Whole‐body fat oxidation determined by graded exercise and indirect calorimetry: a role for muscle oxidative capacity?

During whole-body exercise, peak fat oxidation occurs at a moderate intensity. This study investigated whole-body peak fat oxidation in untrained and trained subjects, and the presence of a relation between skeletal muscle oxidative enzyme activity and whole-body peak fat oxidation. Healthy male subjects were recruited and categorized into an untrained (N=8, VO(2max) 3.5+/-0.1 L/min) and a trained (N=8, VO(2max) 4.6+/-0.2 L/min) group. Subjects performed a graded exercise test commencing at 60 W for 8 min followed by 35 W increments every 3 min. On a separate day, muscle biopsies were obtained from vastus lateralis and a 3 h bicycle exercise test was performed at 58% of VO(2max). Whole-body fat oxidation was calculated during prolonged and graded exercise from the respiratory exchange ratio using standard indirect calorimetry equations. Based on the graded exercise test, whole-body peak fat oxidation was determined. The body composition was determined by DEXA. Whole-body peak fat oxidation (250+/-25 and 462+/-33 mg/min) was higher (P<0.05) and occurred at a higher (P<0.05) relative workload (43.5+/-1.8% and 49.9+/-1.2% VO(2max)) in trained compared with untrained subjects, respectively. Muscle citrate synthase activity and beta-hydroxy-acyl-CoA-dehydrogenase activity were higher (49% and 35%, respectively, P<0.05) in trained compared with untrained subjects. Both lean body mass and maximal oxygen uptake were significantly correlated to whole-body peak fat oxidation (r(2)=0.57, P<0.001), but leg muscle oxidative capacity was not correlated to whole-body peak fat oxidation. In conclusion, whole-body peak fat oxidation occurred at a higher relative exercise load in trained compared with untrained subjects. Whole-body peak fat oxidation was not significantly related to leg muscle oxidative capacity, but was related to lean body mass and maximal oxygen uptake. This may suggest that leg muscle oxidative activity is not the main determinant of whole-body peak fat oxidation.     

High-intensity resistance and cardiovascular training improve physical capacity in cancer patients undergoing chemotherapy

The purpose of the study was to examine the effects of a supervised high- and low-intensity structured training program in cancer patients concurrently undergoing chemotherapy. Seventy patients, in different stages of the disease and with different diagnoses (48 females, 22 males), between 18 and 65 years of age (mean age 42.8) participated in a 9-h weekly training program over 6 weeks. The intervention involved physical exercise, relaxation, massage, and body-awareness training. Physical capacity (one-repetition maximum tests (1RM), VO2max) and body composition (weight, skin-fold) were compared before and after the exercise intervention. The average increase in muscular strength was 41.3% (P<0.001) and 14.5% in aerobic fitness (pre: 2.27+/-0.597 L/min, post: 2.56+/-0.644 L/min, (P<0.001). The exercise intervention significantly increased the weight of the subjects by 1% (pre: 72.62+/-13.42 kg, post: 73.25+/-13.44 kg, P=0.016). There was a significant decrease in skin-fold measurements by 3% (P=0.031). The exercise intervention was well tolerated, provided that daily screening criteria were adhered to. The effects of resistance and cardiovascular training observed in this short-term study support the theory that exercise is a beneficial intervention strategy for increasing muscle strength and aerobic fitness during antineoplastic chemotherapy. This type of exercise program can be an important component of complementary treatment for cancer patients undergoing chemotherapy.     

Metabolic and mechanical involvement of arms and legs in simulated double pole skiing

We evaluated arm and leg work rate and metabolism during double pole ergometer skiing. Thermodilution arm and leg blood flow was determined together with the arterial to venous difference for oxygen, while the work rate was assessed in eight male recreational skiers [24 (SD 7) years]. When work rate increased from 82 (SE 4) to 117 (7) W, leg power increased by 43% (enhanced vertical force and displacement of the body). The elbow angle tended to increase [from 71 (11.3)° to 75 (10.9)°; P = 0.07] and arm oxygen uptake increased by 20 (5)% [from 0.65 (0.07) to 0.78 (0.08) L/min; P < 0.05] because two‐arm blood flow increased [from 5.4 (0.6) to 6.3 (0.7) L/min; P < 0.05] with no significant change in oxygen extraction [from 59 (2.3)% to 60 (1.9)%] accompanied with net arm lactate and potassium release. In contrast, two‐leg blood flow [from 5.8 (0.5) to 8.0 (0.5) L/min] and oxygen extraction [from 67 (1.3)% to 75 (1.5)%] increased (P < 0.05), resulting in a 53 (8)% increase in leg oxygen uptake [from 0.82 (0.06) to 1.24 (0.07) L/min; P < 0.05]. In conclusion, during double poling on an ergometer, arm muscle metabolism and work rate increase only marginally and an increase in work intensity is covered mainly by the leg muscles.     

