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Interactive effects of low-volume interval exercise and nutrition on glycemic control. 小运动量间歇运动和营养对血糖控制的交互影响。
Pub Date : 2024-07-01 Epub Date: 2024-02-20 DOI: 10.1139/apnm-2023-0591
Jenna B Gillen

Low-volume interval training has been demonstrated to improve indices of 24 h glycemic control using continuous glucose monitoring in individuals with or at risk for metabolic diseases. Nonetheless, there are inconsistencies in the literature with respect to the effects of interval exercise on 24 h glycemia, which may partly result from different nutritional conditions and/or controls adopted across various studies. This current opinion aims to provide a concise overview of the effects of acute and chronic interval exercise on 24 h glycemic control, while also describing how nutrition can influence and modify these responses. Given the distinct impact of dietary intake on blood glucose regulation, the adoption of diverse dietary control strategies during measurement of 24 h glycemia-spanning from using the participant's habitual diet to providing standardized meals customized to individual energy requirements-may contribute to varying conclusions across studies regarding the influence of interval exercise on 24 h glycemia. In addition, nutritional manipulations surrounding exercise, including whether interval exercise commences in the fasted or fed state, the macronutrient composition of post-exercise meals, and the presence of an energy and/or carbohydrate deficit among participants, offer important context when considering the effects of interval exercise on 24 h glycemia. Additional well-controlled studies are warranted to explore the interactive effects of interval exercise and nutrition on 24 h glycemia. These efforts will assist in refining exercise and nutrition recommendations aimed at improving glycemic control.

研究表明,在患有代谢性疾病或有代谢性疾病风险的人群中,使用连续血糖监测仪进行低量间歇训练可改善 24 小时血糖控制指数。然而,关于间歇运动对 24 小时血糖的影响,文献中的研究结果并不一致,部分原因可能是不同研究采用了不同的营养条件和/或控制方法。本报告旨在简要概述急性和慢性间歇运动对 24 小时血糖控制的影响,同时介绍营养如何影响和改变这些反应。鉴于膳食摄入对血糖调节的独特影响,在测量 24 小时血糖时采用不同的膳食控制策略--从使用参与者的习惯膳食到提供根据个人能量需求定制的标准化膳食--可能会导致不同研究就间歇运动对 24 小时血糖的影响得出不同的结论。此外,在考虑间歇运动对 24 小时血糖的影响时,围绕运动进行的营养操作,包括间歇运动是在空腹还是进食状态下开始、运动后膳食的宏量营养素组成以及参与者是否存在能量和/或碳水化合物不足等,都提供了重要的背景。有必要进行更多控制良好的研究,以探索间歇运动和营养对 24 小时血糖的交互影响。这些研究将有助于完善旨在改善血糖控制的运动和营养建议。
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引用次数: 0
A latent profile analysis based on diet quality and eating behaviours in participants of the PREDISE study characterized by a higher BMI. 基于 PREDISE 研究参与者的饮食质量和饮食行为的潜在特征分析,其特点是体重指数较高。
Pub Date : 2024-07-01 Epub Date: 2024-03-25 DOI: 10.1139/apnm-2023-0443
Benoît Boulanger, Catherine Bégin, Alexandra Bédard, Julia Lévy-Ndejuru, Élise Carbonneau, Simone Lemieux

The aim of this study was to identify eating-related latent profiles based on diet quality and eating behaviours within a population characterized by a body mass index (BMI) of at least 25 kg/m2, and to compare metabolic variables between profiles. This analysis was conducted in a sample of 614 adults (45.6% women; 44.8 ± 12.9 years) from the cross-sectional PREDISE study. Participants completed the Three-Factor Eating Questionnaire, the Intuitive Eating Scale-2, the Regulation of Eating Behavior Scale, and three self-administered 24 h food recalls. Waist circumference, blood lipids, blood pressure, and fasting glucose were measured to identify carriers of the metabolic syndrome. A latent profile analysis was performed, and cases of metabolic syndrome were compared between profiles. A three-profile solution was found. Profile 1 (22.8%) was characterized by lower diet quality, lower self-determined motivation for eating, lower restraint, and higher intuitive eating. Profile 2 (44.5%) was characterized by higher diet quality, higher self-determined motivation for eating, higher restraint, lower disinhibition, and higher intuitive eating. Profile 3 (32.7%) was characterized by intermediate diet quality, higher non-self-determined motivation for eating, higher restraint and disinhibition, and lower intuitive eating. We found fewer cases of metabolic syndrome among participants in profile 2 than in the other profiles (p = 0.0001). This study suggests that a profile characterized by a lower disinhibition and higher levels of restraint, intuitive eating, self-determined motivation, and diet quality is associated with a better metabolic health among individuals with a higher BMI.

