Medicine & Science in Sports & Exercise最新文献

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Short-Term Warm-Water Immersion for Improving Whole-Body Heat Loss in Older Men. 短期温水浸泡改善老年男性全身热损失。
Medicine & Science in Sports & Exercise Pub Date : 2025-01-17 DOI: 10.1249/mss.0000000000003649
Kristina-Marie T Janetos,Fergus K O'Connor,Robert D Meade,Brodie J Richards,Nick J Koetje,Nathalie V Kirby,James J McCormick,Andreas D Flouris,Glen P Kenny
{"title":"Short-Term Warm-Water Immersion for Improving Whole-Body Heat Loss in Older Men.","authors":"Kristina-Marie T Janetos,Fergus K O'Connor,Robert D Meade,Brodie J Richards,Nick J Koetje,Nathalie V Kirby,James J McCormick,Andreas D Flouris,Glen P Kenny","doi":"10.1249/mss.0000000000003649","DOIUrl":"https://doi.org/10.1249/mss.0000000000003649","url":null,"abstract":"PURPOSEExercise-induced heat acclimation can mitigate age-related reductions in heat-loss capacity, though performing repeated bouts of strenuous exercise in the heat may be untenable for many older adults. While short-term passive heat acclimation (e.g., ≤7 days of warm-water immersion) enhances whole-body heat loss in young adults, evidence of its efficacy in older adults is lacking. Thus, we examined whether 7-days warm-water immersion would improve whole-body heat loss in older adults.METHODSTwelve habitually active older men (median [IQR] age: 68 [64-73] years; peak oxygen uptake (V̇O2peak): 34.1 [29.4-36.1] mLO2·kg-1·min-1) completed 7 consecutive days of ~90-minutes warm-water immersion (~40 °C) with core (rectal) temperature clamped at ~38.5 °C for the final 60 minutes. Before and after the warm-water immersion intervention, whole-body total (evaporative + dry) heat loss was measured via direct calorimetry during three, 30-minute bouts of cycling at increasing fixed rates of metabolic heat production (150, 200, 250 W·m-2), each separated by 15-minutes rest, in a hot-dry environment (40 °C, ~13% relative humidity). Rectal temperature and heart rate were measured continuously.RESULTSFollowing 7 days of warm-water immersion, whole-body total heat loss was elevated by 23 [95% confidence interval: 14, 31] W·m-2 across exercise bouts (acclimation-effect: P < 0.001; interaction: P = 0.598). This was paralleled by reductions in core temperature and heart rate of 0.3 [0.2, 0.4] °C and 11 [8, 14] beats·min-1 (both, acclimation-effect: P < 0.001; interaction: P = 0.288), respectively.CONCLUSIONSSeven consecutive days of warm-water immersion improved whole-body heat loss and reduced core temperature and cardiovascular strain across light-to-vigorous intensity exercise in habitually active older men. Passive heat acclimation may be an efficacious alternative to exercise-heat acclimation to improve heat-loss capacity. Studies are warranted to assess effectiveness in more heat-vulnerable populations.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Five Generations of ActiGraph Devices using an Orbital Shaker. 用轨道激振器比较五代动图设备。
Medicine & Science in Sports & Exercise Pub Date : 2025-01-16 DOI: 10.1249/mss.0000000000003652
Samuel R LaMunion,Joe Nguyen,Robert J Brychta,Richard P Troiano,Karl E Friedl,Kong Y Chen
{"title":"Comparing Five Generations of ActiGraph Devices using an Orbital Shaker.","authors":"Samuel R LaMunion,Joe Nguyen,Robert J Brychta,Richard P Troiano,Karl E Friedl,Kong Y Chen","doi":"10.1249/mss.0000000000003652","DOIUrl":"https://doi.org/10.1249/mss.0000000000003652","url":null,"abstract":"INTRODUCTIONActiGraph accelerometers are used extensively to objectively assess physical activity, sedentary behavior, and sleep. Here, we present an objective validation of five generations of ActiGraph sensors to characterize potential differences in output arising from changes to hardware or firmware.METHODSAn orbital shaker generated accelerations from 0 to 3700 milli-g in a randomized order to test the wGT3X-BT, GT9X, CentrePoint Insight Watch (CPIW) 1.0 and 2.0, and the GT3X+ devices used in the 2011-2014 National Health and Nutrition Examination Survey (NHANES). Absolute (±50 milli-g) and relative (±5%) raw vector magnitude (VM) agreement to a NIST-calibrated accelerometer (3DM) was the primary outcome for static offset (delta from 3DM VM at 0 g), drift (delta VM start - minus end), and dynamic response.RESULTSWe observed inter-generation differences [(Mean ± SD) -27.5 ± 8.7 mg (GT9X) to 4.8 ± 32.0 mg (GT3X+)] and intra-generational variability in static offset that carried over to lower shaker accelerations (< ~1300 milli-g), but these variations were mitigated with post-hoc calibration or integrated units (e.g., counts, MIMS). All generations fell within the ±5% of the 3DM across the tested acceleration range and were within ±50 mg of the 3DM below 3000 milli-g's. Drift was small [0.91 ± 0.27 mg (GT3X+), 0.07 ± 0.31 mg (GT9X)] relative to ≥1000 milli-g VM signal.CONCLUSIONSUsing an orbital shaker and criterion accelerometer we found small differences in the raw output of five ActiGraph generations across a range of accelerations typical of free-living data. However, the devices largely fell within established limits of agreement to the NHANES GT3X+ devices and variability was minimized with auto-calibration or when data was expressed in MIMS or counts.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treadmill Exercise Mitigates Alzheimer's Pathology by Modulating Glial Polarization and Reducing Oligodendrocyte Precursor Cell Perivascular Clustering. 跑步机运动通过调节胶质细胞极化和减少少突胶质前体细胞血管周围聚集减轻阿尔茨海默病的病理。
Medicine & Science in Sports & Exercise Pub Date : 2025-01-16 DOI: 10.1249/mss.0000000000003650
Chongyun Wu,Peibin Zou,Ling Zhu,Shu Feng,Qianting Deng,Timon Cheng-Yi Liu,Rui Duan,Luodan Yang
{"title":"Treadmill Exercise Mitigates Alzheimer's Pathology by Modulating Glial Polarization and Reducing Oligodendrocyte Precursor Cell Perivascular Clustering.","authors":"Chongyun Wu,Peibin Zou,Ling Zhu,Shu Feng,Qianting Deng,Timon Cheng-Yi Liu,Rui Duan,Luodan Yang","doi":"10.1249/mss.0000000000003650","DOIUrl":"https://doi.org/10.1249/mss.0000000000003650","url":null,"abstract":"PURPOSEThis study aimed to investigate the pathological responses of glial cells at different distances from amyloid plaques and the characteristics of oligodendrocyte precursor cells (OPCs) in perivascular clustering. Additionally, it sought to explore the impact of exercise training on AD pathology, specifically focusing on the modulation of glial responses and the effects of OPC perivascular clustering.METHODSThree-month-old C57BL/6 and APP/PS1 mice were divided into four groups: wild-type sedentary, wild-type exercise, sedentary AD, and exercise AD groups. The Barnes maze test was conducted to analyze spatial learning and memory. Enzyme-linked immunosorbent assay (ELISA) analysis, Immunofluorescence staining, Fluro-Jade C staining, TUNEL staining, Sholl analysis, and 3D rendering analysis were employed to detect Aβ 1-42, tau hyperphosphorylation, typical amyloid plaques, abnormal tau phosphorylation, neuronal damage, apoptosis, neurodegeneration, microglial and astrocytic activation and phenotypic polarization, and OPC perivascular clustering.RESULTSBehavioral results revealed that long-term exercise training ameliorated cognitive deficits in APP/PS1 mice. Histopathological analysis showed a reduction in amyloid deposition and decreased tau hyperphosphorylation. Immunofluorescence and Fluro-Jade C staining indicated that exercise attenuated neuronal damage, degeneration, and apoptosis. Sholl and 3D rendering analysis demonstrated that exercise mitigated spatially dependent glial phenotypic changes surrounding amyloid plaques in the AD cortex and hippocampus. Further, immunofluorescence staining revealed that exercise alleviated plaque-associated glial changes in these regions. Exercise also alleviated the reduction of microglial SIRPα and reduced synaptic loss mediated by microglial and astrocyte phagocytosis. Lastly, exercise mitigated OPC senescence and cellular senescence-induced OPC perivascular clustering in AD mice.CONCLUSIONSExercise can counteract AD pathological features by modulating glial responses and reducing OPC senescence and perivascular clustering near amyloid plaques, highlighting its potential as a therapeutic strategy for AD.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Gymnastics Programs with Different Cognitive Loads on Working Memory and Prefrontal Cortex Oxygenation: A Randomized Controlled Trial. 不同认知负荷的体操项目对工作记忆和前额皮质氧合的影响:一项随机对照试验。
