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Chronic but not acute oral L-arginine supplementation delays the ventilatory threshold during exercise in heart failure patients. 慢性而非急性口服l -精氨酸补充延迟心力衰竭患者运动时的通气阈值。
Stéphane Doutreleau, Bertrand Mettauer, François Piquard, Adrien Schaefer, Evelyne Lonsdorfer, Ruddy Richard, Bernard Geny

The purpose of this study was to determine, in heart failure patients (HF), whether acute or chronic L-arginine supplementation (LAS) might delay the ventilatory threshold (VT) and whether chronic LAS might reduce exercise-induced plasma lactate increase. HF patients undertook 4 cardiopulmonary bicycle exercises tests. The first 3 were maximal without (EX(1)), after acute (EX(2)), or chronic (EX(3)) oral LAS (6 gm twice a day for 6 weeks). The 4th test (EX(4)) performed after chronic LAS, was similar to the first in order to investigate the effect of chronic LAS on circulating lactate levels. Results showed that acute LAS failed to improve both submaximal and maximal exercise capacities. Similarly, maximal exercise capacity remained unmodified after chronic LAS. Nevertheless, chronic LAS delayed significantly the patients' ventilatory threshold. Thus exercise duration prior to VT increased (mean +/- SEM) from 6.04 +/- 0.9 to 7.7 +/- 1.03 min (p = 0.04), resulting in a significant increase in oxygen uptake (1.05 +/- 0.08 to 1.24 +/- 0.12 L.min(-1); p = 0.03), CO(2) release (0.94 +/- 0.10 to 1.2 +/- 0.12 L.min(-1); p = 0.018), minute ventilation (29.31 +/- 2.8 to 34.5 +/- 2.7 L; p = 0.009), and workload (60.7 +/- 9.8 to 78.5 +/- 10.2 watts; p = 0.034). Furthermore, chronic LAS significantly reduced the exercise-induced increase in postexercise plasma lactate concentration (-21 +/- 7%). In conclusion, unlike acute supplementation, chronic LAS significantly delays the ventilatory threshold, and chronic LAS reduces circulating plasma lactate in HF patients. These data suggest that chronic LAS might improve the ability of HF patients to perform their daily-life activities.

本研究的目的是确定心力衰竭患者(HF)急性或慢性补充l -精氨酸(LAS)是否会延迟通气阈值(VT),以及慢性补充l -精氨酸(LAS)是否会降低运动引起的血浆乳酸升高。心衰患者进行4项心肺自行车运动试验。前3例为无(EX(1))、急性(EX(2))或慢性(EX(3))口服LAS (6 gm,每天2次,连续6周)后的最大剂量。慢性LAS后进行的第4项试验(EX(4))与第一次试验相似,目的是研究慢性LAS对循环乳酸水平的影响。结果显示急性LAS不能提高亚极限和最大极限运动能力。同样,慢性LAS后最大运动能力也没有改变。然而,慢性LAS明显延迟患者的呼吸阈值。因此,VT前的运动时间(平均+/- SEM)从6.04 +/- 0.9分钟增加到7.7 +/- 1.03分钟(p = 0.04),导致摄氧量显著增加(1.05 +/- 0.08到1.24 +/- 0.12分钟(-1);p = 0.03),(2)发布(0.94 + / - 0.10到1.2 + / - 0.12 L.min (1);p = 0.018),分气量(29.31 +/- 2.8 ~ 34.5 +/- 2.7 L;P = 0.009)和工作负荷(60.7 +/- 9.8至78.5 +/- 10.2瓦;P = 0.034)。此外,慢性LAS显著降低了运动引起的运动后血浆乳酸浓度的增加(-21 +/- 7%)。总之,与急性补充不同,慢性LAS显著延迟了HF患者的通气阈值,慢性LAS降低了HF患者的循环血浆乳酸。这些数据表明,慢性LAS可能会改善HF患者进行日常生活活动的能力。
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引用次数: 15
The effect of sweetness on the efficacy of carbohydrate supplementation during exercise in the heat. 甜味对高温运动中补充碳水化合物功效的影响。
James Carter, Asker E Jeukendrup, David A Jones