Hemoglobin, muscle oxidative capacity, and VO2max in African-American and Caucasian women

PURPOSE: The purpose of this paper was to determine whether differences in hemoglobin (Hb) and muscle aerobic capacity exist between African-American (AA) and Caucasian (CA) premenopausal women and to determine whether Hb and aerobic capacity of the muscle are associated with the racial differences in maximum oxygen uptake (VO2max). METHODS: 43 AA and 46 CA sedentary premenopausal women were subjects. Percent body fat was determined by four-compartment model, leg lean tissue by dual energy x-ray absorptiometry, VO2max during a graded exercise test, aerobic capacity of the calf muscle by 31P magnetic resonance spectroscopy, and serum Hb by the cyanide method. RESULTS: AA women had reduced VO2max (AA 29.3 +/- 3.0 vs CA 33.6 +/- 5.6 mL.kg(-1) bdw(-1).min, P < 0.01), reduced muscle aerobic capacity (AA 24.3 +/- 5.8 vs CA 21.3 +/- 4.8 s, P = 0.01, where lower values indicate higher aerobic capacity), and reduced Hb (AA 11.8 +/- 1.3 vs CA 12.9 +/- 0.8 g.dL(-1), P < 0.01). The racial difference in VO2max persisted whether the values were unadjusted or adjusted for fat-free mass or leg lean tissue. Multiple regression analysis revealed that both Hb and muscle aerobic capacity were related to VO2max after adjusting for each other, race, and either fat-free mass or leg lean tissue. Being AA was associated with reduced VO2max in mL O2.kg leg lean tissue(-1).min(-1) (zero-order simple Pearson-product correlation -0.60, P < 0.01). When multiple regression was used, the correlation between race and VO2max decreased but persisted (-0.40, <0.01) after adjusting for Hb and muscle aerobic capacity. CONCLUSIONS: These data suggest that differences in Hb and aerobic capacity of muscle are related to reduced VO2max in AA women. However, Hb and aerobic capacity of the muscle can only partially explain the racial differences in VO2max.     

Transfer effects of endurance training with the arms and legs

The purpose of this study was to examine whether endurance training in the form of arm or leg cycling resulted in significant transfer effects when exercise was performed with the untrained muscle group. Sixteen middle-aged male volunteers completed 24 training sessions over 8 wk on either an arm cycle ergometer (AG, N = 8, mean age = 35.2 +/- 6.6 yr) or a leg cycle ergometer (LG, N = 8, mean age = 41.0 +/- 4.7 yr). The two groups were initially equated for their pre-training peak oxygen uptake (pVO2) determined during leg cycling (44.5 +/- 5.0 and 43.8 +/- 7.7 ml.kg-1.min-1 for the AG and LG, respectively). Training was performed at an intensity that was mid-way between the pre-training ventilatory threshold (VT) and the pVO2 for both cycling methods. Significant increases (P less than .05) were observed in the relative values of the oxygen uptake at the VT and the pVO2 as a result of both these methods of training, but these elevations were specific to the muscle groups that were trained. This specificity of training was also evident in the cardiorespiratory and metabolic measurements obtained during submaximal steady state exercise performed at the power output corresponding to the pre-training VT during arm and leg exercise. Hence, it was concluded that improvements in exercise performance resulting from short-term aerobic training with the arms or legs in middle-aged males with relatively high aerobic powers are due primarily to peripheral adaptations in the trained muscles.     

