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Carbohydrate ingestion during prolonged exercise and net skeletal muscle glycogen utilization: a meta-analysis. 长时间运动期间碳水化合物摄入与骨骼肌净糖原利用:一项荟萃分析。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-09 DOI: 10.1152/japplphysiol.00861.2025
Jeffrey A Rothschild, Harrison Dudley-Rode, Harriet Carpenter, Abbie S M Smith, Daniel J Plews, Ed Maunder

Although some studies report attenuated net muscle glycogenolysis with carbohydrate ingestion, others show no effect, possibly due to small sample sizes or methodological differences. Objective of this study is to determine whether carbohydrate ingestion during endurance exercise reduces net skeletal muscle glycogen use and to identify potential moderating factors. A meta-analysis was conducted using data from 31 studies, which included 48 unique effect sizes derived from crossover trials comparing carbohydrate versus placebo ingestion during prolonged endurance exercise. Standardized mean differences (SMDs) in net muscle glycogen use were calculated. A multilevel random-effects model accounted for repeated estimates within studies. Subgroup and meta-regression analyses tested potential moderators. Sensitivity analyses were conducted using a range of plausible pre-/postcorrelation values. Carbohydrate ingestion was associated with a small but statistically significant muscle glycogen-sparing effect [SMD = -0.16, 95% confidence interval (CI): -0.30 to -0.02, P = 0.021]. Subgroup and moderator analyses revealed no significant effects of exercise mode, carbohydrate type, ingestion rate, or preexercise glycogen on the observed effect. Translating the standardized effect into absolute units, carbohydrate ingestion was estimated to spare ∼24 mmol·kg-1 dry wt (95% CI: 4-45 mmol·kg-1) of muscle glycogen, relative to placebo, during ∼100 min of exercise. Carbohydrate ingestion during endurance exercise leads to a small but statistically significant reduction in net skeletal muscle glycogen utilization. Although no consistent moderating variables were identified, the direction of effect was consistent across studies, and the absolute magnitude of sparing may be physiologically meaningful during prolonged or repeated efforts.

背景:虽然一些研究报告碳水化合物摄入减少净肌糖原分解,但其他研究显示没有影响,可能是由于样本量小或方法差异。目的:确定耐力运动中碳水化合物的摄入是否会减少骨骼肌糖原的净消耗,并确定潜在的调节因素。方法:采用31项研究的数据进行荟萃分析,其中包括48项来自交叉试验的独特效应量,比较长时间耐力运动中碳水化合物和安慰剂的摄入。计算净肌糖原利用率的标准化平均差异(SMDs)。多层随机效应模型解释了研究中的重复估计。亚组和元回归分析测试了潜在的调节因子。敏感性分析采用一系列似是而非的前后相关值。结果:碳水化合物摄入与肌糖原节约效应(SMD = -0.16, 95% CI: -0.30 ~ -0.02, p = 0.021)相关,但有统计学意义。亚组和调节分析显示,运动方式、碳水化合物类型、摄入率或运动前糖原对观察到的效果没有显著影响。将标准化效果转化为绝对单位,在约100分钟的运动中,与安慰剂相比,摄入碳水化合物估计可减少约24 mmol kg-1干重(95% CI: 4至45 mmol kg-1)肌糖原。结论:耐力运动期间碳水化合物的摄入导致骨骼肌净糖原利用率的减少,虽然幅度不大,但具有统计学意义。虽然没有确定一致的调节变量,但在所有研究中效果的方向是一致的,并且在长时间或重复的努力中,绝对程度的节约可能具有生理意义。
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引用次数: 0
Balancing the scales: using ventilator time to counter mass loading. 平衡天平:利用呼吸机时间来抵消质量负荷。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-24 DOI: 10.1152/japplphysiol.01045.2025
Gary Nieman, Joaquin Araos, Josh Satalin, Penny Andrews, Nader Habashi
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引用次数: 0
Effects of repetition duration on skeletal muscle hypertrophy in a rat model of resistance exercise. 重复时间对大鼠阻力运动模型骨骼肌肥大的影响。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1152/japplphysiol.00956.2024
Hikaru Kato, Takaya Kotani, Yuki Tamura, Karina Kouzaki, Kazushige Sasaki, Koichi Nakazato

