ArticlePDF AvailableLiterature Review

Morning and evening exercise

Authors:

Abstract

A growing body of evidence suggests that exercise may contribute to preventing pathological changes, treating multiple chronic diseases, and reducing mortality and morbidity ratios. Scientific evidence moreover shows that exercise plays a key role in improving health-related physical fitness components and hormone function. Regular exercise training is one of the few strategies that has been strictly adapted in healthy individuals and in athletes. However, time-dependent exercise has different outcomes, based on the exercise type, dura-tion, and hormone adaptation. In the present review, we therefore briefly describe the type, duration, and adaptation of exercise performed in the morning and evening. In addition, we discuss the clinical considerations and indications for exercise training.
integr med res 2 (2013) 139–144
Available online at www.sciencedirect.com
Integrative Medicine Research
journal homepage: www.imr-journal.com
Review Article
Morning and evening exercise
Dae Yun Seoa, SungRyul Leea, Nari Kim a, Kyung Soo Koa,
Byoung Doo Rheea, Byung Joo Parkb, Jin Hana,
aNational Research Laboratory for Mitochondrial Signaling, Department of Physiology, College of Medicine,
Cardiovascular and Metabolic Disease Center, Inje University, Busan, Korea
bDivision of Leisure and Sports Science, Dong Seo University, Busan, Korea
article info
Article history:
Received 6 September 2013
Received in revised form
4 October 2013
Accepted 4 October 2013
Available online 14 October 2013
Keywords:
circadian rhythm
evening exercise
hormone
morning exercise
abstract
A growing body of evidence suggests that exercise may contribute to preventing patho-
logical changes, treating multiple chronic diseases, and reducing mortality and morbidity
ratios. Scientific evidence moreovershows that exercise plays a key role in improving health-
related physical fitness components and hormone function. Regular exercise training is one
of the few strategies that has been strictly adapted in healthy individuals and in athletes.
However, time-dependent exercise has different outcomes, based on the exercisetype, dura-
tion, and hormone adaptation. In the present review, we therefore briefly describe the type,
duration, and adaptation of exercise performed in the morning and evening. In addition, we
discuss the clinical considerations and indications for exercise training.
© 2013 Korea Institute of Oriental Medicine. Published by Elsevier. This is an open access
article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
1. Introduction
Increased muscle strength and cardiac fitness reflect regular
physical activity.1–3 This reflection is strongly associated with
time-dependent exercise.4,5 Recent studies have attempted to
elucidate the manner in which different exercise types and
duration are involved in the regulation of several physiological
responses through morning and evening exercise because this
information is important in improving muscle fitness, aerobic
capacity, and well-being.5–8
The beneficial effect obtained from exercise is gener-
ally determined by multiple systems such as the motor,
physiological, and neurobiological systems.9–11 In particular,
physiological and neurobiological activities are dependent on
biological rhythms in the human body; this is also known
Corresponding author. National Research Laboratory for Mitochondrial Signaling, Department of Physiology, College of Medicine, Car-
diovascular and Metabolic Disease Center, Inje University, 633-165 Gaegeum-Dong, Busanjin-Gu, Busan 614-735, Korea.
E-mail address: phyhanj@inje.ac.kr (J. Han).
as circadian or diurnal rhythms.12–15 This phenomenon has
been widely described in time-of-day studies. Despite the fact
that the data in the literature have shown a significant asso-
ciation between time and aerobic exercise,16–18 other studies
have not indicated any such circadian variations.19–21 These
results indicate that the time-course effects of aerobic exer-
cise on maximal aerobic velocity and exhaustion time remain
unclear.11,14 Other reports have described the use of time-of-
day for resistance exercise.22–24 The results of time variations
during resistance exercise (which involve muscle strength,
power, and sprint) range from 3% to 21.2%, depending on the
individual being tested, the position of the muscles, and the
experimental design.25,26
The warm-up duration, sleep deprivation, and training
time prior to exercise training can be affected by diurnal
variation.27,28 Sedliak et al29 report that exercise performed in
http://dx.doi.org/10.1016/j.imr.2013.10.003
2213-4220/© 2013 Korea Institute of Oriental Medicine. Published by Elsevier. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
140 Integr Med Res (2013) 139–144
the morning can improve muscle strength. However, another
study obtained contradicting results and showed that par-
ticipants were able to perform more physical activity in the
evening, despite the lower physiological variation at this
time.30 However, variations in the neuromuscular perfor-
mance level increased during evening exercise. Thus, further
information on the differences in the effects of morning and
evening exercises is required. In this review, we discuss the
exercise effects on aerobic and anaerobic performance, on
short and long duration, and on hormone adaptation through
time-of-day exercise studies.
2. Differential effect of exercise type
2.1. Aerobic training
In general, aerobic exercise plays a role in weight loss
management,31 and improves peak maximal oxygen con-
sumption (VO2max)32 and workload.33 Several studies have
recently confirmed the presence of time-of-day effects of exer-
cise on these variables.34,35 Therefore, health and disease
outcomes in response to exercise may depend on the time
of day the exercise is performed.36,37 Hobson et al38 suggest
the existence of a time-of-day effect on aerobic exercise for
improving aerobic exercise capacity. The authors observed
that the endurance exercise capacity of men during exhaus-
tive cycling exercise at 65% peak VO2was significantly greater
in the morning than in the evening. In addition, Shiotani et
al30 found that a two-month aerobic exercise program, which
consisted of ergometer cycling, increased the heart rate in the
morning. However, another study found that an evening exer-
cise training group had a greater work capacity after 5 weeks
of high-intensity training, compared to the morning exercise
training group.39 Faisal et al40 similarly indicated the presence
of a time-of-day specificity on the effects of aerobic exercise
training. Therefore, the studies in the literature indicate that
different effects may be elicited, depending on the exercise
duration, time, and the individual.