Effects of 7 successive days of unaccustomed prolonged exercise on aerobic performance and tissue damage in fitness joggers

The effects of 7 successive days of prolonged jogging on aerobic performance and biochemical markers of muscle and red blood cell damage were examined in 10 moderately fit men, ages 27 +/- 2 yr (mean +/- SE). The subjects jogged for 2 h per day at 78 +/- 4% of maximal heart rates and covered a total of 129 +/- 2 km, nearly eight times their regular weekly training distance. At baseline, maximal oxygen uptake (VO2max) during treadmill tests averaged 3.45 +/- 0.24 L/min, or 44.7 +/- 1.4 ml/kg/min. On follow-up tests 2d after the week of increased training, VO2max (3.56 +/- 0.17 L/min) and treadmill performance were not significantly improved. Body weight declined from 79.5 +/- 4.6 kg to 77.8 +/- 4.4 kg (p less than 0.05) because of reduced body fatness (16.8 +/- 2.3% to 13.6 +/- 1.7%, p less than 0.05). Weight-adjusted VO2max increased to 46.4 +/- 2.0 ml/kg/min (p less than 0.05). However, heart rate and systolic blood pressure were not significantly changed at rest, or during submaximal and maximal treadmill exercise. Mean hemoglobin concentration at treadmill testing declined from 14.9 +/- 0.3 g/dl to 13.3 +/- 0.3 g/dl (p less than 0.05). Leg muscle soreness, especially in the thigh region, persisted in all subjects after 3 d. Soreness was accompanied by chronic elevations (p less than 0.05) in serum levels of myoglobin, creatine kinase (CK), lactic dehydrogenase (LD), aminoaspartate, and the isoenzymes CK-MB and LD1,2. Serum haptoglobin levels after jogging fell from 86 +/- 9 mg/dl to 60 +/- 8 mg/dl (p less than 0.05), suggestive of footstrike hemolysis.(ABSTRACT TRUNCATED AT 250 WORDS)     

Anaerobic and aerobic power in arms and legs of elite senior wrestlers.

The purpose of this study was to characterize anaerobic power and aerobic power (power at peak oxygen uptake, or peak VO2) of elite senior (post-collegiate) wrestlers. Subjects (n = 14) from the U.S. national senior freestyle and Greco Roman wrestling teams were evaluated at separate tests using cycle ergometry for peak VO2 of the arms, peak VO2 of the legs, arm anaerobic peak power, and leg anaerobic peak power. Power output at peak VO2 was recorded for each test and compared to the anaerobic power of the appropriate body segment. The results (mean +/- SD) showed that wrestlers produced 2.3 +/- 0.4 W.kg body weight-1 at arm peak VO2 (43.7 +/- 4.6 ml.kg body weight-1. min-1), 4.2 +/- 0.5 W.kg body weight-1 at leg peak VO2 (50.9 +/- 5.1 ml.kg body weight-1.min-1), arm PP of 7.7 +/- 1.0 W.kg body weight-1, and leg PP of 10.5 +/- 1.7 W.kg body weight-1. Comparing power output during anaerobic and aerobic tests, the subjects performed at 3.4 +/- 0.6 times their peak oxygen uptake during arm anaerobic ergometry, whereas leg anaerobic peak power was 2.7 +/- 0.4 times the power at peak oxygen uptake for the legs (p < 0.05 for difference between ratios). Conclusion: relative to aerobic power, elite senior wrestlers may produce power anaerobically in the upper body at significantly higher levels than in the lower body.     

Aging, exercise, and limb vascular heterogeneity in humans

Unlike quadrupeds, human limbs are exposed to differing homeostatic challenges and uses, which results in significant functional heterogeneity between the arms and legs. In these ACSM symposium proceedings, we report findings from three studies with the overall aim of investigating between-limb vascular differences through evaluation of arm (brachial artery) and leg (common, superficial, and deep femoral arteries) limb blood flow (ultrasound Doppler) during isolated-limb-specific exercise and after postcuff occlusion hyperemia. In a study of young, trained cyclists, a substantial conduit vessel vasodilation (deep femoral artery, approximately 9%) was observed during exercise, but responsiveness normalized to shear stimuli was still less than a conduit vessel in the arm. A subsequent aging study did not demonstrate any significant difference in resting leg or arm blood flow between young and old subjects when flow was normalized for muscle mass. However, we observed an approximately 10-15% reduction in exercising leg blood flow and vascular conductance in these older subjects, whereas exercising arm blood flow was similar between age groups. A separate aging study evaluated age-related changes in flow-mediated vasodilation (FMD), with the older group enrolled in a 6-wk knee-extensor exercise training program. Before training, a significant FMD was observed in the arm of young (3 +/- 1%) but not old (1 +/- 1%) subjects, and a significant leg FMD was observed in both groups. However, pretraining arm vasodilation was similar between young and old when normalized for shear rate. Exercise training significantly improved arm FMD (5 +/- 1%), whereas leg FMD was unchanged. Collectively, these studies demonstrate a significant between-limb vascular heterogeneity in humans that is influenced by age and by exercise training.     

