Effects of Occupational and Leisure-Time Physical Activity on the Risk of Dementia: Results From the Copenhagen City Heart Study.

Leisure-time physical activity (LTPA) decreases the risk of dementia, whereas occupational physical activity (OPA) possibly increases the risk. Yet, previous findings are mixed. We therefore aimed to investigate the effect of LTPA and OPA, respectively, on dementia among men and women. In this observational, longitudinal study, we used data from the second wave of a population-based cohort from the municipality of Copenhagen as baseline. Data were collected in 1981-1983, and 10 343 participants were followed until the end of 2016. LTPA and OPA were self-reported, and information on dementia diagnoses and redemption of dementia medication was obtained at an individual level from national health registers. We used Poisson regression to analyze the association between LTPA/OPA and dementia and adjusted for self-reported age, socioeconomic factors, stress, and cardiovascular risk factors (smoking, alcohol, body mass index, and blood pressure). A higher level of LTPA was associated with a lower dementia risk among men, but we found no clear association among women. OPA and dementia were not associated among men, but occupationally active women who reported OPA in terms of walking, lifting, and heavy work had a higher risk of dementia than women with sedentary jobs. This study supported earlier findings of a protective effect of LTPA on dementia among men. Women in physically demanding jobs possibly have a higher risk of dementia, yet this finding warrants further investigation in future studies.

Two weeks of reduced-volume sprint interval or traditional exercise training does not improve metabolic functioning in sedentary obese men.

AIMS: To investigate the effects of short-term, reduced-volume sprint interval training (SIT) compared to traditional exercise recommendations (TER) in sedentary obese men. METHODS: Sixteen subjects [37.8 ± 5.8 years; body mass index (BMI) 32.8 ± 4.7 kg/m(2)] were randomly allocated to 2 weeks of either SIT (6 sessions of 8-12 × 10 s sprints) or TER [10 sessions of 30 min at 65% peak oxygen consumption (VO(2peak))] cycle exercise. Fasting plasma glucose, insulin, non-esterified fatty acids (NEFA), homeostasis model assessment of insulin sensitivity (HOMA-IR), body composition and VO(2peak) were assessed at baseline and approximately 72 h after the final training bout. Skeletal muscle biopsy samples were also obtained before and 72 h after training and analysed for AS160 phosphorylation and COX II, COX IV, GLUT-4, Nur77 and SIRT1 protein expression. RESULTS: No changes in BMI, body composition, VO(2peak), glucose, insulin, NEFA and HOMA-IR were observed after training, either within or between groups. Skeletal muscle markers of glucose metabolism and mitochondrial function also remained unaltered after 2 weeks of exercise training. CONCLUSIONS: Our findings show that 2 weeks of reduced-volume SIT or TER did not elicit any measurable metabolic adaptations in sedentary obese men. Further work is needed to determine the minimal amount of exercise required for short-term adaptations in this population.

Detection of companion galaxies around hot dust-obscured hyper-luminous galaxy W0410-0913.

The phase transition between galaxies and quasars is often identified with the rare population of hyper-luminous, hot dust-obscured galaxies. Galaxy formation models predict these systems to grow via mergers, that can deliver large amounts of gas toward their centers, induce intense bursts of star formation and feed their supermassive black holes. Here we report the detection of 24 galaxies emitting Lyman-α emission on projected physical scales of about 400 kpc around the hyper-luminous hot dust-obscured galaxy W0410-0913, at redshift z = 3.631, using Very Large Telescope observations. While this indicates that W0410-0913 evolves in a very dense environment, we do not find clear signs of mergers that could sustain its growth. Data suggest that if mergers occurred, as models expect, these would involve less massive satellites, with only a moderate impact on the internal interstellar medium of W0410-0913, which is sustained by a rotationally-supported fast-rotating molecular disk, as Atacama Large Millimeter Array observations suggest.

Reliability of resting and postexercise heart rate measures.