This study aimed to elucidate the effects of repetition duration (contraction duration for each repetition) of resistance exercise on muscle hypertrophy and its underlying mechanisms using a rat exercise model. Male Sprague-Dawley rats were randomly assigned to three groups trained with short (S), medium (M), and long (L) repetition durations. During resistance exercise, the right gastrocnemius muscles were electrically stimulated to induce maximal tetanic contractions, each lasting for 1, 3, and 9 s in S, M, and L groups, respectively. The number of contractions in each set and the interset rest duration were the same across groups, whereas the number of sets was adjusted to match the total torque-time integral of plantar flexion. The left (untrained) and right (trained) gastrocnemius muscles were sampled 48 h after 12 exercise bouts. The average and peak torques during each exercise were consistently highest in S and lowest in L. The muscle mass and fiber cross-sectional area significantly increased in S and M but not in L. The concentrations of total RNA and 18S + 28S rRNA increased only in S and were correlated with muscle mass when the three groups were combined. We also sampled muscle tissues 6 h after a single exercise bout and found no significant difference in muscle protein synthesis, mTOR signaling activity, ribosome biogenesis, or protein degradation between the groups. These results suggest that a long repetition duration does not promote but rather diminishes the hypertrophic effects of resistance exercise, and that acute molecular responses to resistance exercise cannot predict such effects.NEW & NOTEWORTHY Using a rat model, we investigated the hypertrophic effects of resistance exercise with different repetition durations under conditions where the torque-time integrals were matched. The results suggest that exercise with short but not long repetition duration effectively induces muscle hypertrophy. The lack of hypertrophic response or ribosome biogenesis with long repetition duration may not be predicted by acute molecular responses to exercise but may be explained in part by attenuated torque production during exercise.

本研究旨在通过大鼠运动模型,阐明阻力运动重复时间(每次重复收缩时间)对肌肉肥大的影响及其潜在机制。雄性Sprague-Dawley大鼠被随机分为三组,分别进行短(S)、中(M)和长(L)重复训练。阻力运动时,电刺激右腓肠肌引起最大强直性收缩,S、M、L组分别持续1、3、9秒。各组间每组收缩次数和兴趣休息时间相同,组数调整以匹配足底屈曲的总扭矩-时间积分。12组运动48小时后,对左(未训练)和右(训练)腓肠肌进行取样。S组和M组的肌肉质量和纤维截面积均显著增加,l组的肌肉质量和纤维截面积均显著增加,而l组的肌肉质量和纤维截面积均显著增加。总RNA和18S+28S rRNA浓度仅在S组增加,且在三组联合使用时与肌肉质量相关。我们还在单次运动后6小时对肌肉组织进行了采样,发现两组之间肌肉蛋白质合成、mTOR信号活性、核糖体生物发生或蛋白质降解方面没有显著差异。这些结果表明,长时间的重复训练不会促进反而会减少抗阻运动的肥厚效应,而抗阻运动的急性分子反应不能预测这种效应。
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引用次数: 0
Sensorimotor function may be fundamentally limited in hypogravity. 感觉运动功能在低重力状态下可能受到根本限制。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-14 DOI: 10.1152/japplphysiol.01028.2024
Kassia Love, Tara J Nibhanupudy, Marissa J Rosenberg, Raquel C Galvan-Garza, Torin K Clark, Faisal Karmali

During spaceflight, humans are exposed to unfamiliar gravitational fields and to rapid transitions in the magnitude of these gravitational fields. Many aspects of sensorimotor neural function are altered by these transitions, and adaptation after transitions has been characterized. However, it is important to know whether human physiology has inherent limitations in hypogravity (i.e., gravity between 0 and 1.0 G) that cannot be overcome by adaptation. To address this critical gap, we studied manual control performance using a laboratory-based centrifuge that was configured and used to mimic hypogravity. Ten healthy human subjects performed a manual control task using a joystick to control the tilt of the motorized chair upon which they were sitting. Manual control performance worsened immediately after transition from 1.0 Gc to 0.5 Gc (69%), partly adapted over 18 min in 0.5 Gc, and remained significantly worse despite adaptation (42%) (1.0 Gc = 9.81 m/s2 of centripetal acceleration). We propose that in hypogravity, any particular body tilt will result in diminished shear force on sensory graviceptors relative to 1 G, reducing signal relative to intrinsic neural noise. This necessitates larger tilt angles before manual control inputs can be determined, thus worsening performance. These results add to prior studies providing evidence supporting the hypothesis that closed-loop sensorimotor performance may be fundamentally limited by signal-to-noise ratio, including in hypogravity. This may contribute to risk during lunar piloting and ambulation. We also studied underlying mechanisms using a computational model of closed-loop control and found that adaptation was associated with increasing control gain (KP).NEW & NOTEWORTHY Prior studies suggest that humans can adapt to hypogravity (i.e., 0-1.0 Earth G). We examined human manual control performance during the transition from an Earth-gravity to a hypogravity condition. We found that performance worsened significantly after the transition. With practice in the hypogravity condition, performance partially improved with practice over repeated trials, but remained impaired in the hypogravity condition relative to the Earth-gravity condition.

