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A Little Pepper-Upper? Systematic Review of Randomized Controlled Studies on Capsaicinoids, Capsinoids, and Exercise Performance. 辣椒粉?辣椒素、辣椒素和运动表现的随机对照研究的系统评价。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-09-01 DOI: 10.1123/ijsnem.2023-0016
Betül Sukan-Karaçağıl, Gamze Akbulut, Yasemin Açar, Meleknur Demirkoparan

Capsaicinoids and capsinoids are bioactive compounds mostly found in peppers. Although preclinical studies have reported that these compounds can improve exercise performance due to transient receptor potential vanilloid subtype 1 (TRPV1)-mediated thermogenesis, sympathetic modulation, and releasing calcium, it is still unclear how they affect exercise performance in humans as ergogenic supplements. Conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guide 2020, this systematic review examined the ergogenic effect of capsaicinoids and capsinoids on exercise performance in healthy adults. A total of 19 randomized placebo-controlled trials were included in the study. Studies were accessed by searching five databases (PubMed, Scopus, SPORTDiscus, Web of Science, and Cochrane Library). The quality of the studies was evaluated using the Cochrane risk-of-bias assessment tool. According to the study results, 10 studies examining the effect of capsaicinoid and capsinoid supplements on exercise performance reported positive effects. Also, the effect of capsaicinoids and capsinoids on exercise performance is more pronounced in resistance training. This difference, which varies according to the type of exercise, may be due to the correlation between capsaicin transient receptor potential vanilloid subtype 1 and insulin-like growth factor-1.

辣椒素和辣椒素是主要存在于辣椒中的生物活性化合物。尽管临床前研究已经报道,这些化合物可以通过瞬时受体电位香草样蛋白亚型1 (TRPV1)介导的产热、交感调节和释放钙来改善运动表现,但它们作为人体补品如何影响运动表现仍不清楚。根据2020年系统评价和荟萃分析报告指南的首选报告项目,本系统评价研究了辣椒素和辣椒素对健康成人运动表现的自适应作用。本研究共纳入19项随机安慰剂对照试验。通过检索5个数据库(PubMed、Scopus、SPORTDiscus、Web of Science和Cochrane Library)访问研究。使用Cochrane偏倚风险评估工具对研究质量进行评估。根据研究结果,有10项研究调查了辣椒素和辣椒素补充剂对运动表现的影响,报告了积极的影响。此外,辣椒素和辣椒素对运动表现的影响在阻力训练中更为明显。这种差异因运动类型而异,可能是由于辣椒素瞬时受体潜在香草样亚型1和胰岛素样生长因子-1之间的相关性。
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引用次数: 0
Erratum. The Postprandial Plasma Amino Acid Response Does Not Differ Following the Ingestion of a Solid Versus a Liquid Milk Protein Product in Healthy Adult Females. 勘误表。健康成年女性摄入固体和液体牛奶蛋白产品后餐后血浆氨基酸反应无差异。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-09-01 DOI: 10.1123/ijsnem.2023-0142
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引用次数: 0
New Zealand Blackcurrant Increases Postexercise Hypotension Following Sustained Moderate-Intensity Exercise. 新西兰黑加仑增加持续中等强度运动后的运动后低血压。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-09-01 DOI: 10.1123/ijsnem.2023-0014
Yusen Shan, Matthew David Cook

Previous observations demonstrate New Zealand blackcurrant (NZBC) extract to alter cardiovascular responses at rest without prior exercise. However, the prolonged effects of NZBC on blood pressure and heart rate variability following exercise are not known. Participants (n15 [five women], age: 31 ± 9 years, maximal oxygen uptake: 44 ± 9 ml·kg-1·min-1) undertook a control condition of 2 hr of lying supine rest. Subsequently, in a double-blind, placebo (PLA)-controlled, randomized crossover design participants completed 1 hr of treadmill exercise at 50% maximal oxygen uptake followed by 2-hr supine rest with blood pressure and heart rate variability measurement following a 7-day intake of NZBC and PLA. With NZBC, there was an increase in average fat oxidation (NZBC: 0.24 ± 0.11 vs. PLA: 0.17 ± 0.11 g/min, p = .005), and larger high-frequency relative power during the exercise (p = .037). In the 2-hr rest period, delta change for systolic pressure was larger with NZBC than PLA (Control vs. NZBC: -5.6 ± 6.4, Control vs. PLA: -3.5 ± 6.0 mmHg, p = .033) but was not different for diastolic or mean arterial pressure. There were no alterations in heart rate variabilities during the 2 hr following the exercise with NZBC. A 7-day intake of NZBC causes a larger postexercise hypotension response in young, physically active men and women following 1 hr of treadmill exercise at 50% maximal oxygen uptake.

