Changing the time under tension: effects of different forms of concurrent training on inflammatory and cardiometabolic disease indicators

Publication Type:
Thesis
Issue Date:
2020
Full metadata record
This thesis examines the effects of different forms of concurrent exercise training (CET) on physiological biomarkers related to cardiometabolic disease risk. Specifically, a modification of CET to emphasise muscle time-under-tension (TUT) during the resistance component is examined as a potential alternative for a population of sedentary older adults. The present thesis seeks to compare conventional CET methods to a modified version (i.e. TUT) on blood-based biomarkers related to systemic inflammation, glucose homeostasis, and cardiovascular disease (CVD) risk. Secondary outcomes include whole-body and regional tissue composition, ultrasound-derived muscular thickness, and physical fitness measures. Further, a greater understanding of the relationship between training stimuli and key functional outcomes is explored. Data derived from the present investigation is presented within three distinct studies. Firstly, study 1 explored the effect of CET versus TUT on biomarkers related to T2DM, namely inflammatory cytokines (IL-6 and TNFα) and markers of glucose homeostasis, alongside body composition and physical capacity measures. Study 2 describes the effect of these training modalities on CVD-related parameters, including blood-based measures of platelet activity and endothelial function, as well as region-specific fat mass and physical fitness. Finally, study 3 examines the relationship between selected predictor variables (aerobic capacity, muscular strength, and whole-body lean and fat mass) and key prognostic disease indicators (IL-6, TNFα and insulin resistance). A secondary aim of study 3 is to assess the dose-specific response of CET and TUT by quantifying the relationship between overall training volumes and the associated changes in the abovementioned biomarkers. […]
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