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Biomedical subjects

B Gutin

Publications and source records attributed to B Gutin.

At least 73 records · Page 4Linked to original sources

Impact of body fat mass and percent fat on metabolic rate and thermogenesis in men.

To clarify further the independent relationships of body composition parameters to energy expenditure, resting metabolic rate (RMR) and postprandial thermogenesis were studied in four groups who were matched for absolute fat mass (study 1) and relative fatness (study 2). In study 1, five lean [group A, 15.4 +/- 0.6% (+/- SE) body fat] and five obese men (group B, 25.0 +/- 0.9% fat) were matched on body fat mass (13.0 +/- 0.9 vs. 14.4 +/- 0.8 kg, respectively). Fat-free mass (FFM) and total weight were greater for group A than B. RMR was measured for 3 h in the fasted state and after a 720-kcal mixed meal. RMR was greater for group A than B (1.38 +/- 0.08 vs. 1.14 +/- 0.04 kcal/min, P less than 0.05). The thermic effect of food, calculated as 3 h postprandial minus fasting RMR, was greater for group A than B (65 +/- 6 vs. 23 +/- 9 kcal/3 h; P less than 0.05). In study 2, two groups (n = 6 men/group) were matched for percent body fat (33 +/- 1% fat for both) but differed in lean, fat, and total weights: 50.8 +/- 3.1 kg FFM for the lighter (group C) vs. 68.0 +/- 2.8 kg FFM for the heavier (group D) group, P less than 0.05. RMR was lower for group C than D (1.17 +/- 0.06 vs. 1.33 +/- 0.04 kcal/min, P less than 0.05), but the thermic effect of food was not significantly different (31 +/- 3 vs. 20 +/- 6 kcal/3 h).(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗

Cardiorespiratory and subjective responses to incremental and constant load ergometry with arms and legs.

Aerobic exercises in which both arm and legs are used are becoming more popular for conditioning and rehabilitation. In order to clarify our understanding of physiologic and subjective responses to work of this type, two experiments were conducted using legs and/or arms. In the first, incremental cycle ergometry was done with the arms (A), legs (L), and combined, in which either 10% (A-10) or 25% (A-25) of the power output (PO) was done by the arms. Peak rate of oxygen consumption (VO2) and heart rate (HR) were significantly lower for A, but the other three conditions did not differ significantly. Ventilatory breakpoint (VB) was significantly higher for A-10 than for L. The second study used 60 minutes of constant-load work at a PO of approximately 115% of the PO at which the VB occurred in the L incremental test, to stimulate an aerobic training session. During the 60 minutes, VO2 and cardiac output were significantly higher, and systolic blood pressure (SBP) significantly lower for A-25 than for L, with A-10 values generally failing between the two. The HR-SBP products and ratings of perceived exertion were quite similar for the three modes. Thus, assigning some of the PO to the arms allowed a greater metabolic load to be maintained with no greater cardiovascular or subjective strain, suggesting that this type of exercise might be valuable for aerobic conditioning, cardiorespiratory rehabilitation, and weight control.

Adult↗

Thermic effects of food and exercise in lean and obese men of similar lean body mass.

