No graduated pressure profile in compression stockings still reduces muscle fatigue

Most sporting compression stockings possess a graduated pressure profile. However, it remains unclear whether the graduated pressure profile is an essential feature for reducing the development of muscle fatigue. This study sought to examine the effect of the pressure profile of compression stockings on the degree of muscle fatigue of lower leg muscles induced by submaximal running exercise. 15 male subjects performed 30-min treadmill running in 1 control and 4 compression stocking conditions with the following profiles; 1) graduated low pressure, 2) graduated high pressure, 3) uniform pressure distribution, and 4) localized pressure just over the gastrocnemius muscle belly. Before and immediately after the exercise, T2-weighted magnetic resonance images of the right lower leg were obtained without testing garments. T2 values of the triceps surae and tibialis anterior were calculated from the images. T2 was significantly increased after the running in all conditions. The magnitude of T2 increase was significantly greater in the control than in other 3 conditions except for the one with graduated low pressure, whereas there were no significant differences among the latter 3 conditions. The findings suggest that a graduated pressure profile is not an essential feature of compression stockings for reducing the development of muscle fatigue during submaximal running exercise.

Nonuniform muscle hypertrophy: its relation to muscle activation in training session

PURPOSE

Muscle hypertrophy in response to resistance training has been reported to occur nonuniformly along the length of the muscle. The purpose of the present study was to examine whether the regional difference in muscle hypertrophy induced by a training intervention corresponds to the regional difference in muscle activation in the training session.

METHODS

Twelve young men participated in a training intervention program for the elbow extensors with a multijoint resistance exercise for 12 wk (3 d · wk(-1)). Before and after the intervention, cross-sectional areas of the triceps brachii along its length were measured with magnetic resonance images. A series of transverse relaxation time (T2)-weighted magnetic resonance images was recorded before and immediately after the first session of training intervention. The T2 was calculated for each pixel within the triceps brachii. In the images recorded after the session, the number of pixels with a T2 greater than the threshold (mean + 1 SD of T2 before the session) was expressed as the ratio to the whole number of pixels within the muscle and used as an index of muscle activation (percent activated area).

RESULTS

The percent activated area of the triceps brachii in the first session was significantly higher in the middle regions than that in the most proximal region. Similarly, the relative change in cross-sectional area induced by the training intervention was also significantly greater in the middle regions than the most proximal region.

CONCLUSION

The results suggest that nonuniform muscle hypertrophy after training intervention is due to the region-specific muscle activation during the training session.

Effect of vitamin D supplementation on pegylated interferon/ribavirin therapy for chronic hepatitis C genotype 1b: a randomized controlled trial

Chronic HCV-infected patients tend to have vitamin D deficiency, suggesting that vitamin D supplementation may enhance the efficacy of treatment with pegylated interferon (PEG-IFN) and ribavirin (RBV). We therefore assessed the effects of vitamin D supplementation on viral response to PEG-IFN/RBV. Eighty-four patients with HCV genotype 1b were randomized, 42 to oral vitamin D supplementation (1000 IU/day) and 42 to nonsupplementation (control), from week 8 to the end of PEG-IFN/RBV therapy. The primary end point was undetectable HCV RNA at week 24 (viral response [VR]). VR rate at week 24 was significantly higher in the vitamin D than in the control group (78.6% vs 54.8% P = 0.037). Adverse events were similar in both groups. When patients were subdivided by IL28B SNP rs8099917 genotype, those with the TT genotype group showed a significantly higher VR rate at week 24 with than without vitamin D supplementation (86.2% vs 63.3% vs P = 0.044). Although patients with the TG/GG genotype, who were relatively resistant to PEG-IFN treatment, had similar VR rates at week 24 with and without vitamin D supplementation, the decline in viral load from week 8 to week 24 was significantly greater with than without vitamin D supplementation. Multivariate analysis showed that rs8099917 genotype and vitamin D supplementation contributed significantly to VR at week 24. SVR rates were similar in the vitamin D and control groups [64.3% (27/42) vs 50% (21/42), P = 0.19]. Vitamin D supplementation may enhance the effects of PEG-IFN/RBV in HCV genotype 1b-infected patients.

