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Physical exercise and hypertension. New insights and clinical implications.

In the last few years, the role of habitual physical activity in blood pressure regulation and in the prevention and treatment of mild hypertension has stimulated general interest. Both experimental and observational studies seem to show that physical exercise has a lowering effect on blood pressure. Some longitudinal training studies supplied data regarding the possibility of using physical training in the treatment of hypertensive patients. The mechanisms responsible for lower blood pressure induced by physical training are still unknown; however, the benefits from physical training last only as long as individuals continue to engage in regular physical activity.

Blood Pressure↗

Changes in erythrocyte membrane phospholipid composition induced by physical training and physical exercise.

The effects were investigated of physical training and exercise on lipids of the erythrocyte membrane of healthy students. Membrane cholesterol and phospholipids were analysed simultaneously by thin-layer chromatography with a flame ionization detector and the fatty acid composition was determined by gas chromatography. Physically trained students had similar physical characteristics to control students but a significantly higher aerobic capacity, estimated as the maximal oxygen uptake and anaerobic threshold. Of the phospholipids examined, only the content of membrane phosphatidylserine was significantly lower in the trained group. Fatty acid analysis showed that the amount of docosahexaenoic acid in membrane phosphatidylserine was lower in the trained group. There was no significant difference between the fatty acid compositions of membrane phosphatidylcholine in the two groups. Maximal exercise decreased membrane phosphatidylserine in the control group but not in the trained group. It also significantly decreased the relative amounts of unsaturated fatty acids in both phosphatidylcholine and phosphatidylserine in the untrained group. Maximal oxygen uptake was negatively correlated with the amount of erythrocyte membrane phosphatidylserine. These results would indicate that both physical training and acute exercise decrease phosphatidylserine and polyunsaturated fatty acids in erythrocyte membranes, possibly due to lipid peroxidation, suggesting limited enhancement of erythrocyte defense mechanisms in adaptation to chronic oxidative stress.

Adult↗

Effects of endurance training on hormonal responses to prolonged physical exercise in males.

The effect of several years' endurance training on hormonal changes during acute prolonged physical exercise was studied. In trial I, 13 cross-country skiers were studied before and after a 75-km ski race and 3 weeks later on a control day. In trial II, 10 trained and 8 untrained subjects bicycled for 4 h on the road with as high a performance level as possible. Venous blood samples were taken in both trials before and after the exercise. In trial I, serum concentrations of luteinizing hormone (p < 0.01) and follicle-stimulating hormone (FSH, p < 0.001) decreased more from morning to afternoon samples, and cortisol (p < 0.001) and growth hormone (GH, p < 0.001) increased more during the ski race when compared to the control day. Serum testosterone decreased during the ski race (p < 0.01) but not on the control day. In trial II, a group difference was seen in serum FSH levels which was higher in the trained than untrained subjects at all three time points (F = 4.66, p = 0.046). A significant trial-group interaction (p = 0.020) was seen in GH, the GH being lower before exercise and higher 2 h after exercise in the untrained subjects. There was a significant group contrast between pre- and post-exercise samples in testosterone (p = 0.021) and cortisol (p = 0.022). In conclusion, the higher basal FSH concentration in the trained versus untrained subjects may be a sign of compensated hypogonadism due to intensive chronic training or it may be due to dysfunction of Sertoli cells.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[Knowledge and perceptions of physical exercise in an adult urban population in Southern Brazil].

This study evaluates perception and knowledge of physical exercise in an urban adult population and relates knowledge level to behavioral, demographic, and socioeconomic factors, using a cross-sectional, population-based approach with 3,182 participants aged 20 or older. The questionnaire originated a score (range 0-25 points). Mean score for the sample was 17.1 (SD=4.0). After adjustment, female gender, age 30 to 40 years, higher social strata, and schooling were strongly associated (p<0.001) with the outcome (knowledge). Weaker associations (p< or =0.01) were observed between the score and higher body mass index, level of physical activity, and white skin color. Based on the results, specific benefits from exercising are still unknown to some population groups. Counseling by teachers on the advantages of an active lifestyle is still not common practice.

Adult↗

The effect of physical exercise following acute disease exacerbation in patients with dermato/polymyositis.

