Spectator medicine at an international mega sports event: Rugby World Cup 2019 in Japan

BACKGROUND@#The Rugby World Cup (RWC) is one of the biggest international mega sports events in the world. This study was conducted to identify and evaluate the volume, nature, and severity of spectator medical care in the stadiums of 12 venues across Japan during RWC 2019.@*METHOD@#This was a retrospective review of medical records from spectator medical rooms of 45 official matches of RWC 2019 between September 20 and November 2, 2019. All patients in the stadium who visited the spectator medical room and were transferred to a hospital were included. The wet bulb globe temperature (WBGT) value at the kick-off time of each match, the number of visits to the spectator medical room, and the number of transfers to a hospital were reviewed and analyzed. The patient presentation rate (PPR) was calculated per 10,000 attendees. Severity categories were defined as mild or severe. Mild cases were considered non-life threatening requiring minimal medical intervention, and severe cases required transport to a hospital.@*RESULT@#The total number of visits to the spectator medical room was 449 with a PPR of 2.63. Most cases (91.5%) were mild in severity. The PPR was significantly higher for the matches held with a WBGT over 25 °C than for the matches under 21 °C (PPR 4.27 vs 2.04, p = 0.04). Thirty-eight cases were transferred to a hospital by ambulance; the PPR was 0.22. The most common reasons for transfer to the hospital were heat illness and fracture/dislocation, at a rate of 15.8% each. The incidence rate of cardiopulmonary arrest per 10,000 attendees was 0.0059 during RWC 2019.@*CONCLUSION@#Preparation and provision of appropriate medical service for spectators is a key factor for mass-gathering events. During RWC 2019, the majority (91.5%) of patients who sought medical attention did so for minor complaints, which were easily assessed and managed. On the other hand, a higher WBGT situation contributes significantly to an increased PPR ( 25, 2.04 versus 4.27, p = 0.04). Careful medical preparation, management, and development of public education programs for higher WBGT situations will be required in the future for similar international mega sports events.

The Effects of Coenzyme Q10 on Oral Immunity and Health-Related Quality of Life in Middle-Aged and Elderly Individuals / 日本補完代替医療学会誌

<b>Objective:</b> The purpose of this study was to examine the effects of Coenzyme Q10 (CoQ10) supplementation on salivary secretory immunoglobulin A (SIgA) and health-related Quality of Life (QOL) in middle-aged and elderly individuals. <b>Methods:</b> Sixty healthy middle-aged and elderly individuals were assigned randomly to a CoQ10 supplementation group (n = 30) or a placebo supplementation group (n = 30) using a double blind method. Subjects took 150 mg CoQ10 or placebo per day for 8 weeks. Salivary SIgA secretion rate and SF-36 test (physical and mental health-related QOL) were determined before and after the intervention. <b>Results:</b> CoQ10 group showed that a tendency to increase of salivary SIgA secretion rate (p = 0.08), although placebo group did not show significant change. Physical health-related QOL did not significantly change in both groups. Vitality and mental health scores, which were subscale of mental health-related QOL, were significantly increased after the intervention in CoQ10 group (p < 0.05), although placebo group did not show significant change. <b>Conclusion:</b> 8 weeks of CoQ10 supplementation may bolster SIgA-mediated oral immunity and mental health-related QOL in middle-aged and elderly individuals.

EFFECTS OF THE USE OF CONTACT LENS ON STATIC AND KINETIC VISUAL ACUITY, OCULAR PAIN, AND BLURRED VISION DURING A WATER POLO MATCH / 体力科学

