Submitted:
03 April 2026
Posted:
07 April 2026
You are already at the latest version
Abstract
Keywords:
1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Training Program
2.3. Cardiorespiratory Fitness Assessment
2.4. Push-Up Test
2.5. Muscular Performance Assessment
2.6. Exercise Protocol
2.7. Blood Sampling and Biochemical Assays
2.8. Statistical Analyses

3. Results
3.1. Participant Characteristics, Body Composition Variables, and Cardiorespiratory Fitness Assessment
3.2. Lower and Upper Body Muscle Performance Assessment
3.3. Exerkines Responses Across Sex, Protocol, and Time Point
4. Discussions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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| Variable | Male (n = 6) | Female (n = 6) |
| Age (yrs) | 20.67 + 1.02 | 20.17 + 0.54 |
| Height (cm) | 169.76 + 2.22 | 162.77 + 3.32 |
| Weight (kg) | 83.58 + 7.87 | 66.66 + 7.37 |
| Calcium Intake (mg/day) | 527.67 + 139.10 | 557.67 + 135.75 |
| pBPAQ Score | 51.11 + 9.80 | 29.99 + 8.52 |
| cBPAQ | 5.89 + 2.17 | 2.84 + 1.08 |
| tBPAQ | 28.50 + 4.92 | 16.42 + 4.12 |
| BMI | 27.73 + 3.20 | 24.68 + 1.94 |
| Body Fat % | 20.98 + 5.74 | 32.02 + 4.05 |
| Fat Mass (kg) | 19.91 + 6.87 | 22.61 + 4.72 |
| Fat Free Mass (kg) | 38.01 + 1.63 | 27.05 + 2.53 |
| pBPAQ = past Bone Specific Physical Activity Questionnaire; cBPAQ = current Bone Specific Physical Activity Questionnaire; tBPAQ = total Bone Specific Physical Activity Questionnaire. | ||
| Variable | Male (n = 6) | Female (n = 6) |
|---|---|---|
| Push-up Score | 30.33 + 4.29 | 20.33 + 1.52 |
| RHR | 72.00 + 7.03 | 73.17 + 3.25 |
| RBP Systolic (mmHg) | 119.17 + 9.30 | 110.17 + 3.12 |
| RBP Diastolic (mmHg) | 66.17 + 3.24 | 66.00 + 3.34 |
| PEHR | 129.00 + 13.37 | 129.17 + 5.40 |
| PEBP Systolic (mmHg) | 145.33 + 13.30 | 150.33 + 9.14 |
| PEBP Diastolic (mmHg)* | 60.17 + 5.01 | 85.33 + 7.26 |
| VO2max (ml/kg/min) | 50.74 + 3.47 | 43.41 + 2.84 |
| Variables | Male (n = 6) | Female (n = 6) |
| RHG** | 39.89 + 2.19 | 27.58 + 2.57 |
| LHG | 37.55 + 4.47 | 26.38 + 2.63 |
| TIA (s) | 0.59 + 0.04 | 0.50 + 0.03 |
| VJ Height (in) | 17.85 + 2.73 | 12.6 + 1.59 |
| Velocity | 1.30 + 0.09 | 1.18 +0.05 |
| Power (watts) | 1,023.94 + 83.99 | 755.6 + 86.68 |
| Relative Power (kg/watts) | 12.41 + 0.84 | 11.37 + 0.51 |
| Variable | Male (n = 6) | Female (n = 6) |
| Leg Press | 514.00 + 68.65 | 361.67 + 66.60 |
| Seated Cable Rows** | 175.00 + 9.22 | 98.33 + 9.37 |
| Bench Press** | 180.00 + 8.47 | 64.17 + 6.38 |
| Deadlifts** | 98.33 + 4.22 | 59.17 + 5.39 |
| Seated Shoulder Press** | 56.67 + 2.47 | 25.83 + 3.00 |