先前的观察表明,新西兰黑加仑(NZBC)提取物可以改变心血管在休息时的反应,而无需事先锻炼。然而,NZBC对运动后血压和心率变异性的长期影响尚不清楚。参与者(n15名[5名女性],年龄:31±9岁,最大摄氧量:44±9 ml·kg-1·min-1)接受2小时仰卧休息的对照条件。随后,在双盲、安慰剂(PLA)对照、随机交叉设计中,参与者在摄入NZBC和PLA 7天后,完成1小时最大摄氧量为50%的跑步机运动,然后2小时仰卧休息,测量血压和心率变异性。服用NZBC后,平均脂肪氧化量增加(NZBC: 0.24±0.11 vs. PLA: 0.17±0.11 g/min, p = 0.005),运动期间高频相对功率增大(p = 0.037)。在2小时休息期间,NZBC组收缩压的δ变化大于PLA组(对照组与NZBC: -5.6±6.4,对照组与PLA: -3.5±6.0 mmHg, p = 0.033),但舒张压或平均动脉压的δ变化没有差异。在用NZBC锻炼后的2小时内,心率变异性没有变化。在以50%最大摄氧量进行1小时的跑步机运动后,摄入7天的NZBC会引起更大的运动后低血压反应。
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引用次数: 0
The Effects of an Acute Dose of New Zealand Blackcurrant Extract on 5-km Running Performance. 急性剂量新西兰黑加仑提取物对5公里跑步成绩的影响。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-08-30 Print Date: 2023-11-01 DOI: 10.1123/ijsnem.2023-0029
Samantha L Moss, Edward Brindley, Kevin Enright, Jamie Highton, Richard Bott

This study investigated the effects of an acute dose (900 mg) of New Zealand Blackcurrant (NZBC) extract on 5-km running performance, alongside associated physiological and metabolic responses. Sixteen trained male runners (age 26 ± 5 years, stature 173.4 ± 7.3 cm, body mass 73.7 ± 6.9 kg, maximal oxygen consumption [V˙O2max] 55.4 ± 6.1 ml·kg-1·min-1) ingested either capsules containing NZBC extract (3 × 300 mg CurraNZ, 315 mg anthocyanins) or a matched placebo (3 × 300 mg gluten-free flour) 2 hr before exercise in a double-blind, randomized, crossover design. Performance time, physiological, and metabolic responses were assessed in a 5-km time trial, preceded by 10-min exercise at the lactate threshold on a treadmill. NZBC extract did not alter the physiological or metabolic responses to exercise at the lactate threshold (oxygen uptake, respiratory exchange ratio, minute ventilation, carbohydrate oxidation, fat oxidation, heart rate, blood lactate, or rating of perceived exertion, p > .05). The 5-km time trial was completed in a faster time in the NZBC extract condition compared with placebo (NZBC: 1,308.96 ± 122.36 s, placebo: 1,346.33 ± 124.44, p = .001, d = -0.23, confidence interval range = [-0.46, 0.00 s]). No differences in physiological or metabolic responses were apparent between conditions for the 5-km time trial (p > .05). Ingesting 900 mg of NZBC extract as an acute dose improves performance in trained male runners without altering physiological or metabolic responses to exercise. Further research is needed to assess a wider range of possible mechanisms (e.g., cardiovascular function, metabolite profiles) to advance insight into improved performance following supplementation.

