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Wet Military Uniforms Pose Low Risk of Hypothermia while Static in Mild Cold Air. 在轻度冷空气中静止时,湿透的军服造成低体温症的风险很低。
IF 3.4 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2024-09-13 DOI: 10.1139/apnm-2024-0180
Afton D Seeley,Phillip O Bodurtha,Andrew Martin Greenfield,Dina M Pitsas,MariaLena A Shaw,Aaron R Caldwell,Billie K Alba,John W Castellani,Catherine O'Brien
Wet clothing is less insulative than dry clothing and increases heat loss in cold air. Tactical necessity can render removal of wet clothing impossible and/or require Warfighters to remain static to avoid detection, limiting heat production and posing a threat of hypothermia (core temperature <35°C). This study aimed to characterize body temperatures and evaluate hypothermia risk while statically exposed to 5°C air wearing three wet military uniforms. Further, low-speed loaded walking was evaluated as a strategy to raise end-static temperatures. Twelve adults (11M, 1F) randomly completed three wet-cold trials wearing either the Improved Hot Weather Combat Uniform (IHWCU), Army Combat Uniform (ACU), or ACU with silk-weight base layer (ACU+). Each trial involved 180 minutes of cold air (5.3±0.3°C, 0.8 m·s-1) exposure after a clothed 2-minute head-out immersion (34.0 ± 0.2°C). Volunteers were static for 60 minutes followed by 120 minutes of loaded walking. Rectal temperature (Tre) area under the curve did not differ among the three wet uniforms when static (p=0.431) with Tre increasing, rather than decreasing, across the 60 minutes (IHWCU: +0.26±0.19°C, ACU: +0.37±0.21°C, ACU+: +0.36±0.20°C). Hypothermia risk with 60-minute static wet-cold exposure therefore appears minimal, regardless of the military uniform worn. End-static finger temperatures (IHWCU: 9.48±2.30°C, ACU: 9.99±1.82°C, ACU+: 9.27±1.66°C, p >0.999) were reduced by ~20-23°C posing a considerable dexterity concern. Heat production of ~210 W·m2 appeared sufficient to begin to reverse negative cumulative heat storage and initiate slight elevation of rectal and peripheral temperatures, although finger temperatures increased < 2°C after 120 minutes. ClinicalTrials.gov ID:NCT05409937.
湿衣服的隔热性能比干衣服差,会增加在冷空气中的热量损失。出于战术需要,湿衣服不可能脱掉,而且/或者要求作战人员保持静止不动以避免被发现,从而限制了热量的产生并造成体温过低的威胁(核心温度为 0.999)。约 210 W-m2 的热量产生似乎足以开始逆转负累积热量储存,并使直肠和外周温度开始轻微升高,尽管 120 分钟后手指温度升高< 2°C。ClinicalTrials.gov ID:NCT05409937。
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引用次数: 0
Supplementation practices among pregnant women and those trying to conceive: a population-representative survey in Vancouver, Canada 孕妇和试图怀孕者补充营养的做法:加拿大温哥华一项具有人口代表性的调查
IF 3.4 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2024-09-11 DOI: 10.1139/apnm-2024-0124
Kelsey M. Cochrane, Jennifer A. Hutcheon, Crystal D. Karakochuk
Applied Physiology, Nutrition, and Metabolism, Ahead of Print.
