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Benefits and limitations of rate adaptive pacing under laboratory and daily life conditions in patients with minute ventilation single chamber pacemakers.

Rate adaptive pacing has been shown to improve hemodynamic performance and exercise tolerance during acute testing. However, there remain concerns about its benefit in daily life and possible complications incurred by unnecessary pacing. This double-blind crossover study compared the benefit of rate adaptive (SSIR) versus fixed rate (SSI) pacing under laboratory and daily life conditions in 20 rate incompetent patients with minute ventilation single chamber pacemakers (META II). The heart rate (HR) response during three different exercise tests (treadmill, bicycle ergometry, walking test) was correlated with the Holter findings during daily life in either pacing mode. The maximal HR was significantly higher in the SSIR-mode compared to the SSI-mode, both during laboratory testing (treadmill: 123 +/- 15 vs 93 +/- 29 beats/min; ergometry: 118 +/- 15 vs 89 +/- 27 beats/min; walking test: 127 +/- 9 vs 95 +/- 26 beats/min, all P values < 0.01) as well as during daily life (Holter: 126 +/- 13 vs 103 +/- 24 beats/min, P < 0.01). On Holter, the average HR (71 +/- 14 vs 71 +/- 8 beats/min) and the percentage of paced rhythm (54% vs 62%, SSI- vs SSIR-mode, P = NS) were not different in either mode. However, despite a 30% rate gain in the SSIR-mode, the exercise capacity remained unchanged, and only 38% of patients preferred the SSIR-mode. Minute ventilation pacemakers provide a physiological rate response to exercise. Irrespective of the protocol used, the findings of laboratory testing are comparable to those during daily life. However, patient selection for rate adaptive single chamber pacing should be made with caution, since the objective benefit of restoring normal chronotropy may subjectively be negligible for most patients.

Aged↗

Effect of oral creatine supplementation on single-effort sprint performance in elite swimmers.

Oral supplementation with creatine monohydrate (Cr.H2O) has been reported to increase muscle creatine phosphate levels. The aim of the present study was to determine the effect of such supplementation on performance of a single-effort sprint by elite swimmers. Thirty-two elite swimmers (M = 18, F = 14; age = 17-25 years) from the Australian Institute of Sport were tested on two occasions, 1 week apart. Tests performed were 25-m, 50-m, and 100-m maximal effort sprints (electronically timed with dive start, swimmers performing their best stroke), each with approximately 10 min active recovery. A 10-s maximal leg ergometry test was also undertaken. Swimmers were divided into two groups matched for sex, stroke/event, and sprint time over 50 m, and groups were randomly assigned to 5 days of Cr.H2O supplementation (4 . day-1 x 5 g Cr.H2O + 2 g sucrose, n = 16) or placebo (4 . day-1 x 5 g Polycose + 2 g sucrose, n = 16) prior to the second trial. Results revealed no significant differences between the group means for sprint times or between 10-s maximal leg ergometry power and work. This study does not support the hypothesis that creatine supplementation enhances single-effort sprint ability of elite swimmers.

Adolescent↗

A time-saving incremental cycle ergometer protocol to determine peak oxygen consumption.

Previously we have demonstrated that an accelerated arm ergometry testing protocol results in a higher peak oxygen consumption than continuous or discontinuous protocols reported in the literature (Brit. J. Sports Med. 20: 25-26, 1986). The purpose of this investigation was to determine if an accelerated protocol was superior to two commonly used protocols in cycle ergometry. Nine male subjects were tested on three different exercise protocols; a discontinuous test (DT), a continuous test (CT) and a new proposed "jump-max test" (JMT). The CT began at a work rate of 70 W with the power output (PO) being increased 35 W.min-1. The DT began at a work rate of 70 W; the work rate was increased by 35 W every 2 minutes with 2-minutes rest between stages. The JMT began with a 3-minute pretest to determine a PO which elicited a HR of 145 +/- 5 bpm. After a 2-minute rest, subjects began exercise at the predetermined work rate with the PO being increased 35 W.min-1. Testing sessions were terminated when subjects failed to maintain the desired PO. No significant difference (p greater than 0.05) existed in peak PO or peak oxygen consumption (VO2) between the three protocols. However, JMT protocol did result in a shorter time to exhaustion than the other protocols employed (P less than 0.05).

