Sex and light physical activity impact popliteal, but not brachial artery flow-mediated dilation in physically active young adults

2020 ◽  
Vol 45 (12) ◽  
pp. 1387-1395 ◽  
Author(s):  
Jarrett A. Johns ◽  
Myles W. O’Brien ◽  
Amanda Bungay ◽  
Derek S. Kimmerly

When controlling for baseline diameter, males have greater brachial flow-mediated dilation (BA-FMD) responses than females. It is unclear whether sex differences in baseline diameter also influences popliteal FMD (POP-FMD), which may be impacted by cardiorespiratory fitness and physical activity levels. We hypothesized that males would exhibit greater BA-FMD and POP-FMD when allometrically scaled to baseline diameter. FMD (ultrasonography), cardiorespiratory fitness (indirect calorimetry), and objectively measured physical activity were assessed in males (n = 13; age, 23 ± 3 years; peak oxygen consumption, 48.0 ± 7.1 mL·kg−1·min−1) and females (n = 13; age, 24 ± 2 years; peak oxygen consumption, 36.8 ± 6.0 mL·kg−1·min−1). Both groups had similarly high levels of moderate-to-vigorous intensity physical activity (503 ± 174 vs. 430 ± 142 min·week−1, p = 0.25). However, males were more aerobically fit (p < 0.001) and females accumulated more light-intensity physical activity (182 ± 67 vs. 127 ± 53 min·week−1, p = 0.03). Relative and allometrically scaled BA-FMD were similar (both, p ≥ 0.09) between sexes. In contrast, relative (6.2% ± 1.0% vs. 4.6% ± 1.4%, p = 0.001) and scaled (6.8% ± 1.7% vs. 4.7% ± 1.7%, p = 0.03) POP-FMD were greater in females. Relative POP-FMD was related to light-intensity physical activity in the pooled sample (r = 0.43; p = 0.04). However, the enhanced relative POP-FMD in females remained after adjusting for higher light-intensity physical activity levels (p = 0.01). Young females have enhanced popliteal, but not brachial, endothelial health than males with similar moderate-to-vigorous intensity physical activity levels and higher cardiorespiratory fitness. Novelty In physically active adults, females had greater POP-FMD but not BA-FMD than males. The enhanced POP-FMD in females was not related to greater vascular smooth muscle sensitivity to nitric oxide or their smaller baseline diameters. POP-FMD was associated with light physical activity levels in the pooled sample.

Author(s):  
Tom Martinsson Ngouali ◽  
Mats Börjesson ◽  
Åsa Cider ◽  
Stefan Lundqvist

Swedish physical activity on prescription (PAP) is an evidence-based method to promote physical activity. However, few studies have investigated the effect of Swedish PAP on physical fitness, in which better cardiorespiratory fitness is associated with lower risks of all-cause mortality and diagnose-specific mortality. Direct measures of cardiorespiratory fitness, usually expressed as maximal oxygen uptake, are difficult to obtain. Hence, exercise capacity can be assessed from a submaximal cycle ergometer test, taking the linear relationship between heart rate, work rate, and oxygen uptake into account. The aim of this study was to evaluate exercise capacity in the long term, following PAP treatment with enhanced physiotherapist support in a nonresponding patient cohort. In total, 98 patients (48 women) with insufficient physical activity levels, with at least one component of the metabolic syndrome and nonresponding to a previous six-month PAP treatment, were randomized to PAP treatment with enhanced support from a physiotherapist and additional exercise capacity tests during a two-year period. A significant increase in exercise capacity was observed for the whole cohort at two-year follow-up (7.6 W, p ≤ 0.001), with a medium effect size (r = 0.34). Females (7.3 W, p = 0.025), males (8.0 W, p = 0.018) and patients ≥58 years old (7.7 W, p = 0.002) improved significantly, whereas a nonsignificant increase was observed for patients <58 years old (7.6 W, p = 0.085). Patients with insufficient physical activity levels who did not respond to a previous six-month PAP treatment can improve their exercise capacity following PAP treatment with enhanced support from a physiotherapist during a two-year period. Future studies should include larger cohorts with a control group to ensure valid estimations of exercise capacity and PAP.


