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Effects of a whole-body strength training on metabolic responses and body composition
Abstract
This study aimed to evaluate the metabolic responses during a whole-body strength training (WBST) session and to test the effects of a 8-week WBST program on metabolic adaptations and body composition. Oxygen consumption ( ), and the rate of lipid oxydation (LipOx) were measured during both WBST and walking incremental exercises. Metabolic responses during walking, body composition, and anthropometric characteristics were measured before and after the WBST training period. was similar during a WBST session performed at 80% of MVC (15.4 ± 3.9 ml/min/kg), and during walking at 4.5 km/h (16.8 ± 2.0 ml/min/kg). During walking at 4.5 km/h, LipOx did not differ before (0.47 ± 0.20 g/min) and after training (0.43 ± 0.11 g/min), while was significantly reduced (-7.2 ± 10.4 %; p<0.01) after the WBST program. Waist circumference, supra-iliac skinfold thickness, and body fat percentage were also significantly (p<0.001, p<0.01and p<0.01 respectively) reduced after training. This study demonstrated that a WBST session, performed at 80 % of MVC, induced a significant aerobic solicitation and that a 8-week WBST program positively influenced body composition, anthropometric characteristics, and energetic cost of walking. These findings suggest that WBST may be an interesting alternative to combined aerobic and strength training strategies in overweight management.
... Different outcomes were measured in each study. At first, four studies [20][21][22][23] investigated the effect of the HUBER® rehabilitation platform on muscle strength. Markovic et al [23] and Fabre et al. [20] showed an improvement in muscle strength 3 compared to the non-HUBER® groups. ...
... At first, four studies [20][21][22][23] investigated the effect of the HUBER® rehabilitation platform on muscle strength. Markovic et al [23] and Fabre et al. [20] showed an improvement in muscle strength 3 compared to the non-HUBER® groups. In contrary, Guiraud et al. [22] and Couillandre et al. [21] showed no benefit in terms of muscle strength after training with HUBER®. ...
... We also did not evaluate specifically muscular strength but several studies [20][21][22][23] reported an improvement in muscle strength after training on mobile rehabilitation platform. ...
1) Background: Patients with neurological disorders are particularly at risk of falling and requiret functional rehabilitation. HUBER® is a motorised rotating platform that allows simultaneous work on balance, stability and strength with continuous adaptation and immediate feedback. This study aimed to measure the impact of rehabilitation with the HUBER® on the physical performance and quality of life of patients with neurological diseases requiring functional rehabilitation. 2) Methods: 32 subjects were enrolled in CHU Liège CNRF and randomly divided into 2 groups. The first group received classical rehabilitation combined with two training sessions per week on the HUBER® for 8 weeks. The second group received their usual treatment. This randomized control trial has been registered on clinicaltrials.gov under the number NCT04687293. Physical performance and quality of life were evaluated at different time. 3) Results: There was no significant difference between the 2 groups after enrolment. In terms of physical performance, an improvement in SPPB chair stand test (p=0.021) and total SPPB (p=0.003) was observed in the HUBER® group. In terms of quality of life, a higher improvement was observed overall in the HUBER® group (p<0.05 between groups). 4) Conclusion: The HUBER® showed promising results in functional rehabilitation of patients with neurological pathologies, as a complement to classical rehabilitation management by physiotherapy.
... The higher the target, the harder they have to push or to pull. The effect on an exercise training program with the HUBER Platform has already been studied in healthy older adults [14][15][16], in older women with mild cognitive impairment [17], and in individuals with cardiovascular diseases [18,19]. The published exercise programs with the HUBER Platform last from 4 to 8 weeks, with a number of sessions ranging from two to four sessions per week for a duration of 30 min each. ...
... The published exercise programs with the HUBER Platform last from 4 to 8 weeks, with a number of sessions ranging from two to four sessions per week for a duration of 30 min each. The HUBER Platform safely improves body composition, balance, strength, cardiorespiratory fitness, and cognitive function in healthy older adults and cardiac patients [14][15][16][17][18][19]. To our knowledge, only one study has been conducted on individuals with NSCLBP using HUBER [20], but other types of platforms are under study [21]. ...
