The effects of pole walking on health in adults: a systematic review.

The aim of this systematic review was to summarize the effects of pole walking (PW) programs on physical and psychosocial health. Randomized controlled and controlled trials were identified from literature searches in PubMed, Cochrane library, EMBASE, SPORTdiscuss, CINAHL and PEDRO. A total of 14 articles from 13 studies met the inclusion criteria. Eleven of the included studies had a quality score of 50% or higher. Most studies included mid to older aged men and women in clinical populations with various medical conditions. Only two studies included nonclinical populations. The majority of the PW programs consisted of supervised group sessions performed two to three times weekly for 8 weeks or longer. Most studies investigated the effects of PW on both physical and psychosocial health and the majority examined effects on four to five outcomes. The effects of PW on cardiorespiratory fitness were most extensively studied. The most frequently examined psychosocial measure was quality of life. All studies reported at least one beneficial effect of PW compared with the control group. The results of this systematic review indicate that PW programs have some beneficial effects on both physical and psychosocial health in adults with and without clinical conditions.

Factors related to the prevalence of pathogenic Yersinia enterocolitica on pig farms.

A survey of 788 pigs from 120 farms was conducted to determine the within-farm prevalence of pathogenic Yersinia enterocolitica and a questionnaire of management conditions was mailed to the farms afterwards. A univariate statistical analysis with carriage and shedding as outcomes was conducted with random-effects logistic regression with farm as a clustering factor. Variables with a P value <0·15 were included into the respective multivariate random-effects logistic regression model. The use of municipal water was discovered to be a protective factor against carriage and faecal shedding of the pathogen. Organic production and buying feed from a certain feed manufacturer were also protective against total carriage. Tonsillar carriage, a different feed manufacturer, fasting pigs before transport to the slaughterhouse, higher-level farm health classification, and snout contacts between pigs were risk factors for faecal shedding. We concluded that differences in management can explain different prevalences of Y. enterocolitica between farms.

Evaluation of isolation methods for pathogenic Yersinia enterocolitica from pig intestinal content.

AIMS: The aim of this study was to evaluate the efficiency of four isolation methods for the detection of pathogenic Yersinia enterocolitica from pig intestinal content. METHODS AND RESULTS: The four methods comprised of 15 isolation steps using selective enrichments (irgasan-ticarcillin-potassium chlorate and modified Rappaport broth) and mildly selective enrichments at 4 or 25 degrees C. Salmonella-Shigella-desoxycholate-calcium chloride agar, cefsulodin-irgasan-novobiocin agar were used as plating media. The most sensitive method detected 78% (53/68) of the positive samples. Individual isolation steps using cold enrichment as the only enrichment or as a pre-enrichment step with further selective enrichment showed the highest sensitivities (55-66%). All isolation methods resulted in high numbers of suspected colonies not confirmed as pathogenic Y. enterocolitica. CONCLUSIONS: Cold enrichment should be used in the detection of pathogenic Y. enterocolitica from pig intestinal contents. In addition, more than one parallel isolation step is needed. SIGNIFICANCE AND IMPACT OF THE STUDY: The study shows that depending on the isolation method used for Y. enterocolitica, the detected prevalence of Y. enterocolitica in pig intestinal contents varies greatly. More selective and sensitive isolation methods need to be developed for pathogenic Y. enterocolitica.

Polar Activity Watch 200: a new device to accurately assess energy expenditure.

