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Circulating sestrins and force velocity profiling in older adults with type 2 diabetes. 老年2型糖尿病患者的循环凝血素和力速度谱
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-08-01 DOI: 10.1080/17461391.2022.2106158
Raquel González-Martos, Raquel Aparicio-Ugarriza, Julian Alcazar, Carmen Ramirez-Castillejo, Dace Reihmane, Adrian Menéndez-Rey, Marcela González-Gross, Amelia Guadalupe-Grau

Type 2 diabetes mellitus (T2DM) in old age affects the musculoskeletal system causing loss of muscle mass, strength, and physical function. Stress-inducible proteins named sestrins are potential novel biomarkers of muscle function due to their ability to suppress oxidative stress and prevent muscle degeneration. Our aim was to determine the association between different force-velocity (F-V) profiles with body composition, physical performance, and glucose control in older adults with T2DM. We also intended to determine the potential utility of sestrin 1 (Sesn1) and 2 (Sesn2) as biomarkers of physical functionality. Fifty-nine participants (69-79 years) were classified in 3 groups according to their F-V profile based on the leg press exercise: nondeficit (NDEF = 40.7%), force deficit (FDEF = 28.8%), and velocity deficit (VDEF = 30.5%). Both VDEF and FDEF groups showed lower muscle power than NDEF (Cohen's d 0.87 and 0.75 for effect size, respectively). Serum Sesn2 levels, maximal dynamic strength, arms and legs fat-free mass were reduced in FDEF compared to the NDEF group (p < 0.05), whereas glycated haemoglobin (HbA1c) and fasting glucose levels were similar among groups. ROC analysis revealed the distinction between the NDEF and FDEF group based on Sesn2 concentrations (<0.72 ng/mL), suggesting their potential use as functional biomarkers for early intervention through exercise. Older adults with T2DM show different F-V profiles, related to low levels of Sesn2, impaired body composition and physical performance, and may be taken into consideration to target exercise training in this specific population.Highlights The influence of different F-V deficit profiles on body composition, physical function and circulating sestrins in older adults with type 2 diabetes were studied.Both force and velocity deficits negatively affected muscle power.Force deficits are associated to low circulating sestrin 2 levels and regional fat-free mass.Basal serum sestrin 2 levels are potential biomarkers to characterise F-V profiles.

老年2型糖尿病(T2DM)影响肌肉骨骼系统,导致肌肉质量、力量和身体功能的损失。由于具有抑制氧化应激和防止肌肉退化的能力,应激诱导蛋白(sestrins)是潜在的新型肌肉功能生物标志物。我们的目的是确定不同的力-速度(F-V)谱与老年T2DM患者的身体组成、身体表现和血糖控制之间的关系。我们还打算确定sestrin 1 (Sesn1)和2 (Sesn2)作为生理功能生物标志物的潜在效用。59名参与者(69-79岁)根据腿部按压运动的F-V特征分为3组:非缺陷(NDEF = 40.7%),力量缺陷(FDEF = 28.8%)和速度缺陷(VDEF = 30.5%)。VDEF组和FDEF组肌肉力量均低于NDEF组(效应量Cohen’s d分别为0.87和0.75)。与NDEF组和FDEF组相比,FDEF组血清Sesn2水平、最大动态力量、手臂和腿部无脂肪质量(基于Sesn2浓度)均有所降低(重点研究了不同的F-V缺陷谱对老年2型糖尿病患者身体成分、身体功能和循环sestrins的影响。力和速度缺陷都对肌肉力量有负面影响。力不足与低循环sestrin 2水平和局部无脂质量有关。基础血清凝血素2水平是表征F-V谱的潜在生物标志物。
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引用次数: 2
Physiological and cognitive responses to hyperoxic exercise in full water submersion. 全水浸泡时高氧运动的生理和认知反应。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-08-01 DOI: 10.1080/17461391.2023.2193942
Fabian Möller, Elena Jacobi, Uwe Hoffmann, Tobias Vogt

The positive effects of combined hyperoxia and physical exercise on physiological parameters and cognitive functioning are established for normobaric laboratory contexts. Still, increased practicability exists in hyperbaric settings like underwater activities and SCUBA diving, where environmental and sport-specific factors might moderate effects. Improved cognition, reduced ventilation (V̇E), and lower blood lactate concentrations [Lac-] are highly relevant, especially during high-stress and rescue scenarios. Fifteen participants performed 3 × 8 min of continuous underwater fin-swimming at 25 % (low), 45 % (moderate), and 75 % (vigorous) heart rate reserve (HRR) in each test. Three separate test days differed solely by the inspiratory oxygen partial pressure (PIO2: 29 kPa, 56 kPa, and 140 kPa). V̇E was measured continuously, whereas breathing gas analysis, blood sampling, and Eriksen Flanker tasks for inhibitory control (100 stimuli) were performed post-exercise. Two-way ANOVAs with repeated measures on the factors PIO2 and exercise intensity analyzed physiological outcome variables and reactions times (RT) and accuracy (ACC) of inhibitory control. V̇E was significantly reduced for 140 kPa during moderate and vigorous and for 56 kPa during vigorous compared to 29 kPa. 56 kPa and 140 kPa showed no differences. [Lac-], post-exercise V̇CO2, and velocity were unaffected by PIO2. Faster RTs but lower ACC of inhibitory control were observed following exercise at 75 % HRR compared to rest, 25 %, and 45 % HRR, while PIO2 produced no effects. Underwater performance in hyperoxia presents reduced V̇E, possible by dampened chemoreceptor sensitivity, and effects on cognition that differ from laboratory results and emphasise the moderating role of sport-specific factors.

