Resting Blood Pressure in Master Athletes: Immune from Hypertension?

Ageing is associated with decreased physical activity, obesity and increased risk of hypertension (HTN). Master athletes (MA) have either pursued a physically active lifestyle throughout their life or initiated exercise or sport later in life. We assessed resting blood pressure (BP) in male and female World Masters Games (WMG) athletes. This was a cross-sectional, observational study which utilized an online survey to assess the blood pressure (BP) and other physiological parameters. Results: a total of 2793 participants were involved in this study. Key findings included differences between genders with males reporting higher resting SBP (+9.4%, p < 0.001), resting DBP (+5.9%, p < 0.001) and mean arterial pressure (+6.2%, p < 0.001). Significant differences (p < 0.001) were also identified when comparing WMG athletes' resting BP results (genders combined) to the general Australian population with WMG athletes having a lower SBP (p < 0.001, -8.4%) and DBP (p < 0.001, -3.6%). Additionally, 19.9% of males and 49.7% of female WMG participants were normotensive whereas 35.7% of the general Australian population were normotensive. Only 8.1% of the WMG athletes (genders combined) were found to be HTN compared to 17.2% in the general Australian population. These findings reflect a low prevalence of HTN in WMG participants and support our hypothesis of a low prevalence of HTN in an active, but aged cohort of MA.

Prevalence of hyperglycemia in masters athletes.

Background: Ageing is associated with decreased physical activity, obesity and subsequently an increased risk of developing type 2 diabetes mellitus (T2dm). Master athletes (MA) have initiated exercise or sport later in life or pursued a physically active lifestyle for an extended period. Subsequently, MAs have been proposed as a model of successful ageing as this active lifestyle is associated with health benefits including decreased health risk of chronic diseases and a reduction in premature mortality. Given long-term physical activity/exercise has previously been shown to be protective against hyperglycemia, a risk factor for T2dm, it is plausible that MA may have protective benefit against developing hyperglycemia. Therefore, the aim of this study was to investigate the prevalence of hyperglycemia via fasting plasma glucose (FPG) in MAs competing at the World Masters Games (WMG). Methods: This cross-sectional, observational survey utilized an online survey using open-source web-based software was used to investigate MAs physiological and medical-related parameters. Over 28,000 MAs competed in the WMG, of which 8,072 MAs completed the survey. Of these MAs, a total of 486 (males 277, females 209; range 27 to 91 years, mean age 55.1 ± 10.2 years) attained recent pathology results which included FPG which was subsequently analyzed for this study. FPG and other outcome variables were compared between genders and to the Australian and United States general population. Results: Mean FPG for MAs was 5.03 mmol (±1.2, 95% CI [4.9-5.1] mmol) with majority (75.5%) of MAs reporting a normal (<5.5 mmol) FPG, followed by pre-diabetes (20.2%, >5.51 to <5.99 mmol) and abnormal (4.3%, >7.0 mmol). There was no significant difference (P = 0.333) in FPG between genders however, males had a slightly higher (+2.1%) FPG as compared to females (5.08 ± 1.2 mmol (95% CI [4.9-5.22] mmol) versus 4.98 ± 1.1 mmol (95% CI 4.8-5.1 mmol)). The majority of males (71.8%) and females (80.3%) were classified with a normal FPG. With regard to an abnormal FPG level, only 4.0% of males and 4.9% of females were classified abnormal which was suggestive of undiagnosed T2dm. With regard to age by decade, there was no significant difference (P = 0.06-1.00) between age groups and no relationship between the MAs' age and FPG (r = .054, P = 0.24). As a group, MAs had a significantly lower FPG as compared to the Australian (-3.2%, P = 0.005) and United States general populations (-13.9%, P < 0.001). Conclusions: Most, however not all, MAs were found to have normal glycaemia, with only a small percentage indicating a risk of developing T2dm (i.e., impaired fasting glucose) and a smaller percentage identified with an abnormal FPG, suggestive of T2dm. These findings suggest MAs appear to be at low metabolic risk for developing T2dm based upon FPG and the physical activity/exercise they complete as MAs may indeed be protective against hyperglycemia whilst maintaining an active lifestyle.

Cardiovascular and Psychophysical Response to Repetitive Lifting Tasks in Women.