2.2. Resistance training
Resistance exercise elicits improved muscle strength and
power, and elicits changes in anabolism/catabolism, depend-
ing on the time of the day.41,42 Souissi et al43 found that,
compared to evening exercise, morning exercise yielded
more beneficial effects on anaerobic performance after 6
weeks of resistance training. After examining study partic-
ipants who underwent resistance training for 6 weeks in
the morning, Chtourou et al27 similarly noted that muscle
performance—determined by the one-repetition, squat jump,
and Wingate tests—was significantly higher among this group
than among individuals who performed resistance training in
the evening. By contrast, certain researchers have reported
that evening exercise is more effective than morning exer-
cise, and one study showed a significant improvement in peak
muscle power in well-trained cyclists in the evening than in
the morning.44 Furthermore, Edwards et al45 showed that grip
strength, isokinetic knee flexion, peak power, and peak torque
were higher in the evening than in the morning.
However, Sedliak et al46,47 observed that after 10 weeks of
exercise in a diurnal pattern the maximum isometric strength
was not altered in the morning and evening. In a similar study,
some researchers indicated that no time-of-day changes were
observed in muscular anaerobic performance. Chtourou et al48
measured electromyography (EMG) activity in study partici-
pants performing the 30-second Wingate test in the morning
and evening; however, the authors did not note any signifi-
cant differences in EMG activity during the entire 30seconds
between the morning and evening exercise. In another study,
Chtourou et al27 similarly indicated that, after 8 weeks of
lower extremity progressive resistance training, the muscle
strength was similar between the participants who performed
the exercise in the morning and participants who performed
the exercise in the evening. Sedliak et al47 did not show any
time-of-day-specific adaptations during unilateral isometric
knee extension peak torque training. Zarrouk et al49 inves-
tigated the time-of-day effects on repeated sprint ability, but
did not observe any significant time-of-day effects on the EMG
activity levels of four thigh muscles during a repeated ped-
aling sprint exercise. Chtourou et al50 moreover showed no
significant difference in muscular power or strength between
the morning and evening tests. To understand better the
time-of-day effects on muscle strength responses, future stud-
ies should assess the main physiological variations following
resistance exercise adaptations.
2.3. Differential effect of exercise duration
Many scientists have investigated different exercise types,
times, durations, and intensities of exercise training. Exercise
duration is particularly important. Many studies have shown
that short-term performance changes with different exer-
cise times. In addition, short-term exercise training, which
enhances anabolic metabolism, can be influenced by several
factors such as time-of-day training.47,51 In previous stud-
ies, exercise training improved anaerobic performance in the
morning and/or evening29,46 (Table 1). Most investigations
have shown that evening exercise is better than morning
exercise.27,47,50,52 Souissi et al43 indicated that 6 weeks of resis-
tance training in 10-year-old and 11-year-old boys improved
muscle strength and power to a significantly greater extent in
the evening than in the morning. Brisswalter et al53 investi-
gated the effects of moderate exercise and determined that
VO2kinetics were significantly higher in the morning than in
the evening. Souissi et al28 observed the effect of different
exercise training times on anaerobic performance, includ-
ing peak anaerobic power, jump performance, and peak knee
extension toque. Their study found that the group that was
trained in the evening had greater improvements in anaerobic
performance. Lricollais et al54 moreover showed that, during
the 60 second Wingate test, muscle fatigue was lower in the
evening than in the morning.
Long-term exercise has beneficial effects on aerobic capac-
ity, cardiac function, and rehabilitation. In particular, this type
of exercise is important in exercises involving time trials such
as cycling, rowing, swimming, running, football, and table ten-
nis. In a previous study, Deschenes et al21 observed that during
aerobic exercise, the mean arterial blood pressure was higher
D.Y. Seo et al/Morning and evening exercise 141
Table1–Theeffect of time of day on short-term exercises.
Refs Participants Age (y) Measurement parameters Acrophase Amplitude
Atkinson et al69 Trained (n=7)
Untrained (n=7)
19–29
Trained, 23.9 ±3.3
Untrained, 24.3 ±24
Whole-body flexibility
Back and leg strength
Grip strength
Flight time in a vertical
jump
Self-chosen work rate
17:00–19:00 h Trained > untrained
(2–10% vs. 1–7%)
Wyse et al70 9 Collegiate
sportsmen
19.6 ±9.6 Extension peak torque
Flexion peak torque
18.00–19.30 h 5–12%
Gauthier et al52 13 Physical
education
participants
M: 22.0 ±: 22.0
physical education
Elbow flexor torque 18:00 h 4%
Martin et al71 13 Healthy
participants
(12 M and 1 F)
22–40 MVC 18:00 h 8.9%
Callared et al72 6M
ultradistance
cyclists
33.4 ±3.4 MVC 19:30 h 6%
Souissi et al73 13 M physical
education
students
22.4 ±2.4 Maximal power during
the force velocity test
18:00 h 8.3%
Castaingts et al74 11 M 18–30 MVC 18:00 h 8.6%
F, female; M, male; MVC, maximal voluntary contraction; NS, not significant.
Note. From “The effect of training at a specific time of day: a review”, by H. Chtourou and N. Souissi, 2012, J Strength Cond Res,26, p.1984–2005.
