The Effect of Chronic Dietary Protein Manipulation on Amino Acids' Profile and Position Sense in the Elderly Suffering from Type 2 Diabetes Mellitus

Dietary protein with adequate essential amino acids effectively stimulates protein synthesis and improves muscle mass. Musculoskeletal disorders in lower or upper limbs are not uncommon among patients with type II diabetes mellitus (T2DM). Therefore, this study primarily examines the effects of chronic dietary protein manipulation on amino acids' profile and position sense in the elderly suffering from T2DM. A total of 26 individuals suffering from non-insulin-dependent T2DM (age > 55 years old) participated in a 12 week nutritional intervention. The subjects were randomly assigned and the control group received 0.8-1.0 g protein/kg/day, while the intervention group received 1.2-1.5 g protein/kg/day. Lean body mass, muscle strength, and position sense were assessed at baseline, as well as at the 6th and 12th week of the intervention. Only in the intervention group, the essential amino acids intake met the current nutritional recommendations (p < 0.05), while, by the 12th week, only the intervention group showed significant improvement in the muscle strength of knee (p < 0.05) and shoulder (p < 0.05) extension. On the contrary, in the control group, a significant decline in appendicular lean mass (p < 0.05) was observed by the 12th week. Position sense at the knee joint revealed a tendency for improvement in the intervention group by the 12th week (main effect of time p = 0.072). In the present investigation, it was revealed that the higher protein intake in the intervention group seemed to have positive effects on muscle strength and nearly positive effects on position sense.

Physiological responses during static apnoea efforts in elite and novice breath-hold divers before and after two weeks of dry apnoea training

This study examined the effect of breath-hold (BH) training on apnoeic performance in novice BH divers (NBH:n = 10) and compared them with data from elite BH divers (EBH:n = 11). Both groups performed 5-maximal BHs (PRE). The NBH group repeated this protocol after two weeks of BH training (POST). The NBH group during BH efforts significantly increased red blood cell concentration (4.56 ± 0.16Mio/μl) by 5.06%, hemoglobin oxygen saturation steady state duration (110.32 ± 29.84 s) by 15.48%, and breath-hold time (BHT:144.19 ± 47.35 s) by 33.77%, primarily due to a 59.70% increase in struggle phase (71.85 ± 30.89 s), in POST. EBH group exhibited longer BHT (283.95 ± 36.93 s) and struggle-phase (150.10 ± 34.69 s) than NBH (POST). Elite divers recorded a higher peak MAP (153.18 ± 12.28 mmHg) compared to novices (PRE:123.70 ± 15.65 mmHg, POST:128.30 ± 19.16 mmHg), suggesting that a higher peak MAP is associated with a better BHT. The concurrent abrupt increase of diaphragmatic activity and MAP, seen only in the EBH group, suggests a potential interaction. Additionally, apnoea training increases red blood cells concentration in repeated apnoea efforts and increases BH stamina.

The Effect of Skeletal Muscle Oxygenation on Hemodynamics, Cerebral Oxygenation and Activation, and Exercise Performance during Incremental Exercise to Exhaustion in Male Cyclists

This study aimed to elucidate whether muscle blood flow restriction during maximal exercise is associated with alterations in hemodynamics, cerebral oxygenation, cerebral activation, and deterioration of exercise performance in male participants. Thirteen healthy males, cyclists (age 33 ± 2 yrs., body mass: 78.6 ± 2.5 kg, and body mass index: 25.57 ± 0.91 kg·m^-1), performed a maximal incremental exercise test on a bicycle ergometer in two experimental conditions: (a) with muscle blood flow restriction through the application of thigh cuffs inflated at 120 mmHg (with cuffs, WC) and (b) without restriction (no cuffs, NC). Exercise performance significantly deteriorated with muscle blood flow restriction, as evidenced by the reductions in V˙O_2max (-17 ± 2%, p < 0.001), peak power output (-28 ± 2%, p < 0.001), and time to exhaustion (-28 ± 2%, p < 0.001). Muscle oxygenated hemoglobin (Δ[O₂Hb]) during exercise declined more in the NC condition (p < 0.01); however, at exhaustion, the magnitude of muscle oxygenation and muscle deoxygenation were similar between conditions (p > 0.05). At maximal effort, lower cerebral deoxygenated hemoglobin (Δ[HHb]) and cerebral total hemoglobin (Δ[THb]) were observed in WC (p < 0.001), accompanied by a lower cardiac output, heart rate, and stroke volume vs. the NC condition (p < 0.01), whereas systolic blood pressure, rating of perceived exertion, and cerebral activation (as assessed by electroencephalography (EEG) activity) were similar (p > 0.05) between conditions at task failure, despite marked differences in exercise duration, maximal aerobic power output, and V˙O_2max. In conclusion, in trained cyclists, muscle blood flow restriction during an incremental cycling exercise test significantly limited exercise performance. Exercise intolerance with muscle blood flow restriction was mainly associated with attenuated cardiac responses, despite cerebral activation reaching similar maximal levels as without muscle blood flow restriction.

