Purpose: This study aimed to determine the effects of yoga on the recovery of the cardiac autonomic nervous system and immunosuppression after intense exercise.
Methods: Seven healthy adult men were enrolled in two trials: rest for 30 min in a seated position (CON) and yoga for 30 min (YOG) after a treadmill running for 60 min at 75% V˙ O2max in a randomized crossover design. Natural killer (NK) cell activity, salivary secretory immunoglobulin A (SIgA), cortisol, testosterone, and indicators related to heart rate variability, mood states, and muscle soreness were measured before exercise (Pre), immediately (P0) and 60 min (P1) after rest or yoga, and the following morning (P2).
Results: NK cell activity was significantly decreased in the CON trial (P < 0.05) but not in the YOG trial. The decrease in NK cell activity from Pre at P0, P1, and P2 in the CON trial was significantly larger than that in the YOG trial (P < 0.05). Testosterone secretion rate tended to be higher after yoga than at rest (P = 0.052). The square root of the mean squared difference of successive normal-to-normal intervals (RMSSD) at P0 in the YOG trial was significantly higher than that in the CON trial (P < 0.05). Changes in NK cell activity correlated with changes in RMSSD (r = 0.445, P < 0.05).
Conclusion: This study showed that yoga can alleviate the decline of NK cell activity after intense exercise by enhancing parasympathetic nerve activity, thus suggesting that yoga may be an effective recovery method for athlete conditioning.
{"title":"Yoga improves immunosuppression after a prolonged intense exercise.","authors":"Nobuhiko Eda, Hiroki Tabata, Ryota Sone, Momoko Fukuchi, Romi Kawai, Kenkoku Harakuma, Norikazu Hirose, Takao Akama","doi":"10.1556/2060.2025.00466","DOIUrl":"10.1556/2060.2025.00466","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the effects of yoga on the recovery of the cardiac autonomic nervous system and immunosuppression after intense exercise.</p><p><strong>Methods: </strong>Seven healthy adult men were enrolled in two trials: rest for 30 min in a seated position (CON) and yoga for 30 min (YOG) after a treadmill running for 60 min at 75% V˙ O2max in a randomized crossover design. Natural killer (NK) cell activity, salivary secretory immunoglobulin A (SIgA), cortisol, testosterone, and indicators related to heart rate variability, mood states, and muscle soreness were measured before exercise (Pre), immediately (P0) and 60 min (P1) after rest or yoga, and the following morning (P2).</p><p><strong>Results: </strong>NK cell activity was significantly decreased in the CON trial (P < 0.05) but not in the YOG trial. The decrease in NK cell activity from Pre at P0, P1, and P2 in the CON trial was significantly larger than that in the YOG trial (P < 0.05). Testosterone secretion rate tended to be higher after yoga than at rest (P = 0.052). The square root of the mean squared difference of successive normal-to-normal intervals (RMSSD) at P0 in the YOG trial was significantly higher than that in the CON trial (P < 0.05). Changes in NK cell activity correlated with changes in RMSSD (r = 0.445, P < 0.05).</p><p><strong>Conclusion: </strong>This study showed that yoga can alleviate the decline of NK cell activity after intense exercise by enhancing parasympathetic nerve activity, thus suggesting that yoga may be an effective recovery method for athlete conditioning.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"85-100"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-27Print Date: 2025-03-27DOI: 10.1556/2060.2025.00475
Ádám Kiss, Kálmán Tót, Noémi Harcsa-Pintér, Zoltán Juhász, Gabriella Eördegh, Attila Nagy, András Kelemen
Associative learning tests are cognitive assessments that evaluate the ability of individuals to learn and remember relationships between pairs of stimuli. The Rutgers Acquired Equivalence Test (RAET) is an associative learning test that utilizes images (cartoon faces and colored fish) as stimuli. RAET exists in various versions that differ in the degree of the complexity of the stimuli used in the given version. It has been observed that differences in stimulus complexity can lead to marked differences in test performance, but the related cortical functional differences remain to be elucidated. In the present study, we introduce a Machine Learning- and Independent Component Analysis-based EEG signal processing pipeline, which can detect such differences. RAET and its reduced stimulus complexity variant, Polygon was administered to 32 healthy volunteers and EEG recordings were made with a 64-channel system. The most remarkable differences between RAET and Polygon were detected in the frontal regions, which can be connected to decision making. On the other hand, the parietal regions showed the lowest number of differences between RAET and Polygon. Some task-related activity in the temporo-occipital region was identified, which shows different dynamics depending on visual stimulus complexity.