OBJECTIVES: Energy expenditure (EE) based on movement detection is calculated by a new device, the Activity Watch 200 (AW200). The aim of this study was to validate EE measured by this device against indirect calorimetry (IC) and to assess the reproducibility of AW200 measurements. DESIGN: EE was assessed during a 9.7 km hike. 10 men and 10 women in the age range 35-45 years, and 5 men and 6 women in the age range 50-55 years were tested. One in five participants of each age- and sex-matched group was equipped with a portable metabograph (Oxycon Mobil) for IC measurements. Data were collected every 30 min during the hike, and IC was extrapolated for the remaining four other participants of the group. RESULTS: During the total hike, there was a high correlation between EE obtained from the AW200 and the IC calculation (r = 0.987, p<0.001). Identical values of EE were calculated by both methods during the first 90 min of the hike. However, EE calculated by the AW200 at 120 min and at the end of the hike was lower (p<0.05). Bland-Altman analysis showed limits of agreements between 105 and 279 kJ after 30 and 120 min, respectively. EE measured by the AW200 was well correlated with IC measurements, and limits of agreement between devices were below 10% of the measured values for hike durations longer than 60 min. CONCLUSION: The AW200 appears to be a very useful and accurate device for measuring EE during exercise in recreational hikers and provides a useful tool for keeping track of personal EE.

Characterisation of non-pathogenic Yersinia pseudotuberculosis-like strains isolated from food and environmental samples.

Non-pathogenic Yersinia pseudotuberculosis-like strains were recovered from Finnish food and environmental samples. These strains could not be differentiated from Y. pseudotuberculosis strains using API 20E or other phenotypical tests. However, all of the strains were inv-, and virF-negative with polymerase chain reaction (PCR), while all Y. pseudotuberculosis strains used as controls were inv-positive and fresh Y. pseudotuberculosis strains were also virF-positive, indicating that the Y. pseudotuberculosis-like strains were non-pathogenic. Using pulsed-field gel electrophoresis (PFGE) with NotI enzyme and ribotyping with EcoRI and HindIII enzymes, the Y. pseudotuberculosis-like strains, which grouped genetically together, could be differentiated from true Y. pseudotuberculosis strains and from strains belonging to other sucrose-negative Yersinia species. In addition, the O-antigen gene cluster of one Y. pseudotuberculosis-like strain was characterized, and it differed from those of known Y. pseudotuberculosis serotypes. This study demonstrates that identification of Y. pseudotuberculosis from food and environmental sources using solely biochemical reactions can be incorrect, and when a strain cannot be serotyped to known Y. pseudotuberculosis serotypes, the pathogenic potential of isolates should be determined.

Distribution of virF/lcrF-positive Yersinia pseudotuberculosis serotype O:3 at farm level.

The distribution and persistence of pathogenic, virF/lcrF-positive Yersinia pseudotuberculosis were investigated in pigs and in the pig house environment during rearing to determine possible contamination routes of early infections. Based on Y. pseudotuberculosis-positive tonsils of slaughter pigs in our previous study, Y. pseudotuberculosis-positive animals were traced back to the farms. Eight farms were visited from 6-10 months later, and a total of 155 pooled and six individual faecal samples from pigs and 116 pooled environmental samples were collected for analysis by different culture methods. Four of the eight farms were found to be Y. pseudotuberculosis-positive. All positive faecal samples were obtained from fattening pigs, with prevalence varying from 5% to 71% on positive farms. Sows, boars and suckling piglets were Y. pseudotuberculosis-negative on all farms. Most Y. pseudotuberculosis-positive farms (three of four) were on a one-site production system, which had a higher prevalence of Y. pseudotuberculosis (5-26%) among fattening pigs than the all-in, all-out system (1-5%). All Y. pseudotuberculosis isolates belonged to serotype O:3 and carried the virF/lcrF gene on the virulence plasmid. Biotypes 2 and 3 were involved, the latter in one isolate and not being previously reported in pigs. Altogether 53 isolates from 16 positive samples were characterized with pulsed-field gel electrophoresis (PFGE). Using SpeI, NotI and XbaI enzymes, four, three and two different PFGE patterns were obtained respectively. A total of nine different genotypes were identified when the profiles of the enzymes were combined. The most common genotypes were gIV, found on three, and gXII, found on two of the four Y. pseudotuberculosis-positive farms. The same genotypes previously detected in pig tonsils were present in pig faeces from the same farm, indicating that some Y. pseudotuberculosis strains can persist in the pig house environment.