在太空飞行中,人类暴露在不熟悉的引力场和这些引力场大小的快速变化中。这些转变改变了感觉运动神经功能的许多方面,并以转变后的适应为特征。然而,重要的是要知道人体生理在低重力(即重力在0到1.0 G之间)下是否存在无法通过适应克服的固有限制。为了解决这一关键问题,我们使用实验室离心机研究了手动控制性能,该离心机被配置并用于模拟低重力。10名健康的人类受试者使用操纵杆来控制他们所坐的电动椅子的倾斜度,完成了一项手动控制任务。从1.0 Gc过渡到0.5 Gc后,手动控制性能立即恶化(69%),在0.5 Gc的18分钟内部分适应,尽管适应(42%),仍然明显恶化(1.0 Gc = 9.81m/s2的向心加速度)。我们提出,在低重力状态下,任何特定的身体倾斜都会导致相对于1g的感觉重力感受器上的剪切力减少,相对于内在神经噪声减少信号。在确定手动控制输入之前,这需要更大的倾斜角度,从而使性能恶化。这些结果为先前的研究提供了证据,支持闭环感觉运动性能可能从根本上受信噪比限制的假设,包括在低重力下。这可能会增加月球航行和行走期间的风险。我们还使用闭环控制的计算模型研究了潜在的机制,发现适应与主体努力(KP)的增加有关。
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引用次数: 0
Diurnal cycle and acute intermittent hypoxia protocol interact to regulate ventilatory long-term facilitation in unanesthetized rats. 昼夜周期和急性间歇缺氧方案相互作用调节未麻醉大鼠的通气长期促进。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-22 DOI: 10.1152/japplphysiol.00735.2025
Aaron A Jones, Gordon S Mitchell

Acute intermittent hypoxia (AIH) elicits plasticity in multiple respiratory motor pools and is a promising therapeutic approach to restore breathing ability in individuals with neuromuscular injury/disease. In anesthetized rats, diurnal cycle affects the magnitude and mechanism of moderate AIH (arterial partial pressure of oxygen [Formula: see text] ∼40-50 mmHg) induced phrenic motor plasticity in an AIH protocol-specific manner. However, diurnal cycle and AIH protocol effects on ventilatory long-term facilitation (vLTF) in unanesthetized rats have not been reported. Measurements of vLTF assess the collective physiological impact of plasticity in all respiratory motor pools and control for the effects of anesthesia, paralysis, and vagotomy common in phrenic LTF studies. Using 2 AIH protocols consisting of 15, 1-min (15x1; [Formula: see text] = 0.09) or 3, 5-min (3x5; [Formula: see text] = 0.105) moderate hypoxic episodes, we tested the hypothesis that diurnal cycle regulates AIH-induced vLTF in unanesthetized male Sprague-Dawley rats. Minute ventilation (V̇e), tidal volume (VT), breathing frequency (fR), and metabolic CO2 production (V̇co2) were assessed via whole-body plethysmography during mid-rest (light) and mid-active (dark) phases. Since V̇e and VT correlate strongly with V̇co2 across the rest/active cycle, and AIH decreases V̇co2, we normalized V̇e and VT to V̇co2 (V̇e/V̇co2 and VT/V̇co2) to account for changes in ventilation linked to metabolism. We found that 15x1 AIH elicits greater vLTF in mid-rest, whereas 3x5 AIH is more effective in mid-active phase, indicating that diurnal cycle regulates respiratory motor plasticity in an AIH protocol-specific manner in unanesthetized rats. Diurnal cycle is an important consideration as we translate knowledge based on nocturnal rodents to diurnal humans with neuromuscular injury/disease.NEW & NOTEWORTHY Although acute intermittent hypoxia (AIH) elicits phrenic motor plasticity in a manner influenced by diurnal cycle and the specific AIH protocol used, it is unknown how diurnal cycle and AIH protocol regulate AIH-induced ventilatory long-term facilitation (vLTF) in unanesthetized rodents. We report that shorter hypoxic episodes elicit greater vLTF in mid-rest phase, whereas longer episodes are favorable in mid-active phase. Thus, diurnal cycle and AIH protocol must be considered in studies of respiratory motor plasticity.

