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1.
Front Public Health ; 11: 1217187, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37415704

RESUMEN

Introduction: Police officers must perform various tasks in unpredictable work environments and potentially volatile situations. This study aimed to determine if cardiovascular fitness, body composition, and physical activity levels could predict performance in a Midwest Police Department's Physical Readiness Assessment (PRA). Methods: Researchers collected data from thirty incumbent police officers (33.9 ± 8.3 years, female = 5). Anthropometric data included height, body mass, body fat percentage (BF%), fat-free mass (FFM), and maximal hand grip strength. The police officers also completed a physical activity rating (PA-R) scale to estimate maximal oxygen consumption (V˙O2max) and the International Physical Activity Questionnaire (IPAQ). Police officers then conducted their department's PRA. Stepwise linear regression analyses were used to determine the relationship between predictor variables and PRA performance. Pearson's product-moment correlations investigated relationships between anthropometric, physical fitness, and physical activity variables and PRA performance using SPSS (v.28). The significance level was set at p < 0.05. Results: Descriptive data for the sample includes BF%: 27.85 ± 7.57%, FFM: 65.73 ± 10.72 kg, hand grip strength: 55.51 ± 11.07 kg, weekday sedentary time (WST): 328 ± 28.26 min, weekend day sedentary time (WDST): 310 ± 28.92 min, daily moderate-to-vigorous physical activity (MVPA): 29.02 ± 39.41 min, PRA: 273.6 ± 51.4 s and estimated V˙O2max: 43.26 ± 6.35 mL kg-1 min-1. The stepwise regression analyses indicated that BF% was predictive of PRA time (R2 = 0.32, p < 0.01); estimated V˙O2max predictive of PRA time (R2 = 0.45, p < 0.001). There were significant correlations between BF % and PRA time (r = 0.57, p < 0.001), PA-R and MVPA (r = 0.71, p < 0.001), %BF % and WDST (r = -0.606, p < 0.001), hand grip and FFM (r = 0.602, p < 0.001) and PA-R and PRA time (r = -0.36, p < 0.05). Discussion: The results of this exploratory study highlight that higher estimated V˙O2max and lower BF% were the best predictors for faster PRA completion times, accounting for 45% and 32% of the variance, respectively. The findings of this study support the need for wellness and fitness initiatives in law enforcement agencies focused on increasing cardiovascular fitness and physical activity while decreasing BF% to ensure optimal performance in policing and overall health.


Asunto(s)
Fuerza de la Mano , Policia , Humanos , Femenino , Ejercicio Físico , Aptitud Física , Composición Corporal
2.
J Occup Environ Med ; 65(6): e435-e439, 2023 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-36977361

RESUMEN

OBJECTIVE: The aim of the study is to objectively assess if firefighters are meeting the National Fire Protection Association (NFPA) cardiorespiratory fitness (CRF) and American College of Sports Medicine/American Heart Association physical activity (PA) guidelines. METHODS: Two independent fire departments from the Midwest participated in the study. Firefighters wore an accelerometer to track PA and associated intensities. In addition, firefighters completed a stage-graded exercise test TO determine their maximal oxygen uptake (V˙O 2max ). RESULTS: A total of 43 career firefighters completed the study (fire department 1 [FD1]: n = 29, FD2: n = 14). Almost half (44.8% FD1 and 42.9% FD2) met the NFPA CRF guidelines. Compared with the American College of Sports Medicine PA Guidelines of 30 min/d of moderate-to-vigorous PA, more than half of FD2 (57.1%) met the recommended amount of PA, whereas FD1 had less than half (48.3%). CONCLUSIONS: These data demonstrate the need to improve firefighters' PA levels, CRF, and overall health.


Asunto(s)
Capacidad Cardiovascular , Bomberos , Humanos , Ejercicio Físico , Prueba de Esfuerzo , Aptitud Física
3.
J Occup Environ Med ; 65(1): 29-33, 2023 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-35902363

RESUMEN

OBJECTIVE: The aim of the study is to validate a customized V˙O 2max Graded Exercise Test (GXT) protocol specifically to accommodate firefighters with different cardiovascular fitness levels. METHODS: Career male firefighters (N = 15) completed 3 customized GXTs on a treadmill: 1 in athletic clothes and 2 in their bunker gear to determine maximal oxygen uptake (V˙O 2max ). RESULTS: The on-duty task protocol was reliable, V˙O 2max values of 40.2 ± 4.6 mL·kg·min -1 and 40.3 ± 5.3 mL·kg·min -1 between trials yielded an interclass correlation of 0.911 with a typical error of 1.48 mL·kg·min -1 and a coefficient of variation of 4.0%. The validity analysis indicated consistent maximal V˙O 2 values for the GXTs yielding mean interclass correlation of 0.94 with typical error of 1.16 mL·kg·min -1 and a coefficient of variation of 2.9%. CONCLUSIONS: The customized GXT for structural firefighters has shown to be a reliable, valid, and applicable method of testing cardiovascular fitness in firefighters.