Self-guided brisk walking training with or without poles: a randomized-controlled trial in middle-aged women.

Walking with poles (Nordic walking, NW) has become popular. We compared training responses of brisk walking (W) or NW on cardiorespiratory and neuromuscular fitness. We randomized 121 non-obese sedentary women (aged 50-60) to an NW or W group (NWG, WG), to train 40 min four times weekly for 13 weeks. Intensity was based on subjective perception of exertion. Cardiorespiratory performance was assessed in four levels corresponding to 50%, 65%, 80% and 100% of peak VO(2). Fifty-four NWG and 53 WG subjects completed the study. The mean intensity was about 50% of heart rate (HR) reserve. The baseline peak VO(2) was 25.8 (SD 3.9) mL/min/kg. Both groups improved peak VO(2) similarly (NWG 2.5 mL/min/kg, 95% confidence interval (CI) 1.9-3.3; WG 2.6, CI 1.9-3.3). In the submaximal stages while walking with or without poles, HR and lactate decreased after training in both groups, but the changes were not statistically significantly different between the groups. Of the neuromuscular tests after training, the only significant difference between the groups was in the leg strength in the one-leg squat, favoring WG. In conclusion, both training modes improved similarly health-enhancing physical fitness, and they were feasible and safe.

Heart rate variability in trotters during different training periods.

REASONS FOR PERFORMING STUDY: Endurance training induces changes in autonomic nervous system functions. High intensity training includes the risk of overtraining, in man and horse. Heart rate variability (HRV) is a noninvasive measurement of the autonomic regulation of the heart rate, which is quick and easy to measure with modern telemetric technology. HYPOTHESIS: Since HRV is affected by changes in the autonomic nervous system, it might be an early stage indicator of poor recovery from a previous bout of exercise or overreaching or overtraining in horses in general. METHODS: The aim of the study was to monitor recovery and the possible overtraining status in horses by measuring HRV. The measurements reflected the responses of the previous day activities during different training periods including basic training, precompetition and competition during a one-year follow-up. RESULTS: HRV was at the highest during precompetition period (P<0.05) and it decreased significantly during competition period (P<0.05), indicating an increased stress load in the competition period. Walking increased HRV significantly compared to complete rest or jogging as previous day activities during basic training and precompetition periods (P<0.05). This finding suggests that horses are more relaxed during moderate exercise than standing still or anaerobic exercise. CONCLUSIONS: HRV can be used to monitor the cardiovascular responses to training in horses but confirmatory measures may also be required in addition to HRV to exclude other possible causes of underperformance.

Prediction of energy expenditure from heart rate monitoring during submaximal exercise.

The aims of this study were to quantify the effects of factors such as mode of exercise, body composition and training on the relationship between heart rate and physical activity energy expenditure (measured in kJ x min(-1)) and to develop prediction equations for energy expenditure from heart rate. Regularly exercising individuals (n = 115; age 18-45 years, body mass 47-120 kg) underwent a test for maximal oxygen uptake (VO2max test), using incremental protocols on either a cycle ergometer or treadmill; VO2max ranged from 27 to 81 ml x kg(-1) x min(-1). The participants then completed three steady-state exercise stages on either the treadmill (10 min) or the cycle ergometer (15 min) at 35%, 62% and 80% of VO2max, corresponding to 57%, 77% and 90% of maximal heart rate. Heart rate and respiratory exchange ratio data were collected during each stage. A mixed-model analysis identified gender, heart rate, weight, V2max and age as factors that best predicted the relationship between heart rate and energy expenditure. The model (with the highest likelihood ratio) was used to estimate energy expenditure. The correlation coefficient (r) between the measured and estimated energy expenditure was 0.913. The model therefore accounted for 83.3% (R2) of the variance in energy expenditure in this sample. Because a measure of fitness, such as VO2max, is not always available, a model without VO2max included was also fitted. The correlation coefficient between the measured energy expenditure and estimates from the mixed model without VO2max was 0.857. It follows that the model without a fitness measure accounted for 73.4% of the variance in energy expenditure in this sample. Based on these results, we conclude that it is possible to estimate physical activity energy expenditure from heart rate in a group of individuals with a great deal of accuracy, after adjusting for age, gender, body mass and fitness.

