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Biomedical subjects

L Cordain

Publications and source records attributed to L Cordain.

At least 37 records · Page 2Linked to original sources

Physical activity, energy expenditure and fitness: an evolutionary perspective.

The model for human physical activity patterns was established not in gymnasia, athletic fields, or exercise physiology laboratories, but by natural selection acting over eons of evolutionary experience. This paper examines how evolution has determined the potential for contemporary human performance, and advances the experience of recently-studied hunter-gatherers as the best available (although admittedly imperfect) indicator of the physical activity patterns for which our genetically determined biology was originally selected. From the emergence of the genus Homo, over 2 million years ago (MYA), until the agricultural revolution of roughly 10000 years ago our ancestors were hunter-gatherers, so the adaptive pressures inherent in that environmental niche have exerted defining influence on human genetic makeup. The portion of our genome that determines basic anatomy and physiology has remained relatively unchanged over the past 40 000 years. Thus, the complex interrelationship between energy intake, energy expenditure and specific physical activity requirements for current humans remains very similar to that originally selected for Stone Age men and women who lived by gathering and hunting. Research investigating optimal physical activity for human health and performance can be guided by understanding the evolution of physical activity patterns in our species.

Animals↗

Bone mineral density of the skull in premenopausal women.

Dual-energy X-ray absorptiometry (DXA) of the head has received little attention. We used DXA to measure bone mineral density (BMD) of the entire skull including the mandible (BMDHead) and BMD of the cranial vault (BMDVault) in 91 normal young women. We also measured BMD of the total body (BMDTotal body), proximal femur ("total femur"), and lumbar vertebrae (L1-L4). BMD (g/cm2; mean +/- SE) was 1.032 +/- 0.011 for L1-L4, 0.995 +/- 0.011 for total femur, and 2.283 +/- 0.028 for BMDVault (cranial vault) and the mean body weight of all subjects was 59.8 kg. Correlation between BMD Vault and BMDHead was -0.004 g/cm2 suggesting that these two measurements of bone mass of the skull were similar. To determine the correlation between the different variables after accounting for external sources of variation, partial correlation derived from multiple regression was determined. Correlations between BMD at the various locations and with BMDTotal body were moderate to strong. Although small in magnitude, the partial correlations of body weight with BMDTotal body, total femur, and L1-L4 were of equal value in predicting BMDTotal body and further, BMDVault was not influenced by body weight. Including body weight in multiple regression in addition to total femur or L1-L4 removed the extraneous variation due to body weight, and predictions of MBDTotal body were as reliable as when BMDVault was based on goodness of fit tests (P = 0.314). The techniques used to measure BMD of the cranial vault is a relatively new variation of DXA technology. The precision was as good as other measurements of bone mass of the entire skull (including the mandible). Because the cranial vault is less sensitive to mechanical influences, it may be a region where response to therapy could be evaluated. The cranial vault may be a useful area to study certain heritable diseases that affect the skeleton, skeletal artifact, or evaluation of oral bone loss.

Adult↗

Influence of moderate daily wine consumption on body weight regulation and metabolism in healthy free-living males.

OBJECTIVE: Although previous studies have clearly demonstrated that energy from alcohol may not be efficiently utilized to maintain body weight when it comprises 20% or more of the daily caloric intake, there is considerable debate regarding the influence of moderate alcohol consumption (< or = 5% of the total daily caloric intake) upon metabolism, substrate utilization and body weight regulation. Consequently, the objectives of this study were to determine whether moderate alcohol consumption could influence body weight via changes in substrate utilization, oxygen consumption or alterations in dietary macronutrient content. METHODS: Fourteen male subjects (mean age = 32.1 years) participated in a 12-week, free-living, crossover trial in which they either drank red wine (270 ml; 13% v/v ethanol) daily for 6 weeks and then abstained for the next 6 weeks or vice-versa. RESULTS: Whether wine was imbibed or not, no significant differences (p > 0.05) were demonstrated for any of the following variables: body weight, body fat percentage, skinfold thickness, resting metabolic rate, respiratory quotient, caloric intake, dietary macronutrient content, or fasting insulin or glucose concentrations. CONCLUSIONS: In free-living subjects over a 6-week period, the addition of two glasses of red wine to the evening meal does not appear to influence any measured variable which may adversely affect body weight or promote the development of obesity during this time period.

