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1.
Osteoporos Int ; 28(9): 2663-2673, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28623425

ABSTRACT

This randomized, controlled, high-intensity strength and sprint training trial in middle-aged and older male sprint athletes showed significant improvements in mid-tibial structure and strength. The study reveals the adaptability of aging bone, suggesting that through a novel, intensive training stimulus it is possible to strengthen bones during aging. INTRODUCTION: High-load, high-speed and impact-type exercise may be an efficient way of improving bone strength even in old age. We evaluated the effects of combined strength and sprint training on indices of bone health in competitive masters athletes, who serve as a group of older people who are likely to be able to participate in vigorous exercise of this kind. METHODS: Seventy-two men (age 40-85) were randomized into an experimental (EX, n = 40) and a control (CTRL, n = 32) group. EX participated in a 20-week program combining heavy and explosive strength exercises with sprint training. CTRL maintained their usual, run-based sprint training schedules. Bone structural, strength and densitometric parameters were assessed by peripheral QCT at the distal tibia and tibial midshaft. RESULTS: The intervention had no effects on distal tibia bone traits. At the mid-tibia, the mean difference in the change in cortical thickness (ThCO) in EX compared to CTRL was 2.0% (p = 0.007). The changes in structure and strength were more pronounced in the most compliant athletes (training adherence >75%). Compared to CTRL, total and cortical cross-sectional area, ThCO, and the area and density-weighted moments of inertia for the direction of the smallest flexural rigidity (I minA , I minD ) increased in EX by 1.6-3.2% (p = 0.023-0.006). Polar mass distribution analysis revealed increased BMC at the anteromedial site, whereas vBMD decreased (p = 0.035-0.043). CONCLUSIONS: Intensive strength and sprint training improves mid-tibia structure and strength in middle-aged and older male sprint athletes, suggesting that in the presence of high-intensity loading exercise, the adaptability of the bone structure is maintained during aging.


Subject(s)
Athletic Performance/physiology , Physical Conditioning, Human/methods , Running/physiology , Tibia/physiology , Adult , Aged , Aged, 80 and over , Aging/physiology , Anthropometry/methods , Athletes/psychology , Bone Density/physiology , Humans , Male , Middle Aged , Patient Compliance/statistics & numerical data , Tomography, X-Ray Computed/methods
2.
Spinal Cord ; 52(10): 779-84, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25112968

ABSTRACT

STUDY DESIGN: Population-based prospective study. OBJECTIVES: To determine the incidence and evaluate the characteristics of newly injured patients with traumatic spinal cord injury (TSCI) admitted to two of the three national spinal cord injury (SCI) centers during the first year after the centralization of SCI care in Finland. SETTING: Oulu and Tampere University Hospital SCI centers, Finland. METHODS: The designated rehabilitation teams evaluated all of the patients with a new SCI and persisting neurological symptoms. The data were recorded according to the International Spinal Cord Injury Core Data Set. RESULTS: In a 1-year period, 77 new patients with TSCI were admitted to the study centers serving a population of 3 065 946. In the whole catchment area, the mean annual incidence of TSCI was 25.1 per million, and in the hospital districts of the SCI centers, the incidence was even higher, at 38.1 per million. The mean age of the patients was 58.7 years. Falls were the leading cause of injury (64.9%), and the injury resulted in tetraplegia in 70.1% of the cases. Alcohol use was a contributing factor in 39% of the cases in the entire sample and in 58.6% of cases among patients aged younger than 60 years. CONCLUSION: The incidence rates of TSCI were markedly higher than expected, demonstrating the previously hidden morbidity. The epidemiological features of TSCI appeared to follow the trends in developed countries, highlighting the increasing incidence of cervical lesions due to falling among the elderly. The results need to be confirmed in an extended follow-up.


Subject(s)
Accidental Falls/statistics & numerical data , Hospitalization/statistics & numerical data , Rehabilitation Centers/statistics & numerical data , Spinal Cord Injuries/epidemiology , Spinal Cord Injuries/etiology , Accidents/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , Alcohol-Related Disorders/epidemiology , Child , Child, Preschool , Female , Finland/epidemiology , Humans , Incidence , Male , Middle Aged , Prospective Studies , Spinal Cord Injuries/diagnosis , Young Adult
3.
Osteoporos Int ; 25(2): 653-62, 2014 Feb.
Article in English | MEDLINE | ID: mdl-23943163