This study examined the effects of the use of contact lenses on static and kinetic visual acuity, ocular pain, and blurred vision during a water polo match. Eleven male water polo players participated in this study, and were assigned to one of two groups: contact lens users (CL, n=5) and non-users (NCL, n=5). Both groups participated in a typical water polo match with four 7-min periods and 2-min resting intervals between the four periods. Static and kinetic visual acuity, subjective ocular pain, and blurred vision were measured before the match (pre-test), during the match (after each of four 7-min periods), and during the recovery phase at 5, 15, and 30 min after the completion of the match.Results showed that kinetic visual acuity was significantly lower for the NCL group than for CL in the 4^th period of the match. In addition, for the NCL group, kinetic visual acuity was significantly lower in the 3^rd and the 4^th periods than at the pre-test time. On the other hand, static visual acuity did not significantly differ between the two groups; but, for NCL, static visual acuity was significantly lower in the 4^th period than at the pre-test time. According to self-evaluation scores, ocular pain significantly increased in NCL compared to CL in the 3^rd and 4^th periods. Ocular pain in NCL was significantly higher between the 2^nd period and recovery phase at 5 min than at the pre-test time. Blurred vision was significantly higher in NCL than CL between the 2^nd period and recovery phase at 5 min. Blurred vision in NCL was significantly higher at the same duration than at the pre-test time.These findings indicate that the use of contact lenses may prevent ocular pain and blurred vision, maintaining both the static and kinetic visual acuity at a normal level during a water polo match. Further, the results of this study suggest that the use of contact lenses is effective for water polo players.

The Effects of Acupuncture Stimulation on the Salivary Secretory Immunoglobulin A During Training Camp / 日本温泉気候物理医学会雑誌

<B>Backgrounds :</B> The one of the leading factors of deteriorating condition is upper respiratory tract infections (URTI) in athletes. Athletes who are forced in regularly intensive training often decrease salivary secretory immunoglobulin A (SIgA) which has important role of immune function in the buccal cavity. It causes increase of morbidity risk in URTI. Acupuncture treatment is one of the conditioning methods in the competition field and mainly treated for orthopedic injuries. On the other hands, acupuncture treatment induced increase of natural healing ability which involved immune response, and prevent and treat some diseases. It has been reported acupuncture increase SIgA level. However, the relationship between time course and diagnostic of cold by the acupuncture stimulation effect is still unclear. Thus, the purpose of this measurement is to investigate the effect of acupuncture stimulation on the SIgA during training camp. Furthermore, it is important to investigate questionnaire about diagnostic of cold during and 1 week after training camp, it leads to clear the effect of acupuncture stimulation on the URTI.<BR><B>Methods :</B> Eighty subjects men who have auditory difficulties (26.7±0.9 yr[±SE]) participated in this study. The subjects were randomly assigned two groups; acupuncture group and control group. The training camp conducted 3 days and training performed 3 hours each in the morning and afternoon. Acupuncture stimulation was applied at LU 6 (Kongzui), LI 4 (Hegu), ST 36 (Zusanli), and ST 6 (Jiache), for 30 min after dinner. To measure SIgA level, saliva samples were taken 7 times; daytime and evening of first day (Day1(D), Day1(E)), morning, daytime and evening of the second day (Day2(M), Day2(D), Day2(E)), morning and daytime in the third day (Day3(M), Day3(D)). The questionnaire about diagnostic of cold was conducted Day1(D), Day2(M), Day3(M) and 1 week after training camp.<BR><B>Results :</B> The secretion rate of SIgA in the control was not significantly changed during training camp. However, the acupuncture group was significantly higher level in the Day2(M) and Day3(M) compared to the Day1(D) (P<0.05). Both control and acupuncture group was significantly higher SIgA concentration in Day2(M) and Day3(M) compared to the Day1(D) (P<0.05), but acupuncture group was significantly higher in the Day3(M) compared to the control. The frequency of diagnostic cold was 1 in the acupuncture group and 4 in the control group. Moreover, 1 week after training camp, 6 in the acupuncture group and 6 in the control.<BR><B>Conclusion :</B> Acupuncture stimulation induced significant increase SIgA level during training camp. Moreover, the diagnostic of cold was lower during training camp in the acupuncture group. Therefore, acupuncture stimulation might reduce the risk of the morbidity of the URTI.

