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PURPOSE: The purpose of this study was to demonstrate if childhood acute lymphoblastic leukemia (ALL) survivors exposed to chemotherapy (i.e., doxorubicin) are able to achieve a safe maximal cardiopulmonary exercise test (CPET). METHODS: A total of 250 childhood ALL survivors were eligible to undergo a CPET on ergocycle. Analyses were performed in 216 survivors and stratified in regard to their prognostic risk groups: 99 survivors (55 males and 44 females) at standard risk and 117 survivors (56 males and 61 females) at high risk. RESULTS: Results showed that 100% (n = 216) of survivors completed a maximal CPET confirmed by the achievement of two out of three of the following criteria: 197 survivors (91.2%) reached a peak RER value of ≥ 1.15, 197 survivors (91.2%) reached a RPE score > 7, and 210 survivors (97.2%) reached a maximal heart rate ≥ 85% of the predicted value. Linear regression analysis showed a significant association between the survivors' cumulative dose of doxorubicin and their VO2 peak measured. Two non-fatal adverse events were observed and reported at the end of the maximal CPET, while non-fatal adverse events were reported in 5 survivors during the recovery period. None of these events resulted in a long-term complication. CONCLUSION: Childhood ALL survivors with prior exposure to chemotherapy can achieve a safe maximal CPET. They were able of achieving a maximal exercise test without being limited by symptoms, potential overprotection, or musculoskeletal issues. Thus, it should be the norm to realize a CPET prior a physical activity program to propose an optimal prescription. This study provides important information regarding the maximal physiological parameters that childhood ALL survivors are able to reach and have important clinical implications in the exercise and oncology field for this population of survivors.
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Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/etiologia , Teste de Esforço/métodos , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicações , Adulto , Doenças Cardiovasculares/patologia , Feminino , Humanos , Masculino , Leucemia-Linfoma Linfoblástico de Células Precursoras/mortalidade , Prognóstico , Fatores de Risco , Inquéritos e Questionários , Sobreviventes , Adulto JovemRESUMO
Cardiopulmonary exercise tests (CPET) focusing on analyses of heart rate (HR) responses and chronotropic incompetence (CI) could provide early information about treatment's negative cardiac effects. We examined childhood acute lymphoblastic leukemia (ALL) survivors' HR response during maximal CPET and identified survivors with CI. A total of 250 childhood ALL survivors underwent a CPET on ergocycle to assess their HR response. We used a multiparametric structure of three methods to assess survivors' CI, as follows: 1) age-predicted HRmax (APMHR): failure to achieve 85% of the APMHR at the peak of CPET; 2) HR reserve (HRR): failure to achieve 80% of the HRR at the peak of CPET; and 3) metabolic chronotropic relationship (MCR): failure to reach an MCR slope ratio >0.8 at each stage of the CPET. Among 250 childhood ALL survivors, 216 survivors performed a maximum CPET. We observed that 73 males and 74 females did not achieve their predicted HRmax. We found that 6 survivors did not achieve 85% of their APMHR (80.9 ± 3.9%) and had an MCR below 80% (53.9 ± 13.8%). In addition, 16 survivors did not achieve 80% of their HRR (71.0 ± 7.4%) and among them, 15 survivors had an MCR below 80% (61.0 ± 12.1%). Survivors with CI had a significantly lower cardiorespiratory fitness than those without CI. This study shows that survivors are at risk of developing altered HR responses and CI many years after the end of their cancer treatments. These findings highlight the importance of early detection of cardiac damage due to cancer treatments.
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Sobreviventes de Câncer , Teste de Esforço , Frequência Cardíaca , Leucemia-Linfoma Linfoblástico de Células Precursoras/fisiopatologia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Leucemia-Linfoma Linfoblástico de Células Precursoras/mortalidade , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapiaRESUMO
INTRODUCTION: More than two thirds of survivors have long-term adverse effects, and no study proposes a portrait of physical activity level in childhood acute lymphoblastic leukemia survivors. The aims of this study were to present the cardiorespiratory fitness (CRF) levels of survivors detailed overview sedentary activities portrait. METHODS: A total of 247 childhood acute lymphoblastic leukemia survivors were included in our study. Survivors underwent a cardiopulmonary exercise test on ergocycle and completed physical activity and sedentary questionnaires to assess their leisure physical and sedentary activities and total daily energy expenditure. RESULTS: Up to 67% of survivors (84% below 18 y and 60% 18 y of age or above) did not fulfill the physical activity guidelines. Their CRF was reduced by almost 16% in regard to their predicted maximum oxygen consumption (VO2peak). Almost three quarters of the survivors (70% below 18 y and 76% 18 y of age or above) spent >2 hours/day in leisure sedentary activities. Adult survivors who received high doses of anthracyclines and those who received radiation therapy had decreased odds to spend ≥2 hours/day in sedentary activities. CONCLUSIONS: Our results showed that survivors, especially children, were not active enough and had a reduced CRF. This study highlights the importance of promoting physical activity in survivors, especially because they are exposed to an increased risk of chronic health problems, which could be mitigated by physical activity.
