Bronchodilatation: noncholinergic, nonadrenergic mediation demonstrated in vivo in the cat.

The composite vagus nerve was stimulated during intravenous infusion of 5-hydroxytryptamine in cats subjected to pharmacologic autonomic blockade with atropine, propranolol, and phentolamine. Bronchial caliber, as assessed by changes in pulmonary resistance, demonstrated a marked dilatation, and dilatation could still be demonstrated after preliminary treatment with reserpine. By stimulating the component branches of the vagus nerve, it was determined that the parasympathetic branch is responsible for this phenomenon.

The effects of fitness-type exercise on iron status in adult women.

To determine if compromised iron status results from fitness-type exercise, 24 women from a 35-min, 4-day/wk aerobic exercise class provided blood samples at wk 0, 6, and 13. Hb increased from wk 0 to wk 6 (p less than 0.001), and decreased from wk 6 to wk 13 (p less than 0.001). Hematocrit did not change from wk 0 to wk 6, but decreased from wk 6 to wk 13 (p less than 0.005). Ferritin concentrations were lower at wk 6 and 13 (p less than 0.01 and p less than 0.05) than initially. No changes in these measures were detected among 11 sedentary control subjects. Intakes of iron, ascorbic acid, protein, and energy were comparable between exercise and sedentary groups. Decreased resting and recovery step test heart rates indicated improved aerobic fitness in exercising subjects from wk 2 to wk 11. Thirteen weeks of aerobic exercise class did not induce iron deficiency anemia. Decreased plasma ferritin concentrations suggest a compromise in iron stores which appears to be stabilized after 6 wk.

Height-normalized indices of the body's fat-free mass and fat mass: potentially useful indicators of nutritional status.

Expressing fat-free mass (FFM) and body fat mass (BFM) as percentages of body weight or by weight is unsatisfactory. For example, tall patients with protein-energy malnutrition (PEM) can exhibit values for FFM and BFM similar to those of shorter well-nourished individuals. To obviate such difficulties, we propose use of height-normalized indices, namely, a FFM index [FFM (kg)/height (m)2, or FFMI] and a BFM index [BFM (kg)/height (m)2, or BFMI]. We calculated these indices in a reference population of 124 healthy young men and in 32 nonobese young men (from the Minnesota Study) before, during, and after experimental semistarvation. When values for FFMI and BFMI falling below the reference cohort's 5th percentile cutoff point were used as a criterion for PEM, these indices, together with basal oxygen-consumption rate, diagnosed PEM in 27 of the 32 Minnesota Study subjects after 12 wk of semi-starvation. These findings indicate that FFMI and BFMI may be useful in nutritional assessment.

Preexercise meal composition alters plasma large neutral amino acid responses during exercise and recovery.

This study was designed to determine the effect of ingesting three preexercise meals on energy metabolism during exercise and recovery and to relate metabolic perturbations to subjective and objective measurements associated with central fatigue. Twelve subjects consumed isoenergetic meals consisting of oat, wheat, or corn cereals 90 min before cycling. A fasting trial served as the control. Blood samples and cognitive function, perceived hunger, and sleepiness measurements were obtained before and after feeding and during recovery when self-selected food intake was also measured. After meal ingestion, plasma insulin was lower for oat than for wheat or corn whereas the ratio of tryptophan to large neutral amino acids (LNAAs) for corn was less than for all others. During exercise, the tryptophan-LNAA ratio increased from preexercise values for the fasting and wheat trials, but exercise performance was unaffected. During recovery, tryptophan:LNAA increased from postexercise values in fasting trials. Also, hunger and fatigue ratings were greater in fasted subjects, but self-selected food intake measured at the end of the recovery period was not different among groups. We conclude that preexercise meal consumption affected tryptophan:LNAA before, during, and after exercise, but these changes were not sufficient to alter physical and cognitive performance.

Total-body electrical conductivity (TOBEC): relationship to estimates of muscle mass, fat-free weight, and lean body mass.

