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2023

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Articles 301 - 330 of 597

Full-Text Articles in Kinesiology

Transcutaneous Electrical Stimulation Does Not Decrease Torque Loss Over High Intensity Repetitions, Ian Koskinen May 2023

Transcutaneous Electrical Stimulation Does Not Decrease Torque Loss Over High Intensity Repetitions, Ian Koskinen

All NMU Master's Theses

Transcutaneous Electrical Stimulation, TENS, has been used widely as an analgesic and ergogenic aid for many years. Compared to other modalities of electrical stimulation, TENS has been shown to provide some benefits in exercise performance by reducing pain and increasing endurance in low intensity applications, such as time trial cycling or isometric endurance. While TENS has been shown to have a significant effect on exercise induced pain in individuals performing endurance activities, to my knowledge it has not been examined in high intensity contractions. 18 active young adults (age: 23.11 years ± 2.08, resistance training experience: 7.08 years ± 3.79, …


Association Between Ideal Cardiovascular Health And Multiple Disabilities Among Us Adults, Brfss 2017–2019, Debasree Das Gupta, U. Kelekar, M. Abram-Moyle May 2023

Association Between Ideal Cardiovascular Health And Multiple Disabilities Among Us Adults, Brfss 2017–2019, Debasree Das Gupta, U. Kelekar, M. Abram-Moyle

Kinesiology and Health Science Faculty Publications

Objectives

Cardiovascular health is the leading cause of death and disability in the United States. Our objective was to estimate the association between ideal cardiovascular health (ICVH) and multiple disabilities among US adults stratified into the three age groups of young (18–44 years), midlife (45–64 years), and older adults (≥65 years).

Study design

We conducted a cross-sectional analysis using data pooled from the 2017 and 2019 Behavioral Risk Factor Surveillance System (BRFSS).

Methods

Using American Heart Association's seven-component (four ideal behaviors and three ideal health factors) scoring tool, we identified ICVH as a composite score ≥5 and also computed the …


Exploring The Role Of Microrna-1 (Mir-1) On Skeletal Muscle Hypertrophy, Shengyi Fei May 2023

Exploring The Role Of Microrna-1 (Mir-1) On Skeletal Muscle Hypertrophy, Shengyi Fei

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Skeletal muscle hypertrophy is a complex process that involves a range of signaling pathways and transcriptional regulators. Many hormones and growth factors can activate key signaling pathways, such as the PI3K/AKT/mTOR, MAPK, and cAMP pathways, which play a crucial role in the regulation of muscle hypertrophy. In Chapter 1, we reviewed some of the hormones and growth factors known to be associated with skeletal muscle hypertrophy, as well as the function of these key signaling pathways, and revealed some unresolved issues. In Chapter 2, we explored the role of microRNA-1 (miR-1) in skeletal muscle hypertrophy and aimed to determine the …


The Effects Of Calisthenic Exercises On The Strength And Aerobic Abilities Of Sedentary Adult Women, Kathleen Langley May 2023

The Effects Of Calisthenic Exercises On The Strength And Aerobic Abilities Of Sedentary Adult Women, Kathleen Langley

Theses

The thesis, The Effects of Calisthenic Exercises on the Strength and Aerobic Abilities of Sedentary Adult Women, investigates the impact of structured calisthenic training on sedentary women aged 18–40. The study was conducted over four weeks and measured participants' strength, aerobic abilities, balance, and perceived wellness before and after the intervention. Calisthenics, a form of strength training using bodyweight exercises, became popular during the COVID-19 pandemic due to its accessibility and minimal equipment requirements.

Participants engaged in a program consisting of dynamic warm-ups, high-intensity interval training circuits, and cooldowns three times a week. Results showed significant improvements in upper …


Opensim-Based Musculoskeletal Modeling: Foundation For Interactive Obstetric Simulator, Bahador Dodge May 2023

Opensim-Based Musculoskeletal Modeling: Foundation For Interactive Obstetric Simulator, Bahador Dodge

Electrical & Computer Engineering Theses & Dissertations

The use of mathematical and computational models to understand complex biological systems, such as the human birth process, is a rapidly growing field in medicine. These models can be used to optimize and personalize medical treatments for individual patients, enhance training, and aid in educational efforts. While recent advancements in healthcare, particularly in obstetrics, have improved care for mothers and babies, studies and government reports indicate a rising rate of maternal mortality in the United States.