Copyright 2013, Wolters Kluwer Health. Reprinted with permission.
in the morning than in the evening (Table 2). In agreement
with these studies, Edwards et al55 investigated the effect of
submaximal cycling at 60% of VO2max, and found that the
morning exercise group exhibited greater improvements in
lactate levels, compared to the evening exercise group.43 By
contrast, Reilly and Garrett19 indicated a higher power out-
put during a 60-minute cycle ergometer test in the evening
than in the morning. Atkinson and Reilly13 also indicated that,
after a 1.6-km time trail exercise, the heart rate and blood
lactate levels exhibited greater improvements in the evening
exercise group than in the morning exercise group. However,
previous studies did not indicate any difference in the time-of-
day effect on exhaustion during maximal19,21 and submaximal
cycling.55
2.4. Hormone adaptation
The role of adrenal steroids in response to exercise train-
ing is very important for improving muscle cell and protein
synthesis.56–58 Many researchers have revealed different time-
of-day effects of anabolic hormones (such as testosterone
and cortisol) on muscle strength and protein synthesis within
skeletal muscle.6,59,60 Testosterone is a male sex hormone and
its anabolic effects are observed during male adolescence and
adulthood.61 During exercise training and physical activity,
the main effect of testosterone is on insulin sensitivity and
on the maintenance of muscle protein synthesis within the
muscular system.62,63
Cortisol is catabolic in nature, and is a stress hormone.64
Florini65 found that cortisol exerts catabolic effects on
muscle tissue. Increased cortisol levels may also inhibit
protein synthesis.66 Testosterone and cortisol both exhibit
diurnal variations in peak concentrations in the morn-
ing and/or evening.67 Florini65 observed increased cortisol
levels in the morning, which may stimulate an increase
in glucogenesis, proteolytic activity, and skeletal protein
turnover.59 This effect may generate the catabolic sta-
tus of muscle tissue. Increased testosterone levels may
Table2–Theeffect of time of day on longterm exercises.
Refs Participants Age (y) Measurement parameters Acrophase
Dalton et al20 7 M competitive cyclists
or triathletes
22.3 ±2.3 Total work during a timed trial cycling
performance of 15-min duration
Average power output during a time trial cycling
performance of 15 min duration
NS
Bessot et al72,75 10 M competitive
endurance cyclists
21.5 ±1.5 Free pedal rate during 4 ×5min cycling exercise NS
Edwardsetal
55 8 M recreational cyclists 24.3 ±4 Work rate during 30-min submaximal cycling at
60% of VO2max
NS
M, male; NS, not significant; VO2max, maximal oxygen consumption.
Note. From “The effect of training at a specific time of day: a review”, by H. Chtourou and N. Souissi, 2012, J Strength Cond Res,26, p. 1984–2005.
Copyright 2013, Wolters Kluwer Health. Reprinted with permission.
142 Integr Med Res (2013) 139–144
furthermore offset the effects of cortisol on skeletal protein
degradation.68
Several investigators have indicated that hormonal
responses can be influenced by the time of exercise training
and the intensity, and duration of exercise. Sedliak et al29
indicated that testosterone levels did not change in response
to resistance training in the morning. Another study showed
that 10 weeks of training did not induce any significant
differences in testosterone and cortisol levels.24 Deschenes et
al21 also report that resistance exercise has no effect on the
diurnal variations in cortisol and testosterone levels. However,
Bird and Tarpenning23 showed that cortisol levels were lower
in the evening than in the morning. These results suggest
that the skeletal muscle metabolism may be improved at
that time of the day. However, further research is required
to support the use of different exercise timings, based on
hormonal responses.
3. Limitations
The present study indicates the defenses in the time-of-day
effects of exercise, exercise type, exercise duration, and hor-
mone adaptation among healthy individuals. However, we did
not assess the beneficial time-of-day effect in patients with a
chronic disease. Therefore, if further studies assess the bene-
ficial time-of-day effect in patients with chronic disease, such
studies should carefully consider only the results of physio-
logical variation.
4. Conclusions
The literature contains more than 70 different exercise types,
times, and hormonal adaptations. In the present review, we
confirm that the diurnal or hormone variations lead to dif-
ferences in physical performance, depending on the time of
the day. In addition, the results indicate differences in phys-
ical performance for exercise performed in the morning and
evening, thus suggesting that these factors should be consid-
ered by scientists, coaches, and athletes.
Conflicts of interest
All authors have no conflicts of interest to declare.
Acknowledgment
This work was supported by the 2005 Inje University research
grant.
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... Nevertheless, due to economic and organizational constraints, the time dedicated to PA is often reduced in long-term care facilities, 14:73 thus challenging the healthcare staff who tries to optimize the PA intervention modalities to maximize their effectiveness. The time of day when people exercise is a key factor that can influence the optimization of physical performance and enhance the effectiveness of a PA program [13][14][15][16][17][18]. The effects of time of day on physical performance have been extensively studied [14,17,19]. ...
... The time of day when people exercise is a key factor that can influence the optimization of physical performance and enhance the effectiveness of a PA program [13][14][15][16][17][18]. The effects of time of day on physical performance have been extensively studied [14,17,19]. While there is no clear consensus on whether there is a timeof-day effect on aerobic performance, studies about neuromuscular performance (e.g., muscle power, muscle strength, sprint) are more consistent and show that neuromuscular performance peaks in the afternoon with morning nadirs [14,17]. ...
... The effects of time of day on physical performance have been extensively studied [14,17,19]. While there is no clear consensus on whether there is a timeof-day effect on aerobic performance, studies about neuromuscular performance (e.g., muscle power, muscle strength, sprint) are more consistent and show that neuromuscular performance peaks in the afternoon with morning nadirs [14,17]. The literature regarding time-ofday effects on postural control in young healthy subjects yields inconclusive results [19]. ...
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Background: The time of day that people exercise can potentially influence the efficiency of exercises for fall prevention in older adults. The present pilot study was conducted to explore the feasibility and effects of morning versus afternoon exercising on postural control in institutionalized older adults. Methods: Nine older adults completed a 3-month multimodal exercise program in its entirety (14 participants were recruited at the beginning and were initially randomly separated into two groups). One group exercised in the morning (ME; n = 4) and the other in the afternoon (AE; n = 5). Postural control was assessed with a force platform at pre and post-intervention at the following times: 8 a.m., 11 a.m., 2 p.m. and 5 p.m. Results: Postural control significantly improved only in the AE group post-intervention. Improvements in postural control in the AE group were mainly observed in the morning. Conclusions: The afternoon would be the best period to implement exercise sessions dedicated to improve postural control in older subjects with benefits mainly observed in the morning. Further studies are needed with a larger sample in order to confirm these results.
