Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysis

The aim of this study is to compare the effects of concurrent strength and endurance training sequences on VO2max and lower limb strength performance to provide scientific guidance for training practice. We searched PubMed, EBSCO, Web of Science (WOS), Wanfang, and China National Knowledge Infrastru...

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Main Authors: Jiuxiang Gao, Liang Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1072679/full
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author Jiuxiang Gao
Liang Yu
author_facet Jiuxiang Gao
Liang Yu
author_sort Jiuxiang Gao
collection DOAJ
description The aim of this study is to compare the effects of concurrent strength and endurance training sequences on VO2max and lower limb strength performance to provide scientific guidance for training practice. We searched PubMed, EBSCO, Web of Science (WOS), Wanfang, and China National Knowledge Infrastructure (CNKI) databases up to December 2022. The included articles were randomized controlled trials that allowed us to compare the strength–endurance (S-E) sequence and endurance–strength (E-S) sequence on VO2max, maximum knee extension strength, maximum knee flexion strength, and lower limb power. The Cochrane bias risk tool was used to evaluate the methodological quality of the included literature, and Stata 12.0 was used for the heterogeneity test, subgroup analysis, draw forest map, sensitivity analysis, and publication bias evaluation. The results have been presented as standardized mean differences (SMDs) between treatments with 95% confidence intervals and calculations performed using random effects models. Significance was accepted when p < 0.05. The studies included 19 randomized controlled trials (285 males and 197 females), 242 subjects in S-E sequence, and 240 subjects in E-S sequence in the analyses. No difference changes between S-E and E-S sequences has been observed on VO2max in the overall analysis (SMD = 0.02, 95% CI: −0.21–0.25, p = 0.859). The S-E sequence shows a greater increase in lower limb strength performance than does the E-S sequence (SMD = 0.19, 95% CI: 0.02–0.37, p = 0.032), which was manifested in the elderly (p = 0.039) and women (p = 0.017); in training periods >8 weeks (p = 0.002) and training frequencies twice a week (p = 0.003); and with maximum knee flexion (p = 0.040) and knee extension strength (p = 0.026), while no difference was found in lower limb power (p = 0.523). In conclusion, the effect of VO2max will not change with different concurrent training sequences. The S-E sequence improves lower limb strength more significantly, mainly in the improvement of knee flexion and knee extension. This advantage is more related to factors such as age, gender, training period, and training frequency.
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spelling doaj.art-876dd1f33028409a91e17144a504de5d2023-05-04T11:06:28ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-01-011410.3389/fphys.2023.10726791072679Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysisJiuxiang Gao0Liang Yu1Laboratory of Exercise Physiology, College of Sports Science, Beijing Sport University, Beijing, ChinaLaboratory of Fitness Training, College of Fitness Training, Beijing Sport University, Beijing, ChinaThe aim of this study is to compare the effects of concurrent strength and endurance training sequences on VO2max and lower limb strength performance to provide scientific guidance for training practice. We searched PubMed, EBSCO, Web of Science (WOS), Wanfang, and China National Knowledge Infrastructure (CNKI) databases up to December 2022. The included articles were randomized controlled trials that allowed us to compare the strength–endurance (S-E) sequence and endurance–strength (E-S) sequence on VO2max, maximum knee extension strength, maximum knee flexion strength, and lower limb power. The Cochrane bias risk tool was used to evaluate the methodological quality of the included literature, and Stata 12.0 was used for the heterogeneity test, subgroup analysis, draw forest map, sensitivity analysis, and publication bias evaluation. The results have been presented as standardized mean differences (SMDs) between treatments with 95% confidence intervals and calculations performed using random effects models. Significance was accepted when p < 0.05. The studies included 19 randomized controlled trials (285 males and 197 females), 242 subjects in S-E sequence, and 240 subjects in E-S sequence in the analyses. No difference changes between S-E and E-S sequences has been observed on VO2max in the overall analysis (SMD = 0.02, 95% CI: −0.21–0.25, p = 0.859). The S-E sequence shows a greater increase in lower limb strength performance than does the E-S sequence (SMD = 0.19, 95% CI: 0.02–0.37, p = 0.032), which was manifested in the elderly (p = 0.039) and women (p = 0.017); in training periods >8 weeks (p = 0.002) and training frequencies twice a week (p = 0.003); and with maximum knee flexion (p = 0.040) and knee extension strength (p = 0.026), while no difference was found in lower limb power (p = 0.523). In conclusion, the effect of VO2max will not change with different concurrent training sequences. The S-E sequence improves lower limb strength more significantly, mainly in the improvement of knee flexion and knee extension. This advantage is more related to factors such as age, gender, training period, and training frequency.https://www.frontiersin.org/articles/10.3389/fphys.2023.1072679/fullconcurrent trainingtraining sequenceendurance trainingstrength trainingVO2maxlower limb strength
spellingShingle Jiuxiang Gao
Liang Yu
Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysis
Frontiers in Physiology
concurrent training
training sequence
endurance training
strength training
VO2max
lower limb strength
title Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysis
title_full Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysis
title_fullStr Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysis
title_full_unstemmed Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysis
title_short Effects of concurrent training sequence on VO2max and lower limb strength performance: A systematic review and meta-analysis
title_sort effects of concurrent training sequence on vo2max and lower limb strength performance a systematic review and meta analysis
topic concurrent training
training sequence
endurance training
strength training
VO2max
lower limb strength
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1072679/full
work_keys_str_mv AT jiuxianggao effectsofconcurrenttrainingsequenceonvo2maxandlowerlimbstrengthperformanceasystematicreviewandmetaanalysis
AT liangyu effectsofconcurrenttrainingsequenceonvo2maxandlowerlimbstrengthperformanceasystematicreviewandmetaanalysis