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Biomedical subjects

L E Armstrong

Publications and source records attributed to L E Armstrong.

At least 55 records · Page 3Linked to original sources

Dietary supplementation and improved anaerobic performance.

In the present study, the effects of an increased daily dose of a dietary supplement (ATP-E, 0.2 g.kg-1.day-1) on Wingate test performance were examined in 12 men (21 +/- 1.6 years) prior to and following 14 days of supplement and placebo ingestion. A double-blind and counterbalanced design was used. Results revealed higher (p < .007) preexercise blood ATP (95.4 +/- 10.5 mumol.dl-1) for the entire group following 14 days of ATP-E ingestion compared to placebo measures (87.6 +/- 10.9 mumol.dl-1). Mean power (667 +/- 73 W) was higher (p < .008) after 14 days of ATP-E ingestion versus placebo (619 +/- 67 W). Peak plasma lactate was lower (p < .07) after 14 days of ATP-E ingestion (14.9 +/- 2.8 mmol.L-1) compared to placebo (16.3 +/- 1.6 mmol.L-1). These data suggested that the improvement in 30-s Wingate test performance in this group may be related to the increased dose of ATP-E.

Adenosine Triphosphate↗

The effects of exercise training of different intensities on neuromuscular junction morphology.

Little is known about the effects of exercise training on neuromuscular junction morphology in skeletal muscle. The objectives of this investigation were: 1) to determine if exercise training would elicit changes in neuromuscular junction morphology, 2) to determine if exercise training of different intensities would evoke specific changes in neuromuscular junction morphology, and 3) to determine whether changes in neuromuscular junction structure occur independently of changes in muscle fibre type and size. Twenty-four age and size matched male Sprague-Dawley rats were randomly assigned to three groups: high-intensity trained (HIT), low-intensity trained (LIT), or untrained. Neuromuscular junction morphology of the soleus muscle was determined via immunofluorescent staining. Presynaptic acetylcholine vesicles were visualized with SV-2 antibody in conjunction with fluorescein isothiocyanate labelled secondary secondary antibody. Postsynaptic acetylcholine receptors were identified with rhodamine labelled alpha-bungarotoxin. Laser scanning microscopy was used to produce images of synapses, which were used to quantitate the following: total area of SV-2 and alpha-bungarotoxin staining, density of acetylcholine vesicles and receptors, structural complexity, and synaptic coupling. To visualize nerve terminal branching, a smaller number of neuromuscular junctions were stained with C-2 antibody, which reacts with a neurofilament epitope, in conjunction with fluorescein isothiocyanate labelled secondary antibody. Total length of branching, number of branches, average length of branches, and ratio of secondary to primary branches per neuromuscular junction were determined. Citrate synthase activity, fibre type composition and fibre cross-sectional areas of the soleus muscle were assessed to determine the presence of a training effect in that muscle. Results indicate that training did induce hypertrophy of the neuromuscular junction that was independent of muscle hypertrophy. Although the HIT and LIT groups exhibited similar hypertrophic responses of the neuromuscular junction, the HIT group displayed more dispersed synapses than the LIT group. Neither exercise training program, however, resulted in altered densities of acetylcholine vesicles or receptors, nor did training significantly change synaptic coupling. Nerve terminal branching was also affected by exercise training. Neuromuscular junctions from the HIT group demonstrated a greater total length of branching, average length per branch, and number of finer, or secondary, branches than those of the LIT group.

Acetylcholine↗

Responses to moderate and low sodium diets during exercise-heat acclimation.

This investigation examined whether low sodium (Na+) (LNA; 68 mEq Na+.d-1) or moderate Na+ (MNA; 137 mEq Na+.d-1) intake allowed humans to maintain health, exercise, and physiologic function during 10 days of prolonged exercise-heat acclimation (HA). Seventeen volunteers, ages 19 to 21, consumed either LNA (n = 8) or MNA (n = 9) during HA (41 degrees C, 21% RH; treadmill walking for 30 min.h-1, 8 h.d-1 at 5.6 km.h-1, 5% grade), which resulted in significantly reduced heart rate, rectal temperature, and urine Na+ for both groups. There were few between-diet differences in any variables measured. Mean plasma volume in LNA expanded significantly less than in MNA by Days 11 and 15, but reached the MNA level on Day 17 (+12.3 vs. +12.4%). The absence of heat illness, the presence of normal physiologic responses, and the total distance walked indicated successful and similar HA with both levels of dietary Na+.

