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PubMed2005

Effects of strength training on body composition and bone mineral content in children who are obese.

The purpose of this study was to test the hypothesis that strength training benefits diet-controlled obese children with respect to lean mass and bone mineral acquisition. Eighty-two Hong Kong school children (aged 10.4 +/- 1.0 years, 70 in Tanner stage 1, 12 in stage 2) who were obese/overweight were randomly assigned to receive either a balanced low-energy (900-1200 cal) diet plus strength training (n = 41) (training group) or the diet alone (n = 41) (control group). The training group attended a 75-minute strength exercise program 3 times/week for 6 weeks (phase 1), after which they were offered and 22 children opted to continue a once-weekly program for a further 28 weeks (phase 2). All children were evaluated at baseline, after 6 weeks, and at the end of the 36-week study (including an intervening 2-week introduction to phase 2). Body composition and bone mineral content were measured by dual-energy X-ray absorptiometry, and diet was assessed by food-frequency questionnaire. The results showed that the exercise programs were well accepted, with good attendance at the exercise classes. After 6 weeks, the children in the training group showed significantly larger increases in lean body mass (+ 0.8 kg [2.4%] vs. +0.3 kg [1.0%], p < 0.05) and total bone mineral content (+46.9 g [3.9%] vs. +33.6 g [2.9%], p < 0.05) than those in the control group. At the end of the study, these trends were maintained in the continued-training subgroup, though no longer reaching statistical significance. We conclude that in diet-controlled prepubertal obese/overweight children, participation in an exercise program with emphasis on strength training resulted in improved lean mass and bone mineral accrual.

Absorptiometry, Photon↗
PubMedDate not supplied

Creatine: a review of efficacy and safety.

OBJECTIVE: To provide an overview of the data on the efficacy and safety of the nutritional supplement creatine. DATA SOURCES: Human studies in English in MEDLINE, Current Contents, BIOSIS, Science Citation Index, and the popular media (including a LEXIS-NEXIS search and information from the World Wide Web and lay media) for 1966 to July 1999 using the search terms creatine, creatine supplement#, creatine monophosphate, and creatine NOT kinase. DATA SYNTHESIS: Creatine use is common among professional athletes. Its use has spread to college athletes, recreational athletes, and even children. Most creatine supplement regimens include a loading dose of 20 to 30 grams divided in 4 equal doses for 5 to 7 days, followed by a 2 gram per day maintenance dose. The increased creatine in the muscle may allow larger stores of phosphocreatine to build, and provide extra energy in the form of adenosine triphosphate. Despite the many clinical trials, high-quality research is lacking. Laboratory investigations of endurance isotonic exercises, strength and endurance during isotonic exercises, isokinetic torque, isometric force, and ergometer performance have yielded roughly an equal number of published studies showing a positive effect or lack of effect. Field studies (i.e., on subjects participating in sports activities) are less impressive than laboratory studies. Performance was more often improved for short-duration, high-intensity activities. Reports have linked creatine to weight gain, cramping, dehydration, diarrhea, and dizziness. Creatine may decrease renal function, but only two case reports of this effect have been published. Creatine appears to be well tolerated in short-term trials. CONCLUSION: While creatine may enhance the performance of high-intensity, short-duration exercise, it is not useful in endurance sports. Because commercially marketed creatine products do not meet the same quality control standards of pharmaceuticals, there is always a concern of impurities or doses higher or lower than those on the labeling. Consumers should balance the quality of information supporting the use of creatine with the known and theoretical risks of using the product, including possible renal dysfunction.

Adult↗
PubMed1997

Administration of growth hormone to underweight patients with chronic obstructive pulmonary disease. A prospective, randomized, controlled study.

