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[Creatine as a metabolic controller of skeletal muscles structure and function in strength exercises in humans].

The aim of study was to investigate the effect of oral creatine supplementation upon muscle performance and aerobic capacity of the organism. Knee extensor muscles of two groups with 9 subjects in each were subjected to strength training with and without creatine supplementation (Cre and Pla) for 10 weeks, three times a week with an effort of up to 85% of maximal voluntary contraction (MVC). The Cre group received 5 g of creatine monohydrate a day. After 10 weeks strength training, an increase of MVC by 29 and 40% in training (isotonic) regimen was recorded for the Pla and Cre groups respectively. The muscle isokinetic torque increments of 10-11% were obtained in the Pla group at angular velocities corresponding to training velocities, and in the Cre group increments of 11-17% were recorded at all angular velocities tested. No changes were found in the fatigue test by the Pla group, whereas Cre group showed a tendency for an increase. The aerobic and anaerobic capacities of the organism did not decrease in both groups. Thus the creatine supplementation during strength training potentates an increase of force-velocity characteristics of trained muscle group without impeding aerobic capacity of the organism.

Adult↗

[Creatine as a metabolic controller of skeletal muscles structure and function in strength exercises in humans. The cellular mechanisms].

The effects of creatine oral supplementation combined with a 10-week resistive training of morphometric, contractile and molecular characteristics of human vast lateral muscle fibers were studied. 2 groups consisting of 9 young healthy men each were involved in resistive training of knee extensors for 10 weeks. Volunteers of the first group received per os 20 g of creatine for the 1st week of training and 5 g for the rest of the experimental training period. We found a significant increase of slow and fast-twitch fiber size in both trained groups and a significant increase of Ca-sensitivity of skinned single fiber contractility in creatine-supplemented group. The serum creatine phosphokinase activity in blood samples taken 24 hours after exercise session increased in all stages of the experimental training in both groups. At the same time, the adaptive decrease of the after-exercise CK concentration was observed in the placebo but not in the creatine-supplemented group. The altered integrity of the subsarcolemmal dystrophin layer was revealed in both groups after training.

Adult↗

Central fatigue in sports and daily exercises. A magnetic stimulation study.

Previous transcranial magnetic stimulation (TMS) studies showed exercise-induced depression of motor evoked potentials (MEP). The purpose of the present study was to evaluate changes in MEP size and central motor conduction time (CMCT) after various kinds of exercise of daily life and sports. Changes of both central and peripheral motor conduction were recorded immediately after predominantly aerobic (climbing stairs and jogging) and anaerobic (press-ups, dumb-bell holding, and 400 m-run) exercise. Strength exercise resulted in a significant decrease of MEP amplitudes. Exhausting press-ups reduced the mean MEP amplitude by 33% as compared to pre-exercise value, exhausting dumb-bell holding reduced the mean MEP amplitude by 66%. Aerobic exercises (climbing 600 steps and jogging 50 minutes) did not significantly change MEP amplitudes. The compound motor action potentials (registered after supramaximal peripheral electrical stimulation) remained unchanged after each paradigm. CMCT was not significantly altered by any of the exercises under investigation. Peripheral motor conduction time (PMCT) was slightly lengthened by 4% after isometric dumb-bell holding. PMCT and total motor conduction time were decreased after aerobic exercises, probably due to an increase of temperature of the lower extremities. In conclusion, TMS is a suitable technique for objective evaluation of central fatigue. The present study is the first to show its possible use in sports medicine, indicating that only exhaustive or strength exercises result in reduced MEPs.

Adult↗

Designing exercise regimens to increase bone strength.

Exercise is a very effective way to strengthen bones, particularly during childhood and adolescence. A collection of studies from the clinic and laboratory have provided new insights into how bone building effects of exercise can be maximized. From the available data we have calculated an "osteogenic index" for exercises.

Aged↗

Local bone mineral density, muscle strength, and exercise in adolescent boys: a comparative study of two groups with different muscle strength and exercise levels.