... The HUBER platform is an alternative form of exercise known to have a positive effect on body composition, balance, strength, cardiorespiratory fitness, and cognitive function in different populations [15][16][17][18]20,29]. In NSCLBP, Letafatkar et al. reported significant improvements in the proprioceptive system, movement control, and quality of life in the HUBER group compared to a control group [20]. ...
Non-specific chronic low back pain (NSCLBP) is defined as a complex disorder involving structural, biomechanical, cognitive, psychological, social, and lifestyle factors. Non-pharmacological approaches such as exercise and physical therapy have been proposed in first-line treatments, along with psychological follow-up and pain medication if needed. Our objective was to evaluate the effectiveness of an intensive rehabilitation program with HUBER (a multi-axis motorized platform equipped with force sensors, allowing patients to perform physical exercises in an isometric mode) on the spine flexion-to-extension ratio at 60 and 120°/s, pain, and trunk flexibility in individuals with NSCLBP. Twelve participants underwent a clinical evaluation including isokinetic spine strength and participated in a 6-week rehabilitation program with HUBER 360 Evolution. The main findings of this pilot study show that the flexor/extensor ratios at 60°, the flexibility of the hamstring and quadriceps, and muscular endurance of the trunk, disability, and quality of life were significantly improved at the end of the rehabilitation program (p < 0.05). Low back pain and analgesic medication were also reduced. Exercising with the HUBER Platform seems to be effective in managing NSCLBP but a randomized study with a larger sample size and a control group is necessary.
... In 2015, our team showed that exercise sessions with the HML, based on very short periods of exercise (6 s) at 70% of the maximal isometric voluntary contraction (MVC), interspersed with short periods of passive recovery were safe and well tolerated for selected patients with stable coronary disease [11]. Moreover, a recent study showed that 8 weeks of training on the HML had a positive impact on body composition (especially decreased body fat), anthropometric data (reduced waist circumference), muscle performance (strength) and walking economy in healthy people [12]. ...
... Additionally, an interactive interface, shown as a target, informs the subject about their ability to maintain the required force level. This ''game-like'' control panel is intended to increase the user's motivation to practice and adhere to the HML training program [12]. ...
Background: Isometric strengthening has been rarely studied in patients with coronary heart disease
(CHD), mainly because of possible potential side effects and lack of appropriate and reliable devices.
Objective: We aimed to compare 2 different modes of resistance training, an isometric mode with the
Huber Motion Lab (HML) and traditional strength training (TST), in CHD patients undergoing a cardiac
rehabilitation program.
Design: We randomly assigned 50 patients to HML or TST. Patients underwent complete blinded
evaluation before and after the rehabilitation program, including testing for cardiopulmonary exercise,
maximal isometric voluntary contraction, endothelial function and body composition.
Results: After 4 weeks of training (16 sessions), the groups did not differ in body composition,
anthropometric characteristics, or endothelial function. With HML, peak power output (P = 0.035),
maximal heart rate (P < 0.01) and gain of force measured in the chest press position (P < 0.02) were
greater after versus before training.
Conclusion: Both protocols appeared to be well tolerated, safe and feasible for these CHD patients. A
training protocol involving 6 s phases of isometric contractions with 10 s of passive recovery on an HML
device could be safely implemented in rehabilitation programs for patients with CHD and improve
functional outcomes.
... Recently, a combined balance and core resistance training device named Huber 1 (LPG Systems, Valence, France) has been introduced and promoted (Couillandre, Duque Ribeiro, Thoumie, & Portero, 2008;Fabre, Martin, Borelli, Fritsch, & Theurel, 2014;Guiraud et al., 2015). The Huber device consists of an oval motorized platform, which performs rotating, oscillatory movements of controlled amplitude and speed, and two large handles with force sensors, mounted on a movable column (see also Section 2). ...
