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Miatke A, Maher C, Fraysse F, Dumuid D, Olds T. Are all MVPA minutes equal? Associations between MVPA characteristics, independent of duration, and childhood adiposity. BMC Public Health 2021; 21:1321. [PMID: 34225692 PMCID: PMC8259325 DOI: 10.1186/s12889-021-11420-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 06/30/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The inverse relationship between moderate-to-vigorous physical activity (MVPA) duration and childhood adiposity is well established. Less is known about how characteristics of MVPA accumulation may be associated with adiposity, independent of MVPA duration. This study aimed to investigate how the MVPA characteristics of children, other than duration (bout length, time of day, day-to-day consistency, intensity), were associated with adiposity. METHODS Cross-sectional study of the Australian arm of the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) (participants: n = 424, age range 9-11, 44% male). Adiposity was determined by percent body fat via bioelectrical impedance. MVPA duration and characteristics (bout length, time of day, consistency, intensity) were derived from 7-day, 24-h accelerometry. Generalised estimating equations were used to examine the individual and multivariate associations between MVPA characteristics and adiposity. RESULTS Univariate analyses showed that higher MVPA duration (β range = - 0.26,-0.15), longer bouts of MVPA (β range = 0.15,0.22) and higher MVPA intensity (β range = - 0.20,-0.13) were all inversely associated with adiposity (all p < 0.05). When models were adjusted for MVPA duration, only MVPA intensity (β range = - 0.16,-0.04) showed consistent significant associations with adiposity. CONCLUSIONS Characteristics of MVPA other than duration and intensity appear to be unrelated to adiposity.
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Affiliation(s)
- Aaron Miatke
- Alliance for Research in Exercise, Nutrition & Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia. .,Present address: Centre for Adolescent Health, Level 5, Murdoch Children's Research Centre, Royal Children's Hospital, 50 Flemington Road, Parkville, 3052, Australia.
| | - Carol Maher
- Alliance for Research in Exercise, Nutrition & Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - François Fraysse
- Alliance for Research in Exercise, Nutrition & Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - Dot Dumuid
- Alliance for Research in Exercise, Nutrition & Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - Tim Olds
- Alliance for Research in Exercise, Nutrition & Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, Australia
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McMillan DW, Maher JL, Jacobs KA, Mendez AJ, Nash MS, Bilzon JLJ. Influence of upper-body continuous, resistance or high-intensity interval training (CRIT) on postprandial responses in persons with spinal cord injury: study protocol for a randomised controlled trial. Trials 2019; 20:497. [PMID: 31409383 PMCID: PMC6693181 DOI: 10.1186/s13063-019-3583-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Accepted: 07/16/2019] [Indexed: 01/07/2023] Open
Abstract
Background Chronic spinal cord injury (SCI) increases morbidity and mortality associated with cardiometabolic diseases, secondary to increases in central adiposity, hyperlipidaemia and impaired glucose tolerance. While upper-body Moderate Intensity Continuous Training (MICT) improves cardiorespiratory fitness, its effects on cardiometabolic component risks in adults with SCI appear relatively modest. The aim of this study is to assess the acute effects of Continuous Resistance Training (CRT), High Intensity Interval Training (HIIT), MICT and rest (CON) on fasting and postprandial systemic biomarkers and substrate utilisation. Methods Eleven healthy, chronic SCI (> 1 year, ASIA A-C) men will be recruited. Following preliminary testing, each will complete four experimental conditions, where they will report to the laboratory following an ~ 10-h overnight fast. A venous blood sample will be drawn and expired gases collected to estimate resting metabolic rate (RMR). In order to ensure an isocaloric exercise challenge, each will complete CRT first, with the remaining three conditions presented in randomised order: (1) CRT, ~ 45 min of resistance manoeuvres (weight lifting) interspersed with low-resistance, high-speed arm-crank exercise; (2) CON, seated rest; (3) MICT, ~ 45 min constant arm-crank exercise at a resistance equivalent to 30–40% peak power output (PPO) and; (4) HIIT, ~ 35 min arm-crank exercise with the resistance alternating every 2 min between 10% PPO and 70% PPO. After each ~ 45-min condition, participants will ingest a 2510-kJ liquid test meal (35% fat, 50% carbohydrate, 15% protein). Venous blood and expired gas samples will be collected at the end of exercise and at regular intervals for 120 min post meal. Discussion This study should establish the acute effects of different forms of exercise on fasting and postprandial responses in chronic SCI male patients. Measures of glucose clearance, insulin sensitivity, lipid and inflammatory biomarker concentrations will be assessed and changes in whole-body substrate oxidation estimated from expired gases. Trial registration ClinicalTrials.gov, ID: NCT03545867. Retrospectively registered on 1 June 2018. Electronic supplementary material The online version of this article (10.1186/s13063-019-3583-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- David W McMillan
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.,Department of Kinesiology and Sport Sciences, University of Miami, Miami, FL, USA
| | - Jennifer L Maher
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.,Department for Health, University of Bath, Bath, Somerset, UK
| | - Kevin A Jacobs
- Department of Kinesiology and Sport Sciences, University of Miami, Miami, FL, USA
| | - Armando J Mendez
- Division of Endocrinology, Diabetes and Metabolism, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Mark S Nash
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.,Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.,Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, USA
| | - James L J Bilzon
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA. .,Department for Health, University of Bath, Bath, Somerset, UK.