Acclimatization↗

Perceived exertion during hypobaric hypoxia in low- and moderate-altitude natives.

Ratings of perceived exertion (RPE) were examined in six low- (LAN) and eight moderate- (MAN) altitude natives during exercise at their residence (home) altitude (366 m and 2,200 m, respectively) and 1-4 wk later following 2-d decompression to 4,270 m (447 mm Hg). Cardiorespiratory, plasma lactate, and differentiated RPE measures were obtained at exercise intensities representing 35, 55, 75, 85, and 100% VO2peak. In general, cardiorespiratory and plasma lactate values were similar in LAN and MAN at their residence altitudes and during hypobaric hypoxia. However, the decrease in VCO2 was greater (P < 0.05) in LAN than MAN. At their residence altitudes, both LAN and MAN reported local RPE values that were greater (P < 0.05) than central ratings at the moderate to high exercise intensities. At 447 mm Hg, central and local RPE were similar in LAN. However, there was a significant correlation between acute mountain sickness (AMS) symptoms and central RPE (r = 0.875) across the five exercise intensities in LAN. The differences between the central and local RPE noted in MAN during their residence testing also persisted at 447 mm Hg. Thus, differentiated ratings of perceived exertion were similar in MAN at their residence altitude and at 4,270 m, but not in LAN subjects. Several factors, including AMS, may have contributed to this group difference in the RPE response.

Adult↗

Symptomatic hyponatremia during prolonged exercise in heat.

Although hyponatremia (HN) has been reported among endurance athletes, its etiology often remains uncertain and of great interest to clinicians and physiologists. This case report presents physiologic evidence regarding the etiology and development of HN during exercise in the heat. A 21-yr-old male volunteer (K.G.) unexpectedly experienced symptomatic HN during a research investigation that involved controlled sodium (Na+) intake (137 mEq Na+.d-1 for 7d) and exercise-heat acclimation (41 degrees C; 30 min.h-1, 8 h.d-1 for 10 d). Fluid balance, physiologic variables, and hematologic/hormone data were measured before and after the HN episode, with similar measurements recorded for nine unaffected volunteers. The results indicated: 1) HN was verified in K.G. (plasma Na+ < 130 mEq.l-1) after only 4 h of mild, intermittent exercise in heat; 2) K.G.'s heart rate, rectal temperature, blood pressure, and Na+ losses in sweat and urine were < or = control subjects at all times; 3) between hours 4-7, an inappropriately large release of vasopressin coincided with a decrease of urine volume to 0 ml.h-1. It was concluded that a large intake (10.3 l.7h-1) and retention (2.77 l.7h-1) of water and a "low normal" initial plasma Na+ (134 mEq.l-1) were primary factors in the development of HN in K.G., whereas Na+ losses in sweat and urine were normal and served only to exacerbate HN.

Adult↗

Oxygen consumption following exercise of moderate intensity and duration.

To study the effects of exercise intensity and duration on excess postexercise oxygen consumption (EPOC), 8 men [age = 27.6 (SD 3.8) years, VO2max = 46.1 (SD 8.5) ml min-1 kg-1] performed four randomly assigned cycle-ergometer tests (20 min at 60% VO2max, 40 min at 60% VO2max, 20 min at 70% VO2max, and 40 min at 70% VO2max). O2 uptake, heart rate and rectal temperature were measured before, during, and for 1 h following the exercise tests. Blood for plasma lactate measurements was obtained via cannulae before, and at selected times, during and following exercise. VO2 rapidly declined to preexercise levels following each of the four testing sessions, and there were no differences in EPOC between the sessions. Blood lactate and rectal temperature increased (P < 0.05) with exercise, but had returned to preexercise levels by 40 min of recovery. The results indicate that VO2 returned to resting levels within 40 min after the end of exercise, regardless of the intensity (60% and 70% VO2max) or duration (20 min and 40 min) of the exercise, in men with a moderate aerobic fitness level.

Adult↗

Fluid-electrolyte losses in uniforms during prolonged exercise at 30 degrees C.

