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Feet-heating and calf-heating have opposing effects on glucose tolerance and heart rate variability: a randomized, controlled, crossover trial. 脚加热和小腿加热对葡萄糖耐量和心率变异性的影响截然相反:一项随机对照交叉试验。
Pub Date : 2025-01-01 Epub Date: 2024-10-04 DOI: 10.1139/apnm-2024-0265
Gabriele Sanchez, Dena Prince, Shelby Glasser, Michael Buono, Jochen Kressler, Jeff M Moore

Heat exposure's effect on glucose tolerance depends on the amount of body exposed, likely relating to autonomic nervous system balance. We assessed how partial-body heat exposure at two different levels of the lower extremities affects glucose tolerance and autonomic nervous system balance, measured via heart rate variability. We hypothesized feet-heating would improve glucose tolerance without affecting heart rate variability, while calf-heating would worsen glucose tolerance and decrease heart rate variability compared to a thermoneutral control condition. In a randomized, controlled, crossover trial, healthy participants' (N = 31, 23(3) years, 45% male) glucose tolerance was measured in (A) thermoneutral; (B) feet-heating; and (C) calf-heating conditions. Every 30 min for 2 h, blood glucose, heart rate, heart rate variability, tympanic temperature, thermal comfort scores, and blood pressure were measured. There were significant interactions between condition and time for blood glucose (F (4.6,72.6) = 2.6, p = 0.036), heart rate (F (3.4, 54.5) = 3.5, p = 0.017), heart rate variability (F (4.3,63.2) = 7.5, p < .0001), tympanic temperature (F (8, 268) = 2.4, p = 0.014), and thermal comfort scores (F (8, 248) = 22.1, p < 0.0001). Calf-heating increased 90 min glucose (+12 (95% confidence interval, CI: 3-21) mg/dL, p = 0.013) and decreased heart rate variability throughout (mean decrease: 13%-22%, p < 0.007), while feet-heating lowered 90 min glucose (-7 (95% CI: -16 to +1) mg/dL, p = 0.090) without affecting heart rate variability (p = 0.14-0.99). Blood pressure and body temperature were similar between conditions, but heart rate and thermal comfort scores increased with heating. Calf-heating worsens, while feet-heating may improve, glucose tolerance. Changes in heart rate variability coincided with changes in glucose tolerance despite unchanged body temperature. Whether heart rate variability can be used to monitor autonomic nervous system balance during heating to optimize its acute effect on glycemic indices should be further explored.

热暴露对葡萄糖耐量的影响取决于身体暴露的程度,这可能与自律神经系统的平衡有关。我们评估了下肢两个不同部位的部分身体受热会如何影响葡萄糖耐量和通过心率变异性测量的自律神经系统平衡。我们假设脚部受热会改善葡萄糖耐量,但不会影响心率变异性,而小腿受热则会恶化葡萄糖耐量,并降低心率变异性。在一项随机对照交叉试验中,健康参与者(31 人,23(3)岁,45% 为男性)的葡萄糖耐量在 A)恒温条件下、B)足部加热条件下和 C)小腿加热条件下进行了测量。在 2 小时内,每隔 30 分钟测量一次血糖、心率、心率变异性、耳温、热舒适度评分和血压。血糖(F(4.6,72.6)=2.6,p=.036)、心率(F(3.4,54.5)=3.5,p=.017)、心率变异性(F(4.3,63.2)=7.5,p=.017)在条件和时间之间存在明显的交互作用。
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引用次数: 0
Response to Drs Carl and Naylor-An exploration of physical literacy in Master Athletes. 对Carl和naylor博士的回应——对大师级运动员身体素养的探索。
Jennifer M Jakobi, Garry McCracken
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引用次数: 0
Animal and plant protein usual intakes are not adversely associated with all-cause, cardiovascular disease-, or cancer-related mortality risk: an NHANES III analysis. 动物和植物蛋白的正常摄入量与全因、心血管疾病或癌症相关的死亡风险无负相关:一项NHANES III分析
Yanni Papanikolaou, Stuart M Phillips, Victor L Fulgoni

