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Biomedical subjects

A Rotstein

Publications and source records attributed to A Rotstein.

At least 19 recordsLinked to original sources
PubMed2005

Effect of a short-term graded exhaustive exercise on the susceptibility of serum lipids to oxidation.

The objective of our study was to evaluate the effect of short-term intensive exercise on the susceptibility of serum lipids to ex-vivo peroxidation. We assessed the association between aerobic capacity, serum composition, and serum lipid oxidizability as well as the association between aerobic capacity and the effect of short-term maximal exercise on the kinetics of ex-vivo copper-induced peroxidation of serum lipids. The study involved 30 healthy male volunteers (age 22-39 years, BMI 19.4-29.8). Following 12-hr fasting, blood was withdrawn for determination of blood lipids, LDL, HDL, and TG, and Vitamin E, and for oxidizability assay of the serum lipids. Subsequently, each volunteer underwent an incremental all-out cardiopulmonary exercise stress test (CPET), performed on a motor-driven treadmill (Quinton Q65, USA). The test protocol was a modified Balke protocol. The results of this test were expressed in terms of mass-dependent maximal oxygen uptake (VO2max, ml.kg(-1).min (-1)) and of ventilatory anaerobic threshold (VAT, ml.kg(-1).min(-1)). Immediately after exercise, blood was re-drawn for the determination of serum Vitamin E and for ex-vivo oxidizibility assay, expressed in terms of maximal absorption of oxidation products (OD(max), absorbance units), maximal rate of their production (V(max), OD min(-1)) and the time at which the rate was maximal (t(max), min). Maximal graded exercise had no significant effect on the susceptibility of serum lipids to peroxidation as measured by OD(max) (p = 0.38 at 245 nm, and 0.27 at 268 nm),V(max) (p = 0.34 at 245 nm, and 0.49 at 268 nm) and t(max) (p = 0.17 at 245 nm, and 0.07 at 268 nm). Also no effect was found on the concentration of serum Vitamin E (p = 0.39). Aerobic capacity was not associated either with the susceptibility of serum lipids to ex-vivo peroxidation or with serum Vitamin E concentration. The present findings indicate that a short graded maximal exercise, lasting 8-12 min, is not sufficient to increase the susceptibility of the serum lipids to peroxidation. Thus it may be assumed that the antioxidant capacity of most healthy subjects provides proper protection from a short exhaustive exercise challenge. Also, aerobic capacity in the range represented by our subjects does not seem to influence the susceptibility of serum lipids to peroxidation.

Adult↗
PubMed2004

Perceived speech difficulty during exercise and its relation to exercise intensity and physiological responses.

The aim of this study was to establish how ratings of perceived speech production difficulty (PSPD) during exercise of varying intensities are correlated with various physiological responses, in order to determine whether the PSPD is suitable for prescribing exercise training intensity. An incremental running test was performed to establish the subjects' maximal oxygen consumption (VO(2max)) and ventilatory anaerobic threshold (VAT). During the test, the subjects were asked to read a written text. The subjects graded their PSPD at each stage of the test using a 13-level PSPD scale. Throughout the test, various cardiopulmonary parameters were measured breath-by-breath. Regressions of VO(2), heart rate (HR), and pulmonary ventilation (V(E)), all as percentages of their respective measured maximal values, plotted as a function of PSPD showed that the overall associations among those variables are strong and statistically significant ( P<0.05). However, the individual variability within each relative VO(2), V(E) or HR was found to be rather large. The subjects' distribution in relation to their PSPD at the VAT scattered widely across the PSPD scale. These results indicate that estimating exercise intensity by measuring speech difficulty is not valid. Thus it may be assumed that the "talk test", in its present non-standardized form, is a questionable substitute for the anaerobic threshold, HR, or for any other objective physiological measure for prescribing individual training exercise intensity.

Adult↗
PubMed2001

Physiological responses to incremental exercise in patients with chronic fatigue syndrome.

