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Physical performance and peak aerobic power at different body temperatures.

In eight male subjects we studied the effect of different core (esophageal, (Tes 34.9--38.4 degrees C) and muscle (Tm 35.1--39.3 degrees C) temperature on 1) physical performance (time to exhaustion at a standard maximal rate of work, WT), 2) aerobic power (VO2), 3) heart rate (HR), and 4) blood lactate (LA) concentration during exhaustive combined arm and leg exercise. In three subjects the effects at different mean skin temperatures (Tsk 27 and 31 degrees C, respectively) were also studied. Peak VO2 was positively correlated to both Tes (r = 0.88) and Tm (r = 0.91). None of the subjects attained control VO2max at Tes and Tm lower than 37.5 and 38.0 degrees C, respectively. HR was correlated to both Tes (r = 0.97) and Tm (r = 0.95). Different Tsk did not affect peak VO2 and HR at subnormal body temperatures. Pulmonary ventilation was independent of Tes and Tm in all experimental situations. LA was significantly higher at Tes 37.5 degrees C compared to both Tes 34.9 and 38.5 degrees C, respectively. At Tes less than 37.5 degrees C and Tm less than 38.0 degrees C, there was a linear reduction in WT (20%.degrees C-1), peak VO2 (5--6%.degrees C-1), and HR (8 beats.min-1.degrees C-1) with lowered Tes and Tm.

Adult↗

Effects of plyometric training followed by a reduced training programme on physical performance in prepubescent soccer players.

BACKGROUND: In adult population, stretch-shortening cycle exercise (plyometric exercise) is often used to improve leg muscle power and vertical jump performance. In children, limited information regarding this type of exercise is available. The purpose of this study was to examine the effectiveness of plyometric training and maintenance training on physical performances in prepubescent soccer players. METHODS: Twenty boys aged 12-13 years was divided in two groups (10 in each): jump group (JG) and control group (CG). JG trained 3 days/week during 10 weeks, and performed various plyometric exercises including jumping, hurdling and skipping. The subsequent reduced training period lasted 8 weeks. However, all subjects continued their soccer training. Maximal cycling power (Pmax) was calculated using a force-velocity cycling test. Jumping power was assessed by using the following tests: countermovement jump (CMJ), squat jump (SJ), drop jump (DJ), multiple 5 bounds (MB5) and repeated rebound jump for 15 seconds (RRJ15). Running velocities included: 20, 30 and 40 m (V20, V30, V40 m). Body fat percentage (BF percent) and lean leg volume were estimated by anthropometry. RESULTS: Before training, except for BF percent, all baseline anthropometric characteristics were similar between JG and CG. After the training programme, Pmax (p<0.01), CMJ (p<0.01), SJ (p<0.05), MB5 (p<0.01), RRJ15 (p<0.01) and V20 m (p<0.05), performances increased in the JG. During this period no significant performance increase was obtained in the CG. After the 8-week of reduced training, except Pmax (p<0.05) for CG, any increase was observed in both groups. CONCLUSIONS: These results demonstrate that short-term plyometric training programmes increase athletic performances in prepubescent boys. These improvements were maintained after a period of reduced training.

Adolescent↗

Reliability and prevalence of physical performance examination assessing mobility and balance in older persons in the US: data from the Third National Health and Nutrition Examination Survey.

OBJECTIVE: This report provides reliability and prevalence estimates by sex, age, and race/ethnicity of an observed physical performance examination (PPE) assessing mobility and balance. SETTING: The Third National Health and Nutrition Examination Survey (NHANES III) 1988-1994. DESIGN: A cross-sectional nationally representative survey. PARTICIPANTS: All persons aged 60 and older (n = 5,403) who performed the PPE either in the mobile examination center (MEC) or in the home during NHANES III (conducted 1988-1994). MEASUREMENTS: The PPE included timed chair stand, full tandem stand, and timed 8-foot walk. RESULTS: Timed chair stand and 8-foot timed walk were reliable measurements (Intraclass Correlations > 0.5). Women were significantly slower (P < .001) than men for both timed chair stands and timed walk. Non-Hispanic white men and women did the maneuvers in significantly less time than non-Hispanic black men and women and Mexican Americans women (P < .001). CONCLUSIONS: Lower extremity functions measured by timed chair stand and walk are reliable. Women at every age group were more physically limited than men.

