Clinical characteristics, etiology and antimicrobial susceptibility among overweight and obese individuals with diarrhea: observed at a large diarrheal disease hospital, Bangladesh

Background:The present study aimed to determine the clinical characteristics and etiology of overweight and obese (OO) individuals with diarrhea attending an urban Dhaka Hospital, International Centre for Diarrheal Disease Research (icddr,b), Bangladesh.Methods:Total of 508 under-5 children, 96 individuals of 5-19 years and 1331 of >19 years were identified as OO from the Diarrheal Disease Surveillance System (DDSS) between 1993-2011. Two comparison groups such as well-nourished and malnourished individuals from respective age stratums were selected.Results:Isolation rate of rotavirus was higher among OO under-5 children compared to malnourished group (46% vs. 28%). Rotavirus infection among OO individuals aged 5-19 years (9% vs. 3%) (9% vs. 3%) and >19 years (6% vs. 4%) (6% vs. 3%) was higher compared to well-nourished and malnourished children. Conversely, Vibrio cholerae was lower among all OO age groups compared to well-nourished and malnourished ones. Shigella (4% vs. 6%) (4% vs. 8%), and Campylobacter (3% vs. 5%) (3% vs. 5%) were lower only among OO in >19 years individuals compared to their counterparts of the same age stratum. Salmonella was similarly isolated in all age strata and nutritional groups. In multinomial logistic regression among under-5 children, significant association was observed only with use of antimicrobials at home [OR-1.97] and duration of hospital stay [OR-0.68]. For individuals aged 5-19 years, use of antimicrobials at home (OR-1.83), some or severe dehydration (OR-3.12), having received intravenous saline (OR-0.46) and rotavirus diarrhea (OR-2.96) were found to be associated with OO respectively. Moreover, significant associations were also found for duration of diarrhea before coming to hospital (>24 hours) (OR-1.24), Shigella (OR-0.46), and Campylobacter (OR-0.58) among >19 years OO individuals along with other associated co-variates in 5-19 years group (all

Hypothalamic inflammation is reversed by endurance training in anorectic-cachectic rats

<p>Abstract</p> <p>Aim</p> <p>We tested the effects of a cancer cachexia-anorexia sydrome upon the balance of anti and pro-inflammatory cytokines in the hypothalamus of sedentary or trained tumour-bearing (Walker-256 carcinosarcoma) rats.</p> <p>Methods</p> <p>Animals were randomly assigned to a sedentary control (SC), sedentary tumour-bearing (ST), and sedentary pair-fed (SPF) groups or, exercised control (EC), exercised tumour-bearing (ET) and exercised pair-fed (EPF) groups. Trained rats ran on a treadmill (60%VO_2max) for 60 min/d, 5 days/wk, for 8 wks. We evaluated food intake, leptin and cytokine (TNF-α, IL1β) levels in the hypothalamus.</p> <p>Results</p> <p>The cumulative food intake and serum leptin concentration were reduced in ST compared to SC. Leptin gene expression in the retroperitoneal adipose tissue (RPAT) was increased in SPF in comparison with SC and ST, and in the mesenteric adipose tissue (MEAT) the same parameter was decreased in ST in relation to SC. Leptin levels in RPAT and MEAT were decreased in ST, when compared with SC. Exercise training was also able to reduce tumour weight when compared to ST group. In the hypothalamus, IL-1β and IL-10 gene expression was higher in ST than in SC and SPF. Cytokine concentration in hypothalamus was higher in ST (TNF-α and IL-1β, p < 0.05), compared with SC and SPF. These pro-inflammatory cytokines concentrations were restored to control values (p < 0.05), when the animals were submitted to endurance training.</p> <p>Conclusion</p> <p>Cancer-induced anorexia leads towards a pro-inflammatory state in the hypothalamus, which is prevented by endurance training which induces an anti-inflammatory state, with concomitant decrease of tumour weight.</p

Hormonal, metabolic and perceptual responses to different resistance training systems

Aim. The purpose of the present study was to compare the effect of different resistance training systems (Multiple-set [MS] and Pyramid [P]) on hormonal, metabolic and perceptual markers of internal load. Methods. Ten healthy men performed two resistance training sessions (MS and P) which consisted of three exercises (bench press, peck deck and decline bench press) with the same total volume of load lifted. The training sessions were performed 14 days apart and allocated in a counter-balanced order. Hormonal (plasma insulin, growth hormone [GH], testosterone and Cortisol) and metabolic (blood glucose and lactate) responses were assessed before and after each exercise bout Session rating of perceived exertion (session RPE) was taken 30-min following each bout. Results. No difference was observed for session-RPE between P and MS bouts (P>0.05). Plasma GH, Cortisol and lactate increased significantly after exercise both bouts (P0.05). Conclusion. It is concluded that the acute bout of resistance exercise following MS and P systems provide similar training strain when the total volume of load lifted is matched