Despite this rising trend, there is a lack of detailed studies concerning the use of modeling and simulation to develop an interactive obstetrics simulator …


Promoting Preschoolers Actual And Perceived Motor Competence During Recess: A Need-Supportive Motor Skill Intervention, Ana L. West, Joonyoung Lee, Tao Zhang May 2023

Promoting Preschoolers Actual And Perceived Motor Competence During Recess: A Need-Supportive Motor Skill Intervention, Ana L. West, Joonyoung Lee, Tao Zhang

International Journal of Physical Activity and Health

Using the self-determination theory (SDT) to create a need-supportive teaching environment to promote children’s learning, this study aimed to implement a need-supportive, structured fundamental motor skills (FMS)-based intervention during preschoolers’ 30-minute recess (2 lesson plans; 6 lessons/week for four weeks), and to examine intervention effects on preschoolers’ FMS and perceived competence. Twenty-four preschoolers (Mage = 4.80, SD = 0.32; 54% girls) were randomly assigned to intervention (N = 13) and control (N = 11) groups. Pre- and post-assessments measured actual FMS and perceived competence. A repeated measure MANOVA showed significant improvements between the groups over time …


Temporal Changes In Energy-Balance Behaviors And Home Factors In Adolescents With Normal Weight And Those With Overweight Or Obesity, Senlin Chen, Chelsea L. Kracht, Robbie A. Beyl, Amanda E. Staiano May 2023

Temporal Changes In Energy-Balance Behaviors And Home Factors In Adolescents With Normal Weight And Those With Overweight Or Obesity, Senlin Chen, Chelsea L. Kracht, Robbie A. Beyl, Amanda E. Staiano

International Journal of Physical Activity and Health

This study aimed to examine the temporal changes in energy-balance behaviors and home factors in adolescents with normal weight and those with overweight or obesity (OWOB). Adolescents or parent proxies completed survey assessments two to four years before (T0; n = 82), ≤ six months before (T1; n = 68), and ≤ three months after the COVID-19 pandemic outbreak (T2; n = 82), to capture energy-balance behaviors (i.e., physical activity [PA], screen time, sleep) and home factors (i.e., food environment, food worry, parent support for PA). At T0 and T1 (before pandemic), participants visited our laboratory for anthropometric measurements. At …


Experimental And Observational Research Of Children Physical Activity Intervention: A Synthesis Of The Recent Studies, Yuanlong Liu May 2023

Experimental And Observational Research Of Children Physical Activity Intervention: A Synthesis Of The Recent Studies, Yuanlong Liu

International Journal of Physical Activity and Health

No abstract provided.


A Review Of Health Wearable-Based Physical Activity Interventions Among Children And Adolescents, Suryeon Ryu, Pablo Rodriguez-Gonzalez, Zan Gao May 2023

A Review Of Health Wearable-Based Physical Activity Interventions Among Children And Adolescents, Suryeon Ryu, Pablo Rodriguez-Gonzalez, Zan Gao

International Journal of Physical Activity and Health

Health wearable technologies have become popular in recent decades to improve individual physical activity (PA) behavior. Thus, this paper aims to examine the health of wearable-based PA intervention among children and adolescents and provide narrative overviews. This paper retrieved articles based on the following inclusion criteria: (1) experimental design; (2) studies among healthy children and adolescents aged from 5 to 18 years; (3) studies using health wearables as a medium to enhance PA or reduce sedentary behavior; and (4) studies with PA assessments as an outcome. Relevant articles were searched based on recent preceding review papers published in 2021 and …


Effects Of Active Video Game Interventions On Physical Health And Development Among Healthy Preschool Children: A Systematic Review, Wanjiang Zhou, John Oginni, Juan Jose Palos Perez Sr., Kaitlyn Adams, Zan Gao May 2023

Effects Of Active Video Game Interventions On Physical Health And Development Among Healthy Preschool Children: A Systematic Review, Wanjiang Zhou, John Oginni, Juan Jose Palos Perez Sr., Kaitlyn Adams, Zan Gao