联合高氧和体育锻炼对生理参数和认知功能的积极影响是在正常的实验室环境下建立的。尽管如此,在水下活动和水肺潜水等高压环境中,环境和运动特定因素可能会缓和影响,实用性有所提高。改善认知、降低通气(V (E))和降低血乳酸浓度[Lac-]高度相关,特别是在高应激和抢救情况下。15名参与者在每次测试中以25%(低)、45%(中等)和75%(剧烈)的心率储备(HRR)进行3 × 8分钟的连续水下鳍泳。三个单独的试验日仅因吸入氧分压(PIO2: 29 kPa, 56 kPa和140 kPa)而不同。连续测量V (E),运动后进行呼吸气体分析、血液取样和Eriksen Flanker抑制控制任务(100个刺激)。重复测量PIO2和运动强度因素的双向方差分析分析了抑制控制的生理结局变量和反应时间(RT)和准确性(ACC)。与29 kPa相比,中度和剧烈运动时140 kPa和剧烈运动时56 kPa的V (E)明显降低。56 kPa和140 kPa无差异。[Lac-]、运动后的v_co2和运动速度不受PIO2的影响。与休息、25%和45% HRR相比,在75% HRR运动后观察到更快的RTs,但更低的ACC抑制控制,而PIO2没有产生影响。在高氧条件下,水下运动表现出降低的V (E),这可能是由于化学感受器的敏感性受到抑制,对认知的影响与实验室结果不同,并强调运动特异性因素的调节作用。
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引用次数: 0
Effects of load matched isokinetic versus isotonic blood flow restricted exercise on neuromuscular and muscle function. 负荷匹配等速运动与等渗血流限制运动对神经肌肉和肌肉功能的影响。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-08-01 DOI: 10.1080/17461391.2023.2184724
Paola M Rivera, Christopher E Proppe, David Gonzalez-Rojas, Aaron Wizenberg, Ethan C Hill

The purpose of this investigation was to examine neuromuscular function, muscle fatigue, rating of perceived exertion (RPE), and muscle swelling between isokinetic and isotonic leg extensions with blood flow restriction (BFR). Fourteen (21 ± 2years; 160cm ± 3.8; 61kg ± 9.1) trained women performed 75 (1 × 30,3 × 15) submaximal (30% of maximal strength), unilateral, isokinetic and isotonic leg extensions with BFR (60% of total arterial occlusion pressure). Before and after exercise, subjects performed maximal voluntary isometric contractions (MVIC) and muscle thickness (MT) was assessed with ultrasound. RPE was recorded across all sets and surface electromyography (EMG) was assessed during the MVIC muscle actions. Separate repeated measures ANOVAs were used to examine MVIC, MT, RPE and neuromuscular function. There were greater reductions in MVIC torque and EMG mean power frequency following isotonic (46.2 ± 17.1%; 16.4 ± 7.9%) than isokinetic (17.9 ± 10.9%;6.5 ± 6.3%). RPE was also higher during isotonic (7.5 ± 2.2), than isokinetic (5.7 ± 1.9). There were no differences in EMG amplitude or MT increases (20 ± 2.1%) between conditions. Isotonic BFR elicited greater fatigue-induced decreases in muscular strength and greater RPE than isokinetic BFR, but similar MT and muscle excitation responses for both conditions. Therefore, both isokinetic and isotonic may induce similar acute physiological responses, but isotonic BFR was associated with greater muscle fatigue and perceived effort.HighlightsExercise modality affects the fatigue and perceptual responses when applying blood flow restriction.Despite greater utility, isotonic blood flow restriction was associated greater fatigue and perceived effort.Isotonic and isokinetic blood flow restriction elicited comparable neural changes.

本研究的目的是检查神经肌肉功能、肌肉疲劳、感知用力等级(RPE)以及等速和等张力腿伸展伴血流受限(BFR)之间的肌肉肿胀。14(21±2岁;160cm±3.8;(61kg±9.1))训练的女性进行75次(1 × 30,3 × 15次)次最大(最大力量的30%),单侧,等速和等张力腿伸展,BFR(总动脉闭塞压的60%)。运动前后,受试者进行最大自律性等距收缩(MVIC),并用超声评估肌肉厚度(MT)。记录所有组的RPE,并在MVIC肌肉运动期间评估表面肌电图(EMG)。采用独立重复测量方差分析(anova)检测MVIC、MT、RPE和神经肌肉功能。等压后MVIC转矩和肌电平均工频降低幅度更大(46.2±17.1%);16.4±7.9%)比等速(17.9±10.9%;6.5±6.3%)。等压期RPE(7.5±2.2)高于等压期(5.7±1.9)。两组间肌电波幅和肌动电位升高无差异(20±2.1%)。等压BFR比等速BFR引起更大的疲劳引起的肌肉力量和RPE下降,但两种情况下的MT和肌肉兴奋反应相似。因此,等速运动和等渗运动都可能引起类似的急性生理反应,但等渗运动与更大的肌肉疲劳和感知努力有关。当施加血流限制时,运动方式会影响疲劳和知觉反应。尽管更大的效用,等渗血流量限制与更大的疲劳和感知努力有关。等渗和等速血流限制引起了类似的神经变化。
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引用次数: 0
Effects of electromyostimulation on performance parameters in sportive and trained athletes: A systematic review and network meta-analysis. 肌电刺激对运动和训练运动员表现参数的影响:系统回顾和网络荟萃分析。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-08-01 DOI: 10.1080/17461391.2022.2107437
Florian Micke, Steffen Held, Jessica Lindenthal, Lars Donath