Effects of Acupuncture Stimulation on the Response of Leukocyte and Lymphocyte by High-lntensity Exercise / 日本温泉気候物理医学会雑誌

 Acupuncture treatment is one of the conditioning methods in the competition field. Athletes who are forced in regularly intensive training often induced deteriorating of condition. Good conditions are adjusted by interaction of immune system, nervous system and endocrine system. Neutrophils and lymphocytes which are blood components prevent infections of the human body in various ways. Intensive training causes an increase of neutrophils, a decrease of lymphocytes and a negative impact on the immune functions. It has been reported that acupuncture stimulation could be involved in the coordination of the immune system. Therefore, acupuncture treatment could be important to keep physical condition and participate physical activity according to the plan without deteriorating of condition. It may be useful not only for athletes but also for the general public who train for the purpose of health and sports enthusiasts. The purpose of this study was to examine the effect of acupuncture stimulation on fluctuation of neutrophils and lymphocytes by the transient high-intensity exercise.<br><b>Method</b> : Twelve healthy men (23.6±O.3 yr [±SE]) participated in this study. Subjects exercised on bicycle ergometer for 60 minutes at 75% of their VO₂max. Acupuncture treatment was applied at LU6 (Kongzui), LI 4 (Hegu), ST 36 (Zusanli), and ST 6 (Jiache), for 30 min after the exercise. Blood samples were taken before exercise, immediately after exercise, hourly after exercise until 4 hours and 24 hours after exercise. Leukocyte, neutrophils, lymphocytes, Th cells and Tc cells were measured from the blood samples.<br><b>Result</b> : The neutrophils significantly increased from Post 1h to Post 4h in the both trials (P < 0.05). However the neutrophils was significantly lower in the acupuncture group than in the control group at Post 1h and Post 3h (P < 0.05). The lymphocytes significantly increased from immediately after exercise to Post 24h in the control trial, and increased significantly only at Post 1h to Post 3h in the acupuncture trail (P<0.05). The Th cells significantly decreased from Post 1h to Post 24h in the control trial and decreased significantly only at Post 1h, 2h and 24h in the acupuncture trail (P < 0.05).<br><b>Conclusion</b> : These results suggested that acupuncture stimulation may reduce the increase of neutrophils and the decrease of lymphocyte and Th cells caused by high-intensity exercise. These results indicated that acupuncture stimulation may promote the recovery from high-intensity exercise.

ACUTE EFFECTS OF RESISTANCE EXERCISE ON ADIPONECTIN AND LEPTIN / 体力科学

【Objective】The purpose of this study was to investigate the acute responses of adiponectin and leptin to resistance exercise in healthy elderly men. 【Methods】Eight healthy men (age, 25.5±3.3 yrs) participated in this study. They performed two trials. Trial 1 was an exercise session consisting of 5 resistance exercises at high-intensity (75% one-repetition maximum : 1 RM) with three sets of 10 repetitions. Trial 2 was a control trial at rest for the same time as trial 1. Blood samples were taken to assess adiponectin, leptin, and metabolism related substances (glucose and lipids).【Results】Leptin significantly decreased 24 h after the resistance exercise but did not change in trial 2. Blood insulin and lactate concentrations significantly increased immediately (0 min) and 30 min after the exercise. However, adiponectin, glucose and lipids were not affected. 【Conclusion】Adiponectin was not affected by resistance exercise, whereas leptin decreased 24 h after the exercise. This suggests that leptin may have quite a delayed response to high-intensity resistance exercise.

ALTERATIONS OF SALIVARY SIgA DURING TRAINING CAMP IN COLLEGIATE RUGBY FOOTBALL PLAYERS / 体力科学

The purpose of this study was to investigate the relation between alterations of salivary secretory immunoglobulin A (SIgA) and the occurrence of upper respiratory tract infections (URTI) in rugby football players.We examined the relationship between the onset of URTI and the daily alterations of SIgA levels in 32 male collegiate rugby football players (20.5±1.3 years) during summer training camp for 36 days.Total of 6 in 32 subjects had the appearance of URTI symptoms (18 %). SIgA secretion rate decreased significantly in the middle of training camp compared to the baseline (P＜0.05). Furthermore, SIgA secretion rate during the appearance of URTI (13.7±1.1μg/min) were significantly lower than that without symptoms (19.2±1.4 μg/min, P＜0.01). These results suggest that serial monitoring of SIgA may be useful to assess the risk status of URTI affection in athletes.

