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Reason SL, Voermans N, Lucia A, Vissing J, Quinlivan R, Bhai S, Wakelin A. Development of Continuum of Care for McArdle disease: A practical tool for clinicians and patients. Neuromuscul Disord 2023; 33:575-579. [PMID: 37354872 DOI: 10.1016/j.nmd.2023.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 05/13/2023] [Accepted: 05/19/2023] [Indexed: 06/26/2023]
Abstract
McArdle disease (glycogen storage disease type V; GSDV) is a rare genetic disease caused by the inability to break down glycogen in skeletal muscle due to a deficiency in myophosphorylase. Glycolysis is only partially blocked in GSDV, as muscle fibres can take up circulating glucose and convert it to glucose-6-phosphate downstream of the metabolic block. Because skeletal muscle predominantly relies on anaerobic energy during the first few minutes of transition from rest to activity, and throughout more intense activities, individuals with GSDV experience muscle fatigue/pain, tachypnea, and tachycardia during these activities. If warning signs are not heeded, a muscle contracture may rapidly occur, and if significant, may lead to acute rhabdomyolysis. Without a cure or treatment, individuals with GSDV must be consistent in employing proper management techniques; however, this can be challenging due to the nuances inherent in this metabolic myopathy. The International Association for Muscle Glycogen Storage Disease collaborated with an international team of five expert clinicians to identify areas of learning to achieve an optimal state. A Continuum of Care model was developed that outlines five pivotal steps (diagnosis; understanding; acceptance; learning and exercise) to streamline assessments and more succinctly assist clinicians in determining patient-specific learning needs. This model serves as a translational tool to help optimize care for this patient population.
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Affiliation(s)
- S L Reason
- International Association for Muscle Glycogen Storage Disease, CA, USA.
| | - N Voermans
- Department of Neurology, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - A Lucia
- Center for Research in Sport and Physical Activity, European University of Madrid, Spain
| | - J Vissing
- Copenhagen Neuromuscular Center, Rigshospitalet, Copenhagen, Denmark
| | - R Quinlivan
- MRC Centre for Neuromuscular Disease, National Hospital for Neurology and Neurosurgery, London, UK
| | - S Bhai
- Department of Neurology at UT Southwestern Medical Centre, USA
| | - A Wakelin
- International Association for Muscle Glycogen Storage Disease, CA, USA
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2
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Ordovas JM, Rios-Insua D, Santos-Lozano A, Lucia A, Torres A, Kosgodagan A, Camacho JM. A Bayesian network model for predicting cardiovascular risk. Comput Methods Programs Biomed 2023; 231:107405. [PMID: 36796167 DOI: 10.1016/j.cmpb.2023.107405] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 01/17/2023] [Accepted: 02/02/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND AND OBJECTIVE Cardiovascular diseases are the leading death cause in Europe and entail large treatment costs. Cardiovascular risk prediction is crucial for the management and control of cardiovascular diseases. Based on a Bayesian network built from a large population database and expert judgment, this work studies interrelations between cardiovascular risk factors, emphasizing the predictive assessment of medical conditions, and providing a computational tool to explore and hypothesize such interrelations. METHODS We implement a Bayesian network model that considers modifiable and non-modifiable cardiovascular risk factors as well as related medical conditions. Both the structure and the probability tables in the underlying model are built using a large dataset collected from annual work health assessments as well as expert information, with uncertainty characterized through posterior distributions. RESULTS The implemented model allows for making inferences and predictions about cardiovascular risk factors. The model can be utilized as a decision- support tool to suggest diagnosis, treatment, policy, and research hypothesis. The work is complemented with a free software implementing the model for practitioners' use. CONCLUSIONS Our implementation of the Bayesian network model facilitates answering public health, policy, diagnosis, and research questions concerning cardiovascular risk factors.
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Affiliation(s)
- J M Ordovas
- Nutrition and Genomics, JM-USDA-HNRCA, Tufts University, Boston, MASS, USA
| | | | - A Santos-Lozano
- i+Health, Dpt. Health Sciences, European University Miguel de Cervantes, Valladolid, Spain; Physical Activity and Health Research Group, Inst. Inv. Sanitaria Hospital 12 de Octubre, Madrid, Spain
| | - A Lucia
- Fac. Sports Sciences, Universidad Europea de Madrid, Madrid, Spain; Physical Activity and Health Research Group, Inst. Inv. Sanitaria Hospital 12 de Octubre, Madrid, Spain
| | | | - A Kosgodagan
- Inst. de Mathématiques Apliqueés, Université Catholique de L'Ouest, Angers, France
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3
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Villarreal-Salazar M, Santalla A, Real-Martínez A, Nogales-Gadea G, Valenzuela PL, Fiuza-Luces C, Andreu AL, Rodríguez-Aguilera JC, Martín MA, Arenas J, Vissing J, Lucia A, Krag TO, Pinós T. Low aerobic capacity in McArdle disease: A role for mitochondrial network impairment? Mol Metab 2022; 66:101648. [PMID: 36455789 PMCID: PMC9758572 DOI: 10.1016/j.molmet.2022.101648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 11/14/2022] [Accepted: 11/24/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND McArdle disease is caused by myophosphorylase deficiency and results in complete inability for muscle glycogen breakdown. A hallmark of this condition is muscle oxidation impairment (e.g., low peak oxygen uptake (VO2peak)), a phenomenon traditionally attributed to reduced glycolytic flux and Krebs cycle anaplerosis. Here we hypothesized an additional role for muscle mitochondrial network alterations associated with massive intracellular glycogen accumulation. METHODS We analyzed in depth mitochondrial characteristics-content, biogenesis, ultrastructure-and network integrity in skeletal-muscle from McArdle/control mice and two patients. We also determined VO2peak in patients (both sexes, N = 145) and healthy controls (N = 133). RESULTS Besides corroborating very poor VO2peak values in patients and impairment in muscle glycolytic flux, we found that, in McArdle muscle: (a) damaged fibers are likely those with a higher mitochondrial and glycogen content, which show major disruption of the three main cytoskeleton components-actin microfilaments, microtubules and intermediate filaments-thereby contributing to mitochondrial network disruption in skeletal muscle fibers; (b) there was an altered subcellular localization of mitochondrial fission/fusion proteins and of the sarcoplasmic reticulum protein calsequestrin-with subsequent alteration in mitochondrial dynamics/function; impairment in mitochondrial content/biogenesis; and (c) several OXPHOS-related complex proteins/activities were also affected. CONCLUSIONS In McArdle disease, severe muscle oxidative capacity impairment could also be explained by a disruption of the mitochondrial network, at least in those fibers with a higher capacity for glycogen accumulation. Our findings might pave the way for future research addressing the potential involvement of mitochondrial network alterations in the pathophysiology of other glycogenoses.
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Affiliation(s)
- M Villarreal-Salazar
- Mitochondrial and Neuromuscular Disorders Unit, Vall d'Hebron Institut de Recerca, Universitat Autònoma de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Madrid, Spain
| | - A Santalla
- Universidad Pablo de Olavide, Sevilla, Spain
| | - A Real-Martínez
- Mitochondrial and Neuromuscular Disorders Unit, Vall d'Hebron Institut de Recerca, Universitat Autònoma de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Madrid, Spain
| | - G Nogales-Gadea
- Grup de Recerca en Malalties Neuromusculars i Neuropediàtriques, Department of Neurosciences, Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol i Campus Can Ruti, Universitat Autònoma de Barcelona, Badalona, Spain
| | - P L Valenzuela
- Physical Activity and Health Research Group ('PaHerg'), Research Institute of the Hospital 12 de Octubre ('imas12'), Madrid, Spain
| | - C Fiuza-Luces
- Physical Activity and Health Research Group ('PaHerg'), Research Institute of the Hospital 12 de Octubre ('imas12'), Madrid, Spain
| | - A L Andreu
- EATRIS, European Infrastructure for Translational Medicine, Amsterdam, Netherlands
| | - J C Rodríguez-Aguilera
- Universidad Pablo de Olavide, Sevilla, Spain; Centro Andaluz de Biología del Desarrollo, Universidad Pablo de Olavide, Sevilla, Spain
| | - M A Martín
- Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Madrid, Spain; Mitochondrial and Neuromuscular Diseases Laboratory, 12 de Octubre Hospital Research Institute (i+12), Madrid, Spain
| | - J Arenas
- Mitochondrial and Neuromuscular Diseases Laboratory, 12 de Octubre Hospital Research Institute (i+12), Madrid, Spain
| | - J Vissing
- Copenhagen Neuromuscular Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - A Lucia
- Faculty of Sport Sciences, European University, Madrid, Spain
| | - T O Krag
- Copenhagen Neuromuscular Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
| | - T Pinós
- Mitochondrial and Neuromuscular Disorders Unit, Vall d'Hebron Institut de Recerca, Universitat Autònoma de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Madrid, Spain.