Asunto(s)
Prueba de Esfuerzo , Bomberos , Humanos , Masculino , Prueba de Esfuerzo/métodos , Consumo de Oxígeno , Ejercicio Físico , Resistencia Física
4.
J Funct Morphol Kinesiol ; 6(4)2021 Dec 13.
Artículo en Inglés | MEDLINE | ID: mdl-34940511

RESUMEN

Heart rate variability (HRV) may be useful for prescribing high-intensity functional training (HIFT) exercise programs. This study aimed to compare effects of HRV-guided and predetermined HIFT on cardiovascular function, body composition, and performance. METHODS: Recreationally-active adults (n = 55) were randomly assigned to predetermined HIFT (n = 29, age = 24.1 ± 4.1 years) or HRV-guided HIFT (n = 26, age = 23.7 ± 4.5) groups. Both groups completed 11 weeks of daily HRV recordings, 6 weeks of HIFT (5 d·week-1), and pre- and post-test body composition and fitness assessments. Meaningful changes in resting HRV were used to modulate (i.e., reduce) HRV-guided participants' exercise intensity. Linear mixed models were used with Bonferroni post hoc adjustment for analysis. RESULTS: All participants significantly improved resting heart rate, lean mass, fat mass, strength, and work capacity. However, no significant between-groups differences were observed for cardiovascular function, body composition, or fitness changes. The HRV-guided group spent significantly fewer training days at high intensity (mean difference = -13.56 ± 0.83 days; p < 0.001). CONCLUSION: HRV-guided HIFT produced similar improvements in cardiovascular function, body composition, and fitness as predetermined HIFT, despite fewer days at high intensity. HRV shows promise for prescribing individualized exercise intensity during HIFT.

5.
Artículo en Inglés | MEDLINE | ID: mdl-33333835

RESUMEN

Physical inactivity, coupled with increasing obesity levels, in firefighters plays a key role in aggregated cardiovascular events. The purpose of this study was to investigate device-measured physical activity (PA) for firefighters while on- and off-duty to have a clearer understanding of their overall PA level. METHODS: Twenty-nine career firefighters participated in this non-experimental, within-subjects study by wearing an accelerometer to assess PA intensities and step-count. Obesity was classified using body mass index (BMI). Dependent t-tests were used to examine mean differences in PA intensities when on- and off-duty. Pearson product-moment correlations were used to assess the association between PA intensities when on and off-duty. RESULTS: According to the World Health Organization BMI categorizations, 20 firefighters were overweight, 9 were obese, and, thus, none were normal weight. Only light PA (LPA) was statistically significant (p = 0.026) for on- and off-duty days with a small-to-medium effect size (d = 0.47), meaning that on average, firefighters performed more minutes of LPA when on-duty compared to off. There was a significant difference between on- (9060.2 ± 2636.4) and off-duty (7495.3 ± 2835.8) daily step counts (p = 0.011). CONCLUSION: As the results demonstrate, there is a dire need for increased PA levels in firefighters while on- and off-duty.


Asunto(s)
Enfermedades Cardiovasculares , Bomberos , Índice de Masa Corporal , Humanos , Obesidad/epidemiología , Sobrepeso
6.
Appl Physiol Nutr Metab ; 45(2): 193-202, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31287963

RESUMEN

High-intensity exercise interventions are often promoted as a time-efficient public health intervention to combat chronic disease. However, increased physical effort and subsequent fatigue can be barriers to long-term maintenance of high-intensity exercise programs. The purpose of the present study was to determine if heart rate variability (HRV) mediated state traits related to exercise program adherence. Fifty-five healthy men and women (ages 19-35 years) used a commercially available smartphone application to monitor daily HRV status throughout a 6-week high-intensity exercise intervention. Participants reported state motivation to exercise and global physical fatigue immediately prior to each exercise session. Temporary shifts toward increased parasympathetic reactivation (p = 0.030) resulted in significant increases in daily fatigue (p < 0.001) and decreases in motivation to exercise (p = 0.028). Through modulation of exercise volume, in response to these temporary shifts in HRV, these effects were reversed (p < 0.001) via increased parasympathetic withdrawal (p = 0.018). For the first time, these data demonstrate a mediating effect of HRV on adherence-related trait states throughout a high-intensity exercise program. Applied strategies, such as appropriately timed exercise volume moderation, may be able to leverage this effect and help facilitate long-term exercise program maintenance. Novelty These data establish a link between expected shifts in HRV throughout high-intensity exercise programs with motivation to participate and physical fatigue. Modulation of training volume, in response to these shifts, can optimize adherence-related behavioral responses during high-exercise programs.


