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Concurrent Training: A Meta-Analysis Examining Interference of Aerobic and Resistance Exercises

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The primary objective of this investigation was to identify which components of endurance training (e.g., modality, duration, frequency) are detrimental to resistance training outcomes. A meta-analysis of 21 studies was performed with a total of 422 effect sizes (ESs). Criteria for the study included were (a) compare strength training alone to strength plus endurance training (concurrent) or to compare combinations of concurrent training; (b) the outcome measures include at least one measure of strength, power, or hypertrophy; and (c) the data necessary to calculate ESs must be included or available. The mean ES for hypertrophy for strength training was 1.23; for endurance training, it was 0.27; and for concurrent training, it was 0.85, with strength and concurrent training being significantly greater than endurance training only. The mean ES for strength development for strength training was 1.76; for endurance training, it was 0.78; and for concurrent training, it was 1.44. Strength and concurrent training was significantly greater than endurance training. The mean ES for power development for strength training only was 0.91; for endurance training, it was 0.11; and for concurrent training, it was 0.55. Significant differences were found between all the 3 groups. For moderator variables, resistance training concurrently with running, but not cycling, resulted in significant decrements in both hypertrophy and strength. Correlational analysis identified significant negative relationships between frequency (-0.26 to -0.35) and duration (-0.29 to -0.75) of endurance training for hypertrophy, strength, and power. Significant relationships (p < 0.05) between ES for decreased body fat and % maximal heart rate (r = -0.60) were also found. Our results indicate that interference effects of endurance training are a factor of the modality, frequency, and duration of the endurance training selected.
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... Common endurance training includes continuous training, high-intensity interval training, and lactate threshold intensity training, which often consist of longer endurance training sessions. At present, it is believed that long-term endurance training affects the growth of strength ability, while certain strength training has no obvious effect on endurance ability, and the aerobic and strength concurrent training on endurance ability is less than that of strength ability (Wilson et al., 2012). However, there is still no systematic report on whether the sequence of aerobic and strength training affects endurance ability. ...
... In this study, only Cadore et al. (2013) conducted aerobic running on a treadmill. Wilson et al. (2012) also pointed out in their meta-analysis that cycling training can reduce the incompatible effect of endurance on strength. This may be because running plays a significant role in training practice, and the muscles experience a more eccentric contraction process and stress stimulation to the body (Doma et al., 2019) and this exerts considerable load on the musculoskeletal system. ...
... Concurrent training frequency was shown to affect adaptive responses, with improvements in muscle strength diminishing when strength and endurance training was performed 4-6 times per week (Kraemer et al., 1995). A meta-analysis of 21 articles of 422 people on the effects of concurrent training on strength showed that endurance training no more than thrice a week can effectively reduce the incompatibility of training (Wilson et al., 2012). Similar results were found in this study, when training twice a week, and S-E training showed more advantages in improving lower body strength (SMD = 0.39, 95% CI: 0.13-0.64, ...
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The aim of this study is to compare the effects of concurrent strength and endurance training sequences on VO2max and lower limb strength performance to provide scientific guidance for training practice. We searched PubMed, EBSCO, Web of Science (WOS), Wanfang, and China National Knowledge Infrastructure (CNKI) databases up to December 2022. The included articles were randomized controlled trials that allowed us to compare the strength–endurance (S-E) sequence and endurance–strength (E-S) sequence on VO2max, maximum knee extension strength, maximum knee flexion strength, and lower limb power. The Cochrane bias risk tool was used to evaluate the methodological quality of the included literature, and Stata 12.0 was used for the heterogeneity test, subgroup analysis, draw forest map, sensitivity analysis, and publication bias evaluation. The results have been presented as standardized mean differences (SMDs) between treatments with 95% confidence intervals and calculations performed using random effects models. Significance was accepted when p < 0.05. The studies included 19 randomized controlled trials (285 males and 197 females), 242 subjects in S-E sequence, and 240 subjects in E-S sequence in the analyses. No difference changes between S-E and E-S sequences has been observed on VO2max in the overall analysis (SMD = 0.02, 95% CI: −0.21–0.25, p = 0.859). The S-E sequence shows a greater increase in lower limb strength performance than does the E-S sequence (SMD = 0.19, 95% CI: 0.02–0.37, p = 0.032), which was manifested in the elderly (p = 0.039) and women (p = 0.017); in training periods >8 weeks (p = 0.002) and training frequencies twice a week (p = 0.003); and with maximum knee flexion (p = 0.040) and knee extension strength (p = 0.026), while no difference was found in lower limb power (p = 0.523). In conclusion, the effect of VO2max will not change with different concurrent training sequences. The S-E sequence improves lower limb strength more significantly, mainly in the improvement of knee flexion and knee extension. This advantage is more related to factors such as age, gender, training period, and training frequency.
