Jump up ^ Lees C, Hopkins J (2013). "Effect of aerobic exercise on cognition, academic achievement, and psychosocial function in children: a systematic review of randomized control trials". Prev Chronic Dis. 10: E174. doi:10.5888/pcd10.130010. PMC 3809922. PMID 24157077. This omission is relevant, given the evidence that aerobic-based physical activity generates structural changes in the brain, such as neurogenesis, angiogenesis, increased hippocampal volume, and connectivity (12,13). In children, a positive relationship between aerobic fitness, hippocampal volume, and memory has been found (12,13). ... Mental health outcomes included reduced depression and increased self-esteem, although no change was found in anxiety levels (18). ... This systematic review of the literature found that [aerobic physical activity (APA)] is positively associated with cognition, academic achievement, behavior, and psychosocial functioning outcomes. Importantly, Shephard also showed that curriculum time reassigned to APA still results in a measurable, albeit small, improvement in academic performance (24).  ... The actual aerobic-based activity does not appear to be a major factor; interventions used many different types of APA and found similar associations. In positive association studies, intensity of the aerobic activity was moderate to vigorous. The amount of time spent in APA varied significantly between studies; however, even as little as 45 minutes per week appeared to have a benefit.
Georgi A. A biographical sketch of the Swedish poet and gymnasiarch, P.H. Ling. London: H. Bailliere; 1854.  Ling founded the Royal Gymnastic Central Institute in Stockholm in 1822, was an elected member of the Swedish General Medical Association, member of the Swedish Academy, and a Titular Professor. However, Ling remained indifferent to these honors due to the lack of the establishment’s implementation of his methods.7 Georgi A. A biographical sketch of the Swedish poet and gymnasiarch, P.H. Ling. London: H. Bailliere; 1854. [Google Scholar]
What if we told you that you could get a kick-ass cardio workout that would keep you on your toes, without even leaving the house? Better still: The steps are broken down into beginner, intermediate, and advanced levels, so you can adjust as needed. And the bodyweight-only moves are mostly low impact, meaning you can do them in the comfort of your own living room without worrying about annoying the downstairs neighbors.
To measure exercise type the participants were instructed to choose from the following response options: walking, jogging, cycling, dancing, cross-country skiing, swimming, golf, resistance training and an open-ended response option. Answers in the open-ended response option were categorized into: combined endurance and resistance training, other type of endurance training (e.g. treadmill, aerobic), domestic activities (e.g. housework, gardening), and other (e.g. bowling, horseback riding). Golf was categorized as “other” due to a low response rate (0.5% of the total number of exercise sessions).
Absolute values for KE MVC torques and maximal EMG RMS are presented Table 3. As EMG RMS of the RF muscle at 60 deg/s pre-exercise values significantly differ between sessions, these data were not analyzed. Planned comparisons to explore main effect of time are presented Table 3. Despite a significant main effect of time for the EMG RMS of the RF muscle at 140 deg/s, planned comparison failed to demonstrate a significant difference between times. Changes in KE MVC torque and KE EMG RMS related to baseline are presented Figs 6 and 7. Isometric KF MVC torque did not change over time (75 ± 31 to 73 ± 27 N·m, P = 0.368).
Data were analysed using three different methods: visual inspection, parametric statistics and calculation of sensitivity for both OTS and NFO detection. Because the sample size was rather small (ie, maximal 5 for each group), data were first inspected visually. Parametric statistics and sensitivity calculation were used to support conclusions from visual inspection of the data. For the purpose of visual inspection, we created graphs with averages and SE for both the OTS and the NFO groups.

Isokinetic KE MVCs were performed at 60 (panel, A), 100 (panel B) and 140 (panel C) deg/s. Isokinetic KE MVCs were measured pre-exercise (pre, average of all three sessions pre-exercise values), shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). Data are presented as mean (SE). * significantly different from pre, $ significantly different from exhaustion and # significantly different from P20, 1 item for P < 0.05 and 3 items for P < 0.001.
