A transient elevated irisin blood concentration in response to prolonged, moderate aerobic exercise in young men and women.

Irisin, a newly discovered, PGC-1α dependent myokine, has recently been shown to increase in circulation in response to sprint exercise. This study examined the effect of prolonged exercise on irisin concentrations in young men (n=7) as well as in young women (n=5) during different stages of the menstrual cycle. Seven young men completed 90 min of treadmill exercise at 60% of VO2max and a resting control trial. Five women completed the same exercise protocol in two different trials: during the early follicular phase and mid-luteal phase of the menstrual cycle. Blood samples were collected and analyzed for irisin concentrations immediately before exercise, at 54 and 90 min of exercise, and at 20 min of recovery (R20). Findings revealed that by 54 min of a 90 min treadmill exercise protocol at 60% of VO2max, irisin concentrations significantly increased 20.4% in young men and 20.3% as well as 24.6% in young women during the early follicular and mid-luteal phases of the menstrual cycle, respectively. However, by 90 min of exercise as well as R20, irisin concentrations were no longer elevated. Stage of the menstrual cycle did not affect responses in young women. Findings indicate that prolonged aerobic exercise produces a transient increase in irisin concentrations during the first hour of exercise for both genders and suggest that this form of moderate exercise may be helpful in improving fat metabolism.

Short-,moderate-, and long-term treadmill training protocols reduce plasma, fundus, but not small intestine ghrelin concentrations in male rats.

BACKGROUND: It has been suggested that circulating ghrelin levels are upregulated by fasting, hypoglycemic status, and a physical exercise-induced energy deficit. AIM: The purpose of the present study was to investigate the timecourse adaptations of the plasma, fundus, and small intestine ghrelin concentrations as well as related hormones and liver ATP levels to 3, 6, and 12 weeks of treadmill endurance running. MATERIAL/SUBJECTS AND METHODS: Thirty-nine male Wistar rats (12-14 weeks old) were randomly assigned to 3 control (C3, no.=5; C6, no.=7 and C12, no.=7) and 3 training groups (E3, no.=6; E6, no.=7 and E12, no.=7). The rats in the 3 training groups were exercised on a motor-driven treadmill at 25 m/min (0% grade) for 60 min/day, 5 days/week for 3, 6, and 12 weeks, respectively. The animals were sacrificed 48 h after the last session of each training program and tissues were analyzed. RESULTS: Total ghrelin concentrations were significantly (p<0.05) lower in trained rat plasma and fundus tissue after all treadmill endurance running programs. Small intestine ghrelin concentrations remained unchanged. Plasma GH concentrations and liver ATP content were significantly higher in E6 and E12 groups. CONCLUSION: Data indicate that as little as 3 weeks of moderate treadmill exercise reduces plasma and fundus total ghrelin concentrations with elevated plasma GH and liver ATP content occurring after 6 and 12 weeks of training. Exercise training-induced improvement of energy source availability and negative feedback from increased GH levels may play a role in reducing plasma and fundus ghrelin levels.

Time-course alterations of plasma and soleus agouti-related peptide and relationship to ATP, glycogen, cortisol, and insulin concentrations following treadmill training programs in male rats.

No studies have examined the time-course changes of the appetite stimulating hormone, agouti-related peptide (AgRP), induced by exercise training. The purpose of the study was to determine the effects of short (3 weeks), moderate (9 weeks), and long-term (12 weeks) treadmill training on plasma and soleus concentrations of AgRP, as well as ATP and glycogen concentrations in soleus muscle and liver tissues. 54 Wistar male rats were randomly assigned into control (total n=27; 3 week control=10; 9 week control=8; 12 week control=9) and training (total n=27; 3 week trained=10; 9 week trained=8; 12 week trained=9). The training groups ran for 60 min/d, 5 d/wk at 25 m/min and 0% grade for 3, 9, and 12 weeks. After the last exercise session soleus muscle, liver, and plasma were collected and frozen. Results demonstrated that after 3, 9, and 12 weeks of exercise training there was an increase in plasma and soleus AgRP that declined with age. Soleus muscle glycogen was inversely related to AgRP. After 9 weeks of training there was a significant decrease and increase in plasma insulin and cortisol, respectively. Thus, as little as 3 weeks of running enhances AgRP concentration in rat soleus and plasma whereas changes in liver ATP and glycogen and soleus muscle glycogen require 9 weeks for alteration. Plasma and soleus muscle AgRP decline with age, and AgRP concentration in plasma and soleus are related to insulin, soleus ATP, and liver glycogen.