Effect of conditioning contraction intensity on postactivation potentiation is muscle dependent

We aimed to examine whether the influence of conditioning contraction intensity on the extent of postactivation potentiation (PAP) is muscle dependent. Eleven healthy males performed both thumb adduction and plantar flexion as a conditioning contraction. The conditioning contraction intensities were set at 20%, 40%, 60%, 80%, or 100% of the maximal voluntary isometric contraction (MVC). Before and after the conditioning contraction, twitch torque was measured for the respective joint to calculate the extent of PAP. In plantar flexion, the extent of PAP became significantly larger as the conditioning contraction intensity increased up to 80% MVC (p<0.05). In contrast, the extent of PAP in thumb adduction increased significantly only up to 60% MVC (p<0.05), but not at higher intensities. These results indicate that the influence of the conditioning contraction intensity on the extent of PAP is muscle dependent. Our results suggest that a conditioning contraction with submaximal intensity can sufficiently evoke sizable PAP in the muscle where most of muscle fibers are recruited at submaximal intensities, thereby attenuating muscle fatigue induced by the conditioning contraction.

Applicability of ultrasound muscle thickness measurements for predicting fat-free mass in elderly population

OBJECTIVE

This study aimed to examine the applicability of ultrasound muscle thickness (MT) measurements for predicting whole body fat-free mass (FFM) in elderly individuals.

DESIGN AND SETTING

Cross-sectional study of 77 healthy elderly individuals.

METHODS

MTs at nine sites of the body and FFM were determined using B-mode ultrasound and dual-energy x-ray absorptiometry (DXA), respectively, in 44 women and 33 men aged 52 to 78 yrs. Stepwise multiple regression analysis produced two equations for predicting DXA-based FFM with sex (dummy: woman = 0 and man = 1) and either MTs at the anterior and posterior of thigh and lower leg (Eq1) or the product of MT and limb length (MT×LL) at thigh anterior and posterior, lower leg posterior, and upper arm anterior (Eq2) as independent variables.

RESULTS

The R2 and SEE for each of the two equations were 0.929 and 2.5 kg for Eq1 and 0.955 and 2.0 kg for Eq2. The estimated FFM from each of Eq1 (44.4 ± 8.9 kg) and Eq2 (44.4 ± 9.0 kg) did not significantly differ from that of the DXA-based FFM (44.4 ± 9.2 kg), without systematic error. However, the absolute value of the difference between the DXA-based and estimated FFM was significantly greater with Eq1 (2.0 ± 1.5 kg) than with Eq2 (1.5 ± 1.3 kg).

CONCLUSION

The current results indicate that ultrasound MT measurement is useful to predict FFM in the elderly, and its accuracy is improved by using the product of MT and limb length as an independent variable.

Evaluation of serum leaking enzymes and investigation into new biomarkers for exercise-induced muscle damage

This investigation determined whether existing muscle damage markers and organ damage markers respond to an acute eccentric exercise protocol and are associated with affected muscle symptoms. Nine healthy-young men completed one-leg calf-raise exercise with their right leg on a force plate. They performed 10 sets of 40 repetitions of exercise at 0.5 Hz with a load corresponding to half of their body weight, with 3 min rest between sets. The tenderness of medial gastrocnemius, lateral gastrocnemius and soleus, and the ankle active range of motion (ROM) were assessed before, immediately after, 24 h and 48 h, 72 h, 96 h and 168 h after exercise. Blood and urine were collected pre-exercise and 2 h, 4 h, 24 h, 48 h, 72 h and 96 h post-exercise. Serum was analyzed for creatine kinase (CK), aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH) and aldolase (ALD) activities. We also determined heart-type fatty acid-binding protein (H-FABP), intestinal-type fatty acid-binding protein (I-FABP) and liver-type fatty acid-binding protein (L-FABP), neutrophil gelatinase-associated lipocalin (NGAL), interleukin (IL)-17A, IL-23, nerve growth factor (NGF), soluble-Endothelial (sE)-selectin, s-Leukocyte (L)-selectin, s-Platelets (P)-selectin, and 8-isoprostane in plasma and urine. The tenderness of proximal and middle gastrocnemius increased significantly 72 h (p < 0.05, p < 0.01) after exercise. Ankle active ROM in dorsal flexion decreased significantly 48 h (p < 0.05) and 72 h (p < 0.01) after exercise. CK and ALD activities significantly increased at 72 h (p < 0.05) and remained elevated at 96 h (p < 0.01) postexercise compared to pre-exercise values. Also, ALD which showed relatively lower interindividual variability was significantly correlated with tenderness of middle gastrocnemius at 72 h. LDH activity significantly increased 96 h postexercise (p < 0.01), whereas the increase in AST and ALT activities 96 h post-exercise was not significantly different from pre-exercise values. There were no significant changes in FABPs, NGAL, IL-17A, IL-23, NGF, selectins and 8-isoprostanes in plasma and urine. In conclusion, calf-raise exercise induced severe local muscle damage symptoms which were accompanied by increases in both serum CK and ALD activities, but we could not detect any changes in examined markers of organ damage, inflammation and oxidative stress. Further research is needed to determine other more sensitive biomarkers and the underlying mechanisms of exercise-induced muscle damage.

