Alejandro Lucia

Saliva Composition and Exercise

Little attention has been directed toward identifying the changes which occur in salivary composition in response to exercise. To address this, our article first refers to the main aspects of salivary gland physiology. A knowledge of the neural control of salivary secretion is especially important for the understanding of the effects of exertion on salivary secretion. Both salivary output and composition depend on the activity of the autonomic nervous system and any modification of this activity can be observed indirectly by alterations in the salivary excretion.The effects of physical activity (with reference to factors such as exercise intensity and duration, or type of exercise protocol) on salivary composition are then considered. Exercise might indeed induce changes in several salivary components such as immunoglobulins, hormones, lactate, proteins and electrolytes. Saliva composition might therefore be used as an alternative noninvasive indicator of the response of the different body tissues and systems to physical exertion.In this respect, the response of salivary amylase and salivary electrolytes to incremental levels of exercise is of particular interest. Beyond a certain intensity of exercise, and coinciding with the accumulation of blood lactate (anaerobic threshold or AT), a ’saliva threshold’ (Tsa) does indeed exist. Tsa is the point during exercise at which the levels of salivary α-amylase and electrolytes (especially Na+) also begin to rise above baseline levels. The occurrence of the 2 thresholds (AT and Tsa) might, in turn, be attributable to the same underlying mechanism, that of increased adrenal sympathetic activity at high exercise intensities.

How Do Endurance Runners Actually Train? Relationship with Competition Performance

PURPOSE To quantify the relationship between total training load and running performance during the most important competitions of the season (national cross-country championships, 4.175- and 10.130-km races). METHODS Eight well-trained, subelite endurance runners (age (mean+/-SD): 23+/-2 yr; VO2max: 70.0+/-7.3 mL.kg.min) performed a maximal cardiorespiratory exercise test before the training period to determine ventilatory threshold (VT) and respiratory compensation threshold (RCT). Heart rate was continuously recorded using telemetry during each training session over a 6-month macrocycle, designed to achieve peak performance during the aforementioned cross-country races, lasting from late August to the time that these races were held, that is, mid-February. This allowed us to quantify the total cumulative time spent in three intensity zones calculated as zone 1 (low intensity, lower than the VT); zone 2 (moderate intensity, between VT and RCT); and zone 3 (high intensity, above the RCT). RESULTS Total training time in zone 1 (4581+/-979 min) was significantly higher (P<0.001) than that accumulated in zones 2 (1354+/-583 min) and 3 (487+/-154 min). Total time in zone 2 was significantly higher than time in zone 3 (P<0.05). A correlation coefficient of r=-0.79 (P=0.06) and r=-0.97 (P=0.008) was found between the total training time spent in zone 1 and performance time during the short and long cross-country races, respectively. CONCLUSIONS Our findings suggest that total training time spent at low intensities might be associated with improved performance during highly intense endurance events, especially if the event duration is approximately 35 min. Interventional studies (i.e., improving or reducing training time in zone 1) are needed to corroborate our findings and to elucidate the physiological mechanisms behind them.

Running economy: The forgotten factor in elite performance

Running performance depends on maximal oxygen uptake (V̇O2max), the ability to sustain a high percentage of V̇O2max for an extended period of time and running economy. Running economy has been studied relatively less than the other factors. Running economy, measured as steady state oxygen uptake V̇O2) at intensities below the ventilatory threshold is the standard method. Extrapolation to a common running speed (268 m/min) or as the V̇O2 required to run a kilometer is the standard method of assessment. Individuals of East African origin may be systematically more economical, although a smaller body size and a thinner lower leg may be the primary factors. Strategies for improving running economy remain to be developed, although it appears that high intensity running may be a common element acting to improve economy.

Impact of training intensity distribution on performance in endurance athletes.

The purpose of this study was to compare the effect of 2 training programs differing in the relative contribution of training volume, clearly below vs. within the lactate threshold/maximal lactate steady state region on performance in endurance runners. Twelve subelite endurance runners (who are specialists in track events, mostly the 5,000-m race usually held during spring-summer months and who also participate in cross-country races [9–12 km] during fall and winter months) were randomly assigned to a training program emphasizing low-intensity (subthreshold) (Z1) or moderately high-intensity (between thresholds) (Z2) training intensities. At the start of the study, the subjects performed a maximal exercise test to determine ventilatory (VT) and respiratory compensation thresholds (RCT), which allowed training to be controlled based on heart rate during each training session over a 5-month training period. Subjects performed a simulated 10.4-km cross-country race before and after the training period. Training was quantified based on the cumulative time spent in 3 intensity zones: zone 1 (low intensity; VT), zone 2 (moderate intensity; between VT and RCT), and zone 3 (high intensity; RCT). The contribution of total training time spent in zones 1 and 2 was controlled to have relatively more low-intensity training in Z1 (80.5 ± 1.8% and 11.8 ± 2.0%, respectively) than in Z2 (66.8 ± 1.1% and 24.7 ± 1.5%, respectively), whereas the contribution of high-intensity (zone 3) training was similar (8.3 ± 0.7% [Z1] and 8.5 ± 1.0% [Z2]). The magnitude of the improvement in running performance was significantly greater (p = 0.03) in Z1 (−157 ± 13 seconds) than in Z2 (−121.5 ± 7.1 seconds). These results provide experimental evidence supporting the value of a relatively large percentage of low-intensity training over a long period (−5 months), provided that the contribution of high-intensity training remains sufficient.