Adult↗

Brief exercise induces an immediate and a delayed leucocytosis.

Haematological profiles were measured: (1) before and for 5 h 30 min after 30 min sports (squash, swimming, jogging); and (2) before, during and for 2 h 30 min after 30 min cycle ergometry at workloads which required rates of oxygen consumption that were between 48% and 84% of maximal. In both instances exercise induced an immediate leucocytosis (owing to rises in both neutrophils and lymphocytes) which subsided rapidly at the finish of exercise and was followed by a delayed neutrophilia of greater magnitude which peaked at approximately 3 h after the start of exercise. Changes in plasma catecholamines and cortisol recorded during and after exercise (cycle ergometry only) support the hypothesis that the immediate leucocytosis during brief exercise is attributable to elevated catecholamine levels, whereas the delayed neutrophilia is due to raised cortisol levels.

Adult↗

Maximal shuttle running over 40 m as a measure of anaerobic performance.

Over the last decade increasing interest has been shown in the measurement of anaerobic power and capacity in athletic men. These physiological characteristics have been determined predominantly using cycle ergometry and treadmill sprinting. The purpose of the present study was to examine the relationship between 40-m maximal shuttle run times and performance indices obtained during treadmill sprinting and cycle ergometry. Moderate correlations were found between 10-m split times (the time taken to cover the initial 10 m of the shuttle course) and treadmill peak power outputs (r = -0.67; P < 0.05). Similar relationships were also found between the fastest 40-m time and mean power outputs generated on both the treadmill and cycle ergometer (r = -0.67; P < 0.05) and (r = -0.75; P < 0.05) respectively. The correlations remained unchanged when the values were adjusted for body weight (W kg-1). The results of the present study suggest that maximal 40-m shuttle running ability may reflect anaerobic indices of power and capacity, determined using standard laboratory procedures.

Adult↗

Ratings of perceived exertion in braille: validity and reliability in production mode.

OBJECTIVES: (a) To assess the validity and reliability of producing and reproducing a given exercise intensity during cycle ergometry using a braille version of Borg's standard 6-20 rating of perceived exertion (RPE) scale, and (b) to determine whether the exercise responses of blind participants, at a given produced RPE, were similar to those reported in recognised guidelines for sighted subjects. METHODS: Ten healthy registered blind volunteer participants (four women, six men; mean (SD) age 23.2 (9.0) years) performed an initial graded exercise cycle test to determine maximal heart rate (HRMAx) and maximal oxygen uptake (VO2MAX). Three trials of three exercise bouts at RPEs 9, 11, and 13 were then performed in random order on three separate days of the same week, with expired air and heart rate measured continuously. Each exercise bout was followed by 10 minutes of rest. The validity of the scale as a means of producing different exercise intensities was assessed using a two factor (RPE x trial) repeated measures analysis of variance. Intertrial reliability was assessed using intraclass correlation coefficients (ICC) and the bias +/-95% limits of agreement (95%LoA) procedure. RESULTS: Participants reported no difficulty in using the braille RPE scale. When asked to produce exercise intensities equating to RPE 9, 11, and 13, they elicited mean %VO2MAX values of 47%, 53%, and 63% respectively. Analysis of variance showed no significant differences in either %HRMAx or %VO2MAX between trials at each of the three RPEs, but there was a significant difference (p<0.001) in both %HRMAx and %VO2MAX between the three RPE levels. All pairwise comparisons of the three different RPEs were significantly different (p<0.016). The ICC between the second and third trial for %HRMAx was significant (p <0.05) for all three RPEs. Similarly for %VO2MAX, the ICC was significant for RPE 9 and 11 but not 13. The 95%LoA decreased for both %HRMAx and %VO2MAX with each successive trial. CONCLUSIONS: Blind participants were successful in using a braille RPE scale to differentiate exercise intensity on a cycle ergometer. In every trial at RPE 13, all participants achieved %HRMAX and %VO2MAX levels, which fell within the recommendedrange for developing cardiorespiratory fitness. Using %HRMAx as a judge of intertrial reliability, the participants were able to repeat similar exercise intensities after two trials at each of the three RPEs (9, 11,13). The same was true for RPE 9 and 11, when %VO2MAX was used as a judge, but further trials were required to achieve similar reliability at RPE 13. A braille RPE scale can be used by healthy blind people during cycle ergometry, with similar effect to the visual analogue scale recommended for use in healthy sighted people.

