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1.
Eur J Nutr ; 59(2): 505-515, 2020 Mar.
Article in English | MEDLINE | ID: mdl-30725213

ABSTRACT

PURPOSE: Older individuals suffer from low NADH levels. We have previously shown that nicotinamide riboside [NR; a NAD(P)(H) precursor] administration impaired exercise performance in young rats. It has been suggested that supplementation of redox agents exerts ergogenic effect only in deficient individuals. We hypothesized that old individuals would more likely benefit from NR supplementation. We investigated the effect of acute NR supplementation on redox homeostasis and physical performance in young and old individuals. METHODS: Twelve young and twelve old men received NR or placebo in a double-blind cross-over design. Before and 2 h after NR or placebo supplementation, blood and urine samples were collected, while physical performance (VO2max, muscle strength, and fatigue) was assessed after the second blood sample collection. RESULTS: At rest, old individuals exhibited lower erythrocyte NAD(P)H levels, higher urine F2-isoprostanes and lower erythrocyte glutathione levels compared to young (P < 0.05). NR supplementation increased NADH (51% young; 59% old) and NADPH (32% young; 38% old) levels in both groups (P < 0.05), decreased F2-isoprostanes by 18% (P < 0.05), and tended to increase glutathione (P = 0.078) only in the old. NR supplementation did not affect VO2max and concentric peak torque, but improved isometric peak torque by 8% (P = 0.048) and the fatigue index by 15% (P = 0.012) in the old. In contrast, NR supplementation did not exert any redox or physiological effect in the young. CONCLUSIONS: NR supplementation increased NAD(P)H levels, decreased oxidative stress, and improved physical performance only in old subjects, substantiating that redox supplementation may be beneficial only in individuals with antioxidant deficiencies.


Subject(s)
Dietary Supplements , Homeostasis/drug effects , Niacinamide/analogs & derivatives , Oxidative Stress/drug effects , Physical Endurance/drug effects , Adult , Age Factors , Aged , Animals , Cross-Over Studies , Disease Models, Animal , Double-Blind Method , Humans , Male , Niacinamide/administration & dosage , Niacinamide/pharmacology , Oxidation-Reduction , Physical Endurance/physiology , Pyridinium Compounds , Young Adult
2.
Exp Physiol ; 103(10): 1357-1366, 2018 10.
Article in English | MEDLINE | ID: mdl-30007015

ABSTRACT

NEW FINDINGS: What is the central question of this study? The aim was to investigate the potential metabolic and redox mechanisms that impaired exercise performance after 21 days of supplementation with 300 mg (kg body weight)-1 of nicotinamide riboside in rats. What is the main finding and its importance? Nicotinamide riboside disturbed energy and redox metabolism and impaired exercise performance in heathy rats. Exogenously administered redox agents in heathy populations might lead to adverse effects. ABSTRACT: Nicotinamide riboside is a recently discovered form of vitamin B3 that can increase NAD(P) levels. NAD(P) plays key roles in energy metabolism, and its main function is the transfer of electrons in various cellular reactions. Research in aged or diseased mice reported that nicotinamide riboside increases NAD(H) levels, reduces morbidity and improves health and muscle function. We have recently shown that in healthy young rats, chronic administration of nicotinamide riboside marginally non-significantly decreased exercise performance by 35% (P = 0.071). As a follow-up to this finding, we analysed samples from these animals, in an attempt to reveal the potential mechanisms driving this adverse effect, focusing on redox homeostasis and bioenergetics. Thirty-eight Wistar rats were divided into four groups: control (n = 10), exercise (n = 9), nicotinamide riboside (n = 10) and exercise plus nicotinamide riboside (n = 9). Nicotinamide riboside was administered for 21 days [300 mg (kg body weight)-1 daily]. At the end of administration, the exercise and the exercise plus nicotinamide riboside groups performed an incremental swimming performance test until exhaustion. Nicotinamide riboside supplementation increased the levels of NADPH in the liver (P = 0.050), increased the levels of F2 -isoprostanes in plasma (P = 0.047), decreased the activity of glutathione peroxidase (P = 0.017), glutathione reductase (P < 0.001) and catalase (P = 0.024) in erythrocytes, increased the level of glycogen in the liver (P < 0.001) and decreased the concentration of glucose (P = 0.016) and maximal lactate accumulation in plasma (P = 0.084). These findings support the prevailing idea that exogenously administered redox agents in heathy populations might lead to adverse effects and not necessarily to beneficial or neutral effects.


