Sustained Muscle Deoxygenation vs. Sustained High VO2 During High-Intensity Interval Training in Sprint Canoe-Kayak

Muscle Oximetry in Sports Science: An Updated Systematic Review

BACKGROUND

In the last 5 years since our last systematic review, a significant number of articles have been published on the technical aspects of muscle near-infrared spectroscopy (NIRS), the interpretation of the signals and the benefits of using the NIRS technique to measure the physiological status of muscles and to determine the workload of working muscles.

OBJECTIVES

Considering the consistent number of studies on the application of muscle oximetry in sports science published over the last 5 years, the objectives of this updated systematic review were to highlight the applications of muscle oximetry in the assessment of skeletal muscle oxidative performance in sports activities and to emphasize how this technology has been applied to exercise and training over the last 5 years. In addition, some recent instrumental developments will be briefly summarized.

METHODS

Preferred Reporting Items for Systematic Reviews guidelines were followed in a systematic fashion to search, appraise and synthesize existing literature on this topic. Electronic databases such as Scopus, MEDLINE/PubMed and SPORTDiscus were searched from March 2017 up to March 2023. Potential inclusions were screened against eligibility criteria relating to recreationally trained to elite athletes, with or without training programmes, who must have assessed physiological variables monitored by commercial oximeters or NIRS instrumentation.

RESULTS

Of the identified records, 191 studies regrouping 3435 participants, met the eligibility criteria. This systematic review highlighted a number of key findings in 37 domains of sport activities. Overall, NIRS information can be used as a meaningful marker of skeletal muscle oxidative capacity and can become one of the primary monitoring tools in practice in conjunction with, or in comparison with, heart rate or mechanical power indices in diverse exercise contexts and across different types of training and interventions.

CONCLUSIONS

Although the feasibility and success of the use of muscle oximetry in sports science is well documented, there is still a need for further instrumental development to overcome current instrumental limitations. Longitudinal studies are urgently needed to strengthen the benefits of using muscle oximetry in sports science.

Comparing the effects of dynamic and holding isometric contractions on cardiovascular, perceptual, and near-infrared spectroscopy parameters: A pilot study

The aim of this pilot study was to assess the effect of muscle contraction type on SmO2 during a dynamic contraction protocol (DYN) and a holding isometric contraction protocol (ISO) in the back squat exercise. Ten voluntary participants (age: 26.6 ± 5.0 years, height: 176.8 ± 8.0 cm, body mass: 76.7 ± 8.1 kg, and one-repetition maximum (1RM): 112.0 ± 33.1 kg) with back squat experience were recruited. The DYN consisted of 3 sets of 16 repetitions at 50% of 1RM (56.0 ± 17.4 kg), with a 120-second rest interval between sets and 2 seconds per movement cycle. The ISO consisted of 3 sets of 1 isometric contraction with the same weight and duration as the DYN (32 seconds). Through near-infrared spectroscopy (NIRS) in the vastus lateralis (VL), soleus (SL), longissimus (LG), and semitendinosus (ST) muscles, the minimum SmO2 (SmO2 min), mean SmO2 (SmO2 avg), percent change from baseline (SmO2 Δdeoxy) and time to recovery 50% of baseline value (t SmO2 50%reoxy) were determined. No changes in SmO2 avg were found in the VL, LG, and ST muscles, however the SL muscle had lower values in DYN, in the 1st set (p = 0.002) and in the 2nd set (p = 0.044). In terms of SmO2 min and ΔSmO2 deoxy, only the SL muscle showed differences (p≤0.05) and lower values in the DYN compared to ISO regardless of the set. The t SmO2 50%reoxy was higher in the VL muscle after ISO, only in the 3rd set. These preliminary data suggested that varying the type of muscle contraction in back squat with the same load and exercise time resulted in a lower SmO2 min in the SL muscle in DYN, most likely because of a higher demand for specialized muscle activation, indicating a larger oxygen supply-consumption gap.