急性间歇缺氧(AIH)引起多个呼吸运动池的可塑性,是恢复神经肌肉损伤/疾病患者呼吸能力的一种有希望的治疗方法。在麻醉大鼠中,日循环对中度AIH (PaO2 ~40-50 mmHg)诱导的膈肌运动可塑性的影响程度和机制具有AIH方案特异性。然而,昼夜周期和AIH方案对未麻醉大鼠通气长期促进(vLTF)的影响尚未见报道。vLTF的测量评估了所有呼吸运动池可塑性的整体生理影响,以及麻醉、麻痹和迷走神经切开术对膈肌LTF研究中常见的控制作用。采用15.1分钟(15x1; FIO2=0.09)或3.5分钟(3x5; FIO2=0.105)中度缺氧发作的2种AIH方案,我们检验了昼夜周期调节AIH诱导的未麻醉雄性Sprague Dawley大鼠vLTF的假设。在休息中期(光照期)和活动中期(光照期),通过全身容积描记术评估分钟通气量(V / E)、潮气量(VT)、呼吸频率(fR)和代谢CO2产生(V / CO2)。由于在整个休息/活动周期中,V (E)和VT (VT)与V (CO2)密切相关,而AIH降低了V (CO2),因此我们将V (E)和VT (VT)归一化为V (CO2),以解释与代谢相关的通气变化。我们发现15x1 AIH在休息中期引起更大的vLTF,而3x5 AIH在活动中期更有效,这表明在未麻醉的大鼠中,昼夜周期以AIH方案特定的方式调节呼吸运动可塑性。当我们将基于夜行性啮齿动物的知识转化为患有神经肌肉损伤/疾病的日间人类时,昼夜周期是一个重要的考虑因素。
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引用次数: 0
Baroreflex regulation of sympathetic neuronal discharge during large, rapid changes in blood pressure caused by ventricular bigeminy and sinus pause. 在心室分裂和窦性暂停引起的血压急剧变化时交感神经元放电的压力反射调节。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1152/japplphysiol.00781.2025
Nathaniel J Iannarelli, Cameron M Lynn, Julia E Spafford, Michael N Sattin, Deborah D O'Leary, Stephen S Cheung, Stephen A Klassen

This study investigated baroreflex regulation of sympathetic action potential (AP) discharge during large, rapid blood pressure changes caused by ventricular bigeminy and sinus pause in a healthy female participant. Muscle sympathetic APs (microneurography, continuous wavelet transform) and blood pressure (Finometer) were recorded during baseline (BSL; 5-min), cold face challenge (Cold; 0°C cold pack), and a maximal end-inspiratory apnea. Cold face challenge increased sympathetic AP discharge (BSL: 8 APs/burst, Cold: 49 APs/burst) and recruited large APs (BSL: 21 AP clusters, Cold: 27 AP clusters). Ventricular bigeminy occurred during cold face challenge and caused large increases in mean pressure (+16 mmHg). The first bigeminal beat reduced sympathetic AP discharge (bigeminy beat 1: 7 APs/burst) and derecruited large APs (bigeminy beat 1: 4 AP clusters). As bigeminy continued (bigeminy beats 2 and 3) and blood pressure remained high, AP discharge increased (bigeminy beats 2 and 3 average: 43 APs/burst), and large APs were rerecruited (bigeminy beats 2 and 3 average: 18 AP clusters). During bigeminy, sympathetic AP baroreflex functions were reset upward to higher discharge probabilities and rightward to higher blood pressures, indicating rapid baroreflex resetting. Bigeminy also reduced sympathetic AP discharge latency (-0.04 s). During a separate apnea protocol, a 2.4-s sinus pause occurred and caused a large reduction in mean pressure (-15 mmHg) that increased the discharge of medium- and large-sized sympathetic APs. This experiment of nature, enabled by ventricular bigeminy and sinus pause, suggests that the baroreflex governs sympathetic AP discharge, recruitment, and latency during large, rapid blood pressure changes.NEW & NOTEWORTHY Our knowledge regarding human baroreflex regulation of sympathetic action potential (AP) discharge remains incomplete. Cardiac arrhythmias in a healthy female provided a unique opportunity to examine baroreflex regulation of sympathetic AP discharge during large, rapid blood pressure changes. Our novel findings include: 1) rapid baroreflex loading due to ventricular bigeminy reduced AP discharge and derecruited large APs, 2) as bigeminy continued, rapid baroreflex resetting increased AP discharge, and 3) rapid baroreflex loading reduced AP latency.