Patients with chronic obstructive pulmonary disease (COPD) often develop weight loss, which is associated with increased mortality. Recombinant human growth hormone (rhGH) treatment has been proposed to improve nitrogen balance and to increase muscle strength in these patients. The aim of this study was to assess the effects of rhGH administration on the nutritional status, resting metabolism, muscle strength, exercise tolerance, dyspnea, and subjective well-being of underweight patients with stable COPD. Sixteen patients attending a pulmonary rehabilitation program (age: 66 +/- 9 yr; weight: 77 +/- 7% of ideal body weight; FEV1: 39 +/- 13% of predicted) were randomly treated daily with either 0.15 IU/kg rhGH or placebo during 3 wk in a double-blind fashion. Measurements were made at the beginning (DO) and at the end (D21) of treatment and 2 mo later (D81). Body weight was similar in the two groups during the study, but lean body mass was significantly higher in the rhGH group at D21 (p < 0.01) and D81 (p < 0.05). The increase in lean body mass was 2.3 +/- 1.6 kg in the rhGH group and 1.1 +/- 0.9 kg in the control group at D21 and 1.9 +/- 1.6 kg in the rhGH group and 0.7 +/- 2.1 kg in the control group at D81. At D21, the resting energy expenditure was increased in the rhGH group (107.8% of DO, p < 0.001 compared with the control group). At D21 and D81, the changes in maximal respiratory pressures, handgrip strength, maximal exercise capacity, and subjective well-being were similar in the two groups. At D21, the 6-min walking distance decreased in the rhGH group (-13 +/- 31%) and increased in the control group (+10 +/- 14%; p < 0.01). We conclude that the daily administration of 0.15 IU/kg rhGH during 3 wk increases lean body mass but does not improve muscle strength or exercise tolerance in underweight patients with COPD.

Aged↗
PubMed2004

The effects of different inspiratory muscle training intensities on exercising heart rate and perceived exertion.

This study investigated the relationship between the intensity of an inspiratory muscle training programme and its effect on respiratory muscle strength, exercising heart rate, and ratings of perceived exertion. A total of 66 subjects were randomly assigned to one of three groups. One group trained at 100% of maximum inspiratory pressure (MIP) for 6 weeks (MAX, n=22). A second group performed 6 weeks of inspiratory muscle training at 80% of MIP (SUB, n=21) and a third control group received no inspiratory training (CON, n=23). Both the MAX and SUB training groups improved MIP relative to the control group [32 (19) cmH(2)O, P=0.01; 37 (25) cmH(2)O, P=0.001, respectively]. A significant decrease in heart rate [-6 (9) beats min(-1), P=0.02] and rating of perceived exertion [-0.5 (1.4), P=0.04] was observed for the MAX group only. It is concluded that 6 weeks of both MAX and SUB training were sufficient to improve inspiratory muscle strength. However, exercising heart rate and perceived exertion decreased with MAX training only.

Adaptation, Physiological↗
PubMedDate not supplied

Effects of exercise training on cardiovascular function and plasma lipid, lipoprotein, and apolipoprotein concentrations in premenopausal and postmenopausal women.

This study examined the effects of aerobic exercise on lipid levels in premenopausal and postmenopausal women. Fifty healthy middle-aged women (mean age, 50 years) were randomly assigned to 12 weeks of either aerobic exercise (walking and jogging) or nonaerobic strength exercise (circuit Nautilus training). Concentrations of total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, and very low density lipoprotein cholesterol were assessed, along with apolipoprotein (apo) A-I, apo A-II, apo B, and triglycerides. To document changes in aerobic capacity, maximum treadmill testing was performed with expired-gas analysis before and after the exercise program. Aerobic exercise was associated with an 18% improvement in peak VO2. Women in the aerobic group had an increased VO2, from 26.7 to 31.4 ml/kg/min (p less than 0.0001), while the VO2 of the women in the strength training group did not change (25.8 ml/kg/min before and after). There were no differential changes in lipid levels because all subjects experienced slight reductions in high density lipoprotein cholesterol and total cholesterol and increases in apo A-I and the apo A-I to apo B ratio. There was a tendency for the aerobic group to exhibit lower levels of apo A-II and a greater apo A-I to apo A-II ratio, however. We conclude that premenopausal and postmenopausal women experience similar changes in aerobic capacity and lipid levels with exercise and that the short-term effects of aerobic and nonaerobic exercise on lipid profiles are generally comparable.

Analysis of Variance↗
PubMed2005

Resistance exercise training in patients with heart failure.