BACKGROUND: Understanding the cardiovascular and psychophysical demands of repetitive lifting tasks is important in job design strategies. This study determined the cardiovascular (oxygen consumption (VO2) and heart rate (HR) and psychophysical response to repetitive lifting tasks in women. METHODS: Ten female (age 27 ± 5 yrs) participants transferred 11.4, 15.9, and 20.5 kg weights back and forth from a rung 40.6 cm high to a rung 156.2 cm high. Rungs were 195.6 cm apart horizontally. Three, 10 minute bouts (1 = 11.4 kg; 2 = 15.9 kg; 3 = 20.5 kg) were performed at 6 lifts per minute. Cardiovascular and psychophysical (rating of perceived exertion, RPE) parameters were monitored throughout the bouts. VO2max and HRmax were determined via a maximal treadmill test. RESULTS: VO2, HR, and RPE were significantly different between each work bout (p < 0.01), with each outcome variable increasing as load increased. VO2max and HRmax equaled 46.5 ± 7.5 mL·kg-1·min-1 and 191 ± 11 bpm, respectively. Work at 11.4 kg was performed at 38% VO2max and 63% HRmax; at 15.9 kg at 41% VO2max and 72% HRmax; and at 20.5 kg at 49% VO2max and 81% HRmax. RPE at 11.4, 15.9, and 20.5 kgs were: 8.4 ± 1.6, 11.4 ± 1.9, and 15.0 ± 2.2. CONCLUSION: During these repetitive lifting tasks, metabolic cost and perceived exertion increased with weight lifted; average work intensity ranged from 63 to 81% of HRmax and 38 to 49% of VO2max. Results have important implications in relation to job pacing and design, and worksite health promotion strategies aimed at reducing work place injury.

Comparison of Forward and Reverse Wingate Anaerobic Tests: A Brief Technical Note.

BACKGROUND: The Wingate anaerobic test (WAT) is traditionally performed in the forward pedaling direction on a cycle ergometer. However, reverse (backward) pedaling during a WAT test may be a novel way to convey meaningful information related to performance and rehabilitation. This study compared peak power measurements between 30-second forward pedaling WAT (FWAT) with a 30-second reverse pedaling WAT (RWAT). METHODS: 10 male and 10 female participants (age 27.6 ± 7.31 yrs, mass 74.9 ± 21.3 kg and height 172.6 ± 10.9 cm) volunteered to participate. Participants performed one FWAT and one RWAT at 7.5% of body mass on a specially modified Monark cycle ergometer. Tests were separated 2 days of rest. Peak power output (PPO), mean power output (MPO), relative PPO (RPPO), relative MPO (RMPO), fatigue index (%FI), and rating of perceived exertion (RPE) were measured. RESULTS: The FWAT power measurements were all significantly greater (p < 0.05) than RWAT power measurements except MPO (p > 0.05); and that RPE was significantly greater (p < 0.05) in FWAT than RWAT. Specifically, FWAT vs. RWAT (M ± SD) are as follows: PPO watts (w) = 731.7 ± 237.1 vs. 529.6 ± 192.2; RPPO w/kg = 10.2 ± 2.3 vs. 7.2 ± 1.6; MPO w = 510.2 ± 162.1 vs. 415.1 ± 146.2; RMPO w/kg = 7.3 ± 1.5 vs. 5.8 ± 1.3; %FI = 49.2 ± 8.7 vs. 37.4 ± 13.7; and RPE = 19.4 ± 1.1 vs. 15.8 ± 1.5. Gender did not impact the relative differences in these relationships. CONCLUSION: Practitioners and clinicians may use this information to begin to understand the power and perceived exertion relationships of forward versus reverse pedaling during a WAT; exercise prescription for rehabilitation and performance may benefit.

Cardiovascular risk profiles of world masters games participants.

BACKGROUND: Increasing evidence indicates adherence to exercise throughout life is concurrent with improved health. World masters games (WMG) have more participants than any other international sporting competition and is under investigated, particularly with regard to indices of cardiovascular disease risk. Therefore, we chose to investigate selected cardiovascular risk factors in WMG participants. METHODS: This was a cross-sectional, observational study which utilized a web-based questionnaire to survey cardiovascular risk factors of WMG participants. The survey consisted of three sections: basic demographics, medical history and physiological parameters which included Body Mass Index (BMI), waist circumference (WC), resting blood pressure (BP) and lipids (total cholesterol [TC], high density lipoprotein [HDL] and low density lipoprotein [LDL]). RESULTS: A total of 1435 participants, 872 male, aged 27-91 years (mean age 54.99 years) participated in the study. Key findings included significant differences (P<0.05) between genders in BMI (17.7%, P<0.001), WC (10.6%, P<0.001), resting SBP (5.8%, P<0.001) and resting DBP (4.8%, P<0.001). Significant differences were also found between genders in HDLs (15.2%, P<0.001), TC:HDL ratio (17.2%, P<0.001) and LDL:HDL ratio (19.0%, P<0.001). Significant differences (P<0.001) were also identified when comparing WMG lipid results to the Australian general population (TC P<0.001; HDLs P<0.001; LDLs P<0.001). CONCLUSIONS: A high percentage of WMG participants demonstrated optimal values in a number of cardiovascular disease (CVD) risk factors when compared to the general population, female WMG participants had better values as compared to males. This reflected a decreased CVD in WMG participants and supports our hypothesis of enhanced health characteristics in an active, but aged cohort.