{"title":"Machine learning analysis of cortical activity in visual associative learning tasks with differing stimulus complexity.","authors":"Ádám Kiss, Kálmán Tót, Noémi Harcsa-Pintér, Zoltán Juhász, Gabriella Eördegh, Attila Nagy, András Kelemen","doi":"10.1556/2060.2025.00475","DOIUrl":"10.1556/2060.2025.00475","url":null,"abstract":"<p><p>Associative learning tests are cognitive assessments that evaluate the ability of individuals to learn and remember relationships between pairs of stimuli. The Rutgers Acquired Equivalence Test (RAET) is an associative learning test that utilizes images (cartoon faces and colored fish) as stimuli. RAET exists in various versions that differ in the degree of the complexity of the stimuli used in the given version. It has been observed that differences in stimulus complexity can lead to marked differences in test performance, but the related cortical functional differences remain to be elucidated. In the present study, we introduce a Machine Learning- and Independent Component Analysis-based EEG signal processing pipeline, which can detect such differences. RAET and its reduced stimulus complexity variant, Polygon was administered to 32 healthy volunteers and EEG recordings were made with a 64-channel system. The most remarkable differences between RAET and Polygon were detected in the frontal regions, which can be connected to decision making. On the other hand, the parietal regions showed the lowest number of differences between RAET and Polygon. Some task-related activity in the temporo-occipital region was identified, which shows different dynamics depending on visual stimulus complexity.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"40-55"},"PeriodicalIF":2.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-06Print Date: 2025-03-27DOI: 10.1556/2060.2024.00486
Khaled A Abdel-Sater
Physical activity can provide health benefits if done regularly and of sufficient duration and intensity. The World Health Organization recommends adults do 150-300 min of moderate-intensity activity per week, 75-150 min of vigorous-intensity activity, or an equivalent combination.Physical inactivity is the fourth leading cause of early death globally, with 31% of the world's population not getting enough physical activity. Aging is defined by rapid decline in physical activity, loss of mobility, and premature morbidity.Low testosterone levels in men decline from 30 to 40 years of age, and this continues until death. Antiaging strategies, such as caloric restriction, balanced diet, regular exercise, weight management, diabetes control, and smoking cessation can prevent and treat aging-related diseases. Exercise significantly boosts testosterone production, with levels varying based on type, frequency, volume, intensity, and duration. It increases muscle steroidogenesis, total testosterone, and free testosterone in the elderly. Testosterone replacement therapy in elderly men improves physical function, strength, protein synthesis, cholesterol, bone density, sexual desire, erectile function, and overall cognition. However, some studies suggest dehydroepiandrosterone supplementation may provide health improvements without negative effects, potentially reversing arterial aging and reducing the risk of cardiovascular diseases. Senolytic therapeutics focus on cellular senescence, and stem cell transplantation investigates the therapeutic potential of older stem cells.
