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Effects of exercise on bone mineral density and bone turnover markers in adults: a systematic review and meta-analysis. 运动对成人骨密度和骨转换标志物的影响:一项系统回顾和荟萃分析。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1672997
Tingting Miao, Xun Li, Wenhua Zhang, Jie Liu, Yi Xiao, Xiaoqiang Wang
<p><strong>Background: </strong>The incidence of osteoporosis and associated fracture risk increases significantly with age, making it a major global public health concern.</p><p><strong>Objective: </strong>This study aims to evaluate the impact of exercise on bone mineral density (BMD) at the lumbar spine, femoral neck, and total body in adult women across different age groups, and to further assess the efficacy of different exercise modalities on BMD at these sites. A parallel objective is to investigate the effects of exercise on key bone turnover markers, including the bone formation markers osteocalcin (OC), bone-specific alkaline phosphatase (BALP), and procollagen type I N-terminal propeptide (P1NP), as well as the bone resorption markers C-terminal telopeptide of type I collagen (CTX) and tartrate-resistant acid phosphatase 5b (TRACP-5b). The ultimate goal is to provide evidence for optimizing exercise strategies to enhance bone mass and prevent osteoporosis.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Embase, the Cochrane Library, and Web of Science from inception to 14 November 2025. Randomized controlled trials (RCTs) were screened according to predefined inclusion and exclusion criteria. Relevant data were extracted, and study quality was assessed using the cochrane risk of bias tool (ROB2). Meta-analyses were performed using Stata 17. Publication bias was evaluated using Egger's test, and sensitivity analyses were conducted to assess the robustness of the findings.</p><p><strong>Results: </strong>A total of 22 RCTs involving 1,051 participants were included. The meta-analysis showed that, in subgroup analyses by age, exercise significantly increased lumbar spine BMD [SMD = 0.46, 95% CI (0.16, 0.76), P < 0.01] and femoral neck BMD [SMD = 0.42, 95% CI (0.13, 0.71), P < 0.01] in young adult women under 30 years of age. Subgroup analysis by exercise modality indicated that combined exercise significantly improved femoral neck BMD [SMD = 0.49, 95% CI (0.08, 0.90), P = 0.02] and total body BMD [SMD = 0.52, 95% CI (0.08, 0.97), P = 0.02]. Furthermore, exercise significantly elevated levels of bone formation markers, including OC [SMD = 0.41, 95% CI (0.17, 0.64), P < 0.01] and BALP [SMD = 0.71, 95% CI (0.36, 1.06), P < 0.01]. Subgroup analysis by exercise session duration showed that exercise programs shorter than 4 months were associated with increased OC [SMD = 0.41, 95% CI (0.12, 0.71), P < 0.01] and P1NP [SMD = 0.69, 95% CI (0.14, 1.24), P = 0.01], while BALP levels were significantly elevated both in interventions shorter than 4 months [SMD = 0.56, 95% CI (0.10, 1.01), P < 0.01] and those longer than 4 months [SMD = 0.94,95% CI (0.39, 1.48), P = 0.02].</p><p><strong>Conclusion: </strong>This systematic review and meta-analysis indicate that exercise significantly increases lumbar spine and femoral neck BMD in young adult women under the age of 30. Additionally, combined exercise shows significant benefit
背景:骨质疏松症和相关骨折风险随年龄的增长而显著增加,使其成为一个主要的全球公共卫生问题。目的:本研究旨在评估运动对不同年龄组成年女性腰椎、股骨颈和全身骨密度(BMD)的影响,并进一步评估不同运动方式对这些部位骨密度的影响。另一个平行的目标是研究运动对关键骨转换标志物的影响,包括骨形成标志物骨钙素(OC)、骨特异性碱性磷酸酶(BALP)和I型前胶原n端前肽(P1NP),以及骨吸收标志物I型胶原c端端肽(CTX)和抗酒石酸盐酸性磷酸酶5b (TRACP-5b)。最终目标是为优化运动策略提供证据,以提高骨量和预防骨质疏松症。方法:系统检索PubMed、Embase、Cochrane Library和Web of Science自成立至2025年11月14日的文献。随机对照试验(RCTs)根据预先确定的纳入和排除标准进行筛选。提取相关资料,使用cochrane偏倚风险工具(ROB2)评估研究质量。使用Stata 17进行meta分析。使用Egger检验评估发表偏倚,并进行敏感性分析以评估研究结果的稳健性。结果:共纳入22项随机对照试验,涉及1,051名受试者。meta分析显示,在按年龄分组的亚组分析中,运动显著增加了30岁以下年轻成年女性的腰椎骨密度[SMD = 0.46, 95% CI (0.16, 0.76), P < 0.01]和股骨颈骨密度[SMD = 0.42, 95% CI (0.13, 0.71), P < 0.01]。运动方式亚组分析显示,联合运动显著改善股骨颈骨密度[SMD = 0.49, 95% CI (0.08, 0.90), P = 0.02]和全身骨密度[SMD = 0.52, 95% CI (0.08, 0.97), P = 0.02]。此外,运动显著提高骨形成标志物的水平,包括OC [SMD = 0.41, 95% CI (0.17, 0.64), P < 0.01]和BALP [SMD = 0.71, 95% CI (0.36, 1.06), P < 0.01]。按运动时间进行的亚组分析显示,短于4个月的运动计划与OC升高[SMD = 0.41, 95% CI (0.12, 0.71), P < 0.01]和P1NP升高有关[SMD = 0.69, 95% CI (0.14, 1.24), P = 0.01],而短于4个月的干预[SMD = 0.56, 95% CI (0.10, 1.01), P < 0.01]和长于4个月的干预[SMD = 0.94,95% CI (0.39, 1.48), P = 0.02]中BALP水平均显著升高。结论:本系统综述和荟萃分析表明,运动可显著增加30岁以下年轻成年女性的腰椎和股骨颈骨密度。此外,联合锻炼对改善成年女性股骨颈和全身骨密度有显著益处。此外,在骨代谢方面,运动可有效促进成人骨形成标志物OC和BALP的升高。具体而言,短期干预(少于4个月)显著增加OC和P1NP水平,而短期和长期(≥4个月)干预后BALP水平均显著增加。系统综述注册:https://www.crd.york.ac.uk/PROSPERO/,标识符CRD420251001516。
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引用次数: 0
Movement efficiency in taekwondo side kick (Yop Chagi): a kinematic comparison between novice and experienced practitioners. 跆拳道侧踢(Yop Chagi)的运动效率:新手和有经验的练习者的运动学比较。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1708748
Rahmat Hidayat, Xianzhi Jin, Chengji Dou, Benyao Yang