PURPOSE: The purpose of this investigation was to characterize the physiological response profiles of patients with chronic fatigue syndrome (CFS), to an incremental exercise test, performed to the limit of tolerance. METHODS: Fifteen patients (12 women and three men) who fulfilled the case definition for chronic fatigue syndrome, and 15 healthy, sedentary, age- and sex-matched controls, performed an incremental progressive all-out treadmill test (cardiopulmonary exercise test). RESULTS: As a group, the CFS patients demonstrated significantly lower cardiovascular as well as ventilatory values at peak exercise, compared with the control group. At similar relative submaximal exercise levels (% peak VO(2)), the CFS patients portrayed response patterns (trending phenomenon) characterized, in most parameters, by similar intercepts, but either lower (VCO(2), HR, O(2pulse), V(E), V(T), PETCO(2)) or higher (B(f), V(E)/VCO(2)) trending kinetics in the CFS compared with the control group. It was found that the primary exercise-related physiological difference between the CFS and the control group was their significantly lower heart rate at any equal relative and at maximal work level. Assuming maximal effort by all (indicated by RER, PETCO(2), and subjective exhaustion), these results could indicate either cardiac or peripheral insufficiency embedded in the pathology of CFS patients. CONCLUSION: We conclude that indexes from cardiopulmonary exercise testing may be used as objective discriminatory indicators for evaluation of patients complaining of chronic fatigue syndrome.

Adult↗
PubMed2000

Estimation of %VO2 reserve from heart rate during arm exercise and running.

The purpose of the present investigation was to examine the relationship between the percent heart rate reserve (%HRR) in arm exercise and the corresponding percent oxygen uptake (VO2) reserve, and to compare this relationship to that occurring in running. Fourteen male physical education students took part in the study. Each subject performed a maximal running exercise test and a maximal arm cycling test. The subjects also performed three submaximal exercise bouts (in both exercise modes) at 30%, 60% and 80% of their HRR. The subjects were monitored for their heart rate (HR) at rest, maximal HR (HRmax), HR at submaximal work loads. maximal VO2 (VO2max), VO2 at rest and VO2 at submaximal loads. For each subject, load and exercise mode, %HRR and %VO2 reserve were calculated (from HRmax and VO2max as measured during running and arm cycling) and the relationship between the two was evaluated. The main finding of the present investigation is that the prediction of %VO2 reserve in arm cycling from %HRR is grossly overestimated when calculated from HRmax and VO2max measured during running. The prediction is better but still overestimated when calculated from HRmax and VO2max measured during arm cycling. The findings indicate a better prediction of %VO2 reserve from %HRR for running than for arm exercise. These findings should be taken into consideration when prescribing the target HR for arm training.

Adult↗
PubMed2000

Specific inspiratory muscle training in well-trained endurance athletes.

PURPOSE: It has been reported that arterial O2 desaturation occurs during maximal aerobic exercise in elite endurance athletes and that it might be associated with respiratory muscle fatigue and relative hypoventilation. We hypothesized that specific inspiratory muscle training (SIMT) will result in improvement in respiratory muscle function and thereupon in aerobic capacity in well-trained endurance athletes. METHODS: Twenty well-trained endurance athletes volunteered to the study and were randomized into two groups: 10 athletes comprised the training group and received SIMT, and 10 athletes were assigned to a control group and received sham training. Inspiratory training was performed using a threshold inspiratory muscle trainer, for 0.5 h x d(-1) six times a week for 10 wk. Subjects in the control group received sham training with the same device, but with no resistance. RESULTS: Inspiratory muscle strength (PImax) increased significantly from 142.2 +/- 24.8 to 177.2 +/- 32.9 cm H2O (P < 0.005) in the training but remained unchanged in the control group. Inspiratory muscle endurance (PmPeak) also increased significantly, from 121.6 +/- 13.7 to 154.4 +/- 22.1 cm H2O (P < 0.005), in the training group, but not in the control group. The improvement in the inspiratory muscle performance in the training group was not associated with improvement in peak VEmax, VO2max breathing reserve (BR). or arterial O2 saturation (%SaO2), measured during or at the peak of the exercise test. CONCLUSIONS: It may be concluded that 10 wk of SIMT can increase the inspiratory muscle performance in well-trained athletes. However, this increase was not associated with improvement in aerobic capacity, as determined by VO2max, or in arterial O2 desaturation during maximal graded exercise challenge. The significance of such results is uncertain and further studies are needed to elucidate the role of respiratory muscle training in the improvement of aerobic-type exercise capacity.

