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The effects on plasma lipoproteins of a prudent weight-reducing diet, with or without exercise, in overweight men and women.

BACKGROUND: The National Cholesterol Education Program (NCEP) recommends a low-saturated-fat, low-cholesterol diet, with weight loss if indicated, to correct elevated plasma cholesterol levels. Weight loss accomplished by simple caloric restriction or increased exercise typically increases the level of high-density lipoprotein (HDL) cholesterol. Little is known about the effects on plasma lipoproteins of a hypocaloric NCEP diet with or without exercise in overweight people. METHODS: We tested the hypothesis that exercise (walking or jogging) will increase HDL cholesterol levels in moderately overweight, sedentary people who adopt a hypocaloric NCEP diet. We randomly assigned 132 men and 132 women 25 to 49 years old to one of three groups: control, hypocaloric NCEP diet, or hypocaloric NCEP diet with exercise. One hundred nineteen of the men and 112 of the women returned for testing after one year. RESULTS: After one year, the subjects in both intervention groups had reached or closely approached NCEP Step 1 dietary goals and reduced their mean body fat significantly (range of reduction in mean fat weight, 4.0 to 7.8 kg). Weight loss on the NCEP diet alone did not significantly change HDL cholesterol levels in either the men or the women as compared with the subjects in the control group. Plasma levels of HDL cholesterol increased significantly more in the men who exercised and dieted (mean [+/- SE] change, +13 +/- 3 percent) than in the men who only dieted (+2 +/- 3 percent, P less than 0.01) or the men who acted as controls (-4 +/- 2 percent, P less than 0.001). HDL cholesterol levels remained about the same in the women who exercised and dieted (+1 +/- 2 percent); they were higher than in the women who only dieted (-10 +/- 3 percent, P less than 0.01), but not higher than in the controls (-3 +/- 3 percent). CONCLUSIONS: Regular exercise in overweight men and women enhances the improvement in plasma lipoprotein levels that results from the adoption of a low-saturated-fat, low-cholesterol diet.

Adult↗

Recreational physical activity and the risk of cholecystectomy in women.

BACKGROUND: Physical activity may be an important determinant of the risk of gallstone disease in women, both independently and as a result of its role in maintaining body weight. METHODS: We prospectively studied recreational physical activity (such as jogging, running, and bicycling) and sedentary behavior (such as spending hours watching television) in relation to the risk of cholecystectomy, a surrogate for symptomatic cholelithiasis, in a cohort of 60,290 women who were 40 to 65 years of age in 1986 and had no history of gallstone disease. As part of the Nurses' Health Study, the women reported on questionnaires mailed to them every two years both their activity level and whether they had undergone cholecystectomy. During a 10-year follow-up period (1986 to 1996), 3257 cases of cholecystectomy were documented. RESULTS: Recreational physical activity was inversely related to the risk of cholecystectomy. The multivariate relative risk for women in the highest as compared with the lowest quintile of physical activity was 0.69 (95 percent confidence interval, 0.61 to 0.78). In contrast, sedentary behavior was independently related to an increased risk of cholecystectomy. As compared with women who spent less than 6 hours per week sitting while at work or driving, women who spent 41 to 60 hours per week sitting had a multivariate relative risk of 1.42 (95 percent confidence interval, 1.06 to 1.89), and women who spent more than 60 hours per week sitting while at work or driving had a multivariate relative risk of 2.32 (95 percent confidence interval, 1.26 to 4.26). These associations persisted after we controlled for body weight and weight change. CONCLUSIONS: In women, recreational physical activity is associated with a decreased risk of cholecystectomy. The association is independent of other risk factors for gallstone disease, such as obesity and recent weight loss.

Adult↗

Diabetes and life-styles: role of physical exercise for primary prevention.