本研究调查了急性剂量(900 mg)新西兰黑加仑提取物对5公里跑步成绩的影响,以及相关的生理和代谢反应。16名经过训练的男性跑步者(年龄26±5岁,身高173.4±7.3 cm,体重73.7±6.9 kg,最大耗氧量[V*O2max]55.4±6.1 ml·kg-1·min-1)在运动前2小时摄入含有NZBC提取物的胶囊(3×300 mg CurraNZ,315 mg花青素)或匹配的安慰剂(3×300mg无麸质面粉),采用双盲、随机、交叉设计。在5公里的时间试验中评估了表现时间、生理和代谢反应,然后在跑步机上以乳酸阈值进行10分钟的运动。NZBC提取物不会改变对乳酸阈值运动的生理或代谢反应(摄氧量、呼吸交换率、分钟通气量、碳水化合物氧化、脂肪氧化、心率、血液乳酸或感知用力等级,p>0.05)。与安慰剂相比,在NZBC提取物条件下,5公里的时间试验完成得更快(NZBC:1308.96±122.36s,安慰剂:1346.33±124.44,p=0.001,d=-0.23,置信区间=[-0.46,0.00 s])。在5公里时间试验的不同条件下,生理或代谢反应没有明显差异(p>0.05)。摄入900 mg NZBC提取物作为急性剂量可在不改变生理或代谢响应的情况下提高训练男性跑步者的表现运动。需要进一步的研究来评估更广泛的可能机制(如心血管功能、代谢产物谱),以深入了解补充后的表现改善。
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引用次数: 0
Mouth Rinsing and Ingestion of Unpleasant Salty or Bitter Solutions Does Not Improve Cycling Sprint Performance in Trained Cyclists. 漱口和摄入令人不快的咸味或苦味溶液并不能改善受过训练的自行车运动员的自行车短跑成绩。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-08-16 Print Date: 2023-11-01 DOI: 10.1123/ijsnem.2023-0074
Edward A Gray, Rocco Cavaleri, Jason C Siegler

The purpose of this study was to investigate the influence of mouth rinsing and ingesting unpleasant salty or bitter solutions on cycling sprint performance and knee extensor force characteristics. Eleven male and one female trained cyclists (age: 34 ± 9 years, maximal oxygen uptake 56.9 ± 3.9 ml·kg-1·min-1) completed a ramp test and familiarization followed by four experimental trials. In each trial, participants completed an all-out 30-s cycling sprint with knee extensor maximal voluntary contractions before and immediately after the sprint. In a randomized, counterbalanced, cross-over order, the four main trials were: a no solution control condition, water, salty (5.8%), or bitter (2 mM quinine) solutions that were mouth rinsed (10 s) and ingested immediately before the cycling sprint. There were no significant differences between conditions in mean power (mean ± SD, no solution: 822 ± 115 W, water: 818 ± 108 W, salt: 832 ± 111 W, bitter: 818 ± 105 W); peak power (no solution: 1,184 ± 205 W, water: 1,177 ± 207 W, salt: 1,195 ± 210 W, bitter: 1,184 ± 209 W); or fatigue index (no solution: 51.5% ± 5.7%, water: 50.8% ± 7.0%, salt: 51.1% ± 5.9%, bitter: 51.2% ± 7.1%) during the sprint. Maximal force and impulse declined postexercise; however, there were no significant differences between conditions in knee extensor force characteristics. The present data do not support the use of unpleasant salty or bitter solutions as an ergogenic aid to improve sprint exercise performance.

本研究的目的是研究漱口和摄入令人不快的咸或苦溶液对自行车短跑成绩和膝伸肌力量特征的影响。11名男性和1名女性(年龄:34±9岁,最大摄氧量56.9±3.9 ml·kg-1·min-1)完成了坡道测试和熟悉,随后进行了四项实验试验。在每项试验中,参与者都完成了30秒的全力自行车短跑,在短跑前后膝盖伸肌最大自主收缩。在一个随机、平衡、交叉的顺序中,四项主要试验是:无溶液对照条件下,水、盐水(5.8%)或苦味(2mM奎宁)溶液,在自行车冲刺前立即漱口(10s)并摄入。不同条件下的平均功率没有显著差异(平均值±SD,无溶液:822±115W,水:818±108W,盐:832±111W,苦:818士105W);峰值功率(无溶液:1184±205W,水:1177±207W,盐:1195±210W,苦:1184?09W);或疲劳指数(无溶液:51.5%±5.7%,水:50.8%±7.0%,盐:51.1%±5.9%,苦:51.2%±7.1%)。运动后最大力量和冲动下降;然而,不同条件下的膝伸肌力特征没有显著差异。目前的数据不支持使用令人不快的咸味或苦味溶液作为提高短跑运动成绩的工效学辅助剂。
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引用次数: 0
The Impact of a Short-Term Ketogenic Low-Carbohydrate High-Fat Diet on Biomarkers of Intestinal Epithelial Integrity and Gastrointestinal Symptoms. 短期生酮低碳水化合物高脂肪饮食对肠上皮完整性和胃肠道症状生物标志物的影响。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-08-11 Print Date: 2023-11-01 DOI: 10.1123/ijsnem.2023-0009
Alannah K A McKay, Alice M Wallett, Andrew J McKune, Julien D Périard, Philo Saunders, Jamie Whitfield, Nicolin Tee, Ida A Heikura, Megan L R Ross, Avish P Sharma, Ricardo J S Costa, Louise M Burke