The effects of several uniform configurations on fluid and electrolyte losses in a hot environment (30 degrees C db, 18 degrees C wb) were studied in 15 healthy males, during 6 h of intermittent treadmill exercise (1.56 m.s-1, 0% grade, 50 min.h-1, 28 km total distance). The uniforms were: the temperate battle dress uniform (BDU), two variants (C and F) of full military oriented protective posture (MOPP IV), and MOPP IV with no mask or hood (M). Sweat rate, urine volume, electrolyte losses (Na+, Cl-, K+, Mg++, Ca++) in sweat and urine, rectal temperature, mean skin temperature, heart rate, and temperature/humidity inside uniforms were measured. Observations indicated that both MOPP IV configurations (C and F) resulted in significantly greater (p. less than 0.05) fluid losses and physiological strain than BDU and M. However, there were no between-uniform differences in the total loss of any electrolyte. Total body fluid losses (kg.6h-1) and electrolyte losses in sweat (mEq.6h-1) were consistently greater than in urine. It was concluded that 6 h of exercise in uniforms at 30 degrees C can result in losses of Na+ and Ca++ which exceed the normal daily intake of these electrolytes. Supplementation of fluid, Na+, and Ca++ appears to be warranted when scenarios require 6 h or more of uniformed exposure to heat.

Adult↗

Anaerobic power responses to amino acid nutritional supplementation.

To examine the effect of a nutritional supplement (ATP-E) on high intensity exercise performance, 23 physically active males volunteered to perform six Wingate Anaerobic Power tests. Tests were performed prior to and at 14 and 21 days during ATP-E or placebo ingestion. The experiment followed a double-blind and random-order design. Twelve subjects (responders, R) showed an increase in preexercise blood ATP on Day 14 of ATP-E ingestion compared to control measures. The remaining 11 subjects (nonresponders, NR) had no change in preexercise blood ATP. Peak power and mean power were unchanged for both R and NR subjects across the exercise tests, but R experienced a decrease (p < 0.05) in immediate post-exercise plasma lactate on Day 14 of ATP-E testing compared to their control measures. NR had no change in peak plasma lactate at any time during the study. The results suggest that short-term high intensity exercise performance was maintained in R with less reliance on anaerobic metabolism, and that response was evident following 14 days of ATP-E ingestion.

Adenosine Triphosphate↗

The induction and decay of heat acclimatisation in trained athletes.

Heat acclimatisation/acclimation involves a complex of adaptations which includes decreased heart rate, rectal temperature, perceived exertion as well as increased plasma volume and sweat rate. These adaptations serve to reduce physiological strain, improve an athlete's ability to exercise in a hot environment, and reduce the incidence of some forms of heat illness. Few differences exist in the ability of men and women to acclimatise to heat. Typically, older runners do not perform in the heat as well as younger runners, but physical training can negate differences between these groups. Hormonal adaptations (e.g. aldosterone, vasopressin) during heat acclimatisation encourage fluid-electrolyte retention and cardiovascular stability. Athletes with high maximal aerobic power (VO2max) acclimatise to heat faster (and lose adaptations slower when they are inactive in a cool environment) than athletes with low VO2max values. Physical training in a cool environment improves physiological responses to exercise at high ambient temperatures. In attempting to optimise heat acclimatisation, athletes should maintain fluid-electrolyte balance, exercise at intensities greater than 50% VO2max for 10 to 14 days, and avoid factors (e.g. sleep loss, infectious disease) which are known to reduce heat tolerance. Once acclimatisation has been achieved, inactivity results in a decay of favourable adaptations, after only a few days or weeks.

Adaptation, Physiological↗

Prediction of the exercise-heat tolerance of soldiers wearing protective overgarments.

The purpose of this investigation was to see whether subject characteristics and physiologic measurements predicted exercise-heat tolerance (EHT) and voluntary tolerance time in young soldiers. A total of 18 unacclimatized males attempted six 50-min periods of treadmill walking (4.0 km.h-1, 0% grade, 33 degrees C db, 20% rh) while wearing protective overgarments. Two post hoc groups of soldiers were defined: high EHT (H) and low EHT (L), having mean (+/- S.E.) tolerance times of 360 +/- 0 and 222 +/- 12 min, respectively. Significant (p less than 0.05) H vs. L differences were observed in pretrial body mass, percent fat, and mass-to-surface area ratio (M/SA), as well as 170 min HR, Tsk and heat storage. The first three of these factors indicated that preexercise anthropomorphic characteristics may be used to distinguish H from L. The HR and Tsk differences were interpreted to mean that L experienced greater cardiovascular strain in protective overgarments because of a higher Tsk, which resulted in increased pooling of blood in cutaneous vessels, decreased cardiac filling pressure, and increased fatigue. Because HR variables were the strongest correlates of exercise tolerance time (r2 = 0.60 for HR at 170 min, r2 = 0.83 for time to reach HR of 160 beats.min-1) a novel HR monitoring technique was proposed which uses a wrist-mounted cardiotachometer to predict tolerance time.

