Cardiac autonomic function, cardiovascular risk and physical activity in adolescents.

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.The aims of this study were to investigate in adolescents: 1) the relationships of physical activity (PA) and cardiorespiratory fitness (CRF) to traditional CVD risk factors, rest and recovery autonomic function; and 2) whether autonomic function strengthens the associations between PA, CRF and CVD risk. Fifty-four (22 girls) adolescents had traditional CVD risk factors, rest and recovery autonomic function evaluated. CRF was measured using a steep ramp cycle test and PA was assessed with accelerometers. Resting HRV (and RMSSD30) and heart rate recovery (T30, HHRτ) were used. Clustered traditional (CVDRtrad) and autonomic (CVDRauto) risk scores were created and added to form a composite clustered CVD risk score (CVDRcom). PA and CRF were significantly and negatively associated with traditional CVD risk factors. Moderate (MPA) and vigorous (VPA) were positively related to resting RMSSD, and negatively related to T30 and HHRτ (all P<0.05). RMSSD30 recovered faster in the high compared to low median split for VPA. Stronger associations for CVDRcom compared to CVDRtrad were observed for MPA (CVDRcom: r2=0.32, P=<0.001; CVDRtrad: r2=0.17, P=0.002), and VPA (CVDRcom: r2=0.18, P=0.001; CVDRtrad: r2=0.06, P=0.08). These findings strengthen the proposed additional beneficial effects of PA on autonomic function above traditional CVD risk factors.RSO is funded by Science Without Borders, CAPES, Brazil, under the process number:10423-13-3

Prediction of peak oxygen uptake using the modified shuttle test — Methodological concerns and implications for clinical practice

This is the author accepted manuscrip

The acute effect of exercise intensity on vascular function in adolescents

This is a non-final version of an article published in final form in Medicine and Science in Sports and Exercise.Introduction: Impairments in vascular function are present in asymptomatic youths with risk factors for cardiovascular disease. Exercise can promote vascular health in youth, but the effect of exercise intensity and the time course in response to acute exercise are unknown. Methods: Twenty adolescents (10 male, 14.1 ± 0.3 y) on separate days, and in a counter-balanced order: 1) cycled at 90% of the gas exchange threshold (moderate-intensity exercise; MIE); 2) completed 8x1 min cycling at 90% peak power with 75 s recovery (high-intensity interval exercise; HIIE). The duration of MIE (25.8 ± 2.1 min) was work-matched to HIIE (23.0 min). Macro- and micro-vascular function were assessed before, immediately post, and 1 and 2 hours after exercise by flow mediated dilation (FMD) and laser Doppler imaging (total reactive hyperaemia). Results: FMD was attenuated immediately after HIIE (P0.60 for all) and HIIE (P1.18 for all). Total reactive hyperaemia was greater in HIIE compared to MIE immediately after (P=0.03, ES=0.67) and 1 hour after (P=0.01, ES=0.62) exercise, with a trend to be greater 2 hours after (P=0.06, ES=0.45). Conclusion: Exercise intensity is positively associated with macro- and micro-vascular function 1 and 2 hours after exercise. Performing HIIE may provide superior vascular benefits than MIE in adolescents

Confirming the Value of Adolescent Swimming Performance Models

This is the author accepted manuscript. The final version is available from Human Kinetics via the DOI in this record.PURPOSE: To evaluate the efficacy of existing performance models to assess the progression of male and female adolescent swimmers through a quantitative and qualitative mixed-methods approach. METHODS: Fourteen published models were tested using retrospective data from an independent sample of Dutch junior national-level swimmers from when they were between 12 and 18 years of age (n=13). The degree of association by Pearson's correlations were compared between the calculated differences from the models and quadratic functions derived from the Dutch junior national qualifying times. Swimmers were grouped based on their differences from the models and compared with their swimming histories that were extracted from questionnaires and follow-up interviews. RESULTS: Correlations of the deviations from both the models and quadratic functions derived from the Dutch qualifying times were all significant except for the 100 m breaststroke and butterfly and the 200 m freestyle female events (p&#x003C;0.05). Additionally, the 100 m freestyle and backstroke for males and 200 m freestyle male and female events were almost directly proportional. In general deviations from the models were accounted for by the swimmers' training histories. Higher levels of retrospective motivation appeared to be synonymous with higher-level career performance. CONCLUSIONS: This mixed-methods approach helped to confirm the validity of the models that were found to be applicable to adolescent swimmers at all levels, allowing coaches to track performance and set goals. The value of the models in being able to account for the expected performance gains during adolescence allows for peripheral factors that could affect performance to be quantified

Exercise capacity following a percutaneous endoscopic gastrostomy in a young female with cystic fibrosis: a case report