Regular physical exercise has been known to be beneficial in the treatment of type 2 diabetes. Epidemiological studies of physical exercise: previous non-randomized studies suggested that a life-style intervention program involving diet and/or exercise reduced the progression of impaired glucose tolerance (IGT) to type 2 diabetes. Recent randomized controlled intervention trials also showed that diet and/or exercise intervention led to a significant decrease in the incidence of diabetes among those with IGT. Endocrinological and metabolic effects of exercise: in well controlled diabetic patients, physical exercise promotes utilization of blood glucose and lowers blood glucose levels. On the other hand, in poorly controlled diabetic patients with ketosis, physical exercise results in further rises in blood glucose, free fatty acids and ketone body concentrations. Long-term gentle regular jogging increases insulin action in respect of both carbohydrate and lipid metabolism despite no influence on body mass index or maximal oxygen uptake. A significant correlation was observed between deltaMCR (insulin sensitivity) and average daily steps Our recent data suggested that the improvement of insulin action by physical exercise was attributed, at least in part, to the increase in insulin-sensitive GLUT4 (glucose transporter 4) on the plasma membrane in skeletal muscle. In conclusion, as an adjunct to other forms of therapy, mild regular physical exercise will play an important role in primarily preventing type 2 diabetes.

Adult↗

The use of heart rate monitoring in the estimation of energy expenditure: a validation study using indirect whole-body calorimetry.

1. A modified heart rate (HR) method for predicting total energy expenditure (TEE) was cross-validated against whole-body calorimetry (CAL). Minute-by-minute HR was converted to energy expenditure (EE) using individual calibration curves when HR exceeded a pre-determined 'FLEX' value designed to discriminate periods of activity. ('FLEX' HR was defined as the mean of the highest HR during rest and the lowest HR during the lightest imposed exercise.) Sedentary EE (below FLEX) was calculated as the mean EE during lying down, sitting and standing at rest. Sleeping EE was calculated as basal metabolic rate (BMR) predicted from standard equations. 2. Calibration curves of oxygen consumption v. HR for different postures at rest and during exercise were obtained for twenty healthy subjects (eleven male, nine female); mean r 0.941 (SD 0.04). The mean FLEX HR for men and women were 86 (SD 10) and 96 (SD 6) beats/min respectively. 3. Simultaneous measurements of HR and EE were made during 21 h continuous CAL, which included 4 x 30 min imposed exercise (cycling, rowing, stepping, jogging). HR exceeded FLEX for a mean of 98 (SD 41) min. Mean TEE by CAL (TEE.CAL) was 8063 (SD 1445) kJ. 4. The HR method yielded a mean non-significant underestimate in TEE (TEE.HR) of 1.2 (SD 6.2)% (range -11.4 to +10.6%). Regression of TEE.HR (Y) v. TEE.CAL (X) yielded Y = 0.868 X + 927 kJ, r 0.943, SE of the estimate 458 kJ, n 20. 5. The satisfactory predictive power and low cost of the method makes it suitable for many field and epidemiological applications.

Adolescent↗

Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study.

OBJECTIVE: To assess the validity and repeatability of a simple index designed to rank participants according to their energy expenditure estimated by self-report, by comparison with objectively measured energy expenditure assessed by heart-rate monitoring with individual calibration. DESIGN: Energy expenditure was assessed over one year by four separate episodes of 4-day heart-rate monitoring, a method previously validated against whole-body calorimetry and doubly labelled water. Cardio-respiratory fitness was assessed by four repeated measures of sub-maximum oxygen uptake. At the end of the 12-month period, participants completed a physical activity questionnaire that assessed past-year activity. A simple four-level physical activity index was derived by combining occupational physical activity together with time participating in cycling and other physical exercise (such as keep fit, aerobics, swimming and jogging). SUBJECTS: One hundred and seventy-three randomly selected men and women aged 40 to 65 years. RESULTS: The repeatability of the physical activity index was high (weighted kappa=0.6, ). There were positive associations between the physical activity index from the questionnaire and the objective measures of the ratio of daytime energy expenditure to resting metabolic rate and cardio-respiratory fitness As an indirect test of validity, there was a positive association between the physical activity index and the ratio of energy intake, assessed by 7-day food diaries, to predicted basal metabolic rate. CONCLUSIONS: The summary index of physical activity derived from the questions used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study suggest it is useful for ranking participants in terms of their physical activity in large epidemiological studies. The index is simple and easy to comprehend, which may make it suitable for situations that require a concise, global index of activity.

Adult↗

Comparison of intradiscal pressures and spinal fixator loads for different body positions and exercises.