Adult↗

Dose response study of ipratropium bromide aerosol on maximum exercise performance in stable patients with chronic obstructive pulmonary disease.

BACKGROUND: Although the bronchodilating effect of inhaled anticholinergics has been established in patients with chronic obstructive pulmonary disease (COPD), their effects on exercise capacity are still controversial. Previous studies have suggested that the standard dosage hardly affects exercise tolerance, whereas higher doses might elicit an improvement. The aim of the present study was to determine the dose of ipratropium bromide aerosol that improves exercise performance using progressive cycle ergometry in patients with stable COPD. METHODS: Twenty men with stable COPD of mean (SD) age 69.2 (4.6) years and forced expiratory volume in one second (FEV1) 1.00 (0.37) 1 were studied in a randomised double blind manner. Each patient received ipratropium bromide in doses of 240 micrograms, 160 micrograms, 80 micrograms, 40 micrograms, and placebo from a metered dose inhaler (MDI) with an InspirEase spacer on five separate days. Spirometric parameters were assessed before and at 30, 60, 90, and 120 minutes after each inhalation, and pulse rate and blood pressure were also measured immediately before each spirometric measurement. Symptom limited progressive (20 watts/min) cycle ergometer exercise tests were performed 90 minutes after each inhalation. RESULTS: Ipratropium bromide in doses of 160 micrograms and 240 micrograms produced a greater increase in FEV1 than 40 micrograms or 80 micrograms ipratropium bromide at all time points. Doses of 160 micrograms and 240 micrograms ipratropium bromide also produced greater increases in maximal work load and maximal oxygen consumption than placebo, whereas 40 micrograms and 80 micrograms ipratropium bromide did not. There was a weak correlation between the change in FEV1 and the change in maximal work load (r = 0.45). No differences were found in pulse rate or blood pressure between the treatment and placebo groups, and no side effects were noted throughout the study. CONCLUSIONS: A dose of at least four times the standard dose of ipratropium bromide from an MDI with a spacer device was necessary to improve maximal cycle exercise capacity in patients with stable COPD. Although the data from cycle ergometry cannot be directly applied to exercise performed during day to day activities, it is conceivable that the recommended doses of ipratropium bromide do not elicit the optimal clinical benefits.

Aerosols↗

Electromyographic and mechanomyographic responses.

The purpose of the present study was to determine the electromyographic (EMG) and mechanomyographic (MMG) responses to cycle ergometry at critical power (CP). Seven moderately active males (25 +/- 3 years) completed a 60-min trial at their CP estimated from a nonlinear, 3 parameter regression model. EMG and MMG amplitudes were recorded from the vastus lateralis during 60-min continuous rides at CP. The mean CP was 175 +/- 25 W, which represented 56 +/- 5% of the subjects' peak power outputs. The results indicated that the slope coefficient for the EMG amplitude versus time relationship was not significantly different from zero; however, MMG amplitude decreased significantly over the 60 min. This dissociation between the electrical (EMG) and mechanical (MMG) aspects of muscular activity during cycle ergometry may be due to neuromuscular changes associated with "muscle wisdom" or changes in muscular compliance.

Electromyography↗

Stroke volume response to incremental submaximal exercise in aerobically trained, active, and sedentary men.

Stroke volume response of trained cyclists (n = 10; Trained), active but untrained men (n = 10; Active), and sedentary men (n = 10; Sedentary) was determined by impedance cardiography during cycle ergometer exercise. For the Trained, at a heart rate of 90 beats. min(-1), stroke volume increased by 27% compared to baseline levels, whereas stroke volume of Active and Sedentary groups did not significantly increase. Throughout exercise indices of ventricular emptying and filling of Trained were significantly greater than that of the other two groups whereas ventricular rates of the Active were significantly greater than those of the Sedentary. Throughout exercise cardiac contractility of the Trained was significantly greater than the other two groups. Results indicate that despite similar resting heart rate, stroke volume, and body mass, Trained compared to Active men significantly enhanced stroke volume, ventricular filling, and cardiac contractility during incremental ergometry exercise. Active compared to Sedentary men, however, displayed significantly larger stroke volume and ventricular filling rates during ergometry. We conclude that impedance cardiography indices of ventricular performance of aerobically trained men were superior to those of active, untrained men possessing similar resting stroke volume and heart rate. Furthermore, the ventricular performance of the active men possessing large resting stroke volume was superior to that of sedentary men.