Resistance exercise effects on blood glutathione status and plasma protein carbonyls: influence of partial vascular occlusion.

Seven weight-trained males performed both light resistance with partial occlusion (LRO: 30% 1 RM) and moderate resistance (MR: 70% 1 RM) to failure to ascertain whether blood protein carbonyls (PC) and glutathione status was altered compared to partial occlusion (PO) in a counterbalanced fashion. PO was identical in duration to the LRO session and all sessions were on separate days. PC did not differ for the three conditions at PRE (0.05 nM mg protein(-1)). PC significantly increased for PO and MR over time and was greater than the LRO treatment at POST (0.13 nM mg protein(-1)). The GSSG/TGSH ratio at PRE did not differ across treatments (8%) whereas the ratio at POST was significantly elevated for PO and MR treatments (17%). In contrast, no change occurred for the LRO session at any time. These results indicate that MR to failure and PO can significantly increase blood oxidative stress but LRO did not elicit oxidative stress.

Ghrelin and other glucoregulatory hormone responses to eccentric and concentric muscle contractions.

OBJECTIVE: Heavy resistance exercise increases growth hormone (GH) and blood glucose levels. Ghrelin is an endogenous ligand for the GH secretagory receptor that stimulates growth hormone release. Circulating ghrelin levels are suppressed by insulin and glucose. The study was conducted to determine effects of concentric (CON) and eccentric (ECC) muscle actions at the same absolute workload on circulating ghrelin and glucose as well as related glucoregulatory peptides. METHODS: Ten-RM loads for bench press, leg extension, military press, and leg curl were obtained from nine males, mean age 25. +/- 1.2 yr and body fat 17.2 +/- 1.6%. Subjects then completed two experimental trials of either CON or ECC contractions at the same absolute workload. Subjects performed four sets of 12 repetitions for each exercise at 80% of a 10-RM with 90 s rest periods. A pulley system or steel levers were positioned on each machine to raise or lower the weight so only CON or ECC contractions were performed. Pre-, post-, and 15-min post-exercise blood samples were collected. RESULTS: Ghrelin did not increase in response to either muscle action and actually declined during the CON trial. Glucose and insulin increased regardless of the form of muscle action, but amylin and C-peptide did not change. CONCLUSIONS: Data indicate that ghrelin does not contribute to moderate resistance exercise-induced increases in growth hormone, whether from CON or ECC muscle actions. Results suggest that with a moderate loading protocol both CON and ECC muscle actions performed at the same absolute workload elevate glucose and insulin concentrations, but are not related to post-CON exercise ghrelin suppression.

Rigorous running increases growth hormone and insulin-like growth factor-I without altering ghrelin.