This systematic review and network meta-analysis aimed to evaluate the effectiveness of different electromyostimulation (EMS) interventions on performance parameters in athletes. The research was conducted until May 2021 using the online databases PubMed, Web of Science, Cochrane and SPORTDiscus for studies with the following inclusion criteria: (a) controlled trials, (b) EMS trials with at least one exercise and/or control group, (c) strength and/or jump and/or sprint and/or aerobic capacity parameter as outcome (d) sportive/trained subjects. Standardized mean differences (SMD) with 95% confidence interval (CI) and random effects models were calculated. Thirty-six studies with 1.092 participants were selected and 4 different networks (strength, jump, sprint, aerobic capacity) were built. A ranking of different exercise methods was achieved. The highest effects for pairwise comparisons against the reference control "active control" were found for a combination of resistance training with superimposed EMS and additional jump training (outcome strength: 4.43 SMD [2.15; 6.70 CI]; outcome jump: 3.14 SMD [1.80; 4.49 CI]), jump training with superimposed whole-body electromyostimulation (WB-EMS) (outcome sprint: 1.65 SMD [0.67; 2.63 CI]) and high intensity bodyweight resistance training with superimposed WB-EMS (outcome aerobic capacity: 0.83 SMD [-0.49; 2.16 CI]). These findings indicate that the choice of EMS-specific factors such as the application mode, the combination with voluntary activation, and the selection of stimulation protocols has an impact on the magnitude of the effects and should therefore be carefully considered, especially in athletes. Superimposed EMS with relatively low volume, high intensity and outcome-specific movement patterns appeared to positively influence adaptations in athletes.HighlightsKey performance parameters such as maximal strength, jump height and sprint time can be increased by adequate EMS intervention programs in already well-trained athletes.The effectiveness of EMS training in athletes is highly dependent on the selected EMS method. Volume, intensity, exercise and movement specificity play a crucial role for the efficiency of the training.The most effective option for athletes appears to be a combination of superimposed EMS with relatively low EMS volume, high intensity, and movement-specific exercise pattern.

本系统综述和网络荟萃分析旨在评估不同肌电刺激(EMS)干预对运动员表现参数的有效性。该研究使用PubMed、Web of Science、Cochrane和SPORTDiscus在线数据库进行至2021年5月,纳入标准如下:(a)对照试验,(b)至少有一个运动和/或对照组的EMS试验,(c)力量和/或跳跃和/或冲刺和/或有氧能力参数作为结果,(d)运动/训练受试者。计算95%置信区间(CI)的标准化平均差(SMD)和随机效应模型。选取了36项研究,共1.092名被试,构建了力量、跳跃、冲刺、有氧能力4个不同的网络。对不同的锻炼方法进行了排序。与参考对照“主动对照”相比,抗阻训练与叠加EMS和额外跳跃训练相结合的两两比较效果最高(结果强度:4.43 SMD [2.15;6.70 CI);结果跳跃:3.14 SMD [1.80;4.49 CI]),跳跃训练加全身肌电刺激(WB-EMS)(结果冲刺:1.65 SMD [0.67;2.63 CI])和高强度体重阻力训练叠加WB-EMS(结果有氧能力:0.83 SMD [-0.49;2.16 CI])。这些发现表明,ems特定因素的选择,如应用模式,与自愿激活的结合,以及刺激方案的选择,对效果的大小有影响,因此应该仔细考虑,特别是在运动员中。具有相对低容量、高强度和结果特异性运动模式的叠加EMS似乎对运动员的适应性有积极影响。关键的性能参数,如最大力量,跳跃高度和冲刺时间可以通过适当的EMS干预计划在已经训练有素的运动员中增加。运动员EMS训练的有效性高度依赖于所选择的EMS方法。量、强度、运动量和动作特异性对训练的效率起着至关重要的作用。对于运动员来说,最有效的选择似乎是叠加EMS与相对低EMS量,高强度和特定运动模式的组合。
{"title":"Effects of electromyostimulation on performance parameters in sportive and trained athletes: A systematic review and network meta-analysis.","authors":"Florian Micke,&nbsp;Steffen Held,&nbsp;Jessica Lindenthal,&nbsp;Lars Donath","doi":"10.1080/17461391.2022.2107437","DOIUrl":"https://doi.org/10.1080/17461391.2022.2107437","url":null,"abstract":"<p><p>This systematic review and network meta-analysis aimed to evaluate the effectiveness of different electromyostimulation (EMS) interventions on performance parameters in athletes. The research was conducted until May 2021 using the online databases PubMed, Web of Science, Cochrane and SPORTDiscus for studies with the following inclusion criteria: (a) controlled trials, (b) EMS trials with at least one exercise and/or control group, (c) strength and/or jump and/or sprint and/or aerobic capacity parameter as outcome (d) sportive/trained subjects. Standardized mean differences (SMD) with 95% confidence interval (CI) and random effects models were calculated. Thirty-six studies with 1.092 participants were selected and 4 different networks (strength, jump, sprint, aerobic capacity) were built. A ranking of different exercise methods was achieved. The highest effects for pairwise comparisons against the reference control \"active control\" were found for a combination of resistance training with superimposed EMS and additional jump training (outcome strength: 4.43 SMD [2.15; 6.70 CI]; outcome jump: 3.14 SMD [1.80; 4.49 CI]), jump training with superimposed whole-body electromyostimulation (WB-EMS) (outcome sprint: 1.65 SMD [0.67; 2.63 CI]) and high intensity bodyweight resistance training with superimposed WB-EMS (outcome aerobic capacity: 0.83 SMD [-0.49; 2.16 CI]). These findings indicate that the choice of EMS-specific factors such as the application mode, the combination with voluntary activation, and the selection of stimulation protocols has an impact on the magnitude of the effects and should therefore be carefully considered, especially in athletes. Superimposed EMS with relatively low volume, high intensity and outcome-specific movement patterns appeared to positively influence adaptations in athletes.<b>Highlights</b>Key performance parameters such as maximal strength, jump height and sprint time can be increased by adequate EMS intervention programs in already well-trained athletes.The effectiveness of EMS training in athletes is highly dependent on the selected EMS method. Volume, intensity, exercise and movement specificity play a crucial role for the efficiency of the training.The most effective option for athletes appears to be a combination of superimposed EMS with relatively low EMS volume, high intensity, and movement-specific exercise pattern.</p>","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"23 8","pages":"1570-1580"},"PeriodicalIF":3.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939075","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: 3
Acute effects of electrostimulation and blood flow restriction on muscle thickness and fatigue in the lower body. 电刺激和血流限制对下体肌肉厚度和疲劳的急性影响。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-08-01 DOI: 10.1080/17461391.2022.2113145
Salvador Santiago-Pescador, Daniel Fajardo-Blanco, Susana López-Ortiz, Saúl Peñín-Grandes, Roberto Méndez-Sánchez, Alejandro Lucia, Juan Martín-Hernández, Alejandro Santos-Lozano