Background: This study aimed to kinematically compare the Yop Chagi execution between novice and experienced university Taekwondo practitioners, focusing on movement efficiency.

Methods: Forty university students were allocated into two groups: Novice (n = 20; ≤6 months experience) and Experienced (n = 20; ≥3 years of competitive experience). Participants performed maximal effort side kicks targeting a pad at trochanter height. Movement was captured using two high-speed cameras (120 Hz). Kinematic variables included hip and knee joint angles at peak flexion/extension, peak angular velocities, linear velocity of the foot, and total kick execution time. Between-group differences were analysed using independent t-tests or Mann-Whitney U tests, with effect sizes (Cohen's d) reported.

Results: The experienced group demonstrated significantly larger hip abduction and knee flexion angles during the chamber phase (p < 0.01, d > 0.8), and greater knee extension at the point of impact (p < 0.01, d = 1.2) compared to novices. The experienced group also exhibited superior performance in peak hip and knee angular velocities (p < 0.01, d > 1.5), resulting in a 28% higher peak linear velocity of the foot (p < 0.001, d = 2.1). Furthermore, the total execution time was significantly shorter for the experienced group (p < 0.01, d = 1.4).

Conclusion: Experienced practitioners execute the Yop Chagi with a more efficient kinematic pattern, characterized by a larger range of motion, faster segmental velocities, and reduced execution time. These findings suggest that long-term training optimizes the proximal-to-distal kinematic sequence, enhancing kick performance.

背景:本研究旨在从运动学角度比较大学跆拳道新手和有经验的跆拳道运动员的Yop Chagi执行,重点关注动作效率。方法:40名大学生分为新手组(n = 20,≤6个月)和经验组(n = 20,≥3年)。参与者在大转子高度进行最大努力侧踢。用两台高速摄像机(120赫兹)捕捉运动。运动学变量包括髋关节和膝关节在弯曲/伸展峰值时的角度,峰值角速度,脚的线速度和总踢腿执行时间。使用独立t检验或Mann-Whitney U检验分析组间差异,并报告效应量(Cohen’s d)。结果:与新手相比,经验丰富的组在腔室期表现出更大的髋关节外展和膝关节屈曲角度(p < 0.01, d = 0.8),并且在撞击点表现出更大的膝关节伸度(p < 0.01, d = 1.2)。经验丰富的组在髋部和膝关节的峰值角速度方面也表现出更好的表现(p < 0.01, d = 1.5),导致足部的峰值线速度提高28% (p < 0.001, d = 2.1)。经验丰富组的总执行时间显著缩短(p < 0.01, d = 1.4)。结论:经验丰富的练习者执行Yop Chagi具有更有效的运动学模式,其特点是运动范围更大,节段速度更快,执行时间更短。这些发现表明,长期训练优化了近端到远端运动序列,提高了踢腿性能。
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引用次数: 0
Case Report: Exercise-induced normalization of chronic left bundle branch block: a rare recovery-phase phenomenon. 病例报告:运动诱导的慢性左束支阻滞正常化:一种罕见的恢复期现象。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1745858
Horesh Dor-Haim, Ilia Davarashvili

