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Biomedical subjects

R J Maughan

Publications and source records attributed to R J Maughan.

At least 127 records · Page 7Linked to original sources

A simple enzymatic fluorimetric method for the determination of branched-chain L-amino acids in microlitre volumes of plasma.

Existing methods for the estimation of the branched-chain amino acids (BCAA) normally require sophisticated, expensive instrumentation. An alternative is an enzymatic spectrophotometric method but this requires relatively large volumes of blood and is rather time-consuming. A simple enzymatic fluorimetric method for the measurement of the BCAA in microliter samples of plasma is described here. The method is based on the oxidative deamination of L-leucine, L-isoleucine and L-valine by leucine dehydrogenase from Bacillus species. The NADH which is formed in stoichiometric quantities is estimated fluorimetrically. In the presence of the ketone-trapping agent hydrazine the reaction goes to completion in an alkaline incubation medium at 37 degrees C. By this method the combined BCAA can be measured routinely in 20 microliter sample of plasma. The test exhibits acceptable precision and reproducibility.

Adult↗

Dietary composition and acid-base status: limiting factors in the performance of maximal exercise in man?

Seven healthy male subjects exercised to exhaustion at a workload equivalent to 100% of their maximal oxygen uptake (VO2max) on 3 separate occasions. Each high intensity exercise test was performed on an electrically braked cycle ergometer; the first took place after a normal diet (46 +/- 8% carbohydrate (CHO), 41 +/- 7% fat and 13 +/- 3% protein); the second after 3 days of a low CHO diet (7 +/- 3% CHO, 64 +/- 5% fat and 29 +/- 4% protein) and the third after 3 days of a high CHO diet (76 +/- 6% CHO, 14 +/- 5% fat and 10 +/- 2% protein). Acid-base status and selected metabolites were measured on arterialized venous blood at rest prior to exercise and during the post-exercise period. Plasma urea concentration and urine total acidity were measured on each day of the experiment. Exercise time to exhaustion was longer after the normal (p less than 0.05) and high (p less than 0.01) CHO diets compared with the low CHO diet. Pre-exercise plasma bicarbonate concentration and blood PCO2 were higher after the high CHO diet when compared with the normal (p = 0.05, p less than 0.05 respectively) and low CHO conditions (p less than 0.05, p less than 0.05 respectively). Pre-exercise bicarbonate was also higher after the normal CHO diet when compared with the low CHO diet (p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Acid-Base Equilibrium↗

The acute effect of marathon running on plasma lipoproteins in female subjects.

The acute effect of running a 42.2 km marathon race on plasma lipoproteins was investigated in 12 female subjects (aged 21 to 41 years). During the race there was a significant increase (P less than 0.01) in the concentration of total plasma cholesterol. The mean post-race concentration of high density lipoprotein cholesterol (HDL-C) was 64.0 +/- 16.2 (SD) mg 100 ml-1, compared with 52.1 +/- 14.0 mg 100 ml-1 before the race, representing a significant increase (P less than 0.002). There was no significant difference in the concentration of very low density lipoprotein (VLDL) or low density lipoprotein (LDL) before and after the exercise. The mean concentration of the cholesteryl ester moiety of the HDL increased from 43.7 +/- 12.3 to 54.3 +/- 15.7 mg 100 ml-1 (P less than 0.002), while there was no significant changes in the concentration of the unesterified cholesterol, phospholipid, triacylglycerol or protein moieties of the HDL. The relative proportions of apolipoproteins A-I, A-II, C and E remained unchanged during the exercise. The changes in the concentration of each of the lipoprotein fractions observed during the marathon varied considerably between subjects. The individual increases in the concentration of HDL-C ranged from 4.1 to 28.4 mg 100 ml-1, while both increases and decreases in individual concentrations of VLDL and LDL as well as of total plasma cholesterol were observed. These observations suggest that women undergo greater changes in HDL-C concentration that men during acute exercise, while considerable variation between individuals occurs.

Adult↗

The effect of dietary carbohydrate intake on the metabolic response to prolonged walking on consecutive days.