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Oxendale CL, Highton J, Twist C. Energy expenditure, metabolic power and high speed activity during linear and multi-directional running. J Sci Med Sport 2017; 20:957-961. [PMID: 28392339 DOI: 10.1016/j.jsams.2017.03.013] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 02/16/2017] [Accepted: 03/13/2017] [Indexed: 01/17/2023]
Abstract
OBJECTIVES The purpose of the study was to compare measures of energy expenditure derived from indirect calorimetry and micro-technology, as well as high power and high speed activity during linear and multi-directional running. DESIGN Repeated measures. METHODS Twelve university standard team sport players completed a linear and multi-directional running condition. Estimated energy expenditure, as well as time at high speed (>14.4kmh-1) and high power (>20Wkg-1) were quantified using a 10Hz micro-technology device and compared with energy expenditure derived from indirect calorimetry. RESULTS Measured energy expenditure was higher during the multi-directional condition (9.0±2.0 cf. 5.9±1.4kcalmin-1), whereas estimated energy expenditure was higher during the linear condition (8.7±2.1 cf. 6.5±1.5kcalmin-1). Whilst measures of energy expenditure were strongly related (r>0.89, p<0.001), metabolic power underestimated energy expenditure by 52% (95% LoA: 20-93%) and 34% (95% LoA: 12-59%) during the multi-directional and linear condition, respectively. Time at high power was 41% (95% LoA: 4-92%) greater than time at high speed during the multi-directional condition, whereas time at high power was 5% (95% LoA: -17-9%) lower than time at high speed during the linear condition. CONCLUSIONS Estimated energy expenditure and time at high metabolic power can reflect changes in internal load. However, micro-technology cannot be used to determine the energy cost of intermittent running.
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Affiliation(s)
- Chelsea L Oxendale
- Department of Sport and Exercise Sciences, University of Chester, United Kingdom.
| | - Jamie Highton
- Department of Sport and Exercise Sciences, University of Chester, United Kingdom
| | - Craig Twist
- Department of Sport and Exercise Sciences, University of Chester, United Kingdom
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Greer BK, Sirithienthad P, Moffatt RJ, Marcello RT, Panton LB. EPOC Comparison Between Isocaloric Bouts of Steady-State Aerobic, Intermittent Aerobic, and Resistance Training. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2015; 86:190-195. [PMID: 25675374 DOI: 10.1080/02701367.2014.999190] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
PURPOSE Excess postexercise oxygen consumption (EPOC) is dependent on intensity, duration, and mode of exercise. The purpose of this study was to compare the effect of both exercise mode and intensity on EPOC while controlling for caloric expenditure and duration. METHOD Ten low to moderately physically active men (22 ± 2 yrs) performed 3 nonrandomized isocaloric bouts of exercise separated by 7 days. The 1st session was resistance training (RT), followed by moderate-intensity steady-state (SS) aerobic exercise, and concluding with a high-intensity intermittent (IT) aerobic session. RESULTS Total energy expenditure, rate of energy expenditure, and duration did not differ among trials (p>.05). Respiratory exchange ratio was greater during the RT trial than the SS trial (p < .05). At 12 hr postexercise, resting metabolic rate (RMR) was higher after the RT trial (4.7 ± 0.67 mL/kg/min) and IT trial (4.6 ± 0.62 mL/kg/min) compared with their respective baseline measurements (p < .008) and the SS trial (4.3 ± 0.58 mL/kg/min; p < .008). At 21 hr postexercise, RMR was higher after the RT trial (3.7 ± 0.51 mL/kg/min) and IT trial (3.5 ± 0.39 mL/kg/min) compared with the SS trial (3.2 ± 0.38 mL/kg/min; p < .008). The SS trial did not influence RMR at either 12 hr or 21 hr postexercise. CONCLUSION Both RT and IT aerobic work increased EPOC to a greater degree than did SS work, indicating that either mode may be more effective at increasing total daily caloric expenditure than SS aerobic exercise.
