The aim of this study was to analyse the changes of baroreflex sensitivity (BRS) and their relation to changes of heart rate and blood pressure in medical students during moderate psychological stress brought about by oral examination. The changes of BRS during the stress were compared with the changes during light physical exercise. Thirty three students were examined 30 min before and 30 min after the exam. Thirty-nine students of control group were examined at rest and during light exercise. Blood pressure was noninvasively recorded by Peňáz method at rate-controlled breathing (0.33 Hz). The BRS [ms/mm Hg] and BRSf [Hz/mm Hg] were calculated by spectral analysis of spontaneous fluctuations of blood pressure and inter-beat intervals (IBI). BRS before examination (7.12 ms/mm Hg) was significantly lower than after the oral exam (8.77 ms/mm Hg, p<0.05). The difference between BRS in the test group after the oral exam and the control group at rest (10.78 ms/mm Hg) was not significant. BRS during light exercise (7.44 ms/mm Hg) corresponded to the value during psychological stress. The values of BRSf did not change during psychological stress (before: 0.0182 Hz/mm Hg; after: 0.0182 Hz/mm Hg) and exercise (rest: 0.0158 Hz/mm Hg; exercise: 0.0144 Hz/mm Hg). Correlation between BRS or BRSf and blood pressure were not found. A significant negative correlation (r = -0.404, p<0.05) between BRSf and the increase of diastolic blood pressure during stress was observed. It is concluded that BRSf remained constant during psychological stress and exercise, and differed essentially from that in hypertensive subjects.
Abnormal cholesterol metabolism, including low intestinal cholesterol absorption and elevated synthesis, is prevalent in diabetes, obesity, hyperlipidemia, and the metabolic syndrome. Diet-induced weight loss improves cholesterol absorption in these populations, but it is not known if endurance exercise training also improves cholesterol homeostasis. To examine this, we measured circulating levels of campesterol, sitosterol, and lathosterol in 65 sedentary subjects (average age 59 years; with at least one metabolic syndrome risk factor) before and after 6 months of endurance exercise training. Campesterol and sitosterol are plant sterols that correlate with intestinal cholesterol absorption, while lathosterol is a marker of whole body cholesterol synthesis. Following the intervention, plant sterol levels were increased by 10 % (p<0.05), but there was no change in plasma lathosterol. In addition, total and LDL-cholesterol were reduced by 0.16 mmol and 0.10 mmol, respectively (p<0.05), while HDL-C levels increased by 0.09 mmol (p<0.05). Furthermore, the change in plant sterols was positively correlated with the change in VO2 max (r = 0.310, p=0.004), independent of other metabolic syndrome risk factors. These data indicate that exercise training reduces plasma cholesterol despite increasing cholesterol absorption in subjects with metabolic syndrome risk factors., K. R. Wilund ... [et al.]., and Obsahuje seznam literatury
To determine the relationship between hyperventilation and recovery of blood pH during recovery from a heavy exercise, short-term intense exercise (STIE) tests were performed after human subjects ingested 0.3 g · kg-1 body mass of either NaHCO3 (Alk) or CaCO3 (Pla). Ventilation (V.E) - CO2 output (V.co2) slopes during recovery following STIE were significantly lower in Alk than in Pla, indicating that hyperventilation is attenuated under the alkalotic condition. However, this reduction of the slope was the result of unchanged V.E and a small increase in V.co 2.A significant correlation between V.E and blood pH was found during recovery in both conditions. While there was no difference between the V.E - pH slopes in the two conditions, V.E at the same pH was higher in Alk than in Pla. Furthermore, the values of pH during recovery in both conditions increased toward the preexercise levels of each condition. Thus, although V.E - V.co 2 slope was decreased under the alkalotic condition, this could not be explained by the ventilatory depression attributed to increase in blood pH. We speculate that hy perventilation after the end of STIE is determined by the V.E - pH relationship that was set before STIE or the intensity of the exercise performed., T. Yunoki ... [et al.]., and Obsahuje seznam literatury
Exercise can improve the cardiovascular health. However, the mechanism contributing to its beneficial effect on elderly patients with myocardial infarction is obscure. 20-month-old male Sprague-Dawley rats were used to establish myocardial infarction (MI) model by permanent ligation of the left anterior descending coronary artery (LAD) of the heart, followed by 4-week interval exercise training on a motor-driven rodent treadmill. The cardiac function, myocardial fibrosis, apoptosis, oxidative stress, and inflammatory responses were determined by using pressure transducer catheter, polygraph physiological data acquisition system, Masson's trichrome staining, and ELISA to evaluate the impact of post-MI exercise training on MI. Western blot were performed to detect the activation of AMPK/SIRT1/PGC-1α signaling in the hearts of aged rats. Exercise training significantly improved cardiac function and reduced the cardiac fibrosis. In infarcted heart, the apoptosis, oxidative stress, and inflammation were significantly reduced after 4-week exercise training. Mechanistically, AMPK/SIRT1/PGC-1α pathway was activated in the myocardial infarction area after exercise training, which might participate in the protection of cardiac function. Exercise training improves cardiac function in MI rats through reduction of apoptosis, oxidative stress, and inflammation, which may mediate by the activation of AMPK/SIRT1/PGC-1α signaling pathway.
