Biomedical subjects

Savvas P Tokmakidis

Publications and source records attributed to Savvas P Tokmakidis.

17 recordsLinked to original sources

PubMed2006

Fitness levels of Greek primary schoolchildren in relationship to overweight and obesity.

OBJECTIVES: The aim of the present cross-sectional study was to provide estimates for overweight and obesity in a sample of Greek schoolchildren and to determine their possible relation with selected motor and health-related fitness parameters. MATERIALS AND METHODS: The study sample consisted of 709 healthy children (328 girls, 381 boys, mean age = 8.9+/-1.6 years), living in the towns of Agios Stefanos (approximately 12,000 citizens) and Alexandroupolis (approximately 60,000 citizens), Greece. All pupils underwent anthropometric, motor and cardiovascular fitness assessments (Eurofit test battery). The body mass index (BMI) cut-off points adopted by the International Obesity Task Force were utilized for the assessment of overweight and obesity. RESULTS: 59.4% of the participants had a normal BMI, 25.8% were overweight and 14.8% were obese, without significant differences between genders. DISCUSSIONS: In general, the higher BMI categories were strongly associated with inferior performances in all fitness tests, except flexibility. This graded relationship was consistent for both boys and girls, although the statistical relationship between BMI categories and fitness performance varied by gender. CONCLUSIONS: In conclusion, the findings of the current study offer some support to the reported high prevalence of childhood obesity in Greece and suggest that overweight and obesity are limiting factors for fitness performance in primary schoolchildren. The present data suggest that interventions promoting children's health should, ideally, begin early in life and involve measures that simultaneously improve fitness and lower fatness.

Anthropometry↗

PubMed2006

Physiological alterations to detraining following prolonged combined strength and aerobic training in cardiac patients.

BACKGROUND: The purpose of the present study was to assess the training and detraining effects on physiological parameters resulting from a combined strength and aerobic exercise programme in patients with coronary artery disease. DESIGN AND METHODS: Thirty male coronary artery disease patients were randomly assigned to an exercise (n = 16) and control group (n = 14). Patients in the exercise group participated in a supervised exercise programme for 8 months and were followed for 3 months after training cessation. The programme consisted of two sessions of circuit weight training and two sessions of aerobic training. Cardiopulmonary testing and muscular strength were assessed at baseline and after 4 and 8 months of training as well as after 3 months of detraining. RESULTS: The exercise training programme resulted in significant improvement in cardiorespiratory fitness (VO2peak 15.4% and exercise time 14%) after 8 months. Muscular strength also increased significantly in all exercises by an average of 28% (upper body 25.5% and lower body 35.4%). Three months of detraining, however, resulted in a 10% regression in VO2peak, 6.7% in exercise time, 12% in upper body strength and 15.7% in lower body strength. CONCLUSIONS: The above results indicate that a significant part of the favourable adaptations obtained after prolonged training is practically lost within 3 months of detraining. Therefore, patients with coronary artery disease should follow a systematic exercise programme throughout life in order to improve cardiovascular function, muscular strength and ameliorate their health status.

Adaptation, Physiological↗

PubMed2006

Functional and neuromotor performance in older adults: effect of 12 wks of aerobic exercise.

OBJECTIVE: There is little information regarding the effect of aerobic exercise on physical and neuromotor performance in older adults. The aim of this randomized, controlled trial was to determine the effects of a 12-wk aerobic exercise program on functional and neuromotor performance in inactive healthy older adults. DESIGN: A total of 22 inactive healthy older adults, aged 60-75 yrs, voluntarily participated in the study and were randomly assigned to a progressively increased high-intensity aerobic exercise group (n = 12) or to a control group (n = 10). The aerobic exercise group exercised three times per week for 12 wks on nonconsecutive days. Both groups were evaluated before and after the exercise period in the one-repetition maximum of knee extensors and flexors, 6-min walk distance, chair-rising time, and whole-body reaction time. RESULTS: Multivariate analysis of variance repeated measures (2 x 2) revealed significant (P < 0.05) time by group interaction for one-repetition maximum knee extension and flexion strength, 6-min walk distance, chair-rising time, and whole-body reaction time. For the aerobic exercise group, the following variables improved significantly (P < 0.05) after the exercise period: the one-repetition maximum knee extensors (12%) and flexors (19%) muscle strength, 6-min walk distance (17%), chair-rising time (8%), and whole-body reaction time (20%). No significant differences were observed in the control group. CONCLUSIONS: The results of the present study show that short-term progressively increased high-intensity aerobic exercise improved the physical and neuromotor performance in inactive healthy older adults. These findings suggest that the participation in a progressively increased high-intensity aerobic exercise program may improve mobility and ability to carry out activities of daily living in older adults.