Eccentric exercise effect on blood oxidative-stress markers and delayed onset of muscle soreness

PURPOSE: This study examined the effects of a single bout of high-intensity eccentric exercise (EE) on blood protein carbonyls, glutathione status, and muscle damage indicators to ascertain whether blood markers of oxidative stress are elevated at the time delayed onset of muscle soreness (DOMS) occurs. METHODS: Eight healthy men (26.5 +/- 1.5 yr) performed 60 eccentric contractions at approximately 135-150% dominant arm maximum isometric force (MIF) using their nondominant arm elbow flexors. DOMS, range of motion (ROM), MIF, and blood were obtained before, immediately after, and 24, 48, 72, and 96 h after the EE. Blood samples were analyzed for plasma creatine kinase (CK) activity, and protein carbonyls (PC), and erythrocyte glutathione status. RESULTS: A significant decrease in MIF occurred at all times after the EE. ROM decreased from 24 to 96 h, and DOMS increased 24 to 72 h in the nondominant arm as indicated by a repeated measure ANOVA. Plasma CK activity peaked at 72 h (1620 +/- 500 IU x L(-1)) compared with baseline (154 +/- 27 IU x L(-1). Erythrocyte-reduced glutathione (GSH) concentration was not significantly affected by the EE but tended to decrease 23% by 24 h and continued at this level for 96 h. Oxidized glutathione (GSSG) and total glutathione were unchanged over time. A significant increase in plasma PC occurred at 24 and 48 h after eccentric exercise. CONCLUSIONS: The results suggest that 60 EE at 135-150% MIF can result in DOMS, with decreased muscle function and increases in plasma PC at 24 and 48 h without alterations in blood glutathione status.     

Plasma catecholamine and blood lactate responses to incremental arm and leg exercise

PURPOSE AND METHODS: The present study was conducted to examine the pattern of plasma catecholamine and blood lactate responses to incremental arm and leg exercise. Seven untrained male subjects performed two incremental exercise tests on separate days in random order. One test consisted of 1-arm cranking (5W x 2 min(-1)), whereas the other exercise test was 2-leg cycling (20-25W x 2 min(-1)). Blood samples were obtained from the nonexercising arm during 1-arm cranking and from the same arm and vein during 2-leg cycling. Thresholds for blood lactate (T(La)), epinephrine (T(Epi)) and norepinephrine (T(NE)) were determined for each subject under both exercise conditions and defined as breakpoints when plotted as a function of power output. RESULTS: When the two modes of exercise were compared, T(La), T(Epi), and T(NE) were all significantly lower for 1-arm cranking than for 2-leg cycling (P < 0.01). During 1-arm cranking, T(La) (0.96 +/- 0.10 L x min(-1)), T(Epi) (1.02 +/- 0.07 L x min(-1)), and T(NE) (1.07 +/- 0.09 L x min(-1)) occurred simultaneously. During 2-leg cycling, T(La) (1.77 +/- 0.20 L x min(-1)), T(Epi) (1.74 +/- 0.17 L x min(-1)), and T(NE) (1.98 +/- 0.17 L x min(-1)) occurred at similar levels of VO2 and were not significantly different. The correlation observed between the VO2 measured at the T(La) and T(Epi) was 0.917 for arm and 0.929 for leg exercise (P < 0.001). The epinephrine concentration ([Epi]) obtained at the T(La) was not significantly different for arm (0.144 ng x mL(-1)) and leg (0.152 ng x mL(-1)) exercise. CONCLUSIONS: The breakpoint in plasma [Epi] shifted in an identical manner and occurred simultaneously with that of T(La) regardless of the mode of exercise (arm or leg). The Epi concentrations observed at the T(La) agree with those previously reported to produce a rise in blood lactate during Epi infusion at rest. These results support the hypothesis that a rise in plasma [Epi] may contribute to the breakpoint in blood lactate that occurs during incremental exercise.     

