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      Mechanical, Cardiorespiratory, and Muscular Oxygenation Responses to Sprint Interval Exercises Under Different Hypoxic Conditions in Healthy Moderately Trained Men

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          Abstract

          Objective: The aim of this study was to determine the effects of sprint interval exercises (SIT) conducted under different conditions (hypoxia and blood flow restriction [BFR]) on mechanical, cardiorespiratory, and muscular O 2 extraction responses.

          Methods: For this purpose, 13 healthy moderately trained men completed five bouts of 30 s all-out exercises interspaced by 4 min resting periods with lower limb bilateral BFR at 60% of the femoral artery occlusive pressure (BFR 60) during the first 2 min of recovery, with gravity-induced BFR (pedaling in supine position; G-BFR), in a hypoxic chamber (FiO 2≈13%; HYP) or without additional stress (NOR). Peak and average power, time to achieve peak power, rating of perceived exertion (RPE), and a fatigue index (FI) were analyzed. Gas exchanges and muscular oxygenation were measured by metabolic cart and NIRS, respectively. Heart rate (HR) and peripheral oxygen saturation (SpO 2) were continuously recorded.

          Results: Regarding mechanical responses, peak and average power decreased after each sprint ( p < 0.001) excepting between sprints four and five. Time to reach peak power increased between the three first sprints and sprint number five ( p < 0.001). RPE increased throughout the exercises ( p < 0.001). Of note, peak and average power, time to achieve peak power and RPE were lower in G-BFR ( p < 0.001). Results also showed that SpO 2 decreased in the last sprints for all the conditions and was lower for HYP ( p < 0.001). In addition, Δ[O 2Hb] increased in the last two sprints ( p < 0.001). Concerning cardiorespiratory parameters, BFR 60 application induced a decrease in gas exchange rates, which increased after its release compared to the other conditions ( p < 0.001). Moreover, muscle blood concentration was higher for BFR 60 ( p < 0.001). Importantly, average and peak oxygen consumption and muscular oxyhemoglobin availability during sprints decreased for HYP ( p < 0.001). Finally, the tissue saturation index was lower in G-BFR.

          Conclusions: Thus, SIT associated with G-BFR displayed lower mechanical, cardiorespiratory responses, and skeletal muscle oxygenation than the other conditions. Exercise with BFR 60 promotes higher blood accumulation within working muscles, suggesting that BFR 60 may additionally affect cellular stress. In addition, HYP and G-BFR induced local hypoxia with higher levels for G-BFR when considering both exercise bouts and recovery periods.

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          Mixed-effects modeling with crossed random effects for subjects and items

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            High-intensity interval training, solutions to the programming puzzle: Part I: cardiopulmonary emphasis.

            High-intensity interval training (HIT), in a variety of forms, is today one of the most effective means of improving cardiorespiratory and metabolic function and, in turn, the physical performance of athletes. HIT involves repeated short-to-long bouts of rather high-intensity exercise interspersed with recovery periods. For team and racquet sport players, the inclusion of sprints and all-out efforts into HIT programmes has also been shown to be an effective practice. It is believed that an optimal stimulus to elicit both maximal cardiovascular and peripheral adaptations is one where athletes spend at least several minutes per session in their 'red zone,' which generally means reaching at least 90% of their maximal oxygen uptake (VO2max). While use of HIT is not the only approach to improve physiological parameters and performance, there has been a growth in interest by the sport science community for characterizing training protocols that allow athletes to maintain long periods of time above 90% of VO2max (T@VO2max). In addition to T@VO2max, other physiological variables should also be considered to fully characterize the training stimulus when programming HIT, including cardiovascular work, anaerobic glycolytic energy contribution and acute neuromuscular load and musculoskeletal strain. Prescription for HIT consists of the manipulation of up to nine variables, which include the work interval intensity and duration, relief interval intensity and duration, exercise modality, number of repetitions, number of series, as well as the between-series recovery duration and intensity. The manipulation of any of these variables can affect the acute physiological responses to HIT. This article is Part I of a subsequent II-part review and will discuss the different aspects of HIT programming, from work/relief interval manipulation to the selection of exercise mode, using different examples of training cycles from different sports, with continued reference to T@VO2max and cardiovascular responses. Additional programming and periodization considerations will also be discussed with respect to other variables such as anaerobic glycolytic system contribution (as inferred from blood lactate accumulation), neuromuscular load and musculoskeletal strain (Part II).
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              Move over ANOVA: progress in analyzing repeated-measures data and its reflection in papers published in the Archives of General Psychiatry.