本研究探讨了健康女性受试者在心室双裂和窦性暂停引起的血压急剧变化时交感动作电位(AP)放电的压力反射调节。在基线(BSL; 5分钟)、冷面挑战(cold; 0°C冷敷)和最大吸气末呼吸暂停期间记录肌肉交感神经ap(微神经摄影,连续小波变换)和血压(Finometer)。冷面挑战增加了交感神经AP释放(BSL: 8 AP /burst,冷面挑战:49 AP /burst),并招募了大AP (BSL: 21 AP簇,冷面挑战:27 AP簇)。在冷面挑战期间发生心室双裂,导致平均压力大幅增加(+16 mmHg)。第一次双心跳减少交感AP放电(双心跳1:7 AP /burst)和减少大AP(双心跳1:4 AP簇)。随着双搏动的持续(双搏动2和3次)和血压保持高位,AP放电增加(双搏动2和3次平均:43个AP /burst),大AP被重新招募(双搏动2和3次平均:18个AP簇)。在眩晕期间,交感AP压反射功能向上重置为更高的放电概率,向右重置为更高的血压,表明压反射快速重置。混杂也减少了交感AP放电潜伏期(-0.04 s)。在单独的呼吸暂停方案中,发生了2.4 s的窦性暂停,导致平均压大幅下降(-15 mmHg),增加了中型和大型交感神经ap的放电。这项由心室分裂和窦性暂停引起的自然实验表明,在血压急剧变化时,压反射控制交感AP的放电、招募和潜伏期。
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引用次数: 0
Assessing limb conduit artery endothelial function with flow-mediated dilation in response to sustained, exercise-induced increases in shear stress. 评估肢体导管动脉内皮功能与血流介导的扩张响应持续,运动诱导的剪应力增加。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-15 DOI: 10.1152/japplphysiol.00273.2025
Lindsay A Lew, Ellen C McGarity-Shipley, Evan D Curd, Tarrah S Ethier, Raelisa Etwaroo, Caitie Sardo, Melanie E Vitez, Kyra E Pyke

Vascular endothelial function can be interrogated by imposing blood flow-associated shear stress, which stimulates endothelial-dependent dilation [flow-mediated dilation (FMD)]. A larger FMD response is indicative of better endothelial function. In the well-established technique used to assess human conduit artery endothelial function, a shear stress stimulus is created via the release of temporary limb occlusion, which results in a transient reactive hyperemia (RH; RH-FMD). However, sustained increases in shear stress created with small muscle mass exercise, limb heating or distal vasodilator infusion can also be used to stimulate conduit artery FMD to interrogate endothelial function [sustained stimulus FMD (SS-FMD)]. Cell and animal evidence suggests that endothelial shear stress transduction depends on the duration of the shear stress stimulus such that transient and sustained shear stress exposure recruit distinct signaling pathways. Furthermore, work in humans has demonstrated that RH-FMD and SS-FMD provide unique insight regarding the impact of interventions and clinical conditions on endothelial function. This suggests that testing both RH-FMD and SS-FMD may provide a more comprehensive picture of endothelial function; however, SS-FMD is rarely performed. Here, we describe how SS-FMD can be assessed in the brachial artery using handgrip exercise to achieve either a target shear stress stimulus or an incremental increase in shear stress stimulus.NEW & NOTEWORTHY This article provides the first methodological guide to utilize handgrip exercise for assessment of SS-FMD in the brachial artery in response to targeted steady state and incremental increases in shear stress. SS-FMD is a physiologically relevant response, reflecting conduit artery behavior during sustained exertional activity and can provide distinct information regarding endothelial function compared with reactive hyperemia-FMD.

