Differential Effects of One Meal per Day in the Evening on Metabolic Health and Physical Performance in Lean Individuals

Background: Generally, food intake occurs in a three-meal per 24 h fashion with in-between meal snacking. As such, most humans spend more than ∼ 12–16 h per day in the postprandial state. It may be reasoned from an evolutionary point of view, that the human body is physiologically habituated to less frequent meals. Metabolic flexibility (i.e., reciprocal changes in carbohydrate and fatty acid oxidation) is a characteristic of metabolic health and is reduced by semi-continuous feeding. The effects of time-restricted feeding (TRF) on metabolic parameters and physical performance in humans are equivocal.Methods: To investigate the effect of TRF on metabolism and physical performance in free-living healthy lean individuals, we compared the effects of eucaloric feeding provided by a single meal (22/2) vs. three meals per day in a randomized crossover study. We included 13 participants of which 11 (5 males/6 females) completed the study: age 31.0 ± 1.7 years, BMI 24.0 ± 0.6 kg/m2 and fat mass (%) 24.0 ± 0.6 (mean ± SEM). Participants consumed all the calories needed for a stable weight in either three meals (breakfast, lunch and dinner) or one meal per day between 17:00 and 19:00 for 11 days per study period.Results: Eucaloric meal reduction to a single meal per day lowered total body mass (3 meals/day –0.5 ± 0.3 vs. 1 meal/day –1.4 ± 0.3 kg, p = 0.03), fat mass (3 meals/day –0.1 ± 0.2 vs. 1 meal/day –0.7 ± 0.2, p = 0.049) and increased exercise fatty acid oxidation (p < 0.001) without impairment of aerobic capacity or strength (p > 0.05). Furthermore, we found lower plasma glucose concentrations during the second half of the day during the one meal per day intervention (p < 0.05).Conclusion: A single meal per day in the evening lowers body weight and adapts metabolic flexibility during exercise via increased fat oxidation whereas physical performance was not affected.

COVID-19 symptoms reduce with targeted hydration of the nose, larynx and trachea

Dirty air and poor access to healthcare threatens the lives of billions of people in low-income regions of the world. We investigated whether upper-airway hydration might alter two-phase flow in the airways on normal tidal breathing and be a useful, safe, easily distributed non-drug intervention for limiting risks of COVID-19. In observational human volunteer studies involving 464 human subjects in Marburg, Germany (357 normal subjects), Boston, US (20 healthy subjects), and Bangalore, India (87 subjects recently tested positive for COVID-19), we find that respiratory droplet generation increases by up to 4 orders of magnitude with up to 1% total body mass dehydration (n=20), and in dehydration-associated states of advanced age (n=357), elevated BMI-age (n=148), and SARS-CoV-2 infection (n=87). Hydration of the nose, larynx and trachea in a protocol of exercise-induced dehydration by the nasal inhalation of calcium-rich hypertonic salt droplets of mean diameter 8-12 µm diminished respiratory droplet numbers and increased oxygenation relative to a non-treatment control (P<0.05). In a randomized double-blinded nasal-saline control study, thrice-a-day delivery of the calcium-rich hypertonic salts (active) over three days suppressed respiratory droplet generation by 51% +/- 11% and increased oxygen saturation by 48.08% ± 9.61% (P<0.001) in COVID-19 positive subjects (n=20), while no changes in exhaled aerosol (P=0.235) or oxygen saturation (P=0.533) were observed in the nasal-saline control group (n=20). In the active group 47% of patients discharged with no self-reported symptoms while all of the subjects in the nasal saline group discharged with lingering symptoms. Hydration of the upper airways appears promising as a non-drug approach for reducing risks of lower respiratory-tract infections such as COVID-19.

Estimating body segment parameters from three-dimensional human body scans

Body segment parameters are inputs for a range of applications. Participant-specific estimates of body segment parameters are desirable as this requires fewer prior assumptions and can reduce outcome measurement errors. Commonly used methods for estimating participant-specific body segment parameters are either expensive and out of reach (medical imaging), have many underlying assumptions (geometrical modelling) or are based on a specific subset of a population (regression models). Our objective was to develop a participant-specific 3D scanning and body segmentation method that estimates body segment parameters without any assumptions about the geometry of the body, ethnic background, and gender, is low-cost, fast, and can be readily available. Using a Microsoft Kinect Version 2 camera, we developed a 3D surface scanning protocol that enabled the estimation of participant-specific body segment parameters. To evaluate our system, we performed repeated 3D scans of 21 healthy participants (10 male, 11 female). We used open source tools to segment each body scan into 16 segments (head, torso, abdomen, pelvis, left and right hand, forearm, upper arm, foot, shank and thigh) and wrote custom software to estimate each segment’s mass, mass moment of inertia in the three principal orthogonal axes relevant to the center of the segment, longitudinal length, and center of mass. We compared our body segment parameter estimates to those obtained using two comparison methods and found that our system was consistent in estimating total body volume between repeated scans (male p = 0.1194, female p = 0.2240), estimated total body mass without significant differences when compared to our comparison method and a medical scale (male p = 0.8529, female p = 0.6339), and generated consistent and comparable estimates across a range of the body segment parameters of interest. Our work here outlines and provides the code for an inexpensive 3D surface scanning method for estimating a range of participant-specific body segment parameters.