In this study, we compared the reliability of short-term resting heart rate (HR) variability (HRV) and postexercise parasympathetic reactivation (i.e., HR recovery (HRR) and HRV) indices following either submaximal or supramaximal exercise. On 4 different occasions, beat-to-beat HR was recorded in 15 healthy males (21.5 ± 1.4 yr) during 5 min of seated rest, followed by submaximal (Sub) and supramaximal (Supra) exercise bouts; both exercise bouts were followed by 5 min of seated recovery. Reliability of all HR-derived indices was assessed by the typical error of measurement expressed as a coefficient of variation (CV,%). CV for HRV indices ranged from 4 to 17%, 7 to 27% and 41 to 82% for time domain, spectral and ratio indices, respectively. The CV for HRR ranged from 15 to 32%. Spectral CVs for HRV were lower at rest compared with Supra (e.g., natural logarithm of the high frequency range (LnHF); 12.6 vs. 26.2%; P=0.02). HRR reliability was not different between Sub and Supra (25 vs. 14%; P=0.10). The present study found discrepancy in the CVs of vagal-related heart rate indices; a finding that should be appreciated when assessing changes in these variables. Further, Supra exercise was shown to worsen the reliability of HRV-spectral indices.

Training for intense exercise performance: high-intensity or high-volume training?

Performance in intense exercise events, such as Olympic rowing, swimming, kayak, track running and track cycling events, involves energy contribution from aerobic and anaerobic sources. As aerobic energy supply dominates the total energy requirements after ∼75s of near maximal effort, and has the greatest potential for improvement with training, the majority of training for these events is generally aimed at increasing aerobic metabolic capacity. A short-term period (six to eight sessions over 2-4 weeks) of high-intensity interval training (consisting of repeated exercise bouts performed close to or well above the maximal oxygen uptake intensity, interspersed with low-intensity exercise or complete rest) can elicit increases in intense exercise performance of 2-4% in well-trained athletes. The influence of high-volume training is less discussed, but its importance should not be downplayed, as high-volume training also induces important metabolic adaptations. While the metabolic adaptations that occur with high-volume training and high-intensity training show considerable overlap, the molecular events that signal for these adaptations may be different. A polarized approach to training, whereby ∼75% of total training volume is performed at low intensities, and 10-15% is performed at very high intensities, has been suggested as an optimal training intensity distribution for elite athletes who perform intense exercise events.

Monitoring endurance running performance using cardiac parasympathetic function.

The aims of the present study were to (1) assess relationships between running performance and parasympathetic function both at rest and following exercise, and (2) examine changes in heart rate (HR)-derived indices throughout an 8-week period training program in runners. In 14 moderately trained runners (36 +/- 7 years), resting vagal-related HR variability (HRV) indices were measured daily, while exercise HR and post-exercise HR recovery (HRR) and HRV indices were measured fortnightly. Maximal aerobic speed (MAS) and 10 km running performance were assessed before and after the training intervention. Correlations (r > 0.60, P < 0.01) were observed between changes in vagal-related indices and changes in MAS and 10 km running time. Exercise HR decreased progressively during the training period (P < 0.01). In the 11 subjects who lowered their 10 km running time >0.5% (responders), resting vagal-related indices showed a progressively increasing trend (time effect P = 0.03) and qualitative indications of possibly and likely higher values during week 7 [+7% (90% CI -3.7;17.0)] and week 9 [+10% (90% CI -1.5;23)] compared with pre-training values, respectively. Post-exercise HRV showed similar changes, despite less pronounced between-group differences. HRR showed a relatively early possible decrease at week 3 [-20% (90% CI -42;10)], with only slight reductions near the end of the program. The results illustrate the potential of resting, exercise and post-exercise HR measurements for both assessing and predicting the impact of aerobic training on endurance running performance.

Examining pacing profiles in elite female road cyclists using exposure variation analysis.