It has been suggested that ghrelin may play a role in growth hormone (GH) responses to exercise. The present study was designed to determine whether ghrelin, GH, insulin-like growth factor-I (IGF-I), and IGF-binding protein-3 (IGFBP-3) were altered by a progressively intense running protocol. Six well-trained male volunteers completed a progressively intense intermittent exercise trial on a treadmill that included four exercise intensities: 60%, 75%, 90%, and 100% of Vo2max. Blood samples were collected before exercise, after each exercise intensity, and at 15 and 30 mins following the exercise protocol. Subjects also completed a separate control trial at the same time of day that excluded exercise. GH changed significantly over time, and GH area under the curve (AUC) was significantly higher in the exercise trial than the control trial. Area under the curve IGF-I levels for the exercise trial were significantly higher than the control trial. There was no difference in the ghrelin and IGFBP-3 responses to the exercise and control trials. Pearson correlation coefficients revealed significant relationships between ghrelin and both IGF-I and IGFBP-3; however, no relationship between ghrelin and GH was found. In conclusion, intense running produces increases in total IGF-I concentrations, which differs from findings in previous studies using less rigorous running protocols and less frequent blood sampling regimens. Moreover, running exercise that produces substantial increases in GH does not affect peripheral ghrelin levels; however, significant relationships between ghrelin and both IGF-I and IGFBP-3 exist during intense intermittent running and recovery, which warrants further investigation.

Percentual responses proximal to the onset of blood lactate accumulation.

AIM: Running at incremental velocities proximal to the onset of blood lactate accumulation (OBLA) elicits linear increases in VO(2), and HR, while the increases in V(E) and blood lactic acid concentrations (BLa) are curvilinear. In addition, effort sense is often measured in the field with the traditional 15-point scale Ratings of Perceived Exertion scale, increases linearly whereas the perceptual response of affect seem to decrease in a nonlinear manner. This study examined the changes in effort sense (RPE) and affect, utilizing the Feeling Scale (FS), at 3 running intensities proximal to the onset of blood lactate accumulation. In addition, the relationship between these perceptual responses and V(E), VO(2), HR, RER, and BLa were examined. METHODS: Eleven highly-trained distance runners (VO(2max) = 67.65+/-1.24) participated in 2 sessions of data collection. During Session 1 subjects performed a discontinuous progressive treadmill protocol to determine peak aerobic power. After each stage a finger tip blood sample was taken to determine BLa. A regression line between the 2 successive workloads that produced BLa above and below 4 mM was calculated to predict the VO(2) that would generate 4mM BLa (VO(2) @ 4 mM). Within 1 week each subject returned for Session 2, which included a 10-min warm-up run followed by 3 submaximal runs lasting 5 min each: the VO(2) at 10% below OBLA (VO(2) 10% ), the VO(2) at OBLA (VO(2) @ 4 mM), and the VO(2) at 10% above OBLA (VO(2) 10%). During the last minute of each run VO(2), V(E), HR, RER, RPE, and FS were assessed. In addition, Bla was assessed immediately following each run. RESULTS: Results demonstrated that VO(2) 10%, VO(2) @ 4 mM, and VO(2) 10% - elicited BLa of 2.66+/-0.33, 3.75+/-0.40, and 6.10+/-0.68 mM, respectively. In addition, RPE increased significantly from VO(2) 10% to VO(2) @ 4 mM and from VO(2) @ 4 mM to VO(2) 10% -; whereas FS demonstrated a slight decrease from VO(2) 10% to VO(2) @ 4 mM, and a more substantial and significant decrease from VO(2) @ 4 mM to VO(2) 10% -. Correlational analyses revealed significant relationships at VO(2) 10% -. Specifically, RPE and FS were negatively related (r=0.62), while RPE and VO(2) were positively related (r=0.53). Correlations across all workloads revealed a tendency for more powerful relationships to exist among RPE and physiological cues than FS and physiological cues. CONCLUSION: This is the first study to directly examine changes in RPE and FS in relation to the physiological threshold for anaerobic metabolism, Bla, which responds to linear increases in exercise intensity in a curvilinear manner. Results support previous investigations suggesting a that the drop in FS has some distinction from the increase in RPE and that FS may be more sensitive to the onset of anaerobic metabolism. Moreover, the relationship of RPE to FS at VO(2) 10% -, but not VO(2) 10% and VO(2) @ 4 mM, supports the hypothesis that the unique variability of FS is diminished at higher intensities of exercise when physiological cues are unambiguous.