The thermic effect of food at rest, during 30 min of cycle exercise, and postexercise with two sequences of exercise and meal (before or after exercise) was compared in eight lean (mean +/- SE, 12.8 +/- 0.7% body fat) and eight obese men (29.7 +/- 0.6% fat) to determine whether exercise before or after a meal enhances thermogenesis. The groups were matched for age, height, and lean body mass (LBM) in order to study the relationship between thermogenesis and body fat independent of LBM. Metabolic rate was measured by indirect calorimetry on five mornings, in randomized order, after an overnight fast. Treatments on respective days were 1) 3-h rest, no meal; 2) 3-h rest after a 750-kcal mixed meal (14% protein, 31% fat, 55% carbohydrate); 3) during and 3 h after 30 min of cycling, no meal; 4) during and 3 h after 30 min of cycling, meal 30 min before exercise; and 5) 3 h after 30 min of cycling, meal immediately after exercise. The thermic effect of food, which is the fed minus fasted caloric expenditure, was significantly greater for the lean than the obese men under the resting (mean +/- SE 53 +/- 5 vs. 26 +/- 5 kcal over 3 h for the lean and obese groups, P less than 0.01), exercise (26 +/- 4 vs. 4 +/- 2 kcal over 30 min, P less than 0.01), and both postexercise conditions. However, for the lean men the thermic effect of food was significantly greater for the meal-before-exercise than the resting and the meal-after-exercise conditions.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Body composition, not body weight, is related to cardiovascular disease risk factors and sex hormone levels in men.

To clarify the independent relationships of obesity and overweight to cardiovascular disease risk factors and sex steroid levels, three age-matched groups of men were studied: (i) 8 normal weight men, less than 15% body fat, by hydrostatic weighing; (ii) 16 overweight, obese men, greater than 25% body fat and 135-160% of ideal body weight (IBW); and (iii) 8 overweight, lean men, 135-160% IBW, but less than 15% fat. Diastolic blood pressure was significantly greater for the obese (mean +/- SEM, 82 +/- 2 mmHg) than the normal (71 +/- 2) and overweight lean (72 +/- 2) groups, as were low density lipoprotein levels (131 +/- 9 vs. 98 + 11 and 98 + 14 mg/dl), the ratio of high density lipoprotein to total cholesterol (0.207 +/- 0.01 vs. 0.308 +/- 0.03 and 0.302 +/- 0.03), fasting plasma insulin (22 +/- 3 vs. 12 +/- 1 and 13 +/- 2 microU/ml), and the estradiol/testosterone ratio (0.076 +/- 0.01 vs. 0.042 +/- 0.02 and 0.052 +/- 0.02); P less than 0.05. Estradiol was 25% greater for the overweight lean group (40 +/- 5 pg/ml) than the obese (30 +/- 3 pg/ml) and normal groups (29 +/- 2 pg/ml), P = 0.08, whereas total testosterone was significantly lower in the obese (499 +/- 33 ng/dl) compared with the normal and overweight, lean groups (759 +/- 98 and 797 +/- 82 ng/dl). Estradiol was uncorrelated with risk factors and the estradiol/testosterone ratio appeared to be a function of the reduced testosterone levels in obesity, not independently correlated with lipid levels after adjustment for body fat content. Furthermore, no risk factors were significantly different between the normal and overweight lean groups. We conclude that (a) body composition, rather than body weight per se, is associated with increased cardiovascular disease risk factors; and (b) sex steroid alterations are related to body composition and are not an independent cardiovascular disease risk factor.

Adult↗

A survey of diagnostic stress testing centers in New York City.

Exercise electrocardiography (ECG) is widely employed for diagnosis of coronary heart disease (CHD) and for assessment of aerobic fitness prior to starting an exercise training program. This study surveyed stress testing centers in New York City (NYC) to determine practices currently used and to compare these practices with those suggested by the American Heart Association (AHA). A questionnaire was sent to 46 known centers in New York City and 18 responded. Of these, two did not list diagnosis of CHD as one of their purposes and were excluded from the sample, thus leaving 16 to be considered for this report. The most noteworthy findings were: most tests (56%) are conducted on asymptomatic adults, a population in whom the sensitivity and specificity of exercise ECG is relatively poor; only four centers employed qualified exercise physiologists, the profession specifically trained to perform fitness testing and exercise prescription for asymptomatic adults; over 50% of the centers terminate the test in the absence of symptoms when the client reaches a heart rate of 75%-95% of age-predicted maximal, even though maximal testing is suggested by the AHA; most centers did not include submaximal physiological responses in their test reports to clients and referring physicians; and most centers did not have a clearly established plan for handling emergencies. By bringing their practices into closer agreement with recommendations of appropriate professional organizations, testing centers can probably enhance the effectiveness and safety of their services to the public.

