Impact of body mass index on the relationship between muscle quality and physical function in older women.

OBJECTIVES: To investigate the impact of body mass index (BMI) (normal weight, overweight, obese) on the relationship between muscle quality (MQ) and physical function in community-dwelling older women. DESIGN: Cross-sectional study. SETTING: University research laboratory. PARTICIPANTS: Community-dwelling older women (n = 94, 73.6 ± 5.4 y) stratified by BMI (normal weight: 20.0-24.9 kg/m2; overweight: 25.0-29.9 kg/m2; obese: ≥ 30.0 kg/m2). MEASUREMENTS: Body mass index using height and weight, leg extension power via the Nottingham power rig, body composition using dual-energy X-ray absorptiometry, and physical function (6-minute walk, 8-foot up-and-go, 30-second chair stand). Muscle quality was defined as leg power (watts) normalized for lower-body mineral-free lean mass (kg). RESULTS: Following adjustments for covariates, muscle quality was significantly higher in women of normal BMI compared to overweight (10.0 ± 0.4 vs. 8.7 ± 0.4 watts/kg, p = 0.03). Muscle quality was a significant predictor of performance on the 6-minute walk and 8-foot up-and-go in normal and overweight women (all p < 0.05) and performance on the 30-second chair stand in normal and obese women (both p < 0.05). Body mass index did not significantly impact the association between MQ and physical function (all p > 0.05). CONCLUSIONS: Muscle quality varies by BMI, yet the relationship to physical function is not significantly different across BMI groups. The results imply that interventions that increase MQ in older women may improve physical function, regardless of BMI.

The effects of diet education plus light resistance training on coronary heart disease risk factors in community-dwelling older adults.

OBJECTIVES: To examine the effects of diet education (DE) plus light resistance training (RT) on coronary heart disease risk (CHD) factors, specifically dietary quality, blood lipid and C-Reactive protein (CRP) concentrations in overweight and obese older adults in a community setting. DESIGN: Community outreach intervention with a quasi-experimental design. PARTICIPANTS AND SETTING: A total of 96 subjects, 16 males and 80 females, aged 69.2 ± 6.2 years, community-dwelling, and from one of four senior centers in Rhode Island. INTERVENTION: Subjects participated in 30 minutes of DE (once per week) and ~80 minutes of RT (two separate sessions per week) for eight weeks. The DE sessions were led by a registered dietitian. MEASUREMENTS: Anthropometrics (height, weight, waist circumference, hip circumference, and body composition), clinical (blood pressure), biochemical (lipid profile, glucose, and CRP concentrations), and diet quality measured by the Dietary Screening Tool (DST). RESULTS: A significant change was seen in DST risk categories from baseline to post-intervention, χ² (2)=20.43, p < 0.01. Significant differences were seen in triacylglycerol (p=0.028) as well as in systolic and diastolic blood pressures, weight, waist circumference, hip circumference, percent body fat, fat mass, and body mass index (all p<0.05). CONCLUSION: This intervention effectively decreased CHD risk in overweight and obese older adults. Future research is needed to examine the effects of longer DE plus RT interventions with greater weight loss on the lipid profile and CRP concentrations in overweight and obese older adults at risk for CHD.

Soft tissue fixation to bone. A biomechanical analysis of spiked washers.

The initial fixation strengths of two spiked-washer designs were evaluated using human femurs and fascia lata tissue. Fascia lata was attached to the femur using the fixation devices, and then each femur-washer-fascia lata complex was loaded in tension to failure. Load-elongation curves were recorded, the initial failure load, initial failure displacement, stiffness, ultimate load, and ultimate displacement were determined for each test, and failure modes were recorded. Results indicated that the 6-spike design provided superior initial fixation strength in the 19-mm diameter size. This washer design was then compared with two commercially available fixation devices: the spiked AO washer and soft tissue fixation plate. Fixation provided by the prototypal washer design was not different in most instances from that provided by the AO fixation devices. Based on these results, important design characteristics for soft tissue spiked washers are identified and discussed.