Subject(s)
Energy Metabolism/drug effects , Niacinamide/analogs & derivatives , Oxidation-Reduction/drug effects , Physical Conditioning, Animal/physiology , Animals , Catalase/metabolism , Erythrocytes/drug effects , Erythrocytes/metabolism , Glutathione Peroxidase/metabolism , Glutathione Reductase/metabolism , Male , NAD/metabolism , Niacinamide/pharmacology , Pyridinium Compounds , Rats , Rats, Wistar
3.
Acta Physiol (Oxf) ; 222(2)2018 02.
Article in English | MEDLINE | ID: mdl-28544643

ABSTRACT

AIM: The aim of this study was to reveal the role of reactive oxygen and nitrogen species (RONS) in exercise adaptations under physiological in vivo conditions and without the interference from other exogenous redox agents (e.g. a pro-oxidant or antioxidant). METHODS: We invented a novel methodological set-up that exploited the large redox interindividual variability in exercise responses. More specifically, we used exercise-induced oxidative stress as the 'classifier' measure (i.e. low, moderate and high) and investigated the physiological and redox adaptations after a 6-week endurance training protocol. RESULTS: We demonstrated that the group with the low exercise-induced oxidative stress exhibited the lowest improvements in a battery of classic adaptations to endurance training (VO2 max, time trial and Wingate test) as well as in a set of redox biomarkers (oxidative stress biomarkers and antioxidants), compared to the high and moderate oxidative stress groups. CONCLUSION: The findings of this study substantiate, for the first time in a human in vivo physiological context, and in the absence of any exogenous redox manipulation, the vital role of RONS produced during exercise in adaptations. The stratification approach, based on a redox phenotype, implemented in this study could be a useful experimental strategy to reveal the role of RONS and antioxidants in other biological manifestations as well.


Subject(s)
Adaptation, Physiological/physiology , Endurance Training , Oxidative Stress/physiology , Physical Endurance/physiology , Adolescent , Adult , Humans , Male , Oxidation-Reduction , Reactive Nitrogen Species/urine , Reactive Oxygen Species/urine , Young Adult
4.
Int J Sports Med ; 36(11): 872-80, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26140688

ABSTRACT

This study compared the O2 delivery (a central determinant of VO2) and muscle deoxygenation (reflecting a peripheral determinant of VO2) during intense continuous, long-interval, and short-interval exercise protocols. Twelve young men completed the 3 protocols with equal overall effort. Simultaneous and continuous recordings of central hemodynamics, muscle oxygenation/deoxygenation and VO2 were performed. Peak responses for stroke volume and peripheral resistance did not differ among protocols, whereas peak cardiac output and VO2 were higher in long-interval vs. continuous and short-interval protocols with inactive rest phases (p<0.05). The average responses for all central parameters were higher in continuous and long-interval vs. short-interval exercise (p<0.05); average VO2 and exercise-time above 80% VO2max were also higher in continuous and long-interval vs. short-interval protocol (p<0.05). Muscle de-oxygenation (↑Δdeoxyhemoglobin,↓Δoxyhemoglobin, ↓muscle O2-saturation), as well as the mismatch of O2 delivery and utilization (Δdeoxyhemoglobin/VO2) were remarkably alike among protocols. In conclusion, all 3 protocols resulted in a great activation of central and peripheral determinants of VO2. When performed with equal overall effort, the intense continuous and interval modalities reveal similarities in muscle O2-utilization response, but differences in central hemodynamic and VO2 responses. Intense continuous and long-interval protocols exert a more commanding role on the cardiovascular system and VO2 response compared to short-interval exercise with inactive rest phases.


Subject(s)
Exercise/physiology , Muscle, Skeletal/metabolism , Oxygen Consumption , Oxygen/metabolism , Hemodynamics , Hemoglobins/metabolism , Humans , Male , Oxyhemoglobins/metabolism , Physical Endurance/physiology , Pulmonary Ventilation , Time Factors , Young Adult
5.
J Sports Med Phys Fitness ; 55(10): 1058-63, 2015 Oct.
Article in English | MEDLINE | ID: mdl-25920410

ABSTRACT

AIM: The aim of the present investigation was to determine the greater rate of lactate removal after a maximal rowing test using different intensities during active recovery. METHODS: Thirty elite male rowers performed a simulated incremental exercise protocol on rowing ergometer to determine their maximal oxygen uptake and they divided into three equal sized group according to the type of the recovery that followed the assessment. The first group (N.=10) subjected to 20 min of passive recovery, while the second (N.=10) and the third (N.=10) groups performed 20 min of active recovery using the 25% and the 50% of each individual's maximal power output, respectively. During the recovery period, every two min were performed measurements for the assessment of blood lactate, oxygen consumption and heart rate (HR). RESULTS: It was found that after 10 min of active recovery at 50% and 25% of maximal power output lactate concentration reduced by 43% and 15%, respectively, while during passive recovery lactate concentration found to be slightly elevated by 1%. It was also found that during recovery period, HR, oxygen consumption and pulmonary ventilation was significant elevated at higher exercise intensity compared to lower exercise intensity and passive recovery. CONCLUSION: It is concluded that in elite male rowers the active recovery provided higher rate of lactate removal compared to passive recovery. Moreover, active recovery at 50% of maximal power output had better results in lactate clearance compared to the active recovery of lower intensity (25% of maximal power output).


