Biomedical subjects

N McCartney

Publications and source records attributed to N McCartney.

47 records · Page 3Linked to original sources

PubMed1988

The effects of strength training in patients with selected neuromuscular disorders.

Five subjects with spinal muscular atrophy, limb-girdle or facioscapulohumeral muscular dystrophy, were studied. Measurements pre- and post-training included: maximum isometric, dynamic and isokinetic strength, in single-arm curl and double-leg press exercises; contractile properties of the elbow flexors; computerized tomography of the upper arms and thighs; muscle biopsies from the biceps brachii muscle of each arm in three subjects. Dynamic weight training was performed 3 times per week for 9 wk; exercises comprised unilateral arm curls (the contralateral arm acted as a control), and bilateral leg press. Strength increases in the trained arm were between 19 and 34%, and from -14 to +25% in the control arm; leg strength increased from 11 to 50%. Moreover, the pretraining maximum load could be lifted from 3 to 48 times in the trained limbs, and from 1 to 13 times in an untrained limb before fatigue. Contractile properties of the elbow flexors were unchanged with training, but pre-intervention, three subjects demonstrated incomplete motor unit activation. Most of the gains in strength were apparently due to a neural adaptation, rather than muscle hypertrophy. The tomograms and biopsy samples were inadequate to determine muscle, or muscle fiber areas with confidence; they did indicate however, no additional overt muscle structural damage. Strength training may be a potentially useful therapeutic option in the management of selected neuromuscular disorders.

Adult↗

PubMed1986

Influence of muscle power on aerobic performance and the effects of training.

This paper reviews briefly the authors' experience with a short (30 s) maximal isokinetic cycling test in which peak and average power, the decline in power during the test (fatigue index, FI), and the total work accomplished are measured by a computer assisted technique. In an untrained population, the power variables and total work were linearly related to height and lean thigh volume and decline with age; the FI was less in subjects who took part in regular leisure activity. A close linear relationship was found between the total work in 30 s and maximal oxygen intake (VO2 max). The method was applied to studies of the effects of endurance exercise in sedentary young and old men and in patients with coronary artery disease. In the young and old men training increased VO2 max by 28% and 38% respectively, with no change in isokinetic power measurements in the young, but increases of 12% in total work in 30 s in the old. In cardiac patients, reductions in initial VO2 max were greater than in the isokinetic test variables. Control subjects showed reductions in maximal 30 s performance after the study period (12 wk) with no change in VO2 max. Exercised subjects increased VO2 max by 18.5% with variable changes in 30 s performance. There is a close link between maximal short-term muscle capacity and VO2 max in healthy subjects. VO2 max may be increased by training, but this may or may not be accompanied by increases in maximal short-term capacity, presumably depending on the mechanisms that are limiting in any given case.

Adult↗

PubMed1986

Muscle power and metabolism in maximal intermittent exercise.

Muscle power and the associated metabolic changes in muscle were investigated in eight male human subjects who performed four 30-s bouts of maximal isokinetic cycling at 100 rpm, with 4-min recovery intervals. In the first bout peak power and total work were (mean +/- SE) 1,626 +/- 102 W and 20.83 +/- 1.18 kJ, respectively; muscle glycogen decreased by 18.2 mmol/kg wet wt, lactate increased to 28.9 +/- 2.7 mmol/kg, and there were up to 10-fold increases in glycolytic intermediates. External power and work decreased by 20% in both the second and third exercise periods, but no further change occurred in the fourth bout. Muscle glycogen decreased by an additional 14.8 mmol/kg after the second exercise and thereafter remained constant. Muscle adenosine triphosphate (ATP) was reduced by 40% from resting after each exercise period; creatine phosphate (CP) decreased successively to less than 5% of resting; in the recovery periods ATP and CP increased to 76 and 95% of initial resting levels, respectively. Venous plasma glycerol increased linearly to 485% of resting; free fatty acids did not change. Changes in muscle glycogen, lactate, and glycolytic intermediates suggested rate limitation at phosphofructokinase during the first and second exercise periods, and phosphorylase in the third and fourth exercise periods. Despite minimal glycolytic flux in the third and fourth exercise periods, subjects generated 1,000 W peak power and sustained 400 W for 30 s, 60% of the values recorded in the first exercise period.(ABSTRACT TRUNCATED AT 250 WORDS)

Acid-Base Equilibrium↗

PubMed1985

Maximal short term exercise capacity in healthy subjects aged 15-70 years.

Fifty males and 50 females, 15-71 years of age, exercised maximally for 30 s on an isokinetic ergometer at a pedalling frequency of 60 rev./min. Results were compared with maximal oxygen uptake (VO2 max.) obtained in a progressive incremental exercise test. Total work in 30 s was higher in males than females, declined linearly by about 6% per decade of age (r = -0.65), and was related closely to height (r = 0.75) and to lean thigh volume estimated anthropometrically (r = 0.84). A close association with vital capacity (r = 0.86) was also found that accounted statistically for the combined effects of age and height. The percentage decline in power during 30 s (fatigue index) was lower in subjects reporting greater leisure activity. A close relationship was found between total work in 30 s and VO2max. (r = 0.86), with vital capacity and leisure activity exerting additional influences on VO2max. (P less than 0.001; multiple r = 0.93). The well-established reduction with age in VO2max. is associated with an apparent parallel reduction in the power output capacity of large muscle groups recruited in heavy dynamic leg exercise.

