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Conceptualizing a load and volume autoregulation integrated velocity model to minimize neuromuscular fatigue and maximize neuromuscular adaptations in resistance training.
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-26 DOI: 10.1007/s00421-025-05709-1
Landyn M Hickmott, Scotty J Butcher, Philip D Chilibeck

Resistance training (RT) load and volume are considered crucial variables to appropriately prescribe and manage for eliciting the targeted acute responses (i.e., minimizing neuromuscular fatigue) and chronic adaptations (i.e., maximizing neuromuscular adaptations). In traditional RT contexts, load and volume are generally pre-prescribed; thereby, potentially yielding sub-optimal outcomes. A RT concept that individualizes programming is autoregulation: a systematic two-step feedback process involving, (1) monitoring performance and its constituents (fitness, fatigue, and readiness) across multiple time frames (short-, moderate-, and long-term); and (2) adjusting programming (i.e., load and volume) to elicit the targeted goals (i.e., responses and adaptations). A growing body of load and volume autoregulation research has accelerated recently, with several meta-analyses suggesting that autoregulation may provide a small advantage over traditional RT. Nonetheless, the existing literature has typically conceptualized these current autoregulation methods as standalone practices, which has limited their extensive utility in research and applied settings. The primary purpose of this review was three-fold. Initially, we synthesized the current methods of load and volume autoregulation, while disseminating each method's main advantages and limitations. Second, we conceptualized a theoretical Integrated Velocity Model (IVM) that integrates the current methods for a more holistic perspective of autoregulation that may potentially augment its benefits. Lastly, we illustrated how the IVM may be compared to the current methods for future directions and how it may be implemented for practical applications. We hope that this review assists to contextualize a novel autoregulation framework to help inform future investigations for researchers and practices for RT professionals.

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引用次数: 0
Skeletal muscle elastic modulus in marathon distance runners.
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-23 DOI: 10.1007/s00421-025-05708-2
Brad J Winn, Derek J Haight, D S Blaise Williams, Brett S Kirby

Skeletal muscle shear elastic modulus is a non-invasive surrogate for early detection of muscle damage and soreness consequent to unaccustomed eccentric muscle work. We investigated the influence of marathon distance running on skeletal muscle shear elastic modulus. Shear modulus of the rectus femoris was measured via ultrasound shear wave elastography in 80 participants (30 female, 50 male) before and after running a World Marathon Major. Experience level, muscle soreness and run readiness were surveyed. Pre-marathon shear elastic modulus was lower in competitive vs recreational runners (13.0 ± 4.6 vs 15.6 ± 5.6 kPa; P = 0.0014), lower for fastest vs slowest finish times (11.6 ± 3.0 vs 16.9 ± 6.5 kPa; P =  < 0.0001) and associated with marathon finish time (r = - 0.40; P < 0.0003). Marathon running increased shear modulus (~ 23%), irrespective of experience, sex or course, but was blunted in runners wearing highly cushioned footwear with plates who had matched finish times (Other =  ~ 31% vs Vaporfly =  ~ 17%). Muscle soreness was strongly associated with run readiness (R2 = 0.995; P = 0.0026), and marathon recovery time was longer in runners with greater increases in marathon-mediated shear modulus. Skeletal muscle elastic modulus may reflect both short- and long-term muscle adaptation as a function of marathon running, or factors occurring before or after a marathon itself, such as exercise capacity or recovery time. These data are consistent with marathon-mediated muscle damage and soreness, but equally highlight a possibility to monitor and modulate outcomes in favor of a runner.

