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https://www.readbyqxmd.com/read/29040221/thermoeffector-responses-at-a-fixed-rate-of-heat-production-in-heart-failure-patients
#1
Bryce N Balmain, Ollie Jay, Norman R Morris, Kenji Shiino, Glenn M Stewart, Rohan Jayasinghe, Jonathan Chan, Surendran Sabapathy
PURPOSE: Heart failure (HF) patients appear to exhibit altered thermoregulatory responses during exercise in the heat. However, the extent to which these responses are altered due to physiological impairments independently of biophysical factors associated with differences in metabolic heat production (Hprod), evaporative heat balance requirements (Ereq) and/or body size, is presently unclear. Therefore, we examined thermoregulatory responses in 10 HF and 10 age-matched controls (CON) similar in body size during exercise at a fixed rate of Hprod, and therefore Ereq in a 30°C environment...
October 16, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29036843/aberrant-peak-lactate-response-in-ms
#2
Kathrin Schlüter, Josephina Maier, Stefan Patra, Stefan M Gold, Christoph Heesen, Karl-Heinz Schulz
BACKGROUND: The peak blood lactate response to an exhaustive exercise test in a number of chronic conditions has been shown to differ from that seen in healthy, untrained individuals. However, this has not been investigated for patients with multiple sclerosis (MS). OBJECTIVE: The main objective was to determine and compare the peak blood lactate response to exercise and the maximal workload between two groups of MS patients with different illness severity. METHODS: Twenty-five patients with a relapsing-remitting disease course (Group RR) and 41 patients with a secondary- or primary chronic progressive disease course (group CP) performed an exhaustive incremental bicycle ergometry...
October 11, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/29017478/effectiveness-of-pulmonary-rehabilitation-in-patients-with-interstitial-lung-disease-of-different-etiology-a-multicenter-prospective-study
#3
Roberto Tonelli, Elisabetta Cocconcelli, Barbara Lanini, Isabella Romagnoli, Fabio Florini, Ivana Castaniere, Dario Andrisani, Stefania Cerri, Fabrizio Luppi, Riccardo Fantini, Alessandro Marchioni, Bianca Beghè, Francesco Gigliotti, Enrico M Clini
BACKGROUND: Recent evidences show that Pulmonary Rehabilitation (PR) is effective in patients with Interstitial Lung Disease (ILD). It is still unclear whether disease severity and/or etiology might impact on the reported benefits. We designed this prospective study 1) to confirm the efficacy of rehabilitation in a population of patients with ILDs and 2) to investigate whether baseline exercise capacity, disease severity or ILD etiology might affect outcomes. METHODS: Forty-one patients (IPF 63%, age 66...
October 10, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/29016480/revisiting-the-single-visit-protocol-for-determining-the-electromyographic-fatigue-threshold
#4
Fatin L Khan, Jordan M Lawal, Drew O Kapture, Joseph D Swingle, Moh H Malek
The electromyographic fatigue threshold (EMGFT) has been shown to demarcate between non-fatiguing and fatiguing exercise workloads. One potential limitation of incorporating the single EMGFT test in a clinical setting is the 2-min stage increment inherit to the protocol. In most rehabilitation clinics time with the client is limited and any testing procedures need to consider this factor. The purpose of this study, therefore, was to determine whether or not the estimation of the EMGFT is influenced by reducing the incremental stage to 1-min intervals...
October 7, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28985267/effect-of-exercise-on-arterial-stiffness-is-there-a-ceiling-effect
#5
David Montero, Andreas Breenfeldt-Andersen, Laura Oberholzer, Thomas Haider
BACKGROUND: Whether arterial stiffness (AS) can be improved by regular exercise in healthy individuals remains equivocal according to cross-sectional and longitudinal studies assessing arterial properties at discrete time points. The purpose of the present study was to pinpoint the time course of training-induced adaptations in central AS. METHODS: Aorta characteristic impedance (Zc) and carotid distensibility (CD) were determined with ultrasonography prior to (week 0) and across 8 weeks (weeks 2, 4, and 8) of supervised endurance training (ET) (3 × 60 minutes cycle ergometry sessions per week), in 9 previously untrained healthy normotensive adults (27 ± 4 years) with no history of cardiovascular disease...