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Exercício Físico , Leucemia-Linfoma Linfoblástico de Células Precursoras/fisiopatologia , Comportamento Sedentário , Adolescente , Adulto , Fatores Etários , Sobreviventes de Câncer , Criança , Feminino , Seguimentos , Humanos , Masculino , Leucemia-Linfoma Linfoblástico de Células Precursoras/psicologia , QuebequeRESUMO
Introduction. Most childhood acute lymphoblastic leukemia (ALL) survivors develop chronic treatment-related adverse effects several years after the end of the treatment. Regular physical activity and a good cardiorespiratory fitness can decrease the risks of neurological disturbances and increase cognitive function scores. The aim of this study was to examine the effect of good cardiorespiratory fitness and physical activity levels on cognitive functions.Methods. We enrolled 219 survivors of childhood ALL. The participants underwent a cardiopulmonary exercise test, neuropsychological tests of executive functions (i.e. verbal fluency, cognitive flexibility, working memory, processing speed) and completed a physical activity questionnaire. We calculated the odds ratio to obtain the preventive fraction of physical activity and cardiorespiratory fitness levels on cognitive functions.Results. The cohort is 52% male and 48% female. A total of 182 survivors (83%) have a cardiorespiratory fitness below their predicted (<100%). Our analyses show that there is an association between good cardiorespiratory fitness and processing speed (preventive fraction of 70% for dominant hand (p < 0.01) and 65% for non-dominant hand (p < 0.01)) and with cognitive flexibility identified as the category switching measure of the D-KEFS verbal fluency (preventive fraction of 61%; p < 0.05).Conclusion. Good cardiorespiratory fitness and good levels of physical activity were associated to a preventive fraction for most cognitive function parameters measured. Good cardiorespiratory fitness levels were significantly associated with a lower prevalence of deficits in processing speed (i.e., dominant hand and non-dominant hand) and in cognitive flexibility (i.e., category switching) in childhood acute lymphoblastic leukemia survivors.
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Sobreviventes de Câncer , Aptidão Cardiorrespiratória , Cognição , Exercício Físico , Leucemia-Linfoma Linfoblástico de Células Precursoras/fisiopatologia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Testes Neuropsicológicos , Razão de Chances , Leucemia-Linfoma Linfoblástico de Células Precursoras/epidemiologia , Inquéritos e Questionários , Adulto JovemRESUMO
BACKGROUND: The progress of treatments of childhood acute lymphoblastic leukemia (ALL) has made it possible to reach a survival rate superior to 80%. However, the treatments lead to several long-term adverse effects, including cardiac toxicity. Although studies have reported associations between genetic variants and cardiorespiratory fitness, none has been performed on childhood ALL survivors. METHODS: We performed whole-exome sequencing in 239 childhood ALL survivors from the PETALE cohort. Germline variants (both common and rare) in selected set of genes (N = 238) were analyzed for an association with cardiorespiratory fitness. RESULTS: Our results showed that the common variant in the TTN gene was significantly associated with a low cardiorespiratory fitness level (p = 0.0005) and that the LEPR, IGFBPI and ENO3 genes were significantly associated with a low cardiorespiratory fitness level in female survivors (p ≤ 0.002). Also, we detected an association between the low cardiorespiratory fitness level in participants that were stratified to the "high risk" prognostic group and functionally predicted rare variants in the SLC22A16 gene (p = 0.001). Positive associations between cardiorespiratory fitness level and trainability genes were mainly observed in females. CONCLUSIONS: For the first time, we observed that low cardiorespiratory fitness in childhood ALL survivors can be associated with variants in genes related to subjects' trainability. These findings could allow better childhood ALL patient follow-up tailored to their genetic profile and cardiorespiratory fitness, which could help reduce at least some of the burden of long-term adverse effects of treatments.
