Acessibilidade / Reportar erro

RESISTANCE TRANING PROTOCOLS PROMOTE STRENGTH INCREASE WITHOUT MORPHOLOGICAL CHANGES

PROTOCOLOS DE TREINAMENTO DE FORÇA PROMOVEM AUMENTO DA FORÇA SEM ALTERAÇÕES MORFOLÓGICAS

PROTOCOLOS DE ENTRENAMIENTO DE FUERZA PROMUEVEN AUMENTO DE LA FUERZA SIN ALTERACIONES MORFOLÓGICAS

ABSTRACT

Introduction

Resistance training (RT) has been related to increased protein synthesis, and in the myocardium it triggers morphological adaptations that result in improved cardiac contractility. In skeletal muscle, RT promotes an improvement in functional capacity and in sarcopenia caused by aging. However, the efficacy of this training method in the cardiac and skeletal systems has not yet been clarified.

Objective

To investigate the effect of different vertical ladder RT protocols on cardiac and skeletal structure and morphology. Materials and Methods: Wistar rats (n = 28) were randomized into four groups: sedentary (C); RT protocol with 4 to 9 climbs, 3 sessions/week, 120 second interval and intensity of 50% to 100% of the maximum load (ML) with progressive addition of 30 g (RT1); RT protocol with 4 to 5 climbs, 3 sessions/week, 60 second interval and intensity of 50% to 100% of the ML, where a 30 g overload was added in the 5th climb (RT2); RT protocol with 4 to 5 climbs, 5 sessions/week, 60 second interval and intensity of 50% to 100% of the ML; the animals that completed the 4th climb underwent the 5th climb with 100% ML plus 30 g (RT3). RT protocols were performed for 9 weeks with a duration of 30 to 45 minutes/day. The nutritional profile and cardiac/skeletal muscle morphology were evaluated along with the cross sectional area and collagen fraction.

Results

RT did not promote adaptations in cardiac and musculoskeletal structure and morphology, nor was it able to reduce body weight and body fat deposits. However, RT brought about an increase in absolute and relative strength.

Conclusion

Vertical ladder RT protocols, regardless of weekly frequency, lead to increased muscle strength without cardiac and skeletal structural adaptations. Level of evidence I, Therapeutic studies - Investigating treatment results.

Resistance training; Heart; Skeletal muscle

RESUMO

Introdução

O treinamento de força (TF) tem sido relacionado ao aumento da síntese proteica, sendo que no miocárdio desencadeia adaptações morfológicas que resultam na melhora da contratilidade cardíaca. No músculo esquelético, o TF promove melhora da capacidade funcional e da sarcopenia causada pelo envelhecimento. Todavia, a eficácia dessa modalidade de treinamento nos sistemas cardíaco e esquelético ainda precisa ser esclarecida.

Objetivo

Investigar o efeito de diferentes protocolos de TF em escada vertical sobre a estrutura e morfologia cardíaca e esquelética. Materiais e Métodos: Ratos Wistar (n=28) foram randomizados em quatro grupos: sedentário (C); protocolo de TF com 4 a 9 subidas, 3 sessões/semana, intervalo de 120 segundos e intensidade de 50% a 100% da carga máxima (CM) com adição progressiva de 30 g (TF1); protocolo de TF com 4 a 5 subidas, 3 sessões/semana, intervalo de 60 segundos e intensidade de 50% a 100% da CM, sendo que na 5º subida foi adicionada sobrecarga de 30 g (TF2); protocolo de TF com 4 a 5 subidas, 5 sessões/semana, intervalo 60 segundos e intensidade de 50% a 100% da CM; os animais que completaram a 4ª subida foram submetidos à 5ª subida com 100% da CM acrescido de 30 g (TF3). Os protocolos de TF foram realizados por 9 semanas com duração de 30 a 45 minutos/dia. O perfil nutricional, a morfologia muscular cardíaca e esquelética, assim como a área seccional transversa e fração de colágeno foram avaliados.

