Impaired oxygen uptake kinetics in the first high-level athlete with Hb Hope: a case study.

Hemoglobin (Hb) Hope is a beta-globin chain variant with reduced oxygen (O2) affinity, known to induce anemia. This usually leads to limitations in O2uptake (VO2) and exercise tolerance. We studied the case of a high-level female athlete with Hb Hope. She had been selected for cross-country races from 13 yrs onward, then was a national junior champion in 400-m race, and finally failed to win any cross-country races as an adult. Hematological analysis revealed normal red blood cell indices and Hb level (12.3 g.dL⁻¹). Incremental exercise showed peak work rate (WR), VO(2max) and gas exchange threshold (GET) within normal ranges for healthy females. Constant WR testing at 90% of GET showed that kinetics of pulmonary VO2included the presence of a slow component. This was in disagreement with the data on VO2kinetics response to exercise intensities below GET. Phase 2 parameters, time constant (τ2, 31 s), time delay (TD2, 39 s), amplitude (A2, 780 ml.min⁻¹), and gain in VO2(ΔVO2 .ΔWR-1, 9.2 ml.min-1.W⁻¹) were within normal ranges. Phase 3 showed a slow component similar to that reported in severe exercise. The absence of anemia and the normality of phase 2 suggested normal O2delivery and oxidative metabolism in exercising muscles. In contrast, phase 3 suggested poor aerobic capacity and limited exercise tolerance. However, the lack of symptoms during testing also suggested that the slow component was due to the specific recruitment of fast-twitch fibers in this former champion athlete with Hb Hope in races requiring mainly anaerobic metabolism.

[Metabolic syndrome: pathophysiology and impact on lithogenesis]. / Syndrome métabolique: physiopathologie et impact sur la lithogenèse.

In our societies, the increase of the frequency of the diseases of overweight, in particular obesity, diabetes type 2 and metabolic syndrome, coincides with that of the urinary lithiasis. Like the lithiasic disease, the metabolic syndrome or syndrome X is multi-factor. Several epidemiological studies were interested in research of a physiopathological relation between the various components of this syndrome (obesity, arterial hypertension, diabetes, dyslipemy) and lithogenesis. During the metabolic syndrome, resistance to insulin and the defect of renal ammoniogenesis constitute the principal disorders supporting lithogenesis. The defect of renal ammoniogenesis armature by the resistance of the renal cells to insulin involves a urinary hyperacidity which supports the crystallization of the uric acid responsible for the formation of uric or mixed uric acid/oxalate stones.

Lipid profiles of judo athletes during Ramadan.

The effect of Ramadan intermittent fasting (RIF) was studied on a battery of blood lipid markers in 15 elite judo athletes during a period when they were maintaining their training load without competing. Nine-to-twelve hours postprandial serum lipid and lipoproteins were measured on five occasions: before, three times during Ramadan, and three weeks post-Ramadan. Dietary data were collected using a 24-hour recall method for three days before, during and after the Ramadan month. Mean energy intake (12.9 MJ/d) remained similar throughout the study as did the macronutrient constituents of the diet. Mean body mass was slightly reduced (2 %; p < 0.01) by the end of Ramadan due mainly to a 0.65 +/- 0.68 kg decrease in body fat (p < 0.05). The RIF produced significant changes in some of the blood lipid levels: both HDL-C and LDL-C increased by 0.12 (p < 0.01) and 0.20 mmol . l (-1) (p < 0.05), respectively. During Ramadan, mean non-esterified fatty acid (NEFA) levels decreased from 0.73 to 0.28 mmol . l (-1) (p < 0.01) during the first week, then increased (p < 0.05) to 1.22 mmol . l (-1) over the middle of Ramadan and recovered to pre-Ramadan concentrations for the end and the post-Ramadan periods. Apolipoprotein A1 (Apo-A1) levels were significantly elevated at the end (p < 0.01) and the post-Ramadan periods (p < 0.05). Three weeks after Ramadan, blood levels of glucose, NEFA, Apo-A1, and Apo-B did not return to the values observed before Ramadan. In conclusion, the present results show that the combination of the change in diet pattern during Ramadan, along with intense exercise training, induced a significant decrease in body mass associated with a reduction in body fat and changes in some of the serum lipids and lipoproteins. Nevertheless, all the measured serum parameters remained within normal levels for young and active individuals. The volunteers, in this study, were able to maintain a constant training load during RIF.

Effect of an acute hot and dry exposure in moderately warm and humid environment on muscle performance at different times of day.

This study investigated whether 30 min of acute hot exposure has an additional passive warm-up effect for the improvement in muscle performance in a moderately warm and humid environment. We also sought to determine whether this effect is dependent on the diurnal variation in body temperature. Nine male subjects (age: 31.9 [+/- 5] years, height: 177 [+/- 6] cm, body mass: 69.3 [+/- 10] kg) were tested (CMJ, cycling sprints, and isokinetic contractions of the knee flexors and extensors) in a moderately warm and humid environment (24 [+/- 1] degrees C and 70 [+/- 4] % rh) with and without acute heat exposure (30 min of rest in a sauna at 76 [+/- 2] degrees C and 27 [+/- 1] % rh), both in the morning (07:00 - 09:00 h) and in the evening (17:00 - 19:00 h). Our results indicated a significant effect of both time-of-day and acute heat exposure on leg skin temperature (p < 0.01) but failed to show any effect of time-of-day or acute heat exposure on the various evaluated parameters (CMJ: speed, force, power and height; cycling power: over a half pedal revolution and a total pedal revolution; isokinetic torque: knee extensor and flexor muscles at 4.19 rad x s (-1), 3.14 rad x s (-1), 2.09 rad x s (-1), and 1.05 rad x s (-1)). In conclusion, our data suggest that 30 min of acute hot exposure does not have any passive warm-up effect in a moderately warm and humid environment. Furthermore, the diurnal variation in body temperature has no passive warm-up effect in a moderately warm and humid or in an extremely hot environment.