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Effects of acute physical exercise on some serum enzymes in healthy male subjects between the ages of 40 and 64 years.

The study purported to compare the effects of acute physical exercise on the serum enzymes, creatine kinase, lactate dehydrogenase, glutamic pyruvic transaminase (GPT), and glutamic oxaloacetic transaminase (GOT) in two groups of older men ranging in age from 40 to 64 years. The exercise consisted of walking on a motor driven-treadmill until the subjects reached approximately 90% of their predicted maximal heart rate. The enzymes' activity of CPK, GOT, and GPT were increased significantly in the younger group. Only GOT increased significantly in the older group. There was a correlation between the enzyme activity of GOT and GPT in both the younger and older age groups.

Adult↗

Muscle metabolism during prolonged physical exercise in dogs.

In order to provide reference data, adenine nucleotide, creatine phosphate, glycogen, glycolytic intermediates and lactate muscle contents were measured in 49 dogs under resting conditions and during prolonged physical exercise of moderate intensity performed until exhaustion. Both the resting and exercise values of the measured variables were remarkably similar to those described in human subjects, except muscle lactate content which achieved higher values during submaximal exercise in dogs than in men.

Adenine Nucleotides↗

Elevation of dental pain threshold induced in man by physical exercise is not reversed by cyproheptadine-mediated suppression of growth hormone release.

The effect of cyproheptadine on growth hormone (GH) secretion and dental pain threshold elevation during physical exercise was studied in healthy human subjects. Different levels of exercise (200-300 W) were produced by a cycle-ergometer. Dental pain thresholds were tested with a constant current pulp tester. In all 6 subjects dental pain thresholds and the heart rate were increased with increasing work load. Cyproheptadine did not have any significant effect on dental pain threshold elevations, although it suppressed the exercise-induced GH release. The results indicate that the exercise-induced dental pain threshold elevation is not based on GH-related stress mechanisms, since cyproheptadine did not reverse the pain threshold elevation.

Adult↗

Changes in blood cell response following strenuous physical exercise.

The generation of tumour necrosis factor (TNF) and tissue factor activity in lipopolysaccharide (LPS) stimulated blood were studied in 25 healthy subjects before and after physical exercise of different intensities. Of the subjects a group of 9 were athletes who trained once to twice every day of the week, a second group of 8 exercised 3-7 times a week, and a third group of 8 exercised 4-5 times a month. The production of TNF in freshly drawn LPS stimulated blood in heparin, drawn from top athletes at rest was significantly lower than in the other subjects. The LPS induced concentrations of TNF-alpha of 2.73 (SEM 1.05) ng.ml-1 in the blood of the top athletes compared to 5.08 (SEM 0.7) ng.ml-1 and 7.6 (SEM 1.6) ng.ml-1, respectively, in the other two groups. The group that trained the least had the highest values. Immediately after exercise, the monocytes appeared to be less responsive to LPS stimulation, as a reduction of 47%-48% was observed in the top athletes and in the other group of well-trained individuals. The group that trained the least, which was also subjected to the least stressful exercise, had a 33% reduction in TNF production. Within 6 h the TNF concentration was back to pre-exercise values. Within 6 h the TNF concentration was back to pre-exercise values.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Diminished adrenergic response to 2-deoxy-D-glucose after prolonged, exhausting physical exercise in dogs.

Effect of 2-deoxy-D-glucose (2DG) on plasma adrenaline, glucose and free fatty acid concentrations was studied in dogs under control conditions and after prolonged, exhausting physical exercise. The increase in all three variables in response to 2DG was significantly reduced following the exercise. The results suggest diminished responsiveness of adrenal medulla to the glucopenic stimulus after exhausting exercise.

Animals↗

Effects of physical exercise on the elasticity and elastic components of the rat aorta.

To evaluate the effects of exercise on aortic wall elasticity and elastic components, young male rats underwent various exercise regimes for 16 weeks. In the exercised rats, the aortic incremental elastic modulus decreased significantly when under physiological strain. The aortic content of elastin increased significantly and the calcium content of elastin decreased significantly in the exercised group. The accumulated data from the exercised and sedentary groups revealed that the elastin calcium content was related positively to the incremental elastic modulus. We concluded that physical exercise from an early age decreases the calcium deposit in aortic wall elastin and that this effect probably produced in the exercised rats a distensible aorta.

Animals↗

Epinephrine and norepinephrine related to cardiorespiratory and metabolic changes in calves during physical exercise.