血管内皮功能可以通过施加血流相关的剪切应力来询问,剪切应力刺激内皮依赖性扩张(血流介导的扩张;FMD)。较大的FMD反应表明内皮功能较好。在评估人类导管动脉内皮功能的成熟技术中,通过释放暂时性肢体闭塞产生剪切应力刺激,导致短暂反应性充血(RH; RH- fmd)。然而,小肌肉量运动、肢体加热或远端血管扩张剂输注造成的剪切应力持续增加也可用于刺激导管动脉FMD以询问内皮功能(持续刺激FMD; SS-FMD)。细胞和动物证据表明,内皮细胞的剪应力转导取决于剪应力刺激的持续时间,因此短暂和持续的剪应力暴露会激活不同的信号通路。此外,人类研究表明,RH-FMD和SS-FMD为干预措施和临床条件对内皮功能的影响提供了独特的见解。这表明同时检测RH-FMD和SS-FMD可以提供内皮功能更全面的图像,然而SS-FMD很少进行。在这里,我们描述了如何通过握力运动来评估肱动脉的SS-FMD,以达到目标剪切应力刺激或剪切应力的增量增加。
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引用次数: 0
Physiological, nutritional, and thermoregulatory responses of a world-class mountain-ultramarathon athlete during the 2025 Western States Endurance Run 100. 一位世界级山地超级马拉松运动员在2025年西部各州100米耐力跑期间的生理、营养和体温调节反应。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1152/japplphysiol.01048.2025
Loïs Mougin, Kilian Jornet Burgada, Brett R Ely, Baptiste Morel, Richard C Blagrove, Hari Mix, Erica Svendahl, Stephen A Mears, Richard Stennett

Although physiological responses during ultra-endurance events are becoming better understood in recreational runners, very little is known about how these responses manifest in elite athletes. This case study reports the physiological, nutritional, and thermoregulatory responses of an elite ultra-endurance athlete who completed the 2025 Western States Endurance Run (WSER 100) in 14:19:22, finishing third overall and within 10 min of the course record. This case study provides the first comprehensive in-race assessment of energy expenditure and intake, hydration, and renal responses in a world-class athlete under competitive race conditions. Measurements included within-event total energy expenditure (doubly labeled water), energy intake, heart rate, gastrointestinal temperature (telemetric ingestible pill), body mass, renal biomarkers [neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (KIM-1)], and durability assessed from GPS-derived pacing data. Total energy expenditure was 16,104 kcal. Energy intake totaled 6,720 kcal (∼86 g carbohydrate·h-1). The athlete consumed 12.5 L of fluids (0.87 L·h-1; 18.5 g sodium) and lost 4.3% body mass. Mean gastrointestinal temperature was 37.1°C and peaked at 39.4°C. Urinary biomarkers showed transient renal stress, with NGAL concentrations increasing from 9.4 to 25.4 ng·mL-1 and KIM-1 from 0.30 to 1.70 pg·mL-1, alongside mild proteinuria and hematuria. Pacing analysis showed a mean normalized speed of 84.8% of predicted critical speed, with a 15% decline across the race, demonstrating exceptional fatigue resistance. This case defines the upper range of energy expenditure (∼18.8 kcal·min-1) and carbohydrate ingestion sustainable in ultra-marathon running.NEW & NOTEWORTHY This case study provides the first comprehensive, in-race assessment of physiological, nutritional, and thermoregulatory responses in a world-class ultra-endurance athlete during the 2025 Western States Endurance Run. Using doubly labeled water, ingestible telemetry, and renal biomarkers, this study quantifies the upper limits of energy expenditure (18.8 kcal·min-1), carbohydrate intake (86 g·h-1), and fatigue resistance achievable in competitive ultra-endurance performance under extreme environmental conditions.