Kinematic changes at intensities proximal to onset of lactate accumulation.

AIM: The purpose of this study was to examine changes in selected kinematic variables at 3 running intensities proximal to the onset of blood lactate accumulation (OBLA; 4 mM of blood lactate). It was hypothesized that greater changes in lower body mechanics would occur when running faster than normal race pace compared to when running slower than race pace. METHODS: Nine competitive male distance runners ran at 3 running intensities (RI): 1) each runner's VO(2) at 10% below the VO(2) at OBLA, 2) VO(2) at OBLA, and 3) VO(2) at 10% above the VO(2) at OBLA. Selected kinematic and physiological variables were measured at each RI. RESULTS: VO(2) at RI 1, 2 and 3 was highly correlated with running speed (r=0.93). The blood lactate (BL) showed a nonlinear increase from RI 1 (2.9+/-0.8 mM) to 2 (4.1+/-0.9 mM) to 3 (6.7+/-1.8 mM). The vertical oscillation of center of gravity (VOCOG), stride frequency (SF), range of motion (ROM) of trunk angle, and maximal knee flexion during flight phase (MKFF) changed nonlinearly as did the BL. Significant relationships between BL and VOCOG (r=0.44) and between BL and SF (r=0.51) were found (ps<0.05). CONCLUSION: The findings show a possibility that lower body running mechanics have a relationship with BL.

Glucoregulatory endocrine responses to intermittent exercise of different intensities: plasma changes in a pancreatic beta-cell peptide, amylin.

Amylin, a peptide hormone released from the beta cells of the pancreas and cosecreted with insulin, is reported to inhibit the release of postprandial glucagon and insulin and to modulate gastric emptying. Changes in insulin and glucagon are important for controlling blood glucose levels under conditions in which metabolic rate is elevated, such as during and following exercise. Amylin may participate in the regulation of blood glucose levels in response to exercise, although the role of amylin has not been investigated. The purpose of the study was to determine the effects of a progressive, intermittent exercise protocol on amylin concentrations and to compare its response to circulating levels of insulin, glucagon, cortisol, and glucose. Seven well-trained males completed an intermittent exercise trial on a treadmill at four progressive exercise intensities: 60%, 75%, 90%, and 100% of maximum oxygen consumption (.VO(2)max). Blood samples were collected before exercise, after each exercise intensity, and for 1 hour following the exercise protocol. Subjects also completed a control trial with no exercise. Amylin and insulin rose from baseline (5.79 +/-.78 pmol/L and 4.76 +/-.88 microIU/mL) to peak after 100% .VO(2)max (9.16 +/- 1.35 pmol/L and 14.37 +/- microIU/ml), respectively and remained elevated during much of recovery. Thus, a progressive intermittent exercise protocol of moderate to maximum exercise intensities stimulates increases in amylin levels in well-trained individuals in a similar fashion to that of insulin, whereas glucagon concentrations only increase after the greatest exercise intensity, then quickly decline. Future studies should examine the effects of higher amylin concentrations in exercise recovery on glucoregulation.

Effect of estrogen on serum DHEA in younger and older women and the relationship of DHEA to adiposity and gender.