Use of heart rate to predict energy expenditure from low to high activity levels.

This study evaluated the ability to use the relationship between heart rate (HR) and oxygen uptake (VO2 ) to estimate energy expenditure (EE) from low to high physical activity with different HR-based prediction equations. General prediction equations were established based on the individual relations between HR and EE. Possibilities to improve the EE estimation with using alternatives for respective HR were also assessed. The alternatives were % of HR reserve: 100 x [(activity HR - resting HR)/(maximal HR - resting HR)], (HRR), and the difference between activity HR and resting HR (activity HR - resting HR), (HRnet). Forty-two men (age mean 36.5 [sd 7.6] y, BMI 24.5 [2.4] kg x m(-2), VO2 max 45.2 [6.5]) kg x ml x min(-1) and 47 women (mean age 37.5 [9.5], BMI 23.3 [3.4], VO2 max 36.3 [5.4]) performed an exercise test consisting of physically low-activity tasks and a maximal treadmill uphill walking test. Respiratory gases were obtained from indirect calorimetry. HR was registered by electrocardiography and EE was calculated from (VO2 ) and carbon dioxide (VCO2 ) production. Generalised linear models with random effects were used for the prediction of EE. EE values of the tests (one value at each intensity level) were predicted in separate models by the respective HR, HRR or HRnet values. The other predictors used in all models were body weight, sex and the intensity of exercise. The standard error of estimate (SEE) was 1.41 kcal x min(-1) (5.89 kJ) in the model with HR variable as a predictor, 1.01 kcal x min(-1) (4.22 kJ) with HRR variable, and 1.08 (4.51 kJ) with HRnet variable. The results show that the prediction of EE is more accurate if HRR or HRnet are used in prediction equation instead of HR.

Characterisation of sucrose-negative Yersinia enterocolitica 4/O:3 isolates recovered from pig tonsils.

Sucrose-negative Yersinia enterocolitica isolates of bioserotype 4/O:3 have been recovered for the first time. They were found in 2% of the tonsils of clinically healthy fattening pigs. These sucrose-negative Y. enterocolitica isolates could not be differentiated from Y. kristensenii isolates using API 20E; thus, they were identified using PCR and sequencing. Using pulsed-field gel electrophoresis (PFGE). NotI profiles of sucrose-negative Y. enterocolitica 4/O:3 isolates showed a high similarity to sucrose-positive Y. enterocolitica 4/O:3 isolates. This study demonstrated that sucrose-negative Y. enterocolitica 4/O:3 isolates of porcine origin can harbour virulence genes; plasmid-encoded virulence markers were found in 8 out of 11 isolates and all isolates contained chromosomal-encoded virulence markers. Thus, the pathogenicity of sucrose-negative Yersinia isolates should always be assessed.

Heart rate during aerobics classes in women with different previous experience of aerobics.