Dietary supplements including vitamins, minerals, and natural health products are commonly consumed by those aiming to optimize fertility and pregnancy outcomes. The aim of this survey was to describe supplementation practices among individuals who were pregnant or trying to conceive in Vancouver, Canada. An online survey was conducted among 500 individuals who were pregnant (n = 250) or trying to conceive (n = 250). Participants met a substantial proportion of vitamin and mineral recommendations through supplements alone. Exceptions included calcium, magnesium, and choline, with median (interquartile range (IQR)) supplementation doses reported by those who were pregnant and trying to conceive, respectively, of: 250 (200 and 250 mg) and 250 (200 and 250 mg), 50 (50 and 75 mg) and 50 (50 and 90 mg), and 53 (10 and 150 mg) and 55 (10 and 100 mg), as compared to perinatal recommendations of 1000 mg/day (calcium), 350 mg/day (magnesium), and 450 mg/day (choline). Conversely, median (IQR) doses of folate reported by those who were pregnant and trying to conceive, respectively, were: 1000 (780 and 1000 µg) and 1000 (800 and 1000 µg), with ∼70% overall (337/471) reporting doses ≥1000 µg (the tolerable upper intake level). Most participants (451/500; 90%) reported supplementation with a prenatal multivitamin; of these, 83% reported that supplementation occurred daily. Overall, as diet was not considered, we cannot ascertain whether recommendations for calcium, magnesium, and choline were met through the combination of supplements and foods; however, we believe that additional supplementation with choline may be required to meet recommendations in pregnancy. Excessive folate supplementation has been previously identified as a concern throughout North America; here, we provide further evidence for excessively high doses consumed via supplements.
应用生理学、营养学和新陈代谢》(Applied Physiology, Nutrition, and Metabolism, Ahead of Print)。 膳食补充剂包括维生素、矿物质和天然保健品,是那些旨在优化生育和妊娠结果的人常用的补充剂。这项调查的目的是了解加拿大温哥华地区怀孕或试图怀孕的人服用补充剂的情况。我们对 500 名怀孕者(n = 250)或试图怀孕者(n = 250)进行了在线调查。大部分参与者仅通过补充剂就满足了维生素和矿物质的建议摄入量。例外情况包括钙、镁和胆碱,怀孕者和试图怀孕者报告的中位数(四分位数间距 (IQR))补充剂量分别为:250 毫克(200 毫克和 250 毫克)和 250 毫克(200 毫克和 250 毫克):250毫克(200和250毫克)和250毫克(200和250毫克)、50毫克(50和75毫克)和50毫克(50和90毫克)、53毫克(10和150毫克)和55毫克(10和100毫克),而围产期推荐剂量为1000毫克/天(钙)、350毫克/天(镁)和450毫克/天(胆碱)。相反,怀孕者和试图怀孕者所报告的叶酸剂量中位数(IQR)分别为1000(780 微克和 1000 微克)和 1000(800 微克和 1000 微克),其中 70% 的参与者(337/471)报告的叶酸剂量≥1000 微克(可耐受摄入量上限)。大多数参与者(451/500;90%)表示补充了产前多种维生素;其中 83% 表示每天补充。总体而言,由于未考虑饮食因素,我们无法确定钙、镁和胆碱是否通过补充剂和食物的结合达到了推荐值;但是,我们认为可能需要额外补充胆碱才能达到孕期推荐值。在整个北美地区,叶酸补充剂过量已被确认为一个令人担忧的问题;在此,我们提供了通过补充剂摄入过高剂量的进一步证据。
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引用次数: 0
An exploratory investigation of heart rate and heart rate variability responses to daylong heat exposure in young and older adults. 探索性研究年轻人和老年人的心率和心率变异性对白天高温暴露的反应。
IF 3.4 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2024-09-10 DOI: 10.1139/apnm-2024-0191
Andres E Carrillo,Robert D Meade,Christophe Herry,Andrew Seely,Glen P Kenny
Heart rate variability (HRV) has shown potential as a tool for monitoring thermal strain, but there is limited data to support its efficacy in older adults during prolonged heat exposures. We compared HRV between young (19-31 years, n=20) and older (61-78 years, n=39) adults during 9 hours of heat exposure (40°C, 9% RH). We also explored whether heart rate (HR) and/or HRV could be used to distinguish older adults who achieved elevated thermal strain, defined as either 1) an increase in core temperature >1.0°C (occurring in 39% [15/39]) or 2) a reduction in systolic blood pressure >10 mm Hg (occurring in 67% [26/39]). Percentage of age-predicted maximal HR and percentage of heart rate reserve (HRR) were higher, whereas standard deviation of normal RR intervals (SDNN), the square root of the mean of squared differences between successive RR intervals (RMSSD), high frequency power (HF), and cardiac vagal index (CVI) were lower in older compared to young adults (P≤0.004) during heat exposure. In older adults, increases in core temperature were correlated with percentage of age-predicted maximal HR, percentage of HRR, RMSSD, and CVI (P≤0.031), whereas changes in systolic blood pressure were not significantly associated with HR or HRV indices (P≤0.327). Receiver operating characteristic curve analysis indicated that HR and HRV indices had generally poor ability to identify older adults with elevated thermal strain (area under the curve ≤0.65). Age-related differences in HRV, consistent with vagal withdrawal among older adults, remained during daylong heat exposure, but marked heterogeneity of response likely contributed to HRV providing limited discriminatory value in identifying changes in core temperature or blood pressure in older adults.