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Cunha FA, Midgley AW, McNaughton LR, Farinatti PTV. Effect of continuous and intermittent bouts of isocaloric cycling and running exercise on excess postexercise oxygen consumption. J Sci Med Sport 2015; 19:187-92. [PMID: 25747467 DOI: 10.1016/j.jsams.2015.02.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Revised: 01/28/2015] [Accepted: 02/14/2015] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The purpose of this study was to investigate excess postexercise oxygen consumption (EPOC) induced by isocaloric bouts of continuous and intermittent running and cycling exercise. DESIGN This was a counterbalanced randomized cross-over study. METHODS Ten healthy men, aged 23-34yr, performed six bouts of exercise: (a) two maximal cardiopulmonary exercise tests for running and cycling to determine exercise modality-specific peak oxygen uptake (VO2peak); and (b) four isocaloric exercise bouts (two continuous bouts expending 400kcal and two intermittent bouts split into 2×200kcal) performed at 75% of the running and cycling oxygen uptake reserve. Exercise bouts were separated by 72h and performed in a randomized, counter-balanced order. The VO2 was monitored for 60-min postexercise and for 60-min during a control non-exercise day. RESULTS The VO2 was significantly greater in all exercise conditions compared to the control session (P<0.001). The combined magnitude of the EPOC from the two intermittent bouts was significantly greater than that of the continuous cycling (mean difference=3.5L, P=0.001) and running (mean difference=6.4L, P<0.001). The exercise modality had a significant effect on net EPOC, where running elicited a higher net EPOC than cycling (mean difference=2.2L, P<0.001). CONCLUSIONS Intermittent exercise increased the EPOC compared to a continuous exercise bout of equivalent energy expenditure. Furthermore, the magnitude of EPOC was influenced by exercise modality, with the greatest EPOC occurring with isocaloric exercise involving larger muscle mass (i.e., treadmill running vs. cycling).
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Affiliation(s)
- Felipe A Cunha
- Rehabilitation Sciences Graduate Program - Augusto Motta University Center (UNISUAM), Brazil; Laboratory of Physical Activity and Health Promotion - University of Rio de Janeiro State, Brazil
| | - Adrian W Midgley
- Department of Sport and Physical Activity - Edge Hill University, United Kingdom
| | - Lars R McNaughton
- Department of Sport and Physical Activity - Edge Hill University, United Kingdom
| | - Paulo T V Farinatti
- Laboratory of Physical Activity and Health Promotion - University of Rio de Janeiro State, Brazil; Physical Activity Sciences Graduate Program - Salgado de Oliveira University, Brazil.
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Holmstrup ME, Fairchild TJ, Keslacy S, Weinstock RS, Kanaley JA. Satiety, but not total PYY, Is increased with continuous and intermittent exercise. Obesity (Silver Spring) 2013; 21:2014-20. [PMID: 23418154 PMCID: PMC3661741 DOI: 10.1002/oby.20335] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2012] [Accepted: 12/13/2012] [Indexed: 12/21/2022]
Abstract
OBJECTIVE This study determined the hormonal and subjective appetite responses to exercise (1-h continuous versus intermittent exercise throughout the day) in obese individuals. DESIGN AND METHODS Eleven obese subjects (>30 kg/m(2) ) underwent three 12-h study days: control condition [sedentary behavior (SED)], continuous exercise condition [(EX) 1-h exercise], and intermittent exercise condition [(INT) 12 hourly, 5-min bouts]. Blood samples (every 10 min) were measured for serum insulin and total peptide YY (PYY) concentrations, with ratings of appetite (visual analog scale [VAS): every 20 min]. Both total area under the curve (AUC), and subjective appetite ratings were calculated. RESULTS No differences were observed in total PYY AUC between conditions, but hunger was reduced with INT (INT < EX; P < 0.05), and satiety was increased with both SED and INT conditions (INT > EX and SED > EX; P < 0.05). A correlation existed between the change in total PYY and insulin levels (r = -0.81; P < 0.05), and total PYY and satiety (r = 0.80; P < 0.05) with the EX condition, not the SED and INT conditions. CONCLUSIONS The total PYY response to meals is not altered over the course of a 12-h day with either intermittent or continuous exercise; however, intermittent exercise increased satiety and reduced hunger to a greater extent than continuous exercise in obese individuals.