ABSTRACT

UNLABELLED: Inphase and out-of-phase magnetic resonance imaging is a robust and fast method which can provide similar vertebral bone marrow fat estimation as (1)H proton magnetic resonance spectroscopy, indicating that this technique is a potentially useful tool in both research and clinical practice. INTRODUCTION: The importance of evaluating bone marrow fat lies in the fact that osteoporosis and obesity, two disorders of body composition, are growing in prevalence. Bone fat mass can be reliably assessed using proton magnetic resonance spectroscopy ((1)H MRS), but this method is technically demanding and needs advanced post-processing unlike inphase and out-of-phase magnetic resonance imaging (MRI), which is a robust and fast method. METHODS: We compared vertebral bone marrow fat (BMF) content assessed by inphase and out-of-phase MRI and (1)H MRS using a 1.5-T MRI scanner in mothers (n = 34, aged 49.4 years), fathers (n = 31, aged 53.1 years) and their daughters (n = 40, aged 20.3 years) who participated in the CALEX family study. Signal intensity on the inphase and out-of-phase MRI was analyzed from the same location and size of the single-voxel (1)H MRS measurement. RESULTS: Positive correlations were found between (1)H MRS and inphase and out-of-phase MRI in the axial plane (r = 0.746, p < 0.001) and sagittal plane (r = 0.804, p < 0.001). The mean differences between (1)H MRS and inphase and out-of-phase MRI in the axial and sagittal planes were relatively small, at 4.13 and 2.67 %, and the agreement between techniques was 89.4 and 93.2 %, respectively. Girls had a significantly lower vertebral BMF than mothers and fathers with both methods (for all, p < 0.001). CONCLUSIONS: We conclude that inphase and out-of-phase MRI can provide similar vertebral BMF estimation as (1)H MRS, indicating that this technique is a potentially useful tool in both research and clinical practice.


Subject(s)
Adipose Tissue/anatomy & histology , Bone Marrow/anatomy & histology , Lumbar Vertebrae/anatomy & histology , Absorptiometry, Photon/methods , Adult , Aging/pathology , Body Composition/physiology , Body Mass Index , Bone Density/physiology , Female , Humans , Magnetic Resonance Imaging/methods , Magnetic Resonance Spectroscopy/methods , Male , Middle Aged , Reproducibility of Results , Sex Characteristics , Young Adult
4.
Scand J Med Sci Sports ; 24(1): 224-33, 2014 Feb.
Article in English | MEDLINE | ID: mdl-22540957

ABSTRACT

To examine effects of 21-week twice/week strength training (ST) period followed by an additional 21-week twice or once/week ST period on force production, walking and balance in aging people. Seventy-two women (58 ± 7 years; W) and 63 (58 ± 6 years) men (M) were randomized for the first 21-week ST period: STW and STM, control (C) CW and CM. Training participants were randomized for the second 21-week ST period: once/week STWx1 and STMx1, twice/week STWx2 and STMx2. LegPress, isometric leg extension rate of force development (RFD), walking time, and balance. First 21-week ST period: leg press, RFD, balance, and walking improved significantly in STW and STM. Second 21-week ST period: leg press first increased in STMx1 and STMx2, and then decreased to the level of 21 weeks in STMx2 and remained unchanged in STWx2 and decreased in STWx1 and STMx1. Walking and balance improved significantly in STWx1 and STWx2. A progressive 21-week ST period twice/week in aging people can lead to large improvements in maximal strength, walking time, and balance in both genders. A further strength training period with the same amount of training may maintain the strength gains, whereas balance and walking may be maintained with less training.


Subject(s)
Aging/physiology , Muscle Strength/physiology , Muscle, Skeletal/physiology , Postural Balance/physiology , Resistance Training/methods , Walking/physiology , Aged , Electromyography , Female , Humans , Male , Middle Aged
6.
Age (Dordr) ; 35(5): 1917-26, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23124702

ABSTRACT

Exercise-induced positive changes in skeletal muscle properties and metabolism decrease the risk for disability, cardiometabolic diseases and mortality. Here, we studied muscle properties and glucose homeostasis in a non-exercise stage in twin pairs with co-twins discordant for physical activity habits for at least 32 years of their adult lives. Isometric knee extension force, MR imaging of midthigh tissue composition and muscle volume, and fasting blood samples were acquired from 16 same-sex (seven monozygotic, nine dizygotic) middle-aged and older twin pairs. The consistently active twins had 20 % higher knee extension forces than their inactive co-twins (p = 0.006) although the active twins had only 4 % higher midthigh muscle cross-sectional areas (p = 0.072). These results were similar in intrapair analysis in which only the seven identical twin pairs were included. The ratio between the area of midthigh fat and muscle tissues was significantly lower among the active twins (0.65 vs. 0.48, p = 0.006). The active twins had also lower fasting plasma glucose levels (5.1 vs 5.6 mmol/l, p = 0.041). The area of midthigh intramuscular (extramyocellular) fat was associated with the markers of glucose homeostasis, especially with glycated hemoglobin, and these associations were emphasized by the diabetic and inactive twins. Regular exercise throughout the adult life retains muscle strength and quality but not necessarily mass. The regular use of muscles also prevents from the accumulation of intramuscular fat which might be related to maintained glucose metabolism and, thus, prevention of metabolic disorders.