We used data from NHANES 1988-1994 to examine associations between animal and plant protein usual intakes and IGF-1 concentration with mortality from all causes, cancer, and cardiovascular disease (CVD). Adult data (N = 15 937) were linked with mortality data (N = 3843 events) through 2006. Usual intakes for protein were estimated using the multivariate Markov Chain Monte Carlo method. Hazard ratio (HR) models were fit for mortality types (all-cause, cancer, and CVD) with protein intake measures (per 1 g increase) and IGF-1 concentration (N = 5753). There were no associations between animal protein (HR = 0.99; 95% confidence interval (CI): 0.98-1.01; P = 0.29) or plant protein (HR = 1.02; 95% CI: 0.95-1.10; P = 0.55) intake for all-cause mortality. Similar results were seen for CVD mortality and animal protein (HR = 1.02; 95% CI: 0.99-1.04; P = 0.14) and plant protein (HR = 1.01; 95% CI: 0.91-1.13; P = 0.81). There was an (inverse) association between cancer mortality and animal protein (HR = 0.95; 95% CI: 0.91-1.00; P = 0.04) but no relationship with plant protein (HR = 1.08; 95% CI: 0.93-1.24; P = 0.30). We found no association between concentrations of IGF-1 (N = 5753) for all-cause mortality (HR = 1.00; 95% CI: 0.99-1.00; P = 0.81), CVD mortality (HR = 0.99; 95% CI: 0.99-1.00; P = 0.53) or cancer mortality (HR = 1.00; 95% CI: 0.99-1.00; P = 0.76). Our results remained unchanged when the sample was separated into younger (<65 years) and older (>65, or between 50 and 65 years) cohorts. Our data do not support the thesis that source-specific protein intake is associated with greater mortality risk; however, animal protein may be mildly protective for cancer mortality. Mortality risk was not associated with circulating IGF-1 in any age group.

我们使用NHANES 1988-1994的数据来研究动物和植物蛋白常规摄入量和IGF-1浓度与各种原因死亡率、癌症和心血管疾病(CVD)之间的关系。到2006年,成人数据(N=15,937)与死亡率数据(N=3,843)相关联。使用多元马尔可夫链蒙特卡罗方法估计蛋白质的日常摄入量。风险比(HR)模型适用于蛋白质摄入量(每增加1g)和IGF-1浓度(N=5753)的死亡率类型(全因、癌症和心血管疾病)。动物蛋白与动物蛋白之间无相关性(HR=0.99;95%置信区间[CI]: 0.98-1.01;P=0.29)或植物蛋白(HR=1.02;95% ci: 0.95-1.10;P=0.55)的全因死亡率。CVD死亡率和动物蛋白也出现了类似的结果(HR=1.02;95% ci: 0.99-1.04;P=0.14)和植物蛋白(HR=1.01;95% ci: 0.91-1.13;P = 0.81)。癌症死亡率与动物蛋白呈负相关(HR=0.95;95% ci: 0.91-1.00;P=0.04),与植物蛋白无关(HR=1.08;95% ci: 0.93-1.24;P = 0.30)。我们发现IGF-1浓度(N=5,753)与全因死亡率之间没有关联(HR=1.00;95% ci: 0.99-1.00;P=0.81),心血管疾病死亡率(HR=0.99;95% ci: 0.99-1.00;P=0.53)或癌症死亡率(HR=1.00;95% ci: 0.99-1.00;P = 0.76)。当样本被分成较年轻(65岁,或50-65岁)的队列时,我们的结果保持不变。我们的数据不支持特定来源的蛋白质摄入与更高的死亡风险相关的论点;然而,动物蛋白可能对癌症死亡率有轻微的保护作用。在任何年龄组中,死亡风险与循环IGF-1无关。
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引用次数: 0
The association of SLC16A1 (MCT1) gene polymorphism with body composition changes during weight loss interventions: A randomized trial with sex-dependent analysis. SLC16A1 (MCT1)基因多态性与减肥干预期间体成分变化的关联:一项性别依赖分析的随机试验
Rocío Cupeiro, Pedro J Benito, Teresa Amigo, Domingo González-Lamuño