心率变异性(HRV)作为一种监测热应变的工具已显示出其潜力,但支持其对长期暴露在高温下的老年人有效的数据却很有限。我们比较了年轻人(19-31 岁,20 人)和老年人(61-78 岁,39 人)在 9 小时热暴露(40°C,9% 相对湿度)期间的心率变异。我们还探讨了心率(HR)和/或心率变异是否可用于区分热应变升高的老年人,热应变升高的定义为:1)核心温度升高 >1.0°C(发生率为 39% [15/39])或 2)收缩压降低 >10 mm Hg(发生率为 67% [26/39])。在热暴露期间,老年人的年龄预测最大心率百分比和心率储备百分比(HRR)较高,而正常心率间期标准偏差(SDNN)、连续心率间期平方差均值的平方根(RMSSD)、高频功率(HF)和心迷走神经指数(CVI)则低于年轻人(P≤0.004)。在老年人中,核心温度的升高与年龄预测的最大心率百分比、心率变异百分比、RMSSD 和 CVI 相关(P≤0.031),而收缩压的变化与心率或心率变异指数无明显关联(P≤0.327)。接收者操作特征曲线分析表明,心率和心率变异指数识别热应变升高的老年人的能力普遍较差(曲线下面积≤0.65)。与年龄相关的心率变异差异在老年人中与迷走神经退缩相一致,在日间高温暴露期间仍然存在,但反应的明显异质性可能导致心率变异在识别老年人核心体温或血压变化方面的鉴别价值有限。
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引用次数: 0
Association of Adiposity, Serum Vitamin D and Dietary Quality with Cardiometabolic Risk in Children aged 6 to 12 years: Findings from SEANUTS II Malaysia 6至12岁儿童的脂肪率、血清维生素D和膳食质量与心脏代谢风险的关系:马来西亚 SEANUTS II 研究结果
IF 2.4 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2024-07-04 DOI: 10.1139/apnm-2023-0621
Kai Sze Chan, Farah Nor MF, Giin Shang Yeo, Kuan Chiet Teh, Shoo Thien Lee, Ika Aida Aprilini Makbul, Nor Aini Jamil, R. Sharif, J. Wong, I. Khouw, B. Poh, S. ‎
Increased cardiometabolic risk among children is increasingly becoming a concern, with evidence indicating that obesity, diet, and serum 25-hydroxyvitamin D (25(OH)D) are associated with cardiometabolic risk. However, such studies among Malaysian children are scarce. Thus, this study explores the associations between adiposity, dietary quality, and 25(OH)D, with cardiometabolic risk factors among Malaysian children aged 4-12 years. Data of 4879 children (mean age: 8.2±2.3 years old, 53% females) from the South East Asian Nutrition Surveys (SEANUTS II) Malaysia, were analysed. Adiposity (percentage of body fat) was assessed with bioelectrical impedance technique. Dietary quality was assessed using 24-hour dietary recall and calculated as mean adequacy ratio (MAR). Vitamin D was assessed based on serum 25-hydroxyvitamin D (25(OH)D). Measurements of cardiometabolic risk factors included waist circumference, mean arterial pressure, fasting blood glucose, high-density lipoprotein (HDL), triglyceride, and high-sensitivity C-reactive protein, and cardiometabolic risk cluster score (siMS) was calculated. Overall, higher adiposity was positively associated with all cardiometabolic risk factors (WC, ß=0.907; 95%CI=0.865,0.948; MAP, ß=0.225; 95%CI=0.158, 0.292; HDL, ß =-0.011; 95%CI=-0.014, -0.009; Triglyceride, ß=0.012; 95%CI=0.009, 0.016; FBG, ß=0.006; 95%CI=0.002, 0.011) and siMS scores (ß=0.033; 95%CI=0.029, 0.037). Serum 25(OH)D was inversely associated with siMS scores (ß= -0.002; 95%CI= -0.004, -0.000008) and positively associated with HDL (ß=0.002; 95%CI=0.0001, 0.003). Our findings suggest that adiposity is a key determinant of adverse cardiometabolic risk factors in children, while serum 25(OH)D may be associated with overall cardiometabolic health. Interventions to reduce obesity are needed to mitigate the deleterious consequences of cardiometabolic dysregulation in children.