Six healthy subjects walked 37 km per day for four consecutive days on two occasions one month apart; on one walk, subjects consumed a high carbohydrate (CHO) diet (85 +/- 1% CHO, Mean +/- SE) and on the other walk an isocaloric low CHO diet (2 +/- 0% CHO) was consumed. Subjects were fasted each day until after the completion of the walk. Blood samples were obtained at rest prior to exercise and after completion of each of three laps of 12.3 km. Exercise intensity corresponded to approximately 17% of VO2max. The first day of each walk demonstrated that the pattern of substrate mobilisation in response to this type of exercise is highly reproducible, there being no difference in any of the parameters measured between the two walks. Circulating glucose, lactate, insulin and triglyceride levels remained essentially unchanged; alanine fell progressively and glycerol, free fatty acid (FFA) and 3-hydroxybutyrate (BHB) rose progressively. After the first day there was a general tendency for the blood glucose concentration to decline as exercise progressed; by the end of the walk on Day 2, blood glucose was lower on the low CHO diet than on the high CHO diet. On Day 4 plasma insulin was higher (p less than 0.05) on the high CHO diet than on the low CHO diet and declined progressively on both diets. Blood lactate and alanine concentrations were generally higher at rest on the high CHO diet, but fell so that no differences existed by the end of exercise.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

The effects of dietary manipulation on blood acid-base status and the performance of high intensity exercise.

The effect of a pattern of exercise and dietary modification, which is normally used to alter muscle glycogen content, upon the acid-base status of the blood and the ability to perform high intensity exercise was studied. Eleven healthy male subjects cycled to exhaustion on an electrically braked cycle ergometer at a workload equivalent to 100% of their maximal oxygen uptake (VO2max) on three separate occasions. The first exercise test took place after a normal diet (46.2 +/- 6.7% carbohydrate (CHO)), and was followed by prolonged exercise to exhaustion to deplete muscle glycogen stores. The second test was performed after three days of a low carbohydrate diet (10.1 +/- 6.8% CHO) and subsequently after three days of a high CHO diet (65.5 +/- 9.8% CHO) the final test took place. Acid-base status and selected metabolites were measured on arterialised venous blood at rest prior to exercise and during the post-exercise period. Exercise time to exhaustion was longer after the normal (p less than 0.05) and high (p less than 0.05). CHO dietary phases compared with the low CHO phase. Resting pre-exercise pH was higher after the high CHO diet (p less than 0.05) compared with the low CHO diet. Pre-exercise bicarbonate, PCO2 and base excess measurements were higher after the high CHO treatment compared with both the normal (p less than 0.01, p less than 0.05, p less than 0.01 respectively) and low CHO phases (p less than 0.001, p less than 0.01, p less than 0.001 respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Acid-Base Equilibrium↗

Metabolic and circulatory responses to the ingestion of glucose polymer and glucose/electrolyte solutions during exercise in man.

Six men exercised on a cycle ergometer for 60 min on two occasions one week apart, at 68 +/- 3% of VO2max. On one occasion, a dilute glucose/electrolyte solution (E: osmolality 310 mosmol X kg-1, glucose content 200 mmol X l-1) was given orally at a rate of 100 ml every 10 min, beginning immediately prior to exercise. On the other occasion, a glucose polymer solution (P: osmolality 630 mosmol X kg-1, glucose content equivalent to 916 mmol X l-1) was given at the same rate. Blood samples were obtained from a superficial forearm vein immediately prior to exercise and at 15-min intervals during exercise; further samples were obtained at 15-min intervals for 60 min at rest following exercise. Heart rate and rectal temperature were measured at 5-min intervals during exercise. Blood glucose concentration was not different between the two tests during exercise, but rose to a peak of 8.7 +/- 1.2 mmol X l-1 (mean +/- SD) at 30-min post-exercise when P was drunk. Blood glucose remained unchanged during and after exercise when E was drunk. Plasma insulin levels were unchanged during exercise and were the same on both trials, but again a sharp rise in plasma insulin concentration was seen after exercise when P was drunk. The rate of carbohydrate oxidation during exercise, as calculated from VO2 and the respiratory exchange ratio, was not different between the two tests.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

The metabolic response to prolonged walking in fed and fasted men.

