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Biomedical subjects

R A Fielding

Publications and source records attributed to R A Fielding.

52 records · Page 3Linked to original sources

Acute phase response in exercise: interaction of age and vitamin E on neutrophils and muscle enzyme release.

Several host defense responses and metabolic reactions that occur during infection have been observed after exercise. We hypothesized that these reactions, known as the "acute phase response," contribute to the breakdown and clearance of damaged tissue after exercise. This hypothesis was tested with 21 male volunteers representing two ranges of age (22-29 and 55-74 yr), who ran downhill on an inclined treadmill to accentuate damaging eccentric muscular contractions. The subject groups were further divided in a double-blind placebo-controlled protocol, which examined the influence of 48 days of dietary vitamin E supplementation before the exercise. All subjects were monitored for 12 days after exercise for changes in circulating leukocytes, superoxide release from neutrophils, lipid peroxidation, and efflux of the intramuscular enzyme creatine kinase (CK) into the circulation. Among those receiving placebo, the less than 30-yr-old subjects responded to exercise with a significantly greater neutrophilia and higher plasma CK concentrations than the greater than 55-yr-old subjects. Dietary supplementation with vitamin E tended to eliminate the differences between the two age groups, primarily by increasing the responses of the greater than 55-yr-old subjects. At the time of peak concentrations in the plasma, CK correlated significantly with superoxide release from neutrophils. The association of enzyme efflux with neutrophil mobilization and function supports the concept that neutrophils are involved in the delayed increase in muscle membrane permeability after damaging exercise.

Acute-Phase Reaction↗

Increased interleukin 1 beta in human skeletal muscle after exercise.

Interleukin 1 beta (IL-1 beta) is a protein released from blood monocytes and related cells in response to infectious or inflammatory stimuli. Although IL-1 beta is elevated in the circulation for only a few hours after an acute inflammatory challenge or exercise, it has been proposed to mediate anabolic and catabolic processes that can last for several days. In this report, eccentric exercise was used as a noninfectious inflammatory stimulus. IL-1 beta was found in muscle tissue up to 5 days after exercise using specific immunohistochemical tissue staining. Increased IL-1 beta immunoreactivity was observed in muscle tissue from four human subjects who performed the exercise, but not in tissue obtained at the same time intervals from two subjects who did not exercise. Little immunohistochemical evidence of interleukin-1 alpha or tumor necrosis factor alpha was observed before or after exercise. These results implicate IL-1 beta in the metabolic adaptations of muscle tissue, which occur in response to noninfectious stresses.

Adult↗

Effects of pre-exercise carbohydrate feedings on muscle glycogen use during exercise in well-trained runners.

The purpose of this study was to examine the effects of pre-exercise glucose and fructose feedings on muscle glycogen utilization during exercise in six well-trained runners (VO2max = 68.2 +/- 3.4 ml X kg-1 X min-1). On three separate occasions, the runners performed a 30 min treadmill run at 70% VO2max. Thirty minutes prior to exercise each runner ingested 75 g of glucose (trial G), 75 g of fructose (trial F) or 150 ml of a sweetened placebo (trial C). During exercise, no differences were observed between any of the trials for oxygen uptake, heart rate or perceived exertion. Serum glucose levels were elevated as a result of the glucose feeding (P less than 0.05) reaching peak levels at 30 min post-feeding (7.90 +/- 0.24 mmol X l-1). With the onset of exercise, glucose levels dropped to a low of 5.89 +/- 0.85 mmol X l-1 at 15 min of exercise in trial G. Serum glucose levels in trials F and C averaged 6.21 +/- 0.31 mmol X l-1 and 5.95 +/- 0.23 mmol X l-1 respectively, and were not significantly different (P less than 0.05). There were also no differences in serum glucose levels between any of the trials at 15 and 30 min of exercise.

Adult↗

Eccentric exercise-induced muscle damage impairs muscle glycogen repletion.

Five healthy untrained young male subjects were studied before, immediately after, and 10 days after a 45-min bout of eccentric exercise on a cycle ergometer (201 W). The subjects were sedentary at all other times and consumed a eucaloric meat-free diet. Needle biopsies of the vastus lateralis muscle were examined for intracellular damage and glycogen content. Immediately after exercise, muscle samples showed myofibrillar tearing and edema. At 10 days, there was myofibrillar necrosis, inflammatory cell infiltration, and no evidence of myofibrillar regeneration. Glycogen utilization during the exercise bout was 33 mmol glycosyl units/kg muscle, consistent with the metabolic intensity of 44% of maximal O2 uptake; however, the significant glycogen use by type II fibers contrasted with concentric exercise performed at this intensity. At 10 days after exercise, muscle glycogen was still depleted, in both type I and II fibers. It is possible that the alterations in muscle ultrastructures were related to the lack of repletion of muscle glycogen. Damage produced by eccentric exercise was more persistent than previously reported, indicating that more than 10 days may be necessary for recovery of muscle ultrastructure and carbohydrate reserves.