本研究的目的是在体重指数(BMI)至少为 25 kg/m2 的人群中,根据饮食质量和饮食行为确定与饮食相关的潜在特征,并比较不同特征之间的代谢变量。这项分析以横断面 PREDISE 研究中的 614 名成年人(45.6% 为女性;44.8±12.9 岁)为样本进行。参与者填写了三因素进食问卷、直觉进食量表-2、进食行为调节量表和三次自我管理的 24 小时食物回忆。测量了腰围、血脂、血压和空腹血糖,以确定代谢综合征的携带者。进行了潜在特征分析,并对不同特征的代谢综合征病例进行了比较。结果发现有三种特征。特征 1(22.8%)的特点是饮食质量较低、自我决定饮食动机和节制以及直觉饮食较多。特征 2(44.5%)的特点是饮食质量较高、自我决定进食动机和克制、抑制程度较低和直觉进食较多。特征 3(32.7%)的特点是饮食质量居中,非自我决定的饮食动机、克制和抑制较高,直觉饮食较低。与其他特征相比,我们在特征 2 的参与者中发现了较少的代谢综合征病例(P = 0.0001)。这项研究表明,在体重指数(BMI)较高的人群中,以较低的抑制性和较高的克制性、直觉进食、自决动机和饮食质量为特征的特征与较好的代谢健康相关。
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引用次数: 0
Effects of pre-exercise intake of plant- and animal-based foods on arterial function and aerobic exercise capacity in healthy young men: a randomized cross-over trial. 运动前摄入植物性和动物性食物对健康年轻男性动脉功能和有氧运动能力的影响:随机交叉试验。
Pub Date : 2024-07-01 Epub Date: 2024-02-23 DOI: 10.1139/apnm-2023-0314
Maho Ishiwata, Urara Hata, Yuto Hashimoto, Takanobu Okamoto

The purpose of this study was to examine the effects of plant- versus animal-based food intake before exercise on arterial function and subsequent aerobic exercise capacity. Eleven healthy adult males (mean age, 22.6 ± 1.8 years) participated in this study. A plant- or animal-based randomized meal type crossover comparison was conducted on separate days with a uniform protein, fat, and carbohydrate balance. Both carotid-femoral pulse wave velocity (cfPWV), femoral-ankle pulse wave velocity (faPWV), and brachial artery flow-mediated dilatation (FMD) were measured as indexes of aortic and peripheral arterial stiffness and vascular endothelial function, respectively, before and at 120 min after the meal. After these measurements, maximal oxygen uptake was assessed using a graded power test on an electronically braked cycle ergometer. The results revealed that cfPWV was significantly lower, whereas FMD was significantly higher, at 120 min after compared with before the plant-based meal (p = 0.01 and 0.02, respectively). By contrast, cfPWV and FMD did not change at 120 min after compared with before the animal-based meal. In addition, faPWV did not change at 120 min after compared with before the meal for either meal type. Maximal oxygen uptake was higher in the plant- than in the animal-based meal type (p = 0.02). These results suggest that pre-exercise plant-based food intake may improve central arterial stiffness and vascular endothelial function, which may have favorable implications for aerobic exercise capacity.