Resultados

O TF não promoveu adaptações na estrutura e morfologia cardíaca e musculoesquelética, assim como não foi capaz de reduzir o peso e os depósitos de gordura corporal. Entretanto, o TF ocasionou aumento da força absoluta e relativa.

Conclusão

Os protocolos de TF em escada vertical, independentemente da frequência semanal, levam a um aumento da força muscular sem adaptações estruturais cardíacas e esqueléticas. Nível de evidência I, Estudos terapêuticos – Investigação dos resultados do tratamento.

Treinamento de força; Coração; Músculo esquelético

RESUMEN

Introducción

El entrenamiento de fuerza (EF) ha sido relacionado al aumento de la síntesis proteica, siendo que en el miocardio desencadena adaptaciones morfológicas que resultan en la mejora de la contractilidad cardíaca. En el músculo esquelético, el EF promueve mejora de la capacidad funcional y de la sarcopenia causada por el envejecimiento. No obstante, la eficacia de esa modalidad de entrenamiento en los sistemas cardíaco y esquelético aún necesita ser esclarecida.

Objetivo

Investigar el efecto de diferentes protocolos de EF en escalera vertical sobre la estructura y morfología cardíaca y esquelética. Materiales y Métodos: Fueron seleccionados aleatoriamente ratones Wistar (n=28) en cuatro grupos: sedentario (C); protocolo de EF con 4 a 9 subidas, 3 sesiones/semana, intervalo de 120 segundos e intensidad de 50% a 100% de la carga máxima (CM) con agregado progresivo de 30 g (EF1); protocolo de EF con 4 a 5 subidas, 3 sesiones/semana, intervalo de 60 segundos e intensidad de 50% a 100% de la CM, siendo que en la 5 ª subida fue agregada sobrecarga de 30 g (EF2); protocolo de EF con 4 a 5 subidas, 5 sesiones/semana, intervalo 60 segundos e intensidad de 50% a 100% de la CM; los animales que completaron la 4ª subida fueron sometidos a la 5ª subida con 100% de la CM con incremento de 30 g (EF3). Los protocolos de EF fueron realizados por 9 semanas con duración de 30 a 45 minutos/día. Fueron evaluados el perfil nutricional, la morfología muscular cardiaca y esquelética, así como el área seccional transversa y fracción de colágeno.

Resultados

El EF no promovió adaptaciones en la estructura y morfología cardíaca y musculoesquelética, así como no fue capaz de reducir el peso y los depósitos de grasa corporal. Entretanto, el EF ocasionó un aumento de la fuerza absoluta y relativa.

Conclusión

Los protocolos de EF en escalera vertical, independientemente de la frecuencia semanal, llevan a un aumento de la fuerza muscular sin adaptaciones estructurales cardíacas y esqueléticas. Nivel de Evidencia I, Estudios terapéuticos - Investigación de los resultados del tratamiento.

Entrenamiento de resistencia; Corazón, Músculo esquelético

INTRODUCTION

Research has shown that chronic exercise training is associated as a useful tool for promoting cardiac and musculoskeletal adaptations11. Kemi OJ, Wisloff U. Mechanisms of exercise-induced improvements in the contractile apparatus of the mammalian myocardium. Acta Physiol. (Oxf). 2010;199(4):425-39.

2. Alves JP, Nunes RB, Stefani GP, Dal Lago P. Resistance training improves hemodynamic function, collagen deposition and inflammatory profiles: experimental model of heart failure. Plos One. 2014;9(10): e110317.
- 33. Melo SF, Barauna VG, Júnior MA, Bozi LH, Drummond LR, Natali AJ, et al. Resistance training regulates cardiac function through modulation of miRNA-214. Int J Mol Sci. 2015; 16(4):6855-67. through physiological, biochemical and morphofunctional changes.44. Baar K, Esser K. Phosphorylation of p70(S6k) correlates with increased skeletal muscle mass following resistance exercise. Am J Physiol. 1999; 276(1):C120-7.