... The test was conducted at a self-chosen cadence between 55 and 95 revolutions per minute with an initial 5-minute warm up at 40 W followed by increments of 10 W/min (women) or 15 W/min (men) until voluntary exhaustion. Based on the expected maximal power output determined based on age, gender, disability, and body size, individual power output adjustments were made immediately after the 5-minute warm up in order to exhaust the subjects within 8 to 12 min after warm up [22]. Expired gas was collected in a mixing bag. ...
If you’re sick of doing endless repetitions of traditional squats, check out this video to challenge your muscles in new ways and spark some creativity. “We asked certified personal trainer and Women’s Health’s Next Fitness Star, Selena Watkins, to pull together 15 dance-inspired versions of this classic booty toner, and the results are giving us a whole new appreciation for an old-school move,” says the magazine. This routine is just a sampler of some of the squat variations you could complete. Pick three or four and incorporate them into your next leg day to spice things up.
When visual inspection gave an indication for group differences, parametric statistical analyses were performed through ANOVA with repeated measures with one withinsubjects factor (post-values for first and second exercise test) and one between-subjects factor (NFO or OTS) or through an independent samples t test. Those analyses were performed in SPSS V.15.0. Sensitivity was also calculated for these variables by dividing the number of correct OTS or NFO diagnoses by hormonal analysis by the total number of OTS or NFO diagnoses according to the consensus statement.1 Sensitivity was presented as a ratio. The denominator varies because of random missing values.
Fit septuagenarians may even need to be held back: “Strength training is super empowering,” she says. “And people get excited when they see and feel the results. I have older clients doing multiple timed sets of kettlebell swings. One older client biked 2,700 miles in 50 days. It takes a little longer, but they can reach really impressive levels of fitness.”
Athletic trainers and physical therapists play important roles in the management of individuals with RCIS. When caring for this patient population, an athletic trainer or physical therapist performs a comprehensive initial examination. Information obtained from the examination is used, in part, to (1) identify impairments believed to be contributing to the individual's pain and functional limitations and (2) develop an impairment-based rehabilitation program. We believe that the prescription of specific evidence-based interventions designed to address the relevant contributory factors might be more appropriate than administering the same exercise program to everyone with RCIS. Ideally, individuals with RCIS would be classified into impairment-based subgroups and prescribed interventions specific to that subgroup. Although no treatment classification for patients with RCIS exists, this approach has been used to treat individuals with low back pain and has resulted in superior outcomes when compared with a general treatment approach.2
Exercise videos are probably one of the most purchased items when it comes to fitness. They are also one of the most likely to end up on the shelves of users due to many different reasons. In many cases, it’s because the user didn’t know what they were getting into when they purchased the exercise videos, so once they got them home and watched them, it turned out it wasn’t what they were looking for at all.
Length of the Workout – How long is the workout on the video you are looking to get? If you want to work out 30 minutes a day, getting an exercise video that is 60 minutes long will only cause frustration. Most people don’t want to do half a workout and since they are designed to include a warm up, workout and cool down, only watching half gives you an incomplete workout.
Interestingly, one of our subjects presented both a CV and a time to exhaustion greater than the other subjects. As both CV and time to exhaustion are known to increase when the intensity of the exercise decreases [20], it is likely that this subject did not reach its true peak power output during the incremental test, and then performed the three time to exhaustion tests at an intensity below 85% of peak power output. This result is of particular importance for future research aiming to manipulate endurance performance using this protocol. Indeed, when the true peak power output is not reached during the incremental test, due to an increase in variability, it might be harder to detect significant changes in muscle endurance. Therefore, in order to better understand the variability in reaching the true peak power output of subjects, further studies should investigate the reliability of the incremental test used in the present study.