Loading of the spine is still not well understood. The most reliable results seemed to come from the intradiscal pressure measurements from studies by Nachemson, 1966. A new similar study by Wilke et al. (1999) complemented the present study and confirmed some of the earlier data, although it contradicted others. The new data did not confirm that the load on the spine is higher in sitting compared with standing and did not find distinct differences between positions in which subjects were lying down. The objective of this paper was to compare results from two independent in vivo studies (applying different methods) to provide information about spinal loading. In one of these studies (Wilke 1999), intradiscal pressure was measured in one volunteer in different postures and exercises, and in the other study (Rohlmann et al. 1994) the loads on an internal spinal fixation device (an implant for stabilising unstable spines) were determined in 10 patients. The absolute values of the results from both studies were normalized and compared for many body positions and dynamic exercises. The relative differences in intradiscal pressure and flexion bending moments in the fixators corresponded in most cases. Both studies showed slightly lower loads for sitting than for standing and comparatively low loads in all lying positions. High loads were measured for jogging, jumping on a trampoline and skipping. Differences between trends for intradiscal pressure and for flexion bending moments in the fixators were found when the load was predominantly carried by the anterior spinal column, as during flexion of the upper part of the body or when lifting and carrying weights. The combination of the results from these two methods may improve the understanding of the biomechanical behaviour of the lumbar spine and may be used to validate models and theories of spinal loading.

Aged↗

A suite of objective biomechanical measurement tools for personal load carriage system assessment.

For application to military and civilian needs, Defence Research and Development Canada--Toronto contracted Queen's University, Kingston to develop a suite of biomechanical assessment and analytical tools to supplement human-based load carriage system assessment methods. This suite of tools permitted efficient objective evaluation of biomechanical aspects of load-bearing webbing, vests, packs and their components, and therefore contributed to early system assessment and a rapid iterative design process. This paper is a summary of five assessment and analytical tools. A dynamic load carriage simulator was developed to simulate cadence of walking, jogging and running. The simulator comprised a computer-controlled pneumatic platform that oscillated anthropometrically weighted mannequins of varying dimensions from which measures of skin contact pressure, hip reaction forces and moments and relative pack-person displacements were taken. A stiffness tester for range of motion provided force-displacement data on pack suspension systems. A biomechanical model was used to determine forces and moments on the shoulders and hips, and validated using a static load distribution mannequin. Subjective perceptual rating systems were used gather soldier feedback during a standardized mobility circuit. Objective outcome measures were validated by means of other objective measures (e.g., Optotrak, video, Instron, etc.) and then compared to subjective ratings. This approach led to development of objective performance criteria for load carriage systems and to improvements in load carriage designs that could be used both in the military and in general.

Biomechanical Phenomena↗

Cardiorespiratory strain during walking in snow with boots of different weights.

In order to assess the physiological strain of different boot weights, seven male and three female subjects walked on a treadmill and a snow-field while wearing three types of boots: winter jogging boots (WJB), rubber boots (RB), and rubber safety boots (RSB), weighing (means +/- s.d.) 0.9 +/- 0.1, 1.9 +/- 0.4 and 2.5 +/- 0.2 kg, respectively During each walk the subjects wore the same clothing ensembles and moved at the same, individually determined speed. The mean (+/- s.e.) depths of the footprint impression in the snow while walking in the WJB, RB, and RSB were 26.1 +/- 1.5, 25.6 +/- 1.4 and 26.1 +/- 1.5 cm (NS), respectively. During walking on the treadmill, the means for oxygen consumption were 0.79 +/- 0.05, 0.81 +/- 0.06 and 0.83 +/- 0.04 l min-1 (NS) and in snow 2.24 +/- 0.18, 2.34 +/- 0.17 and 2.34 +/- 0.19 l min-1 (p less than 0.01) with the WJB, RB and RSB, respectively. The mean oxygen consumption levels observed during the walks averaged 23% and 65% of the subject's maximum oxygen consumption on the treadmill and in the snow-field, respectively. During the walking tests the corresponding mean heart rates were 106 +/- 4, 93 +/- 5, and 95 +/- 5 beats min-1 (p less than 0.05) on the treadmill, and 151 +/- 11, 150 +/- 11 and 151 +/- 12 beats min-1 (NS) in snow. No significant differences in ratings of perceived exertion were observed between the walking tests in snow with the three types of boots. In accordance with earlier studies, walking in snow was found to be strenuous work. In conclusion, the use of the RSB is recommended during logging work in snow, since they are known to provide greater protection than lighter boots and the increase in physiological strain experienced with RSB in this study was not appreciably greater than that with boots of lighter weight.

