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Biomedical subjects

R G Eston

Publications and source records attributed to R G Eston.

At least 37 records · Page 2Linked to original sources

Measurement of physical activity in children with particular reference to the use of heart rate and pedometry.

Understanding the progression of physical activity behaviour from childhood to adulthood requires a valid, reliable and practical method of assessing activity levels which is appropriate for use in large groups. The measurement of physical activity in large scale research projects requires a method which is low in cost, agreeable to the study volunteer and accurate. Self-report can be used to determine adult activity patterns, but children lack the cognitive ability to recall details about their activity patterns. Heart rate telemetry has been used to estimate daily activity in children as a sole criterion and to validate commercial accelerometers. However, heart rate is an indirect estimate of physical activity which makes assumptions based on the linear relationship between heart rate and oxygen uptake. It is sensitive to emotional stress and body position, and takes longer to reach resting levels after physical exertion compared with oxygen uptake. It also lags behind movement, particularly as children's physical activity is spasmodic or intermittent in nature. One alternative is the pedometer. Many early studies reported that the pedometer is inaccurate and unreliable in measuring distance or counting steps. While reasonably accurate at mid range speeds, the accuracy of the pedometer decreases in very slow walking or very fast walking or running. However, more recent studies have examined the efficacy of using pedometers to assess daily or weekly activity patterns as a whole, and these have produced more promising results. In this regard, the pedometer has a number of advantages. It is very cheap, objective and does not interfere with daily activities and is therefore appropriate for use in population studies. Commercial accelerometers with a time-sampling mechanism offer further potential and could be used to provide a picture of the pattern of children's activity. As it has been observed that prolonged activity periods are not typically associated with childhood behaviour patterns, the use of a threshold value for 'aerobic' training stimulus is not appropriate as a cut-off value for physical activity. Instead, there is evidence to suggest that the total activity data measured by pedometers over limited periods of time may be more appropriate to assess how active children are.

Adolescent↗

Muscle tenderness and peak torque changes after downhill running following a prior bout of isokinetic eccentric exercise.

Unaccustomed exercise (usually of an eccentric nature) is often followed by delayed onset muscle soreness (DOMS). Previous studies have found that prior eccentric activity produces a training effect which reduces DOMS and morphological changes. The aim of this study was to examine the effects of a prior bout of maximal isokinetic eccentric exercise on DOMS, strength loss and plasma creatine kinase (CK) changes following a downhill run. Ten male subjects with a mean (+/- S.D.) age of 22.5 +/- 2.8 years, body mass of 62.67 +/- 0.05 kg and height of 176 +/- 3 cm were allocated to either a treatment group or a control group. The treatment group performed 100 maximal eccentric activations of the knee extensors in the dominant leg at 0.52 rad s-1. Two weeks later, the downhill run was performed on a motor-driven treadmill. This consisted of five bouts of 8 min at a gradient of -10% at a speed corresponding to 80% of the predicted maximal heart rate. The untrained group performed the downhill run as above but without the prior isokinetic session. Tenderness measurements, plasma CK activity and concentric and eccentric isokinetic peak torque measurements of the knee extensors at 0.52 and 2.83 rad s-1 were recorded prior to, immediately following and 2, 4 and 7 days after each protocol. The isokinetic protocol caused an increase (P < 0.01) in CK and tenderness and a decrease (P < 0.05) in concentric and eccentric torque at both speeds in the treatment group. Following the downhill run, a reduction in peak torque (P < 0.01) was observed in the eccentric and concentric modes at both isokinetic speeds in the control group. For the treatment group, the decrease in peak torque occurred only at the faster eccentric speed. With the exception of the faster eccentric speed, the decrement in peak torque was greater in the control group in all post-exercise isokinetic strength tests. There was less tenderness (P < 0.01) in the trained knee extensor muscle group. Peak torque also returned to pre-downhill values earlier for the trained group. Although plasma CK activity increased in both groups after downhill running, it was much lower (P < 0.01) in the trained group. The results suggest that a prior bout of isokinetic eccentric training reduces muscle damage, reduces the amount of strength loss and decreases the sensation of DOMS after downhill running.

Adult↗

Validity of conventional anthropometric techniques for predicting body composition in healthy Chinese adults.

