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Ahmed MM, Alawna M, Youssef ASA, Amin WM, Alajam RA, Morsy WE, Fayed E, Mohamed AA. Immediate effect of physical activity on the autonomic nervous system in individuals with autism spectrum disorders of different age groups: a randomised trial. BMJ Open Sport Exerc Med 2024; 10:e001822. [PMID: 38617566 PMCID: PMC11015250 DOI: 10.1136/bmjsem-2023-001822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2024] [Indexed: 04/16/2024] Open
Abstract
Background Autism spectrum disorder (ASD) is one of the most complex neurodevelopmental disorders. It affects almost all human physiological systems. Individuals with ASD often display dysregulation in their autonomic nervous system (ANS), which may elicit differing effects across age groups. Also, studying the ANS missed several important parameters related to ANS. Studying the ANS is crucial in developing adaptive behavioural strategies and maintaining communication abilities and social behaviours. Thus, this study compared the immediate effect of physical activity on the ANS in individuals with ASD in different age groups. Methods 200 participants (106 males and 94 females) took part in a double-blinded randomised design. All participants were divided into four groups according to their age (4-7, 7-10, 10-13 and 14-18 years old). Participants performed a 60 min treadmill walk. The main outcome measurements were heart rate (HR), saturation of peripheral oxygen (SpO2), respiratory rate (RR) and end-tidal carbon dioxide (etCO2). Results Before the study, there were non-significant differences between groups in their physical characteristics (body mass index, Childhood Autism Rating Scale, physical activity level, both parents' existence, aerobic capacity and gender) (p>0.05). At baseline measurements, there were non-significant differences between all groups for all outcome measurements (p>0.05). Immediately after physical activity, there was significant difference between group 1 and other groups (p<0.05), while all other differences were non-significant (p>0.05). At the follow-up (after 15 min of rest), group 1 maintained significant differences with the other groups for all outcome measurements (p<0.05), while there were non-significant differences between the other three groups (p>0.05). Conclusion This study revealed that the SpO2 significantly decreased immediately after the physical activity, while HR, RR and etCO2 significantly increased immediately after physical activity in comparison to the baseline measurements. Contrary to other ANS parameters (SpO2, RR and etCO2), HR in early ages (4-7 years old) was higher after physical activity and remained elevated longer than other ages. The early ages (4-7 years old) take more time to return to the normal status of ANS parameters including SpO2, HR, RR and etCO2. Trial registration number NCT05725733.
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Affiliation(s)
- Mohamed M Ahmed
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Jazan, Saudi Arabia
- Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, Egypt
| | - Motaz Alawna
- Department of Health Sciences, Faculty of Graduate Studies, Arab American University, Jenin, Palestine, State of
| | - Ahmed S A Youssef
- Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, Egypt
| | - Wafaa Mahmoud Amin
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Jazan, Saudi Arabia
- Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Ramzi Abdu Alajam
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Jazan, Saudi Arabia
| | - Walaa E Morsy
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Jazan, Saudi Arabia
- Department of Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Esraa Fayed
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Jazan, Saudi Arabia
- Department of Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Ayman A Mohamed
- Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Beni-Suef University, Beni Suef, Egypt
- Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Nahda University, Beni Suef, Egypt
- Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Galala University, Suez, Egypt
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Krause A, da Mota de Moreira I, Walser N, Memmert D, Ritzmann R. Whole-Body Electromyostimulation Impacts Physiological Responses During Aerobic Running: A Randomized Trial. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2023; 94:1133-1140. [PMID: 36624960 DOI: 10.1080/02701367.2022.2120949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 08/30/2022] [Indexed: 06/17/2023]
Abstract
Objective: The aim of the current study was to evaluate the physiological and metabolic responses to running with whole-body electromyostimulation (wbEMS) compared to running without electromyostimulation (control, CG). Methods: Twenty healthy participants (9 male/11 female, age 42 ±7 years) conducted an incremental step test with respiratory gas analysis until exhaustion. Trials were conducted as wbEMS and CG in a random order. As outcome measures, (A) objective total exhaustion, (B) athletic responses (max. time and velocity) and (C) physiological and metabolic responses (V'O2/ kg, V'E, EE, RER, lactate) were compared. (D) The impact on the skeletal muscle was assessed prior, 48 h & 72 h after trial. Results: During both trials, participants (A) ran until total exhaustion. Nonetheless, (B) time and velocity till exhaustion as well as (C) RER prior to the first lactate threshold and V'E were reduced with wbEMS. All other correlates did not differ significantly between wbEMS and CG. Following 48 h and 72 h after the trial with wbEMS, (D) the impact on the skeletal muscle was 7- to 9-fold higher compared to baseline values. Values differed significantly to those after running without wbEMS. Conclusion: With the additional stimulation during voluntary activation, wbEMS induces earlier fatigue and a shift in energy metabolism toward fat utilization. Even during aerobic endurance tasks, a great impact on the skeletal muscle indicated by the rise in CK could be observed which promotes wbEMS as an alternative training stimulus that is easy-to-apply and effective during endurance training.
