Journal articleJ Gerontol A Biol Sci Med Sci · April 1, 2024
BACKGROUND: The D3-creatine (D3-Cr) dilution method is of emerging interest for estimating total-body skeletal muscle mass. This review explores the association of muscle mass estimated via D3-Cr with various clinical outcomes and provides a summary of the ...
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Journal articleJ Clin Endocrinol Metab · February 20, 2024
CONTEXT: Anamorelin, a ghrelin receptor agonist known to stimulate the pulsatile release of GH from the pituitary, has the potential to improve musculoskeletal health in adults with osteosarcopenia. OBJECTIVE: To determine the effect of anamorelin treatmen ...
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Journal articleGeroscience · February 2024
In addition to the role of skeletal muscle in movement and locomotion, muscle plays a critical role in a broad array of metabolic processes that can contribute to improved health or risk of disease. The age-associated loss of muscle has been termed sarcope ...
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Journal articleCalcif Tissue Int · January 2024
Initial definitions of sarcopenia included the age-associated loss of skeletal muscle mass that was presumed to be associated with late-life reduced functional capacity, disability and loss of independence. Because no method for determination of muscle mas ...
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Journal articlePLoS One · 2024
BACKGROUND: There is emerging evidence that cancer and its treatments may accelerate the normal aging process, increasing the magnitude and rate of decline in functional capacity. This accelerated aging process is hypothesized to hasten the occurrence of c ...
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Journal articleJ Cachexia Sarcopenia Muscle · December 2023
BACKGROUND: Low skeletal muscle mass (myopenia) is common in cancer populations and is associated with functional decline and mortality, but prior oncology studies did not assess total body skeletal muscle mass. Instead, they measured surrogates such as cr ...
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Journal articleEndocrinol Diabetes Metab · November 2023
OBJECTIVE: Hyperglycaemia in Type 1 diabetes (T1D) results from an absolute insulin deficiency. However, insulin resistance (IR) may exacerbate glycaemic instability in T1D and contribute to long-term cardiovascular complications. We previously showed that ...
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Journal articleCancer Epidemiol Biomarkers Prev · October 2, 2023
BACKGROUND: Despite evidence that low muscle increases the risk of chemotoxicity, most chemotherapies are dosed on body surface area without considering body composition. Among 178 patients with colon cancer, we assessed muscle and adipose tissue with mult ...
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Journal articleJ Nutr · September 2023
BACKGROUND: Bioelectrical impedance analysis (BIA) is a minimally invasive, safe, easy, and quick technology used to determine body composition. OBJECTIVES: We compared the relationship among impedance indices obtained using single-frequency BIA, multi-fre ...
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Journal articleJ Gerontol A Biol Sci Med Sci · August 27, 2023
BACKGROUND: In contrast to dual-energy x-ray absorptiometry (DXA), the D3-creatine (D3Cr) dilution method provides a direct measure of skeletal muscle mass and in a cohort of older men has been strongly associated with health-related outcomes. However, sen ...
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Journal articleJ Gerontol A Biol Sci Med Sci · June 16, 2023
BACKGROUND: Functional limitations and physical disabilities associated with aging and chronic disease are major concerns for human societies and expeditious development of function-promoting therapies is a public health priority. METHODS: Expert panel dis ...
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Journal articleJ Gerontol A Biol Sci Med Sci · June 16, 2023
BACKGROUND: Several candidate molecules that may have application in treating physical limitations associated with aging and chronic diseases are in development. Challenges in the framing of indications, eligibility criteria, and endpoints and the lack of ...
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Journal articleJ Am Geriatr Soc · May 2023
BACKGROUND: Sarcopenia, a reduction in skeletal muscle mass and function, is a condition that contributes to functional decline and disability in older adults. Although research on this geriatric condition has developed rapidly in recent years, little work ...