In this study we have evaluated the effect of maximal incremental cycling exercise (IE) on the systemic release of prostacyclin (PGI2), assessed as plasma 6-keto-PGF1α concentration in young healthy men. Eleven physically active - untrained men (mean ± S.D.) aged 22.7 ± 2.1 years; body mass 76.3 ± 9.1 kg; BMI 23.30 ± 2.18 kg · m-2; maximal oxygen uptake (VO2max) 46.5 ± 3.9 ml · kg-1 · min-1, performed an IE test until exhaustion. Plasma concentrations of 6-keto-PGF1α, lactate, and cytokines were measured in venous blood samples taken prior to the exercise and at the exhaustion. The net exercise-induced increase in 6-keto-PGF1α concentration, expressed as the difference between the end-exercise minus pre-exercise concentration positively correlated with VO2max (r=0.78, p=0.004) as well as with the net VO2 increase at exhaustion (r=0.81, p=0.003), but not with other respiratory, cardiac, metabolic or inflammatory parameters of the exercise (minute ventilation, heart rate, plasma lactate, IL-6 or TNF-α concentrations). The exercise-induced increase in 6-keto-PGF1α concentration was significantly higher (p=0.008) in a group of subjects (n=5) with the highest VO2max when compared to the group of subjects with the lowest VO2max, in which no increase in 6-keto-PGF1α concentration was found. In conclusion, we demonstrated, to our knowledge for the first time, that exercise-induced release of PGI2 in young healthy men correlates with VO2max, suggesting that vascular capacity to release PGI2 in response to physical exercise represents an important factor characterizing exercise tolerance. Moreover, we postulate that the impairment of exercise-induced release of PGI2 leads to the increased cardiovascular hazard of vigorous exercise., J. A. Zoladz ... [et al.]., and Obsahuje seznam literatury
Glucose was found to exert an In vitro regulatory effect on prolactin secretion. Its role in the modulation of stimulated secretion of prolactin in man is, however, not clear. To evaluate the effect of hyperglycaemia on prolactin release, three stimulatory tests with different mechanisms of stimulation were employed. Healthy male subjects served as volunteers during submaximal exercise, TRH test (0.2 mg i.v.) and administration of haloperidol (2 mg i.v.). Glucose (100 g in 400 ml) or an equal volume of water was given 30 min before the tests. Blood for glucose and prolactin analysis was taken via an indwelling catheter. The plasma prolactin concentration increased in response to each of the stimuli applied. However, the prolactin increase during hyperglycaemia did not differ from values obtained in tests performed in normoglycaemia after water administration. These results indicate that prolactin release in healthy man is not modulated by hyperglycaemia.
Uridine is postulated to participate in the development of insulin resistance. Since exercise is an effective tool in the treatment of insulin resistance it appeared justified to assess the impact of maximal exercise on plasma uridine and insulin sensitivity indices (e.g. insulin and HOMA-IR) in healthy subjects. The study included forty-four healthy males (18.5±2.92 years, VO2 max 50.2±6.26 ml kg-1 min-1). Subjects performed a single maximal exercise on a bicycle ergometer. Blood samples were taken three times: immediately before exercise, immediately after exercise and at the 30th min of rest. Uridine concentrations were determined in the whole blood using high-performance liquid chromatography. Serum insulin levels were measured by a specific ELISA method. Insulin sensitivity was assessed by homeostasis model assessment method (HOMA-IR). A maximal exercise-induced increase in the concentration of uridine correlated with post-exercise increases in insulin levels and HOMA-IR. Our results indicate a relationship between the concentration of uridine in the blood and indicators of insulin sensitivity in healthy subjects. We are the first to demonstrate that a maximal exercise-induced increase in the concentration of uridine is correlated with post-exercise increases in insulin levels and HOMA-IR in healthy subjects. It appears that uridine may be an indicator of insulin resistance., W. Dudzinska, ... [et al.]., and Obsahuje seznam literatury
Příspěvek z praxe představuje dvě kazuistiky klientek, které vyhledaly odbornou pomoc kvůli potížím s obsesivním cvičením, majícím negativní dopad na jejich osobní i pracovní život a zdravotní i psychický stav. V dnešní společnosti, ve které je kladen velký tlak na výkon a na fyzický vzhled, je pravidelné cvičení jako součást zdravého životního stylu žádoucí strategií zvyšování síly a vytrvalosti. Může být tedy snadné i nadměrné cvičení oceňovat a považovat za doklad fyzické a duševní síly. V předložených kazuistikách je patrné, že si obě ženy skutečný dopad svého chování uvědomily až po několika letech intenzivního každodenního cvičení trvajícího okolo tří až šesti hodin denně, kdy si svůj osobní i pracovní život musely organizovat kolem cvičebních jednotek namísto toho, aby cvičily pro zdraví nebo radost.
