Energy cost and cardiovascular response to upper and lower limb rhythmic exercise with different equipments in normal-weight and severely obese individuals

2010 ◽  
Vol 34 (2) ◽  
pp. 131-139 ◽  
Author(s):  
C. L. Lafortuna ◽  
S. Chiavaroli ◽  
F. Rastelli ◽  
M. De Angelis ◽  
F. Agosti ◽  
...  
Keyword(s):  
Lower Limb ◽  
Energy Cost ◽  
Cardiovascular Response ◽  
Normal Weight ◽  
Severely Obese ◽  
Rhythmic Exercise

scholarly journals The Effect of Obesity Class on the Energetics and Mechanics of Walking

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4546
Author(s):  
Julia Primavesi ◽  
Aitor Fernández Menéndez ◽  
Didier Hans ◽  
Lucie Favre ◽  
Fabienne Crettaz von Roten ◽  
...  
Keyword(s):  
Principal Component Analysis ◽  
Energy Cost ◽  
Principal Component ◽  
Normal Weight ◽  
Net Energy ◽  
Obesity Class ◽  
Significant Difference ◽  
Severely Obese ◽  
Gait Mechanics ◽  
Energy Cost Of Walking

Higher mass-normalized net energy cost of walking (NetCw/kg) and mechanical pendular recovery are observed in obese compared to lean adults. This study aimed to investigate the effect of different classes of obesity on the energetics and mechanics of walking and to explore the relationships between body mass, NetCw/kg and gait mechanics by using principal component analysis (PCA). NetCw/kg and gait mechanics were computed in severely obese (SOG; n = 18, BMI = 40.1 ± 4.4 kg·m−2), moderately obese (MOG; n = 17, BMI = 32.2 ± 1.5 kg·m−2) and normal-weight (NWG; n = 13, BMI = 22.0 ± 1.5 kg·m−2) adults during five walking trials (0.56, 0.83, 1.11, 1.39, 1.67 m·s−1) on an instrumented treadmill. NetCw/kg was significantly higher in SOG compared to NWG (p = 0.019), with no significant difference between SOG and MOG (p = 0.14), nor between MOG and NWG (p = 0.27). Recovery was significantly higher in SOG than in NWG (p = 0.028), with no significant difference between SOG and MOG (p = 0.13), nor between MOG and NWG (p = 0.35). PCA models explained between 17.0% and 44.2% of the data variance. This study showed that: (1) obesity class influences the gait energetics and mechanics; (2) PCA was able to identify two components, showing that the obesity class is associated with lower walking efficiency and better pendulum-like characteristics.

scholarly journals Most important etiologic factors in the development of genital prolapse

2010 ◽  
Vol 138 (5-6) ◽  
pp. 315-318
Author(s):  
Ljiljana Mladenovic-Segedi ◽  
Dimitrije Segedi
Keyword(s):  
Hormone Replacement Therapy ◽  
Surgical Treatment ◽  
Genetic Factors ◽  
Pelvic Floor Dysfunction ◽  
Hormone Replacement ◽  
Clinical Manifestations ◽  
Genital Prolapse ◽  
Normal Weight ◽  
Severely Obese ◽  
Initiating Factors

Introduction The incidence of genital prolapse depends on numerous factors. The contribution of race, gender and genetic factors is significant. However, additional factors of initiation, promotion and decomposition are necessary if a person with the genetic predisposition to genital prolapse begins to suffer from it. At least 50% of parous women are believed to suffer from genital prolapse of various degrees. Moreover, the prevalence of genital prolapse increases with age. The prevalence of genital prolapse is expected to be even higher in the future due to the extension of the lifespan of women worldwide. Objective The aim of this study was to determine the most common etiologic factors in the development of genital prolapse in the population of Serbia. Methods The study was conducted as prospective and included 50 women who underwent surgical treatment due to the problems caused by genital prolapse. Results Mean age of the women was 58.74 years. Twenty percent of the women had the menstrual cycle, while 80% were in menopause. Mean menopause period was 8.88 years. None of the women used hormone replacement therapy. Mean BMI was 27.395 kg/m2. Twenty-eight percent of the women were of normal weight, while 72% of the women were obese (42% were obese and 30% were severely obese). Ninety-eight percent of the women were parous, and mean parity was 2.08. Mean birth weight of neonates was 3682.77 g. Sixty-four percent of the women did physical labour and lifted heavy objects. Conclusion Vaginal childbirth is one of the most important initiating factors. The most significant promoting factor is obesity and heavy labour. Ageing and entering menopause are the most important factors of decomposition as well as the occurrence of clinical manifestations of the pelvic floor dysfunction. .

scholarly journals In vitro Selection of Probiotics for Microbiota Modulation in Normal-Weight and Severely Obese Individuals: Focus on Gas Production and Interaction With Intestinal Epithelial Cells

2021 ◽  
Vol 12 ◽  
Author(s):  
Alicja Maria Nogacka ◽  
Clara G. de los Reyes-Gavilán ◽  
Silvia Arboleya ◽  
Patricia Ruas-Madiedo ◽  
Ceferino Martínez-Faedo ◽  
...  
Keyword(s):  
Epithelial Cells ◽  
Intestinal Epithelial Cells ◽  
Normal Weight ◽  
Gas Production ◽  
Intestinal Epithelial ◽  
Microbiota Composition ◽  
Severely Obese ◽  
Obese Subjects ◽  
Selection Of

