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The effects of cadence, impact, and step on physiological responses to aerobic dance exercise.

The physiological responses to aerobic dance exercise of varied impact (high, low), step (less arm movement vs. more arm movement), and cadence (124 vs. 138 beats.min-1) were investigated. Experienced, female aerobic dancers (N = 16) performed activities that combined the levels of impact and step for 3 trials of 8-min each. Dependent variables included heart rate, percentage of maximal heart rate, oxygen consumption, percentage of maximal oxygen consumption, and respiratory exchange ratio. Repeated measures analyses of variance indicated a significant Impact x Step interaction whereby oxygen consumption was greater for the high impact-less arm movement activity (jog), while the low impact-more arm movement activity (power jack) was greater for heart rate. The interaction of aerobic dance characteristics (e.g., impact, arm movement) that may alter physiological responses to aerobic dance exercise should be identified in future aerobic dance routines and studies.

Adult↗

An accurate VO2max nonexercise regression model for 18-65-year-old adults.

The purpose of this study was to develop a regression equation to predict maximal oxygen uptake (VO2max) based on nonexercise (N-EX) data. All participants (N = 100), ages 18-65 years, successfully completed a maximal graded exercise test (GXT) to assess VO2max (M = 39.96 mL x kg(-1) x min(-1), SD = 9.54). The N-EX data collected just before the maximal GXT included the participant's age; gender; body mass index (BMI); perceived functional ability (PFA) to walk, jog, or run given distances; and current physical activity (PA-R) level. Multiple linear regression generated the following N-EX prediction equation (R = .93, SEE = 3.45 mL x kg(-1) x min(-1), % SEE = 8.62): VO2max (mL x kg(-1) x min(-1)) = 48.0730 + (6.1779 x gender; women = 0, men = 1) - (0. 2463 x age) - (0.6186 x BMI) + (0.7115 x PFA) + (0.6709 x PA-R). Cross validation using PRESS (predicted residual sum of squares) statistics revealed minimal shrinkage (R(p) = .91 and SEE(p) = 3.63 mL x kg(-1) x min(-1)); thus, this model should yield acceptable accuracy when applied to an independent sample of adults (ages 18-65 years) with a similar cardiorespiratory fitness level. Based on standardized beta-weights, the PFA variable (0.41) was the most effective at predicting VO2max followed by age (-0.34), gender (0.33), BMI (-0.27), and PA-R (0.16). This study provides a N-EX regression model that yields relatively accurate results and is a convenient way to predict VO2max in adult men and women.

Adolescent↗

Women's reported self-care behaviors during pregnancy.

Responsibility for self-care is the purview of the pregnant woman. Her self-care behaviors are influenced by her quest for a healthy pregnancy and by her health care providers and social network. Our purpose in this descriptive ex post facto study was to examine women's reported self-care behaviors during pregnancy. The 100 women in the study sample reported engaging in self-care behaviors that were both positive and negative. More than half of the women reported activities to keep healthy that included walking or jogging, 48 changed their diets, 25 reported working out, exercising, and/or mediating. Of the 32 women experiencing a medical problem with their pregnancies, none reported engaging in behaviors to keep healthy. Assessing reported self-care behaviors early in pregnancy might help identify women who can benefit from advice about self-care strategies to increase their chances of healthy outcomes.

Adolescent↗

Impact of experimental manipulation of energy intake and expenditure on body composition.

There is persuasive evidence that much obesity is due to underexercising rather than overeating. In a series of randomized, controlled trials we found that sedentary men who take up jogging lose body fat in proportion to miles run, increase their energy intake, and improve their lipoprotein pattern. In a 1-year comparison of fat loss by dieting vs. fat loss by exercise without dieting, both methods were found to be effective in moderately overweight men, and both approaches raised plasma HDL cholesterol. We also demonstrated in overweight men and women losing weight on a prudent diet (low fat, low cholesterol) that adding exercise to energy restriction further increased loss of body fat and reduced waist-to-hip girth ratio, especially in men. Risk of coronary heart disease was also substantially further reduced by addition of exercise, in both sexes. These studies suggest that regular exercise is a valuable addition to dietary change for weight control and reduction of risk of chronic disease in people of all ages. In this article I shall describe studies done by our group in the past 10 years to investigate the effects of varying energy expenditures and varying caloric intakes on body composition, in particular body fat content. The intervention studies are of relatively long duration (1 or 2 years) and have been conducted in free-living men and women. Such long-term investigations are rare in children and adolescents. Although experience in adults cannot be translated directly to children, our findings may indicate profitable research directions for future obesity research in the young.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗

Cognitive plasticity in people at risk for dementia: optimising the testing-the-limits-approach.