如果有规律、持续时间和强度足够,体育活动对健康有益。世界卫生组织(World Health Organization)建议成年人每周进行150-300分钟的中等强度运动,75-150分钟的高强度运动,或同等强度的运动组合。缺乏身体活动是全球过早死亡的第四大原因,世界上31%的人口缺乏足够的身体活动。衰老的定义是身体活动迅速减少、活动能力丧失和过早发病。男性睾酮水平从30岁到40岁下降,这种情况一直持续到死亡。抗衰老策略,如热量限制、均衡饮食、定期运动、体重管理、糖尿病控制和戒烟,可以预防和治疗与衰老有关的疾病。运动能显著促进睾丸激素的产生,其水平因运动类型、频率、运动量、强度和持续时间而异。在老年人中,它增加肌肉类固醇生成、总睾酮和游离睾酮。老年男性睾酮替代疗法可改善身体机能、力量、蛋白质合成、胆固醇、骨密度、性欲、勃起功能和整体认知。然而,一些研究表明,补充脱氢表雄酮可能会改善健康状况,而不会产生负面影响,有可能逆转动脉衰老,降低心血管疾病的风险。抗衰老疗法关注细胞衰老,干细胞移植研究老年干细胞的治疗潜力。
{"title":"Testosterone in long-term sedentary aging males: Effect of antiaging strategies.","authors":"Khaled A Abdel-Sater","doi":"10.1556/2060.2024.00486","DOIUrl":"10.1556/2060.2024.00486","url":null,"abstract":"<p><p>Physical activity can provide health benefits if done regularly and of sufficient duration and intensity. The World Health Organization recommends adults do 150-300 min of moderate-intensity activity per week, 75-150 min of vigorous-intensity activity, or an equivalent combination.Physical inactivity is the fourth leading cause of early death globally, with 31% of the world's population not getting enough physical activity. Aging is defined by rapid decline in physical activity, loss of mobility, and premature morbidity.Low testosterone levels in men decline from 30 to 40 years of age, and this continues until death. Antiaging strategies, such as caloric restriction, balanced diet, regular exercise, weight management, diabetes control, and smoking cessation can prevent and treat aging-related diseases. Exercise significantly boosts testosterone production, with levels varying based on type, frequency, volume, intensity, and duration. It increases muscle steroidogenesis, total testosterone, and free testosterone in the elderly. Testosterone replacement therapy in elderly men improves physical function, strength, protein synthesis, cholesterol, bone density, sexual desire, erectile function, and overall cognition. However, some studies suggest dehydroepiandrosterone supplementation may provide health improvements without negative effects, potentially reversing arterial aging and reducing the risk of cardiovascular diseases. Senolytic therapeutics focus on cellular senescence, and stem cell transplantation investigates the therapeutic potential of older stem cells.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RETRACTION NOTE TO: The effects of sericin in recovering spermatogenesis and sexual hormone levels in diabetic rats.","authors":"A Olfati, F Martínez-Pastor","doi":"2060.106.2019.0001","DOIUrl":"https://doi.org/2060.106.2019.0001","url":null,"abstract":"","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":"111 4","pages":"363"},"PeriodicalIF":2.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-12DOI: 10.1556/2060.106.2019.0001
A Olfati, F Martínez-Pastor
{"title":"RETRACTION NOTE TO: The effects of sericin in recovering spermatogenesis and sexual hormone levels in diabetic rats.","authors":"A Olfati, F Martínez-Pastor","doi":"10.1556/2060.106.2019.0001","DOIUrl":"10.1556/2060.106.2019.0001","url":null,"abstract":"","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"363"},"PeriodicalIF":2.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38096479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: Sesamol, a polyphenolic compound isolated from roasted sesame seeds exhibits significant anti-inflammatory effect, but the molecular mechanism is poorly understood. Peritoneal macrophages play a pivotal role in the control of infections and inflammatory pathologies and are also found in injured tissues along with resident macrophages. The present study aimed to examine the anti-inflammatory effect of sesamol and the molecular mechanisms involved, particularly the role of sesamol in modulating SIRT1- and SIRT1-mediated deacetylation of NF-κB p65 using in vivo activated peritoneal macrophages.
Materials: Sprague Dawley rats were injected with LPS to induce inflammation and sesamol was intraperitoneally administered to study its anti-inflammatory effect. ELISA and real time PCR were used to study the expression of proinflammatory cytokines. Effects of sesamol on iNOS and COX-2 were studied with activity assays and ELISA. ICAM-1, MMP-9 and TIMP-1 expressions were analysed by ELISA, RT PCR and zymography. Western blot analysis was performed to determine p65 acetylation. Nuclear translocation of p65 was evaluated by ELISA. The gene and protein expression of SIRT1 was analysed with ELISA and real time PCR.
