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At least 37 records · Page 2Linked to original sources
PubMed1996

Comparison of suture-in and suture-out postkeratoplasty astigmatism with single running suture or combined running and interrupted sutures.

PURPOSE: To evaluate postkeratoplasty astigmatism between two suture techniques 2 to 4 years postoperatively in a group of patients previously studied 9 months postoperatively. METHODS: Thirty-two patients who underwent penetrating keratoplasty were randomly assigned to one of two groups. Group 1 (16 patients) had a 24-bite single running 10-0 nylon suture with postoperative suture tension adjustment; group 2 (16 patients) had combined 16-bite running and eight interrupted 10-0 nylon sutures with selective postoperative removal of interrupted sutures. During long-term follow-up, the running suture was removed in 19 patients (59%). RESULTS: Postoperative astigmatism was slightly lower in patients with the single running suture technique when sutures were in place and was slightly greater after the sutures were removed compared with the combined running and interrupted suture technique (sutures in: single running suture +/- SD, 2.6 +/- 1.2 diopters [five patients, 31%]; combined running and interrupted sutures, 3.8 +/- 1.1 diopters [eight patients, 50%]; sutures out: single running suture, 3.3 +/- 1.3 diopters [11 patients, 69%]; combined running and interrupted sutures, 2.8 +/- 1.5 diopters [eight patients, 50%]). These differences were not statistically significant (sutures in, P < .13; sutures out, P < .46). Averages of follow-up were group 1,48.3 +/- 10.6 months and group 2, 46.3 +/- 13.0 months. Follow-up ranged from 23 to 60 months. CONCLUSIONS: Postoperative astigmatism 4 years after penetrating keratoplasty is similar for these two suturing techniques, with or without residual sutures. A single running suture results in more rapid visual rehabilitation and less early astigmatism compared with the combined interrupted and running suture technique.

Adult↗
PubMed2000

Intermittent runs at the velocity associated with maximal oxygen uptake enables subjects to remain at maximal oxygen uptake for a longer time than intense but submaximal runs.

Interval training consisting of brief high intensity repetitive runs (30 s) alternating with periods of complete rest (30 s) has been reported to be efficient in improving maximal oxygen uptake (VO2max) and to be tolerated well even by untrained persons. However, these studies have not investigated the effects of the time spent at VO2max which could be an indicator of the benefit of training. It has been reported that periods of continuous running at a velocity intermediate between that of the lactate threshold (vLT) and that associated with VO2max (vVO2max) can allow subjects to reach VO2max due to an additional slow component of oxygen uptake. Therefore, the purpose of this study was to compare the times spent at VO2max during an interval training programme and during continuous strenuous runs. Eight long-distance runners took part in three maximal tests on a synthetic track (400 m) whilst breathing through a portable, telemetric metabolic analyser: they comprised firstly, an incremental test which determined vLT, VO2max [59.8 (SD 5.4) ml.min-1; kg-1], vVO2max [18.5 (SD 1.2) km.h-1], secondly, an interval training protocol consisting of alternately running at 100% and at 50% of vVO2max (30 s each); and thirdly, a continuous high intensity run at vLT + 50% of the difference between vLT and vVO2max [i.e. v delta 50: 16.9 (SD 1.00) km.h-1 and 91.3 (SD 1.6)% vVO2max]. The first and third tests were performed in random order and at 2-day intervals. In each case the subjects warmed-up for 15 min at 50% of vVO2max. The results showed that in more than half of the cases the v delta 50 run allowed the subjects to reach VO2max, but the time spent specifically at VO2max was much less than that during the alternating low/high intensity exercise protocol [2 min 42 s (SD 3 min 09 s) for v delta 50 run vs 7 min 51 s (SD 6 min 38 s) in 19 (SD 5) interval runs]. The blood lactate responses were less pronounced in the interval runs than for the v delta 50 runs, but not significantly so [6.8 (SD 2.2) mmol.l-1 vs 7.5 (SD 2.1) mmol.l-1]. These results do not allow us to speculate as to the chronic effects of these two types of training at VO2max.

Adult↗
PubMed1999

A modified incremental shuttle run test for the determination of peak shuttle running speed and the prediction of maximal oxygen uptake.