Subject(s)
Exercise/physiology , Heart Rate/physiology , Lactates/blood , Oxygen Consumption/physiology , Physical Exertion/physiology , Adult , Ergometry , Humans , Male , Recovery of Function/physiology , Rest/physiology , Young Adult
6.
Redox Biol ; 2: 520-8, 2014.
Article in English | MEDLINE | ID: mdl-24634834

ABSTRACT

Exercise has been consistently used as an oxidant stimulus in redox biology studies. However, previous studies have focused on group differences and did not examine individual differences. As a result, it remains untested whether all individuals experience oxidative stress after acute exercise. Therefore, the main aim of the present study was to investigate whether some individuals exhibit unexpected responses after an acute eccentric (i.e., muscle-damaging) exercise session. Ninety eight (N = 98) young men performed an isokinetic eccentric exercise bout with the knee extensors. Plasma, erythrocytes and urine samples were collected immediately before and 2 days post-exercise. Three commonly used redox biomarkers (F2-isoprostanes, protein carbonyls and glutathione) were assayed. As expected, the two oxidant biomarkers (F2-isoprostanes and protein carbonyls) significantly increased 2 days after exercise (46% and 61%, respectively); whereas a significant decrease in glutathione levels (by -21%) was observed after exercise. A considerable number of the participants exhibited changes in the levels of biomarkers in the opposite, unexpected direction than the group average. More specifically, 13% of the participants exhibited a decrease in F2-isoprostanes and protein carbonyls and 10% of the participants exhibited an increase in glutathione levels. Furthermore, more than 1 out of 3 individuals exhibited either unexpected or negligible (from 0% to ± 5%) responses to exercise in at least one redox biomarker. It was also observed that the initial values of redox biomarkers are important predictors of the responses to exercise. In conclusion, although exercise induces oxidative stress in the majority of individuals, it can induce reductive stress or negligible stress in a considerable number of people. The data presented herein emphasize that the mean response to a redox stimulus can be very misleading. We believe that the wide variability (including the cases of reductive stress) described is not limited to the oxidant stimulus used and the biomarkers selected.


Subject(s)
Exercise Test/methods , Muscle, Skeletal/physiology , Oxidative Stress , Adult , Biomarkers/blood , Biomarkers/urine , F2-Isoprostanes/blood , F2-Isoprostanes/urine , Glutathione/blood , Glutathione/urine , Humans , Male , Protein Carbonylation , Reactive Oxygen Species/blood , Reactive Oxygen Species/urine , Young Adult
7.
Res Dev Disabil ; 34(1): 335-43, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23000635

ABSTRACT

The aim was to investigate the hemodynamic responses to isometric handgrip exercise (HG) and examine the role of the muscle metaboreflex in the exercise pressor response in individuals with intellectual disability (IID) and non-disabled control subjects. Eleven males with mild-moderate intellectual disabilities and eleven non-disabled males performed a testing protocol involving 3-min periods of baseline, HG exercise (at 30% MVC), circulatory occlusion, and recovery. The same protocol was repeated without occlusion. At baseline, no differences were detected between groups in beat-to-beat mean arterial pressure (MAP), heart rate (HR), stroke volume, and peripheral resistance. IID were able to sustain an exercise MAP response at comparable levels to the control group exerting similar peripheral resistance; however, IID exhibited a blunted chronotropic response to HG and a diminished exercise vagal withdrawal compared to controls. During occlusion, IID exhibited a lower pressor response than their control peers, associated with a lower increase in peripheral resistance during this task. In conclusion, although intellectual disabilities can be the consequence of many different genes, IID share common deficits in the chronotropic response to exercise and a blunted metaboreflex-induced pressor response.


Subject(s)
Baroreflex/physiology , Blood Pressure/physiology , Exercise Tolerance/physiology , Exercise/physiology , Intellectual Disability/metabolism , Intellectual Disability/physiopathology , Adult , Autonomic Nervous System/physiology , Hand Strength/physiology , Heart Rate/physiology , Humans , Isometric Contraction/physiology , Male , Oxygen Consumption/physiology , Reflex, Abnormal/physiology , Respiratory Rate/physiology , Vascular Resistance/physiology
8.
Diabet Med ; 30(2): e41-50, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23078531

ABSTRACT

OBJECTIVE: Adipokines, visfatin, apelin, vaspin and ghrelin have emerged as novel cardiovascular risk factors. We aimed to evaluate the effects of different exercise modalities on the aforementioned novel adipokines and carotid intima-media thickness in patients with Type 2 diabetes mellitus. METHODS: One hundred patients with Type 2 diabetes were equivalently (n = 25) randomized into four groups: (1) a control group with patients encouraged to perform self-controlled exercise; (2) a supervised aerobic exercise group (exercise four times/week, 60 min/session, 60-75% of maximum heart rate); (3) a resistance training group (60-80% baseline maximum load achieved in one repetition); and (4) a combined aerobic exercise plus resistance training group, as in groups 2 and 3. All participants had HbA(1c) levels ≥ 48 mmol/mol (≥ 6.5%), without overt diabetic vascular complications. Blood samples, clinical characteristics, peak oxygen uptake and carotid intima-media thickness measurements were obtained at baseline and at the end of the study, after 6 months. RESULTS: At baseline, there were non-significant differences between groups. All active groups significantly ameliorated glycaemic profile, insulin sensitivity and triglycerides levels compared with the control group (P < 0.05). Aerobic training further improved lipids, systolic blood pressure and exercise capacity compared with the resistance training and the control groups (P < 0.05). Moreover, high-sensitivity C-reactive protein and visfatin decreased, while vaspin and apelin circulating levels increased within the aerobic exercise group and the aerobic exercise plus resistance training group, and compared with the other groups (P < 0.05). Within- and between-group comparisons showed negligible alterations in ghrelin serum levels and body weight after all exercise modalities. Finally, aerobic training attenuated the carotid intima-media thickness progression (0.017 ± 0.006 mm) compared with the control subjects (0.129 ± 0.042 mm, P < 0.001). That effect was independently associated with visfatin and amelioration of peak oxygen uptake. CONCLUSIONS: In subjects with Type 2 diabetes, all exercise training modalities improved metabolic profile. Importantly, aerobic training predominantly ameliorated adipokines concentrations and carotid intima-media thickness progression.


