scholarly journals The influence of a six-week, high-intensity games intervention on the pulmonary oxygen uptake kinetics in prepubertal obese and normal-weight children

2015 ◽  
Vol 40 (10) ◽  
pp. 1012-1018 ◽  
Author(s):  
Melitta A. McNarry ◽  
Danielle Lambrick ◽  
Nicole Westrupp ◽  
James Faulkner
Keyword(s):  
Oxygen Uptake ◽  
Phase Ii ◽  
High Intensity ◽  
Exercise Intervention ◽  
Normal Weight ◽  
Obese Children ◽  
Post Intervention ◽  
Prepubertal Children ◽  
Pulmonary Oxygen Uptake ◽  
Oxygen Uptake Response

The pulmonary oxygen uptake response is deleteriously influenced by obesity in prepubertal children, as evidenced by a slower phase II response. To date, no studies have investigated the ability of an exercise intervention to ameliorate this. The objective of the study was to investigate the influence of a 6-week, high-intensity, games-orientated intervention on the oxygen uptake kinetic response of prepubertal obese and normal-weight children during heavy-intensity exercise. Thirteen normal-weight and 15 obese children participated in a twice-weekly exercise intervention involving repeated bouts of 6-min high-intensity, games-orientated exercises followed by 2 min of recovery. Sixteen normal-weight and 11 obese children served as a control group. At baseline and post-intervention, each participant completed a graded-exercise test to volitional exhaustion and constant work-rate, heavy-intensity exercise. Post-intervention, obese children demonstrated a reduced phase II τ (pre-intervention: 30 ± 8 cf. post-intervention: 24 ± 7 s), mean response time (pre-intervention: 50 ± 10 cf. post-intervention: 38 ± 9 s) and phase II amplitude (pre-intervention: 1.51 ± 0.30 cf. post-intervention: 1.34 ± 0.27 L·min−1). No changes were evident in the normal-weight children. In conclusion, the present findings demonstrate that a 6-week, high-intensity intervention can have a significant positive impact on the dynamic oxygen uptake response of obese prepubertal children.

Role of urinary NGAL and KIM-1 as biomarkers of early kidney injury in obese prepubertal children

2020 ◽  
Vol 33 (9) ◽  
pp. 1183-1189 ◽  
Author(s):  
Nella Polidori ◽  
Cosimo Giannini ◽  
Roberta Salvatore ◽  
Piernicola Pelliccia ◽  
Adriana Parisi ◽  
...  
Keyword(s):  
Cystatin C ◽  
Kidney Injury ◽  
Normal Weight ◽  
Model Assessment ◽  
Urinary Ngal ◽  
Obese Children ◽  
Prepubertal Children ◽  
Ultrasound Evaluation ◽  
Kidney Length ◽  
Obese Subjects

AbstractObjectivesChildhood obesity is an important cause of end-stage renal disease. To date, available markers do not characterize kidney changes, especially in the early stages. kidney injury molecule-1 (KIM-1) and neutrophil gelatinase-associated lipocalin (NGAL) are already detected before the onset of proteinuria or alterations of glomerular filtration rate and thus might represent biomarkers that directly reflect kidney injury.MethodsWe characterize kidney injury in a group of 40 obese-prepubertal children compared to 29-healthy age- and gender matched-peers. Anthropometric measurements and body composition were determined. Fasting blood samples were collected for measurement of insulin, glucose, lipid profile, transaminases, cystatin C and creatinine. Urine samples were collected to assess urinary NGAL, KIM-1 and urinary isoprostanes. Kidney length was measured with ultrasound evaluation. Differences between the two groups were evaluated by Mann–Whitney U test, and Spearman correlation analysis was used to explore relationship between variables.ResultsTriglycerides, alanine transaminase (ALT), glucose, insulin, homeostasis model assessment insulin resistance, triglycerides/high-density lipoprotein (HDL)-cholesterol ratio and cystatin C values were significantly higher in obese children than normal weight peers. Creatinine values were normal and similar between the two groups, while isoprostanes were higher in obese. Obese children had larger kidney sizes, indicating organ hypertrophy. NGAL and KIM-1 were increased in obese children compared to controls. A significant association between NGAL and KIM-1 with adiposity indices, insulin status and markers of oxidative stress postulated a possible effect of obesity in inducing kidney abnormalities. KIM-1 and NGAL are directly related respectively to cystatin C and isoprostanes, supporting the ability of these biomarkers in reflecting early kidney damages in obese subjects.ConclusionsThese findings suggest that obese subjects exhibit a certain degree of renal damage before kidney function loss.