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Sequenciamento do Exoma/métodos , Mutação em Linhagem Germinativa , Leucemia-Linfoma Linfoblástico de Células Precursoras/genética , Aptidão Cardiorrespiratória , Criança , Pré-Escolar , Conectina/genética , Feminino , Estudos de Associação Genética , Humanos , Proteína 1 de Ligação a Fator de Crescimento Semelhante à Insulina/genética , Masculino , Proteínas de Transporte de Cátions Orgânicos/genética , Receptores para Leptina/genética , SobreviventesRESUMO
BACKGROUND: Most childhood acute lymphoblastic leukemia (ALL) survivors develop chronic treatment-related adverse effects several years after the end of therapy. A regular practice of physical activity and a good cardiorespiratory fitness have the potential to reduce the risk of chronic disease and improve quality of life. The aim of this study was to evaluate in a cohort of ALL survivors, the association between a good cardiorespiratory fitness or the respect of physical activity guidelines and major long-term health outcomes. METHODS: In total, 247 ALL survivors underwent a cardiopulmonary exercise test, completed a physical activity questionnaire and a battery of clinical examinations. We calculated the odds ratio to obtain the preventive fraction (PF) to evaluate the effects of the cardiorespiratory fitness and physical activity levels on health outcomes (ie, obesity, metabolic health, cardiac health, cognitive health and mood, bone health). RESULTS: Despite their young age, 88% of the participants presented at least one adverse health outcome, and 46% presented ≥3. Their cardiorespiratory fitness was also lower than expected with a median VO2 peak reaching 84% of the predicted value. In the analyses using cardiorespiratory fitness, statistically significant PFs were observed for obesity (0.30), low-high-density lipoprotein-cholesterol (0.21) and depression (0.26). In the physical activity level analyses, statistically significant PFs were observed for obesity, depression, and low bone mineral density, with a PF of 0.55, 0.81, and 0.60, respectively. CONCLUSIONS: Our results indicate that a good cardiorespiratory fitness and physical activity level induced a preventive action for most health outcomes studied and was associated with a lower late adverse effects prevalence in ALL survivors.
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Sobreviventes de Câncer , Aptidão Cardiorrespiratória/fisiologia , Exercício Físico/fisiologia , Leucemia-Linfoma Linfoblástico de Células Precursoras , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Adulto JovemRESUMO
Climate change is altering the nature and condition of vast areas in the boreal forest of Canada. There are great uncertainties concerning impacts on the forest, along with how policy and economic responses will translate effectively between local and macroscales. In particular, planting tree seedlings with improved characteristics following harvesting is one localized response strategy considered essential by policymakers. However, planting costs limit the macroscale adoption of this strategy which may result in trade-offs between profitability and reducing vulnerability. In this study, we developed a decision support tool (called Q3) that links stand-level decision making to the macroscale and applied this model to investigate the financial attractiveness of planting improved stocks under one climate change threat, drought-induced seedling mortality. Using several scenarios describing planting effort, improved yields and risk to drought-induced seedling mortality, we showed that adopting improved planting stock strategies across a macroscale (i.e., the western Boreal forest of Canada) can be financially attractive when considering stand-establishment constraints and drought risk. In particular, a proactive approach can be less costly than a reactive approach to drought-induced seedling mortality. To maximize profits, the forestry industry would need to prioritize younger stands closer to processing mills that had a smaller percentage of conifer growing stocks prior to harvest. This research improves the linkages between macroscale policies and forest management activities critical for recommending future development paths that the forestry industry could follow to decrease climate change vulnerabilities.
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Mudança Climática , Agricultura Florestal , Canadá , Florestas , ÁrvoresRESUMO
Wildlife species may shift towards more nocturnal behavior in areas of higher human influence, but it is unclear how consistent this shift might be. We investigated how humans impact large mammal diel activities in a heavily recreated protected area and an adjacent university-managed forest in southwest British Columbia, Canada. We used camera trap detections of humans and wildlife, along with data on land-use infrastructure (e.g., recreation trails and restricted-access roads), in Bayesian regression models to investigate impacts of human disturbance on wildlife nocturnality. We found moderate evidence that black bears (Ursus americanus) were more nocturnal in response to human detections (mean posterior estimate = 0.35, 90% credible interval = 0.04 to 0.65), but no other clear relationships between wildlife nocturnality and human detections. However, we found evidence that coyotes (Canis latrans) (estimates = 0.81, 95% CI = 0.46 to 1.17) were more nocturnal and snowshoe hares (Lepus americanus) (estimate = -0.87, 95% CI = -1.29 to -0.46) were less nocturnal in areas of higher trail density. We also found that coyotes (estimate = -0.87, 95% CI = -1.29 to -0.46) and cougars (Puma concolor) (estimate = -1.14, 90% CI = -2.16 to -0.12) were less nocturnal in areas of greater road density. Furthermore, coyotes, black-tailed deer (Odocoileus hemionus), and snowshoe hares were moderately more nocturnal in areas near urban-wildland boundaries (estimates and 90% CIs: coyote = -0.29, -0.55 to -0.04, black-tailed deer = -0.25, -0.45 to -0.04, snowshoe hare = -0.24, -0.46 to -0.01). Our findings imply anthropogenic landscape features may influence medium to large-sized mammal diel activities more than direct human presence. While increased nocturnality may be a promising mechanism for human-wildlife coexistence, shifts in temporal activity can also have negative repercussions for wildlife, warranting further research into the causes and consequences of wildlife responses to increasingly human-dominated landscapes.