Exercise training is beneficial for Alzheimer's patients

Decreased ability to perform activities of daily living (ADLs) associated with deterioration in physical capacity are key determinants of the poor quality of life and loss of independence of patients with Alzheimers disease (AD). The purpose of this study was to determine the effects of a 12-week training program (including resistance, flexibility, joint mobility and balance/coordination exercises) for Spanish patients with AD on their i) overall functional capacity (muscle strength and flexibility, agility and balance while moving, and endurance fitness), and ii) ability to perform ADLs. Using a randomized block design, 16 patients were assigned to a training (mean [SD] age: 76 [4] yrs) or control group (73 [4] yrs) (n = 8 subjects [3 male, 5 female] per group). The results showed significant improvements after training (p < 0.05) in upper and lower body muscle strength and flexibility, agility and dynamic balance, and endurance fitness (using the Senior Fitness test), gait and balance abilities (with subsequent decrease in risk of falls) (Tinetti scale) and in the ability to perform ADLs independently (Katz and Barthel scores). No changes (p > 0.05) were found in the control group over the 12-week period. Exercise training could be included in the overall medical/nursing care protocol for patients with AD.

Resistance exercise training during pregnancy and newborn's birth size: a randomised controlled trial.

Objective:We examined the effect of light intensity resistance exercise training performed during the second and third trimester of pregnancy on the newborns birth size. We also studied the association between maternal body weight prior to pregnancy and newborns birth size.Design:Randomised controlled trial.Subjects:We randomly assigned 160 sedentary gravidae to either a training (n=80) or a control (n=80) group. The training programme focused on light resistance and toning exercises (three times per week, 35–40 min per session). We recorded the Apgar score, birth weight, birth length, and head circumference of the newborn, as well as gestational age at time of delivery from hospital perinatal records. We also measured maternal weight and height before parity and gestational weight gain.Results:Maternal characteristics neither differed between groups (all P>0.1) nor newborn characteristics (all P>0.1). Maternal body weight was positively and significantly associated with newborns birth weight and length only in the control group (β=19.20 and 0.065, respectively, P<0.01).Conclusion:Light intensity resistance training performed over the second and third trimester of pregnancy does not have a negative impact on the newborns body size or overall health. Exercise interventions might attenuate the adverse consequences of maternal body weight before pregnancy on the newborns birth size.

Actigraph GT3X: Validation and Determination of Physical Activity Intensity Cut Points

The aims of this study were: to compare energy expenditure (EE) estimated from the existing GT3X accelerometer equations and EE measured with indirect calorimetry; to define new equations for EE estimation with the GT3X in youth, adults and older people; and to define GT3X vector magnitude (VM) cut points allowing to classify PA intensity in the aforementioned age-groups. The study comprised 31 youth, 31 adults and 35 older people. Participants wore the GT3X (setup: 1-s epoch) over their right hip during 6 conditions of 10-min duration each: resting, treadmill walking/running at 3, 5, 7, and 9 km · h⁻¹, and repeated sit-stands (30 times · min⁻¹). The GT3X proved to be a good tool to predict EE in youth and adults (able to discriminate between the aforementioned conditions), but not in the elderly. We defined the following equations: for all age-groups combined, EE (METs)=2.7406+0.00056 · VM activity counts (counts · min⁻¹)-0.008542 · age (years)-0.01380 ·  body mass (kg); for youth, METs=1.546618+0.000658 · VM activity counts (counts · min⁻¹); for adults, METs=2.8323+0.00054 · VM activity counts (counts · min⁻¹)-0.059123 · body mass (kg)+1.4410 · gender (women=1, men=2); and for the elderly, METs=2.5878+0.00047 · VM activity counts (counts · min⁻¹)-0.6453 · gender (women=1, men=2). Activity counts derived from the VM yielded a more accurate EE estimation than those derived from the Y-axis. The GT3X represents a step forward in triaxial technology estimating EE. However, age-specific equations must be used to ensure the correct use of this device.

Analysis of the aerobic-anaerobic transition in elite cyclists during incremental exercise with the use of electromyography.

