Differences in post-exercise inflammatory and glucose regulatory response between sedentary Indigenous Australian and Caucasian men completing a single bout of cycling

Objectives: This study compared the acute inflammatory and glucose responses following aerobic exercise in sedentary Indigenous Australian and Caucasian men, matched for fitness and body composition. Methods: Sedentary Indigenous (n=10) and Caucasian (n=9) Australian men who were free from chronic disease volunteered to participate. Following baseline testing, participants completed a 40 min cycling bout at ~80% maximal heart rate. Fasting venous blood was collected pre, 0, 30, 60, and 240 min post-exercise for analysis of glucose, insulin, cortisol, tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6, IL-1 receptor agonist (ra), and C-reactive protein (CRP). Results: Resting TNF-α and glucose concentrations were significantly higher in the Indigenous group (P0.05). The post-exercise (0 min) increase in cortisol and glucose for the Caucasians was higher (P0.05). Conclusions: Despite being matched for fitness and body composition the Indigenous men had elevated resting TNF-α and glucose compared with the Caucasian men, which may have contributed to the suppressed post-exercise anti-inflammatory response of the Indigenous men; however, glucose normalized between groups post-exercise. As such, it is recommended for acute moderate-intensity exercise to be completed daily for long-term improvements in glucose regulation, irrespective of ancestry. Of note, results suggest it to be even more pertinent for exercise to be encouraged for Indigenous Australian men due to their elevated resting glucose levels at a younger age, when compared to the respective Caucasian group. Am. J. Hum. Biol. 26:208-214, 2014. © 2013 Wiley Periodicals, Inc

Small-sided games training reduces CRP, IL-6 and leptin in sedentary, middle-aged men

© 2014, Springer-Verlag Berlin Heidelberg. Purpose: Long-term physical activity is reported to improve chronic systemic inflammation, which provides protection against the ensuing development of chronic disease. Accordingly, the present study assessed changes in pro- and anti-inflammatory cytokines, aerobic capacity and body composition following 8 weeks of either small-sided games (SSG) or cycling (CYC) training compared to a sedentary control (CON) condition.Methods: Thirty-three middle-aged, sedentary men were randomized into CYC (n = 11), SSG (n = 11), or CON (n = 11) conditions. The CYC and SSG conditions trained 3 days/week for 8 weeks, whilst CON maintained habitual activity and dietary patterns. Pre- and post-intervention testing included a dual-energy X-ray absorptiometry scan, sub-maximal (80 % maximal heart rate) aerobic capacity (VO2) and fasting venous blood. Venous blood measures for pro-inflammatory markers included C-reactive protein (CRP), interleukin (IL)-6, IL-1β, tumor necrosis factor-α, and leptin; anti-inflammatory markers included IL-10, IL-1 receptor agonist, and adiponectin.Results: Both CYC and SSG increased submaximal power output and VO2 (P < 0.05), decreased total body fat-mass (TB-FM; P < 0.05), and CRP (SSG, −0.45 ± 0.42 mg L−1; P = 0.008; CYC, −0.44 ± 0.59 mg L−1; P = 0.02). Only SSG increased total body fat-free mass (TB-FFM; +1.1 ± 1.2 kg; P = 0.001) and decreased concentration of plasma IL-6 (−0.69 ± 0.62 pg mL−1; P = 0.002) and leptin (−2,212 ± 2,531 ng mL−1; P = 0.014).Conclusion: Cycling and SSG training were both effective at improving CRP, VO2 and TB-FM. Furthermore, SSG training has also shown to be an effective training approach in reducing IL-6 and leptin and increasing muscle mass within sedentary, middle-aged men

A 12-week sports-based exercise programme for inactive Indigenous Australian men improved clinical risk factors associated with type 2 diabetes mellitus