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Journal articleEur J Clin Nutr · March 2023
BACKGROUND: Assessing whole-body skeletal muscle mass (SMM) and fat-free mass (FFM) is essential for the adequate nutritional management and training evaluation of athletes and trained individuals. This study aimed to determine the relationship between SMM ...
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Journal articleNat Aging · December 2022
Cells respond to many stressors by senescing, acquiring stable growth arrest, morphologic and metabolic changes, and a proinflammatory senescence-associated secretory phenotype. The heterogeneity of senescent cells (SnCs) and senescence-associated secretor ...
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Journal articleJ Bone Miner Res · July 2022
The relation between a novel measure of total skeletal muscle mass (assessed by D3 -creatine dilution [D3 Cr]) and incident fracture is unknown. In 1363 men (mean age 84.2 years), we determined D3 Cr muscle mass; Fracture Risk Assessment Tool (FRAX) 10-yea ...
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Journal articleExp Gerontol · May 2022
BACKGROUND: It is not known how measures of body composition, strength and physical performance are interrelated or how empirical groupings of these measures relate to disability and mobility disability. METHODS: Muscle mass was assessed by D3-creatine dil ...
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Journal articleJ Am Geriatr Soc · March 2022
BACKGROUND: Up to 15% of people aged 60 and over are anemic, and the prevalence of anemia increases with age. In older men and women, anemia is associated with increases in the risk of death and all-cause hospitalization, poor functional capacity, quality ...
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Journal articlePLoS One · 2022
The D3-Creatine (D3Cr) dilution method is a direct and accurate measure of skeletal muscle mass. In this study, we examined the association of D3Cr muscle mass with measures of insulin-glucose homeostasis in community dwelling postmenopausal women. Additio ...
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Journal articleJ Physiol · December 2021
Boys with Duchenne muscular dystrophy (DMD) experience a progressive loss of functional muscle mass, with fibrosis and lipid accumulation. Accurate evaluation of whole-body functional muscle mass (MM) in DMD patients has not previously been possible and th ...
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Journal articlePediatr Res · May 2021
BACKGROUND: The rate of accrual of muscle mass in neonates has not been assessed. We describe the D3-creatine (D3Cr) dilution method, a noninvasive assessment of muscle mass in neonates. METHODS: A total of 76 neonates >26-week-old corrected gestational ag ...
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Journal articleJ Gerontol A Biol Sci Med Sci · January 1, 2021
BACKGROUND: Fortetropin is a proteo-lipid complex made from fertilized egg yolk and, in young men, has been shown to increase lean body mass. METHODS: The purpose of this study was to examine the effects of 21 days of Fortetropin supplementation on the fra ...
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Journal articleJ Gerontol A Biol Sci Med Sci · January 1, 2021
BACKGROUND: Whether low muscle mass is a risk factor for disability and mortality is unclear. Associations between approximations of muscle mass (including lean mass from dual-energy x-ray absorptiometry [DXA]), and these outcomes are inconsistent. METHODS ...
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Journal articleJ Am Med Dir Assoc · December 2020
OBJECTIVES: It is unknown whether muscle mass measured by the D3-creatine dilution method is a superior predictor of incident mobility disability than traditional components of sarcopenia definitions (including grip strength, walking speed, appendicular le ...
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Journal articleAm J Physiol Endocrinol Metab · October 1, 2020
Testosterone supplementation during energy deficit promotes whole body lean mass accretion, but the mechanisms underlying that effect remain unclear. To elucidate those mechanisms, skeletal muscle molecular adaptations were assessed from muscle biopsies co ...
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Journal articleObes Rev · August 2020
Body composition estimates are widely used in clinical research and field studies as measures of energy-nutrient balance, functionality and health. Despite their broad relevance and multiple applications, important gaps remain in techniques available for a ...
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Journal articleJ Gerontol A Biol Sci Med Sci · June 18, 2020
BACKGROUND: The combination of sarcopenia and obesity has been associated with physical impairment in older people. However, previous research has relied on assessments of lean mass as a surrogate for muscle mass. We postulate that inaccurate measures of m ...