Adolescent↗
PubMed1998

Changes in plasma volume following intense intermittent exercise in neutral and hot environmental conditions.

BACKGROUND: The purpose of the present investigation was to examine the effect of supramaximal short duration intermittent exercise in neutral and hot environmental conditions on changes in plasma volume. The return of plasma volume (PV) to pre-exercise values following different recovery conditions was also examined. METHODS: Experimental design. Within subject design in which one way analysis of variance was conducted. SETTING: Research, sports science academic institute. PARTICIPANTS: Ten trained men, 25.5 +/- 3/1 (yrs), volunteers. INTERVENTIONS: Subjects performed six 1-min bouts of exercise at 100% VO2peak on a cycle ergometer, with 4-min rest intervals between the bouts. Each subject exercised twice in thermoneutral (22 degrees C, 40% RH) and twice in hot (35 degrees C, 30% RH) conditions. Exercise was followed by either 40 min of passive recovery (sitting) or by 20 min active recovery (cycling at 35% VO2peak) and 20 min passive recovery, named thereafter "active recovery". MEASURES: Hematocrit (Hct) and hemoglobin (Hb) were determined upon entry into the climatic chamber following 20 min rest in the chamber (pre-exercise), immediately postexercise, and 40 min postexercise. From the changes in Hct and Hb, PV changes were calculated. RESULTS: There was a significant decrease in PV immediately postexercise. However, there was no significant difference between the two types of environmental conditions and no difference between the two types of recovery. PV increased significantly following recovery and returned to pre-exercise values following 40 min of recovery. CONCLUSIONS: Changes in PV caused by maximal short duration cycling bouts is not affected by environmental conditions, PV returns to its pre-exercise values within 40 min of recovery regardless of the recovery mode.

Adult↗
PubMed1995

Blood lactate concentration following exercise: effects of heat exposure and of active recovery in heat-acclimatized subjects.

The purpose of this study was to examine the effect of ambient heat on the decrease in blood lactate concentration ([LA]bl) during passive and during active recovery. Ten trained men performed six 1-min bouts of exercise at 100% VO2peak on a cycle ergometer, with 1-min rest between the bouts. Each subject exercised twice in thermoneutral (22 degrees C, 40% RH, TN), and twice in hot (35 degrees C, 30% RH, H) conditions. Exercise was followed by either 40 min of passive recovery (sitting) or by 20 min active recovery (cycling at 35% VO2peak) and 20 min passive recovery, named thereafter, 'active recovery'. Capillary blood lactate was measured before, 1 min after, and every 5 min during recovery. Heart rate (HR), rectal and skin temperatures (Tre, Tsk) were monitored continuously. VO2 was measured prior to exercise, during the last exercise bout, the first 10 min of recovery, and periodically thereafter. Post-exercise [LA]bl was similar in all treatments (13.5 +/- 1.8, 13.0 +/- 1.3, 14.8 +/- 4.1, 13.3 +/- 2.6 mmol.l-1 for TN-active, TN-passive, H-active and H-passive, respectively). [LA]bl was significantly lower during active, compared to passive recovery in both, TN and H conditions. Environmental heart did not independently affect [LA]bl during passive or active recovery. Exercise resulted in an elevation in Tre in all treatments, with a significantly higher Tre during active recovery in H compared to the other sessions. Likewise, no differences in HR and in VO2 were observed between H and TN conditions during active nor during passive recovery.(ABSTRACT TRUNCATED AT 250 WORDS)

Acclimatization↗
PubMed1995

Physiological characteristics of female 100 metre sprinters of different performance levels.

