1
|
Bakinowska E, Krompiewski M, Boboryko D, Kiełbowski K, Pawlik A. The Role of Inflammatory Mediators in the Pathogenesis of Obesity. Nutrients 2024; 16:2822. [PMID: 39275140 PMCID: PMC11396809 DOI: 10.3390/nu16172822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2024] [Revised: 08/20/2024] [Accepted: 08/21/2024] [Indexed: 09/16/2024] Open
Abstract
Obesity is a pandemic of the 21st century, and the prevalence of this metabolic condition has enormously increased over the past few decades. Obesity is associated with a number of comorbidities and complications, such as diabetes and cardiovascular disorders, which can be associated with severe and fatal outcomes. Adipose tissue is an endocrine organ that secretes numerous molecules and proteins that are capable of modifying immune responses. The progression of obesity is associated with adipose tissue dysfunction, which is characterised by enhanced inflammation and apoptosis. Increased fat-tissue mass is associated with the dysregulated secretion of substances by adipocytes, which leads to metabolic alterations. Importantly, the adipose tissue contains immune cells, the profile of which changes with the progression of obesity. For instance, increasing fat mass enhances the presence of the pro-inflammatory variants of macrophages, major sources of tumour necrosis factor α and other inflammatory mediators that promote insulin resistance. The pathogenesis of obesity is complex, and understanding the pathophysiological mechanisms that are involved may provide novel treatment methods that could prevent the development of serious complications. The aim of this review is to discuss current evidence describing the involvement of various inflammatory mediators in the pathogenesis of obesity.
Collapse
Affiliation(s)
- Estera Bakinowska
- Department of Physiology, Pomeranian Medical University, 70-111 Szczecin, Poland
| | - Mariusz Krompiewski
- Department of Physiology, Pomeranian Medical University, 70-111 Szczecin, Poland
| | - Dominika Boboryko
- Department of Physiology, Pomeranian Medical University, 70-111 Szczecin, Poland
| | - Kajetan Kiełbowski
- Department of Physiology, Pomeranian Medical University, 70-111 Szczecin, Poland
| | - Andrzej Pawlik
- Department of Physiology, Pomeranian Medical University, 70-111 Szczecin, Poland
| |
Collapse
|
2
|
Lagzdina R, Rumaka M, Gersone G, Tretjakovs P. Circulating Levels of IL-8 and MCP-1 in Healthy Adults: Changes after an Acute Aerobic Exercise and Association with Body Composition and Energy Metabolism. Int J Mol Sci 2023; 24:14725. [PMID: 37834172 PMCID: PMC10572957 DOI: 10.3390/ijms241914725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 09/22/2023] [Accepted: 09/27/2023] [Indexed: 10/15/2023] Open
Abstract
The most recent WHO recommendations about physical activity emphasise the importance of total exercise volume above the significance of the duration of each bout. This study examined whether acute aerobic exercise changes circulating levels of IL-8 and MCP-1 and if these changes are associated with body composition and energy metabolism. Healthy adult volunteers completed a 10 min walking-running exercise on a treadmill. Indirect calorimetry was used to determine their resting metabolic rate (RMR) and energy expenditure (EE) during the exercise. Pre-exercise levels of IL-8 and MCP-1 were similar in both sexes. There were positive correlations of pre-exercise IL-8 with body mass, waist circumference, and lean body mass in men and pre-exercise MCP-1 with RMR in women. The exercise led to an increase in IL-8 of 68% and a decrease in MCP-1 of 74% of participants. An increase in post-exercise IL-8 in men was associated with greater walking EE and a greater increase in walking EE. The increase in post-exercise MCP-1 was associated with a lower RMR and running EE in women. There are both sex and individual variations in changes in chemokine secretion in response to the same exercise situation and their associations with values of metabolic parameters.