August 31, 2017: American Journal of Hypertension
https://www.readbyqxmd.com/read/28977120/a-practical-approach-to-assess-leg-muscle-oxygenation-during-ramp-incremental-cycle-ergometry-in-heart-failure
#6
A C Barroco, P A Sperandio, M Reis, D R Almeida, J A Neder
Heart failure is characterized by the inability of the cardiovascular system to maintain oxygen (O2) delivery (i.e., muscle blood flow in non-hypoxemic patients) to meet O2 demands. The resulting increase in fractional O2 extraction can be non-invasively tracked by deoxygenated hemoglobin concentration (deoxi-Hb) as measured by near-infrared spectroscopy (NIRS). We aimed to establish a simplified approach to extract deoxi-Hb-based indices of impaired muscle O2 delivery during rapidly-incrementing exercise in heart failure...
October 2, 2017: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/28965267/exercise-performance-and-quality-of-life-in-children-with-cystic-fibrosis-and-mildly-impaired-lung-function-relation-with-antibiotic-treatments-and-hospitalization
#7
Kristof Vandekerckhove, Michiel Keyzer, Jasper Cornette, Ilse Coomans, Filip Pyl, Frans De Baets, Petra Schelstraete, Filomeen Haerynck, Daniel De Wolf, Sabine Van Daele, Jan Boone
This study evaluates the impact of antibiotic treatments and hospitalization on exercise performance and health-related quality of life (QOL) in children with mild cystic fibrosis (CF) lung disease. Forty-seven children between 7 and 17 years with mild CF underwent a maximal exercise test including spiro-ergometry and filled out a QOL-questionnaire (PedsQL™). Amount of antibiotic treatments (AB) and hospitalization days in the last 3 years were reviewed. FEV1% was mildly decreased (91.7 ± 17.9 L/min, p = 0...
September 30, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28960784/reproducibility-of-peak-oxygen-consumption-and-the-impact-of-test-variability-on-classification-of-individual-training-responses-in-young-recreationally-active-adults
#8
Brittany A Edgett, Jacob T Bonafiglia, James P Raleigh, Mario P Rotundo, Matthew D Giles, Jonathan P Whittall, Brendon J Gurd
This study investigated whether VO2 peak is reproducible across repeated tests before (PRE) and after (POST) training, and whether variability across tests impacts how individual responses are classified following 3 weeks of aerobic exercise training (cycle ergometry). Data from 45 young healthy adults (age: 20·1 ± 0·9 years; VO2 peak, 42·0 ± 6·7 ml·min(-1) ) from two previously published studies were utilized in the current analysis. Non-responders were classified as individuals who failed to demonstrate an increase or decrease in VO2 peak that was greater than 2·0 times the typical error of measurement (107 ml·min(-1) ) away from zero, while responders and adverse responders were above and below this cut-off, respectively...
September 28, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/28949265/reference-values-for-blood-pressure-response-to-cycle-ergometry-in-the-first-two-decades-of-life-comparison-with-patients-with-a-repaired-coarctation-of-the-aorta
#9
Mirna Kaafarani, Christian Schroer, Tim Takken
BACKGROUND: It is now common practice to use hemodynamic responses to exercise as markers of diagnosis for cardiac diseases in children, systolic blood pressure especially. However, the reference values for SBP in children at peak exertion level are outdated, and, without a current definition of normal, clinicians cannot determine the physiologically impaired. OBJECTIVE: This study aimed to establish current reference values for peak systolic blood pressure (SBP), rate pressure product (RPP), and circulatory power (CircP)...