... However, endurance and resistance exercises could also interfere with each other [4] and produce inferior gains in muscular strength compared with resistance exercise alone, giving origin to the so-called "interference effect" [5,6]. Interference occurs when strength and endurance stimuli both target peripheral (i.e., muscular) adaptations (e.g., hypertrophy vs. muscle capillarization) [4] and a meta-analysis confirmed the occurrence of the "interference effect" [6]. ...
... However, endurance and resistance exercises could also interfere with each other [4] and produce inferior gains in muscular strength compared with resistance exercise alone, giving origin to the so-called "interference effect" [5,6]. Interference occurs when strength and endurance stimuli both target peripheral (i.e., muscular) adaptations (e.g., hypertrophy vs. muscle capillarization) [4] and a meta-analysis confirmed the occurrence of the "interference effect" [6]. That is, strength training alone compared to combined training produced larger improvements in muscle strength and power. ...
... The increase in muscle performance observed after a training program including resistance exercises would have been to be intuitively expected, yet it was to be demonstrated, inasmuch as it was imbricated with aerobic exercises, within the biocircuit training, and it has been repeatedly reported that combining aerobic and resistance exercise could reduce the effects on muscle performance induced by resistance exercise, the socalled "Muscle Interference" phenomenon [6,[26][27][28][29][30]. ...
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Background: The best format of exercise training (ET) in the setting of cardiac rehabilitation in patients with chronic heart failure (CHF) is still to be defined. Current guidelines recommend aerobic exercises, such as running and cycling, including some sessions per week of resistance exercise. Aim: The aim of this study was to address the effectiveness of a concurrent exercise training program utilizing a circuit of sequential endurance and resistance exercises on functional capacity and muscular strength in patients with CHF. Methods: Ninety-five consecutive male patients (age 63.1 ± 6 years) with CHF (EF < 40%) in NYHA functional class II/III, were randomly assigned on 1:1 basis to a 12-week aerobic continuous training (AT) or concurrent CT), aerobic + resistance, training (CT), three times a week, with each session lasting 80 min. We used high quality, specifically designed ergometers, connected with each other and governed by a central console, and managed by a single physiotherapist. Before and after training all patients performed a symptoms-limited exercise test on a treadmill and a 6-min walking test (6MWT). Patients in the CT group also performed resistance exercises of upper and lower body. Results: The 6MWT and exercise duration at ergometric test increased significantly in both AT and CT groups, with the increase being greater in CT group (p < 0.001; ES = 0.13; p < 0.01; ES = 0.07). Muscular strength increased significantly in the CT group, particularly in the lower body muscular districts (p < 0.001). Quality of life improved in both groups, with a significantly greater improvement in the CT group (p < 0.05). No side effects leading to discontinuation of training were observed. Conclusions: These findings indicate that concurrent, within-session training results in larger improvements in functional capacity, in addition to muscle performance, in patients with CHF, in comparison to single-mode aerobic training.
... The anti-inflammatory benefits of regular exercise may be mediated by both a decrease in visceral fat mass (by lowering the production of adipokines) and the development of an anti-inflammatory milieu after exercise bouts [15]. ET and RT are frequently prescribed to reduce inflammatory-related disease risk [13]; however, incorporating RT and ET simultaneously in the same training period-also known as combined training or concurrent training (CT) [16,17]-may further enhance the anti-inflammatory benefits of regular exercise [18]. To our knowledge, a single study has measured biomarkers of the CTRP family after exercise. ...