... As a result, the device provides postural and muscle adaptation with visual force feedback. This type of training lasting only 20-30 min per session proved to be effective in improving static balance, leg and trunk extensors strength (Couillandre et al., 2008), as well as in improving body composition and reducing the energy cost of walking in young adults (Fabre et al., 2014). Also, recent clinical study demonstrated that Huber training can safely and effectively be applied in rehabilitation of coronary heart disease patients (Guiraud et al., 2015). ...
... In addition, a recently published study showed that 8 wks of training on the HML had a positive impact on body composition (reduced percentage of body fat), anthropometric data (reduction of waist circumference), muscle performance (strength), and walking economy in healthy subjects. 12 To date, neither the safety aspects of the HML nor tolerance and acute cardiopulmonary responses of CHD patients to whole-body strength training (WBST) have been studied. This information is required to determine whether WBST meets cardiovascular rehabilitation guidelines before it can be considered for use in cardiac rehabilitation programs. ...
Objective:
The aim of this study was to investigate safety, tolerance, relative exercise intensity, and muscle substrate oxidation during sessions performed on a Huber Motion Lab in coronary heart disease patients.
Design:
After an assessment of Vo2 peak, 20 coronary heart disease patients participated in two different exercises performed in random order at 40% and 70% (W40 and W70) of the maximal isometric voluntary contraction.
Results:
No significant arrhythmia or abnormal blood pressure responses occurred during either session, and no muscle soreness was reported within 48 hrs posttest. The authors found a difference between W40 and W70 sessions for mean (standard deviation) ventilation (25.1% [8%] and 32.1% [9%] of maximal ventilation, respectively; P = 0.04) and a small difference for mean (standard deviation) heart rate (73 [7] and 79 [8] beats/min, respectively; P < 0.01). When compared with the W40, the W70 was associated with higher active energy expenditure (2.4 [0.6] and 3.1 [0.9] Kcal/min, respectively; P < 0.0001) and a similar mean (standard deviation) oxygen uptake (5.5 [1] and 6.6 [1] ml/min per kilogram, respectively; P = 0.07). The qualitative percentages of carbohydrates and lipids oxidized were 71% and 29%, respectively, at W40 and 91% and 9%, respectively, at W70.
Conclusions:
Both protocols, which consisted of repeating 6-sec phases of contractions with 10 secs of passive recovery on the Huber Motion Lab, seemed to be well tolerated, safe, and feasible in this group of coronary heart disease patients.
BACKGROUND: Non-specific chronic low back pain (NSCLBP) refers to a complex condition that involves structural, biomechanical, cognitive, psychological, social, and lifestyle issues. First-line therapies include physical therapy and exercise, as well as psychological follow-up and pain medication.
AIM: The aim of this study was to assess the impact of a 6-week center-based program using a multi-axis motorized platform (HUBER) connected with force sensors, that allows the patients to execute isometric exercises on the spine flexion-to-extension ratio at 60 and 120°/s, pain, trunk flexibility, and disability.
DESIGN: The design of the study was prospective, active control, parallel-group, assessor-blinded, randomized controlled trial.
SETTING: The setting was outpatients physical therapy clinic.
POPULATION: The population analyzed presented NSCLBP.
METHODS: Seventy individuals with NSCLBP were randomized into 2 intervention arms (1:1 ratio): 1/standard rehabilitation group (STAND) with physiotherapy, balneotherapy and cycloergometer exercises and 2/HUBER rehabilitation group (HUB) with physiotherapy, balneotherapy and HUBER exercises. Both programs lasted 6 weeks, with 4 sessions of 2 hours each per week.
RESULTS: Each group reported statistically significant improvements on the isokinetic spine strength, flexibility of the trunk, lumbar joint mobility, muscular endurance of the trunk and of the lower limbs, pain score and disability (P<0.05). The spine flexion/extension ratio at 60˚/s improved similarly between groups (-22.23 for HUB, and -13.04 for STAND; P=0.178) with a greater effect size in HUB. Only HUB reported a significant improvement in the spine flexion-to-extension ratio at 120˚/s (from 87.3 to 78.6, P=0.012). HUB reported a greater decrease in the Oswestry Disability Index (-16.83) compared to STAND (-12.11), with a statistically significant effect between groups (P=0.036).