A study of height, weight and body mass index in Nepalese

Introduction: The height measurement is an important anthropometric measurement which can be directly correlated with health status of an individual. Body weight of an individual refers to total body mass and is also important indicator of health status of people. Body mass index (BMI) is a key index for relating weight to height. It is defined as the body mass divided by the square of the body height, The BMI is an attempt to quantify the amount of body tissue mass in an individual, and then categorize that the person as underweight, normal weight, overweight or obese. Objectives: To find out the average height and weight, to calculate BMI and find out its average value and to correlate height and weight in Nepalese population. Methodology: A cross sectional study was conducted in subjects from different parts of Nepal. Three hundred twenty one healthy subjects of 25-40 years of age group were studied. Height and weight of subjects were recorded and BMI was calculated. Data were analyzed using SPSS. Result: In overall Nepalese population, Mean height was found to be 156.6 ± 6.3 cm; mean weight 56.6 ± 11.4 kg and BMI 20.9 ± 1.8 kg/m2. Pearson’s correlation co-efficient(r) for height and weight was 0.88. Conclusion: There was partial positive correlation between height and weight. There was statistically significant difference in height, weight and BMI between Nepalese male and female(p<0.05).

The Relationship between Initial Tacrolimus Metabolism Rate and Recipients Body Composition in Kidney Transplantation

There are several premises that the body composition of kidney transplant recipients may play a role in tacrolimus metabolism early after transplantation. The present study aimed at analyzing the relationship between the body composition parameters assessed by bioimpedance analysis (BIA) and initial tacrolimus metabolism. Immediately prior to transplantation, BIA using InBody 770 device was performed in 122 subjects. Tacrolimus concentration-to-dose (C/D) ratio was calculated based on the first blood trough level measurement. There was no difference in phase angle, visceral fat area, lean body mass index (LBMI) and the proportion of lean mass as a percentage of total body mass between the subgroups of slow and fast metabolizers. However, subjects with LBMI ≥ median value of 18.7 kg/m2, despite similar initial tacrolimus dose per kg of body weight, were characterized by a significantly lower tacrolimus C/D ratio (median 1.39 vs. 1.67, respectively; p < 0.05) in comparison with the subgroup of lower LBMI. Multivariate regression analysis confirmed that age (rpartial = 0.322; p < 0.001) and LBMI (rpartial = −0.254; p < 0.01) independently influenced the tacrolimus C/D ratio. A LBMI assessed by BIA may influence the tacrolimus metabolism in the early post-transplant period and can be a useful in the optimization of initial tacrolimus dosing.

COVID-19 symptoms reduce with targeted hydration of the nose, larynx and trachea

Dirty air and poor access to healthcare threatens the lives of billions of people in low-income regions of the world. We investigated whether upper-airway hydration might alter two-phase flow in the airways on normal tidal breathing and be a useful, safe, easily distributed non-drug intervention for limiting risks of COVID-19. In observational human volunteer studies involving 464 human subjects in Marburg, Germany (357 normal subjects), Boston, US (20 healthy subjects), and Bangalore, India (87 subjects recently tested positive for COVID-19), we find that respiratory droplet generation increases by up to 4 orders of magnitude with up to 1% total body mass dehydration (n=20), and in dehydration-associated states of advanced age (n=357), elevated BMI-age (n=148), and SARS-CoV-2 infection (n=87). Hydration of the nose, larynx and trachea in a protocol of exercise-induced dehydration by the nasal inhalation of calcium-rich hypertonic salt droplets of mean diameter 8-12 μm diminished respiratory droplet numbers and increased oxygenation relative to a non-treatment control (P<0.05). In a randomized double-blinded nasal-saline control study, thrice-a-day delivery of the calcium-rich hypertonic salts (active) over three days suppressed respiratory droplet generation by 51% +/- 11% and increased oxygen saturation by 48.08% ± 9.61% (P<0.001) in COVID-19 positive subjects (n=20), while no changes in exhaled aerosol (P=0.235) or oxygen saturation (P=0.533) were observed in the nasal-saline control group (n=20). In the active group 47% of patients discharged with no self-reported symptoms while all of the subjects in the nasal saline group discharged with lingering symptoms. Hydration of the upper airways appears promising as a non-drug approach for reducing risks of lower respiratory-tract infections such as COVID-19.

