Effects of 12-week combined training versus high intensity interval training on cardiorespiratory fitness, body composition and fat metabolism in obese male adults

Background: /Objectives: A weekly combination of a high volume of moderate-intensity continuous training (MICT) with a low volume of high-intensity interval training (HIIT) provides important improvements in body composition and physical capacities in individuals with obesity. However, previous studies did not determine the weekly proportions of HIIT and MICT a priori. This study aimed to investigate changes in body composition, physical capacities and the fat oxidation rate in obese male adults by comparing a combination of MICT and HIIT, called combined training (COMB), with HIIT for a 12-week period. Methods: Thirty-four obese male adults (mean age: 39.4 ± 7.0 y; mean body mass index [BMI] 34.0 ± 4.2 kg m−2) participated in this study (n = 18 for COMB, n = 16 HIIT), attending ∼ 36 training sessions. The COMB group performed 3 repetitions of 2 min at 95% of peak oxygen uptake (V'O2 peak) (e.g., HIIT ≤20%), followed by 30 min at 60% of VO2 peak (e.g., MICT ≥80%). The HIIT group performed 5–7 repetitions of 2 min at 95% of VO2 peak. At baseline (PRE) and at the end of the training period (POST), body composition, VO2 peak, and the fat oxidation rate were measured. The two training programs were equivalent in caloric expenditure. Results: At POST, body mass (BM) and fat mass (FM) decreased by a mean of 3.09 ± 3.21 kg and 3.90 ± 2.40 kg, respectively (P < 0.05), in both groups and V'O2 peak increased in both groups by a mean of 0.47 ± 0.34 L min−1 (P < 0.05). The maximal fat oxidation rate increased similarly in both groups from 0.32 ± 0.05 to 0.36 ± 0.06 g min−1 (P < 0.05). Conclusion: COMB training represents a viable alternative to HIIT to improve anthropometric characteristics, physical capacities and fat oxidation in obese male adults

Improvement of adiponectin in relation to physical performance and body composition in young obese males subjected to twenty-four weeks of training programs

Obesity and related metabolic diseases represent a worldwide health problem. The main factor predisposing to obesity is an unhealthy lifestyle including the lack of physical activity. A pivotal role in the etio-pathogenesis of obesity is carried out by adipose tissue, an endocrine organ secreting several adipokines involved in numerous metabolic and inflammatory processes. Among these, of particular importance is adiponectin, an adipokine involved in the regulation of insulin sensibility and in anti-inflammatory processes. The aim of the study was to determine the effects of 24 weeks of two different training programs polarized (POL) and threshold training (THR) on body composition, physical capacities and adiponectin expression. Thirteen male obese subjects (BMI: 32.0 ± 3.0 kg m-2) followed 24 weeks of two different training programs, POL and THR, consisting of walking or running (or a combination of the two methods) in their normal living conditions. Before (T0) and after the end of the program (T1), the assessment of body composition was assessed by bioelectrical impedance and the concentration of salivary and serum adiponectin was analyzed by enzyme-linked immunosorbent assay and western blotting. Although the results obtained did not show significant differences between the two training programs, body mass and body mass index decreased by a mean of −4.46 ± 2.90 kg and 1.43 ± 0.92 kg m−2 (P < 0.05). Fat mass decreased by −4.47 ± 2.78 kg (P < 0.05). V′O2max increased by a mean of 0.20 ± 0.26 L min−1 (P < 0.05) Also, we observed an increase in saliva and in serum of adiponectin concentrations at T1 compared to T0 by 4.72 ± 3.52 μg mL−1 and 5.22 ± 4.74 ng mL−1 (P < 0.05) respectively. Finally, we found significant correlations between Δ serum adiponectin and Δ Hip (R = −0.686, P = 0.001) and between Δ salivary adiponectin and ΔWaist (R = −0.678, P = 0.011). Our results suggest that a 24 weeks training program, independently from intensity and volume, induces an amelioration of body composition and fitness performance. These improvements are associated with an increase in total and HMW adiponectin expression in both saliva and in serum

The T.O.S.C.A. Project: Research, Education and Care

Despite recent and exponential improvements in diagnostic- therapeutic pathways, an existing “GAP” has been revealed between the “real world care” and the “optimal care” of patients with chronic heart failure (CHF). We present the T.O.S.CA. Project (Trattamento Ormonale dello Scompenso CArdiaco), an Italian multicenter initiative involving different health care professionals and services aiming to explore the CHF “metabolic pathophysiological model” and to improve the quality of care of HF patients through research and continuing medical education