Adolescent↗

Muscle fatigue induced by exercise simulating the work rate of competitive soccer.

Fatigue represents a reduction in the capability of muscle to generate force. The aim of the present study was to establish the effects of exercise that simulates the work rate of competitive soccer players on the strength of the knee extensors and knee flexors. Thirteen amateur soccer players (age 23.3+/-3.9 years, height 1.78+/-0.05 m, body mass 74.8+/-3.6 kg; mean+/-s) were tested during the 2000-2001 soccer season. Muscle strength of the quadriceps and hamstrings was measured on an isokinetic dynamometer. A 90 min soccer-specific intermittent exercise protocol, incorporating a 15 min half-time intermission, was developed to provide fatiguing exercise corresponding in work rate to a game of soccer. The exercise protocol, performed on a programmable motorized treadmill, consisted of the different intensities observed during soccer match-play (e.g. walking, jogging, running, sprinting). Muscle strength was assessed before exercise, at half-time and immediately after exercise. A repeated-measures analysis of variance showed significant reductions (P < 0.001) in peak torque for both the quadriceps and hamstrings at all angular velocities (concentric: 1.05, 2.09, 5.23 rad x s(-1); eccentric: 2.09 rad x s(-1)). The peak torque of the knee extensors (KE) and knee flexors (KF) was greater before exercise [KE: 232+/-37, 182+/-34, 129+/-27, 219+/-41 N x m at 1.05, 2.09 and 5.23 rad x s(-1) (concentric) and 2.09 rad x s(-1) (eccentric), respectively; KF: 126+/-20, 112+/-19, 101+/-16, 137+/-23 N x m] than at half-time (KE: 209+/-45, 177+/-35, 125+/-36, 214+/-43 N x m; KF: 114+/-31, 102+/-20, 92+/-15, 125+/-25 N x m) and greater at half-time than after exercise (KE: 196+/-43, 167+/-35, 118+/-24, 204+/-43 N x m; KF: 104+/-25, 95+/-21, 87+/-13, 114+/-27 N x m). For the hamstrings:quadriceps ratio, significant changes were found (P < 0.05) for both legs, the ratio being greater before than after exercise. For fast:slow speed and left:right ratios, no significant changes were found. We conclude that there is a progressive reduction in muscle strength that applies across a range of functional characteristics during exercise that mimics the work rate in soccer.

Adult↗

Training and testing physical capacities for elite soccer players.

Elite soccer players spend a substantial amount of time trying to improve physical capacities, including aerobic endurance and strength and the strength derivatives of speed and power. The average oxygen uptake for international soccer teams ranges from 55 to 68 ml.kg-1.min-1 and the half-squat maximal strength from 120 to 180 kg. These values are similar to those found in other team sports. Recently, it has been shown that the heart's stroke volume is the element in the oxygen chain that mainly limits aerobic endurance for athletes. These findings have given rise to more intensive training interventions to secure high stroke volumes, which, in turn, have proved positive in changing both maximal oxygen consumption and soccer performance in terms of distance covered, contacts with the ball and number of sprints in a game. The training employed has consisted of 4x4-min "intervals" running uphill at 90-95% of maximal heart rate interspersed with 3 min jogging at 70% of maximal heart rate to facilitate removal of lactate. Research has revealed that a soccer-specific training routine with the ball might be as effective as plain running. Strength training to produce neural adaptations has been effective in changing not only strength in terms of "one-repetition maximum", but also sprinting velocity and jumping height, in elite soccer players without any change in body mass. The same training has also improved running economy and thus aerobic endurance performance. The training regimen used for a European Champions League team was 4x4 repetitions of half-squats with the emphasis on maximal mobilization of force in the concentric action.

Heart Rate↗

The isolated and combined effects of selected physical activity and ibuprofen on delayed-onset muscle soreness.