Experiments were designed to study changes of blood levels of norepinephrine (NE) and epinephrine (E) and their possible role in metabolic adaptation to short-lasting physical exercise in calves. After a resting period for 5 min (I), animals walked on a treadmill for 10 min at a speed of 60 m/min, first horizontally for 5 min (II), then at a slope of 6 degrees for another 5 min (III), followed by a recovery period for 5 min (IV). Levels of NE and E increased within minutes during walking and then decreased. Changes were closely related to respiration rate, ventilation volume, O2-uptake, heart rate and blood lactate levels. Blood triiodothyronine and protein slightly increased only during period III, whereas glucose, non-esterified fatty acids and the respiration quotient increased throughout the experiment. Blood insulin levels were decreased during walking and rapidly increased afterwards. Blood glucagon did not change significantly. Work load affected all parameters except glucagon and triiodothyronine. There were individually significant differences for all parameters, except for NE and the respiration quotient. The data demonstrate rapid reactions of the cardiorespiratory system and of blood insulin and lactate levels on submaximal work load, normally in close association with plasma E and NE.

Animals↗

The effect of physical exercise on 2,3-diphosphoglyceride (2,3-DPG) concentration in erythrocytes.

Concentration of 2,3-DPG was determined in erythrocytes of 30 young cyclists at rest, immediately after a strenuous physical exercise on a bicyle- ergometer, and then in 30th min rest following the exercise. It was found that exercise changes the concentration of 2,3-DPG in the erythrocytes and the trends of these changes were different depending on endurance of the subjects examined. In the subjects with higher endurance a tendency was observed for decreasing concentration of 2,3-DPG immendiately after the exercise with a futher significant fall after a 30 min rest. On the other hand, in the subjects with lower endurance the erythrocyte 2,3-DPG concentration rose after the exercise and returned to its initial value at 30 min of rest.

Adolescent↗

Effect of physical exercise and sleep deprivation on plasma androgen levels: modifying effect of physical fitness.

The responses of plasma testosterone (T), sex hormone-binding globulin (SHBG) binding capacity, androstenedione (A), and luteinizing hormone (LH) to 21 km of marching exercise and to sleep deprivation stress were studied in army recruits. The effect of physical fitness on the exercise responses was evaluated, cross-sectionally, by comparing the stress responses in 11 fit and 11 less fit subjects, and, longitudinally, in 11 subjects after 4 months of physical training. The submaximal marching exercise did not significantly alter the plasma hormone levels compared to the control day levels. The fit subjects had a tendency toward smaller decreases in the mean plasma T and T/SHBG ratio during both control and exercise days than the less fit subjects. After 4 months of conditioning, the mean plasma T and T/SHBG ratio tended to decrease less during both control and exercise days, which was more evident in the well-conditioned subjects. The exercise caused a decrease in mean plasma LH, especially in the less fit subjects. After sleep deprivation stress, the morning levels of plasma T, A, and LH were significantly depressed, as a result of which the normal diurnal variation of the hormones disappeared.

Androgens↗

Effect of physical exercise on gastric basal secretion in healthy men.

Behaviour of basal gastric secretion of electrolytes, lactic acid and pyruvic acid was studied in twenty-minute portions in 14 healthy men in rest, during exercise and restitution. On bicycle ergometer in sitting position all studied men performed the average work 15 120 +/- 1800 kpm during 20 minutes. It was found that basic gastric secretion didn't change significantly during exercise, but its significant decrease occurred during twenty-minute restitution after exercise. During restitution secretion of Cl, Mg and Ca also significantly decreased while their concentrations didn't change in gastric juice. During physical exercise it was found the increase of lactic acid secretion in gastric juice; it was statistically significantly higher during restitution than in rest period (p less than 0.001) and during exercise (p less than 0.02).

Adult↗

Rhabdomyolysis following severe physical exercise in a patient with predisposition to malignant hyperthermia.

A 21-year-old man suffered from exertional heat stroke with impaired consciousness and rhabdomyolysis after strenuous physical exercise. Within two weeks the patient recovered completely without any specific therapy. Based on the symptoms and laboratory investigations, this episode suggested a moderate form of malignant hyperthermia. An in vitro contracture test was performed and a predisposition to malignant hyperthermia was diagnosed; other muscular diseases were excluded by histological examination. At present, the in vitro contracture test is the only method used to determine susceptibility to malignant hyperthermia and should be performed when the diagnosis is suggested on clinical grounds.

Adult↗

Increase in serum parathyroid hormone levels after prolonged physical exercise.

Serum concentrations of parathyroid hormone (PTH), calcium, magnesium, phosphate and myoglobin were measured regularly during a 5-d recovery period in 17 men who had participated in a 7-d field exercise maneuver with intense physical activity. Immediately after the exercise, there was an increase in serum PTH levels of the same magnitude as the maximal rise during a hypocalcemic test. The rise in PTH was not related to changes in serum electrolytes, but was significantly correlated to an increase in serum myoglobin, indicating that those who performed the largest amount of work also experienced the greatest stimulus for secretion of PTH. There were no significant changes of the serum total calcium and only a small initial rise of the magnesium concentrations. Serum phosphate levels were greatly reduced and gradually returned during recovery. This study extends previous observations, from short-term investigations, that physical activity stimulates secretion of PTH.