Adolescent↗

Central adaptations in aerobic circuit versus walking/jogging trained cardiac patients.

This study was done to determine (a) whether in coronary artery disease (CAD) left ventricular (LV) adaptations differed after 6 months of walking/jogging (legs-only, LO) versus aerobic circuit training (arms and legs, AL) versus a control group, and (b) whether a transfer of fitness to the untrained arms in the LO group was related to superior LV adaptations. Peak oxygen uptake for arm and leg ergometry and for cycle ergometry using radionuclide cardiac angiography were performed before and after training. Leg and arm VO2peak increased significantly by 13% in the AL group, and by 13% and 7%, respectively, for the LO group. LV function was greater after training for the LO versus the AL group. Improvements in systolic and diastolic function and a speculated hypervolemia explain these LV adaptations. In CAD patients, walking/jogging produces greater LV function improvements versus circuit training, possibly due to differences in the exercised muscle mass.

Adaptation, Physiological↗

Constant-load versus heart rate-targeted exercise: responses of systolic intervals.

Eight normal male volunteers were studied during bicycle ergometry at constant work loads of 50, 100, and 150 W for 4 min each and heart rate-targeted exercise to rates which matched those during the end of the 4th min at each constant work load. Systolic intervals measured prior to and during exercise included: Q-IM, isovolumic contraction time (IVCT), preejection period (PEP), left ventricular ejection time (LVET), ejection time index (ETI), PEP/LVET, and pulse transmission time (PTT). Directional changes during both exercise methods were consistent with previously reported results. Comparable control values indicated equivalent starting points for each bout and confirmed recovery from preceding exercise. There was striking similarities within each matched exercise set for Q-IM, IVCT, PEP, and PEP/LVET. LVET was significantly shorter for rate targeted exercise. We conclude that either constant-load or rate-targeted bicycle ergometry may be employed with choice of method determined by the purpose of the protocol and that systoloc intervals (except LVET) should not be importantly altered owing to the method chosen.

Adult↗

A comparison of exercise responses in stairclimbing and cycling.

A free-paced 14.8-m stairclimb was compared to cycle ergometry at equivalent power outputs in six normal subjects. Heart rate (HR), inspiratory flow (VI) andd oxygen saturation in arterial blood (Sao2) were analyzed continuously, carbon dioxide output (Vco2) and oxygen consumption (Vo2) for the duration of exercise, and rebreathing mixed venous carbon dioxide pressure (Pvco2), capillary blood gases, and lactates at the completion of exercise. The average power output was 1,394 kpm/min sustained for 54.8 s. The HR and Vo2 responses were not significantly different between the two forms of exercise. VI was 20.3% less stairclimbing (P smaller than 0.005). A fall in Sao2 of 31.1% +/- 2.7) occurred in stairclimbing compared to 1.2% (+/- 2.1) in cycle ergometry. Differences in Sao2 between stairclimbing and cycling correlated with differences in VI (r = 0.80); falls in Sao2 could be prevented by overbreathing during stairclimbing or induced by controlled underbreathing during cycling. Vco2 and postexercise lactate levels were less stairclimbing (P smaller than 0.005 and P smaller than 0.01), as were Pvco2 measurements. The findings are consistent with a lower CO2 flow to the lung during stairclimbing than in cycling, which results in a lower alveolar ventilation and a consequent fall in Sao2.

Adult↗

Maximal oxygen uptake during free, tethered, and flume swimming.

The purpose of this study was 1) to compare the maximal oxygen uptake (VO2max) obtained in swimmers during tethered swimming, free swimming, and flume swimming, and 2) to determine whether an arm-ergometer test would provide comparable results. In the first experiments the VO2max for tethered swimming (2.67 +/- 0.26 l/min) and flume swimming (2.62 +/- 0.26 l/min) were not different (P greater than 0.05) and were highly correlated (r = 0.99). However, with arm ergometry a significantly lower VO2max (2.36 +/- 0.24 l/min) occurred from those found in the two swimming tests (P less than 0.05). Other experiments demonstrated that the tethered swimming VO2max (3.53 +/- 0.27 l/min) and the free swimming VO2max (3.55 +/- 0.28 l/min) also provide results that were similar (P greater than 0.05) and highly correlated with each other (r = 0.99). Differences between tethered and flume swimming, and tethered and free swimming were small, being 1.2 +/- 1.6% and 0.6 +/- 0.9%, respectively. Differences between tethered swimming and arm ergometry VO2max were large, 14.7 +/- 2.4%, despite the high correlation (r = 0.97) between these measurements. Predictions of a swimming VO2max from the arm-ergometer data yielded a considerable error (+/-7.1% and +/-7.4%). The present results indicate that flume swimming, free swimming, and tethered swimming yield essentially identical VO2max results.

