Chiyoko Usui

Age and cardiorespiratory fitness are associated with arterial stiffening and left ventricular remodelling

Arterial stiffening, hypertension and left ventricular (LV) remodelling are associated with increased risk of cardiovascular disease. Cardiorespiratory fitness is associated with cardiovascular function and reduced risk of cardiovascular disease. This cross-sectional study was carried out to determine the relationships between cardiorespiratory fitness, arterial stiffness, blood pressure (BP) and LV remodelling in women. On the basis of peak oxygen uptake, a total of 159 premenopausal (young) and postmenopausal (older) women were categorized into either low (unfit) or high (fit) cardiorespiratory fitness groups. The arterial stiffness and LV remodelling were measured by brachial-ankle pulse wave velocity (baPWV) and carotid augmentation index (AI) and LV relative wall thickness (RWT). Two-way analysis of variance indicated a significant interaction between age and cardiorespiratory fitness in baPWV, carotid AI, BP and RWT. In the older group, arterial stiffness (baPWV; 1401±231 vs 1250±125 cm s–1, P<0.01, AI; 32.9±9.9 vs 24.8±10.1%, P<0.01), systolic blood pressure (SBP) (130±22 vs 117±15 mm Hg, P<0.01) and RWT (0.47±0.08 vs 0.42±0.04, P<0.05) in fit women were lower than in unfit women. In older women, RWT was significantly related to baPWV (r=0.46, P<0.01), carotid AI (r=0.29, P<0.05), SBP (r=0.57, P<0.01) [Vdot ]2peak (r=−0.32, P<0.05). In young women, they were not significant correlations, except for a weak correlation between RWT and SBP (r=0.21, P<0.05). These results suggest that higher cardiorespiratory fitness is associated with lower arterial stiffness, BP and RWT in older women.

Differences in body composition and risk of lifestyle-related diseases between young and older male rowers and sedentary controls

Abstract The aim of this cross-sectional study was to compare body composition and risk factors of lifestyle-related diseases between young and older male rowers and sedentary controls. Healthy males aged 19–73 years participated in the study, and were divided into four groups: 26 young rowers, 24 senior rowers, 23 young sedentary controls, and 22 senior sedentary controls. Total and regional lean soft tissue, fat mass, and bone mineral density were measured using dual-energy X-ray absorptiometry. The HDL-cholesterol of senior rowers (67.4 ± 13.4 mg · dl−1) was significantly (P < 0.05) higher than that of senior sedentary controls (59.2 ± 11.9 mg · dl−1), while HDL-cholesterol was similar in senior rowers and young rowers (66.1 ± 10.8 mg · dl−1). Arm, leg, and trunk lean soft tissue mass were significantly higher in senior rowers (5.6 ± 0.6 kg, 18.2 ± 1.8 kg, and 27.3 ± 3.2 kg respectively) than in senior sedentary controls (5.1 ± 0.4 kg, 16.3 ± 1.4 kg, and 24.6 ± 1.7 kg respectively; P < 0.05). Bone mineral density was also significantly higher in senior rowers than in senior sedentary controls (ribs, lumbar spine, and pelvic segments; P < 0.05). We conclude that age-related increases in the risk of lifestyle-related diseases, such as osteoporosis and sarcopenia, are attenuated in male rowers. These results suggest that regular rowing exercise may have a positive influence in the prevention of lifestyle-related diseases in older Japanese people.

Muscle mass and bone mineral indices: does the normalized bone mineral content differ with age?

