scholarly journals Effects of combined endurance and resistance training in Amyotrophic Lateral Sclerosis: A pilot, randomized, controlled study

2018 ◽  
Vol 28 (1) ◽  
Author(s):  
Antonio Merico ◽  
Marianna Cavinato ◽  
Caterina Gregorio ◽  
Alessandra Lacatena ◽  
Elisabetta Gioia ◽  
...  
Keyword(s):  
Muscle Power ◽  
Objective Evaluation ◽  
Exercise Programme ◽  
Functional Independence ◽  
Moderate Intensity ◽  
Controlled Study ◽  
Specific Exercise ◽  
Moderate Intensity Exercise ◽  
Positive Effects ◽  
Als Patients

Based on available evidence, muscle strengthening and cardiovascular exercises can help maintain function and not adversely affect the progression of disease in patients with ALS. However, this evidence is not sufficiently detailed to recommend a specific exercise prescription. The purpose of this project was to assess clinical outcomes of a combined exercise programme to increase knowledge of rehabilitation in ALS patients. 38 ALS patients were assigned randomly to two groups: one group underwent a specific exercise programme (ALS-EP) based on a moderate aerobic workout and isometric contractions, and the second group followed a standard neuromotor rehabilitation treatment. Objective evaluation consisted of cardiovascular measures, muscle strength and fatigue. Some positive effects of physical activity on ALS patients were found. Among the benefits, an overall improvement of functional independence in all patients, independently of the type of exercise conducted was seen. In addition, improvements in muscle power, oxygen consumption and fatigue were specifically observed in the ALS-EP group, all hallmarks of a training effect for the specific exercises. In conclusion, moderate intensity exercise is beneficial in ALS, helping in avoiding deconditioning and muscle atrophy resulting from progressive inactivity.

scholarly journals The effect of a moderate intensity exercise programme on thymic cell function in undernourished rats

2010 ◽  
Vol 69 (OCE3) ◽  
Author(s):  
W. D. S. Cunha ◽  
A. S. Yamashita ◽  
M. V. Giampietro ◽  
D. F. Souza ◽  
A. S. Fernandes ◽  
...  
Keyword(s):  
Cell Function ◽  
Exercise Programme ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Thymic Cell

scholarly journals Effects of Exercise in Immersive Virtual Environments on Cortical Neural Oscillations and Mental State

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Tobias Vogt ◽  
Rainer Herpers ◽  
Christopher D. Askew ◽  
David Scherfgen ◽  
Heiko K. Strüder ◽  
...  
Keyword(s):  
Virtual Environments ◽  
Virtual Environment ◽  
Mental State ◽  
Cortical Activation ◽  
Moderate Intensity ◽  
Controlled Study ◽  
Neural Activation ◽  
Moderate Intensity Exercise ◽  
Sense Of Presence ◽  
Environment Exposure

Virtual reality environments are increasingly being used to encourage individuals to exercise more regularly, including as part of treatment those with mental health or neurological disorders. The success of virtual environments likely depends on whether a sense of presence can be established, where participants become fully immersed in the virtual environment. Exposure to virtual environments is associated with physiological responses, including cortical activation changes. Whether the addition of a real exercise within a virtual environment alters sense of presence perception, or the accompanying physiological changes, is not known. In a randomized and controlled study design, moderate-intensity Exercise (i.e., self-paced cycling) and No-Exercise (i.e., automatic propulsion) trials were performed within three levels of virtual environment exposure. Each trial was 5 minutes in duration and was followed by posttrial assessments of heart rate, perceived sense of presence, EEG, and mental state. Changes in psychological strain and physical state were generally mirrored by neural activation patterns. Furthermore, these changes indicated that exercise augments the demands of virtual environment exposures and this likely contributed to an enhanced sense of presence.