Results: Sesamol downregulated the expression of proinflammatory markers TNF-α, IL-6, iNOS, COX-2, TLR-4, ICAM-1 and MMP-9 in rat peritoneal macrophages. Additionally, sesamol upregulated SIRT1expression and attenuated the nuclear translocation of NF-κB p65 by promoting its deacetylation. Inhibition of SIRT1 by its specific inhibitor EX527 diminished the inhibitory effect of sesamol on TNF-α and IL-6. Moreover, EX527 reduced the suppressive impact of sesamol on p65 acetylation and subsequent nuclear translocation.
Conclusion: Our findings suggest that the anti-inflammatory effect of sesamol involves upregulation of SIRT-1, leading to the downregulation of the nuclear translocation of NF-κB p65 through its deacetylation. Therefore, the dietary bioactive compound sesamol shows potential as a promising strategy for preventing inflammatory diseases by modulating SIRT1 expression.
目的:芝麻醇是一种从烤芝麻中分离出来的多酚类化合物,具有显著的抗炎作用,但其分子机制尚不清楚。腹膜巨噬细胞在控制感染和炎症病理中起着关键作用,也与常驻巨噬细胞一起存在于损伤组织中。本研究旨在研究芝麻醇的抗炎作用及其分子机制,特别是芝麻醇在体内活化的腹腔巨噬细胞中调节SIRT1-和SIRT1介导的NF-κ b p65去乙酰化中的作用。材料:采用LPS诱导大鼠炎症,并腹腔注射芝麻酚研究其抗炎作用。采用ELISA和real - time PCR检测促炎细胞因子的表达。采用酶活法和酶联免疫吸附试验研究芝麻酚对iNOS和COX-2的影响。采用ELISA、RT - PCR和酶谱法分析ICAM-1、MMP-9和TIMP-1的表达。Western blot检测p65乙酰化程度。ELISA法检测p65的核易位。采用ELISA和real - time PCR分析SIRT1基因及蛋白表达。结果:芝麻酚可下调大鼠腹腔巨噬细胞促炎标志物TNF-α、IL-6、iNOS、COX-2、TLR-4、ICAM-1、MMP-9的表达。此外,芝麻酚通过促进NF-κB p65的去乙酰化,上调sirt1的表达并减弱其核易位。SIRT1特异性抑制剂EX527抑制SIRT1可减弱芝麻酚对TNF-α和IL-6的抑制作用。此外,EX527降低了芝麻酚对p65乙酰化和随后的核易位的抑制作用。结论:芝麻酚的抗炎作用可能是通过上调SIRT-1,通过去乙酰化导致NF-κB p65核易位下调。因此,膳食生物活性化合物芝麻醇显示出通过调节SIRT1表达来预防炎症性疾病的潜力。
{"title":"Sesamol protects against LPS-induced inflammation in rat peritoneal macrophages by promoting SIRT1-induced repression of NF-κB.","authors":"Aparna Nandakumaran Sakunthala, Aswani Sukumaran Sreedevi, Mithra Sudha Mohan, Boban Puthenpura Thankappan, Saja Kamalamma","doi":"10.1556/2060.2024.00432","DOIUrl":"10.1556/2060.2024.00432","url":null,"abstract":"<p><strong>Objectives: </strong>Sesamol, a polyphenolic compound isolated from roasted sesame seeds exhibits significant anti-inflammatory effect, but the molecular mechanism is poorly understood. Peritoneal macrophages play a pivotal role in the control of infections and inflammatory pathologies and are also found in injured tissues along with resident macrophages. The present study aimed to examine the anti-inflammatory effect of sesamol and the molecular mechanisms involved, particularly the role of sesamol in modulating SIRT1- and SIRT1-mediated deacetylation of NF-κB p65 using in vivo activated peritoneal macrophages.</p><p><strong>Materials: </strong>Sprague Dawley rats were injected with LPS to induce inflammation and sesamol was intraperitoneally administered to study its anti-inflammatory effect. ELISA and real time PCR were used to study the expression of proinflammatory cytokines. Effects of sesamol on iNOS and COX-2 were studied with activity assays and ELISA. ICAM-1, MMP-9 and TIMP-1 expressions were analysed by ELISA, RT PCR and zymography. Western blot analysis was performed to determine p65 acetylation. Nuclear translocation of p65 was evaluated by ELISA. The gene and protein expression of SIRT1 was analysed with ELISA and real time PCR.</p><p><strong>Results: </strong>Sesamol downregulated the expression of proinflammatory markers TNF-α, IL-6, iNOS, COX-2, TLR-4, ICAM-1 and MMP-9 in rat peritoneal macrophages. Additionally, sesamol upregulated SIRT1expression and attenuated the nuclear translocation of NF-κB p65 by promoting its deacetylation. Inhibition of SIRT1 by its specific inhibitor EX527 diminished the inhibitory effect of sesamol on TNF-α and IL-6. Moreover, EX527 reduced the suppressive impact of sesamol on p65 acetylation and subsequent nuclear translocation.</p><p><strong>Conclusion: </strong>Our findings suggest that the anti-inflammatory effect of sesamol involves upregulation of SIRT-1, leading to the downregulation of the nuclear translocation of NF-κB p65 through its deacetylation. Therefore, the dietary bioactive compound sesamol shows potential as a promising strategy for preventing inflammatory diseases by modulating SIRT1 expression.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"321-338"},"PeriodicalIF":2.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-29Print Date: 2025-01-30DOI: 10.1556/2060.2024.00398
István Zsenák, Alexandra Makai, Melinda Járomi