Adult↗

Residual lung volume and ventilatory muscle strength changes following maximal and submaximal exercise.

In order to evaluate a mechanism which may be responsible for the often observed acute increase in residual lung volume (RV) following exercise, 12 non-smoking males (20-30 yrs) performed two bouts of exercise on separate days; one to maximal heart rate (HRmax) and one to 85% of HRmax for 20 min. Prior to exercise and at 5, 15, 30, 60 and 120 min post-exercise, the following parameters were measured: RV, forced vital capacity (FVC), forced expiratory volume (FEV1.0), forced expiratory flow (FEF75-85), maximal expiratory pressure (PEmax), and maximal inspiratory pressure (PImax). Significant (p < 0.05) increases occurred in RV at 5, 15 and 30 min following maximal exercise and at 5 and 30 min after submaximal exercise. Changes in RV between the two exercise bouts were generally greater (p < 0.05) for maximal exercise. Accompanying the increases in RV were significant (p < 0.05) decreases in PEmax and decreases in FVC, while FEV1.0 and FEF75-85 remained generally unchanged or were slightly elevated. The data suggest that decreases in expiratory muscle strength due to fatigue may in part be responsible for increases in RV.

Adult↗

Exercise-induced changes in plasma vitamin B-6 concentrations do not vary with exercise intensity.

This study examined the effect of high vs moderate exercise intensity on changes in concentration of plasma pyridoxal 5'-phosphate (PLP), pyridoxal (PL), and 4-pyridoxic acid (4-PA) in human subjects. Eight physically active subjects were tested twice at 60% and 85% maximum oxygen consumption (VO2max) for 30 and 20 min, respectively, on a bicycle ergometer. Blood samples were obtained before and during exercise. Data were adjusted for changes in plasma volume calculated from changes in hematocrit. PLP concentrations significantly increased during exercise (P < 0.0001), with 79% of the rise in PLP concentration occurring within 5 min. 4-PA concentration increased steadily through exercise and was 23% higher at 20 min than at 0 min. Exercise intensity had no effect on the magnitude or rate of either increase for either PLP or 4-PA. PL concentration did not vary with exercise duration, but was significantly higher at 60% compared with 85% VO2max (P = 0.001). No significant differences were observed in glucose concentration. The data do not support hypotheses in the literature that PLP concentration rises during exercise to support exercise-induced shifts in substrate utilization.

Adolescent↗

Influence of postexercise glucose ingestion upon serum potassium levels and ECG function.

Thirteen trained runners were studied to determine whether postexercise glucose ingestion contributes to electrocardiogram (ECG) alterations by enhancing decreases in serum potassium (K+) concentrations. For the two randomly ordered trials, subjects ingested a 100 g (25% w/v glucose polymer) drink, either alone or with the addition of 3 g of potassium chloride (KCl), within 15 min following a 90-min run. ECG parameters, serum K+, and glucose concentrations were measured preexercise (Time 0), 2-3 min post-exercise (Time 1), and 25 (Time 2) and 60 (Time 3) min postexercise. The data suggest that postexercise glucose ingestion may cause ECG changes that are not directly related to the return of K+ to muscle, and that these changes, although characteristic of hypokalemia, may be related to serum glucose excursions rather than to absolute levels of serum K+. The addition of KCl may have prevented these changes by delaying gastric emptying of glucose.

Adult↗

Wetsuits, body density and swimming performance.