Activities of Daily Living↗

Dual-slice spiral versus single-slice spiral scanning: comparison of the physical performance of two computed tomography scanners.

In this paper we deal with two types of spiral scanners; one is a single-slice spiral scanner, while the other employs dual-slice technology into spiral scanning. Physical performance parameters, including image noise, contrast resolution, spatial resolution (transversal and longitudinal), and radiation exposure are measured. Computer simulations based on two interpolation methods (180 degrees and 360 degrees linear interpolation) are also used in evaluating the slice-sensitivity profile (SSP) and noise. The results show that the noise behaves in the same way for both types of scanners. The noise change, relative to that of the standard scan with the same scanning parameters, depends solely on the interpolation algorithm. Table speed and scanner geometry (either single slice or dual slice) have no effect on the noise value. For the given table speed, as well as individual detector collimation (slice width) the dual-slice scan results in better longitudinal resolution (SSP) compared to a single-slice scan if the scan is obtained with nonoverlapping slices (pitch greater than 2). This is because the dual-slice scan obtains twice the number of nonoverlapped projections for the same length, which reduces the degradation of the slice profile by using more densely arranged projections (in the longitudinal direction) for the interpolation. In the dual-slice scanner the workable scan rate is extended up to pitch 4 compared to a pitch of 2 for the single-slice scanner. Therefore, the dual-slice spiral scanner is preferred in applications requiring an increased scan rate with comparative image quality.

Computer Simulation↗

[Correction of physical performance of mice with the derivatives of 3-oxypyridine and pyridine].

Effects of 21 phenyl ethyl-substituted derivatives of 3-oxypyridine (3-OP), 6 adamantine derivatives of pyridine (PD) and actoprotectors bemithyl and bromanthane on physical performance (PP) were evaluated during treadmill testing of mice in ordinary conditions and following vibration. It was stated that in ordinary conditions PP was improved by eleven 3-OP derivatives and 3 adamantine PDs; nine 3-OP derivatives and 3 adamantine PDs had a positive effect following vibration. The actoprotective effect of the compounds depends on their chemical composition, dose and a background. A phenyl ethyl-substituted 3-OP derivative (code CK-132) administered in ordinary conditions and following vibration surpassed significantly the other compounds tested or compared with (bemithyl and bromanthane) in this experiment with regard to the spectrum of effective doses (5-100 mg/kg) and the actoprotective activity (PP improved by 32 to 110%). The compound (code CK-132) can be further test validated as an actoprotector against the impacts of vibration.

Adjuvants, Immunologic↗

The effect of acupuncture and moxibustion on physical performance by sedentary subjects submitted to ergospirometric test on the treadmill.

AIM: Acupuncture and moxibustion are 2 therapeutic methods used in Traditional Chinese Medicine. The aim of this study is to evaluate the effect of acupuncture and moxibustion in physical performance by an ergospirometry test. METHODS: Thirty-one subjects, sedentary, were randomized into 3 groups: Group I (Acupuncture); Group II (AcupunctureSham) and Group III (Control). They were submitted to anamnesis and an ergospirometry test. The subjects from Groups I and II were submitted to 10 acupuncture and moxibustion sessions, twice a week, for 5 weeks. The differences between the groups were that in Group I the acupuncture and moxibustion sessions were performed in acupoints and Group II in non acupoints. After this, the ergospirometry test was performed again. RESULTS: The acupuncture and moxibustion sessions did not increase maximum oxygen uptake (VO2max) significantly. Other variables presented a significant increasing: oxygen uptake in anaerobic threshold (VO2La); velocity in anaerobic threshold (Vel LA); caloric consumption (Gast Cal). The heart rate decreased when compared to velocity pre and post-treatment. The results show peripheral, afferent stimulation (acupuncture and moxibustion) could alter the functions of structures or internal organs. The decrease in heart rate and the significant improvement in oxygen uptake in anaerobic threshold are similar to adaptations to physical training. Probably, the autonomic nervous system (mainly sympathetic system) is engaged in the acupuncture and moxibustion mechanism of action. CONCLUSIONS: Acupuncture and moxibustion decreased the heart rate during the ergospirometry test; the oxygen uptake in anaerobic threshold (VO2La); velocity in anaerobic threshold (Vel LA) and caloric consumption (Gast Cal) had significantly increased.