METABOLIC EFFECTS OF RAPID WEIGHT LOSS IN ELITE ATHLETES / 体力科学

<b>[Objective] </b>This study examined the effects of resting metabolic rate (RMR), sleeping metabolic rate (SMR), and diet-induced thermogenesis (DIT) during acute weight loss in elite male wrestlers.<b>[Methods] </b>Subjects were elite male wrestlers (n=6), who were instructed to reduce the body weight in seven days. RMR, SMR, and DIT were measured by indirect calorimetry in normal training phase and after rapid weight loss. Body composition and energy intake were also measured.<b>[Results] </b>Energy intake significantly decreased in rapid weight loss phase (P<0.05). After the rapid weight reduction, percent reduction of body weight (-4.4%), fat mass (-17.5%), and total body water (-3.2%) significant compare with that of normal training phase (P<0.05). RMR(-15.2%), and SMR (-11.8%) significantly decreased during acute weight loss (P<0.05). DIT(-89.4%) tended to be decrease during acute weight loss.<b>[Conclusion] </b>The present study suggests that rapid weight loss in elite male wrestlers causes decreases in RMR and SMR.

CONTACT LENS USE AMONG WATER POLO PLAYERS AT DIFFERENT AGE LEVELS / 体力科学

The purpose of this study was to investigate the status of contact lens use in the pool for water polo players. A total of 627 male subjects were studied : junior high school players (n=190), high school players (n=188), college players (n=121) and water polo club players (n=128).Results were summarized as follows : 1) The percentage of players using vision correction devices in daily life was 43.38%, and use of contact lenses during water polo play was 30.14% for all subjects. 2) Junior high school players using contact lenses during water polo play showed a significantly lower rate compared with other players (<i>X</i>²=34.38, p<.01). 3) There were a lot of users of disposable type contact lenses during water polo play. 4) Players using contact lenses during water polo play had significantly higher corneal and conjunctival damage than subjects using vision correction devices in daily life and subjects without vision correction devices (<i>X</i>²=13.64, p<.01).We concluded that it was a problem for junior high school players with low vision acuity during water polo play.

CHANGES IN SALIVA DEHYDROEPIANDROSTERONE IN FEMALE FOOTBALL PLAYERS DURING COMPETITIVE SPORTS / 体力科学

[Objective] The aim of this investigation was to evaluate salivary dehydroepiandrosterone (DHEA) responses during a competitive period among female football players.<BR>[Methods] Subjects were college female football players (n=9) . Saliva and blood samples were collected at 18 : 00 (6 : 00 pm) and the profile of mood state (POMS) was recorded during a period of normal training (Pre), 3 days of competition (Competition), and a recovery period (Post) . Levels of salivary DHEA, cortisol, and serum creatin kinase (CK), urea nitorogen (UN), were determined.<BR>[Results] The levels of salivary DHEA significantly increased during competition (2 nd days) compared with Pre (p<0.05), and significantly decreased after competition compared with Pre (p<0.05) . The levels of salivary cortisol significantly increased during the competition (2 nd and 3 rd days) compared with Pre (p<0.05) . Whereas it decreased after competition compared with Pre. The levels of serum CK significantly increased during the competition (2 nd days) compared with Pre (p<0.05) . The levels of serum UN did not change during the study. The fatigue score of POMS significantly increased during competition (2 nd days) compared with Pre (p<0.05) .<BR>[Conclusion] These data suggest that DHEA could be a useful endocrinological indicator for evaluating training status in female athletes.