| Variables. | Male CT | Female CT | Male TR | Female TR | Significant Effects | p |
| SCL (pg/ml) |
||||||
| Pre | 0.11 ± 0.02 | 0.03 ± 0.02 | 0.21 ± 0.02 | 0.07 ± 0.02 | Sex, Protocol, Time Point | 0.008, 0.001, 0.04 |
| IP | 0.14 ± 0.02 | 0.06 ± 0.02 | 0.22 ± 0.02 | 0.13 ± 0.02 | IP>Pre, 30P |
0.027, 0.015 |
| 30P | 0.10 ± 0.01 | 0.04 ± 0.02 | 0.17 ± 0.02 | 0.12 ± 0.02 | ||
| OPN (pg/ml) |
||||||
| Pre | 19.32 ± 1.8 | 19.39 ± 1.80 | 17.23 ± 1.43 | 19.40 ± 1.43 | Time Point Pre>30P |
0.014 (0.04) |
| IP | 14.98 ± 2.4 | 18.11 ± 2.42 | 15.62 ± 2.5 | 14.40 ± 2.56 | ||
| 30P | 16.31 ± 2.6 | 16.55 ± 2.60 | 13.05 ± 1.7 | 16.85 ± 1.70 | ||
| RANKL (pg/ml) |
||||||
| Pre | 0.35 ± 0.08 | 0.43 ± 0.08 | 0.31 ± 0.07 | 0.42 ± 0.07 | Time Point |
|
| IP | 0.28 ± 0.07 | 0.35 ± 0.07 | 0.40 ± 0.08 | 0.29 ± 0.08 | 30P>Pre, IP |
0.02, 0.001 |
| 30P | 0.49 ± 0.08 | 0.51 ± 0.08 | 0.71 ± 0.12 | 0.59 ± 0.12 | ||
| Irisin (pg/ml) |
||||||
| Pre | 3018.65 ± 399.52 | 2734.61 ± 399.52 | 2091.57 ± 278.94 | 2002.11 ± 278.94 | Protocol and time point | 0.001 |
| IP | 2805.48 ± 430.28 | 2674.75 ± 430.28 | 2007.62 ± 275.32 | 1971.56 ± 275.32 | Pre> IP | 0.01 |
| 30P | 2830.34 ± 408.03 | 2819.86 ± 408.03 | 2094.98 ± 297.85 | 2053.43 ± 297.85 |
| Marker | Sex | Treatment | Timepoint | N | Median (Q1, Q3) |
| BDNF (pg/ml) | Male | CT | IP | 6 | 0.207 (0.141, 0.258) |
| Male | CT | Post 30 | 6 | 0.297 (0.184, 0.702) | |
| Male | CT | Pre | 6 | 0.276 (0.166, 0.707) | |
| Male | TR | IP | 6 | 0.559 (0.245, 0.868) | |
| Male | TR | Post 30 | 6 | 1.011 (0.885, 1.211) | |
| Male | TR | Pre | 6 | 0.479 (0.148, 0.955) | |
| Female | CT | IP | 6 | 0.429 (0.271, 1.333) | |
| Female | CT | Post 30 | 6 | 0.486 (0.168, 1.101) | |
| Female | CT | Pre | 6 | 0.233 (0.166, 0.406) | |
| Female | TR | IP | 6 | 0.554 (0.354, 0.911) | |
| Female | TR | Post 30 | 6 | 0.960 (0.802, 1.127) | |
| Female | TR | Pre | 6 | 0.464 (0.251, 0.972) | |
| DKK-1 (pg/ml) | Male | CT | IP | 6 | 1.294 (0.750, 1.697) |
| Male | CT | Post 30 | 6 | 1.220 (1.090, 1.418) | |
| Male | CT | Pre | 6 | 1.276 (0.799, 1.955) | |
| Male | TR | IP | 6 | 0.917 (0.770, 1.006) | |
| Male | TR | Post 30 | 6 | 1.006 (1.006, 1.006) | |
| Male | TR | Pre | 6 | 0.897 (0.705, 1.006) | |
| Female | CT | IP | 6 | 1.723 (1.465, 2.063) | |
| Female | CT | Post 30 | 6 | 1.581 (1.120, 1.987) | |
| Female | CT | Pre | 6 | 1.208 (0.774, 2.026) | |
| Female | TR | IP | 6 | 1.006 (0.985, 1.006) | |
| Female | TR | Post 30 | 6 | 1.006 (1.006, 1.006) | |
| Female | TR | Pre | 6 | 0.974 (0.933, 1.006) | |