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引用次数: 0
Impact loading exercise induced osteogenesis from childhood to early adulthood in tennis players aged 8-30 years. 冲击负荷运动对8-30岁网球运动员儿童期至成年早期成骨的影响。
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-19 DOI: 10.1007/s00421-024-05681-2
George Vagenas, Dimitria Palaiothodorou

Osteogenesis with impact-loading exercise is often assessed by the extra bone growth induced in the loaded arm of tennis players. We used PRISMA to explore % bone mineral content (BMC) and area (BA) asymmetry in players 8-30 years according to weekly training hours, age, sex, maturity, and bone segment. Proper statistics for 70 groups were extracted by two reviewers from 18 eligible studies of low risk of bias (< 35, STROBE) and good quality (> 70%). The quality of the review was high (AMSTAR, 81%). Using "random effects" we tested moderation-specific meta-comparisons and meta-regressions. The loaded bones % hypertrophy was higher in BMC (19%) than BA (10%), and, with BMC and BA merged, in boys (17%) than girls (13%), in humerus (19%) than radius-ulna (14%), and in pubertal (19%) players. Weekly training hours were more important (43%) than sex (17%), puberty (14%) and bone (15%) in BMC, and puberty (48%) was more important than weekly training hours (19%), sex (12%), and radius-ulna (5%) in BA. The loaded bones % hypertrophy correlated with weekly training hours highly (> 0.60) in all maturity groups for BMC and BA, and moderately (0.41) in early adults for BA; it also correlated with age (≥ 0.60) in children and peripubertal players, but not (0.037) with starting age. Impact loading exercise favors mineralization twice than bone expansion, while puberty favors bone expansion about three times more than mineralization. The bone gains are higher for boys than girls, and for peripubertal than older players. The bone growth implications are discussed considering limitations and future research.

冲击负荷运动的成骨作用通常是通过网球运动员负重臂的额外骨生长来评估的。采用PRISMA对8 ~ 30岁运动员按每周训练时间、年龄、性别、成熟度、骨节段等指标进行骨矿物质含量(BMC)和骨面积(BA)不对称性分析。两名审稿人从18项低偏倚风险(70%)的合格研究中提取了70组的适当统计数据。评价质量高(AMSTAR, 81%)。使用“随机效应”,我们测试了特定适度的元比较和元回归。BMC(19%)高于BA(10%),当BMC和BA合并时,男孩(17%)高于女孩(13%),肱骨(19%)高于桡骨-尺骨(14%),青春期球员(19%)。在BMC中,每周训练时数(43%)比性别(17%)、青春期(14%)和骨骼(15%)更重要;在BA中,青春期(48%)比每周训练时数(19%)、性别(12%)和尺骨桡骨(5%)更重要。在BMC和BA的所有成熟组中,负荷骨%肥大与周训练时数高度相关(> 0.60),而在BA的早期成人组中,负荷骨%肥大与周训练时数呈正相关(0.41);儿童和青春期周边球员与年龄相关(≥0.60),但与起始年龄无关(0.037)。冲击负荷运动对骨矿化的促进作用是骨扩张的两倍,而青春期对骨扩张的促进作用是骨矿化的三倍。男孩的骨骼增长高于女孩,青春期的球员比年长的球员要高。考虑到局限性和未来的研究,讨论了骨生长的影响。
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引用次数: 0
Correction: The effect of ischemic preconditioning on physical fitness and performance: a meta-analysis in healthy adults. 修正:缺血预处理对身体素质和表现的影响:一项健康成人的荟萃分析。
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-17 DOI: 10.1007/s00421-024-05701-1
Zhen Chen, Wenqiang Wu, Lijun Qiang, Congshuai Wang, Zhijian He, Yufeng Wang
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引用次数: 0
The associations between cardiovascular and pain responses to a cold pressor test differ between males and females. 冷压试验的心血管和疼痛反应之间的关联在男性和女性之间有所不同。
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-16 DOI: 10.1007/s00421-025-05703-7
Joshua M Bock, Brady E Hanson, Kayla A Miller, Darren P Casey