DIFFERENCES IN UNDERWATER AND LAND-BASED LEG MUSCLE ACTIVITY / 体力科学

The purpose of this study was to investigate differences between underwater and land-based exercise in leg muscle activity. Nine healthy males (mean age : 21.7±0.5 years, mean height : 173.4±2.2 cm) had electrodes placed on their left leg muscles (Tibialis Anterior ; TA, Medial Gastrocnemius ; MG, Soleus ; SOL, Rectus Femoris ; RF, and Biceps Femoris ; BF), and their muscle activity was measured during various exercises. The subjects performed six types of exercise such as the forward walk, backward walk, squat, calf raise, leg range, and one leg wave, both in the water (waist level) and on land. These exercises were categorized as 3 types of leg movement according to direction ; horizontal, vertical, and mixed movement.<BR>In the forward walk and backward walk, categorized as horizontal movements, the integrated electromyogram (IEMG) significantly increased during underwater exercise compared with on land. In the squat, as a vertical movement, the IEMG showed a similar change under both conditions. In the calf raise, as a vertical movement, and leg range and one leg wave, as mixed movements, the IEMG significantly decreased during underwater exercise compared with on land. These results suggest that leg muscle activity during underwater exercise is different based on the movement direction of the legs. In a word, it was apparent that movement in a horizontal direction underwater provides greater activity for leg muscles than on land; but movement in a vertical and/or mixed direction underwater provides less activity for leg muscles than on land. In prescribing an exercise program, it may be helpful to understand the differences between underwater and land-based exercise in leg muscle activity.

EFFECTS OF EXERCISE ON IMMUNE FUNCTION IN ELDERLY PERSONS / 体力科学

Infection is the major cause of health impairment in elderly persons. Immune function declines with age. In order to keep the elderly in good health, it is necessary to control the age-associated decline of their immune function. Components of a non-specific immune system arc neutrophils, macrophages and NK cells. A specific immune system is composed of T lymphocytes and B lymphocytes. T lymphocytes differentiate in the thymus. Age-associated atrophy of the thymus causes a decline in T lymphocyte function. It is essential in aging of the immune system. B lymphocytes produce immunoglobulin to act as antibodies. With aging, abnormal antibodies such as autoantibodies and monoclonal immunoglobulin increase, and the number of normal antibodies compared to foreign antigens decrease. Exercise influences the autonomic nervous system, hypothalamo-hypophyseal system, and immune system. Moderate exercise enhances immune function, and severe exercise causes immune function decline. Immune function declines after a severe single bout of exercise, and an “open window” of infections occurs. Appropriate exercise training may improve immune function. Recently, it was shown that exercise training for one year increased the contents of secretory immunoglobulin A in saliva in elderly persons. This result suggests that long-term exercise training improves immune function in elderly persons.

EFFECTS OF LONG-TERM EXERCISE TRAINING ON PERIPHERAL LYMPHOCYTE SUBSETS IN ELDERLY SUBJECTS / 体力科学

The purpose of the present study was to investigate the effects of long-term exercise training on immune function in elderly individuals. This study was conducted on 27 sedentary subjects including 7 males and 20 females aged 66.1±4.2 yrs. (range of 60 to 77 yrs.) who participated in a 12-month exercise program. The subjects attended the exercise program 4.4 ± 1.7 times per month. Peripheral blood samples were taken prior to, and at 5 and 12 months during the exercise training program. Each lymphocyte subset (natural killer: NE, T, cytotoxic T: Tc, helper T: Th, memory-Th and NKT) count in the samples was measured using flow cytometry. Results indicated that NE and Tc cell counts were not significantly altered. Whereas, T and Th cell counts were significantly elevated after 12 months, and memory-Th and NET cell counts were significantly elevated after 5 and 12 months of exercise training. These results suggest that long-term exercise training may be a stimu lus to increase and or maintain immune function in elderly individuals.

Effects of Daily Physical Activity on Oxidative Stress in Middle-Aged and Elderly People / 体力科学