Comparison of methods to identify individuals with obesity at increased risk of functional impairment among a population of home-dwelling older adults

Obesity is associated with increased muscle mass and muscle strength. Methods taking into account the total body mass to reveal obese older individuals at increased risk of functional impairment are needed. Therefore, we aimed to detect methods to identify obese older adults at increased risk of functional impairment. Home-dwelling older adults (n 417, ≥ 70 years of age) were included in this cross-sectional study. Sex-specific cut-off points for two obesity phenotypes (waist circumference (WC) and body fat mass (FM %)) were used to divide women and men into obese and non-obese groups, and within-sex comparisons were performed. Obese women and men, classified by both phenotypes, had similar absolute handgrip strength (HGS) but lower relative HGS (HGS/total body mass) (P < 0·001) than non-obese women and men, respectively. Women with increased WC and FM %, and men with increased WC had higher appendicular skeletal muscle mass (P < 0·001), lower muscle quality (HGS/upper appendicular muscle mass) (P < 0·001), and spent longer time on the stair climb test and the repeated sit-to-stand test (P < 0·05) than non-obese women and men, respectively. Absolute muscle strength was not able to discriminate between obese and non-obese older adults. However, relative muscle strength in particular, but also muscle quality and physical performance tests, where the total body mass was taken into account or served as an extra load, identified obese older adults at increased risk of functional impairment. Prospective studies are needed to determine clinically relevant cut-off points for relative HGS in particular.

Plasticity of Locomotor Activity Permits Energy Homeostasis During Reproduction in a Female Sea Cucumber

Behavioral plasticity in animals allows for moment-by-moment behavioral adjustments to biotic and abiotic uncertainties in the environment. For most aquatic animals, reproduction involves gonadal development and other physiological changes, causing increasing demands in nutrients and energy for females. The aim of this report was to determine how the female sea cucumber, Apostichopus japonicus, accommodates increasing energy demands during reproduction by adopting a behavioral energy conservation strategy. Dynamic changes in feeding activity, total body mass, locomotor activity, energetic condition, and metabolic performance of the females were measured from the non-breeding stage up to the mature stage. Routine metabolic rate analysis showed that reproduction caused a significant increase in energy demands in the adult. However, reproduction also suppressed the appetite of adults resulting in decreased energy intake. Interestingly, combining time-lapse camera and behavioral analysis software, the results showed that sea cucumbers down-regulated their locomotor activities in order to conserve energy effectively. Energy budget analysis and unchanged cortisol level revealed that the reduction in motility offset the increased energy demand for reproduction while helping to maintain energy homeostasis in the maternal body. Altogether, our study suggests that plasticity in the locomotor behavior allows sea cucumbers to cope with the high energy demands of reproduction.

Explosive strength evolution of Romanian professional rugby players – Backs

The purpose of this study is to highlight the evolution of the explosive strength in the 4-year interval of the backs compartment and the level of adaptation to the game requirements. The hypothesis in this study is that the explosive strength of the lower limbs in rugby backs developed during the past 4 years, trying to keep up with the higher needs in the first Romanian league. Explosive power was measured using the ‘Just Jump System’, which is a plyometric test mat on which the players conducted a set of three tests: squat jump, control movement jump and free jump. The forwards significantly improved their explosive strength in a 4-year period. Although the total body mass got bigger, the players managed to improve their lower limbs’ explosive strength; this fact proves a good physical adaptation to the requirements of the rugby game. Keywords: Power, jump.

Effects of face mask use on exercise during the covid-19 pandemic: the principal component analysis (PCA)

The COVID-19 pandemic also raised questions about the practice of physical activity using a face mask and how this would affect breathing and performance. The aim of this study was to investigate the effects of using a tissue face mask recommended by the World Health Organization (WHO) on the variation of heart rate (HR), minute volume (VE), and muscle O 2 saturation (SO 2 m) parameters during performing the incremental load exercise and verifying the maximum time obtained at the end of the exercise. A 21-year-old male, 85 kg of total body mass and 1.68 m of height were selected. The individual performed an incremental load test to maximum exhaustion on the XT cycle ergometer (TRG Fitness ®️ ) in two moments: No mask -Control (C); Cloth Mask (CM). The individual was instructed to maintain a cadence of 61-65 rpm and every 2 minutes a load of 30.8 watts was added until maximum exhaustion. A ventilometer VO2 Pro (Cefise ®️ ) and a near infrared spectroscopy sensor (Moxy ®️ ) were used, placed in the vastus lateralis muscle of the right leg.Data were analyzed every 20% of the total time (20%, 40%, 60%, 80% and 100%) under conditions C and CM. The parameters of HR, VE and SO 2 m were monitored throughout the test and the data were statistically processed by a software (Origin Pro ®️ 3.226) using a multivariate analysis technique (Principal Component Analysis -PCA) to analyze interrelationships between the variables. In test condition C, an eigenvalue of 2.979 was observed with two variables (VE and SO 2 m) associated with greater variation (PC1). The maximum time obtained at the end of the test was 1535 seconds. In the CM condition, na eigenvalue of 2.881 was observed with two variables (HR and SO 2 m) associated with greater variation (PC1). The maximum time obtained at the end of the test was1330 seconds. It is concluded that the use of CM reduces VE variation, which may be associated with greater airflow resistance. The greatest variation observed in HR was due to the use of CM, impacting the delay in the appearance of the plateau. In addition, the use of a tissue mask recommended by the WHO reduces the maximum exercise time performed on the cycle ergometer in a healthy individual. These findings are useful for evaluating the effects of using CM in high-performance sports. Additional studies in the elderly and people with lung or heart disease are needed.