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The Effects and Impact of Breath Holding During Exercise

Quiz

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.

The Role of Exercise in Anxiety and Depression: Background and Practical Considerations

June 20, 2018by Gary Stebbing, CSCS

Article

Evidence suggests a positive relationship between physical activity, exercise, and mental health. Exercise as a treatment modality is now being considered alongside psychotherapeutic and pharmacological approaches, and the role of specifically trained exercise specialists and personal trainers is an important component of the multi-disciplinary team.

Personal trainers Exercise Science

Carbohydrate Periodization—Part 1: Fueling Exercise

April 29, 2019by Mike Nelson, PHD, CSCS, CISSN

Article

The purpose of this article is to give an overview and theoretical framework on the concept of periodized nutrition—with an emphasis on adequate carbohydrate intake to enhance performance.

Personal trainers Coaches Nutrition Program design

To “Cardio” or Not to “Cardio?” That Is the Question: A Brief Review of Concurrent Training

September 2, 2026by Ronald Snarr, PhD, CSCS,*D, NSCA-CPT,*D, TSAC-F,*D, Michelle Eisenman, MS, Olivia Pellish, Vishwa Parikh, MS, and Maricella Maldonado

Article

This PTQ article reviews scientific literature on concurrent training and examines whether combining aerobic and resistance exercise has meaningful impacts on performance. Visit the NSCA online to read more about personal training.

Personal trainers Exercise Science Nutrition Exercise Technique Program design Organization and Administration Testing and Evaluation Client Consultation|Assessment Safety Basic Pathophysiology and Science of Health Status or Condition, Disorder, or Disease Professional Development

Exercise Physiology 101 – What Every Personal Trainer Should Know

December 8, 2019by John Acquaviva and Michael Maina, CSCS

Article Members Only

The purpose of this article is to help both personal trainers and clients with seven main concepts within exercise physiology that will improve training effectiveness and assist in explaining the body’s response to exercise.

Personal trainers Exercise Science Nutrition Exercise Technique Program design

Bearing the Cold—Tips for Cold Weather Exercise

April 24, 2018by Jason E Hartman, CSCS

Article

Knowing the risks of cold weather training is only half the battle. It is important to be familiar with a proper risk management strategy to help guide decision-making that can enhance safety and exercise performance.

TSAC Facilitators Exercise Science Nutrition

Tart Cherry Supplementation – Implications for Strength and Physique Athletes

December 4, 2025by Sheyla Leon, Drew E. Gonzalez, PhD, CISSN, CSCS,*D, TSAC-F,*D, and Adam Gonzalez, PhD, CSCS,*D

Article Members Only

This article from Personal Training Quarterly reviews tart cherry supplementation and its role in strength training. Visit NSCA online to read more on athletic performance and sport nutrition.

Personal trainers Exercise Science Nutrition Program design Testing and Evaluation Client Consultation|Assessment Basic Pathophysiology and Science of Health Status or Condition, Disorder, or Disease Professional Development

Time-Efficient Training Approach as a Solution to Sedentary Occupational Health Risks

December 17, 2022by Ian Bonder, MS, CSCS, RSCC, Andrew Shim, EdD, CSCS,*D, and Marc Tangeman, CSCS

Article

This article highlights some of the benefits, components, and training methods involved with time-efficient training.

Personal trainers Program design

Six Essentials to Safe Participation

May 23, 2018by NSCA's Essentials of Personal Training, Second Edition

Article

Hydration, footwear, and exercise frequency are only a few of the essentials to safe participation in cardiovascular activity. Make sure to include all six essentials in your program to ensure safe participation.

Personal trainers Coaches Exercise Science Safety

Integrating Blood Flow Restriction Training in the Personal Training Setting

April 15, 2025by Nicholas Rolnick, DPT, MS, CSCS, and Sten Stray-Gundersen, PhD

Article Members Only

This article will demonstrate why personal trainers should consider the use of blood flow restriction (BFR) and BFR technology for appropriate medically-screened clients that provides an objective way to apply pressure, whether that is through manual or automated cuffs.

Personal trainers Exercise Science Program design Testing and Evaluation Client Consultation|Assessment Safety Basic Pathophysiology and Science of Health Status or Condition, Disorder, or Disease Professional Development

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