Adolescent↗

Hormonal and metabolic response to physical exercise in hyperinsulinemic and non-hyperinsulinemic type 2 diabetics.

In order to find out the influence of hyperinsulinaemia and initial blood glucose levels on glucose homeostasis during physical exercise, 6 Type 2 diabetic patients with basal hyperinsulinemia (0.209 nmol/l) (group A) and 10 Type 2 diabetics without basal hyperinsulinemia (0.046 nmol/l) (group B) took part in a study on metabolic effects of exercise. Mean bodymass was higher in group A (101 kg) than in group B (71.7 kg). Exercise was performed on a bicycle-ergometer for 1 hr. Work load was adjusted to a pulse-rate of 120/min with a mean of 48 watt (W) in group A and 52 W in group B. Blood glucose (BG), insulin (IRI), glucagon (G), growth hormone (HGH), cortisol (C), epinephrine (E), norepinephrine (NE), lactate (L), pyruvate (P) and free fatty acids (NEFA) were measured during 3 hr. BG and IRI were also documented for the following 7 hr. Both groups showed a small but significant decrease of BG during exercise (group A from 11.54-10.38 mmol/l, p less than 0.01, and group B from 8.71-7.22 mmol/l, p less than 0.005). IRI decreased insignificantly in group A (from 0.209-0.174 nmol/l, p less than 0.15) and significantly in group B (from 0.046-0.032 nmol/l, p less than 0.01). G increased significantly in both groups (from 62.4-75.2 pmol/l in A, p less than 0.05, and from 38.8-47.1 pmol/l in B, p less than 0.01). HGH rose from 0.018-0.149 nmol/l in A, p less than 0.01, and from 0.077-0.320 nmol/l in B, p less than 0.01.(ABSTRACT TRUNCATED AT 250 WORDS)

Blood Glucose↗

Effect of propranolol and pindolol on the up-regulation of lymphocytic beta adrenoceptors during acute submaximal physical exercise. A placebo-controlled double-blind study.

The effect of beta-adrenoceptor antagonists, with and without intrinsic sympathomimetic activity, on the regulation of lymphocytic beta adrenoceptors during acute physical exercise was studied. Seven healthy volunteers underwent a graded maximal ergometer test after treatment for 7 days with placebo, propranolol (2 x 80 mg/day), or pindolol (2 x 10 mg/day). Each subject received the three types of drug treatment in a double-blind, randomized fashion, with 3 weeks wash-out periods between the on-drug periods. The mean resting density of lymphocytic beta adrenoceptors was 46 +/- 5 fmol/mg protein (mean +/- SEM) during placebo, 53 +/- 5 fmol/mg protein during propranolol, and 29 +/- 4 fmol/mg protein during pindolol treatment (p less than 0.05, pindolol vs. propranolol). Exercise induced a significant up-regulation of the beta-adrenoceptor density during each treatment modality, but the increment was attenuated during propranolol (mean elevation, 16 +/- 2 fmol/mg protein, p less than 0.05) and pindolol intake (13 +/- 4 fmol/mg protein, p less than 0.02) as compared with the placebo value (56 +/- 13 fmol/mg protein). Moreover, exercise-induced increment of lymphocytic cyclic AMP (cAMP) production was virtually abolished by the two beta-adrenoceptor antagonists. In conclusion, administration of beta-adrenoceptor antagonists is associated with a subnormal up-regulation of the lymphocytic beta-adrenoceptors and alterations in their functioning during heavy physical effort. This attenuation is not modified by intrinsic sympathomimetic activity of the compound.

Adult↗

[Effect of physical exercise on nasal resistance in normal subjects and in patients with vasomotor rhinopathy].

The study has evaluated the behaviour of the nasal resistances, studied using Anterior Active Rhinomanometry, after physical exercise, in normal subjects and in allergic and non allergic vasomotor rhinopathics. The results, in accordance with the literature, show a reduction of nasal resistances in all subjects, particularly in the rhinopathics, immediately after the effort and a return to the starting values after a rest period of 30 minutes. Among vasomotor patients, only the non-allergic group has shown very significant variations in the resistances, because in these subjects there is almost always an exaltation of the neurovegetative system, which we did not observe in the allergic subjects in the intercritical phase. The effort test is therefore, among the aspecific tests of nasal reactivity useful, perhaps, more to therapy than to diagnostic aims.

Adolescent↗

Hemostatic response to acute physical exercise in healthy adolescents.