The CELSS Antarctic Analog Project: an advanced life support testbed at the Amundsen-Scott South Pole Station, Antarctica.

NASA: The Controlled Ecological Life Support System (CELSS) Antarctic Analog Project (CAAP) is a joint endeavor between the National Science Foundation, Office of Polar Programs (NSF-OPP) and the National Aeronautics and Space Administration (NASA). Its fundamental objective is to develop, deploy and operate a testbed of NASA CELSS technologies and life support approaches at the Amundsen-Scott South Pole Station, located at latitude 90 degrees S, longitude 0 degrees. The goal of NASA's CELSS Program is to develop technologies and systems that will allow spacefaring scientists and explorers to carry out long duration extraterrestrial missions, leading ultimately to permanent habitation of the Solar System, without total dependence on a costly resupply system. A CELSS would do this by providing regenerated life support materials (air, food and water) and by processing "waste" materials into useful resources. This will be accomplished using biological and physical/chemical techniques in a nearly closed environmental habitation system. CELSS technologies also have great implications for application to terrestrial systems with intrinsic transferability to society at large. The CELSS Program intends to provide opportunities for the transfer of these systems and technologies outside the US Space Program, to applications within the American economy as space technology spin-offs.^ieng

Life support systems for Mars transit.

The long-held human dream of travel to the stars and planets will probably be realized within the next quarter century. Preliminary analyses by U.S. scientists and engineers suggests that a first trip to Mars could begin as early as 2016. A proposal by U.S.S.R. space planners has suggested that an effort involving the cooperation and collaboration of many nations could begin by 2011. Among the major considerations that must be made in preparation for such an excursion are solidification of the scientific, economic and philosophical rationales for such a trip made by humans, and realistic evaluations of current and projected technical capabilities. Issues in the latter category include launch and propulsion systems, long term system stability and reliability, the psychological and physiological consequences of long term exposure to the space environment, the development and use of countermeasures to deleterious human physiological responses to the space environment, and life support systems that are both capable of the immense journey and reliable enough to assure their continued operation for the duration of the voyage. Many of the issues important in the design of a life support system for a Mars trip are based on reasonably well understood data: the human requirements for food, oxygen and water. However, other issues are less well-defined, such as the demands that will be made on the system for personal cleanliness and hygiene, environmental cleanliness, prevention or reduction of environmental toxins, and psychological responses to the environment and to the diet. It is much too early to make final decisions about the characteristics of the long-duration life support system needed for travel to Mars, or for use on its surface. However, it is clear that life support systems will evolve during the next few decades form the relatively straightforward systems that are used on Shuttle and Soyuz, to increasingly more complex and regenerative systems. The Soviet Union has an operating life support system on Mir that can apparently evolve, and the United States is currently planning the one for Space Station Freedom that will use partial regeneration. It is essential to develop concepts now for life support systems on an advanced Space Station, the lunar outpost (to be launched in about 2004) and the lunar base. Such concepts will build on current technology and capabilities. But because of the variety of different technologies that can be developed, and the potential for coordinating the functions of very diverse sub-systems within the same life support system, the possibility of developing an efficient, reliable mixed process system is high. It is likely that a life support system for Mars transit and base will use a composite of physical, chemical, and biological processes. The purpose of this paper is to explore the potentially useful structural elements of a life support system for use on a Mars trip, and to identify the features that, at this time, appear to be most appropriate for inclusion in the system.

The CELSS Test Facility project: an example of a CELSS flight experiment system.

NASA: The CELSS Test Facility (CTF) is a device for measuring crop plant productivity in the micro-gravity environment of Space Station Freedom. It will allow us to address questions of crop productivity in space, versus that on the ground. The crop productivity factors that will be measured are rates of: 1) biomass production, 2) food production, 3) O2 and CO2 exchange, and 4) water transpiration. In addition, other productivity factors of specific crops will be determined, such as : 1) the ratio of edible to inedible biomass (harvest index), 2) leaf area exposed to and collecting light (leaf area index), 3) ratio of root mass to total biomass, and 4) photosynthetic efficiency (ratio of moles of CO2 fixed (or O2 produced), per mole of photons of specific energies used). Plant and crop morphology, at several levels, ranging from the community to the sub-cellular, will also be evaluated.^ieng

Biomechanical evaluation of rotator cuff fixation methods.