A topic of great interest in gerontology research is the prediction of cognitive deterioration which marks the transition from mild cognitive impairment (MCI) to dementia. In this area, the term cognitive plasticity can be of great interest. We examined the utility of the Adaptive Figure Series Learning Test (ADAFI) to evoke cognitive plasticity and to show whether reduced plasticity can be found in people with MCI. In a pre-test-intervention-post-test design, intervention with the ADAFI was compared to an unspecific brain jogging task in MCI participants and healthy controls. A total of 42 subjects were included. Independent of mental health status only using the ADAFI led to pronounced improvements in post-test performances, but MCI participants profited less from the intervention with the ADAFI than healthy controls, that is, showed lower cognitive plasticity. Thus, the overlap in performance distributions between healthy participants and MCI individuals at pre-test was reduced at the time of post-test once the ADAFI had been given as intervention. The findings of the present article indicate that plasticity oriented information can be gained when the ADAFI is given as an intervention in a pre-test-training-post-test-design. The cognitive plasticity approach seems potentially useful for purposes of early identification of dementia.

Aged↗

Gait improvement in unilateral transfemoral amputees by a combined psychological and physiotherapeutic treatment.

A conscious therapeutic approach was used combining methods in physiotherapy with psychological awareness to re-educate nine transfemoral amputees during 10 months in outdoor environments. All were rehabilitated trauma or tumour cases, mean age 33 years, and had worn their prostheses for more than 18 months. The method aimed at integrating the prosthesis in normal movements and increasing body awareness. Gait was measured with a three-dimensional motion analysis system. Self-selected comfortable and brisk gait speed increased from mean 0.95 m/s and 1.29 m/s before to 1.40 m/s and 1.65 m/s after treatment, respectively. The results remained at a 6-month follow-up. Before treatment three participants used walking-aids and all had problems with low-back pain. After treatment none needed walking-aids and almost all low-back pain had disappeared. Seven participants learnt to jog. Results indicate that this new approach may add skills, mostly on participation level, to lead a relatively normal life.

Adolescent↗

Correlates of recreational physical activity in early pregnancy.

OBJECTIVE: Despite the well-documented benefits of a physically active lifestyle, over 25% of American adults report that they never engage in regular recreational physical activity. Little is known about the determinants of physical activity among pregnant women. We investigated the predictors of physical activity in 386 normotensive pregnant women. METHODS: Participants provided information about the type, frequency and duration of each physical activity performed during the first 20 weeks of pregnancy. We calculated odd ratios (OR) for active compared with inactive women using logistic regression models. RESULTS: Approximately 61% of women reported participating in some regular physical activity during pregnancy. Walking, swimming, gardening and jogging were the most common activities. Physical activity as an adolescent (OR 4.0) and during the year before pregnancy (OR 48.9) were the strongest predictors of physical activity in pregnancy. Active women who continued to exercise during pregnancy decreased the average intensity of their exercise and the weekly duration of exercise compared with the year before pregnancy. Nulliparas were twice as likely to engage in physical activity as compared with multiparas. Education and income were positively related with physical activity. Non-White women were 40-60% less likely to engage in physical activity as compared with White women. Smokers were also less likely to engage in physical activity. High protein intake was positively associated with physical activity, while the opposite was true for high carbohydrate intake. CONCLUSIONS: The identification of determinants of physical activity in pregnancy has important implications for developing strategies aimed at promoting a physically active lifestyle among young women.

Adult↗

The effect of a specific strength-development exercise on bone mineral density in perimenopausal and postmenopausal women.