The aim of this study was to determine the incidence of subject drop-out on a multi-stage shuttle run test and a modified incremental shuttle run test in which speed was increased by 0.014 m x s(-1) every 20-m shuttle to avoid the need for verbal speed cues. Analysis of the multi-stage shuttle run test with 208 elite female netball players and 381 elite male lacrosse players found that 13 (+/-3) players stopped after the first shuttle of each new level, in comparison with 5 (+/-2) players on any other shuttle. No obvious drop-out pattern was observed on the incremental shuttle run test with 273 male and 79 female undergraduate students. The mean difference between a test-retest condition (n = 20) for peak shuttle running speed (-0.03+/-0.01 m x s(-1)) and maximal heart rate (0.4+/-0.1 beats x min(-1)) on the incremental test showed no bias (P > 0.05). The 95% absolute confidence limits of agreement were+/-0.11 m x s(-1) for peak shuttle running speed and+/-5 beats min(-1) for maximal heart rate. The relationship (n = 27) between peak shuttle running speed on the incremental shuttle run test (4.22+/-0.14 m x s(-1)) and VO2max (59.0+/-1.7 ml kg(-1) x min(-1)) was r= 0.91 (P< 0.01), with a standard error of prediction of +/-2.6 ml x kg(-1) x min(-1). These results suggest verbal cues during the multi-stage shuttle run test may influence subject drop-out. The incremental shuttle run test shows no obvious drop-out patten and provides a valid estimate of VO2max.

Adolescent↗
PubMed1997

Effect of 4 wk of deep water run training on running performance.

The purpose of this study was to determine whether trained competitive runners could maintain on-land running performance using 4 wk of deep water run training instead of on-land training. Eleven well-trained competitive runners (10 males, 1 female; ages, 32.5 +/- 5.4 yr; height, 179.8 +/- 9.3 cm; weight, 70.4 +/- 6.7 kg (mean +/- SD)) trained exclusively using deep water run training for 4 wk. Subjects trained 5-6 d.wk-1 for a total of 20-24 sessions (mean +/- SD, 22 +/- 1.5 sessions). Instruction and practice sessions were conducted prior to the training period. Before and after the deep water run training, subjects completed a 5-km race on the treadmill using a computer based system, a submaximal run at the same absolute workload to assess running economy, and a combined lactate threshold and maximal oxygen consumption test. No significant differences were found for (mean +/- SEM): 5-km run time (pre, 1142.7 +/- 39.5 s; post, 1149.8 +/- 36.9 s; P = 0.28), submaximal oxygen consumption (pre 44.8 +/- 1.2 mL.kg-1.min-1; post, 45.3 +/- 1.5 mL.kg-1.min-1; P = 0.47), lactate threshold running velocity (pre, 249.1 +/- 0.9 m.min-1; post, 253.6 +/- 6.3 m.min-1; P = 0.44), or maximal oxygen consumption (pre, 63.4 +/- 1.3 mL.kg-1.min-1; post, 62.2 +/- 1.3 mL.kg-1.min-1; P = 0.11). Also no differences were found among Global Mood State pre-training, each week during training, and post-training. Competitive distance runners maintained running performance using 4 wk of deep water run training as a replacement for on-land training.

Adult↗
PubMed1980

Running economy and distance running performance of highly trained athletes.

The purpose of the study was to determine the relationship between running economy and distance running performance in highly trained and experienced distance runners of comparable ability. Oxygen uptake (Vo2) during steady-state and maximal aerobic power (Vo2max) were measured during treadmill running using the open-circuit method. Distance running performance was determined in a nationally prominent 10 km race; all subjects (12 males) placed among the top 19 finishers. The subjects averaged 32.1 min on the 10 km run, 71.7 ml.kg-1.min-1 for Vo2max, and 44.7, 50.3, and 55.9 ml.kg-1.min-1 for steady-state Vo2 at three running paces (241, 268, and 295 m.min-1). The relationship between Vo2max and distance running performance was r = -0.12 (p = 0.35). The relationship between steady-state Vo2 at 241, 268 and 295 m.min-1 and 10 km time were r = 0.83, 0.82, and 0.79 (p < 0.01), respectively. Within this elite cluster of finishers, 65.4% of the variation observed in race performance time on the 10 km run could be explained by variation in running economy. It was concluded that among highly trained and experienced runners of comparable ability and similar Vo2max, running economy accounts for a large and significant amount of the variation observed in performance on a 10 km race.