International Journal of Physical Activity and Health

Early physical activity (PA) interventions during preschool ages are necessary and critical to cultivate healthy movement behaviors for healthy growth and development. The increasing obesity rate among children is a major public health concern globally, which is largely due to poor adherence to participating in regular PA. Active video game (AVG) interventions have been increasingly used in promoting PA. The narrative review synthesized current literature regarding the effect of AVG interventions on physical health and development indicators among healthy preschoolers. A systematic review was performed in Academic Search Premier, CINAHL, ERIC, PubMed, SPORT Discus, and Web of Science, following the …


A Review On The Dose Response Effect Of Regular Physical Activity On Cognitive Function Among Children And Adolescents, Weidong Li, Ping Xiang May 2023

A Review On The Dose Response Effect Of Regular Physical Activity On Cognitive Function Among Children And Adolescents, Weidong Li, Ping Xiang

International Journal of Physical Activity and Health

Purpose: Positive effects of physical activity on cognitive function among children and adolescents have been observed in previous studies. However, little is known about whether there is a dose-response effect of physical activity on cognitive functioning. Especially, the curvilinear relationship between regular physical activity and cognitive functioning remained unexplored. The purpose of this paper was to review the literature on the dose response effect of physical activity on cognitive function among children and adolescents. Methods: A literature search on key words, title, and abstract with the phrases “physical activity and executive function”, “physical activity and cognition”, and “physical …


Oxygen Consumption In Highly Skilled Baseball Pitchers, Jesse Clingman May 2023

Oxygen Consumption In Highly Skilled Baseball Pitchers, Jesse Clingman

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to describe the physiological demands of highly skilled baseball pitchers during pitching, along with pitch metrics. Three junior college and three professional (n = 6) baseball pitchers participated in this study. Participants completed a graded exercise test (GXT) to volitional exhaustion to determine maximal oxygen consumption (VO2 max) and estimated body fat percentage, height, and body mass were measured on day one of testing. Next, participants faced live batters on a baseball field while wearing a portable metabolic analyzer (Cosmed K5) to measure respiratory gases including oxygen consumption (VO2) and carbon dioxide produced (VCO2) …


Musculoskeletal Injury Concealment In The Reserve Officers’ Training Corps, Joshua D. Wooldridge May 2023

Musculoskeletal Injury Concealment In The Reserve Officers’ Training Corps, Joshua D. Wooldridge

UNLV Theses, Dissertations, Professional Papers, and Capstones

INTRODUCTION: Among service members, musculoskeletal injuries threaten military readiness and place a substantial burden on medical and financial resources. While musculoskeletal injuries (MSKIs) are a leading threat to military readiness, service members’ unwillingness to seek care constrains current prevention and surveillance efforts. A growing body of evidence shows US service members conceal a large proportion of injuries, especially in training environments. The Reserve Officers’ Training Corps is a critical training environment for future US military commissioned officers. Reserve Officers’ Training Corps (ROTC) is the largest commissioning source of new officers for the US military. ROTC cadets are college students concurrently …


The Effect Of Running On The Onset And Development Of Osteoarthritis, Jordan Hekman May 2023

The Effect Of Running On The Onset And Development Of Osteoarthritis, Jordan Hekman

Senior Honors Theses

Osteoarthritis is a prominent and debilitating form of joint disease characterized by pain and deterioration of the articular cartilage and other tissues in the affected joint. Research has identified a variety of risk factors for osteoarthritis, including age, obesity, gender, previous injury, and occupation. The relationship between running and osteoarthritis is a topic of particular interest because of the prevalence of running as a simple and physiologically beneficial form of exercise. Increasing evidence suggests that recreational running has at worst no effect and at best a protective effect on joint and articular cartilage health in contrast to high-intensity professional/elite-level running …


The Relationship Between Upper Body Muscular Power And Objectively Measured Physical Function In Healthy Older Adults, Jordan Stroope May 2023

The Relationship Between Upper Body Muscular Power And Objectively Measured Physical Function In Healthy Older Adults, Jordan Stroope

Graduate Theses and Dissertations

The population of older adults is growing rapidly worldwide. There are significant challenges associated with an aging population, many of which are related to declining physical function. Muscular power has previously been postulated as an important physical characteristic for preserving physical function, however, much of the research has measured lower body muscular power against functional outcomes. The importance of upper body muscular power (UBMP) for physical function outcomes is less clear, thus, this study sought to examine that relationship. Forty-two older adults between the ages of 50 – 70 (avg = 60.5 years  5.7) were recruited for the current …


