Cold Spring Harb Perspect Med. 2018 Jun; 8(6): a029769. The capacity for human exercise performance can be enhanced with prolonged exercise training, whether it is endurance- or strength-based. The ability to adapt through exercise training allows individuals to perform at the height of their sporting event
and/or maintain peak physical condition throughout the life span. Our continued drive to understand how to prescribe exercise to maximize health and/or performance outcomes means that our knowledge of the adaptations that occur as a result of exercise continues to evolve. This review will focus on current and new insights into endurance and strength-training adaptations and will highlight important questions that remain as far as how we adapt to training. In
response to exercise, humans alter the phenotype of their skeletal muscle; changing the store of nutrients, amount and type of metabolic enzymes, amount of contractile protein, and stiffness of the connective tissue, to name but a few of the adaptations. The shift in phenotype is the result of the frequency, intensity, and duration of the exercise in combination with the age, genetics, gender, fueling, and training history of the individual
(Joyner and Coyle 2008; Brooks 2011). Therefore, even though exercise is often referred to as a single stimulus and we have looked for generalized responses, how any individual responds to exercise training will vary based on things we understand and (likely) many more that we do not. As is the norm, this article will focus on the things that we already understand,
but will highlight important questions that remain as far as how we adapt to training. Exercise is generally separated into aerobic/endurance and power/strength activities. Endurance exercise is classically performed against a relatively low load over a long duration, whereas strength exercise is performed against a relatively high load for a short duration. However, pure endurance and pure strength exercise is rare. Most activities combine endurance and strength and this type of
training has been termed concurrent exercise. Furthermore, recent work showing that short high-intensity exercise can lead to endurance adaptations and low-load exercise that approaches failure can lead to strength adaptations has challenged our understanding of which type of exercise results in which phenotypic shift in muscle. Classic endurance training is known to result in enhanced cardiac output, maximal oxygen consumption, and mitochondrial biogenesis
(Holloszy 1967; Coyle et al. 1983, 1986,
1988; Holloszy and Coyle 1984; Favier et al. 1986). The overall improvement in both central and
peripheral tissues allows for enhanced exercise economy and a greater ability for an individual to run for longer distances and times (Brooks 2011). In contrast, strength training results in increases in muscle size (cross-sectional area [CSA]), neural adaptations (motor output), and improved strength (maximal force production) (Narici et al. 1989;
Staron et al. 1991; Pyka et al. 1994; Häkkinen et al. 1998a). These positive alterations in
physical capacity allow an individual to be stronger, more powerful, and maintain a better quality of life throughout the life span (Visser et al. 2005; Goodpaster et al. 2006;
Newman et al. 2006). Indeed, both endurance and strength-training adaptations not only contribute toward potential sporting excellence but, in most instances, contribute toward the delayed onset of age-related diseases
(McGregor et al. 2014; Zampieri et al. 2015; Cartee et al. 2016). This article focuses on recent
concepts and new literature in the field of endurance and strength training and how this new information has changed the dogma of how exercise enhances physical performance and overall adaptation. Finally, the combination of endurance and strength exercise and recent advances in our understanding of concurrent training will also be briefly discussed in the latter part of this article. Endurance training leads to
adaptations in both the cardiovascular and musculoskeletal system that supports an overall increase in exercise capacity and performance (Brooks 2011). The local adaptations in skeletal muscle, such as increased mitochondrial biogenesis and capillary density, aid in the body’s ability to transport and use oxygen to generate energy and therefore delay the onset of muscle fatigue during prolonged aerobic performance
(Joyner and Coyle 2008). The mitochondrion is the main organelle for energy production through the generation of adenosine triphosphate (ATP) via the electron transport system (ETS), using substrates generated in the tricarboxylic acid (TCA) cycle
(Egan and Zierath 2013; Bishop et al. 2014). Recent studies have begun to investigate the impact of exercise-induced mitochondrial biogenesis adaptations from the perspective of mitochondrial content and function with varying exercise
intensity paradigms (Serpiello et al. 2012; Granata et al. 2016a,b;
MacInnis et al. 2016). Studies investigating the role of the intensity and volume of exercise on mitochondrial adaptations have been conducted using long slow-distance (LSD) training, sprint interval training ([SIT]; ∼30 sec maximal bouts) and high-intensity interval training (HIIT; 1–4 min all-out bouts)
(Gibala et al. 2014). Traditional LSD training entails an individual sustaining a submaximal workload for a long period of time, or successfully completing a fixed distance/time through a higher than average power output (Coyle 1995).