American Heart Association↗

Plasma lactate and ventilation thresholds in trained and untrained cyclists.

Six trained male cyclists and six untrained sedentary men were studied to determine whether the plasma lactate threshold (PLT) and ventilation threshold (VT) occur at the same work rate in both fit and unfit populations. The PLT was determined from a marked increase in plasma lactate concentration ([La]) and VT from a nonlinear increase in expired minute ventilation (VE) during incremental leg-cycling tests; work rate was increased 30 W every 2 min until volitional exhaustion. The trained subjects' mean VO2 max (63.8 ml O2 X kg-1 X min-1) and VT (65.8% VO2 max) were significantly higher (P less than 0.05) than the untrained subjects' mean VO2max (35.5 ml O2 X kg-1 X min-1) and VT (51.4% VO2 max). The trained subjects' mean PLT (68.8% VO2 max) and VT did not differ significantly, but the untrained subjects' mean PLT (61.6% VO2 max) was significantly higher than their VT. The trained subjects' mean peak [La] (10.5 mmol X l-1) did not differ significantly from the untrained subjects' mean peak [La] (11.5 mmol X l-1). However, the time of appearance of the peak [La] during passive recovery was inversely related to VO2 max. These results suggest that variance in lactate diffusion and/or removal processes between the trained and untrained subjects may account in part for the different relationships between the VT and PLT in each population.

Adult↗

Recovery energy expenditure for steady state exercise in runners and nonexercisers.

This study examined the effects of intensity, mode of exercise, and aerobic fitness on the energy expended during recovery (recovery oxygen consumption, or rec VO2) following steady state exercise. Eight runners (4 males, 4 females; 22-32 yr) walked at 3.2 and 6.4 km X h-1 and ran at 8.1 and 11.3 km X h-1 (18, 33, 50, and 68% peak VO2). All subjects completed 3.2 km of walking or running each session. Eight sedentary adults (4 male, 4 female; 21-33 yr) completed the 6.4 km X h-1 test. For the runners, net rec VO2 for 3.2, 6.4, 8.1 and 11.3 km X h-1 exercise was (X +/- SE) 12.52 +/- 3.00, 29.53 +/- 5.41, 28.64 +/- 2.91, and 44.27 +/- 5.32 ml X kg-1, respectively, for the recovery period (18-48 min). Differences among group means were significant (P less than 0.05), except between 6.4 and 8.1 km X h-1 walking (29.53 +/- 5.41 and 35.09 +/- 9.39 ml X kg-1). Statements attributing substantial energy expenditure to the recovery period may be misleading to people exercising at levels similar to those described in this study, since the recovery energy expenditure only amounted to approximately 13-71 kJ (3-17 kcal).

Adult↗

Levels of serum sex hormones and risk factors for coronary heart disease in exercise-trained men.

On the basis of previous findings, it has been hypothesized that hyperestrogenemia may be the major predisposing factor for coronary heart disease and that an elevation in the estradiol-to-testosterone ratio, or a closely related hormonal alteration, may cause the expression of risk factors for coronary heart disease. The present study was carried out to investigate whether exercise training, which has been reported to reduce risk factors for coronary heart disease, affects the serum sex hormone levels. The serum sex hormone levels, established risk factors for coronary heart disease, and physical fitness were measured in 10 men who had undergone at least six months of intensive exercise training and in 10 sedentary men of similar age. Despite evidence for a strikingly higher level of physical fitness and a lower level of risk factors in the trained group, no significant difference in mean serum estradiol level was found. Nor did three subjects from the sedentary group show a decrease in estradiol level after three to four months of exercise training. The mean estradiol-to-testosterone ratio, however, was significantly lower in the trained group and might account for the lower level of risk factors in that group. If the hypothesis is correct, exercise training may decrease established risk factors for coronary heart disease without decreasing the risk of coronary heart disease.