Subject(s)
Aging/metabolism , Blood Glucose/metabolism , Exercise/physiology , Life Style , Motor Activity/physiology , Muscle, Skeletal/physiology , Twins, Monozygotic , Adolescent , Adult , Female , Follow-Up Studies , Homeostasis , Humans , Male , Retrospective Studies , Young Adult
7.
Osteoporos Int ; 24(2): 723-30, 2013 Feb.
Article in English | MEDLINE | ID: mdl-22638711

ABSTRACT

SUMMARY: In this cross-sectional study, 95 postmenopausal women, with and without fracture history, were measured by low-frequency axial transmission ultrasound. The measured ultrasound velocity discriminated the fractured subjects from the nonfractured ones equally or better than peripheral quantitative computed tomography (pQCT) and dual energy x-ray absorptiometry (DXA). These results suggest that low-frequency ultrasound is suitable for bone fragility assessment. INTRODUCTION: Quantitative low-frequency axial transmission ultrasound is a promising modality for assessing mineral density and geometrical properties of long bones such as radius and tibia. The aim of the current study was to evaluate the ability of low-frequency axial transmission ultrasound to discriminate fractures retrospectively in postmenopausal women. METHODS: A cross-sectional study involved 95 female subjects aged 45-88 years, whose fracture information was gathered retrospectively. The fracture group was defined as subjects with one or more low-/moderate-energy fractures. The radius and tibial shaft were measured with a custom-made ultrasonometer to assess the velocity of the low-frequency first-arriving signal (V (LF)). Site-matched pQCT was used to measure volumetric cortical and subcortical bone mineral density (sBMD), and cortical thickness (CTh). Areal BMD (aBMD) was measured using DXA for the whole body (WB), lumbar spine, and hip. RESULTS: The majority (19/32; 59 %) of the fractures were in the upper limb. V (LF) in the radius, but not in the tibia, discriminated fractures with an age- and BMI-adjusted odds ratio (OR) of 2.06 (95 % CI 1.21-3.50, p < 0.01). In the radius, CTh and cortical BMD (CBMD) significantly discriminated fractures, as did the total, cortical, and sBMD in the tibia (adjusted OR 1.35-2.15, p < 0.05). Sensitivity and specificity were similar among all the measurements (area under the receiver operating characteristic curve 0.74-0.81, p < 0.001). CONCLUSIONS: Low-frequency axial transmission ultrasound in the radius was able to discriminate fractured subjects from the nonfractured ones. This suggests that low-frequency axial transmission ultrasound has the potential to assess bone fragility in postmenopausal women.


Subject(s)
Osteoporotic Fractures/diagnostic imaging , Absorptiometry, Photon/methods , Aged , Aged, 80 and over , Bone Density/physiology , Cross-Sectional Studies , Female , Hip Joint/physiopathology , Humans , Lumbar Vertebrae/physiopathology , Middle Aged , Osteoporosis, Postmenopausal/diagnosis , Osteoporosis, Postmenopausal/diagnostic imaging , Osteoporotic Fractures/diagnosis , Radius/diagnostic imaging , Radius/physiopathology , Radius Fractures/diagnosis , Radius Fractures/diagnostic imaging , Radius Fractures/physiopathology , Retrospective Studies , Tibia/diagnostic imaging , Tibia/physiopathology , Tomography, X-Ray Computed/methods , Ultrasonography
8.
Int J Sports Med ; 33(2): 157-63, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22318531