The utility, safety and physiological adaptations of resistance exercise training in patients with chronic heart failure (CHF) are reviewed and recommendations based on current research are presented. Patients with CHF have a poor clinical status and impaired exercise capacity due to both cardiac limitations and peripheral maladaptations of the skeletal musculature. Because muscle atrophy has been demonstrated to be a hallmark of CHF, the main principle of exercise programmes in such patients is to train the peripheral muscles effectively without producing great cardiovascular stress. For this reason, new modes of training as well as new training methods have been applied. Dynamic resistance training, based on the principles of interval training, has recently been established as a safe and effective mode of exercise in patients with CHF. Patients perform dynamic strength exercises slowly, on specific machines at an intensity usually in the range of 50-60% of one repetition maximum; work phases are of short duration (< or =60 seconds) and should be followed by an adequate recovery period (work/recovery ratio >1 : 2). Patients with a low cardiac reserve can use small free weights (0.5, 1 or 3 kg), elastic bands with 8-10 repetitions, or they can perform resistance exercises in a segmental fashion. Based on recent scientific evidence, the application of specific resistance exercise programmes is safe and induces significant histochemical, metabolic and functional adaptations in skeletal muscles, contributing to the treatment of muscle weakness and specific myopathy occurring in the majority of CHF patients. Increased exercise tolerance and peak oxygen consumption (V-dotO(2peak)), changes in muscle composition, increases in muscle mass, alterations in skeletal muscle metabolism, improvement in muscular strength and endurance have also been reported in the literature after resistance exercise alone or in combination with aerobic exercise. According to new scientific evidence, appropriate dynamic resistance exercise should be recommended as a safe and effective alternative training mode (supplementary to conventional aerobic exercise) in order to counteract peripheral maladaptation and improve muscle strength, which is necessary for recreational and daily living activities, and thus quality of life, of patients with stable, CHF.

Adaptation, Physiological↗
PubMed1997

Influence of strength training on sprint running performance. Current findings and implications for training.

Today, it is generally accepted that sprint performance, like endurance performance, can improve considerably with training. Strength training, especially, plays a key role in this process. Sprint performance will be viewed multidimensionally as an initial acceleration phase (0 to 10 m), a phase of maximum running speed (36 to 100 m) and a transition phase in between. Immediately following the start action, the powerful extensions of the hip, knee and ankle joints are the main accelerators of body mass. However, the hamstrings, the m. adductor magnus and the m. gluteus maximus are considered to make the most important contribution in producing the highest levels of speed. Different training methods are proposed to improve the power output of these muscles. Some of them aim for hypertrophy and others for specific adaptations of the nervous system. This includes general (hypertrophy and neuronal activation), velocity specific (speed-strength) and movement specific (sprint associated exercises) strength training. In developing training strategies, the coach has to keep in mind that strength, power and speed are inherently related to one another, because they are all the output of the same functional systems. As heavy resistance training results in a fibre type IIb into fibre type IIa conversion, the coach has to aim for an optimal balance between sprint specific and nonspecific training components. To achieve this they must take into consideration the specific strength training demands of each individual, based on performance capacity in each specific phase of the sprint.

Acceleration↗
PubMed2004

Muscular adaptations to combinations of high- and low-intensity resistance exercises.

Acute and long-term effects of resistance-training regimens with varied combinations of high- and low-intensity exercises were studied. Acute changes in the serum growth hormone (GH) concentration were initially measured after 3 types of regimens for knee extension exercise: a medium intensity (approximately 10 repetition maximum [RM]) short interset rest period (30 s) with progressively decreasing load ("hypertrophy type"); 5 sets of a high-intensity (90% of 1RM) and low-repetition exercise ("strength type"); and a single set of low-intensity and high-repetition exercise added immediately after the strength-type regimen ("combi-type"). Postexercise increases in serum GH concentration showed a significant regimen dependence: hypertrophy-type > combi-type > strength-type (p < 0.05, n = 8). Next, the long-term effects of periodized training protocols with the above regimens on muscular function were investigated. Male subjects (n = 16) were assigned to either hypertrophy/combi (HC) or hypertrophy/ strength (HS) groups and performed leg press and extension exercises twice a week for 10 weeks. During the first 6 weeks, both groups used the hypertrophy-type regimen to gain muscular size. During the subsequent 4 weeks, HC and HS groups performed combi-type and strength-type regimens, respectively. Muscular strength, endurance, and cross sectional area (CSA) were examined after 2, 6, and 10 weeks. After the initial 6 weeks, no significant difference was seen in the percentage changes of all variables between the groups. After the subsequent 4 weeks, however, 1RM of leg press, maximal isokinetic strength, and muscular endurance of leg extension showed significantly (p < 0.05) larger increases in the HC group than in the HS group. In addition, increases in CSA after this period also tended to be larger in the HC group than in the HS group (p = 0.08). The results suggest that a combination of high- and low-intensity regimens is effective for optimizing the strength adaptation of muscle in a periodized training program.

Adaptation, Physiological↗
PubMed1995

[A study on physique, exercise frequency and physical strength of middle-aged forestry workers].

