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Biomedical subjects

E Titow-Stupnicka

Publications and source records attributed to E Titow-Stupnicka.

5 recordsLinked to original sources

Phosphate supplementation prevents a decrease of triiodothyronine and increases resting metabolic rate during low energy diet.

Thirty overweight women participated in 8 week slimming program consisting of a self-controlled low-energy diet (4.2 MJ/day) supplemented with highly viscous fibres and mineral tablets containing calcium, potassium and sodium phosphates (Redusan Combi, Biokraft Pharma AB, Sweden). Half of the patients received in double blind manner mineral tablets during first 4 weeks and placebo (without phosphates) during next 4 weeks (group 1) while the remaining patients were treated (cross-over) with placebo first and mineral tablets in the final period (group 2). The rate of weight loss was similar in groups 1 and 2 (4.7 vs 5.2 kg during the first 4 weeks and 2.7 vs 3.0 kg in the further 4 weeks). During periods of phosphate supplementation, the resting metabolic rate (RMR) increased by approx. 12% (p < 0.05) in group 1 and 19% (p < 0.05) in group 2. Phosphate supplementation ameliorated also a decrease in plasma triiodothyronine level and a decrease in thyroxine to triiodothyronine ratio. There were no differences between groups in the plasma insulin, catecholamine, growth hormone, cortisol and testosterone levels. Phosphate supplementation did not affect plasma lipids or blood glucose concentration. It is concluded that phosphate supplementation in obese patients on a low-energy diet enhances RMR irrespectively of the rate of weight loss. This effect seems to be, at least partly, due to an influence of phosphates on peripheral metabolism of thyroid hormones.

Adult

Effect of mild psychological stress on physiological responses to exercise in men.

UNLABELLED: To find out whether a negative shift in subject's mood alters cardio-respiratory and endocrine responses to exercise, 20 young men performed a graded bicycle ergometer test (50, 100, 150 W): 1) when they experienced a mixed emotional and cognitive stress before exercise (1st session), 2) when they were familiarized with the laboratory and rested quietly before exercise (2nd session). The subjects' mood was assessed by the Profile of Mood State (POMS) questionnaire. In the 1st session the subjects started exercise with significantly higher scores of tension, anger, depression, confusion and global mood in comparison with the 2-nd session. They also had slightly elevated systolic blood pressure, blood lactate, plasma cortisol and noradrenaline concentrations. During exercise performed in the 1st session only plasma free and total noradrenaline and cortisol levels were higher than those in the 2nd session. IN CONCLUSION: a mild psychological stress, causing the mood worsening before standard exercise test, does not evoke pronounced alterations in cardio-respiratory responses to exercise in healthy men, but it does affect the magnitude of exercise-induced changes in both plasma free and total noradrenaline concentrations.

Adult

Hypohydration increases the plasma catecholamine response to moderate exercise in the dog (Canis)

1. The effects of hypohydration produced by 48 hr water deprivation were examined in dogs during moderate treadmill exercise at an ambient temperature (Ta) of 21 degrees C. 2. Hypohydration caused a significant elevation in plasma levels of adrenaline (A), proteins (pp) and osmolality (pOsm). 3. During 1 hr of running, plasma concentrations of adrenaline (A) and noradrenaline (NA) rose significantly, whilst no change in these hormones occurred in dogs hydrated ad libitum. 4. The results suggest that hypovolemia in the dog may be a sufficient stimulus to intensify the sympatho-adrenal response to moderate exercise performed at a room Ta.

Animals

Effect of phosphate supplementation on metabolic and neuroendocrine responses to exercise and oral glucose load in obese women during weight reduction.

Thirty six obese women (BMI 29.5 to 44.0 kg m-2, aged 27 to 45 yrs) participated in the 4- week weight reducing program. All of them have prescribed low fat diet of approx. 4.2 MJ (1000 kcal per day) with high viscous fibre capsules as a basic supplement. In addition 18 women (group 1) received Redusan mineral tablets containing mainly calcium and potassium phosphates while the remaining subjects (group 2) were given Placebo instead of mineral tablets. Before energy restriction and after 4 weeks on the diet, half of the women from each group performed 30 min--bicycle ergometer exercise (30-50 W; HR approx. 110 beats.min-1). The remaining subjects were submitted to oral glucose (75 g) tolerance test (OGTT). Weight loss during energy restriction was not affected by phosphate supplementation (4.6 +/- 0.4 and 5.2 +/- 0.5 kg in group 1 and 2, respectively). Phosphates caused a significant increase (p < 0.05) in the resting metabolic rate (RMR). Net energy cost of work, resting and post-exercise blood glucose, lactate, plasma FFA, adrenalin, cortisol, growth hormone, insulin and testosterone did not differ between the groups receiving phosphates and placebo while respiratory exchange ratio was slightly higher (p < 0.05), and the plasma beta-hydroxybutyrate concentration lower (p < 0.05) than without phosphate supplementation. Post-exercise plasma noradrenaline was significantly lowered after 4 weeks of energy restriction in group 2 (on Placebo). Neither blood glucose, plasma insulin and noradrenaline responses to oral glucose ingestion nor the glucose induced thermogenesis were significantly affected by phosphate supplementation, whilst blood pressure increases following glucose load were reduced (p < 0.05). In conclusion, the present study confirmed a potential usefulness of phosphate supplementation during energy restriction in obese patients due to its effect on resting metabolic rate. The results did not, however, reveal any major alterations in the metabolic and hormonal responses to exercise or to glucose ingestion in comparison with placebo treatment.

Adult

Thermal effect of glucose in women with normal carbohydrate tolerance: relationship to body mass index, blood insulin and noradrenaline.

UNLABELLED: Relationships between energy expenditure, body mass index (BMI), blood glucose (BG) responses to glucose ingestion were studied in 35 women aged 22-55 yrs with normal carbohydrate tolerance. In 13 of them plasma insulin (IRI) and catecholamine concentrations were also determined. Thirty seven per cent of patients did not respond to glucose load with an increased energy expenditure. In the remaining women the average thermogenic effect amounted to approx. 10% of their initial metabolic rate. A significant negative correlation (r = -0.415, n = 35, P(0.02) was found between BMI and the overall thermal effect of glucose (sigma TEG) calculated as a sum of the post-glucose energy expenditure measured every 15 min during 2 h minus the baseline value. Neither the fasting nor the post glucose BG concentrations correlated with sigma TEG. Significant correlations were ascertained between sigma TEG and the fasting IRI (r = -0.568), the sigma post-glucose IRI (r = -0.723), the ratio of sigma BG/sigma IRI (r = 0.845) and the post-glucose plasma noradrenaline concentration (r = 0.837). IN CONCLUSION: in women with normal carbohydrate tolerance the thermogenic effect of glucose depends to a large extent on insulin sensitivity and the glucose-induced activation of the sympathetic nervous system.

Adult