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Djemai H, Hammad R, Dabayebeh IM, Hammad S, Merzouk A, Coumoul X, Noirez P. COVID-19 and aerobic exercise: possible role of angiotensin converting enzyme 2. Arch Public Health 2022; 80:231. [DOI: 10.1186/s13690-022-00983-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 10/13/2022] [Indexed: 11/12/2022] Open
Abstract
AbstractThe emergence and circulation of a novel coronavirus (2019-nCoV)—Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)—set off a global health crisis. SARS-CoV-2 spreads faster than its two ancestors, SARS-CoV and MERS-CoV. Several modes of transmission have been identified: via respiratory droplets, contact with infected people or contaminated surfaces, and potentially, bioaerosols. Various countries have taken preventive measures that may include partial or total lockdowns lasting weeks. The physical inactivity associated with lockdowns may promote cardiometabolic or other diseases, while physical activity may play a critical role in preventing them. Here we develop the hypothesis of the involvement of aerosols in the contamination process, the role of angiotensin converting enzyme 2 (ACE2), the potential benefits and harm of physical activity during lockdowns, and we suggest directions for future research.
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Comparing high versus low-altitude populations to test human adaptations for increased ventilation during sustained aerobic activity. Sci Rep 2022; 12:11148. [PMID: 35778402 PMCID: PMC9249887 DOI: 10.1038/s41598-022-13263-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/10/2022] [Indexed: 11/09/2022] Open
Abstract
Despite aerobic activity requiring up to tenfold increases in air intake, human populations in high-altitude hypoxic environments can sustain high levels of endurance physical activity. While these populations generally have relatively larger chest and lung volumes, how thoracic motions actively increase ventilation is unknown. Here we show that rib movements, in conjunction with chest shape, contribute to ventilation by assessing how adulthood acclimatization, developmental adaptation, and population-level adaptation to high-altitude affect sustained aerobic activity. We measured tidal volume, heart rate, and rib-motion during walking and running in lowland individuals from Boston (~ 35 m) and in Quechua populations born and living at sea-level (~ 150 m) and at high altitude (> 4000 m) in Peru. We found that Quechua participants, regardless of birth or testing altitudes, increase thoracic volume 2.0-2.2 times more than lowland participants (p < 0.05). Further, Quechua individuals from hypoxic environments have deeper chests resulting in 1.3 times greater increases in thoracic ventilation compared to age-matched, sea-level Quechua (p < 0.05). Thus, increased thoracic ventilation derives from a combination of acclimatization, developmental adaptation, and population-level adaptation to aerobic demand in different oxygen environments, demonstrating that ventilatory demand due to environment and activity has helped shape the form and function of the human thorax.
