Inspiratory muscle training enhances pulmonary O2 uptake kinetics and high-intensity exercise tolerance in humans

Fatigue of the respiratory muscles during intense exercise might compromise leg blood flow, thereby constraining oxygen uptake (VO2) and limiting exercise tolerance. We tested the hypothesis that inspiratory muscle training (IMT) would reduce inspiratory muscle fatigue, speed VO2 kinetics and enhance exercise tolerance. Sixteen recreationally active subjects (mean ± SD, age 22 ± 4 yr) were randomly assigned to receive 4 wk of either pressure threshold IMT [30 breaths twice daily at ~50% of maximum inspiratory pressure (MIP)] or sham treatment (60 breaths once daily at ~15% of MIP). The subjects completed moderate-, severe- and maximal-intensity "step" exercise transitions on a cycle ergometer before (Pre) and after (Post) the 4-wk intervention period for determination of VO2 kinetics and exercise tolerance. There were no significant changes in the physiological variables of interest after Sham. After IMT, baseline MIP was significantly increased (Pre vs. Post: 155 ± 22 vs. 181 ± 21 cmH2O; P < 0.001), and the degree of inspiratory muscle fatigue was reduced after severe- and maximal-intensity exercise. During severe exercise, the VO2 slow component was reduced (Pre vs. Post: 0.60 ± 0.20 vs. 0.53 ± 0.24 l/min; P < 0.05) and exercise tolerance was enhanced (Pre vs. Post: 765 ± 249 vs. 1,061 ± 304 s; P < 0.01). Similarly, during maximal exercise, the VO2 slow component was reduced (Pre vs. Post: 0.28 ± 0.14 vs. 0.18 ± 0.07 l/min; P < 0.05) and exercise tolerance was enhanced (Pre vs. Post: 177 ± 24 vs. 208 ± 37 s; P < 0.01). Four weeks of IMT, which reduced inspiratory muscle fatigue, resulted in a reduced VO2 slow-component amplitude and an improved exercise tolerance during severe- and maximal-intensity exercise. The results indicate that the enhanced exercise tolerance observed after IMT might be related, at least in part, to improved VO2 dynamics, presumably as a consequence of increased blood flow to the exercising limbs

On the mechanism by which dietary nitrate improves human skeletal muscle function.

Inorganic nitrate is present at high levels in beetroot and celery, and in green leafy vegetables such as spinach and lettuce. Though long believed inert, nitrate can be reduced to nitrite in the human mouth and, further, under hypoxia and/or low pH, to nitric oxide. Dietary nitrate has thus been associated favorably with nitric-oxide-regulated processes including blood flow and energy metabolism. Indeed, the therapeutic potential of dietary nitrate in cardiovascular disease and metabolic syndrome-both aging-related medical disorders-has attracted considerable recent research interest. We and others have shown that dietary nitrate supplementation lowers the oxygen cost of human exercise, as less respiratory activity appears to be required for a set rate of skeletal muscle work. This striking observation predicts that nitrate benefits the energy metabolism of human muscle, increasing the efficiency of either mitochondrial ATP synthesis and/or of cellular ATP-consuming processes. In this mini-review, we evaluate experimental support for the dietary nitrate effects on muscle bioenergetics and we critically discuss the likelihood of nitric oxide as the molecular mediator of such effects

Structural and dynamic investigations of graphite based materials

Graphite based materials are of particular interest as energy materials. Graphite is used as a moderator in nuclear reactors and there have been investigations into the ability of modified graphites, such as expanded or intercalated graphite, to store hydrogen. Poly-crystalline coherent inelastic neutron scattering(poly-CINS) is used to give information on the dynamic properties of materials. typically poly-CINS produces large and difficult to interpret data sets. Neutronplot, a novel analysis software suite described in this work, is used in conjunction with predicted dynamic information to analyse poly-CINSdata. X-ray diffraction measurements taken by Keens[1] were used to investigate the bulk structural properties of several natural graphites, one of which was chosen for poly-CINS analysis using IN5 experimental data, simulateddata and Neutronplot. These investigations were also replicated with an exfoliated graphite sample. Both x-ray and neutron diffraction were used to investigate the structure of a C60 intercalated graphite sample derived fromthe exfoliated graphite and a Poly-CINS experiment was conducted using the NEAT spectrometer.We have found that the current IUPAC lattice values for rhombohedral stacking in graphite do not fit with experimental measurements. Also the interlayer spacing of rhombohedrally stacked graphite in natural graphite samples tends to be larger than that of hexagonal graphite. The investigations of exfoliated graphite show how interactions other than the graphene interlayer begin to dominate as disorder is added into the system. Successful C60 intercalation in graphite layers is confirmed by neutron diffraction.Measurements of the elastic constant C33 for natural and exfoliated graphite show good agreement with other graphite measurements. The intercalate poly-CINS measurement suffered from low statistics and shows how Neutronplotcan be used for less than ideal data sets. The data shows diffuse C60 in the graphite matrix, this result is reflected in the diffraction measurements