Endurance exercise can disturb intestinal epithelial integrity, leading to increased systemic indicators of cell injury, hyperpermeability, and pathogenic translocation. However, the interaction between exercise, diet, and gastrointestinal disturbance still warrants exploration. This study examined whether a 6-day dietary intervention influenced perturbations to intestinal epithelial disruption in response to a 25-km race walk. Twenty-eight male race walkers adhered to a high carbohydrate (CHO)/energy diet (65% CHO, energy availability = 40 kcal·kg FFM-1·day-1) for 6 days prior to a Baseline 25-km race walk. Athletes were then split into three subgroups: high CHO/energy diet (n = 10); low-CHO, high-fat diet (LCHF: n = 8; <50 g/day CHO, energy availability = 40 kcal·kg FFM-1·day-1); and low energy availability (n = 10; 65% CHO, energy availability = 15 kcal·kg FFM-1·day-1) for a further 6-day dietary intervention period prior to a second 25-km race walk (Adaptation). During both trials, venous blood was collected pre-, post-, and 1 hr postexercise and analyzed for markers of intestinal epithelial disruption. Intestinal fatty acid-binding protein concentration was significantly higher (twofold increase) in response to exercise during Adaptation compared to Baseline in the LCHF group (p = .001). Similar findings were observed for soluble CD14 (p < .001) and lipopolysaccharide-binding protein (p = .003), where postexercise concentrations were higher (53% and 36%, respectively) during Adaptation than Baseline in LCHF. No differences in high CHO/energy diet or low energy availability were apparent for any blood markers assessed (p > .05). A short-term LCHF diet increased intestinal epithelial cell injury in response to a 25-km race walk. No effect of low energy availability on gastrointestinal injury or symptoms was observed.