ABSTRACT

Long-term persistent physical activity is important in the prevention of chronic diseases, but a large number of people do not participate in physical activity to obtain health benefits. The purpose of this study was to examine the motives and perceived barriers to long-term engagement in leisure time physical activity. Same-sex twin pairs (N=16, mean age 60) discordant for physical activity over 30 years were identified from the Finnish Twin Cohort. We evaluated participants' physical activity motivation with the 73-item Recreational Exercise Motivation Measure and assessed barriers to physical activity with a 25-item questionnaire. The characteristics of physical activity motivation and perceived barriers between the active and inactive co-twins were analysed using paired tests. Motives related to the sub-dimensions of enjoyment and physical fitness and psychological state were the most important reasons for participation in physical activity among all the twin individuals analysed. The sub-dimensions mastery (p=0.018, Cohen's d=0.76), physical fitness (p=0.029, Cohen's d=0.69), and psychological state (p=0.039, Cohen's d=0.65) differed significantly between active and inactive co-twins. More than half of the participants reported no reasons for not being physically active. If reasons existed, participation in physical activity was deterred mostly by pain and various health problems. This study found no differences in perceived barriers between active and inactive co-twins. We conclude from our results that the main factors promoting persistent leisure time physical activity were participants' wish to improve or maintain their physical skills or techniques, a feeling that exercise would improve their mental and physical health and that they found the activity enjoyable. This study helps us understand the importance of the role of motives and the minor role of perceived barriers for engagement in persistent physical activity.


Subject(s)
Exercise/psychology , Leisure Activities/psychology , Motivation , Motor Activity , Adolescent , Adult , Aged , Cohort Studies , Female , Finland , Follow-Up Studies , Health Status , Humans , Longitudinal Studies , Male , Middle Aged , Physical Fitness/psychology , Surveys and Questionnaires , Twins , Young Adult
9.
Osteoporos Int ; 23(7): 1939-45, 2012 Jul.
Article in English | MEDLINE | ID: mdl-21927916

ABSTRACT

SUMMARY: The association between lactation and bone size and strength was studied in 145 women 16 to 20 years after their last parturition. Longer cumulative duration of lactation was associated with larger bone size and strength later in life. INTRODUCTION: Pregnancy and lactation have no permanent negative effect on maternal bone mineral density but may positively affect bone structure in the long term. We hypothesized that long lactation promotes periosteal bone apposition and hence increasing maternal bone strength. METHODS: Body composition, bone area, bone mineral content, and areal bone mineral density of whole body and left proximal femur were assessed using DXA, and cross-sectional area and volumetric bone mineral density of the left tibia shaft were measured by pQCT in 145 women (mean age 48 years, range 36-60 years) 16 to 20 years after their last parturition. Hip (HSI) and tibia strength indexes (TBSI) were calculated. Medical history and lifestyle factors including breastfeeding patterns and durations were collected via a self-administered questionnaire. Weight change during each pregnancy was collected from personal maternity tracking records. RESULTS: Sixteen to 20 years after the last parturition, women who had breastfed in total more than 33 months in their life, regardless of the number of children, had greater bone strength estimates of the hip (HSI = 1.92 vs. 1.61) and the tibia (TBSI = 5,507 vs. 4,705) owing to their greater bone size than mothers who had breastfed less than 12 months (p < 0.05 for all). The differences in bone strength estimates were independent of body height and weight, menopause status, use of hormone replacement therapy, and present leisure time physical activity level. CONCLUSION: Breastfeeding is beneficial to maternal bone strength in the long run.


Subject(s)
Bone Density/physiology , Bone and Bones/anatomy & histology , Lactation/physiology , Absorptiometry, Photon/methods , Adult , Anthropometry/methods , Body Composition , Bone and Bones/physiology , Breast Feeding , Female , Femur/anatomy & histology , Femur/physiology , Humans , Middle Aged , Retrospective Studies , Tibia/anatomy & histology , Tibia/physiology , Time Factors
10.
Scand J Med Sci Sports ; 21(3): 402-11, 2011 Jun.
Article in English | MEDLINE | ID: mdl-20030775

ABSTRACT

Both strength and endurance training have several positive effects on aging muscle and physical performance of middle-aged and older adults, but their combination may compromise optimal adaptation. This study examined the possible interference of combined strength and endurance training on neuromuscular performance and skeletal muscle hypertrophy in previously untrained 40-67-year-old men. Maximal strength and muscle activation in the upper and lower extremities, maximal concentric power, aerobic capacity and muscle fiber size and distribution in the vastus lateralis muscle were measured before and after a 21-week training period. Ninety-six men [mean age 56 (SD 7) years] completed high-intensity strength training (S) twice a week, endurance training (E) twice a week, combined training (SE) four times per week or served as controls (C). SE and S led to similar gains in one repetition maximum strength of the lower extremities [22 (9)% and 21 (8)%, P<0.001], whereas E and C showed minor changes. Cross-sectional area of type II muscle fibers only increased in S [26 (22)%, P=0.002], while SE showed an inconsistent, non-significant change [8 (35)%, P=0.73]. Combined training may interfere with muscle hypertrophy in aging men, despite similar gains in maximal strength between the strength and the combined training groups.