The aim of the present study was to investigate potential mechanisms responsible for the improvement in prolonged exercise capacity in hot environments with exogenous carbohydrate. Eight endurance-trained men (VO(2)max 60.5 +/- 2.4 ml.kg(-1).min(-1), mean +/- SE) cycled to exhaustion on three occasions at 60% VO(2)max at an ambient temperature of 35 degrees C. They ingested either a sweet 6.4% carbohydrate solution (SC), a nonsweet 6.4% carbohydrate solution (NSC), or water (W). Exercise capacity was significantly increased with SC and NSC compared to W, the improvements corresponding to 15.8% and 11.8%, respectively. No difference in exercise capacity was seen between SC and NSC solutions. Plasma glucose concentrations were higher during the SC and NSC trials compared to W, significantly so at 10 min and at fatigue. Rates of carbohydrate oxidation were higher in the SC and NSC trials, although the rates never declined below 2.1 +/- 0.2 g.min(-1) in the W trial. There was no difference in the rate of rise of rectal temperature between trials, but there was a trend for subjects to fatigue at higher temperatures during the two carbohydrate trials. In conclusion, exogenous carbohydrate, independent of sweetness, improves exercise capacity in the heat compared to water alone.

本研究的目的是探讨外源性碳水化合物在炎热环境下延长运动能力改善的潜在机制。8名耐力训练的男性(VO(2)max为60.5 +/- 2.4 ml.kg(-1).min(-1),平均+/- SE)在环境温度为35℃下,以60% VO(2)max循环三次至疲劳。他们摄入6.4%甜味碳水化合物溶液(SC)、6.4%非甜味碳水化合物溶液(NSC)或水(W)。与W相比,SC和NSC显著提高了运动能力,分别提高了15.8%和11.8%。SC和NSC解决方案在运动能力方面没有差异。与W相比,SC和NSC试验期间的血浆葡萄糖浓度更高,在10分钟和疲劳时尤为明显。SC和NSC试验的碳水化合物氧化率较高,而W试验的碳水化合物氧化率从未低于2.1 +/- 0.2 g / min(-1)。试验之间直肠温度的上升速度没有差异,但在两种碳水化合物试验中,受试者在较高温度下有疲劳的趋势。综上所述,与水相比,不含甜味的外源性碳水化合物可以提高高温下的运动能力。
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引用次数: 29
[Comparison of male and female thermal, cardiac, and muscular responses induced by a prolonged run undertaken in a hot environment]. [在高温环境下长时间跑步引起的男性和女性的体温、心脏和肌肉反应的比较]。
Foued Ftaiti, Asma Kacem, Imed Latiri, Samia Ben Mdalla, Zouhair Tabka, Nouri Zouari, Feriel Ellouze, Laurent Grélot

The aim of this study was to compare male and female thermal, cardiac, and muscular responses induced by a prolonged run undertaken in a hot environment. Twelve volunteers participated in this study. The first group consisted of 6 men and the second one consisted of 6 women. After determination of their VO(2)max and maximal aerobic velocity (MAV), each athlete completed a 40-min run at 65% MAV in a hot and dry environment (temperature 31-33 degrees C, relative humidity 30%). Immediately before and after the run, each subject performed two different vertical jumps, i.e., a squat jump (SJ) and a counter-movement jump (CMJ) on a force platform. Force, velocity, power, and jump height were measured during each jump. The completion of the run was associated with a significant loss (p < 0.001) of body mass (BM) and significant increases (p < 0.001) in heart rate, tympanic temperature, and lactate concentration ([La]). Muscle power was significantly improved (+9%, p < 0.05) during the SJ only in the women. A significant enhancement of this parameter was also demonstrated during the CMJ in both groups (men: +10%, p < 0.05; women: +8%, p < 0.01). Surprisingly, a comparison of thermal, cardiac, and muscular responses did not reveal any significant differences between the sexes. Moderate dehydration (-2.0 to -2.3% of BM) and a rise in core temperature (above 39.2 degrees C) induced by the 40-min run led to an improvement of muscular strength in both men and women. However, the results of this study did not reveal any significant between-sex differences in thermal, cardiac, and muscular responses after exercising in the heat.

