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Growth hormone and insulin-like growth factor I in athletes performing a marathon at 4000 m of altitude.

Human growth hormone (hGH) characteristically increases during physical exercise. In sports medicine, hGH changes have mostly been described in short-term performances under standardized laboratory procedures. We studied hGH and insulin-like growth factor I (IGF-I) under field conditions in 7 runners performing a marathon at 4000 m of altitude, to study the hormonal changes under extreme endurance effort and to evaluate the release of 22 kDa and 20 kDa monomers under these conditions, in comparison with a control group. The blood samples were taken at sea level, after 1 week of acclimatization, immediately after the run, and after a recovery of 24 h from the marathon. hGH was quantified by using a polyclonal method, a 22 kDa specific monoclonal method and a monoclonal method recognizing both 22 kDa and 20 kDa isoforms. A significant increase in hGH was noted using all methods after the marathon, followed by a significant decrease after recovery. Significant differences between athletes and controls were found only for the measurement after the marathon. No statistically reliable decrease of IGF-I was observed in athletes and controls. We obtained more limited hGH rises than previously described in athletes; the importance of lactate levels indicates that the use of physical exercise as a stimulation test for hGH should be closely standardized. The 20 kDa monomer and other hGH molecular forms played a limited role in the hormone increase: in our experience, elevation of hGH in heavy exercise corresponds mostly to the 22 kDa isoform. We suggest that the evaluation of hGH elevation in sports medicine could be accurately performed using specific 22 kDa monoclonal assays.

Adult↗

Genetic variation in the renin-angiotensin system and athletic performance.

The D allele at the angiotensin-I-converting enzyme (ACE)-insertion/deletion polymorphism has been associated with an increased risk of developing several pathological processes, such as coronary heart disease and ventricular hypertrophy. Individuals with the DD genotype show a significantly increased left-ventricular mass in response to physical training, compared to the II genotype (which would be associated with the lowest plasma ACE levels) and the ID genotype. The II genotype has been linked to a greater anabolic response. In accordance with a role for ACE in the response to rigorous physical training, a higher frequency of the I allele has been reported to exist among elite rowers and high-altitude mountaineers. Sixty elite (professional) athletes (25 cyclists, 20 long-distance runners, and 15 handball players), and 400 healthy controls were genotyped for the DNA polymorphisms of the ACE, angiotensinogen (Ang) and angiotensin receptor type 1 (AT1) genes. Plasma ACE levels showed a strong correlation with the I/D genotype in our population. The I-allele occurred at a significantly higher frequency in athletes compared to controls (P = 0.0009). Gene and genotype frequencies for the Ang and AT1 polymorphisms did not differ between athletes and controls. Since the frequency of the ACE I allele was significantly increased among our elite athletes, we conclude that the ACE polymorphism represents a genetic factor that contributes to the development of an elite athlete.

Adult↗

Relationship between two different measurements of field-dependence and athletic performance of adolescents.

Two different measures were used to test field dependence-independence, Group Hidden Figures Test and Portable Rod and Frame Test. The purpose of the study was to compare the advantages of these two measures in differentiating among adolescents who are active in individual and team sports and those who are not. 94 adolescent boys and girls were divided into three groups, as follows: 33 in individual sports, 31 in team sports, and 30 nonathletes. No correlation was found between the two measures. The Portable Rod and Frame Test was the better instrument for distinguishing among the groups. This test requires use of visual vs proprioceptive information to perceive the body's spatial orientation. The Group Hidden Figures Test requires more analytical intelligence. Since there are relationships among awareness of the body, spatial orientation, and physical activity of athletes, the Portable Rod and Frame Test seems to be more applicable to the task of distinguishing between and among athletes and nonathletes.

Adolescent↗

Physiological models to understand exercise fatigue and the adaptations that predict or enhance athletic performance.

A popular concept in the exercise sciences holds that fatigue develops during exercise of moderate to high intensity, when the capacity of the cardiorespiratory system to provide oxygen to the exercising muscles falls behind their demand inducing "anaerobic" metabolism. But this cardiovascular/anaerobic model is unsatisfactory because (i) a more rigorous analysis indicates that the first organ to be affected by anaerobiosis during maximal exercise would likely be the heart, not the skeletal muscles. This probability was fully appreciated by the pioneering exercise physiologists, A. V Hill, A. Bock and D. B. Dill, but has been systematically ignored by modern exercise physiologists; (ii) no study has yet definitely established the presence of either anaerobiosis, hypoxia or ischaemia in skeletal muscle during maximal exercise; (iii) the model is unable to explain why exercise terminates in a variety of conditions including prolonged exercise, exercise in the heat and at altitude, and in those with chronic diseases of the heart and lungs, without any evidence for skeletal muscle anaerobiosis, hypoxia or ischaemia, and before there is full activation of the total skeletal muscle mass, and (iv) cardiovascular and other measures believed to relate to skeletal muscle anaerobiosis, including the maximum oxygen consumption (VO2 max) and the "anaerobic threshold", are indifferent predictors of exercise capacity in athletes with similar abilities. This review considers four additional models that need to be considered when factors limiting either short duration, maximal or prolonged submaximal exercise are evaluated. These additional models are: (i) the energy supply/energy depletion model; (ii) the muscle power/muscle recruitment model; (iii) the biomechanical model and (iv) the psychological model. By reviewing features of these models, this review provides a broad overview of the physiological, metabolic and biomechanical factors that may limit exercise performance under different exercise conditions. A more complete understanding of fatigue during exercise, and the relevance of the adaptations that develop with training, requires that the potential relevance of each model to fatigue under different conditions of exercise must be considered.

