throughout the 30-min post-exercise recovery period were significantly higher following SRI protocol than following LRI protocol (p=0.002 for interaction effect). In line with this result, large-sized decreases in the reverse-Stroop interference score, which represent improved IC, were observed immediately after SRI protocol (d=0.94 and 0.82, respectively, vs. baseline and pre-exercise) as opposed to the moderate-sized decreases immediately after LRI protocol (d=0.62 and 0.66, respectively, vs. baseline and pre-exercise). Moreover, significant decreases in the reverse-Stroop interference score were observed from 10 to 30min after SRI protocol (all ps&lt;0.05 vs. baseline and/or pre-exercise), whereas no such decrease was observed after LRI protocol. Furthermore, the degree of decreases in the reverse-Stroop interference score throughout the 30-min post-exercise recovery period was significantly greater in SRI protocol than in LRI protocol (p=0.046 for interaction effect). We suggest that the SRI protocol is more useful in improving post-exercise IC, potentially via greater circulating lactate levels, compared to the LRI protocol. Therefore, the inter-set rest interval length may be an important variable for determining the degree of cognitive function improvements following resistance exercise in healthy young males.

The Prevalence of Use of Various Post-Exercise Recovery Methods after Training among Elite Endurance Athletes

There is now compelling evidence of the effectiveness of a range of post-exercise recovery techniques, including extended nights of sleep, cold water immersion, massage, and compression garments. Currently, limited information is available on post-exercise recovery methods used by elite endurance athletes. Therefore, this study investigated the actual methods of recovery used in this group of athletes. Google Forms were used to collect information on the recovery methods used by elite endurance track and field athletes (n = 153, 61.4% men, 38.6% women; average age: 22.7 ± 4.6 years). The most used methods of recovery were sauna bathing (96.7%), massage (86.9%), daytime nap (81.0%), and long night sleep (at least 9h) (61.4%). Recovery methods with proven effectiveness such as cold water immersion and compression garments were rarely used (15.0% and 7.8%, respectively). Overall, recovery methods were used more often when the tiers of the track and field athletes were higher. Massage and sauna bathing were the most used methods of post-exercise recovery among Russian endurance track and field athletes. In most cases, they were used in conjunction with short daytime nap and long night sleep. Higher tier athletes were more likely to use sauna bathing, massage, long night sleep, and daytime nap but not cold water immersion and compression garments as recovery methods; however, all these methods except for cold water immersion were widely used among elite-tier athletes.

Comparison of the Effect of Hot and Thermo-Neutral Environments on Fat Oxidation during Post-Exercise Recovery in Exercise-Trained Obese Women: A Preliminary Report

Exercise training is recommended to promote energy expenditure. Fat utilization occurs during exercise and continues for an extended period of time after the exercise session. The environmental temperatures can influence whole body substrate oxidation. The present study aimed to address the impacts of environmental temperature on fat oxidation during post-exercise recovery in exercise-trained obese women. Eleven sedentary obese women (age: 18 - 50 y, BMI: 27.5 - 40 kg/m2) with regular menstruation participated in the study. All subjects underwent a 4-week moderate-intensity aerobic exercise program. After training, each subject completed 2 occasions of post-exercise recovery testing in hot (31 - 32 °C) and thermo-neutral (22 - 23 °C) conditions in a randomized crossover fashion with 3 - 4 days of washout period. Two exercise bouts preceding each recovery condition were identically performed for 60 min at 60 % of heart rate reserve (HRreserve) in the thermo-neutral condition. Both experiments were conducted during the follicular phase of menstrual cycle. Substrate oxidations were determined during 1 h of post-exercise recovery using indirect calorimetry. The results showed that the fat oxidation during recovery in thermo-neutral environment (52.8 ± 26.5 mg.kg-1.h-1) was significantly greater than recovery in hot environment (32.3 ± 27.9 mg.kg-1.h-1, p = 0.0002). Total energy from substrate oxidation was not different between hot and thermo-neutral environments. Thus, in obese women with 4-week exercise training, recovery in the thermo-neutral condition has a higher fat oxidation than in the hot condition. This result may be implicated in weight management for temperature of choice to recover after routine exercise training sessions. HIGHLIGHTS Fat oxidation was greater during recovery in thermo-neutral environment after moderate-intensity exercise in trained obese women Recovery carbohydrate oxidation was greater in hot environment than in thermo-neutral environment after moderate-intensity exercise Energy expenditure from substrate oxidations during recovery in both thermo-neutral and hot environments were similar GRAPHICAL ABSTRACT