Adolescent↗
PubMed1993

Effect of run vs combined cycle/run training on VO2max and running performance.

The effects of 5 wk of equivalent intensity, 85-90% maximum heart rate (MHR), run-only (N = 6) vs cycle/run (N = 5) training were evaluated in moderately fit runners, mean VO2max of 55.2 ml.kg-1.min-1, 19-35 yr old, on maximal treadmill (TM) and cycle ergometer (CE) testing, 5000-m and 1609-m run performances, and submaximal measures while treadmill running. Subjects participated in either 4 d.wk-1 of run-only or alternating run and cycle training. Both groups significantly improved TM VO2max (P < 0.05), CE VO2peak (P < 0.01), and 5000-m (P < 0.01) and 1609-m (P < 0.05) run times with no significant differences between the groups. The TM VO2max pre/post values were 55.3 +/- 3.0 to 58.2 +/- 3.0 and 55.6 +/- 3.8 to 58.9 +/- 2.4 ml.kg-1.min-1 for the run group and cross-trained group, respectively. Posttraining submaximal treadmill running showed statistically significant pace increases of 18.7 (run) and 16.1 (cycle/run) m.min-1 with similar heart rate, blood lactate, and RQ values as pretraining. Results indicate that 5 wk of either mode of training can significantly improve aerobic capacity and run performance.

Adult↗
PubMed1993

Effects of stair-climbing vs run training on treadmill and track running performance.

Physically active college age women were evaluated to determine the effects of 9 wk of stair-climbing (Stairmaster Gauntlet) vs run training on 2414-m run time and treadmill measured aerobic capacity (VO2max) and submaximal physiological parameters. Subjects were randomly assigned to a stair-climbing (STAIR N = 11) (43.8 +/- 1.5 ml.kg-1.min-1) (mean +/- SEM) or run training (RUN N = 12) (44.2 +/- 1.8) group, training 4 d.wk-1 at 70-80% of maximum heart rate (MHR) for 30 min progressing to 85-90% MHR for 45 min. The STAIR group significantly increased (P < 0.01) their VO2max by 12% and decreased (P < 0.01) their 2414-m run time of 12.8 min by 8%. The RUN group increased (P < 0.01) their VO2max 16% and decreased run time (P < 0.01) 11% from 13.1 min. Submaximal treadmill runs at the same speed and grade demonstrated significant decreases in %VO2max and % MHR (P < 0.01) for both groups. The data support the use of stair-climbing exercise as an alternative mode to running with similar treadmill and running performance results subsequent to 9 wk of training.

Adult↗
PubMed1997

Training a large number of laboratory mice using running wheels and analyzing running behavior by use of a computer-assisted system.

A great many studies in the literature describe the variety of ways to provide physical training to small laboratory animals. Forced running on a treadmill or swimming training require considerable effort from the researcher, but permit the investigator to control the amount of exercise. Another option is to provide animals with access to running wheels, which they can voluntarily operate. Wheels can be used to investigate the running behavior of the animals. Wheel motion usually has been detected with magnets and microswitches and has been recorded using strip chart recorders or electromechanical counters. Computers also have been used in recording, but the measured parameters usually have been able to define only the total distance run in a fixed period. We designed a system, using running wheels, that can be used for long periods, up to years, for training a large number of laboratory mice simultaneously (maximal n = 96). The running parameters estimated by our system include running distance, speed, and time. Cumulative estimates of the running parameters can be produced for any period, as short as 1 sec. It is also easy to perform statistical analyses on the data. Using the system, we investigated the running behavior of 21 young C57BL/6 male mice. After the fast growth period, until 8 weeks of age, the mice ran 4 to 5 km/day at an average speed of 23 m/min, and spent 3 h running each day. This took place during the hours of darkness.

Animals↗
PubMed2005

Habituation contributes to the decline in wheel running within wheel-running reinforcement periods.

