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[Sports and pregnancy].

Pregnant women consult often their obstetricians for counselling about their way of living. Particularly answering questions concerning physical activity and sports during pregnancy require a profound knowledge on the physiological adaptations of pregnancy and, on the other hand, on performance and sports physiology. On the basis of the current state of research, physical exercise and sport are to be recommended during pregnancy so long as women are aware of potential dangers and contraindications. Maternal benefits and fetal benefits have today been demonstrated.

Adult↗

Growth and reproduction in the chronically nutrient-deprived rat.

The effects on growth and reproduction of chronic, moderate multiple deficiencies of protein, riboflavin, pyridoxine and vitamin A were studied in the rat. The effects of combined deficits on feed intake and feed efficiency and on the young were then determined. All deficits, singly or in combination, interfered with the increase in feed efficiency in pregnancy seen in the control rats. Rats fed diets deficient in both protein and vitamin A did not survive to breeding weight. Protein deficiency resulted in reduced number of live young which were of reduced weight. When deficits of riboflavin or pyridoxine or both were also imposed, even fewer live young were produced, but there was no further effect on weights at birth. Reduction in feed intake in pair-fed animals was not totally responsible for these effects. Production of live young was not as depressed by combined vitamin deficiencies when dietary protein was adequate. The most severe effects of any of the deficiencies appeared to occur early in the reproductive process, possibly involving ovulation, embryo survival, implantation and the very early post-implantation period during the development of vital organs. It is suggested that the nutrient deficit interferes with the action of progesterone or other hormones important to the physiological adaptations to pregnancy.

Animal Nutritional Physiological Phenomena↗

Physiological and mechanical adaptations of rabbit medial collateral ligament after anterior cruciate ligament transection.

Progressive physiological and mechanical changes in the medial collateral ligament of the adult rabbit were investigated for as long as 48 weeks after disruption of the anterior cruciate ligament. Eighty-one New Zealand White rabbits were separated into experimental, sham-operated control, and normal control groups. The experimental group underwent unilateral transection of the right anterior cruciate ligament, sham-operated animals served as controls for comparison, and normal animals were evaluated as age-matched, undisturbed (no surgery) controls. Blood flow to the medial collateral ligament (as a physiological measure) and mechanical function (structural and material properties) were assessed at 6, 14, and 48 weeks. The results indicated that loss of the anterior cruciate ligament leads to early mechanical deterioration of the medial collateral ligament with a corresponding loss of physiological homeostasis. Six to 14 weeks after the transection, values for cross-sectional area of the medial collateral ligaments rapidly increased to 1.5 times control values. The ligament became twice as large as the control ligament by 48 weeks. Concomitantly, medial collateral ligament stress at failure of the medial collateral ligament complex decreased rapidly 6-14 weeks after the transection and eventually fell to one-half that of controls by 48 weeks. In terms of low-load behaviour, laxity and load relaxation were significantly greater than that of controls 6 weeks after transection and were further increased by 14 weeks. By 48 weeks, laxity values had recovered somewhat and load-relaxation measures had recovered to near control values. At both 6 and 14 weeks, a statistically significant elevation in blood flow was demonstrated compared with controls. By 48 weeks, however, blood flow was no different from that of the sham-operated control. Thus, early after transection of the anterior cruciate ligament, both low-load and high-load mechanical properties of the medial collateral ligament deteriorated and the rate of blood flow was temporarily elevated. By 48 weeks, blood flow declined to near control values, with a corresponding recovery in viscoelastic behaviour. These findings suggest that, after transection of the anterior cruciate ligament, viscoelastic behaviour of the medial collateral ligament may be related to changes in blood flow and that restoration of normal flow patterns and vascular responses may be linked to the recovery of some low-load mechanical properties in the anterior cruciate ligament-deficient medial collateral ligament.

Adaptation, Physiological↗

Update on cardiac pacemakers: description, complications, indications, and followup.