The Assessment of a Novel Lower Body Resistance Garment As a Mechanism to Increase the Training Stimulus During Running: a Randomised Cross Over Study

Background: This study examined the physiological and perceived impact of wearing a novel lower body resistance garment during exercise and recovery.Methods: Using a randomised cross over design, 15 recreationally-active males performed 2x10-minute steady-state runs followed by a 10-minute passive recovery with concomitant monitoring of oxygen consumption (V̇O2), heart rate (HR) and rating of perceived exertion (RPE; exercise portion only), wearing either the resistance garment (experimental) or running shorts (control).Results: During exercise, V̇O2 and RPE were higher (4.5% and 7.7% respectively) in experimental than control (V̇O2: r=0.24, p>0.05; RPE: r=0.32, p>0.05) whilst HR was lower (-0.4%, r=-0.05, p>0.05). During recovery, V̇O2 and HR were lower (4.7% and 4.3% respectively) in experimental than control (V̇O2: r=‑0.32, p>0.05; HR: r=-0.27, p>0.05). Conclusions: Though effects were trivial to small, and not statistically significant, these findings provide proof of concept and suggest that this garment design may increase the training stimulus during running and aid post-exercise recovery.

Older Adults’ Knowledge and Perceptions of Whole Foods as an Exercise Recovery Strategy

Resistance exercise is a widely advocated treatment for improving muscle strength and performance in older adults. Maximizing the benefit of resistance exercise by ensuring optimal recovery is an important aim and studies are now seeking interventions to expedite exercise recovery in older people. A recovery strategy that has acquired considerable interest is the consumption of protein, and more recently, the consumption of protein-rich whole foods. This study aimed to understand the perspectives of community-dwelling older adults, and determine their knowledge of exercise recovery strategies, their preferences for recovery strategies, and their attitudes toward using whole foods, such as milk as a post-exercise recovery aid. Two hundred ninety-one older adults (74 ± 4 years) were recruited to complete a self-administered online survey. A mixed methods approach was used to gather in-depth data from the cohort. Participants were asked to complete a combination of free-text (open-ended) and multiple-choice questions. Content analysis was conducted on responses to open-ended questions through a systematic classification process of coding. The most common recovery strategies reported were heat treatment, rest, and massage. Nutrition was rarely cited as a recovery strategy. Less than 2% of respondents mentioned nutrition, of these, only half mentioned a protein source. Forty-nine percent expressed negative opinions toward recovery supplements (e.g., “waste of money”) compared to 7% expressing positive opinions. Whole foods such as milk, meat, fish, and fruit, were deemed to be a more acceptable recovery strategy than supplements by 80% of respondents. Those that found whole foods to be equally as acceptable (18%), cited efficacy as their main concern, and those that declared whole foods less acceptable (2%) had no common reason. Despite the high acceptability of whole foods, only 35% were aware that these foods could aid recovery. When asked about milk specifically, the majority of older adults (73%) said this would, or might, be an acceptable exercise recovery strategy. Those that found milk an unacceptable recovery strategy (27%) often cited disliking milk or an allergy/intolerance. In conclusion, whilst whole foods represented an acceptable recovery intervention for older adults, the majority were unaware of the potential benefits of nutrition for post-exercise recovery.

Protein Requirements for Master Athletes: Just Older Versions of Their Younger Selves

It is established that protein requirements are elevated in athletes to support their training and post-exercise recovery and adaptation, especially within skeletal muscle. However, research on the requirements for this macronutrient has been performed almost exclusively in younger athletes, which may complicate their translation to the growing population of Master athletes (i.e. > 35 years old). In contrast to older (> 65 years) untrained adults who typically demonstrate anabolic resistance to dietary protein as a primary mediator of the ‘normal’ age-related loss of muscle mass and strength, Master athletes are generally considered successful models of aging as evidenced by possessing similar body composition, muscle mass, and aerobic fitness as untrained adults more than half their age. The primary physiology changes considered to underpin the anabolic resistance of aging are precipitated or exacerbated by physical inactivity, which has led to higher protein recommendations to stimulate muscle protein synthesis in older untrained compared to younger untrained adults. This review puts forth the argument that Master athletes have similar muscle characteristics, physiological responses to exercise, and protein metabolism as young athletes and, therefore, are unlikely to have protein requirements that are different from their young contemporaries. Recommendations for protein amount, type, and pattern will be discussed for Master athletes to enhance their recovery from and adaptation to resistance and endurance training.