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Biomedical subjects

A M Nevill

Publications and source records attributed to A M Nevill.

At least 37 records · Page 2Linked to original sources

Different patterns of brisk walking are equally effective in decreasing postprandial lipaemia.

OBJECTIVE: To compare the effects of different patterns of brisk walking on day-long plasma triacylglycerol concentrations in sedentary adults. DESIGN: A three-trial, repeated measures design in which subjects were studied in the fasted state and throughout a day during which they consumed three standardized, mixed meals. On different occasions, subjects undertook no exercise (control), walked briskly for 10 min before each meal (short walks) or walked briskly for 30min before breakfast (long walk). SUBJECTS: Seven postmenopausal sedentary women and three sedentary men aged between 34 and 66y, with body mass index between 24 and 35 kg/m2. MEASUREMENTS: Plasma concentrations of triacylglycerol, non-esterified fatty acids, glucose and insulin, metabolic rate and whole-body substrate oxidation in the fasted state and at hourly intervals for 3 h after each meal. RESULTS: Postprandial plasma triacylglycerol concentrations were lower (P= 0.009) during the walking trials than during the control trial (average values: control 2.08 +/- 0.28 mmol/l; short walks 1.83 +/- 0.22mmol/l; long walk 1.84 +/- 0.22mmol/l (mean+/-s.e.) but did not differ between the two patterns of walking. The difference between control and walking trials increased as successive meals were consumed (interaction of trial x meal P= 0.03). Plasma triacylglycerol concentration increased during the 3 h after breakfast, changed little after lunch and decreased after the evening meal (interaction of meal x time P=0.001). When both walking trials were treated as one condition, walking increased postprandial fat oxidation (average values: control, 0.066 +/- 0.009 g/min;walking 0.074 +/- 0.008 g/min; P < 0.01). CONCLUSIONS: Thirty minutes of brisk walking, undertaken in one session or accumulated throughout a day, reduces postprandial plasma triacylglycerol concentrations and increases fat oxidation.

Adult↗

Modelling handgrip strength in the presence of confounding variables: results from the Allied Dunbar National Fitness Survey.

Differences in handgrip strength, caused by risk factors such as physical inactivity, will be influenced by 'confounding' variables, e.g. age, body size. The aims of the study were to identify the confounding variables associated with handgrip strength and to assess the benefit that physical activity plays in maintaining grip strength within a population, having adjusted for differences in these confounding variables. The most appropriate linear body size dimension associated with grip strength was height rather than demispan. Non-linear associations with age and body mass were also identified. Handgrip strength peaked in the age group 25 - 34 years for male subjects and in the age group 35 - 44 years for female subjects. Similarly, handgrip strength increased with body mass until it peaked at a body mass of approximately 100 kg for male and 90 kg for female subjects; thereafter a rapid decline in grip strength was observed. Differences in handgrip strength were found to be significantly associated with levels of physical activity even having controlled for differences in age and body size (height, mass and percentage body fat), but the observed association was not linear. The level of physical activity necessary to maintain an optimal level of handgrip strength was found to be a balance of moderate or vigorous occasions of physical activity.

Adult↗

Human erythrocyte and plasma amino acid concentrations during exercise.