5. Medeiros C, Frederico MJ, da Luz G, Pauli JR, Silva AS, Pinho RA, et al. Exercise training reduces insulin resistance and upregulates the mTOR/p70S6k pathway in cardiac muscle of diet-induced obesity rats. J Cell Physiol. 2011;226(3):666-74.
- 66. Leite RD, Durigan RC, Lino AD, Campos MV, Souza MG, Selistre-de-Araújo HS, et al. Resistance training may concomitantly benefit body composition, blood pressure and muscle MMP-2 activity on the left ventricle of high-fat fed diet rats. Metabolism. 2013;62(10):1477-84 . These adaptations occur progressively as training is performed systematically and regularly, a condition that contributes to improved performance.77. Philippe AG, Py G, Favier FB, Sanchez AM, Bonnieu A, Busso T, et al. Modeling the responses to resistance training in an animal experiment study. BioMed Res Int. 2015;2015:914860.

Resistance training (RT) has been used as a non-pharmacological form of treatment in humans and experimental models using the vertical ladder apparatus, as this makes it possible to mimic the training applied in humans.77. Philippe AG, Py G, Favier FB, Sanchez AM, Bonnieu A, Busso T, et al. Modeling the responses to resistance training in an animal experiment study. BioMed Res Int. 2015;2015:914860.

8. Miranda JM, Dias LC, Mostarda CT, De Angelis K, Figueira Jr AJ, Wichi RB. Efeito do treinamento de força nas variáveis cardiovasculares em adolescentes com sobrepeso. Rev Bras Med Esporte. 2014;20(2):125-30.

9. Mostarda CT, Rodrigues B, Moraes AO, Moraes-Silva IC, Arruda PB, Cardoso R, et al. Low intensity resistance training improves systolic function and cardiovascular autonomic control in diabetic rats. J Diabetes Complications. 2014;28(3):273-8.

10. Speretta GF, Silva AA, Vendramini RC, Zanesco A, Delbin MA, Menani JV, et al. Resistance training prevents the cardiovascular changes caused by high-fat diet. Life Sci. 2016;146:154-62.

11. Hornberger TA Jr, Farrar RP. Physiological hypertrophy of the FHL muscle following 8 weeks of progressive resistance exercise in the rat. Can J Appl Physiol. 2004;29(1):16-31.
- 1212. Ribeiro HQ, Coqueiro AY, Lima VB, Martins CE, Tirapegui J. Leucine and resistance training improve hyperglycemia, white adipose tissue loss, and inflammatory parameters in an experimental model of type 1 diabetes. Nutr Health. 2017;24(1):19-27.

RT is defined as a set of exercises performed against an opposing force aimed at improving physical functionality, increasing strength and mass.1313. Campos GE, Luecke TJ, Wendeln HK, Toma K, Hagerman FC, Murray TF, et al. Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones. Eur J Appl Physiol. 2002;88(1-2):50-60. Researchers have also indicated improved body composition and reduced adipocyte area after intervention with RT in obese animals.77. Philippe AG, Py G, Favier FB, Sanchez AM, Bonnieu A, Busso T, et al. Modeling the responses to resistance training in an animal experiment study. BioMed Res Int. 2015;2015:914860. , 1414. Panveloski-Costa AC, Pinto Junior DA, Brandão BB, Moreira RJ, Machado UF, Seraphim PM. Treinamento resistido reduz inflamação em músculo esquelético e melhora a sensibilidade à insulina periférica em ratos obesos induzidos por dieta hiperlipídica. Arq Bras Endocrinol Metab. 2011;55(2):155-63. RT is also related to increased protein synthesis and cardiac and musculoskeletal muscle hypertrophy.44. Baar K, Esser K. Phosphorylation of p70(S6k) correlates with increased skeletal muscle mass following resistance exercise. Am J Physiol. 1999; 276(1):C120-7. , 1515. Nery SS, Andrella JL. Respostas e adaptações cardiovasculares ao treinamento resistido dinâmico. EFDeportes.com. 2012;17(168).