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Herrera C, Bruna V, Comella A, De La Rosa A, Diaz-Gonzalez L, Ruiz-Ortiz M, Lacalzada-Almeida J, Lucia A, Boraita A, Bayes-De-Luna A, Martinez-Selles M. Correlation between atrial electrocardiographic indexes and left atrial enlargement in competitive athletes. From the ALMUDAINA case-control study. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Left atrial (LA) remodelling and enlargement in athletes is a well-kown component of the athlete's heart. However, information about the correlation between of LA enlargement and atrial electrophysiological features in athletes is scarce.
Purpose
Our aim was to characterize LA enlargement, P-wave duration, and the prevalence of interatrial block (IAB) in competitive athletes (with and without LA enlargement) and in controls.
Methods
ALMUDAINA (Analysis of Left atrial Measurements of Ultrasound Dilation Among International and National Athletes) was a nationwide, cross-sectional study involving 9 hospitals and sport clinics across Spain. Cases fulfilled the international consensus definition of a competitive athlete and were currently engaged in skill, power, mixed or endurance disciplines at a national or international level. The following P-wave parameters were analysed: 1) duration 2) voltage in lead I and 3) the presence of interatrial block (IAB). LA enlargement was defined as an indexed volume by body surface area ≥34 ml/m2, measured by transthoracic echocardiography. A contemporary cohort of otherwise healthy and active controls was used as a comparison group.
Results
Baseline clinical and echocardiographic characteristics of both cohorts are summarised in table 1 whereas electrocardiographic characteristics are displayed in table 2, respectively. 356 subjects were included, 308 athletes (mean age: 36.4±11.6 years) and 48 controls (mean age: 49.3±16.1 years). Athletes showed a higher mean LA indexed volume (29.8±8.6 vs. 25.6±8.0 mL/m2, P=0.006) and higher prevalence of LA enlargement (113 [36.7%] vs. 5 [10.4%], P<0.001), but there were no relevant differences in P-wave duration (106.3±12.5 ms vs 108.2±7.7 ms; P=0.31), voltage in lead I (0.08±0.04 vs. 0.08±0,04 mV; P=0.79) and the prevalence of IAB (40 [13.0%] vs. 4 [8.3%], P=0.36). Only a case of advance IAB was detected, in an athlete without LA enlargement. Among athletes, those with LA enlargement (113, 36.7%) had higher P-wave duration (110.3±14.1 vs. 103.0±10.9 ms, P<0.001) and a higher prevalence of interatrial blockade (23 [20.4%] vs. 17 [8.8%], P=0.004), but similar voltage of P-wave in lead I (0.08±0.003 vs. 0.08±0.05 mV, P=0.689). In a multivariate analysis, competitive training was independently associated with LA enlargement (odds ratio [OR] 14.7, 95% confidence interval [CI] 4.7–44.0; P<0.001) but was not associated with P-wave duration (OR 1.02, 95% CI: 0.99–1.04; P=0.19) or IAB (OR 1.4, 95% CI 0.7–3.1; P=0.34).
Conclusions
LA enlargement is prevalent in adult competitive athletes. However, ECG indexes of atrial electrophysiology were not different from healthy controls. Our data suggest that LA enlargement and IAB are two different entities.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- C Herrera
- University Hospital Gregorio Maranon, Madrid, Spain
| | - V Bruna
- University Hospital 12 de Octubre, Cardiology, Madrid, Spain
| | - A Comella
- Universidad de Vic-Universidad Central de Catalunya, Laboratorio de fisiología del ejercicio de Bayés Esport. Research Group M3O., Vic, Spain
| | - A De La Rosa
- Hospiten Roca, Cardiology, Las Palmas de Gran Canaria, Spain
| | | | - M Ruiz-Ortiz
- University Hospital Reina Sofia, Cardiology, Cordoba, Spain
| | | | - A Lucia
- University Hospital 12 de Octubre, Instituto de investigaciόn Hospital 12 de Octubre, Madrid, Spain
| | - A Boraita
- Centro de Medicina del Deporte, Cardiology, Madrid, Spain
| | - A Bayes-De-Luna
- Hospital de la Santa Creu i Sant Pau, Fundaciόn de Investigaciόn Cardiovascular. ICCC-Instituto de Investigaciόn., Barcelona, Spain
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Castro-Santos P, Verdugo RA, Alonso-Arias R, Gutiérrez MA, Suazo J, Aguillón JC, Olloquequi J, Pinochet C, Lucia A, Quiñones LA, Díaz-Peña R. Association analysis in a Latin American population revealed ethnic differences in rheumatoid arthritis-associated SNPs in Caucasian and Asian populations. Sci Rep 2020; 10:7879. [PMID: 32398702 PMCID: PMC7217883 DOI: 10.1038/s41598-020-64659-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Accepted: 04/08/2020] [Indexed: 11/17/2022] Open
Abstract
Large genome-wide association studies (GWAS) have increased our knowledge of the genetic risk factors of rheumatoid arthritis (RA). However, little is known about genetic susceptibility in populations with a large admixture of Amerindian ancestry. The aim of the present study was to test the generalizability of previously reported RA loci in a Latin American (LA) population with admixed ancestry. We selected 128 single nucleotide polymorphisms (SNPs) in linkage equilibrium, with high association to RA in multiple populations of non-Amerindian origin. Genotyping of 118 SNPs was performed in 313 RA patients/487 healthy control subjects by mid-density arrays of polymerase chain reaction (PCR). Some of the identified associations were validated in an additional cohort (250 cases/290 controls). One marker, the SNP rs2451258, located upstream of T Cell Activation RhoGTPase Activating Protein (TAGAP) gene, showed significant association with RA (p = 5 × 10-3), whereas 18 markers exhibited suggestive associations (p < 0.05). Haplotype testing showed association of some groups of adjacent SNPs around the signal transducer and activator of transcription 4 (STAT4) gene (p = 9.82 × 10-3 to 2.04 × 10-3) with RA. Our major finding was little replication of previously reported genetic associations with RA. These results suggest that performing GWAS and admixture mapping in LA populations has the potential to reveal novel loci associated with RA. This in turn might help to gain insight into the 'pathogenomics' of this disease and to explore trans-population differences for RA in general.
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Affiliation(s)
- P Castro-Santos
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile
- Inmunología, Centro de Investigaciones Biomédicas (CINBIO), Universidad de Vigo, Vigo, Spain
| | - R A Verdugo
- Programa de Genética Humana, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile
- Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile
| | - R Alonso-Arias
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile
- Immunology Department, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - M A Gutiérrez
- Rheumatology, Almirante Nef Naval Hospital, Viña del Mar, Valparaíso, Chile
- Valparaíso University, Viña del Mar, Valparaíso, Chile
| | - J Suazo
- Instituto de Investigación en Ciencias Odontológicas, Facultad de Odontología, Universidad de Chile, Santiago, Chile
| | - J C Aguillón
- Immune Regulation and Tolerance Research Group, Programa de Inmunología, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile
| | - J Olloquequi
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile
| | - C Pinochet
- Hospital Regional de Talca, Talca, Chile
| | - A Lucia
- Universidad Europea de Madrid (Faculty of Sports Sciences) and Research Institute Hospital 12 de Octubre ('i + 12'), Madrid, Spain
| | - L A Quiñones
- Laboratory of Chemical Carcinogenesis and Pharmacogenetics, Department de Basic-Clinical Oncology, Faculty of Medicine, University of Chile, Santiago, Chile.
