Cardiovascular and metabolic responses during indoor climbing and laboratory cycling exercise in advanced and élite climbers

Purpose. To validate heart rate (fH) as an effective indicator of the aerobic demands of climbing, the fH vs. oxygen uptake (VO2) relationship determined during cycling exercise and climbing on a circular climbing treadwall was compared. Possible differences in maximum aerobic characteristics between advanced and \ue9lite climbers were also assessed. Methods. Seven advanced and six \ue9lite climbers performed a discontinuous incremental test on a cycle ergometer and a similar test on a climbing treadwall. Cardiorespiratory and gas exchange parameters were collected at rest and during exercise. Results. The fH vs. VO2 relationship was steeper during cycling than climbing at submaximal exercise for both groups and during climbing in the \ue9lite climbers as compared to the advanced. At peak exercise, VO2 was similar during both cycling and climbing (3332\ub1115 and 3193\ub1129 ml/min, respectively). Despite similar VO2 peak, the \ue9lite climbers had a higher peak workload during climbing (11.8\ub10.8 vs. 9.2\ub10.3 m/min in \ue9lite and advanced climbers, respectively; P=.024) but not during cycling (282\ub113 vs. 268\ub112 W in \ue9lite and advanced climbers, respectively). Conclusions. Our findings indicate that care should be taken when energy expenditure during climbing is estimated from the fH vs VO2 relationship determined in the laboratory. The level of climbing experience significantly affects the energy cost of exercise. Lastly, the similar aerobic demands of cycling and climbing at peak exercise, suggest that maximum VO2 may play an important role in climbing performance. Specific training methodologies should be implemented to improve aerobic power in climbers

Unraveling the molecular mechanisms and the potential chemopreventive/therapeutic properties of natural compounds in melanoma

Melanoma is the most fatal form of skin cancer. Current therapeutic approaches include surgical resection, chemotherapy, targeted therapy and immunotherapy. However, these treatment strategies are associated with development of drug resistance and severe side effects. In recent years, natural compounds have also been extensively studied for their anti-melanoma effects, including tumor growth inhibition, apoptosis induction, angiogenesis and metastasis suppression and cancer stem cell elimination. Moreover, a considerable number of studies reported the synergistic activity of phytochemicals and standard anti-melanoma agents, as well as the enhanced effectiveness of their synthetic derivatives and novel formulations. However, clinical data confirming these promising effects in patients are still scanty. This review emphasizes the anti-tumor mechanisms and potential application of the most studied natural products for melanoma prevention and treatment

The ability of the Geriatric Nutritional Risk Index to assess the nutritional status and predict the outcome of home-care resident elderly : a comparison with Mini Nutritional Assessment

The Mini Nutritional Assessment (MNA) is recommended for grading nutritional status in the elderly. A new index for predicting the risk of nutrition-related complications, the Geriatric Nutritional Risk Index (GNRI), was recently proposed but little is known about its possible use in the assessment of nutritional status. Thus, we aimed to investigate its ability to assess the nutritional status and predict the outcome when compared with the MNA. Anthropometry and biochemical parameters were determined in 241 institutionalised elderly (ninety-four males and 147 females; aged 801 (sd 83) years). Nutritional risk and nutritional state were graded by the GNRI and MNA, respectively. At 6 months outcomes were: death; infections; bedsores. According to the GNRI and MNA, the prevalence of high risk (GNRI 98)/good status (MNA > 24) were 20.7/12.8%, 36.1/39% and 432/482%, respectively, with poor agreement in scoring the patient (Cohen's kappa test:\u3ba =0.29; 95% CI 0.19, 0.39). GNRI categories showed a stronger association (OR) with overall outcomes than MNA classes, although no difference (P>0.05) was found between malnutrition (v. good status, OR 6.4; 95% CI 2.1, 71.9) and high nutritional risk (v. no risk, OR 9.7; 95% CI 3.0, 130). Multivariate logistic regression revealed the GNRI as an independent predictor of complications. In overall-outcome prediction, a good sensitivity was found only for GNRI 98 with an MNA > 24 seemed to exclude adverse outcomes. The GNRI showed poor agreement with the MNA in nutritional assessment, but appeared to better predict outcome. In home-care resident elderly, outcome prediction should be performed by combining the suggestions from both these tools

Evidence of balance training‐induced improvement in soccer‐specific skills in U11 soccer players