Acupuncture Therapy↗

Anabolic growth hormone action improves submaximal measures of physical performance in patients with HIV-associated wasting.

Growth hormone (GH) treatment reverses the muscle loss allegedly responsible for diminished aerobic capacity and increased fatigue in patients with HIV-associated wasting. This study examined whether submaximal measures of physical performance can be used as objective measures of the functional impact of GH treatment-induced anabolism. We randomized 27 HIV-positive men [mean (SD) age, 43.9 (7.2) yr; body mass, 71.9 (10.4) kg; BMI, 23.1 (2.8) kg/m2] with unintentional weight loss despite antiretroviral therapy to receive GH (6 mg) or placebo in a double-blinded, placebo-controlled, cross-over trial with a 3-mo washout. Lean body mass (LBM), maximum oxygen uptake (Vo2 peak), ventilatory threshold (VeT), 6-min walk test (6MWT) distance and work, profile of mood states (POMS) fatigue and vigor scores, and Nottingham health profile (NHP) energy and physical mobility scores were measured. LBM significantly increased after 3 mo of GH treatment vs. placebo (means +/- SE, 3.7 +/- 0.6 vs. 0.3 +/- 0.4 kg; P < 0.001). VeT significantly improved (17.6 +/- 3.7 vs. -5.9 +/- 2.5%; P < 0.001), but Vo2 peak did not change significantly. 6MWT distance improved (24.9 +/- 9.7 vs. 19.9 +/- 11.6 m; P > 0.05) and 6MWT work increased significantly more after 3 mo of GH treatment (33.3 +/- 8.8 vs. 16.5 +/- 7.5 kJ; P < 0.05). POMS scores of fatigue and vigor and the NHP score of energy improved, yet the changes were not statistically significant. GH treatment improved VeT linearly to the increase in LBM (r =0.43, P = 0.037) and 6MWT work (r = 0.51, P = 0.008), and the increase in 6MWT work correlated with increase in LBM (r = 0.45, P = 0.024). Improvement in 6MWT work above the median (27.3 kJ) showed a decrease in fatigue (r = -0.62, P = 0.024). We concluded that GH treatment-induced LBM gains in HIV-associated wasting were functionally relevant, as determined by effort-independent submaximal measures of cardiopulmonary exercise testing.

Adult↗

Effect of magnetic therapy on selected physical performances.

The purpose of this study was to investigate the effects of magnetic therapy in the form of shoe insoles on vertical jump, bench squat, 40-yd dash, and a soccer-specific fitness test performance. Subjects were 14 collegiate male soccer players who were pretested, retested 3 weeks later, and then placed into a double-blind control or treatment group using a matching procedure. The control group received magnetic shoe insoles with a rating of 125 gauss, and the treatment group received insoles with a rating of 600 gauss. Subjects wore the insoles during practice and games for 7 weeks and were then retested. Results indicated significant differences among test scores during the 3 time periods but not between the treatment and control groups. There was a decline in 40-yd dash performance from the initial evaluation (5.10 seconds) to the final evaluation (5.08 seconds). There were no other significant differences. Within the limitations of the study, magnetic therapy did not improve physical performance.