První kazuistika představuje problém obsesivního cvičení jako kompenzačního mechanismu u klientky s historií anorexie v anamnéze, v současnosti trpící záchvatovitým přejídáním. Druhá kazuistika na obsesivní cvičení nahlíží z pohledu syndromu závislosti u klientky s historií alkoholové závislosti v rodinné anamnéze a se znaky vlastní alkoholové závislosti. Odlišné příčiny a průběh vedly k odlišným intervenčním postupům u obou případů, které jsou v textu přiblíženy. Hlavními faktory efektivní léčby byly vlastní uvědomění si potřeby pomoci ze strany klientek, posílení sociální opory a intervence založená na skutečných příčinách obsesivního cvičení ve smyslu závislosti nebo kompenzace záchvatovitého přejídání. and The paper from psychological praxis presents two case studies of clients who have sought professional help because of their problems with obsessive exercise having a negative impact on their personal and work life and affecting both their health and mental state. In today's society that puts great pressure on performance and physical appearance, the regular exercise as part of a healthy lifestyle is a desirable strategy for increasing strength and perseverance. It can therefore be easy to appreciate even the excessive exercise and to consider it a proof of physical and mental strength. In the following case studies, it is obvious that both women did not realize the real impact of their behavior until after several years of intense day-to-day workouts lasting from three to six hours a day, when they had to organize their personal and work life around exercise units instead of working out for health or joy.
The first case study presents a problem of obsessive exercise as a compensatory mechanism in a client with a history of anorexia nervosa, currently suffering from binge-eating disorder. The second case study looks at obsessive exercise as a form of the addiction syndrome in a client with a family history of alcohol addiction and a personal history of features of alcohol addiction. Different causes and development led to different intervention procedures in both cases, which are described in the study. The main factors of an effective treatment were clients´ self-awareness of the need for help, strengthening the social support system, and intervention based on the real causes of obsessive exercise in terms of either addiction or compensation of binge eating.
Physical training (PT) is beneficial in cardiovascular diseases associated with NO deficiency such as coronary disease, hypertension, etc. However, it is not known whether PT can also prevent pathological conditions associated with excess NO and fall of blood pressure (BP) such as acute myocardial infarction (AMI). The aim was to compare the effect of AMI on BP and functional state of the endothelium in rats trained by swimming and in untrained animals. After AMI, BP fell from 110±2 to 74±4 mm Hg (p<0.05), the endothelium-dependent relaxation increased from 37±4 to 66±6 % (p<0.05) and the extent of contraction suppression by the endothelium was significantly greater than in the controls. PT itself increased the endothelium-dependent relaxation of rat aorta but left BP unaffected. PT limited the AMI-induced fall of BP to 87±3 mm Hg, the endothelium- dependent relaxation to 53±4 % and prevented the hyporesponsiveness of the aorta to norepinephrine. We suggest that the protective effect of PT is related to inhibition of inducible NO synthase by a negative feedback mechanism.
The aim of this study was to evaluate the influence of exercise with the intensity progressively increasing from rest until maximal oxygen uptake (VCbmax) on 2,3-DPG levels in red blood cells (RBC) in relation to the changes in the acid-base balance and plasma lactate concentration. Six healthy young men (age 22.5 ±1.5 years, V02max 3.48 ±0.20 1/min) participated in this study. The subjects performed an incremental exercise test on a cycloergometer until exhaustion. Blood samples were tested for acid-base balance indices (pH, HCO3-, BE), plasma lactate and RBC 2,3-DPG concentration. Gas exchange variables were measured continuously breath-bybreath. In this paper we present data concerning 2,3-DPG, plasma lactate, pH, HCO3" and BE measured at rest, at the power output corresponding to the lactate threshold (PO LT), at the power output at maximal oxygen uptake (PO VCbmax), as well as 5, 15 and 30 min after finishing the incremental test. Increase of power output above the lactate threshold to the PO V02max was accompanied by a significant (p<0.01) increase of plasma lactate from 2.58±0.78 mmol/1 to 10.22±3.04 mmol/1. This was also accompanied by a significant drop (p<0.01) in blood pH value from 7.352 ± 0.025 at the PO LT to 7.294 ±0.041 at the PO V02max- No significant changes of the RBC
2,3-DPG level were observed at any of the analysed stages of the exercise. The RBC 2,3-DPG level expressed in relation to the changes of haematocrit showed only minor changes during the exercise period and after 15 min of recovery vs. resting value (3.21 ±1.19). However, after 30 min of recovery, RBC 2,3-DPG decreased to the value of 2.32±1.19 /rmol/ml. We conclude that, during an incremental test, no increase in RBC 2,3-DPG concentration is required to reach the maximal oxygen uptake level. Moreover, a rapid decrease in blood pH, developing during a single bout of exercise, is not a stimulus powerful enough to cause significant changes in the RBC 2,3-DPG level during short-term exercise.