Hand Grip Strength and Gender: Allometric Normalization in Older Adults and Implications for the NIOSH Lifting Equation.

BACKGROUND: Many countries are experiencing an aging workforce with women workers making up a growing proportion. Workplaces often require employees to complete lifting tasks that require the ability of the hand to grasp an implement (coupling). The National Institute for Occupational Safety and Health (NIOSH) has developed an equation for manual lifting tasks hoping to minimize the potential for a workplace back-injury related to a lifting task. The NIOSH lifting equation relies upon stress variables including a coupling factor. However, little is known regarding grip strength as related to the NIOSH lifting equation coupling factor. The purpose of this study was to investigate differences in grip strength due to gender in older adults. METHODS: The participant's (68-88 years) maximal grip (MG) strength measures were collected for each hand with a hand grip dynamometer (kg). MG scores were converted to Newtons (N), normalized to body mass, and allometrically scaled. Measures of MG were than compared between genders with an independent t-test. RESULTS: The hand grip measures of MG (kg) [male: 30.3 ± 5.6, female: 10.6 ± 3.3], MG (kg) / body mass (kg) [male: 0.35 ± 0.06, female: 0.16 ± 0.04], MG (N) / (body mass (kg))0.67 [male: 15.1 ± 2.5, female: 6.2 ± 1.7], and MG (N) / (body height (m))1.84 [male: 103.6 ± 18.6, female: 42.6 ± 10.6] were all significantly lower (p < 0.0001) for women than men. Regardless of how grip strength was reported, there is a strong difference in grip strength between genders in this sample. The NIOSH lifting equation does not account for varying grip strength due to aging and gender differences. CONCLUSIONS: It is recommended that grip strength variability be accounted for in the coupling factor of the NIOSH lifting equation.

Comparing one repetition maximum and three repetition maximum between conventional and eccentrically loaded deadlifts.

This study determined if an eccentrically loaded deadlift yields a higher 1 repetition maximum (1RM) and 3RM than a conventional deadlift and if the 1RM conventional and eccentrically loaded deadlift can be accurately estimated from the 3RM (3RM = 93% of 1RM). Division 1 football players (n = 15; 20.3 ± 1.9 years; 95.8 ± 18.2 kg; 184.4 ± 6.6 cm) participated. Deadlift 1RM and 3RM were measured in the conventional and eccentrically loaded deadlift. Dependent t-tests showed no significant difference between the 3RM and 1RM conventional deadlift and the 3RM and 1RM eccentrically loaded deadlift (p = 0.30 and p = 0.20, respectively). Pearson correlation between the 1RM conventional deadlift estimate and 1RM conventional deadlift actual was r = 0.91 (p ≤ 0.01); a dependent t-test indicated the 1RM conventional deadlift estimate was significantly less than the 1RM conventional deadlift actual (p = 0.007). Pearson correlation between the 1RM eccentrically loaded deadlift estimate and 1RM eccentrically loaded deadlift actual was r = 0.84 (p ≤ 0.01); a dependent t-test indicated the 1RM eccentrically loaded deadlift estimate was nearly significantly less than the 1RM eccentrically loaded deadlift actual (p = 0.061). Results suggest that conventional and eccentrically loaded deadlifts may be interchangeable within a training program; this may elicit the benefits of using a broader variety of ground-based multijoint compound movements in an athlete's strength and power training. Additionally, because of differences between predicted and actual 1RM scores in the deadlift, strength coaches should prioritize actual 1RM testing of their athletes to optimize deadlift training loads across the RM continuum.

Accuracy of Physical Self-Description Among Chronic Exercisers and Non-Exercisers.

This study addressed the role of chronic exercise to enhance physical self-description as measured by self-estimated percent body fat. Accuracy of physical self-description was determined in normal-weight, regularly exercising and non-exercising males with similar body mass index (BMI)'s and females with similar BMI's (n=42 males and 45 females of which 23 males and 23 females met criteria to be considered chronic exercisers). Statistical analyses were conducted to determine the degree of agreement between self-estimated percent body fat and actual laboratory measurements (hydrostatic weighing). Three statistical techniques were employed: Pearson correlation coefficients, Bland and Altman plots, and regression analysis. Agreement between measured and self-estimated percent body fat was superior for males and females who exercised chronically, compared to non-exercisers. The clinical implications are as follows. Satisfaction with one's body can be influenced by several factors, including self-perceived body composition. Dissatisfaction can contribute to maladaptive and destructive weight management behaviors. The present study suggests that regular exercise provides a basis for more positive weight management behaviors by enhancing the accuracy of self-assessed body composition.