Adolescent↗

Physical Performance Test and Activities of Daily Living scales in the assessment of health status in elderly people.

OBJECTIVE: To compare the ability of Basic Activities of Daily Living (BADL), Instrumental Activities of Daily Living (IADL), and the Physical Performance Test (PPT) to detect health status impairments. PATIENTS: Five hundred forty nine community-dwelling elders (89.8% of the eligible elderly population) aged 70 and over; mean age [was] 76.8 +/- 6.1; 179 were males and 370 females. SETTING: City of Ospitaletto, Brescia, Northern Italy. MEASUREMENTS: A multidimensional questionnaire assessing demographic variables, indicators of social activities, psychological function, and somatic health and functional status (BADL and IADL). Also, the PPT was administered. RESULTS: Cognitive and effective status were independently associated with BADL, IADL function, and age; number of drugs were also associated with IADL function. Other health variables (number of diseases, number of symptoms, and global health score) did not independently contribute to explaining the BADL and IADL variance. Cognitive status, number of symptoms, number of diseases, number of drugs, and global health were independently associated with PPT. CONCLUSIONS: Chronic diseases may affect functional status in a manner that is insensitive to traditional self-report ADL and IADL measures. Performance-based measures may capture this impairment before more severe functional loss emerges.

Activities of Daily Living↗

External inspiratory resistance of protective respiratory devices: effects on physical performance and respiratory function.

Twenty subjects wearing protective respirators were studied during submaximal exercise (80% of VO2max) on a treadmill. The protective devices were fitted with canister filters of low expiratory resistance and different inspiratory resistances: (0.3, 1.8, 2.8, 3.4, 3.9, and 4.6 cm H2O X sec/liter). The effect of inspiratory resistance on physical endurance, various physiological parameters, and subjective sensations was examined. With the increase in inspiratory resistance, a significant decrease in physical performance, decrease in tidal volume, increased ratio of inspiratory to expiratory time, increased peak inspiratory pressure, and increased CO2 retention were observed. The difficulty in inspiration correlated significantly to inspiratory resistance and seems to be the main reason for cessation of the effort. No acceptable upper limit for the inspiratory resistance of the canister filters was found. Any decrease in the inspiratory resistance of the mask's filter enhanced endurance and performance.

Adult↗

Improved physical performance and increased lean tissue and fat mass in patients with ulcerative colitis four to six years after ileoanal anastomosis with a J-pouch.

PURPOSE: This study was designed to examine the long-term changes in physical performance, body composition, and bone mineral density in patients with ulcerative colitis undergoing ileoanal anastomosis with J-pouch. Patients were also screened for abnormalities in blood biochemistry. METHODS: Maximal isometric strength (sum of pinching, hand grip, arm flexion, and knee extension), work capacity (ergometer test at 1.5 W/kg), pulmonary function, body composition (dual-energy x-ray absorptiometry scan), and fatigue level were assessed before surgery and four to six years later. RESULTS: Of 24 patients examined preoperatively, 12 females and 8 males were retested. At follow-up, their mean age +/- standard deviation was 38 +/- 9 years, weight was 76 +/- 14 kg, and height was 173 +/- 7 cm. Compared with preoperative assessments, muscular strength had increased 10.6 +/- 17.2 percent (P = 0.015), work capacity 10.4 +/- 13.3 percent (P = 0.003), total tissue mass 4.6 +/- 5.4 kg (P = 0.001), lean tissue mass 2.3 +/- 2.2 kg (P < 0.001), fat mass 2.2 +/- 3.7 kg (P = 0.014), and bone mineral density 1.6 +/- 2.4 percent (P = 0.008). Seventeen of 20 patients had biochemical abnormalities. CONCLUSIONS: After ileoanal anastomosis with J-pouch, muscular strength and work capacity improved concomitant with an increase in total tissue mass, lean tissue mass, fat mass, and bone mineral density. Biochemical abnormalities were common.