Objective:To investigate the relationships between regional skeletal muscle mass (SM mass) and bone mineral indices and to examine whether bone mineral content (BMC) normalized to SM mass shows a similar decrease with age in young through old age.Subjects/Methods:One hundred and thirty-eight young and postmenopausal women aged 20–76 years participated in this study and were divided into three groups: 61 young women, 49 middle-aged postmenopausal women and 28 older postmenopausal women. Muscle thickness (MTH) was determined by ultrasound, and regional SM mass (arm, trunk and leg) was estimated based on nine sites of MTH. Whole-body and regional lean soft tissue mass (LSTM), bone mineral density (BMD) and BMC (whole body, arms, legs and lumbar spine) were measured using dual-energy X-ray absorptiometry.Results:Ultrasound spectroscopy indicated that SM mass is significantly correlated with site-matched regional bone mineral indices and these relationships correspond to LSTM. The BMC and BMD in older women were significantly lower than those in middle-aged women. When BMC was normalized to site-matched regional SM mass, BMC normalized to SM mass in arm and trunk region were significantly different with age; however, whole-body and leg BMC normalized to SM mass showed no significant difference between middle-aged and older postmenopausal women.Conclusions:The age-related differences in BMC were found to be independent of the ageing of SM mass in the arm and trunk region. However, differences in BMC measures of the leg and whole body were found to correspond to age-related decline of SM mass in postmenopausal women.

Effects of intermittent physical activity on fat utilization over a whole day

PURPOSE We examined whether continuous and intermittent physical activity (PA) differentially influence fat utilization. METHODS This was a randomized crossover study. Nine healthy young male participants performed two 39-h (two nights, three days) PA sessions (continuous and intermittent exercise) in a respiratory chamber to measure energy expenditure (EE) and substrate oxidation. Participants used a stationary cycling ergometer continuously for 40 min and then 45 min in the continuous PA trial and for 5 min every 30 min 17 times in the intermittent PA trial. They consumed high-carbohydrate meals corresponding to predicted daily total EE for 3 d before entering the respiratory chamber and four high-fat meals corresponding to predicted total EE in the chamber. RESULTS Twenty-three-hour RER adjusted for sleeping RER on the preceding day was significantly lower in the intermittent PA trial than that in the continuous PA trial (P = 0.021). Twenty-three-hour RER adjusted for sleeping RER on the preceding day was correlated with accumulated consecutive minutes of METs ≤ 1.5 (3 min or more, r = 0.477; 5 min or more, r = 0.510; 10 min or more, r = 0.605). CONCLUSIONS The intermittent PA trial induced greater fat utilization than the continuous PA trial. The present study, therefore, suggests that intermittent PA has a beneficial effect on 24-h fat oxidation after consumption of a high-fat meal, which may help prevent weight gain over time.

Resting energy expenditure can be assessed by dual-energy X-ray absorptiometry in women regardless of age and fitness

Objective:To evaluate the possibility that measurement of the magnitude and distribution of fundamental somatic heat-producing units using dual-energy X-ray absorptiometry (DXA) can be used to estimate resting energy expenditure (REE) in both young and elderly women with different aerobic fitness levels.Subjects and methods:Peak oxygen uptake (VO2 peak) and REEm were directly measured in 116 young (age: 22.3±2.1 years) and 72 elderly (63.3±6.4 years) women. The subjects were divided into four groups according to categories of age and VO2 peak; young: high fitness (YH, n=58); low fitness (YL, n=58); elderly: high fitness (EH, n=37) and low fitness (EL, n=35). Using DXA, systemic and regional body compositions were measured, and REEe was estimated from the sum of tissue organ weights multiplied by corresponding metabolic rate.Results:Although there were remarkable differences in systemic and regional body compositions, no significant differences were observed between REEm and REEe in the four groups. REEe significantly correlated with REEm in elderly as well as young women; the slopes and intercepts of the two regression lines were statistically not different between the elderly and young groups (elderly: y=0.60x+472, r=0.667; young: y=0.78x+250, r=0.798; P<0.001, respectively). A Bland–Altman analysis did not indicate bias in calculation of REE for all the subjects.Conclusion:These results suggest that REE can be estimated from tissue organ components in women regardless of age and aerobic fitness.

Required muscle mass for preventing lifestyle-related diseases in Japanese women.