Subject(s)
Anti-Inflammatory Agents/metabolism , Blood Glucose/metabolism , Carotid Artery Diseases/physiopathology , Diabetes Mellitus, Type 2/physiopathology , Diabetic Angiopathies/physiopathology , Exercise , Glycated Hemoglobin/metabolism , Adipokines/metabolism , Analysis of Variance , Apelin , Carotid Artery Diseases/blood , Carotid Artery Diseases/prevention & control , Carotid Intima-Media Thickness , Diabetes Mellitus, Type 2/blood , Diabetes Mellitus, Type 2/metabolism , Diabetes Mellitus, Type 2/therapy , Diabetic Angiopathies/blood , Diabetic Angiopathies/therapy , Disease Progression , Fasting , Female , Ghrelin/metabolism , Humans , Insulin Resistance , Intercellular Signaling Peptides and Proteins/metabolism , Male , Middle Aged , Nicotinamide Phosphoribosyltransferase/metabolism , Resistance Training , Risk Factors , Serpins/metabolism
9.
J Sports Med Phys Fitness ; 52(3): 311-8, 2012 Jun.
Article in English | MEDLINE | ID: mdl-22648470

ABSTRACT

AIM: The purpose of this study was to examine the effects of cardiorespiratory fitness (CRF) and obesity on arterial blood pressure and its determinants at rest and during isometric handgrip exercise (IHG) in children. METHODS: Fourty-eight healthy children aged 11.6±0.3 (mean ±SE) years, (24 obese or overweight [OB/OV]; 24 normal weight [NO]) participated in the study. Both groups were divided into fit or unfit subgroups according to children's performance of an exercise test (PWC170). Arterial pressure and its determinants were recorded with the use of a photoplethysmographic device (FINOMETER) during 5 minutes of rest and 3 minutes of IHG at 30% of maximum voluntary contraction. RESULTS: At rest and during IHG, unfit OB/OV children had higher systolic, mean arterial pressure, and rate pressure product (P≤0.05) than fit OB/OV children whose responses were similar to NO children, fit or unfit. Changes from rest, in cardiac output, cardiac index, and stroke volume were higher in unfit than in fit OB/OV children (P≤0.05). Unfit OB/OV children exceeded their fit counterparts in several anthropometric measures. However, CRF was found to have a main effect on systolic blood pressure (P=0.05). CONCLUSION: Unfit versus fit OB/OV children had an exaggerated systolic blood pressure response at rest and during sympathetic activation, presumably coupled with higher cardiac output and cardiac oxygen demand. These results highlight the importance of fitness for health maintenance in obese and overweight children.


Subject(s)
Hemodynamics/physiology , Obesity/physiopathology , Physical Fitness/physiology , Adolescent , Analysis of Variance , Anthropometry , Blood Pressure/physiology , Cardiac Output , Child , Exercise Test , Female , Hand Strength/physiology , Humans , Male , Plethysmography
10.
Spinal Cord ; 50(11): 822-6, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22487954

ABSTRACT

STUDY DESIGN: Nonrandomized-controlled trial. OBJECTIVES: To assess muscle perfusion at rest and during arm-cranking exercise (ACE) in upper and lower posterior trunk and vastus lateralis (VL) muscles in individuals with spinal cord injury (SCI) and controls (C). SETTING: Exercise Physiology-Biochemistry Laboratory. METHODS: Eight SCI with thoracic lesion and eight C received injections of radioactive tracer to trapezius (TRAP), latissimus dorsi (LAT) and VL. Radioactive counts were recorded with a γ-camera for 10 min at rest and during ACE (60% VO(2max) for 20 min). Time-count curves were generated and the isotope clearance rate, expressed as half-life time (T(1/2),min), was calculated to assess muscle perfusion. RESULTS: Resting T(1/2) was lower in TRAP and LAT vs VL (P<0.05) in SCI, however, there were no differences among muscles in C. Arm-cranking increased (P<0.001) the isotope clearance in TRAP and LAT in SCI and C, whereas no effect was found on T(1/2) in VL in both groups. T(1/2) was longer (P<0.05) in SCI vs C in VL at rest and during ACE, whereas there were no differences between groups in posterior trunk muscles. CONCLUSIONS: Resting muscle perfusion was reduced in the paralyzed limbs of SCI compared with C, whereas there was no evidence of impaired microcirculation in upper and lower back muscles in SCI. Although ACE did not induce a hyperemic response in VL, it increased hyperemia in upper and lower posterior trunk muscles in SCI, suggesting beneficial effects of this type of activity on muscle microvasculature in this region.