Nociceptors contribute to the cardiovascular responses during a cold pressor test (CPT). While these responses are lower in females, data suggest that they perceive the CPT as more painful. Thus, we examined sex differences in associations between pain and cardiovascular responses to a CPT (Aim 1) as well as differences between females using (OC), and not using (NC), an oral contraceptive (Aim 2). 25 males (23 ± 5 years) and 25 females (21 ± 3 years; 11OC and 14NC) were studied. Cardiovascular data and pain levels (0-10 scale) were recorded at baseline then during a two-minute CPT; changes from baseline to peak response were analyzed. Systolic blood pressure (SBP, p = 0.57), mean arterial pressure (MAP, p = 0.22), heart rate (HR, p = 0.58), and pain (p = 0.71) responses did not differ between sexes; diastolic blood pressure (DBP) increased more in males (17 ± 8 vs. 13 ± 6 mmHg, p < 0.05). Pain was associated with HR in males (r = 0.42, p < 0.05) but not females (r = -0.16, p = 0.44); no other associations were observed in either sex (p = 0.48-0.92). SBP (27 ± 12 vs. 15 ± 6 mmHg), DBP (16 ± 6 vs. 9 ± 5 mmHg), MAP (20 ± 7 vs. 14 ± 5 mmHg), and HR (8 ± 5 vs. 2 ± 5 beats/min) were greater in NC than OC (p < 0.05 for all); pain was similar (p = 0.38). In NC, pain was associated with DBP (r = 0.65, p = 0.01) and MAP (r = 0.65, p = 0.01), but not HR (r = -0.43, p = 0.13), and tended to be associated with SBP (r = 0.46, p = 0.09). In OC, pain was inversely associated with SBP (r = -0.62, p < 0.05) but no other outcome (p = 0.40-0.65). We report a sexual dimorphism in the HR-pain association during a CPT and underscore the impact of oral contraceptives.

在冷压试验(CPT)中,伤害感受器参与心血管反应。虽然这些反应在女性中较低,但数据表明,她们认为CPT更痛苦。因此,我们研究了CPT疼痛和心血管反应之间的性别差异(目的1),以及使用(OC)和不使用(NC)口服避孕药的女性之间的差异(目的2)。25名男性(23±5岁)和25名女性(21±3岁);11OC和14NC)。在基线时记录心血管数据和疼痛水平(0-10级),然后在2分钟CPT期间记录;分析了从基线到峰值响应的变化。收缩压(SBP, p = 0.57)、平均动脉压(MAP, p = 0.22)、心率(HR, p = 0.58)和疼痛(p = 0.71)反应在性别间无差异;男性舒张压(DBP)升高更多(17±8比13±6 mmHg, p
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引用次数: 0
The influence of prolonged aerobic exercise on cardiac, muscular, and renal biomarkers in trained individuals with obesity. 长时间有氧运动对肥胖训练个体心脏、肌肉和肾脏生物标志物的影响
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-09 DOI: 10.1007/s00421-024-05697-8
M D'Alleva, J M Sanz, N Giovanelli, F Graniero, L Mari, R Spaggiari, D Sergi, S Ghisellini, A Passaro, S Lazzer

Purpose: The aim of this study was to investigate the influence of prolonged aerobic exercise on cardiac, muscular and renal inflammatory markers in a group of trained obese men.

Methods: Seventeen men (aged 40 ± 6 years; body mass index [BMI] 31.3 ± 2.8 kg m-2, maximal oxygen uptake [V'O2max] 41.5 ± 5.6 ml kg-1 min-1) ran a half, 30 km, or full marathon. Troponin I (cTnI), the n-terminal creatine kinase-myocardial band (CK-MB), pro b-type natriuretic peptide (NT-proBNP), lactate dehydrogenase (LDH), myoglobin, creatinine (CREA) and the estimated glomerular filtration rate (eGFR) were measured before (T0), immediately after (T1) and 3 days after the race (T2).

Results: The concentrations of cTnI, myoglobin, LDH, CK-MB and CREA significantly increased (P < 0.05), whereas eGRF decreased at T1 (P < 0.05). All the above parameters returned to baseline at T2, except for eGFR, which remained lower than that at T0 (P < 0.05). A positive association was observed between ΔCK-MB (%) and the time spent in Zone 3 during the race (R = 0.686, P = 0.014). The Δmyoglobin (%) was positively correlated with race time, race mean speed and time in Zone 3 (R = 0.574-0.862, P < 0.05). The ∆CREA values were moderately correlated with the race mean HRMAX (%) and time spent in Zone 3 (%) (R = 0.514-0.610; P = 0.05). The ∆eGRF values were moderately inversely correlated with the time spent in Zone 3 (%) (R =  - 0.627; P < 0.05).