Asunto(s)
Ejercicio Físico , Fatiga , Frecuencia Cardíaca/fisiología , Motivación , Adulto , Femenino , Humanos , Masculino , Teléfono Inteligente , Programas Informáticos , Adulto Joven
7.
Sports (Basel) ; 6(3)2018 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-30134535

RESUMEN

The session rate of perceived exertion method (sRPE) has often been utilized in sports activities in which quantification of external training loads is challenging. The multi-modal, constantly varied nature of high intensity functional training (HIFT) represents a significant hurdle to calculate external work and the sRPE method may provide an elegant solution to this problem. However, no studies have investigated the psychometric properties of sRPE within HIFT interventions. Twenty-five healthy men and women participated in six weeks of HIFT. Rate of perceived exertion and heart rate were assessed within every training session throughout the duration of the intervention. Compared to criterion heart rate-based measures, we observed sRPE method is a valid tool across individual, group, and sex levels. However, poor reliability in participants' abilities to correctly match rate of perceived exertion with the relative level of physiologic effort (i.e., percentile of maximum heart rate) currently limits the utility of this strategy within HIFT. When applied, the validity and reliability of the sRPE seem to improve over time, and future research should continue to explore the potential of this monitoring strategy within HIFT interventions.

8.
Sports (Basel) ; 6(2)2018 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-29910330

RESUMEN

High-Intensity Functional Training (HIFT) is a novel exercise intervention that may test body systems in a balanced and integrated fashion by challenging individuals' abilities to complete mechanical work. However, research has not previously determined if physical work capacity is unique to traditional physiologic measures of fitness. Twenty-five healthy men and women completed a six-week HIFT intervention with physical work capacity and various physiologic measures of fitness assessed pre- and post-intervention. At baseline, these physiologic measures of fitness (e.g., aerobic capacity) were significantly associated with physical work capacity and this relationship was even stronger at post-intervention assessment. Further, there were significant improvements across these physiologic measures in response to the delivered intervention. However, the change in these physiologic measures failed to predict the change in physical work capacity induced via HIFT. These findings point to the potential utility of HIFT as a unique challenge to individuals' physiology beyond traditional resistance or aerobic training. Elucidating the translational impact of increasing work capacity via HIFT may be of great interest to health and fitness practitioners ranging from strength/conditioning coaches to physical therapists.

9.
Obesity (Silver Spring) ; 20(6): 1174-8, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21494230

RESUMEN

Mounting evidence suggests there is a reduced mobilization of stored fat in obese compared to lean women. It has been suggested that this decreased lipid mobilization may lead to, or perpetuate, the obese state; however, there may be a beneficial effect of reduced lipolysis, either by allowing for a sink of excess fatty acids, or by limiting a potentially harmful rise in interstitial and circulating fatty acid concentration. Nitric oxide (NO) may be responsible for a portion of the reduced in vivo rates of lipolysis in obese women because NO reduces adipose tissue lipolysis and adipose tissue nitric oxide synthase (NOS) mRNA is higher in obese than lean individuals. The purpose of this study was to determine if the inhibition of NOS by L-N(g)-monomethyl-L-arginine (L-NMMA) in the absence and presence of lipolytic stimulation would result in a larger increase in lipolytic rate in obese (OB) than lean (LN) women. Microdialysis probes were inserted into the subcutaneous abdominal adipose tissue of seven obese and six lean women to monitor lipolysis. Dialysate glycerol concentration increased in response to L-NMMA in OB (basal 125 ± 26 µmol/l; L-NMMA 225 ± 35 µmol/l) to a greater extent than in LN (basal 70 ± 18 µmol/l; L-NMMA 84 ± 20 µmol/l) women (P < 0.05). Dialysate glycerol increased to a similar extent in OB and LN in response to adrenergic stimulation by isoprenaline or norepinephrine in the presence of L-NMMA. The differential glycerol responses to L-NMMA between obese and lean could not be explained by differential blood flow responses. It can be concluded that NO suppresses basal lipolysis in obese women to a greater extent than in lean women.


Asunto(s)
Ácidos Grasos no Esterificados/metabolismo , Lipólisis , Óxido Nítrico/metabolismo , Obesidad/metabolismo , Grasa Subcutánea Abdominal/metabolismo , Adulto , Ayuno , Femenino , Humanos , Isoproterenol/farmacología , Lipólisis/efectos de los fármacos , Microdiálisis , Óxido Nítrico/farmacología , Norepinefrina/farmacología , Obesidad/complicaciones , Conducta Sedentaria , Grasa Subcutánea Abdominal/efectos de los fármacos , Adulto Joven , omega-N-Metilarginina/metabolismo , omega-N-Metilarginina/farmacología
10.
Eur J Appl Physiol ; 112(6): 2035-44, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21947428