Medicine & Science in Sports & Exercise Pub Date : 2025-01-16 DOI: 10.1249/mss.0000000000003648
Chih-Chien Lin,Shih-Chun Kao,Chiao-Ling Hung,Chia-Liang Tsai,Chung-Ju Huang,Yu-Kai Chang,Tsung-Min Hung
{"title":"The Effects of Gymnastics Programs with Different Cognitive Loads on Working Memory and Prefrontal Cortex Oxygenation: A Randomized Controlled Trial.","authors":"Chih-Chien Lin,Shih-Chun Kao,Chiao-Ling Hung,Chia-Liang Tsai,Chung-Ju Huang,Yu-Kai Chang,Tsung-Min Hung","doi":"10.1249/mss.0000000000003648","DOIUrl":"https://doi.org/10.1249/mss.0000000000003648","url":null,"abstract":"PURPOSEThis study used functional near-infrared spectroscopy (fNIRS) to investigate the effects of gymnastics programs with high versus low cognitive load on children's visuospatial working memory (VSWM) and prefrontal cortex (PFC) oxygenation.METHODSEighty-one healthy children aged 7 to 10 from Taipei City were randomly assigned to high cognitive load (HG), low cognitive load (LG), and control (SC) groups. The HG and LG groups underwent an 8-week gymnastics program with different levels of cognitive load, while the SC group participated in a static course. Pre- and post-intervention assessments included VSWM tests and simultaneous monitoring of PFC oxyhemoglobin (HbO) concentration.RESULTSThe results showed time-related improvements in response accuracy and d-prime (d') from the pretest to posttest for both the HG and LG groups but not for the SC group. Additionally, the HG group demonstrated higher response accuracy and d' compared to the SC group at the posttest. Although VSWM-related HbO concentration was higher during task conditions requiring higher WM load compared to low WM load, no intervention effect was found. Further correlation analysis controlling for intervention-related fitness changes revealed positive associations between time-related changes in VSWM performance (response accuracy and d') and HbO concentration across all participants, with a similar correlation between response accuracy and HbO remaining specifically in the HG group but not other groups.CONCLUSIONSThese findings suggest that a 8-week gymnastics program can enhance VSWM performance and such cognitive benefits may be maximized by incorporating higher cognitive loads into the intervention. Despite the positive correlations between time-related changes in PFC oxygenation and VSWM performance, the gymnastics programs did not alter task-related PFC oxygenation, suggesting that intervention-induced VSWM improvement may not be solely dependent on changes in task-related PFC oxygenation.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modulators of Energy Expenditure Accuracy in Adults with Overweight or Obesity: E-MECHANIC Secondary Analyses. 成人超重或肥胖症患者能量消耗准确性的调节因素:E-MECHANIC 二次分析。
Medicine & Science in Sports & Exercise Pub Date : 2024-10-15 DOI: 10.1249/mss.0000000000003583
Rachel Matthews,Christoph Höchsmann,Melissa L Erickson,James L Dorling,Guillaume Spielmann,Neil M Johannsen,Timothy S Church,Corby K Martin
{"title":"Modulators of Energy Expenditure Accuracy in Adults with Overweight or Obesity: E-MECHANIC Secondary Analyses.","authors":"Rachel Matthews,Christoph Höchsmann,Melissa L Erickson,James L Dorling,Guillaume Spielmann,Neil M Johannsen,Timothy S Church,Corby K Martin","doi":"10.1249/mss.0000000000003583","DOIUrl":"https://doi.org/10.1249/mss.0000000000003583","url":null,"abstract":"PURPOSEAmerican College of Sports Medicine (ACSM) metabolic equations are used to estimate energy expenditure (EE) of physical activity and prescribe aerobic exercise to meet EE requirements. Limited evidence supports their accuracy in sedentary adults with overweight or obesity during controlled exercise interventions. The purpose of this study was to compare EE estimated by the ACSM walking equation versus EE measured by indirect calorimetry during a 24-week aerobic exercise intervention, and identify potential modulators for their