This case-controlled study consisted of 2 parts. The objective of part 1 was to determine the relationship between DHEA, body mass index (BMI), and age in young males, young females, and postmenopausal (PM) females. Part 2 examined the effects of estrogen on DHEA by analyzing the relationship between DHEA and age in young females on and off oral contraceptives (OCs) and PM females on and off estrogen or hormone replacement therapy (ERT/HRT). The study was performed at the Obstetrics and Gynecology Clinic, Texas Tech Health Sciences Center-Amarillo, Exercise Physiology Laboratory at Southeastern Louisiana University, and Woman's Health Research Institute, Woman's Hospital, Baton Rouge, LA. Part 1 groups consisted of: (1) young males between the ages of 18 to 40 years; (2) normally cycling females off OCs, ages 18 to 40 years; and (3) PM females older than 40 years not receiving ERT/HRT. Part 2 groups consisted of: (1) normally cycling females on OCs, ages 18 to 40 years;, (2) normally cycling females off OCs, ages 18 to 40 years; (3) PM females 50 years or older not receiving ERT/HRT; and (4) PM females 50 years or older receiving ERT/HRT. The main outcome measure was serum DHEA concentrations. For part 1, there were significant (P <.05) inverse relationships between DHEA and age for young males; young females, off OCs; PM females, no ERT/HRT r = -.44, -.26, and -.25, respectively. There were no significant relationships between DHEA and BMI for any of the groups. DHEA concentrations were significantly higher in young males than young females even after accounting for age. For part 2, DHEA concentrations were significantly higher in young females off OCs compared with young females on OCs, and significantly higher in PM women off ERT/HRT than those on ERT\HRT. There were significant inverse relationships between DHEA and age for young females and PM females on and off ERT/HRT. From these findings, we conclude that there is an inverse relationship between DHEA and age for young males, young females off OCs, and PM females, no ERT/HRT. No relationship between BMI and DHEA was observed in these same 3 groups. These results agree with previous findings in young men, but differ from previous findings in obese young females. The data also suggest that estrogen treatment (OCs and ERT/HRT) suppresses DHEA concentrations in premenopausal and PM females, and that DHEA declines with age in PM females regardless of estrogen treatment.

Leptin and steroid hormone responses to exercise in adolescent female runners over a 7-week season.

The purpose of the study was to investigate the responses of leptin and steroid hormones to maximal exercise in adolescent female runners over a competitive season. Seven adolescent female distance runners completed three testing trials during weeks 1.4 and 7 of their high-school track season. Blood samples were collected before and after a discontinuous graded exercise test to exhaustion (GXT) for each trial. Tests were administered during the subjects' normal training time (3:30 p.m.-5:00 p.m.). Compared to week 1, peak O2 uptake rose significantly during the season and was 10% and 7% higher at weeks 4 and 7, respectively. Levels of dehydroepiandrosterone (DHEA), dehydroepiandrosterone sulfate (DHEAS), cortisol, testosterone, and leptin increased significantly in response to the graded exercise tests. Testosterone levels were also changed over the course of the study. Resting testosterone levels and testosterone responses to exercise in weeks 4 and 7 were both higher than in week 1. Resting concentrations and acute increases of the other hormones were not changed over the season. It appears, therefore, that DHEA, DHEAS, cortisol, testosterone and leptin concentrations increase in response to running in adolescent female runners. Data also suggest that training and/or maturation increases resting testosterone concentrations and testosterone responses to running in adolescent female runners during a training season.

Circuit weight training and its effects on excess postexercise oxygen consumption.

OBJECTIVE: There is a paucity of research concerning energy expenditure during and after circuit weight training (CWT). There is evidence that duration of rest between sets affects metabolic responses to resistive exercise. The purpose of the study was to determine the effect of rest-interval duration upon the magnitude of 1 h of excess postexercise oxygen consumption (EPOC). METHODS: Seven healthy men completed two randomized circuit weight training sessions using 20-s and 60-s rest intervals (20 RI, 60 RI). Sessions included two circuits of eight upper and lower body resistive exercises in which 20 repetitions were performed at 75% of a previously determined 20 repetition maximum. RESULTS: The 1 h EPOC of 10.3 +/- 0.57 L for the 20 RI session was significantly higher than 7.40 +/- 0.39 L for the 60 RI session. The net caloric expenditure during 1 h of recovery from the 20 RI session was significantly higher than that of the 60 RI session (51.51 +/- 2.84 vs 37.00 +/- 1.97 kcal); however, total gross energy expenditure (exercise + 1 h recovery) was significantly greater for the 60 RI protocol (277.23 kcal) than the 20 RI protocol (242.21 kcal). CONCLUSION: Data demonstrate that shortening the rest interval duration will increase the magnitude of 1 h EPOC from CWT; however, the exercise + recovery caloric costs from CWT are slightly greater for a longer rest interval duration protocol. These data suggest that total caloric cost be taken into account for CWT.