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Callison WÉ, Holowka NB, Lieberman DE. Thoracic adaptations for ventilation during locomotion in humans and other mammals. J Exp Biol 2019; 222:jeb.189357. [DOI: 10.1242/jeb.189357] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 10/01/2019] [Indexed: 11/20/2022]
Abstract
Bipedal humans, like canids and some other cursorial mammals, are thought to have been selected for endurance running, which requires the ability to sustain aerobic metabolism over long distances by inspiring large volumes of air for prolonged periods of time. Here we test the general hypothesis that humans and other mammals selected for vigorous endurance activities evolved derived thoracic features to increase ventilatory capacity. To do so, we investigate whether humans and dogs rely on thoracic motion to increase tidal volume during running to a greater extent than goats, a species that was not selected for endurance locomotion. We found that while all three species use diaphragmatic breathing to increase tidal volume with increasing oxygen demand, humans also use both dorsoventral and mediolateral expansions of the thorax. Dogs use increased dorsoventral expansion of the thorax, representing an intermediate between humans and goats. 3D analyses of joint morphology of 10 species across four mammalian orders also show that endurance-adapted cursorial species independently evolved more concavo-convex costovertebral joint morphologies that allow for increased rib mobility for thoracic expansion. Evidence for similarly derived concavo-convex costovertebral joints in Homo erectus corresponds with other evidence for the evolution of endurance running in the genus Homo.
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Affiliation(s)
- W. Éamon Callison
- Department of Human Evolutionary Biology, Harvard University, 11 Divinity Avenue, Cambridge, MA, USA
| | - Nicholas B. Holowka
- Department of Human Evolutionary Biology, Harvard University, 11 Divinity Avenue, Cambridge, MA, USA
| | - Daniel E. Lieberman
- Department of Human Evolutionary Biology, Harvard University, 11 Divinity Avenue, Cambridge, MA, USA
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Mueller GA, Thompson PM, DeRose EF, O’Connell TM, London RE. A metabolomic, geographic, and seasonal analysis of the contribution of pollen-derived adenosine to allergic sensitization. Metabolomics 2016; 12:187. [PMID: 28798556 PMCID: PMC5546310 DOI: 10.1007/s11306-016-1130-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND Studies on ragweed and birch pollen extracts suggested that the adenosine content is an important factor in allergic sensitization. However, exposure levels from other pollens and considerations of geographic and seasonal factors have not been evaluated. OBJECTIVE This study compared the metabolite profile of pollen species important for allergic disease, specifically measured the adenosine content, and evaluated exposure to pollen-derived adenosine. METHODS An NMR metabolomics approach was used to measure metabolite concentrations in twenty-six pollen extracts. Pollen count data was analyzed from five cities to model exposure. RESULTS A principal component analysis of the various metabolites identified by NMR showed that pollen extracts could be differentiated primarily by sugar content: glucose, fructose, sucrose, and myo-inositol. In extracts of 10 mg of pollen/ml, the adenosine was highest for grasses (45 μM) followed by trees (23 μM) and weeds (19 μM). Pollen count data showed that tree pollen was typically 5-10 times the amount of other pollens. At the daily peaks of tree, grass, and weed season the pollen-derived adenosine exposure per day is likely to only be 1.1, 0.11, and 0.12 μg, respectively. Seasonal models of pollen exposure and respiration suggest that it would be a rare event limited to tree pollen season for concentrations of pollen-derived adenosine to approach physiological levels. CONCLUSIONS Sugar content and other metabolites may be useful in classifying pollens. Unless other factors create localized exposures that are very different from these models, pollen-derived adenosine is unlikely to be a major factor in allergic sensitization.
