Psychological stress has been proposed as a major contributor to the progression of cardiovascular disease (CVD). Acute mental stress can activate the sympathetic-adrenal-medullary (SAM) axis, eliciting the release of catecholamines (NE and EPI) resulting in the elevation of heart rate (HR) and blood pressure (BP). Combined stress (psychological and physical) can exacerbate these cardiovascular responses, which may partially contribute to the elevated risk of CVD and increased proportionate mortality risks experienced by some occupations (e.g., firefighting and law enforcement). Studies have supported the benefits of physical activity on physiological and psychological health, including the cardiovascular response to acute stress. Aerobically trained individuals exhibit lower sympathetic nervous system (e.g., HR) reactivity and enhanced cardiovascular efficiency (e.g., lower vascular reactivity and decreased recovery time) in response to physical and/or psychological stress. In addition, resistance training has been demonstrated to attenuate cardiovascular responses and improve mental health. This review will examine stress-induced cardiovascular reactivity and plausible explanations for how exercise training and physical fitness (aerobic and resistance exercise) can attenuate cardiovascular responses to stress. This enhanced functionality may facilitate a reduction in the incidence of stroke and myocardial infarction. Finally, this review will also address the interaction of obesity and physical activity on cardiovascular reactivity and CVD.

Zourdos, MC, Goldsmith, JA, Helms, ER, Trepeck, C, Halle, JL, Mendez, KM, Cooke, DM, Haischer, MH, Sousa, CA, Klemp, A, and Byrnes, RK. Proximity to failure and total repetitions performed in a set influences accuracy of intraset repetitions in reserve-based rating of perceived exertion. J Strength Cond Res 35(2S): S158–S165, 2021—The aim of this study was to assess the accuracy of predicting repetitions in reserve (RIR) intraset using the RIR-based rating of perceived exertion (RPE) scale. Twenty-five men (age: 25.3 ± 3.3 years, body mass: 89.0 ± 14.7 kg, height: 174.69 ± 6.7 cm, and training age: 4.7 ± 3.2 years) reported to the laboratory. Subjects performed a 1 repetition maximum (1RM) squat followed by one set to failure at 70% of 1RM. During the 70% set, subjects verbally indicated when they believed they were at a 5RPE (5RIR), 7RPE (3RIR), or 9RPE (1RIR), and then continued to failure. The difference between actual repetitions performed and participant-predicted repetitions was calculated as the RIR difference (RIRDIFF). The average load used for the 70% set was 123.10 ± 24.25 kg and the average repetitions performed were 16 ± 4. The RIRDIFF was lower (RPEs were more accurate) closer to failure (RIRDIFF at 9RPE = 2.05 ± 1.73; RIRDIFF at 7RPE = 3.65 ± 2.46; and RIRDIFF at 5RPE = 5.15 ± 2.92 repetitions). There were significant relationships between total repetitions performed and RIRDIFF at 5RPE (r = 0.65, p = 0.001) and 7RPE (r = 0.56, p = 0.004), but not at 9RPE (r = 0.01, p = 0.97). Thus, being farther from failure and performing more repetitions in a set were associated with more inaccurate predictions. Furthermore, a multiple linear regression revealed that more repetitions performed per set was a significant predictor of RIR prediction inaccuracy at the called 5 (p = 0.003) and 7 (p = 0.011) RPEs, while training age (p > 0.05) was not predictive of rating accuracy. These data indicate RIR predictions are improved during low to moderate repetition sets and when there is close proximity to failure.

Cooke, DM, Haischer, MH, Carzoli, JP, Bazyler, CD, Johnson, TK, Varieur, R, Zoeller, RF, Whitehurst, M, and Zourdos, MC. Body mass and femur length are inversely related to repetitions performed in the back squat in well-trained lifters. J Strength Cond Res 33(3): 890–895, 2019—The purpose of this research note was to examine whether relationships existed between anthropometrics (body mass, body fat percentage [BF%], and femur length) and descriptive characteristics (age and sex) with repetitions performed to failure at 70% of 1 repetition maximum (1RM) in the back squat. Fifty-eight subjects (males = 43, females = 15; age: 23 ± 3 years, training age: 5.5 ± 2.5 years, body mass: 80.65 ± 16.34 kg, BF%: 10.98 ± 3.53%, and femur length: 47.1 ± 2.6 cm) completed a 1RM squat followed by one set to failure at 70% of 1RM. Total repetitions performed at 70% of 1RM were 14 ± 4 (range: 6–26). Bivariate correlations showed significant inverse relationships between body mass (r = −0.352, p = 0.003), BF% (r = −0.278, p = 0.014), and femur length (r = −0.265, p = 0.019), with repetitions performed. No significant relationships existed between age and sex (p > 0.05), with repetitions performed. All these variables entered into a standard multivariate regression. The model R ² was 0.200, and body mass had the largest influence (p = 0.057) because relative importance analysis demonstrated body mass to contribute to 43.87% of the variance (of the R ²) in repetitions performed. No other variable was significant or approached significance (p > 0.05). Our results reveal that body mass, BF%, and femur length all are inversely related to repetitions performed at 70% of 1RM in the back squat.