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2015 may offer a chance to get spice up your routine with kettlebells.

"Moderate evidence indicates that kettlebell training may be safe and effective for increasing certain functional strength and power measures and may show positive results with postural control in young, healthy populations," says a recent review of the literature in Physical Therapy Reviews (Girard. 2014) and does thus sound positively optimistic, but by far not as euphoric as some kettlebell warriors on the Internet.

Those of you who know me are probably aware that I am not a fan of kettle bells, but I am true to the motto of being open to good scientific evidence, like the one from the previously cited review by Girard et al. (2014).
Speaking of which, the previously cited review found only five studies satisfied the eligibility criteria and were included in this review. The populations studied age range was 18–72 years old. Methodological scores based on the PEDro scale ranged from 3 to 7 out of 10. In those studies, ...

[k]ettlebell training demonstrated improvements for a number of strength measures: time 6 group for bench press ( P < 0.05) and back extension (P = 0.053), main effect for clean and jerk (P < 0.05) and certain power measures such as improved explosive strength comparable to a jump squat control (19.8% increase). Improved postural control was demonstrated in one study (P = 0.04)" (Girard. 2014).

What the kettlebells did not do in any of the five studies by Otto et al. (2012), Manoccia et al. (2013), Lake et al. (2012) and Jay et al. (2011 & 2013) was to have an effect on aerobic endurance as measured by VO2 Max.
The non-significance of the oxygen uptake and thus the non-existence of conditioning effects may come as a surprise for those of you have already done kettlebell swings. Rightly so, as I would argue, because this result of the review is based mainly on the results of Jay et al. (2011) who invited 57 employees of a large pharmaceutical company for a physical examination. Of those only 43 showed up (motivation to work their assess off ?) of whom 40 men and women in their mid-forties then trained for 20 minutes included a 5 –10 minute warm up and a 10–15 minute interval training consisting of 10 intervals of 30 seconds with rest period of 30–60 seconds which began with ZERO workload and was progressively intensified by the participants choice!

Kettlebell, weights, or ergometer, you have to work your ass off to make progress!

Thats much in contrast to Fortner et al. (2014) who had their 14 young (18-25y), non-obese volunteers train three times a week for 8 weeks with 4.5kg and 8kg kettlebells for the female and male subjects, respectively in a "tabata style", i.e. at a twenty-second work to ten-second rest ratio and compared the VO2 response to a traditional protocol, consisting of four sets of work separated by ninety seconds of rest.

Figure 1: Subjective Borg RPE response to Tabata versus traditional kettlebell swing protocols in healthy, young adults. TAB- Tabata, TRADtraditional (left). % of peak VO2 value achieved during Tabata and traditional kettlebell swing protocols in healthy, young adults (right | Fortner. 2014).

As you can see in Figure 1 the response to the two different workouts was very different - despite the fact that the total number of swings from each individuals "tabata condition" (TBA) was equally divided into four sets for their "tradititional condition" (TRAD). From non-kettlebell studies, we know that training at an intensity like this, even if its done for only a few minutes, will just as Fortner et al. say "safely and effectively provide multi-faceted exercise adaptations with a relatively short time investment" (Fortner. 2014) - an assumption thats backed by a 2011 study by Falatic et al. that used a 15s/15s protocol and elicited significant increases in VO2max in seventeen female NCAA Division I collegiate soccer players.

Figure 2: Energy expenditure during two-hand kettlebell exercise and graded treadmill walking (Thomas. 2014).

Furthermore, James et al.  (2014) were recently able to show that a KB routine consisting of 2-hand swings and sumo deadlifts with 3-minute rest periods produces similar metabolic responses to those of a moderate-intensity treadmill walking protocol designed for the improvement of aerobic fitness in 5 women, 5 men between 21 and 31 years of age - and, as you can see in Figure 2, it also burned a few extra calories.