The St Thomas method, however, did not survive World War II, besides the mentioned indications of use in Australia a decade later, and Randell’s work has since been forgotten. Various factors might attribute to this, including the tragic loss in 1940 when two bombs hit St Thomas hospital killing four physiotherapists including Thomas;29 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm. [Google Scholar] and the promotion of rival London obstetric group, led by Grantly Dick-Read and Physiotherapist Helen Heardman, with the concept of natural childbirth. This movement gained favor with the healthcare establishments, chartered physiotherapists and the general public at the ultimate expense of the St Thomas Project.23 Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010. [Google Scholar] Randell left St Thomas physiotherapy school in 1945, just before the Chartered Society of Physiotherapy imposed a new syllabus.37 The National Archives [Internet]. Saint Thomas’ hospital: physiotherapy school. 2009 Aug 12 [cited 2015 Sep 23]. Available from: http://discovery.nationalarchives.gov.uk/details/rd/bdb0366b-f3e1-45d3-a685-887f9f9bc8ac. [Google Scholar] She received the royal title of OBE and extended her career interest with a focus on gynecological cases; in 1948, she co-founded the Obstetric Association of Chartered Physiotherapists, was awarded an honorary fellowship of the Chartered Society of Physiotherapists and was later remembered as the pioneer of modern women’s health physiotherapy (Figures 1, 5–7).38 Pelvic Obstetric and Gynaecological Physiotherapy [Internet]. A brief history. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://pogp.csp.org.uk/brief-history-acpwh. [Google Scholar]
Intensity: The best exercise intensity for CFS/ME patients is low intensity and low-impact, at least in the beginning. IF post exercise malaise occurs, try not to skip workouts, just go back to a lower intensity and less duration. Please note that I do consider cleaning one of those daily activities that can be harder on the fibro body than structured exercise. Do not determine your ability to exercise on difficulty with cleaning, bending, stopping, starting, etc that is involved there.
The benefits of exercise have been known since antiquity. Dating back to 65 BCE, it was Marcus Cicero, Roman politician and lawyer, who stated: "It is exercise alone that supports the spirits, and keeps the mind in vigor."[143] Exercise was also seen to be valued later in history during the Early Middle Ages as a means of survival by the Germanic peoples of Northern Europe.[144]
Remember when the only thing your cell phone did was make phone calls? Now, you can waste all kinds of time with smartphone apps that allow you to do everything from playing Scrabble to exercising. Smartphones, iPads and MP3 players are excellent resources for home exercisers, particularly if you find yourself getting bored from doing the same old thing, day after day. With the right apps, you can find guided workouts, paced music, timers and more, all of which can add variety and fun to your home workouts.
Dewayne Riggins, celebrity trainer and Founder and CEO of Inspirational Fitness, says you can work your quads and glutes with reverse lunges—30 seconds on each leg. How to do them: Stand in an upright position and then step back with one leg; bend knees as low as you can. Drop your back knee to one inch off the ground or as low as you can and be sure front knee is not leaning over the foot. Repeat with the other leg.
Strength training means using resistance to work your muscles; that can be your bodyweight, dumbbells, kettlebells, sand bags, resistance bands, etc. The goal of this type of workout is to increase muscle mass. Getting stronger helps improve everyday performance (from sports to regular life), prevent injuries, and increase your metabolism. Need a primer on where to start? We’ve got you covered.
Most studios offer yoga mats for your use, but you should purchase a fitness mat if working out at home. You’ll also need comfortable clothing, as you will flex your body into a variety of positions. You will most likely be barefoot, so purchasing specific footwear is not usually necessary. Other items such as straps and balls can accompany yoga routines, but they may not be necessary right away or even at all. A water bottle and towel will help you to stay hydrated and comfortable during your class. You will be bending and stretching, so it’s best to avoid heavy meals a few hours before your class.
Remember, the real trick to getting stronger is to progressively move more and more weight, so keep in mind that these tricks and tips are meant to supplement that goal Fundamentals of resistance training: progression and exercise prescription. Kraemer, W.J., Ratamess, M.A. Human Performance Laboratory, Department of Kinesiology, University of Connecticut, Storrs, CT, USA; MEdicine and Science in Sports and Exercise; 2004 Apr;36(4):674-88.. Try out some new techniques and bulldoze that training plateau like a beast. Have you tried any of these techniques? What techniques help you build strength? Tell us in the comments below!