PURPOSE: This investigation examined the effects of exercise and maltodextrin (Md) or placebo (Pl) ingestion on plasma and erythrocyte concentrations of amino acids. METHODS: The erythrocyte and plasma concentrations of 17 amino acids, as well as plasma glucose and insulin, were analyzed in eight healthy trained male subjects before, during, and 25 min after 90-min cycle ergometer exercise at 65% peak oxygen uptake. The two treatments involved ingestion of orange-flavored water (Pl) or orange-flavored 10% maltodextrin solution (Md). RESULTS: Two-way ANOVA revealed 1) that plasma concentrations of alanine and tyrosine changed significantly during the treatments, 2) that the plasma concentrations were significantly different between treatments for glycine and threonine, 3) that all erythrocyte concentrations increased significantly throughout the treatments except for arginine and tyrosine, and 4) that there were no significant differences in erythrocyte concentrations between the treatments. Three-way ANOVA highlighted the significant differences in the time responses between plasma and erythrocyte concentrations; the changes in erythrocyte levels from rest being significantly different from plasma for all amino acids except aspartic acid, glycine, and ornithine. Plasma glucose concentrations became elevated and remained above rest values in Md but fell below rest values in Pl: the differences in concentration between treatments were significant. Correspondingly, plasma insulin was significantly higher in Md during exercise. CONCLUSION: These results highlight that far from being slow in the uptake of amino acids, the erythrocyte in fact sequesters amino acids at an appreciable rate during exercise without a corresponding elevation in the plasma amino acids. For a greater understanding of amino acid changes during exercise, the analysis of both plasma and erythrocytes is recommended.

Administration, Oral↗

Modelling the influence of age, body size and sex on maximum oxygen uptake in older humans.

The purpose of this study was to describe the influence of body size and sex on the decline in maximum oxygen uptake (O2,max) in older men and women. A stratified random sample of 152 men and 146 women, aged 55-86 years, was drawn from the study population. Influence of age on O2,max, independent of differences in body mass (BM) or fat-free mass (FFM), was investigated using the following allometric model: O2,max = BMb (or FFMb) exp(a + (c ' age) + (d ' sex)) [epsilon]. The model was linearised and parameters identified using standard multiple regression. The BM model explained 68.8 % of the variance in O2,max. The parameters (+/- s.e.e., standard error of the estimate) for lnBM (0.563 +/- 0.070), age (-0.0154 +/- 0.0012), sex (0.242 +/- 0.024) and the intercept (-1.09 +/- 0.32) were all significant (P < 0.001). The FFM model explained 69.3 % of the variance in O2,max, and the parameters (+/- s.e.e) lnFFM (0.772 +/- 0.090), age (-0.0159 +/- 0.0012) and the intercept (-1.57 +/- 0.36) were significant (P < 0.001), while sex (0.077 +/- 0.038) was significant at P = 0.0497. Regardless of the model used, the age-associated decline was similar, with a relative decline of 15 % per decade (0.984 exp(age)) in O2,max in older humans being estimated. The study has demonstrated that, for a randomly drawn sample, the age-related loss in O2,max is determined, in part, by the loss of fat-free body mass. When this factor is accounted for, the loss of O2,max across age is similar in older men and women.

Aged↗

Modeling growth and maturation changes in peak oxygen uptake in 11-13 yr olds.

The influence of gender, growth, and maturation on peak O(2) consumption (VO(2 peak)) in 11-13 yr olds were examined by using multilevel regression modeling. Subjects were 119 boys and 115 girls, aged 11.2 +/- 0.4 (SD) yr at the onset of the study. Sexual maturation was classified according to Tanner's indexes of pubic hair. VO(2 peak) was determined annually for 3 yr. The initial model identified body mass and stature as significant explanatory variables, with an additional positive effect for age and incremental effects for stage of maturation. A significant gender difference was apparent with lower values for girls, and an age-by-gender interaction indicated a progressive divergence in boys' and girls' VO(2 peak). Subsequent incorporation of the sum of two skinfold thicknesses into the model negated stature effects, reduced the gender term, and explained much of the observed maturity effects. The body mass exponent almost doubled, but the age-by-gender interaction term was consistent with the initial model.

Aging↗

Home advantage in sport: an overview of studies on the advantage of playing at home.