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Journal articleJ Gerontol A Biol Sci Med Sci · June 18, 2020
BACKGROUND: We examined cross-sectional associations between dietary patterns, macronutrient intake, and measures of muscle mass and lean mass in older men. METHODS: Participants in the Osteoporotic Fractures in Men (MrOS) cohort (n = 903; mean ± SD age 84 ...
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Journal articleJ Cachexia Sarcopenia Muscle · February 2020
BACKGROUND: Muscle mass declines with age. However, common assessments used to quantify muscle mass are indirect. The D3 -creatine (D3 Cr) dilution method is a direct assessment of muscle mass; however, longitudinal changes have not been examined in relati ...
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Journal articleJ Frailty Aging · 2020
Biomarkers of frailty and sarcopenia are essential to advance the understanding of these conditions of aging and develop new diagnostic tools and effective treatments. The International Conference on Frailty and Sarcopenia Research (ICFSR) Task Force - a g ...
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Journal articleEBioMedicine · August 2019
BACKGROUND: Severe energy deficits during military operations, produced by significant increases in exercise and limited dietary intake, result in conditions that degrade lean body mass and lower-body muscle function, which may be mediated by concomitant r ...
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Journal articleJ Gerontol A Biol Sci Med Sci · May 16, 2019
BACKGROUND: Direct assessment of skeletal muscle mass in older adults is clinically challenging. Relationships between lean mass and late-life outcomes have been inconsistent. The D3-creatine dilution method provides a direct assessment of muscle mass. MET ...
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Journal articleAIDS Res Hum Retroviruses · 2019
People aging with HIV (PAWH) infection experience greater impairments in physical and cognitive function, in addition to higher rates of peripheral comorbid conditions (e.g., renal failure, diabetes, bone fracture, hypertension, cardiovascular disease, pol ...
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Journal articleCrit Rev Oncol Hematol · September 2017
Most advanced cancer patients suffer loss of appetite (anorexia) and loss of weight. Despite the fact that cancer anorexia and weight loss are associated with a poor prognosis and detract from quality of life, no interventions have been demonstrated to pal ...
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Journal articleContemp Clin Trials · July 2017
BACKGROUND: The physiological consequences of severe energy deficit include hypogonadism and the loss of fat-free mass. Prolonged energy deficit also impacts physical performance, mood, attentiveness, and decision-making capabilities. This study will deter ...
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Journal articleCurr Opin Clin Nutr Metab Care · May 2017
PURPOSE OF REVIEW: Flux-rate measurements of protein synthesis and breakdown (turnover) in muscle represent an ideal class of mechanism-based biomarkers for conditions of altered muscle mass and function. We describe here new metabolic labeling techniques ...
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Journal articleAm J Physiol Endocrinol Metab · March 15, 2016
Biomarkers of muscle protein synthesis rate could provide early data demonstrating anabolic efficacy for treating muscle-wasting conditions. Androgenic therapies have been shown to increase muscle mass primarily by increasing the rate of muscle protein syn ...
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Journal articleJ Gerontol A Biol Sci Med Sci · January 2015
CONTEXT: The exact relationship between the bed rest-induced loss of skeletal muscle and reductions in muscle strength and physical performance in the older individuals is still unclear. OBJECTIVE: We examined the effect of 10 days of bed rest on changes i ...
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Journal articleJ Appl Physiol (1985) · June 15, 2014
Current methods for clinical estimation of total body skeletal muscle mass have significant limitations. We tested the hypothesis that creatine (methyl-d3) dilution (D3-creatine) measured by enrichment of urine D3-creatinine reveals total body creatine poo ...
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Journal articleClin Endocrinol (Oxf) · May 2014
OBJECTIVE: While low high-density lipoprotein cholesterol (HDL-C) is associated with increased risk of cardiovascular (CV) events, there are limited data evaluating the association of longitudinal change in HDL-C with CV event risk in older populations. Th ...
