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Biomedical subjects

O Hue

Publications and source records attributed to O Hue.

At least 19 recordsLinked to original sources

[Influence of physical activity on postural capacities of elderly: effect of time of training].

OBJECTIVE: The aim of this work was to define the influence of physical activity on static postural control of two groups of elderly people qualified as "non-active" for the first one and "active" as far as the second group is concerned. The first group practised a physical activity during 3 months whereas the second group practised during 9 months. SUBJECTS AND METHOD: The two groups were composed of 21 subjects of 73 years-old and 10 subjects of 74 years-old. They were characterised by stabilometric data of surface, lengths and spontaneous sway in the lateral (X) and antero-posterior (Y) axis. The evaluations were separated by a period of 12 months and realised with open eyes and closed eyes on firm floor. RESULTS: The statistical analysis showed a significant difference of both groups on surface data in closed eyes condition (P < 0.04). CONCLUSION: The methodological conditions of the study and the heterogeneity of this kind of population could explain the lack of significant effect of the protocol. Data showed different postural adaptations between the two groups after training for a part of stabilometric parameters. Those data focused on the interest of the individualisation of training for elderly people. This approach may well favour the well-being and functional autonomy of this population.

Aged↗

Time-of-day effects in maximal anaerobic leg exercise in tropical environment: a first approach.

The aim of this study was to establish the effect of time of day on maximal anaerobic leg power in a tropical environment (French West Indies). Twenty-three physical education students (15 males and 8 females) who trained 10.5 hours a week (SD 6) volunteered to participate in the study. Their mean age, height and body mass were 22.8 (SD 3) years, 172.6 (SD 8) cm, and 64.6 (SD 7) kg, respectively. The chronotype of all subjects was moderate or intermediate. Tests were scheduled at 08 : 00, 13 : 00 and 17 : 00 hours on separate days in random order and constant conditions (room temperature: 28.1 degrees C [SD 0.6], relative room humidity: 62.6 % [SD 3.4]). On test days, the subjects were first measured at rest for body mass, heart rate and rectal temperature and they then performed vertical jump tests and a force-velocity test. The results showed a time-of-day effect on rectal temperature, which was significantly (p < 0.005) higher by the afternoon (13 : 00 and 17 : 00) than the morning (08 : 00). However, our results failed to show any daytime variation in maximal anaerobic power under the influence of tropical climate, which suggests that a hot and humid environment may have blunted the time-of-day effect by a passive warm-up effect.

Adult↗

Time-of-day effects on anaerobic muscular power in a moderately warm environment.

This study evaluated the influence of a neutral vs. a moderately warm environment on the diurnal variation in muscular power. Twelve male subjects [27.0 (+/-4) years] performed two different jump tests [a squat jump (SJ) and a counter-movement jump (CMJ)] and a brief maximal sprint on cycle ergometer (CS) in four different conditions (morning/neutral, morning/moderately warm and humid, afternoon/neutral, and afternoon/moderately warm and humid). The morning experiments were conducted between 07:00 and 09:00 h, and the afternoon experiments were conducted between 17:00 and 19:00 h. The mean laboratory temperatures and humidity were 20 (+/-1) degrees C, 70 (+/-5)% and 29 (+/-1) degrees C, 57 (+/-4)% for the neutral and moderately warm and humid conditions, respectively. Rectal temperature and leg skin temperature were significantly dependent on both time-of-day and ambient temperature. An interaction effect (P < 0.05) was noted between time-of-day and ambient temperature for the power developed for the CMJ, the SJ, and half of a pedal revolution during the cycling sprint. In summary, (i) the same subjects were influenced by time-of-day differently, depending on the ambient temperature during testing; (ii) time-of-day affected muscular performance only in the neutral condition, (iii) the moderately warm and humid condition blunted the diurnal variation in muscular performance, and (iv) the effect of the ambient temperature was dependent on time-of-day.

Adult↗

Field and laboratory testing in young elite soccer players.