OBJECTIVE: To study the effect of physical exercise shortly after an acute episode of dermato/polymyositis (DM/PM). DESIGN: Pilot study of a descriptive nature. SETTING: Rehabilitation unit of a large general hospital. SUBJECTS: Ten patients 2-3 weeks after an acute phase of DM/PM (early recovery group) and 11 patients in the inactive stage of DM/PM for at least three months (chronic stage group). INTERVENTIONS: Isotonic muscle training consisted of several series of different repeated movements at 65-70% of individual maximal repetition limit. Special training was applied for the respiratory muscles. Relaxing baths, mud packs and massages were also applied. OUTCOME MEASURES: Dynamometer and spirometer were used for measuring the changes in muscle strength and respiratory function. Disability tests were done before and after therapy. RESULTS: No disease relapses or decreases in muscle function were seen. In the early recovery group, the average muscle strength improvement was 17 +/- 31 % (p > 0.05) in the proximal muscles and 37 +/- 23% (p < 0.05) in the distal muscles, while the vital capacity also increased by 17 +/- 21% (p < 0.05). In the chronic stage group the average improvement in muscle strength was 46 +/- 34% (p < 0.05) in the proximal muscles and 37 +/- 29% (p < 0.05) in the distal muscles. By the end of the therapy both groups showed improvements in disability tests (p < 0.05). CONCLUSIONS: Physical training started 2-3 weeks following an acute exacerbation of the disease seems to be useful and safe. Some improvement in muscle strength and respiratory function can be obtained, muscle atrophy due to inactivity may be partially prevented and the level of disability can be decreased.

Acute Disease↗

The combined effect of alcohol and physical exercise on serum testosterone, luteinizing hormone, and cortisol in males.

The combined effect of alcohol and physical exercise on the serum levels of testosterone, luteinizing hormone, and cortisol was studied in healthy male volunteers by performing an exhaustive ergometer exercise (1) followed by alcohol intoxication (induced by 1.5 g of alcohol/kg body weight), (2) during alcohol intoxication (induced by 0.8 g of alcohol/kg body weight), and (3) during hangover (13 hr after a dose of 1.5 g of alcohol/kg body weight). Physical stress immediately before alcohol administration prolonged the depressant effect of alcohol on testosterone secretion. This seemed to be mainly a consequence of direct inhibition at the testicular level, even though the role of luteinizing hormone as a contributory regulatory factor cannot be totally ruled out. Cortisol response to exercise was not modified by alcohol under any of the experimental conditions.

Adult↗

Stress and well-being in adolescence: the moderating role of physical exercise.

Adolescence is quite often a period of personal adjustment and stress, and previous research has found that adolescents are vulnerable to the negative effects of stressful life events. The present research sought to determine whether a subset of adolescent girls, those who routinely engage in physical exercise, escape stress-induced disturbances in physical and psychological well-being. Self-report measures of stressful life events, physical and emotional well-being, and exercise habits were obtained from 220 females of secondary school age. In accordance with experimental hypotheses, stress had a substantial debilitating effect on physical and emotional health among persons who reported exercising infrequently but not among those who reported exercising regularly. Potential mediating mechanisms are identified and implications of the findings for primary prevention programs targeted toward adolescents are discussed.

Adolescent↗

Effect of physical exercise prelabyrinthectomy on locomotor balance compensation in the squirrel monkey.

This study examines the effectiveness of physical exercise, during a prepathology state, on locomotor balance compensation after subsequent unilateral labyrinthectomy in squirrel monkeys. An experimental group underwent 3 hr. of daily running exercise on a treadmill for 3 mo. prior to the surgery, whereas a control group was not exercised. Postoperatively, the locomotor balance function of both groups was tested for 3 mo. There was no significant difference in gait deviation counts in the acute phase of compensation. However, in the chronic compensation maintenance phase, the number of gait deviation counts was fewer in the exercise group, which showed significantly better performance stability.

Animals↗

[Effect of physical exercise training on graft patency after aortocoronary bypass grafting].