On the other hand, HIIT and SIT require the individual to perform repeated bouts at close to maximal intensity for a short period of time with a reduced training volume (Laursen and Jenkins 2002; Gibala et al. 2006). Many studies have
highlighted similarities in adaptations for mitochondria markers (e.g., peroxisome proliferator-activated receptor γ coactivator 1α [PGC-1α]) and skeletal muscle oxidative capacity in both training models (Gibala et al. 2009; Little et
al. 2010b, 2011; Jacobs et al. 2013b; Cochran et al. 2014), and, therefore, HIIT/SIT has been
proposed as a time-effective strategy for enhancing aerobic adaptations (Gibala and McGee 2008; Gillen and Gibala 2013). More recent studies have begun to directly address the importance of exercise intensity versus
volume in relation to mitochondrial content and function (Daussin et al. 2008; Jacobs et al. 2013b;
Cochran et al. 2014; Granata et al. 2016b; MacInnis et al. 2016).
Granata and colleagues (2016b) used all three exercise protocols (LSD, HIIT, and SIT), matching volume in the traditional and HIIT groups, on young moderately trained men. After 4 wk of training, the investigators observed a 25% increase in maximal mitochondrial respiration only in the SIT group, with no changes seen in either the LSD or HIIT groups. The increased
level of mitochondrial respiration within the SIT group was accompanied by changes in PGC-1α, p53, and PHF20 protein content. PHF20 is important for both stabilizing and up-regulating p53 (Cui et al. 2012; Park et al. 2012), whereas
p53 is a tumor suppressor and involved in the regulation of mitochondrial function (Matoba et al. 2006; Park et al. 2009). In contrast to the Granata study, HIIT alone has been shown to influence mitochondrial content and
respiration (Daussin et al. 2008; Jacobs et al. 2013b). Jacobs et al. (2013b) observed increased
mitochondrial respiration along with alterations in content (measured by cytochrome c oxidase [COX] activity) culminating in increased exercise capacity after only 2 wk of HIIT training. Further support for mitochondrial adaptations with HIIT comes from a within-subject study that showed 2 wk of training resulted in increased mitochondrial volume density and respiration
(MacInnis et al. 2016). The discrepancies between these studies may be because of differences in subject training status, experimental design, and methodological measures implemented for assessing mitochondrial adaptations. The optimal study to conclusively address this issue would use all three training models and a within-subject crossover design. When the intensity of training is maintained and only the volume manipulated, the mitochondrial adaptation differs again, using a design in which 10 subjects performed HIIT once a day three times a week, then twice a day three times a week, followed by once a day two times a week. Granata and colleagues (Granata et al. 2016b) showed that mitochondrial
respiration and citrate synthase (CS) activity increased (∼50%) during only the high-volume training period. The increase in mitochondrial respiration was accompanied by increased ETS and regulatory proteins, such as PGC-1α, p53, and PHF20. Following 2 wk of decreased training volume, mitochondrial-specific respiration remained high, with a slight decrease in CS activity being the only sign of detraining. Overall, these studies suggest that high-intensity training is important for increasing
mitochondrial activity, whereas a greater training volume is needed to increase mitochondrial mass (Fig. 1) (MacInnis et al. 2016). However, the predominant marker used to
determine alterations in mitochondrial content has been CS activity. Future studies should look to use electron microscopy and identify other markers that may more be reflective of mitochondrial activity (e.g., subsarcolemma vs. intermyofibrillar location of mitochondria) and mass changes in skeletal muscle.  Schematic diagram of training intensity and volume on mitochondrial respiration versus content adaptations through endurance training. Recent evidence suggests that increases in exercise intensity (sprint interval training [SIT]; high-intensity interval training [HIIT]) lead to enhanced mitochondrial respiration and function, whereas prolonged low-intensity and high-volume (long slow-distance [LSD] training) endurance exercise appears to aid in increased mitochondrial content within skeletal muscle. Classically, PGC-1α has been anointed as the “master regulator of mitochondrial biogenesis” and a fundamental component of exercise-induced adaptations with endurance training (Baar et al. 2002; Pilegaard et al. 2003; Little et al. 2010a). In recent years, another protein, p53, has emerged as a key player in substrate metabolism and mitochondrial biogenesis (Park et al. 2009; Saleem and Hood 2013; Bartlett et al. 2014). p53 was the first tumor suppressor protein discovered (Baker et al. 1989; Nigro et al. 1989). In this role, p53 regulates cell-cycle arrest, apoptosis, angiogenesis, DNA repair, and cell senescence (Levine