There is little information on the application of generalized prediction equations to ethnic groups other than Europeans and groups of European descent. The purpose of this study was to crossvalidate conventional equations on a group of 56 Chinese adults. Body density was assessed by underwater weighing and also predicted by equations which use a combination of selected skinfolds-biceps, triceps, pectoral, subscapular, abdominal, suprailiac, thigh and calf. There were significant correlations (P < 0.01) between the various methods of predicting percentage fat. However, analysis of variance revealed significant differences (P < 0.01) between mean values. In the men, the Jackson and Pollock equation underestimated, and the Durnin and Womersley equation overestimated, the percentage fat predicted by underwater weighing. The best predictor site in this group was the medial calf skinfold (r = 0.81), which is not included in either equation. In the women, the best predictor sites were the triceps, suprailiac and thigh. As these sites are also used in the Jackson et al. equation, it is not surprising that there was no difference between the prediction of percentage fat by this equation and underwent weight. It is concluded that the Durnin and Womersley and Jackson and Pollock equations tend to overestimate and underestimate, respectively, the percentage fat in Chinese men. Alternative equations which use the calf skinfold may be more appropriate for this ethnic group. In Chinese women, there appears to be good agreement between Jackson and Pollock and hydrodensitometric estimations of percentage fat.

Adult↗

Eccentric activation and muscle damage: biomechanical and physiological considerations during downhill running.

An eccentric muscle activation is the controlled lengthening of the muscle under tension. Functionally, most leg muscles work eccentrically for some part of a normal gait cycle, to support the weight of the body against gravity and to absorb shock. During downhill running the role of eccentric work of the 'anti-gravity' muscles--knee extensors, muscles of the anterior and posterior tibial compartments and hip extensors--is accentuated. The purpose of this paper is to review the relationship between eccentric muscle activation and muscle damage, particularly as it relates to running, and specifically, downhill running.

Biomechanical Phenomena↗

Validity of a perceived exertion scale for children: a pilot study.

The purpose of this study was to examine the validity of a recently developed rating scale of perceived exertion, the Children's Effort Rating Table (CERT), for controlling exercise intensity in young children. 16 children (M age = 9.9 yr., SD = 1.2) performed three separate exercise tests on a mechanically braked cycle ergometer. Stage I (response protocol) consisted of a graded test with heart rate and perceived effort rating recorded in response to specified steady-state work outputs. Stage II (production protocol) examined subjects' ability to produce work outputs corresponding to levels 5, 7, and 9 of the CERT. This protocol was repeated on a further occasion (Stage III) to assess the reliability of the findings. Pearson correlations between ratings and heart rate (0.76) and ratings and work output (0.75) highlight the potential of the scale as a valid measure of exercise intensity. Also, the work rates produced by subjects in Stage II correlated 0.89 with those predicted from Stage I; however, analysis of variance showed that work output was significantly lower in Stage II than predicted. Finally, an intraclass correlation of 0.91 between Stages II and III suggests that the scale gave a reliable estimate of exercise intensity of children. The findings from this pilot study suggest that children's perceptions of effort might be used to guide intensity of exercise during structured activity classes.

Attitude↗

Fat-free mass estimation by bioelectrical impedance and anthropometric techniques in Chinese children.

There is limited information on the accuracy of bioelectrical impedance analysis (BIA) for estimating body composition in children. The purpose of this study was to evaluate BIA measurements for estimating fat mass and fat-free mass in 94 Chinese boys and girls aged 11-17 years. Percent fat (%fatskf) and fat-free mass (FFMskf) were predicted by regression of skinfolds in an equation which is founded on a multicomponent model of body composition in children. Multiple-regression analyses were applied to the data to determine if height2 divided by resistance (resistance index) (RI) could accurately predict FFMskf and %fat. Correlations (R) and predictive accuracy (standard error of the estimate, S.E.E.) for FFMskf for RI alone were 0.94 and 2.7 kg; for RI and body mass this improved to 0.96 and 2.2 kg, and for estimation of %fatskf from RI and body mass these values were 0.78 and 4.7%, respectively. A previously published prediction equation, developed on Caucasian children and which also used RI and body mass, was also cross-validated with the Chinese sample in this study. There was no difference between the predicted values from this equation and FFM and %fat predicted by the skinfold technique. The correlation coefficient for FFM was 0.96 and the S.E.E. was similar to that originally reported for the Caucasian sample. We conclude that BIA is a reliable and acceptably accurate method of estimating anthropometrically determined body composition in Chinese youth.

Adipose Tissue↗

Effect of very low calorie diet on body composition and exercise response in sedentary women.