The purpose of this study was to compare physiological characteristics of three different levels of 100 m female sprinters. The 30 subjects in this study (20 female track athletes and 10 recreationally trained females) were assigned, according to their 100 m running time, to one of three different groups: "Fast" (11.8 +/- 0.1 sec), "Average" (12.7 +/- 0.1) and "Slow" (14.2 +/- 0.1 sec). All subjects were tested for performance in the Wingate Anaerobic Test (WAnT), strength (squat exercise), fat % (hydrostatic weighing), reaction time, flexibility (sit-and-reach test), aerobic power (peak VO2) and running skill. The data was analyzed by one-way Analysis of Variance (ANOVA) with post-hoc Tukey test, which was performed on each variable to find differences between the groups. The ANOVA indicated significant differences among all three groups for performance in the Wingate Anaerobic Test and relative strength. Significant differences in fat % and running skill were found between the fast and the slow groups and between the average and the slow groups. However, no significant difference in fat % and running skill existed between the fast and the average groups. The differences in reaction time were significant only between the fast and the average groups. No two groups were significantly different from each other for flexibility and peak VO2. Pearson correlation coefficients (r) were calculated to determine the relationships between the 100m running time and each of the variables tested. Significant and negative correlations were found between the 100m running time and skill, relative strength, and performance in the WAnT. Significant and positive correlations were found between running time and fat %. No significant correlations were found between running time and peak VO2 reaction time and flexibility. Stepwise regression analysis indicated that the combination of performance in the WAnT and strength provided the most efficient (R = 0.92) prediction of 100 m run times. This study demonstrated that the main difference among female sprinters of different performance levels lies in their ability to produce muscular power, strength and running technique. Other physiological components, such as flexibility, peak VO2, and reaction time do not differ among female sprinters of different performance levels as represented in the tested groups.

Adult↗
PubMed1994

Aerobic capacity and anaerobic threshold of wheelchair basketball players.

This study evaluated the aerobic capacity and anaerobic threshold of national level Israeli wheelchair basketball players. Subjects were tested working on a wheelchair rolling on a motor driven treadmill and on an arm cycle ergometer. Metabolic and cardiopulmonary parameters were measured during graded maximal exercise tests. Blood lactic acid (LA) concentration was measured in the intervals between loads during the test on the wheelchair. Heart rate (HR) and % heart rate reserve (%HRR) corresponding to the anaerobic threshold (4 mM blood LA) were evaluated while working on the wheelchair rolling on a motor driven treadmill. While working on the wheelchair the following peak exercise values were obtained: VO2 = 24.7 ml.kg/min, VE = 92.09 l/min HR = 181.5 b/min and R = 1.22. Values corresponding to the anaerobic threshold were found to be, HR = 139 b/min and %HRR = 57.02. Low correlations were obtained between peak exercise VO2 and VE measured while working on the wheelchair and those measured with arm cycle ergometer (r = 0.57 p = 0.137 and r = 0.4 p = 0.233 respectively). As athletes, subjects in the present study may be classified as having a low aerobic capacity and anaerobic threshold. It is also concluded that the ergometer type may have an important influence on test results.

Adult↗
PubMed1994

The EMLA patch--a new type of local anaesthetic application for dermal analgesia in children.

The skin application of EMLA cream under a Tegaderm dressing was compared in children with a new combined dressing/local anaesthetic patch--the EMLA patch. The analgesic effect during venepuncture was assessed using a visual analogue scale (patients) and a verbal rating scale (investigator). Skin adhesiveness and incidence of local skin reactions with the two types of application were also studied. The study was designed as an open randomised trial with two parallel groups. Sixty children, aged between 5 and 15 years were evaluated. After a minimum application time of 60 min an intravenous cannula was inserted. There was no difference in analgesia as assessed by the patients or the investigators. Mild discomfort at removal of the occlusive dressing/patch was observed in a few patients, but there was no difference in the adhesiveness of the Tegaderm dressing and the EMLA patch. Only mild local skin reactions (with paleness in the anaesthetised skin area) were observed in both groups. It was concluded that both the EMLA patch and the Tegaderm/EMLA cream dressing provide effective dermal analgesia for venepuncture with a 0.8 mm (outer diameter) cannula. The two types of application were indistinguishable but the ease of application of the patch is a distinct advantage.

Adolescent↗
PubMed1994

Normal cardiopulmonary responses during incremental exercise in 20- to 70-yr-old men.