The chronic and immediate post-exercise responses in the hemostatic and fibrinolytic systems have been shown to be variable and reflect differing adaptations with ageing and responses to exercise protocols. This study investigated the effects of acute and exhaustive exercise on the amplitude and duration of hemostatic and fibrinolytic responses in young adolescent males. The sample comprised 10 sedentary boys (13.2+/-0.5 years, 55.8+/-11.3kg, 165.7+/-7.4cm), who had not exercised or received any medication for at least 2 weeks before the experiments. The subjects performed exhaustive stepping exercise, consisting of 1s up and down cycles to fatigue. When the subjects were unable to maintain the required stepping rhythm, they were given a 30s recovery period. Following each 30s recovery participants recommenced the stepping cadence until fatigue prevented them continuing. Venous blood samples were drawn before and immediately, 1 and 24h after exercise to assess the following coagulation and fibrinolytic parameters: Platelet counts, activated partial thromboplastin time (aPTT), prothrombin time (PT), coagulation factor VIII (FVIII:C), von Willebrand factor (vWF), fibrinogen concentration, thrombin-antithrombin complex (TAT), D-dimer, plasminogen activator inhibitor (PAI-1), and tissue-type plasminogen activator (t-PA). Immediately following exercise, platelet counts, aPTT, FVIII, vWF and t-PA were significantly elevated in contrast to PAI-1, which decreased significantly until 1h after exercise. FVIII and platelet counts were elevated at 1 and 24h after exercise, respectively. Only the parameters FVIII and PAI-1 did not return to baseline values during the first hour after physical exercise. When compared to adults the results revealed different rates and ranges of coagulation and fibrinolysis parameters being activated by exhaustive exercise in this group of adolescents.

Adolescent↗

Effect of physical exercise training on health-related quality of life and exercise tolerance in patients with left ventricular dysfunction.

OBJECTIVES: The improvement of exercise tolerance and quality of life (QOL) are essential in the treatment of patients with heart failure. The influence of physical exercise training on QOL was investigated in patients with left ventricular dysfunction. METHODS: Health-related QOL was evaluated using the Medical Outcomes Study Short-Form 36 Health Status Survey (SF-36) before and 3 months after individualized exercise training determined by cardiopulmonary exercise testing in 65 patients. The 44 patients who could carry out more than two-thirds of the prescribed exercise were classified into two groups: Group A (11 patients)with left ventricular ejection fraction < 40% and Group B (33 patients) with left ventricular ejection fraction > or = 40%. The remaining 21 patients served as the control group. RESULTS: The mean value of SF-36 improved significantly with exercise training only in Group A (50.8 +/- 25.3 to 62.1 +/- 22.2, p < 0.05). Group A also had an increase in peak Vo2 (18.9 +/- 3.5 to 21.4 +/- 3.6 ml/min/kg, p < 0.005) and a decrease in brain natriuretic peptide. The 24 patients (9 in Group A, 15 in Group B) with improved SF-36 values after the exercise training showed a negative correlation between the change of the mental component summary and the peak Vo2 (r = - 0.606, p < 0.05). CONCLUSIONS: Exercise training improves both the QOL, especially the mental component, and the exercise tolerance in patients with left ventricular dysfunction.

Adult↗

Effects of education, self-care instruction and physical exercise on patients with chronic heart failure.

BACKGROUND: Evidence is now evolving of the importance of team management for patients with chronic heart failure. This includes education, patient self-care and physical exercise training. How such programs should be implemented is still under discussion. AIM: To assess the efficacy of an in-hospital rehabilitation clinic-based program, we studied its influence on cardiopulmonary parameters and quality of life in an outpatient setting. METHODS AND RESULTS: 75 patients (62 male, 13 female, mean age 65+/-8 years) underwent an exercise program including education, bicycle ergometer, muscle strength training and the 6-min walk test as a training unit for 4 weeks. Patients were studied at baseline (T1), before discharge (T2) and after a follow-up period of 29.9+/-5.5 weeks (T3). Baseline data (T1): left ventricular ejection fraction (LVEF): 33.8+/-7.6%, left ventricular end-diastolic volume (LVEDV): 130+/-51 ml, peak VO(2): 12.3+/-4.3 ml/kg, maximum work load (Watt max): 71+/-27 W. At discharge (T2) and follow-up (T3) LVEF increased to 36.8+/-8% and 41.8+/-9.2%, LVEDV decreased to 127+/-43 ml and 114+/-40 ml, peak VO(2) increased to 14.1+/-5.1 ml/kg and 15.2+/-5 ml/kg, and Watt max increased to 84+/-28 Wand 98+/-42 W (all p<0.01). Quality of life improved significantly at discharge and follow-up in nearly all domains and in the summary score for physical health. There were no significant changes for anxiety and depression at T2 and T3. CONCLUSION: A specialized in hospital rehabilitation program including education, patient self management and training has a sustained positive effect on cardiopulmonary parameters and physical well-being.

Aged↗