Effects of a proposed challenge on effort sense and cardiorespiratory responses during exercise.

PURPOSE: Highly trained endurance athletes train and race at relatively high intensities and are often confronted with challenges throughout a running event. The purpose of this study was to examine the effects of the anticipation of a proposed challenge on effort sense, heart rate (HR), ventilation ([dotVE), and ventilatory equivalent VE/VO2), a measure of ventilatory efficiency. METHODS: Highly trained endurance athletes (VO2max = 68.46 +/- 1.47 mL x kg(-1) x min(-1) ran two sessions at approximately 75% of VO2max for 35 min in a control condition and a proposed challenge condition. During the control condition, the subjects ran on a treadmill while simultaneously viewing a video depicting a runner exercising at 75% of VO2max and were told the run would continue at a speed that elicited 75% of VO2max. During the proposed challenge condition, subjects completed the same exercise protocol but viewed a video of a struggling runner and were told that the treadmill speed would be increased to "an extremely difficult" 95% of VO2max matching the intensity of the runner on the video. However, after data assessment at 17 min, subjects were told that the treadmill was malfunctioning and the treadmill speed could not be altered. The same intensity was maintained in both conditions. RPE, HR, VE, and VE/VO2 were assessed during the treadmill runs at 10, 17, 25, and 35 min. RESULTS: The effects of the manipulation were represented by a significant increase in state anxiety immediately following the video proposing the 95% challenge. RPE, HR, and VE increased similarly under both conditions, while VE/VO2 did not change. CONCLUSION: These findings suggest that for highly trained endurance athletes, anticipation of proposed challenge during running does not influence cardiorespiratory responses; thus these athletes demonstrate a "physiologically toughened" response.

Effects of aerobic exercise on serum leptin levels in obese women.

It has been demonstrated that leptin concentrations in obese patients may be altered by weight loss. We examined the effects of a 9-week aerobic exercise program on serum leptin concentrations in overweight women (20-50% above ideal body mass) under conditions of weight stability. Sixteen overweight women, mean (SE) age 42.75 (1.64) years, comprised the exercise group which adhered to a supervised aerobic exercise program. A graded exercise treadmill test was conducted before and after the exercise program to determine maximal oxygen uptake (VO2max) using open-circuit spirometry. The women demonstrated improved aerobic fitness (VO2max increased 12.29%), however, body fat and the body mass index did not change significantly [42.27 (1.35)-41.87 (1.33)%]. Fourteen women, age 40.57 (2.80) years, did not exercise over the same time period and served as a control group. Serum leptin levels were not significantly altered for either the exercise [28.00 (2.13)-31.04 (2.71) ng x ml(-1)] or the control group [33.24 (3.78)-34.69 (3.14) ng x mg(-1)]. The data indicate that 9 weeks of aerobic exercise improves aerobic fitness, but does not affect leptin concentrations in overweight women.

Serum leptin concentrations in response to acute exercise in postmenopausal women with and without hormone replacement therapy.

The purpose of the study was to examine the effects of acute exercise and hormone replacement therapy on serum leptin concentrations in postmenopausal women. Subjects were 15 healthy, postmenopausal women, 8 on hormone replacement therapy (HRT) and 7 not on hormone replacement therapy (NHRT). Group comparisons indicated no significant differences between HRT and NHRT groups with respect to age, height, weight, BMI, sum of skinfolds, or VO2max, and verified significant differences in estradiol and FSH concentrations. After an overnight fast, each subject completed 30 min of treadmill exercise at approximately 80% VO2max. Over 2 hr and 10 min, baseline, exercise, and recovery blood samples were collected from an intravenous catheter. A control session conducted a month later consisted of the same blood sampling protocol without exercise. Leptin concentrations declined significantly over the course of both the exercise and control sessions, gradually decreasing from baseline levels to -1.54 +/- 0.49 ng. ml-1 postexercise, and continuing to decline to a low of -2.89 +/- 0.59 ng. ml-1 at the end of the session. There was no significant difference between groups with respect to this decline. This is the first study to document that diurnal changes in leptin concentrations in postmenopausal women are not altered by acute treadmill exercise or HRT status. The study underscores the need to account for a diurnal reduction in leptin over the course of an exercise trial.