Isometric handgrip does not elicit cardiovascular overload or post-exercise hypotension in hypertensive older women

Rafael dos Reis Vieira Olher,1,2,* Danilo Sales Bocalini,3,* Reury Frank Bacurau,4 Daniel Rodriguez,5 Aylton Figueira Jr,5 Francisco Luciano Pontes Jr,4 Francisco Navarro,6 Herbert Gustavo Sim&otilde;es,1 Ronaldo Carvalho Araujo,7 Milton Rocha Moraes8 1Universidade Cat&oacute;lica de Bras&iacute;lia, Distrito Federal, 2Universidade Gama Filho, Rio de Janeiro, 3Universidade Nove de Julho (UNINOVE), S&atilde;o Paulo, 4Universidade de S&atilde;o Paulo &ndash; Escola de Artes, Ci&ecirc;ncias e Humanidades, S&atilde;o Paulo, 5Universidade S&atilde;o Judas Tadeu (USJT), S&atilde;o Paulo, Brazil, 6Universidade Federal do Maranh&atilde;o, Maranh&atilde;o, 7Universidade de S&atilde;o Paulo, Instituto de Ci&ecirc;ncias Biom&eacute;dicas, S&atilde;o Paulo, 8Universidade Federal de S&atilde;o Paulo &ndash; Escola Paulista de Medicina, S&atilde;o Paulo, Brazil *These authors contributed equally to this work Background: Arterial hypertension is a serious health problem affecting mainly the elderly population. Recent studies have considered both aerobic and resistance exercises as a non-pharmacological aid for arterial hypertension treatment. However, the cardiovascular responses of the elderly to isometric resistance exercise (eg, isometric handgrip [IHG]) have not yet been documented. Objective: The purpose of this study was to investigate cardiovascular responses to different intensities of isometric exercise, as well as the occurrence of post-isometric exercise hypotension in hypertensive elderly people under antihypertensive medication treatment. Patients and methods: Twelve women volunteered to participate in the study after a maximal voluntary contraction test (MVC) and standardization of the intervention workload consisting of two sessions of IHG exercise performed in four sets of five contractions of a 10-second duration. Sessions were performed both at 30% of the MVC and 50% of the MVC, using a unilateral IHG protocol. Both intensities were compared with a control session without exercise. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) at rest (R), during peak exercise (PE), and after 5, 10, 15, 30, 45, and 60 minutes of post-exercise recovery were evaluated. Results: No significant changes were observed after isometric exercise corresponding to 30% MVC for either SBP (R: 121 &plusmn; 10; PE: 127 &plusmn; 14; 5 min: 125 &plusmn; 13; 10 min: 123 &plusmn; 12; 15 min: 122 &plusmn; 11; 30 min: 124 &plusmn; 11; 45 min: 124 &plusmn; 10; 60 min: 121 &plusmn; 10 mmHg) or DBP (R: 74 &plusmn; 9; PE: 76 &plusmn; 6; 5 min: 74 &plusmn; 5; 10 min: 72 &plusmn; 8; 15 min: 72 &plusmn; 5; 30 min: 72 &plusmn; 8; 45 min: 73 &plusmn; 6; 60 min: 75 &plusmn; 7 mmHg). Similarly, the 50% MVC did not promote post-isometric exercise hypotension for either SBP (R: 120 &plusmn; 7; PE: 125 &plusmn; 11; 5 min: 120 &plusmn; 9; 10 min: 122 &plusmn; 9; 15 min: 121 &plusmn; 11; 30 min: 121 &plusmn; 9; 45 min: 121 &plusmn; 9; 60 min: 120 &plusmn; 7 mmHg) or DBP (R: 72 &plusmn; 8; PE: 78 &plusmn; 7; 5 min: 72 &plusmn; 7; 10 min: 72 &plusmn; 8; 15 min: 71 &plusmn; 7; 30 min: 72 &plusmn; 8; 45 min: 75 &plusmn; 10; 60 min: 75 &plusmn; 7 mmHg). Conclusion: Our data reveal that cardiovascular overload or post-exercise hypotension did not occur in elderly women with controlled hypertension when they undertook an IHG session. Thus this type of resistance exercise, with mild to moderate intensity, with short time of contraction appears to be safe for this population. Keywords: hypertension, resistance exercise, elderly, cardiovascular response, antihypertensive medication, isometric exercis