Meta-Analysis of Carbohydrate Solution Intake during Prolonged Exercise in Adults: From the Last 45+ Years' Perspective

Carbohydrate (CHO) supplementation during prolonged exercise postpones fatigue. However, the optimum administration timing, dosage, type of CHO intake, and possible interaction of the ergogenic effect with athletes' cardiorespiratory fitness (CRF) are not clear. Ninety-six studies (from relevant databases based on predefined eligibility criteria) were selected for meta-analysis to investigate the acute effect of ≤20% CHO solutions on prolonged exercise performance. The between-subject standardized mean difference [SMD = ([mean post-value treatment group-mean post-value control group]/pooled variance)] was assessed. Overall, SMD [95% CI] of 0.43 [0.35, 0.51] was significant (p < 0.001). Subgroup analysis showed that SMD was reduced as the subjects' CRF level increased, with a 6-8% CHO solution composed of GL:FRU improving performance (exercise: 1-4 h); administration during the event led to a superior performance compared to administration before the exercise, with a 6-8% single-source CHO solution increasing performance in intermittent and 'stop and start' sports and an ~6% CHO solution appearing beneficial for 45-60 min exercises, but there were no significant differences between subjects' gender and age groups, varied CHO concentrations, doses, or types in the effect measurement. The evidence found was sound enough to support the hypothesis that CHO solutions, when ingested during endurance exercise, have ergogenic action and a possible crossover interaction with the subject's CRF.

Acute L-Citrulline Supplementation Increases Nitric Oxide Bioavailability but Not Inspiratory Muscle Oxygenation and Respiratory Performance

The present study aimed to investigate whether acute L-citrulline supplementation would affect inspiratory muscle oxygenation and respiratory performance. Twelve healthy males received 6 g of L-citrulline or placebo in a double-blind crossover design. Pulmonary function (i.e., forced expired volume in 1 s, forced vital capacity and their ratio), maximal inspiratory pressure (MIP), fractional exhaled nitric oxide (NO^•), and sternocleidomastoid muscle oxygenation were measured at baseline, one hour post supplementation, and after an incremental resistive breathing protocol to task failure of the respiratory muscles. The resistive breathing task consisted of 30 inspirations at 70% and 80% of MIP followed by continuous inspirations at 90% of MIP until task failure. Sternocleidomastoid muscle oxygenation was assessed using near-infrared spectroscopy. One-hour post-L-citrulline supplementation, exhaled NO^• was significantly increased (19.2%; p < 0.05), and this increase was preserved until the end of the resistive breathing (16.4%; p < 0.05). In contrast, no difference was observed in the placebo condition. Pulmonary function and MIP were not affected by the L-citrulline supplementation. During resistive breathing, sternocleidomastoid muscle oxygenation was significantly reduced, with no difference noted between the two supplementation conditions. In conclusion, a single ingestion of 6 g L-citrulline increased NO^• bioavailability but not the respiratory performance and inspiratory muscle oxygenation.

Five repeated maximal efforts of apneas increase the time to exhaustion in subsequent high-intensity exercise

Ten subjects were tested on a cycle ergometer to exhaustion with intensity corresponding to 150 % of their peak power output (TF150) under three conditions [C: base line measurement; PRE: after five repeated breath hold maneuvers (BH); and POST: after 5BH, preceded by two weeks of BH training]. Respiratory and blood measurements were carried out. Upon cessation of 5BH, subjects compared to C condition started TF150 with reduced arterialized blood pH (C:7.428±0.023, PRE:7.419±0.016, POST:7.398±0.021) and elevated bicarbonate concentration (mmol/l), ventilation (l/min) and oxygen uptake (ml/min) (C:28.4±1.5, PRE:29.9±1.2, POST:30.0±1.8; C:10.4±2.5, PRE:13.3±3.3, POST:15.6±5.6; C:333.0±113.8, PRE:550.1±131.1, POST:585.1±192.8, respectively). After TF150, subjects had significantly reduced pH and elevated ventilation, and oxygen uptake in PRE and POST, in comparison to the C condition. TF150 (sec) significantly improved after 5BH without being further affected by BH training (C:44.8±8.1, PRE:49.2±4.8, POST:49.3±8.2). Priming breath holds prior to middle-distance racing may improve performance.

The effect of muscle blood flow restriction on hemodynamics, cerebral oxygenation and activation at rest

This study tested the hypothesis that muscle blood flow restriction reduces muscle and cerebral oxygenation, at rest. In 26 healthy males, aged 33±2 yrs, physiological variables were continuously recorded during a 10-min period in two experimental conditions: a) with muscle blood flow restriction through thigh cuffs application inflated at 120 mmHg (With Cuffs, WC) and b) without restriction (No Cuffs, NC). Muscle and cerebral oxygenation were reduced by muscle blood flow restriction as suggested by the increase in both muscle and cerebral deoxygenated hemoglobin (Δ[HHb]; p<0.01) and the decrease of muscle and cerebral oxygenation index (Δ[HbDiff]; p<0.01). Hemodynamic responses were not affected by such muscle blood flow restriction, whereas baroreflex sensitivity was reduced (p=0.009). The perception of leg discomfort was higher (p<0.001) in the WC than in the NC condition. This study suggests that thigh cuffs application inflated at 120 mmHg is an effective method to reduce muscle oxygenation at rest. These changes at the muscular level seem to be sensed by the central nervous system, evoking alterations in cerebral oxygenation and baroreflex sensitivity. Novelty bullets: • Thigh cuffs application inflated at 120 mmHg effectively reduces muscle oxygenation at rest. • Limiting muscle oxygenation appears to reduce cerebral oxygenation, and baroreflex sensitivity, at rest. • Even in healthy subjects, limiting muscle oxygenation, at rest, affects neural integration.