Impact Of Physical Activity Levels On College Student Depression, Anxiety, And Stress, Sophia R. Sullivan Almquist May 2023

Impact Of Physical Activity Levels On College Student Depression, Anxiety, And Stress, Sophia R. Sullivan Almquist

Celebrating Scholarship and Creativity Day (2018-)

A moderate to high prevalence of depression, anxiety, and stress have been found in undergraduate students. Physical activity has been shown to decrease anxiety, depression, and stress. Examining the impacts of physical activity on the mental health of college students might show to be beneficial. PURPOSE: To assess if self-reported physical activity levels impact depression, anxiety, and stress levels in college students. METHODS: A total of 92 college students from private institutions in central Minnesota completed an online survey. The survey collected demographics including age, gender, height, weight, and year in school. The International Physical Activity Questionnaire (IPAQ) was used …


Physiological Effects Of A Traditional Active Warm-Up Versus A Passive Warm-Up During Submaximal Endurance Exercise, Vernice Ollano May 2023

Physiological Effects Of A Traditional Active Warm-Up Versus A Passive Warm-Up During Submaximal Endurance Exercise, Vernice Ollano

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study is to investigate physiological responses during a traditional active warm-up and a passive warm-up consisting of wearing heated trousers during a submaximal endurance cycling workout. Participants included 10 cyclists/triathletes (3 females, 7 males; age: 48 ± 13 years old; mass: 157.9 ± 33.8 kg; height: 169.3 ± 8.65 cm; percent body fat: 25.3 ± 8.53 %) of at least 18 years of age who could continuously cycle for at least 120 minutes and had knowledge of their individual FTP. Experimental 1-day testing included a randomized crossover design where participants proceeded with two different protocols: an …


The Influence Of Transcranial Alternating Current Stimulation On Fatigue Resistance, Kayla De Guzman May 2023

The Influence Of Transcranial Alternating Current Stimulation On Fatigue Resistance, Kayla De Guzman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Fatigue is an exercise-induced reduction in muscle force generating capacity. Several studies have shown that some forms of non-invasive brain stimulation can increase the resistance to fatigue during sustained isometric contractions. The purpose was to determine the influence of transcranial alternating current stimulation (tACS) on the time to task failure (TTF) of a precision grip task in young adults. Twenty-two healthy young men and women participated in the study. The study utilized a randomized, double-blind, SHAM-controlled, within-subjects, crossover design. Each participant completed two experimental sessions (tACS, SHAM) with a 7-day washout period between sessions. Each session involved performance of a …


A Comparison Of External Loads In Division Iii Men's Lacrosse Between High Competition Matches And Low Competition Matches, Patrick Moore May 2023

A Comparison Of External Loads In Division Iii Men's Lacrosse Between High Competition Matches And Low Competition Matches, Patrick Moore

Undergraduate Theses and Capstone Projects

Lacrosse is an open field sport with limited knowledge of the physiological demands of gameplay at the Division III level. The purpose of this study was to investigate the external loads of Division III men’s lacrosse players during NCAA season games. Comparisons were made between the external loads placed on the athletes in high competition versus external loads placed on the athletes in low competition matches. Top competition matches were defined as matches against teams that qualified for the NCAA tournament whereas low competition matches included teams that did not meet top competition requirements. The dependent variables measured included total …


Self-Selected Pacing Strategy And Lactate Response In Individual Medley Time Trials, Claire Galloway May 2023

Self-Selected Pacing Strategy And Lactate Response In Individual Medley Time Trials, Claire Galloway

Undergraduate Theses and Capstone Projects

The 200 and 400-yard individual medley (IM; 200 IM and 400 IM, respectively) are two swimming events that challenge swimmers' versatility. Each of these events has different physiological requirements, where the 200 IM is viewed as an anaerobic event and the 400 IM as an aerobic event. Additionally, the IMs require performance in all four competitive stroke disciplines in a specific order (butterfly, backstroke, breaststroke, and freestyle), with each stroke requiring a different magnitude of intensity, efficiency, and speed. Purpose: To study the different pacing strategies and corresponding blood lactate response during the 200 IM and 400 IM in National …