In the myocardium, the physiological stimulus of RT triggers morphological adaptations that result in improved cardiac contractility.1616. Mill JG, Vassallo DV. Hipertrofia cardíaca. Rev Bras Hipertens. 2001; 8(1):63-75. Moreover, in musculoskeletal tissue there is an improvement in functional capacity and a reduction of sarcopenia.1717. Bernardi DF, Reis MA, Lopes NB. O tratamento da sarcopenia através do exercício de força na prevenção de quedas em idosos: revisão de literatura. Ensaios Cien Biol Agr Saude. 2008;12(2):197-213. However, there is still a shortage of studies mimicking in experimental animals the progressive RT performed in humans, both in training variables and in consequent adaptations.77. Philippe AG, Py G, Favier FB, Sanchez AM, Bonnieu A, Busso T, et al. Modeling the responses to resistance training in an animal experiment study. BioMed Res Int. 2015;2015:914860. , 1111. Hornberger TA Jr, Farrar RP. Physiological hypertrophy of the FHL muscle following 8 weeks of progressive resistance exercise in the rat. Can J Appl Physiol. 2004;29(1):16-31. Thus, the purpose of the study was to investigate the effect of different RT protocols on cardiac and skeletal tissue structural morphology.

MATERIALS AND METHODS

Twenty-eight Wistar rats (200-250g), aged 30 days, supplied Animal Quarters of the Center for Health Sciences of Universidade Federal of Espírito Santo (UFES) were used in the study. The animals were kept in collective cages, in a controlled environment with temperature of 24 ± 2ºC, relative humidity of 55 ± 5% and a 12-hour light-dark cycle. The experimental procedures were conducted according to the “Guide for the Care and Use of Laboratory Animals”, and were approved by the UFES Animal Ethics Committee under protocol 1036-2013.

The rats were acclimatized for seven days, then randomly assigned to four experimental groups: 1) Sedentary (C); 2) Resistance Training originally developed and applied by Hornberger and Farrar1111. Hornberger TA Jr, Farrar RP. Physiological hypertrophy of the FHL muscle following 8 weeks of progressive resistance exercise in the rat. Can J Appl Physiol. 2004;29(1):16-31. (RT1); 3) Resistance Training with weekly frequency of three days (RT2) and; 4) Resistance Training with weekly frequency of five days (RT3). The resistance training protocols (RT2 and RT3) were adapted from RT1. The animals received standard feed (Agroceres®, Rio Claro, Brazil) and water was offered ad libitum .

The trained animals were initially allowed three nonconsecutive days to become familiar with the environment and the apparatus used for resistance training; after 24h, the rats underwent the maximum load test (MLT).77. Philippe AG, Py G, Favier FB, Sanchez AM, Bonnieu A, Busso T, et al. Modeling the responses to resistance training in an animal experiment study. BioMed Res Int. 2015;2015:914860. The MLT consisted of climbing the ladder once with a load equivalent to 75% of body weight and a two minute interval. A weight of 30 g was added to the previous load in each set performed. Failure was defined when animals were unable to climb the ladder, remaining static and unstable even after dorsal and caudal stimulation.

The highest load carried was considered the maximum load (ML), which was used to prescribe training intensities. To monitor the development of strength and ML values, a retest was conducted at the end of the training protocol, considering the first set with 100% of the load carried in the last session of the training period and a two minute interval. A 30 g weight was added to the previous load in each set.

RT, adapted from Hornberger and Farrar,1111. Hornberger TA Jr, Farrar RP. Physiological hypertrophy of the FHL muscle following 8 weeks of progressive resistance exercise in the rat. Can J Appl Physiol. 2004;29(1):16-31. was performed with a vertical ladder apparatus (1.1 m high, 0.18 m wide, with rungs set 2.0 cm apart, at an angle of 80°) and a box at the top measuring 20cm x 20cm x 20cm. The load used in the three training protocols of resistance was fastened to the proximal portion of the animal’s tail.