Background: Transient left bundle branch block (LBBB) is associated with various cardiac and systemic conditions, including exercise-induced ischemia. However, normalization of baseline LBBB following exertion is a rare and poorly understood phenomenon.

Case summary: We report the case of an 83-year-old male with longstanding coronary artery disease and baseline LBBB who underwent a routine stress echocardiogram. During the recovery phase, ECG monitoring revealed normalization of LBBB with first-degree AV block. Concurrent stress echocardiography showed improved segmental and global ventricular function.

Conclusion: This case highlights a rare instance of post-exercise resolution of LBBB and suggests a possible link between exercise-induced autonomic modulation and transient improvement in conduction. Further research is warranted to explore the prognostic significance of this finding in patients with structural heart disease.

背景:短暂性左束分支阻滞(LBBB)与多种心脏和全身疾病有关,包括运动性缺血。然而,运动后LBBB基线的正常化是一种罕见且知之甚少的现象。病例总结:我们报告一例83岁男性长期冠状动脉疾病和基线LBBB,接受常规应激超声心动图检查。在恢复阶段,心电图监测显示LBBB恢复正常,伴有一级房室传导阻滞。同时应激超声心动图显示心室节段和整体功能改善。结论:该病例突出了运动后LBBB消退的罕见实例,并提示运动诱导的自主神经调节与传导的短暂改善之间可能存在联系。有必要进一步研究这一发现对结构性心脏病患者的预后意义。
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引用次数: 0
Leg-specific modulation of muscle synergies during Tai Chi heel kick in elite athletes. 精英运动员太极拳跟踢中肌肉协同作用的腿部特异性调节。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1727715
Jinsong Mo, Feiyue Jing

Purpose: The Tai Chi heel-kick is a slow, high-amplitude single-leg movement that places substantial demands on lower-limb coordination, dynamic balance, and controlled force transfer, and is increasingly incorporated into performance training and rehabilitation programs. This study investigated muscle synergies and activation timing differences between the left and right legs of elite Tai Chi athletes during the heel-kick and explored leg-specific neuromuscular control features by combining synergy analysis with spinal segment statistical parametric mapping (SPM).

Methods: Twelve national-level elite Tai Chi athletes were recruited. Surface electromyography (sEMG) signals were collected from key lower-limb muscles, and muscle synergies were extracted using non-negative matrix factorization (NMF). The center of activation (CoA) was calculated using circular statistics, and SPM was applied to examine activation differences across the L2-S2 spinal segments.

Results: Four to five robust muscle synergies were identified for both legs, showing high spatial similarity; however, activation timing differed, with the left-leg synergies peaking earlier and the right-leg synergies delayed. CoA analysis indicated an overall phase advance in the left leg and a phase delay in the right leg. Spinal SPM further revealed inter-limb differences during the mid-to-late phase of the movement (40%-80%), with right-leg activation concentrated in L4-S1 segments, whereas the left leg exhibited a broader distribution.

Conclusion: During the Tai Chi heel-kick, the left and right legs share similar synergy composition but differ in temporal activation patterns and spinal segmental drive, suggesting leg-specific modulation within an overall conserved modular structure. Characterizing these timing asymmetries in highly trained athletes provides a neuromuscular reference for designing Tai Chi-based training drills targeting single-leg control and side-to-side balance, and offers a potential framework for tailoring lower-limb rehabilitation exercises that require coordinated support and kicking functions.