Adult↗

Mass-to-surface area index in a large cohort.

Many biological and anthropological investigations have described the role between mass-to-surface area index (M/SA) and heat tolerance. No large M/SA database exists that can be used as a reference standard to interpret previous or future M/SA studies. This report presents the M/SA data of a large military cohort (1,170 males aged 17-54 years, 305 females aged 17-40 years). The effects of gender, ethnic group, and age on the distribution of M/SA, as well as the relationship between M/SA and other physical characteristics, were described. It was observed that the increases of M/SA with increasing age (over the 17-75 years category) were not significant. All descriptive characteristics (including M/SA) were different (P less than .001) between males and females. M/SA was not statistically different between ethnic groups among both males and females. These data may be utilized to compare the M/SA values of U.S. citizens to those of other ethnic groups and to identify those laborers or athletes who possess the greatest theoretical risk of heat intolerance.

Adolescent↗

Evaluation of a temperate-environment test of heat tolerance in prior heatstroke patients and controls.

It has been reported that scores from a temperate-environment step test describe the heat-tolerance status of prior heatstroke patients (HP). This investigation evaluated the ability of this temperate-environment heat-tolerance test (HTT) to indicate altered heart rate (HR) and rectal temperature (Tre) responses of HP, after 7 days of heat acclimation. On day 1, ten male HP (61 +/- 7 days post-heatstroke) and five control subjects (C) bench-stepped (0.30 m high, 27 steps.min-1) for 15 min (25.8 degrees C dry bulb, 16.2 degrees C wet bulb). On days 2-8, subjects underwent heat acclimation (40.1 degrees C dry bulb, 23.8 degrees C wet bulb; treadmill, 90 min.day-1). Heat acclimation resulted in significant decreases in final HR (152 +/- 5 vs 130 +/- 3 beats.min-1, P less than 0.025) and final Tre (38.62 +/- 0.11 vs 38.13 +/- 0.07 degrees C, p less than 0.01) in HP. One HP but no C was defined heat intolerant, exhibiting inability to adapt to daily exercise in the heat. On day 9, HP repeated HTT, exactly as performed on day 1; mean group HTT scores did not change (day 1 = 39 +/- 6; day 9 = 48 +/- 6, P greater than 0.05). All physical characteristics and physiological responses of HP (days 1, 2, 7, 9) were statistically similar (P greater than 0.05) to those of C. In contrast to heat-acclimation data, HTT scores (score less than or equal to 30) indicated that four HP were heat intolerant on day 1 and two HP were heat intolerant on day 9.(ABSTRACT TRUNCATED AT 250 WORDS)

Acclimatization↗

Time course of recovery and heat acclimation ability of prior exertional heatstroke patients.

Our understanding of the time course of recovery from exertional heatstroke (EH) and the heat acclimation ability of prior EH patients is limited. This manuscript reviews previous findings regarding recovery from EH and presents original research involving the heat acclimation ability of 10 prior EH patients (PH) and 5 control subjects. Heat acclimation, by definition, distinguishes heat-intolerant from heat-tolerant prior heatstroke patients. Nine PH exhibited normal heat acclimation adaptations (40.1 degrees C, 7 d, 90 min.d-1), thermoregulation, sweat gland function, whole-body sodium and potassium balance, and blood values at 61 +/- 7 d after EH. One PH (subject A) did not adapt to exercise in the heat, was defined heat intolerant, but subsequently was declared heat tolerant (11.5 months post-EH). Three PH exhibited large, unexpected increases in serum CPK levels, which resolved upon subsequent testing, and were probably related to their detrained state and the exercise which they performed. It was concluded that: 1) sleep loss and generalized fatigue were the most common predisposing factors for PH; 2) recovery from EH was idiosyncratic and may require up to 1 year in severe cases; 3) PH were not hereditarily heat intolerant, prior to EH; 4) no measured variable predicted recovery from EH, or heat acclimation responses; 5) heat intolerance occurs in a small percentage of prior heatstroke patients, and may be transient or persistent.