Subject(s)
Muscle Strength/physiology , Muscle, Skeletal/physiology , Physical Endurance/physiology , Resistance Training/methods , Adult , Aged , Humans , Hypertrophy , Male , Middle Aged , Power, Psychological
11.
Int J Sports Med ; 32(3): 216-22, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21165808

ABSTRACT

In this study self-reported ability to walk 2 km and six-minute walking test (6MWT) performance were examined as predictors of all-cause mortality in 434 women, aged 63-76 years. The primary outcome measure was all-cause mortality (follow-up: 8 years). Predictors were self-reported difficulties in walking 2 km and 6-min walking distance tertiles of ≤495, 496-560 and ≥561 m, and no test result due to refusal by the physician to grant permission to perform the test or participant's inability or unwillingness to perform the test. During the follow-up, 39 participants died. Participants reporting minor (age- and body mass index-adjusted hazard ratio 2.53, 95% confidence interval 1.12-5.69) or major (7.93, 3.49-18.05) difficulties in walking 2 km had increased risk of death compared with those reporting no difficulties. Participants with no 6MWT result (6.99, 2.46-19.86) were at an increased risk of death when compared with participants who walked ≥561 m. A similar trend (2.47, 0.81-7.56) was found for participants with walking distance of ≤495 m during the 6MWT. The trends remained similar after adjustments for other confounders. In conclusion, self-reported difficulties in walking 2 km are associated with an increased risk of death in older community-dwelling women. Objectively measured walking ability gives similar results.


Subject(s)
Exercise Test , Mortality/trends , Walking/physiology , Women's Health , Activities of Daily Living , Aged , Chronic Disease , Confidence Intervals , Diseases in Twins , Exercise Tolerance/physiology , Female , Finland , Health Status Indicators , Humans , Middle Aged , Risk Assessment , Risk Factors , Self Report
12.
Scand J Med Sci Sports ; 21(6): e208-14, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21129037

ABSTRACT

Exercise is thought to increase the diameter of the conduit arteries supplying the muscles involved. We studied the effects of a physically active vs inactive lifestyle on artery diameters in monozygotic (MZ) twin pairs discordant over 30 years for leisure-time physical activity habits. In a population-based co-twin control study design, six middle-aged (50-65 years) same-sex MZ twin pairs with long-term discordance for physical activity were comprehensively identified from the Finnish Twin Cohort (TWINACTIVE study). Discordance was initially defined in 1975 and the same co-twin remained significantly more active during the 32-year follow-up. The main outcomes were arterial lumen diameters measured from maximal intensity projections of contrast-enhanced MR angiography images. Paired differences between active and inactive co-twins were studied. Compared with inactive members, active members of MZ twin pairs had larger diameters for the distal aorta and iliac and femoral arteries (P<0.05 for all comparisons). The mean intrapair differences in the diameters of the arteries in these locations were 19% or larger. No significant differences between active and inactive co-twins (P>0.2 for all comparisons) were found in the dimensions of the carotid arteries. Our genetically controlled study confirms that habitual physical activity during adulthood enlarges arteries in a site-specific manner.


Subject(s)
Arteries/physiology , Exercise/physiology , Leisure Activities , Twins, Monozygotic , Aged , Angiography , Arteries/diagnostic imaging , Female , Humans , Interviews as Topic , Male , Middle Aged , Radionuclide Imaging
13.
Int J Sports Med ; 30(12): 879-87, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19885781

ABSTRACT

We investigated whether the myosin heavy chain (MyHC) proportion and androgen receptor (AR) concentration in skeletal muscle differ following 21 weeks of strength, endurance and combined training in untrained older men. Strength (S) and endurance (E) groups trained twice per week and combined (S+E) group trained four times per week (two strength and two endurance). Muscle biopsies were obtained before and after the training period from m. vastus lateralis (VL) and AR mRNA and protein concentration and MyHC proportion were determined. 1RM increased during the training period in S, S+E and E but the changes were greater in S and S+E than in E. Statistically significant increases were observed only in S and S+E in maximal isometric force as well as in VL thickness. VO (2max) increased significantly only in E. MyHCIIa proportion increased in S, while MyHCIIa proportion decreased and MyHCI increased (p<0.05) in E. No statistically significant changes were observed in serum testosterone and in AR mRNA or protein concentrations. The present results indicate that 21 weeks of strength, endurance or combined training changed MyHC proportion according to the training method but did not have an effect on AR mRNA or protein expression in skeletal muscle at rest.