After the familiarization period, the rats underwent three different resistance training protocols on a vertical ladder for nine weeks, between three and five days per week, with an average duration of 30 to 45 minutes/day. RT1 consisted of four to nine climbs, three sessions/week, a two minute interval and intensity of 50%, 75%, 90% and 100% ML, with progressive addition of 30 g between the 5th and 9th climbs. The RT2 protocol consisted of four to five climbs, three sessions/week, a one minute interval and intensity of 50%, 75%, 90% and 100% ML, with the addition of a 30 g overload in the 5th climb. The animals in the RT3 protocol climbed the ladder four to five times, five sessions/week, with a one minute interval and intensity of 50%, 75%, 90% and 100% ML, with the addition of a 30 g overload up to the fifth set.

Strength performance was determined by the maximum load used, presented in absolute (g) and relative load (absolute load/body weight). Under dynamic conditions such as ladder RT, normalization of the maximum load carried by body weight represents an important indicator of functional performance.1818. Lafortuna CL, Fumagalli E, Vangeli V, Sartorio A. Lower limb alactic anaerobic power output assessed with different techniques in mordib obesity. J Endocrinol Invest. 2002;25(2):134-41.

The body weight of the animals was measured weekly and the amount of body fat determined on the base of epididymal, retroperitoneal and visceral fat deposits. The adiposity index was calculated by dividing the sum of fat deposits by the final body weight multiplied by 100.

The rats were anesthetized intraperitoneally with ketamine hydrochloride (50 mg/kg) and xylazine hydrochloride (10 mg/kg) and euthanized. After median thoracotomy, adipose tissue, cardiac and skeletal muscle samples were dissected, weighed and stored. The tibia was also dissected and its length was measured using an analog caliper.

Cardiac morphology was determined by the weight of the heart, left and right ventricles (LV and RV), atrium, and respective ratios in respect to tibial length. Skeletal morphology was represented by the total weight of the soleus, plantaris and biceps muscles.

LV samples were collected for analysis of the cross-sectional area (CSA) and quantification of the myocardial collagen volume fraction. Samples were soaked in 4% paraformaldehyde solution, pH 7.4, transferred to 70% ethanol solution and embedded in paraffin blocks. The histological sections were then stained and mounted on a slide with hematoxylin and eosin (HE). CSA images were obtained by microscope (AX70, Olympus Optical CO, Japan) using 40X objective. Area calculation was determined by measuring 30 to 50 cells by LV with visible, centralized and rounded nucleus.

To determine myocardial collagen, LV samples were transferred to 70% ethanol, then embedded in paraffin blocks and stained with picrosirius red. Quantitation was determined by 30 to 40 fields per fragment using a microscope with 40X objective. The analyses were performed with the assistance of the analysis program (ImagePro-plus, Media Cybernetics, Maryland, USA).

Biceps muscle fragments were collected post mortem, soaked in 4% paraformaldehyde solution, pH 7.4, and transferred to 70% ethanol solution. The samples were embedded in paraffin blocks and the slides stained with HE solution. To calculate the musculoskeletal CSA, 500 fibers per tissue per animal were measured.

Statistical analysis

Data distribution was performed using the Kolmogorov-Smirnov normality test. Results were expressed as mean and standard deviation and/or median and interquartile range according to adherence. One factor analysis of variance (ANOVA) was used, supplemented by the Bonferroni or Holm-Sidak multiple comparison test. Statistical programs were SigmaStat 3.5 and Graphpad Prism 6. The significance level was 5%.

RESULTS

The three RT protocols used did not significantly alter initial and final body weight, body weight gain, epididymal, retroperitoneal and visceral fat deposits, or total body fat and adiposity index ( Table 1 ). In addition, the percentage of body weight gain was higher in RT1 than in RT2 (p = 0.03), representing an increase of 37.7% in this parameter ( data not shown ).

Table 1
General characteristics of the experimental groups.

Absolute and relative pre-training loads were similar among groups ( Figure 1 ). In the FMLT, performed after the end of the resistance training protocol, it was observed that the RT1, RT2 and RT3 groups presented high strength gain when compared to C (p <0.001) ( Figure 1A ), representing an increase of 69%, 86% and 116% in comparison to C, respectively. Moreover, when normalized by body weight, the same result was found with an increase of 74%, 119%, and 117%, respectively ( Figure 1B ). RT3 presented higher absolute training load than RT1 with higher strength performance (28%) as a result ( Figure 1A ).