Healthy men (N = 1424, age 20-70 yr) underwent a progressive incremental treadmill exercise test to volitional maximum. Cardiopulmonary variables were measured breath-by-breath. The aerobic power (VO2max) declined at an average yearly rate of 0.33 ml.kg.-1min-1, HRmax declined 0.685 beats.min-1.yr-1, and max O2 pulse declined at an annual rate of 0.115 ml.beat-1.kg-1*100. Gas exchange threshold (GET) expressed as percentage of VO2max was 58% and 69% in the youngest (20-30 yr) and oldest (61-70 yr) decades, respectively. The average decline in VE, Vt, f, and PETCO2 over the entire age range was 29%, 10%, 21%, and 7%, respectively. There were increases in VE/VO2, and VE/VECO2, from age 20-70 yr of 13% and 14%, respectively, but no changes across 5 decades in PETO2. Physical (height and weight) as well as life-style characteristics (leisure time activity, place of residency, smoking), were found to be potent predictors in most of the cardiopulmonary values at maximal exercise and therefore should be incorporated in the predictive equations for such variables. Normal response patterns of most cardiopulmonary variables throughout the range of exercise intensities were shown to be age-affected and thus should be standardized for age decades.

Adult↗
PubMed1994

Left ventricular responses during prolonged treadmill walking with heavy load carriage.

This study examined with metabolic cart and echo-Doppler the influence of different load carriage during 4 h of treadmill walking on left ventricular systolic function, hemodynamics, and cardiovascular responses. Twenty-six aerobically well-trained male subjects (VO2max = 65.2 +/- 5 ml.kg-1.min-1) volunteered for this study. Subjects carried a load of 38 kg during one session and a load of 50 kg during the other session. Following the 4-h exercise in each session, significant (P < 0.05) differences were noted between the 38-kg and 50-kg workloads with regard to VO2: 14.4 +/- 2 and 19 +/- 5 ml.kg-1.min-1; heart rate: 104 +/- 14 and 125 +/- 17 beats.min-1; diastolic blood pressure: 69 +/- 4 and 79 +/- 4 mm Hg; and rate pressure product 140.4 +/- 15 and 173.8 +/- 20 index.10(-2), respectively. No significant differences were noted between the workloads in regard to systolic blood pressure, perceived exertion rating, and aortic valve Doppler indices. We concluded that during prolonged treadmill walking in well-trained young subjects, the additional load above 50% up to 66% of body weight did not change the steady state of left ventricular systolic function, hemodynamics, and cardiovascular responses throughout the course of the 240 min of effort.

Adult↗
PubMed1992

Effect of body position on the afterload response during sustained exercise.

Hemodynamic and cardiovascular responses were studied in 80 males (age: 30 +/- 2 years) at rest, and during separate three minute trials of upright and supine isometric deadlift exercise at 30% of maximum voluntary contraction (MVC). MVC did not differ significantly between supine and upright deadlift exercise. In comparison to values at rest, both forms of isometric exercise resulted in significant increases (p less than 0.05) in heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, oxygen uptake, oxygen pulse and double product. In the upright exercise, the values obtained for all of the physiological variables were found to be significantly higher (p less than 0.05) than in the supine exercise. These findings indicate that the upright isometric deadlift produces a higher after-load than the supine maneuver, and that this response may be a good indicator of cardiovascular functioning.

Adult↗
PubMed1992

Evaluation of anaerobic performance capacity by the isokinetic Ariel computerized exercise system-reliability and validity.

The present study examines the reproducibility and validity of computerized muscle strength and endurance evaluation protocols using the Ariel Computerized Exercise System (ACE). Since the ACE has only recently become commercially available, there are no published normative data for various exercises, nor are the measurements' accuracy and validity for the various exercise protocols documented. Twenty males (17 to 30 years old) performed a set of isokinetic maximal leg and arm exercises on the ACE Multi Function Unit twice on 2 separate days. Test-retest correlation coefficient ranged from 0.44 (bench press) to 0.91 (bench pull and leg extension flexion). Thirty additional male subjects (16 to 31 years old) performed, on 2 separate days, the Wingate Anaerobic Test (WAnT) (leg), and various force and endurance leg exercises (squat) on the ACE. Correlation coefficients of the various performance indices between the 2 test systems ranged from -0.02 to 0.23. The results obtained on the ACE indicate moderate to high reproducibility and low concurrent validity with WAnT.