Neuromuscular electrical stimulation (NMES) in combination with blood flow restriction (BFR) enhances muscle hypertrophy and force-generating capacity. The present study aimed to investigate the acute effects of BFR and NMES, both in isolation and in combination, on muscle thickness (MT) and fatigue in the lower body of 20 young healthy subjects. Different stimuli were applied for 25 min, defined by the combination of BFR with high- and low-frequency NMES, and also isolated BFR or NMES. Changes in MT were then evaluated by ultrasound of the rectus femoris (RF) and vastus lateralis (VL) muscles at the end of the session (POST) and 15 min later (POST 15'). Lower limb fatigue was evaluated indirectly by strength performance. Results showed that RF MT was higher under the combined protocol (BFR + NMES) or isolated BFR than under NMES - regardless of the frequency - both at POST (p ≤ 0.018) and POST 15' (p ≤ 0.016). No significant changes in MT were observed under isolated NMES or BFR at POST 15' when compared with basal values (p ≥ 0.067). No significant differences were observed for VL MT between conditions (p = 0.322) or for fatigue between conditions (p ≥ 0.258). Our results indicate that a combination of BFR and NMES acutely increases MT in sedentary subjects. Also, although not significantly, BFR conditions had a greater tendency to induce fatigue than isolated NMES.HighlightsThe combination of blood flow restriction (BFR) and neuromuscular electrical stimulation (NMES) produces higher acute cell swelling than the isolated application of either NMES or BFR.BFR in isolation appears to produce greater cell swelling than NMES, regardless of the frequency used.BFR conditions had a greater tendency to induce fatigue than isolated NMES.

神经肌肉电刺激(NMES)联合血流限制(BFR)可增强肌肉肥厚和发力能力。本研究旨在探讨BFR和NMES单独或联合使用对20名年轻健康受试者下体肌肉厚度和疲劳的急性影响。不同的刺激施加25分钟,由BFR与高频和低频NMES的结合定义,也分离BFR或NMES。然后在疗程结束(POST)和15分钟后(POST 15’)通过超声对股直肌(RF)和股外侧肌(VL)进行评估MT的变化。下肢疲劳通过强度表现间接评价。结果表明,无论频率如何,在POST (p≤0.018)和POST 15' (p≤0.016)时,联合方案(BFR + NMES)或分离BFR下的RF MT均高于NMES。与基础值相比,分离NMES或BFR在15'后未观察到MT的显著变化(p≥0.067)。VL MT在不同条件下(p = 0.322)或疲劳在不同条件下(p≥0.258)均无显著差异。我们的研究结果表明,BFR和NMES联合使用会急剧增加久坐受试者的MT。此外,虽然不明显,但与孤立的NMES相比,BFR条件更容易引起疲劳。血流限制(BFR)和神经肌肉电刺激(NMES)联合使用比单独应用NMES或BFR产生更高的急性细胞肿胀。无论使用频率如何,单独使用BFR似乎比NMES产生更大的细胞肿胀。与孤立的NMES相比,BFR条件更容易引起疲劳。
{"title":"Acute effects of electrostimulation and blood flow restriction on muscle thickness and fatigue in the lower body.","authors":"Salvador Santiago-Pescador,&nbsp;Daniel Fajardo-Blanco,&nbsp;Susana López-Ortiz,&nbsp;Saúl Peñín-Grandes,&nbsp;Roberto Méndez-Sánchez,&nbsp;Alejandro Lucia,&nbsp;Juan Martín-Hernández,&nbsp;Alejandro Santos-Lozano","doi":"10.1080/17461391.2022.2113145","DOIUrl":"https://doi.org/10.1080/17461391.2022.2113145","url":null,"abstract":"<p><p>Neuromuscular electrical stimulation (NMES) in combination with blood flow restriction (BFR) enhances muscle hypertrophy and force-generating capacity. The present study aimed to investigate the acute effects of BFR and NMES, both in isolation and in combination, on muscle thickness (MT) and fatigue in the lower body of 20 young healthy subjects. Different stimuli were applied for 25 min, defined by the combination of BFR with high- and low-frequency NMES, and also isolated BFR or NMES. Changes in MT were then evaluated by ultrasound of the <i>rectus femoris</i> (RF) and <i>vastus lateralis</i> (VL) muscles at the end of the session (POST) and 15 min later (POST 15'). Lower limb fatigue was evaluated indirectly by strength performance. Results showed that RF MT was higher under the combined protocol (BFR + NMES) or isolated BFR than under NMES - regardless of the frequency - both at POST (<i>p</i> ≤ 0.018) and POST 15' (<i>p</i> ≤ 0.016). No significant changes in MT were observed under isolated NMES or BFR at POST 15' when compared with basal values (<i>p</i> ≥ 0.067). No significant differences were observed for VL MT between conditions (<i>p</i> = 0.322) or for fatigue between conditions (<i>p</i> ≥ 0.258). Our results indicate that a combination of BFR and NMES acutely increases MT in sedentary subjects. Also, although not significantly, BFR conditions had a greater tendency to induce fatigue than isolated NMES.<b>Highlights</b>The combination of blood flow restriction (BFR) and neuromuscular electrical stimulation (NMES) produces higher acute cell swelling than the isolated application of either NMES or BFR.BFR in isolation appears to produce greater cell swelling than NMES, regardless of the frequency used.BFR conditions had a greater tendency to induce fatigue than isolated NMES.</p>","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"23 8","pages":"1591-1599"},"PeriodicalIF":3.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9996452","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: 1
Differences in lung function, bronchial hyperresponsiveness and respiratory health between elite athletes competing in different sports. 不同运动项目优秀运动员肺功能、支气管高反应性和呼吸健康的差异。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-08-01 DOI: 10.1080/17461391.2022.2113144
Guro P Bernhardsen, Julie Stang, Thomas Halvorsen, Trine Stensrud