The present study aim was to determine the role of balance training in improving technical soccer skills in young players. Two U11 soccer teams were randomly assigned one to either balance training (BT; n=22) or control group (Ctrl; n=21). At the end of their habitual soccer training (identical in BT and Ctrl), BT underwent additional balance training for 12 weeks (3sessions/week, 20 min per session), while Ctrl had a 20\u2010min scrimmage. Before and after the intervention, BT and Ctrl underwent two soccer\u2010specific tests (Loughborough Soccer Passing, LSPT, and Shooting, LSST, Tests), and bipedal and unipedal balance evaluations. After intervention, both groups decreased the trials time and improved passing accuracy, with larger improvements in BT than Ctrl [LSPT penalty time (CI95%): \u20102.20 s (\u20102.72/\u20101.68); ES (CI95%): \u20102.54 s (\u20103.34/\u20101.74)]. Both groups improved balance ability, with BT showing larger increments in bipedal tests than Ctrl [static balance: \u201029 mm (\u201042/\u201016); ES: \u20101.39 (\u20102.05/\u20100.72); limit of stability: 4% (3/5); ES 3.93 (2.90/4.95); unipedal quasi\u2010dynamic balance: 0.07 a.u. (0.03/0.11); ES: 1.04 (0.40/1.67) and active range of motion: \u20105% (\u20108/\u20102); ES \u20100.89 (\u20101.51/\u20100.26)]. Low\u2010to\u2010moderate correlations between the players\u2019 technical level and unipedal balance ability were retrieved, particularly in the non\u2010dominant limb (R from 0.30 to 0.48). Balance training improved some technical soccer skills more than habitual soccer training alone, suggesting that young soccer players may benefit from additional balance training added to their traditional training

The importance of meal assessment in ALS patients

Background: the importance of instrumental evaluation of swallowing in ALS patients is highly recognized in order to assess swallowing safety and prevent pulmonary complications. However, swallowing performance during instrumental assessment may not be representative of what happens when consuming meals in everyday life. Indeed, as fatigue is a common feature in ALS patients, swallowing efficacy may progressively decline during mealtime consumption and food and liquid oral intake may not be sufficient. Objectives: to investigate the relationship between the performance during mealtime consumption and the efficacy of oral and pharyngeal phase of swallowing in ALS patients. Methods: thirteen ALS patients, 7 males and 6 females with a median age of 68.5 years (range 51-78) were enrolled in the study. Fiberoptic endoscopic evaluation of swallowing (FEES) was conducted testing liquids, semisolids and, whether possible, solids. The Penetration-Aspiration Scale (PAS) and the Dysphagia Outcome and Severity Scale (DOSS) were used to assess the FEES. The Test of Mastication and Swallowing Solids (TOMASS) was performed. Tongue strength and resistance were assessed through the Iowa Oral Performance Instrument (IOPI). Patients completed the Eating Assessment Tool-10, a self-reported questionnaire. Typical oral intake was recorded using the Functional Oral Intake Scale (FOIS). Meal consumption was observed and scored through the Mealtime Assessment Scale (MAS); the time the patients needed to consume a meal was recorded. Correlations between MAS total score or time and PAS, DOSS, EAT-10, FOIS, TOMASS and IOPI measures were studied using Spearman\u2019s correlation coefficient. Results: a statistically significant correlation was found between MAS total scores and FOIS (r=0.755, p=0.007), EAT-10 (r=-0.724, p=0.012), tongue strength (r=0.718, p=0.019) and TOMASS total time (r=-0.709, p=0.046). Time needed to consume a meal significantly correlated with tongue resistance (r=0.675, p=0.032) and number of discrete bites during TOMASS (r=-0.793, p=0.033). No statistically significant correlations were found between MAS and PAS or DOSS. Discussion and conclusion: these preliminary results suggest that instrumental assessment of swallowing, especially FEES, may not be exhaustive in ALS patients as it does not predict patient\u2019s performance during meals. Efficacy of swallowing oral phase seems to be related to meal consumption more than pharyngeal phase. Therefore, our data stress the need of a comprehensive swallowing evaluation in ALS patients, including instrumental, oral phase and mealtime assessment, in order to estimate the risk of both pulmonary and nutritional complications related to dysphagia