This study measured heart rate during floor and step aerobic classes at three intensity levels. A group of 20 female occasional exercisers [mean age 33 (SD 8) years, mean body mass index 21 (SD 2) kg.m-2 volunteered to participate in six aerobic classes (three floor classes, three step classes) and in a laboratory test as members of one of two groups according to their prestudy regular participation in aerobics classes. Subjects in group A had participated four or more times a week and those of group B less than twice a week. The characteristics of the groups were as follows: group A, n = 10, mean maximal oxygen uptake (VO2max) 38.7 (SD 3.6) ml.kg-1.min-1, mean maximal heart rate (HRmax) 183 (SD 8) beats.min-1; group B, n = 10, VO2max 36.1 (SD 3.6) ml.kg-1.min-1, HRmax 178 (SD 7) beats.min-1. Each class consisted of a warm-up, a 20 min period of structured aerobic exercise (cardiophase) and a cool-down. The cardiophase was planned and guided as light, (rate of perceived exertion, RPE 11-12), moderate (RPE 13-14) or heavy (RPE 15-17) by an experienced instructor. The mean heart rates during the light classes were 72 (step) and 74 (floor) %HRmax in group A and 75 (step) and 79 (floor) %HRmax in group B; during the moderate classes, 84 (step) and 80 (floor) %HRmax in group A and 82 (step) and 83 (floor) %HRmax in group B, and during the heavy classes 89 (step and floor) %HRmax in group A and 88 (step) and 92 (floor) %HRmax in group B. Differences in heart rate and %HRmax were not statistically significant between the groups. However, differences in heart rate and %HRmax between the intensities (light vs moderate, moderate vs heavy and light vs heavy) were significant within both groups (all, P < 0.01). Based on the results, we conclude that intensity management during the aerobics classes was generally successful regardless of the participants' prior participation in aerobics. However, some individuals who were older and/or had less prior participation tended to exceed the targeted heart rate.

Changes in cardiac autonomic regulation after prolonged maximal exercise.

Harmful cardiac events occurs frequently after exercise. However, the cardiac autonomic regulation after vigorous exercise is not well known. This study was designed to assess heart rate (HR) variability before and after a 75 km cross-country skiing race. HR variability was assessed by using standard statistical measures along with spectral and quantitative Poincarè plot analysis of HR variability in 10 healthy male subjects (age 36 +/- 11 years). The average HR was at the same level 1 day after the race as before the race, but on the second day, HR was significantly lower (P<0.001) compared with the prerace and 1 day after values. The normalized high-frequency (HF) spectral component of HR variability (nuHF) was lower (P<0.01) on the first day after the maximal exercise compared with the pre-exercise values but returned to or even exceeded the prerace level on the second day (P<0.01). The changes in short-term R-R interval variability analysed from the Poincaré plot were similar to those observed in the HF spectral component. The normalized low-frequency (LF) spectral component of HR variability (nuLF) was higher (P<0.01) on the first day after the exercise compared with the prerace levels and it also returned to the pre-exercise level or even dropped below it on the second day after the race. The mean time it took the HF spectral component to return to the pre-exercise level was 4.2 +/- 4.2 h (ranging from 0 to 12 h). This recovery time correlated inversely with the maximal oxygen consumption (VO2max) measured during the bicycle exercise test before the skiing race (r=-0.712, P<0.016). The cardiac vagal outflow is blunted for several hours after prolonged vigorous exercise. The recovery time of reduced vagal outflow depends on individual cardiorespiratory fitness and there is an accentuated rebound of altered autonomic regulation on the second day after prolonged exercise.

A controlled trial of the health benefits of regular walking on a golf course.

PURPOSE: To study the effects of regular walking during a golf game on various health and fitness indicators in middle-aged men. METHODS: Study subjects were 55 healthy male golfers aged 48 to 64 years who had been sedentary during the 7 months before the study, and 55 age-matched, similarly sedentary controls. During the 20-week study, those in the intervention group were encouraged to play golf two to three times a week; the controls were not. Measurements of body composition, cardiorespiratory performance, motor and musculoskeletal fitness, blood pressure, and serum lipid, glucose, and insulin levels were obtained at baseline and after the 20-week study. RESULTS: Walking during a golf game was a practical and safe form of physical activity with high adherence. It significantly increased aerobic performance and trunk muscle endurance, with a net difference (pretraining to posttraining change between the golfers and controls) of 36 seconds (95% confidence interval [CI]: 19 to 53 seconds, P < 0.001) for treadmill walking time and 13 seconds (95% CI: 2 to 24 seconds, P = 0.02) for static back extension. In addition, regular walking favorably affected body composition, including reductions in weight of 1.4 kg (95% CI: 0.6 to 2.1 kg, P < 0.001), in waist circumference of 2.2 cm (95% CI: 1.0 to 3.3 cm, P < 0.001), and in abdominal skin fold thickness of 2.2 cm (95% CI: 0.9 to 3.4 cm, P = 0.001). Golfers also had significantly greater increases in serum high-density lipoprotein (HDL) cholesterol levels and in the ratio of HDL cholesterol to total cholesterol. CONCLUSIONS: Regular walking had many positive effects on the health and fitness of sedentary middle-aged men. Walking during a golf game is characterized by high adherence and low risk of injury and is therefore a good form of health-enhancing physical activity.