Effects of L-Carnitine Supplementation on Metabolic Utilization of Oxygen and Lipid Profile among Trained and Untrained Humans

Background: The effectiveness of L-carnitine supplementation has been met with conflicting findings when used by sedentary and athletic adults. Objectives: This study aimed to investigate the acute effects of L-carnitine supplementation on aerobic metabolic efficiency and lipid profiles in sedentary and athletic men. Methods: Fifteen sedentary (20.4 ± 1.5 years) and 15 athletic (21.5 ± 2.4 years) men were studied in durations of control, placebo intake and 2 g of L-carnitine supplementation. Lipid profiles, including triglyceride, cholesterol, high-density lipoprotein (HDL) and very-low density lipoprotein (VLDL), were determined before and 40 min after either the placebo or L-carnitine intake. Oxygen consumption (direct VO2), ventilatory threshold (VT), and running time (RT) were recorded after a submaximal treadmill exercise test. Results: Direct VO2 increased significantly at 80% of maximal heart rate after L-carnitine supplementation in both athletic and sedentary men, whereas, a statistical increase in VT and RT occurred only after L-carnitine use in athletes, when compared to the control and placebo subjects. The sedentary group showed no changes in lipid parameters, but triglyceride levels reduced significantly in the athletes after consuming L-carnitine. Conclusions: Acute L-carnitine supplementation possibly affects exercise performance and triglycerides in athletes rather than sedentary men

Suplementação de carboidrato não reverte o efeito deletério do exercício de endurance sobre o subseqüente desempenho de força Suministrar carbohidratos no revierte el efecto destructivo del ejercicio de endurance sobre el subsiguiente desempeño de fuerza Carbohydrate supplementation fails to revert the deleterious effects of endurance exercise upon subsequent strength performance