Subject(s)
Exercise/physiology , Muscle, Skeletal/blood supply , Spinal Cord Injuries/physiopathology , Half-Life , Humans , Leg , Regional Blood Flow , Rest , Torso
11.
Am J Physiol Heart Circ Physiol ; 299(6): H2090-6, 2010 Dec.
Article in English | MEDLINE | ID: mdl-20952664

ABSTRACT

The aims of the present study were to assess in obese and lean boys 1) the hemodynamic responses and baroreflex sensitivity (BRS) to isometric handgrip exercise (HG) and recovery and 2) the muscle metaboreflex-induced blood pressure response and the variables that determine this response. Twenty-seven boys (14 obese and 13 lean boys, body mass index: 29.2 ± 0.9 vs. 18.9 ± 0.3 kg/m(2), respectively) participated. The testing protocol involved 3 min of baseline, 3 min of HG (30% maximum voluntary contraction), 3 min of circulatory occlusion, and 3 min of recovery. The same protocol was repeated without occlusion. At baseline, no differences were detected between groups in beat-to-beat arterial pressure (AP), heart rate (HR), and BRS; however, obese boys had higher stroke volume and lower total peripheral resistance than lean boys (P < 0.05). During HG, lean boys exhibited higher HR and lower BRS compared with their obese counterparts. In lean boys, BRS decreased during HG compared with baseline, whereas in obese boys, it was not significantly modified. In lean boys, TPR was elevated during HG and declined after exercise, whereas in obese boys, TPR did not significantly decrease after exercise cessation. In the postexercise period, BRS in lean boys returned to baseline, whereas an overshoot was observed in obese boys. Postexercise BRS was correlated with body mass index (R = 0.56, P < 0.05). Although the metaboreflex-induced increase in AP was similar between obese and lean children, it was achieved via different mechanisms: in lean children, total peripheral resistance was the main contributor to AP maintenance during the metaboreflex, whereas in obese children, stroke volume significantly contributed to AP maintenance during the metaboreflex. In conclusion, obese normotensive children demonstrated altered cardiovascular hemodynamics and reflex control during exercise and recovery.


Subject(s)
Baroreflex , Exercise , Hemodynamics , Isometric Contraction , Muscle, Skeletal/innervation , Obesity/physiopathology , Reflex, Abnormal , Thinness/physiopathology , Blood Pressure , Body Mass Index , Child , Greece , Hand Strength , Heart Rate , Humans , Male , Muscle, Skeletal/metabolism , Recovery of Function , Stroke Volume , Time Factors , Vascular Resistance
12.
Eur J Appl Physiol ; 110(1): 17-26, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20383773

ABSTRACT

This study compared the physiological responses to heavy continuous (HC), short-intermittent (SI), and long-intermittent (LI) treadmill exercise protocols in non-endurance adolescent males. Nine adolescents (14 +/- 0.6 years) performed a maximal incremental treadmill test followed, on separate days, by a SI [30 s at 110% of maximal aerobic velocity (MAV) with 30 s recovery at 50%], a LI (3 min at 95% of MAV with 3 min recovery at 35%), and a HC (at 83% of MAV) aerobic exercise protocol. VO(2) and HR were measured continuously, and blood samples were obtained prior to and after the protocols. The duration of exercise and the distance covered were longer (p < 0.05) in HC and LI versus SI. All participants reached 80 and 85% of VO(2)peak irrespective of the protocol, while more participants reached 90 and 95% of VO(2)peak in the intermittent protocols (9 and 6, respectively) versus HC (5 and 3, respectively). The time spent above 80 and 85% of VO(2)peak was higher in HC and LI versus SI; the time above 90% was higher only in LI versus SI, and the time above 95% was higher in LI versus HC and SI. The total VO(2) consumed was greater in HC and LI versus SI. Lactate was higher after LI versus HC. In conclusion, when matched for exhaustion level, LI is more effective in stimulating the aerobic system compared to both HC and SI, while HC aerobic exercise appears equally effective to SI. Nevertheless, adolescents have to exercise for a longer time in HC and LI to achieve these effects.


Subject(s)
Exercise , Heart Rate , Lactic Acid/blood , Muscle Contraction , Muscle, Skeletal/metabolism , Oxygen Consumption , Adolescent , Biomarkers/blood , Exercise Test , Humans , Male , Muscle Fatigue , Physical Endurance , Pulmonary Ventilation , Time Factors
13.
Diabetes Metab ; 36(2): 144-51, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20149706

