PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Exercise”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 667 records · Page 37Linked to original sources

Behavioral management of exercise training in vascular headache patients: an investigation of exercise adherence and headache activity.

A behavioral package was used to shape and maintain the adherence of 5 subjects with vascular headache to a program of aerobic exercise training. Repeated measures of exercise behavior were examined through the use of a bidirectional changing criterion design. Repeated measures of headache activity were also collected. Results demonstrated a functional relationship between the behavioral package and exercise adherence, because all 5 subjects showed exercise behavior that matched bidirectional changing exercise criteria. The results also indicated clinically significant collateral reductions in vascular headache activity in 4 subjects. Subjects whose aerobic fitness levels were not masked by vasoactive medication also showed measurable increases in aerobic fitness. The results are discussed in terms of the methodology used to demonstrate a functional relationship between the adherence package and exercise behavior and the possible mechanism(s) by which aerobic exercise activity might affect vascular headache activity.

Adult↗

Comparative effects of exercise reduction and relaxation training on mood states and Type A scores in habitual aerobic exercisers.

The comparative effects of exercise reduction and relaxation training on dysphoric mood states and Type A scores in persons who exercise beyond the American College of Sports Medicine's recommended guidelines for cardiovascular fitness were investigated. Using their scores on the Profile of Mood States and the Jenkins Activity Survey, 57 subjects were randomly divided into 3 matched groups based on age, gender, and exercise regimen. Subjects assigned to the control group maintained their current exercise regimen, those in the second group reduced their exercise regimen to include no more than 5 hours of aerobic activity per week, and those in the third group maintained their current exercise regimen and attended 5 1 1/2-hr. relaxation training sessions. Both inventories were administered again after 10 weeks. Multivariate analysis of covariance showed no statistically significant differences among group means on the dependent variables. Further research on the use of aerobic exercise and relaxation training as auxiliary treatments for anxiety and depression is recommended.

Adult↗

Setting for exercise and concerns about body appearance of women who exercise.

The present study examined the association between the sex composition of exercise environment and concerns related to body appearance of women who exercise. A questionnaire concerning social physique anxiety, body dissatisfaction, and attitude toward women-only exercise environment was administered to 81 women who used either the women-only area or the co-ed area in a fitness club. A one-way analysis of variance indicated that those who exercised in a women-only area reported more social physique anxiety and dissatisfaction with body size and favored exercising in areas exclusively reserved for women than women who exercised primarily in co-ed areas. The women-only area served as a protective environment for those who were heavier, anxious about their body appearances, and dissatisfied about their body images. These women also preferred to exercise in an exclusively female setting compared to women who used the co-ed area.

Adolescent↗

Relation of rated fatigue and changes in energy after exercise and over 14 weeks in previously sedentary women exercisers.

For 36 previously sedentary, asymptomatic women the relation of changes in Fatigue and Energy after exercise and over a 14-wk. period associated with participating in a moderate cardiovascular exercise program was analyzed. Scores on the Exercise-induced Feeling Inventory subscale of Physical Exhaustion significantly decreased, and those on the subscale of Revitalization significantly increased immediately after completion of exercise. Feeling state scores before exercise (high vs low on Physical Exhaustion and Revitalization) were not significantly associated with the change in scores on the subscales. Scores on the Profile of Mood States subscale of Fatigue significantly decreased and on the subscale of Vigor significantly increased over the 14-wk. study. Participants with initially higher Fatigue scores showed significantly greater mean change over the 14 wk. than those with lower scores. No such difference was found for changes in Vigor scores. Significant correlations between both measures of Fatigue (Physical Exhaustion and Fatigue) (r = .36) and Energy (Revitalization and Vigor) (r = .54) were found which indicated a relation between changes in feeling after exercise and those over 14 wk. Limitations and implications of the findings were discussed based on theories of exercise-induced affective change.

Adolescent↗

[Health and exercise: effects of exercise on high blood pressure].

