Supervised Phase II Cardiac Exercise Therapy Shortens the Recovery of Exercise Capacity in Patients with Acute Myocardial Infarction.

[Purpose] To investigate the effects of Phase II cardiac exercise therapy (CET) on exercise capacity and changes in coronary risk factors (CRFs) of patients with acute myocardial infarction (AMI). [Subjects] Thirty male subjects with AMI were divided into an experimental group (EG) and a control group (CG). Another 30 age-matched subjects with patent coronary arteries served as a normal-control group (NCG). [Methods] Subjects in EG (n=20) trained using a stationary bicycle for 30 min at their target heart rate twice a week for 8 weeks. Exercise capacity was defined as the maximal metabolic equivalents (METs) that subjects reached during the symptom-limited maximal exercise test. HR, BP and RPP were recorded. Subjects in EG and CG received exercise tests and screening for CRFs at the beginning of, end of, and 3 months after Phase II CET, while subjects in NCG participated only in the 1st test. [Results] METs of CG did not improve until the 3rd test, while RPP at the 2nd test showed a significant increase. However, EG showed increased METs at the 2nd test without increase of RPP, and increased their high density lipoprotein cholesterol (HDL-C) during the follow-up period between the 2nd and 3rd tests. [Conclusion] Phase II CET shortens the recovery time of exercise capacity, helps to maintain the gained exercise capacity and increases HDL-C in phase III.

Profiles of Physical Activity and Physical Performance in Matched Religious Vegetarian and Nonvegetarian Women: A Preliminary Observational Study in Taiwan.

Religious vegetarianism has become more popular with women and increases with age. However, concerns have been raised that vegetarians are less productive than nonvegetarians. Thus, we aimed to compare the characteristics of physical activity and physical performance in properly matched religious vegetarian and nonvegetarian women aged ≥ 45 years. Participants (n = 160) were recruited via convenience sampling in the community of Hualien, Taiwan, and matched by demographic and cognitive characteristics. Physical activity was assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Physical performance was assessed with handgrip strength, five-times-sit-to-stand, gait speed, timed up-and-go, and functional reach tests (FRT). Overall, 90% of religious vegetarians practiced lacto-ovo-vegetarianism. The proportions of those with low physical activity levels and poor physical performance did not significantly differ between religious vegetarians and nonvegetarians. Additionally, there were no significant between-group differences in IPAQ-SF scores and physical performance, except for FRT performance (mean 24.5 cm vs. 19.7 cm, p < 0.001). Exhaustion after work, busyness, and a lack of interest were three main reasons for low physical activity levels, and none of these had significant between-group differences (p = 0.936). Our results show a similar profile of physical activity and physical performance in religious vegetarian and nonvegetarian women.

Physical Inactivity and Possible Sarcopenia in Rural Community Daycare Stations of Taiwan: A Cross-Sectional Study.

Physical inactivity and possible sarcopenia pose a challenge for long-term care, especially in rural areas. We aimed to examine the prevalence of and associated factors for physical inactivity and possible sarcopenia in rural community daycare stations. A total of 275 adults aged 55-98 years (75% women) were recruited from all 11 rural community daycare stations in Northern Hualien, Taiwan. Physical inactivity was defined as less than 150 min/week of moderate-intensity aerobic physical activity. Possible sarcopenia was defined according to the Asian-specific criteria from 2019. Multiple linear and logistic regression analyses were used to determine associated factors for physical inactivity and possible sarcopenia. The prevalence of physical inactivity and possible sarcopenia was 29.1% and 68.7%, respectively. About 86.8% of possible sarcopenia were ascribed to poor five-times-sit-to-stand performance. After adjusting for covariates, poor lower-limb muscle function, e.g., slow gait speed, was associated with possible sarcopenia and physical inactivity. However, physical inactivity was not independently associated with possible sarcopenia (adjusted odds ratio 1.95, 95% confidence interval 0.88-4.30, p = 0.100). Our results indicated that individuals with poor lower-limb muscle function were more likely to have possible sarcopenia and physical inactivity. Improving lower-limb muscle function would be a priority task in rural community daycare stations.

Age-stratified differences of physical capacity in rural community-dwelling Taiwanese older women: A cross-sectional study.