AIM: To determine if there are correlations between the physical fitness of young soccer players assessed by field and laboratory testing. METHODS: Thirty four male soccer players took part in the study (mean (SD) age 17.5 (1.1) years, height 177.8 (6.7) cm, weight 70.5 (6.4) kg). Maximal oxygen uptake (VO(2)MAX) during treadmill running and vertical jump height on a force platform were measured in the laboratory. Field tests consisted of a soccer specific endurance test (Bangsbo test) and 30 m sprint with 10 m lap times. RESULTS: The Bangsbo test correlated with the lowest velocity associated with VO(2)MAX (vVO(2)MAX; R(2) = 0.55, p<0.001), but not with VO(2)MAX. Sprint times at 30 m and 20 m were related to peak extension velocity and peak extension force measured during vertical jumping, but not to vertical jump height per se. The jumping force and velocity could explain 46% of the 30 m sprint performance (R(2) = 0.46, p<0.001). CONCLUSION: The Bangsbo test and 30 m sprint test correlate with vVO(2)MAX and vertical jump force and velocity respectively. The Bangsbo test does not give a good estimate of VO(2)MAX in young soccer players.

Adolescent↗

Effects of 8 days acclimation on biological and performance response in a tropical climate.

BACKGROUND: This study was designed to determine the acclimation process elicited by exposure to a tropical climate. METHODS: Nine triathletes performed 3 outdoor indirect continuous running multistage tests in both thermoneutral and tropical conditions. Before travelling to the tropical area (Martinique Island, FWI), the triathletes performed the thermoneutral test (TN) in 14 degrees C and 45% rh conditions. The tropical tests were performed 2 and 8 days after arrival (T2 and T8, performed at a mean environmental temperature of 33.4 degrees C and 75.5% rh). The day before T8, blood samples were drawn for biochemical analysis. During each test, tympanic temperature, sweat rate, weight loss, heart rate (HR), and performance were recorded. RESULTS: The results demonstrated that: 1) the mean tympanic temperature was greater in T2 (p<0.001) and T8 (p<0.01) than in TN; 2) the mean sweat rate was significantly greater (p<0.001) in T2 and T8 than in TN and significantly greater in T8 than in T2 (p<0.03); 3) the weight loss after trials was significantly greater (p<0.001) in T2 and T8 than in TN and in T8 than in T2 (p<0.04); 4) the mean HR and the HR at rest were significantly greater in T2 than in TN (p<0.001) and T8 (p<0.005); 6) significant reductions were observed in T8 vs TN in red cell count (p<0.05) and plasma proteins (p<0.04), the consequence of a 7.5% plasma volume expansion; and 7) the performance was significantly lower in both T2 (p<0.02) and T8 (p<0.03) than in TN. CONCLUSIONS: We concluded that 8 days exposure to hot/wet conditions induced impairments in physiological responses and performance that were still evident on the 8th day. Further and longer outdoor studies are needed to investigate if return to optimal performance levels after adaptation to hot/wet conditions is possible.

Acclimatization↗

Effects of successive running and cycling on the release of atrial natriuretic factor in highly trained triathletes.

AIM: To evaluate the influence of successive running and cycling on both exercise-induced arterial hypoxemia (EIAH) and atrial natriuretic factor (ANF) release, 5 triathletes performed 2 separate exercise trials. METHODS: One trial consisted of a 20-min+20-min successive cycle-run exercise (C(1)-R(2)) and the other consisted of a 20-min+20-min successive run-cycle exercise (R(1)-C(2)). Arterial oxygenation (PaO(2)) and ANF were determined at pre-exercise, at the end of each 20-min segment of exercise and after 10 min of recovery. RESULTS: EIAH was noted during C(1)-R(2) and R(1)-C(2) trials. A higher EIAH was observed during running compared with cycling performed in the 1(st) position (R(1) vs C(1)) in the succession. In contrast, no difference was observed between successive running and successive cycling (R(2) vs C(2)), (-10.6+/-7.0 vs -15.6+/-4.0 mmHg for C(1)-R(2) and -20.9+/-6.0 vs -16.2+/-2.4 mmHg for R(1)-C(2)). ANF showed no difference between cycling and running performed in first position, whereas a significantly lower ANF was observed during successive cycling compared with successive running (C(2) vs R(2)) (19.9+/-3.72 vs 36.2+/-6.4 pmol.L(-1)). During recovery, neither PaO(2) nor ANF plasma returned to baseline level after either trial. CONCLUSION: This study provides new information on some of the physiological modifications that occur during multi-sports. Specifically, the impact of the modality of the successive exercise on ANF release and body fluid regulation was observed. Cycling as the successive exercise seems to cause lower ANF release than does running.