CONCLUSIONS: Exercises performed on the HUBER platform added to physiotherapy and balneotherapy are as effective as a standard rehabilitation program with physiotherapy, balneotherapy and cycloergometer exercises to improve isokinetic spine strength, lumbar joint mobility, flexibility and muscular endurance of the trunk and the lower limbs. In addition, exercising with the HUBER platform result in a greater reduction in disability compared to a standard rehabilitation program (clinicalTrials.gov: NCT05437016).
CLINICAL REHABILITATION IMPACT: A variety of intervention techniques, including supervised exercise and manual therapy are now used to manage persistent NSCLBP. The added value of the HUBER device on disability suggests that the platform could be beneficial.
L'insuffisance cardiaque chronique (ICC) est une maladie dite " systémique " caractérisée notamment par le dérèglement de la balance végétative cardiaque et par un remodelage de l'architecture du tissu cardiaque. En rééducation cardiovasculaire, l'activité physique (AP) modérée et régulière joue un rôle majeur : améliorant les symptômes, la qualité de vie, l'aptitude physique des patients, elle permet de réduire les ré-hospitalisations et impacte favorablement la morbi-mortalité. Dans un premier travail bibliographique nous proposons une synthèse des effets bénéfiques de l'AP chez l'ICC, sur le rééquilibrage de l'activité orthosympathique et parasympathique. Puis, dans un deuxième travail, nous montrons que le réentraînement à l'effort par intervalles, court, intense, avec récupération passive améliore plus efficacement la capacité physique et le tonus vagal chez le patient ICC comparativement à un entraînement d'intensité modérée et continue. Enfin dans un troisième travail initié chez le rongeur en IC systolique post-ischémique, les analyses histologiques indiquent que l'entraînement débuté très tôt après la phase aigüe (J+7), provoque à la fois une hypertrophie et une amélioration de l'organisation structurelle des cardiomyocytes (alignement de l'appareil contractile, réorganisation de l'agencement des mitochondries inter-fibrillaires et des disques intercalaires). Par contre, la question de la prolifération des cardiomyocytes induite par l'entraînement reste entière pour le moment. En synthèse, notre projet Doctoral s'articule autour d'un projet clinique chez le patient ICC et d'une étude fondamentale chez la souris IC post-ischémique. L'objectif général de ces travaux est de déterminer de nouvelles caractéristiques pour les programmes d'exercice physique dans l'ICC, utilisables en pratique clinique courante au cours de la réadaptation cardiovasculaire.
In both developed and developing countries, increased prevalence of obesity has been strongly associated with increased incidence of type 2 diabetes mellitus (T2DM) in the adult population. Previous research has emphasized the importance of physical activity in the prevention and management of obesity and T2DM, and generic exercise guidelines originally developed for the wider population have been adapted for these specific populations. However, the guidelines traditionally focus on aerobic training without due consideration to other exercise modalities. Recent reviews on resistance training in the T2DM population have not compared this modality with others including aerobic training, or considered the implications of resistance training for individuals suffering from both obesity and T2DM. In short, the optimal mix of exercise modalities in the prescription of exercise has not been identified for it benefits to the metabolic, body composition and muscular health markers common in obesity and T2DM. Similarly, the underlying physical, social and psychological barriers to adopting and maintaining exercise, with the potential to undermine the efficacy of exercise interventions, have not been addressed in earlier reviews. Because it is well established that aerobic exercise has profound effects on obesity and T2DM risk, the purpose of this review was to address the importance of resistance training to obese adults with T2DM.
The purpose of this study was to examine the three-dimensional low back loads, spinal motions, and trunk muscular activity during gait. Specific objectives involved assessment of the effects of walking speed, and arm swing on spinal loads, lumbar spine motion, and muscular activation.
An in vivo modeling experiment using five male participants. Thirty walking trials were performed by each participant yielding five repeats of each condition (3 walking cadences x 2 arm swing conditions).