Dietary nitrate supplementation reduces the O2cost of walking and running: a placebo-controlled study

2011 ◽  
Vol 110 (3) ◽  
pp. 591-600 ◽  
Author(s):  
Katherine E. Lansley ◽  
Paul G. Winyard ◽  
Jonathan Fulford ◽  
Anni Vanhatalo ◽  
Stephen J. Bailey ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Physiological Responses ◽  
Dietary Supplementation ◽  
Moderate Intensity ◽  
Controlled Study ◽  
Time To Exhaustion ◽  
Exercise Tests ◽  
Positive Effects ◽  
Severe Intensity ◽  
Per Se

Dietary supplementation with beetroot juice (BR) has been shown to reduce resting blood pressure and the O2cost of submaximal exercise and to increase tolerance to high-intensity cycling. We tested the hypothesis that the physiological effects of BR were consequent to its high NO3−content per se, and not the presence of other potentially bioactive compounds. We investigated changes in blood pressure, mitochondrial oxidative capacity (Qmax), and physiological responses to walking and moderate- and severe-intensity running following dietary supplementation with BR and NO3−-depleted BR [placebo (PL)]. After control (nonsupplemented) tests, nine healthy, physically active male subjects were assigned in a randomized, double-blind, crossover design to receive BR (0.5 l/day, containing ∼6.2 mmol of NO3−) and PL (0.5 l/day, containing ∼0.003 mmol of NO3−) for 6 days. Subjects completed treadmill exercise tests on days 4 and 5 and knee-extension exercise tests for estimation of Qmax(using31P-magnetic resonance spectroscopy) on day 6 of the supplementation periods. Relative to PL, BR elevated plasma NO2−concentration (183 ± 119 vs. 373 ± 211 nM, P < 0.05) and reduced systolic blood pressure (129 ± 9 vs. 124 ± 10 mmHg, P < 0.01). Qmaxwas not different between PL and BR (0.93 ± 0.05 and 1.05 ± 0.22 mM/s, respectively). The O2cost of walking (0.87 ± 0.12 and 0.70 ± 0.10 l/min in PL and BR, respectively, P < 0.01), moderate-intensity running (2.26 ± 0.27 and 2.10 ± 0.28 l/min in PL and BR, respectively, P < 0.01), and severe-intensity running (end-exercise O2uptake = 3.77 ± 0.57 and 3.50 ± 0.62 l/min in PL and BL, respectively, P < 0.01) was reduced by BR, and time to exhaustion during severe-intensity running was increased by 15% (7.6 ± 1.5 and 8.7 ± 1.8 min in PL and BR, respectively, P < 0.01). In contrast, relative to control, PL supplementation did not alter plasma NO2−concentration, blood pressure, or the physiological responses to exercise. These results indicate that the positive effects of 6 days of BR supplementation on the physiological responses to exercise can be ascribed to the high NO3−content per se.

scholarly journals Creatine Supplementation, Physical Exercise and Oxidative Stress Markers: A Review of the Mechanisms and Effectiveness

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 869
Author(s):  
Hamid Arazi ◽  
Ehsan Eghbali ◽  
Katsuhiko Suzuki
Keyword(s):  
Oxidative Stress ◽  
Physical Exercise ◽  
Oxidative Damage ◽  
Creatine Supplementation ◽  
Essential Amino Acids ◽  
Moderate Intensity ◽  
Energy Status ◽  
Moderate Intensity Exercise ◽  
Positive Effects ◽  
Cell Energy