OBJECTIVE: In this study, the amplitude and time distribution of power output in a variety of competitive cycling events through the use of a new mathematical analysis was examined: exposure variation analysis (EVA). DESIGN: Descriptive field study. SETTING: Various professional road cycling events, including; a 5-day-eight-stage tour race, a 1-day World Cup event and the Australian National Individual Time Trial Championships. PARTICIPANTS: 9 elite female cyclists (mean (SD), mass = 57.8 (3.4) kg, height = 167.3 (2.8) cm, Vo(2)peak = 63.2 (5.2) ml kg(-1) min(-1)). INTERVENTIONS: None. MAIN OUTCOME MEASUREMENTS: The variation in power output and the quantification of the total time and acute time spent at various exercise intensities during competitive professional cycling were examined. Predefined levels of exercise intensity that elicited first ventilation threshold, second ventilation threshold and maximal aerobic power were determined from a graded exercise test performed before the events and compared with power output during each event. RESULTS: EVA exposed that power output during the time trial was highly variable (EVA(SD) = 2.81 (0.33)) but more evenly distributed than the circuit/criterium (4.23 (0.31)) and road race events (4.81 (0.96)). CONCLUSION: EVA may be useful for illustrating variations in the amplitude and time distribution of power output during cycling events. The specific race format influenced not only the overall time spent in various power bands, but also the acute time spent at these exercise intensities.

Effect of a 5-min cold-water immersion recovery on exercise performance in the heat.

BACKGROUND: This study examined the effect of a 5-min cold-water immersion (14 degrees C) recovery intervention on repeated cycling performance in the heat. METHODS: 10 male cyclists performed two bouts of a 25-min constant-paced (254 (22) W) cycling session followed by a 4-km time trial in hot conditions (35 degrees C, 40% relative humidity). The two bouts were separated by either 15 min of seated recovery in the heat (control) or the same condition with 5-min cold-water immersion (5th-10th minute), using a counterbalanced cross-over design (CP(1)TT(1) --> CWI or CON --> CP(2)TT(2)). Rectal temperature was measured immediately before and after both the constant-paced sessions and 4-km timed trials. Cycling economy and Vo(2) were measured during the constant-paced sessions, and the average power output and completion times were recorded for each time trial. RESULTS: Compared with control, rectal temperature was significantly lower (0.5 (0.4) degrees C) in cold-water immersion before CP(2) until the end of the second 4-km timed trial. However, the increase in rectal temperature (0.5 (0.2) degrees C) during CP(2) was not significantly different between conditions. During the second 4-km timed trial, power output was significantly greater in cold-water immersion (327.9 (55.7) W) compared with control (288.0 (58.8) W), leading to a faster completion time in cold-water immersion (6.1 (0.3) min) compared with control (6.4 (0.5) min). Economy and Vo(2) were not influenced by the cold-water immersion recovery intervention. CONCLUSION: 5-min cold-water immersion recovery significantly lowered rectal temperature and maintained endurance performance during subsequent high-intensity exercise. These data indicate that repeated exercise performance in heat may be improved when a short period of cold-water immersion is applied during the recovery period.

The power profile predicts road cycling MMP.

Laboratory tests of fitness variables have previously been shown to be valid predictors of cycling time-trial performance. However, due to the influence of drafting, tactics and the variability of power output in mass-start road races, comparisons between laboratory tests and competition performance are limited. The purpose of this study was to compare the power produced in the laboratory Power Profile (PP) test and Maximum Mean Power (MMP) analysis of competition data. Ten male cyclists (mean+/-SD: 20.8+/-1.5 y, 67.3+/-5.5 kg, V O (2 max) 72.7+/-5.1 mL x kg (-1) x min (-1)) completed a PP test within 14 days of competing in a series of road races. No differences were found between PP results and MMP analysis of competition data for durations of 60-600 s, total work or estimates of critical power and the fixed amount of work that can be completed above critical power (W'). Self-selected cadence was 15+/-7 rpm higher in the lab. These results indicate that the PP test is an ecologically valid assessment of power producing capacity over cycling specific durations. In combination with MMP analysis, this may be a useful tool for quantifying elements of cycling specific performance in competitive cyclists.

Effect of body posture on postexercise parasympathetic reactivation in men.