目的:太极脚后跟踢是一种缓慢的、高强度的单腿动作,对下肢的协调、动态平衡和控制力的转移有很大的要求,并且越来越多地被纳入到性能训练和康复计划中。本研究采用协同分析和脊髓节段统计参数映射(SPM)相结合的方法,研究了优秀太极拳运动员左、右腿在跟踢过程中的肌肉协同作用和激活时间差异,探讨了腿部特异性神经肌肉控制特征。方法:招募12名国家级优秀太极拳运动员。收集下肢关键肌肉的表面肌电图(sEMG)信号,利用非负矩阵分解(NMF)提取肌肉协同作用。激活中心(CoA)使用圆形统计计算,SPM应用于检查L2-S2脊柱节段之间的激活差异。结果:在两条腿上发现了4 - 5个强健的肌肉协同作用,表现出高度的空间相似性;然而,激活时间不同,左腿协同作用的峰值较早,右腿协同作用的峰值较晚。CoA分析显示左腿整体相位提前,右腿相位延迟。脊柱SPM进一步揭示了运动中后期肢体间的差异(40%-80%),右腿的激活集中在L4-S1节段,而左腿的分布更广泛。结论:在太极跟踢过程中,左右腿具有相似的协同成分,但在时间激活模式和脊柱节段驱动上存在差异,表明在整体保守的模块化结构中存在腿特异性调节。在训练有素的运动员中表征这些时间不对称,为设计以单腿控制和左右平衡为目标的太极训练训练提供了神经肌肉参考,并为定制需要协调支持和踢腿功能的下肢康复训练提供了潜在的框架。
{"title":"Leg-specific modulation of muscle synergies during Tai Chi heel kick in elite athletes.","authors":"Jinsong Mo, Feiyue Jing","doi":"10.3389/fphys.2025.1727715","DOIUrl":"10.3389/fphys.2025.1727715","url":null,"abstract":"<p><strong>Purpose: </strong>The Tai Chi heel-kick is a slow, high-amplitude single-leg movement that places substantial demands on lower-limb coordination, dynamic balance, and controlled force transfer, and is increasingly incorporated into performance training and rehabilitation programs. This study investigated muscle synergies and activation timing differences between the left and right legs of elite Tai Chi athletes during the heel-kick and explored leg-specific neuromuscular control features by combining synergy analysis with spinal segment statistical parametric mapping (SPM).</p><p><strong>Methods: </strong>Twelve national-level elite Tai Chi athletes were recruited. Surface electromyography (sEMG) signals were collected from key lower-limb muscles, and muscle synergies were extracted using non-negative matrix factorization (NMF). The center of activation (CoA) was calculated using circular statistics, and SPM was applied to examine activation differences across the L2-S2 spinal segments.</p><p><strong>Results: </strong>Four to five robust muscle synergies were identified for both legs, showing high spatial similarity; however, activation timing differed, with the left-leg synergies peaking earlier and the right-leg synergies delayed. CoA analysis indicated an overall phase advance in the left leg and a phase delay in the right leg. Spinal SPM further revealed inter-limb differences during the mid-to-late phase of the movement (40%-80%), with right-leg activation concentrated in L4-S1 segments, whereas the left leg exhibited a broader distribution.</p><p><strong>Conclusion: </strong>During the Tai Chi heel-kick, the left and right legs share similar synergy composition but differ in temporal activation patterns and spinal segmental drive, suggesting leg-specific modulation within an overall conserved modular structure. Characterizing these timing asymmetries in highly trained athletes provides a neuromuscular reference for designing Tai Chi-based training drills targeting single-leg control and side-to-side balance, and offers a potential framework for tailoring lower-limb rehabilitation exercises that require coordinated support and kicking functions.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1727715"},"PeriodicalIF":3.2,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12823038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146029018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differences in acute physiological response to a Qigong exercise among middle-aged adults with varying durations of Qigong practice. 不同气功练习时间的中年人对气功运动急性生理反应的差异。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1699846
Jingyu Sun, Zhangxiaohe Zhang, Rongji Zhao, Nannan Jia, Jiajia Chen, Duran Qin, Jing Wang, Zhengyi Zhang, Hao Yang, Tianfeng Lu, Antonio Cicchella, Tao Chen

Background: Qigong combines physical movement, breath control, and mental focus, offering potential benefits for healthy aging. Since physiological decline begins in midlife, this stage is critical for preventive intervention. The purpose of this study was to investigate the differences in acute physiological responses, including autonomic (heart rate variability) and respiratory indicators, during a single session of combined Yijinjing and Liuzijue Qigong in middle-aged adults with varying durations of practice experience (≥4 years vs. ≤6 months).

Methods: Forty adults aged 40 to 59 were included and divided into two groups based on Qigong exercise experience: an experienced group (n = 20) with ≥4 years of practice, and an inexperienced group (n = 20) with <6 months. All participants performed 20 min of fitness Qigong, following prerecorded tapes to standardize pace and posture sequence. Heart rate variability (HRV) and respiration were measured using the Biofeedback 2000x-pert system before, during, and after the session.