Adult↗

Estimation of human body composition by electrical impedance methods: a comparative study.

This study 1) further validated the relationship between total body electrical conductivity (TOBEC) and densitometrically determined lean body mass (LBMd) and 2) compared with existing body composition techniques (densitometry, total body water, total body potassium, and anthropometry) two new electrical methods for the estimation of LBM: TOBEC, a uniform current induction method, and bioelectrical impedance analysis (BIA), a localized current injection method. In a sample of 75 male and female subjects ranging from 4.9 to 54.9% body fat the correlation between LBMd and LBM predicted from TOBEC by use of a previously developed regression equation was extremely strong (r = 0.962), thus confirming the validity of the TOBEC method. LBM predicted from BIA by use of prediction equations provided with the instrument also correlated with LBMd (r = 0.912) but overestimated LBM compared with LBMd in obese subjects. However, no such systematic error was apparent when new prediction equations derived from this heterogeneous sample of subjects were applied. Thus the TOBEC and BIA methods, which are based on the differing electrical properties of lean tissue and fat and which are convenient, rapid, and safe, correlate well with more cumbersome human body composition techniques.

Adolescent↗

Thermic effect of food at rest, during exercise, and after exercise in lean and obese men of similar body weight.

The thermic effect of food at rest, during 30 min of cycle ergometer exercise, and after exercise was studied in eight lean (mean +/- SEM, 10 +/- 1% body fat, hydrostatically-determined) and eight obese men (30 +/- 2% body fat). The lean and obese mean were matched with respect to age, height, weight, and body mass index (BMI) to determine the relationship between thermogenesis and body composition, independent of body weight. All men were overweight, defined as a BMI between 26-34, but the obese had three times more body fat and significantly less lean body mass than the lean men. Metabolic rate was measured by indirect calorimetry under four conditions on separate mornings, in randomized order, after an overnight fast: 3 h of rest in the postabsorptive state; 3 h of rest after a 750-kcal mixed meal (14% protein, 31.5% fat, and 54.5% carbohydrate); during 30 min of cycling and for 3 h post exercise in the postabsorptive state; and during 30 min of cycling performed 30 min after the test meal and for 3 h post exercise. The thermic effect of food, which is the difference between postabsorptive and postprandial energy expenditure, was significantly higher for the lean than the obese men under the rest, post exercise, and exercise conditions: the increments in metabolic rate for the lean and obese men, respectively, were 48 +/- 7 vs. 28 +/- 4 kcal over 3 h rest (P less than 0.05); 44 +/- 7 vs. 16 +/- 5 kcal over 3 h post exercise (P less than 0.05); and 19 +/- 3 vs. 6 +/- 3 kcal over 30 min of exercise (P less than 0.05). The thermic effect of food was significantly negatively related to body fat content under the rest (r = -0.55), post exercise (r = -0.66), and exercise (r = -0.58) conditions. The results of this study indicate that for men of similar total body weight and BMI, body composition is a significant determinant of postprandial thermogenesis; the responses of obese are significantly blunted compared with those of lean men.

Adipose Tissue↗

Physiologic and anthropometric factors underlying endurance performance in children.