Conclusion: Changes in cardiac, muscular and renal inflammatory markers in trained men with obesity are consistent with those described in the literature in normal-weight individuals. Finally, running parameters, such as running time, average running intensity and time in Zone 3 appear to be responsible for the changes in cardiac, muscular and renal function markers after long-distance running.

目的:本研究的目的是研究长时间有氧运动对一组受过训练的肥胖男性心脏、肌肉和肾脏炎症标志物的影响。方法:男性17例,年龄40±6岁;身体质量指数[BMI] 31.3±2.8 kg- m-2,最大摄氧量[vo2max] 41.5±5.6 ml kg-1 min-1)跑半程、30公里或全程马拉松。测定肌钙蛋白I (cTnI)、n端肌酸激酶-心肌带(CK-MB)、前b型利钠肽(NT-proBNP)、乳酸脱氢酶(LDH)、肌红蛋白、肌酐(CREA)和估计的肾小球滤过率(eGFR),分别在赛前(T0)、赛后(T1)和赛后3天(T2)进行测定。结果:cTnI、肌红蛋白、LDH、CK-MB、CREA浓度(P MAX(%))和3区停留时间(%)显著升高(R = 0.514 ~ 0.610;p = 0.05)。∆eGRF值与待在3区的时间(%)呈中度负相关(R = - 0.627;结论:经过训练的肥胖男性的心脏、肌肉和肾脏炎症标志物的变化与文献中正常体重个体的变化一致。最后,跑步参数,如跑步时间、平均跑步强度和3区时间似乎是长跑后心脏、肌肉和肾脏功能指标变化的原因。
{"title":"The influence of prolonged aerobic exercise on cardiac, muscular, and renal biomarkers in trained individuals with obesity.","authors":"M D'Alleva, J M Sanz, N Giovanelli, F Graniero, L Mari, R Spaggiari, D Sergi, S Ghisellini, A Passaro, S Lazzer","doi":"10.1007/s00421-024-05697-8","DOIUrl":"https://doi.org/10.1007/s00421-024-05697-8","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to investigate the influence of prolonged aerobic exercise on cardiac, muscular and renal inflammatory markers in a group of trained obese men.</p><p><strong>Methods: </strong>Seventeen men (aged 40 ± 6 years; body mass index [BMI] 31.3 ± 2.8 kg m<sup>-2</sup>, maximal oxygen uptake [V'O<sub>2</sub>max] 41.5 ± 5.6 ml kg<sup>-1</sup> min<sup>-1</sup>) ran a half, 30 km, or full marathon. Troponin I (cTnI), the n-terminal creatine kinase-myocardial band (CK-MB), pro b-type natriuretic peptide (NT-proBNP), lactate dehydrogenase (LDH), myoglobin, creatinine (CREA) and the estimated glomerular filtration rate (eGFR) were measured before (T0), immediately after (T1) and 3 days after the race (T2).</p><p><strong>Results: </strong>The concentrations of cTnI, myoglobin, LDH, CK-MB and CREA significantly increased (P < 0.05), whereas eGRF decreased at T1 (P < 0.05). All the above parameters returned to baseline at T2, except for eGFR, which remained lower than that at T0 (P < 0.05). A positive association was observed between ΔCK-MB (%) and the time spent in Zone 3 during the race (R = 0.686, P = 0.014). The Δmyoglobin (%) was positively correlated with race time, race mean speed and time in Zone 3 (R = 0.574-0.862, P < 0.05). The ∆CREA values were moderately correlated with the race mean HR<sub>MAX</sub> (%) and time spent in Zone 3 (%) (R = 0.514-0.610; P = 0.05). The ∆eGRF values were moderately inversely correlated with the time spent in Zone 3 (%) (R =  - 0.627; P < 0.05).</p><p><strong>Conclusion: </strong>Changes in cardiac, muscular and renal inflammatory markers in trained men with obesity are consistent with those described in the literature in normal-weight individuals. Finally, running parameters, such as running time, average running intensity and time in Zone 3 appear to be responsible for the changes in cardiac, muscular and renal function markers after long-distance running.</p>","PeriodicalId":12005,"journal":{"name":"European Journal of Applied Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of exercise and physical activity on skeletal muscle epigenetics and metabolic adaptations. 运动和体力活动对骨骼肌表观遗传学和代谢适应的影响。
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-08 DOI: 10.1007/s00421-025-05704-6
Gregg Mallett