- Latin American Network for Implementation and Validation of Clinical Pharmacogenomics Guidelines (RELIVAF-CYTED), Madrid, Spain.
| | - R Díaz-Peña
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile.
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Pollán M, Casla-Barrio S, Alfaro J, Esteban C, Segui-Palmer MA, Lucia A, Martín M. Exercise and cancer: a position statement from the Spanish Society of Medical Oncology. Clin Transl Oncol 2020; 22:1710-1729. [PMID: 32052383 PMCID: PMC7423809 DOI: 10.1007/s12094-020-02312-y] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2019] [Accepted: 01/27/2020] [Indexed: 12/16/2022]
Abstract
Due to improvements in the number of cancer survivors and survival time, there is a growing interest in healthy behaviors, such as physical activity (PA), and their potential impact on cancer- and non-cancer-related morbidity in individuals with cancer. Commissioned by the Spanish Society of Medical Oncology (SEOM), in this review, we sought to distill the most recent evidence on this topic, focusing on the mechanisms that underpin the effects of PA on cancer, the role of PA in cancer prevention and in the prognosis of cancer and practical recommendations for clinicians regarding PA counseling. Despite the available information, the introduction of exercise programs into the global management of cancer patients remains a challenge with several areas of uncertainty. Among others, the most effective behavioral interventions to achieve long-term changes in a patient’s lifestyle and the optimal intensity and duration of PA should be defined with more precision in future studies.
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Affiliation(s)
- M Pollán
- Cancer and Environmental Epidemiology, Carlos III Institute of Health, Madrid, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - S Casla-Barrio
- Exercise-Oncology Unit, Spanish Cancer Association, Madrid, Spain.,GEICAM (Spanish Breast Cancer Group), Madrid, Spain
| | - J Alfaro
- Medical Oncology, Hospital de Terrassa, Barcelona, Spain
| | - C Esteban
- Medical Oncology, Hospital Virgen de la Salud, Toledo, Spain
| | - M A Segui-Palmer
- Medical Oncology, Parc Taulí Hospital Universitari, Sabadell, Spain
| | - A Lucia
- Faculty of Sport Sciences, Universidad Europea de Madrid, Calle Tajo, s/n, 28670, Villaviciosa de Odón, Madrid, Spain. .,Instituto de Investigación Hospital 12 de Octubre and CIBER de Envejecimiento Saludable y Fragilidad (CIBERFES), Madrid, Spain.
| | - M Martín
- GEICAM (Spanish Breast Cancer Group), Madrid, Spain. .,Instituto de Investigacion Sanitaria Gregorio Marañón, Universidad Complutense, Madrid, Spain. .,Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain. .,Medical Oncology Service, Hospital General Universitario Gregorio Marañón, Calle Dr. Esquerdo 46, 28007, Madrid, Spain.
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7
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Real-Martínez A, Brull A, Huerta J, Villarreal-Salazar M, Tarrasó G, Lucia A, Martin M, Arenas J, Andreu A, Nogales-Gadea G, Vissing J, Krag T, de Luna N, Pinós T. P.119Analysis of the structural and metabolic consequences of McArdle disease using the murine model. Neuromuscul Disord 2019. [DOI: 10.1016/j.nmd.2019.06.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Quinlivan R, Pietrusz A, Pizzamiglio C, Pattni J, Mahroo O, Khan K, Elliott P, Patasin M, Chatfield S, Lucia A, Zugaza J, Llavero F, Godfrey R. McARDLE DISEASE. Neuromuscul Disord 2019. [DOI: 10.1016/j.nmd.2019.06.171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Brillantino A, Andreano M, Lanza M, D'Ambrosio V, Fusco F, Antropoli M, Lucia A, Zito ES, Forner A, Ambrosino F, Monte G, Cricrì AM, Robustelli U, De Masi A, Calce R, Ciardiello G, Renzi A, Castriconi M. Advantages of Damage Control Strategy With Abdominal Negative Pressure and Instillation in Patients With Diffuse Peritonitis From Perforated Diverticular Disease. Surg Innov 2019; 26:656-661. [PMID: 31221028 DOI: 10.1177/1553350619857561] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Purpose. To evaluate the results of Damage Control Strategy (DCS) in the treatment of generalized peritonitis from perforated diverticular disease in patients with preoperative severe systemic diseases. Methods. All the patients with diffuse peritonitis (Hinchey 3 and 4) and the American Society of Anesthesiologists (ASA) score ≥3 were included and underwent DCS consisting of a 2-step procedure. The first was peritoneal lavage, perforated colon-stapled resection, and temporary abdominal closure with negative pressure wound therapy combined with instillation. The second step, 48 hours later, included the possibility of restoring intestinal continuity basing on local and general patients' conditions. Results. Thirty patients (18 [60%] women and 12 [40%] men, median age 68.5 [range = 35-84] years) were included (18 [60%] ASA III, 11 [36.7%] ASA IV, and 1 [0.03%] ASA V). Seven patients (23.3%) showed sepsis and 1 (3.33%) septic shock. At second surgery, 24 patients (80%) received a colorectal anastomosis and 6 patients (20%) underwent a Hartmann's procedure. Median hospital stay was 18 days (range = 12-62). Postoperative morbidity rate was 23.3% (7/30) and included 1 anastomotic leak treated with Hartmann's procedure. Consequently, at discharge from hospital, 23 patients (76.6%) were free of stoma. Primary fascial closure was possible in all patients. Conclusions. DCS with temporary abdominal closure by negative pressure wound therapy combined with instillation in patients with diffuse peritonitis from complicated diverticulitis could represent a feasible surgical option both in hemodynamically stable and no stable patients, showing encouraging results including a low stoma rate and an acceptable morbidity rate.
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Álvarez C, Ramírez-Vélez R, Ramírez-Campillo R, Ito S, Celis-Morales C, García-Hermoso A, Rodriguez-Mañas L, Lucia A, Izquierdo M. Interindividual responses to different exercise stimuli among insulin-resistant women. Scand J Med Sci Sports 2018; 28:2052-2065. [DOI: 10.1111/sms.13213] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2018] [Indexed: 01/08/2023]
Affiliation(s)
- C. Álvarez
- Department of Physical Activity Sciences; Universidad de Los Lagos; Osorno Chile
| | - R. Ramírez-Vélez
- School of Medicine and Health Sciences; Center for the Study of Physical Activity Measurement (CEMA); Universidad del Rosario; Bogotá Colombia
| | - R. Ramírez-Campillo
- Research Nucleus in Health; Physical Activity and Sports; Universidad de Los Lagos; Osorno Chile
| | - S. Ito
- Division of Cardiology; Sankuro Hospital; Toyota Japan
| | - C. Celis-Morales
- Centro de Investigación en Fisiología del Ejercicio (CIFE); Universidad Mayor; Santiago Chile
| | - A. García-Hermoso
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud; Facultad de Ciencias Médicas; Universidad de Santiago de Chile, USACH; Santiago Chile
| | - L. Rodriguez-Mañas
- Division of Geriatric Medicine; University Hospital of Getafe; Madrid Spain
| | - A. Lucia
- Faculty of Sports Sciences; Universidad Europea de Madrid; Madrid Spain
| | - M. Izquierdo
- Department of Health Sciences; Public University of Navarre; CIBERFES (CB16/10/00315); Navarre Spain
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Ronchi A, Montella M, Argenzio V, Lucia A, De Renzo A, Alfano R, Franco R, Cozzolino I. Diagnosis of anaplastic large cell lymphoma on late peri-implant breast seroma: Management of cytological sample by an integrated approach. Cytopathology 2018; 29:294-299. [PMID: 29633403 DOI: 10.1111/cyt.12541] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2018] [Indexed: 12/29/2022]
Abstract
INTRODUCTION Peri-implant breast seroma is a late clinical presentation of reconstructive surgery or augmentation mammoplasty with breast implants. Pre-operative cytological evaluation of the peri-implant breast seroma is a common clinical approach, showing mainly an inflammatory reaction or more rarely a breast implant-associated anaplastic large cell lymphoma. Herein, we reported the role of cytology in the evaluation of peri-implant breast seroma and its critical pre-operative implications. METHODS Eight cases of peri-implant breast seroma from files at Luigi Vanvitelli University were identified between January and December 2017. In all cases, seroma was aspirated; cytospins were performed and stained by Papanicolaou stain; finally, in all cases, a cell block was obtained for immunocytochemical evaluation and, in one case, for FISH to detect ALK1-gene translocation. RESULTS The median age of patients was 48 years and the mean time between the implant placement and the occurrence of peri-implant breast seroma was 18 months. Microscopic examination showed breast implant-associated anaplastic large cell lymphoma in one case, aspecific inflammatory reaction in six cases and silicon-associated reaction in one case. CONCLUSIONS Peri-implant breast seroma may be caused by several pathological conditions with different clinical behaviour. A proper cytological approach to peri-implant breast seroma allows a correct differential diagnosis between inflammatory conditions and breast implant-associated anaplastic large cell lymphoma and an appropriate management of the patient.