Potentiation of isokinetic torque is velocity-dependent following an isometric conditioning contraction

Not only twitch torque but also the maximal voluntary concentric torque increases after a high-intensity contraction (conditioning contraction). The purpose of this study was to test the hypothesis that the increase in the maximal voluntary concentric torque induced by a conditioning contraction is prominent when tested at fast angular velocities conditions. Twelve healthy male participants performed the maximal voluntary isometric plantar flexion for six seconds as a conditioning contraction. Before and after the conditioning contraction, peak torques during the maximal voluntary concentric plantar flexions were measured at 30°/s (slow) and 180°/s (fast), each of which was carried out in a separate condition. Isometric twitch torque was also recorded before and after the conditioning contraction in each of the two velocity conditions to confirm the extent of the positive effect of the conditioning contraction. The extent of increase in isometric twitch torque was similar between the two velocity conditions, whereas the maximal voluntary concentric torque increased significantly only in the fast velocity condition (p = 0.003). These results support the hypothesis and indicate that the maximal voluntary concentric torque can be potentiated by the conditioning contraction if the joint angular velocity during the maximal voluntary concentric contraction is sufficiently high.

Validity of ultrasound muscle thickness measurements for predicting leg skeletal muscle mass in healthy Japanese middle-aged and older individuals

Background

The skeletal muscle mass of the lower limb plays a role in its mobility during daily life. From the perspective of physical resources, leg muscle mass dominantly decreases after the end of the fifth decade. Therefore, an accurate estimate of the muscle mass is important for the middle-aged and older population. The present study aimed to clarify the validity of ultrasound muscle thickness (MT) measurements for predicting leg skeletal muscle mass (SM) in the healthy Japanese middle-aged and older population.

Findings

MTs at four sites of the lower limb and the bone-free lean tissue mass (LTM) of the right leg were determined using brightness-mode ultrasonography and dual-energy X-ray absorptiometry (DXA), respectively, in 44 women and 33 men, 52- to 78-years old. LTM was used as a representative variable of leg skeletal muscle mass. In the model-development group (30 women and 22 men), regression analysis produced an equation with R² and standard error of the estimate (SEE) of 0.958 and 0.3 kg, respectively: LTM (kg) = 0.01464 × (MT_SUM×L) (cm²) - 2.767, where MT_SUM is the sum of the product of MTs at four sites, and L is length of segment where MT is determined. The estimated LTM (7.0 ± 1.7 kg) did not significantly differ from the measured LTM (7.0 ± 1.7 kg), without a significant systematic error on a Bland-Altman plot. The application of this equation for the cross-validation group (14 women and 11 men) did not yield a significant difference between the measured (7.2 ± 1.6 kg) or estimated (7.2 ± 1.6 kg) LTM and systematic error.

Conclusion

The developed prediction equation may be useful for estimating the lean tissue mass of the lower extremity for the healthy Japanese middle-aged and older population.