Six healthy men walked 37 km (23 miles) per day over a 3-lap course for each of 4 consecutive days. Subjects were allowed breakfast and an unrestricted diet was consumed after completion of the walk, but no food was consumed during or between laps. At a later date the same subjects walked over the same course after an overnight fast and without breakfast. Completion time for each lap was 139 +/- 1 min (mean +/- SE) and exercise intensity was equivalent to 17 +/- 1% VO2max. Mean 24h energy intake was 14.5 +/- 0.8 MJ during the fed walk. Estimated daily energy expenditure was 12.0 MJ. Blood glucose concentration fell significantly on the first, third and fourth days of the fed walk, but no subject became hypoglycaemic. Glucose concentration did not fall during the fasted walk and was significantly higher pre-exercise and at the end of laps one and three when compared to the first day of the fed walk. Blood alanine concentration fell significantly after the end of the first lap of each day of the fed walk but not during the fasted walk. Blood lactate levels did not change during the course of either walk. Plasma free fatty acid, glycerol and blood 3-hydroxybutyrate concentrations were unchanged during the passage of the first lap on each day of the fed walk, but all three had increased significantly by the end of the first lap of the fasted walk.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Adenine nucleotides in erythrocytes from patients with peripheral vascular disease and the effects of oxpentifylline.

The relationship between erythrocyte nucleotide profiles and the presence of atherosclerotic peripheral occlusive vascular disease was investigated. In elderly male patients with severe vascular insufficiency the mean red cell content of NAD, GDP, GTP, AMP, ADP and ATP and the cellular adenylate energy charge were not significantly different from those observed in young healthy males. It has been claimed that drugs such as oxpentifylline improve peripheral tissue oxygenation in vascular disease by reversing the fall in red cell ATP content which has been reported to accompany vascular insufficiency resulting in a restoration of normal cell deformability and hence whole blood viscosity. We have carried out in vitro studies using erythrocytes from normal adults to assess the effect of oxpentifylline on erythrocyte ATP content and glycolytic rate. The drug failed to significantly affect the rates of glucose consumption and lactate production or the ATP content of the erythrocytes compared with controls. Furthermore the drug did not influence the rate of ATP utilisation by erythrocytes. We conclude that red cell ATP and total adenylate content is not different from normal in patients with peripheral vascular disease. If oxpentifylline alters red cell deformability it does so by some mechanism not related to the cellular ATP concentration, the cellular adenylate energy charge or the glycolytic rate.

Adenine Nucleotides↗

Influence of exercise on ascorbic acid status in man.

1. The response of circulating leucocytes with regard to changes in number, proportion of granulocytes and lymphocytes, as well as changes in the ascorbic acid (AA) concentration of plasma and isolated lymphocytes, were studied in nine men who ran a 21 km race. A marked leucocytosis was noted 5 min after the race, the predominant increase being in granulocytes (P less than 0.001) with smaller relative increases in circulating lymphocytes (P less than 0.01) and platelets (P less than 0.001). Numbers of leucocytes and platelets returned to pre-exercise levels within 24 h after the race. 2. The concentration of AA in plasma increased from 52.7 +/- 4.1 mumol/l before the race to 67.0 +/- 5.3 mumol/l within 5 min after the race (P less than 0.001). This increase in plasma AA concentration was positively correlated with the rise in plasma cortisol concentration during the race (r = 0.89; P less than 0.01). However, within 24 h after the race the plasma concentration of AA fell 20 +/- 4% below pre-exercise values (P less than 0.01) and remained low for at least the next 2 days (P less than 0.05). 3. Lymphocyte AA concentration increased from 15.6 +/- 0.6 to 19.7 +/- 0.9 mumol/g of lymphocyte protein during the race (P less than 0.01) but returned to normal levels within 2 days after the race. 4. It is suggested that the adrenal gland may be the major source of AA efflux into the circulation during exercise.

Adult↗

Hematological changes associated with marathon running.