Figure 1
Strength performance of the groups in the initial and final Maximum Load Tests (MLT).

Values expressed in mean ± standard deviation; 7 animals per group; C: sedentary control group; RT1: RT protocol with 4 to 9 climbs, 3 sessions/week, 2-minute interval and intensity of 50% to 100% of the maximum load (ML); an overload of 30 g was added up to the 9th set; RT2: RT protocol with 4 to 5 climbs, 3 sessions/week, 60-second interval and intensity of 50% to 100% ML, an overload of 30 g was added up to the 5th set; RT3: RT protocol with 4 to 5 climbs, 5 sessions/week, 60-second interval and intensity of 50% to 100% ML; when the 4th set was performed, the animals underwent the 5th climb with 100% + 30 g. IMLT: initial maximum load test; FMLT: final maximum load test. * p <0.05 versus C; # (RT3 versus RT1). One-way ANOVA followed by Bonferroni post-hoc test.


No macroscopic changes were observed in cardiac tissue and skeletal muscle, represented by the weights of the heart, LV, RV and AT and normalized by the tibial length, as well as the weight of the biceps, soleus and plantaris muscles and their respective relationship with the tibia ( Table 2 ).

Table 2
Cardiac and musculoskeletal morphological characteristics.

Figure 2A-C shows the histological sections of LV and skeletal muscle samples for quantification of myocyte CSA, myocardial collagen volume fraction and biceps CSA. In both microscopic analyses performed, RT performed for nine weeks did not change the cardiac and musculoskeletal structure.

Figure 2
Values expressed in mean ± standard deviation.

Number of animals per group = 7. C: sedentary control group; RT1: RT protocol with 4 to 9 climbs, 3 sessions/week, 2-minute interval and intensity of 50% to 100% of the maximum load (ML); an overload of 30 g was added up to the 9th set ; RT2: RT protocol with 4 to 5 climbs, 3 sessions/week, 60-second interval and intensity of 50% to 100% ML; an overload of 30 g was added up to the 5th set; RT3: RT protocol with 4 to 5 climbs, 5 sessions/week, 60-second interval and intensity of 50% to 100% ML; when the 4th set was performed, the animals underwent the 5th climb with 100% + 30 g. A) LV histological sections stained with hematoxylin and eosin for measurement of the myocyte Cross-sectional Area (CSA). B) LV histological sections stained with picrosirius red for measurement of myocardial collagen; C) Histological sections of the biceps stained with hematoxylin and eosin for measurement of musculoskeletal CSA. Two-way ANOVA supplemented by Bonferroni post-hoc test.


DISCUSSION

The purpose of the study was to analyze the morphology and tissue structure of the cardiac and skeletal muscles under different ladder RT protocols. In this context, the ladder RT protocols do not generate cardiac and musculoskeletal tissue morphological adaptations at the optical microscopy level, yet they demonstrate the important role of RT in absolute and relative strength gain, visualized by the greater strength of the trained groups when compared to the sedentary group (C). This result highlights that RT was able to improve functional capacity based on different RT protocols, regardless of weekly frequency.

The RT protocols used in this particular study did not entail changes in body adiposity. In actual fact, studies with humans using RT without a prescribed calorie-restricted diet indicate that this tool alone is not able to promote significant reductions in body weight.1919. Chin SH, Kahathuduwa CN, Binks M. Physical activity and obesity: what we know and what we need to know. Obes Rev. 2016;17(12):1226-44. , 2020. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK; American College of Sports Medicine. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459-71. In addition, changes in body composition with isolated RT have controversial results, while some studies have observed a reduction in body fat,2121. Hunter GR, Bryan DR, Wetzstein CJ, Zuckerman PA, Bamman MM. Resistance training and intra-abdominal adipose tissue in older men and women. Med Sci Sports Exerc. 2002;34(6):1023-8. others have not found any changes in this parameter.2222. Willis LH, Slentz CA, Bateman LA, Shields AT, Piner LW, Bales CW, et al. Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol (1985). 2012;113(12):1831-7.