et al. 2006). Initial studies using mouse knockout (KO) models lacking p53 identified a further role for this protein in controlling mitochondrial content, with KO mice displaying reduced mitochondria in both subsarcolemmal and intermyofibrillar compartments, together with reduced COX activity and PGC-1α compared with wild-type animals (Saleem et al. 2009). Furthermore, the loss of p53 and subsequent decrease in mitochondrial content and function resulted in reduced exercise capacity and performance (Park et al. 2009). The current proposed mechanisms for how p53 may regulate mitochondrial biogenesis is through targeting the mitochondrial genome and specifically interacting with mitochondrial transcription factor A (Tfam) (Saleem and Hood 2013). Saleem and Hood (2013) reported that, with acute exercise and muscle contraction, p53 translocates from the nucleus and positively modulates Tfam activity. In terms of current human data, Bartlett et al. (2012) observed increased p53 phosphorylation 3 h postexercise, although this alteration in p53 phosphorylation occurred after acute bouts of both continuous endurance and HIIT exercise. In contrast, Granata and colleagues showed that p53 increases with maximal sprint training, whereas HIIT or continuous endurance training has no effect on p53 content (Granata et al. 2016b). It is important to note that the regulation of p53 may not only be influenced by exercise intensity but also the nutritional status of the working muscle during training sessions, for example, reduced carbohydrate availability (Bartlett et al. 2013). Future research is required to understand the time course of p53 activation and involvement in mitochondrial biogenesis with respect to endurance exercise (Bartlett et al. 2014). Understanding this signaling cascade will not only be important from a human performance perspective but also from a health standpoint in which exercise might be used to support treatments in cancer therapy (Saleem and Hood 2013). In addition to alterations in oxygen delivery, substrate metabolism, and mitochondrial mass within skeletal muscle after endurance training, other factors contribute toward the resulting enhanced exercise performance and improved running economy (Saunders et al. 2004; Barnes and Kilding 2015). One such factor is the stiffness of the muscle–extracellular matrix (ECM)–tendon unit, because adaptations within this system will enhance the body’s ability to store and use elastic energy more efficiently. An increase in elastic energy storage and recoil results in decreased ground contact time and reduced energy cost (Arampatzis et al. 2006; Fletcher et al. 2010). Indeed, runners who display and/or develop a longer and stiffer musculotendonous system appear to have a lower oxygen uptake (VO2) when performing at submaximal running velocities (Craib et al. 1996; Albracht and Arampatzis 2013; Barnes et al. 2014). A second factor contributing to improved running and cycling economy is neural adaptation. Muscle recruitment patterns vary greatly between highly trained individuals and novice counterparts (Paavolainen et al. 1999b,c; Chapman et al. 2008). Highly trained individuals may have the capacity to elicit increased muscle coactivation, leg stiffness, and greater eccentric to concentric muscle activity, which allows for more efficient usage of stored elastic energy, lowering the metabolic cost of exercise (Paavolainen et al. 1999b; Heise et al. 2008). In contrast, stretching interventions used to enhance flexibility tend to decrease economy, although these results have been equivocal (Craib et al. 1996; Nelson et al. 2001; Shrier 2004). Some of the possible reasons for the contrasting evidence with stretching include the length of intervention program (acute vs. chronic), the influence of gender in pooled studies, methodological designs, and treadmill familiarization (Craib et al. 1996; Nelson et al. 2001; Shrier 2004; Allison et al. 2008; Trehearn and Buresh 2009). Training to improve the connective tissue stiffness and neuromuscular components is quite different than classic endurance training. Here, training is based on strength/power and plyometric exercises to heighten the neuromuscular adaptations (e.g., muscle activation, motor unit recruitment) and the stiffness of the muscle–ECM–tendon unit (Storen et al. 2008; Yamamoto et al. 2008; Beattie et al. 2014). A good example of this work is an early study by Paavolainen and colleagues (1999a) who investigated the impact of explosive-type strength training in well-trained endurance athletes on endurance performance (5-km time trial, running economy, etc.). After 9 wk of training, the investigators reported a 3% improvement in 5-km time trial with a tendency to decrease VO2max. The improved performance resulted largely from improvements in running economy. Subsequent research has highlighted an additive effect of incorporating a strength-training program into the training of predominately endurance-trained athletes, both during preseason and in season (Rønnestad