Oxidative stress is the result of an imbalance between the generation of reactive oxygen species (ROS) and their elimination by antioxidant mechanisms. ROS degrade biogenic substances such as deoxyribonucleic acid, lipids, and proteins, which in turn may lead to oxidative tissue damage. One of the physiological conditions currently associated with enhanced oxidative stress is exercise. Although a period of intense training may cause oxidative damage to muscle fibers, regular exercise helps increase the cells’ ability to reduce the ROS over-accumulation. Regular moderate-intensity exercise has been shown to increase antioxidant defense. Endogenous antioxidants cannot completely prevent oxidative damage under the physiological and pathological conditions (intense exercise and exercise at altitude). These conditions may disturb the endogenous antioxidant balance and increase oxidative stress. In this case, the use of antioxidant supplements such as creatine can have positive effects on the antioxidant system. Creatine is made up of two essential amino acids, arginine and methionine, and one non-essential amino acid, glycine. The exact action mechanism of creatine as an antioxidant is not known. However, it has been shown to increase the activity of antioxidant enzymes and the capability to eliminate ROS and reactive nitrogen species (RNS). It seems that the antioxidant effects of creatine may be due to various mechanisms such as its indirect (i.e., increased or normalized cell energy status) and direct (i.e., maintaining mitochondrial integrity) mechanisms. Creatine supplement consumption may have a synergistic effect with training, but the intensity and duration of training can play an important role in the antioxidant activity. In this study, the researchers attempted to review the literature on the effects of creatine supplementation and physical exercise on oxidative stress.

scholarly journals The Effect of Low and Moderate Exercise on Hyperuricemia: Protocol for a Randomized Controlled Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Yuning Hou ◽  
Renyan Ma ◽  
Song Gao ◽  
Keneilwe Kenny Kaudimba ◽  
Hongmei Yan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Heart Rate ◽  
Exercise Group ◽  
Moderate Intensity ◽  
Controlled Study ◽  
Control Group ◽  
Maximum Heart Rate ◽  
Moderate Intensity Exercise ◽  
Low Intensity ◽  
Low Intensity Exercise

BackgroundHyperuricemia (HUA) is a metabolic disease by purine metabolism disorders. It is a risk factor for many chronic diseases, including diabetes, hypertension, and heart disease. Studies have shown that exercise can effectively reduce serum uric acid (SUA), but the optimal exercise dose, intensity, and mode of exercise for improving HUA have not been verified in clinical studies. Therefore, this study aims to explore the effect of different exercise intensities in improving SUA of patients with HUA.Methods and AnalysisA randomized, single-blind, parallel controlled trial will be conducted in this study. 186 HUA patients who meet the inclusion criteria will be randomly divided into a 1:1:1 ratio (1): control group (2), low-intensity exercise group (brisk walking, 57-63% maximum heart rate, 150 min/week, 12 months), and (3) moderate-intensity exercise group (jogging, 64-76% maximum heart rate, 150 min/week, 12 months). The three groups of subjects will receive the same health education and prohibition of high-purine diet during the intervention period. The primary outcomes will be SUA concentration, SUA concentration change (mg/dL), SUA change rate (%), and the proportion of HUA patients. Secondary outcomes will include anthropometric parameters (body weight, waist circumference, hip circumference, BMI); physiological indicators (blood pressure, grip, vital capacity, maximum oxygen); biochemical indicators (blood lipid, blood sugar, liver enzyme, creatinine, and blood urea nitrogen). Each group of patients will go through an assessment at baseline, 3rd, 6th, and 12th months.DiscussionThis study will evaluate the effect of 12-month low-intensity exercise and moderate-intensity exercise on HUA patients. We hypothesize that both low-intensity and moderate-intensity exercise would improve HUA as compared with no-exercise control, and that moderate-intensity exercise would be more effective than low-intensity exercise in improving HUA. These results can provide a basis for the current physical activity guidelines for HUA’s healthy lifestyle management.Ethics and DisseminationThis study has been approved by the Ethical Review Committee of the Shanghai University of Sport (approval number: 102772020RT005). Informed consent will be obtained from all participants or their guardians. The authors intend to submit the study findings to peer-reviewed journals or academic conferences to be published.Clinical Trial RegistrationChinese Clinical Trial Registry, identifier ChiCTR2100042643.

