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Biomedical subjects

R G Israel

Publications and source records attributed to R G Israel.

52 records · Page 3Linked to original sources

Alterations in low-density lipoproteins in subjects with abdominal adiposity.

Abdominal adiposity, as indexed by the waist to hip girth ratio (WHR), has been associated with increased risk and incidence of coronary heart disease (CHD). The purpose of this study was to determine if this enhanced risk is related to alterations in the structure of low density lipoproteins (LDL). LDL were isolated from nine nonobese men with an average WHR of 1.046 and nine nonobese men with a WHR of 0.94, who were matched on age (45.6 +/- 2.7 v 47.7 +/- 2.3 mean +/- SEM) percent body fat (26.5 +/- 0.5 v 26.1 +/- 0.9), and body mass index (27.3 +/- 0.6 v 26.3 +/- 0.6). The average molecular weight of LDL from the subjects with a high WHR was lower than that of subjects with low WHR (2.70 v 3.02 x 10(6) d), the average hydrated density higher (1.050 v 1.040 g/mL), and the mobility (Rf) on 2% to 16% polyacrylamide gradient gel electrophoresis higher. Subfractionation by equilibrium density ultracentrifugation showed that the LDL of subjects with a high WHR was predominantly in the heavy density range (1.038 to 1.048 g/mL) compared with the LDL of subjects with low WHR, which was in the lighter density range (1.030 to 1.040 g/mL). Chemical analysis of the subfractions showed that the peak density fractions of LDL of subjects with a high WHR had a lower cholesterol to protein ratio than the peak density fractions of LDL of subjects with low WHR. Electron microscopy of these peak density fractions showed that LDL of subjects with high WHR was smaller than that of subjects with low WHR. These characteristics of LDL of subjects with abdominal adiposity closely resemble the properties of LDL of patients with documented CHD. It is concluded that the increased risk of CHD associated with abdominal adiposity may be due in part to the alterations in LDL characteristics, and that these alterations in LDL are independent of the degree of obesity.

Abdomen↗

Hydrostatic weighing without head submersion in morbidly obese females.

This study tests the validity of hydrostatic weighing without head submersion (HWNS) for determining the body density (Db) of morbidly obese (MO) females. Eighty MO females who were able to perform traditional hydrostatic weighing at residual volume (HW) underwent four counterbalanced trials for each procedure (HW and HWNS) to determine Db. Residual volume was determined by oxygen dilution. Twenty subjects were randomly excluded from the experimental group (EG) and assigned to a cross-validation group (CV). Simple linear regression was performed on EG data (n = 60, means = 36.8 y, means % fat = 50.1) to predict Db from HWNS (Db = 0.569563 [Db HWNS] + 0.408621, SEE = 0.0066). Comparison of the predicted and actual Db for CV group yielded r = 0.69, SEE = 0.0066, E statistic = 0.0067, mean difference = 0.0013 kg/L. The SEE and E statistic for body fat were 3.31 and 3.39, respectively. Mean difference for percent fat was 0.66%. Results indicate that HWNS is a valid technique for assessing body composition in MO females.

Adult↗

Effect of carbohydrate ingestion on exercise endurance and metabolism after a 1-day fast.

Fasting before an exercise event has been demonstrated to decrease endurance. The purpose of this study was to investigate whether this decrement in performance after fasting could be reversed by ingestion of a carbohydrate solution before and during exercise. Nine fit male subjects ran to exhaustion at approximately 70% VO2max in two counterbalanced trials. The subjects were fasted for 21 h before both trials, and the trials were arranged so that the subjects ingested either a carbohydrate (CHO) or placebo (PL) solution. Although ratings of perceived exertion were significantly lower in the CHO trial, there were no differences in endurance time to exhaustion in the two trials (102 +/- 8 min in the PL trial and 106 +/- 8 min in the CHO trial). There were no differences between trials for the VO2, heart rate, and blood lactate concentrations. As expected, the blood glucose and insulin concentrations were higher in the CHO trial. The respiratory exchange ratio was significantly higher in the CHO trial at 40 min of exercise and tended to be higher at all other times, suggesting a greater reliance on carbohydrate and less on fat as an energy source. This seemed to be confirmed by the significantly lower plasma glycerol concentration, which suggested less fat mobilization in the CHO trial. Ingestion of a glucose polymer solution increased carbohydrate utilization in fasted subjects, but exercise performance was not improved.