The effect of daily physical activity on oxidative stress is still an unknown issue, especially in middle-aged and elderly individuals. In this study, we examined the relationships of oxidative stress and antioxidant capacity with daily physical activity, taking into consideration the dietary antioxidant vitamin intake (vitamin B<SUB>2</SUB>, C and E) of middle-aged and elderly people (66.0±7.0 years, n= 21; 10 males and 11 females, including 5 male trained runners) . Daily physical activity was measured using both a calorie counter and a questionnaire over a period of two weeks. The plasma concentration of thiobarbituric acid reactive substance ( [TBARS] ) and both oxidized and reduced glutathione concentrations ( [GSSG] and [GSH] ) in whole blood were determined in blood samples obtained at rest and immediately after two periods of acute exercise: maximal cycle ergometric exercise and steady state cycle exercise at 80% of ventilatory threshold (VT) for 30 minutes. At a given statistically controlled dietary antioxidant vitamin intake level (vitamin B<SUB>2</SUB>, C and E), the amount of daily physical activity was associated with neither [TBARS], [GSH] and the ratio of [GSSG] / [GSH] at rest, nor changes in levels of these substances after both exercise tests. These data suggest that the amount of daily physical activity may have little influence on oxidative stress or antioxidant capacity at rest and after acute cycle ergometric exercise. Further investigation would be necessary to clarify how much volume or intensity of physical activity induces increased oxidative stress, from the aspect of habitual physical training and nutrition.

Effect of Icing Treatment on Muscle Reaction Time and Functional Performance of a Sprained Ankle / 体力科学

[Objective] The purpose of this study was to determine whether icing treatment has an effect on muscle reaction time and functional performance of a sprained ankle. [Methods] Subjects were six persons (healthy group) and six persons who had an acute ankle sprain (patient group) . Anterior talar translation and talar tilt of the six patient group were evaluated by the stress X-ray measure. Ice treatment was applied for 20 minutes. [Results] The following points were clarified : 1) Reaction times of peroneus longus (PL) and peroneus brevis (PB) for the sprained ankle group (SA) were significantly longer than those for the non-sprained ankle group (NA) (p<0.05) . Length of time of standing on one leg with closed eyes for SA was significantly shorter than for NA (p<0.05) . 2) After icing treatment, reaction time of PL for SA tended to be shorter. Furthermore, PB significantly decreased after icing treatment (p<0.05) . Side-steps for SA were significantly increased after icing treatment (p<0.05) . 3) Reaction times of PL and PB for NA significantly increased after icing treatment (p<0.05) . Standing on one leg with closed eyes for NA significantly decreased after icing treatment (p<0.05) . [Conclusion] It was shown that icing treatment of a sprained ankle leads to a shorter muscle reaction time and an increase in the number of side-steps. Therefore, it was concluded that icing treatment of a sprained ankle might be able to improve incapacitated neuromuscular function and functional performance by acute trauma.

EFFECTS OF SWIMMING ON VISION / 体力科学

This study was conducted to examine the effects of different types of swimming on vision, including contrast sensitivity, depth perception, static visual acuity, number of eyeblinks, and pain scale. Six college water-polo players swam (A) at a water flow rate of 0 m·sec<SUP>-1</SUP> with floating, (B) at 0.83±0.04 m·sec<SUP>-1</SUP> with floating, (C) at 1.09±0.05 m·sec<SUP>-1</SUP> with floating, (D) at 0.83±0.04 m·sec<SUP>-1</SUP> doing the front crawl (50%VO<SUB>2</SUB>max), and (E) at 1.09±0.05 m·sec<SUP>-1</SUP> doing the front crawl (80%VO<SUB>2</SUB>max) for 15 min on a swimmill. To avoid the effect by chlorine, the free radical residual chlorine concentration was fixed at 0 ppm in the swimmill.<BR>We found no significant differences in vision before and after A. On the other hand, contrast sensitivity during the test decreased significantly in C and E (p<0.05) . Depth perception and number of eyeblinks increased significantly in C and E (p<0.05) . Subjects had a high pain scale in C and E (p<0.01) . Thus it seems that water flow may disturb of vision. We conclude that it is impor. tant for swimmers to prevent impairment of vision.