Adaptation, Physiological↗

[Influence of obesity on postural capacities of teenagers. Preliminary study].

OBJECTIVE: The purpose of this work was to define the influence of obesity on static postural control of teenagers. SUBJECTS AND METHOD: Nine obese subjects and seven non-obese subjects were characterised with stabilometric data of surface, of lengths and spontaneous sway in the lateral (X) and antero-posterior (Y) axis with open eyes and closed eyes in two conditions on firm floor and foam floor condition. RESULTS: For length data, significative differences were observed between the two groups for the opened eyes condition (p < 0.02) and eyes closed (p < 0.03) during foam floor condition. CONCLUSION: During experimental solicitations, obesity influences significatively the postural control of teenagers. Instead of systematic statistic differences, we observed a decrease in balance capacities of obese subjects. The effects of fat tissue distributions were not verified.

Adolescent↗

Maximal oxygen uptake and power of lower limbs during a competitive season in triathletes.

BACKGROUND: In order to study the effect of a competitive triathlon season on maximal oxygen uptake (VO2max), aerobic power (AeP) and anaerobic performance (AnP) of the lower limbs, eight triathletes performed exercise tests after: (1) a pre-competition period (Pre-COMP) (2) a competitive period (COMP), and (3) a low (volume and intensity) training period (Post-COMP). The tests were a vertical jump-and-reach test and an incremental exercise test on a cycle ergometer. Ventilatory data were collected every minute during the incremental test with an automated breath-by-breath system and the heart-rate was monitored using a telemetric system. RESULTS: No changes in VO2max were observed, whereas AeP decreased after Post-COMP compared to Pre-COMP and COMP and AnP decreased during COMP compared to Pre-COMP and Post-COMP. In addition, second ventilatory threshold (VT2) and power output at first ventilatory threshold (VT1) and VT2 decreased after Post-COMP. CONCLUSION: This study showed that six weeks of low volume and intensity of training is too long a period to preserve adaptations to training, although a stable maximal oxygen uptake throughout the triathlon season was observed. Moreover, the AnP decrease during COMP was probably in relation with the repetitive nature of the training mode and/or triathlon competitions.

Adult↗

The effects of prior cycling and a successive run on respiratory muscle performance in triathletes.

The aim of the present study was to compare the effects of prior cycling and a successive run on respiratory muscle performance during a cycle-run succession as performed in the triathlon. We hypothesized that despite the moderate intensity of exercise and the absence of exhaustion, the crouched cycling position would induce a decrease in respiratory muscle performance that would be reversed by the successive vertical run position. Ten male triathletes (22.6 +/- 1.1 yr) performed a four-trial protocol: (1) an incremental cycle test to assess maximal oxygen uptake (VO2max), (2) 20 min of cycling (C), (3) 20 min of running (R), and (4) 20 min of cycling followed by 20 min of running (C-R). Trials 2, 3 and 4 were performed at the same metabolic intensity, i. e., 75 % of VO2max. Respiratory muscle force was assessed by measuring maximal expiratory (P(Emax)) and inspiratory (P(Imax)) pressures from the functional residual capacity (FRC) before and 10 min after C, R, and C-R. Respiratory muscle endurance was assessed one day before and 30 min after C, R, and C-R, by measuring the time limit (T(lim)), which corresponds to the length of time a respiratory load can be sustained before the process of fatigue develops sufficiently to cause task failure. The results showed a similar significant decrease in P(Imax) (132.4 +/- 4.9 versus 125.7 +/- 5.6 cm H2O, p < 0.05) and T(lim) (5.22 +/- 0.28 versus 3.68 +/- 0.32 min, p < 0.05) post-C and post-C-R (133.7 +/- 4.0 versus 126.9 +/- 5.2 cm H2O, and 5.29 +/- 0.18 versus 3.49 +/- 0.41 min, respectively, p < 0.05) compared with the pre-trial values. In contrast, P(Imax) and T(lim) were not significantly decreased post-R (131.8 +/- 6.1 cm H2O versus 129.6 +/- 6.4 cm H2O, and 4.90 +/- 0.69 versus 4.40 +/- 0.56 min, respectively, p > 0.05). We concluded that moderate intensity exercise not performed to exhaustion induced a decrease in respiratory muscle performance. Moreover, the respiratory muscle fatigue induced by prior cycling was maintained, and neither reversed nor worsened, by the successive run.