Delayed-onset muscle soreness refers to the skeletal muscle pain that is experienced following eccentric exercise. The aim of the present study was to examine the physiological effects of physical activity with or without ibuprofen on delayed onset muscle soreness. Forty-four non-athletic male volunteers (age 24.3 +/- 2.4 years) were randomly assigned to one of four groups: physical activity (n = 11), ibuprofen (n = 11), physical activity and ibuprofen (combination, n = 11), or control (n = 11). The physical activity programme comprised 5 min of walking and jogging, 10 min of static stretching of the hands and shoulder girdle, and 5 min of concentric movements with sub-maximal contractions. The total amount of ibuprofen consumed by a single individual was 2800 mg; this was taken from 1 h before the eccentric actions up to 48 h after it. Delayed onset muscle soreness was induced by performing 70 eccentric contractions of the biceps muscle of the non-dominant side on a modified arm curl machine. Perceived muscle soreness, maximal eccentric contraction, creatine kinase enzyme activity and elbow range of motion were assessed 1 h before and 1, 24 and 48 h after the eccentric actions. The results indicated that, after the eccentric actions, soreness increased (P < 0.001) across time in all groups, with the highest values being recorded at 24 h. At 24 and 48 h, greater soreness (P < 0.001) was observed in the control group than in the physical activity and combination groups. After the eccentric actions, creatine kinase increased and was elevated (P < 0.001) compared with baseline in all groups, with values returning to baseline in the physical activity and combination groups by 48 h. However, creatine kinase in the control and ibuprofen groups was still significantly higher than at baseline after 48 h. Creatine kinase was higher (P < 0.001) in the control group than in physical activity and combination groups at 24 and 48 h. There was also a reduction (P < 0.001) in elbow range of motion across time. This reduction in elbow range of motion was greater (P < 0.001) in the control and ibuprofen groups than in the physical activity and combination groups at 1, 24 and 48 h. The reduction in maximum eccentric contraction was greater (P < 0.001) in the control and ibuprofen groups than in the physical activity group at 24 and 48 h and the combination group at 48 h. In conclusion, the results add to our understanding of the effects of physical activity and the combination of physical activity and ibuprofen in reducing the severity of muscle soreness induced by eccentric exercise. Physical activity conducted before eccentric exercise alleviates muscle soreness. Our results indicate that physical activity with or without ibuprofen helps to prevent delayed-onset muscle soreness.

Adult↗

Time-motion analysis of elite field hockey, with special reference to repeated-sprint activity.

Limited information exists about the movement patterns of field-hockey players, especially during elite competition. Time-motion analysis was used to document the movement patterns during an international field-hockey game. In addition, the movement patterns of repeated-sprint activity were investigated, as repeated-sprint ability is considered to be an important fitness component of team-sport performance. Fourteen members of the Australian men's field-hockey team (age 26+/-3 years, body mass 76.7+/-5.6 kg, VO2max 57.9+/-3.6 ml.kg(-1).min(-1); mean+/-s) were filmed during an international game and their movement patterns were analysed. The majority of the total player game time was spent in the low-intensity motions of walking, jogging and standing (46.5+/-8.1, 40.5+/-7.0 and 7.4+/-0.9%, respectively). In comparison, the proportions of time spent in striding and sprinting were 4.1+/-1.1 and 1.5+/-0.6%, respectively. Our criteria for 'repeated-sprint' activity (defined as a minimum of three sprints, with mean recovery duration between sprints of less than 21 s) was met on 17 occasions during the game (total for all players), with a mean 4+/-1 sprints per bout. On average, 95% of the recovery during the repeated-sprint bouts was of an active nature. In summary, the results suggest that the motion activities of an elite field-hockey competition are similar to those of elite soccer, rugby and Australian Rules football. In addition, the investigation of repeated-sprint activity during competition has provided additional information about the unique physiological demands of elite field-hockey performance.

Adult↗

Time motion analysis of 2001 and 2002 super 12 rugby.