... If timing of exercise training influences physical adaptations, this would have meaningful implications, because exercise recommendations would need to be updated to include the time of day and exercise intervention studies assessing changes in physical fitness and/or health-related outcomes would need to consider training and testing times. To date, ten reviews have discussed long-term effects of exercising during a specific time of day [19,21,22,25,30,[34][35][36][37][38]. However, eight of these are narrative reviews and thus are not based on a comprehensive systematic literature search and therefore reinforce subjective selection bias [19,21,22,[34][35][36][37][38]. ...
... To date, ten reviews have discussed long-term effects of exercising during a specific time of day [19,21,22,25,30,[34][35][36][37][38]. However, eight of these are narrative reviews and thus are not based on a comprehensive systematic literature search and therefore reinforce subjective selection bias [19,21,22,[34][35][36][37][38]. The remaining two reviews [25,30] conducted a systematic literature search. ...
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Background Current recommendations for physical exercise include information about the frequency, intensity, type, and duration of exercise. However, to date, there are no recommendations on what time of day one should exercise. The aim was to perform a systematic review with meta-analysis to investigate if the time of day of exercise training in intervention studies influences the degree of improvements in physical performance or health-related outcomes. Methods The databases EMBASE, PubMed, Cochrane Library, and SPORTDiscus were searched from inception to January 2023. Eligibility criteria were that the studies conducted structured endurance and/or strength training with a minimum of two exercise sessions per week for at least 2 weeks and compared exercise training between at least two different times of the day using a randomized crossover or parallel group design. Results From 14,125 screened articles, 26 articles were included in the systematic review of which seven were also included in the meta-analyses. Both the qualitative synthesis and the quantitative synthesis (i.e., meta-analysis) provide little evidence for or against the hypothesis that training at a specific time of day leads to more improvements in performance-related or health-related outcomes compared to other times. There was some evidence that there is a benefit when training and testing occur at the same time of day, mainly for performance-related outcomes. Overall, the risk of bias in most studies was high. Conclusions The current state of research provides evidence neither for nor against a specific time of the day being more beneficial, but provides evidence for larger effects when there is congruency between training and testing times. This review provides recommendations to improve the design and execution of future studies on this topic. Registration: PROSPERO (CRD42021246468).
... Interestingly, squat jump peak power was the one exception, which showed significantly greater improvement in the morning versus evening exercise groups, likely due to a slightly (non-significant) lower baseline starting level in the AM group. In contrast, these outcomes were less time divergent in men, with performance parameters significantly improved in both AM and PM exercisers These findings suggest that the time of day exercise is performed in women impacts physical performance outcomes to a greater degree than when men perform training, in partial agreement with previous literature (Seo et al., 2013;Basti et al., 2021). The precise mechanisms of this potential sexual dimorphism in ETOD effect on performance needs further study. ...
... Frontiers in Physiology | www.frontiersin.org May 2022 | Volume 13 | Article 893783 training exhibits a clear trend towards greater benefits when performed in the afternoon/evening (Seo et al., 2013;Basti et al., 2021). The physiological underpinnings for the propensity for greater muscle performance in the afternoon/evening are likely complex and varied (Ammar et al., 2017). ...
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The ideal exercise time of day (ETOD) remains elusive regarding simultaneous effects on health and performance outcomes, especially in women. Purpose: Given known sex differences in response to exercise training, this study quantified health and performance outcomes in separate cohorts of women and men adhering to different ETOD. Methods: Thirty exercise-trained women (BMI = 24 ± 3 kg/m ² ; 42 ± 8 years) and twenty-six men (BMI = 25.5 ± 3 kg/m ² ; 45 ± 8 years) were randomized to multimodal ETOD in the morning (0600–0800 h, AM) or evening (1830–2030 h, PM) for 12 weeks and analyzed as separate cohorts. Baseline (week 0) and post (week 12) muscular strength (1-RM bench/leg press), endurance (sit-ups/push-ups) and power (squat jumps, SJ; bench throws, BT), body composition (iDXA; fat mass, FM; abdominal fat, Abfat), systolic/diastolic blood pressure (BP), respiratory exchange ratio (RER), profile of mood states (POMS), and dietary intake were assessed. Results: Twenty-seven women and twenty men completed the 12-week intervention. No differences at baseline existed between groups (AM vs PM) for both women and men cohorts. In women, significant interactions ( p < 0.05) existed for 1RM bench (8 ± 2 vs 12 ± 2, ∆kg), pushups (9 ± 1 vs 13 ± 2, ∆reps), BT (10 ± 6 vs 45 ± 28, ∆watts), SJ (135 ± 6 vs 39 ± 8, ∆watts), fat mass (−1.0 ± 0.2 vs −0.3 ± 0.2, ∆kg), Abfat (−2.6 ± 0.3 vs −0.9 ± 0.5, ∆kg), diastolic (−10 ± 1 vs−5 ± 5, ∆mmHg) and systolic (−12.5 ± 2.7 vs 2.3 ± 3, mmHg) BP, AM vs PM, respectively. In men, significant interactions ( p < 0.05) existed for systolic BP (−3.5 ± 2.6 vs −14.9 ± 5.1, ∆mmHg), RER (−0.01 ± 0.01 vs −0.06 ± 0.01, ∆VCO 2 /VO 2 ), and fatigue (−0.8 ± 2 vs −5.9 ± 2, ∆mm), AM vs PM, respectively. Macronutrient intake was similar among AM and PM groups. Conclusion: Morning exercise (AM) reduced abdominal fat and blood pressure and evening exercise (PM) enhanced muscular performance in the women cohort. In the men cohort, PM increased fat oxidation and reduced systolic BP and fatigue. Thus, ETOD may be important to optimize individual exercise-induced health and performance outcomes in physically active individuals and may be independent of macronutrient intake.