耐力运动会扰乱肠上皮的完整性,导致细胞损伤、高渗透性和致病性易位的系统指标增加。然而,运动、饮食和胃肠道紊乱之间的相互作用仍然值得探索。这项研究考察了6天的饮食干预是否会影响25公里竞走后肠道上皮破坏的扰动。28名男性竞走运动员在基线25公里竞走前6天坚持高碳水化合物(CHO)/高能量饮食(65%CHO,能量可用性=40 kcal·kg FFM-1·day-1)。然后将运动员分为三个亚组:高CHO/能量饮食(n=10);低CHO、高脂肪饮食(LCHF:n=8;.05)。短期LCHF饮食增加了25公里竞走后的肠上皮细胞损伤。未观察到低能量利用率对胃肠道损伤或症状的影响。
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引用次数: 0
Acute Ketone Monoester Supplementation Impairs 20-min Time-Trial Performance in Trained Cyclists: A Randomized, Crossover Trial. 急性补充酮单酯损害训练自行车运动员20分钟计时赛表现:一项随机交叉试验。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-07-01 DOI: 10.1123/ijsnem.2022-0255
Devin G McCarthy, Jack Bone, Matthew Fong, Phillippe J M Pinckaers, William Bostad, Douglas L Richards, Luc J C van Loon, Martin J Gibala
Acute ketone monoester (KE) supplementation can alter exercise responses, but the performance effect is unclear. The limited and equivocal data to date are likely related to factors including the KE dose, test conditions, and caliber of athletes studied. We tested the hypothesis that mean power output during a 20-min cycling time trial (TT) would be different after KE ingestion compared to a placebo (PL). A sample size of 22 was estimated to provide 80% power to detect an effect size dz of 0.63 at an alpha level of .05 with a two-tailed paired t test. This determination considered 2.0% as the minimal important difference in performance. Twenty-three trained cyclists (N = 23; peak oxygen uptake: 65 ± 12 ml·kg-1 min-1; M ± SD), who were regularly cycling >5 hr/week, completed a familiarization trial followed by two experimental trials. Participants self-selected and replicated their diet and exercise for ∼24 hr before each trial. Participants ingested either 0.35 g/kg body mass of (R)-3-hydroxybutyl (R)-3-hydroxybutyrate KE or a flavor-matched PL 30 min before exercise in a randomized, triple-blind, crossover manner. Exercise involved a 15-min warm-up followed by the 20-min TT on a cycle ergometer. The only feedback provided was time elapsed. Preexercise venous [β-hydroxybutyrate] was higher after KE versus PL (2.0 ± 0.6 vs. 0.2 ± 0.1 mM, p < .0001). Mean TT power output was 2.4% (0.6% to 4.1%; mean [95% confidence interval]) lower after KE versus PL (255 ± 54 vs. 261 ± 54 W, p < .01; dz = 0.60). The mechanistic basis for the impaired TT performance after KE ingestion under the present study conditions remains to be determined.
急性补充酮单酯(KE)可以改变运动反应,但对运动表现的影响尚不清楚。迄今为止有限和模棱两可的数据可能与包括KE剂量,测试条件和所研究运动员的水平在内的因素有关。我们检验了假设,在20分钟的骑行时间试验(TT)中,与安慰剂(PL)相比,摄入KE后的平均功率输出会有所不同。通过双尾配对t检验,估计22个样本量提供80%的能力来检测α水平为0.05的效应大小dz为0.63。这个决定认为2.0%是性能上最小的重要差异。23名训练有素的自行车手(N = 23;峰值摄氧量:65±12 ml·kg-1 min-1;M±SD),定期骑行>5小时/周,完成一个熟悉试验,随后进行两个实验试验。参与者在每次试验前自行选择并重复他们的饮食和运动约24小时。参与者在运动前30分钟以随机、三盲、交叉方式摄入0.35 g/kg体重的(R)-3-羟基丁酸KE或味道匹配的PL。锻炼包括15分钟的热身,然后在自行车计力器上进行20分钟的TT。提供的唯一反馈是时间流逝。运动前静脉[β-羟基丁酸]在KE组高于PL组(2.0±0.6 vs. 0.2±0.1 mM, p < 0.0001)。平均TT功率输出2.4%(0.6%至4.1%;平均[95%置信区间])较PL低(255±54比261±54 W, p < 0.01;Dz = 0.60)。在本研究条件下,摄入KE后TT性能受损的机制基础仍有待确定。
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引用次数: 1
Amino Acid-Based Beverage Interventions Ameliorate Exercise-Induced Gastrointestinal Syndrome in Response to Exertional-Heat Stress: The Heat Exertion Amino Acid Technology (HEAAT) Study. 以氨基酸为基础的饮料干预改善运动性热应激引起的运动诱发的胃肠道综合征:热运动氨基酸技术(Heat -耗氨基酸技术)研究。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-07-01 DOI: 10.1123/ijsnem.2023-0025
Ricardo J S Costa, Kayla Henningsen, Stephanie K Gaskell, Rebekah Alcock, Alice Mika, Christopher Rauch, Samuel N Cheuvront, Phil Blazy, Robert Kenefick

The study aimed to determine the effects of two differing amino acid beverage interventions on biomarkers of intestinal epithelial integrity and systemic inflammation in response to an exertional-heat stress challenge. One week after the initial assessment, participants (n = 20) were randomly allocated to complete two exertional-heat stress trials, with at least 1 week washout. Trials included a water control trial (CON), and one of two possible amino acid beverage intervention trials (VS001 or VS006). On VS001 (4.5 g/L) and VS006 (6.4 g/L), participants were asked to consume two 237-ml prefabricated doses daily for 7 days before the exertional-heat stress, and one 237-ml dose immediately before, and every 20 min during 2-hr running at 60% maximal oxygen uptake in 35 °C ambient conditions. A water volume equivalent was provided on CON. Whole blood samples were collected pre-, immediately post-, 1 and 2 hr postexercise, and analyzed for plasma concentrations of cortisol, intestinal fatty acid protein, soluble CD14, and immunoglobulin M (IgM) by ELISA, and systemic inflammatory cytokines by multiplex. Preexercise resting biomarker concentrations for all variables did not significantly differ between trials (p > .05). A lower response magnitude for intestinal fatty acid protein (mean [95% CI]: 249 [60, 437] pg/ml, 900 [464, 1,336] pg/ml), soluble CD14 (-93 [-458, 272] ng/ml, 12 [-174, 197] ng/ml), and IgM (-6.5 [-23.0, 9.9] MMU/ml, -10.4 [-16.2, 4.7] MMU/ml) were observed on VS001 and V006 compared with CON (p < .05), respectively. Systemic inflammatory response profile was lower on VS001, but not VS006, versus CON (p < .05). Total gastrointestinal symptoms did not significantly differ between trials. Amino acid beverages' consumption (i.e., 4.5-6.4 g/L), twice daily for 7 days, immediately before, and during exertional-heat stress ameliorated intestinal epithelial integrity and systemic inflammatory perturbations associated with exercising in the heat, but without exacerbating gastrointestinal symptoms.