Increased air temperature during repeated-sprint training in hypoxia amplifies changes in muscle oxygenation without decreasing cycling performance

The present study aims to investigate the acute performance and physiological responses, with specific reference to muscle oxygenation, to ambient air temperature manipulation during repeated-sprint training in hypoxia (RSH). Thirteen male team-sport players completed one familiarisation and three experimental sessions at a simulated altitude of ∼3000 m (F_IO₂ 0.144). Air temperatures utilised across the three experimental sessions were: 20°C, 35°C and 40°C (all 50% relative humidity). Participants performed 3 × 5 × 10-s maximal cycle sprints, with 20-s passive recovery between sprints, and 5 min active recovery between sets. There were no differences between conditions for cycling peak power, mean power, and total work (p>0.05). Peak core temperature (Tc) was not different between conditions (38.11 ± 0.36°C). Vastus lateralis muscle deoxygenation during exercise and reoxygenation during recovery was of greater magnitude in 35°C and 40°C than 20°C (p<0.001 for all). There was no condition × time interaction for Tc, skin temperature, pulse oxygen saturation, heart rate, rating of perceived exertion and thermal sensation (P>0.05). Exercise-induced increases in blood lactate concentration were higher in 35°C and 40°C than 20°C (p=0.010 and p=0.001, respectively). Integrating ambient temperatures up to 40°C into a typical RSH session had no detrimental effect on performance. Additionally, the augmented muscle oxygenation changes experienced during exercise and recovery in temperatures ≥35°C may indicate that the potency of RSH training is increased with additional heat. However, alterations to the training session may be required to generate a sufficient rise in Tc for heat training purposes.Highlights Heat exposure (35-40°C) did not affect mechanical performance during a typical RSH session. This indicates hot ambient temperature can be implemented during RSH, without negative consequence to training output.Hotter ambient conditions (35-40°C) likely result in greater muscle oxygenation changes during both exercise and recovery compared to temperate conditions.Although hotter sessions were perceived as more difficult and more thermally challenging, they did not further elevate Tc beyond that of temperate conditions. Accordingly, if intended to be used for heat acclimation purposes, alterations to the session may be required to increase heat load.

Muscle Oxygenation Measured with Near-Infrared Spectroscopy Following Different Intermittent Training Protocols in a World-Class Kayaker-A Case Study

Training elite kayakers at a distance of 1000 m is associated with aerobic and anaerobic metabolism, while intermittent training, in a variety of forms, is one of the effective ways to improve cardiorespiratory and metabolic function. Thus, this study aimed to investigate muscle oxygenation responses during repetition training (RT), interval training (IT), and sprint interval training (SIT). Near-infrared spectroscopy (NIRS) monitors were placed on the latissimus dorsi (LD), pectoralis major (PM), and vastus lateralis (VL) of a world-class kayaker during their preparatory period. The intensity of work, relief, and recovery intervals were the independent variables that were manipulated using three different training protocols. The inferential analysis between intermittent training protocols showed significant differences for all variables except total the hemoglobin (tHb) index in LD during bout 2 (F = 2.83, p = 0.1, ηp2 = 0.205); bout 3 (F = 2.7, p = 0.125, ηp2 = 0.193); bout 4 (F = 1.8, p = 0.202, ηp2 = 0.141); and bout 6 (F = 1.1, p = 0.327, ηp2 = 0.092). During the rest bouts, all training protocols showed significant differences for all variables except muscle oxygen saturation (SmO₂) in the VL during bout 5 (F = 4.4, p = 0.053, ηp2 = 0.286) and tHb in VL during bout 1 (F = 2.28, p = 0.132, ηp2 = 0.172); bout 2 (F = 0.564, p = 0.561, ηp2 = 0.049); bout 3 (F = 1.752, p = 0.205, ηp2 = 0.137); bout 4 (F = 1.216, p = 0.301, ηp2 = 0.1); and bout 6 (F = 4.146, p = 0.053, ηp2 = 0.274). The comparison between IT protocols RT and SIT presented similar results. All variables presented higher values during SIT, except HR results. Finally, the comparison between IT and SIT showed significant differences in several variables, and a clear trend was identified. The results of this study suggest that the application of different intermittent exercise protocols promotes distinct and significant changes in the peripheral effect of muscle oxygenation in response to training stimuli and may be internal predictors of hemodynamic and metabolic changes.

