Submitted:
20 July 2026
Posted:
20 July 2026
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Abstract
Keywords:
1. Introduction
1.1. Background and Rationale
1.2. Objectives
1.3. Guiding Research Questions
1.4. Scope and Manuscript Structure
1.5. Literature Review Strategy and Scope
2. Conceptual Framework
2.1. Exercise-Induced Adaptive Information
2.2. Adaptive Consolidation
2.2.1. Immune Remodeling as a Coordinated Consolidation Domain
2.2.2. Autonomic Regulation as a Durable Consolidation Output
2.3. The Sleep-Gated Adaptation Framework
2.4. Adaptive Consolidation Efficiency
2.5. Synthesis
3. Testable Predictions and an Operational Framework for SGA and ACE
3.1. Rationale and Scope of Operationalization
3.2. Testable Predictions (P1–P7)
3.3. Candidate Biomarker Panel and Sampling Windows
3.4. Minimum Design Requirements for Testing the SGA Component
3.5. Minimum Design Requirements for Testing the ACE Component
3.6. Falsification Criteria
3.7. Limitations of the Operational Framework
3.8. Synthesis
4. General Discussion
4.1. Synthesis: Revisiting the Guiding Research Questions
4.2. Implications for Practice and Future Research
4.3. Limitations
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| ACE | Adaptive Consolidation Efficiency |
| ACSL1 | Acyl-CoA Synthetase Long-Chain Family Member 1 |
| ADP | Adenosine Diphosphate |
| AMP | Adenosine Monophosphate |
| AMPK | AMP-Activated Protein Kinase |
| ATF2 | Activating Transcription Factor 2 |
| ATP | Adenosine Triphosphate |
| BMAL1 | Brain and Muscle ARNT-Like 1 |
| CaMKII | Calcium/Calmodulin-Dependent Protein Kinase II |
| CD14 / CD16 | Cluster of Differentiation 14 / 16 |
| COXIV | Cytochrome c Oxidase Subunit IV |
| CRP | C-Reactive Protein |
| DNA | Deoxyribonucleic Acid |
| ECG | Electrocardiogram |
| FASEB | Federation of American Societies for Experimental Biology |
| GH | Growth Hormone |
| HDL | High-Density Lipoprotein |
| HERITAGE | HEalth, RIsk factors, exercise Training And GEnetics (Family Study) |
| HF | High Frequency (heart-rate-variability spectral band) |
| HIIE | High-Intensity Interval Exercise |
| HO-1 | Heme Oxygenase 1 |
| HRV | Heart-Rate Variability |
| IGF-1 | Insulin-Like Growth Factor 1 |
| IL-6 | Interleukin-6 |
| LDL | Low-Density Lipoprotein |
| MAPK | Mitogen-Activated Protein Kinase |
| MEF2 | Myocyte Enhancer Factor 2 |
| mTOR/mTORC1 | Mechanistic Target of Rapamycin / Complex 1 |
| NFAT1 | Nuclear Factor of Activated T-Cells 1 |
| NRF-1 | Nuclear Respiratory Factor 1 |
| PDK4 | Pyruvate Dehydrogenase Kinase 4 |
| PGC-1α | Peroxisome Proliferator-Activated Receptor Gamma Coactivator-1 Alpha |
| PRISMA | Preferred Reporting Items for Systematic Reviews and Meta-Analyses |
| PSG | Polysomnography |
| RMSSD | Root Mean Square of Successive Differences (heart-rate-variability index) |
| RNA | Ribonucleic Acid |
| SDNN | Standard Deviation of NN (Normal-to-Normal) Intervals |
| SGA | Sleep-Gated Adaptation |
| SNP | Single-Nucleotide Polymorphism |
| TFAM | Mitochondrial Transcription Factor A |
| UCP3 | Uncoupling Protein 3 |
| Ulk1 | Unc-51-Like Autophagy Activating Kinase 1 |
| VO₂max / VO₂peak | Maximal / Peak Oxygen Uptake |
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| Domain | Evidence tier | Detectability / boundary conditions | Basis |
|---|---|---|---|
| Protein-synthetic anabolism (GH–testosterone–IGF-1; myofibrillar & sarcoplasmic synthesis) | Strongest (direct) | Reliably reduced under sustained restriction; partially rescued by concurrent HIIE | [15,16,17,18] |
| Neural / motor-memory consolidation | Strongest (direct) | No demonstrated waking substitute at any tested duration | [21] |
| Autonomic — early-window reactivation & nocturnal SWS-phase HRV | Strongest (mechanistic + causal) | Causal evidence via slow-wave-activity manipulation; blunted by sleep restriction | [60,61,62,63,64,68,69,70] |
| Mitochondrial respiratory adaptation | Consistent, less direct | Reduced under sustained restriction; partially rescued by concurrent HIIE | [19] |
| Circadian amplitude / clock alignment | Consistent, less direct | Diurnal rhythm amplitude blunted by restriction | [19,20] |
| Post-exercise transcriptomic program (qualitative shape) | Consistent, less direct | Low gene-level overlap between rested and restricted conditions | [23] |
| Immune response (IL-6, CRP, CK) | Conditional (boundary-dependent) | Detectable only with damaging/prolonged exercise + severe/sustained sleep loss + delayed readout | [55,56,57,58]; null: [59] |
| Autonomic — intermediate, multi-hour recovery curve | Conditional (currently null) | No interaction detected in the best-controlled available test | null: [71] |