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Coiotes , Cervos , Lebres , Animais , Humanos , Animais Selvagens/fisiologia , Coiotes/fisiologia , Teorema de Bayes , Colúmbia Britânica , EcossistemaRESUMO
Understanding ectomycorrhizal fungal (EMF) community structure is limited by a lack of taxonomic resolution and autecological information. Rhizopogon vesiculosus and Rhizopogon vinicolor (Basidiomycota) are morphologically and genetically related species. They are dominant members of interior Douglas-fir (Pseudotsuga menziesii var. glauca) EMF communities, but mechanisms leading to their coexistence are unknown. We investigated the microsite associations and foraging strategy of individual R. vesiculosus and R. vinicolor genets. Mycelia spatial patterns, pervasiveness and root colonization patterns of fungal genets were compared between Rhizopogon species and between xeric and mesic soil moisture regimes. Rhizopogon spp. mycelia were systematically excavated from the soil and identified using microsatellite DNA markers. Rhizopogon vesiculosus mycelia occurred at greater depth, were more spatially pervasive, and colonized more tree roots than R. vinicolor mycelia. Both species were frequently encountered in organic layers and between the interface of organic and mineral horizons. They were particularly abundant within microsites associated with soil moisture retention. The occurrence of R. vesiculosus shifted in the presence of R. vinicolor towards mineral soil horizons, where R. vinicolor was mostly absent. This suggests that competition and foraging strategy may contribute towards the vertical partitioning observed between these species. Rhizopogon vesiculosus and R. vinicolor mycelia systems occurred at greater mean depths and were more pervasive in mesic plots compared with xeric plots. The spatial continuity and number of trees colonized by genets of each species did not significantly differ between soil moisture regimes.
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Basidiomycota/genética , Micorrizas/genética , Pseudotsuga/microbiologia , Microbiologia do Solo , Meio Ambiente , Repetições de Microssatélites , Raízes de Plantas/microbiologia , Árvores/microbiologiaRESUMO
The mountain pine beetle (MPB) is a native bark beetle of western North America that attacks pine tree species, particularly lodgepole pine. It is closely associated with the ophiostomatoid ascomycetes Grosmannia clavigera, Leptographium longiclavatum, Ophiostoma montium, and Ceratocystiopsis sp.1, with which it is symbiotically associated. To develop a better understanding of interactions between beetles, fungi, and host trees, we used target-specific DNA primers with qPCR to assess the changes in fungal associate abundance over the stages of the MPB life cycle that occur in galleries under the bark of pine trees. Multivariate analysis of covariance identified statistically significant changes in the relative abundance of the fungi over the life cycle of the MPB. Univariate analysis of covariance identified a statistically significant increase in the abundance of Ceratocystiopsis sp.1 through the beetle life cycle, and pair-wise analysis showed that this increase occurs after the larval stage. In contrast, the abundance of O. montium and Leptographium species (G. clavigera, L. longiclavatum) did not change significantly through the MPB life cycle. From these results, the only fungus showing a significant increase in relative abundance has not been formally described and has been largely ignored by other MPB studies. Although our results were from only one site, in previous studies we have shown that the fungi described were all present in at least ten sites in British Columbia. We suggest that the role of Ceratocystiopsis sp.1 in the MPB system should be explored, particularly its potential as a source of nutrients for teneral adults.
