This article provides a discussion around the evidence on creatine timing and supplementation.

The benefits of resistance training are almost overwhelming, however, too few older adults participate in resistance training, largely because of fear, confusion, and lack of consensus to guide implementation. It is the hope that this position statement may have a positive impact addressing these issues and on empowering healthier aging.

The squat is one of the most widely used exercises in resistance training programs. The aim of this narrative review was to analyze the effect of the squat on lower-limb muscle hypertrophy. Briefly, the available literature indicates that the squat is an effective exercise for inducing hypertrophy of the quadriceps, mainly the vastii, but also the rectus femoris, although to a reduced magnitude. Multiple lines of evidence suggest little to no hamstring hypertrophy from the back squat. Although the gluteus maximus clearly participates mechanically in the back squat, few longitudinal studies exist on the topic. The limited evidence available on this topic suggests deeper squats may be more hypertrophic for the gluteus maximus, and that, squat depth beyond 908 of knee flexion may not provide further hypertrophy of the knee extensors. Despite the popularity of the many squat variations, there are still controversies surrounding their hypertrophic potential for lower-limb musculature. Further studies are needed to investigate the hypertrophic effects of different squat variations, as well as differences in hypertrophy because of squat depth, stance, barbell position, and different squat apparatuses/machines.

From the 2022 Personal Trainer Virtual Conference, Robert Linkul outlines the devastating effects of sarcopenia and how detrimental it is to the aging body. He offers guidance about programming that will specifically assist older adults in gaining or maintaining muscle mass as they age, and highlight the most effective and efficient resistance training exercises that will help older adults get strong quickly.

This review analyzes relevant variables involved in acute interference effects of concurrent training (CT) sessions of aerobic exercise followed by strength exercises. The aerobic exercise intensity, mode, volume, duration of recovery interval between exercises, muscle groups involved, and utilization of ergogenic aids are the variables identified in this review. High-intensity interval aerobic exercises result in more pronounced negative effects on strength-endurance exercise but not in maximal strength. Cycling results in more negative effects on strength endurance performance exercise than running. A 4-hour to 8-hour recovery interval seems to be enough to avoid interference on strength-endurance performance. Reduction in strength-endurance performance is located in muscle groups involved in both exercises. Low aerobic exercise volume (3 km) with; 18 minutes of duration does not diminish strength endurance, whereas higher volumes (5 and 7 km) with ;30 and ;42 minutes of duration, respectively, generate impairments. Caffeine, carbohydrate, and beta-alanine are not able to revert the deleterious effect on strength-endurance performance, whereas creatine and capsaicin analog supplementation are. Thus, these variables must be taken into consideration to prescribe and organize a CT session. This information may help coaches to organize exercise sessions that minimize or avoid the impairment in strength performance after aerobic exercises.

From the 2021 Personal Training Virtual Conference, Andrea Leonard thoroughly details the impact of various cancer surgeries on muscle balance and range of motion and necessary program considerations. She also discusses the acute and chronic side-effects of cancer treatment and how they may affect exercise programming. Another area that is highlighted is lymphedema. She details the cancer-related risk factors and how it can be prevented and/or managed with proper exercise programming and progression.

Exercise is increasingly recognized as an effective, nonpharmacological approach for managing both acute and chronic pain. However, accurate pain assessment methods tailored to different exercise settings and populations are essential. This review evaluates existing pain assessment techniques, highlighting self-report measures such as the Visual Analog Scale and Numerical Rating Scale, as well as quantitative measures, such as Pressure Pain Threshold and Conditioned Pain Modulation. These techniques provide valuable insights into the neurophysiological mechanisms behind pain reduction. Although exercise commonly produces a temporary reduction in pain sensitivity known as exercise-induced hypoalgesia (EIH), the effectiveness of this response depends on various factors, such as exercise intensity, psychological state, and pre-existing pain conditions. In addition, exercise itself can sometimes lead to short-term discomfort due to muscle fatigue or delayed-onset muscle soreness. This review offers strength and conditioning providers, as well as researchers, a clear framework for (a) selecting appropriate pain assessment tools, (b) designing research protocols, and (c) customizing exercise interventions for specific populations and pain conditions. By examining self-report and quantitative assessment techniques, along with considerations for data analysis and practical application, this review helps strength and conditioning professionals interpret the literature surrounding EIH and apply practical pain monitoring strategies to guide training and recovery in various populations.

Considering the great popularity of eccentric-based training, the purpose of this review is to first provide the scientific rationale for its use; second, summarize the eccentric-based training modalities that can be used; and finally, offer practical recommendations on how to implement eccentricbased modalities to enhance sports performance. The molecular and neural mechanisms underlying eccentric actions are partially distinct from those of concentric and isometric actions. During eccentric actions, theories suggest a strain-induced modulation of actin-myosin interactions at the crossbridge level, activation of structural protein titin, and winding of titin on actin. Eccentric acute physiological responses differ from concentric exercise responses, including variations in neuromuscular, metabolic, hormonal, and anabolic signaling. Eccentric training elicits greater improvements in muscle strength, power, and stretch-shortening cycle function compared with concentric-only or traditional resistance training. Therefore, eccentric-based training can lead to unique neuromuscular (e.g., improved coordination of motor units) and morphological (e.g., increased muscle fascicle length and enhanced distal cross-sectional area) adaptations that could play a key role in sport performance. Practitioners may implement eccentric exercises with external loads, fully eccentric-based exercises (e.g., Nordic hamstring curl), accentuated eccentric loading, flywheel resistance exercise, and plyometrics to develop specific physical adaptations in line with their goals. Eccentric work (e.g., for hamstrings) can be obtained during other exercises such as downhill running tasks, decelerations, and sprinting activities. Practitioners need to be aware that no single “silver bullet” training modality exists; consequently, practitioners should use a combination of eccentric-based training approaches with their athletes to obtain the desired adaptations.

This continuing education opportunity explores a variety of topics as they pertain to nutrition and supplement information. Articles 1) Betaine Supplementation: A Critical Review of Its Efficacy for Improving Muscle Strength, Power, and Body Composition 2) Energy and Macronutrient Considerations for Young Athletes 3) Evidence-Based Nutritional Strategies to Enhance Athletic Performance 4) Green Tea and Black Tea for Exercise Recovery: A Systematic Review 5) Understanding the Scientific Evidence and Regulatory State of the U.S. Dietary Supplement Industry: Considerations for Health and Fitness Practitioners