This study investigated the relationship between endurance performance and several measures of aerobic, anaerobic, and morphological fitness in 30 girls and 28 boys, 10 to 14 years of age. A multistage treadmill test was used for assessment of VO2 max (ml X kg-1 X min-1) and anaerobic threshold (AT) expressed both in absolute (AT-VO2) and relative (% VO2 max) terms. Anaerobic capacity (AC) was measured in a 30-s cycling task and expressed as kpm . kg of body weight-1 X min-1. Percent fat was estimated from skinfolds. The correlations between these measures and 2-km run time were: -0.73, -0.73, -0.50, -0.77, and 0.55 for VO2 max, AT-VO2, AT-%VO2 max, AC, and percent fat, respectively. When entered into a forward selection multiple regression with run time as the dependent variable, AC accounted for 59.5% of the variance and VO2 max accounted for an additional 6.9%, with AT and percent fat making no significant additional contribution. When the girls and boys were compared, no reliable differences were found for run time and AC. The boys exhibited reliably higher values for VO2 max and AT-VO2. No reliable difference in percent fat was found for the younger boys and girls, but the older girls were significantly fatter than the older boys. Thus, in children 10 to 14 there is a substantial relation between measures of anaerobic and aerobic function, although to some extent they provide independent information about endurance performance.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗

Thermic effect of food during graded exercise in normal weight and obese men.

The thermic effect of food during incremental cycle ergometer exercise was compared in six normal weight and six obese men (mean +/- SEM 104 +/- 5% and 160 +/- 11% ideal body weight, respectively). Graded exercise tests were performed after a 12-h fast and 60 min after the start of a 910 kcal mixed meal, on separate days. The thermic of food during exercise, which is the fed minus the fasting oxygen consumption (VO2), was significantly greater for the normal than the obese men at submaximal intensities from O (unloaded cycling) to 100 W (p less than 0.05). The mean slope of the regressions of VO2 (ml . min-1) on power output (W), which reflects the rate of increase in energy expended relative to increases in external work performed, did not differ significantly between the fed and fasting conditions for either group, but the mean (+/- SEM) intercept was significantly higher for the normal, but not the obese men, in the fed than the fasting state (599 +/- 53 versus 497 +/- 47 ml O2 . min-1 for the normal men and 819 +/- 126 versus 821 +/- 145 ml O2 . min-1 for the obese men). These results indicate that the thermic effect of food during exercise, which is virtually absent in the obese men, does not increase significantly across submaximal power outputs for the normal men and therefore does not reflect a significant reduction in efficiency.

Adult↗

Comparison in man of total body electrical conductivity and lean body mass derived from body density: validation of a new body composition method.

This article reports a study in which total body electrical conductivity (TOBEC) measurements and lean body mass (LBM) estimated from hydrostatic weighing in human subjects were compared. The TOBEC method provides a new approach to assessment of human body composition that is based on the principle that the electrical conductivity of lean tissue is far greater than that of fat. In a sample of 32 men and women varying widely in age (20 to 53 years), body weight (45 to 155 kg), and adiposity (9.5 to 53.0% body fat), the TOBEC measurement was found to be extremely reliable (r = 0.999) and to correlate highly with hydrostatically estimated LBM (r = 0.903, P less than 0.0001). When the TOBEC scores were transformed to provide a single variable; namely, the subject's height times the square root of the TOBEC score, a higher correlation with LBM was obtained (r = 0.943). Taking gender into account further enhanced the prediction of LBM from TOBEC (r = 0.951). These observations strongly reinforce the results of a previous investigation in which high correlations were found between TOBEC and both total body potassium and total body water. Accordingly, this new method promises to provide a useful technique for the evaluation of body composition that is at once simple, rapid, objective, and noninvasive.

Adult↗

Thermic effects of food and exercise in lean and obese women.

The thermogenic responses of ten lean and ten moderately obese women to food, exercise, and food plus exercise were measured using open circuit respirometry for five minutes every half hour for four hours under six conditions: during five minutes of bicycle exercise at a workload of 300 kpm/min with and without eating a 910 kcal mixed meal; cycling at a workload just below the anaerobic threshold with and without food; and at rest with and without food. Over the four-hour period, the thermic effect of food at rest was similar for the lean and obese groups: 50 kcal and 47 kcal, respectively. Eating before exercise increased the exercise metabolic rate by 11% for the lean women and by 4% for the obese women (P less than 0.005). Exercise potentiated the thermic effect of food for the lean women but nor for the obese women: the thermic effect of food was 2.54 times greater during exercise than at rest for the lean group, but only 1.01 times greater for the obese women (P less than 0.005). This reduced response to the combined stimulus of food plus exercise may constitute a subtle metabolic factor associated with obesity.