accuracy.METHODSData from the exercising groups (8 or 20 kcal·kg body weight-1·week-1) of the E-MECHANIC study were utilized in this ancillary analysis (N = 103). Every 2 weeks for the initial 8 weeks and monthly thereafter, EE was measured via indirect calorimetry during absolute (2 mph, 0% grade) and relative (65-85% VO2peak) workload exercise. Resting metabolic rate, VO2peak, and body composition were assessed at baseline and follow-up. An EE offset factor (EOF) was calculated to express measured EE as a percentage of the estimated EE at each workload (EOF < 100% represents an overestimation of ACSM estimated EE).RESULTSThe accuracy of the equation decreased with increasing exercise workload (0.44%, 9.2%, and 20.3% overestimation at absolute, relative, and maximal workloads, respectively, at baseline) and overestimation of EE was greater after the exercise intervention. Furthermore, race, sex, age, fat mass, and VO2peak were identified as modulators for equation accuracy. Greater overestimation of EE was observed in Black compared to white females, particularly at lower exercise workloads.CONCLUSIONSThese findings support future efforts to improve the accuracy of metabolic equations, especially in diverse populations. Researchers should account for exercise efficiency adaptations when using metabolic equations to prescribe exercise precisely.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validity of Wrist-Worn Activity Tracker Heart Rate Detection in Fontan Patients During Exercise. 方坦患者运动时腕戴式活动追踪器心率检测的有效性。
Medicine & Science in Sports & Exercise Pub Date : 2024-09-19 DOI: 10.1249/mss.0000000000003567
Alyson R Pierick,Kelly J Burke,Megan Prusi,Bethany Largent,Sunkyung Yu,Ray E Lowery,Ashley Duimstra,Jesse E Hansen
{"title":"Validity of Wrist-Worn Activity Tracker Heart Rate Detection in Fontan Patients During Exercise.","authors":"Alyson R Pierick,Kelly J Burke,Megan Prusi,Bethany Largent,Sunkyung Yu,Ray E Lowery,Ashley Duimstra,Jesse E Hansen","doi":"10.1249/mss.0000000000003567","DOIUrl":"https://doi.org/10.1249/mss.0000000000003567","url":null,"abstract":"PURPOSEPhysical activity and a healthy lifestyle play an essential role in optimizing long-term health in patients with Fontan physiology. Wrist-worn activity trackers may be useful in medically directed exercise programs for patients with Fontan physiology. The objective of this study was to measure the validity of Garmin and Fitbit activity tracker heart rate detection in patients with Fontan circulation when compared to electrocardiogram (ECG) during cardiopulmonary exercise testing (CPET).METHODS47 Fontan patients undergoing CPET for clinical indications were included and wore activity trackers during CPET. Heart rate via the activity tracker was collected at baseline, maximal exercise, and recovery. Patient heart rates, peak VO2, and peak respiratory exchange ratio (RER) were collected using standard CPET protocols and equipment. Heart rate at each time point was compared between the activity trackers and CPET ECG.RESULTSMedian age of participants was 17.1 years, 15.1 years since Fontan completion. Mean percent of predicted peak VO2 was 56.8%, z-score -3.2 with 61.7% of participants completing a maximal CPET (RER ≥ 1.09). Baseline oxygen saturation mean was 92.9%, 90.0% at maximal exercise. Activity trackers demonstrated mean absolute percentage error < 10% at most time points, comparable with other studies. Demographics, Fontan-associated comorbidities, and echocardiogram findings did not impact the accuracy.CONCLUSIONSConsumer-oriented wrist-worn activity trackers show promising accuracy for heart rate monitoring in medically directed exercise programs for adolescents and young adults with Fontan physiology. Further validation across different exercise modalities is needed.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142246792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Exercise Blood Pressure in Hypertension: Measurement, Mechanisms and Management. 运动血压在高血压中的作用:测量、机制和管理。
Medicine & Science in Sports & Exercise Pub Date : 2024-09-19 DOI: 10.1249/mss.0000000000003569