© 2014 Sports Medicine Australia. Objectives: This study assessed the effect of a 12-week sports-based exercise intervention on glucose regulation, anthropometry and inflammatory markers associated with the prevalence of type 2 diabetes mellitus (T2DM) in Indigenous Australian men. Design: Twenty-six inactive Indigenous Australian men (48.6. ± 6.6 years) were randomized into exercise (n=16) or control (n=10)conditions. Methods: Training included ~2-3 days/week for 12 weeks of sports and gym exercises in a group environment, whilst control participants maintained normal activity and dietary patterns. Pre- and post-intervention testing included: anthropometry, peak aerobic capacity, fasting blood chemistry of inflammatory cytokines, adiponectin, leptin, cholesterol, glucose, insulin and C-peptide. An oral glucose tolerance test measured glucose, insulin and C-peptide 30, 60, 90 and 120. min post 75. g glucose ingestion. Results: The exercise condition decreased insulin area under the curve (25. ± 22%), increased estimated insulin sensitivity (35. ± 62%) and decreased insulin resistance (9. ± 35%; p 0.05). The exercise condition decreased in body mass index, waist circumference and waist to hip ratio (p 0.05). Leptin decreased in the exercise group, with no changes for adiponectin (p> 0.05) or inflammatory markers (p> 0.05) in either condition. Aerobic fitness variables showed significant increases in peak oxygen consumption for the exercise condition compared to no change in control (p> 0.05). Conclusions: Findings indicate positive clinical outcomes in metabolic, anthropometric and aerobic fitness variables. This study provides evidence for sport and group-based activities leading to improved clinical risk factors associated with T2DM development in clinically obese Indigenous Australian men

Differences in the acute inflammatory and glucose regulatory responses between small-sided games and cycling in sedentary, middle-aged men

© 2014 Sports Medicine Australia. Objectives: This study compared the acute inflammatory and glucose regulatory response within and between rugby specific small-sided games and stationary cycling in sedentary, middle-aged Caucasian men. Design: Nine middle-aged, sedentary men who were free from disease participated in 2. ×. 40 min exercise conditions (stationary cycling and small-sided games) in a randomised, cross-over design. Methods: Heart rate and Rating of Perceived Exertion were collected during each bout. Venous blood was collected at fasting, 0, 30, 60 and 240. min post-exercise for measurement of glucose, insulin, cortisol and inflammatory markers including tumour necrosis factor-α, interleukin-1β, interleukin-6, interleukin-1 receptor agonist and C-reactive protein. Results: No significant differences existed between conditions for heart rate and Rating of Perceived Exertion (p>. 0.05). Interleukin-6 was increased immediately post-exercise in both conditions (p 0.05). Results for C-reactive protein, tumour necrosis factor-α and interleukin-1β showed no significant exercise-induced changes within or between conditions (p>. 0.05). Conclusions: Both small-sided games and stationary cycling conditions were sufficient to stimulate an acute anti-inflammatory response as indicated by the post-exercise elevation of interleukin-6, interleukin-1receptor agonist and cortisol. The novel findings are that an acute bout of small-sided games bout is capable of maintaining an elevated post-exercise interleukin-6 response and lowered blood glucose concentration, compared with intensity- and duration-matched stationary cycling condition

The effect of high-intensity aerobic interval training on markers of systemic inflammation in sedentary populations

© 2017, Springer-Verlag Berlin Heidelberg. Purpose: This study examined the effects of high-intensity interval training (HIIT; 30 s sprint, 4–5 min passive recovery) and prolonged intermittent sprint training (PIST; 10 s sprint, 2–3 min moderate exercise) on the systemic inflammatory markers C-reactive protein (CRP) and tumor necrosis factor-α (TNF-α), aerobic capacity, and anthropometry in a middle-aged, sedentary population. Methods: Fifty-five sedentary adults (age 49.2 ± 6.1 years) were randomised into HIIT (n = 20), PIST (n = 21), or a sedentary control group (CTRL n = 14). HIIT and PIST performed three training sessions per week for 9 weeks on a cycle ergometer, matched for total high-intensity time, while CTRL continued normal sedentary behaviours. Pre- and post-intervention testing involved measures of anthropometry, peak oxygen consumption (VO2peak), and venous blood collection for analyses of CRP and TNF-α. Results: HIIT and PIST increased VO2peak compared to CTRL (+3.66 ± 2.23 and 3.74 ± 2.62 mL kg min−1). A group × time interaction (p = 0.042) and main effect of time (p = 0.026) were evident for waist girth, with only HIIT showing a significant reduction compared to CTRL (−2.1 ± 2.8 cm). TNF-α and CRP showed no group × time interaction or time effect (p > 0.05). Conclusions: In sedentary individuals, 9 weeks of HIIT or PIST were effective to improve aerobic capacity; however, only HIIT significantly reduced waist girth and WHR compared to CTRL. Markers of systemic inflammation remained unchanged across all groups. Accordingly, for inflammation and VO2peak, the distribution of sprints and the active or passive recovery periods are inconsequential provided that total duration of high-intensity efforts is similar

Rugby-specific small-sided games training is an effective alternative to stationary cycling at reducing clinical risk factors associated with the development of type 2 diabetes: A randomized, controlled trial