Walking is often prescribed as a rehabilitation task for individuals with low back injuries. However, there are few studies which have examined the joint loading, spinal motions, and muscular activity present when walking. Additionally, the majority of studies examining spine loading during gait have used an inverse dynamics model, commencing at the cranial aspect of the body, approach which does not include the impulsive phases of gait (i.e. heel strikes and toe offs).
Low back joint forces (bone on bone) and moments were determined using an anatomically complex three-dimensional model (detailing 54 muscles and the passive structures acting at the low back) during three walking cadences and with free arm swing or restricted arm swing. In order to assess the influence of the transient factors such as heel contact on the joint forces a bottom up (from the feet to the lumbar spine) rigid link segment analyses approach was used as one input to the three-dimensional anatomic model. Lumbar spine motion and trunk muscle activation levels were also recorded to assist in partitioning forces amongst the active and passive tissues of the low back.
Net joint anterior-posterior shear loading was the only variable significantly affected by walking cadence (fast versus slow P < 0.0003). No variable was significantly affected by the arm swing condition. Trends demonstrated an increase in all variables with increased walking cadence. Similarly, most variables, with the exception of axial twist and lateral bend lumbar spine motion and lateral joint shear, demonstrated increasing trends caused by the restriction of normal arm swing.
Tissue loading during walking appears to be below levels caused by many specific rehabilitation tasks, suggesting that walking is a wise choice for general back exercise and rehabilitation programs. Slow walking with restricted arm swing produced more 'static' lumbar spine loading and motion patterns, which could be detrimental for certain injuries and tissues. Fast walking produced a more cyclic loading pattern.
The purpose of this study was to systematically assess three-dimensional trunk kinematics during level walking in normal subjects, to establish a preliminary baseline for comparison to future research in gait analysis, and aid in the identification of pathological gait. Seventeen volunteers between the ages of 20 and 50, who met criteria for normal subjects, participated. Trunk kinematic data were collected using an optoelectronic technique. An ensemble average of trunk kinematic data in each of the cardinal planes was plotted in degrees of motion versus percentage of gait cycle. A distinct pattern of trunk kinematics during gait was found in this study. These data, along with information from past researchers, were used to identify the critical trunk kinematic events which occur during walking.
The present study aimed to examine the effects of a prior 1-hour continuous exercise bout (CONT) at an intensity (Fat(max)) that elicits the maximal fat oxidation (MFO) on the fat oxidation kinetics during a subsequent submaximal incremental test (IncrC). Twenty moderately trained subjects (9 men and 11 women) performed a graded test on a treadmill (Incr), with 3-minute stages and 1-km.h(-1) increments. Fat oxidation was measured using indirect calorimetry and plotted as a function of exercise intensity. A mathematical model (SIN) including 3 independent variables (dilatation, symmetry, and translation) was used to characterize the shape of fat oxidation kinetics and to determine Fat(max) and MFO. On a second visit, the subjects performed CONT at Fat(max) followed by IncrC. After CONT performed at 57% +/- 3% (means +/- SE) maximal oxygen uptake (Vo(2max)), the respiratory exchange ratio during IncrC was lower at every stage compared with Incr (P < .05). Fat(max) (56.4% +/- 2.3% vs 51.5% +/- 2.4% Vo(2max), P = .013), MFO (0.50 +/- 0.03 vs 0.40 +/- 0.03 g.min(-1), P < .001), and fat oxidation rates from 35% to 70% Vo(2max) (P < .05) were significantly greater during IncrC compared with Incr. However, dilatation and translation were not significantly different (P > .05), whereas symmetry tended to be greater in IncrC (P = .096). This study showed that the prior 1-hour continuous moderate-intensity exercise bout increased Fat(max), MFO, and fat oxidation rates over a wide range of intensities during the postexercise incremental test. Moreover, the shape of the postexercise fat oxidation kinetics tended to have a rightward asymmetry.