et al. 2010). The proposed mechanisms for these improvements in endurance performance are improved neural function (maximal voluntary contraction, rate of force development [RFD]), increases in type IIA muscle fibers (less fatigable), and increased muscle–ECM–tendon stiffness (Aagaard and Andersen 2010; Aagaard et al. 2011). Further, the addition of strength training has been observed to improve exercise economy better than endurance training alone (Sunde et al. 2010; Beattie et al. 2014; Vikmoen et al. 2015) and the inclusion of strength training may enhance performance during the later stages of competition (Rønnestad et al. 2011). One way to distinguish between the muscle–ECM–stiffness and neural adaptations would be to perform the strength/plyometric training on one leg and determine whether cross-limb transfer has resulted in improved performance in the opposite limb indicative of a neural adaptation (see below). However, these experiments have yet to be performed with endurance-type exercise. Further, caution is warranted for strength training to improve endurance performance as there is also evidence to suggest that increasing endurance and strength training volume together may lead to impairments in both adaptations and performance (Hickson 1980; Rønnestad et al. 2012; Jones et al. 2013). The last adaptation to endurance exercise training that we would like to highlight is muscle hypertrophy and growth (Harber et al. 2009b, 2012; Konopka and Harber 2014). Over a 12-wk endurance-training program, muscle mass has been reported to increase by 7% to 11% (Konopka et al. 2010; Trappe et al. 2011; Harber et al. 2012). This increase in muscle mass is comparable to resistance exercise training over the same time period (Trappe et al. 2011; Mitchell et al. 2012). These reported increases in muscle mass with endurance training have been predominately observed in the quadriceps muscle, the mode of exercise used was cycling, and the individuals undertaking training had a limited level of exercise experience and/or sedentary lifestyle (Konopka and Harber 2014). Nonetheless, it appears that hypertrophy occurs in the quadriceps muscle with classical motor endurance training if the frequency of training and load are high enough (Konopka and Harber 2014). From a mechanistic perspective, acute studies have reported increases in muscle protein synthesis (MPS) with aerobic exercise, independent of age (Short et al. 2004; Harber et al. 2009a, 2010; Durham et al. 2010). For example, Short and colleagues (2004) observed a 22% increase in MPS with 4 mo of cycling (up to 45 min at 80% peak heart rate, 3–4 days/wk). The observed increases in MPS with aerobic exercise do not appear to be driven by complex 1 of the mechanistic target of rapamycin complex 1 (mTORC1) (Durham et al. 2010; Philp et al. 2015). Using rapamycin (an inhibitor of mTORC1 activation), Philp and colleagues (2015) reported increases in muscle and mitochondrial protein synthesis rates following endurance exercise in rats, even when mTORC1 signaling was completely suppressed. The findings by Philp and colleagues are in contrast with previous findings reporting increased MPS and mTORC1 activation with aerobic exercise (Mascher et al. 2011; Edgett et al. 2013; Di Donato et al. 2014). As mentioned previously with other facets of endurance adaptation, the impact of exercise intensity, modality, and level of muscle fiber recruitment may be a potential explanation for the contrast in findings between studies. Specifically, hypertrophy has been observed almost exclusively following training for cycling. Future studies should seek to implement other modes of endurance exercise such as running using different loads/modes (uphill vs. flat) with the same volume to determine whether this affects MPS acutely and muscle size following training. From a mechanistic standpoint, subsequent studies will need to assess the contributions of feeding, myostatin signaling, and other mTOR-independent mechanisms toward endurance-related muscle hypertrophy. STRENGTH TRAININGStrength training leads to an increase in muscle strength and power as a result of neuromuscular adaptations, increases in muscle CSA, and alterations in connective tissue stiffness (Knuttgen and Kraemer 1987). The result is a rapid initial increase in strength as an individual learns an exercise (Fig. 2) (Sale 1988), followed by slowed progression as the muscle grows (Fry 2004; Folland and Williams 2007; Wernbom et al. 2007). Strength training has classically varied the external load and volume to enhance either the neuromuscular drive or muscle CSA, generally training with a load between 1RM (repetition maximum) to 10RM and a volume of four to 12 repetitions (Fry 2004). The adaptations to resistance training are generally evident after 8 to 12 wk (Häkkinen et al. 1998b; Folland and Williams 2007). However, some studies have observed increases in muscle strength and CSA after only 2 to 4 wk (Staron et al. 1994; Seynnes et al. 2007; DeFreitas et al. 2011; Brook et al. 