Subject(s)
Myosin Heavy Chains/metabolism , Receptors, Androgen/metabolism , Resistance Training/methods , Aged , Exercise/physiology , Humans , Isometric Contraction/physiology , Male , Middle Aged , Muscle, Skeletal/metabolism , Oxygen Consumption/physiology , Physical Endurance/physiology , Quadriceps Muscle/metabolism , RNA, Messenger/metabolism , Testosterone/blood
14.
Int J Obes (Lond) ; 33(11): 1211-8, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19721451

ABSTRACT

BACKGROUND AND OBJECTIVE: Exercise is thought to reduce high-risk body fat, but intervention studies are frequently limited by short follow-ups and observational studies by genetic selection. Therefore, we studied the effects of a physically inactive vs active lifestyle on high-risk (visceral, liver and intramuscular) fat in twin pairs discordant for leisure-time physical activity habits for over 30 years. DESIGN: A longitudinal population-based twin study. SUBJECTS: Sixteen middle-aged (50-74 years) same-sex twin pairs (seven monozygotic (MZ), nine dizygotic (DZ)) with long-term discordance for physical activity habits were comprehensively identified from the Finnish Twin Cohort (TWINACTIVE study). Discordance was initially defined in 1975 and the same co-twin remained significantly more active during the 32-year-long follow-up. MAIN OUTCOME MEASURES: Magnetic resonance imaging-assessed visceral, liver and intramuscular fat. RESULTS: In within-pair analyses carried out after the adult life-long discordance in physical activity habits, the physically inactive co-twins had 50% greater visceral fat area compared with the active co-twins (mean difference 55.5 cm2, 95% confidence interval (CI) 7.0-104.1, P=0.010). The liver fat score was 170% higher (13.2, 95% CI 3.5-22.8, P=0.030) and the intramuscular fat area 54% higher (4.9 cm2, 95% CI 1.9-7.9, P=0.002) among the inactive co-twins. All the trends were similar for MZ and DZ pairs. Peak oxygen uptake was inversely associated with visceral (r=-0.46, P=0.012) and intramuscular fat area (r=-0.48, P=0.028), with similar trends in intrapair difference correlations (r=-0.57, P=0.021 and r=-0.50, P=0.056, respectively). The intrapair difference correlation between visceral and intramuscular fat was also high (r=0.65, P=0.009). CONCLUSION: Regular physical activity seems to be an important factor in preventing the accumulation of high-risk fat over time, even after controlling for genetic liability and childhood environment. Therefore, the prevention and treatment of obesity should emphasize the role of regular leisure-time physical activity.


Subject(s)
Intra-Abdominal Fat/metabolism , Motor Activity/physiology , Obesity/metabolism , Aged , Female , Finland/epidemiology , Humans , Leisure Activities , Longitudinal Studies , Magnetic Resonance Imaging , Male , Middle Aged , Obesity/epidemiology , Obesity/prevention & control , Risk Factors , Surveys and Questionnaires , Twins
15.
Clin Rehabil ; 23(10): 897-908, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19717506

ABSTRACT

OBJECTIVE: To evaluate the effects of a low-frequency sound wave therapy programme on functional capacity, blood circulation and bone metabolism of the frail elderly. DESIGN: Single-blind, randomized, controlled trial. SETTING: Two senior service centres. SUBJECTS: Forty-nine volunteers (14 males and 35 females) aged 62-93 years with up to 12 diagnosed diseases were allocated in either the intervention group (n = 30) or control group (n = 19). INTERVENTION: The intervention group underwent sound wave therapy, 3-5 times a week for 30 minutes per session over a period of 6 months. The control group received no intervention. MAIN MEASUREMENTS: Blood pressure, functional capacity, mobility, bone density, biochemical markers, isometric muscle strength, balance, and skin surface temperature. RESULTS: Compared with the control group, the intervention group's mobility and the amount of self-reported kilometres walked per week increased by 3 km (P<0.05), while levels of cholesterol (4.97 (0.72) to 4.52 (0.65) mmol/L, P =0.019), low-density lipoprotein (2.82 (0.72) to 2.45 (0.61) mmol/L, P =0.022), bone markers of total osteocalcin (11.0 (6.5) to 10.3 (5.9) ng/mL, P =0.048)) and tartrate-resistant acid phosphatase isoform 5b (2.50 (1.0) to 2.41 (1.1) IU/L, P =0.021)) decreased. The average skin surface temperature was significantly higher during active sessions at the end of the intervention than in the beginning (P = 0.004). No change was found during placebo sessions. CONCLUSIONS: Low-frequency sound wave therapy may have the potential to promote well-being of frail elderly subjects via improved functional capacity, especially in subjects who are too frail to undertake exercise.