Positive Effects of Probiotics on Motor Coordination and Brain during Moderate and High-Intensity Exercise in Adolescent Female Mice

2021 ◽  
Author(s):  
Ki Jun Park ◽  
Junechul Kim
Keyword(s):  
High Intensity ◽  
Motor Coordination ◽  
Inflammatory Responses ◽  
Exercise Group ◽  
Female Adolescent ◽  
High Intensity Exercise ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Positive Effects ◽  
Lower Records

Abstract Objectives This study aimed to investigate the effects of probiotics on inflammatory cytokines, neurotransmitters, and motor functions during different levels of exercise. Methods Female adolescent mice (n=140) were divided into two groups, of which one group was fed probiotics and the other group was not. For both groups, three levels of exercise were conducted: non-exercise, moderate-intensity exercise, and high-intensity exercise. Probiotics acquisition and aerobic treadmill exercise were the main variables during the growth period. We evaluated motor function with a rotarod test and analyzed cytokines and neurotransmitters in the cerebellum. Results In acceleration mode, the moderate and high-intensity exercise groups showed longer running times than the non-exercise groups (P<0.001). Also, the probiotic-ingestion group had longer latency before falling than those who did not take probiotics in both the high-intensity and the non-exercise groups (P=0.002, P=0.002, respectively). In steady-state mode, the non-exercise group showed lower records compared with the moderate and high-intensity exercise groups (P=0.017, P=0.004, respectively). The inflammatory cytokine levels were high in the groups that performed moderate and high-intensity exercises, but the high levels were relieved in those taking probiotics. The GABA concentration was high for the exercise group and the probiotic-ingestion group. Conclusion Taken together, probiotics help improve motor skills during moderate and high-intensity exercise and help relieve inflammatory responses in the brain. Thus, we suggest that probiotics can be a useful supplement for brain and body development during exercise in adolescence.

Inactivity, exercise training and detraining, and plasma lipoproteins. STRRIDE: a randomized, controlled study of exercise intensity and amount

2007 ◽  
Vol 103 (2) ◽  
pp. 432-442 ◽  
Author(s):  
Cris A. Slentz ◽  
Joseph A. Houmard ◽  
Johanna L. Johnson ◽  
Lori A. Bateman ◽  
Charles J. Tanner ◽  
...  
Keyword(s):  
Exercise Training ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Plasma Lipoproteins ◽  
Moderate Intensity ◽  
Controlled Study ◽  
Low Density ◽  
Moderate Intensity Exercise ◽  
Beneficial Effects ◽  
Vigorous Intensity

Exercise has beneficial effects on lipoproteins. Little is known about how long the effects persist with detraining or whether the duration of benefit is effected by training intensity or amount. Sedentary, overweight subjects ( n = 240) were randomized to 6-mo control or one of three exercise groups: 1) high-amount/vigorous-intensity exercise; 2) low-amount/vigorous-intensity exercise; or 3) low-amount/moderate-intensity exercise. Training consisted of a gradual increase in amount of exercise followed by 6 mo of exercise at the prescribed level. Exercise included treadmill, elliptical trainer, and stationary bicycle. The number of minutes necessary to expend the prescribed kilocalories per week (14 kcal·kg body wt−1·wk−1for both low-amount groups; 23 kcal·kg body wt−1·wk−1for high-amount group) was calculated for each subject. Average adherence was 83–92% for the three groups; minutes per week were 207, 125, and 203 and sessions per week were 3.6, 2.9, and 3.5 for high-amount/vigorous-intensity, low-amount/vigorous intensity, and low-amount/moderate-intensity groups, respectively. Plasma was obtained at baseline, 24 h, 5 days, and 15 days after exercise cessation. Continued inactivity resulted in significant increases in low-density lipoprotein (LDL) particle number, small dense LDL, and LDL-cholesterol. A modest amount of exercise training prevented this deterioration. Moderate-intensity but not vigorous-intensity exercise resulted in a sustained reduction in very-low-density lipoprotein (VLDL)-triglycerides over 15 days of detraining ( P < 0.05). The high-amount group had significant improvements in high-density lipoprotein (HDL)-cholesterol, HDL particle size, and large HDL levels that were sustained for 15 days after exercise stopped. In conclusion, physical inactivity has profound negative effects on lipoprotein metabolism. Modest exercise prevented this. Moderate-intensity but not vigorous-intensity exercise resulted in sustained VLDL-triglyceride lowering. Thirty minutes per day of vigorous exercise, like jogging, has sustained beneficial effects on HDL metabolism.