The objective of this study was to assess the effect of physical activity on bone density at the distal radius in healthy perimenopausal (23) and postmenopausal (60) women. The 83 women, aged 40-62 years, were randomized into two groups. The women participated in an exercise program of 40 minutes of jogging and 20 minutes of gymnastics three times a week for 1 year (group 1, n = 46) or 6 months (group 2, n = 37), respectively. Subjects in group 2 served as controls during the first 6 months. They were introduced to exercise classes after the first 6 months of the study and wore wrist weights (0.8 kg on each arm) during the gymnastics session. None of the women were on hormone replacement therapy (HRT). Results show a decrease in bone mineral density (BMD) during the first 6 months of the study in group 1 (2%, p < 0.01) and group 2, although this was not significant for the latter group (1.2%, n.s., p = 0.045). There was no significant change in osteocalcin serum concentration, fasting urinary calcium excretion, and calcium serum concentration during the first half of the study. After an additional 6 months, it was possible to stop BMD loss in both groups. Osteocalcin serum concentration significantly increased, and calcium serum concentration significantly decreased in groups 1 and 2. Fasting urinary calcium excretion decreased in both groups, although this was significant only in group 2 during the 1-year study. In conclusion, it proved possible to prevent BMD loss at the distal radius by our exercise program in perimenopausal and postmenopausal women. The effects of exercise may be general as well as localized. According to our results, additional localized benefits from a specific strength-development exercise may be seen.

Adult↗

Ageing of the cardiovascular system during 33 years of aerobic exercise.

BACKGROUND: increasing age affects aerobic capacity, with an average loss of 10% or more per decade. AIM: to determine the effect of ageing on the circulatory system in middle-aged men during 33 years of physical training. METHODS: 15 men initially aged 45 years took part in an exercise training programme for 25-33 years. Nine serial measurements were made at rest and during maximal effort. Aerobic training consisted of swimming, jogging, walking and cycling 3-4 times per week. Sessions were for 61-70 min at 77-84% of heart rate reserve. RESULTS: there was no change in resting heart rate, blood pressure, percentage fat or body composition. Minimal cardiovascular losses at maximal work included 5.8-6.8% in maximal oxygen uptake per decade, 25 beats in maximum heart rate and 26 beats in heart rate reserve. CONCLUSION: exercise training has a favourable effect on ageing of the cardiovascular system in older men, resulting in minimal loss of oxygen uptake, no rise in resting blood pressure and no change in body composition.

Adult↗

Effects of physical activity on weight reduction in obese middle-aged women.

Increased physical activity consisting of jog-walking 2.5 miles and 1 hr of calisthenics/week was the primary focus of a 17-week weight reduction program in 22 obese (X = 40% body fat) women ages 30 to 52, many of whom had failed at previous attempts to lose weight by dieting alone. Regular exercise was also increased substantially on an individual basis. Caloric restriction was self-determined and was generally moderate, accounting for about 60% of the total mean energy deficit. Initial and final evaluations included body composition by hydrostatic weighing, progressive multistage exercise testing, and plasma lipid and lipoprotein analyses. A mean relative body fat reduction of 5% (P less than or equal to 0.001) was achieved by a drop in fat body weight (X = 5.4 kg; P less than or equal to 0.001) which closely paralleled that of total body weight (X = 4.2 kg; P less than or equal to 0.001). Mean heart rates and systolic blood pressures at identical submaximal exercise intensities were significantly lower at the time of reevaluation. Mean plasma triglyceride and total cholesterol concentrations did not change significantly (P greater than 0.05). However, the high-density lipoprotein cholesterol/low-density lipoprotein cholesterol ratio increased significantly (P less than or equal to 0.05). Increased physical activity combined with moderate dieting is a feasible approach to weight reduction in middle-aged women.

Adult↗

Effect of coarse wheat bran fiber and exercise on plasma lipids and lipoproteins in moderately overweight men.

The effects of the American Association of Cereal Chemists coarse wheat bran fiber and exercise were evaluated in 20 males, aged 24 to 35 yr, and at least 10% above ideal weight. Thirteen of the subjects participated in a 4 mile walk-jog run program 3 times weekly. In a cross-over design with diets switched midway through the experiment, both the exercising and sedentary groups consumed isocaloric amounts of either white bread or white bread containing wheat bran (0.5 g/kg body weight). Plasma total and lipoprotein cholesterol and triglycerides, body weights, and percentage body fats were determined at 0, 6, and 12 wk. No consistent effects were observed as a result of the wheat bran feeding on any of the parameters measured. Exercise training tended to decrease body weights and percentage body fats, and was associated with significantly increased (p less than 0.05) plasma high-density lipoprotein cholesterol levels and high-density lipoprotein cholesterol to low-density lipoprotein cholesterol ratios. After a rise in triglycerides at wk 6, a significant decline (p less than 0.05) back to base-line values was observed at wk 12 for the exercised subjects.