A comparison of methods for estimating body composition (BC) of 12 subjects was made by using fat-free weight from total-body electrical conductivity (FFWT), muscle mass from 3-methylhistidine excretion (MM3MH) and creatinine excretion (MMCRE), fat-free weight from hydrostatic weighing (FFWBD), and lean body mass from whole-body potassium counting (LBMK). Data were analyzed for day-to-day variability and regression analyses were applied to compare the different methods of measuring BC. Mean values (+/- SEM, kg) for the estimates were 53.9 +/- 3.5 (FFWT), 26.9 +/- 2.9 (MM3MH), 25.3 +/- 2.5 (MMCRE), 53.2 +/- 3.6 (FFWBD), and 52.8 +/- 3.5 (LBMK). Regression analyses revealed that TOBEC estimates of fat-free weight had an adjusted r2 (+/- SEE, kg) of 0.95 +/- 2.2, 0.50 +/- 7.9, 0.95 +/- 1.8, and 0.88 +/- 4.0 for MM3MH, MMCRE, FFWBD, and LBMK, respectively. It was concluded that TOBEC is a potentially reliable method for estimating the muscle mass within the fat-free compartment, as well as fat-free weight and lean body mass.

Airway function in lifetime-nonsmoking older asbestos workers.

Previous studies of lung function in asbestos workers have documented airflow limitation in many of the workers, but the specific influence of asbestos exposure could not be clearly differentiated from the effects of the cigarette smoking habit. In this study, airway function was evaluated in lifetime-nonsmoking, long-term workers of the mines and mills of Québec. The 17 asbestos workers in this study had worked for an average of 28 years in the mines and mills of the local asbestos industry and did not have any other respiratory industrial dust exposure. They did not have a history of previous pulmonary disease and did not meet the usual diagnostic criteria for chronic bronchitis, emphysema, or asthma. Seven of the workers met the diagnostic criteria for asbestosis and 10 workers did not. The latter group of workers did not differ from a matched control group except in terms of a higher isoflow volume (p less than 0.05). The workers with asbestosis, however, had a restrictive pattern of lung function, increased isoflow volume, and increased upstream resistance at low lung volumes (p less than 0.01). Lung biopsy in three of the patients with the disease demonstrated peribronchiolar alveolitis and fibrosis with obliteration and narrowing of the small airways. These data on lifetime-nonsmoking, long-term asbestos workers provide further evidence of small airway obstruction associated with asbestos exposure and independent of the smoking habit. This airflow limitation was observed predominantly in workers with a restrictive pattern of lung function associated with peribronchiolar alveolitis. The lifetime-nonsmoking asbestos workers without restrictive patterns of lung function had minimal dysfunction of the peripheral airways.

The physical activity scale for the elderly (PASE): evidence for validity.

We assessed the validity of the Physical Activity Scale for the Elderly (PASE) in a sample of sedentary adults (56 men, 134 women, mean age +/- [SD] 66.5+/-5.3 years) who volunteered to participate in a randomized controlled trial on the effect of aerobic conditioning on psychological function. Construct validity was established by correlating PASE scores with physiologic and performance characteristics: peak oxygen uptake, resting heart rate and blood pressure, percent body fat, and balance. The mean PASE scores were higher in men than in women (men = 145.8+/-78.0; women = 123.9+/-66.3, P<0.05), and in those age 55-64 years compared with those age 65 years and over (55-64 = 144.2+/-75.8; 65 and over = 118.9+/-63.9, P<0.05). PASE scores were also significantly higher in those who did not report a chronic health condition (cardiovascular disease, hypertension, cancer, or recent surgery). PASE scores were significantly associated (P<0.05) with peak oxygen uptake (r = 0.20), systolic blood pressure (r = -0.18) and balance score (r = 0.20). No significant associations of PASE score and diastolic blood pressure, resting heart rate, or percent body fat were noted. These results provide additional evidence for the validity of the PASE as a measure of physical activity suitable for use in epidemiology studies on the association of physical activity, health, and physical function in older individuals.

Heterogeneity of bronchoalveolar lavage cellularity in stage III pulmonary sarcoidosis.

Three cases of stage III pulmonary sarcoidosis are presented. Bronchoalveolar lavage (BAL) revealed normal cell differential counts in the right middle lobe of each patient, but high-intensity lymphocytic alveolitis in the right upper lobe. These findings suggest that BAL should be done in multiple segments of the lung to obtain a truly representative picture of the intensity of the alveolitis in stage III pulmonary sarcoidosis.