Adult↗

The physical performance test and the evaluation of functional status in patients with cerebral aneurysms.

OBJECT: Cerebral aneurysms can adversely affect the functional status of patients who harbor them through rupture, mass effect, or treatment sequela. The authors compared the Physical Performance Test (PPT)--an observer-administered test requiring the completion of seven tasks--with three functional status measures based on patient self-reports: the Glasgow Outcome Scale (GOS), the modified Rankin Scale (mRS), and the modified Barthel Index (mBI). METHODS: Data were collected from 144 patients with aneurysms who had been recruited from a neurosurgery clinic. The patients completed the PPT and were assigned GOS scores, mRS scores, and mBIs based on their responses during a structured interview. The validity of the PPT was assessed by examining the relationship between the results of the PPT and the values assigned to each patient by using the GOS, mRS, and mBI by applying rank-order methods; the reliability of the PTT was assessed using the Cronbach alpha coefficient. The mean age of the patients was 52.8 years; 72% were women and 54% had survived a subarachnoid hemorrhage. The mean +/- standard deviation PPT score was 24.0 +/- 3.7. The PPT generated a broad distribution of scores, whereas GOS and mRS scores and mBIs displayed significant ceiling effects, that is, 75% of the patients were clustered in the highest categories. The PPT scores were validated by their strong association with GOS scores, mRS scores, and mBIs (for all, p < 0.001), and the reliability of the PPT was demonstrated by a Cronbach alpha value of 0.77. CONCLUSIONS: The PPT provides an objective measure of functional status in patients with cerebral aneurysms. The results suggest that the PPT may differentiate among patients better than the GOS, mRS, or mBL The PPT is a valid and reliable instrument for measuring functional status in patients with cerebral aneurysms.

Activities of Daily Living↗

A hand-held imaging probe for radio-guided surgery: physical performance and preliminary clinical experience.

Improvements in the specificity of radiopharmaceutical compounds have been paralleled by an upsurge of interest in developing small detectors to assist surgeons in localizing tumour tissue during surgery. This study reports the main technical features and physical characteristics of a new hand-held gamma camera dedicated to accurate and real-time intra-operative imaging. First clinical experience is also reported. The POCI (Per-operative Compact Imager) camera consists of a head module composed of a high-resolution interchangeable lead collimator and a CsI(Na) crystal plate optically coupled to an intensified position-sensitive diode. The current prototype has a 40-mm diameter field of view, an outer diameter of 9.5 cm, a length of 9 cm and a weight of 1.2 kg. Overall detector imaging characteristics were evaluated by technetium-99m phantom measurements. Three patients with breast cancer previously scheduled to undergo sentinel lymph node detection were selected for the preliminary clinical experience. Preoperative images of the lymphatic basin obtained using the POCI camera were compared with conventional transcutaneous explorations using a non-imaging gamma probe. The full-width at half-maximum (FWHM) spatial resolution was investigated in both air and scattering medium; when the phantom was placed in contact with the collimator, the POCI camera exhibited a 3.2 mm FWHM. The corresponding sensitivity was 290 cps/MBq. The preliminary clinical results showed that POCI was able to predict the number and location of all SLNs. In one case, two deep radioactive nodes missed by the gamma probe were detected on the intra-operative images. This very initial experience demonstrates that the physical performance of the POCI camera is adequate for radio-guided surgery. These results are sufficiently encouraging to prompt further evaluation studies designed to determine the specific and optimal clinical role of intra-operative imaging devices.

Breast Neoplasms↗

Lack of an association between insulin-like growth factor-I and body composition, muscle strength, physical performance or self-reported mobility among older persons with functional limitations.