Collapse
Affiliation(s)
| | - Maija Rumaka
- Department of Human Physiology and Biochemistry, Faculty of Medicine, Riga Stradiņš University, LV-1007 Riga, Latvia; (R.L.)
| | | | | |
Collapse
|
3
|
Lomiwes D, Barnes M, Shaw O, Ngametua N, Sawyer G, Burr N, Hedderley D, Kanon A, Bear T, Carroll A, Bentley-Hewitt K, Tian HS, Miller MR. The Efficacy of New Zealand Greenshell™ Mussel Powder Supplementation in Supporting Muscle Recovery Following Eccentric Exercise-Induced Muscle Damage in Healthy, Untrained Adult Males. Nutrients 2023; 15:nu15102316. [PMID: 37242198 DOI: 10.3390/nu15102316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 05/10/2023] [Accepted: 05/11/2023] [Indexed: 05/28/2023] Open
Abstract
Unaccustomed eccentric exercise results in muscle damage limiting physical performance for several days. This study investigated if Greenshell™ mussel (GSM) powder consumption expedited muscle recovery from eccentric exercise-induced muscle damage (EIMD). Methods: Twenty untrained adult men were recruited into a double-blind, placebo-controlled, cross-over study and were randomly assigned to receive the GSM powder or placebo treatment first. Participants consumed their allocated intervention for four weeks then completed a bench-stepping exercise that induced muscle damage to the eccentrically exercised leg. Muscle function, soreness and biomarkers of muscle damage, oxidative stress and inflammation were measured before exercise, immediately after exercise and 24, 48 and 72 h post exercise. GSM powder promoted muscle function recovery, significantly improving (p < 0.05) isometric and concentric peak torque at 48 h and 72 h post exercise, respectively. Participants on the GSM treatment had faster dissipation of soreness, with significant treatment × time interactions for affective (p = 0.007) and Visual Analogue Scale-assessed pain (p = 0.018). At 72 h, plasma creatine kinase concentrations in the GSM group were lower (p < 0.05) compared with the placebo group. This study provides evidence for GSM powder being effective in supporting muscle recovery from EIMD.
Collapse
Affiliation(s)
- Dominic Lomiwes
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Matthew Barnes
- School of Sport, Exercise and Nutrition, Massey University, Palmerston North 4410, New Zealand
| | - Odette Shaw
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Nayer Ngametua
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Greg Sawyer
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Natalie Burr
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Duncan Hedderley
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Alexander Kanon
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Tracey Bear
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Andrew Carroll
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Kerry Bentley-Hewitt
- The New Zealand Institute for Plant and Food Research Limited, Nutrition and Health Group, Food Innovation, Palmerston North 4410, New Zealand
| | - Hong Sabrina Tian
- School of Food and Advanced Technology, Massey University, Auckland 0632, New Zealand
| | | |
Collapse
|
4
|
The Effects of Dietary Protein Supplementation on Exercise-Induced Inflammation and Oxidative Stress: A Systematic Review of Human Trials. Antioxidants (Basel) 2021; 11:antiox11010013. [PMID: 35052517 PMCID: PMC8773319 DOI: 10.3390/antiox11010013] [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: 12/02/2021] [Revised: 12/15/2021] [Accepted: 12/16/2021] [Indexed: 11/17/2022] Open
Abstract
This systematic review examined the effects of whole protein and commonly consumed amino acid supplements on markers of exercise-induced inflammation and oxidative stress and was reported according to the PRISMA guidelines. MEDLINE and SPORTDiscus were searched from inception until June 2021. The inclusion criteria were randomized clinical trials in humans, healthy adult participants (≥18 years), dietary protein/amino acid interventions, and measurements of oxidative stress/the redox status or inflammation post-exercise. The Cochrane Collaboration risk of bias 2 tool was used to critically appraise the studies. Data extracted from thirty-four studies were included in the systematic review (totaling 757 participants with only 10 females; age range 19–40 years). The included trials examined five types of whole protein and seven different amino acids supplements; most studies (n = 20) failed to identify statistically significant effects on markers of inflammation or oxidative stress after exercise; some (n = 14) showed either anti-inflammatory or antioxidant effects on some, but not all, markers. In conclusion, we found weak and inconsistent evidence that dietary protein/amino acid interventions can modify exercise-induced changes in oxidative stress and inflammation. However, given that these were not the primary outcomes in many of the included studies and many had design limitations, further research is warranted (Open Science Framework registration number: 10.17605/OSF.IO/AGUR2).