ABSTRACT

AIM: This study assessed the impact of regular exercise on inflammatory markers (high-sensitivity C-reactive protein [hsCRP], fibrinogen), and matrix metalloproteinases (MMPs) and their inhibitors (TIMPs), in patients with type 2 diabetes mellitus (T2DM). PATIENTS: Fifty overweight patients with T2DM were randomly assigned to two groups: (A) an exercise group (EXG, n=25), with self-controlled exercise for at least 150 min/week and one additional supervised exercise session/week; and (B) a control group (COG, n=25), with no exercise instructions. All participants were taking oral antidiabetic drugs, and none had diabetic complications. Clinical parameters, exercise capacity (VO(2 peak)), ventilatory threshold (VT), insulin resistance indices (fasting insulin, HOMA-IR, HOMA%S), hsCRP, fibrinogen, MMP-2, MMP-9, TIMP-1 and TIMP-2 were assessed at baseline and after 16 weeks. RESULTS: No significant changes were found in body mass index, waist/hip ratio, insulin-resistance indices, MMP-2 and TIMP-1 throughout the study in either group (P>0.05). Compared with controls, the EXG showed a significant decrease in systolic and mean blood pressure, total and LDL cholesterol, and HbA(1c) (P<0.05). Also, exercise significantly suppressed levels of fibrinogen (P=0.047), hsCRP (P=0.041) and MMP-9 (P=0.028), and the MMP-9-to-TIMP-1 ratio (P=0.038), whereas VO(2 peak) (P=0.011), VT (P=0.008) and plasma TIMP-2 levels (P=0.022) were considerably upregulated in the EXG vs. COG. Standard multiple-regression analyses revealed that MMP-9 changes were independently associated with fibrinogen and HbA(1c) changes, while fibrinogen changes independently predicted TIMP-2 alterations with exercise. CONCLUSION: Mostly self-controlled exercise of moderate intensity ameliorated serum levels of pro- and anti-atherogenic markers in patients with T2DM, with no effects on body weight. These data offer further insight into the cardioprotective mechanisms of exercise in patients with T2DM.


Subject(s)
Diabetes Mellitus, Type 2/blood , Exercise/physiology , Matrix Metalloproteinase 9/blood , Tissue Inhibitor of Metalloproteinase-2/blood , Aged , Biomarkers/blood , C-Reactive Protein/analysis , Chi-Square Distribution , Diabetes Mellitus, Type 2/enzymology , Diabetes Mellitus, Type 2/therapy , Female , Fibrinogen/analysis , Humans , Male , Middle Aged , Regression Analysis , Risk Factors
14.
J Sports Med Phys Fitness ; 48(3): 285-92, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18974712

ABSTRACT

AIM: The purpose of this study was to examine the effects of specific inspiratory muscle training (IMT) on inspiratory muscle strength, maximal oxygen uptake (VO2max), maximal lactate accumulation (Lmax), dyspnea sensation and rowing performance in rowers. METHODS: Ninteen well-trained rowers were divided into two groups: IMT (T) and control (C). The T group, in addition to their daily rowing practice, performed IMT by means of a threshold inspiratory muscle trainer for approximately 0.5h.d(-1), 5 times a week for 6 weeks. The C group participated only in their regular daily rowing training. Prior to the initiation and at the completion of the 6-week IMT program, both groups underwent an incremental treadmill run test to determine VO2max. Maximum inspiratory mouth pressure (PImax) was measured at rest and following the VO2max test. On a separate occasion, rowing performance was evaluated by a 2000 m all-out effort on a rowing ergometer. Dyspnea sensation was assessed by a modified Borg scale and Lmax was measured by an enzymatic method. RESULTS: Six weeks of IMT significantly (P < 0.05) increased resting PImax. Moreover, inspiratory muscle training increased PImax following the VO2max test in the T group. In contrast, no changes in PImax were observed in the C group during the 6-week period. No significant differences were observed between pre- and post-test values in VO2max, dyspnea sensation, Lmax, and 2000 m race time in both groups. CONCLUSION: In conclusion, six weeks of IMT increases inspiratory muscle strength by approximately 28% in highly trained rowers. However, this increase in inspiratory muscle strength does not appear to improve VO2max, dyspnea sensation during exercise, or rowing performance in well-trained rowers.


Subject(s)
Dyspnea , Exercise Tolerance/physiology , Muscle, Skeletal/physiology , Oxygen Consumption/physiology , Respiratory Muscles/physiology , Ships , Adaptation, Physiological , Adult , Female , Humans , Inspiratory Capacity/physiology , Lactic Acid/blood , Male , Respiratory Function Tests
15.
Scand J Med Sci Sports ; 16(5): 334-44, 2006 Oct.
Article in English | MEDLINE | ID: mdl-16978253

ABSTRACT

The purpose of this study was to examine the effects of fatigue on biomechanical indices of soccer kick performance. Ten male amateur soccer players performed maximal instep kicks prior to, in the middle and after the implementation of a 90 min intermittent exercise protocol. Three-dimensional data, ground reaction forces (GRFs) and segmental moments were measured during the kick while blood lactate and ammonia concentrations were monitored throughout the protocol. Analysis of variance designs with repeated measures indicated a significant increase in ammonia (P<0.01) and lactate levels (P<0.01) following fatigue. The GRFs and joint displacement curves during the kick remained unaltered after fatigue (P>0.01). However, post-fatigue maximum angular velocity of the shank, the net moments acting on the shank and the resultant joint moments were significantly lower compared with the corresponding pre-exercise values (P<0.01). The velocity of the ball was 24.69 m/s prior to the protocol and significantly decreased to 21.78 m/s after (P<0.01). Similarly, the ball/foot speed ratio significantly (P<0.01) declined from 1.40+/-0.12 (pre-fatigue) to 1.33+/-0.18 (post-fatigue). The present results suggest that an exercise protocol that simulates soccer game conditions results in significant impairment of soccer kick performance. This could be attributed to alterations of the function of the neuromuscular system and force generation capacity, which may have altered the mechanics of soccer kick performance.