Premenstrual syndrome: diagnosis and treatment experiences.

We sought to examine the diagnosis and treatment experiences of women in the United States who reported having been diagnosed with premenstrual syndrome (PMS) by a physician. A survey of 220 women, randomly selected, ages 26-56, who subscribed to a woman's health newsletter and reported being given a diagnosis of PMS by a physician was conducted. Subjects reported (1) they sought medical help for 5.33 +/- 6.23 years before receiving a diagnosis, (2) they sought help from 3.75 +/- 3.22 physicians for PMS symptoms, (3) they thought the majority (71%) of physicians they used were not adequately informed to diagnose and treat them, (4) only a minority (23%) of physicians used a symptom chart, currently the only way to confirm a PMS diagnosis, when determining their diagnosis, and (5) only approximately 1 in 4 (26%) physicians provided them with a helpful treatment. Seventy-six percent of subjects reported that a PMS diagnosis resulted from their own suggestion, with an agreement by the physician. Eighty-one percent reported that the initial suggestion of PMS came from a non-medical source. The most commonly recommended and used treatments were vitamins, exercise, and diet modification. Current treatment satisfaction was 15.6% not very satisfied, 48.8% somewhat satisfied, and 35% very satisfied. Satisfaction was higher if natural progesterone or hysterectomy with oophorectomy was included as a treatment, although a high percentage of satisfaction was seen with several treatments. Data indicate that physicians from whom most of the women sought care between 1974 and 1994 failed to recognize, diagnose, or treat their PMS using the standards and protocols published in the medical literature.

Serum leptin concentration in women: effect of age, obesity, and estrogen administration.

OBJECTIVE: To compare serum leptin levels in normally cycling reproductive females (20-35 years old) with those in age-matched males, in women who were receiving oral contraceptives, and in older (postmenopausal) women (50-65 years old) who were or who were not receiving hormone replacement therapy. DESIGN: Case-control study. SETTING: Obstetrics and Gynecology Clinic, Texas Tech University Health Sciences Center-Amarillo, or the Exercise Physiology Laboratory at Southeastern Louisiana University. PATIENT(S): Normally cycling women between the ages of 20-35 years and age-matched controls who were receiving oral contraceptives. Postmenopausal women between the ages of 50-65 years who were or who were not receiving hormone replacement therapy. MAIN OUTCOME MEASURE(S): Serum leptin concentration. RESULT(S): In all groups, serum leptin concentrations were correlated significantly with body mass index. Leptin levels were significantly higher in young women than young men (P <.001), but no other statistically significant differences were found for the other three comparisons. CONCLUSION(S): Serum leptin concentrations expressed as a measure of adiposity (body mass index) are greater in young normally cycling females (20-35 years old) than in age-matched males. There is no difference in levels of serum leptin between young and postmenopausal (50-65 years old) women. Estrogen administration, either in young women who are receiving estrogen-progestin oral contraceptives or in postmenopausal women who are receiving hormone replacement therapy, does not effect serum leptin concentrations.

Effects of hormone replacement on growth hormone and prolactin exercise responses in postmenopausal women.