Muscle Oxygenation, Heart Rate, and Blood Lactate Concentration During Submaximal and Maximal Interval Swimming

This study aimed to determine the relationship between three testing procedures during different intensity interval efforts in swimming. Twelve national-level swimmers of both genders executed, on different occasions and after a standardized warm-up, a swimming protocol consisting of either a submaximal (Submax: 8 efforts of 50 m) or a maximal interval (Max: 4 efforts of 15 m), followed by two series of four maximal 25 m efforts. Near-infrared spectroscopy in terms of muscle oxygen saturation (SmO₂), heart rate (HR), and blood lactate concentration (BLa) were analyzed at three testing points: after the Submax or the Max protocol (TP₁), after the 1st 4 × 25-m (TP₂), and after the 2nd maximal 4 × 25-m set (TP₃). BLa and HR showed significant changes during all testing points in both protocols (P ≤ 0.01; ES range: 0.45–1.40). SmO₂ was different only between TP₁ and TP₃ in both protocols (P ≤ 0.05–0.01; ES range: 0.36–1.20). A large correlation during the Max protocol between SmO₂ and HR (r: 0.931; P ≤ 0.01), and also between SmO₂ and BLa was obtained at TP₁ (r: 0.722; P ≤ 0.05). A range of moderate-to-large correlations was revealed for SmO₂/HR, and BLa/HR for TP₂ and TP₃ after both protocols (r range: 0.595–0.728; P ≤ 0.05) were executed. SmO₂ is a novel parameter that can be used when aiming for a comprehensive evaluation of competitive swimmers' acute responses to sprint interval swimming, in conjunction with HR and BLa.

Tent versus Mask-On Acute Effects during Repeated-Sprint Training in Normobaric Hypoxia and Normoxia

Repeated sprint in hypoxia (RSH) is used to improve supramaximal cycling capacity, but little is known about the potential differences between different systems for creating normobaric hypoxia, such as a chamber, tent, or mask. This study aimed to compare the environmental (carbon dioxide (CO₂) and wet-globe bulb temperature (WGBT)), perceptual (pain, respiratory difficulty, and rate of perceived exertion (RPE)), and external (peak and mean power output) and internal (peak heart rate (HRpeak), muscle oxygen saturation (SmO₂), arterial oxygen saturation (SpO₂), blood lactate and glucose) workload acute effects of an RSH session when performed inside a tent versus using a mask. Twelve well-trained cyclists (age = 29 ± 9.8 years, VO₂max = 70.3 ± 5.9 mL/kg/min) participated in this single-blind, randomized, crossover trial. Participants completed four sessions of three sets of five repetitions × 10 s:20 s (180 s rest between series) of all-out in different conditions: normoxia in a tent (RSNTent) and mask-on (RSNMask), and normobaric hypoxia in a tent (RSHTent) and mask-on (RSHMask). CO₂ and WGBT levels increased steadily in all conditions (p < 0.01) and were lower when using a mask (RSNMask and RSHMask) than when inside a tent (RSHTent and RSNTent) (p < 0.01). RSHTent presented lower SpO₂ than the other three conditions (p < 0.05), and hypoxic conditions presented lower SpO₂ than normoxic ones (p < 0.05). HRpeak, RPE, blood lactate, and blood glucose increased throughout the training, as expected. RSH could lead to acute conditions such as hypoxemia, which may be exacerbated when using a tent to simulate hypoxia compared to a mask-based system.