本研究旨在探讨运动前摄入植物性食物和动物性食物对动脉功能和随后有氧运动能力的影响。11 名健康成年男性(平均年龄为 22.6 ± 1.8 岁)参加了这项研究。在蛋白质、脂肪和碳水化合物平衡一致的情况下,分别在不同的日子进行了植物性或动物性食物的随机餐型交叉比较。餐前和餐后 120 分钟分别测量了颈动脉-股动脉脉搏波速度(cfPWV)、股动脉-踝动脉脉搏波速度(faPWV)和肱动脉血流介导的扩张(FMD),作为主动脉和外周动脉僵化及血管内皮功能的指标。测量结束后,在电子制动的自行车测力计上进行分级功率测试,评估最大摄氧量。结果显示,与进食植物餐前相比,进食植物餐后 120 分钟的 cfPWV 明显降低,而 FMD 则明显升高(分别为 p = 0.01 和 p = 0.02)。相比之下,120 分钟后的 cfPWV 和 FMD 与进食动物性食物前相比没有变化。此外,无论哪种餐食,餐后 120 分钟的 faPWV 与餐前相比都没有变化。植物餐的最大摄氧量高于动物餐(p = 0.02)。这些结果表明,运动前摄入植物性食物可改善中心动脉僵化和血管内皮功能,从而对有氧运动能力产生有利影响。临床试验注册编号:UMIN000052469:UMIN000052469.
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引用次数: 0
Reduced-exertion high-intensity interval training (REHIT): a feasible approach for improving health and fitness? 减量高强度间歇训练(REHIT):改善健康和体能的可行方法?
Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI: 10.1139/apnm-2024-0024
Richard S Metcalfe, Niels B J Vollaard

In recent years, research investigating the dose-response to sprint interval training (SIT) has provided evidence that the number and duration of repetitions in a SIT session can be reduced whilst preserving the beneficial health-related adaptations. Together this research has led to the development of protocols involving minimal doses of SIT: regularly performing just two or three 20-30 s all-out sprints in a 10 min training session has been shown to elicit beneficial metabolic and cardiovascular adaptations. These SIT protocols, which we originally termed "reduced-exertion high-intensity interval training" (or REHIT), have the potential to remove many of the common barriers associated with other SIT protocols, as well as with HIT and aerobic exercise. Here, we critically review the evidence on the efficacy, feasibility and acceptability, and effectiveness of REHIT for improving health and fitness.

近年来,对短跑间歇训练(SIT)剂量反应的研究证明,可以减少 SIT 训练中的重复次数和持续时间,同时保持有益健康的适应性。这些研究共同促成了涉及最小剂量 SIT 的方案的开发:在 10 分钟的训练课中定期进行 2 或 3 次 20-30 秒的全力冲刺,已被证明能引起有益的代谢和心血管适应。这些 SIT 方案,我们最初称之为 "减少用力 HIT"(或 REHIT),有可能消除与其他 SIT 方案以及 HIT 和有氧运动相关的许多常见障碍。在此,我们对 REHIT 在改善健康和体能方面的功效、可行性、可接受性和有效性的证据进行了严格审查。
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引用次数: 0
Health benefits of interval walking training. 间歇性步行训练对健康的益处
Pub Date : 2024-07-01 Epub Date: 2024-03-20 DOI: 10.1139/apnm-2023-0595
Kristian Karstoft, Ida Kær Thorsen, Jens Steen Nielsen, Thomas Phillip James Solomon, Shizue Masuki, Hiroshi Nose, Mathias Ried-Larsen

Interval walking training (IWT) is a free-living training intervention involving alternating fast and slow walking cycles. IWT is efficacious in improving physical fitness and muscle strength, and reducing factors associated with lifestyle-related diseases. In individuals with type 2 diabetes, IWT improves glycemic control directly through enhanced glucose effectiveness, challenging conventional views on mechanisms behind training-induced improvements in glycemic control. Whereas adherence to IWT in short-term studies is high, ensuring long-term adherence remains a challenge, particularly in populations with chronic diseases and/or overweight/obesity. Long-term studies in real-world settings are imperative to ascertain the widespread effectiveness of IWT and elucidate its impact on hard endpoints.