Coulter profiles with differential white cell counts, serum ferritin, and haptoglobin levels were determined in venous blood samples obtained from 90 males (M) and 25 females (F) immediately before and after completion of a competitive marathon (42.2 km) race. In an additional 20 male runners, the same measurements were performed serially during the 24 h following their completion of the race. In the pre-race samples from 90 M and 25 F, hypoferritinemia was present in 4/22 M and 1 F found to be mildly anemic. Neutropenia was detected in 4 M and 3 F and mild thrombocytopenia in 2 M. Haptoglobin levels were normal in all the female runners but reduced (less than 0.3 g/l) in 6 M. All post-race samples (88 M and 25 F) were characterized by a reactive neutrophilia and thrombocytosis including those with pre-race neutropenia or thrombocytopenia. An unexpected and incompletely explained sex difference in packed cell volume (PCV) response was observed. In males, the mean PCV increased from 0.425 +/- 0.021 to 0.444 +/- 0.028 (P less than 0.0001) whereas in females it decreased from 0.437 +/- 0.029 to 0.423 +/- 0.036 (P less than 0.05). In the post-race samples, anhaptoglobinemia was found in 13/88 M and 4/25 F. In the 20 male runners studied serially for 24 h after the race, the major changes involved a progressive increase in mean plasma volume (17.4% +/- 12.2% at 24 h) compared with the pre-race value, a progressive and significant increase in MCH and MCHC probably indicating a loss in red cell water and the gradual reversion of the reactive neutrophilia and thrombocytosis to basal levels.

Adult↗

Pre-race drop-out in marathon runners: reasons for withdrawal and future plans.

This study examines the reasons given for non-participation in the 1984 Aberdeen Milk Marathon by those people who entered for the race but did not run. The major reason was found to be injury during training. The future running plans of the sample were also investigated and it was found that the vast majority aimed to continue marathon running. Around two-thirds of the sample had decided not to run at least two weeks before the day of the race. A third of the respondents indicated that they would have taken part in the race had there been a half marathon option.

Adult↗

A simple enzymatic fluorimetric method for the determination of triglycerides in 10 microliters of serum.

An assay for the determination of triglyceride (acyl glycerol) in microliter volumes of serum or plasma is described. The method is based on enzymatic hydrolysis of triglyceride by lipase from Rhizopus arrhizus followed by enzymatic fluorimetric assay of the glycerol so released. Under the conditions of the assay the enzymatic hydrolysis is complete for concentrations up to 5 mmol/l in less than 15 min at room temperature. The determination of free glycerol and glycerol released is based on the formation of dihydroxyacetone in the presence of NAD and glycerol dehydrogenase. The NADH which is formed in stoichiometric quantities is estimated fluorimetrically. In the presence of the ketone-trapping agent hydrazine the reaction goes to completion above pH 9.0. By this method acyl glycerol can be measured routinely in a 10 microliters sample of serum or plasma. The test is extremely sensitive compared to previously described methods and exhibits acceptable precision and reproducibility.

Fluorometry↗

Endurance capacity of untrained males and females in isometric and dynamic muscular contractions.

The capacity to perform isometric and dynamic muscle contractions at different forces has been measured in two separate groups of subjects: 25 men and 25 women performed sustained isometric contractions of the knee-extensor muscles of their stronger leg to fatigue, at forces corresponding to 80%, 50% and 20% of the maximum voluntary force of contraction (MVC). The second experimental model involved a bilateral elbow-flexion weight lifting exercise. Eleven women and 12 men performed repetitions at loads corresponding to 90%, 80%, 70%, 60% and 50% of maximum load (1RM), at a rate of 10 X min-1 to the point of fatigue. Males were stronger (p less than 0.001) than females in both the static (675 +/- 120 N vs 458 +/- 80 N; mean +/- SD) and dynamic (409 +/- 90 N vs 190 +/- 33 N) contractions. Isometric endurance time of the males at a force corresponding to 20% of MVC was less than that of the females (180 +/- 51 s vs 252 +/- 56 s; p less than 0.001) but there was no difference between the sexes at 50% or 80% of MVC. Similarly, when the sexes were compared using dynamic elbow-flexion exercise, the female subjects were able to perform a greater number of repetitions than males at loads of 50% (p less than 0.005), 60% (p less than 0.001) and 70% (p less than 0.025) of 1RM, but there was no difference between the sexes at loads of 80% or 90% of 1RM.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Comparison of the effects of pre-exercise feeding of glucose, glycerol and placebo on endurance and fuel homeostasis in man.