A comparison with treadmill walking is yet not enough to confirm that kettlebell training is also superior to "regular" HIIT training. Personally, I suspect it isnt but its at least a good way to diversify your training routines and create a new exercise stimulus that may even help you break through a plateau.
References:

• Falatic, Jonathan Asher. "The effects of kettlebell training on aerobic capacity." San José state University (2011).
• Fortner, Howard A., et al. "Cardiovascular and metabolic demands of the kettlebell swing using a Tabata interval versus a traditional resistance protocol." International Journal of Exercise Science 7.3 (2014): 2. 
• Greenwald, Samantha Leigh. The impact of an acute bout of kettlebell exercise on glucose tolerance in sedentary males. Diss. State University of New York at Buffalo, 2014.
• Jay, Kenneth, et al. "Kettlebell training for musculoskeletal and cardiovascular health: a randomized controlled trial." Scandinavian journal of work, environment & health (2011): 196-203.
• Jay, Kenneth, et al. "Effects of kettlebell training on postural coordination and jump performance: a randomized controlled trial." The Journal of Strength & Conditioning Research 27.5 (2013): 1202-1209.
• Lake, Jason P., and Mike A. Lauder. "Mechanical demands of kettlebell swing exercise." The Journal of Strength & Conditioning Research 26.12 (2012): 3209-3216.
• Manocchia, Pasquale, et al. "Transference of kettlebell training to strength, power, and endurance." The Journal of Strength & Conditioning Research 27.2 (2013): 477-484.
• McGill, Stuart M., and Leigh W. Marshall. "Kettlebell swing, snatch, and bottoms-up carry: back and hip muscle activation, motion, and low back loads." The Journal of Strength & Conditioning Research 26.1 (2012): 16-27. 
• Otto III, William H., et al. "Effects of weightlifting vs. kettlebell training on vertical jump, strength, and body composition." The Journal of Strength & Conditioning Research 26.5 (2012): 1199-1202.
• Thomas, James F., et al. "Comparison of Two-Hand Kettlebell Exercise and Graded Treadmill Walking: Effectiveness as a Stimulus for Cardiorespiratory Fitness." The Journal of Strength & Conditioning Research 28.4 (2014): 998-1006.

Do you really need a barbell or will hopping around in a group dance course or working out in the water aka hydrogymnastic suffice to build the 2015 cover model physique thats part of your new years resolution? A recent Portuguese + Brazilian study may hold the answer to this "important" question.

Its about time to think about a good new years resolution; and since any resolution thats aimed at losing weight and/or building a better physique, naturally involves exercise, the latest study from the University of Trás-os-Montes and Alto Douro comes right in time (Soares Costa de Mendonça. 2014).

The study that was conducted by Rosa Maria Soares Costa de Mendonça, Adenilson Targino de Araújo Júnior from the University of Trás-os-Montes and Alto Douro in Portugal, Maria do Socorro Cirilo de Sousa from the Federal Institute of Technology Education in Brazil and Helder Miguel Fernandes from the Research Centre for Sport in Portugal was designed to investigate the possible effects of 16 weeks of practicing different physical exercise programmes (strength training, dance or hydrogymnastics) on the body composition and anthropometric dimensions of adult women.
The sample was comprised of 89 adult women aged 25–55 (41.42 ± 9.23 years), who were used to train at least three times a week and had no history of health issues that may compromise their ability to participate in the study. . Of these, 60% were married, 27% single and 12% divorced, all residing in the northeastern part of Brazil. As the scientists point out, ...

"[t]hese women were selected using a non probabilistic manner in specific locations, such as fitness clubs, hydrogymnastic gyms and a public municipal institution.

The sample was randomly divided into four groups, of which one was designed as the control group consisting of individuals that were sedentary (CG) (n = 25) and three were characterised as experimental groups:

• strength training (SG) (n = 25), in which the ladies trained three times per week under the supervision of a qualified trainer and did 3 sets of 8–12 repetitions (weights were progressively increased) with a 2–3 min rest period on each of the 50–60 workouts in which all the major muscle groups of the upper and lower limbs were exercised with the use of either machines with weights, free weights or resistance equipment,
• dance (DG) (n = 18), which the women trained three times per week at a moderate to vigorous intensity, which was defined as 60 to 85% of the maximum heart rate as identified by the calculation 220 – age for 50 to 60 minutes workouts involving activities activating all the major muscle groups in a continuous manner using basic steps and a minimum of three rhythmic variations of popular dance styles and aerobics per session with songs of a rhythmic cadence of 100 to 160 beats per minute, and
• hydrogymnastics (HG) (n = 21), in which the women trained with a frequency of three days per week at moderate to vigorous intensity, defined as 60 to 85% of the maximum heart rate using exercises that involved the major muscle groups of the upper and lower limbs with a focus on cardiorespiratory exercises, followed by muscular endurance exercises using equipment such as shin pads designed for hydrogymnastics, dumbbells, bars, plates, floating devices and pool edges with each exercise taking from 2 to 3 min to complete and the whole session lasting 45 to 55 min.