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Besouros/crescimento & desenvolvimento , Besouros/microbiologia , Estágios do Ciclo de Vida , Ophiostomatales/classificação , Pinus/microbiologia , Pinus/parasitologia , Animais , DNA Fúngico/análise , DNA Fúngico/genética , DNA Fúngico/isolamento & purificação , Ophiostoma/classificação , Ophiostoma/genética , Ophiostoma/isolamento & purificação , Ophiostomatales/genética , Ophiostomatales/isolamento & purificação , Casca de Planta/microbiologia , Casca de Planta/parasitologia , Reação em Cadeia da Polimerase/métodos , SimbioseRESUMO
The purpose of this study was to determine preferences of people with spinal cord injury (SCI) and health care professionals (HCP) regarding the content and format of a SCI physical activity guide to support recently released SCI physical activity guidelines. Seventy-eight people with SCI and 80 HCP completed a survey questionnaire. Participants with SCI identified desired content items and their preferences for format. HCP rated the helpfulness of content items to prescribe physical activity. All content items were rated favorably by participants with SCI and useful by HCP. The risks and benefits of activity and inactivity, and strategies for becoming more active, were rated high by both samples. Photographs and separate information for those with paraplegia versus tetraplegia were strongly endorsed. These data were used to guide the development of an SCI physical activity guide to enhance the uptake of physical activity guidelines for people with SCI. The guide was publically released November 11, 2011.
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Atitude do Pessoal de Saúde , Atividade Motora , Educação de Pacientes como Assunto/normas , Preferência do Paciente/psicologia , Traumatismos da Medula Espinal/psicologia , Adulto , Estudos Transversais , Exercício Físico , Feminino , Guias como Assunto , Humanos , Atividades de Lazer , Masculino , Pessoa de Meia-Idade , Avaliação das Necessidades , Paraplegia/psicologia , Aptidão Física/psicologia , Quadriplegia/psicologia , Inquéritos e QuestionáriosRESUMO
The dual mandate for many protected areas (PAs) to simultaneously promote recreation and conserve biodiversity may be hampered by negative effects of recreation on wildlife. However, reports of these effects are not consistent, presenting a knowledge gap that hinders evidence-based decision-making. We used camera traps to monitor human activity and terrestrial mammals in Golden Ears Provincial Park and the adjacent University of British Columbia Malcolm Knapp Research Forest near Vancouver, Canada, with the objective of discerning relative effects of various forms of recreation on cougars (Puma concolor), black bears (Ursus americanus), black-tailed deer (Odocoileus hemionus), snowshoe hares (Lepus americanus), coyotes (Canis latrans), and bobcats (Lynx rufus). Additionally, public closures of the study area associated with the COVD-19 pandemic offered an unprecedented period of human-exclusion through which to explore these effects. Using Bayesian generalized mixed-effects models, we detected negative effects of hikers (mean posterior estimate = -0.58, 95% credible interval [CI] -1.09 to -0.12) on weekly bobcat habitat use and negative effects of motorized vehicles (estimate = -0.28, 95% CI -0.61 to -0.05) on weekly black bear habitat use. We also found increased cougar detection rates in the PA during the COVID-19 closure (estimate = 0.007, 95% CI 0.005 to 0.009), but decreased cougar detection rates (estimate = -0.006, 95% CI -0.009 to -0.003) and increased black-tailed deer detection rates (estimate = 0.014, 95% CI 0.002 to 0.026) upon reopening of the PA. Our results emphasize that effects of human activity on wildlife habitat use and movement may be species- and/or activity-dependent, and that camera traps can be an invaluable tool for monitoring both wildlife and human activity, collecting data even when public access is barred. Further, we encourage PA managers seeking to promote both biodiversity conservation and recreation to explicitly assess trade-offs between these two goals in their PAs.
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Forests strongly affect Earth's carbon cycles, making our ability to forecast forest-productivity changes associated with rising temperatures and changes in precipitation increasingly critical. In this study, we model the influence of climate on annual radial growth using lodgepole pine (Pinus contorta) trees grown for 34 years in a large provenance experiment in western Canada. We use a random-coefficient modeling approach to build universal growth-trend response functions that simultaneously incorporate the impacts of different provenance and site climates on radial growth trends under present and future annual (growth-year), summer, and winter climate regimes. This approach provides new depth to traditional quantitative genetics population response functions by illustrating potential changes in population dominance over time, as well as indicating the age and size at which annual growth begins declining for any population growing in any location under any present or future climate scenario within reason, given the ages and climatic conditions sampled. Our models indicate that lodgepole pine radial-growth levels maximize between 3.9 degrees and 5.1 degrees C mean growth-year temperature. This translates to productivity declining by the mid-21st century in southern and central British Columbia (BC), while increasing beyond the 2080s in northern BC and Yukon, as temperatures rise. Relative to summer climate indices, productivity is predicted to decline continuously through the 2080s in all locations, while relative to winter climate variables, the opposite trend occurs, with the growth increases caused by warmer winters potentially offsetting the summer losses. Trees from warmer provenances, i.e., from the center of the species range, perform best in nearly all of our present and future climate-scenario models. We recommend that similar models be used to analyze population growth trends relative to annual and intra-annual climate in other large-scale provenance trials worldwide. An open-access growth-trend data set encompassing numerous biomes, species, and provenances would contribute substantially to predicting forest productivity under future-climate scenarios.