Adaptation, Physiological↗

The effect of wet suit use by triathletes: an analysis of the different phases of arm movement.

We analysed stroke phases and arm and leg coordination during front crawl swimming with and without a wet suit. Twelve nationally and internationally ranked French male triathletes performed three swim trials in randomized order using the front crawl stroke with and without a wet suit. All triathletes swam at three different swim velocities, corresponding to the paces appropriate for the 800 m (V800), 100 m (V100) and 50 m (V50) events. The different stroke phases and arm and leg coordination were identified by video analysis. Arm coordination was quantified using a new index of coordination, which expresses the three major modalities of opposition, catch-up and superposition in swimming. At all swim velocities, no significant differences in leg movements with or without the wet suit were noted. However, the wearing of the wet suit was associated with a significantly greater stroke length at the paces appropriate for the 100 and 50 m events (+3.46% and +3.10% at V100 and V50, respectively; P<0.01); a significantly greater stroke index at all three velocities (+5.18%, +5.21% and +5.91% at V800, V100 and V50, respectively; P<0.01); a significantly shorter pulling phase (-10.97%; P<0.05) and lower index of coordination (-21.87%; P<0.01) at the pace appropriate for the 800 m; and a significantly greater entry and catch phase (+9.81%; P<0.05) at the pace appropriate for the 100 m. We conclude that the wet suit amplified the coordination mode of the triathletes (i.e. catch-up coordination) without modifying stroke rate, recovery phase or leg movements.

Adult↗

Pulmonary function during cycling and running in triathletes.

AIM: Running performance has become key to the triathlete's overall performance. We still know relatively little about the factors that define the ability to perform a good run after cycling, however, and the perception of discomfort during the first minutes of this post-cycling running has yet to be satisfactorily explained. Pulmonary volumes (i.e., residual volume, RV, and functional residual capacity, FRC) have been demonstrated to be impaired after a cycle-run succession in triathletes but not after a run-run succession that is matched in terms of intensity and duration. Cycling in itself and/or the succession of two different exercises (i.e., cycling and running) may explain this phenomenon, but the exact mechanism has not yet been determined. METHODS: Thirteen young male triathletes participated in three different exercise trials: 30 min of cycling followed by 20 min of running (C-R), 30 min of control cycling (C) and 20 min of control running (R). Pulmonary volumes and flows were measured 10 min before and 10 min after each trial. During all trials, ventilatory data were collected every minute using an automated breath-by-breath system. RESULTS: The results showed that 1) C induced significant increases in RV, FRC and RV/TLC (2.31+/-0.18 vs 2.01+/-0.17 L, 4.35+/-0.24 vs 4.01+/-0.25 L, and 27.21+/-1.62 vs 23.98+/-1.55, respectively, after versus before C) and 2) there were no significant pulmonary volume or flow changes after C-R or R. CONCLUSION: We concluded that 1) cycling exercise in itself seems to increase the post-exercise pulmonary volume changes which could lead to respiratory muscle alterations and 2) one likely explanation for this finding appears to be the crouched position of cycling.

Adult↗

Influence of a hot/wet environment on exercise performance in natives to tropical climate.

AIM: The purpose of this study was to determine the influence of a hot/wet climate on thermoregulation and cardiac responses during a prolonged effort in natives to tropical climate. METHODS EXPERIMENTAL DESIGN: 22 healthy trained subjects volunteered to perform 3 trials of submaximal cycling of 1 hour each. Two of the trials were performed in a cool environment and the third, in tropical conditions. MEASURES: during all trials, we measured the evolution of tympanic temperature, water loss, heart rate performance. RESULTS: The results showed 1). a significant increase in core temperature (p>0.001), heart rate (p<0.0001), sweat rate (p<0.0005) and water loss (p<0.0001) and 2). a significant impairent in performance, estimated at 27.7% (p<0.01), in tropical conditions as compared with a cool environment. CONCLUSION: We concluded that intensive and prolonged exercise in a hot/wet climate induces an overload regarding thermoregulatory and cardiac responses even in natives to tropical climate. The impaired physiological responses constitute a limiting factor for aerobic performance.

Adult↗

Effect of tropical climate on performance during repeated jump-and-reach tests.