Katharine D Currie,Martin G Schultz,Philp J Millar,Linda S Pescatello
{"title":"The Role of Exercise Blood Pressure in Hypertension: Measurement, Mechanisms and Management.","authors":"Katharine D Currie,Martin G Schultz,Philp J Millar,Linda S Pescatello","doi":"10.1249/mss.0000000000003569","DOIUrl":"https://doi.org/10.1249/mss.0000000000003569","url":null,"abstract":"Hypertension affects one in three adults globally and is the leading modifiable risk factor for cardiovascular disease. While blood pressure measurements at rest are fundamental to the detection and management of hypertension, abnormal blood pressure responses to exercise, namely an exaggerated exercise blood pressure (EEBP), can provide additional independent information about current and future hypertension risk. This paper summarizes a symposium entitled: \"The Role of Exercise BP in Hypertension: Measurement, Mechanisms and Management\" included at the 2023 American College of Sports Medicine annual meeting, which presented a timely discussion about the clinical utility of EEBP. Here we will summarize the evidence presented by the speakers including considerations for blood pressure measurement during exercise, an overview of EEBP thresholds and discussion about the value of EEBP during submaximal exercise for the identification and management of hypertension, a summary of the potential physiological mechanisms underpinning an EEBP, and a review of exercise prescription guidelines based on new and emerging evidence as they relate to the American College of Sports Medicine's exercise recommendations for hypertension. We conclude by highlighting areas for future research with the overarching goal of improving the measurement and management of hypertension.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142246793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Cannabidiol Ingestion on Thermoregulatory and Inflammatory Responses to Treadmill Exercise in the Heat in Recreationally Active Males. 摄入大麻二酚对热量调节和炎症反应的影响--运动量大的男性在高温下进行跑步机运动时的热量调节和炎症反应
Medicine & Science in Sports & Exercise Pub Date : 2024-09-19 DOI: 10.1249/mss.0000000000003568
Drusus A Johnson,Thomas G Cable,Mark P Funnell,Donald L Peden,Josh Thorley,Mafalda Ferreira de Cunha,Kirsty M Reynolds,Luke Harris,Matt Wood,Tom Chavez-O'Reilly,Joe Carrington,Stephen J Bailey,Tom Clifford,Liam M Heaney,Lewis J James
{"title":"Effects of Cannabidiol Ingestion on Thermoregulatory and Inflammatory Responses to Treadmill Exercise in the Heat in Recreationally Active Males.","authors":"Drusus A Johnson,Thomas G Cable,Mark P Funnell,Donald L Peden,Josh Thorley,Mafalda Ferreira de Cunha,Kirsty M Reynolds,Luke Harris,Matt Wood,Tom Chavez-O'Reilly,Joe Carrington,Stephen J Bailey,Tom Clifford,Liam M Heaney,Lewis J James","doi":"10.1249/mss.0000000000003568","DOIUrl":"https://doi.org/10.1249/mss.0000000000003568","url":null,"abstract":"PURPOSEExertional heat stress can induce systemic endotoxin exposure and a pro-inflammatory cascade, likely impairing thermoregulation. Cannabidiol (CBD) is protective in pre-clinical models of tissue ischaemia and inflammation. Therefore, this study examined the effects of CBD ingestion on exercise-induced thermoregulatory and inflammatory responses.METHODSIn a randomised, double-blinded study, thirteen active males (age 25 ± 5 y; peak oxygen uptake [V̇O2peak] 50.4 ± 3.2 mL/kg/min) ingested 298 mg CBD or placebo 105 minutes before 1 h treadmill exercise (60-65% V̇O2peak) in 32 °C and 50% relative humidity. Core temperature, skin temperature, heart rate, subjective outcomes and sweat loss were assessed during/after exercise. Plasma osmolality, plasma volume changes and plasma markers of intestinal damage (I-FABP), monocyte activation (CD14) and inflammatory cytokine responses (IL-6, IL-8 and TNF-α) were assessed at baseline, pre-exercise, 20- and 90-min post-exercise.RESULTSCore temperature (∆ 1.69 ± 0.48 °C [CBD] and 1.79 ± 0.53 °C [Placebo]) and I-FABP increased during exercise, with no differences between conditions (p > 0.050). Mean (95% CI) CD14 was 1776 (463 to 3090) pg/mL greater 90 min post-exercise in placebo (p = 0.049). Median (interquartile range) peak IL-6 concentration was -0.8 (-1.1, -0.3) pg/mL less in CBD (p = 0.050), whilst the between-conditions difference in IL-6 area under curve was -113 (-172, 27) pg/mL·270 min (p = 0.054).CONCLUSIONSCBD did not affect thermoregulation during exertional heat stress but appeared to elicit minor immunosuppressive effects, reducing CD14 and IL-6 responses, warranting investigation in humans under more severe heat strain and other pro-inflammatory scenarios.