Subject(s)
Lower Extremity/physiology , Muscle Fatigue/physiology , Soccer/physiology , Adult , Biomechanical Phenomena , Exercise/physiology , Humans , Male , Time Factors
16.
Br J Sports Med ; 39(3): e11, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15728679

ABSTRACT

OBJECTIVES: To compare the effects of proprioceptive neuromuscular facilitation (PNF) and isokinetic training on fibre type distribution and cross sectional area of the vastus lateralis muscle. METHODS: Twenty four male university students were divided into two equal groups: PNF training and isokinetic training (ISO). The training regimen for the PNF group consisted of three sets of 30 repetitions against maximal resistance, alternating two patterns of sequential movements of the right lower extremity: (a) toe flexion and ankle plantar flexion and eversion; (b) knee extension and hip extension, abduction, and internal rotation. The ISO group performed three sets of 30 repetitions alternating knee extension and flexion of the right leg at angular velocities of 180 and 90 degrees /s in an isokinetic dynamometer (Cybex). Both groups trained three times a week for a total of eight weeks. Muscle biopsy specimens were obtained from the right vastus lateralis muscle before and after training. RESULTS: The mean percentage area of type IIB fibre was significantly decreased (p<0.01) after eight weeks of PNF training, whereas that of type IIA fibre was significantly (p<0.05) increased. The mean percentage area of ISO trained type IIAB fibres exhibited an augmentative pattern (p<0.01) with a parallel reduction (p<0.05) in type IIA. Percentage fibre type distribution exhibited a similar pattern. CONCLUSIONS: Both PNF and ISO training alter fibre type distribution and mean cross sectional area. These changes occur in the type II fibre subgroup.


Subject(s)
Exercise/physiology , Muscle Fibers, Skeletal , Muscle, Skeletal/anatomy & histology , Proprioception/physiology , Adult , Biopsy, Needle/methods , Humans , Isometric Contraction/physiology , Male , Muscle, Skeletal/physiology , Physical Education and Training/methods
17.
J Sports Med Phys Fitness ; 40(2): 145-9, 2000 Jun.
Article in English | MEDLINE | ID: mdl-11034435

ABSTRACT

BACKGROUND: This study examined the influence of knee angle on the cardiorespiratory system loading during submaximal and maximal stationary cycle ergometry. METHODS: Experimental design and participants: eighteen untrained women (age: 21+/-1.88 years, weight: 57+/-5.75 kg, height: 165+/-5.03 cm, values are mean+/-SD) volunteered as subjects and underwent two-cycle ergometer incremental (Jaeger ER900) tests: 1) straight knee (180 degrees), 2) bent knee (140 degrees). MEASURES: oxygen uptake (VO2), ventilation (VE) and respiratory exchange ratio (RER) were measured continuously during each test using an open circuit spirometry and blood lactate concentration was determined by means of an enzymatic method. RESULTS: Comparing cycling with "straight knee" to cycling with "bent knee" at 50 W, heart rate (HR), V(E) and VO2 were significantly higher (10.6%, 12.5%, 17.8%). At 100 W, blood lactate was significantly lower (10.8%) while VO2 and RER was higher (5.5%, 7.1%). During maximal exercise, the total exercise time was significantly longer (11.2%) and VE, VO2 and HR were significantly higher during cycling with "straight knee" compared to cycling with "bent knee". No significant difference in peak lactate was evident between the two sitting positions. CONCLUSIONS: The results of this study indicate that cycling with bent knee requires lower oxygen uptake while pedaling with straight knee is the only way to reach VO2max during cycle testing, since the cardiorespiratory system is fully taxed.


Subject(s)
Bicycling/physiology , Exercise/physiology , Heart Rate , Knee Joint , Oxygen Consumption , Adult , Exercise Test , Female , Humans , Lactic Acid/blood , Spirometry
18.
Med Sci Sports Exerc ; 31(11): 1605-12, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10589864

ABSTRACT

PURPOSE: The present study examined the effects of endurance training on the contractile and biochemical properties of the rat costal diaphragm in vitro. METHODS: Sixty-four rats were divided into two groups: exercise trained (T) and control (C). Training consisted of treadmill running 5 d x wk(-1), 60 min x d(-1) at approximately 70% of VO2max, over a 10-wk period. RESULTS: Control diaphragm strips produced an average of 12% less force from minute 15 to 50 of a 60-min in vitro fatigue protocol, compared with the T diaphragm strips (P < 0.01). T diaphragms had 10.1% higher citrate synthase (CS) and 12.1% higher superoxide dismutase (SOD) activities compared with the C (P < 0.05). Despite a significant decrease (P < 0.05) in Type IIb myosin heavy chains (MHC) and an increase (P < 0.05) in Type I MHC in T diaphragms, maximal shortening velocity (Vmax) in the diaphragm was not different between T and C animals. No differences were observed in specific force or the relative proportions of myosin light chains between groups. CONCLUSIONS: These findings suggest that endurance training reduces the rate of diaphragm fatigue in vitro but has no effect on Vmax or specific force.