Background: In the international literature, several questionnaires measuring everyday activities are known with the aim of examining patients' quality of life. In the Hungarian language, few validated questionnaires focus on daily activities, examining both basic and moderately difficult physical activity, as well as mental health.
Objective: Our goal was to translate the Functional Status Questionnaire (FSQ) into Hungarian and examine its reliability and validity.The validation of the questionnaire into Hungarian followed the six-step principle formulated in 2000. In our cross-sectional study, 376 participants took part. For convergent validity, we used the 36-Item Short Form Survey (SF-36) and the Functional Independence Measure (FIM) questionnaires. The examination of internal consistency was performed through Cronbach's alpha calculations. Test-retest reliability within the class was assessed with the intraclass correlation coefficient (ICC). We conducted discriminant validity for pain and general health.
Results: Internal consistency values demonstrated reliability. Participants' demographic data showed that the majority live in cities and have secondary education. The individuals included in the study exhibited unusually high levels of sports activity compared to the Hungarian average. Convergent validity examinations revealed significant relationships between dimensions of health-related quality of life of the different measurement tools.
Conclusions: The validated Hungarian questionnaire is valid and reliable. Similar to the original questionnaire, it is quickly and easily completed, allowing healthcare professionals in clinical settings to assess the patient's functional status before initiating examinations.
{"title":"The Hungarian adaptation of the functional status questionnaire: Examination of validity and reliability.","authors":"István Zsenák, Alexandra Makai, Melinda Járomi","doi":"10.1556/2060.2024.00398","DOIUrl":"10.1556/2060.2024.00398","url":null,"abstract":"<p><strong>Background: </strong>In the international literature, several questionnaires measuring everyday activities are known with the aim of examining patients' quality of life. In the Hungarian language, few validated questionnaires focus on daily activities, examining both basic and moderately difficult physical activity, as well as mental health.</p><p><strong>Objective: </strong>Our goal was to translate the Functional Status Questionnaire (FSQ) into Hungarian and examine its reliability and validity.The validation of the questionnaire into Hungarian followed the six-step principle formulated in 2000. In our cross-sectional study, 376 participants took part. For convergent validity, we used the 36-Item Short Form Survey (SF-36) and the Functional Independence Measure (FIM) questionnaires. The examination of internal consistency was performed through Cronbach's alpha calculations. Test-retest reliability within the class was assessed with the intraclass correlation coefficient (ICC). We conducted discriminant validity for pain and general health.</p><p><strong>Results: </strong>Internal consistency values demonstrated reliability. Participants' demographic data showed that the majority live in cities and have secondary education. The individuals included in the study exhibited unusually high levels of sports activity compared to the Hungarian average. Convergent validity examinations revealed significant relationships between dimensions of health-related quality of life of the different measurement tools.</p><p><strong>Conclusions: </strong>The validated Hungarian questionnaire is valid and reliable. Similar to the original questionnaire, it is quickly and easily completed, allowing healthcare professionals in clinical settings to assess the patient's functional status before initiating examinations.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"298-311"},"PeriodicalIF":2.2,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-27Print Date: 2025-01-30DOI: 10.1556/2060.2024.00439
Péter Trauttwein, Tibor Major, Zoltán Takácsi-Nagy
Introduction: Smoking and alcohol consumption remain the two most important risk factors for the development of oropharyngeal tumours, but there is an increasing number of younger patients (age <50 years) with human papillomavirus (HPV) association origin, also known as positivity. The role of radiotherapy (RT) in the treatment of this disease is paramount.