Adult↗

Lactate accumulation relative to the anaerobic and respiratory compensation thresholds.

Anaerobic thresholds of five male subjects were determined invasively (ATi), from a marked increase in plasma lactate above resting levels (delta La), and noninvasively (ATn), from a nonlinear increase in minute ventilation (VE) during incremental work (IW) leg cycling tests; work rate was increased 30 W every 2 min. Each subject also performed four constant-load work (CLW) tasks just above and just below their ATn and respiratory compensation threshold (RCT), i.e., the point expressed as O2 consumption (VO2) or work rate, at which VE increases disproportionally to CO2 output during IW. In four of the five subjects the ATn preceded the ATi during IW. Yet the ATn delineated the CLW in which marked lactate accumulation did or did not occur. During CLW just above the ATn in these same four subjects, VE/VO2 and fractional expired O2 (FEO2) peaked well before delta La plateaued. These findings suggest that exercise hyperventilation is not necessarily proportional to increases in plasma lactate.

Adult↗

Plasma electrolyte content and concentration during treadmill exercise in humans.

Five healthy males volunteered to exercise for 20 min on a motor-driven treadmill at five submaximal intensities (30, 45, 60, 75, and 90% of VO2 max). Peripheral venous blood samples were drawn from an indwelling catheter prior to and at 9, 14, and 19 min of each exercise bout. Blood samples were assayed for whole-blood hemoglobin, total plasma protein concentrations, and hematocrit, with plasma water concentration calculated from these values. The plasma concentration of the electrolytes sodium (Na+), potassium (K+), total calcium (Catot), ionized calcium (Ca2+), chloride (Cl-), and inorganic phosphorus (Pi) were also determined. With plasma and blood volumes the total plasma contents of each of the measured constituents and the concentration of each electrolyte per liter of water were calculated. Statistically significant linear increases in plasma concentrations of Na+, K+, and Cl- relative to exercise intensity were observed, with linear decreases in plasma contents of Na+ and Cl- and linear increases in K+ content. Plasma Pi concentration decreased with a Pi increased content, with plasma Catot concentration elevated at the highest two work loads. Plasma Catot content increased linearly with exercise intensity and duration. Plasma water concentration and content decreased with exercise intensity, resulting in no change in electrolyte concentration per liter of water except at the highest two exercise intensities. These data suggest that extrapolation from plasma electrolyte concentration to muscle concentration and/or content is not supported. Changes in plasma volume and plasma water must be considered when postulating a role for electrolytes in the physiological responses of the human to exercise.

Adult↗

Physiologic response to endurance work as a function of prior exercise.

Five male subjects performed an endurance task (ET) following 20 min of prior exercise (PE) at work loads corresponding to approximately 30%, 45%, 60% and 75% of VO2 max. There was a 1-min rest interval between the PE and ET. The ET consisted of 10 min of walking at a speed and slope corresponding to 75% of VO2 max after which time the speed was increased by 10 m/min each minute until the subject could no longer continue. Although endurance performance was not significantly influenced by the PE-30 and PE-45, performance following PE-60 and PE-75 was significantly impaired, as was the peak VO2 attained at the end of the ET. Although O2 deficits at the beginning of the ET were reduced by the higher intensities of PE, the plasma lactate levels at the 8th min of the ET were not significantly lower under those conditions since those levels of PE led to some lactate accumulation during the PE itself. VO2 during the last 5 min of the constant load part of the ET was similar in all conditions but PE-75, during which it was higher. It is suggested that although PE might be useful for tasks in which the initial work loads are maximal or supramaximal with respect to VO2, it is of questionable value in endurance tasks that begin at a high but submaximal intensity.

Adult↗