Adult↗

Effects of exercise on riboflavin requirements of young women.

The riboflavin requirement of young women during periods of sedentary living and exercise was determined during a 12-wk metabolic study. The study was divided into a 6-wk no exercise period followed by a 6-wk exercise period in which subjects jogged around a track for 20 to 50 min/day. Twelve subjects, aged 19 to 27 yr, were fed a basic diet containing 0.6 mg riboflavin/1000 kcal of intake. Riboflavin intake was increased by 0.2 mg/1000 kcal increments by provision of riboflavin in a glucose polymer mixture. Linear regression analysis was used to estimate the riboflavin intake required for an erythrocyte glutathione reductase activity coefficient of 1.25 during both the no exercise and exercise periods. Individual riboflavin requirements ranged from 0.62 to 1.21 mg/1000 kcal before exercise and 0.63 to 1.4 mg/1000 kcal during the exercise periods. Riboflavin requirement could not be related to the kilocalorie intake or lean body mass of the subjects. It is concluded that healthy young women require more riboflavin to achieve biochemical normality than the 1980 Recommended Dietary Allowances and that exercise increases riboflavin requirements.

Adult↗

Physical activity as a metabolic stressor.

Both physical activity and diet stimulate processes that, over time, alter the morphologic composition and biochemical function of the body. Physical activity provides stimuli that promote very specific and varied adaptations according to the type, intensity, and duration of exercise performed. There is further interest in the extent to which diet or supplementation can enhance the positive stimuli. Prolonged walking at low intensity presents little metabolic, hormonal, or cardiovascular stress, and the greatest perturbation from rest appears to be from increased fat oxidation and plasma free fatty acid mobilization resulting from a combination of increased lipolysis and decreased reesterification. More intense jogging or running largely stimulates increased oxidation of glycogen and triacylglycerol, both of which are stored directly within the muscle fibers. Furthermore, these intramuscular stores of carbohydrate and fat appear to be the primary substrates for the enhanced oxidative and performance ability derived from endurance training-induced increases in muscle mitochondrial density. Weightlifting that produces fatigue in brief periods (ie, in 15-90 s and after 15 repetitive contractions) elicits a high degree of motor unit recruitment and muscle fiber stimulation. This is a remarkably potent stimulus for altering protein synthesis in muscle and increasing neuromuscular function. The metabolic stress of physical activity can be measured by substrate turnover and depletion, cardiovascular response, hormonal perturbation, accumulation of metabolites, or even the extent to which the synthesis and degradation of specific proteins are altered, either acutely or by chronic exercise training.

Adenosine Triphosphate↗

Effects of aerobic and resistive exercise training on glucose disposal and skeletal muscle metabolism in older men.

BACKGROUND: Aging is associated with insulin resistance, primarily as a result of physical inactivity and increased abdominal obesity. We hypothesized that aerobic (AEX) or resistive (RT) exercise training would result in comparable improvements in glucose disposal in older men, but that there would be different metabolic adaptations in skeletal muscle. METHODS: Thirty-nine older (63+/-1 years, mean+/-standard error of the mean), overweight and obese (body mass index=30.3+/-0.4 kg/m2) men were assigned to AEX (treadmill walking and/or jogging, n=19) or RT (upper and lower body, n=20) programs 3 d/wk for 6 months, with 9 completing AEX and 13 completing RT. Testing before and after the exercise programs included body composition, euglycemic-hyperinsulinemic clamps, and vastus lateralis muscle biopsies. RESULTS: Maximal oxygen consumption (VO2max) increased by 16% after AEX (p<.01), while leg and arm muscle strength increased by 45+/-5% and 27+/-5% after RT (p<.0001). Although participants were monitored to maintain their body weight during the exercise program, body weight decreased by 2% after AEX (p<.05), and increased by 2% after RT (p<.05). Whole-body glucose disposal, determined during the last 30 minutes of a 2-hour 480 pmol/m2/min euglycemic-hyperinsulinemic clamp, increased comparably by 20%-25% after AEX (51+/-5 to 61+/-5 microM/kgfat-free mass/min, p<.05) and RT (49+/-3 to 58+/-3 microM/kgfat-free mass/min, p<.05). The increase in vastus lateralis muscle glycogen synthase fractional activity in response to insulin stimulation was significantly higher after AEX compared to after RT (279+/-59% compared to 100+/-28% change, p<.05). Neither AEX nor RT altered muscle glycogen synthase total activity, glycogen content, or levels of phosphotidylinositol 3-kinase. CONCLUSION: These results suggest that AEX and RT result in comparable improvements in glucose metabolism in older men, whereas an increase in insulin activation of glycogen synthase occurred only with AEX. These improvements in insulin sensitivity could reduce the risk of metabolic syndrome and type 2 diabetes and attenuate the development of cardiovascular disease.