Thermoregulatory and cardiovasculareffects of capsaicin application on human skin during dynamic exercise to temperate and warm conditions

Thermoregulatory and cardiovascular responses during cycling in temperate and warm environments without and with application of capsaicin on the skin were investigated. We hypothesized that regardless of environmental temperature, capsaicin application would activate heat loss mechanisms attenuating exercise‐induced rectal temperature (Tre) and blood pressure increase. Eight males cycled at 55% of their maximal aerobic power so long as to reach 38.2°C Tre at 20.8 ± 1.0°C and at 30.6 ± 1.1°C ambient temperatures twice: without (NCA) and with (CA) application of capsaicin patches (12 × 18 cm, 4.8 mg). Patches were applied on pectoralis major, trapezius and vastus lateralis muscles. Thermoregulatory (Tre, proximal‐distal skin temperature gradient, sweating rate), cardiovascular variables and oxygen uptake were continuously recorded. In both ambient conditions, during the first 14 min of exercise, the local vasoconstrictive tone as a function of the relative change in Tre was lower in CA than NCA (p < .05, d = 0.84–1.15). Further, sweating rate was higher and occurred at a lower Tre increase in CA compared to NCA (p = .03, d = 0.6) resulting in extended time to reach 38.2°C Tre (p = .03, d = 0.9). Moreover, oxygen consumption was higher in CA than in NCA (p < .001, d = 0.8). Mean arterial pressure was lower during cycling in warm compared to temperate environment, but was unaffected by capsaicin. We conclude that activation of thermal sensors by capsaicin results in lower Tre rise during exercise, which is mediated through greater skin vasodilation along with higher rate and earlier onset of sweating. Nonetheless, capsaicin application has no extra effect on exercise cardiovascular responses.

Time Course of Oxidative Stress, Inflammation, and Muscle Damage Markers for 5 Days After a Soccer Match: Effects of Sex and Playing Position

Souglis, A, Bogdanis, GC, Chryssanthopoulos, C, Apostolidis, N, and Geladas, ND. Time course of oxidative stress, inflammation and muscle damage markers for 5 days after a soccer match: Effects of sex and playing position. J Strength Cond Res 32(7): 2045-2054, 2018-This study examined the influence of sex and playing position on the time course of selected oxidative stress, inflammation, and muscle damage markers after an official soccer match. Sixty professional soccer players (30 men and 30 women) were divided into 3 groups, according to their playing position: defenders, midfielders, and attackers. Each group consisted of 10 male and 10 female players. Sixty healthy volunteers (30 men and 30 women) served as control. Blood samples were taken before and after the match and daily for 5 days after the match. Analysis of variance revealed different responses over time between sex and playing positions, as shown by the 3-way interaction, for creatine kinase (CK), protein carbonyls (PCs), catalase, fibrinogen, uric acid (UA), lactate dehydrogenase, reduced glutathione, C-reactive protein, and interleukin 6 (p < 0.01). Male players had higher values compared with women of the same playing position, for all oxidative, inflammatory, and muscle damage indices (p < 0.01). Also, in both sexes, midfielders had higher peaks in all indices compared with defenders (p < 0.05). Five days after the game CK and UA concentrations had not returned to pregame levels in any exercise group, whereas PCs were still elevated in male midfielders and attackers (p < 0.05). These results show that sex and playing position influence the time course of selected oxidative stress, inflammation, and muscle damage markers after an official soccer game. This information should be taken into account by practitioners for the design of training programs after match play.

Effects of capsaicin application on the skin during resting exposure to temperate and warm conditions

We investigated thermoregulatory and cardiovascular responses at rest in a temperate (20°C) and in a warm (30°C) environment (40% RH) without and with the application of capsaicin on the skin. We hypothesized that regardless of environmental temperature, capsaicin application would stimulate heat loss and concomitantly deactivate heat conservation mechanisms, thus resulting in rectal temperature (Tre) and mean blood pressure decline due to excitation of heat-sensitive TRPV1. Ten male subjects were exposed, while seated, for 30 minutes to 20.8 ± 1.0°C or to 30.6 ± 1.1°C: without (NCA) and with (CA) application of capsaicin patches on the skin. Thermoregulatory (Tre, proximal-distal skin temperature gradient) and cardiovascular variables (modelflow technique) as well as oxygen uptake were continuously measured. The area under the curve for Tre decline at 20°C was smaller in CA (-2.1 ± 1.3 a.u.) than in NCA (-0.6 ± 1.1 a.u., P < 0.01, r = 0.8). Likewise, at 30°C it was smaller in CA (-2.2 ± 2.1 a.u.) compared to NCA (-0.8 ± 2.0 a.u., P = 0.02, r = 0.7). Local vasomotor tone and oxygen uptake, were significantly lower by 36.7% ± 94.2% and 12.3% ± 12.3%, respectively, with capsaicin compared to NCA (P = 0.05 and P < 0.01, respectively). Additionally, in 30°C CA mean arterial pressure was lower by 10.7% ± 5.9%, 8.9% ± 5.9%, and 10.6% ± 7.0% compared to 30°C NCA, 20°C NCA, and 20°C CA, respectively (P < 0.01, P = 0.02, and P < 0.01, respectively, d = 1.4-1.8). In conclusion, capsaicin application on the skin induced vasodilation and Tre decline. At 30°C CA, thermal responses were accompanied by arterial hypotension most likely due to the interactive effects of both stressors (warm environment and capsaicin) on cutaneous vascular regulation.