有证据表明,肥胖、饮食和血清 25- 羟基维生素 D(25(OH)D)与心脏代谢风险有关,儿童心脏代谢风险的增加正日益成为人们关注的问题。然而,针对马来西亚儿童的此类研究却很少。因此,本研究探讨了马来西亚 4-12 岁儿童的脂肪含量、饮食质量和 25(OH)D 与心脏代谢风险因素之间的关系。研究分析了马来西亚东南亚营养调查(SEANUTS II)中 4879 名儿童(平均年龄:8.2±2.3 岁,53% 为女性)的数据。采用生物电阻抗技术评估肥胖程度(体脂百分比)。膳食质量通过 24 小时膳食回忆进行评估,并计算出平均充足率 (MAR)。维生素 D 根据血清 25- 羟维生素 D(25(OH)D)进行评估。心脏代谢风险因素的测量包括腰围、平均动脉压、空腹血糖、高密度脂蛋白(HDL)、甘油三酯和高敏C反应蛋白,并计算心脏代谢风险群组得分(siMS)。总体而言,较高的脂肪含量与所有心脏代谢风险因素均呈正相关(WC, ß=0.907; 95%CI=0.865,0.948; MAP, ß=0.225; 95%CI=0.158, 0.292;HDL,ß=-0.011;95%CI=-0.014,-0.009;甘油三酯,ß=0.012;95%CI=0.009,0.016;FBG,ß=0.006;95%CI=0.002,0.011)和 siMS 评分(ß=0.033;95%CI=0.029,0.037)。血清 25(OH)D 与 siMS 评分成反比(ß= -0.002;95%CI= -0.004,-0.000008),与 HDL 成正比(ß=0.002;95%CI=0.0001,0.003)。我们的研究结果表明,肥胖是儿童不良心脏代谢风险因素的关键决定因素,而血清 25(OH)D 可能与整体心脏代谢健康有关。需要采取干预措施减少肥胖,以减轻儿童心脏代谢失调的有害后果。
{"title":"Association of Adiposity, Serum Vitamin D and Dietary Quality with Cardiometabolic Risk in Children aged 6 to 12 years: Findings from SEANUTS II Malaysia","authors":"Kai Sze Chan, Farah Nor MF, Giin Shang Yeo, Kuan Chiet Teh, Shoo Thien Lee, Ika Aida Aprilini Makbul, Nor Aini Jamil, R. Sharif, J. Wong, I. Khouw, B. Poh, S. ‎","doi":"10.1139/apnm-2023-0621","DOIUrl":"https://doi.org/10.1139/apnm-2023-0621","url":null,"abstract":"Increased cardiometabolic risk among children is increasingly becoming a concern, with evidence indicating that obesity, diet, and serum 25-hydroxyvitamin D (25(OH)D) are associated with cardiometabolic risk. However, such studies among Malaysian children are scarce. Thus, this study explores the associations between adiposity, dietary quality, and 25(OH)D, with cardiometabolic risk factors among Malaysian children aged 4-12 years. Data of 4879 children (mean age: 8.2±2.3 years old, 53% females) from the South East Asian Nutrition Surveys (SEANUTS II) Malaysia, were analysed. Adiposity (percentage of body fat) was assessed with bioelectrical impedance technique. Dietary quality was assessed using 24-hour dietary recall and calculated as mean adequacy ratio (MAR). Vitamin D was assessed based on serum 25-hydroxyvitamin D (25(OH)D). Measurements of cardiometabolic risk factors included waist circumference, mean arterial pressure, fasting blood glucose, high-density lipoprotein (HDL), triglyceride, and high-sensitivity C-reactive protein, and cardiometabolic risk cluster score (siMS) was calculated. Overall, higher adiposity was positively associated with all cardiometabolic risk factors (WC, ß=0.907; 95%CI=0.865,0.948; MAP, ß=0.225; 95%CI=0.158, 0.292; HDL, ß =-0.011; 95%CI=-0.014, -0.009; Triglyceride, ß=0.012; 95%CI=0.009, 0.016; FBG, ß=0.006; 95%CI=0.002, 0.011) and siMS scores (ß=0.033; 95%CI=0.029, 0.037). Serum 25(OH)D was inversely associated with siMS scores (ß= -0.002; 95%CI= -0.004, -0.000008) and