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Affiliation(s)
- A Ronchi
- Division of Pathology, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy
| | - M Montella
- Division of Pathology, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy
| | - V Argenzio
- Division of General and GeriatricSurgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy
| | - A Lucia
- Division of General and GeriatricSurgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy
| | - A De Renzo
- Division of Haematology, Department of Clinical Medicine and Surgery, Università "Federico II", Naples, Italy
| | - R Alfano
- Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy
| | - R Franco
- Division of Pathology, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy
| | - I Cozzolino
- Division of Pathology, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy
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12
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Scalco R, Quinlivan R, Lucia A, Santalla A, Martinuzzi A, Toscano A, Musumeci O, Milan BS, Durmus H, Voermans N, Laforêt P, Kuhnle E, Martin M, Siciliano G, Sacconi S, Ortega X, Pinos T, Marti R, Vissing J. The EUROMAC registry for rare glycogen storage diseases: preliminary report. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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13
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Ramos J, Álvarez-Bustos A, Soriano M, Nuñez B, Ros J, Osorio P, Gutierrez L, Gómez R, Hidalgo F, Leon A, Mendez M, González C, Sanchez A, Martínez S, Pagola I, Brea L, Fiuza-Luces C, Lucia A, Ruiz-Casado A. Ideal cardiovascular health (ICVH) in patients with a recent diagnosis of colorectal cancer (CRC). Ann Oncol 2017. [DOI: 10.1093/annonc/mdx388.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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14
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Nogales-Gadea G, Brull A, Santalla A, Andreu A, Arenas J, Martín M, Lucia A, Luna N, Pinós T. McArdle disease mutations and polymorphisms. Neuromuscul Disord 2016. [DOI: 10.1016/j.nmd.2016.06.408] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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15
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Ramos J, Cantos B, Maximiano C, Cebolla H, Fiuza-Luces C, Gutierrez L, Osorio P, Cerrato J, Sanchez J, Nuñez B, Garate A, Pagola I, Alejo L, Lucia A, Ruiz-Casado A. Cancer-related fatigue in breast cancer survivors: more evidence for a physiological substrate. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw390.64] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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16
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Ruiz-Casado A, Alejo LB, Santos-Lozano A, Soria A, Ortega MJ, Pagola I, Fiuza-Luces C, Palomo I, Garatachea N, Cebolla H, Lucia A. Validity of the Physical Activity Questionnaires IPAQ-SF and GPAQ for Cancer Survivors: Insights from a Spanish Cohort. Int J Sports Med 2016; 37:979-985. [PMID: 27557405 DOI: 10.1055/s-0042-103967] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Regular physical activity (PA) decreases mortality risk in survivors of breast and colorectal cancer. Such impacts of exercise have prompted initiatives designed both to promote and adequately monitor PA in cancer survivors. This study examines the validity of 2 widely used self-report methods for PA determination, the International Physical Activity Questionnaire short version (IPAQ-SF) and Global Physical Activity Questionnaire (GPAQ). Both instruments were compared with the triaxial accelerometry (Actigraph) method as an objective reference standard. Study participants were 204 cancer survivors (both sexes, aged 18-79 years). Compared with accelerometry, both questionnaires significantly overestimated PA levels (across all intensities) and underestimated physical inactivity levels. No differences were detected between the 2 questionnaires except for a shorter inactivity time estimated by GPAQ (p=0.001). The Bland and Altman method confirmed that both questionnaires overestimated all PA levels. Receiver operating characteristic (ROC) analysis classified IPAQ and GPAQ as fair and poor predictors, respectively, of the proportions of survivors fulfilling international PA recommendations (≥150 min·week-1 of moderate-vigorous PA). IPAQ-SF showed a higher sensitivity but lower specificity than GPAQ. Our data do not support the use of IPAQ-SF or GPAQ to determine PA or inactivity levels in cancer survivors.
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Affiliation(s)
- A Ruiz-Casado
- Department of Medical Oncology, Hospital Universitario Puerta de Hierro, Majadahonda, Spain
| | - L B Alejo
- Universidad Europea. Instituto de Investigación i + 12, Madrid, Spain Ciencias del Deporte, European University of Madrid, Madrid, Spain
| | - A Santos-Lozano
- Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain
| | - A Soria
- Department of Oncology, Hospital Universitario de Fuenlabrada, Madrid, Spain
| | - M J Ortega
- Department of Oncology, Hospital Universitario de Fuenlabrada, Madrid, Spain
| | - I Pagola
- Universidad Europea. Instituto de Investigación i + 12, Madrid, Spain Ciencias del Deporte, European University of Madrid, Madrid, Spain
| | - C Fiuza-Luces
- Instituto de Investigación i +12, Madrid, Spain Biomedicine, Universidad Europea de Madrid, Madrid, Spain
| | - I Palomo
- Department of Oncology, Hospital Universitario de Fuenlabrada, Madrid, Spain
| | - N Garatachea
- Physiotherapy and Nursing, University of Zaragoza, Huesca, Spain, Huesca, Spain
| | - H Cebolla
- Department of Social Stratification, Universidad Nacional Educación a Distancia, Madrid, Spain
| | - A Lucia
- Universidad Europea. Instituto de Investigación i + 12, Madrid, Spain Ciencias del Deporte, European University of Madrid, Madrid, Spain
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17
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Arab F, Goasduff G, Lucia A, David S, Boussion N, Quillevère S. Détermination de la dose délivrée par l’imagerie de basse énergie en radiothérapie guidée par l’image avec des détecteurs thermoluminescents. Cancer Radiother 2015. [DOI: 10.1016/j.canrad.2015.07.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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18
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Fiuza-Luces C, Simpson RJ, Ramírez M, Lucia A, Berger NA. Physical function and quality of life in patients with chronic GvHD: a summary of preclinical and clinical studies and a call for exercise intervention trials in patients. Bone Marrow Transplant 2015; 51:13-26. [PMID: 26367233 DOI: 10.1038/bmt.2015.195] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Revised: 06/23/2015] [Accepted: 07/15/2015] [Indexed: 01/12/2023]
Abstract
Allogeneic hematopoietic stem cell transplant, to reconstitute the hematopoietic and immune status of patients undergoing myeloablative therapy for hematologic disorders, has been of great benefit in minimizing or eradicating disease and extending survival. Patients who undergo allogeneic hematopoietic stem cell transplant (allo-HSCT) are subject to many comorbidities among which the most significant, affecting quality of life (QoL) and survival, are acute GvHD (aGvHD) and chronic GvHD (cGvHD), resulting from donor lymphocytes reacting to and damaging host tissues. Physical activity and exercise have clearly been shown, in both children and adults, to enhance fitness, improve symptomatology and QoL, reduce disease progression and extend survival for many diseases including malignancies. In some cases, vigorous exercise has been shown to be equal to or more effective than pharmacologic therapy. This review addresses how cGvHD affects patients' physical function and physical domain of QoL, and the potential benefits of exercise interventions along with recommendations for relevant research and evaluation targeted at incorporating this strategy as soon as possible after allo-HSCT and ideally, as soon as possible upon diagnosis of the condition leading to allo-HSCT.