本研究的目的是比较男性和女性在高温环境下长时间跑步引起的热、心脏和肌肉反应。12名志愿者参加了这项研究。第一组有6名男性,第二组有6名女性。在确定他们的最大VO(2)和最大有氧速度(MAV)后,每个运动员在炎热和干燥的环境(温度31-33摄氏度,相对湿度30%)中以65%的MAV完成40分钟的跑步。在跑步前和跑步后,每位受试者进行两次不同的垂直跳跃,即蹲跳(SJ)和反运动跳(CMJ)。在每次跳跃时测量力、速度、力量和跳跃高度。完成跑步与体重(BM)的显著减少(p < 0.001)和心率、鼓室温度和乳酸浓度([La])的显著增加(p < 0.001)相关。仅在女性中,在SJ期间肌肉力量显著提高(+9%,p < 0.05)。在CMJ期间,两组的该参数也有显著增强(男性:+10%,p < 0.05;女性:+8%,p < 0.01)。令人惊讶的是,热反应、心脏反应和肌肉反应的比较并没有显示出性别之间的任何显著差异。40分钟跑步引起的中度脱水(-2.0至-2.3%的BM)和核心温度升高(39.2摄氏度以上)导致男性和女性肌肉力量的改善。然而,这项研究的结果并没有揭示在高温下运动后,在热、心脏和肌肉反应方面有任何显著的性别差异。
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引用次数: 3
Torso stabilization reduces the metabolic cost of producing cycling power. 躯干稳定降低了产生循环动力的代谢成本。
John McDaniel, Andrew Subudhi, James C Martin

Many researchers have used cycling exercise to evaluate muscle metabolism. Inherent in such studies is an assumption that changes in whole-body respiration are due solely to respiration at the working muscle. Some researchers, however, have speculated that the metabolic cost of torso stabilization may contribute to the metabolic cost of cycling. Therefore, our primary purpose was to determine whether a torso stabilization device would reduce the metabolic cost of producing cycling power. Our secondary purpose was to determine the validity of the ergometer used in this study. Nine male cyclists cycled on a Velotron cycle ergometer at mechanical power outputs intended to elicit 50, 75, and 100% of their ventilatory threshold at 40, 60, and 80 rpm, with and without torso stabilization. Power was controlled by the Velotron in iso-power mode and measured with an SRM powermeter. We determined metabolic cost by indirect calorimetery and recorded power output. Torso stabilization significantly reduced metabolic cost of producing submaximal power (1%), and reduction tended to be greatest at the lower pedaling rates where pedaling force was greatest (1.6% at 40 rpm, 1.2% at 60 rpm, 0.2% at 80 rpm). Power, measured with the SRM powermeter, was strongly correlated with that specified to the Velotron ergometer control unit (R(2) > 0.99). We conclude that muscular contractions associated with torso stabilization elicit significant metabolic costs, which tend to be greatest at low pedaling rates. Researchers who intend to make precise inferences regarding metabolism in the working muscles of the legs may wish to provide torso stabilization as a means of reducing variability, particularly when comparing metabolic data across a wide range of pedaling rates.