Adult↗

Hydrostatic weighing without head submersion: description of a method.

Hydrostatic weighing (HW) was performed at residual volume (RV) and total lung capacity without head submersion (TLCNS). Ninety-five males (25.6 +/- 4.9 yr) and 87 females (22.6 +/- 5.2 yr) were studied at two laboratory sites using identical protocols. Twenty males and 20 females were separated from the original group and randomly assigned to cross-validation groups. RVs were determined by the oxygen dilution method. Vital capacity was determined with the subject submerged in water to the shoulders. Underwater weight was determined using 10 trials at RV and 5 trials at TLCNS, with the order of methods randomly assigned. Regression analysis provided an equation to predict body density (pDb) at RV from body density (Db) at TLCNS. The equation for males was pDb (HW at RV) = 0.5829 (DbHW at TLCNS) + 0.4059, r = 0.88, SEE = 0.0067. The equation for females was pDb (HW at RV) = 0.4745 (DbHW at TLCNS) + 0.5173, r = 0.85, SEE = 0.0061. Cross-validation showed no significant differences using Db from HW at RV (males = 1.0626 g.ml-1, females = 1.0493 g.ml-1 and pDb from HW at TLCNS (males = 1.0625 g.ml-1, females = 1.0479 g.ml-1). The correlation coefficient SEE and total error for males were r = 0.95, 0.0043, and 0.0041, respectively and for females r = 0.82, 0.0084, and 0.0085, respectively. Mean percent fat for RV and TLCNS was identical for males and differed by 0.7% for females. Test-re-test data indicated the TLCNS procedure was reliable (r = 0.98).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Body fat distribution, plasma lipoproteins and the risk of coronary heart disease of male subjects.

Recent studies have related waist to hip ratio (WHR) to the incidence of coronary heart disease (CHD), but the causes underlying this relation are not fully known. The purpose of this study was to determine if waist to hip ratio is associated with the concentration of plasma lipids and apolipoproteins (apoproteins) that predispose individuals to a higher CHD risk. Plasma lipids and apoprotein concentrations were determined in 100 male volunteers, ranging in age from 19-68 yr, and WHR ranging from 0.89-1.09. Significant positive associations were found between WHR, plasma glucose (r = 0.25, P = 0.01), cholesterol (r = 0.21, P = 0.04), LDL cholesterol (r = 0.22, P = 0.03), triglycerides (r = 0.25, P = 0.01) and the ratio of total cholesterol to HDL-cholesterol (r = 0.30, P = 0.002). Negative associations were found between WHR and HDL-cholesterol (r = -0.19, P = 0.05), plasma apoprotein A-I (4 = -0.28, P = 0.005) and the ratio of plasma apoprotein A-I to apoprotein B (r = -0.26, P = 0.01). To determine the extent to which these correlations were independent of age and body fat content, a subsample of 15 pairs matched on age and percent body fat, but differing in WHR was selected from the larger sample. In the group with high WHR (1.06) HDL-cholesterol and apo A-I levels were lower and apo B higher than in the group with low WHR (0.96). Total cholesterol, triglycerides and LDL cholesterol levels in the group with high WHR were also higher but marginally significant statistically. These results show that WHR is associated with plasma lipid and apolipoprotein concentrations that are more predisposing to CHD and that males with male type obesity may be at a higher risk of CHD development than those with female type, regardless of age or degree of obesity.

Adipose Tissue↗

Metabolic responses to exercise after fasting.