This study evaluated the effect of physical exercise training on graft patency after aortocoronary bypass grafting (ACBG). Patients who underwent ACBG were randomized into the training (17 patients, 43 grafts) and nontraining groups (18 patients, 45 grafts). Tissue plasminogen activator (TPA) antigen, TPA activity, plasminogen activator inhibitor-1 (PAI-1) antigen and PAI-1 activity as fibrinolysis variables, and an angiographic study were performed 2 and 26 weeks after ACBG. Plasma TPA activity increased significantly in the training group, but not in the nontraining group after 24 weeks of training. Plasma PAI-1 antigen and activity decreased significantly in the training group, while PAI-1 levels remained unchanged in the nontraining group. Grafts were patent in 93% (40 of 43) of the training group and 76% (34 of 45) of the nontraining group (p < 0.05). A high plasma concentration of PAI-1 may interfere with the natural thrombolytic process. Exercise training can decrease PAI-1 levels and increase TPA activity after ACBG. Improved fibrinolysis obtained by exercise training may have beneficial effects on graft patency.

Adult↗

[Physical exercise, oxidative stress and damage].

Physical activities (aerobic, anaerobic and resistance exercises) evoke an increased production of high oxidative substances, depending mainly on the intensity of the muscle actions. Antioxidants in the muscle and blood represent the first line of defense, but an oxidative stress activates the scavenger enzyme systems. If the stress is too high, structural modifications, "damage" of lipids, proteins and nucleic acids is a consequence. Markers of this oxidative damage can be recognized for a few days. Oxidative stress certainly have a role in the physiological adaptation to the physical activity. Moderate intensity (less than 50-60% of the aerobic capacity or of the maximal muscle tension) exercises exert low stress without oxidative damage impulse in the normally nourished subjects. Regular training and "normal" diet results a proper defense against excess oxidative stress. Monitoring of the oxidative stress or/and damage is not jet a tool in the training praxis in spite of the obvious advantages and of the existence of certain noninvasive methods. Data reinforce the necessity of regular exercise with moderate intensity in the primary prevention and in the rehabilitation of metabolic and cardiovascular diseases.

Adaptation, Physiological↗

Exhaustive physical exercise increases frequency of micronuclei.

Micronucleus (MN) tests were performed on PHA-stimulated blood lymphocytes of six healthy volunteers before and after two exhaustive sprints, causing lactate concentrations in the peripheral blood between 9.6 and 12.4 mmol/l. The number of micronuclei was significantly increased after 24-48 h in all six subjects. The mean of the total group increased from 37 MN per 3000 binucleated cells before exercise to 56 and 55 MN 24 and 48 h after exercise, respectively. These differences were also significant. These results indicate that exhaustive physical exercise causes severe mutations at the chromosome level in blood lymphocytes.

Adult↗

Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research.

"Physical activity," "exercise," and "physical fitness" are terms that describe different concepts. However, they are often confused with one another, and the terms are sometimes used interchangeably. This paper proposes definitions to distinguish them. Physical activity is defined as any bodily movement produced by skeletal muscles that results in energy expenditure. The energy expenditure can be measured in kilocalories. Physical activity in daily life can be categorized into occupational, sports, conditioning, household, or other activities. Exercise is a subset of physical activity that is planned, structured, and repetitive and has as a final or an intermediate objective the improvement or maintenance of physical fitness. Physical fitness is a set of attributes that are either health- or skill-related. The degree to which people have these attributes can be measured with specific tests. These definitions are offered as an interpretational framework for comparing studies that relate physical activity, exercise, and physical fitness to health.

Energy Metabolism↗

Positive and negative adaptation of muscle enzymes in aging mice subjected to physical exercise.

CWI mice at the age of 6, 22 and 27 months were subjected to a controlled physical training program for 5 weeks. Changes in specific activity of the enzymes aldolase, superoxide dismutase and catalase of the total hind-leg muscle tissues were followed. During the training period, specific activities of these muscle enzymes exhibited an adaptive increase in the 6 and 22 months groups. In senile (27 months) mice, however, enzyme activities decreased as a consequence of the physical challenge. Total body weight was not altered under these conditions. Immunotitration of extracts with anti-aldolase and anti-creatine kinase antibodies showed no significant differences, indicating that there was no accumulation of disappearance of faulty proteins during aging and physical exercise.

Aging↗

The effects of physical exercise on metabolic rate and dietary-induced thermogenesis.