To determine the influence of body composition upon swimming performance with and without wetsuits, 14 competitive female swimmers (mean (s.d.) age, 19.9 (0.9) years) were measured for body density while wearing both wetsuits and normal swimsuits. Subjects swam 400 and 1500 m trials with and without wetsuits, randomly, over a 12-day period. Six subjects participated in an additional trial while wearing neoprene leg-bands fitted over the wetsuit. Mean (s.d.) subject density without and with wetsuits was 1.048 (.009) and 1.021 (.007) g/ml respectively. Wetsuits reduced (P less than 0.05) swim times for the 400 (-4.96%) and 1500 m swim (-3.23%) compared with swimsuit trials. The neoprene bands increased (P less than 0.05) swim times relative to swimsuit and wetsuit trials. With wetsuits, swim times were inversely (P less than 0.05) related to density for the 400 (r = -0.46) and 1500 m swim (r = -0.54) suggesting that wetsuits increase performance by increasing buoyancy and that lean subjects benefit more from wearing wetsuits than do fatter subjects.

Adult↗

Metabolic consequences of reduced frequency breathing during submaximal exercise at moderate altitude.

The intention of this study was to determine the metabolic consequences of reduced frequency breathing (RFB) at total lung capacity (TLC) in competitive cyclists during submaximal exercise at moderate altitude (1520 m; barometric pressure, PB = 84.6 kPa; 635 mm Hg). Nine trained males performed an RFB exercise test (10 breaths.min-1) and a normal breathing exercise test at 75-85% of the ventilatory threshold intensity for 6 min on separate days. RFB exercise induced significant (P less than 0.05) decreases in ventilation (VE), carbon dioxide production (VCO2), respiratory exchange ratio (RER), ventilatory equivalent for O2 consumption (VE/VO2), arterial O2 saturation and increases in heart rate and venous lactate concentration, while maintaining a similar O2 consumption (VO2). During recovery from RFB exercise (spontaneous breathing) a significant (P less than 0.05) decreases in blood pH was detected along with increases in VE, VO2, VCO2, RER, and venous partial pressure of carbon dioxide. The results indicate that voluntary hypoventilation at TLC, during submaximal cycling exercise at moderate altitude, elicits systemic hypercapnia, arterial hypoxemia, tissue hypoxia and acidosis. These data suggest that RFB exercise at moderate altitude causes an increase in energy production from glycolytic pathways above that which occurs with normal breathing.

Adult↗

Lung volumes and maximal respiratory pressures in collegiate swimmers and runners.

To determine whether respiratory muscle strength is related to pulmonary volume differences in athletes and nonathletes, 11 intercollegiate female swimmers, 11 female cross-country runners, and two nonathletic control groups, matched to the athletes in height and age, were evaluated for pulmonary parameters including maximal inspiratory pressure (PImax) and maximal expiratory pressure (PEmax). Swimmers exhibited larger (p less than .05) vital capacities (VC), residual lung volumes (RV), inspiratory capacities (IC), and functional residual capacities (FRC) than both the runners or the controls but no difference (p greater than .05) in either PImax or inspiratory flow (FIV 25%-75%). Timed expiratory volumes (FEV 0.5 and FEV 1.0) were significantly (p less than .05) lower in the swimmers than in the controls. These data suggest that an adaptational growth may be responsible, in part, for the augmented static lung volumes demonstrated in swimmers.

Adolescent↗

Normoxic and acute hypoxic exercise tolerance in man following acetazolamide.

The influence of acetazolamide (ACZ) upon the ability to perform and sustain maximal and submaximal exercise bouts under normoxic and hypoxic conditions was examined in four groups of healthy male subjects (N = 27). ACZ (500 mg) or inert placebo (Pla) was administered prior to exercise in a quasi-randomized, double-blind, crossover fashion. ACZ was shown to lower venous pH (ACZ, 7.31 +/- 0.01, vs Pla, 7.35 +/- 0.08) and bicarbonate (ACZ, 22.4 +/- 0.27 mM, vs Pla, 25.4 +/- 0.6 mM) and to elevate urine pH (ACZ, 7.36 +/- 0.06, vs Pla, 5.84 +/- 0.19) and tended to elevate VE (P = 0.07) at rest. Peak VO2 measured using a continuous incremental protocol was unaltered in normoxia, while peak VCO2 and RER were lowered by ACZ. No significant effect of ACZ upon VO2, VCO2, RER, or heart rate (HR) was observed during submaximal exercise (75% of peak VO2) although VE was increased by 14% and time to exhaustion (EXHt) was reduced by 29%. During acute hypoxia at a simulated altitude of 4,270 m (Pbar = 446 mm Hg), no significant differences were noted in VE, VO2, VCO2, RER, HR, or arterial saturation (SaO2) at rest. Prior to exercise, venous pH (ACZ, 7.39 +/- 0.04, vs Pla, 7.44 +/- 0.007) and bicarbonate were lower with ACZ (ACZ, 21.6 +/- 0.46 mM, vs Pla, 24.2 +/- 0.25 mM), while urine pH was higher (ACZ, 7.6 +/- 0.07, vs Pla, 5.9 +/- 0.25). Other than a higher PCO2 and lower venous lactate with ACZ, no significant differences were identified at peak VO2.(ABSTRACT TRUNCATED AT 250 WORDS)