Leite et al,77. Philippe AG, Py G, Favier FB, Sanchez AM, Bonnieu A, Busso T, et al. Modeling the responses to resistance training in an animal experiment study. BioMed Res Int. 2015;2015:914860. using the same ladder training protocol with adult Wistar rats, observed positive changes in the body composition of the animals visualized by the reduction of fat percentage in the RT group, even in the absence of changes in body weight. Furthermore, some studies in humans have also failed to observe weight and body fat reductions with RT. Willis et al2222. Willis LH, Slentz CA, Bateman LA, Shields AT, Piner LW, Bales CW, et al. Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol (1985). 2012;113(12):1831-7. evaluated the effect of aerobic and resistance training, as well as the combination of training methods, on the body composition of 119 overweight or obese sedentary adults trained for a period of eight months. The findings show that resistance training alone caused an increase in body mass with a slight increase in lean mass, but without reductions in fat mass and waist circumference. However, sedentary individuals produced an increase in fat mass and fat percentage without changes in lean mass.2323. Kirk EP, Donnelly JE, Smith BK, Honas J, Lecheminant JD, Bailey BW, et al. Minimal resistance training improves daily energy expenditure and fat oxidation. Med Sci Sports Exerc. 2009;41(5):1122-9. Given this context, the absence of weight loss and body fat with the ladder protocol designed for animal studies is similar to the response to non-calorie restricted RT practiced by humans.

Regarding strength performance, we were able to note that the animals carried a similar absolute load in the IMLT, which is consistent with the findings of other researchers.1010. Speretta GF, Silva AA, Vendramini RC, Zanesco A, Delbin MA, Menani JV, et al. Resistance training prevents the cardiovascular changes caused by high-fat diet. Life Sci. 2016;146:154-62. , 2424. Neves RV, Souza MK, Passos CS, Bacurau RF, Simoes HG, Prestes J, et al. Resistance Training in Spontaneously Hypertensive Rats with Severe Hypertension. Arq Bras Cardiol. 2016;106(3):201-9. This result shows that the experimental groups were homogeneous in terms of strength production, with no significant differences in the pre-training period. After the end of the training and retest protocol, the groups that underwent RT had a greater strength gain than the sedentary group. The literature emphasizes that strength gain is directed by neural and/or structural adaptations that occur in skeletal muscle,2525. Barroso R, Tricoli V, Ugrinowitsch C. Adaptações neurais e morfológicas ao treinamento de força com ações excêntricas Neural and morphological adaptations to resistance training with eccentric actions. Rev Bras Ci e Mov. 2005;13(2):111-22. which are evidenced by the development of intra and intermuscular coordination, with consequent greater fiber recruitment or visualized by the increase in the cross-sectional area and number of myofibrils.2525. Barroso R, Tricoli V, Ugrinowitsch C. Adaptações neurais e morfológicas ao treinamento de força com ações excêntricas Neural and morphological adaptations to resistance training with eccentric actions. Rev Bras Ci e Mov. 2005;13(2):111-22. It is extensively acknowledged in literature that regular exercise is able to improve muscle strength and physical fitness, resulting in improved functional capacity.2626. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2001;43(7):1334-59.

Experimental research using the ladder model has found that the protocol is effective in inducing lower2727. Jung S, Ahn N, Kim S, Byun J, Joo Y, Kim S, et al. The effect of ladder-climbing exercise on atrophy/hypertrophy-related myokine expression in middle-aged male Wistar rats. J Physiol Sci. 2015;65(6):515-21. and upper limb2828. Begue G, Douillard A, Galbes O, Rossano B, Vernus B, Candau R, et al. Early activation of rat skeletal muscle IL-6/STAT1/STAT3 dependent gene expression in resistance exercise linked to hypertrophy. PLoS One. 2013;8(2):e57141. muscle hypertrophy, yet other studies have failed to observe these structural adaptations.2929. Deschenes MR, Judelson DA, Kraemer WJ, Meskaitis VJ, Volek JS, Nindl BC, et al. Effects of resistance training on neuromuscular junction morphology . Muscle Nerve. 2000;23(10):1576-81. Compared to other animal models of overload for the purpose of inducing skeletal muscle hypertrophy, such as tenotomy or surgical ablation, the ladder model may not be the most suitable due to its controversial results. In this particular study, none of the RT protocols managed to actually bring about morphological changes in the upper and lower limb muscles. In addition, the cross-sectional area of the biceps did not present structural changes caused by the different interventions with RT, indicating that the protocols failed to induce skeletal muscle hypertrophy.