许多研究人员利用骑车运动来评估肌肉代谢。这些研究固有的假设是,全身呼吸的变化仅仅是由于工作肌肉的呼吸。然而,一些研究人员推测,躯干稳定的代谢成本可能有助于循环的代谢成本。因此,我们的主要目的是确定躯干稳定装置是否会降低产生循环动力的代谢成本。我们的第二个目的是确定本研究中使用的测力仪的有效性。9名男性骑自行车者在Velotron自行车测力仪上骑行,机械功率输出旨在在40、60和80 rpm时达到50%、75%和100%的通气阈值,有和没有躯干稳定。功率由Velotron在等功率模式下控制,并使用SRM功率计进行测量。我们通过间接热量测量和记录能量输出来确定代谢消耗。躯干稳定显著降低了产生次最大功率的代谢成本(1%),并且在踏板力最大的较低蹬速下(40转1.6%,60转1.2%,80转0.2%),降低幅度最大。用SRM功率计测量的功率与Velotron测力计控制单元的指定功率密切相关(R(2) > 0.99)。我们得出的结论是,与躯干稳定相关的肌肉收缩引起显著的代谢成本,这往往在低蹬速时最大。想要对腿部工作肌肉的新陈代谢做出精确推断的研究人员可能希望提供躯干稳定性作为减少可变性的一种手段,特别是在比较大范围蹬车速率的代谢数据时。
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引用次数: 35
Vascular nitric oxide and oxidative stress: determinants of endothelial adaptations to cardiovascular disease and to physical activity. 血管一氧化氮和氧化应激:内皮适应心血管疾病和身体活动的决定因素。
James W E Rush, Steven G Denniss, Drew A Graham

Cardiovascular disease is the single leading cause of death and morbidity for Canadians. A universal feature of cardiovascular disease is dysfunction of the vascular endothelium, thus disrupting control of vasodilation, tissue perfusion, hemostasis, and thrombosis. Nitric oxide bioavailability, crucial for maintaining vascular endothelial health and function, depends on the processes controlling synthesis and destruction of nitric oxide as well as on the sensitivity of target tissue to nitric oxide. Evidence supports a major contribution by oxidative stress-induced destruction of nitric oxide to the endothelial dysfunction that accompanies a number of cardiovascular disease states including hypertension, diabetes, chronic heart failure, and atherosclerosis. Regular physical activity (exercise training) reduces cardiovascular disease risk. Numerous studies support the hypothesis that exercise training improves vascular endothelial function, especially when it has been impaired by preexisting risk factors. Evidence is emerging to support a role for improved nitric oxide bioavailability with training as a result of enhanced synthesis and reduced oxidative stress-mediated destruction. Molecular targets sensitive to the exercise training effect include the endothelial nitric oxide synthase and the antioxidant enzyme superoxide dismutase. However, many fundamental details of the cellular and molecular mechanisms linking exercise to altered molecular and functional endothelial phenotypes have yet to be discovered. The working hypothesis is that some of the cellular mechanisms contributing to endothelial dysfunction in cardiovascular disease can be targeted and reversed by signals associated with regular increases in physical activity. The capacity for exercise training to regulate vascular endothelial function, nitric oxide bioavailability, and oxidative stress is an example of how lifestyle can complement medicine and pharmacology in the prevention and management of cardiovascular disease.

心血管疾病是加拿大人死亡和发病的唯一主要原因。心血管疾病的一个普遍特征是血管内皮功能障碍,从而破坏对血管舒张、组织灌注、止血和血栓形成的控制。一氧化氮的生物利用度对维持血管内皮的健康和功能至关重要,它取决于控制一氧化氮合成和破坏的过程以及靶组织对一氧化氮的敏感性。有证据支持氧化应激诱导的一氧化氮破坏对内皮功能障碍的主要贡献,内皮功能障碍伴随着许多心血管疾病状态,包括高血压、糖尿病、慢性心力衰竭和动脉粥样硬化。有规律的体育活动(运动训练)可以降低心血管疾病的风险。大量研究支持运动训练可以改善血管内皮功能的假设,特别是当它已经被先前存在的危险因素损害时。越来越多的证据支持通过训练提高一氧化氮的生物利用度,从而增强合成并减少氧化应激介导的破坏。对运动训练效果敏感的分子靶点包括内皮型一氧化氮合酶和抗氧化酶超氧化物歧化酶。然而,将运动与改变的分子和功能内皮表型联系起来的细胞和分子机制的许多基本细节尚未被发现。目前的假设是,一些导致心血管疾病中内皮功能障碍的细胞机制可以通过与身体活动定期增加相关的信号来靶向和逆转。运动训练调节血管内皮功能、一氧化氮生物利用度和氧化应激的能力是生活方式如何在预防和管理心血管疾病方面补充医学和药理学的一个例子。
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引用次数: 157
Maximizing acute fat utilization: effects of exercise, food, and individual characteristics. 最大化急性脂肪利用:运动、食物和个人特征的影响。
Patrick Bennard, Pascal Imbeault, Eric Doucet