Great advances in pacemaker technology have produced devices capable of a vast array of physiologic adaptations formerly unimaginable, opening new possibilities in the pacemaker treatment of almost all rhythm disturbances. Nearly all units in use today are of the inhibited type, except for some antitachycardia applications. The AV-sequential mode (DVI) allows for preservation of AV synchrony, and the universal pacemaker (DDD) allows for a more physiologic response to a range of atrial rates. Programmability of numerous parameters has added a new dimension of adaptability to a variety of changing physiologic needs and pacemaker performance patterns, eliminating the need for surgical revision in many cases. The standard power source of today's pacemaker is the lithium chemistry cell, and the 5-year pacemaker is a reality, with 10 to 15 years of longevity distinctly possible in the near future. Almost all pacemakers use the transvenous route for access to the heart; new positive-fixation electrodes reduce displacement to a minimum; and new polyurethane or silicone-rubber leads have greatly simplified the techniques for implantation. Bipolar pacing systems are preferred, to avoid the oversensing of skeletal muscle interference--a problem that is especially important in triggered systems such as those used for antitachycardia applications. Threshold measurements are performed in millivolts at the time of implantation of most constant-voltage units, and current threshold measurements are useful for troubleshooting when failure to capture exists. Sensitivity parameters should be adjusted to sense the intracardiac signal; its amplitude should be determined in all cases, and measurement of the slew rate is useful when the amplitude is marginal. Recording of AV and VA conduction characteristics should be part of the routine implanting procedure, especially when simple blood pressure measurement during ventricular pacing indicates that this modality will be poorly tolerated and, therefore, implantation of a dual-chamber unit is contemplated. Different modalities of pacemaker malfunction have been reviewed, including the "cross-talk" phenomenon encountered with dual-chamber pacing. With the introduction of newer techniques, a host of pacemaker-mediated tachycardias have appeared, notably the "endless-loop" tachycardia of DDD pacemakers. This and other electrophysiologic phenomena of normal pacemaker function are bound to multiply as technology becomes more complex, but they should not be a problem if the programmable parameters are adapted to the electrophysiology of each particular patient.(ABSTRACT TRUNCATED AT 400 WORDS)

Arrhythmias, Cardiac↗

Immunoglobulins in the eggs of the nurse shark, Ginglymostoma cirratum.

Elasmobranchs, which include the sharks, skates, and rays, emerged over 450 million years ago and are the oldest vertebrates to possess an adaptive immune system. They have evolved diverse reproductive modes, with a variety of physiological adaptations that enhance reproductive success. The nurse shark, Ginglymostoma cirratum, is an aplacental, viviparous elasmobranch in which the egg and its associated vitelline vasculature are the primary route for maternal-embryonic interactions. During gestation, nurse shark embryos hatch from their eggcases and develop free in the uterus, which is flushed regularly with seawater. Similar to higher vertebrates, embryonic and neonatal nurse sharks possess an immune system that is not fully competent. In birds and bony fishes, maternal immunoglobulins (Ig) stored in the egg during oogenesis confer protective immunity to embryos during gestation. However, early research suggested that such transfer of passive immunity does not occur in sharks. To better understand how elasmobranch embryos are protected from waterborne pathogens during this potentially vulnerable time, we have re-examined the existence of Igs in elasmobranch eggs. Using monoclonal antibodies, we establish the presence of two classes of Igs in nurse shark eggs: 7S IgM and IgNAR. The potential transfer of immunoglobulins from elasmobranch eggs is discussed.

Animals↗

Can a transplanted living donor kidney function equivalently to its native partner?

Early renal functional adaptation was examined in 81 haploidentical donor and recipient pairs, as well as long-term stability of glomerular filtration rate (GFR) in 78 recipients. GFR was determined pre- and 1 month postnephrectomy in donors and 1 month post-transplant and yearly thereafter in recipients. Compensatory increase in filtration (CIF) of transplanted and native kidneys was calculated using donor pretransplant GFR: [CIF= (GFR at 1 month/donor prenephrectomy GFR) x 100]. Annual rates of change in GFR were estimated using within-patient linear regression analysis (slopes). Recipients without rejection (n = 62) and their donors had similar early GFR and CIF. Those with acute rejection (n = 19) had significantly lower GFR and CIF than their donors (61 +/- 16 mL/min/1.73 m2 and 57 +/- 14% vs. 75 +/- 11 and 69 +/- 9; p = 0.01 and p < 0.001). Recipients without cyclosporine (n = 52) had 1 month GFR and CIF of 70 +/- 14 and 67 +/- 14 vs. 72 +/- 11 and 69 +/- 11 for their donors. Those with cyclosporine (n = 29) had 1 month GFR and CIF of 64 +/- 14 and 62 +/- 16 vs. 69 +/- 12 and 67 +/- 11 for their donors (p = 0.15 and 0.16). Comparison of median (25th, 75th) rates of change of GFR with and without acute rejection or cyclosporine did not demonstrate significant effects of either on stability of allograft function, although there was a trend towards greater loss of GFR in cyclosporine-treated patients [-1.1 (-2.5, 0.8) vs. 0.0 (-1.8, 1.2) mL/min/1.73 m2/year, p = 0.47]. We conclude that, in the absence of rejection, the transplanted kidney maintains the same capacity for functional adaptation as its native partner. Therapy with cyclosporine does not significantly inhibit early physiological adaptation of renal transplants.