Monocarboxylates, transported by monocarboxylate transporters (MCTs), have been proposed to influence energy homeostasis and exhibit altered metabolism during exercise. This study investigated the association between the Asp490Glu (T1470A) (rs1049434) polymorphism of the SLC16A1 (MCT1) gene and changes in body composition in males and females with overweight or obesity. The 173 participants (56.6% females) completed a 6-month randomized controlled trial, being assigned to the Supervised Exercise group (strength, endurance, or strength plus endurance training) or the Physical Activity (PA) Recommendations group. Participants were genotypically categorized as Asp/Asp (TT), Asp/Glu (TA), or Glu/Glu (AA). ANCOVA analysis showed main effects for genotype and interaction genotype × group (p < 0.05) for several variables, especially in females. Asp/Asp (TT) females showed greater reductions in total fat mass (-29.30 ± 8.75% change), percentage of body fat (-17.50 ± 8.06% change), and body weight (-13.90 ± 2.62% change) compared with Glu/Glu (AA) (p ≤ 0.020; d ≥ 0.18) and Asp/Glu (TA) (p ≤ 0.050; d ≥ 0.16) females, but only within the PA Recommendations group. Data indicated higher decreases in lean body mass of the Asp/Asp (TT) compared to Glu/Glu (AA) in females (p = 0.067, η2 p = 0.067) and to Asp/Glu (TA) in males (p = 0.026; η2 p = 0.101). Our investigation suggests an association of the single-nucleotide polymorphism with body composition changes especially in females following exercise recommendations, highlighting the importance of supervised training to offset genetic predisposition for different weight loss. Differences in males only appeared for lean body mass, suggesting sex differences for this genetic association. The study underscores the potential influence of MCT1 functionality on human adaptations to weight loss interventions. ClinicalTrials.gov information: registry name, Nutrition and Physical Activity for Obesity (PRONAF); registration number, NCT01116856.

由单羧酸转运体(mct)运输的单羧酸盐被认为影响能量稳态,并在运动过程中表现出代谢改变。本研究探讨了SLC16A1 (MCT1)基因Asp490Glu (T1470A) (rs1049434)多态性与超重或肥胖男性和女性身体组成变化之间的关系。173名参与者(56.6%为女性)完成了为期6个月的随机对照试验,被分配到监督运动组(力量、耐力或力量加耐力训练)或体力活动(PA)推荐组。参与者的基因典型分类为Asp/Asp (TT)、Asp/Glu (TA)或Glu/Glu (AA)。ANCOVA分析显示基因型和交互作用基因型x组的主要影响因素(p . 842)
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引用次数: 0
Sedentary time in older adults: absolute versus relative measures and their respective association with health conditions and multimorbidity. 老年人久坐时间:绝对与相对测量及其与健康状况和多病的相关性
René Maréchal, Ahmed Ghachem, Isabelle J Dionne

Older adults (OA) accumulate a greater amount of sedentary time (ST) compared to other subgroups of the population, which is associated with deleterious effects on multiple health outcomes and mortality. This study compared absolute sedentary behavior time (ASBT), which is generally used in studies, to relative SB time (RSBT), defined as the percentage of daily wake time, for their respective association with health conditions and multimorbidity. Two-thousand-four-hundred-sixty-one older adults (65-79 years) participated in the Canadian Health Measures Survey (2007-2017) and wore an accelerometer for ≥4 days, including a weekend day. Information regarding six health condition categories was extracted: cancer, cardiovascular, metabolic, musculoskeletal, psychological, and pulmonary. We combined these health conditions to create a multimorbidity variable. Participants were divided into ASBT quartiles and RSBT quartiles. Comparing the most sedentary (Q4) to the least sedentary (Q1) groups, we found no significant associations with any health conditions for ASBT. However, the same comparison for RSBT showed that RSBT-Q4 (the most sedentary; n = 660), compared to RSBT-Q1 (n = 660), was associated with a significant (p < 0.01) greater prevalence of cancer (160 > 110), cardiovascular (422 > 326), metabolic (276 > 194), and musculoskeletal (407 > 345), as well as multimorbidity (462 > 350). After adjusting for confounding factors (moderate to vigorous physical activity, housing, income, education level, relationship status, accelerometer wear season, and status of drinking and smoking), these associations persisted with the exception of musculoskeletal conditions. These results demonstrate that RSBT could be more appropriate to capture the association between a sedentary lifestyle and health profiles in older adults.

