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Maxwell Ruby, Chris P. Repka and Paul J. Arciero

Background:

Yoga/Stretching (YS) and functional resistance (FR) training are popular exercise routines. A protein-pacing (PP) diet is a common dietary regimen. Thus, we assessed the effectiveness of a PP diet alone and in combination with either YS or FR to improve body composition and cardiometabolic health.

Methods:

Twenty-seven overweight women (age = 43.2 ± 4.6 years) were randomized into 3 groups: yoga (YS, n = 8) or resistance (FR, n = 10) training (3 days/week) in conjunction with PP diet (50% carbohydrate, 25% protein, and 25% fat) or PP diet-only (PP, n = 9) throughout 12-week study. PP maintained preexisting levels of physical activity. Body weight (BW), total (BF) and abdominal (ABF) body fat, waist circumference (WC), plasma biomarkers, and aerobic fitness (VO2) were measured at baseline and 12 weeks.

Results:

WC and total cholesterol improved in all groups, whereas glycemia tended to improve (P = .06) in S. BF, ABF, and VO2 increased significantly in YS and FR (P < .05). Feelings of vigor increased in YS and tension decreased in FR (P < .05).

Conclusions:

YS training tended to decrease blood glucose compared with FR and PP and is equally effective at enhancing body composition, and aerobic fitness in overweight women providing a strong rationale for further research on YS training.

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Gary Slater, David Jenkins, Peter Logan, Hamilton Lee, Matthew Vukovich, John A. Rathmacher and Allan G. Hahn

This investigation evaluated the effects of oral β-Hydroxy-β-Methylbutyrate (HMB) supplementation on training responses in resistance-trained male athletes who were randomly administered HMB in standard encapsulation (SH), HMB in time release capsule (TRH), or placebo (P) in a double-blind fashion. Subjects ingested 3 g · day−1 of HMB or placebo for 6 weeks. Tests were conducted pre-supplementation and following 3 and 6 weeks of supplementation. The testing battery assessed body mass, body composition (using dual energy x-ray absorptiometry), and 3-repetition maximum isoinertial strength, plus biochemical parameters, including markers of muscle damage and muscle protein turnover. While the training and dietary intervention of the investigation resulted in significant strength gains (p < .001) and an increase in total lean mass (p = .01), HMB administration had no influence on these variables. Likewise, biochemical markers of muscle protein turnover and muscle damage were also unaffected by HMB supplementation. The data indicate that 6 weeks of HMB supplementation in either SH or TRH form does not influence changes in strength and body composition in response to resistance training in strength-trained athletes.

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Alex S. Ribeiro, Brad J. Schoenfeld, Danilo R.P. Silva, Fábio L.C. Pina, Débora A. Guariglia, Marcelo Porto, Nailza Maestá, Roberto C. Burini and Edilson S. Cyrino

The purpose of this study was to compare different split resistance training routines on body composition and muscular strength in elite bodybuilders. Ten male bodybuilders (26.7 ± 2.7 years, 85.3 ± 10.4 kg) were randomly assigned into one of two resistance training groups: 4 and 6 times per week (G4× and G6×, respectively), in which the individuals trained for 4 weeks, 4 sets for each exercise performing 6–12 repetitions maximum (RM) in a pyramid fashion. Body composition was assessed by dual energy X-ray absorptiometry, muscle strength was evaluated by 1RM bench-press testing. The food intake was planned by nutritionists and offered individually throughout the duration of the experiment. Significant increases (p < .05) in fat-free mass (G4× = +4.2%, G6× = +3.5%) and muscular strength (G4× = +8.4%, G6× = +11.4%) with no group by time interaction were observed. We conclude that 4 and 6 weekly sessions frequencies of resistance training promote similar increases in fat-free mass and muscular strength in elite bodybuilders.

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Sijie Tan, Cheng Chen, Mingyang Sui, Lunan Xue and Jianxiong Wang

Objectives:

To explore the effects of exercise training on body composition, cardiovascular function, and physical fitness in 5-year-old obese and lean children.

Methods:

42 obese and 62 lean children were randomly allocated into exercise and control groups separately. Body composition, cardiovascular function, and physical fitness were measured at baseline and the end of the intervention. The exercise groups participated in 10 weeks of supervised moderate intensity exercise training (at 50% of heart rate reserve), 50 training sessions in total.