In discussion of the physiological mechanisms that regulate fat metabolism, and with consideration of the metabolic stimuli that modulate substrate metabolism, the issue of how an acute state of negative lipid balance can be maximized is addressed. The regulation of lipolysis by catecholamines and insulin is reviewed, and the mechanisms of fatty acid mobilization and uptake by muscle are also briefly discussed. The implications of substrate availability and the hormonal response during physiological states such as fasting, exercise, and after food intake are also addressed, with particular regard to the influences on fatty acid mobilization and/or oxidation from eliciting these stimuli conjointly. Finally, a brief discussion is given of both the nature of exercise and the exercising individual, and how these factors influence fat metabolism during exercise. It is also a primary thrust of this paper to underline gaps in the existing literature with regard to exercise timing concerning food ingestion for maximizing acute lipid utilization.

在讨论调节脂肪代谢的生理机制时,考虑到调节底物代谢的代谢刺激,如何最大限度地解决负脂质平衡的急性状态的问题。综述了儿茶酚胺和胰岛素对脂肪分解的调节作用,并简要讨论了肌肉对脂肪酸的动员和摄取机制。在生理状态(如禁食、运动和进食后)中,底物可利用性和激素反应的含义也得到了解决,特别是关于同时引起这些刺激对脂肪酸动员和/或氧化的影响。最后,简要讨论了运动的性质和运动个体,以及这些因素如何影响运动过程中的脂肪代谢。这也是本文的主要推力,以强调现有文献中关于运动时间与食物摄入最大化急性脂质利用的差距。
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引用次数: 12
The Identification of Clinically Relevant Gait Variables in Children With Hypotonia 低张力儿童临床相关步态变量的识别
V. Chester
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引用次数: 1
Motoneurones "learn" and "forget" physical activity. 运动神经元“学习”和“忘记”身体活动。
Phillip Gardiner, Eric Beaumont, Bruno Cormery

In spite of our knowledge of activity related adaptations in supraspinal neurones and skeletal muscles, very little is known concerning adaptations in alpha-motoneurones to alterations in chronic activity levels. Recent evidence shows that the biophysical properties of alpha-motoneurones are plastic and adapt to both increases and decreases in chronic activation. The nature of the adaptations--in resting membrane potential, spike threshold, afterhyper-polarization amplitude,and rate of depolarization during spike generation--point to involvement of density, type, location, and/or metabolic modulation of ion conductance channels in the motoneuronal membrane. These changes will have significant effects on how motoneurones respond when activated during the generation of movements, and on the effort required to sustain activation during prolonged exercise. Since the adaptations most likely involve structural changes in the motoneurones and changes in protein synthesis, and change the output response of the cells to input, they are considered to be learning responses. Future research directions for examining this issue are outlined.

