This fall, join top experts for an in-depth look into periodization. Designed for experienced practitioners, this virtual clinic will add to your skills and knowledge to implement high-level programs with your athletes.

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Anemia is a condition characterized by too few red blood cells, leading to diminished oxygen delivery, which can significantly impact exercise participation and athletic performance. The etiology of anemia is multifactorial. Some forms of anemia develop as a result of deficiencies in specific vitamins and minerals and may be modifiable, whereas other types are inherited disorders. Although nonmodifiable, the latter may be managed with the assistance of trained medical professionals. This article will provide an overview of the pathophysiology associated with common forms of anemia and provide an introduction to diagnostic testing procedures and treatment options. Additionally, the signs and symptoms will be discussed to help strength and conditioning professionals recognize this potentially impactful condition. This article concludes with a discussion of the influence iron deficiency has on sports participation.

The first step in preparing a comprehensive periodized strength and conditioning program is the needs analysis —that is a formal process for determining the general and specific needs of the athlete based on their sport or task. It involves many more pieces than most consider and is not simply about goal setting. Depth and specificity of event requirements and details are important because there will be variability in needs and program design due to the task and level of prior experience and participation. The specifics of the task and the particulars of the individual athlete may lead to the need for significant study and reading of evidence-based research. The benefit of a well-developed needs analysis is that it can lead to better program planning with greater opportunity for success.

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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.

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Time-restricted eating (TRE) is an application of intermittent fasting where an individual consumes their calories in a specific eating window (e.g., 8 hours) followed by a prolonged fasting window (e.g., 16 hours). Several randomized controlled trials have analyzed the combined effect of resistance training (RT) and TRE on physical adaptations, including fat mass (FM) loss, fat-free mass (FFM) retention, hypertrophy, local muscular endurance, power, and strength. In this mini review, we highlight the methodology and results from these studies and conclude by providing practical application suggestions for fitness professionals striving to maximize RT + TRE with their clientele. Generally, RT + TRE leads to positive body composition changes, including FM loss and FFM retention, which culminates in improved body fat percentage. Similarly, RT + TRE consistently stimulates positive neuromuscular adaptations, such as increased hypertrophy, local muscular endurance, power, and strength. When positive changes are not observed, and when safely implemented, RT + TRE rarely confers negative effects on the abovementioned adaptations. In short, RT + TRE may be a beneficial dietary and exercise strategy to improve body composition and muscular fitness. However, there are several caveats for practitioners to consider, which are discussed at length in this article.