Many factors, such as genetic, psychological, environmental, and socioeconomical factors, influence the health of individuals. Recently behavioral risks which cause preventable chronic diseases or premature death have been increasing. These risk factors are mainly due to living habits, such as over-eating, less exercise and psychological stress. Physical activity or fitness is reported to be inversely associated with morbidity and mortality from chronic diseases, such as cardiovascular diseases diabetes mellitus, cancer and so on. Hypertension has also been reported to be associated with low physical fitness in cross-sectional studies. We have so far reported a significant blood pressure reduction in mild hypertensive patients who completed mild intensity exercise training in well controlled studies. Exercise seemed to modify the multiple factors that might participate in raising and maintaining high blood pressure. The mechanisms of lowering blood pressure by exercise training are mainly due to a depletion of blood volume or the reduction of both cardiac output and the sympathetic tone. They were supported by the evidence of increased levels of prostaglandin E, dopamine, taurine, and decreased levels of plasma norepinephrine and endogenous ouavain-like substance. In this article, we have reviewed the physiological and biochemical roles of exercise, the effects of exercise on high blood pressure, and the hypotensive mechanism of mild aerobic exercise hypertensive patients.

Adenosine Triphosphate↗

A single set of low intensity resistance exercise immediately following high intensity resistance exercise stimulates growth hormone secretion in men.

AIM: The purpose of the present study was to examine the effects of an additional set immediately following high intensity resistance exercise on growth hormone (GH) response. METHODS: Subjects (n=8) performed 4 resistance exercise protocols (bilateral knee extension exercise) on separate days. The protocols were categorized into 2 types of protocol, namely "Strength-up type (S-type)" and "Combination type (Combi-type)". The S-type was resistance exercise which consisted of 5 sets at 90% of 1 repetition maximum (RM) with 3-min rest periods between sets, whereas the Combi-type is a training protocol which adds an additional set (either 50% of 1 RM [C50-type], 70% of 1 RM [C70-type] or 90% of 1 RM [C90-type]) to the S-type. Serum GH concentration and blood lactate concentration were determined pre-exercise and at 0-60 min postexercise. Relative changes in thigh girth and maximal unilateral isometric strength were determined pre-exercise and immediately postexercise. RESULTS: The increasing values of GH concentration (DGH) in the S-type was the lowest of all protocols. On the other hand, DGH in the C50-type showed a significantly (p<0.05) higher increase than in the S-type and C90-type, and a relatively higher increase than in the C70-type. CONCLUSION: These results suggests that a high intensity, low volume training protocol to induce neural adaptation resulted in little GH response, but GH secretion was increased by performing a single set of low intensity resistance exercise at the end of a series of high intensity resistance sets.

Adult↗

[Physical exercise and atherosclerosis: proatherogenic effects of high and moderate intensity static exercise on blood lipid transport system].

Effects of high (100 and 80 kg) and moderate (60 kg) intensity static leg exercise on blood serum lipoproteins and apolipoproteins (apo) A1 and B were studied in healthy subjects (n=11) and patients with coronary heart disease and class I angina (n=11). Static leg exercise with loads exceeding 60 kg were associated with atherogenic changes of blood lipid transport system: elevation of levels of triglycerides, apoprotein B and apo B/A ratio both in healthy subjects and patients, and of total and low density lipoprotein cholesterol in patients. These post exercise changes were more pronounced in the presence of fasting hyperlipidemia and their severity increased with increase in duration of exercise. Static leg exercise did not increase concentration of high density lipoprotein cholesterol. For prevention of post exercise atherogenic dyslipidemia it is expedient to supplement strength training programs with dynamic exercise of moderate intensity.

Adult↗

One-minute heart rate recovery after cycloergometer exercise testing as a predictor of mortality in a large cohort of exercise test candidates: substantial differences with the treadmill-derived parameter.

BACKGROUND: Previous work showed a strong inverse association between 1-min heart rate recovery (HRR) after exercising on a treadmill and all-cause mortality. The aim of this study was to determine whether the results could be replicated in a wide population of real-world exercise ECG candidates in our center, using a standard bicycle exercise test. METHODS: Between 1991 and 1997, 1420 consecutive patients underwent ECG exercise testing performed according to our standard cycloergometer protocol. Three pre-specified cut-point values of 1-min HRR, derived from previous studies in the medical literature, were tested to see whether they could identify a higher-risk group for all-cause mortality; furthermore, we tested the possible association between 1-min HRR as a continuous variable and mortality using logistic regression. RESULTS: Both methods showed a lack of a statistically significant association between 1-min HRR and all-cause mortality. A weak trend toward an inverse association, although not statistically significant, could not be excluded. CONCLUSIONS: We could not validate the clear-cut results from some previous studies performed using the treadmill exercise test. The results in our study may only "not exclude" a mild inverse association between 1-min HRR measured after cycloergometer exercise testing and all-cause mortality. The 1-min HRR measured after cycloergometer exercise testing was not clinically useful as a prognostic marker.