与人口的其他亚群相比,老年人(OA)积累了更多的久坐时间(ST),这与多种健康结果和死亡率的有害影响有关。本研究比较了研究中通常使用的绝对久坐行为时间(ASBT)和相对SB时间(RSBT),定义为每天清醒时间的百分比,它们各自与健康状况和多重疾病的关系。261名老年人(65至79岁)参加了加拿大健康措施调查(2007-2017),佩戴加速度计≥4天,包括周末一天。提取了有关六类健康状况的信息:癌症、心血管疾病、代谢疾病、肌肉骨骼疾病、心理疾病和肺病。我们将这些健康状况结合起来,创造了一个多病变量。参与者被分为ASBT四分位数和RSBT四分位数。比较久坐(Q4)组和最少久坐(Q1)组,我们发现ASBT与任何健康状况没有显著关联。然而,同样对RSBT的比较显示,RSBT- q4(最久坐;n=660),与RSBT-Q1 (n=660)相比,与显著(p110)、心血管(422>326)、代谢(276>194)和肌肉骨骼(407>345)以及多发病(462>350)相关。在调整了混杂因素(中度至剧烈体育活动、住房、收入、教育水平、关系状况、加速度计佩戴季节、饮酒和吸烟状况)后,这些关联仍然存在,但肌肉骨骼状况除外。这些结果表明,RSBT可能更适合捕捉久坐不动的生活方式与老年人健康状况之间的联系。
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引用次数: 0
Role of visceral adiposity in the relationship between cardiorespiratory fitness and liver fat in asymptomatic adults. 在无症状成人中,内脏脂肪在心肺健康和肝脏脂肪之间的关系中的作用。
Dominic J Chartrand, Eric Larose, Paul Poirier, Patrick Mathieu, Natalie Alméras, Philippe Pibarot, Benoît Lamarche, Caroline Rhéaume, Isabelle Lemieux, Jean-Pierre Després, Marie-Eve Piché

Excess liver fat (LF) is associated with low cardiorespiratory fitness (CRF), low physical activity, and a deteriorated cardiometabolic health profile including increased visceral adipose tissue (VAT). Whether the association between LF and CRF is mediated by visceral adiposity is unknown. We studied the contribution of VAT to the relationship between CRF and LF in asymptomatic women and men. The sample included 320 participants (43% women) who underwent LF quantification by magnetic resonance spectroscopy. VAT was measured by magnetic resonance imaging, CRF using maximal cardiorespiratory exercise testing, and moderate-to-vigorous intensity physical activity (MVPA) using a 3-day journal. Mean age was 50.3 ± 8.6 years, waist circumference was 89.3 ± 11.4 cm, and LF content was 4.3 ± 5.7%. LF was inversely correlated with CRF (p < 0.0001), MVPA (p < 0.05) and cardiometabolic health score (p < 0.0001), and positively related with VAT (p < 0.0001) in both sexes. Significantly higher levels of VAT (p < 0.0001) and subcutaneous adipose tissue (p < 0.0001) and a worsening cardiometabolic health score (p < 0.05) and CRF (p = 0.0001) were found across increasing sex-specific tertiles of LF levels. Lower levels of LF (p < 0.01) and VAT (p < 0.0001) and a higher cardiometabolic health score (p < 0.0001) and MVPA (p < 0.05) were noted across increasing sex-specific CRF tertiles. Multivariable regression analyses showed that visceral adiposity explained the majority of the variance in LF in both sexes (p < 0.0001). Finally, serial mediation analyses revealed that VAT but not body fat percentage was a mediator in the relationship between CRF and LF in both sexes. Thus, visceral adiposity appears to be an important mediator in the relationship between CRF and LF, even after controlling for total adiposity.