Exercise elevates growth hormone (GH) and prolactin (PRL) blood concentrations in premenopausal women. Postmenopausal women taking hormone replacement therapy (HRT) maintain higher estrogen levels that could affect GH and PRL. The purpose of the study was to determine the effects of HRT on GH and PRL responses to treadmill exercise. Seventeen healthy women who were postmenopausal (naturally or surgically) [8 on HRT; 9 not on HRT (NHRT)], completed 30 min of treadmill exercise at 79.16 +/- 1.2% maximal O2 consumption (HRT group) and 80.19 +/- 0.91% maximal O2 consumption (NHRT) group). Blood samples were collected from an intravenous catheter during an exercise session and during a control session without exercise. GH and PRL concentrations were significantly higher in the exercise trial than in the nonexercise trial, whereas resting concentrations were similar for both trials. GH and PRL peaked at 10.8 +/- 1.60 and 12.67 +/- 2.58 ng/ml, respectively, for HRT subjects and at 4.90 +/- 1.18 and 9.04 +/- 2.17 ng/ml, respectively, for NHRT subjects. GH concentrations in the exercise trial were significantly higher for HRT than for NHRT subjects. This is the first study to demonstrate that HRT enhances treadmill-exercise-induced GH release and that similar PRL responses to treadmill exercise occur in postmenopausal women regardless of HRT status.

Effects of estrogen replacement therapy on dehydroepiandrosterone, dehydroepiandrosterone sulfate, and cortisol responses to exercise in postmenopausal women.

OBJECTIVE: To determine the effects of hormone replacement therapy (HRT) on dehydroepiandrosterone (DHEA), DHEA sulfate (DHEAS), and cortisol (F) responses to treadmill exercise. DESIGN: Controlled clinical study. SETTING: Female volunteers in an academic research environment. PATIENT(S): Sixteen healthy, postmenopausal women (7 were receiving HRT, 9 were not). INTERVENTION(S): Blood samples were taken from an intravenous catheter before, during, and after 30 minutes of treadmill exercise following an overnight fast. A second session was conducted one month later for the same subjects using the same blood sampling protocol without exercise. MAIN OUTCOME MEASURE(S): Serum DHEA, DHEAS, and F concentrations. RESULT(S): The HRT and untreated DHEA area under the curve (AUC) for the exercise trials was significantly greater than that for the control trials. The untreated, but not the HRT, DHEAS AUC for the exercise trials was significantly greater than that for the control trials. The HRT and untreated F AUC for the exercise trials was significantly greater than that for the control trials. The AUC for the HRT exercise trials was significantly higher than the untreated exercise trials for DHEA and F, but not DHEAS. CONCLUSION(S): Data suggest that treadmill exercise elevates DHEA, DHEAS, and F levels in postmenopausal women and that HRT enhances the DHEA and F responses.

Effects of low-volume resistive exercise on beta-endorphin and cortisol concentrations.

It has been recently suggested that high and sustained lactate levels may elicit increases in peripheral B-EN concentrations (16). We have observed elevated and sustained lactate concentrations in response to a low-volume resistive exercise protocol (14) that were similar to those from other exercise protocols that produced elevated beta-endorphin (B-EN) concentrations. Thus, the purpose of the study was to determine the effects of a low-volume (21,700 J) resistive exercise repetition maximum (RM) protocol using weight machines on peripheral lactate, B-EN and cortisol concentrations. Subjects completed 3 sets of bench press, lat-pull, leg extension, and leg curl exercise at a 10-RM load. Blood samples were collected and rating of perceived exertion (RPE, 15-point Borg scale) was assessed before exercise (-40 and -10 min), after each exercise, and after the exercise session (+ 35 min); blood samples were collected at 7 additional post-exercise times. RPE increased significantly throughout the exercise. Lactate concentrations rose significantly to peak at 8.54 mM at LE. B-EN and cortisol concentrations (-10) of 4.63 +/- 0.54 pmol.l-1 and 12.09 +/- 1.44 micrograms.dl-1, respectively, were not significantly elevated over time. The data suggest that a low-volume resistive exercise protocol using weight machines elevates lactate concentrations without altering B-EN and cortisol concentrations.