Results:

The physical activity program was successfully completed and no sport injury occurred. Exercise training decreased BMI, waist circumference, body fat%, and fat mass; and slowed down the growth speed of body mass of both trained obese and lean children. Exercise training significantly decreased systolic blood pressure of obese children and decreased their heart rate responses during exercise. Trained obese children improved the performances of long jump, 10-m × 4 shuttle run, and 3-m balance beam walk; while trained lean children improved more items of physical fitness.

Conclusions:

10 weeks of moderate intensity exercise training is an effective and safe treatment for children aged 5 years, either obese or with normal body mass.

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Scott C. Forbes, Nathan Sletten, Cody Durrer, Étienne Myette-Côté, D. Candow and Jonathan P. Little

High-intensity interval training (HIIT) has been shown to improve cardiorespiratory fitness, performance, body composition, and insulin sensitivity. Creatine (Cr) supplementation may augment responses to HIIT, leading to even greater physiological adaptations. The purpose of this study was to determine the effects of 4 weeks of HIIT (three sessions/week) combined with Cr supplementation in recreationally active females. Seventeen females (age = 23 ± 4 yrs; BMI = 23.4 ± 2.4) were randomly assigned to either Cr (Cr; 0.3 g・kg-1・d-1 for 5 d followed by 0.1 g・kg-1・d-1 for 23 days; n = 9) or placebo (PLA; n = 8). Before and after the intervention, VO2peak, ventilatory threshold (VT), time-trial performance, lean body mass and fat mass, and insulin sensitivity were assessed. HIIT improved VO2peak (Cr = +10.2%; PLA = +8.8%), VT (Cr = +12.7%; PLA = +9.9%), and time-trial performance (Cr = -11.5%; PLA = -11.6%) with no differences between groups (time main effects, all p < .001). There were no changes over time for fat mass (Cr = -0.3%; PLA = +4.3%), whole-body lean mass (Cr = +0.5%; PLA = -0.9%), or insulin resistance (Cr = +3.9%; PLA = +18.7%). In conclusion, HIIT is an effective way to improve cardiorespiratory fitness, VT, and time-trial performance. The addition of Cr to HIIT did not augment improvements in cardiorespiratory fitness, performance or body composition in recreationally active females.

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Darryn S. Willoughby

This study examined 12 wk of resistance training and cystoseim canariensis supplementation on serum levels of myostatin and follistatin-like related gene (FLRG) and muscle strength and body composition. Twenty-two untrained males were randomly assigned to a placebo (PLC) or myostatin binder (MYO) group in a double-blind fashion. Blood was obtained before and after 6 and 12 wk of training. PLC and MYO trained thrice weekly using 3 sets of 6 to 8 repetitions at 85% to 90% 1 repetition maximum. MYO ingested 1200 mg/d of cystoseim canariensis. Data were analyzed with 2-way ANOVA. After training, total body mass, fat-free mass, muscle strength, thigh volume/mass, and serum myostatin and FLRG increased for both groups (P < 0.05); however, there were no differences between groups (P > 0.05). Twelve wk of heavy resistance training and 1200 mg/d of cystoseim canariensis supplementation appears ineffective at inhibiting serum myostatin and increasing muscle strength and mass or decreasing fat mass.

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Liza Haqq, James McFarlane, Gudrun Dieberg and Neil Smart

Introduction:

Polycystic ovarian syndrome (PCOS) affects 18–22% women of reproductive age. We conducted a systematic review and meta-analysis to quantify expected benefits of lifestyle (exercise and dietary) interventions on various clinical outcomes in PCOS.

Methods:

Potential studies were identified by conducting systematic search of PubMed, the Cumulative Index to Nursing and Allied Health Literature, and Cochrane controlled trials registry (1966 to April 2013) using key concepts of PCOS, exercise, dietary and lifestyle interventions.