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Clima , Ecossistema , Modelos Biológicos , Pinus/crescimento & desenvolvimento , Pinus/genética , Animais , Colúmbia Britânica , Besouros/fisiologia , Monitoramento Ambiental , ÁrvoresRESUMO
INTRODUCTION: The 6-Minute Walking Test (6MWT) is a safe, standardized and well utilized method to assess the functional capacity. Recently, it was reported that the published prediction equations cannot accurately predict a valid maximal oxygen consumption (VÌO2 peak) value in cancer survivors. Thus, the aim of this study was to establish and to validate a new equation based on the 6MWT to predict VÌO2 peak in childhood acute lymphoblastic leukemia (ALL) survivors. METHODS: A total of 200 childhood ALL survivors were enrolled in this study, among which 168 participants underwent a cardiopulmonary exercise test and a 6MWT to assess their functional capacity and their cardiorespiratory fitness. In addition, participants completed a physical activity questionnaire. Participants were randomly divided in two groups to establish the equations (n = 118 (70%)) and to validate it (n = 50 (30%)). Multiple linear regression analyses were used to determine a new prediction equation for VÌO2 peak from 6MWT using clinical and specific variables related to the disease. The accuracy in between VÌO2 peak measured and VÌO2 peak predicted were assessed using the Bland and Altman method. RESULTS: The new establish clinical VÌO2 peak equation is: VÌO2 peak (mL.kg-1.min-1) = (-0.283*age(years)) - (0.099*weight(kg)) + (0.071*6MWD(meters)) -(0.135*HR end(bpm)) + 22.789 with a mean bias of 2.67 mL.kg-1.min-1 (95% CI (-9.64 to 14.98)). The new establish disease-specific VÌO2 peak equation is: VÌO2 peak (mL.kg-1.min-1) = (-0.236*age(years)) - (0.094*weight(kg)) -(0.120*HR end(bpm)) + (0.067*6MWD(meters)) + (0.065*MVLPA(min/day)) - (0.204*DT(years)) + 25.145 with a mean bias of 2.51 mL.kg-1.min-1 (95% CI (-9.98 to 15.01)). CONCLUSION: This is the first study that predicted VÌO2 peak from a 6MWT using clinical and specific variables related to the disease of childhood ALL survivors. The availability of these newly established VÌO2 peak equations makes them an accurate tool to provide a better follow-up and better adapted physical training for survivors. We invite researchers to use our assessment procedures for their further studies.IMPLICATIONS FOR REHABILITATIONIt is critical to understand the cardiorespiratory fitness of the childhood ALL survivorsThe maximal oxygen consumption (i.e., VÌO2 peak) is recognized as the gold standard to measure the patient's cardiorespiratory fitness in the field of exercise physiologyThis study is novel and reports the validation of two new VO2 peak equations, from 6MWT, by using clinical and disease-specific variables of childhood ALL survivorsThe availability of such validated equations can better facilitate the follow-up of survivors' cardiorespiratory fitness, by relevant health care professionals and exercise physiologists.
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Aptidão Cardiorrespiratória , Leucemia-Linfoma Linfoblástico de Células Precursoras , Teste de Esforço , Humanos , Consumo de Oxigênio , Sobreviventes , Teste de CaminhadaRESUMO
Over the last two millennia, and at an accelerating pace, the African elephant (Loxodonta spp. Lin.) has been threatened by human activities across its range.1-7 We investigate the correlates of elephant home range sizes across diverse biomes. Annual and 16-day elliptical time density home ranges8 were calculated by using GPS tracking data collected from 229 African savannah and forest elephants (L. africana and L. cyclotis, respectively) between 1998 and 2013 at 19 sites representing bushveld, savannah, Sahel, and forest biomes. Our analysis considered the relationship between home range area and sex, species, vegetation productivity, tree cover, surface temperature, rainfall, water, slope, aggregate human influence, and protected area use. Irrespective of these environmental conditions, long-term annual ranges were overwhelmingly affected by human influence and protected area use. Only over shorter, 16-day periods did environmental factors, particularly water availability and vegetation productivity, become important in explaining space use. Our work highlights the degree to which the human footprint and existing protected areas now constrain the distribution of the world's largest terrestrial mammal.9,10 A habitat suitability model, created by evaluating every square kilometer of Africa, predicts that 18,169,219 km2 would be suitable as elephant habitat-62% of the continent. The current elephant distribution covers just 17% of this potential range of which 57.4% falls outside protected areas. To stem the continued extirpation and to secure the elephants' future, effective and expanded protected areas and improved capacity for coexistence across unprotected range are essential.