Spectrum of alveolitis in quartz-exposed human subjects.

To characterize silica-induced alveolitis in human subjects, we studied 22 workers in the granite stone cutting industry of Quebec and compared results with those of 22 manual workers without quartz exposure (group 1). All were nonsmokers and were of comparable age. On the basis of chest roentgenogram, seven were without disease (group 2), nine had silicosis without coalescence/conglomeration (group 3), and six had silicosis with coalescence/conglomeration (group 4). The alveolitis in subsets of silica-exposed workers with distinct clinical stages of disease was found to have distinct biologic characteristics.

Fibronectin and procollagen 3 levels in bronchoalveolar lavage of asbestos-exposed human subjects and sheep.

To evaluate the potential interest of levels of fibronectin and procollagen 3 in bronchoalveolar lavage fluid as markers of fibrogenic activity, we characterized the time course of changes in fibronectin and procollagen 3 levels in the tracheal lobe of sheep exposed to nonfibrogenic and fibrogenic materials. We correlated these observations with those of bronchoalveolar lavage in long-term asbestos workers in various stages of disease activity. Following studies before exposure, the tracheal lobe of three groups of 24 sheep were exposed once to 100 ml of phosphate-buffered saline solution (PBS), to 100 mg of latex beads in 100 ml of PBS, or to 100 mg of chrysotile fibers in 100 ml of PBS. Bronchoalveolar lavages were obtained at 0, 1, 2, 4, 8, and 12 months after exposure, and four or five sheep per group were killed after each lavage for histopathologic analysis. Fibronectin in bronchoalveolar lavage fluid increased significantly only in the asbestos-exposed sheep to values two to three times above controls or latex-exposed sheep and remained elevated during the 12 months of the study. Levels of procollagen 3 in bronchoalveolar lavage fluid were increased significantly only during the first two months following exposure in the asbestos-exposed sheep only. In the asbestos workers without disease, levels of fibronectin and procollagen 3 in bronchoalveolar lavage fluid were comparable to controls, but these levels were significantly elevated in those with asbestos-associated alveolitis or asbestosis. This study documents that the measurement of levels of fibronectin and procollagen 3 in bronchoalveolar lavage fluid assesses fibrogenic activity of alveolitis and should be useful to predict its progression in a fibrotic process. In asbestos workers the potential use of these markers is primarily related to early detection of asbestos-induced pulmonary injury.

Tracheal dead space influences regional ventilation measurement in dogs.

The lung volume at which airway closure begins during expiration (closing volume, CV) can be measured 1) with a radioactive bolus inspired at residual volume (RV) and 2) with the single-breath N2 elimination test. In previous studies in dogs, we observed that N2 CV was systematically larger than 133Xe bolus CV (Xe CV) [N2 CV %vital capacity (VC) = 35 +/- 2.3 (SE) vs. Xe CV %VC = 24 +/- 2.2, P less than 0.01]. Because the regional RV in the dog is evenly distributed throughout the lung and all airways closed at RV, N2 CV is related to the regional distribution of the tracheal N2; differences between N2 and Xe CV could then be related to the size of the inhaled dead space. Simultaneous measurements of Xe and N2 CV were performed at various sites of Xe bolus injection while the regional distribution of the bolus was measured. Injections at the level of the carina increased Xe CV to a value (30 +/- 1.4%VC) near simultaneous N2 CV (32 +/- 1.5%VC) and increased the unevenness of regional distribution of the Xe bolus. The difference between N2 and Xe CV is then the result of the size of the inspired tracheal dead space. Moreover, comparisons between different values of Xe CV require injections of the boluses at the same distance from the carina.

Sex and training differences in human growth hormone levels during prolonged exercise.