| ID | Domain | Expected pattern | Detection requires | Falsification criterion | Basis |
|---|---|---|---|---|---|
| P1 | Protein-synthetic & mitochondrial | ↓ Myofibrillar/sarcoplasmic FSR and mitochondrial respiratory function under sustained restriction; partially rescued by concurrent HIIE | Multiple consecutive nights of restriction; stable-isotope / respirometry measures | No reduction found under restriction; or exercise fully (not partially) normalizes deficits | [16,17,18,19] |
| P2 | Neural / motor memory | Sleep > equivalent wake for retention and cortical reorganization; no waking substitute | 12 h interval spanning sleep vs. matched wake | Wake (± extra practice) produces consolidation statistically indistinguishable from sleep | [21] |
| P3 | Immune | ↑ IL-6, CRP, CK only when three conditions co-occur | Damaging/prolonged exercise + total/multi-night sleep loss + delayed (16–48 h) readout | High-boundary-condition design (all three present) finds no interaction | [55,56,57,58]; null: [59] |
| P4 | Autonomic | ↓ Early heart-rate recovery (30–60 s) and ↓ nocturnal SWS-phase HRV; NOT the 1–6 h recovery curve | Early-window and overnight-window measurement (PSG or validated HRV) | No change in early/nocturnal windows; or a replicated effect in the 1–6 h window | [60,61,62,63,64,68,69,70]; null: [71] |
| P5 | Post-exercise transcriptome | Qualitative reshaping (different genes regulated), not only a magnitude change | 48 h post-exercise, rested vs. restricted comparison, RNA-seq | High gene-level overlap between conditions (differing mainly in magnitude) | [23] |
| P6 | ACE — multi-determinant structure | Genetic + epigenetic + baseline + environmental + prescription-match jointly explain more variance than any one alone, even after controlling for sleep | Longitudinal design, concurrent multi-determinant measurement | Sleep exposure alone explains most variance; other determinants add negligible power | [25,26,27,28,29,30,31,32,33,34,35,36] |
| P7 | ACE — prescription match | Low responders on one modality normalize on a better-matched modality | Within-subject crossover across ≥2 meaningfully different modalities | Substantial fraction remain low responders across multiple modalities | [29,30] |
| Domain | Candidate readout(s) | Specimen / method | Expected sensitive window | Anchor refs. |
|---|---|---|---|---|
| Protein-synthetic anabolism (P1) | Myofibrillar & sarcoplasmic fractional synthesis rate; serum GH, cortisol, testosterone | Stable-isotope infusion; serum immunoassay | Acute (single night) and across 5-night restriction protocols | [15,16,17,18] |
| Mitochondrial / metabolic (P1) | Mitochondrial respiratory function; glucose tolerance | High-resolution respirometry; oral glucose tolerance / continuous glucose monitoring | 5-night restriction protocols, with or without concurrent HIIE | [19] |
| Neural / motor memory (P2) | Motor-sequence retention; task-related cortical/cerebellar activation | Behavioral retention testing; functional imaging | 12 h interval spanning sleep vs. equivalent wake | [21] |
| Immune (P3) | Plasma IL-6, C-reactive protein, creatine kinase | Venous blood, serial sampling | 16 h and 48 h post-exercise, only under damaging/prolonged exercise + total or multi-night sleep loss | [55,56,57,58,59] |
| Autonomic — early window (P4) | Heart-rate recovery at 30–60 s post-maximal exercise; early post-exercise HRV | ECG / validated HRV monitor | 0–15 min post-exercise | [68,69,70] |
| Autonomic — nocturnal window (P4) | Slow-wave-sleep-phase HF-HRV | Polysomnography + concurrent HRV | Night(s) following exercise, scored by sleep stage | [60,61,62,63,64] |
| Autonomic — intermediate window (P4, expected null) | Multi-hour post-exercise HRV recovery curve | ECG / validated HRV monitor | 1–6 h post-exercise | [71] |
| Post-exercise transcriptome (P5) | Whole-transcriptome skeletal-muscle response | Muscle biopsy, RNA-seq | 48 h post-exercise, rested vs. sleep-restricted | [23] |
| ACE — genetic | Targeted SNP panel at exercise-response loci (e.g., ACSL1 and related HERITAGE loci) | Genotyping | Baseline (fixed trait) | [25,26] |
| ACE — epigenetic | DNA methylation at exercise-responsive regulatory regions (e.g., PGC-1α promoter) | Targeted bisulfite sequencing | Baseline and post-training | [31,32] |
| ACE — environmental / lifestyle | Sleep duration and architecture; training load; dietary intake | Actigraphy or PSG; training diary; dietary log | Continuous across the study window | [23,36] |
| ACE — prescription match | Cross-modality response profile | Crossover training design (e.g., endurance vs. resistance) | Across sequential training blocks | [29] |
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