Initial fixation strength and failure mode for various rotator cuff reattachment techniques (variations of the McLaughlin technique) were evaluated. Repair methods included standard suture (control), reinforced suture [expanded polytetrafluoroethylene (PTFE) patch and polydioxanone (PDS) tape augmentation] and stapling (nonarthroscopic and arthroscopic soft-tissue staples). The average strength of intact rotator cuff tissue (supraspinatus tendon) was also determined. The different rotator cuff repairs, including at least one control, were performed on fresh-frozen human cadaver shoulder pairs. Repairs were tested to failure in pure tension with the shoulder fixed in 60 degrees of abduction. Load and displacement data were normalized to controls, grouped according to failure modes, and statistically analyzed. The two basic failure modes observed were 1) bone failure, or suture tearing through the bone (indicating weak bone stock) and 2) tendon failure, or suture tearing of the rotator cuff. Gross comparisons between intact and repaired tendons indicated that the intact tendon was two to three times stronger than the repaired tendon. Based on the mode of failure and lack of increased strength after repair, the use of staples for cuff attachment is discouraged. PDS tape suture reinforcement did not increase fixation strength. In contrast, PTFE patch suture augmentation demonstrated statistically higher initial failure loads than did the control and was of specific benefit for shoulders with weak bone stock.

Selective inhibition of alanine aminotransferase and aspartate aminotransferase in rat hepatocytes.

Experiments were conducted with intact rat hepatocytes to identify inhibitors and incubation conditions that cause selective inhibition of alanine aminotransferase or aspartate aminotransferase. Satisfactory results were obtained by preincubating cells with L-cycloserine or L-2-amino-4-methoxy-trans-but-3-enoic acid in the absence of added substrates. When cells were incubated for 20 min with 50 microM-L-cycloserine, alanine aminotransferase activity was decreased by 90%, whereas aspartate aminotransferase was inhibited by 10% or less. On subsequent incubation, synthesis of glucose and urea from alanine was strongly inhibited, but glucose synthesis from lactate was unaffected. L-2-Amino-4-methoxy-trans-but-3-enoic acid (400 microM) in hepatocyte incubations caused 90-95% inactivation of aspartate aminotransferase, but only 15-30% loss of alanine aminotransferase activity. After preincubation with the inhibitor, glucose synthesis from lactate was almost completely blocked; with alanine as the substrate, gluconeogenesis was unaffected, and urea synthesis was only slightly decreased. By comparison with preincubation with inhibitors, simultaneous addition of substrates (alanine; lactate plus lysine) and inhibitors (cycloserine; aminomethoxybutenoic acid) resulted in smaller decreases in aminotransferase activities and in metabolic rates. Other compounds were less satisfactory as selective inhibitors. Ethylhydrazinoacetate inactivated the two aminotransferases to similar extents. Vinylglycine was almost equally effective in blocking the two enzymes in vitro, but was a very weak inhibitor when used with intact cells. Concentrations of DL-propargylglycine (4 mM) required to cause at least 90% inhibition of alanine aminotransferase in hepatocytes also caused a 16% decrease in aspartate aminotransferase. When tested in vitro, alanine aminotransferase was, as previously reported by others, more sensitive to inhibition by amino-oxyacetate than was aspartate aminotransferase, but in liver cell incubations the latter enzyme was more rapidly inactivated by amino-oxyacetate.

Problems in radioimmunoassay of human lutropin with commercially available reagents.

To evaluate five commercially available reagent sets supplied for the radioimmunoassay of lutropin, we determined whether there was parallelism between the curve given by dilutions of the standards supplied by the manufacturers, by dilutions of a serum pool, and by dilutions of a standard preparation from human pituitaries, LER-907. These studies demonstrated significant analytical problems with three of the five sets. We conclude that each user should carefully evaluate all commercially available radioimmunoassays for lutropin (and, by inference, for other peptide hormones) before use.