positively associated with HDL (ß=0.002; 95%CI=0.0001, 0.003). Our findings suggest that adiposity is a key determinant of adverse cardiometabolic risk factors in children, while serum 25(OH)D may be associated with overall cardiometabolic health. Interventions to reduce obesity are needed to mitigate the deleterious consequences of cardiometabolic dysregulation in children.","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141678529","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}
引用次数: 0
Prevalence of nutritional risk and malnutrition in hospitalized patients: a retrospective, cross-sectional study of single-day screening 住院病人营养风险和营养不良的普遍性:单日筛查的回顾性横断面研究
IF 3.4 4区 医学 Q2 Nursing Pub Date : 2024-05-03 DOI: 10.1139/apnm-2023-0190
Karolina Alvarez-Altamirano, Mónica P. Bejarano-Rosales, Bárbara Kassandra González-Rodríguez, Grissel Mondragón-Nieto, Gabriela Alatriste-Ortiz, Liz J. Jiménez Noguez, Gabriela Gutiérrez-Salmeán, Vanessa Fuchs-Tarlovsky
Applied Physiology, Nutrition, and Metabolism, Ahead of Print.
Hospital malnutrition remains a significant public health issue, particularly in developing countries. The Global Leadership Initiative on Malnutrition (GLIM) proposed homogenizing criteria to standardize malnutrition diagnosis. This study aimed to retrospectively determine the prevalence of nutritional risk and malnutrition diagnoses among hospitalized patients using the Nutritional Risk Screening (NRS)-2002 screening instrument and the GLIM criteria, respectively. We conducted a retrospective, cross-sectional study from nutritional records of patients hospitalized in a single centre 2021. Nutrition data from records included medical diagnosis, gender, length of stay, age, weight, height, body mass index, weight loss, calf circumference, and middle upper arm circumference. Nutritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. The study included 616 records of patients; 52.3% (n = 322) of the population were male. The prevalence of nutritional risk, according to NRS-2002, was 69.5% (n = 428). Nutritional risk as well as malnutrition diagnosis according to GLIM criteria was observed in 87.8% (n = 374) of patienttritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. Ws. Tools showed a strong concordance (κ= 0.732). All anthropometric data, except for height, were found to be significantly different between patients with moderate and severe malnutrition (p < 0.05). Our findings highlight a high prevalence of malnutrition in this group of hospitalized patients in Mexico. NRS-2002 demonstrated good agreement with the diagnosis of malnutrition according to GLIM criteria and could be considered part of the straightforward two-step approach for malnutrition; however, further studies are needed.