Collapse
|
5
|
Gandouzi I, Turki M, Ayedi F, Souissi N. Testosterone and cortisol variation due to training and fight in Judokas. J Sports Med Phys Fitness 2020; 61:1690-1699. [PMID: 33305548 DOI: 10.23736/s0022-4707.20.11865-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The aim of this study was to evaluate the effectiveness of judo workout by determining the testosterone (T) and cortisol (C) responses and their associations with the results of a judo fight. METHODS A prospective study involved 17 judokas. Three blood samples were taken from each athlete: at rest, immediately after a 90 min training session and 72 hours later immediately after a 5 min fight , to evaluate T, C and lactic acid. RESULTS Results showed no significant difference for T (p = 0.17), C (p = 0.51) or testosterone/cortisol (T/C) ratio (t = 0.901 (16), p =0.38) after training. A significant difference was found for the C (p =0.002) and the T/C ratio (p =0.04) after the fight. In contrast with the losers, the winner judokas reported a significant increase in the C (p = 0.002) and T (p = 0.013) concentrations at rest and after the fight. No significant difference was found for C (p = 0.77) or T (p = 0.43) at rest and after training. CONCLUSIONS The "fight" effort induced more biological stress than the "training" effort. In addition, the cortisol response and the T/C ratio revealed an association with a subsequent victorious judo fight. Thus, the hormonal response, particularly the C concentration, to a training could allow the assessment of the readiness of judokas for a future competition. This new strategy can allow to better manage the capacity of judoka at the training for the sake of an improvement of performance during competitions.
Collapse
Affiliation(s)
- Imed Gandouzi
- Molecular Basis of Human Pathology Laboratory UR12ES17, Faculty of Medicine of Sfax, Sfax, Tunisia -
| | - Mouna Turki
- Molecular Basis of Human Pathology Laboratory UR12ES17, Faculty of Medicine of Sfax, Sfax, Tunisia.,Laboratory of Biochemistry, CHU Habib Bourguiba, Sfax, Tunisia
| | - Fatma Ayedi
- Laboratory of Biochemistry, CHU Habib Bourguiba, Sfax, Tunisia
| | - Nizar Souissi
- RU Physical Activities, Sport & Health, The National Observatory of Sport, Tunisia
| |
Collapse
|
6
|
Wells AJ, Varanoske AN, Coker NA, Kozlowski GJ, Frosti CL, Boffey D, Harat I, Jahani S, Gepner Y, Hoffman JR. Effect of β-Alanine Supplementation on Monocyte Recruitment and Cognition During a 24-Hour Simulated Military Operation. J Strength Cond Res 2020; 34:3042-3054. [PMID: 33105353 DOI: 10.1519/jsc.0000000000003809] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Wells, AJ, Varanoske, AN, Coker, NA, Kozlowski, GJ, Frosti, CL, Boffey, D, Harat, I, Jahani, S, Gepner, Y, and Hoffman, JR. Effect of β-alanine supplementation on monocyte recruitment and cognition during a 24-hour simulated military operation. J Strength Cond Res 34(11): 3042-3054, 2020-Sustained military operations (SUSOPs) result in psychological stress and cognitive dysfunction, which may be related to the recruitment of classical monocytes into the brain. This study examined the effect of beta-alanine (BA) on cognition and monocyte recruitment during a simulated 24-hour SUSOP. Nineteen healthy men ingested 12-g/d BA or placebo for 14 days before an SUSOP. Monocyte chemoattractant protein-1 (MCP-1), C-C chemokine receptor-2 (CCR2), and macrophage-1-antigen (CD11b) expression were assessed through multiplex assay and flow cytometry. Psychological stress and cognition were assessed through Automated Neuropsychological Assessment Metrics (ANAM). A composite measure of cognition (COGcomp) was generated from throughput scores extracted from 7 ANAM cognitive tests. Assessments occurred at baseline (0H), 12 hours (12H), 18 hours (18H), and 24 hours (24H). Significance was accepted at p ≤ 0.05. No significant effect of BA was noted for any variable (p's > 0.05). The frequency and severity of symptoms of psychological stress increased significantly at 18 and 24H compared with 0 and 12H (p's < 0.05). COGcomp decreased significantly at 18 and 24H compared with 0 and 12H (p's ≤ 0.001). MCP-1 peaked at 18H was significantly lower at 24H compared with 18H but remained elevated at 24H compared with 0H (p's < 0.001). CCR2 expression was significantly lower at 12 (p = 0.031), 18, and 24H (p's < 0.001). CD11b expression was significantly higher at 12H (p = 0.039) and 24H (p's = 0.003). MCP-1 was negatively associated with COGcomp (β = -0.395, p = 0.002, r2 = 0.174). Neither CCR2 or CD11b was related to COGcomp (p's > 0.05). Cognitive dysfunction during SUSOPs is related to serum concentrations of MCP-1 but is not influenced by BA supplementation.