... The free Nrf2 then translocates into the nucleus to form a heterodimer with the small protein Maf (Nrf2-Maf). 17,18 Time-dependent exercise has different outcomes, 19 as shown by the greater increases in endurance capacity gained by evening exercise compared to morning exercise, 20 and the better glycemic control and weight control in obese and overweight individuals due to evening exercise. [21][22][23][24][25] (Table 1) Moderate to vigorous exercise is more effective in the evening where it reduced insulin resistance by 25%. ...
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Exercise has well-characterized therapeutic benefits in the management of type 2 diabetes mellitus (T2DM). Most of the beneficial effects of exercise arise from the impact of nuclear factor erythroid 2 related factor-2 (Nrf2) activation of glucose metabolism. Nrf2 is an essential controller of cellular anti-oxidative capacity and circadian rhythms. The circadian rhythm of Nrf2 is influenced by circadian genes on its expression, where the timing of exercise effects the activation of Nrf2 and the rhythmicity of Nrf2 and signaling, such that the timing of exercise has differential physiological effects. Exercise in the evening has beneficial effects on diabetes management, such as lowering of blood glucose and weight. The mechanisms responsible for these effects have not yet been associated with the influence of exercise on the circadian rhythm of Nrf2 activity. A better understanding of exercise-induced Nrf2 activation on Nrf2 rhythm and signaling can improve our appreciation of the distinct effects of morning and evening exercise. This review hypothesizes that activation of Nrf2 by exercise in the morning, when Nrf2 level is already at high levels, leads to hyperactivation and decrease in Nrf2 signaling, while activation of Nrf2 in the evening, when Nrf2 levels are at nadir levels, improves Nrf2 signaling and lowers blood glucose levels and increases fatty acid oxidation. Exploring the effects of Nrf2 activators on rhythmic signaling could also provide valuable insights into the optimal timing of their application, while also holding promise for timed treatment of type 2 diabetes.
... 17,24 Investigators have suggested that hormonal responses may be influenced by the time, as well as the intensity, and duration of exercise. 25 In a previous research, evidence has been found supporting the clinical significance of circadian variations in the onset of unstable angina, MI, and SCD. 15 The incidence of unstable angina 26 and MI 27 peaks from 6 a.m. to noon. The Framingham Heart Study also showed that a definite or possible occurrence of SCD (with a peak incidence between 7 and 9 a.m.) preceded by pronounced variations in circadian level. ...
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Full-text available
Background: It seems that the time of performing cardiac rehabilitation is important in determining the risk of cardiac complications in patients with myocardial infarction (MI). The present study aimed to investigate the effects of a home-based cardiac rehabilitation program (HCRP) conducted in either the morning or evening on cardiometabolic risk factors in phase IV (maintenance) MI patients. Methods: In this randomized controlled clinical trial, 80 patients with MI were divided into 2 groups of intervention and control (40 individuals per group). Patients in each group were categorized into morning and evening subgroups (20 individuals per subgroup). The therapeutic regimen in the intervention group included HCRP, routine medications, and exercise and walking programs for 8 weeks. Patients in the control group received routine treatments for 8 weeks. Cardiovascular risk factors comprising of cardiac troponin I (cTnI), mean platelet volume (MPV), C-reactive protein (CRP), and cardiometabolic indicators including cholesterol (Cho), high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglyceride (TG), and the maximum rate of oxygen consumption (VO2 max) were measured for all patients before and after the intervention. Results: Our results showed significant reductions in Cho, TG, HDL, LDL, VO2 max, CRP, and MPV (P < 0.05) in the group performing HCRP in the evening compared with the morning group. Conclusion: Performing HCRP in the evening, compared with morning, can be significantly more effective in improving the levels of cardiometabolic risk factors in patients with MI. Therefore, it is recommended that rehabilitation programs be implemented in these patients in evening shifts.
... Ekspresi gen MuRF memuncak pada pagi hari. Penghambatan farmakologis degradasi protein menyebabkan peningkatan pertumbuhan otot khususnya pada pagi hari (Seo et al., 2013). Dapat disimpulkan bahwa penelitian ini meningkatkan fleksibilitas otot punggung bawah setelah dilakukan shalat dhuha 4 rakaat selama 15 hari pada mahasiswa pesantren Abu Dzar Al-Ghifari Malang. ...
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Mahasiswa disibukkan dengan berbagai kegiatan perkuliahan ditambah kebiasaan duduk pada posisi yang salah dan terlalu lama dapat menyebabkan fleksibilitas menurun. Salah satu cara untuk meningkatkan serta mempertahankan fleksibilitas otot punggung bawah adalah dengan gerakan rukuk yang benar dan tepat pada shalat dhuha 4 rakaat. Pada saat gerakan rukuk dilakukan otot tipe I, mengalami kontraksi berulang dan resistensi minimal karena tarikan gravitasi bumi. Penelitian ini mendeskripsikan pengaruh gerakan rukuk pada shalat dhuha 4 rakaat terhadap fleksibilitas otot punggung bawah pada mahasiswa Pesantren Abu Dzar Al-Ghifari Malang. Desain penelitian ini adalah pre-experimental, yaitu One Group Pre-Test and Post-Test Design pada 30 mahasiswa yang mengalami penurunan fleksibilitas dengan alat ukur Sit Up and Reach Test. Berdasarkan hasil uji Paired Sample T Test di dapatkan hasil yang siginifikan yaitu 0,000, dinyatakan bahwa terdapat pengaruh gerakan rukuk pada shalat dhuha 4 rakaat terhadapa fleksibilitas otot punggung bawah responden. Maka disimpulkan gerakan rukuk pada shalat dhuha 4 rakaat selama 15 hari memberikan pengaruh pada fleksibilitas otot punggung bawah mahasiswa Pesantren Abu Dzar Al-Ghifari Malang.