2015; Damas et al. 2016). This early increase in strength is likely caused by neuromuscular and connective tissue adaptations (Sale 1988), whereas the early increases in muscle CSA size may be the result of edema (Damas et al. 2016). Alterations in strength, mass, and neural adaptations with resistance exercise over time. Resistance exercise studies (8 to 12 wk of training) display an early increase in strength as a result of neural adaptations. With prolonged strength training, muscle mass slowly increases and drives the later changes in strength after neural adaptations begin to plateau. Finally, at the elite level, individuals show small changes in all three core adaptations that accompany strength training. At this point, new stimuli (possibly targeting the extracellular matrix [ECM]) are needed to increase strength. Because of the rapid nature of the neuromuscular adaptations and the ability to measure changes in CSA, most early studies within this field have focused on these responses (Cureton et al. 1988; Narici et al. 1989; Staron et al. 1991, 1994). Adaptations observed within the neuromuscular system have centered on increases in skill acquisition through the nervous system and increased maximal muscle activation by way of motor unit synchronization, muscle recruitment, and increased neural activation (Enoka 1988; Jones et al. 1989). In terms of hypertrophy, the main focus for adaptation has been on increases in CSA for individual muscle fibers, adding sarcomeres in parallel (Cureton et al. 1988; Frontera et al. 1988; Staron et al. 1990). Early mechanistic studies focused on alterations within the hormone milieu after acute resistance exercise as a potential contributing factor toward hypertrophy (Kraemer et al. 1991; Häkkinen and Pakarinen 1993; McCall et al. 1999). However, recent evidence appears to cast doubt over the hypothesis that hormones contribute to exercise-induced muscle hypertrophy and growth (West et al. 2009, 2010, 2012; Schroeder et al. 2013; Morton et al. 2016). The importance of the central neural component on strength adaptations is most evident when one limb is trained and the other limb goes untrained. In this situation, muscle CSA does not change in the untrained leg, yet a significant increase in strength occurs from training the contralateral limb (Houston et al. 1983; Yasuda and Miyamura 1983; Munn et al. 2004, 2005). A meta-analysis on the contralateral strength-training effect suggests that strength improves 7.6% in the nonexercised limb (56% of what happens in the exercised limb), with training lasting for between 15 and 48 sessions (Munn et al. 2004; Carroll et al. 2006). Some of the proposed mechanisms for this phenomenon are localized muscle adaptations, cross-limb cortical interaction, and adaptations in spinal cord excitability (Carroll et al. 2006). Ultimately, the unilateral strength training may cause adaptations in neural drive that “spill over” into the untrained limb and, in addition, the untrained limb may access the neuromuscular adaptations that occur within the control system with this type of training (Carroll et al. 2006). Most recently, Kidgell and colleagues (2015) highlighted a greater cross-transfer of strength with an eccentric (47%) versus concentric (28%) loading group. One of the possible reasons for the greater effect with eccentric loading was a larger increase in corticospinal excitability, which has been proposed as the mechanism underlying the effect (Latella et al. 2012). However, given that it was first observed in 1894 (Scripture et al. 1894), we still understand very little about the contralateral strength-training effect and the role of the systemic environment in this phenomenon (Yasuda and Miyamura 1983; West et al. 2015). Another adaptation observed with strength training is an increase in the RFD (Aagaard et al. 2002; Suetta et al. 2004; Andersen and Aagaard 2006; Maffiuletti et al. 2016). The RFD refers to the rate of increase in force at the onset of contraction, that is, the slope of the force–time curve (Sleivert and Wenger 1994; Aagaard et al. 2002). An early study by Aagaard and colleagues (2002) demonstrated a 15% increase in RFD after 14 wk of heavy strength training. In addition, there were increases in both EMG amplitude and rate of EMG increase with training, indicating an enhancement in neural drive. This suggests that RFD is related to alterations in neural drive. Other factors that contribute to RFD are muscle fiber type and force transfer. Studies on the role of fiber type indicate that type II fibers show a greater RFD (Korhonen et al. 2006; Aagaard et al. 2007); thus, increases in type II fiber CSA with strength training would complement the increased neural drive (Staron et al. 1990, 1991; Mero et al. 2013). Our understanding of how force transfer contributes to RFD is in its infancy (Hughes et al. 2015). The cytoskeletal network within muscle transmits force both along the length of each muscle fiber (longitudinally) and from the center to the outside of the fiber (laterally) (Hughes et al. 2015). Importantly, >80% of force produced within a fiber is transferred laterally from proteins within the fiber to ECM proteins outside the fiber (Ramaswamy et al. 2011). Key components of the force transfer apparatus include intracellular proteins (titin, dystrophin, etc.), transitional complexes (dystrophin-associated glycoprotein complex [DAGC] and integrins), and extracellular proteins (collagens I, III, IV, V, and VI) (Fig. 3). Dystrophin is essential for lateral force transmission (Ramaswamy et al. 2011; Hughes et al. 2015), whereas titin and nebulin are more important for transmitting force longitudinally and the stiffness of the sarcomere (Ottenheijm et al. 2012; Herzog et al. 2016; Powers et al. 2016). The essential role of ECM proteins in RFD was most clearly shown by Mebes and colleagues (2008) in women with Ehlers–Danlos syndrome (joint hypermobility). In this work, women with hypermobile joints showed a 15% slower RFD with no difference in maximal force, showing the essential role of connective tissue in RFD. There is limited data on the adaptations of these cytoskeleton proteins to strength training, with some studies reporting no changes (McGuigan et al. 2003; Woolstenhulme et al. 2006) and other studies indicating improvements (Lehti et al. 2007; Kosek and Bamman 2008; Parcell et al. 2009; Macaluso et al. 2014). Interestingly, there is cross-sectional evidence for differing levels of force transfer proteins between trained and untrained athletes (McBride et al. 2003). However, more studies are required to address the influence of strength training on the cytoskeleton protein network and force transmission. This is especially true as these groups of proteins appear to play a key role in protecting against contraction-induced muscle injury and possibly in mechanotransduction (Lovering and De Deyne 2004; Boppart et al. 2006; Palmisano et al. 2015; Hughes et al. 2016). Interaction of the extracellular matrix (ECM), connective tissue, and cytoskeleton protein networks surrounding skeletal muscle myofibrils. Research on the cellular adaptations that occur with strength training have predominantly focused within skeletal muscle. Recent research has begun to highlight the role of the dystrophin-associated glycoprotein complex (DAGC) and integrin complexes in force transmission and the possible contribution of structures outside the muscle to force transfer and overall strength. Few studies have investigated the contribution of the ECM to muscle force transfer and/or how these complexes may adapt over a period of time with training. However, hyperlax individuals (with mutations in collagen VI) show slowed rates of force development, indicating that the ECM is important in muscle function. As with endurance training, a shift in the existing muscle hypertrophy paradigm appears to be emerging because recent evidence suggests that load does not determine the increase in CSA that occurs with strength training. In these studies, lifting a low load to positive failure produces equal hypertrophy to using a high load and fewer repetitions to reach failure (Mitchell et al. 2012; Ogasawara et al. 2013; Schoenfeld et al. 2015; Morton et al. 2016). In the new paradigm, momentary muscular failure is important for hypertrophy. The hypothesis for the importance of failure centers on muscle fiber recruitment; at failure, all motor units are recruited regardless of the load (Counts et al. 2016). In an interesting recent investigation, Counts and colleagues (2016) used a “no-load” intervention in which individuals repeatedly contracted a muscle as hard as they could through a full range of motion. The investigators observed similar increases in muscle thickness in the “no-load” and high-load groups. However, even though the increase in CSA with no-, low-, and high-load training is equivalent, high loads are needed to maximize strength gains (Schoenfeld et al. 2015). The effect of low-load training on muscle mass should not be surprising given the ability of cycling to increase muscle mass (see above); however, the molecular pathways that convert any load into a biochemical signal that results in muscle hypertrophy remain elusive. Acute studies have suggested that there is a load-dependent increase in mTORC1 activity after resistance exercise that correlates with the resulting increase in muscle mass following training (Baar and Esser 1999). The increase in mTORC1 activity is the result of signaling through a PI3K/Akt-independent RxRxxS/T kinase (Jacobs et al. 2013a). However, whether the increase in mTORC1 activity following acute resistance exercise is driving muscle hypertrophy or simply reflects the amount of injury and subsequent inflammatory response and how the mTORC1 response is altered by exercising to failure has yet to be shown. Similarly, the role of mTORC1-independent mechanisms, such as myostatin signaling and ribosomal biogenesis, requires more research before their role in training-induced muscle hypertrophy is understood. CONCURRENT