Search PubMed⌕ Search

Biomedical subjects

J R Sutton

Publications and source records attributed to J R Sutton.

At least 145 records · Page 8Linked to original sources

Mitochondrial volume density in human skeletal muscle following heavy resistance training.

Needle biopsies were taken from triceps brachii of 6 healthy males before and after a 6 month intensive weight training programme. The tissue was sectioned, photographed under a Philips EM200 and subjected to stereological analysis. Cross sectional fibre areas were also calculated from cryostat sections stained for ATPase activity. Morphometric analysis indicated that training resulted in a significant 26% reduction in mitochondrial volume density and a 25% reduction in the mitochondrial volume to myofibrillar volume ratio. These changes were accompanied by significant increases in fibre area for both FT (33%) and ST (27%) fibres as determined from the light microscope. There was a significant correlation between the reduction in mitochondrial volume density and the increase in FT fibre area following training (r=0.845). It was concluded that heavy resistance training leads to a dilution of the mitochondrial volume density through an increase in myofibrillar size with hypertrophy.

Adenosine Triphosphatases↗

Control of pulmonary ventilation during exercise and mediators in the blood: CO2 and hydrogen ion.

In reviewing the blood borne "mediators" to ventilation during exercise, our emphasis is on VCO2 and [H+]. We consider that exercise ventilation is more closely linked to VCO2 than to VO2. Lactic acid has a dual effect on ventilation, as it results in an increased CO2 output as well as increased [H+], an independent ventilatory stimulus. Examples from acid-base disturbances hypoxia and training are used to illustrate the relationship of VE to VCO2 and [H+].

Animals↗

Reduced heart rate response to exercise in ischemic heart disease: the fallacy of the target heart rate in exercise testing.

When exercise testing 159 patients with prior myocardial infarction, we identified 39 who were limited by fatigue. This group was all in sinus rhythm; none were taking drugs likely to impair the chronotropic response of the heart; none experienced chest pain or developed ischemic ECG changes. In 18 of this group, maximal heart rate achieved with exercise was 2SD or more below the age predicted value, and their heart rate response to exercise was reduced compared to that of the other 21 whose maximal exercise heart rates were within 2SD of age predicted values. A subgroup of 8 subjects with reduced exercise heart rates was studied before and after vagal blockade. In the 4 subjects whose infarction was inferior, the reduction in heart rate response was more profound and persisted after vagal blockade, suggesting either reduced pacemaker responsivness, due to ischemia or infarction, or autonomic imbalance as possible mechanisms. All 8 showed alinear increases in ventilation at higher power outputs and mean blood lactate postexercise was 7.5 mM/I without vagal blockade. Our findings suggest that a reduced heart rate response to exercise, already shown to imply added coronary risk, may be subdivided aetiologically and possibly prognostically. The use of a "Target Heart Rate" in such patients offers no safety margin, and maximal exercise capacity will be grossly over-estimated if extrapolated from the submaximal heart rate response. A cardiovascular limitation to exercise may be detected by an alinear increase in ventilation.

Adult↗

The energy cost of cross-country skiing among elite competitors.

The energy costs of skiing with the diagonal stride technique was investigated in 15 members of the men's and women's national cross-country ski teams and in 5 recreational skiers. Oxygen uptake was measured directly by means of a portable bag-method for each subject during level skiing at 3 different skiing speeds. The oxygen cost of double poling vs. diagonal stride techniques was also measured in 3 subjects during level skiing. Although a strong linear relationship was found between VO2 and speed of skiing (r = 0.868, p less than 0.001), there was considerable variation even among elite competitors. The VO2-skiing speed relationship was parallel to that obtained for running, but the O2 cost of skiing was found to be 10--12 ml/kg in excess of that predicted for level running at the same speed. On flat terrain, the O2 cost of the double poling technique as used in fast skiing was found to be higher than that for diagonal striding.

Female↗

Noncompliance in an exercise rehabilitation program for men who have suffered a myocardial infarction.

A group of 163 men in the Hamilton, Ont. region who had suffered a myocardial infarction were enrolled in a rehabilitation program of physical activity. These men constituted one cohort of a multicentre collaborative study designed to determine the effects of regular exercise of differing intensity on morbidity and mortality over a 4-year period.The noncompliance rate was 43% for the men who could have participated for 1 year, 46% of whom were classified as noncompliers within 1 month of entry into the program. There was no difference in overall compliance between the men exercising at high intensity and those exercising at low intensity; lack of motivation or interest was the most common reason for their leaving the program. Those leaving the program early tended to have a type A behaviour pattern (they were aggressive, ambitious and competitive, with a chronic sense of time urgency), were inactive during their leisure time, had had at least two previous infarctions and smoked. These characteristics suggest that the men leaving the program early may have been those at greatest risk for a further myocardial infarction.

Adult↗

Ovarian hormonal responses to exercise.

The effects of exercise on estradiol, progesterone, follicle-stimulating hormones (FSH), and luteinizing hormone (LH) were studied in nine healthy females. Subjects were studied during light, heavy, and exhaustive exercise in the midfollicular and midluteal portions of their menstrual cycles. Resting hormone levels followed the expected pattern. Increases in estradiol and progesterone occurred at all intensities of exercise in the luteal phase but only in estradiol at exhaustion in the follicular phase. LH was unchanged with exercise in either phase and FSH increased in the follicular phase but not in the luteal phase. We conclude that exercise is a physiological stimulus to elevations in plasma estradiol, progesterone, and FSH, but not LH. The elevations are more marked in the luteal phase for the steroids and in the follicular phase for FSH. Increases in estradiol and progesterone are related to the intensity of exercise and appear to be independent of pituitary control.