... Indeed, the optimal performance window for any given sport depends not only on the athletes' diurnal patterns but also the type of activities most critical to overall performance (Reilly et al., 2000). For example, strength-based performance typically peaks in the late afternoon and early evening (Reilly et al., 2000;Seo et al., 2013), but cognitive performance can peak earlier in the day (Colquhoun, 1972;Schmidt et al., 2007). Consequently, the optimal timings for sports that involve multiple psychological and physiological elements-such as NBA basketball-are complex and remain unclear (Drust et al., 2005). ...
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Objectives: Elite athletes are often required to travel across time zones for national and international competitions, causing frequent jet lag. The aim of this study was to examine whether the direction of travel-related jet lag is associated with performance in the National Basketball Association (NBA), and if so, to explore potential mechanisms. Methods: Ten seasons comprising of 11,481 games of NBA data from the 2011/2012 to the 2020/2021 regular season were analyzed using multi-level mixed models with one fixed factor (three levels; jet lag direction: eastward vs westward vs no jet lag) and three random factors (team, opponent, game time). Predicted circadian resynchronization rate was accounted for, and home and away games were analysed separately. Mediation analyses were performed to examine potential mechanisms. Results: Among home teams, eastward (but not westward) jet lag was associated with reduced winning (Δ (i.e., change) = −6.03%, p = 0.051, marginal), points differential (Δ = −1.29 points, p = 0.015), rebound differential (Δ = −1.29 rebounds, p < 0.0001), and effective field goal percentage differential (Δ = −1.2%, p < 0.01). As the magnitude of eastward jet lag increased, home team points differential decreased (2 h Δ = −4.53 points, p < 0 . 05; 1 h Δ = −0.72 points, p = 0.07). No significant associations were found between jet lag and away team performance. Conclusion: Eastward jet lag was associated with impaired performance for home (but not away) teams. Sleep and circadian disruption associated with advancing phase following eastward travel may have significant adverse consequences on performance in the NBA, particularly when recovery time is limited. Sports organisations could consider chronobiology-informed scheduling and interventions to maximise recovery and performance of their athletes.
... 17,24 Investigators have suggested that hormonal responses may be influenced by the time, as well as the intensity, and duration of exercise. 25 In a previous research, evidence has been found supporting the clinical significance of circadian variations in the onset of unstable angina, MI, and SCD. 15 The incidence of unstable angina 26 and MI 27 peaks from 6 a.m. to noon. The Framingham Heart Study also showed that a definite or possible occurrence of SCD (with a peak incidence between 7 and 9 a.m.) preceded by pronounced variations in circadian level. ...
Article
BACKGROUND: It seems that the time of performing cardiac rehabilitation is important in determining the risk of cardiac complications in patients with myocardial infarction (MI). The present study aimed to investigate the effects of a home-based cardiac rehabilitation program (HCRP) conducted in either the morning or evening on cardiometabolic risk factors in phase IV (maintenance) MI patients.
Article
Obesity, caused by a high-fat diet (HFD) in elderly, is a risk factor for insulin resistance and a precursor to diabetes and can lead to impaired cognitive function. Physical exercise has positive effects on decrease obesity and improvement brain function. We investigated which type of aerobic (AE) or resistance (RE) exercise can be more effective in reducing HFD-induced cognitive dysfunction in obese elderly rats. 48 male Wistar rats (19-monthold) were divided into six groups: Healthy control (CON), CON+AE, CON+RE, HFD, HFD+AE, and HFD+RE. Obesity was induced by 5 months of HFD feeding in older rats. After obesity confirmation, RT (with a range of 50% to 100%1RM/3 days/week) and AE (running at 8-m/min for 15-min to 26-m/min for 60-min /5 days/week) was performed for 12-weeks. Morris water maze Test was used to evaluate cognitive performance. All data were analyzed using two-way statistical test of variance. The results showed that obesity had a negative effect on glycemic index, increased inflammation, decreased antioxidant levels, decreased BDNF/TrkB and decreased nerve density in hippocampal tissue. The Morris water maze results clearly showed cognitive impairment in the obesity group. But 12 weeks after AE and RE, all the measured variables were on the improvement path, and in general, no difference was observed between the two exercise methods. Two mods of exercise (AE and RE) may be having same effects on nerve cell density, inflammatory, antioxidant and functional status of hippocampus of obese rats. Each of the AE and RE can create beneficial effects on the cognitive function of the elderly.