September 26, 2017: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/28940670/deoxygenation-of-inspiratory-muscles-during-cycling-hyperpnoea-and-loaded-breathing-in-health-and-disease-a-systematic-review
#10
REVIEW
Takako Tanaka, Nada Basoudan, Luana T Melo, Lisa Wickerson, Laurent J Brochard, Ewan C Goligher, W Darlene Reid
Assessing inspiratory muscle deoxygenation and blood flow can provide insight into anaerobic stress, recruitment strategies and mechanisms of inspiratory muscle limitation. Therefore, this review aimed to synthesize measurements of inspiratory muscle oxyhaemoglobin (O2 Hb), deoxyhaemoglobin (HHb), blood volume and flow of the inspiratory muscles acquired via near-infrared spectroscopy (NIRS) during cycling, hyperpnoea and loaded breathing in healthy non-athletes, healthy athletes and patients with chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF)...
September 22, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/28939710/hemodynamic-profile-of-patients-with-heart-failure-and-preserved-ejection-fraction-vary-by-age
#11
Shane Nanayakkara, Mark Haykowsky, Justin Mariani, Vanessa Van Empel, Micha T Maeder, Donna Vizi, David M Kaye
BACKGROUND: Patients with heart failure with preserved ejection fraction (HFpEF) exhibit a range of cardiovascular phenotypic profiles modified by several common comorbidities. In particular, patients with HFpEF tend to be older; however, it is unclear whether the effects of cardiovascular aging per se modify the expression of HFpEF. We therefore sought to investigate the interaction between age and physiologic profile in patients with HFpEF. METHODS AND RESULTS: We assessed the hemodynamic and metabolic profile of 40 patients with HFpEF...
September 22, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28930880/cycling-power-outputs-predict-functional-threshold-power-and-maximum-oxygen-uptake
#12
Joshua Denham, John Scott-Hamilton, Amanda D Hagstrom, Adrian J Gray
Functional threshold power (FTP) has emerged as a correlate of lactate threshold and is commonly assessed by recreational and professional cyclists for tailored exercise programing. To identify whether results from traditional aerobic and anaerobic cycling tests could predict FTP and V˙ O2max, we analysed the association between estimated FTP, maximum oxygen uptake (V˙ O2max [mlkgmin]) and power outputs obtained from a maximal cycle ergometry cardiopulmonary exercise test (CPET) and a 30-s Wingate test in a heterogeneous cohort of cycle-trained and untrained individuals (N=40, mean±SD; age: 32...
September 11, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28916639/small-rna-seq-during-acute-maximal-exercise-reveal-rnas-involved-in-vascular-inflammation-and-cardiometabolic-health
#13
Ravi Shah, Ashish S Yeri, Avash Das, Amanda Courtright-Lim, Olivia Ziegler, Ernest Gervino, Jeffrey Ocel, Pablo Quintero Pinzon, Luke Wooster, Cole Shields Bailey, Kahraman Tanriverdi, Lea Beaulieu, Jane E Freedman, Ionita Ghiran, Gregory D Lewis, Kendall Van Keuren-Jensen, Saumya Das
OBJECTIVE: Exercise improves cardiometabolic and vascular function, though mechanisms remain unclear. Our objective was to demonstrate the diversity of circulating extracellular RNA (ex-RNA) release during acute exercise in humans and its relevance to exercise-mediated benefits on vascular inflammation. Approach and Results: We performed plasma small RNA sequencing (RNA-seq) in 26 individuals undergoing symptom-limited maximal treadmill exercise, with replication of our top candidate miRNA in a separate cohort of 59 individuals undergoing bicycle ergometry...
September 15, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/28874320/exercise-training-for-intermittent-claudication
#14
Mary M McDermott
OBJECTIVE: The objective of this study was to provide an overview of evidence regarding exercise therapies for patients with lower extremity peripheral artery disease (PAD). METHODS: This manuscript summarizes the content of a lecture delivered as part of the 2016 Crawford Critical Issues Symposium. RESULTS: Multiple randomized clinical trials demonstrate that supervised treadmill exercise significantly improves treadmill walking performance in people with PAD and intermittent claudication symptoms...