Adolescent↗

PubMed1985

Torque-velocity relationship in isokinetic cycling exercise.

Seven healthy female subjects performed brief (less than 10 s) periods of maximal exercise on a constant-velocity cycle ergometer, over the functional range of pedaling velocities, and an isometric contraction with each leg. There was an inverse relationship between peak torque and pedal crank velocity in all subjects; isometric torque was (mean +/- SE) 19.8 +/- 8.3% greater than the torque recorded at the slowest velocity of 11 rpm. The torque-velocity relationship was described best by a single exponential equation: y = 189.6 X e-0.0834x, where y is peak torque in Newton . meters and x is crank velocity in revolutions per minute. Peak power was a parabolic function of crank velocity; the data were fitted suitably by a second-order polynomial equation: y = -0.0589x2 + 14.504x + 47.092, where y is peak power in watts and x is crank velocity in revolutions per minute. Maximal peak power occurred at crank velocities ranging from 120 to 160 rpm, when the torque was 0.36 +/- 0.06 of the maximal isometric tension. These results demonstrate the importance of recording velocity in measurements of dynamic maximal power.

Adult↗

PubMed1985

Muscle performance and metabolism in maximal isokinetic cycling at slow and fast speeds.

To provide a description of the metabolic changes in muscle during maximal dynamic exercise, muscle biopsies were obtained in five healthy subjects before and after 30 s of isokinetic exercise at two pedaling frequencies (60 and 140 rpm) associated with contrasting fatigue characteristics. Higher peak power was attained at 140 rpm (1,473 + 185 W) (mean +/- SE) than at 60 rpm (1,122 +/- 70 W), but the decline in power during 30 s (fatigue index) was greater at 140 rpm (61.6 +/- 3.2 vs. 21.5 +/- 2.4%), total work in 30 s being similar (18.1 +/- 1.10 vs. 20.1 +/- 1.10 kJ). Changes in the concentration of muscle metabolites were similar; creatine phosphate concentration fell to approximately 50% of resting values, and the glycolytic intermediates glucose 6-phosphate, fructose 6-phosphate, and fructose 1,6-biphosphate increased up to 30-fold. Muscle lactate concentration ([La-]) was 29.0 +/- 3.98 and 31.0 +/- 4.31 mmol/kg wet wt immediately postexercise at 140 and 60 rpm, respectively. Even after only 10 s exercise (n = 2), large increases were measured in glycolytic intermediates and [La-]. In the two subjects, muscle [La-] increased to 17.2 and 15.1 mmol/kg at 140 rpm and to 14.3 and 14.2 mmol/kg at 60 rpm. In this type of exercise, glycogenolysis is activated very rapidly at both pedal speeds; the changes in glycolytic intermediates were consistent with rate-limiting steps at the phosphofructokinase and pyruvate dehydrogenase reactions. The greater fatigue at the higher speed is not accompanied by different biochemical changes than at 60 rpm.

Adenosine Triphosphate↗

PubMed1985

Normal standards for an incremental progressive cycle ergometer test.

One hundred healthy subjects (50 male and 50 female), selected to provide an even distribution of age (15 to 71 yr) and height (165 to 194 cm in males and 152 to 176 cm in females), underwent a progressively incremental (100 kpm/min each min) exercise test to a symptom-limited maximum. Measurements were made of O2 intake and CO2 output, ventilation and breathing pattern, heart rate and blood pressure, and rating of perceived exertion. The ventilatory anaerobic threshold was identified. Predictive data were derived for measurements at maximal and submaximal exercise. Maximal power output (Wmax) and oxygen intake (VO2max) varied with sex (0, male; 1, female), age (yr), and height (Ht, cm): Wmax = 20.4 (Ht) - 8.74 (Age) - 288 (Sex) - 1,909 kpm/min (SEE, 216; r, 0.858); VO2max = 0.046 (Ht) - 0.021 (Age) - 0.62 (Sex) - 4.31 L/min (SEE, 0.458; r, 0.869). The extent of leisure time activity exerted a positive influence on VO2max (r, 0.47; p less than 0.001); VO2max was also related to lean thigh volume (r, 0.79). Maximal heart rate (HR) declined as a function of age: HRmax = 202 - 0.72 (Age) beats/min (SEE, 10.3; r, 0.72). Maximal O2 pulse (O2Pmax) was related to height and was systematically higher in males than in females: O2Pmax = 0.28 (Ht) - 3.3 (Sex) - 26.7 ml/beat (SEE, 2.8; r, 0.86). Ventilation was closely related to CO2 output, and the maximal tidal volume was related to vital capacity. The VO2 increased linearly with power throughout the test; in an individual subject, the intercept of this relationship was positively influenced by weight and height.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

PubMed1983

A constant-velocity cycle ergometer for the study of dynamic muscle function.