Human growth hormone (hGH) levels were measured during rest, prolonged treadmill exercise at 60% maximum O2 uptake (VO2max), and immediate recovery in four groups of subjects (n = 7/group), ages 21-30 yr, classified as male runners (MR), female runners (FR), male controls (MC), and female controls (FC) to determine whether sex differences in the hGH response are related to resting 17 beta-estradiol (E2) and/or cardiorespiratory endurance (CRE). Glucose (Glc), E2, and hGH levels were determined from serial blood samples taken from an intravenous catheter. Glc did not change significantly during exercise, but different trends for the runners (increases) vs. controls (decreases) resulted in higher (P less than 0.01) postexercise levels in the runners. Resting hGH was higher (P less than 0.05) in the FRs and FCs than the MRs and MCs, respectively, and continued to be higher in the FCs (vs. MCs) during the first 30 min of exercise. The MRs achieved higher peak hGH levels and exhibited higher values than the MCs throughout exercise and recovery. There were no statistically significant training differences in the females. The strongest predictors for peak hGH were absolute work load and group (runners vs. controls), both of which combined accounted for 32-36% of the variability (P less than 0.01) in hGH response. Significant sex-related variables (sex, resting E2) accounted for 11-19% of the variability in peak or percent change in hGH, with E2 having a positive effect at rest but a negative effect during exercise.(ABSTRACT TRUNCATED AT 250 WORDS)

Enzyme activities of lung lavage in asbestosis.

We analyzed lung lavage supernatant for amylase, lactate dehydrogenase (LD), alkaline phosphatase (ALP), beta-glucuronidase (beta G), and albumin, and a differential count was made of the cellular component of lung lavage in 18 normal controls and 36 long-term asbestos workers of the mines and mills of Québec. The men were concomitantly evaluated by the usual clinical, radiological, functional parameters and 67Ga lung scan. In 7 workers without asbestosis and normal 67Ga scan, lavage enzyme activities, albumin and cell counts were comparable to those of controls. Of 9 without sufficient criteria for asbestosis but increased 67Ga lung uptake, cell counts documented significant increases in the mean number of macrophages (X 2), lymphocytes (X 2) and neutrophils (X 3). Supernatant analyses showed significant increases in amylase (X 4-5), LD (X 2.5), ALP (X 1.5) and beta G (X 2-4). These changes were comparable to those in the lavage of workers with well established asbestosis except that in the latter, the lymphocyte count was slightly lower but the neutrophil count higher (p less than 0.05). These data document that enzyme activities of lung lavage can differentiate asbestos workers with early or late asbestosis from controls and asbestos workers without disease.

Effect of arm training on central and peripheral circulatory function.

The purpose of this study was to examine the effect of endurance arm training on metabolic and circulatory function during arm and leg exercise. Thirty-eight females (aged 18 to 35 yr) participated in the study, with 19 subjects in the training group and 19 in a control group. Both a specific and general training response was observed at the conclusion of the 5-wk training period. As a result of training, during peak arm exercise, significant increases (P less than 0.05) were observed for oxygen uptake (VO2), ventilation, cardiac output, stroke volume, arterial-venous oxygen difference, cumulative work, and total performance time. During peak leg exercise following arm training, significant increases (P less than 0.05) were observed for VO2, ventilation, cardiac output, cumulative work, and total performance time. Standardized partial regression coefficients were used to examine the relative influence of the metabolic and circulatory components which define VO2. Prior to training during arm work, the arterial-venous oxygen difference accounted for the largest proportion of variance in VO2; but after training, stroke volume contributed the largest portion of variance. On the other hand, during leg exercise, stroke volume accounted for the largest portion of variation in leg VO2 both before and after arm training. The data suggest that endurance arm training as prescribed in this study elicits significant circulorespiratory function adaptations to support improved performance in both arm and leg work. Further, the findings suggest both a specific and general training effect, with the more dominant effect specific to arm work.(ABSTRACT TRUNCATED AT 250 WORDS)

Impact of total body water fluctuations on estimation of body fat from body density.