TRAININGSimultaneously participating in both endurance and strength-training programs results in a similar increase in VO2max but impaired strength adaptations when compared with strength training alone (Hickson 1980). There is some evidence that concurrent training prevents muscle hypertrophy (Kraemer et al. 1995); however, when the frequency or intensity of concurrent training is decreased below 4 days a week and 70% of VO2max, muscle growth can occur normally. This suggests that something about the volume and/or the intensity of training underlies the concurrent training effect. One suggestion is that the greater training volume and intensity results in a significantly greater caloric deficit and that this decreases the protein synthetic response to feeding (Areta et al. 2014). Examining the caloric cost of training from the Hickson study (Fig. 4) shows that at week 5 of the study, the concurrent training group was expending ∼6000 kcal per week compared with ∼2000 kcal per week in the strength training alone group, and this difference continued to increase for the last 5 wk of the study. The resulting 4000 kcal per week difference in energy expenditure could easily underlie the difference in muscle size and strength. Another possible explanation for the impaired strength adaptation is that endurance training decreases the neural drive associated with strength training. McCarthy and colleagues (2002) would argue against this hypothesis because they showed that there was no difference in EMG amplitude in men who performed 10 wk of concurrent training compared with those who performed strength training alone. However, it should be noted that these investigators failed to see an effect of concurrent training on the strength adaptation, indicating that the training intensity or volume was not enough to see a concurrent training effect. As with other training modalities, the effect of concurrent training on force transfer has yet to be described. Grosset and colleagues (2009) have suggested that endurance training decreases force transfer; however, whether this could contribute to the concurrent training effect has yet to be determined. The impact of strength training and concurrent exercise on energy consumption. The classic Hickson (1980) study was the first to observe a decline in strength improvement and strength performance (1RM [repetition maximum] squat) over time with concurrent training (closed blue squares). The decline in strength adaptations occurred once the concurrent group was expending double the kcal/wk of the strength training only group (open circles). This suggests that the impairment in strength adaptations with concurrent exercise could reflect the role of negative energy balance on muscle hypertrophy. As far as molecular mechanisms, the interaction between the AMP-activated protein kinase (AMPK), which is activated by high-intensity endurance exercise, and mTORC1, which is activated by resistance exercise, has been the major focus of the research. This focus is the result of work in vitro in dividing cells that shows that AMPK can directly inhibit mTORC1 via three distinct mechanisms (Inoki et al. 2002; Gwinn et al. 2008; Zhang et al. 2014). In agreement with the cell culture data, in rodent models in which animals are treated with the AMPK-activating drug AICAR, the activation of mTORC1 is clearly decreased following resistance exercise (Thomson et al. 1985). However, in human studies, the activation of AMPK by high-intensity endurance exercise has minimal effects on mTORC1 activation following resistance exercise (Apro et al. 2015). The difference between the rodent and human data could reflect the fact that exercise preferentially activates the α2 isoform of AMPK (Lee-Young et al. 2008), whereas AICAR would activate both the α1 and α2 isoforms. Interestingly, the α1 isoform of AMPK is activated to inhibit load-induced muscle growth in vivo (McGee et al. 2008) and when this protein is knocked out the result is greater load-induced muscle hypertrophy (Mounier et al. 2009). This suggests that the inhibition of mTORC1 as a result of activation of AMPK by endurance exercise is likely not the molecular mechanism underlying the impaired hypertrophy and strength with concurrent training. GENETICSAn important aspect to all training adaptations, be they strength or endurance, is genetics (Bouchard et al. 2011). Over the last decade, the literature has begun to detail the role played by heritability and genetic differences (polymorphisms) in training adaptations (Beunen and Thomis 2004; Huygens et al. 2004; Timmons et al. 2010; Bouchard et al. 2011; Hughes et al. 2011). Numerous studies have highlighted the diversity of responses to endurance (Timmons et al. 2010) or strength-training programs (Petrella et al. 2008; Erskine et al. 2010) in humans and in rats (Koch et al. 2013), often classifying individuals as nonresponders or extreme responders based on the muscle phenotypes measured (Petrella et al. 2008; Timmons et al. 2010; Davidsen et al. 2011; Thalacker-Mercer