This review identifies the most likely causes of home advantage. The results of previous studies have identified 4 factors thought to be responsible for the home advantage. These can be categorised under the general headings of crowd, learning, travel and rule factors. From the accumulated evidence, rule factors were found to play only a minor role (in a limited number of sports) in contributing to home advantage. Studies investigating the effect of learning factors found that little benefit was to be gained from being familiar with the local conditions when playing at home. There was evidence to suggest that travel factors were responsible for part of the home advantage, provided the journey involved crossing a number of time zones. However, since high levels of home advantage are observed within countries where travel distances are not great. travel factors were not thought to be a major cause of home advantage. The evidence from studies investigating crowd factors appeared to provide the most dominant causes of home advantage. A number of studies provide strong evidence that home advantage increases with crowd size, until the crowd reaches a certain size or consistency (a more balanced number of home and away supporters), after which a peak in home advantage is observed. Two possible mechanisms were proposed to explain these observations: either (i) the crowd is able to raise the performance of the home competitors relative to the away competitors; or (ii) the crowd is able to influence the officials to subconsciously favour the home team. The literature supports the latter to be the most important and dominant explanation. Clearly, it only takes 2 or 3 crucial decisions to go against the away team or in favour of the home team to give the side playing at home the 'edge'.

Humans↗

Fitness, performance, and risk of injury in British Army officer cadets.

The objectives of this study were to investigate the effectiveness of the Commissioning Course (CC) to develop and maintain standards of fitness, to assess capability to perform military tasks, and to determine the relationship between fitness and risk of injury in 106 British Army officer cadets (OCdts). Aerobic fitness, muscular strength, endurance, and body composition were regularly assessed. Performance on four representative military tasks was measured at the end of the CC. All injuries in term 1 were documented. Over the CC, changes in fitness were generally modest and equivocal. Aerobic fitness improved by approximately 10% (p < 0.01), strength by 5 to 9% (p < 0.05 to p < 0.01), and muscular endurance by 55% (p < 0.01). Reductions in fat (p < 0.01) and gains in fat free mass (p < 0.05) averaged 3%. The females demonstrated greater improvements than the males. The majority of OCdts passed the representative military tasks, although females in some trades showed high failure rates. Forty-six percent of OCdts sustained injuries in the first term, resulting in 5% of man-days lost. No gender difference was found in injury rates. The least aerobically fit OCdts sustained more injuries than their fitter counterparts. In conclusion, there is scope for optimizing the effectiveness of the CC to enhance fitness and improve the focus of physical training on maximizing military task performance.

Adult↗

Modelling the relationship between isokinetic muscle strength and sprint running performance.

Muscle strength is thought to be a major factor in athletic success. However, the relationship between muscle strength and sprint performance has received little attention. The aim of this study was to examine the relationship in elite performers of isokinetic muscle strength across three lower limb joints and sprinting performance, including the use of theoretical models. Eight rugby players, eight track sprinters and eight competitive sportsmen, all elite national or regional competitors, performed sprints over 15 m and 35 m with times recorded over 0-15 m and 30-35 m. Isokinetic torque was measured at the knee, hip and ankle joints at low (1.05 rad s(-1)), intermediate (2.09 or 2.62 rad s(-1)) and high (3.14 or 4.19 rad s(-1)) speeds during concentric and eccentric muscle actions. Using linear regression and expressing sprint performance as time, the strongest relationship, for the joint actions and speeds tested, was between concentric knee extension at 4.19 rad s(-1) and sprint performance (0-15 m times: r=-0.518, P< 0.01; 30-35 m times: r=-0.688, P< 0.01). These relationships were improved for 0-15 m, but not for 30-35 m, by expressing torque relative to body mass (0-15 m times: r=-0.581; 30-35 m times: r=-0.659). When 0-15 m performance was expressed as acceleration rather than time, the correlation was improved slightly (r=0.590). However, when the data (0-15 m times) were fitted to the allometric force model proposed by Gunther, 77% of the variance in concentric knee extension torque at 4.19 rad s(-1) could be explained by 0-15 m times, limb length (knee to buttocks) and body mass. The fitted parameters were similar to those from the theoretical model. These findings suggest that the relationship between isokinetic muscle strength and sprint performance over 0-15 m (during the acceleration phase) is improved by taking limb length and body mass into account.

Analysis of Variance↗

Heart rate response to "off-road" running events in female athletes.