Activities of Daily Living↗

PubMed2006

Effect of different intensities of active recovery on sprint swimming performance.

Active recovery reduces blood lactate concentration faster than passive recovery and, when the proper intensity is applied, a positive effect on performance is expected. The purpose of the study was to investigate the effect of different intensities of active recovery on performance during repeated sprint swimming. Nine male well-trained swimmers performed 8 repetitions of 25 m sprints (8 x 25 m) interspersed with 45 s intervals, followed by a 50 m sprint test 6 min later. During the 45 s and 6 min interval periods, swimmers either rested passively (PAS) or swam at an intensity corresponding to 50% (ACT50) and 60% (ACT60) of their individual 100 m velocity. Blood lactate was higher during PAS compared with ACT50 and ACT60 trials (p < 0.05), whereas plasma ammonia and glycerol concentration were not different between trials (p > 0.05). Mean performance time for the 8 x 25 m sprints was better in the PAS compared with the ACT50 and ACT60 trials (PAS: 13.10 +/- 0.07 vs. ACT50: 13.43 +/- 0.10 and ACT60: 13.47 +/- 0.10s, p < 0.05). The first 25 m sprint was not different across trials (p > 0.05), but performance decreased after sprint 2 during active recovery trials (ACT50 and ACT60) compared with the passive recovery (PAS) trial (p < 0.05). Performance time for the 50 m sprint performed 6 min after the 8 x 25 m sprints was no different between trials (p > 0.05). These results indicate that active recovery at intensities corresponding to 50% and 60% of the 100 m velocity during repeated swimming sprints decreases performance. Active recovery reduces blood lactate concentration, but does not affect performance on a 50 m sprint when 6 min recovery is provided. Passive recovery is advised during short-interval repeated sprint training in well-trained swimmers.

Adolescent↗

PubMed2006

Obesity and physical fitness of pre-adolescent children during the academic year and the summer period: effects of organized physical activity.

This study examined obesity and parameters of physical fitness in 178 elementary schoolchildren during an academic year as well as after the summer holidays. Results showed significant physical fitness improvements during the school year, with little or no changes in the summer holidays. Children who reported less than 30 minutes of daily participation in physical activity demonstrated lower prevalence rates for overweight and obesity as well as superior fitness performance. The detrimental effect of the summer break on the progress of physical fitness was less in children who did participate in physical activity than in those who did not. Longitudinal modelling using generalized estimating equations demonstrated that physical activity is a major contributing factor for obesity over time, masking the singular effect of various fitness parameters. It is concluded that pre-adolescent children advance in physical fitness mainly during the school year, with physical activity being a beneficial countermeasure for the development of obesity.

Body Mass Index↗

PubMed2006

Effects of resistance training on the physical capacities of adolescent soccer players.