The aim of this study was to examine lung function, bronchial hyperresponsiveness (BHR) and exercise-induced respiratory symptoms in elite athletes performing different sports. Norwegian national-team athletes (30 swimmers, 32 cross-country skiers, 16 speed-skaters, 11 rowers/paddlers, 17 handball players and 23 soccer players) completed a validated questionnaire, measured exhaled nitric oxide (FENO), spirometry, methacholine provocation (PD20met) and skin prick test. Three cut-off levels defined BHR; i.e. PD20met ≤2 µmol, ≤4 µmol and ≤8 µmol. Mean forced vital capacity (FVC) was highest in swimmers (Mean z-score[95%CI]  = 1.16 [0.80, 1.51]), and close to or higher than reference values according to the Global Lung Initiative equation, across all sports. Mean forced expiratory volume in 1 s (FEV1) was higher than reference values in swimmers (0.48 [0.13, 0.84]), and ball game athletes (0.69 [0.41, 0.97]). Mean forced expiratory flow between 25 and 75% of FVC (FEF25-75), and/or FEV1/FVC were lower than reference values in all endurance groups. BHR defined by ≤2 and ≤8 µmol methacholine was observed in respectively 50%-87% of swimmers, 25%-47% of cross-country skiers, 20%-53% of speed-skaters, 18%-36% of rowers/paddlers, and 0%-17% of the ball game athletes. Exercise-induced symptoms were common in all groups, most frequent in cross-country skiers (88%), swimmers (83%) and speed-skaters (81%).HighlightsSwimmers and ball game athletes had higher mean FVC and FEV1 when compared to the reference values predicted by the Global Lung Initiative (GLI) reference equation. Contrasting this, across all sports except ball game athletes, mean FEF25-75 and/or FEV1/FVC were lower than reference values.The prevalence of bronchial hyperresponsiveness (BHR) was high among elite athletes competing in swimming, cross-country skiing, speed skating and rowing/paddling, with swimmers being most affected.The majority of the elite athletes reported exercise-induced respiratory symptoms independent of lung function or BHR.