Inferior muscularity of the rectus femoris to vasti in varsity oarsmen

The purpose of this study was to examine the morphological profiles of 4 constituents (vastus lateralis, vastus medialis, vastus intermedius and rectus femoris) of the quadriceps femoris in oarsmen through comparison with non-athletes. T1-weigheted magnetic resonance (MR) images of the thigh were obtained from 14 oarsmen and 19 non-athlete men. From the MR images, serial anatomical cross-sectional areas (ACSAs) and muscle volume of each muscle were determined. The muscle volume of the total quadriceps femoris, vastus lateralis, vastus medialis and vastus intermedius were significantly larger in the oarsmen than in the non-athlete men, whereas that of the rectus femoris was comparable for the 2 groups. The portion of the rectus femoris as a percentage of total quadriceps femoris volume was significantly higher in the non-athlete men than in the oarsmen, and vice versa for the vastus lateralis. The proximal-to-distal and middle-to-distal ACSA ratios in each muscle did not differ between the 2 groups. The present results indicate inferior muscular hypertrophy of the rectus femoris compared to the vasti in oarsmen, and that the vasti are equally hypertrophied along their lengths. This may be due to muscle-specific adaptation to the rowing exercise.

Non-uniform muscle oxygenation despite uniform neuromuscular activity within the vastus lateralis during fatiguing heavy resistance exercise

Previous studies have reported for the vastus lateralis (VL) that the extent of muscle hypertrophy in response to resistance training is greater in the distal than in the middle region, despite uniform muscle fibre composition within VL along its length. In the present study, to investigate mechanism(s) for such non-uniform muscle hypertrophy, we simultaneously measured neuromuscular activity and muscle oxygenation state at the middle and distal regions of VL during fatiguing heavy resistance exercise. Twelve males performed unilateral knee extension exercise which consisted of 4 sets of 8 repetitions at intensity of 80% of the individual one repetition maximum. During the resistance exercise, neuromuscular activities and muscle oxygenation status at the middle and distal regions (50% and 70% of the thigh length, respectively) of VL were measured by using electromyography and near-infrared spectroscopy, respectively. Neuromuscular activities were similar between the distal and middle regions of VL, whereas muscle tissue oxygenation saturation was significantly lower at the distal than at the middle region of VL. These results suggest a possibility that the regional difference in muscle oxygenation but not in neuromuscular activity during fatiguing heavy resistance exercise is responsible for the regional difference in hypertrophy within a muscle.

Potentiation of maximal voluntary concentric torque in human quadriceps femoris

PURPOSE

Previous studies have shown that one bout of 6-s maximal voluntary contraction (MVC) can enhance subsequent dynamic joint performance with maximal voluntary effort. However, the conditioning contraction also induces central fatigue, which attenuates the enhancement of the subsequent voluntary joint performance. Here, as a modality for minimizing the fatigue while enhancing joint performance, we examined the effects of one bout of a short-duration isometric MVC and neuromuscular electrical stimulation (NMES).

METHODS

In the first experiment, the optimal duration of NMES for inducing twitch potentiation of the quadriceps femoris muscle was determined, which was found to be 5 s. Then in the second experiment, 13 subjects performed maximal voluntary isokinetic concentric knee extensions at 210° · s(-1) in the following sequence: before and immediately after each of the 3-, 5-, and 10-s MVCs and 5-s NMES of knee extension and 1, 3, and 5 min thereafter.

RESULTS

When the isometric MVC was used as a conditioning contraction, the maximal voluntary concentric torque was significantly enhanced at 1 and 3 min after MVC only in the 5-s MVC trial (106.6% ± 2.3% and 107.2% ± 2.6% of the initial value, respectively) but not in the 3- and 10-s MVC trials. In the 5-s NMES trial, the voluntary concentric torque was significantly increased immediately after the conditioning contraction (105.1% ± 2.2%) as well as 1 and 3 min thereafter (107.5% ± 3.3% and 107.8% ± 2.7%, respectively).

CONCLUSIONS

These results suggest that conditioning contraction of around 5 s, performed with isometric MVC or NMES, can be a modality to enhance dynamic voluntary joint performance, with the latter having a more immediate effect.

Neural modulation of muscle-tendon control strategy after a single practice session

PURPOSE

The purpose of the present study was to examine a hypothesis that the musculotendinous behavior during a propelling action with a countermovement can be altered by a single practice session through modulation of neuromuscular activities.

METHODS

Eight males performed unilateral maximal plantarflexion with (CMJ) and without (noCMJ) countermovement before and after a practice consisting of six sets of three repetitions of unilateral CMJ exercises. Measurements included EMG activities of the triceps surae and tibialis anterior muscles and the fascicle behavior of the gastrocnemius by ultrasonography, and impulse was calculated from the force-time data. The change in tendon length was also estimated.