This study examined the effects of a progressive resistance training program in addition to soccer training on the physical capacities of male adolescents. Eighteen soccer players (age: 12-15 years) were separated in a soccer (SOC; n = 9) and a strength-soccer (STR; n = 9) training group and 8 subjects of similar age constituted a control group. All players followed a soccer training program 5 times a week for the development of technical and tactical skills. In addition, the STR group followed a strength training program twice a week for 16 weeks. The program included 10 exercises, and at each exercise, 2-3 sets of 8-15 repetitions with a load 55-80% of 1 repetition maximum (1RM). Maximum strength ([1RM] leg press, bench-press), jumping ability (squat jump [SJ], countermovement jump [CMJ], repeated jumps for 30 seconds) running speed (30 m, 10 x 5-m shuttle run), flexibility (seat and reach), and soccer technique were measured at the beginning, after 8 weeks, and at the end of the training period. After 16 weeks of training, 1RM leg press, 10 x 5-m shuttle run speed, and performance in soccer technique were higher (p < 0.05) for the STR and the SOC groups than for the control group. One repetition maximum bench press and leg press, SJ and CMJ height, and 30-m speed were higher (p < 0.05) for the STR group compared with SOC and control groups. The above data show that soccer training alone improves more than normal growth maximum strength of the lower limps and agility. The addition of resistance training, however, improves more maximal strength of the upper and the lower body, vertical jump height, and 30-m speed. Thus, the combination of soccer and resistance training could be used for an overall development of the physical capacities of young boys.

Adolescent↗

PubMed2005

Short-term effects of selected exercise and load in contrast training on vertical jump performance.

The present study examined the short-term effects of loaded half squats (HSs) and loaded jump squats (JSs) with low and moderate loads on the squat jump (SJ) and the countermovement jump (CMJ) performance using a contrast training approach. Ten men (mean +/- SD age, 23 +/- 1.8 years) performed the HS and JS exercises twice with loads of 30% of 1 repetition maximum (1RM) (HS30% and JS30%, respectively) and 60% of 1RM (HS60% and JS60%, respectively). On each occasion, 3 sets of 5 repetitions with 3 minutes of rest were performed as fast as possible. Vertical jump performance was measured before exercise, 1 minute after each set, and at the fifth and 10th minutes of recovery. The CMJ increased significantly after the first and second set (3.9%; p < 0.05) compared with preexercise values following the JS30% protocol and 3.3% after the second and third sets of the JS60% protocol. Following the HS60% protocol, CMJ increased after the first and the second sets (3.6%; p < 0.05) compared with preexercise values, whereas SQ increased only after the first set (4.9%; p < 0.05) in this condition. These data show that contrast loading with the use of low and moderate loads can cause a short-term increase in CMJ performance. The applied loads do not seem to present different short-term effects after loaded JSs. When the classic form of dynamic HS exercise is performed, however, at least a moderate load (60% of 1RM) needs to be applied.

Adult↗

PubMed2005

Effects of a heavy and a moderate resistance training on functional performance in older adults.

Resistance training can improve strength and functional performance, but there is little information about the effect of training intensity on functional performance in older adults. The purpose of this study was to determine the effect of 12 weeks of heavy (80% of 1 repetition maximum [1RM]) and moderate (60% of 1RM) resistance training on functional performance in healthy, inactive older adults, ages 60-74 years. Volunteer subjects were assigned randomly to a control group (CS, n = 10), heavy resistance training group (HRT, n = 11), or moderate resistance training group (MRT, n = 12) and participated in 12 weeks of strength training, 3 times per week. Performance measurements included 1RM lower-body strength, chair-rising time, walking velocity, stair-climbing time, and flexibility. Significant differences between HRT and MRT were found for 1RM strength of the lower limbs after the training period. Functional performance improved similarly for both HRT and MRT after the training period. Functional performance can be improved significantly with either heavy or moderate resistance training, without significant differences in the effectiveness of the 2 training protocols.

Aged↗

PubMed2005

Resistance exercise training in patients with heart failure.