All workouts were designed according to the exercise routines from the ACSM guidelines (Garber. 2011) and the adherence to the exercise prescription was monitored by trained personnel. The workout duration and frequency were more or less identical and even the intensity was similar.

Figure 1: Changes in anthropometric parameters after 16 weeks of training (Soares Costa de Mendonça. 2014).

As you can see all training regimen lead to measurable improvements in the anthropometric parameters. Of the three different exercise regimen the "exotic", i.e. the hydrogymnastics training, was yet on overall the most effective "belly fat reducer" among the three training protocols.

Figure 2: Changes in body composition (calculated based on caliper data) after 16 weeks of hydrogymnastics, weight training, dance or idleness (Soares Costa de Mendonça. 2014).

Things look a bit different, when we take the body composition data the scientists calculated based on the skinfold measures into account: Here the strength training has a slight, but not necessarily significant edge over the hydrogymnastics (keep in mind that the efficacy of hydrogymnasticsmay partly be due to a novelty effect, i.e. new exercise = greater response | see fat mass loss after 8 vs. 16 weeks). Every ladies favorite, the group based dance exercise is yet - once again - trailing third.
References:

• Garber, Carol Ewing, et al. "American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise." Medicine and science in sports and exercise 43.7 (2011): 1334-1359.
• Soares Costa de Mendonça, Rosa Maria, et al. "The Effects of Different Exercise Programmes on Female Body Composition." Journal of Human Kinetics 43.1 (2014): 67-78.

Remember: HIIT does not have to happen on the treadmill.

If you havent already done so, I suppose you are currently revising last years training regimen: Reviewing what worked and what didnt work; and thinking about (new) goals and the best ways to achieve them.

If you havent yet decided on what type of cardio training you want to do, todays SuppVersity article may help you make the right endurance / cardiovascular exercise choices for 2015. In that, the headline already revealed: At least 50% of your 2015 "Cardio" training should be high intensity interval training (HIIT) - and here is why.

1. HIIT is more time efficient - Unless you have lost your hob and are looking to kill the newly won time in 2015, you are probably similarly short on time as most of us. Against that background, the mere time efficiency of HIIT workouts are an argument even the most feverish advocates of  low-intensity hour-long cardio cannot deny (Gaesser. 2011; Gillen. 2013).
   

   Figure 1: In contrast to often-heard claims, HIIT is not just a "glucose burner" its also a fat burner. It does (a) increase the oxidation of fatty acids after the workout and (b) increases your muscles and other cells general ability to oxidize fat as fuel (see figure from Talanian. 2007).

   "As few as 6 sessions of HIIT over a 2-week period for a total of about 15 minutes of very intense exercise (equating to approximately 600 kJ or 143 cal) have been shown to increase skeletal muscle oxidative capacity and alter metabolic control during aerobic-based exercise (Gibala. 2008). And 7 HIIT sesssions performed over 2 weeks significantly heightened whole body and skeletal muscle capacity for fatty acid oxidation during exercise in moderately active women (Talanian. 2007). For those who have limited time to work out, this makes HIIT an intriguing option" (Schoenfeld. 2009).

   And even if your goal is not to get fitter, but rather to burn more energy, HIIT can do what steady state cardio will never achieve, i.e. burn 14.5 kcal/min (see "Tabata Workouts: Do They Work & How Energy-Demanding Are They? 14.5 Kcal/Min Sounds Nice, But You Must Earn It!" | learn more). In the end, short workouts will thus increase your 24h energy expenditure to the same extend endless steady-state workouts would do (Skelly. 2014).
   