Regardless of the changes in muscle mass, the ladder training protocol is also expected to entail neuromuscular adaptations.2929. Deschenes MR, Judelson DA, Kraemer WJ, Meskaitis VJ, Volek JS, Nindl BC, et al. Effects of resistance training on neuromuscular junction morphology . Muscle Nerve. 2000;23(10):1576-81. Authors report that RT causes neuromuscular junction remodeling, as well as increased dispersion of acetylcholine receptors within the terminal plate region, but no changes in muscle fiber size after this intervention.2929. Deschenes MR, Judelson DA, Kraemer WJ, Meskaitis VJ, Volek JS, Nindl BC, et al. Effects of resistance training on neuromuscular junction morphology . Muscle Nerve. 2000;23(10):1576-81. In this particular study, the greater strength gains of the trained groups in comparison to the sedentary group, even with the absence of muscle hypertrophy, suggest that these adaptations were the main determinants of the increase in muscle strength.

It is worth emphasizing that gain in muscle strength was also observed when normalizing the load carried by the animal’s body weight (relative load). In the IMLT, the groups had the same functional capacity. However, after the different RT protocols, we noticed that the trained groups achieved greater functionality compared to the sedentary group, indicating that the strength gain and body weight of these groups increased progressively during the experimental period. In the sedentary group, there was a reduction in relative load over time, probably because of physical inactivity. On the other hand, authors point out that strength production capacity is related to physical functionality, and that the latter depends on changes in body composition.3030. Miller CT, Fraser SF, Levinger L, Straznicky NE, Dixon JB, Reynolds J, et al. The effects of exercise training in addition to energy restriction on functional capacities and body composition in obese adults during weight loss: a systematic review. PLoS One. 2013;8(11):e81692.

Regarding the adaptations in cardiac tissue, the different RT protocols did not promote macroscopic and/or microscopic remodeling. The frequently observed adaptations in the myocardium promoted by physical exercise are eccentric and/or concentric cardiac hypertrophy. However, physiological adaptation is dependent on the type of training, duration and intensity. The literature also indicates that in RT, concentric cardiac remodeling usually occurs as of afterload elevation. Thus, there is an increase in LV wall thickness and a reduction in the cavitary diameters, vizualized by the synthesis of sarcomeres in parallel.1616. Mill JG, Vassallo DV. Hipertrofia cardíaca. Rev Bras Hipertens. 2001; 8(1):63-75. In view of this context, in our investigation we expected the animals undergoing RT on a ladder to have physiological cardiac remodeling, since the addition of sarcomeres in serie allows the cell to increase in length and the number of myofibrils, allowing the improvement of cardiac performance.1616. Mill JG, Vassallo DV. Hipertrofia cardíaca. Rev Bras Hipertens. 2001; 8(1):63-75.

CONCLUSION

Resistance training protocols on a vertical ladder, regardless of weekly frequency, entail increased muscle strength without cardiac and skeletal structural adaptations.

ACKNOWLEDGMENTS

We are grateful to the UFES Ultrastructure Cellular Carlos Alberto Redins Laboratory and Immunohistochemistry Laboratory for their partnership and to the Fundação de Amparo à Pesquisa e Inovação do Espírito Santo (Foundation for Support to Research and Innovation of the State of Espírito Santo) for their financial support (process: 72505028).

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Publication Dates

  • Publication in this collection
    01 June 2020
  • Date of issue
    May-Jun 2020

History

  • Received
    31 July 2018
  • Accepted
    24 June 2019
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