Health behaviour change considerations for weight loss and type 2 diabetes: nutrition, physical activity and sedentary behaviour

Good nutrition, regular physical activity and low levels of sedentary behaviour are important in the prevention, management and treatment of obesity and type 2 diabetes mellitus (T2DM). Self-management requires individuals to have the capability to enact, opportunity to enable and motivation to perform relevant health behaviours. These behaviours, and the bio-psycho-social drivers of them, should be considered when working in the area of T2DM. Copyright © 2020 John Wiley & Sons

Acute acetaminophen ingestion improves performance and muscle activation during maximal intermittent knee extensor exercise

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.AIM: Acetaminophen is a commonly used medicine for pain relief and emerging evidence suggests that it may improve endurance exercise performance. This study investigated some of the physiological mechanisms by which acute acetaminophen ingestion might blunt muscle fatigue development. METHODS: Thirteen active males completed 60 × 3 s maximum voluntary contractions (MVC) of the knee extensors with each contraction separated by a 2 s passive recovery period. This protocol was completed 60 min after ingesting 1 g of maltodextrin (placebo) or 1 g of acetaminophen on two separate visits. Peripheral nerve stimulation was administered every 6th contraction for assessment of neuromuscular fatigue development, with the critical torque (CT), which reflects the maximal sustainable rate of oxidative metabolism, taken as the mean torque over the last 12 contractions. Surface electromyography was recorded continuously as a measure of muscle activation. RESULTS: Mean torque (61 ± 11 vs. 58 ± 14% pre-exercise MVC) and CT (44 ± 13 vs. 40 ± 15% pre-exercise MVC) were greater in the acetaminophen trial compared to placebo (both P  0.05). However, the decline in electromyography amplitude was attenuated in the acetaminophen trial, with electromyography amplitude being greater compared to placebo from 210 s onwards (P < 0.05). CONCLUSION: These findings indicate that acute acetaminophen ingestion might be ergogenic by increasing CT and preserving muscle activation during high-intensity exercise.This research was not sponsored by any funding body external to University of Exete

Influence of beetroot juice supplementation on intermittent exercise performance.

This is the final version of the article. Available from Springer on open access via the DOI in this record.PURPOSE: This study tested the hypothesis that nitrate (NO3 (-)) supplementation would improve performance during high-intensity intermittent exercise featuring different work and recovery intervals. METHOD: Ten male team-sport players completed high-intensity intermittent cycling tests during separate 5-day supplementation periods with NO3 (-)-rich beetroot juice (BR; 8.2 mmol NO3 (-) day(-1)) and NO3 (-)-depleted beetroot juice (PL; 0.08 mmol NO3 (-) day(-1)). Subjects completed: twenty-four 6-s all-out sprints interspersed with 24 s of recovery (24 × 6-s); seven 30-s all-out sprints interspersed with 240 s of recovery (7 × 30-s); and six 60-s self-paced maximal efforts interspersed with 60 s of recovery (6 × 60-s); on days 3, 4, and 5 of supplementation, respectively. RESULT: Plasma [NO2 (-)] was 237 % greater in the BR trials. Mean power output was significantly greater with BR relative to PL in the 24 × 6-s protocol (568 ± 136 vs. 539 ± 136 W; P  0.05). The increase in blood [lactate] across the 24 × 6-s and 7 × 30-s protocols was greater with BR (P  0.05). CONCLUSION: BR might be ergogenic during repeated bouts of short-duration maximal-intensity exercise interspersed with short recovery periods, but not necessarily during longer duration intervals or when a longer recovery duration is applied. These findings suggest that BR might have implications for performance enhancement during some types of intermittent exercise

Contralateral fatigue during severe-intensity single-leg exercise: influence of acute acetaminophen ingestion.