该研究旨在确定两种不同氨基酸饮料干预对肠上皮完整性和全身性炎症生物标志物的影响,以应对运动性热应激挑战。初步评估一周后,参与者(n = 20)被随机分配完成两项运动热应激试验,至少有1周的洗脱期。试验包括一项水分控制试验(CON)和两项可能的氨基酸饮料干预试验(VS001或VS006)中的一项。在VS001 (4.5 g/L)和VS006 (6.4 g/L)上,参与者被要求在运动热应激前7天每天服用2次237毫升预制剂量,在35°C环境条件下,在60%最大摄氧量下2小时跑步期间每20分钟服用一次237毫升剂量。在con上提供等效的水体积。在运动前、运动后立即、运动后1小时和2小时采集全血样本,通过ELISA分析血浆皮质醇、肠脂肪酸蛋白、可溶性CD14和免疫球蛋白M (IgM)的浓度,并通过multiplex分析全身炎症因子的浓度。所有变量的运动前静息生物标志物浓度在试验之间无显著差异(p > 0.05)。与CON相比,VS001和V006组肠道脂肪酸蛋白(平均[95% CI]: 249 [60, 437] pg/ml, 900 [464, 1336] pg/ml)、可溶性CD14 (-93 [-458, 272] ng/ml, 12 [-174, 197] ng/ml)和IgM (-6.5 [-23.0, 9.9] MMU/ml, -10.4 [-16.2, 4.7] MMU/ml)的反应程度较低(p < 0.05)。与对照组相比,VS001组的全身炎症反应谱较低,但VS006组没有(p < 0.05)。总胃肠道症状在试验之间没有显著差异。氨基酸饮料的饮用(即4.5-6.4 g/L),每天两次,连续7天,在运动性热应激之前和期间,改善了肠道上皮完整性和与高温运动相关的全身炎症紊乱,但没有加剧胃肠道症状。
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引用次数: 0
Effects of Changes in Body Fat Mass as a Result of Regular Exercise on Hemoglobin A1c in Patients With Type 2 Diabetes Mellitus: A Meta-Analysis. 定期运动对2型糖尿病患者体内脂肪量变化对血红蛋白A1c的影响:一项荟萃分析
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-07-01 DOI: 10.1123/ijsnem.2022-0217
Yutaka Igarashi, Nobuhiko Akazawa, Seiji Maeda

An increase in visceral fat is associated with an increase in insulin resistance, so reducing body fat mass through exercise may help alleviate type 2 diabetes mellitus (T2DM). The current meta-analysis evaluated the effect of changes in body fat via an intervention of regular exercise on hemoglobin A1c (HbA1c) in patients with T2DM. The inclusion criteria were randomized controlled trials involving adults with T2DM, intervention involving exercise alone, an overall duration of intervention ≥12 weeks, and reporting HbA1c and body fat mass. The mean differences (MDs) were defined as the MD between the exercise group and the control group, and the MDs in HbA1c (in percentage) and body fat mass (in kilograms) were calculated. All MDs in HbA1c were pooled as overall effects. A meta-regression analysis was performed to evaluate the relationship between the MD in the body fat mass (in kilograms) and the MD in HbA1c. Twenty studies (1,134 subjects) were analyzed. The pooled MD in HbA1c (in percentage) decreased significantly (-0.4; 95% confidence interval [-0.5, -0.3]) but contained significant heterogeneity (Q = 52.7, p < .01; I2 = 41.6%). A meta-regression analysis showed that a decrease in the MD in body fat mass was significantly associated with a decrease in the MD in HbA1c (R2 = 80.0%) and heterogeneity decreased (Q = 27.3, p = .61; I2 = 11.9%), and a reduction in body fat mass of 1 kg was estimated to decrease the HbA1c (%) by approximately 0.2. The current study suggested that a decrease in HbA1c due to regular exercise depends on a reduction in body fat mass in patients with T2DM.