应用生理学、营养学和新陈代谢》(Applied Physiology, Nutrition, and Metabolism, Ahead of Print)。 医院营养不良仍然是一个重大的公共卫生问题,在发展中国家尤其如此。全球营养不良领导倡议(GLIM)提出了统一标准,以规范营养不良诊断。本研究旨在分别使用营养风险筛查(NRS)-2002 筛查工具和 GLIM 标准,回顾性地确定住院患者中营养风险和营养不良诊断的发生率。我们根据 2021 年一个中心的住院患者营养记录进行了一项回顾性横断面研究。记录中的营养数据包括医疗诊断、性别、住院时间、年龄、体重、身高、体重指数、体重减轻、小腿围和中上臂围。营养风险和营养不良采用 NRS-2002 和 GLIM 标准进行评估。通过卡帕检验进一步评估其一致性。研究包括 616 份患者记录;男性占 52.3%(n = 322)。根据 NRS-2002 标准,营养风险发生率为 69.5%(n = 428)。87.8%的患者(n = 374)的营养风险和营养不良诊断是根据 GLIM 标准进行的。通过卡帕检验进一步评估了两者的一致性。Ws.工具显示出很强的一致性(κ= 0.732)。除身高外,所有人体测量数据在中度和重度营养不良患者之间均存在显著差异(p < 0.05)。我们的研究结果表明,在墨西哥的这组住院病人中,营养不良的发病率很高。根据 GLIM 标准,NRS-2002 与营养不良的诊断显示出良好的一致性,可被视为营养不良直接两步法的一部分;但是,还需要进一步的研究。
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引用次数: 0
S'attaquer aux défis de l'adhésion aux principes de la saine alimentation 应对坚持健康饮食原则的挑战
IF 3.4 4区 医学 Q2 Nursing Pub Date : 2024-04-08 DOI: 10.1139/apnm-2023-0564
Simone Lemieux
Applied Physiology, Nutrition, and Metabolism, Ahead of Print.
Cet article vise à décrire les retombées de la programmation de recherche intitulée « Adhésion aux recommandations visant la saine alimentation: identification des mesures, déterminants et interventions ». Au-delà des principaux résultats décrits dans cet article, cette programmation a eu un impact majeur sur la formation d’étudiants gradués. Elle a aussi été une occasion unique de développer et valider des outils de mesure pertinents pour la recherche en nutrition et de mettre ceux-ci à la disposition de la communauté scientifique. Enfin, cette programmation a été un levier pour l’établissement de nouvelles collaborations et pour la mise sur pied d’études de plus grande envergure. Message à retenir Cette programmation de recherche a mené au développement et à la validation d'outils de mesure qui nous ont permis d’étudier les facteurs favorisant l'adhésion aux principes de la saine alimentation.
应用生理学、营养学和新陈代谢》,打印前。 本文旨在介绍题为 "坚持健康饮食建议:确定措施、决定因素和干预措施 "的研究计划所产生的影响。除了本文介绍的主要成果外,该计划还对研究生的培训产生了重大影响。它还为开发和验证与营养研究相关的测量工具并将其提供给科学界提供了一个独特的机会。最后,该计划还为建立新的合作关系和开展更大规模的研究发挥了杠杆作用。值得铭记的信息 这项研究计划开发并验证了测量工具,使我们能够研究有利于坚持健康饮食原则的因素。
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引用次数: 0
Including supramaximal verification reduced uncertainty in VO2peak response rate. 包括超极大值验证降低了VO2峰值响应率的不确定性。
IF 3.4 4区 医学 Q2 Nursing Pub Date : 2024-01-01 Epub Date: 2023-08-23 DOI: 10.1139/apnm-2023-0137
John R M Renwick, Nicholas Preobrazenski, Michael D Giudice, Paul A Swinton, Brendon J Gurd

Many reports describe using a supramaximal verification phase-exercising at a power output higher than the highest power output recorded during an incremental cardiopulmonary test-to validate VO2max. The impact of verification phases on estimating the proportion of individuals who increased VO2peak in response to high-intensity interval training (HIIT) remains an underexplored area in the individual response literature. This analysis investigated the influence of same-day and separate-day verification phases during repeated measurements (incremental tests-INCR1 and INCR2; incremental tests + supramaximal verification phases-INCR1+ and INCR2+) of VO2peak on typical error (TE) and the proportion of individuals classified as responders (i.e., the response rate) following 4 weeks of HIIT (n = 25) or a no-exercise control period (n = 9). Incorporation of supramaximal verification consistently reduced the standard deviation of individual response, TE, and confidence interval (CI) widths. However, variances were statistically similar across all groups (p > 0.05). Response rates increased when incorporating either one (INCR1 to INCR1+; 24%-48%, p = 0.07) or two (INCR2 to INCR2+; 28%-48%, p = 0.063) supramaximal verification phases. However, response rates remained unchanged when either zero-based thresholds or smallest worthwhile difference response thresholds were used (50% and 90% CIs, all p > 0.05). Supramaximal verification phases reduced random variability in VO2peak response to HIIT. Compared with separate-day testing (INCR2 and INCR2+), the incorporation of a same-day verification (INCR1+) reduced CI widths the most. Researchers should consider using a same-day verification phase to reduce uncertainty and better estimate VO2peak response rate to HIIT.