Results:

Significant improvements were seen in women who received lifestyle intervention vs. usual care, in body composition parameters of body mass index, mean difference (MD) = −0.12 kg.m−2 (95% CI [−0.22, −0.03], p = .009), body mass MD = −3.42 kg (95% CI [−4.86, −1.99], p < .00001), waist circumference MD = −1.64 cm (95% CI [−2.09, −1.19], p < .00001), waist−hip ratio MD = −0.03 (95% CI [−0.05, −0.01], p = .0002), and body fat % MD = −1.71% (95% CI [−3.10, −0.32], p = .02). Insulin did not improve, MD = −1.21 pmol/L (95% CI [−3.06, −0.63], p = .20). Lipid profile did not improve, total cholesterol MD = −0.02 mmol/L (95% CI [−0.25, 0.21], p = .89). C-reactive protein was significantly lower, MD = −0.47 mmol/L (95% CI [−0.80, −0.15], p = .004). Significant improvements were also observed in cardiorespiratory fitness with exercise alone reducing resting heart rate, MD = −1.89 beats.min−1 (95% CI [−2.90, −0.88], p = .0002), and peak VO2, MD = 4.86 ml.kg−1.min−1 (95% CI [2.83, 6.88], p < .00001). Lifestyle therapy also improved, peak VO2 MD = 5.09 ml.kg−1.min−1 (95% CI [3.13, 7.05], p < .00001).

Conclusions:

Our analyses suggest lifestyle intervention is optimal for improving body composition and cardiorespiratory fitness in women with PCOS.

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Khaled Trabelsi, Stephen R. Stannard, Ronald J. Maughan, Kamel Jammoussi, Khaled Zeghal and Ahmed Hakim

The aim of this study was to evaluate the effects of a hypertrophic training program during Ramadan on body composition and selected metabolic markers in trained bodybuilders. Sixteen male recreational bodybuilders (9 Ramadan fasters and 7 nonfasters) participated in the study. All visited the laboratory 2 d before the start of Ramadan (Bef-R) and on the 29th day of Ramadan (End-R). In the morning of each session, subjects underwent anthropometric measurement, completed a dietary questionnaire, and provided fasting blood and urine samples. Body mass and body-mass index in nonfasters increased by 2.4% (p = .05 and p = .04, respectively) from Bef-R to End-R but remained unchanged in fasters over the period of the investigation. Fasters experienced an increase in the following parameters from Bef-R to End-R: urine specific gravity (1%, p = .022) and serum concentrations of urea (5%, p = .008), creatinine (5%, p = .007), uric acid (17%, p < .001), sodium (2%, p = .019), potassium (6%, p = .006), chloride (2%, p = .028), and high-density lipoprotein cholesterol (10%, p = .005). However, only serum creatinine and low-density lipoprotein cholesterol increased in nonfasters (3%, p < .001 and 14%, p = .007, respectively) during the same period. Creatinine clearance values of fasters decreased by 3% (p = .03) from Bef-R to End-R. Continuance of hypertrophic training through Ramadan had no effect on body mass and body composition of bodybuilders, but a state of dehydration and reduced renal function were apparent, perhaps because of the restricted opportunity for fluid intake imposed by the study design.

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Melissa Hodge, Mary Hovinga, Kelley Gabriel, Linda Snetselaar, John Shepherd, Linda Van Horn, Victor Stevens, Brian Egleston, Alan Robson, Seungyoun Jung and Joanne Dorgan

This study prospectively investigates associations between youth moderate-to-vigorous-intensity physical activity (MVPA) and body composition in young adult women using data from the Dietary Intervention Study in Children (DISC) and the DISC06 Follow-Up Study. MVPA was assessed by questionnaire on 5 occasions between the ages 8 and 18 years and at age 25-29 years in 215 DISC female participants. Using whole body dual-energy x-ray absorptiometry (DXA), overall adiposity and body fat distribution were assessed at age 25-29 years by percent body fat (%fat) and android-to-gynoid (A:G) fat ratio, respectively. Linear mixed effects models and generalized linear latent and mixed models were used to assess associations of youth MVPA with both outcomes. Young adult MVPA, adjusted for other young adult characteristics, was significantly inversely associated with young adult %fat (%fat decreased from 37.4% in the lowest MVPA quartile to 32.8% in the highest (p-trend = 0.02)). Adjusted for youth and young adult characteristics including young adult MVPA, youth MVPA also was significantly inversely associated with young adult %fat (β=-0.40 per 10 MET-hrs/wk, p = .02) . No significant associations between MVPA and A:G fat ratio were observed. Results suggest that youth and young adult MVPA are important independent predictors of adiposity in young women.

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Anass Arrogi, Astrid Schotte, An Bogaerts, Filip Boen and Jan Seghers

. For example, regular PA was found to improve body composition (BC) and cardiorespiratory fitness. 13 In addition, a physically active lifestyle has been shown to enhance feelings of well-being, 14 including improvements in mood 15 and self-esteem. 16 Translated to the workplace setting, physically