AIM: The aim of the present study was to determine the effect of tropical climate (i.e., hot and humid) on performance during multiple jump-and-reach tests. METHODS: Fourteen male basketball players volunteered to perform 2 randomized series of jump-and-reach tests, which consisted of a jump-and-reach test every 15 sec for 5 min (21 jump-and-reach tests) in two thermal conditions: tropical (TR, 30.4 degrees C, 70% rh) and thermoneutral (TN, 23.1 degrees C, 53% rh). During each test, lactate concentration [La(-)], tympanic temperature (Tty), sweat rate (SR), heart rate (HR), and performance (height: H) were noted at rest, during exercise and recovery. Two hours of recovery separated the TN and TR tests. RESULTS: There were no significant differences in mean height, maximal height or the kinetics between TN and TR. Both conditions induced an increase in height over time (time effect: p<0.002). There were no significant differences in [La(-)] at rest or during exercise or recovery in the 2 conditions. Both conditions induced an increase in [La(-)] (time effect: p<0.002). There was a tendency toward a higher mean [La(-)] during TR than TN (situation effect, p<0.07). However, compared to resting values, [La(-)] values were significantly increased only in TR and not in TN. Tty, was significantly greater (p<0.001) at rest and during exercise and recovery in TR than in TN. SR and HR were also significantly greater at rest and during exercise and recovery in TR (p<0.001 for SR and HR). CONCLUSION: We conclude that tropical climate affects physiological responses without improving or decreasing performance during successive jump tests.

Adult↗

The effect of cycling followed by running on respiratory muscle performance in elite and competition triathletes.

This study investigated the possibility of there being differences in respiratory muscle strength and endurance in elite and competition triathletes who have similar maximal oxygen uptakes (VO(2max)) and ventilatory thresholds (Th(vent)). Five internationally-ranked elite, [mean (SD) age 23.8 (1.4) years] and six nationally- and regionally-ranked competition [age 21.1 (1.1) years] male triathletes performed two successive trials: first an incremental cycle test to assess VO(2max) and Th(vent) and second 20 min of cycling followed by 20 min of running (C-R) at intensities higher than 85% VO(2max). Cardioventilatory data were collected every minute during the two trials, using an automated breath-by-breath system. Maximal expiratory and inspiratory (P(Imax)) strength were assessed before and 10 min after C-R from the functional residual capacity. Respiratory muscle endurance was assessed 1 day before and 30 min after C-R by measuring the time limit (t(lim)). The results showed firstly that during C-R, the competition triathletes had significantly (P < 0.05) higher minute ventilation [mean (SEM) 107.4 (3.1) compared to 99.8 (3.7) l x min(-1)], breathing frequency [44.4 (2.0) compared to 40.2 (3.4) x min(-1)] and heart rate [166 (3) compared to 159 (4) beats x min(-1)] and secondly that after C-R, they had significantly lower P(Imax) [127.1 (4.2) compared to 130.7 (3.0) cmH(2)O] and t(lim) [2:35 (0:29) compared to 4:12 (0:20) min] than the elite triathletes. We conclude that, despite similar VO(2max) and Th(vent), the competition triathletes showed less extensive adaptive mechanisms, including those in the respiratory muscles, than did the elite triathletes. This led to higher ventilation, which appeared to be the cause of the faster development of fatigue in the inspiratory muscles in this group.

Adult↗

Cardiorespiratory responses and blood lactate during an experimental run-cycle transition in duathletes.

The aim of this study was to determine the effects of a prior run on the cardiorespiratory responses measured during a subsequent cycle segment. Twelve duathletes underwent three successive laboratory trials at an interval of one week: 1) an incremental cycle test, 2) 20 min of running followed by 20 min of cycling (RC), and 3) 20 min of control cycling (C) at the same intensity as the cycling segment of RC. Ventilatory data were collected every minute using a breath-by-breath automated system. Blood samples were collected to measure venous blood lactate concentration, [La], at rest, after the running and cycling segments of RC and after C. The results showed that the C segment of RC had significantly higher VE, VE/VO2, f and HR than C alone and significantly lower VT (p < 0.05) than C alone. Moreover, steady state during C of RC was reached at the 2nd min for VO2, VE, VCO2, VE/VO2, VE/VCO2, and VdT; at the 4th min for R and HR, and at the 5th min for f. The C of RC induced a significant increase in [La] in comparison with C alone. We concluded that the first minute of cycling after running during an RC trial induced specific metabolic and cardiorespiratory responses.