Pulmonary oxygen uptake kinetics

2017 ◽  
Author(s):  
Alan R Barker ◽  
Neil Armstrong
Keyword(s):  
Oxygen Uptake ◽  
Oxidative Phosphorylation ◽  
Children And Adolescents ◽  
Phase Ii ◽  
Slow Component ◽  
Moderate Intensity ◽  
Heavy Exercise ◽  
Moderate Intensity Exercise ◽  
Pulmonary Oxygen Uptake ◽  
Age Related

The pulmonary oxygen uptake (pV̇O2) kinetic response to exercise provides valuable non-invasive insight into the control of oxidative phosphorylation and determinants of exercise tolerance in children and adolescents. Few methodologically robust studies have investigated pV̇O2 kinetics in children and adolescents, but age- and sex-related differences have been identified. There is a clear age-related slowing of phase II pV̇O2 kinetics during heavy and very heavy exercise, with a trend showing during moderate intensity exercise. During heavy and very heavy exercise the oxygen cost is higher for phase II and the pV̇O2 component is truncated in children. Sex-related differences occur during heavy, but not moderate, intensity exercise, with boys having faster phase II pV̇O2 kinetics and a smaller pV̇O2 slow component compared to girls. The mechanisms underlying these differences are likely related to changes in phosphate feedback controllers of oxidative phosphorylation, muscle oxygen delivery, and/or muscle fibre recruitment strategies.

Oxygen Uptake Response To High Intensity Intermitten Cycle Exercise

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S278
Author(s):  
Gail Trapp ◽  
Yati N. Boutcher ◽  
Stephen H. Boutcher
Keyword(s):  
Oxygen Uptake ◽  
High Intensity ◽  
Cycle Exercise ◽  
Oxygen Uptake Response

Oxygen Uptake Response To High Intensity Intermitten Cycle Exercise

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S278 ◽  
Author(s):  
Gail Trapp ◽  
Yati N. Boutcher ◽  
Stephen H. Boutcher
Keyword(s):  
Oxygen Uptake ◽  
High Intensity ◽  
Cycle Exercise ◽  
Oxygen Uptake Response

scholarly journals Changes in plasma fatty acid composition after intake of a standardised breakfast in prepubertal obese children

2007 ◽  
Vol 99 (4) ◽  
pp. 909-917 ◽  
Author(s):  
M. Gil-Campos ◽  
E. Larqué ◽  
M. C. Ramírez-Tortosa ◽  
J. Linde ◽  
I. Villada ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Fatty Acid Composition ◽  
Fatty Acid ◽  
Acid Composition ◽  
Normal Weight ◽  
Plasma Fatty Acid ◽  
Obese Children ◽  
Prepubertal Children ◽  
Plasma Fatty Acid Composition ◽  
Lipid Fractions

Obese patients typically show a pattern of dyslipidaemia and changes in plasma fatty acid composition reflecting abnormalities in lipoprotein metabolism and dietary habits. Animals and obese adults have been widely studied; however, contradictory results have been published in children. The objective was to assess changes in plasma fatty acid composition in total plasma lipids and plasma lipid fractions in obese prepubertal children compared with those of normal weight and to evaluate changes in postprandial plasma fatty acids during a 3 h period after intake of a standardised breakfast. The study was a case–control study with thirty-four obese and twenty normal-weight prepubertal children (Tanner 1). Anthropometric and metabolic variables and fatty acid concentrations were measured in plasma and its fractions. Liquid chromatography was used to separate lipid fractions and GLC to quantify fatty acids. Plasma total fatty acids (TFA), SFA, MUFA and PUFA concentrations were higher in obese than in control children. Except for 18 : 0, 18 : 3n-3, 20 : 4n-6 and n-3 PUFA, all fatty acids in TAG were also elevated in the obese group. Fatty acids 16 : 1n-7, 18 : 0, 18 : 1n-9, 20 : 2n-6, TFA and MUFA significantly decreased between the 2nd and 3rd hour in normal-weight v. obese children. The concentration of 16 : 1n-7 was positively and the proportion of 20 : 4n-6 inversely associated with a significant increase in risk of obesity. Obese prepubertal children show an altered plasma fatty acid profile and concentrations, mainly related to the TAG fatty acid profile, with a lower clearance of fatty acids v. normal-weight prepubertal children.