This is the final version of the article. Available from the publisher via the DOI in this record.Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society.Cystic fibrosis (CF) is a genetic condition affecting the respiratory and gastrointestinal systems, with patients experiencing problems maintaining weight, especially during rapid growth periods such as puberty. The aim of this case report was to monitor the effect of gastrostomy insertion and implementation of overnight supplemental feeding upon clinical outcomes, including body mass index (BMI), lung function (FEV1), and exercise-related variables (maximal oxygen uptake [VO2max] and ventilatory efficiency [VE/VO2]) in an 11-year-old female with CF. Combined incremental and supramaximal exercise testing to exhaustion was performed at four time points: 3 months prior to the procedure (T1), 2 days prior to (T2), 4 months (T3), and 1 year following the procedure (T4). Improvements following gastrostomy insertion were observed at the 1 year follow-up with regards to BMI (+20%); whereas absolute VO2max remained stable and lung function fluctuated throughout the period of observation. Declines in function with regards to body weight relative VO2max (−16.3%) and oxygen uptake efficiency (+7.5%) were observed during this period. This case report is the first to consider exercise-related clinical outcomes in assessing the effect of implementing gastrostomy feeding in CF. The varied direction and magnitude of the associations between variables shows that further investigations are required

Bioinformatic analysis of ciliary transition zone proteins reveals insights into the evolution of ciliopathy networks

This is the final version of the article. Available from the publisher via the DOI in this record.BACKGROUND: Cilia are critical for diverse functions, from motility to signal transduction, and ciliary dysfunction causes inherited diseases termed ciliopathies. Several ciliopathy proteins influence developmental signalling and aberrant signalling explains many ciliopathy phenotypes. Ciliary compartmentalisation is essential for function, and the transition zone (TZ), found at the proximal end of the cilium, has recently emerged as a key player in regulating this process. Ciliary compartmentalisation is linked to two protein complexes, the MKS and NPHP complexes, at the TZ that consist largely of ciliopathy proteins, leading to the hypothesis that ciliopathy proteins affect signalling by regulating ciliary content. However, there is no consensus on complex composition, formation, or the contribution of each component. RESULTS: Using bioinformatics, we examined the evolutionary patterns of TZ complex proteins across the extant eukaryotic supergroups, in both ciliated and non-ciliated organisms. We show that TZ complex proteins are restricted to the proteomes of ciliated organisms and identify a core conserved group (TMEM67, CC2D2A, B9D1, B9D2, AHI1 and a single TCTN, plus perhaps MKS1) which are present in >50% of all ciliate/flagellate organisms analysed in each supergroup. The smaller NPHP complex apparently evolved later than the larger MKS complex; this result may explain why RPGRIP1L, which forms the linker between the two complexes, is not one of the core conserved proteins. We also uncovered a striking correlation between lack of TZ proteins in non-seed land plants and loss of TZ-specific ciliary Y-links that link microtubule doublets to the membrane, consistent with the interpretation that these proteins are structural components of Y-links, or regulators of their formation. CONCLUSIONS: This bioinformatic analysis represents the first systematic analysis of the cohort of TZ complex proteins across eukaryotic evolution. Given the near-ubiquity of only 6 proteins across ciliated eukaryotes, we propose that the MKS complex represents a dynamic complex built around these 6 proteins and implicated in Y-link formation and ciliary permeability.We would like to thank Jordan Raff and Teunis J.P. van Dam for helpful discussions. This work was supported by the Medical Research Council (grant number #G1001644 to HRD, support for AB)

Muscle function and size in the lumbar spine before and after a four week exercise intervention

ArticleThis is the author accepted manuscript. The final version is available from IOS Press via the DOI in this record.BACKGROUND: Exercise of the spinal muscles is recommended for a variety of rehabilitative reasons but it is not always clear whether interventions are effective in improving the performance of the muscles or whether their benefit is elicited via other mechanisms. OBJECTIVE: To explore the effects of an exercise intervention on the size and exercise performance of the lumbar spine extensor muscles. METHODS: Eleven healthy participants undertook a four week programme of exercise. Magnetic resonance imaging and phosphorus spectroscopy were performed before and after the intervention to determine the time to fatigue and phosphocreatine (PCr) depletion during a muscle endurance test (modified Biering-Sørensen) together with muscle crosssectional area (CSA). RESULTS: The post intervention measures were significantly different to the preintervention results for the time to fatigue (post-pre: 20.5 ± 22.7 s (P=0.014)) and PCr depletion both at the point of fatigue (post-pre: 9.5 ± 11.9 % (P= 0.024)) and at a matched time-point (post-pre: 12.2 ± 11.9 % (P=0.007)). CSA was not significantly different in any muscle. CONCLUSIONS: Exercise improved the performance of the trunk muscles despite no impact on CSA. This demonstrated the importance of obtaining a wide range of measures when assessing the effectiveness of exercise intervention programmes.We thank the participants who volunteered to take part in our study and also thank the NIHR Clinical Research Facility, University of Exeter for funding J Fulford’s salary