Fasting before exercise increases fat utilization and lowers the rate of muscle glycogen depletion. Since a 24-h fast also depletes liver glycogen, we were interested in blood glucose homeostasis during exercise after fasting. An experiment was conducted with human subjects to determine the effect of fasting on blood metabolite concentrations during exercise. Nine male subjects ran (70% maximum O2 consumption) two counterbalanced trials, once fed and once after a 23-h fast. Plasma glucose was elevated by exercise in the fasted trial but there was no difference between fed and fasted during exercise. Lactate was significantly higher (P less than 0.05) in fasted than fed throughout the exercise bout. Fat mobilization and utilization appeared to be greater in the fasted trial as evidenced by higher plasma concentrations of free fatty acids, glycerol, and beta-hydroxybutyrate as well as lower respiratory exchange ratio in the fasted trial during the first 30 min of exercise. These results demonstrate that in humans blood glucose concentration is maintained at normal levels during exercise after fasting despite the depletion of liver glycogen. Homeostasis is probably maintained as a result of increased gluconeogenesis and decreased utilization of glucose in the muscle as a result of lowered pyruvate dehydrogenase activity.

3-Hydroxybutyric Acid↗

Relationship between body mass indices and measures of body adiposity.

We examined the relationship between various body mass indices (BMIs), skinfold measures, and laboratory measures of body fat in 474 males aged 20-70 years. Evaluations included height, weight, skinfold thickness, and hydrostatic measurements of adiposity. The weight-height ratio (W/H), Quetelet index (W/H2), Khosla-Lowe index (W/H3), and Benn index (W/HP) were calculated. The correlations among the various BMIs were high, ranging from 0.91 to 0.99, and all were strongly correlated with weight (rs = 0.81 - 0.98), while only W/H2 (r = -.03) and W/HP (r = -.01) were not correlated with height. The W/H2 and W/HP had the strongest correlation with hydrostatic and skinfold measurements, although all the BMIs were significantly correlated with these measurements. Results suggest that the Benn index and the Quetelet index are equally valid estimates of body fat in respect to their relationship with hydrostatic measures.

Adipose Tissue↗

Biphasic changes in 3-methylhistidine excretion in humans after exercise.

We previously reported that 3-methylhistidine excretion was increased in human subjects after a strenuous bout of exercise. Because other investigators have not corroborated this finding, we undertook the present study to investigate the conditions that result in decreased and increased 3-methylhistidine excretion in human subjects after exercise. Four experiments were performed: a cross-sectional study comparing 3-methylhistidine excretion in endurance-trained subjects with untrained controls, a longitudinal study of 3-methylhistidine excretion by female basketball players before the start of the season and again during the competitive season, an experiment to determine changes in 3-methylhistidine excretion as a result of 2 h of exercise each day for 7 consecutive days, and a study to determine changes in 3-methylhistidine excretion during 4-h intervals after a strenuous exercise bout. The 3-methylhistidine-to-creatinine ratio was approximately 20% higher for trained than nontrained subjects. In three separate experiments a biphasic change of 3-methylhistidine excretion was observed in response to exercise with an immediate decrease in the 3-methylhistidine-to-creatinine ratio during exercise followed by a prolonged increase. The magnitudes of the negative and positive responses determine whether one observes an increase, no change, or a decrease in the total daily excretion of 3-methylhistidine.

Creatinine↗

Exercise effects on fitness, lipids, glucose tolerance and insulin levels in young adults.

The effect of 3 different physical training programs on cardiorespiratory (cr) fitness, fasting plasma lipids, glucose and insulin levels, and scapular skinfold thickness was assessed in 64 healthy college men. Training sessions were held 4 times a week for 5 weeks. The cr fitness improved significantly and skinfold thickness decreased following the aerobic, the pulse workout (interval training), and the anaerobic training compared to the control group. Skinfold thickness, plasma insulin, and triglyceride concentrations were significantly intercorrelated before and after training. The exercise programs had no significant effect on plasma cholesterol, triglycerides, phospholipids, glucose tolerance, or insulin levels. Change in adipose mass was thus dissociated from change in plasma insulin and triglyceride concentrations. It was concluded that in young men plasma triglycerides, the lipid component mostly readily reduced by exercise, were too low to be reduced further by a physical training program.

Adolescent↗