Six men were studied during exercise to exhaustion on a cycle ergometer at 73% of VO2max following ingestion of glycerol, glucose or placebo. Five of the subjects exercised for longer on the glucose trial compared to the placebo trial (p less than 0.1; 108.8 vs 95.9 min). Exercise time to exhaustion on the glucose trial was longer (p less than 0.01) than on the glycerol trial (86.0 min). No difference in performance was found between the glycerol and placebo trials. The ingestion of glucose (lg X kg-1 body weight) 45 min before exercise produced a 50% rise in blood glucose and a 3-fold rise in plasma insulin at zero min of exercise. Total carbohydrate oxidation was increased by 26% compared to placebo and none of the subjects exhibited a fall in blood glucose below 4 mmol X 1-1 during the exercise. The ingestion of glycerol (lg X kg-1 body weight) 45 min before exercise produced a 340-fold increase in blood glycerol concentration at zero min of exercise, but did not affect resting blood glucose or plasma insulin levels; blood glucose levels were up to 14% higher (p less than 0.05) in the later stages of exercise and at exhaustion compared to the placebo or glucose trials. Both glycerol and glucose feedings lowered the magnitude of the rise in plasma FFA during exercise compared to placebo. Levels of blood lactate and alanine during exercise were not different on the 3 dietary treatments.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Exercise-induced muscle cramp: a prospective biochemical study in marathon runners.

Exercise-induced muscle cramp has been considered to result from disturbances of fluid and electrolyte balance resulting from excessive sweat loss. Serum biochemical and haematological measurements were made on 82 male marathon runners before and after a 42.2-km race. Fifteen (18%) of the runners reported an attack of muscle cramp which occurred after 35 +/- 6 km (mean +/- S.D.) had been covered. These subjects were not different from the others in terms of racing performance or training status. Serum electrolyte concentrations, including sodium and potassium, were not different between those suffering from cramp and those not so affected either before or after the race, although a significant (P less than 0.001) increase in serum sodium concentrations occurred in both groups. Serum bicarbonate concentrations fell to the same extent (from 28 to 24 mmol l-1) in both groups. Significant decreases in plasma volume, calculated from the changes in circulating haemoglobin and haematocrit, occurred in both groups of subjects, but there was no difference in the extent of the haemoconcentration. The results suggest that exercise-induced muscle cramp may not be associated with gross disturbances of fluid and electrolyte balance.

Adult↗

Forearm composition and muscle function in trained and untrained limbs.

The influence of a period of training, which lasts for several years, on the proportions of muscle, fat and bone present in the human forearm has been investigated by comparing trained and untrained limbs of nine experienced male tennis players. Ten healthy but untrained males of similar age served as a control group. Computed tomography (CT) scans of the forearm were made at intervals along its length to identify fat, muscle and bone and to calculate the volumes occupied by each of these components. Total forearm volume was greater in the dominant limb compared with the contralateral side in both trained (by 135 +/- 59 cm3, mean +/- SD, P less than 0.001) and untrained subjects (by 41 +/- 45 cm3, P less than 0.02). Forearm muscle volume was also greater in dominant limbs of trained (by 117 +/- 52 cm3, P less than 0.001) and untrained by 35 +/- 41 cm3, P less than 0.025) subjects. Muscle accounted for 75.4 +/- 2.7% of the total volume in the dominant arm of trained subjects compared with 71.4 +/- 4.2% in the control group (P less than 0.05). There was a greater proportion of muscle (P less than 0.05) and a smaller proportion of fat (P less than 0.001) in the trained limb compared with the contralateral limb of the same subjects. No differences in proportions of fat, muscle and bone were observed in dominant and non-dominant limbs of the control subjects. Trained subjects were able to exert a greater isometric force with the dominant limb (549 +/- 76N) than with the non-dominant limb (496 +/- 48N; P less than 0.005). There was no difference in grip strength between the arms of the untrained group (dominant: 516 +/- 107N; non-dominant: 491 +/- 91N). The ratio of strength to muscle volume was, however, the same in dominant and non-dominant arms of both groups of subjects.

Adult↗

Haematological changes due to triathlon competition.

A twelve parameter blood cell profile has been measured in 6 subjects before and after each phase of triathlon event. This involved 29 miles cycling, 12 miles running and finally 18.5 miles canoeing. There was a significant decrease in plasma volume (8.7% +/- 3.1%, p less than 0.001) following the first phase (cycling); this decrease was sustained to the end of the event. A substantial increase in the number of circulating leukocytes after cycling (84 +/- 58%) and running (255 +/- 83% of pre-event value) was observed. There was no further leucocyte increment after the canoeing stage which may indicate that the circulating concentration of these cells was maximal after running. Fluid shifts following the postural alteration accompanying the different types of exercise and subject variability may have masked any subtle changes in the red cell parameters.

Adult↗