The aim of this study was to quantify movements of Super 12 rugby players in competition because information on elite rugby players' movements is unavailable. Players were categorized into forwards [front (n = 16) and back row (n = 15)] and backs [inside (n = 9) and outside backs (n = 7)] and their movements analysed by video-based time motion analysis. Movements were classified as rest (standing, walking and jogging) and work (striding, sprinting, static exertion, jumping, lifting or tackling). The total time, number and duration of individual activities were assessed, with differences between groups evaluated using independent sample t-tests (unequal variances), while differences between halves were assessed with paired sample t-tests. Forwards had 7:47 min:s (95% confidence limits: 6:39 to 8:55 min:s, P<0.01) more time in static exertion than backs, but backs spent 0:52 (0:34 to 1:09, P = 0.01) min:s more time sprinting than forwards, and had a 0.7 (0.3 to 1.2, P = 0.01) s longer duration of each sprint. Forwards spent 7:31 (5:55 to 9:08) min:s more time in work activities (P = 0.01) and had 2.1 (1.3 to 2.8) s longer work durations (P<0.01) than backs. The results indicate frequent short duration (<4 s) work efforts followed by moderate duration (<20 s) rest for forwards, and extended (>100 s) rest duration for backs. High-intensity efforts involved static exertion for forwards (mean +/- standard deviation frequency = 80 +/- 17) and sprinting for backs (27 +/- 9). In conclusion, after nearly a decade since becoming professional, elite rugby union is still characterized by highly intense, intermittent movement patterns and marked differences in the competition demands of forwards and backs.

Football↗

Effect of aqua exercise on recovery of lower limb muscles after downhill running.

The aim of the present study was to examine how the recovery of physiological functioning of the leg muscles after high-intensity eccentric exercise such as downhill running could be promoted by aqua exercise for a period until the damaged muscle had recovered almost completely. Ten male long-distance runners were divided equally into an aqua exercise group and a control group. From the first day (Day 0) to the fourth day (Day 3), the participants completed a questionnaire on muscle soreness, and serum creatine kinase activity, muscle power, flexibility, whole-body reaction time and muscle stiffness were measured. After measurements on Day 0, the participants performed downhill running (three 5 min runs with a 5 min rest interval at -10%, 335.7 +/- 6.1 m . min-1). The aqua exercise group performed walking, jogging and jumping in water on three successive days following the downhill running on Day 0 for 30 min each day. Muscle power was reduced on Day 1 in the control group (P < 0.05). Muscle soreness in the calf on Day 3 was greater in the control group than that in the aqua exercise group (P < 0.05). In the aqua exercise group, muscle stiffness in the calf was less than that in the control group over 4 days (time main effect: P < 0.05; group x time interaction: P < 0.05). We conclude that aqua exercise promoted physiological functioning of the muscles in the legs after high-intensity downhill running for a period until the damaged muscles had recovered almost completely.

Adult↗

Effect of diet on performance during recovery from intermittent sprint exercise.

Eighteen games players (9 males, 9 females) performed 30 maximum 6-sprints on a non-motorized treadmill. Each sprint was preceded by a 60-s jog at 40% maximum speed and was followed by a 54-s walk at 20% maximum speed. Thus, the entire test was of 60-min duration. The subjects were then randomly assigned to three groups and repeated the 1-h test 24 h later after consuming either a high, normal or low carbohydrate diet (79 +/- 3, 47 +/- 8, 12 +/- 1% CHO, respectively). During trial 1, mean power output declined from 653 +/- 131 to 600 +/- 158 W during the 30 sprints (P < 0.01) and power output was lower during trial 2 than during trial 1 (n = 18, P < 0.01). During trial 2, there were no differences in sprint performance between the dietary groups for the exercise test as a whole (trial 2 mean power lower than trial 1 by 0.2, 0.5 and 5.0% for the high, normal and low CHO groups, respectively; N.S.), but if only the first nine sprints are considered, then the high CHO group performed better than the low CHO group (P < 0.05). Blood lactate and glucose concentrations were lower during trial 2 than trial 1 by 4.5, 13.8 and 29.0% (lactate) and 14.9, 11.3 and 35.8% (glucose) for the high, normal and low CHO groups, respectively (both P < 0.01). Thus, both the metabolic responses to, and the performance of, maximum intermittent exercise were reduced when the test was repeated after 24 h recovery.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Influence of ingesting a carbohydrate-electrolyte solution on endurance capacity during intermittent, high-intensity shuttle running.

