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Introduction
1. Structure and function of body systems
2. Biomechanics of resistance exercise
3. Bioenergetics of exercise and training
4. Endocrine responses to resistance exercise
5. Adaptations to anaerobic training
6. Adaptations to aerobic endurance training
6.1 Acute responses to aerobic exercise
6.2 Chronic adaptations to aerobic exercise
6.3 Other factors influencing aerobic performance
7. Age and sex differences in resistance exercise
8. Psychology of athletic preparation and performance
9. Sports nutrition
10. Nutrition strategies for maximizing performance
11. Performance-enhancing substances and methods
12. Principles of test selection and administration
13. Administration, scoring, and interpretation of selected tests
14. Warm-up and flexibility training
15. Exercise technique for free weight and machine training
16. Exercise technique for alternative modes and nontraditional implement training
17. Program design for resistance training
18. Program design and technique for plyometric training
19. Program design and technique for speed and agility training
20. Program design and technique for aerobic endurance training
21. Periodization
22. Rehabilitation and reconditioning
23. Facility design, layout, and organization
24. Facility policies, procedures, and legal issues
Wrapping up
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6.2 Chronic adaptations to aerobic exercise
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6. Adaptations to aerobic endurance training

Chronic adaptations to aerobic exercise

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Understanding how aerobic endurance training influences body systems is essential for optimizing performance and assessing training impact. The following sections outline the major physiological adaptations resulting from aerobic endurance training.

Cardiovascular adaptations

Aerobic endurance training induces several cardiovascular changes:

  • Increased maximal cardiac output
  • Enhanced stroke volume
  • Reduced resting and submaximal heart rate
  • Increased capillary density in muscles

One of the primary adaptations is an increase in stroke volume, leading to greater cardiac efficiency. This occurs due to:

  • Increased left ventricular size (chamber volume)
  • Greater myocardial contractility
  • Enhanced venous return and end-diastolic volume

These adaptations contribute to lower resting heart rate (bradycardia) and more efficient oxygen delivery to working muscles. Endurance training typically produces

eccentric left-ventricular hypertrophy, characterized by a larger chamber volume rather than concentric wall thickening.

Physiological adaptations to aerobic endurance training

Variable Aerobic endurance training adaptation
Performance
Muscular strength No change (except for low-power output increases)
Muscular endurance Increases
Aerobic power Increases
Maximal rate of force production No change or decreases
Vertical jump No change
Anaerobic power No change
Sprint speed No change
Muscle fibers
Fiber size No change or slight increase
Capillary density Increases
Mitochondrial density Increases
Myofibrillar density No change
Cytoplasmic density No change
Myosin heavy chain protein No change or slight decrease
Enzyme activity
Creatine phosphokinase Increases
Myokinase Increases
Phosphofructokinase Variable
Lactate dehydrogenase Variable
Sodium-potassium ATPase May slightly increase
Metabolic energy stores
Stored ATP Increases
Stored creatine phosphate Increases
Stored glycogen Increases
Stored triglycerides Increases
Connective tissue
Ligament strength Increases
Tendon strength Variable
Collagen content No change or slight increase
Bone density No change or increases
Body composition
% Body fat Decreases
Fat-free mass No change

Respiratory adaptations

Although pulmonary function does not typically limit exercise performance, several adaptations enhance oxygen uptake:

  • Increased tidal volume (TV)
  • More efficient breathing patterns
  • Greater ventilatory efficiency

With training, breathing frequency at submaximal workloads decreases, leading to lower energy expenditure and improved endurance.

Neural adaptations

The nervous system plays a key role in endurance training, particularly in:

  • Motor unit recruitment efficiency
  • Enhanced neuromuscular coordination
  • Optimized muscle activation patterns

Endurance training encourages a rotation of motor unit activation, preventing fatigue in specific muscle groups and enhancing movement efficiency.

Muscular adaptations

Key muscular adaptations include:

  • Increased oxidative capacity
  • Greater glycogen storage
  • Higher mitochondrial density
  • Selective hypertrophy of Type I fibers

Type I muscle fibers (slow-twitch) become more efficient in utilizing oxygen, while Type II fibers (fast-twitch) may shift toward a more oxidative phenotype.

Bone and connective tissue adaptations

  • Aerobic exercise stimulates bone mineral density (BMD) improvements, especially with weight-bearing activities.
  • Tendons, ligaments, and cartilage adapt to increased loading, promoting injury resistance.
  • High-intensity aerobic exercise enhances collagen synthesis, improving joint integrity.

Bone remodeling occurs in response to mechanical loading, making progressive overload essential for structural adaptations.

Endocrine adaptations

Aerobic endurance training influences hormonal responses, leading to:

  • Increased growth hormone (GH) secretion
  • Higher insulin-like growth factor (IGF-1) activity
  • Enhanced testosterone and cortisol regulation

These adaptations help maintain muscle mass, optimize metabolism, and support tissue repair.

Adaptations to aerobic endurance training

Significant research has explored how the body adapts to aerobic endurance training. These adaptations enhance oxygen transport, metabolic efficiency, and overall endurance capacity.

Key training factors affecting aerobic adaptations:

  • Exercise intensity: Higher-intensity training improves maximal oxygen uptake more effectively.
  • Training volume: Sufficient weekly mileage or session frequency is crucial for endurance development.
  • Recovery: Proper balance between training stress and recovery optimizes performance gains.
  • Muscle fiber recruitment: Endurance training encourages increased Type I fiber efficiency while promoting oxidative adaptations in Type II fibers.

Cardiovascular adaptations

Aerobic training leads to:

  • Increased maximal cardiac output
  • Enhanced stroke volume
  • Greater oxygen-carrying capacity
  • Lower resting and submaximal heart rate
  • Improved capillary density in muscles

These adaptations allow for more efficient oxygen delivery, enabling athletes to sustain higher workloads with reduced effort.

Physiological variables in aerobic endurance training

Variable Previously untrained subjects (pre/post) Highly trained or elite subjects
Heart rate (beats/min)
Resting 76.4 → 57.0 45
Maximal 192.8 → 190.8 196
Stroke volume (mL)
Resting 79 → 76 94
Maximal 104 → 120 187
Cardiac output (L/min)
Resting 5.7 → 4.4 4.2
Maximal 20.0 → 22.8 33.8
Heart volume (mL) 860 → 895 938
Blood pressure (mm Hg)
Resting 131/75 → 144/78 112/75
Maximal 204/81 → 200/74 188/77
Pulmonary ventilation (L/min)
Resting 10.9 → 12.0 11.8
Maximal 128.7 → 156.4 163.4
Arteriovenous oxygen difference (mL/100 mL)
Resting 5.8 → 7.5 7.8
Maximal 16.2 → 17.1 15.9
Maximal oxygen uptake ( mL/kg/min) 36.0 → 48.0 74.1
% Type I fibers 48 → 51 72
Muscle fiber area
Type I 4,947 → 6,284 6,485
Type II 5,460 → 6,378 8,342
Capillary density
Capillaries per fiber 1.39 → 1.95 2.15
Capillaries per mm 289 → 356 640
Skeletal muscle enzymes
Citrate synthase 35.9 → 45.1 45.1
Lactate dehydrogenase 843 → 788 746
Succinate dehydrogenase 6.4 → 7.7 21.6
Phosphofructokinase 27.3 → 58.8 20.1

These adaptations reflect the physiological differences between untrained individuals, trained athletes, and elite endurance competitors.

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