Aim: To describe the radiotherapy results for oropharyngeal tumours and to search for prognostic parameters that influence the response of these malignant lesions to radio-chemotherapy.
Methods: 95 patients underwent definitive radio- or radio-chemotherapy (RCT) for histologically squamous cell, oropharyngeal carcinoma at our Institute between 1 January 2019 and 31 December 2020, of which 51 (54%) received the latter. The mean age was 61.9 years (37-82 years) and the male-female ratio was 69:26. The average total dose was 69 Gy (range: 54-70 Gy).
Results: The 5-year local control (LC), cancer-specific survival (CCS), and overall survival (OS) calculated by the Kaplan-Meier method were 71, 69, and 58%, respectively. Forty-four cases (46%) were confirmed to have HPV involvement. HPV positive (+) tumours showed significantly better behaviour compared to HPV negative (-) cases in LC, CCS and OS. Smoking had a significant negative effect on cure rates: LC, CCS and OS were better in non-smokers. A significant negative effect of smoking on survival was also observed in HPV-associated cases. For HPV- lesions, RCT had a stronger effect on LC than RT alone (64 vs 43%, P = 0.03).
Conclusions: HPV-associated malignancies show better survival outcomes to radio ± chemotherapy than their HPV- counterparts. In all cases, smoking worsens the response to treatment. For HPV- tumours, chemotherapy with radiation, compared to irradiation alone, has a more significant effect on survival outcomes, whereas for HPV+ tumours this effect is less pronounced.
{"title":"Analysis of results of radiotherapy for oropharyngeal cancer.","authors":"Péter Trauttwein, Tibor Major, Zoltán Takácsi-Nagy","doi":"10.1556/2060.2024.00439","DOIUrl":"10.1556/2060.2024.00439","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking and alcohol consumption remain the two most important risk factors for the development of oropharyngeal tumours, but there is an increasing number of younger patients (age <50 years) with human papillomavirus (HPV) association origin, also known as positivity. The role of radiotherapy (RT) in the treatment of this disease is paramount.</p><p><strong>Aim: </strong>To describe the radiotherapy results for oropharyngeal tumours and to search for prognostic parameters that influence the response of these malignant lesions to radio-chemotherapy.</p><p><strong>Methods: </strong>95 patients underwent definitive radio- or radio-chemotherapy (RCT) for histologically squamous cell, oropharyngeal carcinoma at our Institute between 1 January 2019 and 31 December 2020, of which 51 (54%) received the latter. The mean age was 61.9 years (37-82 years) and the male-female ratio was 69:26. The average total dose was 69 Gy (range: 54-70 Gy).</p><p><strong>Results: </strong>The 5-year local control (LC), cancer-specific survival (CCS), and overall survival (OS) calculated by the Kaplan-Meier method were 71, 69, and 58%, respectively. Forty-four cases (46%) were confirmed to have HPV involvement. HPV positive (+) tumours showed significantly better behaviour compared to HPV negative (-) cases in LC, CCS and OS. Smoking had a significant negative effect on cure rates: LC, CCS and OS were better in non-smokers. A significant negative effect of smoking on survival was also observed in HPV-associated cases. For HPV- lesions, RCT had a stronger effect on LC than RT alone (64 vs 43%, P = 0.03).</p><p><strong>Conclusions: </strong>HPV-associated malignancies show better survival outcomes to radio ± chemotherapy than their HPV- counterparts. In all cases, smoking worsens the response to treatment. For HPV- tumours, chemotherapy with radiation, compared to irradiation alone, has a more significant effect on survival outcomes, whereas for HPV+ tumours this effect is less pronounced.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"312-320"},"PeriodicalIF":2.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-18Print Date: 2025-01-30DOI: 10.1556/2060.2024.00453
Yuqing Chen, Yueyang Yuan, Hai Zhang, Feng Li, Xingwang Li
Purpose: To assess the accuracies of airway resistance (Raw) and compliance (Crs) calculations using the expiratory time constant (RCexp) method as well as the accuracy of Pmus estimation in obstructive lung models.