              The analysis of repeated-measures data presents challenges to investigators and is a topic for ongoing discussion in the Archives of General Psychiatry. Traditional methods of statistical analysis (end-point analysis and univariate and multivariate repeated-measures analysis of variance [rANOVA and rMANOVA, respectively]) have known disadvantages. More sophisticated mixed-effects models provide flexibility, and recently developed software makes them available to researchers. To review methods for repeated-measures analysis and discuss advantages and potential misuses of mixed-effects models. Also, to assess the extent of the shift from traditional to mixed-effects approaches in published reports in the Archives of General Psychiatry. The Archives of General Psychiatry from 1989 through 2001, and the Department of Veterans Affairs Cooperative Study 425. Studies with a repeated-measures design, at least 2 groups, and a continuous response variable. The first author ranked the studies according to the most advanced statistical method used in the following order: mixed-effects model, rMANOVA, rANOVA, and end-point analysis. The use of mixed-effects models has substantially increased during the last 10 years. In 2001, 30% of clinical trials reported in the Archives of General Psychiatry used mixed-effects analysis. Repeated-measures ANOVAs continue to be used widely for the analysis of repeated-measures data, despite risks to interpretation. Mixed-effects models use all available data, can properly account for correlation between repeated measurements on the same subject, have greater flexibility to model time effects, and can handle missing data more appropriately. Their flexibility makes them the preferred choice for the analysis of repeated-measures data.
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                Author and article information

                Contributors
                Journal
                Front Physiol
                Front Physiol
                Front. Physiol.
                Frontiers in Physiology
                Frontiers Media S.A.
                1664-042X
                16 December 2021
                2021
                : 12
                : 773950
                Affiliations
                [1] 1University of Perpignan Via Domitia (UPVD), Faculty of Sports Sciences, Laboratoire Interdisciplinaire Performance Santé Environnement de Montagne (LIPSEM), UR4640 , Perpignan, France
                [2] 2Institute of Sport Sciences, University of Lausanne , Lausanne, Switzerland
                Author notes

                Edited by: Ricardo Ferraz, University of Beira Interior, Portugal

                Reviewed by: Argyris G. Toubekis, National and Kapodistrian University of Athens, Greece; Cristian Alvarez, Universidad de Los Lagos, Chile; Anthony K. May, Deakin University, Australia

                *Correspondence: Anthony M. J. Sanchez anthony.sanchez@ 123456univ-perp.fr

                This article was submitted to Exercise Physiology, a section of the journal Frontiers in Physiology

                †These authors have contributed equally to this work and share senior authorship

                Article
                10.3389/fphys.2021.773950
                8716850
                34975526
                a72e82f8-3041-488f-bf4b-be1c30a305d1
                Copyright © 2021 Solsona, Berthelot, Borrani and Sanchez.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 10 September 2021
                : 19 November 2021
                Page count
                Figures: 3, Tables: 2, Equations: 1, References: 41, Pages: 11, Words: 9320
                Categories
                Physiology
                Original Research

                Anatomy & Physiology
                blood flow restriction (bfr),exhaustive exercise,hypoxia,oxygen extraction,skeletal muscle,supine exercise,gravity-induced blood flow restriction,vascular occlusion

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