Cyclosporine↗

[Anorexia and malnutrition].

Anorexia is a frequent and complex symptom occurring physiologically in older persons and during acute or chronic pathology. It's an adaptable physiological response to stress. It must be respected as such, as long as it's quickly reversible. The study of anorexia requires evaluation of oral intakes, causal aetiology and nutritional repercussion on body composition, different systems function and quality of life. Early artificial nutrition is recommended for adult patient who severely diminished oral intakes for 7 to 10 days after the beginning of acute pathology. Artificial nutrition is also indicated with chronic pathology associated with a significant weight loss. Faced to the impossibility of treating anorexia and its all causes, we have to treat at least anorexia repercussions and prevent undernutrition with an adequate artificial nutrition.

Aged↗

Psychological state and running economy.

The primary purpose of the present review was to critique studies that examined the influence of psychological state (i.e., affect, perception, and cognition) on running economy (RE). However, only six studies included measures of oxygen consumption at a given workload (i.e., economy) and used running as the mode of exercise. Two of the six studies indicated that increased tension was highly correlated (r = 0.81) with increased oxygen cost and that reductions in tension, using stress management techniques, improved RE. Because of the sparsity of studies in this area, a secondary purpose of this review was to examine the influence of psychological state on the physiological and behavioral response to varying modes of exercise. Affect, induced through hypnosis and imagery, was effective in changing the response to exercise (i.e., heart rate, performance). Altered perception through the use of hypnosis or through personality characteristics did not alter the physiological response to exercise, perhaps because of the passive role of the exerciser in these situations. Lastly, cognition (i.e., mental strategy, coping, and biofeedback) elicited changes in the physiological and behavioral responses to exercise. Despite these physiological alterations, there were not changes in oxygen consumption in the majority of the studies. It is possible that changes in selected physiological responses (i.e., respiratory frequency) may be altered (e.g., biofeedback) without changes in oxygen consumption because of accommodation in other areas of the body (i.e., a-VO2 difference). Changes in economy possibly occur when these accommodation effects are overridden by the physiological adaptations resulting from longer training periods. In conclusion, psychological state can influence the physiological and behavioral response to exercise. Furthermore, this review supports the use of a multidisciplinary approach to examine the interactional effects of physiology, biomechanics, psychology, and neurophysiology to adequately determine mechanisms underlying changes in RE.

Affect↗

Low-temperature carbon utilization is regulated by novel gene activity in the heart of a hibernating mammal.

Hibernation is a physiological adaptation characterized by dramatic decreases in heart rate, body temperature, and metabolism, resulting in long-term dormancy. Hibernating mammals survive for periods up to 6 mo in the absence of food by minimizing carbohydrate catabolism and using triglyceride stores as their primary source of fuel. The cellular and molecular mechanisms underlying the changes from a state of activity to the hibernating state are poorly understood; however, the selective expression of genes offers one level of control. To address this problem, we used a differential gene expression screen to identify genes that are responsible for the physiological characteristics of hibernation in the heart of the thirteen-lined ground squirrel (Spermophilus tridecemlineatus). Here, we report that genes for pancreatic lipase and pyruvate dehydrogenase kinase isozyme 4 are up-regulated in the heart during hibernation. Pancreatic lipase is normally expressed exclusively in the pancreas, but when expressed in the hibernating heart it liberates fatty acids from triglycerides at temperatures as low as 0 degreesC. Pyruvate dehydrogenase kinase isozyme 4 inhibits carbohydrate oxidation and depresses metabolism by preventing the conversion of pyruvate to Ac-CoA. The resulting anaerobic glycolysis and low-temperature lipid catabolism provide evidence that adaptive changes in cardiac physiology are controlled by the differential expression of genes during hibernation.

Animals↗

Comparative thermoregulatory adaptations of field mice of the genus Apodemus to habitat challenges.