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Elefantes , África , Animais , Conservação dos Recursos Naturais , Ecossistema , Florestas , Humanos , ÁguaRESUMO
After publication of this paper, the authors determined an error in one of the author names: in PubMed Cionnaith CM should be Mac Cionnaith C.
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Male rats develop a conditioned ejaculatory preference (CEP) toward females bearing an odor or somatosensory cue (rodent jacket) when those stimuli are paired with the postejaculatory reward state. As with a copulatory conditioned place preference, CEP for an odor depends on endogenous opioid transmission after ejaculation. The nonselective opioid receptor antagonist naloxone (NAL) disrupts CEP for an odor cue on female rats when injected systemically to males prior to each conditioning trial. Here, we evaluated whether NAL would disrupt the development of a CEP for the somatosensory cue. Long-Evans males were assigned randomly to two groups and underwent 14 copulatory conditioning trials for 30 min each, spaced every 4 days, and consisting of sequential pairing of a jacket on a sexually receptive female and no jacket on a sexually nonreceptive female. The control group was injected with saline (SAL) in both conditions throughout training, whereas the experimental group was injected with NAL when females were receptive and wore a jacket, and with SAL when they were not receptive and did not wear a jacket. On the final test, all males were injected with SAL and placed into an open field with two sexually receptive females, one with the jacket and the other without the jacket. Control males displayed a significant CEP for females with the jacket on, whereas males injected with NAL during sexually receptive jacket conditions displayed a significant CEP for the nonjacketed female. This study confirms that opioid transmission is necessary for the establishment of a somatosensory CEP. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Copulação/efeitos dos fármacos , Sinais (Psicologia) , Ejaculação , Naloxona/administração & dosagem , Antagonistas de Entorpecentes/administração & dosagem , Recompensa , Tato , Animais , Condicionamento Clássico , Feminino , Masculino , Estimulação Física , Ratos Long-EvansRESUMO
RATIONALE: Male rats trained to associate a neutral odor or rodent jacket on a female with their post-ejaculatory reward state display a preference to ejaculate with females bearing the odor or jacket. This conditioned ejaculatory preference (CEP) can be shifted by systemic administration of the opioid antagonist naloxone (NAL) during training, such that NAL-trained males distribute their ejaculations to females without the cue, relative to saline (SAL)-trained males. OBJECTIVE: The present study examined two brain sites, the medial preoptic area (mPOA) or ventral tegmental area (VTA), where the opioid reward state might be induced. METHODS: Sexually naïve Long-Evans males were implanted with bilateral guide cannula aimed at either site before they underwent multi-ejaculatory conditioning trials at 4-day intervals with sexually receptive females that bore either an almond odor or rodent tethering jacket. Infusions of NAL (1 µl/side) or SAL (1 µl/side) were made prior to each conditioning trial. All males were infused with SAL prior to a final open-field choice test with two sexually receptive females, one scented and the other unscented, or one jacketed and the other unjacketed. RESULTS: Males previously conditioned with SAL in either region showed significant CEP. In contrast, prior infusions of NAL to the mPOA shifted the preference towards the unfamiliar female, whereas prior infusions to the VTA abolished CEP for the odor. Subsequent detection of Fos protein induced by the cue showed that, relative to SAL-treated males, prior experience with NAL in the mPOA suppressed Fos in both the mPOA and VTA, whereas prior experience with NAL in to the VTA suppressed Fos in the VTA alone. CONCLUSIONS: Opioid antagonism in the mPOA produces a state of non-reward whereas in the VTA, it produces a state in which the odor does not acquire incentive properties.