The effect of heart rate controlled low resistance circuit weight training and endurance training on maximal aerobic power in sedentary adults.

The effects of a 12-week low resistance circuit weight training (CWT) on cardiovascular and muscular fitness were studied in 90 healthy sedentary adults. The subjects were randomized into three equally fit groups: CWT, Endurance (END) and Control (CON) according to their maximal aerobic power (VO2max). Both training groups exercised for 12 weeks, 3 days a week in sessions of 40 min, with a heart rate (HR) level of 70-80% HRmax. The CWT group trained with air resistance machines. Heart rate was controlled by setting the speed of movement. The END group walked, jogged, cross-country skied or cycled. The net differences (between pre- and posttraining changes) between the CWT and CON groups was statistically significant for VO2max (2.45 ml x min(-1) x kg(-1), 95% CI 1.1; 3.8), for abdominal muscles (3.7 reps, CI 0.3; 7.1), for push-ups (1.1 reps, CI 0.2; 2.1), and for kneeling (2.25 reps, CI 0.01; 4.5). The net difference (between pre- and posttraining changes) in the END and CON groups was statistically significant for VO2max (2.75 ml(-1) x min(-1) x kg(-1), 95% CI 0.9; 4.6), and kneeling (3.0 reps, CI 0.7; 5.3). Low resistance CWT with moderately hard HR level has effects comparable to an equal amount of endurance training on the cardiovascular fitness of sedentary adults. The CWT model was benefical also on muscular fitness. Based on the results, this type of exercise can be recommended for beginners because of its multilevel effects.

Prediction of change in maximal aerobic power by the 2-km walk test after walking training in middle-aged adults.

The aim was to study the 2-km walk test's accuracy in predicting maximal aerobic power (VO2max) and its changes during 15-week walking training in 108 healthy middle-aged adults. Training prescription was 65-75% of VO2max 50 min/session, four times weekly. VO2max was measured walking on a treadmill and predicted from the 2-km walk test using gender-specific equations including age, body mass index, performance time and heart rate. The difference in VO2max between the walk test and the maximal exercise test before training was -0.9 ml x min(-1) x kg(-1) (SD 4.4) in men and -2.2 (3.5) in women. The total error was from 4.1 to 4.5 ml x min(-1) x kg(-1). After training the increase in measured VO2max was 2.9 ml x min(-1) x kg(-1) more in the walkers compared to the controls. The difference between the predicted and measured changes in VO2max during training ranged from -1.8 to -1.0 ml x min(-1) x kg(-1) between the study groups except in walking men, for whom the walk test overestimated the difference. The total error was from 3.1 to 4.9 ml x min(-1) x kg(-1). The 2-km walk test can be used as a reasonably accurate field test to predict changes in VO2max due to aerobic training in healthy nonathletic adults.

Factors affecting the relation between heart rate and energy expenditure during exercise.