RESUMEN

The purpose of this study was to compare resistance exercise training (RT) to aerobic exercise training (AE) on the clinical risk factors for metabolic syndrome (MetSyn) in physically inactive overweight males (age 27-48 years). Subjects with at least one risk factor for MetSyn performed RT (n = 13, age 35.1 ± 4.7 years, BMI 31.2 ± 2.7 kg/m(2)) or AE (n = 9, age 37.6 ± 4.9 years, BMI, 31.2 ± 3.2 kg/m(2)) for 6 months. Training frequency and exercise session duration were equal and by 3 months the subjects exercised 4 day/week for 45 min/session. Blood lipids and glucose, waist circumference, and mean arterial blood pressure (MAP) were measured at 0, 3, and 6 months. A MetSyn z score was calculated for each subject from triglycerides, HDL cholesterol, fasting glucose, waist circumference, and MAP. Statistical significance was set at p ≤ 0.05. No significant differences existed between RT and AE groups at 0 month. AE showed a significant reduction in MetSyn z score from 0 (0.91 ± 3.57) to 6 months (-1.35 ± 2.95), while RT approached significance (p = 0.07) from 0 (0.09 ± 2.62) to 6 months (-1.30 ± 2.22). Triglycerides (mmol/L) significantly decreased in AE from 0 (1.93 ± 0.90) to 6 months (1.41 ± 0.70). Waist circumference (cm) significantly decreased in AE from 0 (106.8 ± 7.3) to 6 months (101.2 ± 6.5), and in RT from 0 (108.4 ± 9.0) to 6 months (105.7 ± 7.0). MAP (mmHg) decreased in RT from 0 (93.8 ± 5.8) to 6 months (87.5 ± 6.1) and in AE from 0 (97.6 ± 7.0) to 6 months (91.3 ± 6.8). With equal training frequency and exercise session duration, both RT and AE training, when paired with energy restriction improve the clinical risk factor profile for MetSyn.


Asunto(s)
Restricción Calórica , Ingestión de Alimentos/fisiología , Ejercicio Físico/fisiología , Síndrome Metabólico/terapia , Sobrepeso/fisiopatología , Adulto , Glucemia/metabolismo , Presión Sanguínea/fisiología , Índice de Masa Corporal , HDL-Colesterol/sangre , Glucosa/metabolismo , Humanos , Masculino , Síndrome Metabólico/sangre , Síndrome Metabólico/metabolismo , Síndrome Metabólico/fisiopatología , Persona de Mediana Edad , Entrenamiento de Fuerza/métodos , Factores de Riesgo , Triglicéridos/sangre , Circunferencia de la Cintura/fisiología
11.
Biochim Biophys Acta ; 1801(5): 559-66, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20117238

RESUMEN

Infection with human immunodeficiency virus (HIV) and treatment with HIV-protease inhibitor (PI)-based highly active antiretroviral therapies (HAART) is associated with dysregulated fatty acid and lipid metabolism. Enhanced lipolysis, increased circulating fatty acid levels, and hepatic and intramuscular lipid accumulation appear to contribute to insulin resistance in HIV-infected people treated with PI-based HAART. However, it is unclear whether currently prescribed HIV-PIs directly alter skeletal muscle fatty acid transport, oxidation, and storage. We find that ritonavir (r, 5micromol/l) plus 20micromol/l of atazanavir (ATV), lopinavir (LPV), or darunavir (DRV) reduce palmitate oxidation(16-21%) in differentiated C2C12 myotubes. Palmitate oxidation was increased following exposure to high fatty acid media but this effect was blunted when myotubes were pre-exposed to the HIV-PIs. However, LPV/r and DRV/r, but not ATV/r suppressed palmitate uptake into myotubes. We found no effect of the HIV-PIs on FATP1, FATP4, or FABPpm but both CD36/FAT and carnitine palmitoyltransferase 1 (CPT1) were reduced by all three regimens though ATV/r caused only a small decrease in CPT1, relative to LPV/r or DRV/r. In contrast, sterol regulatory element binding protein-1 was increased by all 3 HIV-PIs. These findings suggest that HIV-PIs suppress fatty acid oxidation in murine skeletal muscle cells and that this may be related to decreases in cytosolic- and mitochondrial-associated fatty acid transporters. HIV-PIs may also directly impair fatty acid handling and partitioning in skeletal muscle, and this may contribute to the cluster of metabolic complications that occur in people living with HIV.


Asunto(s)
Antígenos CD36/metabolismo , Ácidos Grasos/metabolismo , Inhibidores de la Proteasa del VIH/farmacología , Fibras Musculares Esqueléticas/efectos de los fármacos , Fibras Musculares Esqueléticas/metabolismo , Músculo Esquelético/efectos de los fármacos , Músculo Esquelético/metabolismo , Animales , Sulfato de Atazanavir , Carnitina O-Palmitoiltransferasa/metabolismo , Línea Celular , Darunavir , Relación Dosis-Respuesta a Droga , Proteínas de Transporte de Ácidos Grasos/genética , Proteínas de Transporte de Ácidos Grasos/metabolismo , Ácidos Grasos/química , Humanos , Lopinavir , Ratones , Fibras Musculares Esqueléticas/citología , Músculo Esquelético/citología , Oligopéptidos/farmacología , Oxidación-Reducción , Piridinas/farmacología , Pirimidinonas/farmacología , Ritonavir/farmacología , Sulfonamidas/farmacología
12.
Am J Physiol Endocrinol Metab ; 296(4): E925-35, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19208856