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142246794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the Impact of Post-Esophagectomy Exercise on 2- and 5-Year Survival: Findings from the PERFECT Trial. 评估食管切除术后锻炼对 2 年和 5 年生存率的影响:PERFECT 试验结果。
Medicine & Science in Sports & Exercise Pub Date : 2024-09-18 DOI: 10.1249/mss.0000000000003559
David Binyam,J K van Vulpen,R van Hillegersberg,J P Ruurda,G A P Nieuwenhuijzen,E A Kouwenhoven,E van der Wall,R P R Groenendijk,D L van der Peet,C Rosman,B P L Wijnhoven,M I van Berge Henegouwen,H W M van Laarhoven,P D Siersema,Anne M May,A E Hiensch
{"title":"Evaluating the Impact of Post-Esophagectomy Exercise on 2- and 5-Year Survival: Findings from the PERFECT Trial.","authors":"David Binyam,J K van Vulpen,R van Hillegersberg,J P Ruurda,G A P Nieuwenhuijzen,E A Kouwenhoven,E van der Wall,R P R Groenendijk,D L van der Peet,C Rosman,B P L Wijnhoven,M I van Berge Henegouwen,H W M van Laarhoven,P D Siersema,Anne M May,A E Hiensch","doi":"10.1249/mss.0000000000003559","DOIUrl":"https://doi.org/10.1249/mss.0000000000003559","url":null,"abstract":"PURPOSEDespite recent treatment advances, esophageal cancer still has poor survival and a high morbidity. Exploratory evidence suggests that exercise can reduce cancer-related mortality and recurrence rates. Here, we investigated the effects of an exercise intervention in the first year after esophagectomy on survival in participants of the Physical ExeRcise Following Esophageal Cancer Treatment (PERFECT)-trial.METHODSIn the PERFECT-trial, esophageal cancer patients who had undergone esophagectomy were randomized to a 12-week exercise program (EX) or the control group (CG). We assessed 2- and 5-year (progression-free) survival. (Un)adjusted Cox Proportional-Hazards models were used to calculate hazard ratios (HRs) for comparison between the trial arms. Sensitivity analyses, excluding patients with events within the exercise intervention period, were performed.RESULTSIn total, 120 participants (EX = 61; CG = 59) were included in the PERFECT-trial. After 2-year follow-up, no significant difference in the risk of death or progression between EX and CG was found (adjusted HR = 1.65, 95% CI [0.75-3.63] and 1.38, 95% CI [0.76-2.50], respectively). After excluding patients with events during the intervention period (EX = 8; CG = 4), 2-year HRs for death (1.03, 95% CI [0.41-2.56]) and progression (1.26, 95% CI [0.64-2.48]) both decreased and remained insignificant. No significant effects were found on 5-year mortality (1.03, 95% CI [0.57-1.84]) and progression (1.21, 95% CI [0.72-2.04]) either. Sensitivity-analysis resulted in attenuated 5-year HRs for mortality (0.82, 95% CI [0.42-1.58]) and progression (1.08, 95% CI [0.61-1.92]).CONCLUSIONSThe results indicate no benefit of a 12-week exercise program in the first year post-esophagectomy on 2- and 5-year (progression-free) survival in esophageal cancer patients. The absence of beneficial effects may be explained by the relatively short exercise program, which was performed after treatment completion.","PeriodicalId":18500,"journal":{"name":"Medicine & Science in Sports & Exercise","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142246863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mucosal-Associated Invariant T Cell Response To Acute Exercise In Overweight Older Women 超重老年妇女急性运动时粘膜相关的不变T细胞反应
Medicine & Science in Sports & Exercise Pub Date : 2020-07-01 DOI: 10.1249/01.mss.0000682380.99885.c8
L. Bates, E. Hanson, M. Levitt, Bryan Richie, Elise N. Erickson, D. Bartlett, M. Phillips
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引用次数: 1
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