The effect of very low calorie diet (VLCD) on fat-free mass (FFM) and physiological response to exercise is a topic of current interest. Ten moderately obese women (aged 23-57 years) received VLCD (1695 kJ.day-1) for 6 weeks. FFM, estimated by four conventional techniques, and heart rate (fc), blood lactate (la(b)), mean arterial pressure (MAP), respiratory exchange ratio (R) and rating of perceived exertion (RPE) were measured during a submaximal cycle ergometry test 1 week before, in the 2nd and 6th week, and 1 week after VLCD treatment. Strength and muscular endurance of the quadriceps and hamstrings were tested by isokinetic dynamometry. The 11.5-kg reduction in body mass was approximately 63% fat and 37% FFM. The latter was attributed largely to the loss of water associated with glycogen. Whilst exercise fc increased by 9-14 beats.min-1 (P < 0.01), there were substantial decreases (P < 0.01) in submaximal MAP (1.07-1.73 kPa), la(b) (0.75-1.00 mmol.l-1 and R (0.07-0.09) during VLCD. R and fc returned to normal levels after VLCD. Gross strength decreased (P < 0.01) by 9 and 13% at 1.05 rad.s-1 and 3.14 rad.s-1, respectively. Strength expressed relative to body mass (Nm.kg-1) increased (P < 0.01) at the lower contraction velocity, but there was no change at the faster velocity. Muscular endurance also decreased (P < 0.01) by 62 and 82% for the hamstrings and quadriceps, respectively. We concluded that the strength decrease was a natural adaptation to the reduction in body mass as the ratio of strength to FFM was maintained.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Body fat estimations by electrical impedance and infra-red interactance.

The purpose of this study was to examine body fat estimation using three methods of electrical impedance (the BIA-103 Body Composition Analyser--RJL Systems, Detroit; the BMR 2000 Body Composition Analyzer--Berkeley Medical Research, San Leandro; the BC300 Body Composition Analyzer--Spacelabs, Dallas) and an infra-red interactance method (Futrex 5000 Analyzer--Futrex Inc. Gaithersburg) as an alternative to hydrodensitometry. Five different groups were examined using at least one of the electrical systems and in all cases utilising hydrodensitometry as the criterion method. The results produced highly significant correlations between all methods, but caution is recommended due to the limited common variance in some cases. The individual electrical methods differed from hydrodensitometry by a maximum of 1.1% in obese women, by 21.6% in athletic adults, by 6.2% in the slightly obese group, by 8.1% in normal women and by 56.0% in normal children. Significant mean differences between one of the impedance methods and hydrodensitometry were only noted in two of the groups tested. This suggests, allowing for the limitations of hydrodensitometry itself, that the other three electrical methods appear to be reasonably valid alternatives to underwater weighing, especially for field work of an epidemiological nature.

Adipose Tissue↗

Delayed onset muscle soreness: mechanisms and management.

This review describes the phenomenon of delayed onset muscle soreness (DOMS), concentrating upon the types of muscle contraction most likely to produce DOMS and the theories underlying the physiological mechanisms of DOMS. Ways of attempting to reduce the effects of DOMS are also summarized, including the application of physical and pharmacological therapies to reduce the effects of DOMS and training for reduction or prevention of DOMS.

Connective Tissue↗

Muscle soreness, swelling, stiffness and strength loss after intense eccentric exercise.

High-intensity eccentric contractions induce performance decrements and delayed onset muscle soreness. The purpose of this investigation was to study the magnitude and time course of such decrements and their interrelationships in 26 young women of mean(s.d.) age 21.4(3.3) years. Subjects performed 70 maximal eccentric contractions of the elbow flexors on a pulley system, specially designed for the study. The non-exercised arm acted as the control. Measures of soreness, tenderness, swelling (SW), relaxed elbow joint angle (RANG) and isometric strength (STR) were taken before exercise, immediately after exercise (AE), analysis of variance and at 24-h intervals for 11 days. There were significant (P < 0.01, analysis of variance) changes in all factors. Peak effects were observed between 24 and 96 h AE. With the exception of STR, which remained lower (P < 0.01), all variables returned to baseline levels by day 11. A non-significant correlation between pain and STR indicated that pain was not a major factor in strength loss. Also, although no pain was evident, RANG was decreased immediately AE. There was no relationship between SW, RANG and pain. The prolonged nature of these symptoms indicates that repair to damaged soft tissue is a slow process. Strength loss is considered particularly important as it continues when protective pain and tenderness have disappeared. This has implications for the therapeutic management of patients with myopathologies and those receiving eccentric exercise for rehabilitation.

Adolescent↗

Effect of changes of water and electrolytes on the validity of conventional methods of measuring fat-free mass.

Fat-free mass was measured by hydrodensitometry, electrical impedance and total body potassium before and after water and electrolyte loss induced by (a) the administration of the diuretic frusemide, and (b) sweat loss. All methods of measuring fat-free mass were shown by pilot experiments to have procedural reliability. The diuretic caused a reduction in apparent fat-free mass of 2.63 kg by the impedance method, of 2.33 kg by hydrodensitometry and of 1.8 kg by total body potassium. Water and electrolyte loss from sweating caused a fat-free loss of 2.3 kg, 2.7 kg and 1.3 kg by the same three procedures. Urinary potassium accounted for about one fifth of the observed 40K fat-free mass loss. Each method was thus clearly sensitive to the induced water loss. These data suggest that in evaluating the composition of weight loss, existing methods of measuring body composition do not distinguish between water and other more critical components of fat-free mass. It is thus essential that stable hydration levels are established for any longitudinal comparison of weight loss by these methods.