^ Jump up to: a b Wilkinson DJ, Hossain T, Limb MC, Phillips BE, Lund J, Williams JP, Brook MS, Cegielski J, Philp A, Ashcroft S, Rathmacher JA, Szewczyk NJ, Smith K, Atherton PJ (October 2017). "Impact of the calcium form of β-hydroxy-β-methylbutyrate upon human skeletal muscle protein metabolism". Clinical Nutrition (Edinburgh, Scotland). doi:10.1016/j.clnu.2017.09.024. PMID 29097038. Ca-HMB led a significant and rapid (<60 min) peak in plasma HMB concentrations (483.6 ± 14.2 μM, p < 0.0001). This rise in plasma HMB was accompanied by increases in MPS (PA: 0.046 ± 0.004%/h, CaHMB: 0.072 ± 0.004%/h, p < [0.001]) and suppressions in MPB (PA: 7.6 ± 1.2 μmol Phe per leg min−1, Ca-HMB: 5.2 ± 0.8 μmol Phe per leg min−1, p < 0.01). ... During the first 2.5 h period we gathered postabsorptive/fasted measurements, the volunteers then consumed 3.42 g of Ca-HMB (equivalent to 2.74 g of FA-HMB) ... It may seem difficult for one to reconcile that acute provision of CaHMB, in the absence of exogenous nutrition (i.e. EAA's) and following an overnight fast, is still able to elicit a robust, perhaps near maximal stimulation of MPS, i.e. raising the question as to where the additional AA's substrates required for supporting this MPS response are coming from. It would appear that the AA's to support this response are derived from endogenous intracellular/plasma pools and/or protein breakdown (which will increase in fasted periods). ... To conclude, a large single oral dose (~3 g) of Ca-HMB robustly (near maximally) stimulates skeletal muscle anabolism, in the absence of additional nutrient intake; the anabolic effects of Ca-HMB are equivalent to FA-HMB, despite purported differences in bioavailability (Fig. 4).

Studies show that with fibromyalgia, the initial rise in oxidative stress will begin to decrease as you continue your workout; however, with CFS, prolonged exercise can increase the oxidative stress and the associated pain. This is where you might feel malaise after exercise as well. You can see why it is necessary to start slow and work up with consistency. Having severe M.E. myself, I know it can be done and it does take persistence. 
Data were analysed using three different methods: visual inspection, parametric statistics and calculation of sensitivity for both OTS and NFO detection. Because the sample size was rather small (ie, maximal 5 for each group), data were first inspected visually. Parametric statistics and sensitivity calculation were used to support conclusions from visual inspection of the data. For the purpose of visual inspection, we created graphs with averages and SE for both the OTS and the NFO groups.
Eight healthy and moderately active (a minimum of 2 h of aerobic activity per week) adults (mean ± SD; age: 22 ± 2 yrs, height: 171 ± 8 cm, weight: 69 ± 8 kg, 5 males and 3 females) volunteered to participate in this study. None of the subjects had any known mental or somatic disorder. Each subject gave written informed consent prior to the study. Experimental protocol and procedures were approved by the local Ethics Committee of the School of Sport and Exercise Sciences, University of Kent at Medway (Ethic clearance Prop97_2013_14). The study conformed to the standards set by the World Medical Association Declaration of Helsinki “Ethical Principles for Medical Research Involving Human Subjects” (2008). All subjects were given written instructions describing all procedures related to the study.
Too much exercise can be harmful. Without proper rest, the chance of stroke or other circulation problems increases,[80] and muscle tissue may develop slowly. Extremely intense, long-term cardiovascular exercise, as can be seen in athletes who train for multiple marathons, has been associated with scarring of the heart and heart rhythm abnormalities.[81][82][83] Specifically, high cardiac output has been shown to cause enlargement of the left and right ventricle volumes, increased ventricle wall thickness, and greater cardiac mass. These changes further result in myocardial cell damage in the lining of the heart, leading to scar tissue and thickened walls. During these processes, the protein troponin increases in the bloodstream, indicating cardiac muscle cell death and increased stress on the heart itself.[84]
Our results showed that both the MCT and HIIT group performed an equal amount of exercise sessions alone and together with others, suggesting that both individual and group-related exercise intervention strategies may be attractive to older adults. However, women exercised more frequently together with others than men. This result is in line with previous findings that women aged 60–67 years are less likely than men to prefer physical activity that can be done alone [23], and that more women than men express a need for social support to maintain an exercise program [31].
This is also the point at which exercise becomes more critical. Bone and muscle mass peak at the end of your 20s. Unchecked, sarcopenia, or muscle loss, can claim up to 50 percent of an inactive adult’s muscle tissue by the time he or she reaches 70, according to a 2014 Johns Hopkins University study. Your VO2 max — a measure of how much oxygen your body can process — declines similarly, dropping about 10 percent per decade after around age 30 in healthy sedentary adults of both sexes.