A cycle ergometer has been designed to measure the force exerted on the pedal cranks during maximum effort at a variety of constant velocities. Preset crank velocities of 13-166 rpm are established by a controlled 3-hp motor and cannot be overcome by the subject. Torque is measured by strain gauges bonded to the crank shafts; peak torque, peak power, work, and average power are derived for each pedal cycle. Studies in 30 healthy male subjects established reproducibility and normal standards. During exercise for 45 s at a constant velocity of 60 rpm, there was a wide intersubject variation in both maximal torque (118-226 N . m) and the percentage decline in torque (27.2-52.0%). The decline in torque was inversely related to maximal O2 intake (r = 0.84). During short (10-s) periods of exercise at six crank velocities between 60-160 rpm, a linear inverse relationship between maximal peak torque and pedal crank velocity was observed. The peak torque-velocity relationship and the percentage decline in peak torque during 30 s exercise at 60, 100, and 140 rpm were reproducible within a given subject, the coefficient of variation was less than 10%.

Exercise Test↗

PubMed1983

Power output and fatigue of human muscle in maximal cycling exercise.

We studied maximal torque-velocity relationships and fatigue during short-term maximal exercise on a constant velocity cycle ergometer in 13 healthy male subjects. Maximum torque showed an inverse linear relationship to crank velocity between 60 and 160 rpm, and a direct relationship to thigh muscle volume measured by computerized tomography. Peak torque per liter thigh muscle volume (PT, N X ml-1) was related to crank velocity (CV, rpm) in the following equation: PT = 61.7 - 0.234 CV (r = 0.99). Peak power output was a parabolic function of crank velocity in individual subjects, but maximal power output was achieved at varying crank velocities in different subjects. Fiber type distribution was measured in the two subjects showing the greatest differences and demonstrated that a high proportion of type II fibers may be one factor associated with a high crank velocity for maximal power output. The decline in average power during 30 s of maximal effort was least at 60 rpm (23.7 +/- 4.6% of initial maximal power) and greatest at 140 rpm (58.7 +/- 6.5%). At 60 rpm the decline in power over 30 s was inversely related to maximal oxygen uptake (ml X min-1 X kg-1) (r = 0.69). Total work performed and plasma lactate concentration 3 min after completion of 30-s maximum effort were similar for each crank velocity.

Adult↗

PubMed1983

Effects of pH on maximal power output and fatigue during short-term dynamic exercise.

Six healthy subjects performed four exercise studies in random order on separate days: a control study, metabolic acidosis induced by ammonium chloride, metabolic alkalosis induced by sodium bicarbonate, and respiratory acidosis induced by 5% CO2 inhalation. The subjects exerted maximal force on the pedals of a constant-velocity cycle ergometer at 100 rpm for 30 s; torque was measured and power calculated. Arterialized venous blood was sampled, and plasma lactate concentrations was measured immediately after and at 2-min intervals for 10 min following exercise. Although maximal peak power and total work, for the 30-s test, were lower in the two acidosis conditions, this effect was not statistically significant. Plasma lactate 30-s postexercise was lower in metabolic acidosis (2.8 +/- 1.6 mmol X 1(-1) (mean +/- SD) and respiratory acidosis (1.5 +/- 0.8 mmol X 1(-1) than in placebo conditions (5.9 +/- 3.3 mmol X 1(-1) and metabolic alkalosis 7.8 +/- 4.2 mmol X 1(-1). These differences were maintained but lessened during 10 min of recovery. In contrast to previous studies, which showed a marked reduction in endurance time during sustained heavy exercise, reductions in blood pH are associated with only small reductions in the total work performed in 30 s of maximal exercise. A delayed and smaller accumulation of lactate in plasma was observed following exercise during acidosis.

Acid-Base Equilibrium↗

PubMed1982

Impaired cardiac "acceleration" at the onset of exercise in patients with coronary disease.

The responses to two levels of exercise (400 and 800 kpm/min) were studied in nine untrained healthy subjects and seven patients with coronary artery disease. Measurements were made over 20-s time intervals to obtain the half times (t1/2) of the asymptotic rise in cardiac frequency (fc), O2 intake (VO2), CO2 output (VCO2), and ventilation (VE). Complete data were obtained in both groups at 400 kpm/min, but only in healthy subjects at 800 kpm/min, as patients were unable to exercise for longer than 2 min at this power. At the onset of 400 kpm/min, t1/2 for VO2 was similar, but t1/2 for fc, VCO2, and VE were all longer in the patients. At 800 kpm/min there was a delay in VO2 in the patients before stopping exercise. In patients and healthy subjects t1/2 for VCO2 and VE, but not VO2, were related to t1/2 for fc. The results emphasized the importance of tissue CO2 storage in attenuating the delivery of CO2 to the lungs and thus delayed the ventilatory response to a step increase in power output.

Adult↗