Adipose Tissue↗

Determination of the intensity dimension in vigorous exercise programmes with particular reference to the use of the rating of perceived exertion.

The nature and magnitude of the training effect is a function of the frequency, duration and intensity with which vigorous exercise is undertaken. The intensity dimension is a key element in producing changes in central cardiovascular haemodynamics, but because of a 'self-awareness' factor implicated in both the reporting and regulating the intensity level, the determination of this parameter is difficult. Contemporary research with psychophysical ratings of effort sense has led to the recommendation by the American College of Sports Medicine that the rating of perceived exertion is a useful device in the determination of exercise intensity. This paper presents a review of research related to the setting of exercise intensity from a psychophysiological standpoint, and includes a set of observations from research which has examined the influence of perceptual, cognitive and affective variables on the reporting of the rating of perceived exertion.

Exercise↗

Reliability of ratings of perceived effort regulation of exercise intensity.

This study assessed the reliability of ratings of perceived exertion (RPE) for the prescription of exercise intensity during cycling. Ten healthy men (21 to 62 years) and six women (25 to 50 years) attended the laboratory four times, 5 to 7 days apart. On the first visit each subject's maximal oxygen uptake was measured and, subsequently, they cycled at constant work rates based on their perception of ratings 9, 13 and 17 of the Borg 6-20 scale by regulating the resistance of the ergometer without reference to the instrument display panel. Analysis of variance revealed no significant between-trial differences with regard to oxygen uptake (VO2) or heart rate for men or women. The relative exercise intensities corresponding to the 3 ratings of exertion did not differ between men and women. Between-trial correlations for VO2 were highest for visits two and three at RPE levels 9 and 13 (r = 0.83 and r = 0.94) and consistently high (r = 0.92 or greater) for the three trials at RPE17. These data suggest that RPE is a useful frame of reference for the regulation of high levels of exercise intensity in healthy men and women. Small amounts of practice with the scale improve its applicability at lower exercise levels.

Adolescent↗

Use of perceived effort ratings to control exercise intensity in young healthy adults.

The purpose of this study was to evaluate the use of the rating of perceived exertion (RPE) as a means of regulating the intensity of exercise during running. The subjects were healthy, relatively fit young adults (16 men and 12 women). Estimates of effort were recorded using the Borg 6-20 Scale whilst the maximal oxygen uptake of the subjects was measured as they ran on an electrically driven treadmill. In a further session, the same subjects were requested to run on the treadmill at constant exercise intensity based on their interpretation of levels 9, 13 and 17 of the Borg Scale. They regulated their running speed and the treadmill gradient but had no knowledge of performance from the equipment display panel. A linear regression analysis was carried out to examine the relationship between heart rate, perceived exertion and relative metabolic demand. This revealed that the rating of perceived exertion was at least as good a predictor of exercise intensity as heart rate in both the graded exercise test and effort production test. The results support the view that RPE may be used to predict relative metabolic demand, especially at higher workloads and could be a useful medium for controlling intensity of effort during vigorous exercise in such subjects.

Adult↗

Exercise intensity and perceived exertion in adolescent boys.

The rating of perceived exertion (RPE) was assessed at power outputs (PO) corresponding to 30%, 60% and 90% of predicted maximal oxygen uptake (VO2 max) on a cycle ergometer in 30 adolescent schoolboys (age range 15-17 years). Analysis of correlations (r) for heart rate (HR):PO (r = 0.74 p less than 0.01) and rating of perceived exertion (RPE): HR (r = 0.74 p less than 0.01) were similar to values drawn from adult samples. It was concluded that there is a close relationship between RPE, HR and relative exercise intensity in adolescent schoolboys.

Adolescent↗

Responses to arm and leg ergometry.

Arm (A), leg (L) and combined arm and leg (A + L) ergometry modes were compared at power outputs of 49, 73.5 and 98 W. Selected cardiorespiratory variables and a rating of perceived exertion (RPE) were measured for 19 males of mean age 25.7 (+/- 5.5) years. Oxygen uptake (VO2), heart rate (HR), minute ventilation and rating of perceived exertion (RPE) were all higher (p less than 0.01) in A compared with L and A + L. Gross mechanical efficiency was significantly lower in A (p less than 0.01) than in L or A + L. No differences were observed in any measurements between L and A + L. the correlations between RPE and cardiorespiratory variables were higher for A (RPE:VO2, r = 0.87, p less than 0.01; RPE:HR, r = 0.78 p less than 0.01) than for L and A + L.

Adult↗