Darlene A. Sedlock

Effect of exercise intensity and duration on postexercise energy expenditure

The purpose of this study was to examine 1) the effect of two exercise intensities of equal caloric output on the magnitude (kcal) and duration of excess postexercise oxygen consumption (EPOC) and 2) the effect of exercise of equal intensity but varying duration on EPOC. Ten trained male triathletes performed three cycle ergometer exercises: high intensity-short duration (HS), low intensity-short duration (LS), and low intensity-long duration (LL). Baseline VO2 was measured for 1 h prior to each exercise condition. Postexercise VO2 was measured continuously until baseline VO2 was achieved. The duration of EPOC was similar for HS (33 +/- 10 min) and LL (28 +/- 14 min), and both were significantly longer (P less than 0.05) than the EPOC following LS (20 +/- 5 min). However, total net caloric expenditure was significantly more (P less than 0.05) for HS (29 +/- 8 kcal) than for either LS (14 +/- 6 kcal) or LL (12 +/- 7 kcal). The exercise conditions used in this study did not produce a prolonged EPOC. However, the exercise intensity was shown to affect both the magnitude and duration of EPOC, whereas the exercise duration affected only the duration of EPOC. Moreover, the duration of EPOC and the subsequent caloric expenditure were not necessarily related. Based on the resulting magnitude of the postexercise energy expenditure, it is possible that EPOC may be of some value for weight control over the long term.

Previous physical activity relates to bone mineral measures in young women

Exercise may increase accretion of bone, potentially reducing the risk of osteoporosis. Previous physical activity was assessed in 204 minimally active young women (18-31 yr). Bone mineral content (BMC) and bone mineral density (BMD) for the total body, femoral neck, and spine were assessed by a dual x-ray absorptiometer, and the radius by a single photon absorptiometer. Self-reported occupation and leisure activity for the 5 yr before enrollment in the study, as well as high school and college sports participation, were assigned energy expenditure (EE) values. From this information, EE variables were created as follows: 1) occupation EE + leisure EE + high school sport and/or college sport EE if within prior 5 yr (5-yr EE); 2) occupation EE + leisure EE (occupation + leisure EE); and 3) high school sport EE (high school EE). These variables were correlated with bone mineral measures and significant results follow (P < 0.05). Five-year EE and occupation + leisure EE correlated with all measures of bone health (r from 0.13 to 0.39). High school EE correlated with total body BMD (r = 0.25) and BMC (r = 0.28), femoral neck BMD (r = 0.28), radius BMC (r = 0.20), as well as spine BMD (r = 0.20) and BMC (r = 0.27). When weight was controlled, 5-yr EE and occupation + leisure EE remained correlated with all BMC measures (r from 0.14 to 0.22). When controlled for weight, high school EE remained associated with femoral neck BMD (r = 0.24), total body BMD (r = 0.20) and BMC (r = 0.26), and spine BMC (r = 0.17). To partially control for selection bias, data were also controlled for total body BMD. Five-year EE and occupation + leisure EE remained positively correlated with all measures of BMC. High school EE remained correlated both with femoral neck BMD and total body BMC. In multiple regression analyses, 5-yr EE or occupation + leisure EE were significant predictors of all measures of bone health, except femoral neck BMD. High school EE was a significant predictor for total body BMD and BMC, femoral neck BMD, and spine BMC.

Impact of exercise on bone health and contraindication of oral contraceptive use in young women.

PURPOSE The effect of quantified resistance and high impact exercise training on bone mass as modified by age and oral contraceptive (OCont) use in young women was studied. METHODS Women were categorized by age (18-23 vs 24-31 yr) and OCont use, and were then randomized into either three sessions of resistance exercise plus 60 min.wk-1 of jumping rope or a control group for 24 months. Total body, spine, femoral neck, greater trochanter, Wards area, and radial bone mineral density (BMD) and/or content (BMC), biochemical markers of bone turnover, dietary intake of calcium, lean body mass, maximal oxygen uptake, and strength were determined at baseline and every 6 months. RESULTS Total body (TB) BMC percent change from baseline was higher in exercisers compared with nonexercisers at 6 and 24 months. OCont users had lower bone turnover at baseline and a decrease in TBBMC from baseline compared with non-OCont users at 24 months. Spine BMC and BMD decreased in the exercise and OCont group at 6 months and remained significantly below nonexercisers who used oral contraceptives at 2 yr. Femoral neck BMD also decreased in the exercise and oral contraceptive group at 6 months. CONCLUSIONS Exercise prevented a decline in TBBMC seen in the nonexercisers. On the other hand, exercise in oral contraceptive users prevented the increase observed in the spine of the nonexercise plus OCont group.