RESUMEN

Inclusion of HIV protease inhibitors (PIs) in the treatment of people living with HIV+ has markedly decreased mortality but also increased the incidence of metabolic abnormalities, causes of which are not well understood. Here, we report that insulinopenia is exacerbated when Zucker fa/fa rats are exposed to a PI for 7 wk, suggesting that chronic PI exposure adversely affects pancreatic islet beta-cell function. In support of this possibility, we find increased apoptosis, as reflected by TUNEL fluorescence analyses, and reduced insulin-secretory capacity in insulinoma cells and human pancreatic islet cells after in vitro exposures (48-96 h) to clinically relevant PIs (ritonavir, lopinavir, atazanavir, or tipranavir). Furthermore, pancreatic islets isolated from rats administered an HIV-PI for 3 wk exhibit greater cell death than islets isolated from vehicle-administered rats. The higher incidence of HIV-PI-induced cell death was associated with cleavage and, hence, activation of caspase-3 and poly(ADP)-ribose polymerase but not with activation of phospho-pancreatic endoplasmic reticulum (ER) kinase or induction of ER stress apoptotic factor C/EBP homologous protein. Exposure to the HIV-PIs, however, led to activation of mitochondria-associated caspase-9, caused a loss in mitochondrial membrane potential, and promoted the release of cytochrome c, suggesting that HIV-PIs currently in clinically use can induce beta-cell apoptosis by activating the mitochondrial apoptotic pathway. These findings therefore highlight the importance of considering beta-cell viability and function when assessing loss of glycemic control and the course of development of diabetes in HIV+ subjects receiving a protease inhibitor.


Asunto(s)
Apoptosis/efectos de los fármacos , Seropositividad para VIH/tratamiento farmacológico , VIH-1/inmunología , Células Secretoras de Insulina/efectos de los fármacos , Insulina/metabolismo , Mitocondrias/efectos de los fármacos , Inhibidores de Proteasas/efectos adversos , Animales , Fármacos Anti-VIH/efectos adversos , Fármacos Anti-VIH/farmacología , Fármacos Anti-VIH/uso terapéutico , Células Cultivadas , Regulación hacia Abajo/efectos de los fármacos , Evaluación Preclínica de Medicamentos , Seropositividad para VIH/metabolismo , Seropositividad para VIH/patología , Humanos , Secreción de Insulina , Células Secretoras de Insulina/patología , Células Secretoras de Insulina/virología , Masculino , Ratones , Mitocondrias/fisiología , Inhibidores de Proteasas/farmacología , Inhibidores de Proteasas/uso terapéutico , Ratas , Ratas Zucker , Transducción de Señal/efectos de los fármacos
13.
Biochemistry ; 47(46): 12241-9, 2008 Nov 18.
Artículo en Inglés | MEDLINE | ID: mdl-18937505

RESUMEN

Among the phospholipases A 2 (PLA 2s) are the group VI Ca (2+)-independent PLA 2s (iPLA 2s), and expression of multiple transcripts of iPLA 2 in skeletal muscle has been reported. In the present study, phospholipase activity and sequential ATP and calmodulin affinity column chromatography analyses reveal that skeletal muscle iPLA 2 exhibits properties characteristic of the iPLA 2beta isoform. The phospholipase activity of iPLA 2beta has been demonstrated to participate in signal transduction, cell proliferation, and apoptosis. We report here that skeletal muscle from iPLA 2beta-null mice, relative to wild-type muscle, exhibits a reduced capacity to oxidize palmitate but not palmitoyl-CoA or acetyl-CoA in the absence of changes in fatty acid transporters CD36 and CPT1 or beta-hydroxyacyl-CoA dehydrogenase activity. Recently, purified iPLA 2beta was demonstrated to manifest a thioesterase activity which catalyzes hydrolysis of fatty acyl-CoAs. The liberated CoA-SH facilitates fatty acid transport into the mitochondria. In this regard, we find that fractions eluted from the ATP column and containing iPLA 2beta phospholipase activity also contained acyl-CoA thioesterase activity that was inhibited by the bromoenol lactone (BEL) suicide inhibitor of iPLA 2beta. We further find that acyl-CoA thioesterase activity in skeletal muscle preparations from iPLA 2beta-null mice is significantly reduced, relative to WT activity. These findings suggest that the absence of acyl-CoA thioesterase activity of iPLA 2beta can lead to reduced fatty acyl-CoA generation and impair fatty acid oxidation in iPLA 2beta-null mice. Our findings therefore reveal a novel function of iPLA 2beta, related not to its phospholipase activity but to its thioesterase activity, which contributes to optimal fatty acid oxidation in skeletal muscle.


