Impact of Acute Dietary Manipulations on Dual-Energy X-ray Absorptiometry Estimates of Visceral Adipose Tissue

Dual-energy x-ray absorptiometry (DXA) is viewed as a superior method of body composition assessment, but whole-body DXA scans are impacted by variation in pre-assessment activities, such as eating and drinking. DXA software now allows for estimation of visceral adipose tissue (VAT), which has been implicated in a number of diseases. It is unknown to what extent food and fluid intake affect VAT estimates. PURPOSE: determine the effects of acute high-carbohydrate (HC) and very low-carbohydrate (VLC) diets on DXA estimates of VAT. METHODS: Male and female adults completed two one-day dietary conditions in random order: a VLC diet (1 – 1.5 g CHO/kg) and a HC diet (9 g CHO/kg). The diets were isocaloric to each other, and all food items were provided to participants. DXA scans were conducted in the morning after an overnight fast and in the afternoon soon after the third standardized meal. VAT volume, mass, and area were obtained, and paired samples t-tests were performed to compare the changes in VAT measures between diets. RESULTS: Fifteen males (age 22 ± 3, BF% 21 ± 5%) and eighteen females (age 21 ± 2, BF% 31 ± 5%) were included in the analysis. The change in VAT volume between the fasted and fed visits was different between diets (HC: +1.6%; VLC: -9.2%, p= 0.047). There were also trends for differences in VAT mass (p= 0.089) and area (p= 0.096) changes between diets. CONCLUSIONS: Within a single day, VAT estimates are differentially affected by isocaloric HC and VLC diets, with VLC consumption leading to reductions in VAT estimates. The content of the diet on the day of a DXA scan can affect estimates of VAT, which could spuriously influence the categorization of an individual’s health risk by DXA VAT estimates. Standardization of food intake prior to scans, preferably in the form of an overnight fast, should be employed to eliminate this important source of error

Brachial Artery FMD and Endothelial Responses to High-Intensity Interval and Steady-State Moderate-Intensity Exercise

Brachial artery flow-mediated dilation (FMD) is a nitric oxide-dependent measure of conduit artery endothelial function that is potentiated by moderate- and high-intensity steady state exercise (SSE) for up to an hour after exercise; however, it is unclear whether high-intensity interval exercise (HIIE) provides a longer-lasting stimulus for enhancing FMD or greater oxidative and nitrative stress on the vascular endothelium than a comparable or greater amount of SSE. PURPOSE: Determine the influence of HIIE on post-exercise brachial artery FMD and the relationship between FMD and markers of endothelial function relative to a comparable amount of moderate-intensity SSE and a dose that is half that of SSE. METHODS: Seventeen male participants (age 27.8 + 6.4 yr; weight 80.6 + 9.0 kg; BMI 25.1 + 2.4 kg/m2; VO2max 52.1 + 7.5 ml/kg/min) underwent HIIE by treadmill running (90% and 40% of VO2reserve in 3:2 min ratio) to expend 500 kcals; HIIE to expend 250 kcals, and; SSE at 70% VO2reserve to expend 500 kcals in a randomized crossover design. All exercise conditions averaged 70% VO2reserve. Ultrasound measurements of brachial artery FMD and blood measures of total antioxidant capacity (TAC) in copper reducing equivalents, apolipoprotein A-1 (ApoA1: g/L), PON1 concentration (PON1c: mg/mL), arylesterase activity (PON1a: kU/L), soluble vascular adhesion molecule-1 (sVCAM-1: ng/mL) and nitrotyrosine (NT: nM) were obtained just before and 2 hr after exercise. FMD responses to exercise were analyzed using 3 (condition) by 2 (sample point) repeated measures ANOVAs. Pearson product-moment correlations of change variables (2 hr post-exercise – pre-exercise values) were calculated to determine relationships between FMD responses and blood variable responses to exercise. RESULTS: Brachial artery FMD responses were unaltered 2 hr after exercise in all three conditions (p \u3e 0.05). FMD responses were correlated with changes in PON1c (r = 0.221, p \u3c 0.0001) and inversely with changes TAC (r = -0.170, p \u3c 0.0001). Changes in s-VCAM1 were correlated with change in NT (r = 0.423, p \u3c 0.0001) and inversely with changes in PON1c (r = -0.177, p \u3c 0.0001). SUMMARY: Brachial artery FMD is unaltered 2 hr after HIIE or SSE of moderate duration in young fit men and does not appear to be related to responses in other markers of endothelial function

High-Density Lipoprotein Antioxidant Responses to High-Intensity Interval and Steady-State Moderate-Intensity Exercise