Predictors of calcium retention in adolescent boys

CONTEXT The relationship between calcium (Ca) intake and Ca retention in adolescent boys was recently reported. OBJECTIVE This study evaluated the influence of Ca intake, serum hormone levels, biomarkers of bone metabolism, habitual physical activity, habitual Ca intake, and physical fitness on Ca retention in the same sample. DESIGN This study was a randomized, cross-over design that consisted of two 3-wk metabolic balance periods. SETTING The study took place on a university campus as a summer camp. PATIENTS OR OTHER PARTICIPANTS A total of 31 American white boys (13-15 yr) participated in the study. INTERVENTIONS Each subject consumed a controlled diet with one of five high-low Ca intake pairs that ranged from 670-2003 mg/d, which was manipulated utilizing a fortified beverage. MAIN OUTCOME MEASURES Ca retention was determined by Ca intake minus urinary and fecal Ca excretion during each balance period. RESULTS Ca intake explained 21.7% of the variability in Ca retention, and serum IGF-I concentration explained an additional 11.5%. Other serum hormone levels did not significantly add to the model. Biomarkers of bone metabolism, habitual physical activity, habitual Ca intake, and physical fitness were not significant predictors of Ca retention in adolescent boys. CONCLUSIONS IGF-I, a regulator of growth during puberty, is an important predictor of Ca retention in adolescent boys. However, dietary Ca intake is an even greater predictor of Ca retention during this period of growth.

V˙O2peak and the gas-exchange anaerobic threshold during incremental arm cranking in able-bodied and paraplegic men

Abstract Resting energy expenditure, peak oxygen uptake (V˙O2peak) and the gas-exchange anaerobic threshold (Than) were measured during incremental arm cranking (15 W · min−1) in six able-bodied (AB) and six paraplegic (P) subjects. Only male subjects with traumatic spinal cord injuries in the area of the 10–12th thoracic segment were included in the P group. All AB and P subjects were physically active. Mean (SE) values for age and body mass were 28 (2) years and 78.9 (3.9) kg for the AB group and 32 (4) years and 70.8 (7.9) kg for the P group (P > 0.05). Resting energy expenditure values were not found to be significantly different between AB [5.8 (0.2) kJ · min−1] and P [5.1 (0.3) kJ · min−1] subjects. Mean V˙O2peak values were 29.3 (2.4) ml · kg−1 · min−1 and 29.6 (2.2) ml · kg−1 · min−1 for the AB and P groups, respectively (P > 0.05). Absolute oxygen uptake values measured at two gas-exchange anaerobic threshold (Than) were not significantly different between the two groups. However, the Than occurred at a significantly higher percentage of V˙O2peak in the P [58.9 (1.7)%] group than in the AB [50.0 (2.8)%] group (P < 0.05). Moreover, respiratory exchange ratio (R) values obtained at the Than and at 15, 45, 60, 75 and 90 W of incremental exercise were significantly lower in the P group than in the AB group. Heart rates were significantly elevated at every submaximal work stage (15–120 W) in the P group compared to the AB group (P < 0.05). These findings suggest that chronic daily wheelchair activity produces local adaptations in the functional upper-body musculature, which reduce glycogenolysis and increase the rate of lipid utilization (lower R) during arm exercise. These local adaptations may be in part responsible for the significantly higher Than observed for arm exercise in P subjects, even though V˙O2peak values were essentially the same for both groups.

Circulatory and thermal adjustments to prolonged exercise in paraplegic women

The circulatory and thermal responses to 90 min of wheelchair ergometer exercise were examined in five wheelchair dependent (WD) women with low level spinal dysfunction and five able-bodied (AB) women who served as a comparison group. Metabolic rate during exercise was 221 W for WD and 255 W for AB (P greater than 0.05). Oral temperature (Tor), mean skin temperature (Tsk), oxygen uptake (VO2), heart rate (HR), and cardiac output (Qc) were assessed periodically throughout the exercise period. Ambient conditions were 24-25 degrees C and 38-52% relative humidity. A significant group X time interaction was found for Tor (P less than 0.001) and Tsk (P less than 0.001). Tor of the WD group steadily increased during the exercise, whereas the AB group showed a stable Tor. Tsk of WD increased rapidly during the first 5-10 min of exercise and continued to rise at a slower rate throughout the exercise. In contrast, Tsk of AB rose to a peak during the first 10 min and then showed a decreasing trend. VO2 and HR remained stable in both groups throughout the exercise period. Following an initial increase in Qc from minute 10 to minute 20 in both groups, values for WD continually decreased until Qc at 80 min was 14% lower than at 10 min. The findings suggest that the WD women had greater thermoregulatory strain than the AB women as indicated by a higher Tor and Tsk and by an inability to maintain Qc due to paralysis of the lower limbs and perhaps an increase in cutaneous blood volume.