Adult↗

Alactic anaerobic performance in subjects with sickle cell trait and hemoglobin AA.

The aim of the present study was to assess the performance of subjects with sickle cell trait (SCT) during brief and explosive exercise involving mainly anaerobic metabolism. One hundred and ninety-six black subjects underwent SCT screening, which revealed the presence of 16 subjects with SCT and 180 subjects with normal hemoglobin (HbAA). All subjects performed four tests: 1) a 100-m sprint, 2) a long-jump, 3) a Leger-Boucher shuttle test and 4) a jump-and-reach test. A control group (n = 18) selected from the 180 subjects with HbAA was matched according to the sex, age, weight and height of the SCT subjects (SCTs). The performances of the SCTs (n = 16) were compared with those of the control group. The performances were similar between the SCTs and control group for the sprint test, long-jump and the Leger-Boucher shuttle test. There was, however, a significant difference for the jump-and-reach test between the two groups: the SCTs (i. e., males plus females, and males and females considered separately) reached a significantly greater height (p < 0.05) than the matched subjects of the control group (63.7 +/- 3.6 vs. 58.6 +/- 3.1 cm, 72.3 +/- 3.9 vs. 67.1 +/- 2.4 cm and 52.7 +/- 3.2 vs. 45.3 +/- 2.0 cm for SCTs versus non-SCTs, for the group, the males and the females, respectively). The results of the present study suggest that the performance of brief and explosive exercise may be enhanced by HbS.

Adult↗

Jump evaluation of elite volleyball players using two methods: jump power equations and force platform.

BACKGROUND: The aim of the present study was to determine the best jump power equation in the evaluation of elite volleyball players using both the force platform and peak power equations. METHODS: Nine elite volleyball players and nine sedentary subjects performed counter-movement jump tests on a force platform. RESULTS: Peak power and height were greater in the volleyball players than in the sedentary subjects, whatever the method used. The results demonstrated that the peak power values obtained on the force platform and those scored from the equations of Lewis, Harman and Sayers et al. were correlated when the whole sample was taken into account. However, a significant equation x level interaction (p<10(-4)) indicated different behaviour as a function of performance level. In sedentary subjects, peak power was significantly underestimated using the Lewis equation (943+/-162 W; p<10(-4)) and did not differ using both the Harman (3004+/-563 W) and Sayers (3400+/-604 W) equations when compared to the peak power noted with the force platform (3372+/-532 W). In contrast, in volleyball players, peak power was underestimated using the three equations (1246+/-78 W, p<10(-4); 4314+/-216 W, p<0.001; 4607+/-251, p<0.005; for the Lewis, Harman and Sayers equations, respectively, versus 5355+/-522 W for the force platform). CONCLUSIONS: The results of the present study demonstrate the difficulty in choosing the most relevant equation in the jump power calculation.

Adult↗

Venous blood lactate increase after vertical jumping in volleyball athletes.

The aim of this study was to test the hypothesis that venous blood lactate concentrations ([La-]) would vary from the beginning of brief exercise. Maximal vertical jumping was used as a model of brief intense exercise. Eleven healthy male volleyball players, aged [mean (SE)] 18.5 (0.7) years, performed three exercise tests with different protocols, each separated by quiet seated recovery periods of 45 min. After the first test, consisting of a single maximal jump [lasting approximately equals 0.6 s for the pushing phase, and in which the subjects jumped 64 (2.2) cm], forearm venous [La-] increased significantly with respect to rest at 1 min (t1), 3 min (t3), and 5 min (t5) of recovery. The second test, comprising six maximal jumps, each separated by 20-s recovery periods, resulted in an unchanged [La-] with respect to the baseline value. After the third test [i.e., six consecutive maximal jumps that lasted a total of 7.36 (0.33) s], [La-] increased significantly at t3 and t5 with respect to the pre-test value (F= 10.3, P < 0.001). We conclude that a significant venous [La-] increase occurs after vertical jumping. This result may be explained by the activation of lactic anaerobic metabolism at the very onset of exercise, which participates in energy production and/or in the resynthesis of the phosphocreatine that was used during such brief exercise.

Adolescent↗