In the present study, we measured muscle endurance by completion of time to exhaustion tests where the subject has to maintain a fix workload for as long as possible. All time to exhaustion tests lasted less than ten minutes, confirming that OLDE was performed at high intensity. The duration of the time to exhaustion tests in the present study is in accordance with previous studies using the same exercise on a different ergometer [11, 17, 18]. Relative reliability refers to the degree to which individuals maintain their position in a sample with repeated measurements [30]. The ICC value of 0.795 can be interpreted as a questionable reliability (ICC < 0.8), close to the threshold for good reliability (0.8 < ICC < 0.9) [19]. However, as no consensus really exists on threshold to interpret ICC results [31], the practical significance of its value has to be determined with caution by the readers according to their future use of the present protocol. Absolute reliability refers to the degree to which repeated measurements vary for individuals [30]. Traditionally, time to exhaustion tests are known to present a greater CV (CV > 10%) than time trials (i.e. subjects has to perform the greater amount of work possible in a fixed time/distance; CV < 5%) [20]. Interestingly, in our study the CV is below 10%, confirming the great reliability of our novel high intensity OLDE protocol to measure muscle endurance, this despite the small sample size, chosen to be in accordance with previously published studies using the same protocol [8, 11, 17]. This great reliability is confirmed by the typical error of measurement value of 0.30 min, corresponding to 5% of the averaged performance value. Finally, as the typical error of measurement value was slightly above the smallest worthwhile change calculated (0.28 min), it is unlikely that our novel high intensity OLDE protocol can be used to detect small differences in performance.
I've given this program a good 6 weeks so far. I'm 5-10 pounds overweight with some physical issues and a history of car crash injuries. I have a medical degree and a background in nutrition and fitness with several years of yoga (various disciplines) under my belt. Overall, I do like the program, but there are some VERY important things you should know before purchasing and participating..
* Strength building is an expensive metabolic process. Although we see it as building muscle, our body is making global metabolic adaptations. It is upgrading its metabolic efficiency by synthesizing more enzymes to make metabolism more capable. This includes aerobic metabolism, anaerobic metabolism, gluconeogenesis, glycogen breakdown and transport, blood buffering agents, and of course new muscle fiber growth. All of this new synthesis is extremely metabolically expensive; that is why your body will not make these changes unless an intense stimulus is applied, and the organism is left undisturbed afterwards to make these changes.

The participants completed in total 69 492 exercise logs (33 608 HIIT group) during the year, of which 39 075 were received in prepaid envelopes and 30 417 in internet-based forms. Both groups performed 2.2 ± 1.3 exercise sessions per week. Almost 80% of the sessions in the MCT group were actually performed with moderate intensity (11–14 on the Borg scale), while almost 60% of the sessions in the HIIT group were performed with high intensity (≥15 on the Borg scale) (Fig. 2). In the MCT group, women had a significantly higher proportion of sessions with moderate intensity compared to men (81.7% vs. 74.9%, p < 0.01). In the HIIT group, men had a higher proportion of sessions with high intensity compared to women (63.7% vs. 52.3%, p < 0.01) (Fig. 2). In the MCT group, 9.6, 43 and 47.4% of the sessions had a duration of < 30 min, 30 min to 1 h, and more than 1 h, respectively. The corresponding percentages in the HIIT group were 10.1, 45 and 44.9%.

Your body has that whole breathing thing on lock, but there's more than one way to inhale and exhale and some require extra work from the abs. "Kapalabhati breathing engages the transverse abdominis to push out the breath," says Allison Candelaria, owner of Soul Yoga in Oklahoma City. Here's how to do it: Sit tall, then strongly and quickly pull your navel toward your spine. Then release your ab muscles, forcing you to exhale. Work up to doing that 20 times, inhaling and letting your belly expand between each "pump." (This belly bonfire breathing technique can also help you fire up your body anywhere, anytime.)