Adult↗

Effects of prior strength exercise on the heart rate oxygen uptake relationship during submaximal exercise.

Fourteen young males (mean age 26.7 yrs) were tested to determine if there was an alteration, in the heart rate-oxygen uptake relationship during submaximal cycle ergometer exercise following isokinetic strength training activity as has been documented following high intensity endurance activity. Results indicated that there was a significant increase rate without a concomitant increase in heart oxygen uptake during the first five minutes of submaximal cycle riding at 73% VO2max after heavy strength leg exercise, angular velocity of 30 degrees/second, when compared to no prior exercise. This alteration in the heart rate-oxygen uptake relation is not apparent by 20 minutes of the same submaximal exercise despite higher lactate values and greater ratings of perceived exertion. For individuals using heart rate as a guide to exercise intensity, the elevated heart rate at five minutes of submaximal exercise following heavy strength leg exercise does not exceed the 20 minute value which is an accurate reflection of energy cost and intensity.

Adult↗

[Exercise induced hypoxemia and exercise tolerance in patients with COPD and the benefits of oxygen supplementation].

In order to evaluate the benefits of O2 supplementation during exercise, slowly incremental treadmill exercise tests were performed twice with 30 minutes interval rest in fourteen patients with severe COPD. The patients breathed room air. 31/min of compressed air by nasal prongs, and 31/min of supplemental oxygen in single blind fashion at random. The patients who developed arterial desaturation below 88% on exercise, group D, showed slight but significant increase in walked distance (397 m vs 424 m) and significant decrease in breathlessness (22.9 vs 16.9) on oxygen as compared to on air. On the other hand in patients without significant arterial desaturation, group S, there was no improvement in those parameters. The increase in walked distance on oxygen was closely related with the decrease in mean inspiratory flow (VT/Ti), blood lactate level, and CO2 production at identical work load. Plasma human atrial natriuretic peptide (h-ANP) levels in group D increased with exercise from a resting value of 27.6 +/- 6.9 to 44.0 +/- 9.0 on compressed air whereas the increase was significantly suppressed to 35.4 +/- 9.0 on oxygen. In group S there was no difference in the increase of plasma h-ANP levels between air and oxygen breathing during exercise (33.1 +/- 5.1 vs 31.9 +/- 9.6). A close correlation (r = 0.908) was found between mean pulmonary artery pressures and plasma h-ANP levels at rest and during exercise performed in four patients breathing air and oxygen. Those findings suggested that arterial plasma h-ANP levels reflected the right ventricular afterload and that they could be used to evaluate the effectiveness of O2-supplementation during exercise.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

[The integrative cardiorespiratory exercise test: 2. Response to maximal exercise in heart and lung diseases].

Physiological measurements during integrative cardiorespiratory progressive exercise in different cardiovascular and respiratory disorders help discern and describe the characteristic exercise response patterns of different disorders. Cardiovascular limitation to exercise is characterized by reduced maximal exercise capacity and reduced anaerobic threshold and oxygen utilization. On the other hand, respiratory limitation of exercise is characterized by reduced breathing reserve with high ventilatory equivalents for a given metabolic load but with a normal cardiovascular response. Combined cardiovascular and respiratory disorders demonstrate both cardiovascular and respiratory types of limitation of exercise. We present 2 patients with cardiovascular disorders, 2 with respiratory, and 2 with combined cardiovascular and respiratory disorders. The interpretation of the physiological data of the progressive cardiorespiratory exercise test increased the accuracy of clinical evaluation and treatment. We therefore think the test will gain wide use in the clinical evaluation of patients with cardiovascular and respiratory disorders.

Cardiovascular Diseases↗

Physical exercise and sleep: the effect of the age and sex of the subjects and type of exercise.

Exercise has generally been held to result in an increase in slow wave sleep (SWS) and sleep duration. We report the results of three experiments which assessed the effects of exercise on the sleep of young fit women as compared to young fit men; fit older men (aged 41 years) as compared to fit younger men (aged 22 years); and the effects of power exercise on the sleep of a group of trained power lifters. In each experiment physically fit subjects had their sleep assessed following both late afternoon exercise and no exercise conditions. In none of the experiments did exercise result in an increase in SWS or sleep duration. Instead the tendency was for exercise to affect sleep adversely.