Red Sea palaeoclimate: stable isotope and element-ratio analysis of marine mollusc shells

The southern Red Sea coast is the location of more than 4,200 archaeological shell midden sites. These shell middens preserve archaeological and climatic archives of unprecedented resolution and scale. By using shells from these contexts, it is possible to link past environmental information with episodes of human occupation and resource processing. This chapter summarises current knowledge about the marine gastropod Conomurex fasciatus (Born 1778) and discusses its use in environmental and climatic reconstruction using stable isotope and elemental ratio analysis. It offers a review of the most recent studies of shell midden sites on the Farasan Islands, their regional importance during the mid-Holocene, theories about seasonal use of the coastal landscape, and preliminary results from new methods to acquire large climatic datasets from C. fasciatus shells

Diltiazem vs. nicardipine on ambulatory and exercise blood pressure and on peripheral hemodynamics.

The present study was aimed at evaluating the antihypertensive efficacy of sustained-release diltiazem 180 mg vs. sustained-release nicardipine 40 mg both given twice daily. To this end 20 patients with mild to moderate hypertension were studied. After a two-week placebo period diltiazem and nicardipine were administered for 4 weeks according to a crossover design. To assess the antihypertensive efficacy of the two drugs all patients underwent Twenty-four-hour non-invasive blood pressure (BP) monitoring and a submaximal bicycle ergometric test. Ambulatory BP monitoring showed a tendency for systolic BP to be lower with nicardipine than with diltiazem during waking hours, while diastolic BP was lowered to the same extent by the two drugs. During sleep a slightly greater BP fall was observed with diltiazem. 24-hour spontaneous BP variability was slightly reduced with diltiazem and unchanged with nicardipine. Mean 24-hour heart rate was also unchanged with nicardipine and slightly reduced with diltiazem. Peripheral resistance measured by plethysmography significantly decreased with the former but not with the latter. BP and heart rate response to exercise was left unchanged by nicardipine and was slightly decreased by diltiazem. This study demonstrates that both sustained-release diltiazem and nicardipine are effective in controlling BP throughout the 24 hours without increasing BP variability. While the antihypertensive action of nicardipine was associated with a decrease of peripheral resistance, this was not the case with diltiazem

Calibration of hydroclimate proxies in freshwater bivalve shells from Central and West Africa

Freshwater bivalve shell oxygen and carbon stable isotope ratios (d18O, d13C) may act as recorders of hydroclimate (e.g., precipitation-evaporation balance, discharge) and aquatic biogeochemistry. We investigate the potential of these hydroclimate proxies measured along the growth axis of shells collected from the Oubangui River (Bangui, Central African Republic) and the Niger River (Niamey, Niger). Biweekly water samples and in situ measurements collected over several years, along with daily discharge data from both sites allowed a direct comparison with proxies recorded in the shells. Data from a total of 14 unionid shells, including three species (Chambardia wissmanni, Aspatharia dahomeyensis, and Aspatharia chaiziana), confirmed that shells precipitate carbonate in oxygen isotope equilibrium with ambient water. Because water temperature variations were small, shell d18O values (d18Oshell) also accurately record the seasonality and the range observed in water d18O (d18Ow) values when calculated using an average temperature. Calculated d18Ow values were in good agreement over the entire record of measured d18Ow values, thus d18Oshell records can be reliably used to reconstruct past d18Ow values. Discharge and d18Ow values from both rivers fit a logarithmic relationship, which was used to attempt reconstruction of past hydrological conditions, after calculating d18Ow values from d18Oshell values. A comparison with measured discharge data suggests that for the two rivers considered, d18Oshell data are good proxies for recording discharge conditions during low(er) discharge levels, but that high discharge values cannot be accurately reconstructed due to the large scatter in the discharge-d18Ow relationship. Moreover, periods of bivalve shell growth cessation due to high turbidity or air exposure should be taken into account. While d13C values of dissolved inorganic carbon in both rivers showed clear seasonality and correlated well with discharge, most of the shells analyzed did not record these variations adequately, likely due to the complication of vital effects including the variable contribution of metabolic CO2. Thus, tropical African unionid d18Oshell values can be used to reconstruct d18Ow values with high confidence to provide insight on past hydroclimate such as precipitation-evaporation balance and periods of low discharge.status: publishe