Habituation appears to play a role in the decline in wheel running within an interval. Aoyama and McSweeney [Aoyama, K., McSweeney, F.K., 2001. Habituation contributes to within-session changes in free wheel running. J. Exp. Anal. Behav. 76, 289-302] showed that when a novel stimulus was presented during a 30-min interval, wheel-running rates following the stimulus increased to levels approximating those earlier in the interval. The present study sought to assess the role of habituation in the decline in running that occurs over a briefer interval. In two experiments, rats responded on fixed-interval 30-s schedules for the opportunity to run for 45 s. Forty reinforcers were completed in each session. In the first experiment, the brake and chamber lights were repeatedly activated and inactivated after 25 s of a reinforcement interval had elapsed to assess the effect on running within the remaining 20 s. Presentations of the brake/light stimulus occurred during nine randomly determined reinforcement intervals in a session. In the second experiment, a 110 dB tone was emitted after 25 s of the reinforcement interval. In both experiments, presentation of the stimulus produced an immediate decline in running that dissipated over sessions. No increase in running following the stimulus was observed in the first experiment until the stimulus-induced decline dissipated. In the second experiment, increases in running were observed following the tone in the first session as well as when data were averaged over several sessions. In general, the results concur with the assertion that habituation plays a role in the decline in wheel running that occurs within both long and short intervals.

Animals↗
PubMed1997

Daily wheel running activity modifies the period of free-running rhythm in rats via intergeniculate leaflet.

The period of free-running rhythms (tau) in rats, as measured using a running wheel, is different from that measured using an Automex. The aim of this work was to examine the effects of lesions of the intergeniculate leaflet (IGL) on the tau of these two activity rhythms. When blind rats were transferred from a cage with a running wheel to a cage without a running wheel, the tau lengthened. The tau of the wheel-running activity was associated with the number of wheel revolutions per day. A complete lesion of the IGL lengthened the tau of the wheel-running activity, and caused a reduction in the number of wheel revolutions per day in all rats. In rats housed in cages without a running wheel, locomotor activity was reduced by IGL lesions, although the tau was unaffected. When IGL-lesioned rats were transferred from a cage with a running wheel to a cage without a running wheel, no further change was observed. These results indicate that the tau is modified by the daily activity of wheel-running, but not by general locomotor activity, and that the IGL may be involved in this modification.

Animals↗
PubMed2006

Neuromuscular factors determining 5 km running performance and running economy in well-trained athletes.

This study investigated the effects of the neuromuscular and force-velocity characteristics in distance running performance and running economy. Eighteen well-trained male distance runners performed five different tests: 20 m maximal sprint, running economy at the velocity of 4.28 m s(-1), 5 km time trial, maximal anaerobic running test (MART), and a treadmill test to determine VO2max. The AEMG ratio was calculated by the sum average EMG (AEMG) of the five lower extremity muscles during the 5 km divided by the sum AEMG of the same muscles during the maximal 20 m sprinting. The runners' capacity to produce power above VO2max (MART VO2gain) was calculated by subtracting VO2max from the oxygen demand of the maximal velocity in the MART (V MART). Velocity of 5 km (V 5K) correlated with V MART (r=0.77, p<0.001) and VO2max (r=0.49, p<0.05). Multiple linear regression analysis showed that MART VO2gain and VO2max explained 73% of the variation in V 5K. A significant relationship also existed between running economy and MART VO2gain (r=0.73, p<0.01). A significant correlation existed between V 5K and AEMG ratio during the ground contact phase at the 3 km (r=0.60, p<0.05) suggesting that neural input may affect distance running performance. The results of the present study support the idea that distance running performance and running economy are related to neuromuscular capacity to produce force and that the V MART can be used as a determinant of distance-running performance.

Adult↗
PubMed1996

Six weeks of training does not change running mechanics or improve running economy.

Running technique and economy (VO2submax) were examined before and after a 6-wk period of running training. Fifteen males were filmed and performed 10-min economy runs at 3.36 m.s-1 on a treadmill. An incremental treadmill test was used to record running performance and maximal oxygen consumption (VO2max). Subjects were randomly assigned to a training group and a control group that did not participate in any running program. There were no significant changes in kinematic variables between pre- and post-training tests for either group. Neither were there any significant physiological changes over the 6 wk in the control group. However, the training group demonstrated a significantly (P < 0.01) increased VO2max (57.7 +/- 6.2 vs 61.3 +/- 6.3 ml.kg-1.min-1) and running performance. VO2submax in the training group was significantly (P < 0.05) worse (41.0 +/- 4.5 vs 42.4 +/- 4.3 ml.kg-1.min-1) post-training, although the percent utilization of VO2max (71.6 +/- 7.9 vs 69.3 +/- 6.9%) and submaximal heart rate (169 +/- 15 vs 161 +/- 15 beats.min-1) were significantly lower (P < 0.05). The training-induced improvements in running performance could be attributed to physiological rather than biomechanical modifications. There were no changes in biomechanical descriptors of running style that signaled changes in running economy.

