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.

Blood pressure changes acutely during resistance exercise. Continuous, beat-by-beat assessment provides detailed temporal resolution of blood pressure profiles, through techniques including intra-arterial catheterization, photoplethysmography, or applanation tonometry. However, noncontinuous measurements may be conducted before and after resistance exercise through auscultatory sphygmomanometry or oscillometry. Blood pressures tend to increase across repetitions within sets, influenced by load magnitude, repetitions and sets performed, muscle mass recruited, and rest periods; the highest pressures result from multi-joint, large muscle group exercises. Evaluation of such factors may facilitate better understanding of blood pressure responses to acute resistance exercise and influence program design considerations relative to anticipated hemodynamic changes.

The physiological response to breath holding includes bradycardia and peripheral vasoconstriction, which contrasts with that of exercise which includes tachycardia and peripheral vasodilation. This raises the question as to what the physiological response is to breath holding during exercise. During low-intensity exercise, the breath holding response of bradycardia and peripheral vasoconstriction prevails over the exercise response of tachycardia and peripheral vasodilation, but nevertheless the exercise may be sustained. Due to the lack of availability of extrinsic oxygen (O 2 ) from the atmosphere during breath holding, the energy demands can be met by increased reliance on intrinsic O 2 stores (i.e., O 2 that was in the body before the breath hold) via increased O 2 extraction at the muscle compared with exercise while breathing, or increased contributions from anaerobic energy systems. During high intensity exercise of short duration, the exercise response may prevail over the breath holding response due to the increased parasympathetic withdrawal and sympathetic drive of higher intensity exercise. If breath holding during high-intensity exercise was sustained for long enough, the breath holding response may eventually overcome the exercise response, although this may be difficult due to the inverse relationship between exercise intensity and breath hold duration.

Access the video collection for the 2019 Perform Better 3-Day Functional Summit Live Stream

This continuing education opportunity explores a variety of topics as they pertain to exercise technique. To earn your CEUs, it will be necessary to review several articles and pass a 50-question quiz. Please note: this quiz awards 1.0 CEU (10 contact hours). Articles include: 1) Exercise Technique: The Push Press 2) Exercise Technique: Snatch Balance 3) Technique of the Unilateral Dumbbell Wide Row 4) The Viking Press 5) Exercise Technique: Handstand Push-up 6) Exercise Technique: The Landmine Row