尽管人们对休闲跑步者在超耐力比赛中的生理反应已经有了更好的了解,但对精英运动员的生理反应却知之甚少。本案例研究报告了一名精英超耐力运动员的生理、营养和体温调节反应,他在14:19:22完成了2025年西部州耐力跑(WSER 100),获得了总成绩第三名,距离赛道记录不到10分钟。本案例研究首次全面评估了世界级运动员在竞技条件下的能量消耗和摄入、水合作用和肾脏反应。测量包括事件内总能量消耗(双标记水)、能量摄入、心率、胃肠温度(遥测可摄取药丸)、体重、肾脏生物标志物(NGAL、KIM-1)和从gps获得的起搏数据评估的持久性。总能量消耗为16,104千卡,能量摄入为6,720千卡(约86克碳水化合物/小时)。这位运动员每天摄入12.5升液体(0.87升/小时;18.5克钠),体重下降4.3%。平均胃肠温度37.1°C,最高39.4°C。尿液生物标志物显示短暂性肾应激,NGAL浓度从9.4增加到25.4ng/mL, KIM-1从0.30增加到1.70 pg/mL,同时伴有轻度蛋白尿和血尿。起搏分析显示,平均标准化速度为预测临界速度的84.8%,在整个比赛中下降15%,表现出出色的抗疲劳能力。这种情况定义了超级马拉松比赛中能量消耗(~18.8 kcal/min)和碳水化合物摄入的上限。
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引用次数: 0
The impact of acute shift work during pregnancy on the physiological and psychological health of hospital nurses. 妊娠期急性轮班工作对医院护士生理和心理健康的影响。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-10 DOI: 10.1152/japplphysiol.00834.2025
Weiqi Ruan, Chenxi Cai, Brittany A Matenchuk, Laura Osachoff, Rshmi Khurana, Margie H Davenport

Night-shift work is prevalent among healthcare workers and disrupt circadian rhythms, potentially influencing blood pressure (BP) regulation. Pregnancy itself causes significant BP fluctuations, and night shifts may exacerbate these changes, increasing the risk of hypertension disorders. However, studies on the impact of shift work on BP patterns in pregnancy in a free-living environment is currently lacking. We recruited 25 pregnant nurses in their second trimester, comprising 13 on day shifts (DS) and 12 on night shifts (NS), from eight urban hospitals in Edmonton, Alberta, Canada. Resting BP [systolic BP (SBP), diastolic BP (DBP), mean arterial pressure (MAP), and pulse pressure (PP)] was assessed before and after shift work. Data were analyzed to compare pre- and postshift measurements between DS and NS workers using a linear mixed-effects model, with statistical significance set at P < 0.05. NS workers showed significantly higher post-shift DBP and MAP compared with DS workers (P < 0.001). In contrast, NS workers exhibited a significant postshift decrease in pulse pressure (PP) than the DS group (P < 0.001), indicating distinct acute hemodynamic responses to NS work. NS work in pregnant nurses is associated with acute elevations in DBP and MAP, along with a significant reduction in PP following the shift. These findings suggest that NS may trigger distinct hemodynamic stress responses during pregnancy, potentially increasing short-term cardiovascular load.NEW & NOTEWORTHY Night shift work in pregnant nurses is associated with acute elevations in diastolic and mean arterial pressure, along with a significant reduction in pulse pressure following the shift. These findings suggest that night shifts may trigger distinct hemodynamic stress responses during pregnancy, potentially increasing short-term cardiovascular load.

背景:夜班工作在卫生保健工作者中很普遍,扰乱昼夜节律,可能影响血压调节。妊娠本身会引起明显的血压波动,夜班可能会加剧这些变化,增加高血压疾病的风险。然而,关于轮班工作对自由生活环境下妊娠期血压模式影响的研究目前尚缺乏。方法:从加拿大艾伯塔省埃德蒙顿市8家城市医院招募25名妊娠中期护士,其中白班护士13名,夜班护士12名。在轮班工作前后评估静息血压(收缩压-收缩压;舒张压-舒张压;平均动脉压- MAP;脉压- PP)。采用线性混合效应模型比较DS和NS工人轮班前和轮班后的测量数据,p < 0.05为统计学显著性。结果:NS工作者的DBP和MAP值明显高于DS工作者(p < 0.001)。相反,与DS组相比,NS工人在轮班后的脉压(PP)明显下降(p < 0.001),表明NS工作有明显的急性血流动力学反应。结论:妊娠护士的NS工作与DBP和MAP的急性升高有关,同时PP在转变后显著降低。这些发现表明,NS可能在怀孕期间引发明显的血流动力学应激反应,潜在地增加短期心血管负荷。
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引用次数: 0
Implications for myofibrillar protein translation due to high-intensity muscle contraction via a rapamycin-insensitive mechanism. 通过雷帕霉素不敏感机制引起的高强度肌肉收缩对肌原纤维蛋白翻译的影响。
IF 3.3 3区 医学 Q1 PHYSIOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-11 DOI: 10.1152/japplphysiol.00179.2025
Taiga Mishima, Yuki Fujita, Tomoki Abe, Satoru Ato, Riki Ogasawara

