Acute Effects of Different Stretching Protocols Combined with Potentiating Exercise on Flexibility, Power, and Muscle Performance

The purpose of this study was to investigate the acute effects of different stretching protocols combined with potentiating exercise on flexibility, power, and muscle performance. This study was conducted in repeated and cross-over designed. Thirteen collegiate males aged 25.4±3.46 years voluntarily participated in this study. Prior to conduct stretching session, participants performed jogging on the treadmill for 5 min. Then, four different stretching protocols (non stretching; NS, static stretching; SS, dynamic stretching; DS, and proprioceptive neuromuscular facilitation stretching; PNFS) specially targeted for lower limb muscles combined with potentiating exercise (PE, 3 sets x 5 times tuck jumps) were randomly applied at the same time of the day with 7-days interval. Straight leg raise, and vertical jump tests were measured at baseline, post jogging, stretching, and potentiating exercise. Isokinetic muscle strength, anaerobic power, and agility T-test were measured after each stretching combined with potentiating exercise. Repeated measure ANOVAs were used with significant level set at p\u3c.05. Our results indicate that greater improvement in straight leg raise was observed in SS (9.6%) and PNFS (12.1%) compared to NS (0.6%) and DS (5.0%) at post stretching (p\u3c.001). However, vertical jump performance was significantly improved only in DS (1.8%) (p\u3c.001). After potentiating exercise, greater improvement of vertical jump performance was observed in NS (2.2%), SS (3.2%), and PNFS (6.5%) than DS (-0.4%) (p\u3c.01). Isometric leg flexion was significantly higher in DS and PNFS than NS and SS after completion of PE (p\u3c.05). However, no significant differences in leg extension, anaerobic power, and agility were observed among trials. Our study demonstrated that dynamic and PNF stretching protocols combined with potentiating exercise are efficient for generating muscle strength as well as improving flexibility. It is also noted that potentiating exercise plays a major role for preventing the acute loss of power induced by static and PNF stretching

Kinesio Taping does not Alter Muscular Performance of Lower Extremity in Obese Adults

Obese adults often experience a weight burden imposed on the joints during physical activities. Taping is known as an effective therapy that can lessen the stress on joints during physical activity. Specially, Kinesio taping has gained recognition to improve exercise performance. However, the acute effects of Kinesio taping using obese population have not been well established. The purpose of this study was to examine the acute effects of Kinesio taping on the muscular strength, power, and endurance of lower extremity in obese adults. This study was conducted in randomized crossover design with 7 days washout periods. Fourteen obese adults (male: 5, female: 9), mean age of 24.0 ± 3.04 years and percent body fat of 37.44 ± 7.64 % (male: 33.25 ± 8.12, female: 38.16 ± 6.91) took part in the study. All subjects underwent three different trials which were no taping, placebo taping (3M tape), and Kinesio taping. The tape was applied to the rectus femoris, tibialis anterior, and patella ligament based on the Kinesio taping techniques. Subjects wore an eye mask and the taped leg was covered by clothes for preventing subjects and researchers from identifying different tapings (double-blind). Muscular power, isometric muscle strength, and muscle endurance of lower extremity were assessed. Repeated measures one-way analysis of variance (ANOVA) was used to determine differences among three trials. There were no statistical differences in peak power (F= 0.978, p= .402), mean power (F=1.386, p=.285), muscular strength (extension: F= 1.138, p= .350; flexion: F= 3.326, p= .068, and endurance (F= 3.675, p= .060) among three trials. Interpretation of these findings suggests that the Kinesio tape did not improve lower limb performance in obese adults. Short application period may affect to the non-significance result. Further studies are needed to investigate the effective period of taping on lower limb exercise performance in obese adults

Under-reporting of Energy Intake from 24-hour Dietary Recalls in the Korean National Health and Nutrition Examination Survey

AbstractObjectivesChronic degenerative diseases are closely related to daily eating habits, nutritional status, and, in particular, energy intake. In clarifying these relationships it is very important for dietary surveys to report accurate information about energy intake. This study attempted to identify the prevalence of the under-reporting of energy intake and its related characteristics based on the Korean National Health and Nutrition Examination Survey conducted in the years 2007–2009.MethodsThe present study analyzed dietary intake data from 15,133 adults aged ≥19 years using 24-hour dietary recalls. Basal metabolic rates were calculated from the age- and gender-specific equations of Schofield and under-reporting was defined as an energy intake <0.9, represented by the ratio of energy intake to estimated basal metabolic rate.ResultsUnder-reporters (URs) accounted for 14.4% of men and 23.0% of women and the under-reporting rate was higher in the age group 30–49 years for both men and women. The results from an analysis of the age-specific socioeconomic characteristics of participants classified as URs showed that under-reporting was high in women living alone and in women with only elementary school education or no education. The results from an analysis of the health-specific characteristics of URs showed that a large proportion of URs had poor self-rated health or were obese, or both, compared with non-URs. The proportion of participants who consumed less than the estimated average requirements for nutrients was significantly higher in URs compared with non-URs.ConclusionThe under-reporting of energy intake was associated with age, gender, education level, income level, household status (single-person or multi-person), self-rated health, physical activity, and obesity