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Journal articleJ Gerontol A Biol Sci Med Sci · March 2014
BACKGROUND: The effects of bed rest on the dysregulation of fatty acid and glucose metabolism have not been addressed in the older population. OBJECTIVE: We examined the effect of 10 days of bed rest on fatty acid kinetics and hepatic and peripheral insuli ...
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Journal articleAm J Physiol Endocrinol Metab · January 15, 2014
A splice form of IGF-1, IGF-1Eb, is upregulated after exercise or injury. Physiological responses have been ascribed to the 24-amino acid COOH-terminal peptide that is cleaved from the NH3-terminal 70-amino acid mature IGF-1 protein. This COOH-terminal pep ...
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Journal articlePLoS One · 2014
Satellite cells are the chief contributor to skeletal muscle growth and regeneration. The study of mouse satellite cells has accelerated in recent years due to technical advancements in the isolation of these cells. The study of human satellite cells has l ...
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Journal articleInt J Sports Med · August 2013
Aging may alter protein metabolism during periods of metabolic and physiologic challenge. The purpose of this study was to assess the effects of age on whole-body amino acid turnover in response to eccentric exercise and hyperglycemia-induced hyperinsuline ...
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Journal articleJ Nutr Health Aging · July 2013
An international task force of academic and industry leaders in sarcopenia research met on December 5, 2012 in Orlando, Florida to develop guidelines for designing and executing randomized clinical trials of sarcopenia treatments. The Task Force reviewed r ...
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Journal articleJ Cachexia Sarcopenia Muscle · June 25, 2013
BACKGROUND: We recently validated in cross-sectional studies a new method to determine total body creatine pool size and skeletal muscle mass based on D3-creatine dilution from an oral dose and detection of urinary creatinine enrichment by isotope ratio ma ...
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Journal articleJ Cachexia Sarcopenia Muscle · September 2012
Sarcopenia, the age-related skeletal muscle decline, is associated with relevant clinical and socioeconomic negative outcomes in older persons. The study of this phenomenon and the development of preventive/therapeutic strategies represent public health pr ...
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Journal articleOsteoporos Int · July 2012
An operational definition of musculoskeletal decline in older people is needed to allow development of interventions for prevention or treatment, as was developed for the treatment of osteoporosis. Frailty and sarcopenia are linked, but distinct, correlate ...
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Journal articleJ Appl Physiol (1985) · June 2012
There is currently no direct, facile method to determine total-body skeletal muscle mass for the diagnosis and treatment of skeletal muscle wasting conditions such as sarcopenia, cachexia, and disuse. We tested in rats the hypothesis that the enrichment of ...
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Journal articleJ Nutr Health Aging · December 2011
The precise cause of sarcopenia, skeletal muscle loss and strength, in older persons is unknown. However, there is a strong evidence for muscle loss due to insulin resistance as well as mitochondrial dysfunction over aging. Considering that epidemiological ...
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Journal articleJ Am Med Dir Assoc · July 2011
A consensus conference convened by the Society of Sarcopenia, Cachexia and Wasting Disorders has concluded that "Sarcopenia, ie, reduced muscle mass, with limited mobility" should be considered an important clinical entity and that most older persons shoul ...
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Journal articleJ Nutr Health Aging · June 2011
Sarcopenia is the age-related involuntary loss of skeletal muscle mass and functionality that can lead to the development of disability, frailty and increased health care costs. The development of interventions aimed at preventing and/or treating sarcopeni ...
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Journal articleJ Am Med Dir Assoc · May 2011
Sarcopenia, the age-associated loss of skeletal muscle mass and function, has considerable societal consequences for the development of frailty, disability, and health care planning. A group of geriatricians and scientists from academia and industry met in ...
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Journal articleJ Am Med Dir Assoc · March 2011
OBJECTIVE: The objective of this study was to develop a patient-reported outcome (PRO) to assess reduced muscle strength in sarcopenia. DESIGN: Qualitative research study. SETTING: University of Arkansas for Medical Sciences. PARTICIPANTS: Subjects with sa ...