Adult↗

Comparison of the electrocardiographic changes induced by maximam exercise testing with treadmill and cycle ergometer.

Maximum exercise testing using treadmill walking and cycle ergometry was compared in 40 male patients who had suffered a myocardial infarction in the preceeding twelve months. Maximum oxygen uptake was on average 17% greater in the treadmill than the cycle test and maximum heart rate was also higher, but the rate pressure product (RPP) was a similar due to a higher blood pressure in the cycle ergometer test. Eleven subjects showe ST-segment depression greater than 1 min and eight subjects showed ST-segment elevation greater than 1 mm. There was a close relationship (r2 = 0.96) between the magnitude of ST-segment changes in the two tests. Four subjects showing ST depression of 1 mm in the treadmill test showed depression during the cycle ergometer test which was less than this conventionally "positive" value. In these subjects RPP was lower during cycling than in treadmill walking. With both tests maximum ST-segment changes were measured immediately on stopping exercise: resolution of ST depression was more rapid than ST elevation. The two exercise testing modes are closely comparable in their ability to reveal changes of myocardial ischemia.

Adult↗

Hormonal and metabolic responses to exercise in subject of high and low work capacities.

Hormonal and metabolic responses to submaximal were studied in eight normal subjects. Four subjects had high maximal oxygen uptakes (455 +/- 0.49/min) and were classified as "fit" and four had low maximal oxygen uptakes (2.13 +/- 0.32 1/min) and were classified as "unfit". All subjects exercised for 20 minutes at 750 kpm/min on a cycle ergometer, which represented 35% and 85% of the maximal oxygen uptake for the fit and the unfit subjects respectively. The unfit subjects had a higher heart rate and CO2 output at the same oxygen uptake when compared with the fit group. There was a high blood lactate in the unfit subjects and also a greater rise in blood glucose, plasma cortisol and serum growth hormone during exercise in these subjects. Free fatty acids increased in the fit subjects, but not in the unfit and serum insulin was depressed in both groups. Thus, the cardiorespiratory fitness is an important determinant of the hormonal and metabolic response to submaximal exercise, which differed considerably when fit and unfit subjects exercised at identical absolute levels of power output. These differences have implications for the control of energy substrates used during exercise.

Adult↗

Oral and intravenous propranolol during exercise.

The intrinsic sinoatrial (SA) rate at rest and during exercise was measured in 5 normal male subjects after prolonged oral and acute intravenous administration of propranolol and atropine. At rest, the intrinsic SA rate was similar after both oral and intravenous propranolol. At the higher levels of power output on a cycle ergometer, cardiac rate was slower after oral than after intravenous propranolol. When the intravenous study was repeated with the use of an additional dose of propranolol, cardiac rate was lower at comparable levels of power output, but not as low as that after oral propanolol. Differences in responses were interpreted as reflecting varying degrees of beta blockade, the most complete being that after prolonged oral propranolol administration of 320 mg daily. The intravenous dose of propranolol usually used to obtain the "pharmacologically isolated heart" at rest is too small to induce full beta blockade in exercise.

Administration, Oral↗

Reduction of intrinsic sinoatrial frequency and norepinephrine response of the exercised rat.

Physical training is associated with a reduction of intrinsic sinoatrial activity; the present study examined the role of the parasympathetic nervous system in this reduction. Six groups of rats were studied for 10 weeks: inactive control; treadmill exercised; parasympathetic receptor blockade with atropine; exercise plus atropine; parasympathetic receptor stimulation with carbachol; and exercise plus carbachol. In vivo ISF (cardiac frequency 20 min after injection of propranolol and atropine) was measured at 3-week intervals. At the end of 10 weeks the right atrium was excised, in vitro measurements were made of ISF, and chronotropic dose-response curves to acetylcholine and norepinephrine were established. In vivo, ISF was reduced with time, the greatest reduction being found in the exercise plus atropine group; the treadmill-exercised and the atropine-treated groups also had a greater reduction than the control group. In vitro, no differences were observed in acetylcholine responses. The maximum norepinephrine chronotropic response was reduced in the treadmill-exercised and the exercise plus atropine groups. The maximum norepinephrine-induced frequency correlated with the in vitro ISF (r = 0.75). Thus, ISF was reduced with training, but this effect was independent of parasympathetic activity. The properties of the sinoatrial node which set ISF also influenced the maximum norepinephrine response.

Acetylcholine↗

Muscle glycogen repletion after high-intensity intermittent exercise.

Six subjects exercised to exhaustion on a cycle ergometer at intensities corresponding to approximately 140% of their maximal aerobic power. Subjects attempted to pedal for 1-min intervals with 3-min rest periods between, and continued until 30 s of exercise could no longer be maintained. Venous blood was sampled for lactate and glucose analysis. Muscle biopsies were extracted from the quadriceps before and immediately after exercise and at 2-, 5-, 12-, and 24-h intervals thereafter for total glycogen analysis. Three subjects consumed a mixed controlled diet (approx. 3,100 kcal) during the 24 h after exercise, and three consumed the same diet plus an additional 2,500/kcal carbohydrate. Following exercise, glycogen concentration had dropped to a mean value of approximately 28% of its preexercise value. After 2 h, it had recovered to 39%, at 5 h to 53%, at 12 h to 67%, and at 24 h to 102% of its preexercise value, with no difference in resynthesis rate between the two groups. It was concluded that, following glycogen depletion through intense intermittent exercise, complete recovery to preexercise values may be accomplished within 24 h; and that within this time period, the rate of resynthesis cannot be accelerated by a higher than normal carbohydrate intake.

Adult↗