A Synergistic Anti-Diabetic Effect by Ginsenosides Rb1 and Rg3 through Adipogenic and Insulin Signaling Pathways in 3T3-L1 Cells

Although ginsenosides Rb1 and Rg3 have been identified as the significant ginsenosides found in red ginseng that confer anti-diabetic actions, it is unclear whether insulin-sensitizing effects are mediated by the individual compounds or by their combination. To determine the effect of ginsenosides Rb1 and Rg3 on adipocyte differentiation, 3T3-L1 preadipocytes were induced to differentiate the standard hormonal inducers in the absence or presence of ginsenosides Rb1 or Rg3. Additionally, we determined the effects of Rb1, Rg3, or their combination on the expression of genes related to adipocyte differentiation, adipogenic transcription factors, and the insulin signaling pathway in 3T3-L1 cells using semi-quantitative RT-PCR. Rb1 significantly increased the expression of CEBP alpha, PPAR gamma, and aP2 mRNAs. However, Rg3 exerted its maximal stimulatory effect on these genes at 1 mu M concentration, while a high concentration (50 mu M) showed inhibitory effects. Similarly, treatment with Rb1 and Rg3 (1 mu M) increased the expression of IRS-1, Akt, PI3K, GLUT4, and adiponectin. Importantly, co-treatment of Rb1 and Rg3 (9:1) induced the maximal expression levels of these mRNAs. Our data indicate that the anti-diabetic activity of red ginseng is, in part, mediated by synergistic actions of Rb1 and Rg3, further supporting the significance of minor Rg3

Characterization of Fabry mice treated with recombinant adeno-associated virus 2/8-mediated gene transfer

<p>Abstract</p> <p>Background</p> <p>Enzyme replacement therapy (ERT) with α-galactosidase A (α-Gal A) is currently the most effective therapeutic strategy for patients with Fabry disease, a lysosomal storage disease. However, ERT has limitations of a short half-life, requirement for frequent administration, and limited efficacy for patients with renal failure. Therefore, we investigated the efficacy of recombinant adeno-associated virus (rAAV) vector-mediated gene therapy for a Fabry disease mouse model and compared it with that of ERT.</p> <p>Methods</p> <p>A pseudotyped rAAV2/8 vector encoding α-Gal A cDNA (rAAV2/8-hAGA) was prepared and injected into 18-week-old male Fabry mice through the tail vein. The α-Gal A expression level and globotriaosylceramide (Gb3) levels in the Fabry mice were examined and compared with Fabry mice with ERT. Immunohistochemical and ultrastructural studies were conducted.</p> <p>Results</p> <p>Treatment of Fabry mice with rAAV2/8-hAGA resulted in the clearance of accumulated Gb3 in tissues such as liver, spleen, kidney, heart, and brain with concomitant elevation of α-Gal A enzyme activity. Enzyme activity was elevated for up to 60 weeks. In addition, expression of the α-Gal A protein was identified in the presence of rAAV2/8-hAGA at 6, 12, and 24 weeks after treatment. α-Gal A activity was significantly higher in the mice treated with rAAV2/8-hAGA than in Fabry mice that received ERT. Along with higher α-Gal A activity in the kidney of the Fabry mice treated with gene therapy, immunohistochemical studies showed more α-Gal A expression in the proximal tubules and glomerulus, and less Gb3 deposition in Fabry mice treated with this gene therapy than in mice given ERT. The α-gal A gene transfer significantly reduced the accumulation of Gb3 in the tubules and podocytes of the kidney. Electron microscopic analysis of the kidneys of Fabry mice also showed that gene therapy was more effective than ERT.</p> <p>Conclusions</p> <p>The rAAV2/8-hAGA mediated α-Gal A gene therapy provided improved efficiency over ERT in the Fabry disease mouse model. Furthermore, rAAV2/8-hAGA-mediated expression showed a greater effect in the kidney than ERT.</p

The Acute and Chronic Effect of Korea Ginseng Supplement on Exercise Performance, Cognitive Function, and Fatigue Recovery