Estudos disponíveis na literatura demonstram que a realização prévia de um exercício de endurance afeta de modo adverso o desempenho no exercício de força subseqüente. Tal ocorrência pode estar relacionada a mudanças metabólicas induzidas pelo exercício de endurance. O objetivo deste trabalho foi verificar se a ingestão de carboidrato (CHO) pode atenuar os efeitos de uma sessão aguda de exercício de endurance sobre o desempenho de força. A fim de testar essa hipótese, seis estudantes universitárias (164 ± 5,9cm; 64,9 ± 7,2kg), com experiência em treinamento de força, foram submetidas a um teste para a determinação do VO2pico (44 ± 4,3ml.min-1) e um teste de 1-RM para o leg press (186 ± 22,5kg) seguido de um teste de repetições máximas (duas séries de leg press realizado a 70% de 1-RM até exaustão 1ª série 21 ± 2,6 e 2ª série 11 ± 1,9 repetições) em dias diferentes. Seguindo um protocolo duplo-cego, os sujeitos foram submetidos a duas condições experimentais, recebendo uma bebida placebo (P) ou outra contendo carboidrato (6% - maltodextrina), antes (500ml) e durante (500ml) a realização de uma sessão de exercício de endurance (corrida em esteira 70% do VO2pico por 45 minutos). Em seguida ao exercício de endurance, os indivíduos realizaram um teste de 1-RM seguido pelo teste de repetições máximas. Não foram observadas mudanças no teste de 1-RM e na concentração plasmática de glicose entre as condições experimentais (P x CHO). O número de repetições máximas a 70%-1RM apresentou decréscimo nas duas situações (P 1ª série 13 ± 2,9 repetições e 2ª série 6 ± 2,1 repetições; CHO 1ª série 15 ± 2,5 repetições e 2ª série 7 ± 1,7 repetições, p < 0,05), não havendo diferença entre ambas. Uma sessão de exercício de endurance (intensidade moderada e longa duração) realizada previamente afeta de modo negativo a capacidade de realizar repetições máximas. Independente do mecanismo envolvido na redução do número de repetições máximas, o consumo de carboidrato foi incapaz de reverter esse efeito prejudicial.<br>Los estudios disponibles en la literatura demuestran que la realización previa de un ejercicio de endurance afecta de modo adverso el desempeño en el ejercicio de fuerza subsiguiente. Tal ocurrencia puede estar relacionada a cambios metabólicos inducidos por el ejercicio de endurance. Nuestro objetivo fue verificar si el ingerir carbohidratos (CHO) puede atenuar los efectos de una sesión aguda de ejercicio de endurance sobre el desempeño de fuerza. Con el fin de verificar esta hipótesis, 6 estudiantes universitarias (164 ± 5,9cm; 64,9 ± 7,2kg), con experiencia en entrenamiento de fuerza, fueron sometidas a un test para determinar el VO2pico (44 ± 4,3ml.min-1) y a un test de 1-RM para leg press (186 ± 22,5kg) seguido de un test de repeticiones máximas (2 series de leg press realizado a 70% de 1-RM hasta el cansancio 1ª serie 21 ± 2,6 y 2ª serie 11 ± 1,9 repeticiones) en días diferentes. Siguiendo un procedimiento doble-ciego los voluntarios fueron sometidos a dos condiciones experimentales, recibiendo una bebida placebo (P) u otra conteniendo carbohidratos (6% - maltodextrina), antes (500ml) y durante (500ml) la realización de una sesión de ejercicio de endurance (carrera en trotadores, 70% de VO2pico por 45 minutos). Después del ejercicio de endurance, los voluntarios realizaron un test de 1-RM seguido del test de repeticiones máximas. No se observaron cambios en el test de 1-RM o en la concentración plasmática de glicosis entre las condiciones experimentales (P x CHO). El número de repeticiones máximas a 70%-1RM presentó disminución en ambas situaciones (P 1ª serie 13 ± 2,9 reps y 2ª serie 6 ± 2,1 reps; CHO 1ª serie 15 ± 2,5 reps y 2ª serie 7 ± 1,7 reps, p < 0,05), no habiendo diferencia entre ellas. Una sesión de ejercicio de endurance (intensidad moderada) realizada previamente afecta de modo negativo la capacidad de repeticiones máximas. Independiente del mecanismo, el consumo de carbohidratos fue incapaz de revertir ese efecto perjudicial.<br>Previous studies indicated that endurance exercise might have an adverse effect on subsequent strength performance. The decrease in strength performance might be related to the changes promoted by endurance exercise in energy metabolism. Authors' aim was verify if carbohydrate (CHO) feeding can attenuate the effects of endurance exercise on strength development. To verify that hypothesis, six female university students (164 ± 5.9 cm; 64.9 ± 7.2 kg) with strength training experience were submitted to a VO2peak test (44 ± 4.3 ml.min-1) and an 1-RM test in the leg press (186 ± 22.5 kg) followed by a maximum repetitions test (2 sets of leg press exercise performed at 70% of 1-RM value until exhaustion, 1st set 21 ± 2.6 reps and 2nd set 11 ± 1.9 reps) in different days. In a double-blind design, the subjects were submitted to two different trials, receiving placebo (P) or CHO beverages (1 L of P or 6% maltodextrin solutions), 60 min before (500 ml) and during (500 ml) endurance exercise bout. These bouts were performed in a treadmill at 70% of VO2peak for 45 minutes. Subsequently, the subjects performed an 1-RM test followed by a maximum repetitions test. No changes were observed in 1-RM test. There was a similar decline in maximum repetitions test (an index of muscular endurance) in both trials (P - 1st set 13 ± 2.9 reps and 2nd set 6 ± 2.1 reps; CHO - 1st set 15 ± 2.5 reps and 2nd set 7 ± 1.7 reps, p < 0.05). Previous endurance exercise bout promoted deleterious effect upon muscular endurance task (maximum repetitions test - 70%-1-RM). CHO supplementation was inefficient to revert the effect of endurance exercise upon maximum repetitions test

Alteração da relação testosterona: cortisol induzida pelo treinamento de força em mulheres Alteración de la relación testosterona: cortisol inducida por el entrenamiento de fuerza en mujeres Alteration of testosterone: cortisol ratio induced by resistance training in women