肝脏脂肪过多(LF)与低心肺适能(CRF)、低体力活动和心脏代谢健康状况恶化(包括内脏脂肪组织(VAT)增加)有关。LF和CRF之间的关联是否由内脏脂肪介导尚不清楚。我们研究了VAT对无症状成人CRF和LF之间关系的贡献。样本包括320名参与者(43%为女性),他们通过磁共振波谱法进行了LF量化。VAT采用磁共振成像测量,CRF采用最大心肺运动测试,中度至高强度体力活动(MVPA)采用3天日记测量。平均年龄50.3±8.6岁,腰围89.3±11.4 cm, LF含量4.3±5.7%。LF与CRF呈负相关(p
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引用次数: 0
Curricula within Ontario universities as it relates to the profession of kinesiology. 安大略大学的课程与运动机能学专业相关。
Leslie E Auger, Michelle Van, John Srbely

An undergraduate degree in kinesiology is one of the requirements to become a registered kinesiologist in Ontario, Canada. This study examined the alignment among 31 four-year honours degrees offered at 18 post-secondary institutions across Ontario and competencies associated with the profession of kinesiology. Curricula were analyzed against 14 essential competencies set by the College of Kinesiologists of Ontario and nine additional competencies related to the practice of kinesiology. The type of course (core or elective), presence of a lab, and lab hours per week were recorded. All degrees evaluated covered 79% (11/14) of the essential competencies and 33% (3/9) of the additional competencies. Notably, only five essential competencies and no additional competencies were universally met through core coursework alone; coverage occurred via core courses, electives, or a combination. Lab components were consistently associated with anatomy, biomechanics, exercise physiology, and assessment courses. Hands-on training hours, especially placement/clinical experience, varied significantly among degrees. Overall, these data highlight curricular breadth and variability in kinesiology degrees, and the diversity of elective choices to prepare students for the range of opportunities available to them after graduation. Kinesiology as a profession has a broad scope of practice and kinesiology degrees are not directly aligned with this role.

拥有运动机能学的本科学位是成为加拿大安大略省注册运动机能学家的要求之一。这项研究调查了安大略省18所高等院校提供的31个四年制荣誉学位的一致性,以及与运动学专业相关的能力。根据安大略省运动机能学学院设定的14项基本能力和9项与运动机能学实践相关的附加能力,对课程进行了分析。课程类型(核心课程或选修课)、实验室的存在以及每周的实验时间都被记录下来。所有评估的学位涵盖了79%(11/14)的基本能力和33%(3/9)的额外能力。值得注意的是,只有5项基本能力,而没有其他能力是通过核心课程得到普遍满足的;覆盖范围通过核心课程,选修课,或组合。实验组成部分始终与解剖学、生物力学、运动生理学和评估课程相关。实践培训时间,特别是实习/临床经验,因学位而异。总的来说,这些数据突出了运动机能学学位课程的广度和可变性,以及选修选择的多样性,为学生毕业后提供的各种机会做好准备。运动机能学作为一种专业具有广泛的实践范围,而运动机能学学位与这一角色并不直接一致。
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引用次数: 0
Exercise preferences and perceptions of women during the menopausal transition. 绝经期妇女的运动偏好和观念。
Leah Kaluta, Emma O Billington, Meghan H McDonough, Lauren A Burt, Leigh Gabel

High-intensity resistance and impact training (HiRIT) may be more effective than low- to-moderate-intensity resistance training for improving bone health. However, it is unclear if women want to participate in HiRIT interventions. We developed an electronic survey and distributed it to Canadian women aged 40-60 years via social media. The primary objective was to understand how women in peri-menopause, early post-menopause, and late post-menopause perceive resistance training and their interest in participating in a HiRIT protocol designed to reduce bone loss and menopausal symptoms. Our second objective was to determine whether current exercise preferences, motivators, and barriers differed across the menopause continuum. The survey included questions to determine menopausal status, exercise perceptions and preferences, and demographics. 1648 women responded to the advertisements, 1007 started the survey, 996 consented, 975 were eligible, and 739 completed the survey. Of the completed respondents, 628 respondents were in peri-menopause (46.7%), early post-menopause (31.5%), or late post-menopause (21.8%). 86.5% of women expressed interest in participating in a resistance training protocol to improve bone health, and 71.8% were interested in participating in a HiRIT study targeting bone health and menopause symptoms. Key motivators of exercise were improving or maintaining general health (17.4%) and strength (15.2%). The main barriers were lack of time (23.6%) and cost (14.3%), with no differences between menopausal status. Peri- and post-menopausal women are interested in resistance training, aiming to improve bone health and reduce menopausal symptoms. This information will be used to develop a HiRIT program for women during the menopause transition.