INTRODUCTION: Despite the growing popularity of off-road running events, little information is available about the physiological stress of such activities. The demands of such events are unique in terms of the rough surface of the terrain encountered as well as the underfoot vegetation and the gradient. OBJECTIVES: The aim of this study was to investigate the physiological response of female athletes, as measured by heart rate, to three common off-road running events: cross country running (n = 15), fell running (n = 20), and orienteering (n = 25). METHODS: Heart rate responses were recorded during cross country and fell races, and orienteering by means of short range radiotelemetry. Road running (n = 21) was also studied as a reference. RESULTS: The mean heart rates for each event varied with the differing demands of the terrain. The highest (182 (10) beats/minute; mean (SD)) was for road running and the lowest (172 (10) beats/minute) for orienteering. Orienteering evoked a significantly more variable response than all other events (F4,100 = 112.4; p<0.01), with a range of 44 beats/minute (142-186 beats/minute) in the heart rate. This may be due to both the variability of the terrain and the additional technical aspect of this sport. There was a positive trend in the slope of the regression lines of heart rate against time for both road and cross country running, which was not evident in the fell runners or the orienteers. The latter events demonstrated no consistent pattern. CONCLUSIONS: It is concluded that running off-road elicits a heart rate response that varies with the altering demands of surface, vegetation, and gradient.

Adult↗

Modeling developmental changes in strength and aerobic power in children.

The present study examined two contrasting multilevel model structures to describe the developmental (longitudinal) changes in strength and aerobic power in children: 1) an additive polynomial structure and 2) a multiplicative structure with allometric body size components. On the basis of the maximum log-likelihood criterion, the multiplicative "allometric" model was shown to be superior to the additive polynomial model when fitted to the data from two published longitudinal studies and to provide more plausible solutions within and beyond the range of observations. The multilevel regression analysis of study 1 confirmed that aerobic power develops approximately in proportion to body mass, m1/3. The analyses from study 2 identified a significant increase in quadriceps and biceps strength, in proportion to body size, plus an additional contribution from age, centered at about peak height velocity (PHV). The positive "age" term for boys suggested that at PHV the boys were becoming stronger in the quadriceps and biceps in relation to their body size. In contrast, the girls' age term was either negligible (quadriceps) or negative (biceps), indicating that at PHV the girls' strength was developing in proportion to or, in the case of the biceps, was becoming weaker in relation to their body size.

Adolescent↗

Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine.

Minimal measurement error (reliability) during the collection of interval- and ratio-type data is critically important to sports medicine research. The main components of measurement error are systematic bias (e.g. general learning or fatigue effects on the tests) and random error due to biological or mechanical variation. Both error components should be meaningfully quantified for the sports physician to relate the described error to judgements regarding 'analytical goals' (the requirements of the measurement tool for effective practical use) rather than the statistical significance of any reliability indicators. Methods based on correlation coefficients and regression provide an indication of 'relative reliability'. Since these methods are highly influenced by the range of measured values, researchers should be cautious in: (i) concluding acceptable relative reliability even if a correlation is above 0.9; (ii) extrapolating the results of a test-retest correlation to a new sample of individuals involved in an experiment; and (iii) comparing test-retest correlations between different reliability studies. Methods used to describe 'absolute reliability' include the standard error of measurements (SEM), coefficient of variation (CV) and limits of agreement (LOA). These statistics are more appropriate for comparing reliability between different measurement tools in different studies. They can be used in multiple retest studies from ANOVA procedures, help predict the magnitude of a 'real' change in individual athletes and be employed to estimate statistical power for a repeated-measures experiment. These methods vary considerably in the way they are calculated and their use also assumes the presence (CV) or absence (SEM) of heteroscedasticity. Most methods of calculating SEM and CV represent approximately 68% of the error that is actually present in the repeated measurements for the 'average' individual in the sample. LOA represent the test-retest differences for 95% of a population. The associated Bland-Altman plot shows the measurement error schematically and helps to identify the presence of heteroscedasticity. If there is evidence of heteroscedasticity or non-normality, one should logarithmically transform the data and quote the bias and random error as ratios. This allows simple comparisons of reliability across different measurement tools. It is recommended that sports clinicians and researchers should cite and interpret a number of statistical methods for assessing reliability. We encourage the inclusion of the LOA method, especially the exploration of heteroscedasticity that is inherent in this analysis. We also stress the importance of relating the results of any reliability statistic to 'analytical goals' in sports medicine.