Results: Significant Group × Time interactions were found for SDNN (F = 5.58, p = 0.012), RMSSD (F = 20.52, p < 0.001) and LF (F = 5.47, p = 0.025). Between-group comparisons indicated that experienced group had slightly higher SDNN at rest (p = 0.039) and significantly higher RMSSD during the recovery phase (p < 0.001); no other between-group differences emerged at other phases. There was a significant Group × Time interaction for abdominal breathing depth (F = 3.911, p = 0.024) and thoracic breathing frequency (F = 4.956, p = 0.016). Between-group comparisons revealed deeper abdominal breathing during exercise and slower thoracic breathing during recovery in the experienced group.

Conclusion: Middle-aged adults with prolonged practice of Qigong exercise have improved HRV compared to those in the inexperienced group, and these improvements may be achieved through a combination of breathing adjustments with mental focus and relaxation.

背景:气功结合了身体运动、呼吸控制和精神集中,为健康老龄化提供了潜在的好处。由于生理衰退始于中年,这一阶段对预防性干预至关重要。本研究的目的是探讨不同练习时间(≥4年vs≤6个月)的中年人在单次联合练习益金经和六子觉气功时急性生理反应的差异,包括自主神经(心率变异性)和呼吸指标。方法:40名年龄在40 ~ 59岁的成年人,根据其气功锻炼经验分为两组:经验组(n = 20),≥4年,经验组(n = 20),经验组(n = 20)。结果:SDNN (F = 5.58, p = 0.012), RMSSD (F = 20.52, p < 0.001)和LF (F = 5.47, p = 0.025)存在显著的组与时间交互作用。组间比较显示,经验组休息时的SDNN略高于对照组(p = 0.039),恢复期的RMSSD显著高于对照组(p < 0.001);在其他阶段没有出现其他组间差异。腹式呼吸深度(F = 3.911, p = 0.024)与胸式呼吸频率(F = 4.956, p = 0.016)组间存在显著交互作用。组间比较显示,有经验组在运动时较深的腹式呼吸,在恢复时较慢的胸式呼吸。结论:与没有经验的中年人相比,长期练习气功的中年人的HRV有所改善,这些改善可能通过呼吸调节与精神集中和放松相结合来实现。
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引用次数: 0
Lobe-wise cognitive load detection using empirical Fourier decomposition and optimized machine learning. 基于经验傅里叶分解和优化机器学习的脑叶认知负荷检测。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1700756
Kunamneni Chervitha, Lakhan Dev Sharma

Introduction: Cognitive load significantly affects neural activity, making its assessment important in neuroscience and human-computer interaction. EEG provides a noninvasive way to monitor brain responses to mental effort. This study explores EEG-based feature extraction and classification methods to accurately assess cognitive load during mental tasks.

Methods: EEG signals were recorded from all brain lobes over 4 seconds and decomposed into ten intrinsic mode functions using Empirical Fourier Decomposition (EMFD). Entropy-based features were extracted, and feature reduction was applied. Both lobe-wise and overall classifications were performed using optimized ensemble machine learning (OML) and conventional ML classifiers. The approach was evaluated on the Mental Arithmetic Task (MAT) and Spatial Transcriptomic Multi-View (STEW) datasets.

Results: The proposed EMFD-based OML framework achieved high accuracy, reaching 97.8% on the MAT dataset and 96.4% on the STEW dataset. Lobe-wise analysis showed strong performance across all brain regions, with the frontal lobe achieving the highest accuracies of 97.8% (MAT) and 96.08% (STEW).

Discussion: The findings demonstrate that EMFD combined with optimized ensemble learning effectively enhances EEG-based cognitive load detection. The consistent performance across datasets confirms the robustness of the method, while lobe-wise analysis highlights the frontal lobe's key role in cognitive processing. The proposed framework outperforms existing methods and shows strong potential for real-world cognitive monitoring applications.

简介:认知负荷显著影响神经活动,使其评估在神经科学和人机交互中具有重要意义。脑电图提供了一种无创的方法来监测大脑对脑力劳动的反应。本研究探索基于脑电图的特征提取和分类方法,以准确评估脑力任务中的认知负荷。方法:记录4秒内各脑叶的脑电信号,利用经验傅里叶分解(EMFD)将其分解为10个本征模态函数。提取基于熵的特征,并进行特征约简。使用优化的集成机器学习(OML)和传统的机器学习分类器进行叶状和整体分类。在心算任务(MAT)和空间转录组多视图(STEW)数据集上对该方法进行了评估。结果:提出的基于emfd的OML框架取得了较高的准确率,在MAT数据集上达到97.8%,在STEW数据集上达到96.4%。脑叶分析显示,在所有脑区都有很强的表现,额叶的准确率最高,为97.8% (MAT)和96.08% (STEW)。讨论:研究结果表明,EMFD结合优化的集成学习有效地增强了基于脑电图的认知负荷检测。跨数据集的一致表现证实了该方法的鲁棒性,而脑叶分析强调了额叶在认知处理中的关键作用。提出的框架优于现有的方法,并显示出现实世界认知监测应用的强大潜力。
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引用次数: 0
Agreement and repeatability of intraocular pressure measurements between SK-5500B and Icare IC200 tonometers in sitting and supine positions: a comparative study. SK-5500B和Icare IC200眼压计在坐位和仰卧位测量眼压的一致性和可重复性:一项比较研究
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1746123
Nan Li, Yucong Chen, Kunliang Qiu, Zhiqiang Guan