Adult↗

Substrate utilization in leg muscle of men after heat acclimation.

Eight men were heat acclimated (39.6 degrees C and 29.2% rh) for 8 days to examine changes in substrate utilization. A heat exercise test (HET), (cycling for 60 min; 50% maximal O2 consumption) was performed before (UN-HET) and after (ACC-HET) the acclimation period. Muscle glycogen utilization (67.0 vs. 37.6 mmol/kg wet wt), respiratory exchange ratio (0.85 +/- 0.002 vs. 0.83 +/- 0.001), and calculated rate of carbohydrate oxidation (75.15 +/- 1.38 vs. 64.80 +/- 1.52 g/h) were significantly reduced (P less than 0.05) during the ACC-HET. Significantly lower (P less than 0.05) femoral venous glucose (15, 30, and 45 min) and lactate (15 min) levels were observed during the ACC-HET. No differences were observed in plasma free fatty acid (FFA) and glycerol concentrations or glucose, lactate and glycerol arteriovenous uptake/release between tests. A small but significant increase (P less than 0.05) above resting levels in FFA uptake was observed during the ACC-HET. Leg blood flow was slightly greater (P greater than 0.05) during the ACC-HET (4.64 +/- 0.13 vs. 4.80 +/- 0.13 l/min). These findings indicate a reduced use of muscle glycogen following heat acclimation. However, the decrease is not completely explained by a shift toward greater lipid oxidation or increased blood flow.

Acclimatization↗

Effect of pre-exercise carbohydrate feedings on endurance cycling performance.

Six men were studied to compare the effects of pre-exercise carbohydrate feedings on endurance performance and muscle glycogen utilization during prolonged exercise. Trials consisted of a cycling ride to exhaustion at 75% maximal oxygen uptake preceded by the ingestion of either 75 g of glucose in 350 ml of water (GLU), 75 g of fructose in 350 ml of water (FRU), or 350 ml of an artificially sweetened and flavored placebo (CON). No differences were observed between trials for oxygen uptake, respiratory exchange ratio, heart rate, or exercise time to exhaustion (CON = 92.7 +/- 5.2 min, FRU = 90.6 +/- 12.4, and GLU = 92.8 +/- 11.3, mean +/- SE). Blood glucose was elevated as a result of the GLU feeding, but fell rapidly with the onset of exercise, reaching a low of 4.02 +/- 0.34 mmol X l-1 at 15 min of exercise. Serum insulin also increased following the GLU feeding but had returned to pre-drink levels by 30 min of exercise. No differences in blood glucose and insulin were observed between FRU and CON. Muscle glycogen utilization during the first 30 min of exercise (CON = 46.3 +/- 8.2 mmol X kg-1 wet weight, FRU = 56.3 +/- 3.0 mmol X kg-1 wet weight, GLU = 50.0 +/- 4.9 mmol X kg-1 wet weight) and total glycogen use (CON = 93.4 +/- 11.1, FRU = 118.8 +/- 10.9, and GLU = 99.5 +/- 4.3) were similar in the three trials.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Effect of reduced training on muscular strength and endurance in competitive swimmers.