The purpose of this study was to determine the acute and chronic effects of Korean ginseng supplements on exercise performance, cognitive function, and fatigue recovery. The study used double-blind, placebo-controlled, crossover design. Twelve healthy adult males (age = 31 ± 6.86 yrs) were randomly assigned to either KGD or placebo trials. All subjects conducted the exercise consisted with 30 minutes cycling at 70-75% of VO2 max followed by 16 km time trial with 30 minutes resting periods. All subjects were tested for muscular power, strength, endurance, cognitive function, and fatigue. The subjects took KGD (280 ml containing 5.88 mg of ginsenosides) or placebo 90 mins before exercise trials and following 7 days. The blood sample was drawn for IL-6, myoglobin, and total antioxidant capacity immediately after time trial, as well as 2, 24, 48, and 72 hours. After 2 weeks of wash-out period, the subjects were crossed over into the opposite trial and performed the same test. Repeated measures ANOVAs were used to examine the effect of acute and chronic intake of ginseng on exercise performance and blood variables. An alpha of .05 was used, and the Greenhouse-Geisser (G-G) adjusted F and degrees of freedom were reported. In a placebo trial, peak power and mean power levels were significantly decreased across time, F (1.47, 13.24) = 4.63, G-G p = .039, h2p = .340 and F (1.46, 13.13) = 5.31, G-G p = .028, h2p = .371 while no differences were found in a ginseng trial. In a placebo trial, average reaction time (ART) was significantly increased across time, F (1.29, 11.63) = 10.81, G-G p = .005, h2p = .546, but in a ginseng trial, no difference in ART was found across time, F (1.54, 13.86) = 4.02, G-G p = .051, h2p = .309. There was a significant increase in TAC across time in a ginseng trial, F (1.42, 11.37) = 5.07, G-G p = .035, h2p = .388 while no difference was found in a placebo trial. No significant differences were found in other variables from placebo and ginseng trails. The 7 days of KRG supplementation significantly reduced the serum myoglobin concentration across time in the KGD trial, F (1.88, 13.17) = 5.18, G-G p = .023, while no difference was found in the placebo trial, F (2.21, 17.66) = .88, G-G p = .443. No significant differences were observed in serum total antioxidant activity and IL-6 between KGD and placebo trials. The study shows that Korean ginseng supplement before stating the exercise improve anaerobic capacity, cognitive function in particular psychomotor vigilance task, and fatigue recovery during cycling exercise. And 7 days of Korean ginseng supplement reduces muscle damage and fatigue after cycling exercise

Impact of the COVID-19 Pandemic on Behavioral and Emotional Factors in Pediatric Patients with Headache

Purpose Headaches are common in childhood and adolescence and are often exacerbated by various triggers. The coronavirus disease 2019 (COVID-19) pandemic has profoundly altered daily life worldwide. In this study, we investigated potential behavioral and emotional changes among pediatric patients with headaches, treated either before or after the onset of the COVID-19 pandemic. Methods We examined 162 patients who visited our pediatric headache clinic between March 2018 and August 2021. The study included patients with primary headaches who completed a questionnaire assessing behavioral and psychiatric characteristics. We reviewed their clinical features, imaging studies, and scores on the Korean Child Behavior Checklist (K-CBCL), State Anxiety Inventory for Children (SAIC), Trait Anxiety Inventory for Children, and Children’s Depression Inventory (CDI). Statistical analysis was conducted using the Mann-Whitney U test, among other methods. Results The 162 patients (mean age, 11.7±3.3 years) were classified based on whether they visited before (n=81) or after (n=81) the onset of the COVID-19 pandemic. The average CDI and SAIC scores were significantly higher in those who presented after pandemic onset. In this group, the odds ratio for an abnormal CDI score was 4.971. A weak positive correlation was found between the CDI score and the K-CBCL total problem score, with a correlation coefficient of 0.297. Conclusion Pediatric patients visiting the headache clinic after the onset of the COVID-19 pandemic exhibited significantly higher levels of anxiety and depression compared to pre-pandemic visitors. Recognizing the considerable impact of the pandemic may help inform the management of pediatric headaches

Changes in frequency of benign convulsions with mild gastroenteritis and their viral causes before and during the COVID-19 pandemic: a single-center study

Background Benign convulsions with mild gastroenteritis (CwG) are prevalent in young children during the winter. Early in the coronavirus disease 2019 (COVID-19) pandemic, viral gastroenteritis occurrence decreased and seasonal variation was lost, which can change CwG. Purpose Here we investigated changes in frequency, seasonal variation, and causative viruses of CwG during the COVID-19 pandemic. Methods We screened 1134 patients (3–36 months) with “other and unspecified convulsions” treated at Chonnam National University Hospital between March 2017 and February 2023; of them, we enrolled 41 (3.6%) with CwG. We compared their medical records from period I (March 2017 to February 2020) to those from period II (March 2020 to February 2023). Publicly available viral gastroenteritis surveillance data from the Korea Disease Control and Prevention Agency (KDCA) were reviewed as reference. Results Of the 41 patients with CwG, 18 (2.9% of 613) were affected in period I versus 23 (4.4% of 512) in period II (P=0.184). In period I, CwG mainly occurred in winter and spring (55.6% and 22.2%, respectively). In period II, there were fewer CwG cases (39.1%) in winter and more cases in summer and autumn (26.1% and 17.4%, respectively): the cases of norovirus genogroup II (GII)-associated CwG increased significantly in the summer (38.5% vs. 0%, P= 0.046). Norovirus GII was the most common virus (56.1% of isolates). Enteric adenovirus was the second most common (19.5%), with one case in period I and 7 cases in period II (P=0.059). The clinical characteristics of enteric adenovirus-associated CwG were similar to those of norovirus. Seasonal changes in and viral causes of CwG were consistent with those observed in the KDCA stool surveillance data. Conclusion During the COVID-19 pandemic, CwG frequency did not change, seasonal variation was unapparent, and enteric adenovirus-associated CwG frequency increased