The importance of meal assessment in ALS patients

Background: the importance of instrumental evaluation of swallowing in ALS patients is highly recognized in order to assess swallowing safety and prevent pulmonary complications. However, swallowing performance during instrumental assessment may not be representative of what happens when consuming meals in everyday life. Indeed, as fatigue is a common feature in ALS patients, swallowing efficacy may progressively decline during mealtime consumption and food and liquid oral intake may not be sufficient. Objectives: to investigate the relationship between the performance during mealtime consumption and the efficacy of oral and pharyngeal phase of swallowing in ALS patients. Methods: thirteen ALS patients, 7 males and 6 females with a median age of 68.5 years (range 51-78) were enrolled in the study. Fiberoptic endoscopic evaluation of swallowing (FEES) was conducted testing liquids, semisolids and, whether possible, solids. The Penetration-Aspiration Scale (PAS) and the Dysphagia Outcome and Severity Scale (DOSS) were used to assess the FEES. The Test of Mastication and Swallowing Solids (TOMASS) was performed. Tongue strength and resistance were assessed through the Iowa Oral Performance Instrument (IOPI). Patients completed the Eating Assessment Tool-10, a self-reported questionnaire. Typical oral intake was recorded using the Functional Oral Intake Scale (FOIS). Meal consumption was observed and scored through the Mealtime Assessment Scale (MAS); the time the patients needed to consume a meal was recorded. Correlations between MAS total score or time and PAS, DOSS, EAT-10, FOIS, TOMASS and IOPI measures were studied using Spearman\u2019s correlation coefficient. Results: a statistically significant correlation was found between MAS total scores and FOIS (r=0.755, p=0.007), EAT-10 (r=-0.724, p=0.012), tongue strength (r=0.718, p=0.019) and TOMASS total time (r=-0.709, p=0.046). Time needed to consume a meal significantly correlated with tongue resistance (r=0.675, p=0.032) and number of discrete bites during TOMASS (r=-0.793, p=0.033). No statistically significant correlations were found between MAS and PAS or DOSS. Discussion and conclusion: these preliminary results suggest that instrumental assessment of swallowing, especially FEES, may not be exhaustive in ALS patients as it does not predict patient\u2019s performance during meals. Efficacy of swallowing oral phase seems to be related to meal consumption more than pharyngeal phase. Therefore, our data stress the need of a comprehensive swallowing evaluation in ALS patients, including instrumental, oral phase and mealtime assessment, in order to estimate the risk of both pulmonary and nutritional complications related to dysphagia

Activation of the orphan nuclear receptor RORalpha counteracts the proliferative effect of fatty acids on prostate cancer cells : Crucial role of 5-lipoxygenase

The incidence of prostate carcinoma is very low in Eastern countries, such as Japan, suggesting that life style conditions may play a crucial role in the development of this pathology. Dietary omega-6 polyunsaturated fatty acids, such as linoleic (LA) and arachidonic (AA) acids, have been shown to stimulate the proliferation of prostate cancer cells after being converted into 5-HETE by means of the 5-lipoxygenase (5-LOX) pathway. Blockade of 5-LOX activity has been proposed as an attractive target for the prevention of the mitogenic action of dietary fats on prostate cancer. The 5-LOX gene has been shown to carry a response element for the orphan nuclear receptor RORalpha (for its RORalpha1 isoform in particular) in its promoter region. We attempt to clarify whether activation of RORalpha might modulate the expression of 5-LOX, thus interfering with the mitogenic activity of fatty acids in prostate cancer cells. We show that in androgen-independent DU 145 prostate cancer cells, LA, AA and their metabolite 5-HETE exert a strong stimulatory action on cell proliferation. This effect is completely counteracted by the simultaneous treatment of the cells with a non redox inhibitor of 5-LOX activity. We then demonstrate that: i) RORalpha, and specifically its RORalpha1 isoform, is expressed in DU 145 cells; ii) activation of RORalpha, by means of the thiazolidinedione derivative CGP 52608 (the synthetic RORalpha activator), significantly reduces 5-LOX expression, both at mRNA (as evaluated by comparative RT-PCR) and at protein (as investigated by Western blot analysis) level (this was confirmed by the reduced activity of 5-LOX in CGP 52608 treated cells); and iii) the treatment of DU 145 cells with CGP 52608 completely abrogated the proliferative action of both LA and AA. These results have been confirmed in another androgen-independent prostate cancer cell line (PC3). Our data indicate that, by decreasing the expression of 5-LOX, activation of RORalpha might interfere with the mitogenic activity of fatty acids on prostate cancer. We have shown previously that CGP 52608 reduces the proliferation and the metastatic behavior of DU 145 cells. These observations indicate that the orphan nuclear receptor RORalpha might be considered as a molecular target for the development of new chemopreventive or chemotherapeutic strategies for prostate carcinom