This study was conducted to compare physical strength, physique, exercise frequency and type of work of 4,334 male and 439 female middle-aged office and outdoor forestry workers. Both male and female outdoor workers were taller and had lower Broca's indices than their office counterparts, while the body weight of outdoor male workers was lighter and that of female outdoor workers heavier than those of male and female office workers, respectively. The number of outdoor workers not engaging in frequent exercise was found to be significantly greater than that of office workers. Male outdoor workers had significantly higher maximal oxygen uptake (cardio-respiratory endurance), grip strength (muscular strength) and standing trunk flexion (static flexibility) than the male office workers whereas the opposite was true for whole body reaction time (agility), eyes-closed one-leg balancing (static balance) and sit-ups (muscular endurance). Female outdoor workers had higher maximal oxygen uptake (cardio-respiratory endurance), grip strength (muscular strength) and standing trunk flexion (static flexibility) than the female office workers, whereas the opposite was the case for whole body reaction time (agility), eyes-closed one-leg balancing (static balance) and sit-ups (muscular endurance). All of these differences among females were significant except for maximal oxygen uptake (cardio-respiratory endurance). When indoor and outdoor workers of the same sex with similar physiques and exercise frequencies were compared male outdoor workers had higher maximal oxygen uptake (cardio-respiratory endurance) and greater standing trunk flexion (static flexibility) whereas female outdoor workers had greater grip strength (muscular strength) and standing trunk flexion (static flexibility). From these results, it was suggested that maximal oxygen uptake (cardio-respiratory endurance) and standing trunk flexion (static flexibility) in the male workers and grip strength (muscular strength) and standing trunk flexion (static flexibility) in the female workers were related to their working situations. Both the physical strength of workers and personal characteristics must be carefully considered in order to preserve the health of both indoor and outdoor forestry workers.

Adult↗
PubMed1999

A pilot study of exercise training to reduce trunk fat in adults with HIV-associated fat redistribution.

OBJECTIVE: Body fat redistribution ('lipodystrophy'), with gain in abdominal and trunk fat, and decline in facial and limb fat, is a newly recognized problem in patients with HIV infection that has been linked to use of HIV-1 protease inhibitors. Increased abdominal fat may predispose these patients to hypertension, diabetes, and coronary artery disease. At this time no effective treatment is available. We examined whether exercise training could reduce trunk fat in men with fat redistribution. DESIGN: Open-label pilot study. METHODS: Ten men with increasing abdominal girth participated in a 16 week pilot study of progressive resistance training with an aerobic component. They trained in a community health club three times per week. Total body lean and fat mass, and trunk fat mass, were assessed by dual-energy x-ray absorptiometry (DXA). RESULTS: After 16 weeks of exercise, strength increased for three of the four exercises tested (leg press + 13% [p < 0.02], leg extension + 19% [p < 0.03], seated row + 7% [p < 0.13], chest press + 18% [p < 0.0051). There was a significant decline in total body fat by 1.5 kg (= 2.1 percentage points, p < 0.01); most of the decline in body fat occurred in trunk fat, which decreased by 1.1 kg (p < 0.03). Weight, lean mass (+ 1.1 + 2.6 kg, p = 0.23), and bone mineral density measured by DXA did not change. No adverse effects were seen from the training. CONCLUSIONS: Exercise training may reduce trunk fat mass in HIV-positive men with fat redistribution. Controls trials of this approach are warranted.

Abdomen↗
PubMed2005

Return to official Italian First Division soccer games within 90 days after anterior cruciate ligament reconstruction: a case report.

STUDY DESIGN: Case report. BACKGROUND: To present the rehabilitative course, decision-making, and clinical milestones that allowed a top-level professional soccer player to return to full competitive activity 90 days after surgery. CASE DESCRIPTION: The patient was a 35-year-old forward player who sustained an isolated complete tear of the left anterior cruciate ligament (ACL) in the midst of the competitive 2001-2002 season. He was in contention for a position on the Italian World Cup Team that was to be played 135 days after his injury, only if he demonstrated that he could return to play at the highest level before the team was selected. The patient underwent an arthroscopically assisted ACL reconstruction with a double-loop semitendinosus-gracilis autograft 4 days after the injury. Eight days after surgery he began rehabilitation at a rate of 2 sessions a day, 5 days a week, plus 1 session every Saturday morning. These sessions were performed in a pool for aquatic exercises, in a gymnasium for flexibility, coordination, and strength exercises, and on a soccer field for recovery of technical and tactical skills, with continuous monitoring of training intensity. OUTCOMES: The surgical technique and the progressive rehabilitation program allowed the patient to play for 20 minutes in an official First Division soccer game 77 days after surgery and to play a full game 90 days after surgery. Eighteen months postsurgery, the player had participated in 62 First Division matches, scoring 26 times, and had received no further treatment for his knee. DISCUSSION: This case report suggests that early return to high-level competition after ACL reconstruction is possible in some instances. Some factors that may have favored the early return include optimal physical fitness before surgery, a strong psychological determination, an isolated ACL lesion, a properly placed and tensioned graft, a personalized progression of volume and intensity of exercise loads, and an appropriate density of rehabilitative training consisting of a mix of gymnasium, pool, and field exercises.