Prescribed Drinking Leads to Better Cycling Performance than Ad Libitum Drinking

Drinking ad libitum during exercise often leads to dehydration ranging from -1% to -3% of body weight.

PURPOSE

This article aimed to study the effect of a prescribed hydration protocol matching fluid losses on a simulated 30-km criterium-like cycling performance in the heat (31.6°C ± 0.5°C).

METHODS

Ten elite heat-acclimatized male endurance cyclists (30 ± 5 yr, 76.5 ± 7.2 kg, 1.81 ± 0.07 m, V˙O2peak = 61.3 ± 5.2 mL·min·kg, body fat = 10.5% ± 3.3%, Powermax = 392 ± 33 W) performed three sets of criterium-like cycling, which consisted of a 5-km cycling at 50% power max followed by a 5-km cycling all out at 3% grade (total 30 km). Participants rode the course on two separate occasions and in a counterbalanced order, during either ad libitum drinking (AD; drink water as much as they wished) or prescribed drinking (PD; drink water every 1 km to much fluid losses). To design the fluid intake during PD, participants performed a familiarization trial to calculate fluid losses.

RESULTS

After the exercise protocol, the cyclist dehydrated by -0.5% ± 0.3% and -1.8% ± 0.7% of their body weight for the PD and AD trial, respectively. The mean cycling speed for the third bout of the 5-km hill cycling was greater in the PD trial (30.2 ± 2.4 km·h) compared with the AD trial (28.8 ± 2.6 km·h) by 5.1% ± 4.8% (P < 0.05). Gastrointestinal, mean skin, and mean body temperatures immediately after the last hill climbing were greater in the AD compared with the PD trial (P < 0.05). Overall, sweat sensitivity during the three climbing bouts was lower in the AD (15.6 ± 5.7 g·W·m) compared with the PD trial (22.8 ± 3.4 g·W·m, P < 0.05).

CONCLUSION

The data suggested that PD to match fluid losses during exercise in the heat provided a performance advantage because of lower thermoregulatory strain and greater sweating responses.

Effects of menthol application on the skin during prolonged immersion in cool and cold water

The aim of the study was to compare the effect of skin surface menthol application on rectal temperature (Tre) during prolonged immersion in cool and cold water. We hypothesized that menthol application would lead to a slower Tre decline due to the reduced heat loss as a consequence of the menthol-induced vasoconstriction and that this effect would be attenuated during cold-water immersion. Six male subjects were immersed for 55 minutes in stirred cool (24°C) or cold (14°C) water immediately after attaining a Tre of 38°C by cycling at 60% of maximum heart rate on two occasions: without (ΝM) and with (M) whole-body skin application of menthol cream. Tre, the proximal-distal skin temperature gradient, and oxygen uptake were continuously measured. ANOVA with repeated measures was employed to detect differences among variables. Significance level was set at 0.05. The area under the curve for Tre was calculated and was greater in 24°C M (-1.81 ± 8.22 a.u) compared to 24°C NM (-27.09 ± 19.09 a.u., P = .03, r = .90), 14°C NM (-18.08 ± 10.85 a.u., P = .03, r = .90), and 14°C M (-11.71 ± 12.58 a.u, P = .05, r = .81). In cool water, oxygen uptake and local vasoconstriction were increased (P ≤ .05) by 39 ± 25% and 56 ± 37%, respectively, with menthol compared to ΝM, while no differences were observed in cold water. Menthol application on the skin before prolonged immersion reduces heat loss resulting in a blunted Tre decline. However, such a response is less obvious at 14°C water immersion, possibly because high-threshold cold-sensitive fibers are already maximally recruited and the majority of cold receptors saturated.

Effects of menthol application on the skin during prolonged immersion in swimmers and controls

We hypothesized that menthol application on the skin would enhance vasoconstriction of subjects immersed in cool water, which would reduce heat loss and rectal temperature (Tre) cooling rate. Furthermore, it was hypothesized that this effect would be greater in individuals acclimatized to immersion in 24 °C water, such as swimmers. Seven swimmers (SW) and seven physical education students (CON) cycled at 60% VO₂ max until Tre attained 38 °C, and were then immediately immersed in stirred water maintained at 24 °C on two occasions: without (NM) and with (M; 4.6 g per 100 mL of water) whole-body skin application of menthol cream. Heart rate, Tre, proximal-distal skin temperature gradient, oxygen uptake (VO₂ ), electromyographic activity (EMG), and thermal sensation were measured. Tre reduction was similar among SW and CON in NM and CON in M (-0.71±0.31 °C in average), while it was smaller for SW in M (-0.37±0.18 °C, P < 0.01). VO₂ and heart rate were greater in M compared with NM condition (P = 0.01). SW in M exhibited a shift of the threshold for shivering, as reflected in increased VO₂ and EMG activity, toward a higher Tre compared with the other trials. Menthol application on the skin before immersion reduces heat loss, but defends Tre decline more effectively in swimmers than in non-swimmers.

Heritability of the rate of torque development

AIM

The aim of this study was to estimate the genetic and environmental contribution to the variation observed in the rate of torque development (RTD), which is considered an important determinant of sport performance.