Bias↗

Identifying home advantage in international tennis and golf tournaments.

A regression analysis of competitors' tournament results in relation to their world rankings was proposed to identify the effect of home advantage in international 'grand-slam' tennis and 'major' golf tournaments. The results provided little evidence of home advantage in either the grand-slam tennis or the golf tournaments held in 1993. The only possible evidence of home advantage was found in the Wimbledon tennis and the US Open golf championships. Even these findings can be explained, at least partially, by (1) the availability of information concerning the low world rankings of the British tennis players competing at Wimbledon, and (2) selective entry, allowing only the world's top-ranked foreign golfers into the US open golf tournament. In both cases, the lower ranking home competitors have a greater opportunity to perform above their anticipated world rankings. Therefore, provided entry into tennis and golf tournaments is truly 'open' to both the host nation's representatives and foreign competitors alike, home advantage does not appear to be a major factor influencing the competitors' performance in such competitions. These findings may be explained by the relatively objective nature of the scoring systems used in tennis and golf, unlike the subjective influence of refereeing decisions on the results of team-games such as soccer.

Analysis of Variance↗

Accumulated oxygen deficit and shuttle run performance in physically active men and women.

The aim of this study was to establish the validity of using shuttle run performance over 20 m to predict accumulated oxygen deficit. A new high-intensity shuttle run test (HIST) was devised, during which subjects ran to exhaustion at a speed equivalent to 120% of their performance attained during a progressive shuttle run test. The reliability of the new test was examined and found to be acceptable for 18 subjects who performed the test twice on separate days (r = 0.84, P < 0.01, study I). The discriminating ability of the new test was examined by comparing the distance covered by eight sprint- and eight endurance-trained athletes at 120% of their respective progressive shuttle run performances (615 +/- 111 vs 273 +/- 84 m, P < 0.01, study II). The strongest predictor of accumulated oxygen deficit for 27 subjects was found to be the geometric mean of the performances on the new test and on the progressive shuttle run test (r = 0.74, study III). The regression equation for this relationship was then used to estimate the accumulated oxygen deficit for a second group of 16 subjects (study IV). The correlation between the estimated and measured accumulated oxygen deficits was significant (r = 0.79, P < 0.01). The results from studies III and IV were therefore combined with the data from six new subjects to give a regression equation for predictive purposes based on 49 subjects.

Adult↗

Assessing agreement between measurements recorded on a ratio scale in sports medicine and sports science.

OBJECTIVE: The consensus of opinion suggests that when assessing measurement agreement, the most appropriate statistic to report is the "95% limits of agreement". The precise form that this interval takes depends on whether a positive relation exists between the differences in measurement methods (errors) and the size of the measurements--that is, heteroscedastic errors. If a positive and significant relation exists, the recommended procedure is to report "the ratio limits of agreement" using log transformed measurements. This study assessed the prevalence of heteroscedastic errors when investigating measurement agreement of variables recorded on a ratio scale in sports medicine and sports science. METHODS: Measurement agreement (or repeatability) was assessed in 13 studies (providing 23 examples) conducted in the Centre for Sport and Exercise Sciences at Liverpool John Moores University over the past five years. RESULTS: The correlation between the absolute differences and the mean was positive in all 23 examples (median r = 0.37), eight being significant (P < 0.05). In 21 of 23 examples analysed, the correlation was greater than the equivalent correlation using log transformed measurements (median r = 0.01). Based on a simple meta-analysis, the assumption that no relation exists between the measurement differences and the size of measurement must be rejected (P < 0.001). CONCLUSIONS: When assessing measurement agreement of variables recorded on a ratio scale in sports medicine and sports science, this study (23 examples) provides strong evidence that heteroscedastic errors are the norm. If the correlation between the absolute measurement differences and the means is positive (but not necessarily significant) and greater than the equivalent correlation using log transformed measurements, the authors recommend reporting the "ratio limits of agreement".