Asunto(s)
Ácidos Grasos/metabolismo , Regulación Enzimológica de la Expresión Génica/fisiología , Fosfolipasas A2 Grupo VI/biosíntesis , Proteínas Musculares/biosíntesis , Músculo Esquelético/enzimología , Tioléster Hidrolasas/biosíntesis , Animales , Antígenos CD36/metabolismo , Ácidos Grasos/genética , Fosfolipasas A2 Grupo VI/genética , Isoenzimas/genética , Isoenzimas/metabolismo , Masculino , Ratones , Ratones Mutantes , Proteínas Musculares/genética , Oxidación-Reducción , Ratas , Ratas Sprague-Dawley , Tioléster Hidrolasas/genética
14.
Am J Physiol Endocrinol Metab ; 294(3): E558-67, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-18171911

RESUMEN

Insulin resistance, hyperglycemia, and type 2 diabetes are among the sequelae of metabolic syndromes that occur in 60-80% of human immunodeficiency virus (HIV)-positive patients treated with HIV-protease inhibitors (PIs). Studies to elucidate the molecular mechanism(s) contributing to these changes, however, have mainly focused on acute, in vitro actions of PIs. Here, we examined the chronic (7 wk) in vivo effects of the PI indinavir (IDV) in male Zucker diabetic fatty (fa/fa) (ZDF) rats. IDV exposure accelerated the diabetic state and dramatically exacerbated hyperglycemia and oral glucose intolerance in the ZDF rats, compared with vehicle-treated ZDF rats. Oligonucleotide gene array analyses revealed upregulation of suppressor of cytokine signaling-1 (SOCS-1) expression in insulin-sensitive tissues of IDV rats. SOCS-1 is a known inducer of insulin resistance and diabetes, and immunoblotting analyses revealed increases in SOCS-1 protein expression in adipose, skeletal muscle, and liver tissues of IDV-administered ZDF rats. This was associated with increases in the upstream regulator TNF-alpha and downstream effector sterol regulatory element-binding protein-1 and a decrease in IRS-2. IDV and other PIs currently in clinical use induced the SOCS-1 signaling cascade also in L6 myotubes and 3T3-L1 adipocytes exposed acutely to PIs under normal culturing conditions and in tissues from Zucker wild-type lean control rats administered PIs for 3 wk, suggesting an effect of these drugs even in the absence of background hyperglycemia/hyperlipidemia. Our findings therefore indicate that induction of the SOCS-1 signaling cascade by PIs could be an important contributing factor in the development of metabolic dysregulation associated with long-term exposures to HIV-PIs.


Asunto(s)
Diabetes Mellitus Tipo 2/inducido químicamente , Expresión Génica/efectos de los fármacos , Inhibidores de la Proteasa del VIH/efectos adversos , Resistencia a la Insulina/fisiología , Insulina/farmacología , Proteínas Supresoras de la Señalización de Citocinas/genética , Tejido Adiposo/química , Tejido Adiposo/efectos de los fármacos , Animales , Glucemia/análisis , Composición Corporal/efectos de los fármacos , Ingestión de Alimentos/efectos de los fármacos , Prueba de Tolerancia a la Glucosa , Indinavir/efectos adversos , Hígado/química , Hígado/efectos de los fármacos , Músculo Esquelético/química , Músculo Esquelético/efectos de los fármacos , Placebos , Ratas , Ratas Zucker , Transducción de Señal/efectos de los fármacos , Proteína 1 de Unión a los Elementos Reguladores de Esteroles/análisis , Proteína 1 Supresora de la Señalización de Citocinas , Proteínas Supresoras de la Señalización de Citocinas/análisis , Triglicéridos/sangre , Factor de Necrosis Tumoral alfa/análisis
15.
Int J Technol Assess Health Care ; 22(2): 267-70, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16571204

RESUMEN

OBJECTIVES: The mode of contact and response levels of authors who had been asked to provide missing or incomplete data for a systematic review on diet and exercise interventions for weight loss was examined. METHODS: We contacted authors by electronic mail, letter, or both. Survival analyses were performed with the Kaplan-Meier method to determine differences in the proportion of responders over time among the different modes of contact and to determine whether response rates differed between authors from the United States and those from other countries. Logistic regression was used to determine whether the number of items requested and publication date influenced the likelihood of response. RESULTS: Two hundred forty-one (39.9 percent) studies had missing or incomplete data (e.g., sample size, age, caloric restriction, exercise amount, and so on). We were unable to locate ninety-five authors (39.4 percent). Of the remaining authors, forty-six authors (31.5 percent) responded to information requests. Time to respond differed by contact method (p < .05): e-mail (3 +/- 3 days), letter (27 +/- 30 days), and both (13 +/-12 days). Response rates from U.S. authors did not differ from those of other countries. CONCLUSIONS: Our study suggests poor success in the acquisition of essential information. Given considerable time and resources, weight loss studies require improved reporting standards to minimize the relatively unsuccessful attempt to contact authors for important and necessary information.