Following 5 months of competitive training (approximately 9,000 yards.d-1, 6 d.wk-1), three groups of eight male swimmers performed 4 wk of either reduced training (3,000 yard.session-1) or inactivity. Two groups reduced their training to either 3 sessions.wk-1 (RT3) or 1 session.wk-1 (RT1), whereas the third group (IA) did no training. Measurement of muscular strength (biokinetic swim bench) showed no decrement in any group over the 4 wk. In contrast, swim power (tethered swim) was significantly decreased (P less than 0.05) in all groups, reaching a mean change of -13.6% by week 4. Blood lactate measured after a standard 200-yard (183 m) front crawl swim increased by 1.8, 3.5, and 5.5 mM over the 4 wk in groups RT3, RT1 and IA, respectively. In group RT1, stroke rate measured during the 200-yard swim significantly increased (P less than 0.05) from 0.54 +/- 0.03 to 0.59 +/- 0.03 strokes.-1 while stroke distance significantly decreased (P less than 0.05) from 2.50 +/- 0.08 to 2.29 +/- 0.13 m.stroke-1 during the 4-wk period. Both stroke rate and stroke distance were maintained in group RT3 over the 4 wk of reduced training. Group IA was not tested for stroke mechanics. Whereas maximal oxygen uptake decreases significantly (P less than 0.05) over the 4 wk in group RT1 (4.75 to 4.62 l.min-1), no change in maximal oxygen uptake was observed in group RT3. These results suggest that aerobic capacity is maintained over 4 wk of moderately reduced training (3 sessions.wk-1) in well-trained swimmers. Muscular strength was not diminished over 4 wk of reduced training or inactivity, but the ability to generate power during swimming was significantly reduced in all groups.

Adolescent↗

Influence of selected carbohydrate drinks on cycling performance and glycogen use.

Eight well-trained male cyclists were used to determine the influence of carbohydrate feedings on exercise performance and muscle glycogen use. Two days prior to each trial, the subjects performed a 60-min "depletion ride" at 70% VO2max, which was followed by the ingestion of a high carbohydrate diet (approximately 500 g X -1). During the experimental trials, the men performed 2 h of cycling exercise and consumed 150 ml of 1 of 4 solutions at 24-min intervals. The drinks were: H2O (artificially flavored and sweetened); maltodextrin (5 g X 100 ml-1) and fructose (5 g X 100 ml-1); maltodextrin (7.7 g X 100 ml-1) and high fructose corn syrup (2.3 g X 100 ml-1); maltodextrin (3 g X 100 ml-1 and glucose (2 g X 100 ml-1). The amount of work completed during the four trials was not significantly different. Initial glycogen levels were high, and glycogen values were not significantly different at the beginning of exercise or at 90 min (185.35 +/- 3.26 and 91.93 +/- 3.39, respectively). Blood glucose was greater at 60 min in trial maltodextrin and glucose (5.70 +/- 0.36 mmoles X l-1), maltodextrin and high fructose corn syrup (6.05 +/- 0.54), and maltodextrin and fructose (6.03 +/- 0.42) compared to H2O (4.97 +/- 0.35) (P less than 0.05). Blood glucose remained elevated at 90 min during the maltodextrin and fructose and maltodextrin and high fructose corn syrup trials and at 120 min in the maltodextrin and fructose trial. No differences were observed between trials in blood lactate, serum glycerol, respiratory exchange ratio, or the subjects' perception of effort.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

The effects of high intensity exercise on muscle and plasma levels of alpha-ketoisocaproic acid.

Alpha-ketoisocaproic acid (KIC) is the product of the transamination of the indispensable amino acid leucine, which is the first step in the complete degradation of leucine. To determine the effects of intense exercise on muscle and blood levels of KIC, 7 male volunteers performed cycle exercise to exhaustion. After pedaling at an intensity of 90 W for 3 min, the load was increased by 60 W every 3 min until volitional fatigue. Muscle biopsies were obtained prior to and immediately after exercise and rapidly frozen for later determination of KIC. During exercise, blood lactate levels increased as expected, while plasma KIC levels did not change. Following exercise, plasma KIC levels rose significantly with peak values occurring 15 min after exercise and did not return to pre-exercise values until 60 min after exercise. In contrast, muscle KIC levels increased during exercise from a pre-exercise mean of 49.4 +/- 4.1 mumol X kg-1 wet wt to 78.1 +/- 6.5 mumol X kg-1 after exercise, an average increase of 48% (P less than 0.05). These data indicate that during intense exercise, leucine transamination in muscle may continue at a faster rate than the decarboxylation of KIC. In addition, plasma levels of KIC did not reflect the intracellular accumulation of KIC during exercise, suggesting a delay in the diffusion of KIC from muscle.

Humans↗

Metabolic and ventilatory responses to steady state exercise relative to lactate thresholds.