September 2, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28854963/takayasu-s-arteritis-a-case-with-relapse-after-urgent-coronary-revascularization
#15
Klaus Empen, Astrid Hummel, Daniel Beug, Stephan B Felix, Mathias C Busch, Piotr M Kaczmarek
BACKGROUND: Vasculitides are commonly unrecognized causes of coronary stenosis and myocardial ischemia. We report on a 24-year old patient with Takayasu's arteritis who underwent urgent percutaneous coronary intervention, suffered from symptomatic restenosis of the left main coronary artery during standard immunosuppressive therapy. CASE PRESENTATION: A 24-year old woman was referred for coronary angiography because of typical progressive angina pectoris. On bicycle ergometry, there were both reproducible symptoms and deep ST segment depressions on precordial leads...
July 25, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28852841/association-of-breathing-sound-spectra-with-glottal-dimensions-in-exercise-induced-vocal-cord-dysfunction
#16
Ahmed Geneid, L-M Aaltonen, L Porra, J Peltonen, K Palmu, A Sovijärvi, P Piirilä
The objective of this study was to evaluate associations between the breathing sound spectra and glottal dimensions in exercise-induced vocal cord dysfunction (EIVCD) during a bicycle ergometry test. Nineteen subjects (mean age 21.8 years and range 13-39 years) with suspected EIVCD were studied. Vocal folds were continuously imaged with videolaryngoscopy and breathing sounds were recorded during the bicycle exercise test. Twelve subjects showed paradoxical movement of the vocal folds during inspiration by the end of the exercise...
November 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28841877/influence-of-resting-lung-diffusion-on-exercise-capacity-in-patients-with-copd
#17
Mehrdad Behnia, Courtney Wheatley, Alberto Avolio, Bruce Johnson
BACKGROUND: Lung diffusing capacity for carbon monoxide (DLCO) gives an overall assessment of functional lung surface area for gas exchange and can be assessed using various methods. DLCO is an important factor in exercise intolerance in patients with chronic obstructive pulmonary disease (COPD). We investigated if the intra-breath (IBDLCO) method may give a more sensitive measure of available gas exchange surface area than the more typical single breath (SBDLCO) method and if COPD subjects with the largest resting DLCO relative to pulmonary blood flow (Qc) would have a more preserved exercise capacity...
August 25, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/28821962/influence-of-aerobic-fitness-on-vasoreactivity-in-young-men
#18
Preston L Bell, Edward T Kelley, Stephanie M McCoy, Daniel P Credeur
Previous work has demonstrated a direct relationship between aerobic fitness and vasodilatory function (i.e., flow-mediated dilation; FMD); however, the relation between aerobic fitness and vasoconstrictor responsiveness (i.e., low flow-mediated constriction; L-FMC), and the overall vasoactive range (FMD + L-FMC) is unclear. PURPOSE: To test the hypothesis that L-FMC and the overall vasoactive range (FMD + L-FMC) will be related to aerobic fitness in young, healthy men. METHODS: Twenty men (age: 23 ± 5 years) were recruited, and divided evenly into a higher (HF) vs...
August 18, 2017: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/28818999/short-term-arrival-strategies-for-endurance-exercise-performance-at-moderate-altitude
#19
Joshua L Foss, Keren Constantini, Timothy D Mickleborough, Robert F Chapman
For sea level-based endurance athletes who compete at moderate and high altitudes, many are not logistically able to arrive at altitude weeks prior to the event to fully acclimatize. For those who can only arrive at altitude the night before competition, we asked if there is a physiological and performance advantage in reducing altitude exposure time to two hours prior to competition. On three separate visits, ten cyclists completed overnight laboratory exposures of: 1) a 14-hour exposure to normobaric hypoxia (16...
August 17, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28758518/allometric-scaling-of-power-force-velocity-ergometry-profiles-in-men
#20
Hamdi Jaafar
AIM: To examine the appropriate magnitude of allometric scaling of the force-velocity relationship according to body dimensions and to establish normative data for the power-force-velocity relationship for active men. SUBJECTS AND METHODS: Ninety-seven participants completed a force-velocity test on a Monark cycle ergometer. Allometric exponents and percentile ranks were established for maximal power (Pmax), maximal force (F0) and maximal velocity (V0). RESULTS: The mean (± SD) of Pmax, F0 and V0 were 1114...
July 31, 2017: Annals of Human Biology
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