Adult↗
PubMed2002

Effects of growth hormone on skeletal muscle.

Human growth hormone (GH) is widely abused as a performance-enhancing anabolic drug by athletes and bodybuilders. However, the effects of GH on skeletal muscle mass, strength and fibre composition remain unclear. We therefore summarize in the following the current knowledge on the physiological role of GH in the regulation of skeletal muscle growth and function and evaluate its potential therapeutic potency as a muscle anabolic hormone. In states of GH deficiency, reduced muscle mass and strength are characteristic findings which can be reversed successfully by the supplementation of GH. In contrast, the currently available data suggest that GH administration alone or in combination with strength exercise has little, if any, effect on muscle volume, strength and fibre composition in non-GH-deficient healthy young individuals. This assumption is supported by the lack of evidence for a significant performance-enhancing effect of GH in athletes. However, further studies will be necessary to define patient populations which might benefit from GH treatment like frail elderly individuals in whom a GH-induced change into a more youthful muscle fibre composition has been reported.

Aging↗
PubMed2002

A systematic review of the effectiveness of strength-training programs for people with cerebral palsy.

OBJECTIVE: To determine whether strength training is beneficial for people with cerebral palsy (CP). DATA SOURCES: We used electronic databases to find trials conducted from 1966 though 2000; key words used in our search were cerebral palsy combined with exercise, strength, and physical training. We supplemented this search with citation tracking. STUDY SELECTION: To be selected for detailed review, reports found in the initial search were assessed by 2 independent reviewers and had to meet the following criteria: (1) population (people with CP), (2) intervention (strength training or a progressive resistance exercise program), and (3) outcomes (changes in strength, activity, or participation). Of 989 articles initially identified, 23 were selected for detailed review. DATA EXTRACTION: Empirical studies were rated for methodologic rigor with the PEDro Scale, and studies with a PEDro score of less than 3 were excluded. Review articles were evaluated for quality with the National Health Service Centre for Reviews and Dissemination form. DATA SYNTHESIS: Of the 23 selected articles, 11 studies (10 empirical, 1 review) met the criteria for quality and were included. Only 1 randomized controlled trial was identified. With respect to impairment, 8 of the 10 empirical studies reported strength increases as a result of a strength-training program, with effect sizes ranging from d equal to 1.16 (95% confidence interval,.11-2.21) to d equal to 5.27 (95% CI, 4.69-5.05). Two studies reported improvements in activity, and 1 study reported improvement in self-perception. No negative effects, such as reduced range of motion or spasticity, were reported. There was insufficient evidence from which to draw conclusions about the effects of environmental and personal contextual factors. CONCLUSIONS: The trials suggest that training can increase strength and may improve motor activity in people with CP without adverse effects. More rigorous studies are needed that have a greater focus on changes in activity and participation and that consider contextual factors.

Cerebral Palsy↗
PubMed1979

Endurance, strength, and coordination exercises without cardiovascular or respiratory stress.

In an attempt to maintain physical health, the author studied various exercises and after six years of research has knowledge of a form of exercise which increases endurance, strength, and coordination without cardiovascular or respiratory strain. This paper introduces five exercises, outlines their physiology, and proposes some aspects of their mechanisms of action.

Adult↗
PubMed1999

Leucine supplementation and intensive training.