The primary objective of the present study was to evaluate the impact of physical activity and muscle strength on bone mineral density (BMD) of the tuberositas tibiae in adolescent boys. Two groups with different exercise levels were compared. The high activity group consisted of 20 subjects (age 15.9 +/- 0.3) from a junior ice hockey team. The reference group consisted of 24 volunteers (age 15.9 +/- 0.3) not training for more than 3 hours per week. The groups were matched for age, weight, and pubertal stage. BMDs (g/cm2) of the tuberositas tibiae and proximal tibia were measured using dual energy X-ray absorptiometry. Quadriceps strength was significantly higher in the high activity group (P < 0.01). Univariate correlations were measured between tuberositas tibiae BMD and pubertal stage, weight, height, BMI, fat mass, lean body mass, quadriceps strength, and hamstrings strength in the high activity group and the reference group, respectively. Quadriceps strength was estimated to be the best significant predictor of BMD of the tuberositas tibiae in the reference group. A multivariate analysis confirmed this result. In the high activity group, there was no significant predictor of BMD of the tuberositas tibiae. There was no significant difference in BMD at this site when comparing the two groups. However, five of the boys in the high activity group had a former history of Mb Osgood-Schlatter with a significantly lower BMD of the tuberositas tibiae than the rest of the boys in that group. After exclusion of these boys, the remaining 15 boys were matched against 20 boys from the reference group using the previous criteria. These 15 boys then showed a significantly higher BMD of the tuberositas tibiae (P < 0.05) but not of the proximal tibia than the 20 boys in the reference group. In conclusion, this study demonstrates site-specific increments of tuberositas tibiae BMD in adolescent ice hockey players unless they are affected by the negative effects on BMD by Mb Osgood-Schlatter. These increments seem primarily to be associated with forceful muscle contractions related to high quadriceps strength and not greater weight-bearing loading. Muscle strength seems to positively affect BMD of the tuberositas tibiae in adolescents, but only up to a certain level, above which additional muscle strength has no effect.

Adolescent↗

Fetal responses to maternal strength conditioning exercises in late gestation.

Cardiovascular responses to strength conditioning exercises were examined in 12 healthy pregnant women and their unborn fetuses during the third trimester. A group of 12 healthy nonpregnant women of similar ages, parity, body height, and pre-pregnant body mass was also studied. Maternal heart rate and blood pressure and fetal heart rate (FHR) responses were measured in both the supine (30 degrees tilt) and seated postures during handgrip (HG), single-leg extension (SL), and double-leg extension (DL) exercise. Subjects performed 3 sets of 10 reps at 50, 70, and 90% of their 10-repetition maximum (10-RM) for each exercise in both postures. Pregnant subjects exhibited higher heart rates but similar blood pressure responses to control subjects under all experimental conditions. Significant increases were observed for the frequency of FHR accelerations (0.10 to 0.27/min) from rest to DL in the sitting posture at 90% RM. Moderate fetal bradycardia was observed occasionally in the tilted supine posture at rest and both during (SL, DL) and following (HG, SL, DL) exercise, suggesting that this posture should be avoided in late gestation. The results support the safety of moderate strength conditioning exercises in healthy pregnancy.

Adult↗

Similarities in skeletal muscle strength and exercise capacity between renal transplant and hemodialysis patients.

Exercise intolerance is common in hemodialysis (HD) and renal transplant (RTx) patients. Aim of the study was to assess to what extent exercise capacity and skeletal muscle strength of RTx patients differ from HD patients and healthy controls and to elucidate potential determinants of exercise capacity in RTx patients. Exercise capacity, muscle strength, lean body mass (LBM) and physical activity level (PAL) were measured by cycle-ergometry, isokinetic dynamometry, DEXA and Baecke Questionnaire, respectively, in 35 RTx, 16 HD and 21 controls. VO2peak and muscle strength of the RTx patients were significantly lower compared to controls (p<0.01), but not different compared to HD patients. In RTx patients, strength (p<0.001), PAL (p=0.001) and age (p=0.045) were significant predictors of VO2peak. Muscle strength was related to LBM (p=0.001) and age (p=0.001), whereas gender (p<0.001) and renal function (p=0.01) turned out to be significant predictors of LBM. No effects of corticosteroids were observed. Exercise capacity and muscle strength seem equally reduced in RTx and HD patients compared to controls. In RTx patients, muscle strength and PAL are highly related to exercise capacity. Renal function appears to be a significant predictor of LBM, and through the LBM, of muscle strength and exercise capacity.

Exercise Test↗

Mechanisms by which exercise improves bone strength.

Certain exercises can induce osteogenesis and improve bone strength, yet the biological processes involved in bone mechanotransduction are only beginning to be understood. Several pathways are emerging from current research, including calcium signaling associated with membrane ion channels, adenosine triphosphate signaling, second messengers such as prostaglandins and nitric oxide, and signaling involving mitogen-activated protein kinase. One characteristic of the mechanosensing apparatus that has only recently been studied is the important role of desensitization. Experimental protocols that insert "rest" periods to reduce the effects of desensitization can double anabolic responses to mechanical loading. Exercises that reduce desensitization may provide an effective means to build bone strength.

Animals↗

The effects of progressive strength training and aerobic exercise on muscle strength and cardiovascular fitness in women with fibromyalgia: a pilot study.