High-intensity interval exercise (HIIE) may impart health benefits beyond what is acquired through moderate-intensity steady state exercise (SSE). Paraoxonase 1 (PON1), an antioxidant associated with high-density lipoprotein (HDL), may be altered with exercise; however, it is unclear whether HIIE provides a greater stimulus for increasing PON1 antioxidant activity than a comparable or greater amount of SSE. PURPOSE: Determine the influence of HIIE on PON1 concentration and activity relative to a comparable amount of moderate-intensity SSE and a dose that is half that of SSE. METHODS: Seventeen male participants (age 27.8 + 6.4 yr; weight 80.6 + 9.0 kg; BMI 25.1 + 2.4 kg/m2; %fat = 19 + 5; VO2max 52.1 + 7.5 ml/kg/min) underwent HIIE by treadmill running (90% and 40% of VO2reserve in 3:2 min ratio) to expend 500 kcals (H500); HIIE to expend 250 kcals (H250), and; SSE at 70% VO2reserve to expend 500 kcals (M500) in a randomized crossover design. Intensities of all exercise conditions averaged 70% VO2reserve. Blood measures of total antioxidant capacity (TAC) in copper reducing equivalents, HDL (g/mL), apolipoprotein A-1 (ApoA1: g/L), PON1 concentration (PON1c: g/mL) and arylesterase activity (PON1a: kU/L) were obtained just before, immediately after, 2 hr and 24 hr after exercise. Significant differences were determined using 3 by 4 repeated measures ANOVAs. Effect sizes were calculated to determine the magnitude of dependent variable responses to exercise. RESULTS: Pre-exercise HDL concentration was lower in H250 and increased most in H250 versus other exercise conditions (p \u3c 0.001, ES = 0.83). Other antioxidant responses were similar across exercise conditions. ApoA1 (+ 8.0%) and PON1a (+ 9.3%) increased immediately after exercise and remained elevated 24 hr after exercise (p \u3c 0.0001 for each; ApoA1 ES = 0.85, PON1a ES = 0.57). PON1c was increased 2.4% above baseline at 2 hr post-exercise (p = 0.0296, ES = 0.18) and TAC was elevated 8.6% above baseline at 24 hr post-exercise (p = 0.0227, ES = 0.48). SUMMARY: HDL and HDL antioxidant properties are transiently potentiated by HIIE with as little as 250 kcals of energy expenditure. HDL antioxidant activity and total antioxidant capacity are elevated with HIIE and SSE of moderate intensity in a similar manner and are observed for up to 24 hr after exercise

3-Nitrotyrosine and Soluble Vascular and Intracellular Adhesion Molecule Responses to High-Intensity Interval and Steady-State Moderate-Intensity Exercise

Vascular endothelium may respond differently to high-intensity interval exercise (HIIE) when compared to moderate-intensity steady state exercise (SSE). We hypothesized that greater sympathetic stimulation of soluble vascular adhesion molecule-1 (sVCAM-1) and intracellular adhesion molecule-1 (sICAM-1) and greater oxidative and nitrative stress on the vascular endothelium may transiently result from HIIE. PURPOSE: Determine the influence of HIIE on sVCAM-1, sICAM-1 and 3-nitrotyrosine (NT), a marker of nitric oxide-dependent reactive nitrogen species and nitrative stress, relative to a comparable amount of moderate-intensity SSE and a dose that is half that of SSE. METHODS: Seventeen male participants (age 27.8 + 6.4 yr; weight 80.6 + 9.0 kg; BMI 25.1 + 2.4 kg/m2; %fat = 19 + 5; VO2max 52.1 + 7.5 ml/kg/min) underwent HIIE by treadmill running (90% and 40% of VO2reserve in 3:2 min ratio) to expend 500 kcals (H500); HIIE to expend 250 kcals (H250), and; SSE at 70% VO2reserve to expend 500 kcals (M500) in a randomized crossover design. Intensities of all exercise conditions averaged 70% VO2reserve. Blood measures of sVCAM-1 (ng/mL), sICAM-1 (ng/mL), NT (nM), epinephrine (EPI) and norepinephrine (NE) in pg/mL, were obtained just before, immediately after, 2 hr and 24 hr after exercise. Significant differences were determined using 3 by 4 repeated measures ANOVAs. Effect sizes were calculated to determine the magnitude of dependent variable responses to exercise. RESULTS: HIIE resulted in 2 to 2.5 fold greater EPI responses immediately after exercise versus SSE (p = 0.0059, H250 ES = 1.89; H500 ES = 3.04). NE increased an average of 5.4 times above pre-exercise values across all exercise conditions (p \u3c 0.0001). NT decreased immediately after HIIE (H250 ES = - 0.39; H500 ES = -0.97) and returned to baseline by 2 hr post-exercise; whereas, NT was elevated 111% 2 hr (ES = 2.46) and remained 24 hr after SSE (p = 0.0001). sVCAM-1 was unchanged with HIIE but increased 6% immediately following moderate-intensity SSE and remained elevated 24 hr post-exercise (p \u3c 0.0005, ES = 1.01). SUMMARY: Our results are in direct opposition to our hypothesis. Transient elevations in NT and sVCAM-1 after moderate-intensity SSE but not HIIE of similar average intensity and duration may indicate unique effects of interval exercise. NT and sVCAM-1 were not elevated after HIIE in spite of a greater sympathetic response than what was observed after moderate-intensity SSE