Acetazolamide↗

Potassium content of the fat free body in children.

Previous estimates of body composition in children by measurement of total body potassium (TBK) have employed adult derived values for the ratio of K/fat free body mass (FFBM) to calculate the FFBM. To evaluate the appropriateness of this practice, body composition was determined in 30 children (14 boys, 16 girls) between the ages of 9 and 14 years by hydrostatic weighing, bioelectric impedance, and whole body counting of 40K. Estimates of body fat percentage by TBK measurements were significantly greater (p less than 0.05) than by either the hydrostatic or bioelectric impedance techniques. When current estimates for the FFBM density in children were employed to derive the K/FFBM, the value for boys was 58.9 mEq and for girls, 54.2 mEq. These data indicate that the FFBM will be underestimated in pediatric populations when adult derived values for K/FFBM are used.

Adipose Tissue↗

Body composition determination in children using bioelectrical impedance.

Estimation of body composition by measurement of tetrapolar bioelectrical resistive impedance (R) is a technique only recently validated in adults. To evaluate this technique in children, 16 girls aged 11.6 +/- 0.9 yr (mean +/- SD) and 14 boys aged 12.5 +/- 1.0 yr were assessed for fat free mass (FFM) by hydrostatic weighing, total body potassium (TBK) by whole body counting of 40K, and R by an electrical impedance plethysmograph. Significant relationships (P less than 0.001) were demonstrated between TBK and ht2/R (r = 0.92), and FFM and ht2/R (r = 0.83). The reliability coefficient for the impedance measurements was r = 0.97. The following equation describes FFM in the present group of children: FFM (kg) = 6.86 + 0.81 x (ht2/R), r = 0.83, P less than 0.001, SEE = 4.08. These data suggest that impedance measurements are valid and reliable predictors of FFM in pediatric populations.

Adipose Tissue↗

Metabolic and heart rate responses to submaximal arm lever and arm crank ergometry.

Previous studies have shown that arm cranks and arm levers, working as propulsion mechanisms for nonambulatory individuals, may have mechanical and physiologic advantages over standard handrim wheelchairs. This study evaluated physiologic responses to arm lever and arm crank ergometry using identical workloads. An arm lever ergometer (ALE) was constructed and adapted to an arm crank ergometer (ACE) so that equal workloads could be applied with both ergometers. Fifteen able-bodied men and 15 able-bodied women exercised at a low (15 watts) and a high (45 watts) workload, with a three-minute rest interval. While exercising at each level, oxygen consumption (VO2), minute ventilation (VE), and heart rate (HR) were monitored. When low workloads with ALE and ACE were compared, no significant differences (p greater than 0.05) were demonstrated in any of the variables for men or women. For the men, at the high workload, the ALE elicited significantly lower (p less than 0.05) VO2 (by 9.8%), HR (by 6.3%), and VE (by 7.5%), than did the ACE. For the women, at the high workload, VO2 was significantly lower (p less than 0.05) (by 7.6%) with the ALE, as was VE (by 7.5%), but HR, although 3.3% lower with the ALE, was not significantly different (p greater than 0.05) from the ACE. These data suggest that the ALE is physiologically less stressful than the ACE at high workloads. Arm levers may, therefore, provide an advantage for handicapped persons when they propel themselves in wheelchairs.

Arm↗