The aim of this study was to examine the effects of ingesting a carbohydrate-electrolyte solution on endurance capacity during a prolonged intermittent, high-intensity shuttle running test (PIHSRT). Nine trained male games players performed two exercise trials, 7 days apart. On each occasion, they completed 75 min exercise, comprising of five 15-min periods of intermittent running, consisting of sprinting, interspersed with periods of jogging and walking (Part A), followed by intermittent running to fatigue (Part B). The subjects were randomly allocated either a 6.9% carbohydrate-electrolyte solution (CHO) or a non-carbohydrate placebo (CON) immediately prior to exercise (5 ml kg-1 body mass) and every 15 min thereafter (2 ml kg-1 body mass). Venous blood samples were obtained at rest, during and after each PIHSRT for the determination of glucose, lactate, plasma free fatty acid, glycerol, ammonia, and serum insulin and electrolyte concentrations. During Part B, the subjects were able to continue running longer when fed CHO (CHO = 8.9 +/- 1.5 min vs CON = 6.7 +/- 1.0 min; P < 0.05) (mean +/- S.E.M.). These results show that drinking a carbohydrate-electrolyte solution improves endurance running capacity during prolonged intermittent exercise.

Adult↗

Heart rate, blood lactate and kinematic data of elite colts (under-19) rugby union players during competition.

Physiological and kinematic data were collected from elite under-19 rugby union players to provide a greater understanding of the physical demands of rugby union. Heart rate, blood lactate and time-motion analysis data were collected from 24 players (mean +/- s(x): body mass 88.7 +/- 9.9 kg, height 185 +/- 7 cm, age 18.4 +/- 0.5 years) during six competitive premiership fixtures. Six players were chosen at random from each of four groups: props and locks, back row forwards, inside backs, outside backs. Heart rate records were classified based on percent time spent in four zones (>95%, 85-95%, 75-84%, <75% HRmax). Blood lactate concentration was measured periodically throughout each match, with movements being classified as standing, walking, jogging, cruising, sprinting, utility, rucking/mauling and scrummaging. The heart rate data indicated that props and locks (58.4%) and back row forwards (56.2%) spent significantly more time in high exertion (85-95% HRmax) than inside backs (40.5%) and outside backs (33.9%) (P < 0.001). Inside backs (36.5%) and outside backs (38.5%) spent significantly more time in moderate exertion (75-84% HRmax) than props and locks (22.6%) and back row forwards (19.8%) (P < 0.05). Outside backs (20.1%) spent significantly more time in low exertion (<75% HRmax) than props and locks (5.8%) and back row forwards (5.6%) (P < 0.05). Mean blood lactate concentration did not differ significantly between groups (range: 4.67 mmol x l(-1) for outside backs to 7.22 mmol x l(-1) for back row forwards; P < 0.05). The motion analysis data indicated that outside backs (5750 m) covered a significantly greater total distance than either props and locks or back row forwards (4400 and 4080 m, respectively; P < 0.05). Inside backs and outside backs covered significantly greater distances walking (1740 and 1780 m, respectively; P < 0.001), in utility movements (417 and 475 m, respectively; P < 0.001) and sprinting (208 and 340 m, respectively; P < 0.001) than either props and locks or back row forwards (walking: 1000 and 991 m; utility movements: 106 and 154 m; sprinting: 72 and 94 m, respectively). Outside backs covered a significantly greater distance sprinting than inside backs (208 and 340 m, respectively; P < 0.001). Forwards maintained a higher level of exertion than backs, due to more constant motion and a large involvement in static high-intensity activities. A mean blood lactate concentration of 4.8-7.2 mmol x l(-1) indicated a need for 'lactate tolerance' training to improve hydrogen ion buffering and facilitate removal following high-intensity efforts. Furthermore, the large distances (4.2-5.6 km) covered during, and intermittent nature of, match-play indicated a need for sound aerobic conditioning in all groups (particularly backs) to minimize fatigue and facilitate recovery between high-intensity efforts.

Adolescent↗

Choice of exercise: a predictor of behavioral risks?

After controlling for differences in gender, educational achievement, and exercise duration among a sample of 7,248 Americans 18-34 years old, we found that runners-joggers-fast walkers (RJWs) and tennis players were less likely to be obese, smoke, consume large quantities of alcohol, and drive without seat belts than those who participate in team and an aggregate of other sports. These behavioral differences might be explained by imprecise data, intervening variables such as exercise intensity, or other variables that were not measured. But a more interesting explanation is that running-jogging-fast walking and playing tennis are integral components of healthy lifestyles, and team sports and some other exercise behaviors are part of riskier ways of living. No consistent association was found between duration of exercise and behavioral risk.

Adolescent↗