许多报告描述了使用超最大验证阶段,以高于增量心肺测试期间记录的最高功率输出的功率输出进行锻炼,以验证VO2max。在个体反应文献中,验证阶段对估计因高强度间歇训练(HIIT)而增加VO2峰值的个体比例的影响仍然是一个未充分探索的领域。该分析调查了在重复测量VO2峰值期间(增量测试-INCR1和INCR2;增量测试+超最大验证阶段-INCR1+和INCR2+)的同一天和分开的一天验证阶段对典型误差(TE)的影响,以及在HIIT(n=25)或无运动控制期(n=9)。结合超分子验证持续降低了个体反应、TE和置信区间(CI)宽度的标准偏差。然而,所有组之间的差异在统计学上相似(p>0.05)。当合并一个(INCR1至INCR1+;24%-48%,p=0.07)或两个(INCR2至INCR2+;28%-48%,p=0.063)超最大验证阶段时,应答率增加。然而,当使用基于零的阈值或最小有价值差异响应阈值时,响应率保持不变(50%和90%的CI,均p>0.05)。超最大验证阶段降低了对HIIT的VO2峰值响应的随机变异性。与单独的一天测试(INCR2和INCR2+)相比,当天验证(INCR1+)最大程度地减少了CI宽度。研究人员应该考虑使用当天的验证阶段来减少不确定性,并更好地估计对HIIT的VO2峰值响应率。
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引用次数: 0
Disordered eating is not associated with musculoskeletal injury in university athletes. 大学运动员饮食紊乱与肌肉骨骼损伤无关。
IF 3.4 4区 医学 Q2 Nursing Pub Date : 2024-01-01 Epub Date: 2023-10-10 DOI: 10.1139/apnm-2023-0244
S O'Connell, I Brenner, J L Scheid, S L West

Take home message: Musculoskeletal injuries and disordered eating are prevalent in varsity-level athletes but are not associated in our participants.

带回家的信息:肌肉骨骼损伤和饮食紊乱在大学级别的运动员中很普遍,但在我们的参与者中没有关联。
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引用次数: 0
Serum osmolality measured in fingertip capillary blood is comparable to serum osmolality measured in venous blood. 测定指尖毛细血管的血清渗透压与测定静脉血的血清渗透压相当。
IF 3.4 4区 医学 Q2 Nursing Pub Date : 2024-01-01 Epub Date: 2023-08-08 DOI: 10.1139/apnm-2022-0358
K Bergin-Taylor, M P Funnell, R A Ferguson, S A Mears, L J James

Blood osmolality is considered the gold standard hydration assessment, but has limited application for technical and invasive reasons. Paired antecubital-venous blood and fingertip-capillary blood were collected pre- and 30 min post-drinking 600 mL water in 55 male/female participants. No bias (0.2 mOsmo/kg, limits of agreement = -2.5 to 2.8 mOsmo/kg) was found between sampling methods, with high linear correlation (Spearman's r = 0.95, P < 0.001). Capillary blood sampling offers an accurate less-invasive method for determining serum osmolality than venous blood sampling.