The physiological demands of Gaelic football.

Match-lay demands of Gaelic football and fitness profiles were assessed at club competitive level. English Gaelic football club championship players (n = 11) were assessed for anthropometry, leg strength and time to exhaustion on a treadmill run. A similar test battery was administered to a reference group of University competitive soccer players (n = 12). Heart rate was recorded during match-play using radio telemetry and blood lactate concentrations were determined at half-time and after full-time. No differences (p > 0.05) were observed between the Gaelic and soccer players in: body mass (70.7 +/- 10.3 vs 76.6 +/- 10.3 kg); height (176 +/- 5.9 vs 177.7 +/- 6.4 cm); leg to trunk ratio (0.53 +/- 0.01 vs 0.54 +/- 0.03); adiposity (12.2 +/- 2.1 vs 13.5 +/- 3.2% body fat); mean somatotype (2.8 - 4.3-2.0 vs 2.4-4.2-2.4); leg strength measures; and performance on the treadmill. The percentage muscle mass values were lower for the Gaelic players compared to the soccer players (41.9 +/- 5.4 vs 47.3 +/- 5.2%; p > 0.005). For the Gaelic and soccer players, respectively, mean heart rate recorded during each half of match-play were (157 +/- 10 and 158 +/- 12 beats/min) and (164 +/- 10 and 157 +/- 11 beats/min), whilst blood lactates measured at the end of each half, were (4.3 +/- 1 and 3.4 +/- 1.6 mmol/l) and (4.4 +/- 1.2 and 4.5 +/- 2.1 mmol/l). Gaelic footballers at English club championship level seem to exhibit similar fitness profiles, and are subject to broadly similar physiological demands as University-level competitive soccer players.     

Metabolic demands of intense aerobic interval training in competitive cyclists

PURPOSE: To investigate the metabolic demands of a single session of intense aerobic interval training in highly trained competitive endurance cyclists. METHODS: Seven cyclists (peak O2 uptake [VO2 peak] 5.14 +/- 0.23 L x min(-1), mean +/-SD) performed 8 x 5 min work bouts at 86 +/- 2% of VO2 peak with 60-s recovery. Muscle biopsies were taken from the vastus lateralis immediately before and after the training session, whereas pulmonary gas exchange and venous blood were sampled at regular intervals throughout exercise. RESULTS: Muscle glycogen concentration decreased from 501 +/- 91 to 243 +/- 51 mmol x kg (-1) dry mass (P < 0.01). High rates of total carbohydrate oxidation were maintained throughout exercise (340 micromol.kg(-1).min(-1)), whereas fat oxidation increased from 16 +/- 8 during the first to 25 +/- 13 micromol x kg(-1) x min(-1) during the seventh work bout (P < 0.05). Blood lactate concentration remained between 5 and 6 mM throughout exercise, whereas muscle lactate increased from 6 +/- 1 at rest to 32 +/- 12 mmol x kg(-1) d.m. immediately after the training session (P < 0.01). Although muscle pH decreased from 7.09 +/- 0.06 at rest to 7.01 +/- 0.03 at the end of the session (P < 0.01), blood pH was similar after the first and seventh work bouts (7.34). Arterial oxygen saturation (% S(P)O2) fell to 95.6 +/- 1% during the first work bout and remained at 94% throughout exercise: the 60-s rest intervals were adequate to restore % S(P)O2) to 97%. CONCLUSION: Highly trained cyclists are able to sustain high steady state aerobic power outputs that are associated with high rates of glycogenolysis and total energy expenditure similar to those experienced during a 60-min competitive ride.     