OBJECTIVE: The hypothesis that decreased growth hormone (GH) secretion contributes to the functional decline that occurs with aging is far from substantiated. There have been few studies addressing the distribution and correlates of IGF-I, an indicator of GH activity, in nonclinical populations. As part of a growth hormone intervention trial, we examined the cross-sectional relations between IGF-I levels and multiple measures of physical function, body composition, and strength in a group of older men and women exhibiting mild to moderate reductions in measured physical performance. METHODS: Using a variety of advertising techniques, 155 older subjects were recruited from a metropolitan area to participate in a growth hormone and exercise intervention study. At baseline, all subjects had blood drawn for IGF-I and underwent testing of body composition using dual X-ray absorptiometry, muscle strength using isokinetic dynamometry, and functional assessment using timed performance measures and self-report. Associations between levels of IGF-I, body composition, strength, and physical function were assessed after dividing men and women separately into tertiles of IGF-I as well as treating IGF-I as a continuous variable. RESULTS: Men had higher IGF-I levels than women, and a significant inverse correlation was observed between age and IGF-I in men (r=-0.29, P=.009). There were no clear trends for associations between tertiles of IGF-I, and any of the variables tested. Linear regression models with IGF-I treated as a continuous measure were not associated significantly with any of the measures of physical function, body composition, or strength (all P > 0.05). CONCLUSIONS: In conclusion, although IGF-I levels declined with age in men, these data did not demonstrate an association between IGF-I and measures of muscle strength, body composition, or physical functioning. These findings support the growing body of evidence that IGF-I levels may not be an indicator of growth hormone activity in older persons.

Aged↗

Physical performance capacity of children in Norway. V. The influence of social isolation on the rate of growth in body size and composition and on the achievement in lung function and maximal aerobic power of children in a rural community.

This paper tested the hypothesis that social isolation of children brings about a reduced pattern of habitual physical activity, influences body composition during growth, and hampers development of physical performance capacity. Two cohorts of children were studied, one living at or close to the center, the other living in the periphery of the community of Lom in Southern Norway. The two cohorts of children differed in their patterns of physical behavior, but were otherwise similar in genetic traits, nutrition, and environmental conditions. During a 4-year period the two cohorts of children were tested annually. The center children were leaner, and their maximal oxygen uptake and forced expiratory volume were greater in all years of growth when related to body size.

Adipose Tissue↗

The physical performances of a single slice positron tomographic system and preliminary results in a clinical environment.

Metabolic phenomena can be studied and measured non-invasively using positron emitting radionuclides and a suitably adapted tomographic system. The choice of a single slice ring camera is justified by its physical performance, which is presented here and discussed. A series of measurements with geometrical phantoms and analytical simulations have been performed to determine the critical characteristics of the system. This has permitted optimization of certain parameters enabling very interesting clinical results to be obtained at SHFJ, particularly in the area of cerebral physiopathology. In addition, the potential of obtaining absolute quantitative values of regional activity is presented. The calibration of the regional activity is presented. The calibration of the system, spatial non-stationarities, and attenuation correction, which represent the main sources of error, are considered in detail. A precision of the order of 10% should be obtainable. Such a quantitation method has been successfully applied to the in vivo study of the regional extraction of cerebral oxygen.

Brain↗

A cognitive and physical performance assessment of retirees entering a continuing care retirement community: the Moorings Assessment Protocol.

Moorings Park Continuing Care Retirement Community (CCRC) screened 267 applicants (115 males; 152 females; mean age 80.22 years) using the Mini-Mental State Examination (MMSE), the 7-Minute Screen, the Geriatric Depression Scale (GDS), and the Physical Performance Test (PPT). They compared mean scores across admission/nonadmission groups to determine the extent to which cognitively impaired persons were effectively redirected from independent living settings inadequate for their needs. Groups differed (p < .05) on 21 test items/scores, including subscales of the 7-Minute Screen. The nonadmission group underperformed the admission group and healthy controls from earlier research, and outscored persons with Alzheimer's disease on all 7-Minute Screen subscales. Researchers concluded that geriatricians had effectively identified those with dementia and mild cognitive impairment (MCI) and placed them into supervised settings more appropriate to their clinical and social needs.

Age Factors↗