2016 ◽  
Vol 21 ◽  
pp. 372-380 ◽  
Author(s):  
Johanna C.W. De Vos ◽  
Dorita Du Toit ◽  
Dané Coetzee

Background: Worldwide, the health risks of decreasing physical activity levels and increasing sedentary behaviour among adolescents are a raising concern.Objective: To determine the types and levels of physical activity as well as that of sedentary behaviour of a group Senior Phase learners in South Africa.Methods: The adapted Children's Leisure Activities Study Survey (CLASS) questionnaire was used for determining the types and levels of physical activity and sedentary behaviour of 230 Grade 7 learners, from three schools in Potchefstroom. Data were analysed by means of the SAS statistics programme, and descriptive statistics, as well as independent t-tests andeffect sizes (ES) were used.Results: Moderate to high-intensity physical activity levels of between 334 and 361 min per week were found, and sedentary behaviour of between 3077 and 3410 min per week, which implies that between 70.7% and 71.9% of the participants, did not meet the recommended health-based guidelines. Higher activity levels were shown during weekends, where the boys were significantly more active than girls (p < 0.001; ES between 0.21 and 0.56), and girls showed more sedentary behaviours than the boys (ES between 0.18 and 0.20). The leisure time physical activities with the highest participation were soccer, recreational swimming, jogging and dancing, while the sedentary activities were listening to music, riding a vehicle and being busy on the phone.Conclusion: Strategies need to be implemented to raise the physical activity levels of Senior Phase learners, especially during weekdays, and to decrease sedentary behaviour. With this view in mind, recommendations are made for Physical Education teachers.


Retos ◽  
2019 ◽  
pp. 8-15
Author(s):  
Santiago Guijarro-Romero ◽  
Daniel Mayorga-Vega ◽  
Carolina Casado-Robles ◽  
Jesús Viciana

El objetivo del presente estudio fue comparar el efecto de una unidad didáctica intermitente de acondicionamiento físico en Educación Física sobre los niveles de actividad física y capacidad cardiorrespiratoria entre estudiantes con un perfil saludable/no saludable de capacidad cardiorrespiratoria. Ochenta estudiantes de 2º-3º curso de Educación Secundaria fueron asignados aleatoriamente al grupo control y grupo experimental. El grupo experimental, dividido en perfiles saludable/no saludable, realizó una unidad didáctica intermitente de acondicionamiento físico para mejorar la capacidad cardiorrespiratoria. El grupo control trabajó un contenido diferente durante el mismo tiempo y con la misma frecuencia, pero sin hacer hincapié en la mejora de la capacidad cardiorrespiratoria. Antes y después de la intervención, la capacidad cardiorrespiratoria se evaluó objetivamente mediante el test de ida y vuelta de 20 metros. Los niveles de actividad física fueron medidos objetivamente a través de un pulsómetro durante las clases de Educación Física. Ambos perfiles tuvieron mayores niveles de actividad física durante las clases de Educación Física que el grupo control (p < .001). Sin embargo, solo los estudiantes con un perfil no saludable mejoraron significativamente sus niveles de capacidad cardiorrespiratoria tras la unidad didáctica (p < .01). Aunque una unidad didáctica intermitente de acondicionamiento físico parece tener un efecto similar en los niveles de actividad física de todos los perfiles de capacidad cardiorrespiratoria de los estudiantes, solo mejora la capacidad cardiorrespiratoria de los estudiantes con un perfil no saludable. Abstract. The purpose of the present study was to compare the effect of a Physical Education-based physical fitness intermittent teaching unit on physical activity levels and cardiorespiratory fitness among students with healthy/unhealthy cardiorespiratory fitness profile. Eighty students from 2º-3º grades of Secondary Education were randomly assigned to the control group and experimental group. The experimental group, divided into healthy/unhealthy profiles, performed a physical fitness intermittent teaching unit to improve the cardiorespiratory fitness. The control group worked a different content during the same time and with the same frequency, but without emphasizing cardiorespiratory fitness improvement. Before and after the teaching unit, students’ cardiorespiratory fitness was objectively measured by the 20-meter shuttle run test. Participants’ physical activity levels were measured objectively using a heart rate monitor during Physical Education lessons. Students from both profiles had higher physical activity levels during Physical Education lessons than the control group (p < .001). However, only students with an unhealthy cardiorespiratory fitness profile statistically improved their cardiorespiratory fitness levels after the teaching unit (p < .01). Although an intermittent physical fitness teaching unit seems to have similar effect on physical activity levels of students from all cardiorespiratory fitness profiles, it only improves the cardiorespiratory fitness of those with an unhealthy one.


2018 ◽  
Vol 50 (5S) ◽  
pp. 499-500
Author(s):  
Allison M. Barry ◽  
Nathan D. Dicks ◽  
Kassiann D. Landin ◽  
Tanis J. Walch ◽  
Kyle J. Hackney ◽  
...  