Thermoregulatory abilities, which may play a role in physiological adaptations, were compared between two field mouse species (Apodemus mystacinus and A. hermonensis) from Mount Hermon. While A. hermonensis is common at altitudes above 2100 m, A. mystacinus is common at 1650 m. The following variables were compared in mice acclimated to an ambient temperature of 24 degrees C with a photoperiod of 12L:12D, body temperature during exposure to 4 degrees C for 6 h, O2 consumption and body temperature at various ambient temperature, non-shivering thermogenesis measured as a response to a noradrenaline injection, and the daily rhythm of body temperature. Both species could regulate their body temperature at ambient temperatures between 6 and 34 degrees C. The thermoneutral zone for A. mystacinus lies between 28 and 32 degrees C, while for A. hermonensis a thermoneutral point is noted at 28 degrees C. Both species increased O2 consumption and body temperature as a response to noradrenalin. However, maximal VO2 consumption as an response to noradrenaline and non-shivering thermogenesis capacity were higher in A. mystacinus, even though A. hermonensis is half the size of A. mystacinus. The body temperature rhythm in A. hermonensis has a clear daily pattern, while A. mystacinus can be considered arhythmic. The results suggest that A. hermonensis is adapted to its environment by an increase in resting metabolic rate but also depends on behavioural thermoregulation. A. mystacinus depends more on an increased non-shivering thermogenesis capacity.

Acclimatization↗

Through a glass darkly: the lung as a window to monitor oxygen consumption, energy metabolism, and severity of critical illness.

Medical diagnosis and therapeutic monitoring for critical illness require adaptation of laboratory analyses to the bedside. These are greatly helped by the modification of physiological and biochemical data-acquisition techniques to increase the number and accuracy of noninvasive variables that can be obtained from the patient. This paper addresses the choice of noninvasive measurements and is largely directed at the assessment of oxygen debt as a measure of the severity of ischemic and septic metabolic processes. Especially considered are those noninvasive measures of cardiorespiratory adequacy, key variables that need to be considered together with the metabolic function to adequately reflect the patient's state of accommodation to critical illness or injury. I describe a noninvasive sensor system linked to a computer work-station that functions in a pattern recognition mode to permit classification of patients as to the type and severity of their physiological adaptation. This system can serve as a sophisticated bedside monitor of the severity of the patient's condition, as a guide to therapy.

Critical Care↗

Pressure diuresis and natriuresis in DOCA-salt mice.

The increasing use of mice in renal and cardiovascular studies has necessitated adapting physiological methods used for rats to mice, which are far smaller in size. We have adapted measurements of continuous renal blood flow, pressure natriuresis and diuresis, and laser-Doppler cortical and medullary flow to 40 g mice with DOCA-salt hypertension. We demonstrated a rightward shift in the pressure-natriuresis-diuresis curve. We conclude that with current, commercially-available equipment, sophisticated renal physiology can be conducted in the mouse. These methods will be important to investigations of gene-targeted mice.

Animals↗

The two faces of growth: benefits and risks to bone integrity.

Bones grow by two processes: cortical bone is made by periosteal apposition (growth in width), and cancellous bone is made by endochondral ossification (growth in length). In both the axial and appendicular skeleton, about half of peak adult bone mass is accumulated during the adolescent growth spurt, which occurs two years earlier in girls than in boys, and is under pituitary control via interactions between growth hormone and sex hormones. Throughout growth, but particularly during adolescence, the ability of bone to adapt to mechanical loading is much greater than after maturity. This is the main reason why the effects of physical activity on bone are greater in cross-sectional studies in young athletes than in longitudinal studies in previously sedentary adults. In wild animals, by the time growth has ceased, the bones must be as strong as they will ever need to be, and attainment of further strength after cessation of growth would serve no biologic purpose. Adaptation of growing bone to mechanical loading is the purpose of the mechanostat, which enables physiologic adaptation in individuals to establish and maintain a species-specific property of the bones that is determined by evolutionary adaptation in populations. But growth confers risks as well as benefits to the skeleton. The large increase in incidence of upper extremity (particularly lower forearm) fractures, coincident with the adolescent growth spurt in both sexes, is due to an increase in cortical porosity as a consequence of an increase in intracortical bone turnover, which supplies some of the calcium needed by the growing ends of the long bones. This enables an increased demand for calcium to be spread over a longer time, analogous to the cyclic physiologic osteoporosis which occurs during the antler growth cycle in deer. The subsequent decline in cortical porosity is responsible for the continued increase in radial bone density after cessation of growth, referred to as consolidation. In the present state of knowledge, an increased incidence of fracture during the adolescent growth spurt is the inescapable consequence of an appropriate level of physical activity, and is the price that has to be paid in order to maximize bone accumulation during growth and minimize fracture risk in old age.

Adolescent↗

Systems modelling of the relationship between training and performance.