Safety and outcomes of a structured exercise programme in young patients with hypertrophic cardiomyopathy: the SAFE-HCM trial

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J Basu ◽  
P Poveda Velazquez ◽  
G Parry-Williams ◽  
C Miles ◽  
F Tilby-Jones ◽  
...  
Keyword(s):  
High Intensity ◽  
Young Patients ◽  
Exercise Programme ◽  
Exercise Group ◽  
High Intensity Exercise ◽  
Moderate Intensity ◽  
Educational Materials ◽  
Moderate Intensity Exercise ◽  
Significant Difference ◽  
Exercise Induced

Abstract Background Contemporary studies in hypertrophic cardiomyopathy (HCM) suggest that moderate intensity exercise can improve cardiorespiratory fitness without raising significant safety concerns. Although low/moderate intensity exercise may be appropriate for older HCM patients, it is unlikely to attract younger, often asymptomatic patients, who wish to engage in higher intensity regimes. Purpose To assess the feasibility, safety and outcomes of an individually tailored, high intensity exercise programme in young patients with HCM. Methods In this RCT, 80 patients with HCM, aged 16–60 (mean 45.7, [SD8.6]) underwent baseline testing with ECG, echocardiography, blood testing, exercise testing, 48-hour ECG and psychological assessment. Individuals were randomised to a 12-week supervised exercise programme (HRR increased from 70–85%) (n=40) or usual activity (n=40). Baseline investigations were repeated at 12 weeks. Feasibility was assessed by a) recruitment, adherence and retention rates; b) staffing ratios and logistics; c) acceptability of the intervention/educational materials. Safety was assessed as a composite of 1) cardiovascular death, 2) cardiac arrest, 3) device therapy, 4) exercise induced syncope, 5) sustained/non-sustained (NS) ventricular tachycardia (VT) or 6) sustained atrial arrhythmias. Secondary outcomes included health and psychological benefits. Results 67 individuals (82.5%) completed the study. Reasons for refusal included travel, work and family commitments. The majority (64.7%) of exercising individuals progressed to 85%HRR. Resource requirements were similar to other programmes. All individuals felt supported, more confident to exercise, and found educational materials clear and informative. There was no significant difference between groups for the composite safety outcome. One individual experienced exercise induced syncope due to ventricular standstill (exercise) and another sustained VT (control). Both required device implantation. There was no significant difference between groups in episodes of NSVT (p=0.573) or ectopic burden (p=0.729). At 12 weeks, exercise group participants demonstrated greater activity levels (+1.1 hours [CI 0.2–2.1], p=0.024). The change in peak aerobic capacity (+255.2ml/min [CI 93.2–417.1], p=0.003), time to anaerobic threshold (AT) (+115s [CI 54.2–176.0], p&lt;0.001), total exercise time (+108.1s [CI 33.1–183.0], p=0.005) and oxygen uptake at AT (+2.44ml/kg/min [CI 0.6–4.2], p=0.009) were all significantly greater in the exercise group. HADS anxiety (p&lt;0.001) and depression (p=0.017) scores demonstrated the greatest reduction in the exercise group. Conclusions A high intensity exercise programme is feasible in young patients with HCM, with considerable gains in cardiorespiratory fitness and psychological outcomes. Importantly, arrhythmia burden was not increased in the exercise group. Further research is still required to assess the long-term safety of high intensity exercise in the HCM population. Funding Acknowledgement Type of funding source: Other. Main funding source(s): Cardiac Risk in the Young

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