Asunto(s)
Recolección de Datos/métodos , Recolección de Datos/estadística & datos numéricos , Dieta , Ejercicio Físico , Metaanálisis como Asunto , Ensayos Clínicos como Asunto/estadística & datos numéricos , Humanos
16.
Cell Metab ; 2(4): 251-61, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16213227

RESUMEN

Obesity and type 2 diabetes are strongly associated with abnormal lipid metabolism and accumulation of intramyocellular triacylglycerol, but the underlying cause of these perturbations are yet unknown. Herein, we show that the lipogenic gene, stearoyl-CoA desaturase 1 (SCD1), is robustly up-regulated in skeletal muscle from extremely obese humans. High expression and activity of SCD1, an enzyme that catalyzes the synthesis of monounsaturated fatty acids, corresponded with low rates of fatty acid oxidation, increased triacylglycerol synthesis and increased monounsaturation of muscle lipids. Elevated SCD1 expression and abnormal lipid partitioning were retained in primary skeletal myocytes derived from obese compared to lean donors, implying that these traits might be driven by epigenetic and/or heritable mechanisms. Overexpression of human SCD1 in myotubes from lean subjects was sufficient to mimic the obese phenotype. These results suggest that elevated expression of SCD1 in skeletal muscle contributes to abnormal lipid metabolism and progression of obesity.


Asunto(s)
Ácidos Grasos/metabolismo , Regulación Enzimológica de la Expresión Génica , Músculo Esquelético/enzimología , Obesidad/metabolismo , Estearoil-CoA Desaturasa/metabolismo , Índice de Masa Corporal , Estudios de Casos y Controles , Células Cultivadas , Femenino , Perfilación de la Expresión Génica , Humanos , Técnicas In Vitro , Metabolismo de los Lípidos , Análisis por Micromatrices , Fibras Musculares Esqueléticas/citología , Fibras Musculares Esqueléticas/metabolismo , Músculo Esquelético/citología , Músculo Esquelético/metabolismo , Estearoil-CoA Desaturasa/genética , Delgadez , Transfección
17.
Med Sci Sports Exerc ; 36(4): 709-16, 2004 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15064599

RESUMEN

INTRODUCTION: This investigation examined if postprandial metabolism differed between resistance-trained [(RT), N = 12] and sedentary [(SED), N = 12] males. A secondary objective was to determine whether different resistance-training programs [bodybuilding (BB), N = 8 and power/weight-lifting (PL), N = 8] resulted in disparate effects on postprandial energy metabolism. METHODS: Moderate fat [(MF), 37% carbohydrate, 18% protein, and 45% fat] and high carbohydrate [(HC), 79% carbohydrate, 20% protein, and 1% fat] meals were randomly administered, and postprandial metabolism was measured for 240 min. Carbohydrate oxidation, fat oxidation, diet-induced thermogenesis (DIT), and glucose and insulin areas under the curve (AUC) were calculated. RESULTS: Fat oxidization/lean body mass (LBM) was significantly greater in SED after the HC (RT, 0.27 +/- 0.02 g vs SED, 0.33 +/- 0.02 g, P = 0.017) and MF (RT, 0.34 +/- 0.02 g vs SED, 0.39 +/- 0.02 g, P = 0.036) meals. Carbohydrate oxidation/LBM was significantly greater in RT after the HC meal (RT, 0.87 +/- 0.03 g vs SED, 0.74 +/- 0.04 g, P = 0.017) only. DIT and DIT/LBM were significantly greater in RT compared with SED after the HC meal (DIT: RT, 351 +/- 21 kJ vs SED, 231 +/- 23 kJ, P = 0.001; DIT/LBM: RT, 5.25 +/- 0.028 kJ vs SED, 3.92 +/- 0.37 kJ, P = 0.009). The AUC for both glucose and insulin were significantly greater in SED compared with RT in response to the HC meal but not the MF meal. There were no differences in the BB and PL groups for any measured variables in response to either the HC or MF meals. CONCLUSION: These data indicate that postprandial metabolism is different between resistance-trained and sedentary males but that no such differences exist with different resistance training styles.


Asunto(s)
Metabolismo Energético , Estilo de Vida , Periodo Posprandial , Levantamiento de Peso/fisiología , Adulto , Antropometría , Glucemia/análisis , Índice de Masa Corporal , Humanos , Insulina/sangre , Masculino , Termogénesis , Estados Unidos
18.
J Strength Cond Res ; 18(1): 174-9, 2004 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-14971964

RESUMEN

We examined the effects of liquid carbohydrate (CHO) supplementation on markers of anabolism following high-intensity resistance exercise. Nine resistance-trained men consumed either CHO or placebo (PLC) 10 minutes before and immediately following 2 resistance exercise sessions. Cortisol (CORT), insulin (INS), ammonia (AMM), and glucose (GLU) were measured before, immediately after, and 1.5 and 4 hours after exercise. Urinary nitrogen (NH(+3)) was measured 24 hours before and after exercise. There was a significant difference in INS levels immediately after exercise and 1.5 hours after exercise. No significant differences were observed for CORT, AMM, GLU, or NH(+3)between treatments. Significant within-group differences were found for the PLC group: CORT before compared with immediately after exercise; INS before compared with immediately after exercise and before compared with 1.5 hours after exercise; and AMM before compared with immediately after exercise and before compared with 1.5 hours after exercise. Significant within-group differences were found for the CHO group: CORT immediately after compared with 1.5 hours after exercise and immediately after compared with 4 hours after exercise; INS before compared with 1.5 hours after exercise; and AMM before compared with immediately after exercise. Liquid CHO ingestion leads to a more favorable anabolic environment immediately following a resistance exercise bout; however, our indirect measures of protein degradation were not altered by CHO ingestion.