内脏脂肪的增加与胰岛素抵抗的增加有关,因此通过运动减少身体脂肪量可能有助于缓解2型糖尿病(T2DM)。当前的荟萃分析评估了通过定期运动干预T2DM患者的血红蛋白A1c (HbA1c)来改变体脂的影响。纳入标准为随机对照试验,涉及T2DM成人患者,干预仅涉及运动,干预总持续时间≥12周,并报告HbA1c和体脂量。mean difference (MDs)定义为运动组与对照组之间的MD,并计算HbA1c(百分比)和体脂量(公斤)的MD。HbA1c的所有MDs被汇总为总体效应。进行meta回归分析以评估体脂量(kg)的MD与HbA1c的MD之间的关系。分析了20项研究(1134名受试者)。HbA1c合并MD(百分比)显著降低(-0.4;95%可信区间[-0.5,-0.3]),但异质性显著(Q = 52.7, p < 0.01;I2 = 41.6%)。meta回归分析显示,体脂量MD的降低与HbA1c MD的降低显著相关(R2 = 80.0%),异质性降低(Q = 27.3, p = 0.61;I2 = 11.9%),体脂量每减少1 kg,估计可使HbA1c(%)降低约0.2。目前的研究表明,定期运动导致的HbA1c降低取决于2型糖尿病患者体脂量的减少。
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引用次数: 1
Protocol Standardization May Improve Precision Error of InBody 720 Body Composition Analysis. 协议标准化可提高InBody 720体成分分析的精度误差。
IF 2.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2023-07-01 DOI: 10.1123/ijsnem.2022-0219
Tia Herberts, Gary J Slater, Ava Farley, Luke Hogarth, Jose L Areta, Gøran Paulsen, Ina Garthe
BACKGROUNDBioelectrical impedance analysis (BIA) is a popular technique which can be used to track longitudinal changes in body composition. However, precision of the technique has been questioned, especially among athletic populations where small but meaningful changes are often observed. Guidelines exist which attempt to optimize precision of the technique but fail to account for potentially important variables. Standardization of dietary intake and physical activity in the 24 hr prior to assessment has been proposed as an approach to minimizing the error of impedance-derived estimates of body composition.METHODSEighteen recreational athletes, male (n = 10) and female (n = 8), underwent two consecutive BIA tests to quantify within-day error, and a third test (the day before or after) to quantify between-day error. All food and fluid intake plus physical activity from the 24 hr prior to the first BIA scan was replicated during the following 24 hr. Precision error was calculated as the root mean square standard deviation, percentage coefficient of variation, and least significant change.RESULTSThere were no significant differences in precision error of within- and between-day fat-free mass, fat mass, and total body water. Differences in precision error of fat-free mass and total body water, but not fat mass, were less than the smallest effect size of interest.CONCLUSIONThe 24-hr standardization of dietary intake and physical activity may be an effective approach to minimizing precision error associated with BIA. However, further research to confirm the validity of this protocol compared to nonstandardized or randomized intake is warranted.
背景:生物电阻抗分析(BIA)是一种流行的技术,可用于跟踪身体成分的纵向变化。然而,这项技术的准确性一直受到质疑,特别是在运动人群中,他们经常观察到微小但有意义的变化。现有的指导方针试图优化技术的精度,但未能考虑到潜在的重要变量。评估前24小时的饮食摄入和身体活动标准化已被提议作为一种方法,以尽量减少阻抗导出的身体成分估计的误差。方法:18名休闲运动员,男性(n = 10)和女性(n = 8),进行了两次连续的BIA测试来量化日内误差,第三次测试(前一天或之后)来量化日内误差。在第一次BIA扫描前24小时的所有食物和液体摄入量加上身体活动在接下来的24小时内被复制。精度误差计算为均方根标准差、变异系数百分比和最不显著变化。结果:日内、日间无脂量、脂肪量、全身水分的精度误差无显著性差异。无脂质量和全身水分的精度误差差异小于最小效应量,但不小于脂肪质量。结论:24小时膳食摄入和体力活动标准化可能是减少BIA相关精度误差的有效方法。然而,与非标准化或随机摄入相比,进一步的研究证实该方案的有效性是必要的。
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International journal of sport nutrition and exercise metabolism
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