OBJECTIVES: Physical capacity decline may precede physical disability. We explored age-related physical capacity decline among rural community-dwelling Taiwanese older women to provide reference values and to identify indicators of early-onset decline in physical capacity. METHODS: Older women aged 65-96 were recruited from rural community centers. Physical capacity was measured by handgrip strength (HS), gait speed (GS), five-times-sit-to-stand (5xSTS), timed up and go (TUG), and the Berg balance scale (BBS). Participants were stratified into four age groups: 65-69, 70-74, 75-79, and ≥80 years. RESULTS: Of 137 participants, 61 % exhibited poor 5xSTS, 34-49 % showed low HS, poor TUG and BBS, and 26 % had slow GS. The mean values in GS, HS, 5xSTS, TUG, and BBS were 1.02 m/s, 17.8 kg, 14.5 s, 12.6 s, and 50 points, respectively. Abnormal mean values were first noted at age 70-74 years for 5xSTS, age 75-79 years for HS, TUG, and BBS, and age ≥80 years for GS. Also, more than half the participants exhibited the first poor 5xSTS at age 70-74 years; the first poor HS and TUG at age 75-79 years; and lastly, the first poor BBS and GS at age ≥80 years. At age 65-69 years, 14-41 % of participants reported poor performance in all measures except for GS. CONCLUSIONS: Low HS and poor 5xSTS and TUG performance were more common and had earlier onset than slow GS. More attention should be directed toward the 5xSTS, TUG, and HS in rural community-dwelling Taiwanese older women.

Effects of a hybrid intervention combining exergaming and physical therapy among older adults in a long-term care facility.

AIM: Physical inactivity can cause physical frailty and sarcopenia. We investigated the effects of a hybrid intervention combining commercial exergaming with physical therapy, and clarified the reasons for physical inactivity among older adults. METHODS: This was a pilot study of older participants recruited from a long-term care facility assigned to either an experimental or a control group. The experimental group received a 90-min hybrid intervention twice a week for 12 weeks, whereas the control group received only assessment. The outcomes included muscle strength, walking speed, endurance, the Timed Up and Go test, the Berg Balance Scale, flow state, and safety. RESULTS: We enrolled 17 residents (42.5% of those eligible), with eight in the experimental group. After 12 weeks, the handgrip strength and Timed Up and Go test scores significantly improved in the experimental group. The number of participants with handgrip strength exceeding the cut-off for sarcopenia, Timed Up and Go test scores exceeding the minimal detectable change, and walking speed exceeding the minimum clinically significant difference were greater in the experimental group than in the control group. Furthermore, no significant adverse events were reported; all participants in the experimental group entered the flow state. Overall, 32.5% of participants reported physical inactivity with common reasons, including laziness (77%), a lack of interest (69%) and the hassle of engagement (46%). CONCLUSIONS: The hybrid intervention is safe and feasible, and could delay disability in older adults. Approximately one-third of the participants were physically inactive. Further study is required to reduce physical inactivity. Geriatr Gerontol Int 2019; 19: 147-152.

The neurophysiological basis of the discrepancy between objective and subjective sleep during the sleep onset period: an EEG-fMRI study.

Subjective perception of sleep is not necessarily consistent with electroencephalography (EEG) indications of sleep. The mismatch between subjective reports and objective measures is often referred to as "sleep state misperception." Previous studies evince that this mismatch is found in both patients with insomnia and in normal sleepers, but the neurophysiological mechanism remains unclear. The aim of the study is to explore the neurophysiological basis of this mechanism, from the perspective of both EEG power and functional magnetic resonance imaging (fMRI) fluctuations. Thirty-six healthy young adults participated in the study. Simultaneous EEG and fMRI recordings were conducted while the participants were trying to fall asleep in an MRI scanner at approximately 9:00 pm. They were awakened after achieving stable N1 or N2 sleep, or after 90 min without falling into stable sleep. Next they were asked to recall their conscious experiences from the moment immediately prior to awakening. Sixty-one instances of scheduled awakenings were collected: 21 of these after having achieved stable stage N2 sleep; 12, during stage N1 sleep; and, 20 during the waking state. Relative to those awakenings without subjective-objective discrepancy (n = 27), these awakenings with discrepancy (n = 14) were associated with lower θ power, as well as higher α, ß, and γ power. Moreover, we found that participants who exhibited the discrepancy, compared with those who did not, evinced a higher amplitude of low-frequency fluctuation levels in the prefrontal cortex. These results lend support to the conjecture that the subjective-objective discrepancy is associated with central nervous system hyperarousal.

Detection of synchronization between chaotic signals: An adaptive similarity-based approach.

We present an adaptive similarity-based approach to detect generalized synchronization (GS) with n:m phase synchronization (PS), where n and m are integers and one of them is 1. This approach is based on the similarity index (SI) and Gaussian mixture model with the minimum description length criterion. The clustering method, which is shown to be superior to the closeness and connectivity of a continuous function, is employed in this study to detect the existence of GS with n:m PS. We conducted a computer simulation and a finger-lifting experiment to illustrate the effectiveness of the proposed method. In the simulation of a Rössler-Lorenz system, our method outperformed the conventional SI, and GS with 2:1 PS within the coupled system was found. In the experiment of self-paced finger-lifting movement, cortico-muscular GS with 1:2 and 1:3 PS was found between the surface electromyogram signals on the first dorsal interossei muscle and the magnetoencephalographic data in the motor area. The GS with n:m PS ( n or m=1 ) has been simultaneously resolved from both simulation and experiment. The proposed approach thereby provides a promising means for advancing research into both nonlinear dynamics and brain science.

Effects of cognitive demands on postmovement motor cortical deactivation.