1. The energy metabolism of ad lib.-fed adult male Wistar rats receiving daily running exercise (0.9 km/d; 8 degrees incline) on a motor-driven treadmill, over a period of 56 d, was compared with that of sedentary ad lib.-fed rats and sedentary restricted-fed rats of similar body-weight (approximately 420 g). 2. The metabolizable energy of the diet (Oxoid 41 B) was 11.44 +/- 0.05 kJ/g. This value was not affected by restricted feeding (70% ad lib.), exercise training or exercise itself. 3. Exercise-trained rats ate 5% more food than the sedentary ad lib.-fed rats but their equilibrium body-weight was 60 g lower than that of the latter group. 4. Resting metabolic rate, measured over 22 h in a respiration chamber was increased by 10% in exercise-trained animals. 5. Feeding increased energy expenditure (dietary-induced thermogenesis) and this effect was potentiated by performance of an exercise task. 6. Exercise-trained rats exhibited anticipatory rises in energy expenditure (approximately 40%) when placed on a stationary treadmill. 7. Treadmill work increased energy expenditure by a factor of 1.9-2.4. 8. The energy cost of the exercise, determined by respiration calorimetry was 66-80 J/g per km. These energy costs did not account for all the differences observed in food energy consumption of exercise-trained and sedentary rats of equal body-weight. 9. It is concluded that regular physical exercise increases energy expenditure by factors additional to the energy requirement directly related to the physical work. These factors include an increased resting metabolic rate in exercise-trained rats, increased dietary thermogenesis induced by exercise and anticipatory increases in energy metabolism during the period preceding exercise.

Animals↗

Saliva cortisol, physical exercise and training: influences of swimming and handball on cortisol concentrations in women.

The aim of this study was to observe the influence of physical exercise and training on saliva cortisol concentrations in women. Three groups of adult women were studied: one group of sedentary controls (n = 7) and two groups of sportswomen who competed in either handball (n = 14) or swimming (n = 10) at a national level. These sportswomen gave six saliva samples during a day that included exercise which was part of their annual training programme. We noticed a significant increase in saliva cortisol concentration after exercise in the handball players (6 p.m. vs 7.30 p.m. P < 0.05) which did not appear in the swimmers or the sedentary group. There was no difference between the sedentary group and the swimmers for each sample of the day. These results showed that the type of sport played seemed to influence the concentration of saliva cortisol, the type of stress involved, the respective haemodynamic conditions of swimming and running and thermal stress also playing a part. Moreover, it seemed that the level of performance influenced the secretion of cortisol in the saliva.

Adult↗

Blunted humoral responses to mental stress and physical exercise in cardiac transplant recipients.

Since recent results have suggested that the relative neuroendocrine response to physical activity is exaggerated following cardiac transplantation, we studied the haemodynamic-neuroendocrine responses to mental stress, and to physical exercise, in heart transplant recipients free of antihypertensive medication. Ten patients were studied 1.7 years (mean) after transplantation and compared with 10 age-matched controls. Plasma levels of catecholamines, renin activity, aldosterone, atrial natriuretic factor, calcitonin gene-related peptide (CGRP), and endothelin were measured, together with blood pressure and heart rate, during mental stress and graded, submaximal ergometry. Mental stress increased blood pressure in both groups (P < 0.02), but heart rate in controls only (P < 0.05). Noradrenaline did not change. Adrenaline rose in controls only (P < 0.05). Plasma renin activity increased in both groups (P < 0.02), while aldosterone increased in controls only P < 0.02). Atrial natriuretic factor, and endothelin were higher in patients (P < 0.01). Mental stress, however, did not induce any changes. No significant differences were found in relative changes (delta %), except for plasma renin activity which was greater in controls (P < 0.05). During ergometry, only delta % noradrenaline was greater in patients (P < 0.05). delta % for all other parameters were either of the same order as in controls, or blunted. Thus, apart from noradrenaline, cardiac transplant recipients, not receiving antihypertensive medication, do not show an exaggeration in the relative neuroendocrine response to mental or physical stress.

Adolescent↗

[Economical efficacy of physical exercises for osteoporosis].

From mean 12.5% increase of lumbar bone mineral density by one year's physical training, it is calculated to reduce the frequency of femoral neck fracture by 80% and the rate of falls by 50%. And 60% reduction of femoral neck fracture by physical exercise gains about 200 billion yen of medical and care costs annually, because a patient with femoral neck fracture consumes mean 1,320,000 yen for medical treatments and about 19% of the patients become bed-ridden state after the treatments for mean 5 years.

English Abstract↗