A razão entre a concentração de testosterona e cortisol (T:C) é freqüentemente utilizada como indicativo do nível de estresse imposto pelo exercício. Alterações na concentração destes hormônios são responsáveis por modular diversas respostas induzidas pelo treinamento, como hipertrofia e ganho de força. O objetivo do presente estudo foi examinar a influência do protocolo de treinamento de força, conhecido como múltiplas-séries (MS), sobre o ganho de força, de resistência muscular localizada e a relação entre a concentração de hormônios catabólicos (cortisol) e anabólicos (testosterona). Para testar esta hipótese cinco jovens do sexo feminino com um ano de experiência em treinamento de força foram submetidas ao protocolo MS. As amostras de sangue foram coletadas antes e imediatamente após o exercício, no primeiro dia e após oito semanas de treinamento. Os testes de 1-RM e de repetições máximas foram realizados também no início e ao final das oito semanas de treinamento de força. Não foram observadas alterações na massa corporal, no IMC, na percentagem de massa gorda e na força máxima (1-RM) no supino, no agachamento e na rosca direta. O número de repetições máximas a 50% de 1-RM foi aumentado apenas para o supino (p < 0,05). Não foi observada alteração na concentração de testosterona total. Com relação à concentração plasmática de cortisol, após oito semanas de treino, na situação de repouso, foi reduzida (38% - p < 0,05). Em conseqüência da atenuação da secreção de cortisol após oito semanas de treinamento, a razão T:C apresentou elevação de 20% na situação de repouso (p < 0,05). Apesar de não terem sido detectadas alterações funcionais nos testes de 1-RM e repetições máximas, o método MS induziu um quadro hormonal favorável ao anabolismo protéico.<br>La razón entre testosterona y cortisol (T:C) es frecuentemente utilizada como indicador del nivel de stress impuesto por el ejercicio. Las alteraciones de las concentraciones de estas hormonas son las responsables por modular diversas respuestas inducidas por el entrenamiento, como son la hipertrofia y el aumento de la fuerza. El objetivo del presente estudio fué examinar la influencia del protocolo de entrenamiento de fuerza, conocido como series multiples (MS), sobre la ganancia de fuerza, la resistencia muscular localizada y la relación entre las concentraciones de las hormonas catabólicas (cortisol) y anabólicas (testoterona). Para testar esta hipótesis, cinco jovenes del sexo feminino con un año de experiencia en entrenamiento de fuerza fueron sometidas al protocolo MS. Las muestras de sangre fueron colectadas antes e imediatamente después del ejercicio, en el primer día y después de ocho semanas de entrenamiento. Los tests de 1-RM y de repeticiones máximas fueron realizados también al inicio y al final después de las ocho semanas del entrenamiento de fuerza. No fueron observadas alteraciones de la masa corporal, IMC, porcentaje de masa grasa, fuerza (1-RM) para los ejercicios supino, agachamiento y rosca directa. El número de repeticiones máximas al 50% de 1-RM fue aumentando solamente apenas para el supino (p < 0,05). No se observó alteración en la concentración de la testosterona total. Con relación a la concentración plasmática de cortisol después de las ocho semanas de entrenamiento, en la situación de reposo fué reducida (38% - p < 0,05). En consecuencia de la atenuación de la secreción de cortisol después de ocho semanas de entrenamiento, la razón T:C presentó elevación del 20% de la situación de reposo (p < 0,05). A pesar de no haber sido detectadas alteraciones funcionales en los tests de 1-RM de repeticiones máximas, el método MS indujo un cuadro hormonal favorable al anabolismo proteico.<br>The ratio between the concentration of testosterone and cortisol (T:C) is frequently used as indicative of the stress level imposed by the exercise. Alterations in the concentration of these hormones are responsible for modulating several responses induced by training, such as hypertrophy and strength gain. The objective of the present study was to investigate the influence of the resistance training protocol, also known as multiple-series (MS), on the strength gain, the muscular endurance and the relation between the concentration of catabolic hormones (cortisol) and anabolic hormones (testosterone). In order to test this hypothesis, five young women with one-year of strength training practice were submitted to the MS protocol. The blood samples were collected before and immediately after the exercise at the first day and after eight weeks of training. The 1-RM and the maximal repetition tests were also performed at the beginning and after eight weeks of strength training. No alterations on the body mass, on the IMC, on the fat mass percentage and on the maximal strength (1-RM) on bench press, squat and arm curl were observed. The number of maximal repetitions at 50% of the 1-RM was increased only for the bench press (p < 0.05). No alterations on the concentration of the total testosterone were observed. The cortisol plasmatic concentration, after eight weeks of training, in the rest situation, was reduced (38%; p < 0.05). Due to the lessening of the cortisol secretion after eight weeks of training, the T:C ratio presented elevation of 20% in the rest situation (p < 0.05). Although no functional alterations in the 1-RM and maximal repetitions tests were detected, the MS method induced a hormonal condition favorable to the protein metabolism