Introduction: Accurate intraocular pressure (IOP) measurement is vital in glaucoma management, yet the gold standard (Goldmann applanation tonometry) is limited to seated measurements. Rebound tonometers like the Icare IC200 and the newer SK-5500B offer portability for assessing posture-induced IOP changes, but their measurement consistency requires validation. This study aims to evaluate the agreement and repeatability of IOP measurements between the SK-5500B and Icare IC200 tonometers in sitting and supine positions.

Methods: This prospective study recruited 59 subjects (97 eyes). IOP was measured in both sitting and supine positions by two masked operators using the SK-5500B and Icare IC200 tonometers in a randomized sequence. Subjects were categorized into four groups based on their baseline non-contact tonometry (NCT) readings (<10 mmHg, 10-21 mmHg, 22-30 mmHg, and >30 mmHg). Agreement was assessed using Pearson's correlation and Bland-Altman analysis. Correlation was evaluated using Pearson's correlation coefficient (r). Intra- and inter-operator repeatability were determined by within-subject standard deviation (Sw), coefficient of variation (CV), and intraclass correlation coefficient (ICC). The correlation between the device and central corneal thickness (CCT) or axial length (AL) was also analyzed.

Results: The SK-5500B and Icare IC200 showed a strong positive correlation across all conditions (both positions and both operators) (r ≥ 0.90, P < 0.0001). Bland-Altman analysis demonstrated small mean bias, but the limits of agreement were relatively wide between the two tonometers. Both tonometers exhibited excellent intra-operator (ICC ≥ 0.99) and inter-operator (ICC ≥ 0.99) repeatability. IOP measurements from both tonometers did not show a significant correlation with CCT or AL (P > 0.05).

Conclusion: Despite wide limits of agreement in Bland-Altman analysis, the SK-5500B showed good agreement and highly comparable repeatability with the Icare IC200 in both sitting and supine positions, supporting its potential as a practical clinical alternative.

准确的眼内压(IOP)测量在青光眼治疗中是至关重要的,但金标准(Goldmann压扁眼压计)仅限于坐位测量。像Icare IC200和更新的SK-5500B这样的回弹眼压计为评估姿势引起的IOP变化提供了便携性,但它们的测量一致性需要验证。本研究旨在评估SK-5500B和Icare IC200眼压计在坐位和仰卧位时眼压测量的一致性和可重复性。方法:本前瞻性研究共招募受试者59例(97眼)。两名蒙面操作员使用SK-5500B和Icare IC200眼压计按随机顺序测量坐位和仰卧位的眼压。受试者根据基线非接触血压计(NCT)读数(30mmhg)分为四组。使用Pearson相关和Bland-Altman分析评估一致性。使用Pearson相关系数(r)评估相关性。通过受试者内标准差(Sw)、变异系数(CV)和类内相关系数(ICC)确定操作者内部和操作者之间的重复性。还分析了该装置与角膜中央厚度(CCT)或角膜轴长(AL)的相关性。结果:SK-5500B和Icare IC200在所有条件下(包括位置和操作人员)都显示出很强的正相关(r≥0.90,P < 0.0001)。Bland-Altman分析显示了较小的平均偏差,但两种眼压计之间的一致范围相对较宽。两种眼压计均具有良好的操作符内(ICC≥0.99)和操作符间(ICC≥0.99)重复性。两种眼压计的IOP测量值与CCT或AL无显著相关性(P < 0.05)。结论:尽管在Bland-Altman分析中存在广泛的一致性限制,SK-5500B与Icare IC200在坐位和仰卧位上均表现出良好的一致性和高度可比性,支持其作为实用临床替代方案的潜力。
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引用次数: 0
Analysis of selected cytokines, NLRP3 inflammasome and α-Klotho protein in patients with heart failure after ICD/CRT-D high-voltage intervention. ICD/CRT-D高压干预后心衰患者选定细胞因子、NLRP3炎性体及α-Klotho蛋白分析
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-07 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1721432
Jakub Szyller, Mariola Śliwińska-Mossoń, Bruno Hrymniak, Agnieszka Olejnik, Łukasz Kozera, Maciej Zieliński, Waldemar Banasiak, Iwona Bil-Lula, Dariusz Jagielski