Subject(s)
Diaphragm/physiology , Muscle Fatigue/physiology , Physical Conditioning, Animal/physiology , Physical Endurance/physiology , Animals , Biomechanical Phenomena , Citrate (si)-Synthase/analysis , Diaphragm/enzymology , Electric Stimulation , Female , Isometric Contraction/physiology , Muscle Contraction/physiology , Myofibrils/chemistry , Myosin Heavy Chains/analysis , Myosin Light Chains/analysis , Oxygen Consumption/physiology , Rats , Rats, Sprague-Dawley , Running/physiology , Superoxide Dismutase/analysis
19.
Med Sci Sports Exerc ; 30(6): 850-5, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9624642

ABSTRACT

PURPOSE: This study determined the effects of intermittent ischemia on the contractile properties, fatigue (Tf), and myosin heavy chain composition (MHC) in the rat gastrocnemius-plantarissoleus muscle (GPS) complex. METHODS: Fifty rats were divided into four groups: control (C, N = 12), severed (femoral artery) (S, N = 12), exercise (E, N = 13), and severed/exercise (SE, N = 13). Ischemia was elicited only in the SE group by daily exercise and the other groups served as controls. Exercise in the E and SE groups consisted of running on a treadmill approximately 35 min.d-1, 5 d.wk-1 for 7 wk. RESULTS: Body weight, muscle weight, and absolute force were less in the SE group compared with those in C (12, 18, and 12% respectively). However, relative force (N.g-1 of muscle) was greater in the SE group compared with that in C (8%). Maximal shortening velocity (Vmax) was lower in the SE group compared with that in all others (10-14%). Tf was less in the S group compared with that in C and E (28 and 30%, respectively). Type IIx MHC increased and type IIb decreased in gastrocnemius and plantaris muscles in SE compared with those in C. CONCLUSIONS: These data indicate that intermittent ischemia caused a decrease in muscle mass, maximal force development, and Vmax, but had no effect on Tf. The decrease in Vmax may have been related to myosin alterations in the muscles.


Subject(s)
Ischemia/physiopathology , Muscle, Skeletal/blood supply , Myosin Heavy Chains/analysis , Animals , Body Weight , Male , Muscle Weakness/physiopathology , Muscle, Skeletal/chemistry , Physical Conditioning, Animal , Rats , Rats, Sprague-Dawley
20.
J Appl Physiol (1985) ; 82(5): 1523-30, 1997 May.
Article in English | MEDLINE | ID: mdl-9134902

ABSTRACT

To examine the effect of cold-water immersion at different depths on thermal and metabolic responses, eight men (25 yr old, 16% body fat) attempted 12 tests: immersed to the knee (K), hip (H), and shoulder (Sh) in 15 and 25 degrees C water during both rest (R) or leg cycling [35% peak oxygen uptake; (E)] for up to 135 min. At 15 degrees C, rectal (Tre) and esophageal temperatures (Tes) between R and E were not different in Sh and H groups (P > 0.05), whereas both in K group were higher during E than R (P < 0.05). At 25 degrees C, Tre was higher (P < 0.05) during E than R at all depths, whereas Tes during E was higher than during R in H and K groups. Tre remained at control levels in K-E at 15 degrees C, K-E at 25 degrees C, and in H-E groups at 25 degrees C, whereas Tes remained unchanged in K-E at 15 degrees C, in K-R at 15 degrees C, and in all 25 degrees C conditions (P > 0.05). During R and E, the magnitude of Tre change was greater (P < 0.05) than the magnitude of Tes change in Sh and H groups, whereas it was not different in the K group (P > 0.05). Total heat flow was progressive with water depth. During R at 15 and 25 degrees C, heat production was not increased in K and H groups from control level (P > 0.05) but it did increase in Sh group (P < 0.05). The increase in heat production during E compared with R was smaller (P < 0.05) in Sh (121 +/- 7 W/m2 at 15 degrees C and 97 +/- 6 W/m2 at 25 degrees C) than in H (156 +/- 6 and 126 +/- 5 W/m2, respectively) and K groups (155 +/- 4 and 165 +/- 6 W/m2, respectively). These data suggest that Tre and Tes respond differently during partial cold-water immersion. In addition, water levels above knee in 15 degrees C and above hip in 25 degrees C cause depression of internal temperatures mainly due to insufficient heat production offsetting heat loss even during light exercise.


Subject(s)
Body Temperature Regulation/physiology , Cold Temperature , Immersion , Adult , Energy Metabolism/physiology , Hip , Humans , Knee , Male , Physical Exertion/physiology , Shoulder , Skin Temperature
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