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Affiliation(s)
- M E Holmstrup
- Department of Exercise Science, Syracuse University, Syracuse, New York, USA; Department of Exercise and Rehabilitative Sciences, Slippery Rock University, Slippery Rock, Pennsylvania, USA
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Abstract
This review examines the effect of prior exercise on postprandial triacylglycerol (pTAG) concentrations, an independent risk factor for cardiovascular diseases. Numerous studies have shown that a single bout of exercise reduces pTAG concentrations; however, several modulators such as exercise energy expenditure/deficit, mode of exercise (aerobic/resistance/high intensity/intermittent exercise or combinations), type of meal (moderate or high fat), time frame between exercise and meal and target group may individually or in conjunction influence this effect. On the other hand, at least for aerobic exercise, training reduces pTAG concentrations transiently (~2 days); therefore, exercise sessions should be frequent enough to maintain this clinically significant improvement. For the healthy population, it seems that a subject's preference and ability determine which type of exercise to undertake to attenuate pTAG concentrations; an energy expenditure of ~30 kJ/kg of body mass (or ~2-2.5 MJ) not combined with a corresponding increase in energy intake is required; for resistance or intermittent exercise, for those following a moderate rather than a high-fat diet, and for those with obesity (expressed as kJ/kg of body mass), a smaller energy expenditure is probably sufficient. More studies are needed to investigate dose-response/plateau effects, as well as the threshold of energy expenditure in those with diabetes mellitus and other high-risk populations. Finally, investigation of the underlying mechanisms may be clinically helpful in individualizing the appropriate intervention.
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Affiliation(s)
- Maria I. Maraki
- Laboratory of Nutrition & Clinical Dietetics, Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - Labros S. Sidossis
- Laboratory of Nutrition & Clinical Dietetics, Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
- Department of Internal Medicine, Sealy Center on Aging, Institute for Translational Sciences and Shriners Hospital for Children, University of Texas Medical Branch at Galveston, TX, USA
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Vilacxa Alves J, Saavedra F, Simão R, Novaes J, Rhea MR, Green D, Machado Reis V. Does aerobic and strength exercise sequence in the same session affect the oxygen uptake during and postexercise? J Strength Cond Res 2012; 26:1872-8. [PMID: 21986689 DOI: 10.1519/jsc.0b013e318238e852] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Concurrent training is a strategy employed in both general fitness and sports conditioning. The purpose of this study was to compare the responses of VO2 in different combinations of strength exercise with aerobic interval exercise. Eight men (23.6 ± 4.2 years, 178 ± 6.3 cm, 77 ± 7.9 kg, 7.67 ± 1.95% body fat) completed 3 combinations of strength training (ST) and aerobic training (AT) in a randomized order with a 7-day recovery period: AT before ST exercises, AT between 2 blocks of ST exercises, and AT after ST exercises. The ST comprised 4 exercises performed in 3 sets of 10 reps and 2 exercises, abdominal crunch and lumbar extension, performed in 3 sets of 30 and 20 reps, respectively. The AT consisted of a 20-minute interval cycling. There were no significant differences in the values of absolute or relative VO2, in the heart rate (HR) and in the respiratory exchange ratio (RER) when the 3 sessions (during + postexercise measurements) were compared (values are mean ± SD). Analyzing only ST in each session, differences were detected in the RER values (F = 4.714; p < 0.05; η2 = 0.308) between AT before ST and AT in the middle of ST (1.01 ± 0.97 vs. 1.11 ± 0.07, respectively). In all sequences, there was a significant increase (p < 0.05) in the values of relative and absolute VO2 and HR, and a significant decrease in RER values (p < 0.05) from the first to the second part of the ST session. The values of absolute or relative VO2, HR, and RER did not vary significantly among the 3 sessions as compared with the AT after ST. These data support the hypothesis that ST and AT, when performed in sequence in the same session, do not seem to affect the overall oxygen consumption during the exercise session. Therefore, training sessions may incorporate both modalities without apparent impact on aerobic exercise.
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Affiliation(s)
- José Vilacxa Alves
- Research Center for Sport, Health, and Human Development, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.