Adult↗

Assessment of exercise tolerance of cardiac patients by bicycle, treadmill and treadmill plus isometric exercise with and without nifedipine.

Seventeen post-myocardial infarction patients experiencing angina on effort performed 6 different exercise tests until they reached symptom-limited maximal level, 3 after placebo and 3 after oral administration of 10 mg of the Calcium antagonist, nifedipine, in a randomized, double blind, cross-over controlled study. Four of the tests were conventional bicycle and treadmill tests with stepwise increasing load. In 2 of the tests an isometric exercise of carrying a weight averaging 6 kg and corresponding to about 30% of maximal grip strength was added to the treadmill walking. When the exercise was stopped because of moderately severe angina, the product of heart rate and systolic blood pressure did not show any statistically significant difference between the tests. However, in the treadmill plus isometric test the work time was shorter and the slope of the treadmill was less than in the treadmill test. The difference was caused partly by non-cardiac factors, namely fatigue of the hand muscles. In routine exercise tests of coronary patients the addition of an isometric to a dynamic load did not give substantially more information than dynamic exercise alone. Nifedipine caused a modest increase of exercise tolerance in all tests, the increase being greatest in the treadmill plus isometric test. The increase in exercise tolerance was seen also in patients receiving beta-blocking agent.

Aged↗

Exercise-induced asthma after swimming and bicycle exercise.

Eleven adult patients with exercise-induced asthma (EIA) were subjected to swimming and bicycle exercise under controlled conditions regarding temperature and relative humidity of the inhaled air, the respiratory frequency, tidal volume, minute ventilation and the accumulated ventilation. Swimming for 6 min was performed on the first day, and the next day the patients performed bicycle exercise. On both days the temperature of the inhaled air was 23% C and the relative humidity 15%. The average accumulated ventilation for the 6 min of exercise was 404 l for bicycle exercise and 419 l for swimming. The decrease in pulmonary function was 31% after bicycle exercise and 30% after swimming. It is concluded that the stimuli for EIA are equally effective whether exercise is performed in the form of swimming or bicycling.

Adolescent↗

Exercise thallium 201 imaging. Clinical implications of normal exercise images.

To determine whether normal exercise images can reduce the need for coronary arteriography, we analyzed our data on 102 patients with normal thallium 201 exercise images who underwent coronary arteriographic studies. Eight-two patients had normal or insignificant coronary artery disease; 20 patients had significant coronary artery disease. Eight patients had disease limited to one of the secondary branches of the left system; seven patients had disease limited to one of the major coronary arteries; two patients had disease involving the right coronary artery and a secondary branch; two patients had disease involving two secondary branches; and one patient had disease involving the three major vessels. Seven of the 20 patients had abnormal exercise ECGs, and the remaining 13 patients had normal or inconclusive exercise ECGs. Our findings indicate that significant coronary artery disease is rare in patients with normal exercise images, especially if patients with abnormal exercise ECGs are excluded. Thus, normal exercise images could possibly reduce the need for coronary arteriography, since in these patients coronary artery disease rarely requires bypass surgery.

Adult↗

[Mechanism of overshoot elevation of left ventricular ejection fraction during recovery after exercise in normal subjects and patients with coronary artery disease, assessed by 99mTc exercise radionuclide ventriculography].

An "overshoot" (OS) elevation of ejection fraction above resting levels has been demonstrated during recovery after exercise. To characterize the hemodynamic changes during recovery after bicycle exercise, we used radionuclide ventriculography under the Swan-Ganz catheter insertion in 16 normal subjects and 15 patients with coronary artery disease (CAD) at rest, during bicycle exercise and after exercise periods. In normal subjects, the ejection fraction increased from resting value during peak exercise, and showed overshoot elevation in the early recovery period. In patients with CAD, the ejection fraction decreased from resting value during peak exercise, then showed overshoot elevation in the early recovery period. In normal subjects, the end-diastolic volume (EDV) and the end-systolic volume (ESV) decreased from resting value during OS. In patients with CAD, the EDV at OS was not different from that at rest, the ESV decreased from resting value during OS. The systemic vascular resistance increased from resting value during OS. The systolic blood pressure/ESV, index for ventricular contractility, increased from resting value during OS in both groups. Thus, the decreased systemic vascular resistance does not playing a major role during recovery after exercise, whereas enhanced contractility is evident in both normal subjects and patients with CAD.