Collapse
Affiliation(s)
- Adam J Wells
- Institute of Exercise Physiology & Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida
| | - Alyssa N Varanoske
- Institute of Exercise Physiology & Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida
| | - Nicholas A Coker
- Institute of Exercise Physiology & Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida
| | - Gregory J Kozlowski
- Institute of Exercise Physiology & Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida
| | - Cheyanne L Frosti
- Institute of Exercise Physiology & Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida
| | - David Boffey
- Institute of Exercise Physiology & Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida
| | - Idan Harat
- Institute of Exercise Physiology & Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida
| | - Shiva Jahani
- Accreditation, Assessment and Analytics, College of Community Innovation and Education, University of Central Florida, Orlando, Florida
| | - Yftach Gepner
- Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel-Aviv University, Tel-Aviv, Israel; and
| | - Jay R Hoffman
- Department of Molecular Biology, Ariel University, Ariel, Israel
| |
Collapse
|
7
|
Jajtner AR, Townsend JR, Beyer KS, Varanoske AN, Church DD, Oliveira LP, Herrlinger KA, Radom-Aizik S, Fukuda DH, Stout JR, Hoffman JR. Resistance Exercise Selectively Mobilizes Monocyte Subsets: Role of Polyphenols. Med Sci Sports Exerc 2019; 50:2231-2241. [PMID: 29957728 DOI: 10.1249/mss.0000000000001703] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
PURPOSE To examine the impact of polyphenol supplementation on the recruitment, mobilization, and activation of monocyte subsets after resistance exercise. METHODS Thirty-eight recreationally active males (22.1 ± 3.1 yr; 173.9 ± 7.9 cm; 77.8 ± 14.5 kg) were assigned to 28 d of polyphenol blend (PPB) supplementation, placebo (PL), or control (CON). Blood samples were obtained before (PRE) postresistance exercise, immediately (IP) postresistance exercise, 1 h (1H) postresistance exercise, 5 h (5H) postresistance exercise, 24 h (24H) postresistance exercise, and 48 h (48H) postresistance exercise (PPB/PL) or rest (CON). Fine-needle biopsies were obtained from the vastus lateralis at PRE, 1H, 5H, and 48H. Circulating concentrations of macrophage chemoattractant protein-1 (MCP-1) and fractalkine, as well as intramuscular MCP-1 were analyzed via multiplex assay. Changes in the proportions and expression of CD11b on monocyte subsets were assessed via flow cytometry. RESULTS Circulating MCP-1 increased in PPB and PL at IP with further increases at 5H. Intramuscular MCP-1 was increased at 1H, 5H, and 48H in all groups. Classical monocyte proportions were reduced in PPB and PL at IP, and increased at 1H. Nonclassical monocytes were increased in PPB and PL at IP, whereas intermediate monocytes were increased at IP, and reduced at 1H. Intermediate monocytes were increased in PPB at 24H and 48H. CD11b expression was reduced on PPB compared with PL and CON at PRE on intermediate and nonclassical monocytes. CONCLUSIONS Resistance exercise may elicit selective mobilization of intermediate monocytes at 24H and 48H, which may be mediated by tissue damage. Additionally, polyphenol supplementation may suppress CD11b expression on monocyte subsets at rest.