Physical activity (PA) and exercise elicit adaptations and physiological responses in skeletal muscle, which are advantageous for preserving health and minimizing chronic illnesses. The complicated atmosphere of the exercise response can be attributed to hereditary and environmental variables. The primary cause of these adaptations and physiological responses is the transcriptional reactions that follow exercise, whether endurance- (ET) or resistance- training (RT). As a result, the essential metabolic and regulatory pathways and myogenic genes associated with skeletal muscle alter in response to acute and chronic exercise. Epigenetics is the study of the relationship between genetics and the environment. Exercise evokes signaling pathways that strongly alter myofiber metabolism and skeletal muscle physiological and contractile properties. Epigenetic modifications have recently come to light as essential regulators of exercise adaptations. Research has shown various epigenetic markers linked to PA and exercise. The most critical epigenetic alterations in gene transcription identified are DNA methylation and histone modifications, which are associated with the transcriptional response of skeletal muscle to exercise and facilitate the modification to exercise. Other changes in the epigenetic markers are starting to emerge as essential processes for gene transcription, including acetylation as a new epigenetic modification, mediated changes by methylation, phosphorylation, and micro-RNA (miRNA). This review briefly introduces PA and exercise and associated benefits, provides a summary of epigenetic modifications, and a fundamental review of skeletal muscle physiology. The objectives of this review are 1) to discuss exercise-induced adaptations related to epigenetics and 2) to examine the interaction between exercise metabolism and epigenetics.

体育活动(PA)和运动引起骨骼肌的适应和生理反应,这有利于保持健康和减少慢性疾病。运动反应的复杂气氛可归因于遗传和环境变量。这些适应和生理反应的主要原因是运动后的转录反应,无论是耐力训练(ET)还是阻力训练(RT)。因此,与骨骼肌相关的基本代谢和调控途径以及肌生成基因会随着急性和慢性运动而改变。表观遗传学是研究遗传学和环境之间关系的学科。运动唤起强烈改变肌纤维代谢和骨骼肌生理和收缩特性的信号通路。最近,表观遗传修饰被认为是运动适应的重要调节因素。研究表明,各种表观遗传标记与PA和运动有关。基因转录中最关键的表观遗传改变是DNA甲基化和组蛋白修饰,它们与骨骼肌对运动的转录反应有关,并促进了对运动的修饰。表观遗传标记的其他变化开始成为基因转录的基本过程,包括乙酰化作为一种新的表观遗传修饰,甲基化,磷酸化和微rna (miRNA)介导的变化。本文简要介绍了PA和运动及其相关益处,总结了表观遗传修饰,并对骨骼肌生理学进行了基本综述。本文的目的是:1)讨论运动诱导的适应性与表观遗传学的关系;2)研究运动代谢与表观遗传学之间的相互作用。
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引用次数: 0
Cardiac adaptations in young triathletes: a 9-month longitudinal study during the peak height velocity period. 年轻铁人三项运动员的心脏适应性:在高峰高度速度期间9个月的纵向研究。
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-08 DOI: 10.1007/s00421-024-05667-0
Anthony Birat, Sébastien Ratel, Yoann M Garnier, Alexis Dupuy, Alexandre Dodu, Claire Grossoeuvre, Anne-Charlotte Dupont, Mélanie Rance, Claire Morel, Stéphane Nottin

Purpose: The present study examined the influence of endurance training on the morphological and functional heart adaptations in young athletes throughout a longitudinal 9-month follow-up period during the adolescent peak height velocity (PHV).

Methods: Thirty-six 13- to 15-year-old males (twenty-three triathletes and thirteen untrained peers) were evaluated before and after a 9-month period during PHV. Maximal oxygen uptake ( V ˙ O 2 max ) and power at V ˙ O 2 max were assessed during incremental cycling test. Resting echocardiography was performed to evaluate left ventricular (LV) morphology with standard parameters and using an original approach to assess LV shape. In addition, LV function was evaluated with advanced echocardiography tools including LV strains and myocardial work analyses from speckle-tracking echocardiography.