   "HIIT may help insufficiently active individuals overcome a major barrier to maintaining a physically active lifestyle, that of a perceived lack of time. An added bonus is that from a time:benefit perspective, HIIT may prove to be a good example where less can be more" (Gaesser. 2011).

   And it does not even take a Tabata workout to time-efficiently improve your health. As a SuppVersity reader you will be aware that "4x4 Minutes of HIIT Per Week Thats All It Takes For Already Well-Conditioned Individuals to Stimulate Mitochondrial Growth ? 15% Increase in VO2Max, Peak & Mean Power" | learn more.
2. HIIT has more favorable effects on your glucose metabolism and heart health - You probably have heard that 1h on the treadmill was the ideal exercise for the obese type II diabetic, right? Well, this may in fact be true, but the reason thats ideal for an obese type II diabetic is that even walking on a treadmill is a high intensity exercise for someone who weighs 300-450lbs.
   

   Figure 2: A 2008 study in healthy, normal-weight young women proves: HIIT "cardio" training leads to significantly more pronounced improvements in all three central variables of glucose metabolism than a comparable steady-state "cardio" workout (Trapp. 2008).

   That being said, for all of you with at least a decent amount of fitness, HIIT training with its ability to burn tons of glycogen within just a few minutes should be the preferred mode of exercise. A mode of exercise which has far more potent effects on the expression of the anti-diabetic, anti-obesity and anti-metabolic syndrome proteins AMPK and SIRT-1 than any other form of exercise (Gurd. 2010) and has thus not surprisingly been shown to have superior effects on central markers of glucose metabolism in a 2008 study by Trapp et al. - and that in healthy, lean, young women (see Figure 2).
   
   A similar superiority has been observed by Weston et al. (2013) in patients with lifestyle-induced cardiometabolic disease. Their systematic review and meta-analysis in the British Journal of Sports Medicine indicates that "HIIT significantly increases CRF [cardio-respiratory fitness] by almost double that of MICT in patients with lifestyle-induced chronic diseases." (Weston. 2013).
3. HIIT exercise will help curb your cravings - While steady-state "cardio" has repeatedly been associated with increases in appetite, hunger and most importantly food intake, there is good evidence that "Intensity [is] the Key to Minimize Exercise Induced Cravings?" (learn more)
   

   Figure 3: Effects of exercise duration and intensity on energy intake; exemplary study results from Erdmann et al. (2007, left) and Larson-Meyer et al. (2012, right).

   I dont want to repeat myself on this one. Instead I will just refer you to a recent SuppVersity article on that matter and the plethora of evidence that confirms the negligible or beneficial effects of high intensity interval training on appetite, hunger and how much food you eat and thus ruin any exercise-induced reduction in your daily energy balance (Alkahtani. 2014; Martins. 2014).
   
   

   Figure 4: VAS scores for hunger (A), desire to eat (B), fullness (C), and thirst (D) during REST (black line) and EX (gray line) (n = 15). Hatched rectangles represent the treadmill run/rest; striped rectangles represent the fMRI scan (Crabtree. 2014).

   Before I go on to the #4 on the benefits list, I would yet like to highlight the following result from a recent study from the University college of London:
   

   "Exercise increases neural responses in reward-related regions of the brain in response to images of low-calorie foods and suppresses activation during the viewing of high-calorie foods" (Crabtree. 2014)

   Cant believe what you just read? Look at the figure on the right which depicts the VAS scores for hunger, desire to eat, fullness, and thirst, during REST (black line) and EX (gray line) in N=15 lean healthy men who completed two 60-min trials—exercise and a resting control trial (REST).
   
   Thus, the study clearly confirms the validity of the suggestion to stay scrap your steady-state cardio workouts and replace them with HIIT, in order to finally be able to stick to your diet plans and see the fat loss you are looking for.
4. HIIT ramps up the metabolism instead of ruining it - As long as you dont overdo it by training too often or extending your HIIT sessions to 1h, HIIT will produce a profound "after burn" thats 3x higher than in the case of classic steady-state "cardio" workouts.
   