METHODS

Nine monozygotic (MZ) and seven dizygotic (DZ) twin pairs, of both sexes aged 19-26 years, performed three isometric maximal voluntary contractions with the knee at 70 degrees and 40 degrees of flexion (0 degrees=terminal extension) on a Contrex Isokinetic dynamometer. The RTD was extracted from the force time curves and calculated in two different ways, giving rise to two indices, the maximal rate of torque development (MRTD), and the torque at the first 100 msec (F100msec). Heritability estimates (h2) were derived on the basis of intrapair variances between MZ and DZ twin pairs.

RESULTS

A significant genetic influence (P<0.05) was found for both RTD indices (h2=0.99, and 0.93 for MRTD, and F100msec respectively) at only 40 degrees of knee flexion, an angle associated with intensive neural activation.

CONCLUSION

The maximal rate of torque development of knee extensor muscles during the initial phase of their contraction and at enhanced neural activation, is under strong genetic influence.

Repeated apneas and hypercapnic ventilatory response before and after apnea training

BACKGROUND

Habitual exposure to carbon dioxide (CO2) is expected, but it is not proven, to dull ventilatory sensitivity to co2 by reducing hypercapnic ventilatory response (HCVR) as it is expressed by the slope of the derived response curve (CO2 sensitivity: ΔVE/ΔPetCO2). It was hypothesized that HCVR is decreased by repeated breath hold maximal efforts (RBHE) before and after apnea training in comparison with no training and the control condition.

METHODS

Two groups of breath holders, a control (CBH) group and novices to breath hold activities (NBH), visited the laboratory on four different occasions. In the first visit, subjects performed a HCVR test, whereas in the second visit they completed five successive RBHE separated by 2-min intervals. Another HCVR test was performed 2 min after cessation of the last apnea. For the next 14 d, only the NBH group trained by performing daily five RBHE separated by 2-min intervals. Subsequently, in a third and a fourth condition, subjects repeated the experimental protocol of the second and first visit.

RESULTS

Although breath hold time (BHT) increased after apnea training in the NBH group by ~46%, CO2 sensitivity slopes were not different among experimental conditions and groups (2.8 0.3, 2.9 0.4 L min(1) mmHg(1) in the CBH and 2.7 0.5, 2.7 0.3 L min(1) mmHg(1) in the NBH during the second and third visit, respectively).

CONCLUSION

HCVR after five RBHE or 14 d of apnea training was not decreased despite the achieved BHT enhancement. Hypercapnic dullness of ventilation is a complex biological process which takes more than 14 d of training to develop. Bourdas DI, Tsakiris TS, Pavlakis KI, Triantafillou DV, Geladas ND. Repeated apneas and hypercapnic ventilatory response before and after apnea training.

Cardiovascular drift in trained paraplegic and able-bodied individuals during prolonged wheelchair exercise: effect of fluid replacement

The progressive heart rate (HR) increase and stroke volume (SV) decline during prolonged constant-load leg exercise signifies cardiovascular drift (CVdrift); fluid replacement is known to minimize this phenomenon. Like their able-bodied counterparts (AB), paraplegic athletes undergo prolonged exercise during training and competition, which could result in CVdrift. The aim of this study is to address the role of rehydration on preventing CVdrift in spinal cord injured (SCI) paraplegic athletes. Eight SCI athletes with an injury level between C7 and T6 and 9 AB subjects performed 60-min constant-load exercise on a wheelchair ergometer in a thermo-neutral environment. No fluid was taken in 1 trial, whereas 85% of sweat losses were replaced by drinking water in another trial. Cardic output (CO), SV, HR, and oral temperature (Tor) were determined during exercise. Prolonged exercise resulted in similar HR (18 beats·min(-1) for AB and 12 beats·min(-1) for SCI) and Tor (0.63 °C for AB and 0.71 °C for SCI) elevation and SV decline (-8.5 mL·beat(-1) for AB and -5.5 mL·beat(-1) for SCI), whereas CO remained unchanged. Water intake restrained the exercise-induced hyperthermia and resulted in smaller SV decline (-4.0 mL for AB and -3.0 mL for SCI, p < 0.01). In conclusion, CVdrift was similar in SCI and AB subjects during prolonged wheelchair exercise. Likewise, the beneficial effects of hydration in both groups were analogous.

Cardiovascular drift and cerebral and muscle tissue oxygenation during prolonged cycling at different pedalling cadences

We hypothesized that a faster cycling cadence could exaggerate cardiovascular drift and affect muscle and cerebral blood volume and oxygenation. Twelve healthy males (mean age, 23.4 ± 3.8 years) performed cycle ergometry for 90 min on 2 separate occasions, with pedalling frequencies of 40 and 80 r·min–1, at individual workloads corresponding to 60% of their peak oxygen consumption. The main measured variables were heart rate, ventilation, cardiac output, electromyographic activity of the vastus lateralis, and regional muscle and cerebral blood volume and oxygenation. Cardiovascular drift developed at both cadences, but it was more pronounced at the faster than at the slower cadence, as indicated by the drop in cardiac output by 1.0 ± 0.2 L·min–1, the decline in stroke volume by 9 ± 3 mL·beat–1, and the increase in heart rate by 9 ± 1 beats·min–1 at 80 r·min–1. At the faster cadence, minute ventilation was higher by 5.0 ± 0.5 L·min–1, and end-tidal CO2 pressure was lower by 2.0 ± 0.1 torr. Although higher electromyographic activity in the vastus lateralis was recorded at 80 r·min–1, muscle blood volume did not increase at this cadence, as it did at 40 r·min–1. In addition, muscle oxygenation was no different between cadences. In contrast, cerebral regional blood volume and oxygenation at 80 r·min–1 were not as high as at 40 r·min–1 (p < 0.05). Faster cycling cadence exaggerates cardiovascular drift and seems to influence muscle and cerebral blood volume and cerebral oxygenation, without muscle oxygenation being radically affected.