Objectives: Inflammatory cytokines contribute to Implantable Cardioverter-Defibrillator/Cardiac Resynchronization Therapy with a Defibrillator (ICD/CRT-D) high-voltage intervention by promoting arrhythmias through direct cardiac effects and indirect systemic changes. The NLRP3 inflammasome can promotes arrhythmias by linking inflammation, oxidative stress, and structural changes. The aim of this study was to assess the inflammatory response in the peri-shock-period in patients with heart failure (HF) and implanted ICD/CRT-D and the initial analysis of the possible role of cytokines, NLRP3 and soluble Klotho protein in peri-shock period and the possibility of triggering arrhythmias.

Methods: The study population consisted of 50 patients with diagnosed HF and implanted ICD/CRT-D devices. Blood samples were drawn up to max. 6 h after appropriate ICD/CRT-D intervention ("intervention group") or from patients qualified for ICD/CRT-D device replacement (ERI status) and with no intervention min in the previous 3 months ("control group"). Serum concentration of TNF-α, IL-1β, IL-6, IL-10, IL-17, NLRP3 inflammasome, soluble Klotho protein and FGF-23 complete blood count, were determined in all individuals.

Results: IL-6 and IL-10 were higher after ICD/CRT-D appropriate intervention (3.3 pg/mL, 95% CI: 2.7-3.7 vs. 4.6 pg/mL, 95% CI: 2.9-14.5, p = 0.0399 and mean 7.8 pg/mL, 95% CI: 7.1-8.5 vs. 9.0 pg/mL, 95% CI: 8.1-9.9, p = 0.0321, respectively). The group was characterized by a higher number of white blood cells (WBC, 6.8 × 103/µL, 95% CI: 6.0-7.6 vs. 9.4 × 103/µL, 95% CI: 8.1-10.7, p = 0.0017), neutrophils (NEUTs, 4.1 × 103/µL, 95% CI: 3.4-4.8 vs. 6.5 × 103/µL, 95% CI: 5.3-7.7, p = 0.0007) and lower number of eosinophils (EOSs, 0.11 × 103/µL, 95% CI: 0.10-0.16 vs. 0.03 × 103/µL, 95% CI: 0.01-0.08, p = 0.0013). Serum concentration of soluble Klotho protein was significantly higher after device intervention (557.5 pg/mL, 95% CI: 495.5-619.5 vs. 895.2 pg/mL, 95% CI: 744.7-1,046.0, p < 0.0001), with no change in FGF-23 levels.

Conclusion: In the peri-shock period, increased IL-6 and IL-10 serum concentrations and changes in 5-diff blood count (increased neutrophils and decreased eosinophils) are observed, which may be associated with a higher risk of ventricular arrhythmia in HF patients. A significant increase in α-Klotho protein concentration, should be taken into account in the development of future diagnostic methods and indicates an important protective role in the inflammatory process.

目的:炎症因子通过直接心脏作用和间接全身改变促进心律失常,促进植入式心律转复除颤器/心脏再同步治疗与除颤器(ICD/CRT-D)高压干预。NLRP3炎性小体可以通过连接炎症、氧化应激和结构变化来促进心律失常。本研究的目的是评估心力衰竭(HF)患者植入ICD/CRT-D后休克期的炎症反应,初步分析细胞因子、NLRP3和可溶性Klotho蛋白在休克期可能的作用以及引发心律失常的可能性。方法:研究人群包括50例诊断为HF并植入ICD/CRT-D装置的患者。血样被抽到了最高限度。在适当的ICD/CRT-D干预后6小时(“干预组”)或来自符合ICD/CRT-D装置更换条件(ERI状态)且在过去3个月内没有进行干预的患者(“对照组”)。测定所有个体血清中TNF-α、IL-1β、IL-6、IL-10、IL-17、NLRP3炎性体、可溶性Klotho蛋白和FGF-23全血细胞计数的浓度。结果:ICD/CRT-D适当干预后IL-6和IL-10升高(3.3 pg/mL, 95% CI: 2.7-3.7 vs. 4.6 pg/mL, 95% CI: 2.9-14.5, p = 0.0399,平均值为7.8 pg/mL, 95% CI: 7.1-8.5 vs. 9.0 pg/mL, 95% CI: 8.1-9.9, p = 0.0321)。该组的特点是白细胞数量较多(WBC, 6.8 × 103/µL, 95% CI: 6.0-7.6 vs. 9.4 × 103/µL, 95% CI: 8.1-10.7, p = 0.0017),中性粒细胞(neut, 4.1 × 103/µL, 95% CI: 3.4-4.8 vs. 6.5 × 103/µL, 95% CI: 5.3-7.7, p = 0.0007),嗜酸性粒细胞数量较少(eos, 0.11 × 103/µL, 95% CI: 0.10-0.16 vs. 0.03 × 103/µL, 95% CI: 0.01-0.08, p = 0.0013)。器械干预后血清可溶性Klotho蛋白浓度显著升高(557.5 pg/mL, 95% CI: 495.5-619.5 vs 895.2 pg/mL, 95% CI: 744.7- 1046.0, p < 0.0001), FGF-23水平无变化。结论:心衰围休克期血清IL-6、IL-10浓度升高,5-diff血细胞计数变化(中性粒细胞升高,嗜酸性粒细胞降低),可能与心衰患者室性心律失常发生风险增高有关。α-Klotho蛋白浓度的显著升高,在未来诊断方法的发展中应予以考虑,表明在炎症过程中具有重要的保护作用。
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引用次数: 0
The neuromechanics of the soleus for fall prevention in aging. 年老时比目鱼肌预防跌倒的神经力学。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-07 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1743559
Jared R Fletcher, Nicholas D J Strzalkowski