间歇步行训练(IWT)是一种自由生活的训练干预措施,包括快慢交替的步行循环。IWT 在改善体能、肌肉力量和减少与生活方式相关疾病的因素方面具有显著效果。对于 2 型糖尿病患者来说,IWT 可直接通过提高葡萄糖的有效性来改善血糖控制,这对传统的训练诱导血糖控制改善机制的观点提出了挑战。虽然短期研究中对 IWT 的坚持率很高,但确保长期坚持仍是一项挑战,尤其是在患有慢性疾病和/或超重/肥胖的人群中。为了确定 IWT 的广泛有效性并阐明其对硬终点的影响,在真实世界环境中进行长期研究势在必行。
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引用次数: 0
Developmental changes in motor unit activity patterns: child-adult comparison using discrete motor unit analysis. 运动单元活动模式的发育变化:利用离散运动单元分析法对儿童和成人进行比较。
Pub Date : 2024-07-01 Epub Date: 2024-03-12 DOI: 10.1139/apnm-2023-0339
Stacey Woods, Andrew McKiel, Trent Herda, Panagiota Klentrou, Michael Holmes, David Gabriel, Bareket Falk

Using global surface electromyography (sEMG) and the sEMG threshold it has been suggested that children activate their type-II motor unit (MU) to a lesser extent compared with adults. However, when age-related differences in discrete MU activation are examined using sEMG decomposition this phenomenon is not observed. Furthermore, findings from these studies are inconsistent and conflicting. Therefore, the purpose of this study was to examine differences in discrete MU activation of the vastus lateralis (VL) between boys and men during moderate-intensity knee extensions. Seventeen boys and 20 men completed two laboratory sessions. Following a habituation session, maximal voluntary isometric knee extension (MVIC) torque was determined before completing trapezoidal contractions at 70% MVIC. sEMG of the VL was captured and mathematically decomposed into individual MU action potential trains. Motor unit action potential amplitude (MUAPamp), recruitment threshold (RT), and MU firing rates (MUFR) were calculated. We observed that MUAPamp-RT slope was steeper in men compared with boys (p < 0.05) even after accounting for fat thickness and quadriceps muscle depth. The mean MUFR and y-intercept of the MUFR-RT relationship were significantly (p < 0.001) lower in boys than in men. The slope of the MUFR-RT relationship tended to be steeper in men, but the differences did not reach statistical significance (p = 0.056). Overall, our results suggest that neural strategies used to produce torque are different among boys and men. Such differences may be related, in part, to boys' lower MUFR and lesser ability to activate their higher-threshold MUs. Although, other factors (e.g., muscle composition) likely also play a role.

有研究利用整体表面肌电图(sEMG)和 sEMG 阈值表明,与成人相比,儿童激活其 II 型 MU 的程度较低。然而,当使用 sEMG 分解法研究离散肌单位激活的年龄差异时,却没有发现这一现象。此外,这些研究的结果并不一致且相互矛盾。因此,本研究的目的是考察在中等强度的膝关节伸展运动中,男孩和男人的阔筋膜外肌(VL)离散激活的差异。17 名男孩和 20 名男子完成了两节实验室课程。在进行习惯性训练后,在完成 70% MVIC 的梯形收缩之前测定了最大自愿等长伸膝(MVIC)扭矩。计算出 MUAP 振幅(MUAPamp)、招募阈值(RT)和 MU 发射率(MUFR)。我们观察到,与男孩相比,男性的 MUAPamp-RT 斜率更陡(p
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引用次数: 0
Relationship between COVID-19 pandemic-related experienced stress and lifestyle habits among university students from Québec, Canada. 加拿大魁北克大学生因 COVID-19 大流行而承受的压力与生活习惯之间的关系。
Pub Date : 2024-07-01 Epub Date: 2024-03-22 DOI: 10.1139/apnm-2023-0459
Mathieu Filiatrault, Lise Leblay, Valérie Guay, Chantal Desmarais, Adèle Garnier, Simon Larose, David Litalien, Catherine Mercier, Laure Saulais, Jean-Philippe Drouin-Chartier