Muscle protein metabolism is thought to regulate muscle mass. High-intensity muscle contraction (HiMC) increases muscle protein synthesis (MPS), resulting in muscle hypertrophy. Inhibiting the mechanistic target of rapamycin complex 1 (mTORC1) using rapamycin leads to partially inhibited mTORC1 activation, along with increased MPS, and muscle hypertrophy after HiMC. Therefore, we hypothesized that rapamycin-sensitive mTORC1 regulates myofibrillar protein translation, and the purpose of this study was to investigate this possibility. The right gastrocnemius muscle of male Sprague Dawley rats was contracted isometrically via percutaneous electrical stimulation, and the left gastrocnemius muscle served as control. Vehicle or rapamycin was intraperitoneally injected 1 h before HiMC. Gastrocnemius muscles were collected at 6 h after a bout of HiMC and 48 h after chronic muscle contractions for 4 wk (3 HiMC per week). Rapamycin completely inhibited HiMC-induced activation of 70 kDa ribosomal protein S6 kinase, which is a rapamycin-sensitive mTORC1 substrate. However, rapamycin completely inhibited HiMC-induced dissociation of eukaryotic translation initiation factor 4E (eIF4E):eukaryotic translation initiation factor 4E (eIF4E)-binding protein (4E-BP1) and the interaction of eIF4E:eIF4G, despite the HiMC-induced phosphorylation of 4E-BP1 (Thr37/46, Thr70, and Ser65) being unaffected by rapamycin. Importantly, HiMC-induced myofibrillar protein synthesis was not influenced by rapamycin. Changes in myosin and actin levels relative to muscle mass induced by chronic muscle contraction remained constant even under rapamycin administration. These results indicated that rapamycin-sensitive mTORC1 signaling is not fully responsible for contraction-induced increases in myofibrillar protein synthesis.NEW & NOTEWORTHY Muscle contraction activates mTOR signaling, resulting in increased protein synthesis and muscle hypertrophy. Rapamycin-sensitive mTORC1 is important for cap-dependent translation, but the effects of suppressing mTORC1 function using rapamycin on myofibrillar protein synthesis caused by contraction remains unclear. We observed that the eIF4F complex is a translation initiator induced by contraction dependently on rapamycin-sensitive mTORC1. Myofibrillar protein translation increased by muscle contraction was insensitive to rapamycin.

肌肉蛋白质代谢被认为可以调节肌肉质量。高强度肌肉收缩(HiMC)增加肌肉蛋白质合成(MPS),导致肌肉肥大。使用雷帕霉素抑制雷帕霉素复合物1 (mTORC1)的机制靶点可导致部分抑制mTORC1的激活,同时增加MPS和HiMC后肌肉肥大。因此,我们假设雷帕霉素敏感的mTORC1调节肌原纤维蛋白的翻译,本研究的目的是探讨这种可能性。采用经皮电刺激法对雄性sd大鼠右腓肠肌进行等距收缩,左腓肠肌作为对照。在HiMC前1 h腹腔注射载体或雷帕霉素。腓肠肌于HiMC发作后6小时和慢性肌肉收缩后48小时采集,持续4周(每周3次HiMC)。雷帕霉素完全抑制himc诱导的70 kDa核糖体蛋白S6激酶的激活,该激酶是雷帕霉素敏感的mTORC1底物。然而,雷帕霉素完全抑制了himc诱导的eIF4E:4E-BP1的解离和eIF4E:eIF4G的相互作用,尽管himc诱导的4E-BP1磷酸化(Thr37/46, Thr70和Ser65)不受雷帕霉素的影响。重要的是,himc诱导的肌原纤维蛋白合成不受雷帕霉素的影响。慢性肌肉收缩引起的肌球蛋白和肌动蛋白水平相对于肌肉质量的变化即使在雷帕霉素的作用下也保持不变。这些结果表明,雷帕霉素敏感的mTORC1信号并不完全负责收缩诱导的肌原纤维蛋白合成的增加。
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引用次数: 0
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Journal of applied physiology
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