Upper body aerobic fitness comparison between two groups of competitive surfboard riders

The aim of the present study was to evaluate and compare the upper-body aerobic fitness characteristics in 2 groups of competitive surfers with different performance levels. Thirteen male competitive surfers performed an incremental dry-land board paddling test to determine specific peak oxygen uptake (VO2peak), peak power output (Wpeak) and the exercise intensity (%VO2peak) that elicits a blood lactate concentration of 4 mmol x L(-1) (LT4). As a measure of surfing performance, surfers were ranked according to their competitive season performance (RANK) and divided into 2 groups based on their performance level; European top-level competitive surfers (ELS) (n = 7) and regional level competitive surfers (RLS) (n = 6). ELS reached significantly higher values than RLS for Wpeak (154.71 +/- 36.82 W vs. 117.70 +/- 27.14 W: P = 0.04) and LT4 (95.18 +/- 3.42 %VO2peak vs. 88.89 +/- 5.01 %VO2peak; P = 0.02) but not VO2peak (3.34 +/- 0.31 L x min(-1) vs. 3.40 +/- 0.37 L x min(-1); P = 0.77). Spearman-rank order correlation analysis revealed that RANK was inversely correlated with Wpeak (r = -0.65, P = 0.01) and LT4 (r = -0.58, P = 0.03). These findings identify that better surfers have higher upper body aerobic fitness scores.     

Effect of chronic aerobic exercise on cutaneous microcirculatory flow response to insulin iontophoresis and to ischemia in elderly males

The aim of this study was to assess whether chronic aerobic exercise can favourably influence the vascular activity of insulin in elderly subjects. We measured in arbitrary units (A. U.) the cutaneous blood flow basally and in response to iontophoresis of insulin, by the means of a Laser Doppler flowmeter, on the right arm of 10 elderly athletes (10 males, aged 65 +/- 6 years) and of 10 sex- and age-matched sedentary subjects. The cutaneous blood flow response to ischemia was also explored in the right leg of the same subjects by means of the same instrument. No significant differences in cutaneous arm and leg blood flow were observed basally between athletes and sedentary subjects (7.25 +/- 2.65 A. U. versus 6.35 +/- 4.04 A. U. and 9.74 +/- 5.11 A. U. versus 9.41 +/- 6.40 A. U., respectively). Cathodal iontophoresis (six poulses of 0.1 mA each for 20 s, with 40-s interval between stimulations) of regular insulin (0.1 ml Humulin R 100 IU/ml diluted 1/10 with 0.9 % saline) induced a significant increase of cutaneous blood flow in both groups (p < 0.01 in athletes, p < 0.01 in sedentary subjects). However the maximal cutaneous blood flow response to insulin was higher in athletes than in sedentary subjects (24.69 +/- 13.34 A. U. versus 14.33 +/- 7.73 A. U., respectively, p < 0.05) as well as the curve of the net blood flux response to insulin iontophoresis (% change from baseline in response to insulin minus % change from baseline in response to saline iontophoresis) (p < 0.001 ANOVA for repeated measures). After ischemia there was a significant increase of leg cutaneous blood flow in both groups (p < 0.001 in athletes and in sedentary subjects) with higher blood flow response in athletes than in sedentary subjects (38.18 +/- 17.08 A. U. versus 26.01 +/- 6.39 A. U., respectively, p < 0.05). The time reached from the release of ischemia to peak-flow was significantly longer in sedentary subjects than in athletes (43.5 +/- 28.5 s versus 20.0 +/- 9.3 s, p < 0.05, respectively). These results suggest that chronic aerobic exercise increases insulin vasodilatory activity and improves endothelial function in elderly subjects.     

Aerobic training and cardiovascular responses at rest and during exercise in older men and women