BackgroundSince it is essential to maintain a high level of cardiorespiratory fitness to prevent life-style related disease, the Ministry of Health, Labour and Welfare of Japan in 2006 proposed to determine the maximal oxygen uptake (Vo2max: mL·kg-1·min-1) reference values to prevent life-style related diseases (LSRD). Since muscle mass is one of the determinant factors of Vo2max, it could be used as the reference parameter for preventing LSRD. The aim of this study was to determine and quantify the muscle mass required to maintain the Vo2max reference values in Japanese women.MethodsA total of 403 Japanese women aged 20–69 years were randomly allocated to either a validation or a cross-validation group. In the validation group, a multiple regression equation, which used a set of age and the percentage of muscle mass (%MM, percentage of appendicular lean soft tissue mass to body weight), as independent variables, was derived to estimate the Vo2max. After the equation was cross-validated, data from the two groups were pooled together to establish the final equation. The required %MM for each subject was recalculated by substituting the Vo2max reference values and her age in the final equation.ResultsThe mean value of required %MM was identified as (28.5 ± 0.35%). Thus, the present study proposed the required muscle mass (28.5% per body weight) in Japanese women to maintain the Vo2max reference values determined by the Japanese Ministry of Health Labour and Welfare.ConclusionThe estimated required %MM (28.5% per body weight) can be used as one of the reference parameters of fitness level in Japanese women.

Validity and reproducibility of a novel method for time-course evaluation of diet-induced thermogenesis in a respiratory chamber.

We developed a novel method for computing diet‐induced thermogenesis (DIT) in a respiratory chamber and evaluated the validity and reproducibility of the method. We hypothesized that DIT may be calculated as the difference between postprandial energy expenditure (EE) and estimated EE (sum of basal metabolic rate and physical activity (PA)‐related EE). The estimated EE was derived from the regression equation between EE from respiration and PA intensity in the fasting state. It may be possible to evaluate the time course of DIT using this novel technique. In a validity study, we examined whether DIT became zero (theoretical value) for 6 h of fasting in 11 subjects. The mean value of DIT calculated by the novel and traditional methods was 22.4 ± 13.4 and 3.4 ± 31.8 kcal/6 h, respectively. In the reproducibility study, 15 adult subjects lived in the respiratory chamber for over 24 h on two occasions. The DIT over 15 h of postprandial wake time was calculated. There were no significant differences in the mean values of DIT between the two test days. The within‐subject day‐to‐day coefficient of variation for calculated DIT with the novel and traditional methods was approximately 35% and 25%, respectively. The novel method did not have superior reproducibility compared with that of the traditional method. However when comparing the smaller variation in the fasting state than the theoretical value (zero), the novel method may be better for evaluating interindividual differences in DIT than the traditional method and also has the ability to evaluate the time‐course.

Physical activity group classification algorithm using triaxial acceleration and heart rate.

As described in this paper, a physical activity classification algorithm is proposed for energy expenditure estimation. The proposed algorithm can improve the classification accuracy using both the triaxial acceleration and heart rate. The optimal classification also contributes to improvement of the accuracy of the energy expenditures estimation. The proposed algorithm employs three indices: the heart rate reserve (%HRreserve), the filtered triaxial acceleration, and the ratio of filtered and unfiltered acceleration. The percentage HRreserve is calculated using the heart rate at rest condition and the maximum heart rate, which is calculated using Karvonen Formula. Using these three indices, a decision tree is constructed to classify physical activities into five classes: sedentary, household, moderate (excluding locomotive), locomotive, and vigorous. Evaluation results show that the average classification accuracy for 21 activities is 91%.

The Validity of Body Composition Measurement Using Dual Energy X-Ray Absorptiometry for Estimating Resting Energy Expenditure

Chiyoko Usui1,2, Motoko Taguchi3, Kazuko Ishikawa-Takata4 and Mitsuru Higuchi5 1Department of Health Promotion and Exercise, National Institute of Health and Nutrition, 2Research Fellow of the Japan Society for the Promotion of Science, 3Japan Women’s College of Physical Education, 4Department of Nutritional Education, National Institute of Health and Nutrition, 5Faculty of Sport Sciences, Waseda University, Japan