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Do Non-Responders to Exercise Exist-and If So, What Should We Do About Them?
Craig Pickering1,2, John Kiely3
1Institute of Coaching and Performance, School of Sport and Wellbeing, University of Central Lancashire, Fylde Road, Preston, PR1 2HE, UK. craig@dnafit.com.
Most individuals respond to exercise training. Apparent exercise non-response is likely due to measurement errors, not a true lack of adaptation. Personalized exercise prescriptions can enhance health benefits for all.
Area of Science:
- Exercise physiology
- Human health and performance
Background:
- Exercise is crucial for health, but some individuals show minimal gains from training, termed "non-responders".
- Recent skepticism questions the existence and clinical relevance of exercise non-response.
Purpose of the Study:
- To critically evaluate the evidence for the existence of exercise non-response.
- To explore factors influencing the identification of non-responders, including measurement error and assessment methods.
- To discuss strategies for enhancing exercise adaptations in potentially non-responsive individuals.
Main Methods:
- Literature review and critical analysis of existing research on exercise response and non-response.
- Examination of the impact of measurement error and assessment modality on identifying non-responders.
- Discussion of potential interventions to improve training adaptations.
Main Results:
- Evidence suggests that true global non-responders to exercise are unlikely to exist.
- Measurement error and assessment type significantly influence the identification of individuals as non-responders.
- Non-response may be modality-specific rather than global.
Conclusions:
- The concept of widespread exercise non-response is likely a misperception.
- Health professionals should focus on individually tailored exercise prescriptions to maximize training adaptations.
- An adaptive approach to exercise prescription can improve population health outcomes.
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