The utility, safety and physiological adaptations of resistance exercise training in patients with chronic heart failure (CHF) are reviewed and recommendations based on current research are presented. Patients with CHF have a poor clinical status and impaired exercise capacity due to both cardiac limitations and peripheral maladaptations of the skeletal musculature. Because muscle atrophy has been demonstrated to be a hallmark of CHF, the main principle of exercise programmes in such patients is to train the peripheral muscles effectively without producing great cardiovascular stress. For this reason, new modes of training as well as new training methods have been applied. Dynamic resistance training, based on the principles of interval training, has recently been established as a safe and effective mode of exercise in patients with CHF. Patients perform dynamic strength exercises slowly, on specific machines at an intensity usually in the range of 50-60% of one repetition maximum; work phases are of short duration (< or =60 seconds) and should be followed by an adequate recovery period (work/recovery ratio >1 : 2). Patients with a low cardiac reserve can use small free weights (0.5, 1 or 3 kg), elastic bands with 8-10 repetitions, or they can perform resistance exercises in a segmental fashion. Based on recent scientific evidence, the application of specific resistance exercise programmes is safe and induces significant histochemical, metabolic and functional adaptations in skeletal muscles, contributing to the treatment of muscle weakness and specific myopathy occurring in the majority of CHF patients. Increased exercise tolerance and peak oxygen consumption (V-dotO(2peak)), changes in muscle composition, increases in muscle mass, alterations in skeletal muscle metabolism, improvement in muscular strength and endurance have also been reported in the literature after resistance exercise alone or in combination with aerobic exercise. According to new scientific evidence, appropriate dynamic resistance exercise should be recommended as a safe and effective alternative training mode (supplementary to conventional aerobic exercise) in order to counteract peripheral maladaptation and improve muscle strength, which is necessary for recreational and daily living activities, and thus quality of life, of patients with stable, CHF.

Adaptation, Physiological↗

PubMed2005

Relationship between anaerobic power and jumping of selected male volleyball players of different ages.

The aim of the present study was to evaluate the anaerobic power of elite male volleyball players, using the Wingate Anaerobic Test to examine the relationship between anaerobic power and jumping performance. Athletes (n=56) and Nonathletes (n=53) were divided into three age groups: Adults (18-25 yr.), Juniors (15-16 yr.), and Youth (10-11 yr.). Measurements of height, body mass, vertical jump and Wingate scores indicated higher values for athletes. The specific training effects of anaerobic power were more pronounced at the age of 10-11 years than for Nonathletes. A significant correlation coefficient between peak power and vertical jump was found for Athletes (r=.86) and for the total group (r=.82). These results indicated that vertical jump may predict the maximal anaerobic power and could be used by coaches as a practical and easy-to-apply field screening test for evaluation in volleyball training.

Adolescent↗

PubMed2004

Influence of different rest intervals during active or passive recovery on repeated sprint swimming performance.

The purpose of this study was to investigate the effect of active or passive recovery after two different rest intervals on performance during repeated bouts of maximal swimming exercise. Sixteen swimmers (eight males and eight females) performed four trials in a counterbalanced order. Eight repetitions of 25-m sprints (8 x 25 m), with a rest interval of 45 or 120 s, followed by a 50-m sprint test 6 min later, were performed in each trial. The 45 or 120-s interval was either active (A45 and A120) or passive (P45 and P120). The intensity of the active recovery corresponded to 60% of the individual best 100-m velocity. Performance time was recorded using an official competition timing system. The first 25-m sprint was comparable across trials (P>0.05), but performance was decreased after the second sprint during active compared to passive recovery, irrespective of the interval duration (P<0.05). The 50-m sprint time was 2.4% better in the P120 and A120 compared to the A45 and P45 trials (P<0.05). After completing the 8x25 m, blood lactate was decreased with active recovery when the interval period was 120 s (P120 vs A120, P<0.05). Blood lactate concentration at the start as well as 5 min after the 50-m sprint was lower in the A120 and A45 compared to the P120 and P45 trials respectively (P<0.05). Plasma glycerol was not different between trials (P>0.05), whereas plasma ammonia was higher in the A45 compared to the P120 trial (P<0.05). The interval period separating short-duration sprints may therefore alter performance when subsequent maximum exertion is applied. For sustained sprinting ability, passive recovery is advised during repeated swimming sprints of short duration.

Adult↗

PubMed2004

The effects of a combined strength and aerobic exercise program on glucose control and insulin action in women with type 2 diabetes.