scholarly journals Prehabilitation during a pandemic: preoperative exercise to improve fitness in patients undergoing complex surgery for cancer of the lung or oesophagus, the PRE-HIIT trial: an updated study protocol

2021 ◽  
Vol 4 ◽  
pp. 4
Author(s):  
Grainne Sheill ◽  
Emer Guinan ◽  
Linda O'Neill ◽  
Emily Smyth ◽  
Charles Normand ◽  
...  
Keyword(s):  
High Intensity ◽  
Exercise Intervention ◽  
Interval Training ◽  
Well Being ◽  
Postoperative Recovery ◽  
High Intensity Interval Training ◽  
Post Intervention ◽  
High Intensity Interval ◽  
The Impact ◽  
Cancer Of The Lung

Background: Pre-operative fitness is an established predictor of postoperative outcome; accordingly, targeting pre-operative fitness through exercise prehabilitation has logical appeal. Exercise prehabilitation for patients with cancer of the lung or oesophagus is challenging to implement due to the short opportunity for intervention between diagnosis and surgery. In addition, there are now additional challenges to providing prehabilitation during the coronavirus disease 2019 (COVID-19) pandemic due to concerns about social distancing and minimising patient contact. The PRE-HIIT project will examine the influence of virtually delivered exercise prehabilitation on physiological outcomes and postoperative recovery. Methods: The PRE-HIIT randomised controlled trial (RCT) will compare a 2-week high intensity interval training programme to standard preoperative care in a cohort of patients with thoracic and oesophageal cancers. A protocol for this study has been published previously. As a result of the COVID-19 pandemic, changes to the study assessment battery and the mode of intervention delivery have been made. The PRE-HIIT programme will now be a home-based intervention. Both the exercise intervention and standard care will be delivered via telehealth. The recruitment target for the study remains 78 participants. There is no change to the primary outcome of the study; cardiorespiratory fitness. Secondary outcomes include measures of pulmonary and physical function, quality of life and post-operative morbidity. Outcomes will be measured at baseline and post-intervention. The impact of PRE-HIIT on well-being will be examined qualitatively with interviews post-intervention (T1). This revised protocol will also explore participant’s satisfaction with delivery of prehabilitation via telehealth. The healthcare costs associated with the PRE-HITT programme will also be examined. Discussion: The overall aim of this RCT is to examine the effect of tailored, individually prescribed high intensity interval training on pre-operative fitness and postoperative recovery for patients undergoing complex surgical resections. Trial registration: ClinicalTrials.Gov NCT03978325 07/06/2019

scholarly journals Comparison of energy-matched high-intensity interval and moderate-intensity continuous exercise sessions on latency to eat, energy intake, and appetite

2019 ◽  
Vol 44 (6) ◽  
pp. 665-673
Author(s):  
Keyne Charlot ◽  
Didier Chapelot
Keyword(s):  
Oxygen Uptake ◽  
Energy Intake ◽  
Eating Behavior ◽  
Maximal Oxygen Uptake ◽  
High Intensity ◽  
Individual Variability ◽  
Normal Weight ◽  
Moderate Intensity ◽  
High Intensity Interval ◽  
Standard Breakfast

High-intensity interval exercises (HIIex) have gained popularity but their effects on eating behavior are poorly known. The aim of this study was to evaluate whether the effects of HIIex on the 3 main components of eating behavior (appetite, intake, and latency to eat) differ from those of moderate-intensity continuous exercises (MICex) for the same energy expenditure. Fifteen young normal-weight males completed 3 sessions in a counterbalanced order: HIIex (30-s bouts at 90% of maximal oxygen uptake interceded with 60-s bouts at 35% of maximal oxygen uptake for 20 min), MICex (42% of maximal oxygen uptake for 40 min), and a resting session (REST). Trials were scheduled 80 and 100 min after a standard breakfast for MICex and HIIex, respectively. At 120 min, participants were isolated until they asked for lunch. Appetite was rated on 4 visual analog scales (hunger, desire to eat, fullness, and prospective consumption) every 15 min until meal request. Results showed that the mean latency of requesting lunch was significantly longer after HIIex than after REST (+17.3 ± 4.3 min, P = 0.004), but not after MICex (P = 0.686). Energy intake was not different between conditions, leading to a negative energy balance in the 2 exercise sessions. Thus, the effects of HIIex on eating behavior are likely primarily mediated through the latency of meal initiation. However, inter-individual variability was large and further studies are needed to identify the predictive factors of this response.

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