Role of cardiorespiratory fitness and obesity on hemodynamic responses in children

AIM

The purpose of this study was to examine the effects of cardiorespiratory fitness (CRF) and obesity on arterial blood pressure and its determinants at rest and during isometric handgrip exercise (IHG) in children.

METHODS

Fourty-eight healthy children aged 11.6±0.3 (mean ±SE) years, (24 obese or overweight [OB/OV]; 24 normal weight [NO]) participated in the study. Both groups were divided into fit or unfit subgroups according to children's performance of an exercise test (PWC170). Arterial pressure and its determinants were recorded with the use of a photoplethysmographic device (FINOMETER) during 5 minutes of rest and 3 minutes of IHG at 30% of maximum voluntary contraction.

RESULTS

At rest and during IHG, unfit OB/OV children had higher systolic, mean arterial pressure, and rate pressure product (P≤0.05) than fit OB/OV children whose responses were similar to NO children, fit or unfit. Changes from rest, in cardiac output, cardiac index, and stroke volume were higher in unfit than in fit OB/OV children (P≤0.05). Unfit OB/OV children exceeded their fit counterparts in several anthropometric measures. However, CRF was found to have a main effect on systolic blood pressure (P=0.05).

CONCLUSION

Unfit versus fit OB/OV children had an exaggerated systolic blood pressure response at rest and during sympathetic activation, presumably coupled with higher cardiac output and cardiac oxygen demand. These results highlight the importance of fitness for health maintenance in obese and overweight children.

The effect of interval training combined with thigh cuffs pressure on maximal and submaximal exercise performance

The purpose of the study was to investigate the effect of interval training combined with a thigh cuffs pressure of +90 mmHg on maximal and submaximal cycling performance. Twenty untrained individuals were assigned either to a control (CON) or to an experimental (CUFF) training group. Both groups trained 3 days per week for 6 weeks at the same relative intensity; each training session consisted of 2-min work bout at 90% of VO(2max): 2-min active recovery bout at 50% of VO(2max). An incremental exercise test to exhaustion, a 6-min constant-power test at 80% of VO(2max) (Sub(80)) and a maximal constant-power test to exhaustion (TF(150)) were performed pre- and post-training. Despite the unchanged VO(2max), both groups significantly increased peak power output (CON: ∼12%, CUFF: ∼20%) that was accompanied by higher deoxygenation (ΔStO(2)) measured with near-infrared muscle spectroscopy. These changes were more pronounced in the CUFF group. Moreover, both groups reduced VO(2) during the Sub(80) test without concomitant changes in ΔStO(2). TF(150) was enhanced in both groups. Thus, an interval exercise training protocol under moderate restricted blood flow conditions does not provide any additive effect on maximal and submaximal cycling performance. However, it seems to induce peripheral muscular adaptations, despite the lower absolute training intensity.

Relationship between the 20-m multistage shuttle run test and 2 soccer-specific field tests for the assessment of aerobic fitness in adult semi-professional soccer players

The aim of this study was to examine the relationship of 2 different field tests for the assessment of aerobic fitness in soccer players with the multistage 20-m test used for the evaluation of maximum oxygen uptake. Nineteen semi-professional male soccer players (age: 22.8 ± 2.5 mean ± SD) performed, under similar conditions, 3 field tests in a counterbalanced order 7 days apart. These tests were the multistage 20-m shuttle run test (MSRT), the Bangsbo test, and the Hoff test. Heart rate was recorded in all tests with telemetry, and the Borg scale was introduced at the end of exercise. Finally, 3-minute post-test lactate concentration was determined. Performance was 11.2 ± 0.9 levels in the MSRT, 1,658.9 ± 119.9 m in the Bangsbo test, and 1,798.2 ± 125.9 m in the Hoff test. There was a significant correlation between the Hoff test and performance in the MSRT (r = 0.49, p < 0.05). The Bangsbo test was not associated with the MSRT score (r = 0.26, p > 0.05). The maximum heart rate achieved in the Bangsbo test was significantly lower compared with that in the MSRT and Hoff test (Bangsbo: 186.6 ± 9.6, Hoff: 192 ± 7.6, MSRT: 190.4 ± 9.3 beats/min, p < 0.05). No difference was found in post-test lactate concentration among the 3 tests. In conclusion, the Hoff test can be used for the assessment of endurance in adult semi-professional soccer players. Coaches and teams could benefit from using the Hoff test that resembles soccer actions for the assessment of players' aerobic fitness.

Oxygen saturation in the triceps brachii muscle during an arm Wingate test: the role of training and power output

The purpose of this study was to investigate the role of training and power output on muscle oxygen desaturation during and resaturation after an arm Wingate test (WAnT). Two groups of subjects were studied; the first group consisted of nine athletes participating in upper arm anaerobic sports and the second group of 11 university students. As a consequence, the group of athletes (HP) produced higher peak and mean power output (p < 0.01) than the group of university students (LP). Muscle oxygenation status was evaluated by using near infrared spectroscopy at the triceps brachii. The HP group exhibited 17.6 +/- 8.0% less muscle oxygen desaturation than the LP group (p < 0.05) but similar muscle total hemoglobin during exercise and faster (p < 0.05) muscle oxygen resaturation during recovery (tau = 12.4 +/- 5.2 sec in HP vs. tau = 24.2 +/- 11.0 sec in LP). These results indicate that the HP group exhibits less muscle desaturation during an arm WAnT and has a faster resaturation rate, probably attributed to differences in muscle mass, muscle fiber recruitment capability, and ATP production through anaerobic pathways.

