Tom R. Thomas

Exercise and the metabolic syndrome with weight regain

Weight loss improves metabolic syndrome (MetS) factors, but risk may return with weight regain. This study was designed to determine if exercise training can maintain improvements in MetS risk factors during weight regain. In a randomized control trial,102 overweight or obese (body mass index 25.0-39.9 kg/m(2)) men and women (age 21-52 yr), with characteristics of the MetS, lost 10% of body weight with supervised walking/jogging at 60% of maximal oxygen consumption (Vo(2 max)) (-400 kcal/session), 5 days/wk, and caloric restriction (-600 kcal/day) over a 4- to 6-mo period. After weight loss, 77 remaining subjects underwent programmed weight regain (+50% of lost weight) for 4-6 mo with random assignment to two groups: no exercise (NoEX) or continued supervised exercise (EX). Blood pressure, regional fat, glucose homeostasis, lipids, and inflammatory markers were assessed at baseline, post-weight loss, and post-weight regain. Groups were compared by two-way repeated-measures ANOVA on the 67 subjects. After weight loss (9.7 +/- 0.2% of body weight), significant (P < 0.05) improvements were observed in almost all parameters assessed. Following weight regain (54.4 +/- 1.6% of lost weight), the NoEX group exhibited deterioration in most metabolic markers, while the EX group maintained improvements in Vo(2 max), blood pressures, glucose homeostasis, high- and low-density lipoprotein cholesterol (HDL-C and LDL-C), oxidized LDL, and other markers of inflammation, but did not maintain improvements in triglyceride and cholesterol concentrations or abdominal fat. Results of this design of controlled human weight regain suggest that aerobic exercise can counter the detrimental effects of partial weight regain on many markers of disease risk.

Effects of Acute 60 and 80% VO2max Bouts of Aerobic Exercise on State Anxiety of Women of Different Age Groups across Time

Abstract The purpose of this investigation was to study the effects of an acute bout of aerobic exercise on state anxiety of women while controlling for iron status (hemoglobin and serum ferritin). Participants were 24 active women, ages 18-20 years (n = 12) and 35-45 years (n = 12). In addition to a nonexercise control condition, participants completed one exercise bout at 60% maximal oxygen uptake (VO2max) and one at 80% VO2max. Each exercise session consisted of a 33-min bout in which participants exercised at their target intensities for a 20-min segment. Immediately before each exercise trial, participants were given the Spielberger State Anxiety Inventory (SAI). The SAI was again administered immediately following the exercise session and at 30, 60, and 90 min postexercise. Data were analyzed using an Age x Intensity x Time (2 × 3 × 5) repeated measures analysis of covariance (ANCOVA) with iron status serving as the covariate. The ANCOVA on state anxiety yielded significant effects for time (p < .0001, η2 p = .48), the Intensity x Time interaction (p = .0006, η2 p = = .19), and the Intensity x Age interaction (p = .04, η2 p = .15). Alt three exercise conditions (including control) showed a decline in state anxiety across time, but the 80% VO2max condition showed a sharper decline. Intensity of exercise conditions did not differ in state anxiety at baseline or immediately after exercise, but a difference favoring the 80% VO2max condition over the control condition emerged at 30 min postexercise. After controlling for iron status, older women who exercised at 80% VO2max exhibited lower SAI scores compared to the control condition.

Physiological and Perceived Exertion Responses to Six Modes of Submaximal Exercise

In order to compare the cardiovascular and perceived exertion responses to 6 modes of exercise, 10 male recreational exercisers were habituated to treadmill jogging, stationary skiing, shuffle skiing, stepping, stationary cycling, and stationary rowing. After following a specific dietary preparation, each participant performed a 20-min exercise bout at a constant 14-rating of perceived exertion (RPE) followed by a second exercise bout at 60% of mode-specific peak oxygen consumption (VO2peak). On the 14-RPE trial, oxygen consumption (VO2) and oxygen pulse were significantly higher during jogging than during other exercise modes, and oxygen pulse was higher during skiing than during shuffle skiing. On the 60% VO2peak bout, oxygen pulse was significantly higher during jogging than during shuffle skiing, cycling and rowing. Ratings of perceived exertion were significantly higher during cycling than during jogging. These results indicated that a variety of exercise modes can be used to develop fitness, but jogging may induce a slightly more favorable VO2-to-RPE relationship.