PURPOSE: The effects of an intense 8-wk aerobic training program on cardiovascular responses at rest and during exercise, including heart rate variability (HRV) as an expression of autonomic modulation, were evaluated in subjects over 70 yr (mean: 73.9 +/- 3.5 yr). METHODS: Before and after training in 7 men and 8 women: a) heart rate (HR), blood pressures (BPs), pulse pressure (PP), and oxygen uptake were measured at rest, during, and after exhausting incremental exercise; b) HRV power spectra were calculated at rest in supine and sitting, and during and after two submaximal constant loads (5 min). Power in low-frequency (LF, 0.04-0.15 Hz) and high-frequency (HF, >0.15 Hz) bands were expressed as a percent of total power minus power < 0.04 Hz. RESULTS: After training: a) at rest HR and HRV parameters (in both body positions) were unchanged, whereas BPs decreased; b) peak cycle resistance and oxygen consumption increased by 25% and 18%, respectively, but no change in maximal HR and BPs were found; c) during submaximal loads HR was unchanged at the same metabolic demand, whereas SBP and DBP were lower than before at low loads whereas PP was unchanged. LF power decreased and HF increased at oxygen uptakes above about 0.7 L.min-1 similarly before and after training; and d) recovery of all parameters was similar to pretraining and complete after 10 min CONCLUSIONS: The increase in exercise capacity without changes in cardiovascular parameters suggests that 8 wk of aerobic training augmented peripheral gas exchange but not delivery to muscle. The lack of effect on HRV indicates that the improvements in aerobic power and cardiac autonomic modulation, at least in subjects over 70 yr, are dissociated. Moreover, the metabolic demand seems to be the main factor for the changes in HRV power spectra that occur during exercise.     

Vascular remodeling after spinal cord injury

PURPOSE: Our purpose was to determine whether spinal cord injured (SCI) subjects have decreased femoral artery diameter and maximal hyperemic blood flow when expressed per unit of muscle volume compared with able-bodied (AB) individuals. A secondary purpose was to determine whether blood flow recovery rates were similar between groups. METHODS: Blood flow was measured in the femoral artery using Doppler ultrasound after distal thigh cuff occlusion of 4 and 10 min. Muscle mass of the lower leg was determined by magnetic resonance imaging (MRI). RESULTS: SCI individuals had smaller muscle cross-sectional areas (37%, P = 0.001) and volumes (38%, P = 0.001) than AB individuals. Furthermore, femoral artery diameter (0.76 +/- 0.14 vs 0.48 +/- 0.06 cm, AB vs SCI, P < 0.001) and femoral artery maximal blood flow (2050 +/- 520 vs 1220 +/- 240 mL x min-1, AB vs SCI, P < 0.001) were lower in SCI than AB individuals. Femoral artery diameter and maximal blood flow per unit muscle volume did not differ between SCI and AB individuals (P = 0.418 and P = 0.891, respectively). Blood flow recovery after ischemia was prolonged in SCI compared with AB individuals for both cuff durations (P = 0.048). CONCLUSIONS: In summary, femoral artery diameter and maximal hyperemic blood flow response per unit muscle volume are not different between SCI and AB individuals. Vascular atrophy after SCI appears to be closely linked to muscle atrophy. Furthermore, the SCI compared with AB individuals had a prolonged time to recovery, which may suggest decreased vessel reactivity.     

Combined aerobic and resistance training in breast cancer survivors: A randomized, controlled pilot trial

The purpose of this pilot study was to examine the effects of a combined cardiorespiratory and resistance exercise training program of short duration on the cardiorespiratory fitness, strength endurance, task specific functional muscle capacity, body composition and quality of life (QOL) in women breast cancer survivors. Sixteen subjects were randomly assigned to either a training (n = 8; age: 50 +/- 5 yrs) or control non-exercising group (n = 8; age: 51 +/- 10 yrs). The training group followed an 8-week exercise program consisting of 3 weekly sessions of 90-min duration, supervised by an experienced investigator and divided into resistance exercises and aerobic training. Before and after the intervention period, all of the subjects performed a cardiorespiratory test to measure peak oxygen uptake (VO2peak), a dynamic strength endurance test (maximum number of repetitions for chest and leg press exercise at 30 - 35 % and 100 - 110 % of body mass, respectively) and a sit-stand test. Quality of life was assessed using the European Organization for Research and Treatment of Cancer QLQ-C30 (EORTC-C30) questionnaire. In response to training, QOL, VO2peak (mean 3.9 ml/kg/min; 95 % CI, 0.93, 6.90) performance in leg press (17.9 kg; 95 % CI, 12.8, 22.4) and sit-stand test (- 0.67 s; 95 % CI, - 0.52, - 1.2) improved (p < or = 0.05). We observed no significant changes in the control group. Combined cardiorespiratory and resistance training, even of very brief duration, improves the QOL and the overall physical fitness of women breast cancer survivors.     