本研究的目的是研究不同运动项目的优秀运动员的肺功能、支气管高反应性(BHR)和运动引起的呼吸道症状。挪威国家队运动员(30名游泳运动员、32名越野滑雪运动员、16名速滑运动员、11名赛艇运动员/桨运动员、17名手球运动员和23名足球运动员)完成了一份有效问卷,测量了呼出一氧化氮(FENO)、肺活量测定、甲胆酸激发(PD20met)和皮肤点刺试验。三个临界值定义了BHR;即PD20met≤2µmol,≤4µmol,≤8µmol。游泳运动员的平均强迫肺活量(FVC)最高(平均z-score[95%CI] = 1.16[0.80, 1.51]),根据全球肺倡议方程,在所有运动中,游泳运动员接近或高于参考值。游泳运动员(0.48[0.13,0.84])和球类运动员(0.69[0.41,0.97])的平均1 s用力呼气量(FEV1)高于参考值。在所有耐力组中,平均用力呼气流量在FVC的25- 75%之间(FEF25-75)和/或FEV1/FVC均低于参考值。50%-87%的游泳运动员、25%-47%的越野滑雪运动员、20%-53%的速滑运动员、18%-36%的赛艇运动员和0%-17%的球类运动员的BHR分别以≤2和≤8µmol的甲胆碱定义。运动引起的症状在所有组中都很常见,最常见的是越野滑雪运动员(88%)、游泳运动员(83%)和速滑运动员(81%)。与全球肺倡议(GLI)参考方程预测的参考值相比,游泳和球类运动员的平均FVC和FEV1更高。与此形成对比的是,除球类运动员外,所有运动项目的平均FEF25-75和/或FEV1/FVC均低于参考值。支气管高反应性(BHR)在游泳、越野滑雪、速滑和赛艇/划艇等优秀运动员中患病率较高,其中游泳运动员受影响最大。大多数优秀运动员报告运动引起的呼吸系统症状独立于肺功能或BHR。
{"title":"Differences in lung function, bronchial hyperresponsiveness and respiratory health between elite athletes competing in different sports.","authors":"Guro P Bernhardsen,&nbsp;Julie Stang,&nbsp;Thomas Halvorsen,&nbsp;Trine Stensrud","doi":"10.1080/17461391.2022.2113144","DOIUrl":"https://doi.org/10.1080/17461391.2022.2113144","url":null,"abstract":"<p><p>The aim of this study was to examine lung function, bronchial hyperresponsiveness (BHR) and exercise-induced respiratory symptoms in elite athletes performing different sports. Norwegian national-team athletes (30 swimmers, 32 cross-country skiers, 16 speed-skaters, 11 rowers/paddlers, 17 handball players and 23 soccer players) completed a validated questionnaire, measured exhaled nitric oxide (FE<sub>NO</sub>), spirometry, methacholine provocation (PD<sub>20met</sub>) and skin prick test. Three cut-off levels defined BHR; i.e. PD<sub>20met</sub> ≤2 µmol, ≤4 µmol and ≤8 µmol. Mean forced vital capacity (FVC) was highest in swimmers (Mean z-score[95%CI]  = 1.16 [0.80, 1.51]), and close to or higher than reference values according to the Global Lung Initiative equation, across all sports. Mean forced expiratory volume in 1 s (FEV<sub>1</sub>) was higher than reference values in swimmers (0.48 [0.13, 0.84]), and ball game athletes (0.69 [0.41, 0.97]). Mean forced expiratory flow between 25 and 75% of FVC (FEF<sub>25-75</sub>), and/or FEV<sub>1</sub>/FVC were lower than reference values in all endurance groups. BHR defined by ≤2 and ≤8 µmol methacholine was observed in respectively 50%-87% of swimmers, 25%-47% of cross-country skiers, 20%-53% of speed-skaters, 18%-36% of rowers/paddlers, and 0%-17% of the ball game athletes. Exercise-induced symptoms were common in all groups, most frequent in cross-country skiers (88%), swimmers (83%) and speed-skaters (81%).<b>Highlights</b>Swimmers and ball game athletes had higher mean FVC and FEV<sub>1</sub> when compared to the reference values predicted by the Global Lung Initiative (GLI) reference equation. Contrasting this, across all sports except ball game athletes, mean FEF<sub>25-75</sub> and/or FEV<sub>1</sub>/FVC were lower than reference values.The prevalence of bronchial hyperresponsiveness (BHR) was high among elite athletes competing in swimming, cross-country skiing, speed skating and rowing/paddling, with swimmers being most affected.The majority of the elite athletes reported exercise-induced respiratory symptoms independent of lung function or BHR.</p>","PeriodicalId":12061,"journal":{"name":"European Journal of Sport Science","volume":"23 8","pages":"1480-1489"},"PeriodicalIF":3.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298785","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: 1
Modelling the relationship between load and repetitions to failure in resistance training: A Bayesian analysis. 负荷和重复与阻力训练失败之间的关系建模:贝叶斯分析。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/17461391.2022.2089915
Benedikt Mitter, Lei Zhang, Pascal Bauer, Arnold Baca, Harald Tschan

To identify the relationship between load and the number of repetitions performed to momentary failure in the pin press exercise, the present study compared different statistical model types and structures using a Bayesian approach. Thirty resistance-trained men and women were tested on two separate occasions. During the first visit, participants underwent assessment of their one-repetition maximum (1-RM) in the pin press exercise. On the second visit, they performed sets to momentary failure at 90%, 80% and 70% of their 1-RM in a fixed order during a single session. The relationship between relative load and repetitions performed to failure was fitted using linear regression, exponential regression and the critical load model. Each model was fitted according to the Bayesian framework in two ways: using an across-subjects pooled data structure and using a multilevel structure. Models were compared based on the variance explained (R2) and leave-one-out cross-validation information criterion (LOOIC). Multilevel models, which incorporate higher-level commonalities into individual relationships, demonstrated a substantially better fit (R2: 0.97-0.98) and better predictive accuracy compared to generalised pooled-data models (R2: 0.89-0.93). The multilevel 2-parameter exponential regression emerged as the best representation of data in terms of model fit, predictive accuracy and model simplicity. The relationship between load and repetitions performed to failure follows an individually expressed exponential trend in the pin press exercise. To accurately predict the load that is associated with a certain repetition maximum, the relationship should therefore be modelled on a subject-specific level.

为了确定载荷与销压练习中瞬时失效的重复次数之间的关系,本研究使用贝叶斯方法比较了不同的统计模型类型和结构。30名接受过阻力训练的男性和女性在两个不同的场合接受了测试。在第一次访问期间,参与者在按针练习中接受了一次重复最大值(1-RM)的评估。在第二次访问中,他们在一次会话中以固定顺序以90%,80%和70%的1-RM执行瞬时故障设置。采用线性回归、指数回归和临界载荷模型拟合了相对载荷与失效重复次数之间的关系。每个模型都按照贝叶斯框架采用两种方法进行拟合:使用跨主题池数据结构和使用多层结构。根据方差解释(R2)和留一交叉验证信息准则(LOOIC)对模型进行比较。与广义的混合数据模型(R2: 0.89-0.93)相比,将更高层次的共性纳入个体关系的多层模型显示出更好的拟合(R2: 0.97-0.98)和更好的预测准确性。在模型拟合、预测精度和模型简单性方面,多水平2参数指数回归成为数据的最佳代表。在销压练习中,载荷和重复次数之间的关系遵循单独表示的指数趋势。为了准确地预测与某个最大重复次数相关的负荷,因此应该在特定科目的水平上建立这种关系的模型。
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引用次数: 3
Cardiac cycle timing intervals in university varsity athletes. 大学代表队运动员的心脏周期时间间隔。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/17461391.2023.2178329
Jyotpal Singh, Chase J Ellingson, Cody A Ellingson, Parker Scott, J Patrick Neary

