Clinical trial NCT06043492: Recovery Following Acute Endurance Training
Official title: Recovery Following Different Endurance Training Protocols in Middle- and Long-Distance Runners
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: High Intensity Interval Training
Continuous Running
Control Condition
Lead sponsor: University of Thessaly
Sponsor class: OTHER
First posted: 2023-09-21
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: The same participants will participate in three different conditions
Primary purpose: SCREENING

Brief summary: Aerobic capacity is critical for many athletes, especially for endurance athletes. Althgough several training methods are implemented by coaches to improve endurance performance, recovery following acute endurance training is not adequately studied. However, such information is crucial for coaches to effectively design the most favorable training program, to avoid muscle injuries and overtraining, and ultimately to improve performance of their athletes. This study aims to examine the acute effect of different continuous and HIIT training protocols on indices of metabolism, EIMD, neuromuscular fatigue and performance in middle- and long-distance runners.

Detailed description: Aerobic capacity is critical for many athletes, especially for endurance athletes. Endurance training leads to cardiopulmonary and musculoskeletal adaptations, which in turn lead to improvement of endurance performance. Several training methods have been established for the improvement of aerobic capacity and performance, including long distance and low speed training, and high intensity interval training (HIIT). Training methods are used depending on the kind of endurance that aim to improve, and the specific characteristics and energy demands of the event. Especially regarding middle- and long-distance runners, the energy comes mainly from the oxidative system, however, the contribution of the glycolytic pathway is equally important. Thus, improvement mainly of the low-intensity endurance, but also high-intensity endurance is important for these athletes. Additionally, both continuous endurance and HIIT are effective training methods for improving cardiorespiratory and metabolic function, and athletic performance, while evidence also exists in favor of HIIT being more effective. Thus both training methods are used by coaches to improve aerobic capacity and performance of their athletes.

Coaches should be careful regarding the frequency of HIIT training during a microcycle, to provide adequate recovery between training sessions to avoid muscle injuries and overtraining. Existing evidence suggests that endurance exercise (continuous or HIIT) may result in exercise-induced muscle damage (EIMD), inflammatory responses, oxidative stress, and performance deterioration, yet, the timeframe of recovery of physiological and biochemical indices following different endurance training protocols has not been adequately studied. However, such information is crucial for coaches to effectively design the most favorable training program for their athletes.

This study aims to examine the acute effect of different continuous and HIIT training protocols on indices of metabolism, EIMD, neuromuscular fatigue and performance in middle- and long-distance runners.

According to a preliminary power analysis (a probability error of 0.05, and a statistical power of 80%), a sample size of 8 subjects per group was considered appropriate in order to detect statistically meaningful changes between groups. Thus, 10 men and female middle- and long-distance runners, will participate in the study.

The study will be performed in a randomized, cross over, repeated measures design. During their first 1st and 2nd visit, all participants will sign an informed consent form after they will be informed about all the benefits and risks of the study and they will fill in and sign a medical history questionnaire. Fasting blood samples will be collected in order to estimate muscle damage concentration markers. Participants will be instructed by a dietitian how to record a 7-days diet recalls to ensure that they do not consume to greater extent nutrients that may affect EIMD and fatigue (e.g. antioxidants, amino acids, etc.) and to ensure that the energy intake during the trials will be the same. Assessment of body mass and body height, body composition, and aerobic capacity (VO2max), will be performed. Using a photocells system, countermovement jump will be performed to assess jump height, and 30 sec Bosco test to assess mean jump height, peak power, mean power, and fatigue index. The peak concentric, eccentric and isometric isokinetic torque of the knee flexors and extensors, in both limbs will be evaluated on an isokinetic dynamometer at 60°/sec. Maximal voluntary isometric contraction (MVIC) of the knee extensors at 65o in both limbs, as well as the fatigue rate during MVIC through the percent drop of peak torque between the first and the last three seconds of a 10-sec MVIC, will also be evaluated. Afterwards, participants will be randomly assigned into, and perform one of the three different conditions of the study design: a) Continuous running (CT) for 40 min at lactic threshold, b) High intensity interval training (HIIT): 10x2min running at vVO2max with active recovery at 40% της VO2max (interval:recovery 1:1) with a load of 10% of body weight (BW), and c) control condition, no training (measurements only). The training protocols will be matched for mean power and total duration (Tschakert and Hofmann 2013). Prior and immediately after each experimental trial, delayed onset of muscle soreness (DOMS) in the knee flexors (KF) and extensors (KE) of both limbs, as well as blood lactate will be assessed. Additionally, DOMS of KF and KE, peak concentric, eccentric and isometric isokinetic torque, CMJ height, as well as mean jump height, peak power, mean power, and fatigue index during a 30 sec Bosco test, will be assessed 24h, 48h and 72h after the end of the trial. MVIC of the knee extensors of both limbs, as well as the fatigue rate during MVIC will also be assessed at 1h, 2h and 3h, as well as 24h, 48h, and 72h after the end of the trial. Creatine kinase will be assessed at 24h, 48h, and 72h after the end of the trial. The exact above procedures will be repeated by the participants during the remaining two experimental trials. A 2-weeks wash-out period will be implemented between trials.