2019 ◽  
Vol 48 (8) ◽  
pp. 847-854
Author(s):  
Marie B. Andersen ◽  
Anne-Sofie D. Bjørkman ◽  
Maria Pedersen ◽  
Ola Ekholm ◽  
Stig Molsted

Aims: The aim was to investigate the association between socioeconomic position (SEP) and physical activity, alcohol consumption and smoking, motivation to change lifestyle and health advices from general practitioners (GPs) in individuals with diabetes. Methods: Data were provided by the Danish National Health Survey 2013 and 7504 adults (⩾ 40 years) with diabetes were included. Educational level was used as SEP indicator and categorized into low, middle and high SEP. Dependent variables included physical activity, alcohol consumption, smoking, motivation to change lifestyle and GP lifestyle advices. Multiple logistic regression analyses adjusted for age, body mass index and ethnic background were performed. Results: Higher SEP were associated with reduced odds of being physically inactive (middle SEP odds ratio (OR) men 0.58 (95% confidence intervals 0.47–0.72) and women 0.59 (0.47–0.75)) and non-smoking (middle SEP OR men 0.74 (0.59–0.93) and high SEP OR women 0.54 (0.38–0.77)) compared to participants with a low SEP. Alcohol consumption above the recommended maximum was associated with high SEP in men, OR 1.83 (1.30–2.61). Elevated SEP was associated with a motivation to increase physical activity levels (middle SEP OR men 1.45 (1.19–1.76) and women 1.35 (1.09–1.67)), high SEP was associated with none advice from GPs regarding smoking cessation among women, OR 0.47 (0.25–0.89). Conclusions: Socioeconomic position was strongly associated with lifestyle in individuals with diabetes. The most pronounced inequalities were found in physical activity levels, smoking status and the motivation to become more physically active. Municipalities and GPs may need a greater focus on SEP in interventions to change lifestyle in individuals with diabetes.


2013 ◽  
Vol 10 (2) ◽  
pp. 170-175 ◽  
Author(s):  
Russell R. Pate ◽  
Marsha Dowda ◽  
William H. Brown ◽  
Jonathan Mitchell ◽  
Cheryl Addy

Background:It is known that children are more physically active outdoors than indoors. However, few previous studies have observed the time course for physical activity as young children transition from indoor to outdoor activities.Methods:Participants were 3- to 5-year-old children enrolled in the Children’s Activity and Movement in Preschool Study (CHAMPS). Trained observers used the Observational System for Recording Physical Activity in Children-Preschool Version (OSRAC-P) to record children’s physical activity levels over 20 minutes in outdoor settings. The 20-minute outdoor observational period began immediately following the transition from indoors to outdoors.Results:Children’s activity levels were moderately high at the time of transition and declined over the 20-minute observation period. Different patterns, however, were observed for boys and girls. Overall, boys were more active than girls. Boys’ activity levels declined in a linear fashion over the 20-minute period, while girls’ activity levels increased slightly, decreased, and then increased slightly again.Conclusions:These data indicate that physical activity levels decline with increased duration of outdoor play. The frequency and duration of outdoor play should be investigated for the purpose of optimizing physical activity levels.


2016 ◽  
Vol 13 (12) ◽  
pp. 1378-1384 ◽  
Author(s):  
Delphine De Smedt ◽  
Els Clays ◽  
Christof Prugger ◽  
Johan De Sutter ◽  
Zlatko Fras ◽  
...  

Background:The study aim was to assess the physical activity levels as well as the intention to become physically active in patients with stable coronary heart disease (CHD) with a special focus on the association with their risk profile.Methods:Analyses are based on the cross-sectional EUROASPIRE IV surveys. Information was available on 8966 patients in EUROASPIRE III and on 7998 patients in EUROASPIRE IV. Physical activity level according to patients risk profile and their medical management was assessed, the intention to become physically active was investigated and a time trend analysis was performed.Results:A better cardiovascular risk profile as well as receiving physical activity advice or weight loss advice was associated with better physical activity levels. The physical activity status improved significantly over time, the proportion of patients reporting vigorous physical activity for at least 20 minutes ≥ 3 times/week increased from 14.1% to 20.2% (P < .001). Similarly, a significantly greater proportion of patients are in the maintenance stage (36.6% vs. 27.4%) and a smaller proportion in the precontemplation stage (43.2% vs. 52.3%).Conclusion:Although an increase was seen in the proportion of patients being adequately physical active, physical activity levels remain suboptimal in many CHD patients.


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