Cardiac cycle timing events in varsity athletes serve an important function for baseline assessment but are not reported in the literature. The purpose of this study was to characterise the cardiac cycle timing intervals and contractility parameters in university-level varsity athletes. 152 males and 93 females were assessed using a non-invasive seismocardiography cardiac sensor attached to the sternum for 1-minute. Shorter isovolumic relaxation time (IVRT), systolic time, mitral valve open to E-wave (MVO to E) time, rapid ejection period (REP), atrial systole to mitral valve closure (AS to MVC) time, and diastolic performance index (IVRT/systolic time) were found in females, while heart rate was lower in males. Varying differences in timing intervals were found between sports. Systolic times were longer in male and female basketball players, while diastole was shortest in male football players, who also had higher heart rates than the other male sport athletes. These results add reference cardiac cycle timing data to the literature and imply that male and female athletes show different cardiac characteristics. Team differences suggest that different training for different sports can result in unique cardiac function changes, however, these appear to be related to the sex of the participants. The addition of these cardiac cycle timing intervals adds a valuable comparative tool to better understand cardiac physiology in the varsity athletic population.HIGHLIGHTS Given the lack of data in the literature on athlete's cardiac cycle timing intervals, we provide normative values for healthy, university varsity athletes, including stratification by sex and sport.Male and female athletes show different cardiac cycle timing intervals, including the systolic and isovolumic relaxation timing intervals.Differences in cardiac cycle timing intervals are also present when comparing different sports.

大学运动员的心周期授时事件对基线评估具有重要作用,但在文献中未见报道。本研究的目的是表征大学水平的大学运动员的心脏周期时间间隔和收缩性参数。152名男性和93名女性使用附着在胸骨上1分钟的无创地震心动图心脏传感器进行评估。女性等容舒张时间(IVRT)、收缩时间、二尖瓣打开至E波时间(MVO至E)、快速射血期(REP)、心房收缩期至二尖瓣关闭时间(AS至MVC)、舒张表现指数(IVRT/收缩时间)较短,男性心率较低。不同的运动项目在计时间隔上存在不同的差异。男性和女性篮球运动员的心脏收缩时间更长,而男性足球运动员的心脏舒张时间最短,他们的心率也高于其他男性体育运动员。这些结果为文献增加了参考心脏周期计时数据,并暗示男性和女性运动员表现出不同的心脏特征。团队差异表明,不同运动的不同训练可能导致独特的心功能变化,然而,这些变化似乎与参与者的性别有关。这些心脏周期计时间隔的增加为更好地了解大学运动人群的心脏生理学提供了一个有价值的比较工具。鉴于文献中缺乏关于运动员心脏周期时间间隔的数据,我们为健康的大学代表队运动员提供了规范性值,包括按性别和运动分层。男性和女性运动员表现出不同的心脏周期时间间隔,包括收缩和等容松弛时间间隔。在比较不同的运动时,心脏周期计时间隔也存在差异。
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引用次数: 3
Does nutritional status influence the effects of a multicomponent exercise programme on body composition and physical fitness in older adults with limited physical function? 营养状况是否会影响身体机能受限的老年人多组分运动计划对身体成分和体能的影响?
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/17461391.2022.2092426
Ana Moradell, Ángel I Fernández-García, David Navarrete-Villanueva, Jorge Pérez-Gómez, Eva Gesteiro, Ignacio Ara Royo, Jose Antonio Casajús, Alba Gómez-Cabello, Germán Vicente-Rodríguez

Physical exercise effects and ageing on fitness may be influenced by nutritional status. This study investigates the effects of a 6-month multicomponent exercise training (MCT) on nutritional status and evaluates if this type of exercise could affect differently body composition and physical fitness depending on the nutritional status of older adults with decreased functional capacity. Ninety-three participants (80.4 ± 6.0 y) were divided into control (n = 45) and intervention (n = 48) groups. The intervention consisted of a 6-month multicomponent training. Comparisons between changes in body composition and fitness during the 6-months were performed between individuals at risk of malnutrition and those well-nourished, according to the Mini Nutritional Assessment. Model mixed-effect analyses were used to investigate differences after the 6 months of MCT between groups. Well-nourished participants compared with those at risk of malnutrition had higher: arm (13.4 ± 3.5 vs 14.3 ± 33.6 repetitions) and leg strength (9.0 ± 3.0 vs 11.1 ± 3.3 repetitions), maximum walking speed (31.6 ± 13.1 vs 23.7 ± 6.3s), agility (11.9 ± 5.8 vs 8.3 ± 2.1s), and aerobic capacity (31.6 ± 13.1 vs 23.7 ± 6.3 m), at baseline. After the training, those without risk of malnutrition in CON decreased their nutritional status (-1.7 + 0.7 points). Those well-nourished that performed the intervention decreased total fat mass (-1.0 ± 0.3 kg) and body fat percentage (-1.2 ± 0.4%). Both groups of training improved similarly in all tests, except for balance, in which the well-nourished showed improvements of 6.3 ± 1.9s. These results underline the usefulness of MCT in improving physical fitness regardless of nutritional status and preventing nutritional status detriment in well-nourished older adults, who are fitter and benefit more, in terms of body composition.Trial registration: ClinicalTrials.gov identifier: NCT03831841.Highlights Multicomponent exercise programme seems to be effective in delaying detriments in the nutritional status of well-nourished people.Well-nourished older people obtain more benefits in body composition from the multicomponent exercise than those at risk of malnutrition, decreasing adiposity.The positive effect of multicomponent exercise was observed in physical fitness independently of nutritional status.