Epidemiologic Methods↗

A model for phosphocreatine resynthesis.

A model for phosphocreatine (PCr) resynthesis is proposed based on a simple electric circuit, where the PCr store in muscle is likened to the stored charge on the capacitor. The solution to the second-order differential equation that describes the potential around the circuit suggests the model for PCr resynthesis is given by PCr(t) = R - [d1.exp(-k1.t) +/- d2.exp(-k2.t)], where R is PCr concentration at rest, d1, d2, k1, and k2 are constants, and t is time. By using nonlinear least squares regression, this double-exponential model was shown to fit the PCr recovery data taken from two studies involving maximal exercise accurately. In study 1, when the muscle was electrically stimulated while occluded, PCr concentrations rose during the recovery phase to a level above that observed at rest. In study 2, after intensive dynamic exercise, PCr recovered monotonically to resting concentrations. The second exponential term in the double-exponential model was found to make a significant additional contribution to the quality of fit in both study 1(P < 0.05) and study 2(P < 0.01).

Humans↗

Growth hormone responses to treadmill sprinting in sprint- and endurance-trained athletes.

The purpose of the present study was to examine the growth hormone (GH) response to treadmill sprinting in male (M) and female (F) sprint- and endurance-trained athletes. A group of 11 sprint-trained (ST; 6M, 5F) and 12 endurance-trained (ET; 6M, 6F) athletes performed a maximal 30-s sprint on a nonmotorized treadmill. Peak power and mean power expressed in watts or in watts per kilogram body mass were higher in ST than in ET (P < 0.01) and in the men compared to the women (P < 0.01). Serum GH was greater in ST than in ET athletes, but was not statistically significantly different between the men and the women [mean peak GH: ST 72.4 (SEM 12.5) compared to ET 26.3 (SEM 4.9) mU.1(-1), P < 0.01; men 59.8 (SEM 13.3) compared to the women 35.8 (SEM 7.4) mU.1(-1), n.s.]. Plasma ammonia and blood lactate concentrations were higher and blood pH lower during 1 h of recovery after the sprint in ST compared to ET (all P < 0.01). Multiple log linear regression showed that 82% of the variation in the serum peak GH response was explained by the peak power output and peak blood lactate response to the sprint. As serum GH was still approximately ten times the basal value in ST athletes after 1 h of recovery, it is suggested that the exercise-induced increase in GH could have important physiological effects in this group of athletes, including increased protein synthesis and sparing of protein degradation leading to maintained or increased muscle mass.

Adult↗

Factors associated with home advantage in English and Scottish soccer matches.

Using the results from the end-of-season (1992-93) league tables, overall home advantage was confirmed in the eight major divisions of the English and Scottish football leagues. The degree of home advantage was found to vary significantly across the divisions. Furthermore, these divisional differences in home advantage were found to be significantly associated with the mean attendance of each division. In an attempt to understand these findings, every occurrence of two influential events (either a sending-off or penalty scored) reported in a national Sunday newspaper was recorded. The overall frequency of both sendings-off and penalties scored favoured the home side, but again this was not constant across the divisions. In divisions with large crowds, the percentage of home sendings-off was relatively small (30%), compared with no difference (50%) in divisions with smaller crowds. Similarly, the percentage of penalties scored by home sides in divisions with the largest crowds was large ( > 70%), in contrast to little or no advantage in divisions with smaller crowds. Two possible explanations for these findings were proposed. Either larger crowds were able to provoke the away player into more reckless behaviour (real fouls), or influence the referee into believing that the away player had committed more fouls (perceived fouls).

England↗