Adaptation, Physiological↗

Dietary requirements and athletic performance of horses.

There is no clear evidence that the chronic requirement for any non-energy yielding nutrient rises in proportion as the energy requirement increases with hard work. The need for protein, and probably that for calcium, remain a function of bodyweight daily. Some proportionality with energy may exist for certain nutrients, although the evidence has not been adduced. For example, because of an increase in both the proportion and amount of propionic acid in the volatile fatty acids of caecal contents, the tissue requirement for vitamin B12 may rise with an increase in the rate of energy metabolism. Exercise influences appetite and therefore voluntary intake, and consequently the daily intake of nutrients. Although that intake is not just a function of dietary bulk and weight, it is necessary to increase energy concentration of diets to achieve an adequate chronic intake of energy where work intensity and energy expenditure are considerable. Acute nutrient requirements paint a different picture from chronic requirements. An increase in total feed intake, or the density of that feed, would neither satisfy these requirements nor be a desirable means of doing so. The acute needs of water, electrolytes and soluble carbohydrates should be met by dosing when the need arises. The timing of the consumption of energy yielding substrates relative to that of exercise may be critical to performance. An inevitable postprandial consequence of a meal of starch or protein by the resting horse, is an increase in the activity of plasma insulin. This increase decreases blood glucose, depriving muscles of a critical substrate, but the assertion has not been resolved by experiment in horses. Experiments are required to ascertain the optimum feeding regime during the 24 h preceding extreme exertion. Whereas exhaustion in sprint work is largely a function of elevated blood lactate concentration, that of extended work is a consequence of a decline in glycogen reserves and losses of body fluid and electrolytes. Glycogen loading is of benefit to many long distance human athletes, but no advantage has yet been established for this practice in horses, and without modification it could render them subject to laminitis and endotoxaemia. Nevertheless supplementation of horses with water, glucose and electrolytes during work may benefit their endurance. The provision of 5 litres water every 2 h with 30 g salt, or twice as much of mixed electrolytes, and 15 g sucrose or glucose, is recommended for a 500 kg horse during periods of extreme sweating.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Effects of feeding a blend of grains naturally contaminated with Fusarium mycotoxins on feed intake, metabolism, and indices of athletic performance of exercised horses.

An experiment was conducted to determine the effect of feeding blends of grains naturally contaminated with Fusarium mycotoxins to mature, exercised horses, and to test the efficacy of a polymeric glucomannan mycotoxin adsorbent (GM polymer) in preventing Fusarium mycotoxicoses. Six mature, mixed-breed mares with an average BW of 530 kg were assigned to one of three dietary treatments for 21 d in a replicated 3 x 3 Latin square design. Feed consumed each day was a combination of up to 3.5 kg of concentrates and 5.0 kg of mixed timothy/alfalfa hay (as-fed basis). The concentrates fed included 1) manage; 2) blend of contaminated grains; and 3) contaminated grains + 0.2% GM polymer (MTB-100, Alltech Inc., Nicholasville, KY). Concentrates containing contaminated grains averaged 11.0 ppm deoxynivalenol, 0.7 ppm 15-acetyldeoxynivalenol, and 0.8 ppm zearalenone (as-fed basis). Feed intake and BW were monitored over a 21-d period. Horses were maintained on a fixed exercise schedule throughout the experiment. At the end of the experiment, each horse completed a time-to-fatigue treadmill step test. Variables measured during pretest, each step of the test, and 5 and 10 min posttest were as follows: 1) time-to-fatigue, 2) heart rate, 3) hematological variables, and 4) serum lactate concentration. Each step consisted of 2 min of fast trot with a 2% increase in incline after each 2 min. Feed intake by horses fed contaminated grains was decreased compared with controls throughout the experiment (P < 0.05). Supplementation of 0.2% GM polymer to the contaminated diet did not alter feed intake by horses compared with those fed the unsupplemented contaminated diet. All hay was consumed regardless of concentrate fed. Weight loss from 0 to 21 d was observed in horses fed contaminated grains compared with controls (P < 0.05). No effect of diet was seen on variables used to measure athletic ability, although the results showed an expected response to exercise for a fit horse. We conclude that exercised horses are susceptible to Fusarium mycotoxicoses as indicated by appetite suppression and weight loss.

Animal Feed↗

[Effects of doses of cereal foods and zinc on different blood parameters in performing athletes].

A total of 51 athletes, randomly divided into two groups (with or without zinc supplementation) and respective two subgroups (with or without cereal diet) had been tested for their serum levels in respect of zinc, iron, copper, phosphorus and potassium over a period of 8 weeks, i.e. during a period of competition. Furthermore, subpopulations of lymphocytes were defined. Modifications of the immunologic defense mechanism with special regard to the zinc level could, however, not be detected. Minerals, i.e. zinc and iron revealed to decrease significantly during simultaneous uptake of certain amounts of the cereal products. This is due to the relatively high amounts of phytates in cereals which are capable to bind the trace elements in form of complex salts.

Absorption↗

The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes.

Based on experience, the authors believe that MR imaging is a useful tool in the assessment and management of stress fractures and stress phenomenum of bone. The use of standard, graded MR evaluation aides the assessment of a repetitive stress injury to bone by allowing a more accurate diagnosis of bone injury. This more accurate assessment has predictive value in estimating the duration of disability. The use of a standard, graded MR evaluation aides the management of repetitive stress injuries to bone by defining a low grade of stress fracture (i.e., grade 1 and 2) injuries and a high grade of stress fracture (i.e., grade 3 and 4). This grading system has implications in the management of stress fractures, allowing more individualized treatment for the elite athlete.

Athletic Injuries↗