体育锻炼对健康的影响和衰老可能受营养状况的影响。本研究调查了为期6个月的多组分运动训练(MCT)对老年人营养状况的影响,并评估了这种类型的运动是否会对老年人的身体组成和身体健康产生不同的影响,这取决于老年人的营养状况。93名参与者(80.4±6.0 y)分为对照组(n = 45)和干预组(n = 48)。干预包括6个月的多部分训练。根据迷你营养评估,在6个月的时间里,有营养不良风险的人和营养良好的人在身体组成和健康方面的变化进行了比较。采用模型混合效应分析研究各组间MCT治疗6个月后的差异。与有营养不良风险的参与者相比,营养良好的参与者在基线时具有更高的:手臂(13.4±3.5 vs 14.3±33.6重复)和腿部力量(9.0±3.0 vs 11.1±3.3重复),最大步行速度(31.6±13.1 vs 23.7±6.3s),敏捷性(11.9±5.8 vs 8.3±2.1s)和有氧能力(31.6±13.1 vs 23.7±6.3 m)。培训后,CON中没有营养不良风险的人的营养状况下降(-1.7 + 0.7)。营养良好的干预组总脂肪量(-1.0±0.3 kg)和体脂率(-1.2±0.4%)下降。两组训练组在所有测试中都有相似的提高,除了平衡,营养良好的组提高了6.3±1.9秒。这些结果强调了MCT在改善身体健康方面的有用性,无论营养状况如何,并防止营养状况损害营养良好的老年人,他们更健康,在身体成分方面受益更多。试验注册:ClinicalTrials.gov标识符:NCT03831841。多成分锻炼计划似乎可以有效延缓营养良好人群营养状况的损害。营养良好的老年人从多组分运动中获得的身体成分比那些有营养不良风险的人更多,从而减少了肥胖。多组分运动对身体健康的积极影响与营养状况无关。
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引用次数: 1
Utility of the W´BAL model in training programme design for masters cyclists. W´BAL模型在自行车大师训练计划设计中的应用。
IF 3.2 3区 医学 Q2 SPORT SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/17461391.2022.2142675
Miguel Ángel Galán-Rioja, Fernando González-Mohíno, Philip Friere Skiba, José María González-Ravé

The present study aims to determine the utility of integrating balance model (W´BAL-INT) in designing interval training programmes as assessed by improvements in power output, critical power (CP), and W prime (W´) defined as the finite work capacity above CP. Fourteen male cyclists (age = 42 ± 7 yr, body mass = 69.6 ± 6.5 kg, height = 175 ± 5 cm, CP = 302 ± 32 W, relative CP = 4.35 ± 0.66 W·kg-1) were randomized into two training groups: Short-Medium-Long intervals (SML-INT; n = 7) or Long intervals (L-INT, n = 7) [training sessions separated by 72 h], along with 3-4 sessions of moderate intensity training per week, for 4 weeks. All sessions were designed to result in the complete depletion of the W´ as gauged by the W´BAL-INT. CP and W´ were assessed using the specified efforts (i.e. 12, 7 and 3 min) and calculated with the 2-parameter CP linear model. Training loads between the groups were compared using different metrics. CP improved in both the SML-INT and L-INT groups by 5 ± 4% and 6 ± 5% (p < 0.001) respectively, without significant changes in W´. Mean maximal power over 3, 7 and 12 min increased significantly in the SML-INT group by 5%, 4% and 9%, (p < 0.05) without significant changes in the L-INT group. There were no differences between groups in training zone distribution or training load using BikeScore and relative intensity, but there was significantly (p < 0.05) higher TRIMPS for the Long-INT group. Therefore, W´BAL model may prove to be a useful tool for coaches to construct SML-INT training programmes.HighlightsCP significantly improved with both training models during the present intervention and in power output in some of the time to exhaustion (TTE) trials, despite a difference in training load between the groups as assessed by TRIMPS.We recommend designing endurance training sessions based on the use of the W´BAL-INT model.The structured interval model can be an easy and standardized way for cyclists and coaches to monitor their potential for flat and mid-mountain stages.

本研究旨在确定积分平衡模型的效用(W´BAL-INT)在区间设计培训项目评估改善功率输出,临界功率(CP)和W ' (W´)定义为有限的工作能力高于CP。14男骑自行车(年龄= 42±7年,体重= 69.6±6.5公斤,身高= 175±5厘米,CP = 302±32 W,相对CP = 4.35±0.66 W·公斤)被训练随机分成两组:Short-Medium-Long间隔(SML-INT;n = 7)或长间隔(L-INT, n = 7)[训练间隔72小时],每周3-4次中等强度训练,持续4周。所有的疗程都被设计成W ' BAL-INT测量的W '的完全消耗。使用指定的努力(即12,7和3分钟)评估CP和W´,并使用2参数CP线性模型计算。使用不同的指标比较各组之间的训练负荷。SML-INT组和L-INT组的CP分别提高了5±4%和6±5% (p p p p), BAL模型可能被证明是教练构建SML-INT训练计划的有用工具。尽管TRIMPS评估了两组之间的训练负荷差异,但在目前的干预期间,两种训练模式的scp均有显著改善,在一些疲劳时间(TTE)试验中,两组的功率输出均有显著改善。我们建议在使用W´BAL-INT模型的基础上设计耐力训练课程。对于自行车手和教练来说,结构化的间歇模式是一种简单而标准化的方法,可以监测他们在平地和中段赛段的潜力。
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引用次数: 3
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European Journal of Sport Science
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