The Effect of Exercise Intensity on Postprandial Blood Lipids in Physically-Inactive Men

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Effects of Fish Oil Supplementation on Post-Resistance Exercise Muscle Soreness in Untrained Females

The anti-inflammatory properties of omega-3 fatty acids contained in fish oil may help alleviate symptoms of delayed onset of muscle soreness (DOMS) and improve recovery from exercise. PURPOSE: To examine the effects of fish oil supplementation on the time-course of post-resistance exercise muscle soreness in young untrained females. METHODS: Seventeen non-resistance trained females (age 23.6 ± 3.0 y, % fat 27.4 ± 3.2, weight 60.2 ± 9.6 kg) were randomized into one of two groups: fish oil (6 g/d; 5:1 EPA:DHA) or placebo (6 g/d corn/soy oil). After consuming the supplements for one week, participants underwent a single bout of resistance exercise designed to induce muscle damage. Subjects performed 10 sets to failure of biceps curl machine and leg extensions using 50% of the previously measured 1-repetition maximum. Over the next week, subjective muscle soreness of the upper and lower body was measured via a grounded 10-cm visual analog scale. At 48 hours and 1 week post-exercise, subjects performed a test to determine soreness during functional movements. The comparison-wise error rate was set at p \u3c 0.10. RESULTS: Muscle soreness increased significantly in both groups and peaked at 48 hours post-exercise. The fish oil group perceived less muscle soreness in the lower body than the placebo group (p= 0.06), but there was no difference in the upper body (p= 0.27). The fish oil group reported less perceived soreness during functional movements (p= 0.07 for upper and lower body soreness). Effect sizes, indicating the reduction in muscle soreness that may be attributed to fish oil (Δ effect size between groups), was 0.75 (95% CI: -0.70 – 2.20) for the arms and 0.77 (-0.76 – 2.33) for the legs. The effect size for the functional tests was 0.63 (-0.71 – 1.97) for the arms and 0.57 (-0.85 – 1.99) for the legs. CONCLUSION: Supplementing the diet with 6 grams per day of fish oil may alleviate the muscle soreness experienced after resistance training in young untrained females, but additional studies with larger sample sizes should be conducted to confirm these findings

Acute Responses in Agonists of uEGF to Moderate-Intensity and High-Intensity Interval Exercise in Mid-Spectrum CKD

Urine epidermal growth factor (uEGF) is a novel biomarker utilized in assessing renal health in various renal diseases, specifically chronic kidney disease (CKD). uEGF promotes multiple intracellular pathways, stimulating renal cell growth, survival, and replication. uEGF production is activated by multiple agonists that bind to the uEGF receptor. Aerobic exercise initiates the upregulation of several of these agonists to increase the production of uEGF. Depending on the mode and intensity of aerobic exercise, uEGF agonists may activate differently in CKD populations. PURPOSE: To determine the influence of an acute bout of steady-state exercise (SSE) and high-intensity interval exercise (HIIE) on concentrations of uEGF agonists (serum insulin-like growth factor 1 (IGF-1), angiotensin II receptor type 1 (AGTR-1), and transforming growth factor beta 1 (TGF-β1)) in mid-spectrum CKD. METHODS: Twenty participants (n = 6 men; n = 14 women; age 62.0 + 9.9 yr; weight 80.9 + 16.2 kg; body fat 37.3 + 8.5% of weight; VO2max 19.4 + 4.7 ml/kg/min) completed 30 min of SSE at 65% VO2reserve or HIIE by treadmill walking (90% and 20% of VO2reserve in 3:2 min ratio) in a randomized crossover design. Both exercise conditions averaged ~ 65% VO2reserve. Blood and urine samples were obtained under standardized conditions just before, 1hr, and 24hrs after exercise. uEGF (ng/mL), serum IGF-1 (ng/mL), AGTR-1 (ng/mL), and TGF-β1 (pg/mL) responses were analyzed using 2 (condition) by 3 (sample point) repeated measures ANOVAs and Pearson Correlations. RESULTS: Serum IGF-1 and AGTR-1 increased 1hr and 24hr post-exercise in both exercise conditions; however, statistical significance was not achieved (p = 0.28 and p = 0.09). Similarly, serum TGF-β1 decreased at 24hrs in both exercise conditions but statistically remained unaltered (p = 0.42). IGF-1 was significantly correlated to uEGF in both conditions at all three-time points (p = 0.03), while AGTR-1 was significantly correlated to uEGF at 1hr in HIIE. uEGF findings were previously reported in ACSM abstract (DOI: 10.1249/01.mss.0000560710.72569.11). CONCLUSION: Agonists of uEGF remained unaltered following an acute bout of SSE and HIIE in mid-spectrum CKD. Further research is needed to understand better uEGF response activation to aerobic exercise in mid-spectrum CKD