The aim of the present study was to assess the influence of body posture on post-submaximal exercise parasympathetic reactivation and to examine whether this influence was preserved under a heightened sympathetic background. On four occasions, eleven moderately trained subjects (22.1 +/- 3.0 years old) performed, in random order, two consecutive submaximal running bouts (CTs), each followed by 5 min passive recovery in an upright (Up), sitting (Sit), supine (Sup) or supine with legs up position (SupLu). Between both CTs, participants performed 150 s of supramaximal intermittent running (SI). Parasympathetic reactivation was assessed from heart rate recovery (HRR) and variability (HRV; e.g. rMSSD(30 s)) indices calculated during the 5 min recovery periods [i.e. before (N) and after SI (post-SI)]. In the N condition, Sup position was associated with a faster and greater increase in rMSSD(30 s) than Sit and SupLu (both P < 0.01), which were all higher compared with Up (P < 0.001). A 'time' effect was shown in Sit, Sup and SupLu (all P < 0.05), but not in Up (P = 0.99). All N values were higher than post-SI values (P < 0.001), except for Up, where a trend was apparent (P = 0.06). In the post-SI condition, a position effect was preserved for HRR (P < 0.001), but not for HRV indices (P = 0.99 for rMSSD(30 s)). In conclusion, the supine position accelerated and increased parasympathetic reactivation more than the other three positions, but the posture effect was less evident following supramaximal exercise. In the context of an accentuated sympathetic background (i.e. post-SI), postexercise HRV indices are less gravity dependent than HRR, reflecting more the exercise-related changes in parasympathetic activity.

Exercise-induced plasma volume expansion and post-exercise parasympathetic reactivation.

The purpose of this study was to investigate the effect of exercise-induced plasma volume expansion on post-exercise parasympathetic reactivation. Before (D(0)) and 2 days after (D(+2)) a supramaximal exercise session, 11 men (21.4 +/- 2.6 years and BMI = 23.0 +/- 1.4) performed 6-min of submaximal running where heart rate (HR) recovery (HRR) and HR variability (HRV) indices were calculated during the first 10 min of recovery. Relative plasma volume changes (PV) were calculated using changes in hematocrit and hemoglobin measured over consecutive mornings from D(0) to D(+2). Parasympathetic reactivation was evaluated through HRR and vagal-related indexes calculated during a stationary period of recovery. Compared with D(0), PV (+4.8%, P < 0.01) and all vagal-related HRV indices were significantly higher at D(+2) (all P < 0.05). HRR was not different between trials. Changes in HRV indices, but not HRR, were related to PV (all P < 0.01). HRR and HRV indices characterize distinct independent aspects of cardiac parasympathetic function, with HRV indices being more sensitive to changes in plasma volume than HRR.

Game-based training in young elite handball players.

This study compared the effect of high-intensity interval training (HIT) versus specific game-based handball training (HBT) on handball performance parameters. Thirty-two highly-trained adolescents (15.5+/-0.9 y) were assigned to either HIT (n=17) or HBT (n=15) groups, that performed either HIT or HBT twice per week for 10 weeks. The HIT consisted of 12-24 x 15 s runs at 95% of the speed reached at the end of the 30-15 Intermittent Fitness Test (V(IFT)) interspersed with 15 s passive recovery, while the HBT consisted of small-sided handball games performed over a similar time period. Before and after training, performance was assessed with a counter movement jump (CMJ), 10 m sprint time (10 m), best (RSAbest) and mean (RSAmean) times on a repeated sprint ability (RSA) test, the V(IFT) and the intermittent endurance index (iEI). After training, RSAbest (-3.5+/-2.7%), RSAmean (-3.9+/-2.2%) and V(IFT) (+6.3+/-5.2%) were improved (P<0.05), but there was no difference between groups. In conclusion, both HIT and HBT were found to be effective training modes for adolescent handball players. However, HBT should be considered as the preferred training method due to its higher game-based specificity.

Cardiac autonomic responses to repeated shuttle sprints.