The Effect Of Joint Versus Soft Tissue Flossing On Overall Performance In The Lower Extremities, Emily Bray May 2023

The Effect Of Joint Versus Soft Tissue Flossing On Overall Performance In The Lower Extremities, Emily Bray

Undergraduate Theses and Capstone Projects

Effective warm-up routines result in a reduction in muscle soreness post-exercise, a lessened risk of injury, and an enhanced performance output ability. Existing research has shown promising effects of muscle tissue flossing, a novel method of warming up in which a latex band is used to apply pressure to a specific area in the body. The purpose of this study was to determine how active college students respond to flossing applied to both a joint as well as soft tissue in the lower extremities, focusing on the ankle joint and calf muscle. Floss bands were applied bilaterally for each of …


Salivary Microrna As A Concussion Biomarker And The Implications For Athletic Trainers' Practices, Thomas Richard Campbell May 2023

Salivary Microrna As A Concussion Biomarker And The Implications For Athletic Trainers' Practices, Thomas Richard Campbell

Rehabilitation Sciences Theses & Dissertations

Many concussions are sustained globally each year; however, research suggests that a large number may go undiagnosed due to a reliance on subjective information from patients and limitations of current objective measures. Recently, efforts have been focused on identifying clinical biomarkers of concussions, including salivary microRNA (miRNA), to improve healthcare professionals’ concussion management practices. Even if salivary miRNA were shown to be a valid and reliable measure for managing concussions, healthcare professionals, such as athletic trainers (ATs), must be familiar with the tool and have positive attitudes toward the implementation into clinical practice. Therefore, the purpose of this dissertation was …


Meeting, Moving, Mastering - A Text Analysis Of The Aesthetic Attractions Of 'Wild Swimming', Dagmar Dahl, Åsa I. Bäckström Apr 2023

Meeting, Moving, Mastering - A Text Analysis Of The Aesthetic Attractions Of 'Wild Swimming', Dagmar Dahl, Åsa I. Bäckström

International Journal of Aquatic Research and Education

Why are people fascinated by swimming in nature? This article addresses the aesthetic experiences of wild swimming as expressed by five wild swimming authors in their books. Drawing from aesthetic philosophy, we analyze the ways in which the appeal of wild swimming is described on three levels: the allure of water in the environment, the sensory encounter between water and the body, and the experience of moving in water. Furthermore, with reference to Seel’s concept of nature aesthetics (1996), the experience of wild swimming is analyzed in terms of contemplation, correspondence, and imagination. We can conclude that the special intensity …


In This Issue (14:1), Stephen J. Langendorfer Ph.D. Apr 2023

In This Issue (14:1), Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

In This Issue 14:1 introduces and overviews the research and education articles and position statement associated with the first issue of the fourteenth volume of the International Journal of Aquatic Research and Education.


Aquatics For Individuals With Disabilities: An Analysis Of Publication Trends, Susan J. Grosse Apr 2023

Aquatics For Individuals With Disabilities: An Analysis Of Publication Trends, Susan J. Grosse

International Journal of Aquatic Research and Education

This study investigates the published literature in the field of aquatics with disabilities; more specifically, it examines literature published during the most recent two decades, 2000 through 2019. Considerations include the content focus of published articles relating to aquatics with disabilities, distribution of articles over the specified time period, publication opportunities for authors, barriers as well as enhancements to development of literature in the field, and summary recommendations.


Which Stroke Next? All Strokes Next! Part Two: Strokes For Intermediate And Advanced Swimmers, Robert Keig Stallman, Ebbe L. Horneman, Nils O. Vikander, Alexander Mwaipasi, Bente W. H. Laakso, Haakon - Paavo L. Nysted, Toni Ongala Apr 2023

Which Stroke Next? All Strokes Next! Part Two: Strokes For Intermediate And Advanced Swimmers, Robert Keig Stallman, Ebbe L. Horneman, Nils O. Vikander, Alexander Mwaipasi, Bente W. H. Laakso, Haakon - Paavo L. Nysted, Toni Ongala