Effects of a 15-d race on plasma steroid levels and leg muscle fitness in runners

Effects of increased training distance on resting plasma testosterone and adrenal steroid levels, serum markers of protein catabolism and muscle fiber damage, and field tests of leg muscle fitness were studied in 19 male marathon runners. Data were collected 1-2 d before and 1 d after a 400-km road race over 15 d. The runners maintained their usual training speeds even though the race distance was twice their regular mileage. Testosterone levels decreased 31% (P less than 0.01), from 23.5 +/- 1.7 to 16.2 +/- 1.0 nmol.l-1. The ratio of cortisol to testosterone increased 83% (P less than 0.01). Blood urea nitrogen (BUN) concentration increased from 16.7 +/- 0.7 to 21.8 +/- 1.0 mg.dl-1 (P less than 0.05) and serum total protein decreased from 7.09 +/- 0.10 to 6.88 +/- 0.08 g.dl-1 (P less than 0.05). Serum creatine kinase (CK) activity increased 380%, from 152 +/- 11 to 731 +/- 74 U.l-1 (P less than 0.001) and was associated with persistent leg muscle soreness. There were no significant changes in body weight, estimated lean body weight, hematocrit, or plasma cortisol, aldosterone, progesterone, androstenedione, and DHEA sulfate levels. Test scores for leg power (vertical jump), strength (dead lift), flexibility (sit-and-reach), and speed (timed stands) did not change significantly. The decrease in plasma testosterone did not correlate with the changes in either BUN, total protein, or CK. The results indicate that existent leg muscle fitness was unaltered despite the suppression of circulating testosterone and the development of early protein catabolism and muscular damage.     

Lung function, arterial saturation and oxygen uptake in elite cross country skiers: influence of exercise mode

Arterial desaturation during exercise is common in endurance-trained athletes, a phenomenon often more pronounced when the muscle mass engaged in the exercise is large. With this background, the present study monitored seven international-level cross country skiers performing on a treadmill while running (RUN), double poling (DP; upper body exercise) and diagonal skiing (DIA; arm and leg exercise). Static and dynamic lung function tests were performed and oxygen uptake was measured during submaximal and maximal exercise. Lung function variables (including the diffusion capacity) were only 5-20% higher than reported in sedentary men. Vital capacity was considerably lower than expected from the skiers' maximal oxygen uptake (VO(2max)), but the maximal ventilation followed a linear relationship with VO(2max). None or only a mild desaturation was observed in DP, RUN and DIA. Blood lactate concentration was slightly higher in DIA than in DP but not different from RUN. In DIA, VO(2max) was 6.23 +/- 0.47 L/min (mean +/- SD), which was 3.8% and 13.9% higher than in RUN and DP, respectively, with similar peak heart rates for the three exercise modes. No relationships were present either between the degree of desaturation and pulmonary functions tests, or with peak oxygen uptakes. The low blood lactate accumulation during the exhaustive efforts contributed to the arterial oxygen saturation being mild in spite of the very high oxygen uptake observed in these skiers.     

Muscle temperature and sprint performance during soccer matches--beneficial effect of re-warm-up at half-time

The relationship between quadriceps muscle temperature (T(m)) and sprint performance was evaluated during soccer matches in 25 competitive players. In one game, T(m) was determined frequently (n=9). In another game, eight players performed low-intensity activities at half-time (re-warm-up, (RW), whereas another eight players recovered passively (CON). T(m) was 36.0+/-0.2 degrees C at rest and increased (P<0.05) to 39.4+/-0.2 degrees C before the game and remained unaltered during the first half. At half-time, T(m) decreased (P<0.05) to 37.4+/-0.2 degrees C, but increased (P<0.05) to 39.2+/- degrees C during the second half. In CON and RW, T(m) and core temperature (T(c)) were similar before and after the first half, but 2.1+/-0.1 and 0.9+/-0.1 degrees C higher (P<0.05), respectively, in RW prior to the second half. At the onset of the second half, the sprint performance was reduced (P<0.05) by 2.4% in CON, but unchanged in RW. The decrease in T(m) was correlated to the decrease in performance (r=0.60, P<0.05, n=16). This study demonstrates that in soccer, the decline in T(m) and T(c) during half-time is associated with a lowered sprint capacity at the onset of the second half, whereas sprint performance is maintained when low-intensity activities preserve muscle temperature.