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Affiliation(s)
- C Fiuza-Luces
- Institute of Health Carlos III and Mitochondrial and Neuromuscular Diseases Laboratory, Hospital Universitario 12 de Octubre Research Institute (i+12), Madrid, Spain
| | - R J Simpson
- Department of Health and Human Performance, University of Houston, Houston, TX, USA
| | - M Ramírez
- Pediatric Hematology & Oncology, Hospital Niño Jesus, Madrid, Spain
| | - A Lucia
- Departamento de Biomedicina, Universidad Europea and Research Institute (i+12), Polideportivo, Villaviciosa de Odón, Madrid, Spain
| | - N A Berger
- Center for Science, Health and Society, Department of Medicine, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA
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19
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He ZH, Hu Y, Li YC, Gong LJ, Cieszczyk P, Maciejewska-Karlowska A, Leonska-Duniec A, Muniesa CA, Marín-Peiro M, Santiago C, Garatachea N, Eynon N, Lucia A. PGC-related gene variants and elite endurance athletic status in a Chinese cohort: a functional study. Scand J Med Sci Sports 2015; 25:184-95. [PMID: 25170593 DOI: 10.1111/sms.12188] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2014] [Indexed: 01/07/2023]
Abstract
This study aims to examine the association between proliferator-activated receptor γ (PGC)-gene family-related single nucleotide polymorphisms (SNPs) and elite endurance runners' status in a Chinese cohort, and to gain insights into the functionality of a subset of SNPs. Genotype distributions of 133 SNPs in PPARGC1A, PPARGC1B, PPRC1, TFAM, TFB1M, TFB2M, NRF1, GABPA, GABPB1, ERRα, and SIRT1 genes were compared between 235 elite Chinese (Han) endurance runners (127 women) and 504 healthy non-athletic controls (237 women). Luciferase gene reporter activity was determined in 20 SNPs. After adjusting for multiple comparisons (in which threshold P-value was set at 0.00041), no significant differences were found in allele/genotype frequencies between athletes and controls (when both sexes were analyzed either together or separately). The lowest P-value was found in PPARGC1A rs4697425 (P = 0.001 for the comparison of allele frequencies between elite female endurance runners and their gender-matched controls). However, no association (all P > 0.05) was observed for this SNP in a replication cohort from Poland (194 endurance athletes and 190 controls). Using functional genomics tool, the following SNPs were found to have functional significance: PPARGC1A rs6821591, rs12650562, rs12374310, rs4697425, rs13113110, and rs4452416; PPARGC1B rs251466 and rs17110586; and PPRC1 rs17114388 (all P < 0.001). This study found no significant association between PGC-related SNPs and elite endurance athlete status in the Chinese population, despite some SNPs showing potential functional significance and the strong biological rationale to hypothesize that this gene pathway is a candidate to influence endurance exercise capacity.
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Affiliation(s)
- Z-H He
- Biology Centre, China Institute of Sport Science, Beijing, China
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20
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Sanchis-Gomar F, Pareja-Galeano H, Perez-Quilis C, Santos-Lozano A, Fiuza-Luces C, Garatachea N, Lippi G, Lucia A. Effects of allopurinol on exercise-induced muscle damage: new therapeutic approaches? Cell Stress Chaperones 2015; 20:3-13. [PMID: 25181966 PMCID: PMC4255256 DOI: 10.1007/s12192-014-0543-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2014] [Revised: 08/22/2014] [Accepted: 08/25/2014] [Indexed: 02/07/2023] Open
Abstract
Intensive muscular activity can trigger oxidative stress, and free radicals may hence be generated by working skeletal muscle. The role of the enzyme xanthine oxidase as a generating source of free radicals is well documented and therefore is involved in the skeletal muscle damage as well as in the potential transient cardiovascular damage induced by high-intensity physical exercise. Allopurinol is a purine hypoxanthine-based structural analog and a well-known inhibitor of xanthine oxidase. The administration of the xanthine oxidase inhibitor allopurinol may hence be regarded as promising, safe, and an economic strategy to decrease transient skeletal muscle damage (as well as heart damage, when occurring) in top-level athletes when administered before a competition or a particularly high-intensity training session. Although continuous administration of allopurinol in high-level athletes is not recommended due to its possible role in hampering training-induced adaptations, the drug might be useful in non-athletes. Exertional rhabdomyolysis is the most common form of rhabdomyolysis and affects individuals participating in a type of intense exercise to which they are not accustomed. This condition can cause exercise-related myoglobinuria, thus increasing the risk of acute renal failure and is also associated with sickle cell trait. In this manuscript, we have reviewed the recent evidence about the effects of allopurinol on exercise-induced muscle damage. More research is needed to determine whether allopurinol may be useful for preventing not only exertional rhabdomyolysis and acute renal damage but also skeletal muscle wasting in critical illness as well as in immobilized, bedridden, sarcopenic or cachectic patients.
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Affiliation(s)
- F Sanchis-Gomar
- Department of Physiology, University of Valencia, Av. Blasco Ibañez, 15, Valencia, 46010, Spain,
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21
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Di Cello A, Morelli M, Lucia A, Rania E, Sacchinelli A, Venturella R, Lico D, Quaresima B, Costanzo F, Zullo F. Periostin Expression Is Related to the Invasive Tumor-Like Phenotype of Endometriosis: A New Promising Biomarker to Use in Risk Stratification of Patients. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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22
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Ruiz JR, Gil-Bea F, Bustamante-Ara N, Rodríguez-Romo G, Fiuza-Luces C, Serra-Rexach JA, Cedazo-Minguez A, Lucia A. Resistance training does not have an effect on cognition or related serum biomarkers in nonagenarians: a randomized controlled trial. Int J Sports Med 2014; 36:54-60. [PMID: 25329433 DOI: 10.1055/s-0034-1375693] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The aim of this randomized controlled trial was to determine the effects of 8-week exercise-intervention on cognition and related serum biochemical markers in nonagenarians. We also studied the effects of a 4-week training cessation ('detraining') period on our study variables. Participants were randomly allocated to a standard-care (control) or intervention (exercise) group [n=20 (16 women)/group]. The intervention focused on supervised, light-to-moderate-intensity aerobic and resistance exercises (mainly leg press), and included 3 weekly sessions. Cognitive status was determined by the mini-mental state examination and geriatric depression scale. We analysed proteins with reported relation with mechanisms behind cognition changes such as serum levels of angiotensin converting enzyme, amyloid-precursor protein, epidermal growth factor, brain-derived neural factor and tumor necrosis factor. No significant change (P>0.05) in any of the variables studied was found following the exercise intervention compared with the standard-care group. Similarly, no significant changes (P>0.05) were observed following the detraining period compared with the standard-care group. Overall changes after the exercise intervention in serum biomarkers were not associated with changes in functional capacity and cognitive measures. An 8-week exercise intervention focusing on resistance exercises neither benefits cognitive function nor affects the levels of the serum proteins analysed in nonagenarians.