Effects of repetitious intense exercise training on resting salivary IgA / 体力科学

It is generally accepted that secretory immunoglobulin A (sIgA) is a major effector of local immunity in the oral cavity. The salivary sIgA level is known to be temporarily decreased after an acute single bout of intense exercise. On the other hand, the effect of continuous exercise training on salivary sIgA has been controversial. In the present study, we collected timed saliva samples from collegiate kendoists using the reliable saliva collection method that has already been reported. The collection was performed before, during and after a traditional high-intensity 10-day training camp during the coldest part of the winter. We investigated the effect of repetitious intense exercise training on resting sIgA levels in saliva.<BR>The subjects were 19 males and 8 females (age: 19.9±0.5 years) who took part in the camp. We obtained saliva samples before the camp, on the first and the 10th days of the camp, and 4 and 10 days after the camp at 5 p. m. The concentration of sIgA was measured by ELISA, and the sIgA secretion rate was calculated.<BR>The resting sIgA secretion rate decreased significantly during the camp. It remained at a lower level 4 and 10 days after the camp compared to the initial level, although it tended to recover gradually. Prolonged suppression of the resting sIgA secretion rate during a traditional winter kendo training camp might be induced by repetition of high-intensity training.

Alteration of local immunity in the oral cavity after endurance running / 体力科学

To investigate the effect of intense exercise on immunological factors in saliva, we measured secretory immunoglobulin A (sIgA), lactoferrin and fibronectin. We used a reliable saliva collection method that has already been reported. Timed saliva samples were obtained from 16 healthy young males. Samples were collected before, immediately after, 1 day after and 5 days after endurance running (42.195 km) . The concentrations (μg/ml) of sIgA, lactoferrin and fibronectin were measured by ELISA, and the secretion rates (μg/min) of each were calculated. Immediately after the exercise, the concentration of total protein in saliva increased significantly, but the sIgA secretion rate decreased to 53%. The secretion rates of both lactoferrin and fibronectin did not change significantly. The local immune system plays an important role in mucosal surface defense against upper respiratory tract infection. The sIgA level in the oral cavity was temporarily decreased after intense exercise. A decreased sIgA secretion rate might partly explain the increased susceptibility to upper respiratory tract infection after endurance exercise.

Alteration of salivary immunoglobulin a by a bout of Exercise in the visually impaired males / 体力科学

It is generally accepted that visually impaired individuals generally have a low aerobic capacity, which may be partly attributed to a lack of physical activity, and have hypothesized that their response to exercise may differ from that of normal-sighted people. In this study, we investigated the effect of exercise on local immunity in the oral cavity in 24 visually impaired males (n=8 ; totally blind group, n=16 ; partially sighted group) and 8 normal-sighted males. The subjects performed submaximal graded bicycle ergometer exercise to an intensity of 75% heart rate max for 12 min. Before and immediately after exercise, we collected timed saliva samples and measured secretory immunoglobulin A (sIgA) .<BR>The totally blind group had lower levels of aerobic capacity and a lower sIgA secretion rate compared to the partially sighted and sighted groups. Immediately after exercise, the sIgA secretion rate tended to increase in the totally blind group.<BR>It is suggested that the exercise-induced response of local immunity in the totally blind group differed from that in the other groups.

Influence of mouthguards to speech intelligibility / 体力科学

This study was carried out to examine the influence of mouthguards on speech intelligibility. Nine male rugby football players with normal personal occlusion and normal speech served as subjects. All players took the speech intelligibility test while wearing self-adapted mouthguards, custom-made mouthguards and without wearing mouthguards.<BR>The ratio of correct judgments for speech intelligibility wearing self-adapted mouthguards was significantly lower than that of wearing custom-made ones or of not wearing one. When misjudged syllables were evaluated by using the manner of production for articulation, plosives had a tendency to be misjudged as flapped sounds or as other plosives while subjects were wearing self-adapted and custom-made mouthguards. When misjudged syllables were evaluated by the points of production for articulation, bilabials and velars had a tendency to be misjudged as alveolar sounds while subjects were wearing self-adapted and custom-made mouthguards, and alveolar sounds had a tendency to be misjudged as various sounds while subjects were wearing self-adapted ones.<BR>The findings showed that speech intelligibility with custom-made mouthguards was better than with self-adapted ones. Speech intelligibility may be better with mouthguards with reduced palatal thickness than with the current ones because points of prodution for alveolars and velars approach the normal points.