OBJECTIVES: To investigate the validity and reliability of surface electromyography (EMG) as a new non-invasive determinant of the metabolic response to incremental exercise in elite cyclists. The relation between EMG activity and other more conventional methods for analysing the aerobic-anaerobic transition such as blood lactate measurements (lactate threshold (LT) and onset of blood lactate accumulation (OBLA)) and ventilatory parameters (ventilatory thresholds 1 and 2 (VT1 and VT2)) was studied. METHODS: Twenty eight elite road cyclists (age 24 (4) years; VO2MAX 69.9 (6.4) ml/kg/min; values mean (SD)) were selected as subjects. Each of them performed a ramp protocol (starting at 0 W, with increases of 5 W every 12 seconds) on a cycle ergometer (validity study). In addition, 15 of them performed the same test twice (reliability study). During the tests, data on gas exchange and blood lactate levels were collected to determine VT1, VT2, LT, and OBLA. The root mean squares of EMG signals (rms-EMG) were recorded from both the vastus lateralis and the rectus femoris at each intensity using surface electrodes. RESULTS: A two threshold response was detected in the rms-EMG recordings from both muscles in 90% of subjects, with two breakpoints, EMGT1 and EMGT2, at around 60-70% and 80-90% of VO2MAX respectively. The results of the reliability study showed no significant differences (p > 0.05) between mean values of EMGT1 and EMGT2 obtained in both tests. Furthermore, no significant differences (p > 0.05) existed between mean values of EMGT1, in the vastus lateralis and rectus femoris, and VT1 and LT (62.8 (14.5) and 69.0 (6.2) and 64.6 (6.4) and 68.7 (8.2)% of VO2MAX respectively), or between mean values of EMGT2, in the vastus lateralis and rectus femoris, and VT2 and OBLA (86.9 (9.0) and 88.0 (6.2) and 84.6 (6.5) and 87.7 (6.4)% of VO2MAX respectively). CONCLUSION: rms-EMG may be a useful complementary non-invasive method for analysing the aerobic-anaerobic transition (ventilatory and lactate thresholds) in elite cyclists.

Is physical fitness decreased in survivors of childhood leukemia? A systematic review

The aim of this review is to determine whether physical fitness, assessed by peak oxygen uptake (VO2peak) measurement, is reduced in survivors of acute lymphoblastic leukemia (ALL) compared to healthy children. A systematic literature search (up to June 2004) was performed using Medline, Sportdiscus, Cinahl, Embase, Cochrane and PEDro database and reference tracking. The VO2peak (ml kg−1 min−1) reached during a maximal exercise test until volitional exhaustion was used as the main outcome for this review. In all, 17 studies were identified in the literature. Data from three studies (102 ALL survivors, age ranging from 7 to 19 years) were pooled in a meta-analysis. Although there was a significant heterogeneity between the included studies (P=0.0006), the standardized mean difference (SMD) value of −0.61 (P=0.07) indicated that VO2peak tended to be reduced in survivors of childhood ALL compared to healthy control subjects, that is, decrease of −5.97 ml kg−1 min−1 (95% confidence interval (CI): (−12.35, 0.41); P=0.07) or −13% (95 % CI: (−27, 0.004)). Physical fitness tends to be reduced in survivors of ALL during childhood, which suggests the need for this population group to engage in regular physical activities with the purpose of increasing their functional capacity. Although more research is needed, this functional improvement might ameliorate the quality of life of ALL survivors as physical and outdoors activities are an essential part of daily routine during childhood.

Hormone levels of world class cyclists during the Tour of Spain stage race

Objectives—To evaluate the hormonal response to strenuous endurance exercise performed by elite athletes. Methods—Nine professional cyclists (mean (SD) age 28 (1) years; mean (SD) Vo2max 75.3 (2.3) ml/kg/min) who participated in a three week tour race (Vuelta a España 1999) were selected as subjects. Morning urinary levels of 6-sulphatoxymelatonin (aMT6s) and morning serum levels of testosterone, follicle stimulating (FSH), luteinising hormone (LH), and cortisol were measured in each subject at t0 (before the competition), t1 (end of first week), t2 (end of second week), and t3 (end of third week). Urine samples of aMT6s were also evaluated in the evening at t0, t1, t2, and t3. Results—Mean urinary aMT6s levels had increased significantly (p<0.01) during the day after each stage (1091 (33) v 683 (68) ng/ml at t1; 955 (19) v 473 (53) ng/ml at t2; 647 (61) v 337 (47) ng/ml at t3). Both morning and evening aMT6s levels decreased significantly during the study. A similar pattern was observed for morning serum levels of cortisol and testosterone. Conclusions—The results suggest that the basal activity of the pineal gland, adrenal glands, and testis may be decreased after consecutive days of intense, long term exercise.