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Muscle force production and power output in active males, regardless of the site of measurement (hand, leg, or back), are higher in the evening than the morning. This diurnal variation is attributed to motivational, peripheral, and central factors and higher core and, possibly, muscle temperatures in the evening. This study investigated whether decreasing evening resting rectal temperatures to morning values, by immersion in a water tank, leads to muscle force production and power output becoming equal to morning values in motivated subjects. Ten healthy active males (mean ± SD: age, 22.5 ± 1.3 yrs; body mass, 80.1 ± 7.8 kg; height, 1.72 ± 0.05 m) completed the study, which was approved by the local ethics committee of the university. The subjects were familiarized with the techniques and protocol and then completed three sessions (separated by at least 48 h): control morning (07:30 h) and evening (17:30 h) sessions (with an active 5-min warm-up on a cycle ergometer at 150 W) and then a further session at 17:30 h but preceded by an immersion in cold water (~16.5 °C) to lower rectal temperature (Trec) to morning values. During each trial, three measures of grip strength, isokinetic leg strength measurements (of knee flexion and extension at 1.05 and 4.19 rad s(-1) through a 90° range of motion), and three measures of maximal voluntary contraction (MVC) on an isometric dynamometer (utilizing the twitch-interpolation technique) were performed. Trec, rating of perceived exertion (RPE), and thermal comfort (TC) were also measured after the subjects had reclined for 30 min at the start of the protocol and prior to the measures for grip, isokinetic, and isometric dynamometry. Muscle temperature was taken after the warm-up or water immersion and immediately before the isokinetic and MVC measurements. Data were analyzed using general linear models with repeated measures. Trec values were higher at rest in the evening (by 0.37 °C; p < 0.05) than the morning, but values were no different from morning values immediately after the passive pre-cooling. However, Trec progressively decreased throughout the experiments, this being reflected in the subjects' ratings of thermal comfort. Muscle temperatures also displayed significant diurnal variation, with higher values in the evening (by 0.39 °C; p < 0.05). Right grip strength, isometric peak power, isokinetic knee flexion and extension for peak torque and peak power at 1.05 rad s(-1), and knee extension for peak torque at 4.19 rad s(-1) all showed higher values in the evening (a range of 3-14%), and all other measures of strength or power showed a statistical trend to be higher in the evening (0.10 > p > 0.05). Pre-cooling in the evening significantly reduced force or power variables towards morning values. In summary, effects of time of day were seen in some measures of muscle performance, in agreement with past research. However, in this population of motivated subjects, there was evidence that decreasing evening Trec to morning values by coldwater immersion decreased muscle strength to values similar to those found in the morning. It is concluded that diurnal changes in muscle performance are linked to diurnal changes in Trec.
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This study aimed to compare changes in skeletal muscle, prefrontal (PFC), and motor (MC) cortex hemodynamics during prolonged (i.e., 4-h) fatiguing whole-body exercise using multichannel near-infrared spectroscopy (NIRS). Ten subjects completed three successive 80-min cycling bouts at 45 % of their maximal power output. After the 4-h cycling, maximal voluntary contraction force of the leg was decreased by ~25 %. Muscle exhibited reproductive deoxygenation patterns during each of the three bouts, whereas intra-bout cerebral hemodynamics were different throughout the protocol. Results demonstrate that specific responses to fatiguing exercise are found between tissues but also between cortical sites involved in cycling, as shown by concomitant PFC hyperoxygenation and MC deoxygenation in the first 80 min of exercise. Further insights are needed to understand the consequences of these changes regarding the integrative control of motor output while fatigue develops over several hours.
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Consistent daily rhythms are important to healthy aging according to studies linking disrupted circadian rhythms with negative health impacts. We studied the effects of age and exercise on baseline circadian rhythms and on the circadian system's ability to respond to the perturbation induced by an 8 h advance of the light:dark (LD) cycle as a test of the system's robustness. Mice (male, mPer2luc/C57BL/6) were studied at one of two ages: 3.5 months (n = 39) and >18 months (n = 72). We examined activity records of these mice under entrained and shifted conditions as well as mPER2::LUC measures ex vivo to assess circadian function in the suprachiasmatic nuclei (SCN) and important target organs. Age was associated with reduced running wheel use, fragmentation of activity, and slowed resetting in both behavioral and molecular measures. Furthermore, we observed that for aged mice, the presence of a running wheel altered the amplitude of the spontaneous firing rate rhythm in the SCN in vitro. Following a shift of the LD cycle, both young and aged mice showed a change in rhythmicity properties of the mPER2::LUC oscillation of the SCN in vitro, and aged mice exhibited longer lasting internal desynchrony. Access to a running wheel alleviated some age-related changes in the circadian system. In an additional experiment, we replicated the effect of the running wheel, comparing behavioral and in vitro results from aged mice housed with or without a running wheel (>21 months, n = 8 per group, all examined 4 days after the shift). The impact of voluntary exercise on circadian rhythm properties in an aged animal is a novel finding and has implications for the health of older people living with environmentally induced circadian disruption. Electronic supplementary material The online version of this article (doi:10.1007/s11357-012-9502-y) contains supplementary material, which is available to authorized users.
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The present study aimed at investigating the effects of time-of-day on muscle power and associated electromyographic (EMG) activity level of 4 thigh muscles during a repeated pedalling sprint exercise. After a familiarization session, 12 male subjects were asked to perform the repeated sprint ability test during 2 experimental sessions (randomized order), which were set up either at 06:00 or 18:00 h. For each sprint, peak power output, percentage of peak power decrement and total work were calculated. EMG activity of vastus lateralis, rectus femoris, vastus medialis and biceps femoris muscles was recorded throughout the test and analyzed for each sprint. Total work and percentage of peak power decrement were higher in the evening than in the morning (p<0.01 and p<0.05, respectively). Likewise, peak power was significantly higher at 18:00 than 06:00 h during the first 3 sprints (p<0.01 for sprint 1 and p<0.05 for sprint 2 and 3). There was no time-of-day effect for EMG activity level. The neuromuscular efficiency decreased significantly over the repeated sprint ability test at the 2 times of testing (p<0.01). Despite diurnal fluctuation in muscular power and neuromuscular fatigue during the repeated sprint ability test, EMG activity of major thigh muscles was not time-of-day dependent.