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Aim: Previous studies have focused on the order of endurance and resistance training when performing concurrent training (CT). However, no study has compared the effects of combined training with CT orders on inflammatory markers, muscular performance, and body composition in overweight and obese males. Therefore, the purpose of the current study was to compare the effects of 12 weeks of CT and combined training on the aforementioned markers in overweight and obese males. Methods: Sixty middle-aged overweight and obese males (age 51 ± 4 years) were randomly assigned into one of four groups: endurance followed by resistance training (ER; n = 15), resistance followed by endurance training (RE; n = 15), combined resistance and endurance training (COM), or control (CON; n = 15). Anthropometric, body composition, inflammatory marker, and muscular performance measurements were collected at baseline and after 12 weeks. Results: FFM remained unchanged in all three intervention groups (p > 0.05). Reductions in FM in the RE group were significantly greater than in CON (p = 0.038). The increases in serum concentrations of adiponectin in the RE group were significantly greater than in all other groups (p < 0.05). Increased serum concentrations of CTRP3 in all intervention groups were significantly greater than the CON group (p < 0.05); moreover, the increases in the RE group were significantly greater than CON (p < 0.001). Regarding CTRP5, the increase in RE was significantly greater than COM (p = 0.014). The RE group experienced significantly greater increases in CTRP9 than all other groups (p < 0.05), and the decreases in serum concentrations of CRP and TNF-α were significantly greater in the RE group compared to CON and ER (p < 0.05). Vo2max in the ER group was significantly greater than COM (p = 0.009), and all interventions resulted in higher gains compared to CON (p < 0.05). The increases in leg press strength, chest press strength, lower-body power, and upper-body power in the RE group were significantly greater than in the COM group (p < 0.05). In addition, the increases in chest press strength in the ER group were significantly greater than COM (p = 0.023). Conclusions: Regardless of training order, CT improved inflammatory markers, body composition, power, and VO2max. Notably, our analysis indicated significantly greater improvements in adiponectin, CTRP5, CTRP9, CRP, and TNF-α levels when RT preceded ET in CT sessions compared to other exercise training sequences. These findings suggested that the order of exercise training may have a significant impact on the effectiveness of CT on inflammatory markers, which has potential implications for exercise prescription and optimization of health-related training outcomes.
... Porém, as adaptações específicas decorrentes desse tipo de treinamento podem não trazer tantos benefícios para o desempenho de atletas em esportes de endurance (FLECK;KRAEMER, 2006). Os efeitos do treinamento concorrente estão relacionados com as diferentes interações entre as respostas e adaptações desse tipo de treinamento e estão associadas a grandes volumes ou intensidades, longa duração e tipo de treinamento(WILSON et al., 2011).O treinamento de força contribui para a melhora da biomecânica do movimento na corrida e da performance, através da melhora da capacidade física da força, da potência e na melhora do equilíbrio, aumentando a estabilidade articular e postural e contribuindo com a prevenção de lesões ligamentares em membros inferiores, Além disso, o treinamento de força combinado com exercícios de proprioceptivos ajudam a reduzir lesões ligamentares nos joelhos em atletas do sexo feminino(PATERNO et al., 2004;MYER et al., 2006).O treinamento de força apresentou-se como uma melhor estratégia preventiva, ao ser comparado com o treinamento que propriocepção e outros métodos de treinamento, e foi significativamente melhor que outros treinamentos combinados (Força e Endurance), reduzindo as lesões em menos de um terço (LAUERSEN et al., 2014). Para Badillo e Ayestarán (2001), os atletas de esportes de resistência podem se beneficiar com o treinamento de força com o objetivo de prevenir lesões e melhorar o seu rendimento esportivo ao mesclar treinamentos de força junto com os treinamentos de resistência, pois as adaptações geradas por esses tipos de treino promovem uma melhora das capacidades de contração muscular, otimizam a energia elástica armazenada no músculo, flexibilidade e traz uma melhora da mecânica de corrida e das capacidades anaeróbias do corredor de endurance. ...
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