Anaerobic Speed/Power Reserve and Sport Performance: Scientific Basis, Current Applications and Future Directions

Many individual and team sport events require extended periods of exercise above the speed or power associated with maximal oxygen uptake (i.e., maximal aerobic speed/power, MAS/MAP). In the absence of valid and reliable measures of anaerobic metabolism, the anaerobic speed/power reserve (ASR/APR) concept, defined as the difference between an athlete's MAS/MAP and their maximal sprinting speed (MSS)/peak power (MPP), advances our understanding of athlete tolerance to high speed/power efforts in this range. When exercising at speeds above MAS/MAP, what likely matters most, irrespective of athlete profile or locomotor mode, is the proportion of the ASR/APR used, rather than the more commonly used reference to percent MAS/MAP. The locomotor construct of ASR/APR offers numerous underexplored opportunities. In particular, how differences in underlying athlete profiles (e.g., fiber typology) impact the training response for different 'speed', 'endurance' or 'hybrid' profiles is now emerging. Such an individualized approach to athlete training may be necessary to avoid 'maladaptive' or 'non-responses'. As a starting point for coaches and practitioners, we recommend upfront locomotor profiling to guide training content at both the macro (understanding athlete profile variability and training model selection, e.g., annual periodization) and micro levels (weekly daily planning of individual workouts, e.g., short vs long intervals vs repeated sprint training and recovery time between workouts). More specifically, we argue that high-intensity interval training formats should be tailored to the locomotor profile accordingly. New focus and appreciation for the ASR/APR is required to individualize training appropriately so as to maximize athlete preparation for elite competition.

Effects of Transcranial Direct Current Stimulation on Cycling Time Trial Performance and Prefrontal Cortex Activation

Background: Transcranial direct current stimulation (tDCS) is a neuromodulatory technique that delivers low levels of a constant current via scalp electrodes to specifically targeted areas of the brain. The effects of tDCS on whole-body exercise performance has been of interest in recent literature. The purpose of the current investigation was to investigate if tDCS, administered via Halo Sport, influences time trial performance in trained cyclists, and if changes in exercise performance are associated with prefrontal cortex (PFC) activation and/or muscle oxygenation (SmO2). Methods: Twelve recreationally trained cyclists volunteered to participate in a crossover study design involving two 10-kilometer time trials following 20 min of tDCS or a sham condition. Results: t-tests showed there was no significant difference in performance (time to completion) or physiological measures (blood lactate (BL) concentration, heart rate (HR), SmO2, PFC oxygenation) between the Halo and sham conditions. Conclusions: These results indicate that the application of tDCS via Halo Sport does not induce changes in exercise performance or related physiological parameters during a 10-kilometer cycling time trial.

The effect of HIIT vs. SIT on muscle oxygenation in trained sprint kayakers

PURPOSE

To assess the performance change and physiological adaptations following nine sessions of short high-intensity interval training (HIIT) or sprint-interval training (SIT) in sprint kayakers.

METHODS

Twelve trained kayakers performed an incremental test and 3 time trials (200 m, 500 m and 1000 m) on a kayak ergometer. Oxygen consumption (V̇O₂) and muscle oxygenation of the latissimus dorsi, biceps brachii, and vastus lateralis were measured. Athletes were then paired for sex and V̇O₂max and randomized into a HIIT or a SIT training group, and performed nine training sessions before repeating the tests.

RESULTS

Training improved performance in HIIT (200 m: + 3.8 ± 3.1%, p = 0.06; 500 m: + 2.1 ± 4.1%, p = 0.056; 1000 m: + 3.0 ± 4.6%, p = 0.13) but changes in performance remained within the smallest worthwhile change in SIT (200 m: + 0.8 ± 4.1%, p = 0.59; 500 m: + 0.5 ± 4.1%, p = 0.87; 1000 m: + 1.3 ± 4.6%, p = 0.57). In the 1000 m, training led to a greater deoxygenation in the biceps brachii and vastus lateralis in HIIT, and in the latissimus dorsi in SIT. In HIIT, the best predictors of improvements in 1000 m performance were increases in latissimus dorsi and vastus lateralis maximal deoxygenation.

CONCLUSION

In a group of trained sprint kayakers, greater improvements in performance can be obtained with HIIT compared with SIT, for any distance. Training did not change V̇O₂peak, but increased muscle maximal deoxygenation, suggesting both HIIT and SIT elicit peripheral adaptations. Performance improvement in the 1000 m was associated with increased maximal muscle deoxygenation, reinforcing the contribution of peripheral adaptations to performance in sprint kayaking.