RESULTS

The impulse in CMJ increased after the practice, but that in noCMJ did not. After the practice, the magnitude of fascicle lengthening and shortening in CMJ decreased, which was accompanied by an increase in tendon shortening without change in the ankle joint range of motion. The time lag from the onset of reaction force to that of EMG activities of the triceps surae muscles was shortened after the practice.

CONCLUSIONS

The results support the hypothesis and indicate that, as a neural modulation through a single practice, the muscle-tendon unit behavior during CMJ can be optimized to improve the performance.

The activation time-course of contractile elements estimated from in vivo fascicle behaviours during twitch contractions

To better understand the cascade from neural activation up to force production within in vivo contracting muscle-tendon units, we estimated activation of contractile elements from experimentally measured human fascicle length change and force using a Hill-type muscle model. The experiment was conducted with respect to twitch contractions of the tibialis anterior muscle at three joint angles. As muscle contractile element force is a function of its length and velocity, the activation of contractile elements was calculated using a Hill-type muscle model and measured data. The results were able to reproduce the continuous rising activation of contractile elements after termination of electromyographic activity, the earlier shift of peak activation in time compared to twitch force, and the differences in time-course activation at three different joint angles. These findings are consistent with the predicted change in the activation of contractile elements from previous reports. Also, the results suggest that the time-course of the activation of contractile elements was greatly influenced by the change in force generating capacities related to both length and velocity, even in fixed end contractions, which could result from muscle-tendon interaction.

Virological response and safety of 24-week telaprevir alone in Japanese patients infected with hepatitis C virus subtype 1b

Hepatitis C virus (HCV) subtype 1b, which infects approximately 70% of Japanese carriers, is likely to be more eradicable by a telaprevir regimen than subtype 1a because of the higher genetic barrier of Val(36) and Arg(155) substitutions. The aims of this exploratory study were to evaluate the virological response and safety of 24-week oral administration of telaprevir alone in chronic HCV subtype 1b infection. Fifteen treatment-naïve patients were treated with telaprevir 750 mg every 8 h for 24 weeks. All patients were Japanese whose median age was 58.0 years (range: 45-68), and six patients (40%) were men. Median baseline HCV RNA level was 6.80 log(10) IU/mL (range: 3.55-7.10). The HCV RNA levels decreased to undetectable in five patients (33%) within 8 weeks. Three patients (20%) with negative HCV RNA by Week 4 achieved end of treatment response. One patient (7%) who achieved sustained virological response had a low baseline viraemia of 3.55 log(10) IU/mL. Most of the adverse events including anaemia and skin disorders were mild to moderate. Developed variants were T54A and A156V/T/F/Y with or without secondary substitutions rather than V36M ± R155K. Telaprevir alone for 24 weeks in Japanese patients with HCV subtype 1b resulted in an sustained viral response rate of 7% (1/15) and was well tolerated for 24 weeks. These results will support the implementation of further studies on oral combination of telaprevir with other direct-acting antiviral agents in patients infected with HCV subtype 1b.

Validity of Three-Dimensional Photonic Scanning Technique for Estimating Percent Body Fat

BACKGROUND

Three-dimensional photonic scanning (3DPS) was recently developed to measure dimensions of a human body surface.

OBJECTIVE

The purpose of this study was to explore the validity of body volume measured by 3DPS for estimating the percent body fat (%fat). Design, setting, participants, and measurement: The body volumes were determined by 3DPS in 52 women. The body volume was corrected for residual lung volume. The %fat was estimated from body density and compared with the corresponding reference value determined by the dual-energy x-ray absorptiometry (DXA).

RESULTS

No significant difference was found for the mean values of %fat obtained by 3DPS (22.2 ± 7.6%) and DXA (23.5 ± 4.9%). The root mean square error of %fat between 3DPS and reference technique was 6.0%. For each body segment, there was a significant positive correlation between 3DPS- and DXA-values, although the corresponding value for the head was slightly larger in 3DPS than in DXA. Residual lung volume was negatively correlated with the estimated error in %fat.

CONCLUSIONS

The body volume determined with 3DPS is potentially useful for estimating %fat. A possible strategy for enhancing the measurement accuracy of %fat might be to refine the protocol for preparing the subject's hair prior to scanning and to improve the accuracy in the measurement of residual lung volume.