Team sport match play requires athletes to perform a number of repeated shuttle sprints. However, the acute effects of these repeated sprint sequences on lactic acidosis and resulting autonomic state perturbation are not known. The aim of this study was to observe and compare the blood lactate and post-exercise cardiac autonomic responses of a repeated shuttle-sprint ability test with the 30-15 Intermittent Fitness Test (30-15 (IFT)); the latter test representing a standard for exhaustive supramaximal effort. Thirteen adult team sport players performed the repeated shuttle-sprint ability test and the 30-15 (IFT) on separate days in a counter-balanced order. The repeated shuttle-sprint ability test consisted of six repetitions of maximal 2x15 m shuttle sprints ( approximately 5 s) departing every 20 s, while the 30-15 (IFT) involved progressive 30 s shuttle runs interspersed with 15 s of passive recovery until exhaustion. Blood lactate was measured before and after the tests, while autonomic responses were assessed using immediate heart rate recovery and heart rate variability indices. Peak blood lactate (10.6+/-2.1 vs. 10.2+/-2.8 mM) and heart beats recovered in one minute after exercise cessation (36.4+/-7.8 vs. 39.3+/-7.9 bpm) were similar after both the repeated shuttle-sprint ability test and the 30-15 (IFT). With the exception of the vagal-related time-varying root mean square of successive R-R interval differences at each 30 s, which recovered earlier after the repeated shuttle-sprint ability test compared with 30-15 (IFT), all heart rate variability indices decreased similarly after both tests in comparison to baseline values. In conclusion, the repeated shuttle-sprint ability test was shown to induce comparable levels of lactic acidosis and post-exercise autonomic state as the 30-15 (IFT). These levels of metabolic and autonomic states are likely to occur during team sport match play.

Influence of starting strategy on cycling time trial performance in the heat.

The purpose of this study was to determine the influence of starting strategy on time trial performance in the heat. Eleven endurance trained male cyclists (30+/-5 years, 79.5+/-4.6 kg, VO(2max) 58.5+/-5.0 ml x kg x (-1) min(-1)) performed four 20-km time trials in the heat (32.7+/-0.7 degrees C and 55% relative humidity). The first time trial was completed at a self-selected pace (SPTT). During the following time trials, subjects performed the initial 2.5-km at power outputs 10% above (10% ATT), 10% below (10% BTT) or equal (ETT) to that of the average power during the initial 2.5-km of the self-selected trial; the remaining 17.5-km was self-paced. Throughout each time trial, power output, rectal temperature, skin temperature, heat storage, pain intensity and thermal sensation were taken. Despite significantly (P<0.05) greater power outputs for 10% BTT (273+/-45W) compared with the ETT (267+/-48W) and 10% ATT (265+/-41W) during the final 17.5-km, overall 20-km performance time was not significantly different amongst trials. There were no differences in any of the other measured variables between trials. These data show that varying starting power by +/-10% did not affect 20 km time trial performance in the heat.

Muscle deoxygenation during repeated sprint running: Effect of active vs. passive recovery.

The purpose of this study was to compare the effect of active (AR) versus passive recovery (PR) on muscle deoxygenation during short repeated maximal running. Ten male team sport athletes (26.9+/-3.7y) performed 6 repeated maximal 4-s sprints interspersed with 21 s of either AR (2 m.s (-1)) or PR (standing) on a non-motorized treadmill. Mean running speed (AvSp (mean)), percentage speed decrement (Sp%Dec), oxygen uptake (V O (2)), deoxyhemoglobin (HHb) and blood lactate ([La] (b)) were computed for each recovery condition. Compared to PR, AvSp (mean) was lower (3.79+/-0.28 vs. 4.09+/-0.32m.s (-1); P<0.001) and Sp%Dec higher (7.2+/-3.7 vs. 3.2+/-0.1.3%; P<0.001) for AR. Mean V O (2) (3.64+/-0.44 vs. 2.91+/-0.47L.min (-1), P<0.001), HHb (94.4+/-16.8 vs. 83.4+/-4.8% of HHb during the first sprint, P=0.02) and [La] (b) (13.5+/-2.5 vs. 12.7+/-2.2 mmol.l (-1), P=0.03) were significantly higher during AR compared to PR. In conclusion, during run-based repeated sprinting, AR was associated with reduced repeated sprint ability and higher muscle deoxygenation.

Core temperature and hydration status during an Ironman triathlon.