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Affiliation(s)
- J R Ruiz
- PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sport, University of Granada, Granada, Spain
| | - F Gil-Bea
- Department of Cellular and Molecular Neuropharmacology, Center for Applied Medical Research, Pamplona, Spain
| | | | | | - C Fiuza-Luces
- Biomedicine, Universidad Europea de Madrid, Madrid, Spain
| | - J A Serra-Rexach
- Geriatry, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - A Cedazo-Minguez
- Karolinska Institutet, KI-Alzheimer's Disease Research Center, Huddinge, Sweden
| | - A Lucia
- Physiology, Universidad Europea De Madrid, Madrid, Spain
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23
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Miglierini P, Dam-hieu P, Lucia A, Pradier O. Première expérience française avec la radiothérapie peropératoire associée à une kyphoplastie (Kypho-IORT) dans les métastases vertébrales. Cancer Radiother 2014. [DOI: 10.1016/j.canrad.2014.07.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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24
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Scalco R, Quinlivan R, Martin R, Baruch N, Martin M, Navarra C, Martinuzzi A, Bruno C, Laforet P, Sperber K, Sacconi S, Wakelin A, Hadjigeorgiou G, Vissing J, Vorgerd M, Haller R, Oflazer Z, Pouget J, Lucia A, Andreu T, Toscano A, Musumeci O. G.P.245. Neuromuscul Disord 2014. [DOI: 10.1016/j.nmd.2014.06.321] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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25
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Santos-Lozano A, Collado P, Foster C, Lucia A, Garatachea N. Influence of Sex and Level on Marathon Pacing Strategy. Insights from the New York City Race. Int J Sports Med 2014; 35:933-8. [DOI: 10.1055/s-0034-1367048] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- A. Santos-Lozano
- Department of Biomedical Sciences, University of León, León, Spain
| | - P. Collado
- Department of Biomedical Sciences, University of León, León, Spain
| | - C. Foster
- Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, United States
| | - A. Lucia
- Research Institute Hospital 12 de Octubre (i+12), Madrid, Spain
| | - N. Garatachea
- Research Institute Hospital 12 de Octubre (i+12), Madrid, Spain
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26
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Soria A, Pagola I, Ortega MJ, Brea L, Fiuza C, Cebolla H, Palomo I, Montil M, Malón D, Guerra J, Lucia A, Ruiz A. Abstract P3-08-17: Objectively measured physical activity in breast cancer survivors. Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-p3-08-17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Obesity and physical inactivity are poor prognostic indicators for breast cancer (BC). Cardiorespiratory fitness (VO2max) is a good predictor of survival. Despite preserved LVEF, cardiorespiratory function is impaired in women with breast cancer after the completion of adjuvant therapy. International organizations recommend at least 150 minutes per week of moderate-vigorous physical activity (MVPA). Some studies show that a minority of cancer survivors are meeting the PA recommendations. A limitation of physical activity (PA) research has been the use of self-reported measures.
Eligibility criteria: 1) Age 18-79, 2) Able to walk a mile, 3) More than one year from diagnosis, 4) More than 3 months since the last therapy, 5) No evidence of disease.
Aims: Objective assessment of physical activity in breast cancer survivors. Adherence to international recommendations.
Material and methods: PA was evaluated through accelerometry (600 minutes per day, 5 days per week, 2 week-end days were required to consider as valid accelerometry values). Cardiorespiratory fitness was assessed through the “one-mile test”.
Results: 92 women (W) with BC history were included. 86 W were evaluable for accelerometry. 85 W were evaluable for VO2max. Age: 54.02 years (33-77), BMI: 27.89 (SD 8.89), waist perimeter: 89.74 cm (SD 17.37), median time from diagnosis 3.94 years, treatment with anthracyclines 55 W (63.9%), radiotherapy 69 W (80.23%). Accelerometry (86W): Average weekly time MVPA 351.14 min/wk (SD: 168.98). 76 (88%) met international recommendations of PA. Women previously treated with anthracyclines (47 W; 340.25 min/wk), radiotherapy (59 w; 343 min/wk) and both (48 W; 331 min/wk) exercised less than women who did not receive these therapies (8 W; 386 min/wk). This association was not statistically significant.
Average VO2max was 24.8 ml/kg/min (SD: 7.6).There was a significant effect of anthracyclines for VO2 max. Women not treated with anthracyclines had a VO2max: 26.41 whereas treated W had VO2max 22.08 ml/kg/min.
Discussion: A cohort of Spanish women met international recommendations of PA when it was objectively assessed. This cohort exhibited a poor cardiometabolic and cardiorespiratory profile. Previous exposure to anthracyclines predicted a poorer cardiorespiratory fitness. Specific research to investigate the role of exercise to mitigate that dysfunction in breast cancer survivors is warranted.
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P3-08-17.
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Affiliation(s)
- A Soria
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - I Pagola
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - MJ Ortega
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - L Brea
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - C Fiuza
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - H Cebolla
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - I Palomo
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - M Montil
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - D Malón
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - J Guerra
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - A Lucia
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
| | - A Ruiz
- Hospital Universitario Fuenlabrada, Fuenlabrada, Madrid, Spain; Universidad Europea de Madrid, Spain; Universidad Nacional de Educación a Distancia, Spain; Hospital Universitario Puerta de Hierro, Spain
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Santos-Lozano A, Santín-Medeiros F, Cardon G, Torres-Luque G, Bailón R, Bergmeir C, Ruiz JR, Lucia A, Garatachea N. Actigraph GT3X: validation and determination of physical activity intensity cut points. Int J Sports Med 2013; 34:975-82. [PMID: 23700330 DOI: 10.1055/s-0033-1337945] [Citation(s) in RCA: 220] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The aims of this study were: to compare energy expenditure (EE) estimated from the existing GT3X accelerometer equations and EE measured with indirect calorimetry; to define new equations for EE estimation with the GT3X in youth, adults and older people; and to define GT3X vector magnitude (VM) cut points allowing to classify PA intensity in the aforementioned age-groups. The study comprised 31 youth, 31 adults and 35 older people. Participants wore the GT3X (setup: 1-s epoch) over their right hip during 6 conditions of 10-min duration each: resting, treadmill walking/running at 3, 5, 7, and 9 km · h⁻¹, and repeated sit-stands (30 times · min⁻¹). The GT3X proved to be a good tool to predict EE in youth and adults (able to discriminate between the aforementioned conditions), but not in the elderly. We defined the following equations: for all age-groups combined, EE (METs)=2.7406+0.00056 · VM activity counts (counts · min⁻¹)-0.008542 · age (years)-0.01380 · body mass (kg); for youth, METs=1.546618+0.000658 · VM activity counts (counts · min⁻¹); for adults, METs=2.8323+0.00054 · VM activity counts (counts · min⁻¹)-0.059123 · body mass (kg)+1.4410 · gender (women=1, men=2); and for the elderly, METs=2.5878+0.00047 · VM activity counts (counts · min⁻¹)-0.6453 · gender (women=1, men=2). Activity counts derived from the VM yielded a more accurate EE estimation than those derived from the Y-axis. The GT3X represents a step forward in triaxial technology estimating EE. However, age-specific equations must be used to ensure the correct use of this device.
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Affiliation(s)
- A Santos-Lozano
- Faculty of Health Science, Department of Biomedical Sciences, University of León, Spain
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28
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Ruiz JR, Santiago C, Yvert T, Muniesa C, Díaz-Ureña G, Bekendam N, Fiuza-Luces C, Gómez-Gallego F, Femia P, Lucia A. ACTN3genotype in Spanish elite swimmers: No “heterozygous advantage”. Scand J Med Sci Sports 2013; 23:e162-7. [DOI: 10.1111/sms.12045] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2012] [Indexed: 12/22/2022]
Affiliation(s)
| | - C. Santiago
- School of Doctorate Studies and Research; Universidad Europea de Madrid; Madrid; Spain
| | - T. Yvert
- School of Doctorate Studies and Research; Universidad Europea de Madrid; Madrid; Spain
| | - C. Muniesa
- Faculty of Physical Activity; Universidad Europea de Madrid; Madrid; Spain
| | - G Díaz-Ureña
- Faculty of Physical Activity; Universidad Europea de Madrid; Madrid; Spain
| | - N. Bekendam
- Faculty of Physical Activity; Universidad Europea de Madrid; Madrid; Spain
| | - C. Fiuza-Luces
- School of Doctorate Studies and Research; Universidad Europea de Madrid; Madrid; Spain
| | - F Gómez-Gallego
- School of Doctorate Studies and Research; Universidad Europea de Madrid; Madrid; Spain
| | - P. Femia
- Department of Biostatistics; School of Medicine; University of Granada; Granada; Spain
| | - A. Lucia
- School of Doctorate Studies and Research; Universidad Europea de Madrid; Madrid; Spain
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Affiliation(s)
- A. Santos-Lozano
- Department of Physioteraphy and Nursing, Universidad de Zaragoza, Huesca, Spain
| | - G. Torres-Luque
- Faculty of Science of Education, University of Jaén, Jaén, Spain
| | - P. Marín
- Laboratory of Physiology, European University Miguel de Cervantes, Valladolid, Spain
| | - J. Ruiz
- Department of Biosciences and Nutrition, Unit for Preventive Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - A. Lucia
- Physiology, Universidad Europea De Madrid, Madrid, Spain
| | - N. Garatachea
- Department of Physioteraphy and Nursing, Universidad de Zaragoza, Huesca, Spain
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Abstract
There is little standardization of how to measure cycling gross efficiency (GE). Therefore, the purposes of these studies were to evaluate the effect of: i) stage duration, ii) relative exercise intensity, iii) work capacity and iv) a prior maximal incremental test on GE. Trained subjects (n=28) performed incremental tests with stage durations of 1-, 3-, and 6-min to establish the effect of stage duration and relative exercise intensity on GE. The effect of work capacity was evaluated by correlating GE with peak power output (PPO). In different subjects (n=9), GE was measured at 50% PPO with and without a prior maximal incremental test. GE was similar in 3- and 6-min stages (19.7 ± 2.8% and 19.3 ± 2.0%), but significantly higher during 1-min stages (21.1 ± 2.7%), GE increased with relative exercise intensity, up to 50% PPO or the power output corresponding to the ventilatory threshold and then remained stable. No relationship between work capacity and GE was found. Prior maximal exercise had a small effect on GE measures; GE was lower after maximal exercise. In conclusion, GE can be determined robustly so long as steady state exercise is performed and RER ≤ 1.0.