The purpose was to investigate the possibility that variability in body weight in females due to water retention causes differences in body density (Db) values determined by hydrostatic weighing (HW). Determination of total body water (TBW) and Db were concurrently measured in seven females who experienced considerable fluctuations in body weight (1.5-4.5 kg) and seven males, ages 19-24. Females were measured when they felt they were at their lowest (LO) and highest (HI) body weights (BW) during a menstrual cycle. Males were randomly tested approximately 3 wk apart. Mean values of selected variables were compared in the LO vs HI testing sessions by paired t-tests. Significant mean differences were found in the females (P less than 0.01) for the following variables: BW (kg) (LO = 58.9, HI = 61.1), Db (g.cc-1) (LO = 1.0430, HI = 1.037), and percent body fat (%BF) as determined by HW alone (LO = 24.8%, HI = 27.6%). Variables significant at the P less than 0.05 level were TBW(l) (LO = 33.6, HI = 35.1) and %TBW of the fat-free body (LO = 74.5, HI = 75.9). However, changes in TBW could not entirely account for observed changes in Db. Only mean BW (kg) was significant (P less than 0.01) in the males (LO = 74.3, HI = 74.6). It is concluded that changes in TBW can in part result in significantly different Db values obtained from HW in females who did experience perceptible changes in BW during a menstrual cycle. The remaining differences may be due to changes in fat and protein content or methodological errors.

Methodological factors and the prediction of body fat in female athletes.

The effect of skinfold caliper, investigator technique, and various skinfold prediction equations on estimates of body fatness was investigated using college-age female basketball players. Four skinfold calipers, four investigators, and five prediction equations from the literature were selected for study. Skinfolds were obtained on 16 athletes for each of five sites by all four investigators using each caliper. Triceps and subscapular skinfolds showed less variation among investigators (mean differences of 1-4 mm) as compared to suprailiac, abdomen, and thigh skinfolds (mean differences of up to 5-6 mm). Differences among investigators were less using the Harpenden and Holtain than for the Lange and Adipometer calipers. All three sources of variation--caliper, investigator, and prediction equation--contributed significantly to the variability in estimates of mean fat content of this sample, which ranged from 14.1-28.1% depending on which of the 80 caliper-investigator-prediction equation combinations (four calipers, four investigators, and five equations) was used. Using any one prediction equation, the range in mean percent fat due to the 16 caliper-investigator combinations was 7%. The results illustrate the need for standardization of skinfold sites, caliper, and prediction equations for reliable estimation of body composition in a specific population.

Effects of oral contraceptives on hormonal and metabolic responses during exercise.

This study examined the influence of oral contraceptives (OC) on GH and PRL responses and on energy substrate utilization during prolonged submaximal exercise in moderately active women (21-30 yr). Eight women taking OC (OC) and eight women with normal menstrual cycles (C) performed a standardized treadmill test of 90 min at 50% maximal oxygen uptake. Blood samples were withdrawn from an indwelling venous catheter during a 2-h rest period, at 10-min intervals during exercise and at 3 and 15 min of recovery. Serum concentrations of glucose, GH, PRL, E2, and P4 were assayed. Carbohydrate and fat utilization were estimated from respiratory exchange ratios. Basal serum levels of GH, PRL, and glucose were not significantly different (P greater than 0.05) between OC and C. OC had significantly higher (P less than 0.05) serum GH levels than C at 10 and 20 min of exercise, but the integrated areas for GH responses were not different (P = 0.059). Serum PRL levels significantly decreased (P less than 0.05) during exercise, and PRL responses were similar for the two groups. OC exhibited significantly lower blood glucose levels (P less than 0.05) during exercise and utilized significantly lower total grams of carbohydrate (P less than 0.05) during exercise than C. In conclusion, OC use was associated with enhanced GH responses, lower glucose levels, and diminished carbohydrate utilization during prolonged exercise. These results indicated that OC users demonstrated a greater carbohydrate-sparing ability than eumenorrheic women, which may be related to the contra-insulin effects of GH. The lower blood glucose levels, however, suggest the sparing of carbohydrate may act to compensate for decreased hepatic glucose output, similar to animal data.

Estimation of minimal weight of adolescent males using multicomponent models.