Whether COVID-19-related experienced stress influenced lifestyle habits remains to be thoroughly evaluated among university students. This study examined the relationship between COVID-19-related experienced stress and subsequent lifestyle habits among undergraduate students. This cross-sectional study included 708 undergraduate students from Université Laval (Québec, Canada) participating in the Expériences Pandémiques (ExPan) cohort. Data on COVID-19-related experienced stress and lifestyle were self-reported using a questionnaire completed between February and April of 2022. A stress index (SI) was computed by summing scores associated with 31 situational statements related to the pandemic (e.g., not being able to see friends, dealing with job loss). A healthy lifestyle score (HLS) ranging from zero to seven was calculated based on seven lifestyle habits: moderate-to-vigorous physical activity, sleep quality, fruit and vegetable intake, tobacco and electronic cigarette use, alcohol consumption, cannabis use, and hard or sedative-hypnotic drugs use. In multivariable-adjusted models, a negative association between the SI and the HLS was found (β10% increment SI = -0.23, 95% CI = -0.30, -0.16 HLS point; P < 0.0001). The SI was also negatively associated with sleep quality, and fruit and vegetable consumption, while being positively associated with at-risk alcohol consumption, cannabis use, and hard or sedative-hypnotic drug use. Subgroup analyses suggested a negative relationship between the SI and HLS among participants who did not receive academic accommodations (e.g., additional time for evaluations, personal notetaker), but not those who received such accommodations. This study suggests that COVID-19-related experienced stress was negatively associated with healthy lifestyle habits in this cohort of undergraduate students.

与 COVID-19 相关的压力是否会影响大学生的生活习惯还有待深入评估。本研究探讨了大学生中与 COVID-19 相关的压力体验与后续生活习惯之间的关系。这项横断面研究纳入了加拿大魁北克拉瓦尔大学(Université Laval)的 708 名本科生,他们参加了 ExPan(Expériences pandémiques)队列。他们在2022年2月至4月期间通过问卷调查自我报告了与COVID-19相关的压力体验和生活方式数据。压力指数(SI)是由 31 个与大流行相关的情境陈述(如无法与朋友见面、处理失业问题)的相关分数相加计算得出的。健康生活方式评分(HLS)从 0 到 7 不等,根据 7 种生活习惯计算:适度到剧烈运动、睡眠质量、水果和蔬菜摄入量、烟草和电子香烟使用量、饮酒量、大麻使用量以及硬性或镇静催眠药物使用量。在多变量调整模型中,发现 SI 与 HLS 之间存在负相关(10% increment SI=-0.23, 95% CI=-0.30, -0.16 HLS point; P
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引用次数: 0
Interval training and cardiometabolic health in reproductive-aged females. 育龄女性的间歇训练和心脏代谢健康。
Pub Date : 2024-07-01 Epub Date: 2024-03-13 DOI: 10.1139/apnm-2023-0498
T Moholdt, M A J Sujan, E R Ashby, K Beetham

Physical activity and exercise training are especially important for reproductive-aged females as exercise-induced health benefits can also affect their infants. However, levels of physical inactivity remain high among females in this age group, before, during, and after pregnancy. There is a great need for practical and feasible exercise modes to increase adherence to exercise in this population, and interval training may be a time-efficient training modality. Interval training is a form of exercise involving intermittent bouts of intense effort interspersed with recovery periods of rest or lower-intensity exercise. A substantial amount of research indicates that interval training induces superior cardiometabolic health benefits compared with iso-energetic moderate-intensity continuous exercise. This review provides a comprehensive overview of research on interval training interventions in reproductive-aged females across various life stages, focusing on the cardiometabolic health benefits. We discuss the potential role of interval training in premenopausal females with overweight/obesity, polycystic ovary syndrome, and subfertility, as well as the potential influence of oral contraceptives on cardiometabolic adaptations to interval training. Furthermore, this review also highlights recent findings supporting the beneficial role of high-intensity interval training for cardiometabolic health outcomes during pregnancy. In summary, the existing evidence suggests that interval training can improve several cardiometabolic and reproductive outcomes in females spanning different life stages. However, more research is needed to further strengthen the evidence-base for physical activity recommendations for females in their reproductive years of life.

