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.

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).

It is well known that moderate exercise during pregnancy benefits maternal and fetal well-being. The benefits of more vigorous exercise for pregnant women are less clear. The boundaries of safe exercise during pregnancy remain a matter for continued research, which is important to the growing number of female athletes who plan on becoming pregnant. The purpose of this article is to discuss the existing research related to the physiological concerns of the pregnant endurance athlete specifically. Because endurance training includes prolonged and repetitive exercise bouts at varying intensities, topics will include the effect of high-intensity exercise on uterine blood flow and thermoregulation, metabolic, and musculoskeletal changes in pregnancy.

Resistance training (RT) is a nonpharmacological complement to cancer treatments due to its effectiveness in attenuating sarcopenia, cardiotoxicity, fatigue, and emotional disorders common in oncology patients. To adequately program and evaluate the acute or long-term effects of this type of training, a proper evaluation of the patients’ strength levels is necessary. Strength evaluations traditionally applied to this population required reaching muscle or technical failure, which could increase their discomfort levels, risk of injury, or other complications associated with the disease. In this regard, this manuscript described different dynamic and isometric evaluations recommended to accurately and safely evaluate the strength of the oncology population. Concerning dynamic evaluations, the velocity based method is recommended to determine the capacity of the patient to apply force against maximal (i.e., 1 repetition maximum) and submaximal loads. The sit-to-stand or vertical jump tests are also proposed as alternatives to evaluate dynamic strength using body weight. For isometric assessments, the knee extension and handgrip tests could complement dynamic evaluations or replace them for patients with very low strength levels. Besides describing in depth the aforementioned evaluations, the current review proposes important methodological aspects to ensure their accurate, reliable, and safe implementation.

From the 2024 NSCA’s Coaches Conference, Kelly Jones helps coaches with practical nutrition strategies to maximize physical and mental performance, as well as optimal recovery methods.

Synergistic development of muscular strength and motor skill competency is central to long-term athletic development. However, these qualities need to be developed in a logical and progressive manner, and training methods need to be developmentally appropriate, engaging, and enjoyable for young athletes to help them build a positive association with strength and conditioning-based activities. This article aims to provide a resource for coaches to use when developing the athletic motor skill competencies in youth, including game-based activities, and a more structured resistance training curriculum.

Erica Suter provides insights that help drive optimal performance in female athletes though research behind the menstrual cycle, the functions of female hormones, and application to the female athlete at the 2024 NSCA’s Coaches Conference.

Eccentric resistance training has been shown to elicit beneficial effects on performance and injury prevention in sports because of its specific muscular and neural adaptations. Within the different methods used to generate eccentric overload, flywheel eccentric training has gained interest in recent years because of its advantages over other methods such as its portability, the ample exercise variety it allows and its accommodated resistance. Only a limited number of studies that use flywheel devices provide enough evidence to support the presence of eccentric overload. There is limited guidance on the practical implementation of flywheel eccentric training in the current literature. In this article, we provide literature to support the use of flywheel eccentric training and present practical guidelines to develop exercises that allow eccentric overload.