血液渗透压被认为是水合评价的金标准,但由于技术和侵入性原因,应用有限。55名男性/女性受试者在饮用600毫升水前和30分钟后采集配对的婚前静脉血和指尖毛细血管血。采样方法间无偏倚(0.2 mOsmo/kg,一致性限= -2.5 ~ 2.8 mOsmo/kg),线性相关性高(Spearman’s r = 0.95, P
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引用次数: 0
High glycemia and resistin normalized in children with double burden of malnutrition: a cross-sectional study. 营养不良双重负担儿童的高血糖和抵抗素正常化:一项横断面研究。
IF 3.4 4区 医学 Q2 Nursing Pub Date : 2024-01-01 Epub Date: 2023-09-15 DOI: 10.1139/apnm-2023-0183
Joicy Karla Grangeiro Pereira, Rúbia Cartaxo Squizato de Moraes, Ana Lydia Sawaya, José Luiz de Brito Alves, Andrea Rocha Filgueiras, Maria do Carmo Pinho Franco, Vinicius José Baccin Martins

The coexistence of stunting and excess weight in the same individual is defined as a double burden of malnutrition (DBM) and is associated with noncommunicable diseases. In this study, we evaluated the impact of DBM on adipokine concentrations and metabolic profiles in children compared with weight excess alone. Children were allocated to the weight excess group (n = 23) (height-for-age (HAZ) > 0.0 and < 2.0 Z-score and body mass index-for-age (BMI/A) > 1.0 Z-score) or DBM (n = 22) group (HAZ < -1.0 Z-score (including mild stunting) and BMI/A > 1.0 Z-score). Lipid, glycemic profile, resistin, plasminogen activator inhibitor-1, leptin, and adiponectin concentrations were analyzed. Glycemia was significantly higher in the DBM group compared to the weight excess group (5.05 (4.76-5.31) mmol/L vs. 4.57 (4.35-4.81) mmol/L), although no differences were found in insulin and homeostasis model assessment of insulin resistance (HOMA-IR). Adipokine concentrations did not differ between the groups. However, the DBM group showed higher resistin concentrations normalized by body fat mass than those of the weight excess group (1.44 (0.98-1.93) ng/mL vs. 0.76 (0.55-1.45) ng/mL). Insulin and HOMA-IR showed a negative correlation with adiponectin (r = -0.590 and -0.624, respectively, both p < 0.01). DBM was associated with increased glucose and resistin concentrations adjusted by fat mass compared to that associated with excess weight alone. Therefore, this association between mild stunting and weight excess has deleterious potential for long-term metabolic function, highlighting an additional precaution against weight gain in children, especially in those with stunting.

发育迟缓和超重在同一个人身上共存被定义为营养不良的双重负担,并与非传染性疾病有关。在这项研究中,我们评估了DBM对儿童脂肪因子浓度和代谢谱的影响,与单独超重相比。儿童被分为超重组(n=23)(年龄身高(HAZ)>0.0和<2.0 Z评分,年龄体重指数(BMI/A)>1.0 Z评分)或DBM(n=22)组(HAZ<-1.0 Z评分(包括轻度发育迟缓)和BMI/A>1.0 Z分)。分析了脂质、血糖谱、抵抗素、纤溶酶原激活物抑制物-1、瘦素和脂联素的浓度。与超重组相比,DBM组的血糖显著升高(5.05(4.76-5.31)mmol/L对4.57(4.35-4.81)mmol/L),尽管在胰岛素和胰岛素抵抗稳态模型评估(HOMA-IR)方面没有发现差异。两组之间的脂肪因子浓度没有差异。然而,与超重组相比,DBM组显示出更高的抵抗素浓度(1.44(0.98-1.93)ng/mL对0.76(0.55-1.45)ng/mL)。胰岛素和HOMA-IR与脂联素呈负相关(r分别为-0.590和-0.624,均p
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Applied Physiology, Nutrition, and Metabolism
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