Comparison of Physiological Parameters During On-Water and Ergometer Kayaking and Their Relationship to Performance in Sprint Kayak Competitions

PURPOSE

(1) To compare various physiological indicators of performance during a 5 × 1500-m incremental kayak test performed on an ergometer and on-water and (2) to analyze the relationships between these indicators and the actual competition performance of elite sprint kayakers, aiming to provide information to coaches for evaluating and planning training on-water.

METHODS

A total of 14 male and female German elite sprint kayakers performed an incremental test both on an ergometer and on-water. The tissue saturation index of the musculus (m.) biceps brachii, oxygen consumption, ratings of perceived exertion, and levels of blood lactate were measured and compared with actual racing times. In addition, power output was monitored during ergometer testing only.

RESULTS

Oxygen consumption during the fourth (P = .02; d = 0.32) and final (fifth; P < .001; d = 0.32) steps of incremental testing was higher on-water than on the ergometer. The tissue saturation index of the m. biceps brachii was approximately 21% higher at the end of the ergometer test (P = .002; d = 1.14). During the second (P = .01; d = 0.78), third (P = .005; d = 0.93), and fourth stages (P = .005; d = 1.02), the ratings of perceived exertion for ergometer kayaking was higher. During the final step, power output was most closely correlated to 200- (r = .88), 500- (r = .93), and 1000-m (r = .86) racing times (all Ps < .01).

CONCLUSIONS

During high-intensity kayaking on an ergometer or on-water, the oxygen consumption and tissue saturation index of the m. biceps brachii differ. Furthermore, at moderate to submaximal intensities, the ratings of perceived exertion were higher for ergometer than for on-water kayaking. Finally, of all parameters assessed, the power output during ergometer kayaking exhibited the strongest correlation with actual racing performance.

Heart rate and stroke rate misrepresent supramaximal sprint kayak training as quantified by power

This study examined the utility of novel measures of power output (PO) compared to traditional measures of heart rate (HR) and stroke rate (SR) for quantifying high-intensity sprint kayak training. Twelve well-trained, male and female sprint kayakers (21.3 ± 6.8 y) completed an on-water graded exercise test (GXT) and a 200-, 500- and 1000-m time-trial for the delineation of individualised training zones (T) for HR (5-zone model, T1-T5), SR and PO (8-zone model, T1-T8). Subsequently, athletes completed two repeat trials of a high-intensity interval (HIIT) and a sprint interval (SIT) training session, where intensity was prescribed using individualised PO-zones. Time-in-zone (minutes) using PO, SR and HR was then compared for both HIIT and SIT. Compared to PO, time-in-zone using HR was higher for T1 in HIIT and SIT (P < 0.001, d ≥ 0.90) and lower for T5 in HIIT (P < 0.001, d = 1.76). Average and peak HR were not different between HIIT (160 ± 9 and 173 ± 11 bpm, respectively) and SIT (157 ± 13 and 174 ± 10 bpm, respectively) (P ≥ 0.274). In HIIT, time-in-zone using SR was higher for T4 (P < 0.001, d = 0.85) and was lower for T5 (P = 0.005, d = 0.43) and T6 (P < 0.001, d = 0.94) compared to PO. In SIT, time-in-zone using SR was lower for T7 (P = 0.001, d = 0.66) and was higher for T8 (P = 0.004, d = 0.70), compared to PO. Heart rate measures were unable to differentiate training demands across different high-intensity sessions, and could therefore misrepresent the training load in such instances. Furthermore, SR may not provide a sensitive measure for detecting changes in intensity due to fatigue, whereas PO may be more suitable.