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Affiliation(s)
- J J de Koning
- Research Institute MOVE, VU University Amsterdam, Amsterdam, The Netherlands
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Eynon N, Ruiz J, Yvert T, Santiago C, Gómez-Gallego F, Lucia A, Birk R. The C Allele in NOS3 -786 T/C Polymorphism is Associated with Elite Soccer Player's Status. Int J Sports Med 2012; 33:521-4. [DOI: 10.1055/s-0032-1306337] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- N. Eynon
- Institute of Sports Exercise and Active Living (ISEAL), Victoria University, Melbourne, Australia
| | - J. Ruiz
- Department of Biosciences and Nutrition, Karolinska Institutet, Unit for Preventive Nutrition, Huddinge, Sweden
- Department of Physical Education and Sport, School of Sport Sciences, University of Granada, Spain
| | - T. Yvert
- Physiology, Universidad Europea de Madrid, Madrid, Spain
| | - C. Santiago
- Physiology, Universidad Europea de Madrid, Madrid, Spain
| | | | - A. Lucia
- Physiology, Universidad Europea de Madrid, Madrid, Spain
| | - R. Birk
- Department of Nutrition, School of Health Sciences, Ariel University Center, Ariel, Israel
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Gómez AM, Martínez C, Fiuza-Luces C, Herrero F, Pérez M, Madero L, Ruiz JR, Lucia A, Ramírez M. Exercise training and cytokines in breast cancer survivors. Int J Sports Med 2011; 32:461-7. [PMID: 21380980 DOI: 10.1055/s-0031-1271697] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The purpose of this randomized controlled trial was to determine the effects of an 8-week (aerobic+strength) exercise training program (3 sessions/week) on the circulating cytokine levels of breast cancer survivors. We randomly allocated 16 female survivors of breast cancer (mean±SD age: 50±5 years) to an intervention or usual care (control) group (N=8 in each group). The intervention group followed an 8-week exercise program consisting of 3 sessions/week (session duration: 90 min). We measured the levels of the following cytokines before and after the intervention: beta-NGF, CTACK, eotaxin, FGF basic, G-CSF, gmCSFα, HGF, ICAM1, IFNα2, IFNγ, IL1α, IL1ß, IL1ra, IL2, IL2ra, IL3, IL4, IL6, IL7, IL8, IL9, IL10, IL12, IL13, IL15, IL16, IL17, IL18, IP10, LIF, MCS-F, MIP1α, MIP1β, MIF, MCP1, MCP3, MIG, PDGF bb, SCF, SCGFβ, SDF1α, TRAIL, TNFα, TNFβ, VCAM1, and VEGF. We only observed a significant interaction (group*time) effect for CTACK ( P=0.016), with mean values remaining stable in the intervention group but increasing over time in controls. The intervention program did not induce a significant decrease in the main breast cancer-related cytokines such as IL6 and IL8. A combined (aerobic+strength) 8-week exercise training intervention did not induce major changes in the basal cytokine levels of breast cancer survivors.
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Affiliation(s)
- A M Gómez
- Hospital Infantil Universitario Niño Jesús, Oncologia, Madrid, Spain
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Affiliation(s)
- M. J. Joyner
- Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota
| | - J. R. Ruiz
- Department of Biosciences and Nutrition, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden; and
| | - A. Lucia
- Universidad Europea de Madrid, Madrid, Spain
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Ruiz JR, Eynon N, Meckel Y, Fiuza-Luces C, Santiago C, Gómez-Gallego F, Oliveira J, Lucia A. GNB3 C825T Polymorphism and elite athletic status: A replication study with two ethnic groups. Int J Sports Med 2010; 32:151-3. [PMID: 21110287 DOI: 10.1055/s-0030-1268438] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
We aimed to replicate the original findings by Eynon et al. showing an association between the T allele of the GNB3 C825T polymorphism and elite endurance athletic status, in larger cohorts and in other ethnicities. We compared allelic and genotypic frequencies of the GNB3 C825T polymorphism among non-athletic controls (N=340), elite endurance athletes (N=174), and power athletes (N=134). The population sample included participants from 2 different ethnic/geographic backgrounds (Israel and Spain). We observed no significant differences in genotypic and allelic frequencies between countries or groups (all P>0.1). The odds ratio (OR) of being an endurance athlete if the subject had a T allele was 0.841 (95%CI: 0.638-1.110) compared to the control group and 1.047 (95% CI: 0.751-1.461) compared to the power group. Our findings support the need to corroborate genotype:phenotype associations in the field of sports genetics with the largest possible population samples, including populations of different ethnic backgrounds.
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Affiliation(s)
- J R Ruiz
- Karolinska Institutet, Department of Biosciences and Nutrition at NOVUM, Huddinge, Sweden
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Santiago C, Rodríguez-Romo G, Gómez-Gallego F, González-Freire M, Yvert T, Verde Z, Naclerio F, Altmäe S, Esteve-Lanao J, Ruiz JR, Lucia A. Is there an association between ACTN3 R577X polymorphism and muscle power phenotypes in young, non-athletic adults? Scand J Med Sci Sports 2010; 20:771-8. [DOI: 10.1111/j.1600-0838.2009.01017.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Abstract
Whoever breaks 2 h will likely have outstanding running economy and small body size along with exposure to high altitude and significant physical activity early in life. However, neither of these factors nor any specific suite of genotypes appear to be obligatory for a time this fast. Current trends suggest that an East African will be the first to break 2 h. However periods of regional dominance in distance running are not unique to the East Africans: athletes from Finland, Eastern Europe, Australia, and New Zealand have all had extended periods of success at a range of distances. From a physiological perspective, more information is clearly needed on the relationship between VO(2max) and running economy and the influence of running economy and body size on thermoregulation and fuel use.
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Affiliation(s)
- M J Joyner
- Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA.