高强度阻力和冲击训练(HiRIT)可能比中低强度阻力训练更有效地改善骨骼健康。然而,尚不清楚女性是否愿意参与HiRIT干预。我们开发了一项电子调查,并通过社交媒体分发给40-60岁的加拿大女性。主要目的是了解绝经前后、早期和晚期的妇女如何感知阻力训练,以及她们对参与HiRIT方案的兴趣,该方案旨在减少骨质流失和更年期症状。我们的第二个目标是确定当前的运动偏好、动机和障碍是否在更年期连续体中有所不同。该调查包括确定更年期状况、运动认知和偏好以及人口统计学的问题。1648名女性对广告做出了回应,1007名女性开始了调查,996名女性表示同意,975名女性符合条件,739名女性完成了调查。在完成的调查对象中,628人处于绝经期(46.7%)、绝经早期(31.5%)或绝经后期(21.8%)。86.5%的女性表示有兴趣参加阻力训练方案以改善骨骼健康,71.8%的女性有兴趣参加针对骨骼健康和更年期症状的HiRIT研究。运动的主要动机是改善或保持整体健康(17.4%)和力量(15.2%)。主要障碍是缺乏时间(23.6%)和费用(14.3%),绝经状态之间无差异。围绝经期和绝经后妇女对阻力训练感兴趣,旨在改善骨骼健康和减少更年期症状。这些信息将用于为更年期过渡期间的妇女制定HiRIT方案。
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引用次数: 0
Effects of quercetin ingestion on neuromuscular system following single session of resistance exercise at differing intensities in older adults. 老年人单次不同强度阻力运动后槲皮素摄入对神经肌肉系统的影响。
Taichi Nishikawa, Ryosuke Takeda, Marino Karaki, Kaito Igawa, Kohei Watanabe

The purpose of this study was to investigate whether quercetin ingestion increases the decline in muscle contractile capacity due to a single resistance exercise session at differing intensities. Thirty-eight older adults took part in this study. They were divided into three intensity groups: low- (LI), moderate- (MI), and high-intensity (HI) groups. Each participant completed two single resistance exercise sessions of resistance exercise at 40 (LI), 60 (MI), or 80 (HI) percent of maximal voluntary contraction. Before each session, they ingested either a placebo or quercetin glycoside (500 mg). Motor unit behavior and electrically elicited contraction torque were measured by high-density electromyography and neuromuscular electrical stimulation at pre-ingestion, post-ingestion, and post-exercise. Quercetin ingestion decreased the motor unit recruitment thresholds from pre- to post-ingestion (p < 0.001). The decline in electrically elicited contraction torque following exercise was greater with quercetin than placebo ingestion in LI and MI groups (low: p = 0.014; moderate: p = 0.025), but not in the HI group (p = 0.792). The greater the decline of electrically elicited contraction torque following exercise by quercetin ingestion, the greater the decrease in the recruitment threshold of motor units with a higher threshold by quercetin ingestion in LI and MI groups (low: p = 0.047, rs = 0.566; moderate: p = 0.011, rs = 0.692), but not in the HI group (p = 0.228). These results suggest that quercetin ingestion accelerates the decline in muscle contractile capacity following low- or moderate-intensity resistance exercise, possibly due to the additional recruitment of higher-threshold motor units.

本研究的目的是调查槲皮素的摄入是否会增加肌肉收缩能力的下降,这是由于单次不同强度的阻力运动引起的。38名老年人参加了这项研究。他们被分为三个强度组:低(LI)、中(MI)和高(HI)组。每个参与者在最大自愿收缩的40 (LI)、60 (MI)或80 (HI) %时完成两次单阻力运动。在每次治疗前,他们要么服用安慰剂,要么服用槲皮素糖苷(500毫克)。在进食前、进食后和运动后,通过高密度肌电图和神经肌肉电刺激测量运动单位行为和电诱导收缩扭矩。槲皮素摄入降低了运动单位招募阈值(p
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引用次数: 0
Discussion of "Animal and plant protein usual intakes are not adversely associated with all-cause, cardiovascular disease-, or cancer-related mortality risk: an NHANES III analysis". 讨论“动物和植物蛋白的通常摄入量与全因、心血管疾病或癌症相关的死亡风险无负相关:一项NHANES III分析”。
Miguel López-Moreno
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引用次数: 0
期刊
Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme
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