The purpose of the present study was to investigate the short- and long-term effects of a combined strength and aerobic training program on glycemic control, insulin action, exercise capacity and muscular strength in postmenopausal women with type 2 diabetes. Nine postmenopausal women, aged 55.2 (6.7) years, with type 2 diabetes participated in a supervised training program for 4 months consisting of two strength training sessions (3 sets of 12 repetitions at 60% one-repetition maximum strength) and two aerobic training sessions (60-70% of maximum heart rate at the beginning, and 70-80% of maximum heart rate after 2 months). Anthropometrical measurements, percentage glycated hemoglobin, a 2-h oral glucose tolerance test, exercise stress testing and maximum strength were measured at the beginning, and after 4 and 16 weeks of the exercise program. Significant reductions were observed in both the glucose (8.1% P<0.01) and insulin areas under the curve (20.7%, P<0.05) after 4 weeks of training. These adaptations were further improved after 16 weeks (glucose 12.5%, insulin 38%, P<0.001). Glycated hemoglobin was significantly decreased after 4 weeks [7.7 (1.7) vs 7.1 (1.3)%, P<0.05] and after 16 weeks [7.7 (1.7) vs 6.9 (1.0)%, P<0.01] of exercise training. Furthermore, exercise time and muscular strength were significantly improved after 4 weeks (P<0.01) as well as after 16 weeks (P<0.001) of training. Body mass and body-mass index, however, were not significantly altered throughout the study. The results indicated that a combined training program of strength and aerobic exercise could induce positive adaptations on glucose control, insulin action, muscular strength and exercise tolerance in women with type 2 diabetes.

Blood Glucose↗

PubMed2004

The effects of high- and moderate-resistance training on muscle function in the elderly.

The purpose of this study was to investigate the effects of a 12-week resistance-training program on muscle strength and mass in older adults. Thirty-three inactive participants (60-74 years old) were assigned to 1 of 3 groups: high-resistance training (HT), moderate-resistance training (MT), and control. After the training period, both HT and MT significantly increased 1-RM body strength, the peak torque of knee extensors and flexors, and the midthigh cross-sectional area of the total muscle. In addition, both HT and MT significantly decreased the abdominal circumference. HT was more effective in increasing 1-RM strength, muscle mass, and peak knee-flexor torque than was MT. These data suggest that muscle strength and mass can be improved in the elderly with both high- and moderate-intensity resistance training, but high-resistance training can lead to greater strength gains and hypertrophy than can moderate-resistance training.

Aged↗

PubMed2003

Hormonal responses after various resistance exercise protocols.

PURPOSE: This study examined the effects of the number of sets on testosterone, cortisol, and growth hormone (hGH) responses after maximum strength (MS), muscular hypertrophy (MH), and strength endurance (SE) protocols. METHODS: Eleven young men performed multi-joint dynamic exercises using MS (5 reps at 88% of one-repetition maximum (1-RM), 3-min rest) and MH (10 reps at 75% of 1-RM, 2-min rest) protocols with 2, 4, and 6 sets at each exercise; and an SE (15 reps at 60% of 1-RM, 1-min rest) with 2 and 4 sets. Hormonal concentrations were measured before exercise, immediately after, and at 15 and 30 min of recovery. RESULTS: The number of sets did not affect the hormonal responses after the MS protocol. Cortisol and hGH were higher (P < 0.05) after the four-set compared with the two-set sessions in the MH and SE protocols. No differences were observed between the six-set and the four-set sessions in the MH protocol. Cortisol and hGH were higher (P < 0.05) than the MS after the SE and MH protocols, and only when four and six sets were performed in the latter. hGH was higher than the MH after the SE protocol, whether two or four sets were executed, whereas cortisol (P < 0.05) was higher after the SE protocol only when two sets were performed. Testosterone did not change with any workout. CONCLUSION: The number of sets functions up to a point as a stimulus for increased hormonal concentrations in order to optimize adaptations with MH and SE protocols, and has no effect on a MS protocol. Furthermore, the number of sets may differentiate long-term adaptations with MS, MH, and SE protocols causing distinct hormonal responses.

Adaptation, Physiological↗

PubMed2003

The effects of ibuprofen on delayed muscle soreness and muscular performance after eccentric exercise.