Eligibility criteria: Inclusion Criteria:

* Middle- and long-distance runners
* Absence of musculoskeletal injuries (≥ 6 months)
* No use of drugs or ergogenic supplements (≥ 1 month)
* Absense from eccentric exercise (≥ 3 days)
* No alcohol or ergogenic drinks consumption before each training protocol

Exclusion Criteria:

* Musculoskeletal injury (\< 6 months)
* Use of drugs or ergogenic supplements (\< 1 month)
* Participation in eccentric exercise (\< 3 days)
* Alcohol or ergogenic drinks consumption before the training protocol

Primary outcomes:
measure: Changes in Creatine kinase (CK)
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in DOMS
timeFrame: Baseline (pre), post-, 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in blood lactate
timeFrame: Baseline (pre), 4 minutes post-trial
measure: Changes in squat jump height
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in mean jump height during a 30 sec Bosco test
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in peak power during a 30 sec Bosco test
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in mean power during a 30 sec Bosco test
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in fatigue rate during a 30 sec Bosco test
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in maximal voluntary isometric contraction (MVIC)
timeFrame: Baseline (pre), 1 hour post-, 2 hours post-, 3 hours post-, 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in peak concentric torque
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
measure: Changes in peak eccentric torque
timeFrame: Baseline (pre), 24 hours post-, 48 hours post-, 72 hours post-trial
Secondary outcomes:
measure: Body weight
timeFrame: Baseline
measure: Body height
timeFrame: Baseline
measure: Body mass index (BMI)
timeFrame: Baseline
measure: Body fat
timeFrame: Baseline
measure: Lean body mass
timeFrame: Baseline
measure: Dietary intake
timeFrame: Baseline
measure: Maximal oxygen consumption (VO2max)
timeFrame: Baseline
Other outcomes:
Locations:
city: Trikala
country: Greece
facility: Department of Physical Education and Sport Science, Uninersity of Thessaly
state: Thessaly
Study officials:
affiliation: University of Thessaly
name: Chariklia K Deli, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Barnes KR, Kilding AE. Strategies to improve running economy. Sports Med. 2015 Jan;45(1):37-56. doi: 10.1007/s40279-014-0246-y.
citation: Brandao LHA, Chagas TPN, Vasconcelos ABS, de Oliveira VC, Fortes LS, de Almeida MB, Mendes Netto RS, Del-Vecchio FB, Neto EP, Chaves LMS, Jimenez-Pavon D, Da Silva-Grigoletto ME. Physiological and Performance Impacts After Field Supramaximal High-Intensity Interval Training With Different Work-Recovery Duration. Front Physiol. 2020 Oct 8;11:1075. doi: 10.3389/fphys.2020.01075. eCollection 2020.
citation: Cipryan L. IL-6, Antioxidant Capacity and Muscle Damage Markers Following High-Intensity Interval Training Protocols. J Hum Kinet. 2017 Mar 15;56:139-148. doi: 10.1515/hukin-2017-0031. eCollection 2017 Feb.
citation: Esfarjani F, Laursen PB. Manipulating high-intensity interval training: effects on VO2max, the lactate threshold and 3000 m running performance in moderately trained males. J Sci Med Sport. 2007 Feb;10(1):27-35. doi: 10.1016/j.jsams.2006.05.014. Epub 2006 Jul 28.
citation: Hottenrott K, Ludyga S, Schulze S. Effects of high intensity training and continuous endurance training on aerobic capacity and body composition in recreationally active runners. J Sports Sci Med. 2012 Sep 1;11(3):483-8. eCollection 2012.
citation: Martinez-Ferran M, Cuadrado-Penafiel V, Sanchez-Andreo JM, Villar-Lucas M, Castellanos-Montealegre M, Rubio-Martin A, Romero-Morales C, Casla-Barrio S, Pareja-Galeano H. Effects of Acute Vitamin C plus Vitamin E Supplementation on Exercise-Induced Muscle Damage in Runners: A Double-Blind Randomized Controlled Trial. Nutrients. 2022 Nov 3;14(21):4635. doi: 10.3390/nu14214635.