The metabolic and ventilatory responses to steady state submaximal exercise on the cycle ergometer were compared at four intensities in 8 healthy subjects. The trials were performed so that, after a 10 min adaptation period, power output was adjusted to maintain steady state VO2 for 30 min at values equivalent to: (1) the aerobic threshold (AeT); (2) between the aerobic and the anaerobic threshold (AeTAnT); (3) the anaerobic threshold (AnT); and (4) between the anaerobic threshold and VO2max (AnTmax). Blood lactate concentration and ventilatory equivalents for O2 and CO2 demonstrated steady state values during the last 20 min of exercise at the AeT, AeAnT and AnT intensities, but increased progressively until fatigue in the AnTmax trial (mean time = 16 min). Serum glycerol levels were significantly higher at 40 min of exercise on the AeAnT and the AnT when compared to AeT, while the respiratory exchange ratios were not significantly different from each other. Thus, metabolic and ventilatory steady state can be maintained during prolonged exercise at intensities up to and including the AnT, and fat continues to be a major fuel source when exercise intensities are increased from the AeT to the AnT in steady state conditions. The blood lactate response to exercise suggests that, for the organism as a whole, anaerobic glycolysis plays a minor role in the energy release system at exercise intensities upt to and including the AnT during steady state conditions.

Adult↗

Effects of exercise and carbohydrate composition on gastric emptying.

To examine the gastric emptying characteristics of selected test drinks varying in carbohydrate composition and concentration, twenty-five runners ingested 400 ml of a solution in one or more of a series of trials followed by either 15 min seated rest or 15 min running (50 to 70% VO2 max). The solutions tested at rest included water, 5.0% maltodextrin, 3.0% maltodextrin + 2% glucose (MG5.0), and 4.5% maltodextrin + 2.6% fructose (MF7.1). Solutions tested during running included water, MG5.0, MF7.1, 5.5% maltodextrin + 2% glucose, and 5.5% maltodextrin + 2% fructose. At rest and during running, water emptied significantly (P less than 0.5) faster than all other drinks. In the running trials, the volume of gastric residue of 5.5% maltodextrin + 2% fructose (221.7 +/- 11.0 ml) was significantly greater than water (103.4 +/- 19.0 ml), MG5.0 (153.3 +/- 16.8 ml), and MF7.1 (167.3 +/- 14.8), suggesting an inhibitory role of glucose on gastric emptying. Running resulted in a significantly lower volume of gastric residue of water, MG5.0, and MF7.1 (103.4 +/- 19.0, 153.3 +/- 16.8, and 167.3 +/- 14.8 ml, respectively) as compared to the corresponding drinks at rest (209.3 +/- 12.6, 287.7 +/- 16.0, and 271.0 +/- 17.8 ml, respectively). These results suggest a possible advantage for including maltodextrin and fructose as carbohydrate sources in athletic drinks. Furthermore, the rate of gastric emptying is enhanced while running, possibly due to increased mechanical movement of fluid within the stomach.

Beverages↗

Heart rate break point may coincide with the anaerobic and not the aerobic threshold.

Recently, Conconi et al. (4) proposed that the point where heart rate departs from linearity in an incremental exercise test is a good predictor of the aerobic threshold (AeT, i.e., the exercise intensity at which blood lactate concentration increases systematically above resting levels). We hypothesized that this heart rate break point (BrP) is a better predictor of the anaerobic threshold (AnT, i.e., the exercise intensity at which blood lactate concentration shows a rapid rise during an incremental test). To test this hypothesis, 11 subjects with different levels of conditioning were tested on a cycle ergometer using a progressive incremental exercise protocol. Heart rate from EKG tracings and blood samples for lactate determination were taken every minute. The results showed the following significant correlation coefficients when the variables were expressed in watts: AeT and AnT = 0.92; AeT and BrP = 0.89; AnT and BrP = 0.97. The AeT was significantly lower than the BrP (166.4 +/- 52.6 W and 234.5 +/- 69.5 W). There was no significant difference between the AnT and BrP (240.0 +/- 67.1 W and 234.5 +/- 69.5 W). Another group consisting of 16 subjects performed two tests to evaluate the reproducibility of the BrP. Although a ventilatory AnT (defined as a consistent decrease in the fraction of expired CO2) was noted in all the tests, eight subjects failed to demonstrate a BrP in at least one of the evaluations, even though post-exercise blood lactate levels and peak heart rates were consistent with a maximal effort.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Muscle metabolism during exercise in the heat in unacclimatized and acclimatized humans.