The purpose of this study was to examine the effects of ibuprofen on delayed onset muscle soreness (DOMS), indirect markers of muscle damage and muscular performance. Nineteen subjects (their mean [+/- SD] age, height, and weight was 24.6 +/- 3.9 years, 176.2 +/- 11.1 cm, 77.3 +/- 18.7 kg) performed the eccentric leg curl exercise to induce muscle soreness in the hamstrings. Nine subjects took an ibuprofen pill of 400 mg every 8 hours within a period of 48 hours, whereas 10 subjects received a placebo randomly (double blind). White blood cells (WBCs) and creatine kinase (CK) were measured at pre-exercise, 4-6, 24, and 48 hours after exercise and maximal strength (1 repetition maximum). Vertical jump performance and knee flexion range of motion (ROM) were measured at pre-exercise, 24 and 48 hours after exercise. Muscle soreness increased (p < 0.05) in both groups after 24 and 48 hours, although the ibuprofen group yielded a significantly lower value (p < 0.05) after 24 hours. The WBC levels were significantly (p < 0.05) increased 4-6 hours postexercise in both groups with no significant difference (p > 0.05) between the 2 groups. The CK values increased (p < 0.05) in the placebo group at 24 and 48 hours postexercise, whereas no significant differences (p > 0.05) were observed in the ibuprofen group. The CK values of the ibuprofen group were lower (p < 0.05) after 48 hours compared with the placebo group. Maximal strength, vertical jump performance, and knee ROM decreased significantly (p < 0.05) after exercise and at 24 and 48 hours postexercise in both the placebo and the ibuprofen groups with no differences being observed (p > 0.05) between the 2 groups. The results of this study reveal that intake of ibuprofen can decrease muscle soreness induced after eccentric exercise but cannot assist in restoring muscle function.

Adult↗

PubMed2002

Test-retest reliability of the Eurofit test battery administered to university students.

The purpose of this study was to examine the test-retest reliability of the Eurofit motor fitness tests performed by university students. A total of 98 undergraduate students who were enrolled in physical education departments in Greece participated (29 men aged 19.5 +/- 2.7 hr. and 66 women aged 19.4 +/- 2.7 yr.). All Eurofit motor fitness tests and anthropometric measurements were obtained twice with one week between the two measurements. Intraclass correlation coefficient indicated satisfactory coefficients above .70 for most tests. The only exception was the plate-tapping test, which yielded a low value (R = .57). Further, the majority of the Eurofit test battery fitted well within the 95% confidence interval, and only three Eurofit motor fitness test items (flamingo balance, plate tapping, and sit-ups) presented a confidence limit below the value of .70. These findings indicated that the Eurofit test battery yielded reliable data for undergraduate students. However, modifications should be considered to improve the reliability of certain test items, for application to undergraduates.

Adult↗

PubMedDate not supplied

Training and detraining effects of a combined-strength and aerobic exercise program on blood lipids in patients with coronary artery disease.

PURPOSE: The aim of this study was to investigate training and detraining effects on blood lipids and apolipoproteins induced by a specific program that combined strength and aerobic exercise in patients with coronary artery disease (CAD). METHODS: For this study, 14 patients participated in a supervised 8-month training program composed of two strength sessions (60% of 1 repetition maximum) and two aerobic training sessions (60%-85% of maximum heart rate), and 13 patients served as a control group. Blood samples for total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), apolipoproteins A1 (apo-A1) and B (apo-B), and lipoprotein (a) (Lp[a]) were obtained along with muscular strength at the beginning of the study, after 4 and 8 months of training and after 3 months of detraining. RESULTS: The patients in the intervention group showed favorable alterations after 8 months of training (TC, -9.4; TG, -18.6; HDL-C, 5.2; apo-A1, 11.2%; P <.05), but these were reversed after 3 months of detraining (TC, +3.7; TG, 16.1; HDL-C, -3.6; apo-A1, -5.5%). In addition, body strength also improved after training (27.8%) but reversed (-12.9%) after detraining (P <.05). The patients in the control group did not experience any significant alterations. CONCLUSIONS: The results indicate that an 8-month training program combining strength and aerobic exercise induces favorable muscular and biochemical adaptations, on TC, TG, HDL-C, and apo-A1 levels, protecting patients with CAD. After 3 months of detraining, however, the favorable adaptations were reversed, underscoring the need of uninterrupted exercise throughout life.

Adaptation, Physiological↗