Methods: A Respironics V60 ventilator was connected to an active lung simulator. The driving pressure was maintained at 5-10 cmH2O and positive end-expiration pressure (PEEP) was 5 cmH2O. Maximal Pmus, estimated based on equations of motion and respiratory mechanical properties, was calculated by the RCexp method to derive respiratory system compliance (Crs) and inspiratory (Rinsp) and expiratory (Rexp) resistance.
Results: During PAV, the assist proportion was adjusted to 55% and 40% with Pmus of 5 and 10 cmH2O, respectively. Pmus measurement errors were <20% of the preset values in most lung conditions. In the active lung model with PAV, an overestimation of Raw was found in the normal resistance condition, and Rinsp was underestimated in the severe obstructive model (P < 0.01). Crs was overestimated significantly except in the severe obstructive model at a Pmus of 10 cmH2O (all P < 0.01). Using the RCexp method, the target of ≤20% between the calculated and preset values in airway resistance was achieved in most obstructive models at a Pmus of 5 cmH2O.
Conclusions: The RCexp method might provide real-time assessments of respiratory mechanics (elastance and resistance) in the PAV mode. With low inspiratory effort, the estimation error was acceptable (<20%) in most obstructive lung models.
{"title":"Respiratory system mechanics during noninvasive proportional assist ventilation: A model study.","authors":"Yuqing Chen, Yueyang Yuan, Hai Zhang, Feng Li, Xingwang Li","doi":"10.1556/2060.2024.00453","DOIUrl":"10.1556/2060.2024.00453","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the accuracies of airway resistance (Raw) and compliance (Crs) calculations using the expiratory time constant (RCexp) method as well as the accuracy of Pmus estimation in obstructive lung models.</p><p><strong>Methods: </strong>A Respironics V60 ventilator was connected to an active lung simulator. The driving pressure was maintained at 5-10 cmH2O and positive end-expiration pressure (PEEP) was 5 cmH2O. Maximal Pmus, estimated based on equations of motion and respiratory mechanical properties, was calculated by the RCexp method to derive respiratory system compliance (Crs) and inspiratory (Rinsp) and expiratory (Rexp) resistance.</p><p><strong>Results: </strong>During PAV, the assist proportion was adjusted to 55% and 40% with Pmus of 5 and 10 cmH2O, respectively. Pmus measurement errors were <20% of the preset values in most lung conditions. In the active lung model with PAV, an overestimation of Raw was found in the normal resistance condition, and Rinsp was underestimated in the severe obstructive model (P < 0.01). Crs was overestimated significantly except in the severe obstructive model at a Pmus of 10 cmH2O (all P < 0.01). Using the RCexp method, the target of ≤20% between the calculated and preset values in airway resistance was achieved in most obstructive models at a Pmus of 5 cmH2O.</p><p><strong>Conclusions: </strong>The RCexp method might provide real-time assessments of respiratory mechanics (elastance and resistance) in the PAV mode. With low inspiratory effort, the estimation error was acceptable (<20%) in most obstructive lung models.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"339-350"},"PeriodicalIF":2.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-21Print Date: 2025-01-30DOI: 10.1556/2060.2024.00424
Hiromichi Takeda, Kazuyuki Tabira, Wakana Yamamoto, Koume Matsuoka, Jun Horie
Purpose: The determinants of aerobic capacity are oxygen delivery by the cardiopulmonary system and oxygen extraction by the skeletal muscles. However, the impact of the oxygen extraction capacity of the skeletal muscle is unclear. This study aimed to examine the associations between aerobic capacity; muscle strength, endurance, mass, and quality; and oxygen extraction capacity.