The effect of heat acclimatization on aerobic exercise tolerance in the heat and on subsequent sprint exercise performance was investigated. Before (UN) and after (ACC) 8 days of heat acclimatization, 10 male subjects performed a heat-exercise test (HET) consisting of 6 h of intermittent submaximal [50% of the maximal O2 uptake] exercise in the heat (39.7 degrees C dB, 31.0% relative humidity). A 45-s maximal cycle ride was performed before (sprint 1) and after (sprint 2) each HET. Mean muscle glycogen use during the HET was lower following acclimatization [ACC = 28.6 +/- 6.4 (SE) and UN = 57.4 +/- 5.1 mmol/kg; P less than 0.05]. No differences were noted between the UN and ACC trials with respect to blood glucose, lactate (LA), or respiratory exchange ratio. During the UN trial only, total work output during sprint 2 was reduced compared with sprint 1 (24.01 +/- 0.80 vs. 21.56 +/- 1.18 kJ; P less than 0.05). This reduction in sprint performance was associated with an attenuated fall in muscle pH following sprint 2 (6.86 vs. 6.67, P less than 0.05) and a reduced accumulation of LA in the blood. These data indicate that heat acclimatization produced a shift in fuel selection during submaximal exercise in the heat. The observed sparing of muscle glycogen may be associated with the enhanced ability to perform highly intense exercise following prolonged exertion in the heat.

Acclimatization↗

Effect of carbohydrate feeding frequencies and dosage on muscle glycogen use during exercise.

Nine men were studied during three 4-h cycling bouts to determine the effect of frequency and dosage of solid carbohydrate (CHO) feedings (86 g) on muscle glycogen utilization and exercise performance. In the frequency trial (F), the subjects ingested 10.75 g of CHO along with 200 ml of water at 30-min intervals; in the dosage trial (D), the subjects ingested 21.5 g of CHO with 400 ml of water at 60-min intervals. During the control trial (C), the subjects ingested 400 ml of an artificially sweetened placebo at 60-min intervals. Respiratory exchange ratios were significantly elevated in both trials D and F (P less than 0.05). Blood glucose was significantly elevated in trial D 20 min post-feeding but had returned to control levels by 50 min. In trial F, blood glucose was maintained at a constant level throughout the entire 4 h. In trial C, blood glucose declined steadily during the entire 4 h. Despite the differences in blood glucose levels between the three trials, there were no significant differences in the rate of muscle glycogen utilization in any of the trials (D = 82.9 +/- 6.6 [SE] mmol X kg-1 vs C = 80.9 +/- 6.9 mmol X kg-1 vs F = 74.4 +/- 12.2 mmol X kg-1). In a sprint ride (100% VO2max) to exhaustion at the end of each trial, the subjects performed significantly longer in trial F compared to C (120.97 +/- 9.6 vs 81.0 +/- 7.1 s).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Exercise, free radical generation, and aging.

Advancing age is associated with profound alterations in body composition and exercise capacity. Skeletal muscle mass declines on average of 6% per decade after age thirty and this change impacts both basal energy requirements and maximal aerobic exercise capacity. While skeletal muscle has one of the highest requirements of all tissues for oxygen, exercise increases total oxygen consumption by approximately 10-fold, causing an increased rate of production of reactive oxygen species (ROS). Biological aging is thought to be influenced by ROS generation and older individuals may be more susceptible to exercise-induced oxidative damage. However, aging is also associated with increases in antioxidant enzymes and controversy still exists as to whether exercise training further upregulates the expression of these free radical scavenging enzymes. Older individuals who participate in regular exercise may have higher requirements for antioxidant vitamins to compensate for the deficit of endogenous antioxidants.

Aging↗

High intensity strength training improves strength and functional performance after stroke.

OBJECTIVE: To evaluate the effects of a progressive resistance strength training program on changes in muscle strength, gait, and balance in older individuals 1 yr after stroke, seven individuals were recruited who were greater than 60-yr-old, 1 yr after stroke, living at home, and able to follow verbal commands. DESIGN: Subjects participated in a 12-wk 2x per wk resistance training program at 70% of 1 repetition maximum. RESULTS: Lower limb strength improved 68% on the affected side and 48% on the intact side during training, with the largest increases observed for hip extension (affected side: 88%, P < 0.01; intact side: 103%, P < 0.001). Repeated chair stand time decreased 21% (P < 0.02). Motor performance assessed by the Motor Assessment Scale improved 9% (P < 0.04) and static and dynamic balance (Berg balance scale) improved 12% (P < 0.004). Progressive resistance training in individuals 1 yr after stroke improves affected and intact side lower limb strength and was associated with gains in chair stand time, balance, and motor performance. CONCLUSIONS: These results support the concept that strength training is an appropriate intervention to improve the quality of physical function in older community dwelling stroke survivors.

Activities of Daily Living↗