This study evaluated the ability to use the relationship between heart rate (HR) and oxygen uptake (VO2) to estimate energy expenditure during physical activity (AEE). General prediction equations were established based on the individual relations between HR and AEE. Forty-two women, (mean age 38.1 [SD 9.8] years, BMI 23.9 [SD 4.4]), and 45 men (40.3 [SD 9.2] years, BMI 24.7 [SD 2.9]), carried out two incremental tests, one with a cycle ergometer and another on a treadmill. Subjects also performed a 10 minute steady-state exercise, cycling and walking. Respiratory gases were obtained from indirect calorimetry. AEE was calculated from VO2 and carbon dioxide production (VCO2). The predicted AEE was compared with the AEE measured during the steady-state exercise. Using the generalised linear model, two alternative models were found to predict AEE and HR. The first showed a three-way interaction between HR, body weight and gender (p = 0.022) and also between HR age and gender (p=0.083). The second produced a three-way interaction between HR, body weight and gender (p=0.057). For cycling and walking, respectively, the predicted AEE overestimated the actual AEE by 17.7 (SD 23.2)% and 6.2 (SD 19.3)% in the first model and by 17.9 (SD 22.7)% and 6.6 (SD 19.8)% in the second during the steady-state exercise. It was concluded that at least gender and body weight should be included when HR is used to predict AEE.

Differences in autonomic modulation of heart rate during arm and leg exercise.

Heart rate (HR) is higher during dynamic arm exercise than during leg exercise at equal oxygen consumption levels, but the physiological background for this difference is not completely understood. The vagally mediated beat-to-beat R-R interval fluctuation decreases until the level of approximately 50% of maximal oxygen consumption during an incremental bicycle exercise, but the vagal responses to arm exercise are not well known. Changes in autonomic modulation of HR were compared during arm and leg exercise by measuring beat-to-beat R-R interval variability from a Poincaré plot normalized for the average R-R interval (SD1n), a measure of vagal activity, in 14 healthy male subjects (age 20 +/- 4 years) who performed graded bicycle and arm cranking tests until exhaustion. Seven of the subjects also performed the dynamic arm and leg tests after beta-adrenergic blockade (propranolol 0.2 mg kg-1 i.v.). More rapid reduction occurred in SD1n during the low-intensity level of dynamic arm exercise than during dynamic leg exercise without beta-blockade (e.g. 11 +/- 6 vs. 20 +/- 10 at the oxygen consumption level of 1.2 l min-1; P < 0.001) and with beta-blockade (e.g. 13 +/- 4 vs. 25 +/- 10 at the level of 1.0 l min-1; P < 0.05), and the mean HR was significantly higher during submaximal arm work than during leg work in both cases (e.g. during beta-blockade 81 +/- 12 vs. 74 +/- 6 beats min-1 at the level of 1.0 l min-1; P < 0.05). These data show that dynamic arm exercise results in more rapid withdrawal of vagal outflow than dynamic leg exercise.

Accuracy of a novel real-time microprocessor QRS detector for heart rate variability assessment.

Assessment of heart rate variability from 24-h recordings requires a high-quality Holter, expensive equipment and multistage processing of recordings. We compared a new personal computer-based digital QRS detector system with a Holter recorder, and found the two methods to be equally accurate in time and frequency domain measures of heart rate variability.

Effects of walking training on health-related fitness in healthy middle-aged adults--a randomized controlled study.

The effects of walking training on VO2max, serum lipoproteins and plasma fibrinogen were studied in 119 healthy middle-aged persons. Training prescription was 65-75% of VO2max, 50 min/session, four times a week for 15 weeks. The net difference (between pre-posttraining changes in the walking and control group) was statistically significant for VO2max (0.14 l .min-1, 95% CI 0.04, 0.23), total cholesterol (-0.20 mmol.l-1, CI -0.34, -0.06), LDL cholesterol (-0.17 mmol.l-1, CI -0.29, -0.05), ratio of HDL cholesterol to total cholesterol (0.014, CI 0.005, 0.023), and triglycerides (-0.15 mmol.l-1, CI -0.26, -0.04). No statistically significant changes occurred in fibrinogen. The findings indicate that walking training of moderate intensity resulted in a modest increase in VO2max and minor but consistently favorable changes in serum lipoproteins.