Article
The growth-promoting actions of a number of hormones on muscle have been studied by a number of investigators during the past two decades, and some reasonably solid conclusions can now be reached. The somatomedins and insulin are major stimulators of anabolic processes in skeletal muscle; the last remaining uncertainty (absence of evidence that the somatomedins could replace growth hormone in stimulating weight gain in hypophysectomized animals) has recently been removed. The situation with growth hormone is less clear. Evidence from studies on isolated diaphragm muscles is consistent in indicating responsiveness to growth hormone, but most of it was obtained using supraphysiological levels of the hormone, and (in contrast to somatomedin and insulin) it has not been possible to demonstrate direct effects of this hormone on isolated muscle cells. There are some similar problems in the case of insulin—it is not clear to what extent the anabolic actions of insulin can be attributed to its cross-reaction with the somatomedin receptor and/or its effects on energy metabolism, but there is recent convincing evidence that this hormone has direct anabolic effects on muscle cells in culture. The effects of androgens are much more apparent in the whole animal than in isolated muscles or cell culture systems, and they have been more difficult to characterize. The thyroid hormones are clearly required for normal growth and development in the intact animal, but there is not much information on their actions on isolated muscle or cultured cells. Surprisingly, Cortisol exhibits some growth-promoting effects, but these may be attributable to maintenance of the cells in a “healthy” state rather than to a direct stimulation of anabolic processes. In no case is there any detailed biochemical information on the mechanisms by which any of these growth-promoting actions occur, although it is reasonable to infer that the presence of a cytoplasmic receptor for testosterone in muscle indicates a typical steroid-induced activation of RNA synthesis and a resultant increase in protein synthesis. Thus, although a good deal of progress has been made in cataloging the hormones most likely to have direct effects on the growth of muscle, much remains to be done in determining just how those hormones act.
Article
Background and objective: There is conjecture over the efficacy of respiratory muscle training (RMT). The aim of this study was to establish whether or not exercise tolerance, physical performance and effort perceptions are influenced by RMT. Methods: Thirty-six healthy males (age 24 ± 4) agreed to participate (experimental group (EXP) n = 18, control (CON) n = 18). RMT was performed using an inspiratory pressure-threshold training device at either 55% (EXP) or 10% (CON) of maximal inspiratory effort. Measurements of spirometry and maximal static inspiratory mouth pressure were taken before and after 4 weeks of RMT in addition to an incremental test to volitional exhaustion for the determination of: (i) V˙O(2) peak; (ii) maximal velocity at volitional exhaustion (vV˙O(2) peak)); (iii) time to volitional exhaustion; and (iv) effort perceptions. Results: There were no differences in spirometry, but mean maximal static inspiratory mouth pressure increased significantly in EXP (P < 0.01). V˙O(2) peak was unchanged following the 4-week intervention for both EXP and CON, although the proportion of EXP attaining the criteria for a V˙O(2) plateau significantly increased (P < 0.05). Both time to volitional exhaustion (P < 0.05) and vV˙O(2) peak were significantly improved for EXP (P < 0.05), while effort perceptions were reduced (P < 0.05). Conclusions: EXP tolerated higher running velocities during incremental exercise and demonstrated a significant flattening (plateau) of V˙O(2) after training. This suggests that RMT may promote an improved performance outcome vV˙O(2) peak probably as a result of blunted afferent sensations reducing the perceived discomfort of exercise at high ventilatory loads.
Article
Background: The effects of cardiac rehabilitation (CR) on muscle mass, muscle strength, and exercise tolerance in patients with diabetes mellitus (DM) who received CR after coronary artery bypass grafting (CABG) have not been fully elucidated. Methods: We enrolled 78 consecutive patients who completed a supervised CR for 6 months after CABG (DM group, n=37; non-DM group, n=41). We measured mid-upper arm muscle area (MAMA), handgrip power (HGP), muscle strength of the knee extensor (Ext) and flexor (Flex), and exercise tolerance at the beginning and end of CR. Results: No significant differences in confounding factors, including age, gender, ejection fraction, or number of CR sessions, were observed between the two groups. At the beginning of CR, the levels of Ext muscle strength and peak VO2 were significantly lower in the DM group than in the non-DM group. At the end of CR, significant improvement in the levels of muscle strength, HGP, and exercise tolerance was observed in both groups. However, the levels of Ext muscle strength, HGP, peak VO2, thigh circumference, and MAMA were significantly lower in the DM group than in the non-DM group. In addition, no significant improvement in thigh circumference and MAMA was observed in the DM group. At the end of CR, the levels of thigh circumference and MAMA correlated with Ext and Flex muscle strength as well as with HGP. Percent changes in the levels of Ext muscle strength were significantly correlated with those of MAMA and hemoglobin A1c. Conclusions: These data suggest that improvement in muscle strength may be influenced by changes in muscle mass and high glucose levels in DM patients undergoing CR after CABG. A CR program, including muscle mass intervention and blood glucose control, may improve deterioration in exercise tolerance in DM patients after CABG.
Article
Diurnal patterns of cortisol and dehydroepiandrosterone (DHEA) secretion, the two main peripheral secretory products of the hypothalamic-pituitary-adrenal neuroendocrine stress axis, have been well characterized in rest conditions but not in relation to physical exercise. The purpose of this investigation was therefore to determine the effects of an intense 90-min aerobic exercise on the waking diurnal cortisol and DHEA cycles on three separate days [without exercise, with morning exercise (10:00-11:30 h), and with afternoon exercise (14:00-15:30 h)] in nine recreationally trained soccer players. Saliva samples were collected at awakening, 30 min after awakening, and then every 2 h from 08:00 to 22:00 h. A burst of secretory activity was found for cortisol (p < 0.01) but not for DHEA after awakening. Overall, diurnal decline for both adrenal steroids was observed on resting and exercise days under all conditions. However, there was a significant increase in salivary cortisol concentrations on the morning-exercise and afternoon-exercise days at, respectively, 12:00 h (p < 0.05) and 16:00 h (p < 0.01), versus the other trials. This acute response to exercise was not evident for DHEA. The results of this investigation indicate that 90 min of intense aerobic exercise does not affect the circadian pattern of salivary adrenal steroids in recreationally trained athletes over a 16-h waking period, despite a transitory increase in post-exercise cortisol concentration. Further studies are necessary to determine whether these results are applicable to elite athletes or patients with cortisol or DHEA deficiency.