| IL-6 (pg/ml) | Male | CT | IP | 6 | 3.689 (2.282, 5.576) |
| Male | CT | Post 30 | 6 | 4.214 (2.476, 5.187) | |
| Male | CT | Pre | 6 | 3.108 (1.905, 4.348) | |
| Male | TR | IP | 6 | 1.073 (0.502, 1.894) | |
| Male | TR | Post 30 | 6 | 0.674 (0.352, 1.022) | |
| Male | TR | Pre | 6 | 0.263 (0.083, 0.972) | |
| Female | CT | IP | 6 | 4.396 (2.051, 7.211) | |
| Female | CT | Post 30 | 6 | 4.204 (2.178, 6.603) | |
| Female | CT | Pre | 6 | 4.103 (1.923, 6.099) | |
| Female | TR | IP | 6 | 2.159 (0.679, 4.385) | |
| Female | TR | Post 30 | 6 | 1.957 (0.712, 3.094) | |
| Female | TR | Pre | 6 | 1.936 (0.637, 4.947) |
| Variables | Effect | Test valuea | Df | p-value | Adj. p-value (FDRb) |
| BDNF (ng/ml) | Sex | 0.3354737 | 1 | 0.562 | 0.594 |
| Protocol | 7.1491876 | 1 | 0.0075* | 0.01* | |
| Time point | 4.1801622 | 2 | 0.124 | 0.247 | |
| Sex: Protocol | 0.1852342 | 1 | 0.667 | 0.667 | |
| Sex: Timepoint | 0.7422852 | 2 | 0.69 | 0.94 | |
| Protocol: Timepoint | 2.1499369 | 2 | 0.341 | 0.934 | |
| Sex: Protocol: Timepoint | 0.3303485 | 2 | 0.848 | 0.937 | |
| DKK-1 (ng/ml) | Sex | 2.7546041 | 1 | 0.097 | 0.388 |
| Protocol | 23.6687421 | 1 | <0.001** | <0.001** | |
| Timepoint | 1.5050720 | 2 | 0.471 | 0.617 | |
| Sex: Protocol | 1.7444637 | 1 | 0.187 | 0.667 | |
| Sex: Timepoint | 1.5087329 | 2 | 0.47 | 0.94 | |
| Protocol: Timepoint | 1.0482078 | 2 | 0.592 | 0.934 | |
| Sex: Protocol: Timepoint | 2.3590369 | 2 | 0.307 | 0.615 | |
|
IL-6 (ng/ml) |
Sex | 0.5438761 | 1 | 0.461 | 0.594 |
| Protocol | 54.5026553 | 1 | <0.001** | <0.001** | |
| Timepoint | 0.9664192 | 2 | 0.617 | 0.617 | |
| Sex: Protocol | 0.7270522 | 1 | 0.394 | 0.667 | |
| Sex: Timepoint | 0.5292637 | 2 | 0.767 | 0.94 | |
| Protocol: Timepoint | 0.1374544 | 2 | 0.934 | 0.934 | |
| Sex: Protocol: Timepoint | 0.1292577 | 2 | 0.937 | 0.937 |
| Dependent Variable | Predictor Variables | β | SEE | R2 | p |
|
Pre CT SCL |
Push-ups* BDNF C** Left HGS** |
0.006 0.045 0.002 |
0.04 0.03 0.02 |
0.68 0.86 0.94 |
0.043 0.002 <0.001 |
| Pre TR SCL | JT TIA* 1RM BB BP** |
0.729 0.001 |
0.05 0.04 |
0.67 0.84 |
0.019 0.006 |
|
Pre TR RANKL |
JT Velocity Trad DB DL* CI** JT TIA** |
0.603 -0.009 0.000 -0.803 |
0.15 0.07 0.06 0.04 |
0.38 0.86 0.92 0.98 |
0.245 0.035 0.005 <0.001 |
| Pre CT OPN | Right HGS** | 0.215 | 1.92 | 0.85 | <0.001 |
| Pre TR OPN | tBPAQ | -0.104 | 1.63 | 0.85 | 0.363 |
| Pre CT BDNF | CI | 0.001 | 0.42 | 0.55 | 0.363 |
|
Pre TR IL-6 |
% BF CI* cBPAQ** |
0.121 0.002 0.228 |
1.23 0.99 0.74 |
0.64 0.79 0.90 |
0.124 0.01 0.001 |
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