Adolescent↗

High muscle blood flow in man: is maximal O2 extraction compromised?

During conventional cycle ergometry, as work rate (WR) is increased toward maximum, O2 extraction increases hyperbolically, typically achieving values of 80-90% at peak O2 uptake (VO2). In contrast, studies using isolated knee-extensor exercise report much higher mass-specific blood flows (Q) and lower maximal O2 extractions (approximately 70%), which have been interpreted as transit time limitation to O2 movement out of the muscle capillary. However, maximal achievable WR levels during conventional cycle ergometry are generally reached (over 10-15 min) after rapid increases in WR, whereas the reported knee-extensor studies have used only more lengthy protocols (45 min). The duration of these protocols may have prevented the attainment of high WR levels and thus high O2 extraction ratios. Accordingly, this investigation examined leg Q and O2 extraction responses during single-leg knee-extensor exercise incremented rapidly (steps of 15-25 W per 2- to 3-min interval), which produced fatigue in 13-15 min. Q and muscle VO2 increased linearly with WR to fatigue with Q-WR and VO2-WR slopes similar to those reported in previous knee-extensor studies. However, with the use of this protocol, very high maximal achievable WR [99 +/- 6 (SE) W] and muscle Q (385 +/- 26 ml.min-1 x 100 g-1) levels were attained, some 80% greater than previously reported. An O2 extraction of 84.6 +/- 2.1% was reached, giving a maximal VO2 of 60.2 +/- 5.8 ml.min-1 x 100 g-1. We conclude that, even under the high Q conditions of single-leg knee-extensor exercise, O2 extraction does not reach a plateau on the basis of short transit times and that previous conclusions to the contrary reflect failure to attain sufficiently high WR levels. Maximal VO2, Q, and O2 extraction in this model have yet to be defined.

Adult↗

Effects of caffeine on blood pressure, heart rate, and forearm blood flow during dynamic leg exercise.

This study examined the acute effects of caffeine on the cardiovascular system during dynamic leg exercise. Ten trained, caffeine-naive cyclists (7 women and 3 men) were studied at rest and during bicycle ergometry before and after the ingestion of 6 mg/kg caffeine or 6 mg/kg fructose (placebo) with 250 ml of water. After consumption of caffeine or placebo, subjects either rested for 100 min (rest protocol) or rested for 45 min followed by 55 min of cycle ergometry at 65% of maximal oxygen consumption (exercise protocol). Measurement of mean arterial pressure (MAP), forearm blood flow (FBF), heart rate, skin temperature, and rectal temperature and calculation of forearm vascular conductance (FVC) were made at baseline and at 20-min intervals. Plasma ANG II was measured at baseline and at 60 min postingestion in the two exercise protocols. Before exercise, caffeine increased both systolic blood pressure (17%) and MAP (11%) without affecting FBF or FVC. During dynamic exercise, caffeine attenuated the increase in FBF (53%) and FVC (50%) and accentuated exercise-induced increases in ANG II (44%). Systolic blood pressure and MAP were also higher during exercise plus caffeine; however, these increases were secondary to the effects of caffeine on resting blood pressure. No significant differences were observed in heart rate, skin temperature, or rectal temperature. These findings indicate that caffeine can alter the cardiovascular response to dynamic exercise in a manner that may modify regional blood flow and conductance.

Adult↗

15 degrees head-down tilt attenuates the postexercise reduction in cutaneous vascular conductance and sweating and decreases esophageal temperature recovery time.