Reliability of low-flow vasoreactivity in the brachial artery of adolescents

This is the author accepted manuscript. The final version is available from Wiley via the DOI in this recordPurpose: Macrovascular endothelial function is commonly assessed using flow-mediated dilation (FMD) and is nitric oxide (NO) dependent. However, the vasoreactivity to low flow during the FMD protocol may complement FMD interpretation. This study aimed to investigate in adolescents: (1) the day-to-day reliability of low-flow-mediated constriction (L-FMC) and composite vessel reactivity (CVR); and (2) the relationship between L-FMC and FMD. Methods: A retrospective analysis of data on 27 adolescents (14.3 ± 0.6 year, 12 males) was performed. Participants had two repeat measures, on separate days, of macrovascular function using high-resolution ultrasound for assessment of L-FMC, FMD, and CVR. Results: On average, the L-FMC response was vasoconstriction on both days (−0.59 ± 2.22% and −0.16 ± 1.50%, respectively). In contrast, an inconsistent response to low flow (vasoconstriction, dilation, or no change) was observed on an individual level. Cohen's Kappa revealed poor agreement for classifying the L-FMC measurement between visits (k = 0.04, P >.05). Assessment of the actual vessel diameter was robust with a coefficient of variation of 1.7% (baseline and peak) and 2.7% (low-flow). The between-day correlation coefficient between measures was r =.18, r =.96 and r =.52 for L-FMC, FMD, and CVR, respectively. No significant correlation between FMD and L-FMC was observed for either visit (r = −.06 and r = −.07, respectively; P >.05). Conclusion: In adolescents, the low-flow vasoreactivity is inconsistent between days. Whereas the actual vessel diameter is reproducible, the measurement of L-FMC and CVR has poor between-day reliability compared to FMD. Finally, L-FMC, and FMD are not significantly correlated

Objectively Measured Aerobic Fitness is Not Related to Vascular Health Outcomes and Cardiovascular Disease Risk In 9-10 Year Old Children

This is the final version. Available from University of Uludag via the link in this recordThe purpose of the study was to examine whether a higher aerobic fitness in 9-10 year old children is related to superior macro and microvascular health and cardiovascular disease (CVD) risk. Ninety-six 9-10 year olds (53 boys) completed the study. Body composition was assessed from air displacement plethysmography and magnetic resonance imaging. Peak oxygen uptake (V̇O2) was assessed from a ramp-incremental cycling exercise test. Macrovascular outcomes were assessed from pulse wave analysis and pulse wave velocity (PWV) using applanation tonometry. Microvascular function was assessed from the functional microvascular reserve and skin erythrocyte flux after iontophoretic application of skin vasodilators. Assessment of CVD risk was assessed via body mass index, total body fat percentage and visceral adipose tissue, glucose, triglyceride, total cholesterol, HDL cholesterol and LDL cholesterol, while insulin resistance was calculated using Homeostatic model assessment. Aerobic fitness groups (higher vs lower) were calculated from V̇O2 peak scaled for body mass (mL·kg-0.61·min-1) and fat free mass (mL·FFM-1·min-1). Children with a higher V̇O2 peak scaled for body mass had a greater carotid to ankle PWV compared to those with lower aerobic fitness (mean ± SD: 6.08 ± 0.47 vs. 5.87 ± 0.43 m·s-1; p = 0.039), although this became non-significant when scaled for FFM (p = 0.56). No other mean differences in vascular or CVD risk health markers were present between higher and lower groups of aerobic fitness when scaled for body mass or FFM. Conclusion: Directly assessed aerobic fitness is not related to macro and microvascular health outcomes or CVD risk markers in 9-10 year olds

The reliability of 31P-MRS and NIRS measurements of spinal muscle function

This is the accepted, peer reviewed version of the article, which has been published in final form at doi: 10.1055/s-0034-1372639Phosphorous magnetic resonance spectroscopy (31P-MRS) and near-infra red spectroscopy (NIRS) provide methods for measuring spinal muscle function non-invasively but their reliability is not established. The aim of this study was assess the reliability (ICC) and error magnitude (CV%) of measurements of muscle phosphocreatine (PCr), tissue oxygenation index (TOI), and muscle deoxyhaemoglobin (HHb) acquired during fatigue and in recovery after 24 s exercise in the lumbar muscles. Ten healthy participants (19-25 years, 5 male, 5 female) performed exercise that involved holding the upper body unsupported in slight extension until fatigue and then, after 30 minutes of rest, for repeated bursts of 24 seconds. ICCs indicated good to excellent reliability of baseline measures (TOI:0.75) and of amplitude changes during fatigue (PCr:0.73, TOI:0.69, HHb:0.80), and recovery (HHb:0.96) and poor to fair reliability for time constants describing rates of change during fatigue (PCr:0.11) and recovery (PCr:0.31, HHb:0.47). CV% indicated varying relative measurement error across baseline measures (TOI:5%), amplitude changes during fatigue (PCr:7%, TOI:38%, HHb:31%) and recovery (HHb:31%), and in time constants for fatigue (PCr:39%) and recovery (PCr:20%, HHb:37%). The results suggested that reliability would be sufficient for future studies on spinal muscle function but that measurement error may be too large to evaluate individuals.NIHREPSR