Exercise Biology Group, Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 60/62, 80992, Munich, Germany.
Department of Health Sciences, Lehman College, Bronx, NY, USA.
Sports Med. 2021 Sep;51(9):1805-1813. doi: 10.1007/s40279-021-01495-w. Epub 2021 Jun 18.
A training plan, or an exercise prescription, is the point where we translate sport and exercise science into practice. As in medicine, good practice requires writing a training plan or prescribing an exercise programme based on the best current scientific evidence. A key issue, however, is that a training plan or exercise prescription is typically a mix of many interacting interventions (e.g. exercises and nutritional recommendations) that additionally change over time due to periodisation or tapering. Thus, it is virtually impossible to base a complex long-term training plan fully on scientific evidence. We, therefore, speak of evidence-informed training plans and exercise prescriptions to highlight that only some of the underlying decisions are made using an evidence-based decision approach. Another challenge is that the adaptation to a given, e.g. endurance or resistance training programme is often highly variable. Until biomarkers for trainability are identified, we must therefore continue to test athletes, clients, or patients, and monitor training variables via a training log to determine whether an individual sufficiently responds to a training intervention or else re-plan. Based on these ideas, we propose a subjective, pragmatic six-step approach that details how to write a training plan or exercise prescription that is partially based on scientific evidence. Finally, we advocate an athlete, client and patient-centered approach whereby an individual's needs and abilities are the main consideration behind all decision-making. This implies that sometimes the most effective form of training is eschewed if the athlete, client or patient has other wishes.
训练计划或运动处方是将运动与锻炼科学应用于实践的关键环节。就像医学一样,良好的实践需要基于最佳的现有科学证据来制定训练计划或开具运动方案。然而,一个关键问题是,训练计划或运动处方通常是许多相互作用的干预措施(例如运动和营养建议)的组合,并且由于分期或逐渐减少,这些措施会随着时间的推移而发生变化。因此,实际上不可能完全基于科学证据来制定复杂的长期训练计划。因此,我们说的是基于证据的训练计划和运动处方,以强调只有部分基础决策是基于循证决策方法做出的。另一个挑战是,对特定的适应,例如耐力或抗阻训练计划,通常是高度可变的。在确定可训练性的生物标志物之前,我们必须继续通过训练日志对运动员、客户或患者进行测试,并监测训练变量,以确定个体是否对训练干预有足够的反应,否则需要重新计划。基于这些想法,我们提出了一种主观的、实用的六步方法,详细说明了如何制定部分基于科学证据的训练计划或运动处方。最后,我们提倡以运动员、客户和患者为中心的方法,即个人的需求和能力是所有决策背后的主要考虑因素。这意味着,如果运动员、客户或患者有其他愿望,有时可能会放弃最有效的训练形式。