Adolescent↗
PubMed1991

Smoking effect on exercise response kinetics of oxygen uptake and related variables.

The effects of smoking on the kinetics of oxygen uptake (VO2), carbon dioxide production (VCO2), ventilation (Ve) and heart rate (HR) in the transition from rest to steady-state submaximal exercise was investigated in 6 female and 4 male smokers (32 +/- 8 yrs). The subjects underwent two counter-balanced treadmill tests at 60% of their maximal VO2, lasting 10 min each: one following a 24-hr smoking abstinence, and one immediately after smoking three cigarettes without prior abstinence. Physiological variables were measured at rest and every 30 sec throughout each test. The time required for a given variable to rise from its respective resting baseline to half of its steady-state value (t1/2) was calculated for VO2, VCO2, Ve and HR. Smoking abstinence was associated with t1/2 values of 32 +/- 8, 42 +/- 12, 43 +/- 10, and 30 +/- 9 sec for VO2, VCO2, Ve, and HR, respectively. Smoking significantly (p less than 0.01) lengthened those values to 51 +/- 12, 58 +/- 11, 54 +/- 8, and 41 +/- 10 sec. Concurrently, smoking raised the baseline (resting) values of HR (p less than 0.01) and of Ve, VCO2, O2 pulse (O2P), and both systolic and diastolic blood pressures (p less than 0.05). During steady-state exercise only HR values were elevated by smoking (p less than 0.01), while O2P values were lowered (p less than 0.05). These findings indicate that smoking considerably retards physiological responses to submaximal exercise.

Adult↗
PubMed1991

Exercise tolerance of end-stage renal disease patients.

The purpose of this study was to evaluate the exercise tolerance of end-stage renal disease patients, and to examine pulmonary function and blood lactate as its possible limiting factors. Ten end-stage renal disease patients (age 30 +/- 11) were tested at rest and in a subsequent graded treadmill test to exhaustion. Velocity was 4.8 km/h and the grade was incremented by 2.5% every 4 min. One minute of rest, used for blood sampling, separated successive stages. Pulmonary functions (FVC, FEV1) at rest were both 76% of predicted. Resting heart rate, systolic and diastolic blood pressures, and ventilatory equivalent values were higher than normal. At peak exercise, heart rate, oxygen uptake, oxygen pulse and blood lactic acid were lower than normally predicted for maximal exercise, while ventilatory equivalent and diastolic blood pressure were higher. Only six patients reached blood lactate levels beyond 4 mM.l-1 (onset of blood lactic acid), at which point they utilized 88 +/- 5% of their respective peak Vo2. The results suggest that the low exercise tolerance demonstrated in end-stage renal disease patients is not limited by the somewhat compromised pulmonary capacity or by excessive blood lactate levels.

Adult↗
PubMed1991

Physiological responses to wrist weights during endurance cycling in normal subjects.

Cardiopulmonary and metabolic responses were studied in 12 healthy males aged 45 +/- 7 yr (mean +/- SD) during 25 min of cycling exercise with (WW) and without (NW) arm swing with wrist weights at 60% and 75% of their maximal heart rate reserve (MHRR). Cycling leg work was adjusted in order to produce a constant 60% and 75% of MHRR during WW and NW sessions. The results revealed that during both exercises the cardiopulmonary and hemodynamic responses were similar. However, during the NW sessions lactic acid (LA) levels were significantly (P less than 0.01) higher than those observed during WW sessions (3.2 +/- 0.9 and 5.4 +/- 1.5 mm.l-1, vs 2.9 +/- 0.9 and 3.8 +/- 1.3 mm.-1), as were ratings of perceived exertion (RPE) (13.2 +/- 1 and 14.4 +/- 0.6, vs 12.2 +/- 1 and 13.4 +/- 1.5). These data indicated a similar pattern of hemodynamic and respiratory responses to NW and WW cycling exercises, while LA and RPE were lower in WW cycling. It is therefore suggested that arm swing with wrist weights may be a beneficial mode of exercise, distributing the workload on a larger muscle mass while maintaining the target heart rate. Thus, it enables a lower reliance on anaerobic metabolism and a lower perceived exertion.

Adult↗