Subject(s)
Bone Density , Cholesterol, LDL/blood , Complementary Therapies , Frail Elderly , Vibration/therapeutic use , Acid Phosphatase/blood , Aged , Aged, 80 and over , Blood Circulation , Female , Humans , Isoenzymes/blood , Male , Middle Aged , Muscle Strength , Osteocalcin/blood , Physical Endurance , Single-Blind Method , Tartrate-Resistant Acid Phosphatase
16.
Int J Sports Med ; 30(10): 719-24, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19685416

ABSTRACT

This study was designed to assess the effects of strength training on work capacity and parasympathetic heart rate modulation during exercise in physically inactive men. Seventy-four men aged 20-45 were randomly assigned to training (n=52) and control (n=22) groups. Training groups underwent 10-weeks of progressive strength training. Body composition, one-repetition maximum half-squat and maximal oxygen uptake were measured before and after the intervention. Respiratory gases, heart rate and blood lactate were recorded during a VO2max test on a cycle ergometer. Parasympathetic heart rate modulation was analyzed based on the standard deviation of instantaneous beat-to-beat R-R interval variability (SD1) and its normalized unit (SD1n). Muscle strength and lean body mass increased in the training group. Compared to the control group, time to exhaustion increased significantly in the training group (p<0.05). SD1 and SD1n were elevated in the training group at submaximal exercise intensities (100 W, p<0.05). Blood lactate decreased at submaximal intensities when compared to the control group. Strength training increased exercise capacity, and improved vagal modulation of heart rate at submaximal exercise intensities. These changes may have favourable cardiovascular health implications for sedentary men during normal daily activities.


Subject(s)
Exercise Test , Heart Rate/physiology , Parasympathetic Nervous System/physiology , Resistance Training , Adult , Analysis of Variance , Body Composition , Ergometry , Exercise Therapy , Humans , Lactates/blood , Male , Middle Aged , Oxygen Consumption/physiology , Work Capacity Evaluation , Young Adult
17.
J Appl Physiol (1985) ; 106(4): 1332-7, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19164771

ABSTRACT

Estrogen concentration has been suggested to play a role in tendon abnormalities and injury. In physically active postmenopausal women, hormone replacement therapy (HRT) has been suggested to decrease tendon diameter. We hypothesized that HRT use and physical activity are associated with Achilles tendon size and tissue structure. The study applied cotwin analysis of fourteen 54- to 62-yr-old identical female twin pairs with current discordance for HRT use for an average of 7 yr. Achilles tendon thickness and cross-sectional areas were determined by ultrasonography, and tendon structural organization was analyzed from the images using linear discriminant analysis (LDA). Maximal voluntary and twitch torques from plantar flexor muscles were measured. Serum levels of estradiol, estrone, testosterone, and sex hormone binding globulin were analyzed. Total daily metabolic equivalent score (MET-h/day) was calculated from physical activity questionnaires. Results showed that, in five physically active (MET > 4) pairs, the cotwins receiving HRT had greater estradiol level (P = 0.043) and smaller tendon cross-sectional area than their sisters (63 vs. 71 mm(2), P = 0.043). Among all pairs, Achilles tendon thickness and cross-sectional area did not significantly differ between HRT using and nonusing twin sisters. Intrapair correlation for Achilles tendon thickness was high, despite HRT use discordance (r = 0.84, P < 0.001). LDA distinguished different tendon structure only from two of six examined twin pairs who had a similar level of physical activity. In conclusion, the effect of HRT on Achilles tendon characteristics independent of genetic confounding may be present only in the presence of sufficient physical activity. In physically active twin pairs, the higher level of estrogen seems to be associated with smaller tendon size.


Subject(s)
Achilles Tendon/anatomy & histology , Achilles Tendon/physiology , Hormone Replacement Therapy , Motor Activity/physiology , Achilles Tendon/diagnostic imaging , Aged , Cholesterol/blood , Estrogens/blood , Estrone/blood , Female , Humans , Menopause/physiology , Middle Aged , Muscle Contraction/physiology , Muscle Strength/physiology , Sex Hormone-Binding Globulin/metabolism , Testosterone/blood , Twins, Monozygotic , Ultrasonography
18.
Acta Physiol (Oxf) ; 193(3): 275-89, 2008 Jul.
Article in English | MEDLINE | ID: mdl-18284658