BACKGROUND: Numerous laboratory based studies have documented that aggressive hydration strategies (approximately 1-2 litres/h) are required to minimise a rise in core temperature and minimise the deleterious effects of hyperthermia on performance. However, field data on the relations between hydration level, core body temperature, and performance are rare. OBJECTIVE: To measure core temperature (Tcore) in triathletes during a 226 km Ironman triathlon, and to compare Tcore with markers of hydration status after the event. METHOD: Before and immediately after the 2004 Ironman Western Australia event (mean (SD) ambient temperature 23.3 (1.9) degrees C (range 19-26 degrees C) and 60 (14)% relative humidity (44-87%)) body mass, plasma concentrations of sodium ([Na+]), potassium ([K+]), and chloride ([Cl-]), and urine specific gravity were measured in 10 well trained triathletes. Tcore was measured intermittently during the event using an ingestible pill telemetry system, and heart rate was measured throughout. RESULTS: Mean (SD) performance time in the Ironman triathlon was 611 (49) minutes; heart rate was 143 (9) beats/min (83 (6)% of maximum) and Tcore was 38.1 (0.3) degrees C. Body mass significantly declined during the race by 2.3 (1.2) kg (-3.0 (1.5)%; p < 0.05), whereas urine specific gravity significantly increased (1.011 (0.005) to 1.0170 (0.008) g/ml; p < 0.05) and plasma [Na+], [K+], and [Cl-] did not change. Changes in body mass were not related to finishing Tcore (r = -0.16), plasma [Na+] (r = 0.31), or urine specific gravity (r = -0.37). CONCLUSION: In contrast with previous laboratory based studies examining the influence of hypohydration on performance, a body mass loss of up to 3% was found to be tolerated by well trained triathletes during an Ironman competition in warm conditions without any evidence of thermoregulatory failure.

The impact of aging on cognitive functions. An 11 year follow-up study of four age cohorts.

The literature on longitudinal studies of aging and cognitive performance is reviewed. The review reveals some ambiguity which seems primarily to be due to selection bias in the study groups and insufficient statistical modelling and parameterization. The main purpose of this study was to analyze the impact of aging on cognitive performance of the general adult population. In addition, the following problems are considered: If an aging impact is found, is it then evenly distributed across different age cohorts and different cognitive functions? Is the effect of different subject-related and situational factors on the test parameters stable over time? Is it possible to eliminate the impact of the examiner in cognitive testing? Moreover, do certain background factors such as age (generation), sex, schooling, etc. or test performance in an earlier examination have predicting power for the participation at a later stage in the study? The analysis was made using a longitudinal design with four successive age cohorts born in 1952, 1942, 1932, and 1922. 1,026 subjects were examined in 1982-83 and 711 were re-examined in 1993-94. At both occasions the subjects were tested by means of the Cognitive Function Scanner method. Attrition was found in all four age cohorts but most profound in the oldest cohort. Attrition occurred most frequently among subjects with only primary schooling and low social status. Age (generation), Sex, Schooling, Occupational Activity Status, Smoking Status, Psychic Stress, and questionnaire positive Cardiovascular Disease in the 1982-83 study all had significant relation to non-participation in the follow-up, either because of death, refusal to participate or because the subjects did not turn up on the agreed date for examination. Also a few test parameters, primarily in the attention tests and concentration tests, were found to be significantly related to non-participation in the follow-up. The results of the follow-up study, in which each subject was his own reference, showed two different tendencies. One tendency indicated some decline in performance. It was found in parameters for non-verbal learning and memory, retention of verbal memory, visuomotor and visuospatial speed, concentration, and reaction time. The other tendency indicated some improvement in performance in relation to verbal learning and memory, visuomotor and visuospatial precision, and to visual perception. It was a general tendency that performance becomes more scattered with increasing age. The follow-up study showed that Generation, Sex, and Schooling are the most important subject-related factors to take into consideration in the evaluation of test results. The significant impact of the Generation factor indicates that cognitive performance depends not only on aging but is also modulated to a large extent by generation specific factors. In spite of intensive training and special focus on communication it was evident that the situational Examiner factor plays a significant role in all of the cognitive tests. The strong impact of the Examiner factor makes the use of test norms questionable. Norms should be used only as rough guidelines. In the individual psychological assessment, focus should be on the subject's problem solving strategies. This can be reached by supplementing the traditional psychometric scores with a range of response process observations obtained by recording the natural steps of the subject's response flow combined with latencies for each step, and analyzing the response chains by pattern analysis. The computer is considered the most appropriate tool for recording response flows.