尽管我们对棘上神经元和骨骼肌的活动相关适应有所了解,但对α -运动神经元对慢性活动水平变化的适应知之甚少。最近的证据表明,α -运动神经元的生物物理特性是可塑的,并适应慢性激活的增加和减少。适应性的本质——静息膜电位、尖峰阈值、后超极化振幅和尖峰产生过程中的去极化率——表明参与了运动神经元膜中离子电导通道的密度、类型、位置和/或代谢调节。这些变化将对运动神经元在运动产生过程中被激活时的反应,以及在长时间运动中维持激活所需的努力产生重大影响。由于这种适应很可能涉及运动神经元的结构变化和蛋白质合成的变化,并改变细胞对输入的输出反应,因此它们被认为是学习反应。展望了该问题未来的研究方向。
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引用次数: 26
Increase of hemoglobin concentration after maximal apneas in divers, skiers, and untrained humans. 潜水员、滑雪者和未经训练的人在最大呼吸暂停后血红蛋白浓度的增加。
Matt Richardson, Robert de Bruijn, H-C Holmberg, Glenn Björklund, Helena Haughey, Erika Schagatay

Human splenic contraction occurs both during apnea and maximal exercise, increasing the circulating erythrocyte volume. We investigated the hematological responses to 3 maximal apneas performed by elite apneic divers, elite cross-country skiers, and untrained subjects. Post-apnea hemoglobin concentration had increased in all groups, but especially in divers. The increases disappeared within 10 min of recovery. Apneic duration across apneas also increased the most in divers. Responses in divers could be more pronounced as a result of apnea training.

人的脾收缩在呼吸暂停和最大运动时都会发生,增加循环红细胞体积。我们研究了优秀的呼吸暂停潜水员、优秀的越野滑雪运动员和未经训练的受试者对3种最大呼吸暂停的血液学反应。呼吸暂停后血红蛋白浓度在所有组中均升高,但在潜水员中尤其明显。恢复后10分钟内升高消失。潜水员的呼吸暂停持续时间也增加得最多。由于呼吸暂停训练,潜水员的反应可能更加明显。
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引用次数: 47
Resistance training: cortical, spinal, and motor unit adaptations. 抗阻训练:皮质、脊柱和运动单位适应。
Lisa Griffin, Enzo Cafarelli

During the first few weeks of isometric resistance training there is an increase in maximal muscle force output that cannot be accounted for by muscle hypertrophy. Early on, researchers postulated the existence of neural adaptations to training primarily through the use of surface electromyographic recordings. More recent evidence also suggests that increased excitation may occur at the cortical levels following short-term resistance training. Alterations in synergistic activation and reductions in antagonist activation are neural factors that have been identified as changing during the early stages of resistance training which could contribute to maximal force generation. Neural adaptations that occur during the ramp-up phase of isometric contraction include decreases in motor unit recruitment thresholds, increased motor unit discharge rates, and increases in double discharges. An increase in the maximal rate of force development also occurs during the early stages of resistance training, but whether the neural mechanisms associated with the increase in the rate of rise are also associated with the increase in maximal force has not been elucidated. More work is needed to examine the integration of changes in cortical and spinal excitability with single motor unit firing patterns during this simple form of exercise before we can extend our understanding to different types of training.

在最初几周的等长阻力训练中,最大肌肉力量输出的增加不能用肌肉肥大来解释。早期,研究人员主要通过使用表面肌电图记录来假设神经适应训练的存在。最近的证据也表明,短期阻力训练后,皮层水平的兴奋可能会增加。协同激活的改变和拮抗剂激活的减少是神经因素,在阻力训练的早期阶段已经被确定为变化,这可能有助于最大力量的产生。在等长收缩的加速阶段发生的神经适应包括运动单元招募阈值的降低,运动单元放电率的增加和双放电的增加。在阻力训练的早期阶段,最大力量发展速度的增加也会发生,但是与上升速度增加相关的神经机制是否也与最大力量的增加有关还没有得到阐明。在我们能够将我们的理解扩展到不同类型的训练之前,我们需要更多的工作来研究在这种简单的运动形式中,皮质和脊髓兴奋性变化与单一运动单元放电模式的整合。
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引用次数: 88
期刊
Canadian journal of applied physiology = Revue canadienne de physiologie appliquee
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