The intestinal microbiota plays important roles in the maintenance of health. Strategies aiming at its modulation, such as probiotics, have received a deal of attention. Several strains have been studied in different in vitro models; however, the correlation of results obtained with the in vivo data has been limited. This questions the usefulness of such in vitro selection models, traditionally relying on over-simplified tests, not considering the influence of the accompanying microbiota or focusing on microbiota composition without considering functional traits. Here we assess the potential of six Bifidobacterium, Lactobacillus and Lacticaseibacillus strains in an in vitro model to determine their impact on the microbiota not just in terms of composition but also of functionality. Moreover, we compared the responses obtained in two different population groups: normal-weight and severely obese subjects. Fecal cultures were conducted to evaluate the impact of the strains on specific intestinal microbial groups, on the production of short-chain fatty acids, and on two functional responses: the production of gas and the interaction with human intestinal epithelial cells. The response to the different probiotics differed between both human groups. The addition of the probiotic strains did not induce major changes on the microbiota composition, with significant increases detected almost exclusively for the species added. Higher levels of gas production were observed in cultures from normal-weight subjects than in the obese population, with some strains being able to significantly reduce gas production in the latter group. Moreover, in obese subjects all the Bifidobacterium strains tested and Lacticaseibacillus rhamnosus GG were able to modify the response of the intestinal cells, restoring values similar to those obtained with the microbiotas of normal-weight subjects. Our results underline the need for the screening and selection of probiotics in a target-population specific manner by using appropriate in vitro models before enrolling in clinical intervention trials.

Energy Cost of Running in Well-Trained Athletes: Toward Slope-Dependent Factors

2021 ◽  
pp. 1-9
Author(s):  
Marcel Lemire ◽  
Romain Remetter ◽  
Thomas J. Hureau ◽  
Bernard Geny ◽  
Evelyne Lonsdorfer ◽  
...  
Keyword(s):  
Oxygen Consumption ◽  
Lower Limb ◽  
Energy Cost ◽  
Cardiovascular Responses ◽  
Maximum Oxygen Consumption ◽  
Step Frequency ◽  
Physiological Factors ◽  
Vertical Stiffness ◽  
Energy Cost Of Running ◽  
Level Running

Purpose: This study aimed to determine the contribution of metabolic, cardiopulmonary, neuromuscular, and biomechanical factors to the energy cost (ECR) of graded running in well-trained runners. Methods: Eight men who were well-trained trail runners (age: 29 [10] y, mean [SD]; maximum oxygen consumption: 68.0 [6.4] mL·min−1·kg−1) completed maximal isometric evaluations of lower limb extensor muscles and 3 randomized trials on a treadmill to determine their metabolic and cardiovascular responses and running gait kinematics during downhill (DR: −15% slope), level (0%), and uphill running (UR: 15%) performed at similar O2 uptake (approximately 60% maximum oxygen consumption). Results: Despite similar O2 demand, ECR was lower in DR versus level running versus UR (2.5 [0.2] vs 3.6 [0.2] vs 7.9 [0.5] J·kg−1·m−1, respectively; all P < .001). Energy cost of running was correlated between DR and level running conditions only (r2 = .63; P = .018). Importantly, while ECR was correlated with heart rate, cardiac output, and arteriovenous O2 difference in UR (all r2 > .50; P < .05), ECR was correlated with lower limb vertical stiffness, ground contact time, stride length, and step frequency in DR (all r2 > .58; P < .05). Lower limb isometric extension torques were not related to ECR whatever the slope. Conclusion: The determining physiological factors of ECR might be slope specific, mainly metabolic and cardiovascular in UR versus mainly neuromuscular and mechanical in DR. This possible slope specificity of ECR during incline running opens the way for the implementation of differentiated physiological evaluations and training strategies to optimize performance in well-trained trail runners.

scholarly journals Severe obesity in children as an independent risk factor for perioperative respiratory adverse events during anaesthesia for minor non-airway surgery, a retrospective observational study

2018 ◽  
Vol 28 (2) ◽  
pp. 83-89
Author(s):  
Kavitha Raghavan ◽  
Daphne Xin Ying Moo ◽  
Zihui Tan
Keyword(s):  
Adverse Events ◽  
Fold Increase ◽  
Normal Weight ◽  
Obese Children ◽  
Medical Comorbidities ◽  
Airway Surgery ◽  
Respiratory Airway ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Severely Obese