The role of active muscle mass on exercise-induced cardiovascular drift

The purpose of this study was to examine the role of active muscle mass on cardiovascular drift (CVdrift) during prolonged exercise. Twelve subjects with peak oxygen uptake (VO2peak) of 3.52 ± 0.52 L·min(-1) (mean ± SD) cycled for 55 min with 80 revolutions per minute with either two legs (2-legged) or one leg (1-legged). Oxygen uptake was at 60% of VO2peak throughout the 2-legged trial and at half of this value in 1- legged condition. Cardiac output (CO-CO2 rebreathing), heart rate (HR) and quadriceps integrated electromyographic activity (iEMG) were higher (p < 0.01) during 2-legged than 1- legged exercise. Changes in stroke volume from 20 to 50 min of exercise were greater in 2-legged than in 1-legged (∆SV: -20.8 ± 0.8 vs. -13.3 ± 1.3 ml·beat(-1), p < 0.05). Similarly, changes in heart rate (∆HR) were +18.5 ± 0.8 and +10.7 ± 1.0 beats·min(-1), in 2-legged and 1-legged, respectively (p < 0.01). Calculated blood volume changes declined significantly in 2-legged exercise (∆BV: -4.25 ± 0.43%, p < 0.05). Sympathetic activation as indicated by the ratio of low and high frequency in spectral analysis of HR (LF HF(-1) ratio) was higher in 2-legged than in 1- legged trial (p < 0.05). At the end of exercise, CO had a tendency to decrease from 20(th) min in 2-legged (changes in CO = -0.92 ± 0.3 L·min(-1), p = 0.07), whereas it was maintained in 1- legged cycling (∆CO = -0.15 ± 0.2 L·min(-1), p = 0.86). Multiple regression analysis showed that HR rise and blood volume decline were predictors of SV drop whereas heart rate increase was explained by rectal temperature and magnitude of muscle mass activation, as indicated by iEMG (p < 0.05) in 2-legged cycling. In conclusion, apart from the well-known factors of thermal status and blood volume decline, it seems that muscle mass involved plays also a role on the development of CVdrift. Key pointsThe magnitude of the participated muscle mass plays a critical role for the development of cardiovascular drift, when the oxygen consumption per leg is the same.Apart from thermal status and blood volume decline, central command plays a role on cardiovascular regulation during steady state exercise performed with large muscle mass.

Somatic and Physical Traits Affecting Sprint Swimming Performance in Young Swimmers

The aim of this study was to examine the relationship between anthropometry, physical capacity, and sprint swimming performance in swimmers of both genders aged 12 - 14 years old. Anthropometric characteristics (body height and mass, total upper extremity, hand and foot lengths, chest circumference, certain body breadths, and skinfolds), as well as leg explosiveness (horizontal jump) and arm strength (handgrip strength test) were evaluated in 263 competitive swimmers (178 boys and 85 girls) aged 12 - 14 years. Skeletal age was assessed with the Tanner-Whitehouse method. All variables, except for the ankle and shoulder flexibility as well as the skeletal age, correlated with 100 m freestyle performance in boys (r = - 0.46 to - 0.73, p < 0.01). Using a split-sample approach, upper extremity length, horizontal jump, and grip strength were detected as significant predictors of 100 m freestyle performance in boys (R (2) = 0.59, p < 0.01). In girls, body height, upper extremity and hand length, shoulder flexibility, and horizontal jump were all significantly related to 100 m freestyle time (r = - 0.22 to - 0.31, p < 0.05) but the degree of association was markedly lower than in boys. In addition, only 17 % of the variance in performance was explained by a combination of body height, hand length, and horizontal jump in girls. These results suggest that 100 m freestyle performance can be partially explained by anthropometry and physical capacity tests in young swimmers. The contribution of these factors to sprint swimming performance is different in boys and girls and this requires further research. These findings could be used for male young swimmers' selection.

Physiological and technical characteristics of elite young basketball players

AIM

The aim of this study was 2-fold: a) to describe the physiological and technical characteristics of elite young basketball players, and b) to examine the relationship between certain field and laboratory tests among these players.

METHODS

Thirteen male players of the junior's Basketball National team (age: 18.5 +/- 0.5 years, mass: 95.5 +/- 8.8 kg, height: 199.5 +/- 6.2 cm, body fat: 11.4 +/- 1.9%, means+/-SD) performed a run to exhaustion on the treadmill, the Wingate test and 2 types of vertical jump. On a separate day, the field tests (control dribble, defensive movement, speed dribble, speed running, shuttle run and dribble shuttle run) were conducted.