Methods: Twenty-seven healthy young men (mean age, 20.7 ± 0.8 years; body mass index, 21.6 ± 3.2 kg m-2) were recruited. The following parameters were determined: peak work rate (WR) and oxygen uptake (V˙O2) corrected for body mass using the cardiopulmonary exercise testing; muscle strength and endurance using isokinetic muscle testing; muscle mass using bioelectrical impedance; muscle quality (muscle echo intensity) using an ultrasound imaging device, and muscle oxygen extraction rate (MOER) using near-infrared spectroscopy. Multiple regression analysis was performed using WR/kg peak and V˙O2/kg peak as dependent variables and each assessment index as an independent variable.
Results: Multiple regression analysis with WR/kg peak as the dependent variable resulted in the adoption of SMI (β = -0.41, P = 0.036), muscle echo intensity (β = -0.45, P = 0.012) and ΔMOER (β = 0.73, P < 0.001) as significantly associated factors. Multiple regression analysis with V˙O2/kg peak as the dependent variable resulted in ΔMOER (β = 0.65, P = 0.001) being adopted as a significantly associated factor.
Conclusion: These findings suggest that muscle oxygen extraction rate is associated with aerobic capacity. MOER is a useful indicator because it is not affected by body mass.
{"title":"Aerobic capacity of healthy young men associated with muscle oxygen extraction rate of the vastus lateralis muscle.","authors":"Hiromichi Takeda, Kazuyuki Tabira, Wakana Yamamoto, Koume Matsuoka, Jun Horie","doi":"10.1556/2060.2024.00424","DOIUrl":"10.1556/2060.2024.00424","url":null,"abstract":"<p><strong>Purpose: </strong>The determinants of aerobic capacity are oxygen delivery by the cardiopulmonary system and oxygen extraction by the skeletal muscles. However, the impact of the oxygen extraction capacity of the skeletal muscle is unclear. This study aimed to examine the associations between aerobic capacity; muscle strength, endurance, mass, and quality; and oxygen extraction capacity.</p><p><strong>Methods: </strong>Twenty-seven healthy young men (mean age, 20.7 ± 0.8 years; body mass index, 21.6 ± 3.2 kg m-2) were recruited. The following parameters were determined: peak work rate (WR) and oxygen uptake (V˙O2) corrected for body mass using the cardiopulmonary exercise testing; muscle strength and endurance using isokinetic muscle testing; muscle mass using bioelectrical impedance; muscle quality (muscle echo intensity) using an ultrasound imaging device, and muscle oxygen extraction rate (MOER) using near-infrared spectroscopy. Multiple regression analysis was performed using WR/kg peak and V˙O2/kg peak as dependent variables and each assessment index as an independent variable.</p><p><strong>Results: </strong>Multiple regression analysis with WR/kg peak as the dependent variable resulted in the adoption of SMI (β = -0.41, P = 0.036), muscle echo intensity (β = -0.45, P = 0.012) and ΔMOER (β = 0.73, P < 0.001) as significantly associated factors. Multiple regression analysis with V˙O2/kg peak as the dependent variable resulted in ΔMOER (β = 0.65, P = 0.001) being adopted as a significantly associated factor.</p><p><strong>Conclusion: </strong>These findings suggest that muscle oxygen extraction rate is associated with aerobic capacity. MOER is a useful indicator because it is not affected by body mass.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":" ","pages":"351-362"},"PeriodicalIF":2.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}