OBJECTIVE: To determine the safety, feasibility and consequences of a program of progressive strength training and cardiovascular exercise in women with fibromyalgia syndrome (FMS). METHODS: Fifteen women with confirmed FMS were monitored for injury and exercise compliance, and assessed for muscle strength (1-repetition maximum technique), cardiovascular endurance (6-minute walk test), and functional status (Fibromyalgia Impact Questionnaire [FIQ]) before and after a 20-week exercise intervention. RESULTS: Zero injuries and an 81% compliance rate occurred during training. Improvement was seen in muscle strength of the lower (191 +/- 75 to 265 +/- 67 pounds; P < 0.001) and upper (61 +/- 18 to 76 +/- 18 pounds; P < 0.001) body, 6-minute walk distance (530 +/- 80 to 629 +/- 74 meters; P < 0.001), and in FIQ score (44 +/- 9 to 32 +/- 14; P < 0.01). CONCLUSION: A program of progressive strength training and cardiovascular exercise can be safe, well tolerated, and effective at improving muscle strength, cardiovascular endurance and functional status in women with FMS without exacerbating symptoms. This program may also contribute to a reduction in the severity of several symptoms.

Adult↗

Effect of exercise on strength and chemical composition of rat femur bone.

The effect of exercise on strength and chemical composition of rat femur bone was examined. Ten 5-week-old rats were forced to exercise on a treadmill with a running speed of 20 m/min at set time intervals for a 4-week period. Another 10 rats were kept idle as controls. After exercising, bending tests of the rat femur bones were carried out, and the content ratios of Sr to Ca, Sr/Ca, were measured by energy-dispersive fluorescent X-ray analysis and EPMA line analysis. The strength of the exercise group was greater than that of the control group. The ratio, Sr/Ca, of the exercise group showed a tendency to increase compared to that of the control group. It is clear that the chemical composition of bone varies with the degree of exercise, and that the bone becomes strengthened at the same time.

Animals↗

Intra-operator and inter-operator reliability of surface electromyography in the clinical evaluation of back muscles.

As a prerequisite to the use of a test battery based on electromyographic (EMG) analysis of the paraspinal muscles for identifying and remedying back muscle dysfunction, the intra- and inter-operator reliability was assessed. Fifteen volunteers underwent EMG tests on three occasions. The test subjects were asked to perform 22 exercises, subdivided into four categories: coordination, stabilization, balance and strength exercises. The time interval between the tests was one week. The myoelectric signals of the multifidus (MF) and iliocostalis lumborum pars thoracis (ICLT) were analysed with regard to amplitude (averaged EMG) and frequency (zero cross rate). The results indicated that the reliability was better for the MF than for the ICLT, and also for exercises at higher loads (strength exercises). In the intra-operator condition, the reproducibility of the averaged EMG was good (ICC>0.75), except for the balance exercises (ICC = 0.40-0.74). In general, the averaged EMG in the inter-operator condition and the zero cross rate in both the intra- and inter-operator conditions are less or poorly reliable. These results demonstrate that when back muscle function is evaluated during coordination, stabilization and strength exercises, only the averaged EMG parameter has acceptable reproducibility over time when assessed by the same operator.

Adult↗

Increased muscle mass with myostatin deficiency improves gains in bone strength with exercise.

UNLABELLED: We tested the hypothesis that increased muscle mass augments increases in bone strength normally observed with exercise. Myostatin-deficient mice, which show increased muscle mass, were exercised along with wildtype mice. Results indicate that increases in bone strength with exercise are greater in myostatin-deficient mice than in wildtype mice, suggesting that the combination of increased muscle mass and physical activity has a greater effect on bone strength than either increased muscle mass or intense exercise alone. INTRODUCTION: Muscle (lean) mass is known to be a significant predictor of peak BMD in young people, and exercise is also found to increase bone mass in growing humans and laboratory animals. We sought to determine if increased muscle mass resulting from myostatin deficiency would enhance gains in bone strength that usually accompany exercise. MATERIALS AND METHODS: Male mice lacking myostatin (GDF-8) were used as an animal model showing increased muscle mass. Wildtype and myostatin-deficient mice (n = 10-12 per genotype) were exercised on a treadmill for 30 minutes/day, 5 days/week, for 4 weeks starting at 12 weeks of age. Caged wildtype and myostatin-deficient mice (n = 10-12 per genotype) were included as sedentary controls. Structural and biomechanical parameters were measured from the radius. RESULTS: Ultimate force (F(u)), displacement (D(u)), toughness (energy-to-fracture; U), and ultimate strain (epsilon(u)) increased significantly with exercise in myostatin-deficient mice but not in normal mice. When F(u) is normalized by body mass, exercised myostatin-deficient mice show an increase in relative bone strength of 30% compared with caged controls, whereas exercised wildtype mice do not show a significant increase in ultimate force relative to caged controls. Relative to body weight, the radii of exercised myostatin-deficient mice are >25% stronger than those of exercised normal mice. CONCLUSIONS: Increased muscle mass resulting from inhibition of myostatin function improves the positive effects of exercise on bone strength.