Coronary Disease↗

Submaximal exercise VO2 and Qc during 30-day 6 degrees head-down bed rest with isotonic and isokinetic exercise training.

BACKGROUND: Maintaining intermediary metabolism is necessary for the health and well-being of astronauts on long-duration spaceflights. While peak oxygen uptake (VO2) is consistently decreased during prolonged bed rest, submaximal VO2 is either unchanged or decreased. METHODS: Submaximal exercise metabolism (61 +/- 3% peak VO2) was measured during ambulation (AMB day-2) and on bed rest days 4, 11, and 25 in 19 healthy men (32-42 yr) allocated into no exercise (NOE, N = 5) control, and isotonic exercise (ITE, N = 7) and isokinetic exercise (IKE, N = 7) training groups. Exercise training was conducted supine for two 30-min periods per day for 6 d per week: ITE training was intermittent at 60-90% peak VO2; IKE training was 10 sets of 5 repetitions of peak knee flexion-extension force at a velocity of 100 degrees s-1. Cardiac output was measured with the indirect Fick CO2 method, and plasma volume with Evans blue dye dilution. RESULTS: Supine submaximal exercise VO2 decreased significantly (*p < 0.05) by 10.3%* with ITE and by 7.3%* with IKE; similar to the submaximal cardiac output decrease of 14.5%* (ITE) and 20.3%* (IKE), but different from change in peak VO2 (+1.4% with ITE and -10.2%* with IKE) and decrease in plasma volume of -3.7% (ITE) and -18.0%* (IKE). Reduction of submaximal VO2 during bed rest correlated 0.79 (p < 0.01) with submaximal Qc, but was not related to change in peak VO2 or plasma volume. CONCLUSION: Reduction in submaximal oxygen uptake during prolonged bed rest is related to decrease in exercise but not resting cardiac output; perturbations in active skeletal muscle metabolism may be involved.

Adult↗

Oral magnesium therapy, exercise heart rate, exercise tolerance, and myocardial function in coronary artery disease patients.

BACKGROUND: Previous studies have demonstrated that in patients with coronary artery disease (CAD) upward deflection of the heart rate (HR) performance curve can be observed and that this upward deflection and the degree of the deflection are correlated with a diminished stress dependent left ventricular function. Magnesium supplementation improves endothelial function, exercise tolerance, and exercise induced chest pain in patients with CAD. PURPOSE: We studied the effects of oral magnesium therapy on exercise dependent HR as related to exercise tolerance and resting myocardial function in patients with CAD. METHODS: In a double blind controlled trial, 53 male patients with stable CAD were randomised to either oral magnesium 15 mmol twice daily (n = 28, age 61+/-9 years, height 171+/-7 cm, body weight 79+/-10 kg, previous myocardial infarction, n = 7) or placebo (n = 25, age 58+/-10 years, height 172+/-6 cm, body weight 79+/-10 kg, previous myocardial infarction, n = 6) for 6 months. Maximal oxygen uptake (VO2max), the degree and direction of the deflection of the HR performance curve described as factor k<0 (upward deflection), and the left ventricular ejection fraction (LVEF) were the outcomes measured. RESULTS: Magnesium therapy for 6 months significantly increased intracellular magnesium levels (32.7+/-2.5 v 35.6+/-2.1 mEq/l, p<0.001) compared to placebo (33.1+/-3.1.9 v 33.8+/-2.0 mEq/l, NS), VO2max (28.3+/-6.2 v 30.6+/-7.1 ml/kg/min, p<0.001; 29.3+/-5.4 v 29.6+/-5.2 ml/kg/min, NS), factor k (-0.298+/-0.242 v -0.208+/-0.260, p<0.05; -0.269+/-0.336 v -0.272+/-0.335, NS), and LVEF (58+/-11 v 67+/-10%, p<0.001; 55+/-11 v 54+/-12%, NS). CONCLUSION: The present study supports the intake of oral magnesium and its favourable effects on exercise tolerance and left ventricular function during rest and exercise in stable CAD patients.

Administration, Oral↗