Neither gender nor menstrual cycle phase influences exercise-induced lymphocyte apoptosis in untrained subjects

Lymphocyte apoptosis increases following maximal exercise. Estrogen hormones (E2) have been shown to protect lymphocytes from apoptosis in vitro, but it is unknown whether they can attenuate the apoptotic response to maximal exercise. The purpose of this study was to examine the effect of menstrual cycle variation on exercise-induced lymphocyte apoptosis in humans following exercise. Untrained healthy young men and regularly menstruating women not using hormonal contraceptives volunteered for the study. Women performed a maximal effort treadmill test for VO2 max once in the follicular phase (FOL) and once in the mid-luteal phase (ML) of their cycles. Men completed two VO2 max tests with periods of time between tests matched to those of the female subjects. Blood was collected before (PRE) and immediately after exercise (POST), and analyzed for apoptotic lymphocytes and estradiol. E2 concentrations in women were significantly greater during ML versus during FOL, both PRE and POST (p<0.0001). The percent of exercise-induced lymphocyte apoptosis was similar between women (23.2%+/-1.0%) and men (21.5%+/-0.4%). In women, the apoptotic response to maximal exercise was similar regardless of menstrual cycle phase (FOL=23.7%+/-0.9%, ML=22.7%+/-1.1%). Although elevated female sex hormones in vitro may exert anti-apoptotic effects, these data suggest that in vivo concentrations confer no protection to lymphocytes during exhaustive exercise.

Resting Metabolic Rate after Endurance Exercise Training

PURPOSE 1) To examine the effect of a 12-wk endurance exercise training program on RMR and 2) to provide insight into the mechanisms responsible for alterations in RMR that may occur after exercise training. METHODS Male participants (19-32 yr) in an exercise group (EX; n = 9) performed jogging and/or running 3-4 d x wk(-1), 25-40 min per session, at 60%-80% VO2max, whereas subjects in a control group (CON; n = 10) maintained their normal activity patterns. Body composition, VO2max, RMR, epinephrine, norepinephrine, total thyroxine, free thyroxine, insulin, free fatty acids, and glucose were measured before and after the intervention. RESULTS Training resulted in a significant increase in VO2max in EX (46.2 +/- 1.2 to 51.0 +/- 1.3 mL x kg(-1) x min(-1), P < 0.001). Absolute and relative values for RMR did not significantly change in EX after training. Mean values for epinephrine, norepinephrine, total thyroxine, insulin, and glucose did not significantly change in either group; however, free thyroxine decreased significantly after training in EX (P = 0.04). Training also resulted in a significant increase in free fatty acid concentration in EX (0.37 +/- 0.03 to 0.48 +/- 0.04 mmol x L(-1), P < 0.001). RMR in CON decreased significantly when expressed as an absolute value (P < 0.01) and relative to body weight (P < 0.01), fat-free mass (P < 0.01), and fat mass (P = 0.04). CONCLUSIONS The mechanism for the decrease in CON is unknown, but it may be related to seasonal variations in RMR. Training may have prevented a similar decline in RMR in EX and may be related to a training-induced increase in fat oxidation.

Blood treatment influences the yield of apoptotic lymphocytes after maximal exercise.

PURPOSE No systematic investigation has been reported assessing the effect of cell isolation processes on postexercise apoptosis. Therefore, the effect of cell isolation procedures on apoptosis was evaluated in this study. METHODS Untrained healthy individuals participated (N=13). Blood samples obtained at rest and immediately after an incremental exercise test to exhaustion were partitioned into three treatments: 1) whole blood smears made immediately after the sample was obtained (WB), 2) cells subjected to density-gradient isolation before smears were made (ISO), and 3) samples allowed to sit at room temperature (i.e., time-treated) before centrifugation and smearing (TT). Blood smears were stained using the May-Grünwald Giemsa procedure and lymphocytes were evaluated under a light microscope for characteristic features of apoptosis. Data were analyzed using a 2x3 ANOVA. RESULTS A significant interaction effect existed (P<0.0001) such that at rest, no difference was detected in the amount of lymphocyte apoptosis among WB, ISO, or TT samples. However, after exhaustive exercise, the amount of apoptotic lymphocytes was significantly greater in WB compared with ISO and TT samples (P<0.0001). CONCLUSION Lymphocyte isolation results in a significant decrease in the percent of apoptotic lymphocytes after exhaustive exercise. This reduction is likely due to the time needed to isolate cells, rather than the isolation process itself. Because apoptosis is a time-sensitive process that occurs within minutes rather than hours, the length of time from initial sampling to the preparation of cells for assessment of apoptosis is critical and should be considered in future exercise studies.

Iron supplementation and iron status in exercising young women

The effect of moderate aerobic exercise training and iron supplementation on iron status was studied in college-age women. Thirteen sedentary women, randomly assigned to a placebo group or an iron treatment group (50 mg iron/day as FeSO4, exercised at least three days per week at 70–80% of maximal heart rate for 12 weeks. Increases in maximal oxygen consumption in both groups indicated improved cardiovascular fitness. Venous blood samples were obtained for hemoglobin, hematocrit, serum iron, total iron binding capacity, transferrin saturation, and ferritin determinations at weeks 0, 4, 8, and 12. Analysis of covariance using initial baseline values as the covariate showed that ferritin levels between groups were significantly different (P < 0.01), suggesting compromised iron stores in association with moderate exercise. Iron supplementation was beneficial in maintaining or improving the iron stores of moderately exercising women.