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A weekly bout of eccentric exercise is sufficient to induce health-promoting effects
Paschalis V, Nikolaidis MG, Theodorou AA, Panayiotou G, Fatouros IG, Koutedakis Y, Jamurtas AZ
Medicine and Science in Sports and Exercise 2011 Jan;43(1):64-73
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: The effects of chronic eccentric-only versus concentric-only exercise on muscle physiology and blood biochemistry were investigated. METHODS: Twenty women performed on an isokinetic dynamometer a concentric (n = 10; mean +/- SEM age 21.0 +/- 0.4 yr, body fat 22.0% +/- 0.9%) or an eccentric (n = 10, age 20.0 +/- 0.3 yr, body fat 23.2% +/- 0.7%) exercise session using the knee extensors of both lower limbs once a week for eight subsequent weeks. Muscle function (isometric, concentric, and eccentric peak torque, range of movement, and soreness) was evaluated before, immediately after, and 48 h postexercise in each one of the eight training weeks. Body fat, resting energy expenditure (REE), lipid, and carbohydrate oxidation rate as well as blood chemistry measurements (lipid, lipoprotein and apolipoprotein profile, glucose, insulin, glycosylated hemoglobin, and creatine kinase) were examined before and 48 h postexercise at the first and eighth week of training. RESULTS: Acute eccentric exercise increased REE and fat oxidation at week 1 (12.7% and 12.9%, respectively) and at week 8 (0.7% and 2.8%, respectively). Chronic eccentric exercise increased resting REE and fat oxidation at week 8 compared with week 1 (5.0% and 9.9%, respectively). Acute eccentric exercise improved blood lipid profile at week 1 and week 8. Chronic eccentric exercise improved resting blood lipid profile at week 8. Acute eccentric exercise increased insulin resistance at week 1 but not at week 8. Chronic eccentric exercise decreased resting insulin resistance at week 8. CONCLUSION: It is reported for the first time that only 30 min of eccentric exercise per week for 8 wk was sufficient to improve health risk factors.

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