Falls are a leading cause of injury-related hospitalization, morbidity, and mortality in older adults, with impaired postural control serving as a key predictor of fall risk. The triceps surae, and particularly the soleus, plays a central role in maintaining upright stance by generating continuous plantarflexion moments that stabilize the body's center of mass. This mini-review summarizes evidence for the neuromechanical contributions of the soleus to postural stability and how these functions decline with age. Mechanically, the soleus acts as a brace for balance, providing sustained torque through fatigue-resistant type I fibers and a compliant Achilles tendon that buffers perturbations and contributes to ankle stiffness. Age-related reductions in tendon stiffness and rate of torque development compromise these stabilizing properties, increasing fall susceptibility. When passive stiffness is insufficient, the soleus compensates through active contraction, trading energy cost of activation for joint stability. Reflexively, the soleus serves as a stabilizer of balance through strong coupling to spinal, cutaneous, vestibular, and transcortical pathways that rapidly adjust muscle activation in response to perturbations. These reflex mechanisms also degrade with aging, leading to delayed, less adaptable responses. Together, age-related mechanical and neural deterioration reduce the soleus' ability to sustain balance and contribute to fall recovery. Preserving soleus strength, tendon stiffness, and reflex adaptability through targeted neuromuscular and perturbation-based training may represent an underrecognized but effective strategy to mitigate fall risk and maintain postural control in older adults.

跌倒是老年人损伤相关住院、发病率和死亡率的主要原因,而姿势控制受损是跌倒风险的关键预测因素。肱三头肌,尤其是比目鱼肌,通过产生持续的跖屈力矩来稳定身体的重心,在保持直立姿势方面起着核心作用。这篇小型综述总结了比目鱼肌对姿势稳定性的神经力学贡献以及这些功能如何随着年龄的增长而下降的证据。机械上,比目鱼肌作为平衡的支撑,通过抗疲劳的I型纤维和柔顺的跟腱提供持续的扭矩,缓冲扰动并有助于脚踝僵硬。年龄相关的肌腱刚度和扭矩发展速率降低损害了这些稳定特性,增加了跌倒的易感性。当被动刚度不足时,比目鱼肌通过主动收缩进行补偿,以激活能量成本换取关节稳定性。反射性地,比目鱼肌通过与脊髓、皮肤、前庭和经皮层通路的强耦合,作为平衡的稳定器,在受到扰动时迅速调节肌肉的激活。这些反射机制也会随着年龄的增长而退化,导致反应延迟,适应性降低。总之,与年龄相关的机械和神经退化降低了比目鱼肌维持平衡的能力,并有助于跌倒恢复。通过有针对性的神经肌肉和基于扰动的训练来保持比目鱼肌力量、肌腱刚度和反射适应性,可能是一种被低估但有效的策略,可以减轻老年人跌倒风险并保持姿势控制。
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引用次数: 0
Editorial: Balancing act: exploring the impact of steroid hormones, diets/supplements, and new drugs on renal function. 社论:平衡行为:探索类固醇激素、饮食/补充剂和新药对肾功能的影响。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-07 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1768413
Guiomar Nascimento Gomes, Ricardo Fernandez, Deise Carla Almeida Leite-Dellova, Dulce Elena Casarini, Licy L Yanes Cardozo
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引用次数: 0
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Frontiers in Physiology
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