Comparison between continuous incremental ramp test and discontinuous square-wave test for vVO2max assessment in long distance runners and soccer players

Aim: In treadmill testing, the running velocity associated with maximum oxygen uptake (vVO2max) is largely utilized for both laboratory testing and training on the field. Differences between a continuous incremental ramp test (R1) and a discontinuous square wave tests (SW) in vVO2max assessment have been already described. Long distance runners and soccer players are both athletes involved with running. However, the physiological demands are different: in runners are continuous while in soccer players are discontinuous, with an alternation of aerobic and anaerobic tasks. Therefore, the aim of the study was to compare the vVO2max difference between R1 and SW in both these athletes. Hypothesis is that, this difference should be higher in soccer players than in runners, due to a different capacity to adjust the oxygen transport system at each workload. Method: Eight runners (RUN) and nine soccer players (SOC) reported to the laboratory twice to perform two maximum incremental tests: R1 (1 km/h per min) and SW (workloads of 4 min each, with 5 min of rest in between), in random order, on a motorised treadmill for VO2max and vVO2max assessment. At rest and during exercise, cardiorespiratory and metabolic parameters were collected breath-by-breath. Blood lactate concentration [La-] was measured at rest and at maximum exercise. Results: No significant differences between groups and protocols were found in VO2max (SOC: 3892\ub1104 vs 3922\ub1423 ml/min; RUN: 4159\ub1115 vs 4170\ub1116, for SW and R1, respectively), as well as in VE, VCO2, [La-]peak and HR at maximum exercise. However, vVO2max was significantly higher in R1 compared to SW in both groups (SOC: 16.1\ub10.3 vs 19.4\ub10.4 km/h, RUN: 19.5\ub10.3 vs 22.1\ub10.3 km/h, for SW and R1, respectively; P<0.05), with a higher difference between R1 vs SW in SOC than RUN (+21% vs +13%, respectively; P<0.05). Conclusion: Despite similar VO2max values, vVO2max was higher in R1 than in SW in both groups. However, the difference was significantly higher in SOC than RUN, possibly due to a slower capacity to adjust the oxygen transport system to a given workload in SOC. Even though the two protocols can be used to assess VO2max, the vVO2max differences between protocols must be acknowledged to prescribe correctly high intensity training, especially for soccer players

The Euphrates-Tigris-Karun river system: Provenance, recycling and dispersal of quartz-poor foreland-basin sediments in arid climate

We present a detailed sediment-provenance study on the modern Euphrates-Tigris-Karun fluvial system and Mesopotamian foreland basin, one of the cradles of humanity. Our rich petrographic and heavy-mineral dataset, integrated by sand geochemistry and U–Pb age spectra of detrital zircons, highlights the several peculiarities of this large source-to-sink sediment-routing system and widens the spectrum of compositions generally assumed as paradigmatic for orogenic settings. Comparison of classical static versus upgraded dynamic petrologic models enhances the power of provenance analysis, and allows us to derive a more refined conceptual model of reference and to verify the limitations of the approach. Sand derived from the Anatolia-Zagros orogen contains abundant lithic grains eroded from carbonates, cherts, mudrocks, arc volcanics, obducted ophiolites and ophiolitic mélanges representing the exposed shallow structural level of the orogen, with relative scarcity of quartz, K-feldspar and mica. This quartz-poor petrographic signature, characterizing the undissected composite tectonic domain of the entire Anatolia-Iranian plateau, is markedly distinct from that of sand shed by more elevated and faster-eroding collision orogens such as the Himalaya. Arid climate in the region allows preservation of chemically unstable grains including carbonate rock fragments and locally even gypsum, and reduces transport capacity of fluvial systems, which dump most of their load in Mesopotamian marshlands upstream of the Arabian/Persian Gulf allochemical carbonate factory. Quartz-poor sediment from the Anatolia-Zagros orogen mixes with quartz-rich recycled sands from Arabia along the western side of the foreland basin, and is traced all along the Gulf shores as far as the Rub' al-Khali sand sea up to 4000 km from Euphrates headwaters