Results: Absolute V ˙ O 2 max increased similarly in both groups but power at V ˙ O 2 max only significantly increased in triathletes (from 232 ± 46 to 264 ± 46 W, p < 0.001). Maturation had a significant effect on LV morphology with an enlargement in both groups. Endurance training induced additional adaptations in young triathletes, i.e., a cardiac remodeling characterized by an increase in LV length (from 7.5 ± 0.7 to 8.2 ± 0.6 cm, p < 0.01). The stroke volume was greater in young triathletes compared to untrained peers but with a constant difference throughout the 9-month period. Finally, speckle-tracking echocardiography and myocardial work remained unchanged during the follow-up and similar between groups.

Conclusion: Endurance training induced morphological adaptations during the PHV period without significant adaptation in LV function as evidenced by the absence of specific changes in LV strains and myocardial work.

目的:本研究通过9个月的青少年高峰高度速度(PHV)纵向随访,探讨耐力训练对年轻运动员心脏形态和功能适应的影响。方法:36名13至15岁的男性(23名铁人三项运动员和13名未经训练的同龄人)在PHV前后进行了9个月的评估。在增量循环试验中评估最大摄氧量(V˙o2 max)和V˙o2 max功率。静息超声心动图以标准参数评估左室(LV)形态,并采用原始方法评估左室形状。此外,使用先进的超声心动图工具评估左室功能,包括左室应变和斑点跟踪超声心动图心肌功分析。结果:两组的绝对V˙O˙max均有相似的增加,但只有铁人三项运动员的V˙O˙max功率显著增加(从232±46 W, p增加到264±46 W, p)。结论:耐力训练诱导了PHV期间的形态适应,而左室功能没有显著的适应,这可以通过左室系和心肌功没有特异性变化来证明。
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引用次数: 0
Vitamin D status and its determinants in German elite athletes. 德国优秀运动员维生素D水平及其决定因素。
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-04 DOI: 10.1007/s00421-024-05699-6
Sebastian Hacker, Claudia Lenz, Lukas Reichert, Robert Ringseis, Karen Zentgraf, Karsten Krüger

Purpose: This study investigated elite German athletes to (1) assess their serum 25(OH)D levels and the prevalence of insufficiency, (2) identify key factors influencing serum 25(OH)D levels, and (3) analyze the association between serum 25(OH)D levels and handgrip strength.

Methods: In this cross-sectional study, a total of 474 athletes (231 female), aged 13-39 years (mean 19.3 years), from ten Olympic disciplines were included. Serum 25(OH)D levels were analyzed via liquid chromatography-mass spectrometry, and 17 single nucleotide polymorphisms (SNPs) related to vitamin D metabolism were determined using leukocyte DNA. Grip strength was measured unimanually using a hand-held dynamometer. Multiple linear regressions were used to analyze the influence of SNPs, age, sex, season (summer vs. winter), and discipline (indoor vs. outdoor) on 25(OH)D status. Linear regression analyzed the relationship between handgrip strength and serum 25(OH)D levels.

Results: In total, 55.5% (n = 263) of athletes demonstrated insufficient serum 25(OH)D levels (< 30 ng/mL, < 75 nmol/L), with 16% (n = 76) showing levels below 20 ng/mL (50 nmol/L). After correction for multiple testing, significant influences on 25(OH)D levels were observed for the C allele of VDBP rs7041 (AC Genotype: β ^  = 7.46, p < .001; CC Genotype: β ^  = 6.23, p = .001). Age (all p < .01) and discipline (indoor vs. outdoor; all p < .05) also influenced serum 25(OH)D levels. Furthermore, serum 25(OH)D was positively associated with handgrip strength ( β ^ = 0.01, p < .001).

Conclusion: A high prevalence of insufficient 25(OH)D levels (< 30 ng/mL, < 75 nmol/L) was observed. We identified certain genetic variants as well as age and discipline as predictors of serum 25(OH)D levels. This knowledge may guide individualized diagnostic, nutritional, and supplementation strategies.