%VO2max versus %HRmax regressions for six modes of exercise

The purpose of the study was to compare the %VO2max versus %HRmax regression equations developed from data collected during incremental work on six exercise modes: treadmill (T), cycle (C), skier (S), shuffle skier (SS), stepper (ST), and rower (R). Ten active males were habituated to all modes and then performed an incremental test to maximum on each mode. Mode order was assigned by Latin square sequences and the tests were separated by at least 72 h. VO2 and HR were recorded at each increment. Regression analyses were performed using SAS-GLM. Regressions for T, S, SS, and ST were not significantly different. C had a lower intercept and higher slope, while R had a higher intercept and lower slope than the other exercise modes. These results suggest that weight bearing exercise modes have similar %VO2max-%HRmax regressions. However, weight supported and arm exercise modes appear to have different regressions.

Fat utilization enhanced by exercise in a cold environment.

To study substrate utilization during cold temperature exercise, seven men dressed in shorts, T-shirts, and light gloves performed 60 min of continuous cycle ergometer exercise at -10 degrees C and 22 degrees C. The workload at both temperatures represented 66% of the cycle-measured maximal heart rate. Oxygen consumption and respiratory exchange ratio (RER) were measured at rest and during 60 min of exercise. Rates of total and fat energy utilization (kJ X min-1) during exercise were calculated from VO2 and RER. A two-factor repeated measures analysis of variance indicated that at rest oxygen consumption averaged 56% higher and RER 5% lower at -10 degrees C. During exercise, oxygen consumption averaged 10% higher (P less than 0.05), and RER averaged 2% lower (P less than 0.05) at -10 degrees C. The rates of total energy use (mean +/- SD = 39.3 +/- 1.2 vs 35.7 +/- 1.3 kJ X min-1; P less than 0.05) were significantly higher at -10 degrees C than at 22 degrees C. In addition, the rate of fat use increased significantly in both groups after 30 min of exercise. The cumulative total energy expenditure for 60 min of exercise was 13% higher (2379 +/- 308 vs 2110 +/- 415 kJ; P less than 0.05 and the cumulative fat expenditure was 35% higher (979 +/- 209 vs 724 +/- 184 kJ: P less than 0.05) in the cold environment. These results indicate that a cold environment can significantly enhance fat utilization during endurance exercise.

Sex Differences in Exercise-Induced Muscle Pain and Muscle Damage

UNLABELLED There is uncertainty about sex differences in exercise-induced muscle pain and muscle damage due to several methodological weaknesses in the literature. This investigation tested the hypothesis that higher levels of exercise-induced muscle pain and muscle damage indicators would be found in women than men when several methodological improvements were executed in the same study. Participants (N = 33; 42% women) with an average age of 23 years (SD = 2.82) consented to participate. After a familiarization session, participants visited the laboratory before and across 4 days after eccentric exercise was completed to induce arm muscle pain and muscle damage. Our primary outcomes were arm pain ratings and pressure pain thresholds. However, we also measured the following indicators of muscle damage: arm girth; resting elbow extension; isometric elbow flexor strength; myoglobin (Mb); tumor necrosis factor (TNFa); interleukin 1beta (IL1b); and total nitric oxide (NO). Temporary induction of muscle damage was indicated by changes in all outcome measures except TNFa and IL1b. In contrast to our hypotheses, women reported moderately lower and less frequent muscle pain than men. Also, womens arm girth and Mb levels increased moderately less than mens, but the differences were not significant. Few large sex differences were detected. PERSPECTIVE Lower muscle pain among women than men was detected with corresponding, but nonsignificant sex differences in other muscle damage indicators. Methodological advances may have improved alignment of these results with the nonhuman animal findings. This line of research continues to show exceptions to the generalization that women experience greater pain than men.

Fat energy use and plasma lipid changes associated with exercise intensity and temperature

SummaryThe effect of 60 min of exercise at two intensities (50 and 60%

Influence of Fitness Status on Very-Low-Density Lipoprotein Subfractions and Lipoprotein(a) in Men and Women

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