Bipsies were obtained from the gastrocnemius muscle of 13 male and 12 female distance runners and analyzed for [14C]palmitoyl-CoA oxidation, fiber composition, and the activities of selected enzymes. The male and female runners were similar in terms of maximal oxygen uptake (VO2max), training mileage, fiber compositions, and data collected during a 60-min treadmill run at 70% VO2max. Muscle succinate dehydrogenase and carnitine palmitoyl transferase activities were, however, significantly greater (P less than 0.05) in the male than in female runners. In addition, the male runners' muscle also showed a greater capacity to oxidize palmitoyl CoA. Little relationship, however, was found between muscle lipid metabolism, enzyme activities, and the calculated (respiratory exchange) fraction of energy derived from fat during 60 min of running at 70% VO2max. Although these data support the concept that endurance training (80-115 km/wk) markedly enhances the capacity of muscles to metabolize fats, the factors that regulate the usage of lipids during prolonged exercise do not appear to be limited by the capacity of the fibers to oxidize fatty acids, as determined by in vitro measurements.
The objectives of this study were to determine the effects of a strength-training program on walking speed and relative muscular stress, as measured by normalized integrated electromyographic (nIEMG) activity, while carrying a box of groceries and standing from a chair.
Prospective intervention study.
Volunteer subjects from the community of Birmingham, Alabama.
Fourteen healthy women aged 60 to 77 years.
Sixteen weeks of total body strength conditioning.
Before and after 16 weeks of strength conditioning, the following variables were evaluated for all subjects: (1) strength, six isotonic tests and two isometric tests; (2) walking velocity; (3) nIEMG of the biceps while carrying a box of groceries; and (4) nIEMG of the rectus femoris while standing from a chair.
After the strength training program, subjects' isotonic strength increased significantly, an average of 52% on the isotonic tests and 31% on the isometric tests. Walking velocity also increased significantly (18%). nIEMG of the biceps decreased 36% while carrying a box of groceries. Rectus femoris nIEMG decreased 40% while standing and 47% while sitting.
After strength conditioning, healthy older women showed not only substantially increased strength but also improvements in walking velocity and the ability to carry out daily tasks such as rising from a chair and carrying a box of groceries.
Postexercise energy metabolism was examined in male subjects age 22-35 years in response to three different treatments: a strenuous bout of resistive exercise (REx), a bout of stationary cycling (AEx) at 50% peak VO2, and a control condition (C) of quiet sitting. Resting metabolic rate (RMR) was measured the morning of and the morning following each condition. Recovery oxygen consumption (RcO2) was measured for 5 hr following each treatment. Total 5-hr RcO2 was higher for the REx treatment relative to both AEx and C, with the largest treatment differences occurring early during recovery. There were no large treatment differences in postexercise respiratory exchange ratio values, except for the first hour of recovery following REx. RMR measured 14.5 hr postexercise for the REx condition was significantly elevated compared to C. These results suggest that strenuous resistive exercise results in a greater excess postexercise oxygen consumption compared to steady-state endurance exercise of similar estimated energy cost.
Resting metabolic rate (RMR) decreases with age, largely because of an age-related decline in fat-free mass (FFM). We hypothesized that a strength-training program capable of eliciting increases in FFM would also increase RMR in older individuals. To test this hypothesis, RMR, body composition, and plasma concentrations of certain hormones known to affect RMR were measured before and after a 16-wk heavy-resistance strength-training program in 13 healthy men 50-65 yr of age. Average strength levels, assessed by the three-repetition maximum test, increased 40% with training (P < 0.001). Body weight did not change, but body fat decreased (25.6 +/- 1.5 vs. 23.7 +/- 1.7%; P < 0.001) and FFM increased (60.6 +/- 2.2 vs. 62.2 +/- 2.1 kg; P < 0.01). RMR, measured by indirect calorimetry, increased 7.7% with strength training (6,449 +/- 217 vs. 6,998 +/- 226 kJ/24 h; P < 0.01). This increase remained significant even when RMR was expressed per kilogram of FFM. Strength training increased arterialized plasma norepinephrine levels 36% (1.1 +/- 0.1 vs. 1.5 +/- 0.1 nmol/l; P < 0.01) but did not change fasting glucose, insulin, or thyroid hormone levels. These results indicate that a heavy-resistance strength-training program increases RMR in healthy older men, perhaps by increasing FFM and sympathetic nervous system activity.