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Ruiz JR, Fernández del Valle M, Verde Z, Díez-Vega I, Santiago C, Yvert T, Rodríguez-Romo G, Gómez-Gallego F, Molina JJ, Lucia A. ACTN3 R577X polymorphism does not influence explosive leg muscle power in elite volleyball players. Scand J Med Sci Sports 2010; 21:e34-41. [DOI: 10.1111/j.1600-0838.2010.01134.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Wolin KY, Ruiz JR, Tuchman H, Lucia A. Exercise in adult and pediatric hematological cancer survivors: an intervention review. Leukemia 2010; 24:1113-20. [PMID: 20410923 DOI: 10.1038/leu.2010.54] [Citation(s) in RCA: 91] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Observational research has shown that the physical activity levels of survivors of hematological cancer are low, with deleterious health consequences. This review summarizes the research on exercise interventions in adult and pediatric hematological cancer survivors. We searched MEDLINE, SPORTDiscus, CINAHL, Embase, Cochrane and PEDro through September 2009 for exercise intervention studies in children and adults with any type of hematological cancer. In the 24 adult intervention studies reviewed, we found strong evidence (that is, > or =3 high-quality studies and > or =75% reporting a significant benefit) for a benefit on body composition. Weak, but promising, evidence (> or =3 high-quality studies, but <75% reporting a significant benefit) was found for cardiorespiratory fitness, fatigue, muscle strength, physical functioning and quality of life. In pediatric interventions (13 studies), we found strong evidence for a benefit on muscle strength and cardiorespiratory fitness, particularly, if training was conducted in the hospital setting. Evidence is weak for ankle dorsiflexion, physical functioning and body composition. No exercise-related risks were identified in adults or children studies. Though more randomized controlled trials are needed, a growing body of literature supports the notion that regular physical activity is safe and has potential benefits for both adult and pediatric hematological cancer survivors.
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Affiliation(s)
- K Y Wolin
- Department of Surgery, Washington University in School of Medicine, St Louis, MO 63130, USA.
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Buxens A, Ruiz JR, Arteta D, Artieda M, Santiago C, González-Freire M, Martínez A, Tejedor D, Lao JI, Gómez-Gallego F, Lucia A. Can we predict top-level sports performance in power vs endurance events? A genetic approach. Scand J Med Sci Sports 2010; 21:570-9. [PMID: 20459474 DOI: 10.1111/j.1600-0838.2009.01079.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The goal of our study was to discriminate potential genetic differences between humans who are in both endpoints of the sports performance continuum (i.e. world-class endurance vs power athletes). We used DNA-microarray technology that included 36 genetic variants (within 20 different genes) to compare the genetic profile obtained in two cohorts of world-class endurance (N=100) and power male athletes (N=53) of the same ethnic origin. Stepwise multivariate logistic regression showed that the rs1800795 (IL6-174 G/C), rs1208 (NAT2 K268R) and rs2070744 (NOS3-786 T/C) polymorphisms significantly predicted sport performance (model χ(2) =25.3, df=3, P-value <0.001). Receiver-operating characteristic (ROC) curve analysis showed a significant discriminating accuracy of the model, with an area under the ROC curve of 0.72 (95% confidence interval: 0.66-0.81). The contribution of the studied genetic factors to sports performance was 21.4%. In summary, although an individual's potential for excelling in endurance or power sports can be partly predicted based on specific genetic variants (many of which remain to be identified), the contribution of complex gene-gene interactions, environmental factors and epigenetic mechanisms are also important contributors to the "complex trait" of being an athletic champion. Such trait is likely not reducible to defined genetic polymorphisms.
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Affiliation(s)
- A Buxens
- Progenika Biopharma, Parque Tecnológico de Zamudio, Derio-Vizcaya, Spain
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Bustamante-Ara N, Santiago C, Verde Z, Yvert T, Gómez-Gallego F, Rodríguez-Romo G, González-Gil P, Serra-Rexach JA, Ruiz JR, Lucia A. ACE and ACTN3 genes and muscle phenotypes in nonagenarians. Int J Sports Med 2010; 31:221-4. [PMID: 20148371 DOI: 10.1055/s-0030-1247529] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
We studied the association of ACE and ACTN3 polymorphisms with skeletal muscle phenotypes (i. e. upper and lower body muscular strength and functional tests) in Spanish nonagenarian subjects [n=41, 33 women, 8 men, age: 90-97 years]. Mean values of the study phenotypes were not significantly different (all P>0.05) between ACE and ACTN3 genotypes. The analyses of the combined effects between genotypes ( ACE DD & ACTN3 RR/RX vs. ACE II/ID & ACTN3 XX) did not yield any significant difference. Our data suggest that, in the elderly, the influence of genetic factors on muscle phenotype traits is not reducible to a few single polymorphisms, including ACE and ACTN3 variants.
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Santiago C, Ruiz JR, Muniesa CA, González-Freire M, Gómez-Gallego F, Lucia A. Does the polygenic profile determine the potential for becoming a world-class athlete? Insights from the sport of rowing. Scand J Med Sci Sports 2010; 20:e188-94. [DOI: 10.1111/j.1600-0838.2009.00943.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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Barakat R, Ruiz JR, Rodriguez-Romo G, Montejo-Rodriguez R, Lucia A. Does exercise training during pregnancy influence fetal cardiovascular responses to an exercise stimulus? Insights from a randomised, controlled trial. Br J Sports Med 2009; 44:762-4. [DOI: 10.1136/bjsm.2009.062547] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Abstract
OBJECTIVE We examined the effect of light intensity resistance exercise training performed during the second and third trimester of pregnancy on the newborn's birth size. We also studied the association between maternal body weight prior to pregnancy and newborn's birth size. DESIGN Randomised controlled trial. SUBJECTS We randomly assigned 160 sedentary gravidae to either a training (n=80) or a control (n=80) group. The training programme focused on light resistance and toning exercises (three times per week, 35-40 min per session). We recorded the Apgar score, birth weight, birth length, and head circumference of the newborn, as well as gestational age at time of delivery from hospital perinatal records. We also measured maternal weight and height before parity and gestational weight gain. RESULTS Maternal characteristics neither differed between groups (all P>0.1) nor newborn characteristics (all P>0.1). Maternal body weight was positively and significantly associated with newborn's birth weight and length only in the control group (beta=19.20 and 0.065, respectively, P<0.01). CONCLUSION Light intensity resistance training performed over the second and third trimester of pregnancy does not have a negative impact on the newborn's body size or overall health. Exercise interventions might attenuate the adverse consequences of maternal body weight before pregnancy on the newborn's birth size.
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Affiliation(s)
- R Barakat
- Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
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Gonzalez-Freire M, Santiago C, Verde Z, Lao JI, OIivan J, Gomez-Gallego F, Lucia A. Unique among unique. Is it genetically determined? Br J Sports Med 2009; 43:307-9. [DOI: 10.1136/bjsm.2008.049809] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Juffer P, Furrer R, González-Freire M, Santiago C, Verde Z, Serratosa L, Morate FJ, Rubio JC, Martin MA, Ruiz JR, Arenas J, Gómez-Gallego F, Lucia A. Genotype distributions in top-level soccer players: a role for ACE? Int J Sports Med 2009; 30:387-92. [PMID: 19277943 DOI: 10.1055/s-0028-1105931] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
We determined the genotype and allelic frequency of several genetic polymorphisms (ACE I/D, GDF-8K153R [and also E164K, P198A and I225T] and AMPD1 C34T) that are candidates to influence sports performance in a group of 54 male professional soccer players. Their results were compared with those of elite endurance male athletes (52 runners) and 123 sedentary, healthy men (controls). We found statistical significance for the ACE ID (chi (2)((2))=8.176, P=0.017) and II genotypes (chi(2)((2))=16.137, P<0.001) with a higher and lower frequency of ID ( P=0.005) and II (P<0.001), respectively, in soccer players than in endurance runners. Statistical significance was also reached for AMPD1 (with a higher frequency of the CT genotype in soccer players than in runners [chi(2)((2))=7.538, P=0.006]) but not for GDF-8 K153R. Since the ACE II genotype is associated with improved potential for endurance performance but with decreased training gains in muscle mass and strength, these findings together with previous results support the notion that elite soccer players tend to have a power/strength oriented genotype.
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Affiliation(s)
- P Juffer
- Universidad Europea de Madrid, Madrid, Spain
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Lucia A, De La Rosa A, Silvan MA, Lopez-Mojares LM, Boraita A, Perez M, Foster C, Garcia-Castro J, Ramirez M. Mobilisation of mesenchymal cells in cardiac patients: is intense exercise necessary? Br J Sports Med 2009; 43:221-3. [DOI: 10.1136/bjsm.2007.044693] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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