A computer-aided technique for testing cognitive functions. Validated on a sample of Danes 30 to 60 years of age.

With the growing importance of occupational behavioural neurotoxicology the demand for a standardized and reliable cognitive test battery has become urgent. The present study deals with the compilation of a test battery, the purpose of which is to be sensitive to mild brain dysfunction and suitable for modern microcomputer administration and scoring. The battery comprises tests of learning and memory functions specific for each brain hemisphere (Face Recognition Test and Number Learning Test), visuomotor function separately for continuous and discrete tasks (Figure Drawing Test and Pen-to-Point Test), visuospatial function (Parallelogram Test), visual and auditive perception, attention and vigilance (Bourdon-Wiersma Test and Continuous Reaction-Time Test), and concentration (Continuous Graphics Test). The complete test battery was administered and scored on a slightly modified Tektronix 4052 computer with a Tektronix 4956 digitizer as a peripheral device. The validity of the battery was analysed on the basis of a sample of the normal Danish population (N = 1262) stratified for the ages 30, 40, 50, and 60 years, the two sexes, and residence in one of 11 municipalities in the western part of Copenhagen County. Using a 16-dimensional multivariate model comprising biological, social, psychological, and environmental factors, and also examiner behaviour, statistical analyses confirmed hypotheses of influence by the factors Age, Sex, Schooling, and Social Group, i.e. these factors partially explained the variance in the case of almost all the test parameters. Moreover, psychic stress, as determined in a questionnaire, had explanatory power with tests demanding attention and concentration. Hypotheses of effects on test performance by Smoking Status and psychophysiological diurnal or annual rhythms, i.e. Time of Day, and Time of Year, were confirmed for a few parameters, but the effects differed to some extent from those described in the literature. Alcohol Consumption, Drug Consumption Affecting the CNS, Cardiovascular Diseases or Disorders, Metabolic Diseases or Disorders, CNS Injuries or Disorders, and Occupational Activity Status, all revealed by questionnaire, were not found to show the assumed significant effects on test performance. However, a hypothesis of an effect originating in differences between different examiners' behaviour was confirmed for a number of test parameters, although all the test measurements and scorings were done automatically by computer. On the basis of a re-examination of 19 patients previously diagnosed as suffering from diffuse organic psychosyndrome, the sensitivity of the test battery was estimated to be 0.79. The specificity was estimated to be 0.79 on the basis of the results of the original sample.(ABSTRACT TRUNCATED AT 400 WORDS)

Factors affecting performance in an ultraendurance triathlon.

In the recent past, researchers have found many key physiological variables that correlate highly with endurance performance. These include maximal oxygen uptake (VO2max), anaerobic threshold (AT), economy of motion and the fractional utilisation of oxygen uptake (VO2). However, beyond typical endurance events such as the marathon, termed 'ultraendurance' (i.e. >4 hours), performance becomes harder to predict. The ultraendurance triathlon (UET) is a 3-sport event consisting of a 3.8 km swim and a 180 km cycle, followed by a 42.2 km marathon run. It has been hypothesised that these triathletes ride at approximately their ventilatory threshold (Tvent) during the UET cycling phase. However, laboratory assessments of cycling time to exhaustion at a subject's AT peak at 255 minutes. This suggests that the AT is too great an intensity to be maintained during a UET, and that other factors cause detriments in prolonged performance. Potential defeating factors include the provision of fuels and fluids due to finite gastric emptying rates causing changes in substrate utilisation, as well as fluid and electrolyte imbalances. Thus, an optimum ultraendurance intensity that may be relative to the AT intensity is needed to establish ultraendurance intensity guidelines. This optimal UET intensity could be referred to as the ultraendurance threshold.