One way repeated ANOVAs (time: isotime from first to seventh minute and exhaustion) were used to test the time course of EMG RMS for all muscles, leg RPE, leg muscle pain and heart rate. Significant effect of time was explored with planned comparison (1st minute vs other time points, exhaustion vs other time points) adjusted with Holm-Bonferonni correction.

Bottom line. “Insane”? We aren’t so sure, but you will see results. This is a high-intensity interval routine that involves cardio and strength moves using your own body weight. If you want to try interval training, this is a good option, but you must be very fit. You’ll be working “crazy” hard for about 45 minutes, six days a week. The mainly whole-foods diet is well-balanced and can be adjusted based on your workout.
Exercise and physical activity fall into four basic categories—endurance, strength, balance, and flexibility. Most people tend to focus on one activity or type of exercise and think they’re doing enough. Each type is different, though. Doing them all will give you more benefits. Mixing it up also helps to reduce boredom and cut your risk of injury.
You may commit to crunches and planks, Pilates and yoga, all in an effort to target your abs, which they do, but don't stop there. Broaden your "rep"ertoire to include some of these other types of moves and methods (some of which you can do at your desk), and suddenly your core is being challenged with every motion—even though your mind is never on your middle. (Just don't forget abs are made in the kitchen too. Steer clear of these foods to prevent bloating.)
Most gyms assault their members with a cacophony of distractions – thumping music, blaring televisions, and grunting patrons. We are careful to maintain a clean and distraction-free facility. There is no music and there are no mirrors or televisions. The temperature is kept at 68 degrees. The sessions are one-on-one with a focus on privacy. Instructors are dressed professionally at all times and closely monitor and record every aspect of their client's performance.
One way repeated ANOVAs (time: isotime from first to seventh minute and exhaustion) were used to test the time course of EMG RMS for all muscles, leg RPE, leg muscle pain and heart rate. Significant effect of time was explored with planned comparison (1st minute vs other time points, exhaustion vs other time points) adjusted with Holm-Bonferonni correction.
Warm up. This is the act of preparing your body for the stress of exercise. The body can be warmed up with light intensity aerobic movements like walking slowly. These movements increase blood flow, which in turn heats up muscles and joints. "Think of it as a lube job for the body," Bryant explains. At the end of your warm-up, it's a good idea to do a little light stretching.

One of the most recognized MMB pioneers was Joseph Hubertus Pilates, born near Dusseldorf in Germany to a prize-winning gymnastics father and naturopath mother. According to Pilates historians’, he was a bullied child who suffered asthma and a weak body that he overcame as a teenager by learning anatomy from medical books and the practice of sports such as wrestling and gymnastics. During this process, he developed a model body, which was even displayed in anatomy classes.39,40 Balanced Body, Inc. [Internet]. Origins of Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: https://www.pilates.com/BBAPP/V/pilates/origins-of-pilates.html.

To try it, choose a medium-heavy weight (50 percent to 70 percent of your one-rep-max, or 1RM, if you know it). Lift it with as much velocity as you can muster, then lower it with control. For instance, if you are bench pressing, the push up will feel almost as though you are punching the weight up into the ceiling. Once you have completed the lift, slowly lower the weight to your chest. You can apply this technique using a variety of implements, including dumbbells, barbells, weight machines, elastic bands, and body weight, he explains.
In 1937, Randell’s number-two Thomas was sent to Australia to lecture on the St Thomas Project, teach the exercises, and assist local physiotherapists with the program’s implementation.35 Evans EP. The history of the New South Wales branch of the Australian Physiotherapy Association. Aust J Physiother. 1955;1(2):76–8.10.1016/S0004-9514(14)60817-5[Crossref] [Google Scholar] There are multiple indications of an unknown video Thomas made during this visit, and it was reported later that as a result of the visit, the St Thomas method was implemented in maternity hospitals in Sydney and Melbourne; the exercises were used by physiotherapists on an individual basis and that Thomas was remembered as a pioneer of Australian antenatal physiotherapy.29,35,36 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm.
Results Maximal blood lactate concentration was lower in OTS compared with NFO, while resting concentrations of cortisol, ACTH and prolactin concentrations were higher. However, sensitivity of these measures was low. The ACTH and prolactin reactions to the second exercise bout were much higher in NFO athletes compared with OTS and showed the highest sensitivity for making the distinction.