Animals↗

The effect of habitual physical activity, non-athletic exercise, muscle strength, and VO2max on bone mineral density is rather low in early postmenopausal osteopenic women.

CONTEXT: Although the positive effect of well-designed exercise regimes on bone mineral density (BMD) is established the osteo-anabolic relevance of habitual physical activity and non-athletic exercise is still under discussion. OBJECTIVE: To determine the effects of habitual physical activity, non-athletic exercise muscle strength, VO2max and anthropometric parameters on BMD in early post-menopausal women. DESIGN: Cross-sectional study. METHODS: 150 early postmenopausal women (55.5+/-3.4 years), which were free of diseases or medication affecting bone metabolism and had no athletic history were investigated. The influence of weight, body composition, physical activity, isometric strength, VO2max, and nutritional intake on BMD was measured at multiple sites using different techniques. Further bone markers (Osteocalcin, CTX) were determined. Activity and weight-bearing activity were assessed by questionnaire. Maximum strength was measured isometrically. Aerobic capacity was measured with an spirometric system in a stepwise treadmill test and dietary intake was monitored over 5 days. RESULTS: Slight relationships between physical activity, exercise, muscle strength and VO2max with bone parameters were determined by univariate analysis. After adjusting for confounding variables in a stepwise regression analysis, significant relationships with BMD measured at the hip or the spine could no longer be detected for physical activity, exercise, and physical fitness (strength indices, VO2max). The same was true for osteocalcin and CTX. Arm strength explained 4.5% of the variation of forearm BMD (DXA). At the calcaneal site, osteogenic exercise was significantly related to the quantitative ultrasound index (r2 = 0.27). CONCLUSION: The isolated effect of habitual physical activity, unspecific exercise participation, and muscle strength on bone parameters is rather low in (early-) postmenopausal women. CLINICAL RELEVANCE: Women at risk should take specific exercise programs into consideration rather than to increasing the amount of habitual physical activity.

Biomarkers↗

[Effects of weight training on muscle strength and exercise capacity in patients after myocardial infarction].

The effect of combined aerobic and weight training on indexes of muscle strength and exercise capacity was investigated in 59 patients after myocardial infarction. Subjects were randomly assigned into three groups: group I performing combined aerobic and weight training (n = 22), group II performing ordinary aerobic training alone (n = 19) and group III not performing physical training (n = 18). Before and after the training, isokinetic knee extension strength was measured and cardiopulmonary exercise testing was performed. Physical training was prescribed for 8 weeks. Weight training of knee extensors was performed at 60% of 1 repetition maximum and aerobic training was prescribed at the heart rate of anaerobic threshold (AT) level. After 8 weeks, the increase of isokinetic knee extension strength was significantly greater in group I (26 +/- 14%) than group II (6 +/- 8%) and III (4 +/- 8%). Increases in peak VO2, exercise time, AT and peak O2 pulse were greater in groups I and II than group III. Furthermore, increase of exercise time was greater in group I (25 +/- 14%) than group II (16 +/- 9%). The rating of perceived exertion in submaximal exercise decreased significantly only for group I. In patients with myocardial infarction, combined aerobic and weight training is a more effective method for increasing muscle strength and exercise capacity than only ordinary aerobic training.

Aged↗

Changes in the force development characteristics of muscle following repeated maximum force and power exercise.

There is some evidence to suggest that ability to develop force in skeletal muscle can be improved for a short period following repeated maximal strength exercise. Some studies have suggested the phenomenon known as post-activation potentiation (PAP) to explain this immediate response to such exercise. However, little is known about the physical and temporal characteristics of the changes in muscle function due to PAP when induced using whole-body maximal strength exercise. The purpose of this study was to establish the physical and temporal characteristics of PAP of muscle function in elite male athletes following maximum strength and power exercise. Fifteen participants performed one of repeated maximal strength exercise or maximal power exercise or a control protocol on separate occasions. Changes in maximum isometric voluntary force (iMF), maximum isometric rate of force development (iRFD) and maximum vertical counter-movement jump (CMJ) were assessed. Results suggest that post-activation potentiation of iRFD occurs but is preceded by an initial suppression of force development capability following repeated maximal strength exercise. Following repeated maximal power exercise, however, post-activation potentiation of iRFD occurs immediately but is not seen over as long a period as that observed following maximal strength exercise. These results suggest that post-activation potentiation does bring about increased force development capability following intense exercise and that the temporal profile of the post-activation potentiation changes with intensity of the exercise used to induce it.

Adult↗