The purpose of this study was to determine whether the estimation of minimal weight (the body weight at which 5% of the weight is fat) of adolescent males could be improved by accounting for differences in hydration state and bone mineral content. Improvement was defined as a larger value for minimal weight and a smaller standard deviation compared to minimal weight estimated from body density. Forty adolescent males (mean age +/- SD, 15.5 +/- 1.4 yr) were measured for height, weight, body density (hydrostatic weighing), total body water (deuterium oxide dilution), and bone mineral content (single photon absorptiometry). Twenty-two adult males (mean age +/- SD, 23.6 +/- 2.2 yr) were measured as a reference group. Percent body fat and minimal weight were calculated from the body density (MWD), body density adjusted for total body water (MWDW), and body density adjusted for body water and bone mineral content (MWDWB). Repeated-measures ANOVA was used to test for differences between the methods and for trends in the data. The results showed a slight but nonsignificant increase in minimal weight for the adolescent group when body water and bone mineral data were added. The means +/- SD for MWD, MWDW, and MWDWB values of the adolescents were 54.6 +/- 9.0 kg, 54.8 +/- 8.6 kg, and 55.4 +/- 8.4 kg, respectively. It was concluded that the multicomponent methods, which accounted for hydration and bone mineral status, did not significantly improve the estimates of minimal weight of adolescent males compared to the single component method, i.e., minimal weight from body density.

Lower thermic effect of a meal post-exercise in aerobically trained and resistance-trained subjects.

Despite the abundance of literature concerning the thermic effect of a test meal (TEM) at rest in trained and untrained subjects, there is little information available concerning the TEM post-exercise. Therefore, it was the purpose of this study to examine the metabolic response to a 763-kcal meal prior to 30 min of exercise at 50% VO2max, in aerobically trained (AT, N = 8), resistance-trained (RT, N = 8), and untrained (UT, N = 8) subjects. Mean (+/- SEM) VO2max was 60.7 +/- 2.3 ml.kg-1.min-1, 52.9 +/- 2.2 ml.kg-1.min-1 and 51.1 +/- 2.2 ml.kg-1.min-1, for the AT, RT, and UT groups, respectively. Mean (+/- SEM) percent fat was 13.7 +/- 1.2, 12.7 +/- 1.9, and 16.9 +/- 1.4 for the AT, RT, and UT groups, respectively. Post-exercise VO2 was measured by indirect calorimetry every half hour, on two nonconsecutive days (post-absorptive (PA) post-exercise and post-prandial (PP) post-exercise) for 3 h. The total TEM (post-exercise PP VO2 minus post-exercise PA VO2) was 4.86 +/- 1.62, 5.22 +/- 1.80, and 9.36 +/- 5.08 I for the AT, RT, and UT groups, respectively. The TEM post-exercise was significantly lower (P less than 0.05) for the AT and RT groups compared with the UT group. Respiratory exchange ratio (R) differed significantly only during the PA post-exercise condition, with the AT group exhibiting significantly lower (P less than 0.01) values compared with the RT and UT groups. PA post-exercise R for the RT group was not significantly different (P = 0.09) from the UT group.(ABSTRACT TRUNCATED AT 250 WORDS)

Isometric muscle force production as a function of age in healthy 20- to 74-yr-old men.

Typically, previous studies have focused on one muscle group, the finger flexors, and only one aspect of muscle function, strength, when assessing age-related muscle force production characteristics. In the present study, the maximal voluntary isometric contraction force-time curves of five muscle groups (right hand finger flexors, right thumb abductors, right forearm extensors, right leg dorsiflexors, and right leg plantar flexors) were assessed in men, ranging in age from 20 to 74 yr. One hundred fifty-three volunteers were placed into appropriate 5-yr age groups: 20-24 (N = 14), 25-29 (N = 15), 30-34 (N = 16), 35-39 (N = 13), 40-44 (N = 16), 45-49 (N = 11), 50-54 (N = 16), 55-59 (N = 12), 60-64 (N = 17), 65-69 (N = 13), and 70-74 (N = 10) years. Muscle function was characterized by a number of force-time parameters, including strength, time, rate, and impulse. The data were analyzed both with and without consideration of the influence of physique and body composition. The results indicated that there were significant age group differences in the ability to produce maximal force (strength) (P less than 0.05), to generate maximal rates of force production (P less than 0.05), and in the total forces generated (impulse) (P less than 0.05), with an overall and in the total forces generated (impulse) (P less than 0.05), with an overall decline with increasing age.(ABSTRACT TRUNCATED AT 250 WORDS)