Assuntos
Ejaculação/efeitos dos fármacos , Naloxona/administração & dosagem , Antagonistas de Entorpecentes/administração & dosagem , Área Pré-Óptica/efeitos dos fármacos , Recompensa , Área Tegmentar Ventral/efeitos dos fármacos , Animais , Condicionamento Psicológico/efeitos dos fármacos , Condicionamento Psicológico/fisiologia , Ejaculação/fisiologia , Feminino , Infusões Intraventriculares , Masculino , Motivação/efeitos dos fármacos , Motivação/fisiologia , Odorantes , Área Pré-Óptica/fisiologia , Ratos , Ratos Long-Evans , Olfato/efeitos dos fármacos , Olfato/fisiologia , Área Tegmentar Ventral/fisiologiaRESUMO
AIMS: Acute lymphoblastic leukemia (ALL) is one of the leading malignancies in children worldwide. The cardiotoxicity of anti-cancer treatments leads to a dysfunction of the cardiac autonomic nervous system. Protection strategies, with dexrazoxane treatments, were used to counter these adverse effects. The aim of this study was to investigate the effects of the treatments on the cardiac autonomic nervous system. METHODS AND RESULTS: A total of 203 cALL survivors were included in our analyses and were classified into 3 categories based on the prognostic risk group: standard risk, high risk with and without dexrazoxane. A 24-h Holter monitoring was performed to study the cardiac autonomic nervous system. The frequency domain heart rate variability (HRV) was used to validate the cardiac autonomic nervous system modifications. Other analyses were performed using linear HRV indexes in the time domain and non-linear indexes. A frequency domain HRV parameters analysis revealed significant differences on an overall time-period of 24 h. A repeated measures ANOVA indicated a group-effect for the low frequency (p = 0.029), high frequency (p = 0.03) and LF/HF ratio (p = 0.029). Significant differences in the time domain and in the non-linear power spectral density HRV parameters were also observed. CONCLUSION: Anti-cancer treatments induced significant changes in the cardiac autonomic nervous system. The HRV was sensitive enough to detect cardiac autonomic nervous system alterations depending on the cALL risk category. Protection strategies (i.e., dexrazoxane treatments), which were used to counter the adverse effects of doxorubicin, could prevent changes observed in the cardiac autonomic nervous system.
Assuntos
Antibióticos Antineoplásicos/efeitos adversos , Sistema Nervoso Autônomo/efeitos dos fármacos , Cardiotoxicidade/etiologia , Doxorrubicina/efeitos adversos , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Adolescente , Adulto , Antibióticos Antineoplásicos/administração & dosagem , Sistema Nervoso Autônomo/fisiopatologia , Pressão Sanguínea/fisiologia , Sobreviventes de Câncer , Cardiotoxicidade/epidemiologia , Doxorrubicina/administração & dosagem , Eletrocardiografia Ambulatorial , Frequência Cardíaca/efeitos dos fármacos , Humanos , Prognóstico , Fatores de Risco , Adulto JovemRESUMO
Introduction: As the survival rate of childhood acute lymphoblastic leukemia (ALL) continues to improve, the physical deconditioning is becoming an increasingly common problem in survivors. The aim of this study was to compare the cardiorespiratory fitness and physical activity levels of survivors and control participants. Methods: A total of 221 childhood ALL survivors (114 males and 107 females), diagnosed between 1987 and 2010 and treated according to Dana Farber Cancer Institute-ALL 87-01 to 05-01 protocols at Sainte-Justine University Health Center (SJUHC), Montreal (Canada), and 825 control participants (364 males and 461 females), recruited in the Canadian Health Measures Survey (cycle 2) during 2009 to 2011 by Statistics Canada, were included in our analyses. In both survivors and controls, cardiorespiratory fitness and moderate to vigorous physical activity (MVPA) were assessed. Results: Survivors' VÌO2 peak was found to be 22% lower than that of controls. Cardiorespiratory fitness was different between the survivors (32.4 ± 8.3 mL/(kg·min); ß = 0.11; 95% confidence interval [CI] 0.07-0.14) and the controls (41.6 ± 9.4 mL/(kg·min); ß = 0.16; 95% CI 0.13-0.18), despite a clinically equivalent level of MVPA [survivors (27.5 ± 27.4 min/day) and controls (33.4 ± 24.2 min/day)]. Status (being survivor) and the age of the participants were negatively associated with cardiorespiratory fitness, whereas MVPA and male gender were positively associated with cardiorespiratory fitness. Conclusion: We observed that for a clinically equivalent level of MVPA, cardiorespiratory fitness was significantly lower in survivors compared with controls. Our findings showed that female survivors were most affected, compared with male survivors. These findings allow further understanding of the physiological differences between childhood ALL survivors and control participants and have important implications for this high-risk population of survivors.