The following study examined the effect of 15 degrees head-down tilt (HDT) on postexercise heat loss and hemodynamic responses. We tested the hypothesis that recovery from dynamic exercise in the HDT position would attenuate the reduction in the heat loss responses of cutaneous vascular conductance (CVC) and sweating relative to upright seated (URS) recovery in association with an augmented hemodynamic response and an increased rate of core temperature decay. Seven male subjects performed the following three experimental protocols: 1) 60 min in the URS posture followed by 60 min in the 15 degrees HDT position; 2) 15 min of cycle ergometry at 75% of their predetermined V(O2 peak) followed by 60 min of recovery in the URS posture; or 3) 15 min of cycle ergometry at 75% of their predetermined V(O2 peak) followed by 60 min of recovery in the 15 degrees HDT position. Mean skin temperature, esophageal temperature (T(es)), skin blood flow, sweat rate, cardiac output (CO), stroke volume (SV), heart rate (HR), total peripheral resistance, and mean arterial pressure (MAP) were recorded at baseline, end exercise, 2, 5, 8, 12, 15, and 20 min, and every 5 min until end of recovery (60 min). Without preceding exercise, HDT decreased HR and increased SV (P < or = 0.05). During recovery after exercise, a significantly greater MAP, SV, CVC, and sweat rate and a significantly lower HR were found with HDT compared with URS posture (P < or = 0.05). Subsequently, a significantly lower T(es) was observed with HDT after 15 min of recovery onward (P < or = 0.05). At the end of 60 min of recovery, T(es) remained significantly elevated above baseline with URS (P < or = 0.05); however, T(es) returned to baseline with HDT. In conclusion, extended recovery from dynamic exercise in the 15 degrees HDT position attenuates the reduction in CVC and sweating, thereby significantly increasing the rate of T(es) decay compared with recovery in the URS posture.

Adaptation, Physiological↗

Real-time RT-PCR analysis of housekeeping genes in human skeletal muscle following acute exercise.

Studies examining gene expression with RT-PCR typically normalize their mRNA data to a constitutively expressed housekeeping gene. The validity of a particular housekeeping gene must be determined for each experimental intervention. We examined the expression of various housekeeping genes following an acute bout of endurance (END) or resistance (RES) exercise. Twenty-four healthy subjects performed either a interval-type cycle ergometry workout to exhaustion ( approximately 75 min; END) or 300 single-leg eccentric contractions (RES). Muscle biopsies were taken before exercise and 3 h and 48 h following exercise. Real-time RT-PCR was performed on beta-actin, cyclophilin (CYC), glyceraldehyde-3-phosphate dehydrogenase (GAPDH), and beta2-microglobulin (beta2M). In a second study, 10 healthy subjects performed 90 min of cycle ergometry at approximately 65% of Vo(2 max), and we examined a fifth housekeeping gene, 28S rRNA, and reexamined beta2M, from muscle biopsy samples taken immediately postexercise. We showed that CYC increased 48 h following both END and RES exercise (3- and 5-fold, respectively; P < 0.01), and 28S rRNA increased immediately following END exercise (2-fold; P = 0.02). beta-Actin trended toward an increase following END exercise (1.85-fold collapsed across time; P = 0.13), and GAPDH trended toward a small yet robust increase at 3 h following RES exercise (1.4-fold; P = 0.067). In contrast, beta2M was not altered at any time point postexercise. We conclude that beta2M and beta-actin are the most stably expressed housekeeping genes in skeletal muscle following RES exercise, whereas beta2M and GAPDH are the most stably expressed following END exercise.

Adult↗

Psychological and physiological effects of 24-style taijiquan.

This study was conducted to determine whether 24-style Taijiquan (24TJQ) exhibits measurable psychological and physiological effects. Twenty-two middle-aged female subjects performed 24TJQ and cycle ergometry exercises at the same intensity determined by the same heart rate during 2 exercises. Electroencephalography and Profile of Mood State (POMS) were monitored before and after 2 exercises. The responses to 24TJQ exercise were different from those to cycle ergometry exercise when the heart rate returned to the resting level: (1) alpha increased and theta decreased significantly in the frontal region, while theta decreased significantly in the central and occipital regions; (2) in the POMS test, an improved positive mood was found following 2 exercises, while negative mood was suppressed following 24TJQ exercise; (3) significant correlations were found between the increased alpha in the frontal region, the decreased theta in the central or occipital region and the vigor of the POMS test. These results suggest that 24TJQ exercise induced a resting awakening state and exhibited a relaxing effect on both mind and body.

Affect↗