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Affiliation(s)
- Geoffrey A. Mueller
- Laboratory of Genome Integrity and Structural Biology, National Institute of Environmental Health Sciences
- Corresponding Author: 111 T.W. Alexander Drive MD-MR01, Research Triangle Park, NC, 27709,
| | - Peter M. Thompson
- Laboratory of Genome Integrity and Structural Biology, National Institute of Environmental Health Sciences
| | - Eugene F. DeRose
- Laboratory of Genome Integrity and Structural Biology, National Institute of Environmental Health Sciences
| | - Thomas M. O’Connell
- Department of Otolaryngology, Head & Neck Surgery, Indiana University School of Medicine
| | - Robert E. London
- Laboratory of Genome Integrity and Structural Biology, National Institute of Environmental Health Sciences
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Stickford ASL, Stickford JL, Tanner DA, Stager JM, Chapman RF. Runners maintain locomotor-respiratory coupling following isocapnic voluntary hyperpnea to task failure. Eur J Appl Physiol 2015. [PMID: 26194932 DOI: 10.1007/s00421-015-3220-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Evidence has long suggested that mammalian ventilatory and locomotor rhythms are linked, yet determinants and implications of locomotor-respiratory coupling (LRC) continue to be investigated. Anecdotally, respiratory muscle fatigue seen at the end of heavy exercise may result in an uncoupling of movement-ventilation rhythms; however, there is no scientific evidence to substantiate this claim. PURPOSE We sought to determine whether or not fatigue of the respiratory muscles alters locomotor-respiratory coupling patterns typically observed in highly trained individuals while running. A related query was to examine the relationship between the potential changes in LRC and measures of running economy. METHOD Twelve male distance runners ran at four submaximal workloads (68-89 % VO2peak) on two separate days while LRC was quantified. One LRC trial served as a control (CON), while the other was performed following an isocapnic voluntary hyperpnea to task failure to induce respiratory muscle fatigue (FT+). LRC was assessed as stride-to-breathing frequency ratios (SF/fB) and degree of LRC (percentage of breaths occurring during the same decile of the step cycle). RESULT Hyperpnea resulted in significant declines in maximal voluntary inspiratory (MIP) and expiratory (MEP) mouth pressures (ΔMIP = -10 ± 12 cm H2O; ΔMEP = -6 ± 9 cm H2O). There were no differences in minute ventilation between CON and FT+ (CON, all speeds pooled = 104 ± 25 L min(-1); FT+ pooled = 106 ± 23 L min(-1)). Stride frequency was not different between trials; however, breathing frequency was significantly greater during FT+ compared to CON at all speeds (CON pooled = 47 ± 10 br min(-1); FT+ pooled = 52 ± 9 br min(-1)), resulting in smaller corresponding SF/fB. Yet, the degree of LRC was the same during CON and FT+ (CON pooled = 63 ± 15 %; FT+ pooled = 64 ± 18 %). CONCLUSION The results indicate that trained runners are able to continue entraining breath and step cycles, despite marked changes in exercise breathing frequency, after a fatiguing hyperpnea challenge.
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Affiliation(s)
- Abigail S L Stickford
- Human Performance Laboratories, Department of Kinesiology, Indiana University, Bloomington, IN, USA.
| | - Jonathon L Stickford
- Human Performance Laboratories, Department of Kinesiology, Indiana University, Bloomington, IN, USA
| | - David A Tanner
- Human Performance Laboratories, Department of Kinesiology, Indiana University, Bloomington, IN, USA
| | - Joel M Stager
- Human Performance Laboratories, Department of Kinesiology, Indiana University, Bloomington, IN, USA
| | - Robert F Chapman
- Human Performance Laboratories, Department of Kinesiology, Indiana University, Bloomington, IN, USA
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Alterations in the Rate of Limb Movement Using a Lower Body Positive Pressure Treadmill Do Not Influence Respiratory Rate or Phase III Ventilation. BIOMED RESEARCH INTERNATIONAL 2015; 2015:618291. [PMID: 25654116 PMCID: PMC4310256 DOI: 10.1155/2015/618291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Revised: 12/16/2014] [Accepted: 12/22/2014] [Indexed: 11/17/2022]
Abstract
The purpose of this study was to determine the effect of alterations in rate of limb movement on Phase III ventilation during exercise, independent of metabolic rate, gait style, and treadmill incline. Subjects completed five submaximal exercise bouts on a lower body positive pressure treadmill (AlterG P 200). The percent body weight for the five exercise bouts was 100, 87, 75, 63, and 50% and each was matched for carbon dioxide production (VCO2). Naturally, to match theVCO2while reducing the body weight up to 50% of normal required a significant increase in the treadmill speed from3.0±0.1to4.1±0.2mph, which resulted in a significant(P<0.05)increase in the mean step frequency (steps per minute) from118±10at 3 mph (i.e., 100% of body weight) to133±6at 4.1 mph (i.e., 50% of body weight). The most important finding was that significant increases in step frequency did not significantly alter minute ventilation or respiratory rate. Such results do not support an important role for the rate of limb movement in Phase III ventilation during submaximal exercise, when metabolic rate, gait style, and treadmill incline are controlled.
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Ventilation and Locomotion in Humans: Mechanisms, Implications, and Perturbations to the Coupling of These Two Rhythms. ACTA ACUST UNITED AC 2014. [DOI: 10.1007/s40362-014-0020-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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