Collapse
Affiliation(s)
- Adam R Jajtner
- Department of Exercise Physiology, Kent State University, Kent, OH
| | | | - Kyle S Beyer
- Department of Exercise Science, Bloomsburg University, Bloomsburg, PA
| | - Alyssa N Varanoske
- Institute of Exercise Physiology and Wellness, University of Central Florida, Orlando, FL
| | - David D Church
- Institute of Exercise Physiology and Wellness, University of Central Florida, Orlando, FL
| | - Leonardo P Oliveira
- Institute of Exercise Physiology and Wellness, University of Central Florida, Orlando, FL
| | | | - Shlomit Radom-Aizik
- Pediatric Exercise and Genomics Research Center (PERC), University of California-Irvine, Irvine, CA
| | - David H Fukuda
- Institute of Exercise Physiology and Wellness, University of Central Florida, Orlando, FL
| | - Jeffrey R Stout
- Institute of Exercise Physiology and Wellness, University of Central Florida, Orlando, FL
| | - Jay R Hoffman
- Institute of Exercise Physiology and Wellness, University of Central Florida, Orlando, FL
| |
Collapse
|
8
|
BARRY JULIANNEC, SIMTCHOUK SVETLANA, DURRER CODY, JUNG MARYE, LITTLE JONATHANP. Short-Term Exercise Training Alters Leukocyte Chemokine Receptors in Obese Adults. Med Sci Sports Exerc 2017; 49:1631-1640. [DOI: 10.1249/mss.0000000000001261] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
|
9
|
Wells AJ, Jajtner AR, Varanoske AN, Church DD, Gonzalez AM, Townsend JR, Boone CH, Baker KM, Beyer KS, Mangine GT, Oliveira LP, Fukuda DH, Stout JR, Hoffman JR. Post-resistance exercise ingestion of milk protein attenuates plasma TNFα and TNFr1 expression on monocyte subpopulations. Amino Acids 2017; 49:1415-1426. [PMID: 28555251 DOI: 10.1007/s00726-017-2443-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2017] [Accepted: 05/25/2017] [Indexed: 12/14/2022]
Abstract
Attenuating TNFα/TNFr1 signaling in monocytes has been proposed as a means of mitigating inflammation. The purpose of this study was to examine the effects of a milk protein supplement on TNFα and monocyte TNFr1 expression. Ten resistance-trained men (24.7 ± 3.4 years; 90.1 ± 11.3 kg; 176.0 ± 4.9 cm) ingested supplement (SUPP) or placebo (PL) immediately post-exercise in a randomized, cross-over design. Blood samples were obtained at baseline (BL), immediately (IP), 30-min (30P), 1-h (1H), 2-h (2H), and 5-h (5H) post-exercise to assess plasma concentrations of myoglobin; tumor necrosis factor-alpha (TNFα); and expression of tumor necrosis factor receptor 1 (TNFr1) on classical, intermediate, and non-classical monocytes. Magnitude-based inferences were used to provide inferences on the true effects of SUPP compared to PL. Plasma TNFα concentrations were "likely attenuated" (91.6% likelihood effect) from BL to 30P in the SUPP group compared with PL (d = 0.87; mean effect: 2.3 ± 2.4 pg mL-1). TNFr1 expressions on classical (75.9% likelihood effect) and intermediate (93.0% likelihood effect) monocytes were "likely attenuated" from BL to 2H in the SUPP group compared with PL (d = 0.67; mean effect: 510 ± 670 RFU, and d = 1.05; mean effect: 2500 ± 2300 RFU, respectively). TNFr1 expression on non-classical monocytes was "likely attenuated" (77.6% likelihood effect) from BL to 1H in the SUPP group compared with PL (d = 0.69; mean effect: 330 ± 430 RFU). Ingestion of a milk protein supplement immediately post-exercise appears to attenuate both plasma TNFα concentrations and TNFr1 expression on monocyte subpopulations in resistance-trained men.
Collapse
Affiliation(s)
- Adam J Wells
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA.
| | - Adam R Jajtner
- School of Health Sciences, Kent State University, Kent, OH, 44242, USA
| | - Alyssa N Varanoske
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| | - David D Church
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| | - Adam M Gonzalez
- Department of Health Professions, Hofstra University, Hempstead, NY, 11549, USA
| | - Jeremy R Townsend
- Department of Kinesiology, Lipscomb University, Nashville, TN, 37204, USA
| | - Carleigh H Boone
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| | - Kayla M Baker
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| | - Kyle S Beyer
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| | - Gerald T Mangine
- Department of Exercise Science and Sport Management, Kennesaw State University, Kennesaw, GA, 30144, USA
| | - Leonardo P Oliveira
- Department of Orthopaedic Surgery, University of Chicago Medical Center, Chicago, IL, 60637, USA
| | - David H Fukuda
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| | - Jeffrey R Stout
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| | - Jay R Hoffman
- Educational and Human Sciences, Institute of Exercise Physiology and Wellness, University of Central Florida, 12494 University Blvd, Orlando, FL, 32816, USA
| |
Collapse
|