Acclimatization↗

Effects of water temperature and flavoring on voluntary dehydration in men.

Effects of water temperature and flavoring on fluid consumption and body weight losses were studied in fourteen unacclimatized men (21-33 years) during 6 hr of treadmill exercise (4.8 km.hr-1, 5% grade for 30 min.hr-1) in a hot environment. Subjects consumed each of four beverages (15 degrees C water, 40 degrees C water, 15 degrees C flavored water, and 40 degrees C flavored water) on four nonconsecutive days. We identified two groups of individuals by body weight (BW) loss during the cool water trial: drinkers (D) who lost less than 2% initial BW (0.80 +/- 0.15%) and reluctant drinkers (RD) who lost more than 2% (2.53 +/- 0.12%). Although sweat losses were not different between the two groups, D consumed 31% more cool water than RD and experienced 68% less BW loss. Compared to the warm water trial, 6 hr consumption of cool water was significantly increased in both D (59%) and RD (141%) and BW loss was dramatically reduced in both groups. Flavoring significantly enhanced warm water consumption and reduced BW loss in RD only. Reduced consumption of warm water increased rectal temperature, heart rate and plasma osmolality in both groups. The results of this study indicate that either flavoring or cooling warm water will enhance fluid intake and reduce body weight deficits in men reluctant to drink.

Adult↗

Plasma cortisol, renin, and aldosterone during an intense heat acclimation program.

The physiologic responses to an intense heat acclimation (HA) regimen (treadmill, 41.2 degrees C, 8 days, 56 min exercise/44 min rest) and the effects on stress and fluid balance hormone responses were examined in 13 unacclimated male volunteers. Venous blood samples were collected before (PRE) and after (POST) exercise (days 1, 4, 8) and analyzed for plasma renin activity (PRA), aldosterone (ALD), cortisol (PC), plasma volume shifts (delta PV%), sodium concentration (Na+), and potassium concentration (K+). HA responses (day 1 vs day 8) indicated reduced strain (P less than 0.05): decreased heart rate, rectal temperature, skin temperature, improved defense of PV, and attenuated PC responses. While plasma Na+ demonstrated no change during daily exercise, K+ (P less than 0.01), PC, PRA, and ALD increased (P less than 0.05) more than delta PV%(day 1: -7.1%, day 8: -5.1%) accounted for. Na+ and K+ did not change as a result of HA, and there was no change in fluid balance hormones (e.g., PRA, ALD). It was concluded that this intense heat acclimation regimen reduced physiologic strain by mechanisms other than alterations in fluid balance hormones and offered few physiologic advantages which cannot be gained through conventional heat acclimation techniques (e.g., walking).

Acclimatization↗

Modulation of human plasma fibronectin levels following exercise.

Elevated reticuloendothelial function and plasma fibronectin (PF) level correlate with reduced rat heat shock mortality. Procedures that enhance human PF level may offer some advantage in dealing with the adverse effects of environmental stress. Both short- (STE) and long- (LTE) term exercise programs were evaluated for their ability to increase male human PF. STE (1 week; N = 14) consisted of treadmill running (0% grade) in a hot environment (41 degrees C, 39% relative humidity). The LTE (12 weeks) program was studied in two parts (LTE-1, N = 10; LTE-2, N = 19), with each part divided into four subject groups. Two groups performed the same running program combined with either full-body or upper-body weight training. The other two groups participated in only the running or full-body weight training. STE and LTE-2 had a significantly (p less than 0.05) higher mean initial PF level than LTE-1. STE (337.1 +/- 22.8 vs. 372.5 +/- 17.0 micrograms.ml-1). LTE-1 (266.0 +/- 13.0 vs. 348.0 +/- 18.8 micrograms.ml-1), and LTE-2 (370.9 +/- 13.8 vs. 413.6 +/- 12.5 micrograms.ml-1) all resulted in significant (p less than 0.05) increases in PF after program completion. Therefore, with diverse exercise training programs, PF elevations were attained even when initial concentration was high or the program was of short or long duration. However, PF level was suppressed in LTE-2 at 4 (323.2 +/- 10.8 micrograms.ml(-1)) and 8 (339.6 +/- 15.0 micrograms.ml(-1)) weeks before elevations occurred at 12 weeks.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