   Figure 5: EPOC and corresponding additional energy expenditure in the high intensity 3x Wingate group (SPIE) and the 30min continuous exercise group (HIE) during the 30 min right after the workout (Townsend. 2013)

   As a standalone, this previously reported benefit is hardly worth the paper it is printed on. In conjunction with the previously mentioned benefits, however, it is an important benefit of HIIT that must not be underestimated.
5. HIIT is perfectly scalable - Unlike steady-state cardio, where you would have to endlessly increase your workout times, HIIT workouts are easily scalable. You can either...
   

   • HRV = heart rate recovery analyses are a great tool to monitor your training & recovery | learn more

     do an additional interval (volume increase),
      
   • increase the resistance on your training device or run / cycle on a more difficult track (intensity increase),
   • increase the speed at which you run, pedal or row (intensity increase), or
      
   • reduce the time of active rest between the intervals (intensity increase)
   and thus have many more options to tweak the workouts to your individuals needs. For beginners this is not that important. An obese type II diabetic has plenty of room to increase the pace and / or duration of his / her steady-state "cardio" workouts. A trained athletes, on the other hand, will soon hit a wall, when he / she begins to cycle at 90% intensity for 2h everyday.

References:

• Alkahtani, Shaea A., et al. "Acute interval exercise intensity does not affect appetite and nutrient preferences in overweight and obese males." Asia Pacific journal of clinical nutrition 23.2 (2014): 232.
• Crabtree, Daniel R., et al. "The effects of high-intensity exercise on neural responses to images of food." The American journal of clinical nutrition 99.2 (2014): 258-267.
• Erdmann, Johannes, et al. "Plasma ghrelin levels during exercise—effects of intensity and duration." Regulatory peptides 143.1 (2007): 127-135.
• Gaesser, Glenn A., and Siddhartha S. Angadi. "High-intensity interval training for health and fitness: can less be more?." Journal of Applied Physiology 111.6 (2011): 1540-1541.
• Gibala, Martin J., and Sean L. McGee. "Metabolic adaptations to short-term high-intensity interval training: a little pain for a lot of gain?." Exercise and sport sciences reviews 36.2 (2008): 58-63.
• Gillen, Jenna B., and Martin J. Gibala. "Is high-intensity interval training a time-efficient exercise strategy to improve health and fitness?." Applied Physiology, Nutrition, and Metabolism 39.3 (2013): 409-412.
• Gurd, Brendon J., et al. "High-intensity interval training increases SIRT1 activity in human skeletal muscle." Applied Physiology, Nutrition, and Metabolism 35.3 (2010): 350-357. 
• Larson-Meyer, D. Enette, et al. "Influence of running and walking on hormonal regulators of appetite in women." Journal of obesity 2012 (2012).
• Martins, Catia, et al. "Effect of Moderate-and High-Intensity Acute Exercise on Appetite in Obese Individuals." Medicine and science in sports and exercise (2014). 
• Owens, Krystyna. "The effectiveness of high intensity interval training in improving VO< sub> 2</sub> max for performance gains as compared to standard endurance training in athletes." (2013).
• Schoenfeld, Brad, and Jay Dawes. "High-intensity interval training: Applications for general fitness training." Strength & Conditioning Journal 31.6 (2009): 44-46. 
• Skelly, Lauren E., et al. "High-intensity interval exercise induces 24-h energy expenditure similar to traditional endurance exercise despite reduced time commitment." Applied Physiology, Nutrition, and Metabolism 39.999 (2014): 1-4.
• Talanian, Jason L., et al. "Two weeks of high-intensity aerobic interval training increases the capacity for fat oxidation during exercise in women." Journal of applied physiology 102.4 (2007): 1439-1447. 
• Townsend JR, Stout JR, Morton AB, Jajtner AR, Gonzalez AM, Wells AJ, Mangine GT, McCormack, WP Emerson NS, Robinson EH, Hoffman JR, Fragala MS Cosio-Lima L. Excess Post-Exercise Oxygen Consumption (EPOC) Following Multiple Effort Sprint And Moderate Aerobic Exercise. Kinesiology. 2013; 45(1):16-21
• Trapp, E. G., et al. "The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women." International journal of obesity 32.4 (2008): 684-691. 
• Weston, Kassia S., Ulrik Wisløff, and Jeff S. Coombes. "High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis." British journal of sports medicine (2013): bjsports-2013.