Postmovement beta-rebounds induced by different intermovement intervals were investigated using magnetoencephalography in 14 healthy participants to test the hypothesis that postmovement motor cortical deactivation over the primary motor cortex depends on movement-related cognitive demands. Shorter latency and lower amplitude in postmovement beta-rebounds over the contralateral primary motor cortex were noted in the short-movement interval movement (repetitive finger lifting). Greater latency span of postmovement beta-rebounds jittering using single-trial analysis in the long-movement interval movement (discrete finger lifting) was observed. The study elucidates that the temporal interval between two adjacent movements reflecting different degrees of cognitive demands can affect postmovement motor cortical deactivation in terms of postmovement beta-rebounds latency and amplitude, and latency span of postmovement beta-rebounds jittering. Postmovement motor cortical deactivation can reflect cognitive demands in addition to motor and somatosensory processing.

Dimensional complexity of neuromagnetic activity reduced during finger movement of greater difficulty.

OBJECTIVE: We investigated the variation in dimensionality (D2) of neuromagnetic activity over the primary sensorimotor cortex (SM1) in healthy adults performing motor tasks of different difficulty. METHODS: Magnetoencephalography (MEG) was used to record neuromagnetic activity during self-paced, brisk unimanual finger extension at a rate of 1 and 2 Hz using the index finger of the dominant and non-dominant hands in 16 healthy subjects. Motor task difficulty was rated by the relative difference in time measurement between 1 and 2 Hz finger movements of both hands. The relative difference in dimensionality of SM1 activity was calculated by subtracting the D2 value in 2 Hz movement from that in 1 Hz one within subjects. RESULTS: Simple regression analyses show a significantly negative relationship between the relative dimensional complexity and the relative motor task difficulty in the contralateral SM1 for the left- (p<0.05), but not the right- (p=0.447) hand movement. CONCLUSIONS: The present data suggest that a motor task of greater difficulty may engender a reduction of simultaneously active quasi-independent neuronal generators in the contralateral SM1 underpinned by stronger neuronal connectivity of a relatively low dimensionality. SIGNIFICANCE: The decrease in dimensional complexity of MEG activity associated with a motor task of greater difficulty gives new insights to motor control strategy.

Effect of time ratio of heat to cold on brachial artery blood velocity during contrast baths.

BACKGROUND: Contrast baths have been adopted widely in clinics. However, the time ratio of heat to cold modalities has not been well established. OBJECTIVE: The purpose of this study was to explore the effect of time ratio on brachial artery mean blood velocity (aMBV) and determine the optimal duration in the second heating phase. DESIGN: This was a within-participant, repeated-measures, experimental study. METHODS: Thirty-four young volunteers who were healthy were recruited. Each participant performed 2 kinds of contrast baths within 2 separate sessions. In the first trial with a fixed time ratio, participants immersed their left hands in a 40°C hot bath for 3 minutes and then in an 18°C cold bath for 1 minute. This procedure was repeated 3 times. In the second trial, after the initial 3-minute hot bath and 1-minute cold bath, a 10-minute 40°C hot bath immersion was adopted as the second cycle. A color Doppler ultrasound scanner was used to measure aMBV, which was used to calculate the percentage of change related to the baseline (aMBV%) and the fluctuation in the heating phases (ΔaMBV%). RESULTS: In the first trial, compared with the first heating phase, the ΔaMBV% was significantly lower by 57% and by 46% in the second and third heating phases, respectively. In the second trial, the ΔaMBV% beyond the 7th minute did not reach a significantly lower level. LIMITATIONS: The results cannot be generalized to elderly individuals or patients with medical conditions. CONCLUSION: A longer duration in the second heating phase during contrast baths was required to produce a sufficient fluctuation in blood flow.

Mutual-information-based approach for neural connectivity during self-paced finger lifting task.

Frequency-dependent modulation between neuronal assemblies may provide insightful mechanisms of functional organization in the context of neural connectivity. We present a conjoined time-frequency cross mutual information (TFCMI) method to explore the subtle brain neural connectivity by magnetoencephalography (MEG) during a self-paced finger lifting task. Surface electromyogram (sEMG) was obtained from the extensor digitorum communis. Both within-modality (MEG-MEG) and between-modality studies (sEMG-MEG) were conducted. The TFCMI method measures both the linear and nonlinear dependencies of the temporal dynamics of signal power within a pre-specified frequency band. Each single trial of MEG across channels and sEMG signals was transformed into time-frequency domain with use of the Morlet wavelet to obtain better temporal spectral (power) information. As compared to coherence approach (linear dependency only) in broadband analysis, the TFCMI method demonstrated advantages in encompassing detection for the mesial frontocentral cortex and bilateral primary sensorimotor areas, clear demarcation of event- and non-event-related regions, and robustness for sEMG - MEG between-modality study, i.e., corticomuscular communication. We conclude that this novel TFCMI method promises a possibility to better unravel the intricate functional organizations of brain in the context of oscillation-coded communication.