International Journal of Aquatic Research and Education

The primary goal of this two-part project is to answer the rhetorical question of which strokes should be taught first, and which later (Langendorfer, 2013, Stallman, 2014a). As you have seen in Part One, we emphasize (as have many others) the need for a firm foundation before any stroke is introduced. When the learner is ready for propulsive motor competencies, there is no stroke which suits all as their first. In Part One we explored the “beginning strokes” all of which are candidates for any given learner’s first stroke. We also argued that after mastering their very first stroke the …


Towards A Globalised Vision Of Aquatic Competence, Rita F. Pinto, Juan Antonio Moreno Murcia Apr 2023

Towards A Globalised Vision Of Aquatic Competence, Rita F. Pinto, Juan Antonio Moreno Murcia

International Journal of Aquatic Research and Education

Human interaction with the aquatic environment has always taken different forms to meet the needs of pleasure, survival, therapy or performance. The diversity of existing aquatic spaces presents itself as a challenge, due to their variety, dynamism, unpredictability and unrepeatable conditions. These factors potentiate an infinite number of possibilities for human response in interaction with the aquatic environment, with aquatic competence being the one that will be able to sustain all types of interaction. Thus, the aim of the proposal has been to present a new approach to the contextualisation of aquatic competence. After a literature review on the concept …


Revisiting The Metaphorical Concept Of “No Strokes First - All Strokes First”: Part One - Beginning Strokes, Robert Keig Stallman Ph.D., Alex Mwaipasi, Ebbe Laakso Horneman, Nils Olof Vikander, Bente Wäinösdatter Horneman Laakso, Haakon-Paavo Laakso Nysted, Toni Ongala Apr 2023

Revisiting The Metaphorical Concept Of “No Strokes First - All Strokes First”: Part One - Beginning Strokes, Robert Keig Stallman Ph.D., Alex Mwaipasi, Ebbe Laakso Horneman, Nils Olof Vikander, Bente Wäinösdatter Horneman Laakso, Haakon-Paavo Laakso Nysted, Toni Ongala

International Journal of Aquatic Research and Education

The aim of this article is to address the familiar question “Which swimming stroke should be taught first?” The discussion is usually focused on breaststroke versus crawl. Provoked by these naïve discussions of which stroke should be taught first (as if stroking equals swimming, which it emphatically does NOT), the question was answered metaphorically in an earlier article “No Stroke First – All Strokes First” (Stallman, 2008a). Here in Part I we identify and describe six strokes, all of which might be a candidate for any learners ‘very first’ stroke. We describe them as beginning strokes. Having identified and learned …


Burnout And Overtraining In Division 1 Female Soccer Athletes, Catharine Forst Apr 2023

Burnout And Overtraining In Division 1 Female Soccer Athletes, Catharine Forst

Longwood Senior Theses

Burnout, a commonly studied phenomenon in college athletics, has been a major concern college athletes while overtraining, also a frequent concern in athletics, lacks specific research and connection to burnout. The purpose of this study was to see if overtraining or burnout occurred in D1 female soccer players and the possible factors/trends that might contribute. A self-report survey was completed weekly by the 34 D1 female soccer players, which assessed sleep quality (SPQI), quality of life (QOL), academic load, soccer evaluation (ABQ), and mood states (POMS). Bi-weekly heart rate variability (HRV) was assessed for 3 minutes at rest, and a …


Effects Of Time-Restricted Exercise On Hypertrophy, Aerobic Adaptations, And Body Weight In Mice, Greco Neblina, Elias M. Malek, Michael B. Dial, Austin Cooper Apr 2023

Effects Of Time-Restricted Exercise On Hypertrophy, Aerobic Adaptations, And Body Weight In Mice, Greco Neblina, Elias M. Malek, Michael B. Dial, Austin Cooper

Undergraduate Research Symposium Posters

Sleep and circadian rhythms are shown to impact cellular and whole-body metabolism and exercise capacity. Mice experience adaptations (e.g., hypertrophy, increased time to exhaustion) as a result of voluntary aerobic exercise. Adaptations to aerobic exercise are influenced by the time of day at which exercise is performed due to alterations in transcriptional and translational processes that affect mitochondrial abundance. It is critical to examine the gross effects of exercise timing on metabolic adaptations and other adaptations to aerobic exercise. This knowledge can help athletes and coaches organize time-optimized training schedules and help clinicians improve patient outcomes through time-of-day related adaptations …