Leucine, isoleucine and valine, the branched-chain amino acids (BCAA), make up about one-third of muscle protein. Of these, leucine has been the most thoroughly investigated because its oxidation rate is higher than that of isoleucine or valine. Leucine also stimulates protein synthesis in muscle and is closely associated with the release of gluconeogenic precursors, such as alanine, from muscle. Significant decreases in plasma or serum levels of leucine occur following aerobic (11 to 33%), anaerobic lactic (5 to 8%) and strength exercise (30%) sessions. In skeletal muscle, there is a decrease in leucine level and a reduction in glycogen stores during exhaustive aerobic exercise. Basal fasting serum leucine levels decrease by 20% during 5 weeks of speed and strength training in power-trained athletes on a daily protein intake of 1.26 g/kg bodyweight. The leucine content of protein is assumed to vary between 5 and 10%. There are suggestions that the current recommended dietary intake of leucine be increased from 14 mg/kg bodyweight/day to a minimum of 45 mg/kg bodyweight/day for sedentary individuals, and more for those participating in intensive training in order to optimise rates of whole body protein synthesis. Consumption of BCAA (30 to 35% leucine) before or during endurance exercise may prevent or decrease the net rate of protein degradation, may improve both mental and physical performance and may have a sparing effect on muscle glycogen degradation and depletion of muscle glycogen stores. However, leucine supplementation (200 mg/kg bodyweight) 50 minutes before anaerobic running exercise had no effect on performance. During 5 weeks of strength and speed training, leucine supplementation of 50 mg/kg bodyweight/day, supplementary to a daily protein intake of 1.26 g/kg bodyweight/day, appeared to prevent the decrease in the serum leucine levels in power-trained athletes. According to 1 study, dietary supplementation of the leucine metabolite beta-hydroxy-beta-methylbutyrate (HMB) 3 g/day to humans undertaking intensive resistance training exercise resulted in an increased deposition of fat-free mass and an accompanying increase in strength. Muscle proteolysis was also decreased with HMB, accompanied by lower plasma levels of enzymes indicating muscle damage and an average 50% decrease in plasma essential amino acid levels. Furthermore, BCAA supplementation (76% leucine) in combination with moderate energy restriction has been shown to induce significant and preferential losses of visceral adipose tissue and to allow maintenance of a high level of performance. Caution must be paid when interpreting the limited number of studies in this area since, in many studies, leucine has been supplemented as part of a mixture of BCAA. Consequently, further research into the effects of leucine supplementation alone is needed.

Dietary Supplements↗
PubMed2003

Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women.

AIM: To determine the importance and contribution of compliance in a pelvic muscle exercise program as a factor in reducing the severity of urinary stress incontinence amongst Chinese women. METHODS: Two hundred fourteen women presenting with urinary stress incontinence who agreed to undertake a program of pelvic muscle exercises were recruited into the study. Incontinence (wetting episodes), pelvic muscle strength, exercises compliance, correctness of pelvic muscle exercise technique, duration of stress incontinence, and previous history of pelvic surgery were recorded on four occasions: baseline (first clinic session) and second to fourth clinic sessions. Demographic data were also collected at baseline. Stepwise multiple regression analyses were used to determine the relative importance of compliance to exercise regime in predicting the severity of incontinence. Path analysis was used to provide a summary description of the influence of compliance on the outcomes over the four visits. RESULTS: The pelvic muscle training program appears to be able to reduce the overall urinary incontinence episodes by 85.2% and achieved a 73.1% increase in pelvic muscle strength. Although the number of wetting episodes in any visit are causally linked to that recorded in previous visit, those who were more compliant had a greater reduction. Age, mode of delivery, menopausal status, history of pelvic surgery, and duration of incontinence did not appear to contribute significantly to predicting incontinence. CONCLUSION: Compliance with pelvic muscle exercises significantly contributed to a reduction in urinary stress incontinence.

Adult↗
PubMed1995

Do athletes need more dietary protein and amino acids?

The current recommended daily allowance (RDA) for protein is based primarily on data derived from subjects whose lifestyles were essentially sedentary. More recent well-designed studies that have employed either the classic nitrogen balance approach or the more technically difficult metabolic tracer technique indicate that overall protein needs (as well as needs for some specific individual amino acids) are probably increased for those who exercise regularly. Although the roles of the additionally required dietary protein and amino acids are likely to be quite different for those who engage in endurance exercise (protein required as an auxiliary fuel source) as opposed to strength exercise (amino acids required as building blocks for muscle development), it appears that both groups likely will benefit from diets containing more protein than the current RDA of 0.8 g.kg-1.day-1. Strength athletes probably need about 1.4-1.8 g.kg-1.day-1 and endurance athletes about 1.2-1.4 g.kg-1.day-1.

Amino Acids↗