et al. 2013; Churchward-Venne et al. 2015; Stec et al. 2016). However, Churchward-Venne and colleagues (2015) have challenged the idea of nonresponders to resistance exercise. In a retrospective analysis of a resistance-type exercise program in older men and women, these investigators reported that, even though a large heterogeneity in the adaptive responses existed, all of the individuals displayed the capacity to adapt with resistance-type exercise training. A similar challenge has recently been raised for endurance exercise, suggesting that nonresponders who exercised harder were able to show some adaptation (Montero and Lundby 2017). Although the existence of true nonresponders remains controversial, the extent of strength and endurance adaptations that occur through training does vary widely (Petrella et al. 2008; Thalacker-Mercer et al. 2013; Stec et al. 2016) based on messenger RNA (mRNA) and microRNA profiles and translational capacity (Timmons et al. 2010; Davidsen et al. 2011; Phillips et al. 2013; Thalacker-Mercer et al. 2013; Stec et al. 2016). Further, the fact that rats and mice can be bred for more or less improvement in running capacity indicates that there are clearly genes that are determining our response to training (Koch et al. 2013). Once we better understand the variability in adaptations, we may be able to use this information to determine the optimal training program for a given individual. However, these advancements will heavily depend on the usage of large cohorts through collaborative initiatives such as the Molecular Transducers of Physical Activity in Humans National Institutes of Health consortium (commonfund.nih.gov/MolecularTransducers). SUMMARYThe effect of exercise training on muscle phenotype has been appreciated for millennia. In general, individuals who train by exercising for a long time will develop better oxygen delivery to muscle and endurance capacity, whereas those who work against a heavy load will get bigger and stronger muscles. However, recent work using high-intensity short-duration interval training to increase endurance and low-load resistance training to failure to increase muscle size and strength have challenged the classical view of training specificity. For us to truly understand and predict the adaptation that will result from a given exercise, we need to better understand the molecular mechanisms that underlie the change in muscle phenotype with training. Our progress in this area has been slow because of the inherent bias toward signaling molecules that have already been identified. To take the next step forward, we need to assess the molecular events that are initiated after different types of exercise (following acclimatization) that result in similar muscular adaptations in an unbiased manner. When we have identified potential candidate molecules, we will then need to understand how these events interact with our response to feeding because, in the end, a combination of exercise and nutrition are required for the changes that we see in muscle phenotype with training. FootnotesEditors: Juleen R. Zierath, Michael J. Joyner, and John A. Hawley Additional Perspectives on The Biology of Exercise available at www.perspectivesinmedicine.org REFERENCES
Articles from Cold Spring Harbor Perspectives in Medicine are provided here courtesy of Cold Spring Harbor Laboratory Press Why multiple exercises are needed to improve muscular strength and endurance throughout the body?Which of the following BEST explains why multiple exercises are needed to improve muscular strength and endurance throughout the body? Different exercises are needed to improve different muscle groups. Weight lifting is more important for muscle strength than endurance.
Which of the following exercise is the best for improving muscular strength and endurance?Activities that build muscular endurance include long-distance running, cycling, or swimming, along with circuit training and bodyweight exercises. You can improve muscular strength and endurance by doing repetitive movements until the point of exhaustion.
Which of the following best explains why using more than assessment of cardiorespiratory fitness gives a better picture of fitness level?Which of the following BEST explains why using more than one assessment of cardiorespiratory fitness gives a better picture of fitness level? C. Using more than one assessment provides a more complete picture of an individual's fitness level. Improving muscular strength and endurance slows bone density loss.
Which of the following is true about assessing muscular strength and endurance a all muscle groups can be tested simultaneously?Which of the following is TRUE about assessing muscular strength and endurance? Different muscle groups have to be tested separately.
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Which of the following best explains why multiple exercises are needed to improve muscular strength endurance throughout the body?
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