Asunto(s)
Carbohidratos de la Dieta/uso terapéutico , Suplementos Dietéticos , Ejercicio Físico/fisiología , Músculo Esquelético/fisiología , Biosíntesis de Proteínas , Adulto , Análisis de Varianza , Bebidas , Carbohidratos de la Dieta/farmacocinética , Humanos , Hidrocortisona/sangre , Insulina/sangre , Masculino , Nitrógeno/orina
19.
J Strength Cond Res ; 17(4): 704-9, 2003 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-14636088

RESUMEN

We examined the effects of 2 plyometric training programs, equalized for training volume, followed by a 4-week recovery period of no plyometric training on anaerobic power and vertical jump performance. Physically active, college-aged men were randomly assigned to either a 4-week (n = 19, weight = 73.4 +/- 7.5 kg) or a 7-week (n = 19, weight = 80.1 +/- 12.5 kg) program. Vertical jump height, vertical jump power, and anaerobic power via the Margaria staircase test were measured pretraining (PRE), immediately posttraining (POST), and 4 weeks posttraining (POST-4). Vertical jump height decreased in the 4-week group PRE (67.8 +/- 7.9 cm) to POST (65.4 +/- 7.8 cm). Vertical jump height increased from PRE to POST-4 in 4-week (67.8 +/- 7.9 to 69.7 +/- 7.6 cm) and 7-week (64.6 +/- 6.2 to 67.2 +/- 7.6 cm) training programs. Vertical jump power decreased in the 4-week group from PRE (8,660.0 +/- 546.5 W) to POST (8,541.6 +/- 557.4 W) with no change in the 7-week group. Vertical jump power increased PRE to POST-4 in 4-week (8,660.0 +/- 546.5 W to 8,793.6 +/- 541.4 W) and 7-week (8,702.8 +/- 527.4 W to 8,931.5 +/- 537.6 W) training programs. Anaerobic power improved in the 7-week group from PRE (1,121.9 +/- 174.7 W) to POST (1,192.2 +/- 189.1 W) but not the 4-week group. Anaerobic power significantly improved PRE to POST-4 in both groups. There were no significant differences between the 2 training groups. Four-week and 7-week plyometric programs are equally effective for improving vertical jump height, vertical jump power, and anaerobic power when followed by a 4-week recovery period. However, a 4-week program may not be as effective as a 7-week program if the recovery period is not employed.


Asunto(s)
Ejercicio Físico/fisiología , Educación y Entrenamiento Físico/métodos , Aptitud Física/fisiología , Deportes/fisiología , Análisis de Varianza , Humanos , Masculino , Descanso , Factores de Tiempo
20.
J Athl Train ; 37(2): 157-163, 2002 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12937429

RESUMEN

OBJECTIVE: To determine if 35 days of creatine supplementation (Cr) followed by 28 days of no supplementation altered lower leg anterior compartment pressure (ACP) at rest and after exercise. DESIGN AND SETTING: Subjects were divided into 2 treatment groups: (1) high dose (0.3 g Cr.kg body mass(-1).d(-1) for 7 days followed by 0.03 g Cr.kg body mass(-1).d(-1) for 28 days), or (2) low dose (0.03 g Cr.kg body mass(-1).d(-1) for 35 days). After 35 days, supplementation was terminated, and no Cr was ingested for 28 days. SUBJECTS: Sixteen physically active, healthy, college-aged males (O(2)max = 47.6 +/- 5.1 mL.kg(-1).min(-1)). MEASUREMENTS: At baseline, 7 days and 35 days of supplementation, and 28 days postsupplementation, ACP was measured preexercise and immediately, 1, 5, 10, and 15 minutes postexercise after a treadmill run at 80% O(2)max. RESULTS: For ACP, there was no significant group-by-time interaction, but there was a significant time effect for group when the data were combined. ACP was significantly increased at preexercise, immediately postexercise, and 1, 5, and 10 minutes from baseline to 7 days. ACP remained significantly elevated from baseline at 35 days immediately postexercise and 1 minute postexercise. After 28 days of no supplementation, ACP began to return to presupplementation levels, with only the 1-minute postexercise measurement significantly elevated from baseline. CONCLUSIONS: Creatine supplementation increased ACP at rest and after exercise, and ACP began to return to normal after 28 days of no supplementation.

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