Adolescent↗
PubMed2000

Effect of a prior intermittent run at vVO2max on oxygen kinetics during an all-out severe run in humans.

BACKGROUND: The purpose of this study was to examine the influence of prior intermittent running at VO2max on oxygen kinetics during a continuous severe intensity run and the time spent at VO2max. METHODS: Eight long-distance runners performed three maximal tests on a synthetic track (400 m) whilst breathing through the COSMED K4 portable telemetric metabolic analyser: i) an incremental test which determined velocity at the lactate threshold (vLT), VO2max and velocity associated with VO2max (vVO2max), ii) a continuous severe intensity run at vLT+50% (vdelta50) of the difference between vLT and vVO2max (91.3+/-1.6% VO2max)preceded by a light continuous 20 minute run at 50% of vVO2max (light warm-up), iii) the same continuous severe intensity run at vdelta50 with a prior interval training exercise (hard warm-up) of repeated hard running bouts performed at 100% of vVO2max and light running at 50% of vVO2max (of 30 seconds each) performed until exhaustion (on average 19+/-5 min with 19+/-5 interval repetitions). This hard warm-up speeded the VO2 kinetics: the time constant was reduced by 45% (28+/-7 sec vs 51+/-37 sec) and the slow component of VO2 (deltaVO2 6-3 min) was deleted (-143+/-271 ml x min(-1) vs 291+/-153 ml x min(-1)). In conclusion, despite a significantly lower total run time at vdelta50 (6 min 19+/-0) min 17 vs 8 min 20+/-1 min 45, p=0.02) after the intermittent warm-up at VO2max, the time spent specifically at VO2max in the severe continuous run at vdelta50 was not significantly different.

Adult↗
PubMed1996

Submaximal running economy in run-trained pre-pubertal boys.

There is an increasing tendency for young children to participate in training and competitive running. The impact long-term training has upon stimulating functional physiological adaptation has yet to be fully understood. In this study cardio-respiratory and kinematic differences were assessed at submaximal and maximal exercise intensities in run-trained and non-run-trained boys. Thirty three pre-pubertal boys volunteered to take part in the study. The subjects were in two groups: 15 run-trained subjects [age 11.7 +/- 1.06 yrs, mean +/- SD] and 18 non-run-trained (control) subjects [age 11.3 +/- 0.90 yrs]. Two separate (4 x 3 min) submaximal protocols were used for the trained and non-run-trained groups, with two of the speeds overlapping for comparison purposes. In addition, all boys also performed a maximal oxygen consumption test. Mean VO2max value for the run trained group was 60.5 +/- 3.3 ml/kg/min and for the control group 51.1 +/- 4.3 ml/kg/min, (p < 0.001). No significant differences were found for submaximal running economy at either comparison speed. In addition, no significant (p > 0.05) differences were noted between the groups for any of the kinematic variables at the two comparison speeds. However, selected physiological differences did exist at the submaximal running speeds. The source of the differences that did exist between the two groups may be the result of training, genetic pre-selection or developmental differences between the groups.

Child↗
PubMed1986

Predicting running velocity at blood lactate threshold from running performance tests in adolescent boys.

The purpose of this study was to investigate the relationship between running velocity at blood lactate threshold (VLT) and running performance (50 m, 40 s and 5 min) in boys aged 14 years at puberty (n = 30) and young men aged 16-20 years (n = 39), and to examine the possibility of predicting VLT from running performances in boys during adolescence. Special attention was also paid as to whether these parameters are related to bone maturity in boys at puberty. After allowing for chronological age, height, weight and fat content, all the running performances were positively correlated to bone maturity in non-active boys at puberty. In contrast, VLT was negatively correlated to bone maturity. In spite of these results, VLT was significantly related to performance in the 5 min run in both the boys and the young men. However, the correlation coefficient for the former was significantly lower than that for the latter. The 5 min and 40 s runs were selected by stepwise regression analysis for predicting VLT in the two groups. The same predictor was selected from the combined data from both groups using the following equation: VLT(m X min-1) = 124 - 0.83 X 40 s run(m) + 0.202 X 5 min run(m). The correlation between actual and estimated VLT, and the standard error of the estimate of this formula were 0.726 and - 5 + 15 m X min-1 in the boys, and 0.880 and 4 + 11 m X min-1 in the young men, respectively. This formula was similar in precision to the formulae obtained from the data in each individual group.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1995

Running training and co-ordination between breathing and running rhythms during aerobic and anaerobic conditions in humans.