Mathematical models may provide a method of describing and predicting the effect of training on performance. The current models attempt to describe the effects of single or multiple bouts of exercise on the performance of a specific task on a given day. These models suggest that any training session increases fitness and provokes a fatigue response. Various methods of quantifying the training stimulus (training impulse, absolute work, psychophysiological rating) and physical performance (criterion scale, arbitrary units) are employed in these models. The models are empirical descriptions and do not use current knowledge regarding the specificity of training adaptations. Tests of these models with published data indicate discrepancies between the predicted and measured time course of physiological adaptations, and between the predicted and measured performance responses to training. The relationship between these models and the underlying physiology requires clarification. New functional models that incorporate specificity of training and known physiology are required to enhance our ability to guide athletic training, rehabilitation and research.

Humans↗

The acute hypoxic ventilatory response: testing the adaptive significance in human populations.

The acute Hypoxic Ventilatory Response (HVR) is an important component of human hypoxia tolerance, hence presumably physiological adaptation to high altitude. We measured the isocapnic HVR (L min(-1) %(-1)) in two genetically divergent low altitude southern African populations. The HVR does not differ between African Xhosas (X) and Caucasians (C) (X:-0.34+/-0.36; C:-0.42+/-0.33; P > 0.34), but breathing patterns do. Among all Xhosa subjects, size-independent tidal volume was smaller (X: 0.75+/-0.20; C: 1.11+/-0.32 L; P < 0.01), breathing frequency higher (X: 22.2+/-5.7; C: 14.3+/-4.2 breaths min(-1); P < 0.01) and hypoxic oxygen saturation lower than among Caucasians (X: 78.4+/-4.7%; C: 81.7+/-4.7%; P < 0.05). The results remained significant if subjects from Xhosa and Caucasian groups were matched for gender, body mass index and menstrual cycle phase in the case of females. The latter also employed distinct breathing patterns between populations in normoxia. High repeatability (intra-class correlation coefficient) of the HVR in both populations (0.77-0.87) demonstrates that one of the prerequisites for natural selection, consistent between-individual variation, is met. Finally, we explore possible relationships between inter-population genetic distances and HVR differences among Xhosa, European, Aymara Amerindians, Tibetan and Chinese populations. Inter-population differences in the HVR are not attributable to genetic distance (Mantel Z-test, P = 0.59). The results of this study add novel support for the hypothesis that differences in the HVR, should they be found between other human populations, may reflect adaptation to hypoxia rather than genetic divergence through time.

Acclimatization↗

Human physiological response and adaption to ammonia.

Other than anecdoted observations, there are no published reports on the physiological effects of ammonia at concentrations normally encountered industrially or information on whether inurement develops after repeated exposure. Six unacclimated male and female volunteers were exposed six hours per day over a six week period to concentrations of 25, 50, and 100 ppm ammonia in an industrial environment, under strict medical surveillance. Inurement to eye, nose, and throat irritation was demonstrated after two to three weeks in addition to short-term subjective adaption. There were no significant differences between subjects or controls on common biological indicators, in physical examinations, or in performance of normal job duties. After acclimation, continuous exposure to 100 ppm, with occasional excursions to 200 ppm, is easily tolerated and has no observed effect on general health.

Adaptation, Physiological↗

Ecotoxicology of organisms adapted to life in temporary freshwater ponds in arid and semi-arid regions.

Hot arid and semi-arid zones are characterized by an abundance of temporary ponds. Most of these depend on rain for their existence. These habitats are distinguished by fluctuating and unpredictable changes in their hydrological regime and of physical and chemical conditions.They contain a uniquely-adapted fauna that copes in different ways with changing and often extreme temperatures, oxygen levels, pH, salinity and turbidity. A classification is presented of the most distinctive adaptations,the various tactics that organisms apply to survive dry periods. The main strategies are dormancy (escape in time) and dispersal (escape in space). These adaptations may affect the impact of toxicants on individuals, populations and communities of temporary ponds. The physiological adaptations of species found in temporary ponds are likely to alter the sensitivity to pollutants of characteristic species. Results from laboratory experiments,for example, suggest that fairy shrimp (Branchiopoda, Anostraca) may react differently to heavy metals and pesticides as the standard test species Daphnia. Life history strategies influence recovery rates of populations after exposure to acutely toxic substances such as pesticides. It is also suggested that slow growth and decreased reproductive capacity of organisms caused by toxicants may, in ephemeral ponds, result in the failure of annual recruitment. Whether assemblages of organisms in temporary ponds are generally more vulnerable or more resilient than those in permanent waters or temperate regions could not be determined conclusively with the limited data available. Ecological concepts for studying the habitat and the development of risk assessment methods for temporary ponds are briefly discussed.

Animals↗