目的:本研究调查了德国优秀运动员(1)评估其血清25(OH)D水平和功能不全的发生率,(2)确定影响血清25(OH)D水平的关键因素,(3)分析血清25(OH)D水平与握力之间的关系。方法:本横断面研究共纳入来自10个奥运项目的运动员474名,其中女性231名,年龄13-39岁,平均19.3岁。通过液相色谱-质谱法分析血清25(OH)D水平,并利用白细胞DNA检测17个与维生素D代谢相关的单核苷酸多态性(snp)。握力用手持式测力仪手工测量。采用多元线性回归分析snp、年龄、性别、季节(夏季与冬季)和学科(室内与室外)对25(OH)D状态的影响。线性回归分析握力与血清25(OH)D水平的关系。结果:55.5% (n = 263)的运动员血清25(OH)D水平不足(β ^ = 7.46, p β ^ = 6.23, p = 0.001)。结论:25(OH)D水平不足的患病率较高。
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引用次数: 0
Is the cortisol awakening response truly a response to awakening? Replication and extension using overnight sampling. 皮质醇觉醒反应真的是对觉醒的反应吗?使用隔夜采样的复制和扩展。
IF 2.8 3区 医学 Q2 PHYSIOLOGY Pub Date : 2025-01-03 DOI: 10.1007/s00421-024-05676-z
Travis Anderson, Suzanne Vrshek-Schallhorn, Laurie Wideman

The cortisol awakening response (CAR) is a discrete component of the circadian cortisol profile. Evidence suggests that the CAR is a deviation from the pre-awakening increase in cortisol concentration, although this has yet to be replicated. Therefore, the purpose of this study was to replicate this finding and to investigate further the extent to which the CAR is distinct from the circadian profile. Twelve participants completed 2 overnight visits in a sleep laboratory. An intravenous catheter was used to sample blood every 15 min. Participants were allowed to sleep ad libitum beginning at 2030 h, and blood sampling continued throughout the night until 1 h post-awakening, generating a total of 802 serum samples. Selected serum samples were assayed for cortisol, and piece-wise linear mixed-effect models tested the extent to which the increase in cortisol concentrations post-awakening deviated from the rise in cortisol concentrations from various pre-awakening periods. Results demonstrated that the CAR only significantly deviates from the pre-awakening rise when the pre-awakening linear rise is considered 4 (β = 1.79, 95% CI = 0.49-3.09, p = 0.007) or 5 (β = 1.79, 95% CI = 0.49-3.09, p = 0.007) h before waking. When including a non-linear change in cortisol during the 4-h pre-awakening period, the deviation from the diurnal profile for the CAR was no longer significant (β = 0.96, 95% CI = - 0.74-2.66, p = 0.266). These results partly agree and replicate previous evidence for the CAR being superimposed on the diurnal profile but continue to extend our teleological understanding of the functional role of the CAR.

皮质醇唤醒反应(CAR)是昼夜皮质醇特征的一个离散组成部分。有证据表明,CAR偏离了觉醒前皮质醇浓度的增加,尽管这一点尚未得到证实。因此,本研究的目的是复制这一发现,并进一步调查CAR与昼夜节律特征的不同程度。12名参与者在睡眠实验室完成了两次夜间访问。使用静脉导管每15分钟采样一次血液。参与者从2030小时开始自由睡眠,血液采样持续整个晚上,直到醒来后1小时,共产生802份血清样本。选定的血清样本进行了皮质醇检测,分段线性混合效应模型测试了醒来后皮质醇浓度的增加与醒来前不同时期皮质醇浓度升高的偏离程度。结果表明,只有在清醒前4小时(β = 1.79, 95% CI = 0.49-3.09, p = 0.007)或5小时(β = 1.79, 95% CI = 0.49-3.09, p = 0.007)时,CAR才会显著偏离清醒前的上升。当包括觉醒前4小时皮质醇的非线性变化时,CAR的昼夜变化不再显著(β = 0.96, 95% CI = - 0.74-2.66, p = 0.266)。这些结果部分同意并重复了之前的证据,即CAR叠加在日剖面上,但继续扩展我们对CAR功能作用的目的论理解。
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European Journal of Applied Physiology
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