RESULTS

Maximal oxygen uptake (VO2max) and ventilatory threshold were 51.7 +/- 4.8 ml/kg/min and 77.6 +/- 7.0% VO2max, respectively. Maximum power output was 10.7 +/- 1.3 Watts/kg and mean power (Pmean) 8.0 +/- 0.7 Watts/kg. Counter-movement and squat jump height were 40.1 +/- 3.7 and 39.8 +/- 4.0 cm, respectively. Performance in control dribble (13.70 +/- 0.96 s), speed dribble (4.24 +/- 0.75 s), high intensity shuttle run (27.90 +/- 1.04 s) and dribble shuttle run (29.50 +/- 1.22 s) was correlated with Pmean (r=-0.58, r=-0.62, r=-0.56 and r=-0.73, respectively, p<0.05). Percent body fat was negatively correlated with all the above field tests (r=0.63, r=0.57, r=0.66, r=0.65, respectively, p<0.05).

CONCLUSION

These players presented a moderate VO2max and anaerobic power. The significant correlation between Pmean and certain field tests indicates that these tests could be used for the assessment of anaerobic capacity of young basketball players.

Age-related pattern in body composition changes for 18-69 year old women

AIM

The aim of this study was to describe the age-related pattern in body composition changes for women 18-69 years old. A secondary objective was to assess the relationship between accumulated physical activity and body composition.

METHODS

Anthropometric measures, including height, body mass, waist and hip circumference and skinfolds thickness, were taken from 441 healthy women placed in 5 age groups (group 1: 18-29 years, n=71; group 2: 30-39 years, n=69; group 3: 40-49 years, n=159; group 4: 50-59 years, n=92 and group 5: 60-69 years, n=50). Physical activity was assessed with a questionnaire. A 1-way ANOVA, with group 1 as the control and Pearson correlation coefficient were employed for statistical analysis.

RESULTS

Body Mass Index, fat mass and waist to hip ratio were all higher in the age groups of 40-49 years and above (21.8+/-0.4 kg/m(2), 14.7+/-0.6 kg, 0.73+/-0.01 for age group 18-29 years and 24.7+/-0.3 kg/m(2), 20.8+/-0.4 kg and 0.76+/-0.01 for age group 40-49 years, respectively; means+/-S.E.M; p<0.01 for all variables). In contrast, fat free mass remained unchanged in the age spectrum studied. Central adiposity, as indicated by the trunk to extremity skinfold ratio, increased after 50-59 years compared with the 18-29 years old group (p<0.01). Body fatness and central adiposity were associated with aging (r=0.16 to 0.46, p<0.05), but not with accumulated physical activity.

CONCLUSION

The results of this cross-sectional study showed an age-related increase in body fatness and central adiposity with no detectable change in fat free mass in these women. These changes were not associated with physical activity.

Effect of water ingestion on cardiovascular and thermal responses to prolonged cycling and running in humans: a comparison

The aim of this investigation was to examine the effect of water ingestion on physiological responses to prolonged cycling (CYC) and running (RUN). A group of 11 men with mean (SEM) maximal oxygen uptake (VO(2max)) 48.5 (1.8) ml x kg(-1) x min(-1) on a cycle-ergometer and 52.1 (2.2) ml x kg(-1) x min(-1) on a treadmill (P<0.01) exercised for 90 min on four occasions, twice on each ergometer, at 60% of mode specific VO(2max). No fluid was taken (D) in one trial on each ergometer, whereas 60% of fluid losses were replaced by drinking water in the other trial (W). In CYC, water ingestion attenuated the change in cardiac output (Delta Qc) and the reduction in stroke volume (DeltaSV) [DeltaSV: -22.7 (3.8) in D, -10.7 (2.9) ml x beat(-1) in W, P<0.01; : Delta Qc: -1.9 (0.5) in D, -0.2 (0.4) l x min(-1) in W at 85 min, P<0.01], but did not affect rectal temperature [T(re) at 90 min: 38.8 (0.1) degrees C in D, 38.7 (0.1) degrees C in W]. In contrast, fluid replacement reduced hyperthermia in RUN [T(re) at 90 min: 39.6 (0.2) in D, 39.1 (0.2) degrees C in W, P<0.01], and this was linked with a higher skin blood flow [RUN-W 88.9 (8.5), RUN-D 70.7 (8.4)%, P<0.05]. The Delta Qc and DeltaSV were also attenuated with water ingestion in this mode of exercise (P<0.05). It is concluded that water ingestion improves physiological function in both cycling and running, but that the underlying mechanism is different in the two modes of exercise.

Cardiac output decline in prolonged dynamic exercise is affected by the exercise mode

The aim of this study was to compare the cardiovascular responses to prolonged submaximal cycling and running. Eleven males [maximal oxygen uptake (VO(2max)): 3.58+/-0.15 l min(-1) for running and 3.84+/-0.16 l min(-1) for cycling; mean+/-SE] either cycled (C) or ran (R) for 90 min at 60% of mode-specific VO(2max), on two randomly assigned occasions. Cardiac output declined after 85 min of exercise in C (-1.9+/-0.5 l min(-1), P<0.01) but not in R, as a result of a more pronounced decrease in stroke volume in the former exercise mode (-22.7+/-3.8 ml beat(-1) vs -14.3+/-1.9 ml beat(-1), P<0.01) since heart rate did not differ between trials. Stroke volume responses were despite a higher level of dehydration (-3.3+/-0.2% in R vs -2.8+/-0.2% in C, P<0.05) and hyperthermia in R (39.6+/-0.1 vs 38.8+/-0.1 degrees C in C at 90 min, P<0.01). Finally, mean skin blood flow was lower in R than C (72+/-8 vs 89+/-10%; P<0.05). In conclusion, stroke volume and cardiac output decline was more pronounced in cycling than in running despite lower dehydration and rectal temperature in the former exercise mode.