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Friedman RA, Navalta JW, Fedor EA, Kell HB, Lyons TS, Arnett SW, Schafer MA. Repeated high-intensity Wingate cycle bouts influence markers of lymphocyte migration but not apoptosis. Appl Physiol Nutr Metab 2012; 37:241-6. [PMID: 22380726 DOI: 10.1139/h11-156] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Studies have shown significant changes in lymphocytes during continuous exercise, but little has been shown on the effect of repeated high intensity bouts. This study was designed to examine the effect of repeated intermittent bouts on lymphocyte subset cell count, apoptosis, and migration. A series of 6 Wingate anaerobic cycle tests were performed by participants (N = 8) with blood samples attained before, immediately following, and after a designated recovery period (excess postexercise oxygen consumption (EPOC)) to observe lymphocyte changes. Lymphocyte subsets (CD4+, CD4/CD45RA+, CD8+, CD8+/CD45RA+, CD19+) were assessed for apoptosis (annexin V+) and cellular migration (CX(3)CR1). Our results indicate that the CD8+ and CD8+/CD45RA+ subsets were significantly influenced by the repetitive Wingate cycling protocol such that cell counts increased with exercise, and then decreased at EPOC termination (p = 0.016). The observed postexercise decrease in CD8+ and CD8+/CD45RA+ cells was accompanied by a significant change in the CX(3)CR1 cell migration receptor (p = 0.019), but not apoptosis (p = 0.87). This indicates that with repetitive high-intensity cycling, the response in CD8+ cells following the bout is likely due to cell migration rather than cell death.
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Affiliation(s)
- Rachel A Friedman
- Department of Kinesiology, Western Kentucky University, Bowling Green, KY 42101-1089, USA
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Oliveira NL, Oliveira J. Excess postexercise oxygen consumption is unaffected by the resistance and aerobic exercise order in an exercise session. J Strength Cond Res 2011; 25:2843-50. [PMID: 21878824 DOI: 10.1519/jsc.0b013e318207ef4b] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The main purpose of this study was to compare the magnitude and duration of excess postexercise oxygen consumption (EPOC) after 2 exercise sessions with different exercise mode orders, resistance followed by aerobic exercise (R-A); aerobic by resistance exercise (A-R). Seven young men (19.6 ± 1.4 years) randomly underwent the 2 sessions. Aerobic exercise was performed on a treadmill for 30 minutes (80-85% of reserve heart rate). Resistance exercise consisted of 3 sets of 10 repetition maximum on 5 exercises. Previous to the exercise sessions, V(O2), heart rate, V(CO2), and respiratory exchange rate (RER) were measured for 15 minutes and again during recovery from exercise for 60 minutes. The EPOC magnitude was not significantly different between R-A (5.17 ± 2.26 L) and A-R (5.23 ± 2.48 L). Throughout the recovery period (60 minutes), V(O2) and HR values were significantly higher than those observed in the pre-exercise period (p < 0.05) in both exercise sessions. In the first 10 minutes of recovery, V(CO2) and RER declined to pre-exercise levels. Moreover, V(CO2) and RER values in A-R were significantly lower than in R-A. In conclusion, the main result of this study suggests that exercise mode order does not affect the EPOC magnitude and duration. Therefore, it is not necessary for an individual to consider the EPOC when making the decision as to which exercise mode is better to start a training session.
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Affiliation(s)
- Norton L Oliveira
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal.
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Abstract
BACKGROUND Exercise is recommended for the treatment and prevention of cardiac disorders. Relaxation of the sympathetic nervous system has been considered to be one of the therapeutic mechanisms. However, the means by which the level of daily physical activity affects sympathetic activity remains unclear. OBJECTIVE To evaluate the effects of daily physical activity on autonomic nervous tone. METHODS Daily physical activity was measured for 5 or more days in 26 patients with various cardiac disorders of NYHA class 1 or 2 and in 6 healthy individuals using an intelligent calorie counter. Recumbent resting ECG was recorded for 3 minutes immediately before waking up and after going to bed using a digital ECG. Low- (Lf, 0.03-0.15 Hz) and high- (Hf, 0.15-0.45 Hz) frequency components were calculated by frequency analysis of the R-R interval, and Lf/Hf ratio was calculated as an index of sympathetic tone. RESULTS The average values of energy expenditure and time were 145+/-93.6 kcal/day and 47.8+/-24.3 min/day, respectively. The morning Lf/Hf ratio decreased following an increased physical activity level the day before, but increased with subsequent increase in the activity level in 65.6% of subjects. A negative correlation was observed in 34.4% of subjects, which suggested that an appropriate level of physical activity led to relaxation of sympathetic tone. CONCLUSION The daily level of physical activity affects sympathetic tone, and an appropriate level results in sympathetic relaxation. The results of this study provide a useful index to enable patients with cardiac disorder to perform exercise without overloading.
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