ABSTRACT

AIM: This study aims at examining the effects of progressive strength and sprint training on regulation of muscle contraction at the whole-muscle and single-fibre levels in older sprint-trained athletes. METHODS: Eleven men (52-78 years) were randomized to a training (EX, n = 7) or control (CTRL, n = 4) group. EX participated in a 20-week programme that combined sprint training with heavy and explosive strength exercises, while CTRL maintained their usual run-based training schedules. RESULTS: EX improved maximal isometric and dynamic leg strength, explosive jump performance and force production in running. Specific tension and maximum shortening velocity of single fibres from the vastus lateralis were not altered in EX or CTRL. Fibre type and myosin heavy chain isoform distributions remained unchanged in the two groups. There was a general increase in fibre areas in EX, but this was significant only in IIa fibres. The 10% increase in squat jump in EX was accompanied by a 9% increase in the integrated EMG (iEMG) of the leg extensors but the 21-40% increases in isometric and dynamic strength were not paralleled by changes in iEMG. CONCLUSION: Adding strength training stimulus to the training programme improved maximal, explosive and sport-specific force production in elite master sprinters. These improvements were primarily related to hypertrophic muscular adaptations.


Subject(s)
Exercise/physiology , Muscle Contraction/physiology , Muscle Strength/physiology , Muscle, Skeletal/physiology , Adenosine Triphosphatases/metabolism , Aged , Biopsy , Electromyography/methods , Humans , Isometric Contraction/physiology , Leg/physiology , Male , Middle Aged , Muscle Fibers, Skeletal/physiology , Muscle, Skeletal/pathology , Myofibrils/enzymology , Myosin Heavy Chains/metabolism , Protein Isoforms/metabolism , Running/physiology
19.
J Ind Microbiol Biotechnol ; 35(3): 183-8, 2008 Mar.
Article in English | MEDLINE | ID: mdl-18092185

ABSTRACT

This work describes the influence of yeast population on the chemical characteristics of wine obtained by spontaneous and inoculated fermentation of must from Vitis vinifera Lado, a minor white grapevine autochthonous to Galicia (NW Spain). The study was carried out for two consecutive years. The results showed that musts derived from Lado presented a high acidity though the potential alcohol level was acceptable. The genetic diversity of S. cerevisiae strains isolated from spontaneous fermentations was low, probably due to must characteristics, although these did not interfere with the implantation of the commercial strains used. Analyses showed that the wines subsequently produced had high alcoholic levels and very high acidities (pH 3.0) as was expected from must composition. Wines obtained from spontaneous fermentations had a lower alcohol content but higher total acidity than those from inoculated fermentations. Monovarietal wines produced from Lado were poorly evaluated in sensorial tests because of their unbalanced structure and sourness; however, when they were mixed with other autochthonous white varieties with less acidity, the resulting wines were well accepted.


Subject(s)
Fermentation , Saccharomyces cerevisiae/genetics , Vitis/microbiology , Wine/microbiology , Ethanol/analysis , Hydrogen-Ion Concentration , Spain , Wine/standards
20.
Int J Sports Med ; 29(7): 564-8, 2008 Jul.
Article in English | MEDLINE | ID: mdl-18050059

ABSTRACT

The purpose of this study was to investigate if strength training affects red blood cell variables in physically inactive men when taking into account seasonal variations. Seventy-four men aged 20-45 were randomly assigned to training (n = 52) and control (n = 22) groups. Training group underwent 20-week progressive strength training. Body composition and maximal voluntary contraction (MVC) during knee extension were measured before and after intervention. Fasting blood samples were analysed for haematocrit (Hct), count of red blood cells (RBC), haemoglobin (Hb), mean cell haemoglobin concentration (MCHC), and mean cell volume (MCV) at baseline, 10-week and 20-week follow-up. MVC and lean body mass increased in the training group. Hct, Hb and MCHC showed seasonal variation in the control group. The training group increased their Hct from 44.7 +/- 2.6 % to 45.4 +/- 2.5 % (p = 0.026) while the control group decreased their Hct from 44.3 +/- 2.2 % to 43.1 +/- 2.6 % (p = 0.037) after 20-week intervention. By contrast to the control group, the training group increased their Hct (p = 0.001), RBC (p = 0.005) and decreased their MCHC (p < 0.001) from 10-week to 20-week follow-up. We concluded that strength training could affect seasonal variation patterns of red cell variables. Unlike "sport anaemia" induced by endurance training, 20-week strength training elevated Hct.


Subject(s)
Hematocrit , Physical Education and Training , Seasons , Adult , Body Composition , Body Mass Index , Erythrocyte Indices , Exercise , Health Behavior , Hemoglobins/analysis , Humans , Male , Middle Aged , Muscle Contraction
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