体育锻炼和运动训练对育龄女性尤为重要,因为运动所带来的健康益处也会影响到她们的婴儿。然而,这个年龄组的女性在怀孕前、怀孕期间和怀孕后缺乏体育锻炼的比例仍然很高。因此,亟需切实可行的运动模式来提高这一人群的运动坚持率,而间歇训练可能是一种省时高效的训练方式。间歇训练是一种间歇性高强度运动,中间穿插休息或低强度运动恢复期的运动方式。大量研究表明,与等能量中等强度的持续运动相比,间歇训练对心脏代谢健康的益处更大。本综述全面概述了针对不同生命阶段育龄女性的间歇训练干预研究,重点关注其对心脏代谢健康的益处。我们讨论了间歇训练在绝经前超重/肥胖、多囊卵巢综合症和不孕症女性中的潜在作用,以及口服避孕药对间歇训练的心血管代谢适应性的潜在影响。此外,本综述还重点介绍了支持高强度间歇训练对孕期心脏代谢健康结果有益作用的最新研究结果。总之,现有证据表明,间歇训练可以改善女性不同生命阶段的心血管代谢和生殖健康状况。然而,还需要更多的研究来进一步加强针对育龄期女性体育锻炼建议的证据基础。
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引用次数: 0
Safety and efficacy of a probiotic cocktail containing P. acidilactici and L. plantarum for gastrointestinal discomfort in endurance runners: randomized double-blinded crossover clinical trial. 含有 P. acidilatici 和 L. plantarum 的鸡尾酒益生菌治疗耐力跑运动员肠胃不适的安全性和有效性:随机双盲交叉临床试验。
Pub Date : 2024-07-01 Epub Date: 2024-03-01 DOI: 10.1139/apnm-2023-0449
Sarah Lennon, Thomas Lackie, Adriana Miltko, Zoey C Kearns, Maxime R Paquette, Richard J Bloomer, Anyou Wang, Marie van der Merwe

Probiotics are increasingly used to treat conditions associated with gastrointestinal injury and permeability, including exercise-induced gastrointestinal discomfort. This study assessed safety and efficacy of a probiotic in altering the intestinal milieu and mitigating gastrointestinal symptoms (GIS) in endurance runners. In a double blind, crossover study, 16 runners were randomized to 4 weeks of daily supplementation with a probiotic cocktail containing Pediococcus acidilactici bacteria and Lactobacillus plantarum or placebo. Fasting blood and stool samples were collected for measurement of gut permeability markers, immune parameters, and microbiome analyses. Treadmill run tests were performed before and after treatment; participants ran at 65%-70% of VO2max at 27 °C for a maximum of 90 min or until fatigue/GIS developed. A blood sample was collected after the treadmill run test. In healthy individuals, 4 weeks of probiotic supplementation did not alter health parameters, although a marginal reduction in aspartate aminotransferase levels was observed with probiotic treatment only (p = 0.05). GIS, gut permeability-associated parameters (intestinal fatty acid binding protein, lipopolysaccharide binding protein, zonulin, and cytokines), and intestinal microbial content were not altered by the probiotic supplementation. Post-run measurements of GIS and gut-associated parameters did not differ between groups; however, the observed lack of differences is confounded by an absence of measurable functional outcome as GIS was not sufficiently induced during the run. Under the current study conditions, the probiotic was safe to use, and did not affect gut- or immune-associated parameters, or intestinal symptoms in a healthy population. The probiotic might reduce tissue damage, but more studies are warranted.

益生菌越来越多地被用于治疗与胃肠道损伤和渗透性有关的疾病,包括运动引起的胃肠道不适。本研究评估了益生菌在改变肠道环境和减轻耐力跑运动员胃肠道症状方面的安全性和有效性。在一项双盲交叉研究中,16 名跑步者被随机分配到每天补充含有酸性乳杆菌和植物乳杆菌的鸡尾酒益生菌或安慰剂的环境中,为期 4 周。研究人员收集了空腹血液和粪便样本,用于测量肠道渗透性指标、免疫参数和微生物组分析。在治疗前后进行了跑步机跑步测试;参与者在27°C的温度下以65-70%的VO2max速度跑步,最长时间为90分钟或直到出现疲劳/胃肠道症状。跑步测试后采集血液样本。对健康人来说,补充四周的益生菌不会改变健康参数,尽管仅在益生菌治疗中观察到天门冬氨酸氨基转移酶(AST)水平略有下降(P=0.05)。肠道症状(GIS)、肠道渗透性相关参数(iFABP、LBP、zonulin 和细胞因子)以及肠道微生物含量均未因补充益生菌而发生变化。赛后对 GIS 和肠道相关参数的测量结果在各组之间并无差异;然而,由于在赛跑过程中没有充分诱导 GIS,因此缺乏可测量的功能结果,这就混淆了所观察到的无差异现象。在目前的研究条件下,益生菌的使用是安全的,而且不会影响肠道或免疫相关参数,也不会影响健康人群的肠道症状。益生菌可能会减少组织损伤,但还需要进行更多的研究。
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引用次数: 0
Sex differences in muscle-quality recovery following one week of knee joint immobilization and subsequent retraining. 一周膝关节固定和随后的再训练后肌肉质量恢复的性别差异。
Pub Date : 2024-06-01 Epub Date: 2024-02-21 DOI: 10.1139/apnm-2023-0242
Ryan M Girts, Kylie K Harmon, Gabriela Rodriguez, Jonathan P Beausejour, Jason I Pagan, Joshua C Carr, Jeanette Garcia, Jeffrey R Stout, David H Fukuda, Matt S Stock