Ischemic Preconditioning Enhances Aerobic Adaptations to Sprint-Interval Training in Athletes Without Altering Systemic Hypoxic Signaling and Immune Function

Optimizing traditional training methods to elicit greater adaptations is paramount for athletes. Ischemic preconditioning (IPC) can improve maximal exercise capacity and up-regulate signaling pathways involved in physiological training adaptations. However, data on the chronic use of IPC are scarce and its impact on high-intensity training is still unknown. We investigated the benefits of adding IPC to sprint-interval training (SIT) on performance and physiological adaptations of endurance athletes. In a randomized controlled trial, athletes included eight SIT sessions in their training routine for 4 weeks, preceded by IPC (3 × 5 min ischemia/5 min reperfusion cycles at 220 mmHg, n = 11) or a placebo (20 mmHg, n = 9). Athletes were tested pre-, mid-, and post-training on a 30 s Wingate test, 5-km time trial (TT), and maximal incremental step test. Arterial O2 saturation, heart rate, rate of perceived exertion, and quadriceps muscle oxygenation changes in total hemoglobin (Δ[THb]), deoxyhemoglobin (Δ[HHb]), and tissue saturation index (ΔTSI) were measured during exercise. Blood samples were taken pre- and post-training to determine blood markers of hypoxic response, lipid-lipoprotein profile, and immune function. Differences within and between groups were analyzed using Cohen's effect size (ES). Compared to PLA, IPC improved time to complete the TT (Mid vs. Post: -1.6%, Cohen's ES ± 90% confidence limits -0.24, -0.40;-0.07) and increased power output (Mid vs. Post: 4.0%, ES 0.20, 0.06;0.35), Δ[THb] (Mid vs. Post: 73.6%, ES 0.70, -0.15;1.54, Pre vs. Post: 68.5%, ES 0.69, -0.05;1.43), Δ[HHb] (Pre vs. Post: 12.7%, ES 0.24, -0.11;0.59) and heart rate (Pre vs. Post: 1.4%, ES 0.21, -0.13;0.55, Mid vs. Post: 1.6%, ES 0.25, -0.09;0.60). IPC also attenuated the fatigue index in the Wingate test (Mid vs. Post: -8.4%, ES -0.37, -0.79;0.05). VO2peak and maximal aerobic power remained unchanged in both groups. Changes in blood markers of the hypoxic response, vasodilation, and angiogenesis remained within the normal clinical range in both groups. We concluded that IPC combined with SIT induces greater adaptations in cycling endurance performance that may be related to muscle perfusion and metabolic changes. The absence of elevated markers of immune function suggests that chronic IPC is devoid of deleterious effects in athletes, and is thus a safe and potent ergogenic tool.

Effect of a 3-Weeks Training Camp on Muscle Oxygenation, V ˙ O2 and Performance in Elite Sprint Kayakers

Purpose: Peripheral adaptations, as assessed via near-infrared spectroscopy (NIRS) derived changes in muscle oxygenation (SmO2), are good predictors of sprint kayak performance. Therefore, the goal of the present study was to assess changes in SmO2 andV ˙ O2 following a training camp in elite sprint kayakers to evaluate if the training prescribed elicits peripheral adaptations, and to assess associations between training-induced changes in physiological responses and performance. Methods: Eight male elite sprint kayakers, members of the Canadian National Team, performed a 200-m and 1,000-m on-water time trial (TT) before and after a 3-weeks winter training camp. Change in performance,V ˙ O2 and SmO2 of the biceps brachii were assessed in relation to training load. Results: Training load and intensity were increased by ~20% over the course of the training camp, which resulted in a 3.7 ± 1.7% (ES 1.2) and 2.8 ± 2.4% (ES 1.3) improvement in 200-m and 1,000-m performance, respectively. Performance improvement in the 200-m was concomitant to a reduced SmO2, an increasedV ˙ O2 peak and an increased reoxygenation rate after the TT. The 1,000-m TT performance improvement was concurrent with a reduced SmO2 in the last half of the TT and an increasedV ˙ O2 in the first minute of the TT. Conclusion: Our results strongly suggest that peripheral skeletal muscle adaptations occurred in these athletes with the proposed training plan. This further attests the benefit of using portable NIRS as a monitoring tool to track training-induced adaptations in muscle oxygen extraction in elite athletes.