The study was carried out on ten triathletes, six sprinters and ten subjects not trained in running (controls) to assess the effects of training history on the co-ordination between breathing and running rhythms during running on a treadmill. Three exercise intensities were used: 50%, 80% and 110% of the subject's anaerobic threshold (AT). All three intensities were performed twice: once with spontaneous breathing and once with breathing intentionally co-ordinated to the running rhythm. Heart rate, respiratory parameters and leg movements were continuously recorded. Blood lactate concentrations were measured discontinuously. The degree of co-ordination between running and breathing was quantified as the percentage of inspirations and/or expirations starting during the same phase of step. The results showed that the degree of both spontaneous and intended co-ordination at aerobic exercise intensities was in all three groups the same and increased in all groups with increasing intensity from 50% to 80% of AT; further increase of intensity to 110% of AT was associated with a significant decrease of co-ordination in controls and sprinters, whereas triathletes were able to maintain the same high degree of co-ordination as at 80% of AT. It was concluded that running training of either type at aerobic work loads had no effect on the co-ordination between running and breathing rhythms. At anaerobic intensities, however, the degree of co-ordination between running and breathing rhythms was higher in the endurance trained athletes than in the sprinters or in the untrained subjects. The degree of co-ordination increased with increasing regularity of breathing.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1992

Oxygen delivery does not limit peak running speed during incremental downhill running to exhaustion.

Oxygen consumption (VO2), ventilation (VI), respiratory exchange ratio (R), stride frequency and blood lactate concentrations were measured continuously in nine trained athletes during two continuous incremental treadmill runs to exhaustion on gradients of either 0 degree or -3 degrees. Compared to the run at 0 degree gradient, the athletes reached significantly higher maximal treadmill velocities but significantly lower VO2, VI, R and peak blood lactate concentrations (P less than 0.001) during downhill running. These lower VO2 and blood lactate concentrations at exhaustion indicated that factors other than oxygen delivery limited maximal performance during the downhill run. In contrast, stride frequencies were similar at each treadmill velocity; the higher maximal speed during the downhill run was achieved with a significantly longer stride length (P less than 0.001); maximal stride frequency was the same between tests. Equivalent maximal stride frequencies suggested that factors determining the rate of lower limb stride recovery may have limited maximal running speed during downhill running and, possibly, also during horizontal running.

Adult↗
PubMed2000

Effects of marathon running on running economy and kinematics.

The present study was designed to investigate interactions between running economy and mechanics before, during, and after an individually run marathon. Seven experienced triathletes performed a 5-min submaximal running test on a treadmill at an individual constant marathon speed. Heart rate was monitored and the expired respiratory gas was analyzed. Blood samples were drawn to analyze serum creatine kinase activity (S-CK), skeletal troponin I (sTnI), and blood lactate (B-La). A video analysis was performed (200 frames x s(-1)) to investigate running mechanics. A kinematic arm was used to determine the external work of each subject. The results of the present study demonstrate that after the marathon, a standardized 5-min submaximal running test resulted in an increase in oxygen consumption, ventilation, and heart rate (P < 0.05), with a simultaneous decrease in the oxygen difference (%) between inspired and expired air, and respiratory exchange ratio (P < 0.05). B-La did not change during the marathon, while sTnI and S-CK values increased (P < 0.05), peaking 2 h and 2 days after the marathon, respectively. With regard to the running kinematics, a minor increase in stride frequency and a similar decrease in stride length were observed (P < 0.01). These results demonstrate clearly that weakened running economy cannot be explained by changes in running mechanics. Therefore, it is suggested that the increased physiological loading is due to several mechanisms: increased utilization of fat as an energy substrate, increased demands of body temperature regulation, and possible muscle damage.

Adult↗