© 2015 Mendham et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Introduction: The present study investigated whether rugby small-sided games (SSG) could be an effective alternative to continuous stationary cycling (CYC) training at reducing clinical risk factors associated with the development of type 2 diabetes mellitus (T2DM). Methods: Thirty-three middle-aged (48.6±6.6y), inactive men were randomized into a CYC (n=11), SSG (n=11), or control (CON, n=11) group. Participants trained 3d·wk-1 for 8 weeks, while control participants maintained normal activity and dietary patterns. Exercise duration was matched between groups, which involved CYC or SSG (four quarters, interspersed with 2- min passive recovery). Both training programs were designed to induce similar internal loads of maximal heart rate (∼80-85%HRmax) and rating of perceived exertion. Pre- and post-intervention testing included dual-energy x-ray absorptiometry scan, graded exercise test, fasting 2h oral glucose tolerance test and resting muscle biopsy. Western blotting was used to assess the content of skeletal muscle proteins associated with mitochondrial biogenesis and glucose regulation. Results: Both CYC and SSG increased VO2 at 80%HRmax, and reduced glycated haemoglobin, glucose area under the curve (AUC; SSG, -2.3±2.4; CYC -2.2±1.6 mmol·L1(120min)1; p1(120min)1; p0.05). There were no differences within or between conditions for protein content of peroxisome proliferator-activated receptor gamma coactivator-1α, sirtuin-1, p53, glucose transporter-4, protein kinase AKT/PKB, myocyte enhancer factor 2A, mitochondrial transcription factor, nuclear respiratory factor (NRF)-1, NRF-2 or mitochondrial complexes I-V (p>0.05). Conclusion: Rugby small-sided games is an effective alternative to continuous cycling for improving metabolic risk-factors associated with the prevention of T2DM. Despite such positive adaptations in clinical risk factors, there were no changes in the content of skeletal muscle proteins associated with glucose regulation and mitochondrial biogenesis. Trial Registration: Australian New Zealand Clinical Trial Registry ACTRN1261300087471

Sleep Hygiene and Light Exposure Can Improve Performance Following Long-Haul Air Travel.

PURPOSE:To assess the efficacy of a combined light exposure and sleep hygiene intervention to improve team-sport performance following eastward long-haul transmeridian travel. METHODS:Twenty physically trained males underwent testing at 09:00 and 17:00 hours local time on 4 consecutive days at home (baseline) and the first 4 days following 21 hours of air travel east across 8 time zones. In a randomized, matched-pairs design, participants traveled with (INT; n = 10) or without (CON; n = 10) a light exposure and sleep hygiene intervention. Performance was assessed via countermovement jump, 20-m sprint, T test, and Yo-Yo Intermittent Recovery Level 1 tests, together with perceptual measures of jet lag, fatigue, mood, and motivation. Sleep was measured using wrist activity monitors in conjunction with self-report diaries. RESULTS:Magnitude-based inference and standardized effect-size analysis indicated there was a very likely improvement in the mean change in countermovement jump peak power (effect size 1.10, ±0.55), and likely improvement in 5-m (0.54, ±0.67) and 20-m (0.74, ±0.71) sprint time in INT compared with CON across the 4 days posttravel. Sleep duration was most likely greater in INT both during travel (1.61, ±0.82) and across the 4 nights following travel (1.28, ±0.58) compared with CON. Finally, perceived mood and motivation were likely worse (0.73, ±0.88 and 0.63, ±0.87) across the 4 days posttravel in CON compared with INT. CONCLUSIONS:Combined light exposure and sleep hygiene improved speed and power but not intermittent-sprint performance up to 96 hours following long-haul transmeridian travel. The reduction of sleep disruption during and following travel is a likely contributor to improved performance

The football is medicine plaform-scientific evidence, large-scale implementation of evidence-based concepts and future perspectives

The idea that football can be used as therapy and as a high-intensity and literally breath-taking training regime goes back centuries. To take one prominent example, the French philosopher Voltaire describes in the Book of Fate (1747), how a patient is cured by playing with a sacred football: “… full-blown and carefully covered with the softest Leather. You must kick this Bladder, Sir, once a Day about your Hall for a whole Hour together, with all the Vigour and Activity you possibly can”, “Ogul, upon making the first Experiment, was ready to expire for want of Breath”, “In short, our Doctor in about 8 days Time, performed an absolute Cure. His Patient was as brisk, active and gay, as One in the Bloom of his Youth.”1 Today, Voltaire and his main character, philosopher Zadig, have been proved right: Football is indeed a breath-taking activity and it can be used as therapy. Albeit today's recommendations suggest a lower training frequency, longer training periods and encourage group-based training, and say that any football can be applied