Purpose: The purpose of this article is to quantify grades of obesity and their independent effects on perioperative adverse events in children having ambulatory minor non-airway surgery. Methods: After obtaining ethics committee approval, we selected every tenth child aged 2 to 16 years who was identified as having been a day case between January 2012 and December 2014. Weight groups were defined based on age- and gender-specific body mass index (BMI) cutoff points. A sample size of 1102 was calculated to demonstrate a three-fold increase in the primary outcome measure, perioperative respiratory-airway adverse events, among obese children, with a power of 80% and an alpha error of 5%. Chi-squared and Fisher exact tests were used to compare proportions, and independent sample t tests were used to compare means. Results: Severely obese children had a significantly higher incidence of perioperative respiratory-airway adverse events when compared to normal-weight children despite no difference in respiratory and other comorbidity. Obese children had higher prevalence of overall medical comorbidities and obstructive sleep apnoea when compared to normal-weight children and there was no significant difference in the incidence of perioperative respiratory-airway adverse events and other outcome measures between obese and normal-weight children. Conclusions and recommendations: Severely obese children have a higher risk of perioperative respiratory-airway adverse events even during minor non-airway surgery despite absence of medical comorbidities. We recommend the use of age- and sex- specific BMI cutoffs or BMI percentile charts to identify children who are severely obese to anticipate and prevent major respiratory adverse events.

scholarly journals Pre- and post- prandial appetite hormone levels in normal weight and severely obese women

2009 ◽  
Vol 6 (1) ◽  
pp. 32 ◽  
Author(s):  
Joseph J Carlson ◽  
Amy A Turpin ◽  
Gail Wiebke ◽  
Steven C Hunt ◽  
Ted D Adams
Keyword(s):  
Normal Weight ◽  
Obese Women ◽  
Hormone Levels ◽  
Severely Obese

scholarly journals Body composition changes affect energy cost of running during 12 months of specific diet and training in amateur athletes

2015 ◽  
Vol 40 (9) ◽  
pp. 938-944 ◽  
Author(s):  
Giovanna Ghiani ◽  
Elisabetta Marongiu ◽  
Franco Melis ◽  
Giuseppina Angioni ◽  
Irene Sanna ◽  
...  
Keyword(s):  
Body Composition ◽  
Energy Cost ◽  
Normal Weight ◽  
Fat Free Mass ◽  
Energy Cost Of Running ◽  
The Mean ◽  
Composition Changes ◽  
Assess Body Composition ◽  
And Training ◽  
Specific Diet

Considering the relation between body weight composition and energy cost of running, we tested the hypothesis that by modifying body composition by means of a combined protocol of specific diet and training, the energy cost of motion (Cr) may be reduced. Forty-five healthy and normal-weight subjects were divided into 3 groups that performed a different treatment: the first group attended a dietary protocol (D), the second group participated in a running program (R), and the third group followed both the dietary and running protocols (R&D). Each subject underwent 3 anthropometric and exercise evaluation tests during 1 year (at entry (T0), month 6 (T6), and month 12 (T12)) to assess body composition and Cradjustments. The mean fat mass (FM) values were reduced in R&D from 12.0 ± 4.0 to 10.4 ± 3.0 kg (p < 0.05 T0 vs. T12) and in the D group from 14.2 ± 5.8 to 11.6 ± 4.7 kg (p < 0.05 T0 vs. T12). Conversely, the mean fat free mass values increased in R&D (from 56.3 ± 8.8 to 58.3 ± 9.8 kg, p < 0.05 T0 vs. T12) and in the D group (from 50.6 ± 13.2 to 52.9 ± 13.6 kg, p < 0.05 T0 vs. T12). The mean Cr values of the 2 groups were significantly modified throughout the 1-year protocol (1.48 ± 0.16 and 1.40 ± 0.15 kcal·kg–b·km−1in the R&D group at T0 and T12, respectively; 1.83 ± 0.17 and 1.76 ± 0.23 kcal·kg–b·km−1in D group at T0 to T12, respectively). The R&D and D groups that underwent the diet protocol had a positive change in body composition during the year (FM/fat free mass ratio decline), which determined a Crreduction.

Severe Obesity: Effects on Foot Mechanics During Walking

1994 ◽  
Vol 15 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Stephen P. Messier ◽  
Angela B. Davies ◽  
Dominic T. Moore ◽  
Shala E. Davis ◽  
Robert J. Pack ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Weight Control ◽  
Severe Obesity ◽  
Normal Weight ◽  
Control Group ◽  
Posterior Aspect ◽  
Adult Females ◽  
Q Angle ◽  
Severely Obese

The purpose of our study was to determine the effects of severe obesity on the foot mechanics of adult females. Twenty-nine adult females between the ages of 20 and 48 years volunteered as subjects for this investigation. The subjects were separated into a severely obese (O) group (body mass index = 41.14 ± 2.61; N = 16) and a normal weight control group (body mass index = 20.84 ± 0.47; N = 13). A Locam camera (100 Hz) positioned perpendicular to the subjects’ posterior aspect was used to film the rearfoot movement of the subjects during the final 15 sec of a 10 min treadmill walk. The O group had a significantly greater touchdown angle ( P = .05), more total eversion range of motion ( P = .001), and a faster maximum eversion velocity ( P < .001). Moreover, analysis of dynamic foot angles indicated that the O group had significantly ( P = .003) more forefoot abduction. Finally, anthropometric data revealed statistically different ( P < .001) Q angle measurements between the O and control groups. The results of this study suggest that severely obese females have significantly greater rearfoot motion, foot angle, and Q angle values than normal weight females.

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