This is the author accepted manuscript. The final version is available from American Physiological Society via the DOI in this recordExhaustive single-leg exercise has been suggested to reduce time to task failure (Tlim) during subsequent exercise in the contralateral leg by exacerbating central fatigue development. We investigated the influence of acetaminophen (ACT), an analgesic which may blunt central fatigue development, on Tlim- during single-leg exercise completed both with, and without, prior fatiguing exercise of the contralateral leg. Fourteen recreationally-active men performed single-leg, severe-intensity knee extensor exercise to Tlim on the left (Leg1) and right (Leg2) legs without prior contralateral fatigue, and on Leg2 immediately following Leg1 (Leg2-CONTRA). The tests were completed following ingestion of 1 g ACT or maltodextrin (placebo) capsules. Intramuscular phosphorous-containing metabolites and substrates, and muscle activation, were assessed using 31P-MRS and electromyography, respectively. Tlim was not different between the Leg1ACT and Leg1PL conditions (402 ± 101 vs. 390 ± 106 s; P=0.11). There was also no difference in Tlim between Leg2ACT-CONTRA and Leg2PL-CONTRA (324 ± 85 vs. 311 ± 92 s; P=0.10), but Tlim was shorter in these tests compared to Leg2CON (385 ± 104 s; both P0.05). These findings suggest that levels of metabolic perturbation and muscle activation are not different at task failure during single-leg severe-intensity knee extensor exercise completed with or without prior fatiguing exercise of the contralateral leg. Despite the existence of contralateral fatigue, ACT ingestion did not alter neuromuscular responses or exercise performance.NIH

Dietary nitrate supplementation attenuates the reduction in exercise tolerance following blood donation

PublishedJournal ArticleThis is the author accepted manuscript. The final version is available from American Physiological Society via the DOI in this record.We tested the hypothesis that dietary nitrate (NO3-)-rich beetroot juice (BR) supplementation could partially offset deteriorations in O2 transport and utilization and exercise tolerance after blood donation. Twenty-two healthy volunteers performed moderate-intensity and ramp incremental cycle exercise tests prior to and following withdrawal of ~450 ml of whole blood. Before donation, all subjects consumed seven 70-ml shots of NO3--depleted BR [placebo (PL)] in the 48 h preceding the exercise tests. During the 48 h after blood donation, subjects consumed seven shots of BR (each containing 6.2 mmol of NO3-, n = 11) or PL (n. = 11) before repeating the exercise tests. Hemoglobin concentration and hematocrit were reduced by ~8-9% following blood donation (P < 0.05), with no difference between the BR and PL groups. Steady-state 02 uptake during moderate-intensity exercise was ~4% lower after than before donation in the BR group (P < 0.05) but was unchanged in the PL group. The ramp test peak power decreased from predonation (341 ± 70 and 331 ± 68 W in PL and BR, respectively) to postdonation (324 ± 69 and 322 ± 66 W in PL and BR, respectively) in both groups (P < 0.05). However, the decrement in performance was significantly less in the BR than PL group (2.7% vs. 5.0%, P < 0.05). NO3 supplementation reduced the 02 cost of moderate-inten-sity exercise and attenuated the decline in ramp incremental exercise performance following blood donation. These results have implications for improving functional capacity following blood loss.We thank James White Drinks (Ipswich, UK) for donating the juices used in the study. We also thank Matthew Black, James Kelly, and Daryl Wilkerson for assistance with data processing

Two weeks of watermelon juice supplementation improves nitric oxide bioavailability but not endurance exercise performance in humans

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.This study tested the hypothesis that watermelon juice supplementation would improve nitric oxide bioavailability and exercise performance. Eight healthy recreationally-active adult males reported to the laboratory on two occasions for initial testing without dietary supplementation (control condition). Thereafter, participants were randomly assigned, in a cross-over experimental design, to receive 16 days of supplementation with 300 mL·day(-1) of a watermelon juice concentrate, which provided ∼3.4 g l-citrulline·day(-1) and an apple juice concentrate as a placebo. Participants reported to the laboratory on days 14 and 16 of supplementation to assess the effects of the interventions on blood pressure, plasma [l-citrulline], plasma [l-arginine], plasma [nitrite], muscle oxygenation and time-to-exhaustion during severe-intensity exercise. Compared to control and placebo, plasma [l-citrulline] (29 ± 4, 22 ± 6 and 101 ± 23 μM), [l-arginine] (74 ± 9, 67 ± 13 and 116 ± 9 μM) and [nitrite] (102 ± 29, 106 ± 21 and 201 ± 106 nM) were higher after watermelon juice supplementation (P < 0.01). However, systolic blood pressure was higher in the watermelon juice (130 ± 11) and placebo (131 ± 9) conditions compared to the control condition (124 ± 8 mmHg; P < 0.05). The skeletal muscle oxygenation index during moderate-intensity exercise was greater in the watermelon juice condition than the placebo and control conditions (P < 0.05), but time-to-exhaustion during the severe-intensity exercise test (control: 478 ± 80, placebo: 539 ± 108, watermelon juice: 550 ± 143 s) was not significantly different between conditions (P < 0.05). In conclusion, while watermelon juice supplementation increased baseline plasma [nitrite] and improved muscle oxygenation during moderate-intensity exercise, it increased resting blood pressure and did not improve time-to-exhaustion during severe-intensity exercise. These findings do not support the use of watermelon juice supplementation as a nutritional intervention to lower blood pressure or improve endurance exercise performance in healthy adults