This manuscript represents the second phase of a clinical trial designed to examine the effects of knee joint immobilization and retraining on muscle strength and mass. In Phase 2, we examined sex differences in the recovery of multiple indices of muscle quality after a resistance training-based rehabilitation program. Following 1 week of immobilization, 27 participants (16 males, 11 females) exhibiting weakness underwent twice weekly resistance training sessions designed to re-strengthen their left knee. Unilateral retraining sessions utilizing leg press, extension, and curl exercises were conducted until participants could reproduce their pre-immobilization knee extension isometric maximal voluntary contraction (MVC) peak torque. Post-immobilization, both sexes demonstrated impaired MVC peak torque (males = -10.8%, females = -15.2%), specific torque (-9.8% vs. -13.1%), echo intensity of the vastus lateralis (+6.9% vs. +5.9%) and rectus femoris (+5.9% vs. +2.1), and extracellular water/intracellular water ratio (+7.8% vs. +9.0%). The number of retraining sessions for peak torque to return to baseline for males (median = 1, mean = 2.13) versus females (median = 2, mean = 2.91) was not significantly different, though the disparity in recovery times may be clinically relevant. Following retraining, specific torque was the only muscle-quality indicator that improved along with MVC peak torque (males = 20.1%, females = 22.4%). Our findings indicate that measures of muscle quality demonstrate divergent recovery rates following immobilization, with muscle mass lagging behind improvements in strength. Greater immobilization-induced strength loss among females suggests that sex-specific rehabilitation efforts may be justified.

本手稿是一项临床试验的第二阶段,旨在研究膝关节固定和再训练对肌肉力量和质量的影响。在第二阶段,我们研究了以阻力训练为基础的康复计划后肌肉质量多项指标恢复的性别差异。在一周的固定后,27 名参与者(16 名男性,11 名女性)接受了每周两次的阻力训练,旨在重新增强左膝的力量。通过压腿、伸展和卷曲练习进行单侧再训练,直到参与者能够重现固定前的伸膝等距最大自主收缩(MVC)峰值扭矩。活动后,男性和女性的MVC峰值扭矩(男性=-10.8%,女性=-15.2%)、特定扭矩(-9.8% vs. -13.1%)、外侧肌回声强度(+6.9% vs. +5.9%)和股直肌回声强度(+5.9% vs. +2.1)以及细胞外水/细胞内水比率(+7.8% vs. +9.0%)均有所减弱。男性(中位数 = 1,平均值 = 2.13)与女性(中位数 = 2,平均值 = 2.91)恢复到基线峰值扭矩所需的再训练次数没有显著差异,但恢复时间的差异可能与临床相关。再训练后,特定扭矩是唯一一个与 MVC 峰值扭矩一起得到改善的肌肉质量指标(男性 = 20.1%,女性 = 22.4%)。我们的研究结果表明,肌肉质量指标在固定后显示出不同的恢复速度,肌肉质量的改善落后于力量的改善。女性因固定引起的力量损失更大,这表明针对不同性别的康复工作可能是合理的。本研究为前瞻性注册研究:ClinicalTrials.gov NCT05072652。
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Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme
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