Age Factors↗

Effect of eight weeks' physical training on muscle and connective tissue of the M. vastus lateralis in 69-year-old men and women.

Five one-hour exercise periods a week for 8 weeks included walking-jogging, swimming, gymnastics and ballgames for 26 healthy male and female 69-year-old pensioners. The mean maximal oxygen uptake of the men increased from 28.9 ml-kg-1-min-1 before training to 32.0 ml-kg-1-min-1 after training and for the women from 27.9 to 31.3 ml-kg-1-min-1. Muscle malate dehydrogenase activity was increased while that for lactate dehydrogenase decreased or remained the same. The activity of these enzymes was higher in the male both before and after training when compared with the female. However, the percentage number of slow twitch muscle fibers was nearly the same in both groups. Prolyl hydroxylase activity was increased after training especially in the female subjects. These results show that endurance-type training leads to an enhanced capacity for aerobic metabolism in older subjects and that collagen metabolism in skeletal muscles is affected by physical training.

Aged↗

Metabolic observations on Caucasian men and women aged 17 to 88 years.

Aerobic capacity (VO2 max) and body fat were measured indoors and VO2 was measured at about 36 to 42 degrees C in desert walks or runs in 69 adults aged 17 to 88 years. Eleven were athletic youths, and many of the older adults had participated in jogging programs. Body fat increased and VO2 max decreased with age, although there were notable exceptions. Rates of walking and running were planned to require about 40% of VO2 max. Midway in each walk VO2 (ml O2/horizontal m . kg) served as a measure of skill; skill was high in 10 of 11 youths who did many walks or runs. Each older adult did three walks; skill improved. In four groups with some persons aged 50 and older with body fat up to 40%, skill in their third walk matched that of youths. The least fit women and the least fit men did not attain that level of skill.

Adipose Tissue↗

Exercise training improves fat distribution patterns in 60- to 70-year-old men and women.

Changes in body composition and fat distribution in response to endurance exercise training were compared in 47 men and 46 women, aged 60 to 70 yr. Body composition was assessed by hydrodensitometry and fat distribution was evaluated with skinfold thickness and circumference measures. The 9- to 12-mo exercise program consisted primarily of walking and/or jogging for 46 +/- 5 min.d-1, 4.0 +/- 0.6 d.wk-1, at 80 +/- 5% of maximal heart rate. Although men lost more weight during the exercise program than women (men, -3.4 +/- 4.4 kg; women, -1.6 +/- 3.8 kg), relative changes were not significantly different, averaging -3.7 +/- 4.1% and -2.7 +/- 2.9% of body weight in men and women, respectively. The changes in body weight reflected fat loss, as fat-free mass did not change. The reductions in skinfold thickness and circumferences were similar in men and women, and in both groups the largest absolute and relative changes occurred in the truncal area, indicating a preferential loss of fat from the central regions of the body. The results of this study indicate that endurance exercise training can favorably modify the abdominal fat distribution profile that is typical of older men and women in the United States and thus, perhaps, reduce the risk of the diseases associated with abdominal obesity.

Abdomen↗

Assess workers' needs and preferences first before planning a physical fitness programme: findings from a polytechnic institute in Singapore.

Workplace physical fitness programmes are usually poorly attended because the activities do not meet workers' needs. We investigated leisure-time physical activity and its relation to sociodemographic characteristics and cardiovascular risk factors in a polytechnic institute in Singapore before planning a physical fitness programme. Low leisure-time physical activity (defined as no activity or engaging in physical activity less than once per week) was more prevalent among older women, married workers, smokers and men with unhealthy dietary habits. The type of physical activity varied with age and gender, with a preference for walking by women and older men and jogging by younger men. Low physical activity was significantly associated with sickness absence and self-reported stress in women and higher values of triglycerides and low density lipoprotein cholesterol in men. This survey helps to identify target groups for physical fitness programmes and determine leisure-time physical activities specific to workers' preferences by age and gender.

Absenteeism↗