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Journal articleJ Cachexia Sarcopenia Muscle · March 2011
A universal term describing the presence of clinically relevant muscle wasting that warrants medical intervention is required. The term sarcopenia might be used in this context. However, common use now means that sarcopenia is more often regarded as synony ...
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Journal articleJ Am Geriatr Soc · February 2011
OBJECTIVES: To compare the effects of physical resistance strength training and walking (E), individualized social activity (SA), and E and SA (ESA) with a usual care control group on total nocturnal sleep time in nursing home and assisted living residents ...
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Journal articlePhilos Trans R Soc Lond B Biol Sci · January 12, 2011
The prevention and treatment of late-life dysfunction are the goals of most geriatricians and should be the primary target for discovery and development of new medicines for elderly people. However, the development of new medicines for elderly people will ...
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Journal articleAnnu Rev Med · 2011
Cancer cachexia is a complex metabolic condition characterized by loss of skeletal muscle. Common clinical manifestations include muscle wasting, anemia, reduced caloric intake, and altered immune function, which contribute to increased disability, fatigue ...
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Journal articleJ Gerontol A Biol Sci Med Sci · December 2010
BACKGROUND: Slow walking speed in elderly people predicts increased morbidity and mortality. We examined factors that may be associated with decreased habitual walking speed in older men and women. METHODS: Older (range: 60-88 years, mean = 72.5 years) men ...
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Journal articleBiogerontology · October 2010
The frailty syndrome is increasingly recognized by geriatricians to identify elders at an extreme risk of adverse health outcomes. The physiological changes that result in frailty are complex and up to now have been extremely difficult to characterize due ...
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Journal articleJ Am Med Dir Assoc · July 2010
The Society for Sarcopenia, Cachexia, and Wasting Disease convened an expert panel to develop nutritional recommendations for prevention and management of sarcopenia. Exercise (both resistance and aerobic) in combination with adequate protein and energy in ...
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Journal articleAm J Clin Nutr · April 2010
Loss of skeletal muscle mass occurs during aging (sarcopenia), disease (cachexia), or inactivity (atrophy). This article contrasts and compares the metabolic causes of loss of muscle resulting from these conditions. An understanding of the underlying cause ...
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Journal articleClin Nutr · February 2010
BACKGROUND & AIMS: Older individuals are more likely to experience extended hospitalization and become protein malnourished during hospitalization. The concomitant compulsory inactivity results in functional decline. Increasing protein intake in hospitaliz ...
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Journal articleJ Clin Endocrinol Metab · November 2009
CONTEXT: It has been difficult to distinguish the independent effects of caloric restriction versus exercise training on insulin resistance. OBJECTIVE: Utilizing metabolic feeding and supervised exercise training, we examined the influence of caloric restr ...
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Journal articleMetab Syndr Relat Disord · August 2009
To examine the influence of moderate-intensity (50% of VO(2peak)) exercise training (MI) versus high-intensity (75% of VO(2peak)) exercise training (HI) on regional fat distribution and plasma adiponectin, we randomized 18 overweight (body mass index [BMI] ...
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Journal articleMetab Syndr Relat Disord · February 2009
Body fatness and its distribution are strongly and independently associated with peripheral insulin action. However, these associations are limited in their ability to predict the independent nature of hepatic and peripheral insulin resistance, especially ...
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Journal articleCurr Pharm Des · 2009
The prevalence of type 2 diabetes is increasing continuously, especially in older people. Such a rapidly rising risk has been linked to physical inactivity and evolutionary changes in dietary patterns (mainly characterized by a greater intake in dietary fa ...
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Journal articleClin Nutr · December 2008
On December 13th and 14th a group of scientists and clinicians met in Washington, DC, for the cachexia consensus conference. At the present time, there is no widely agreed upon operational definition of cachexia. The lack of a definition accepted by clinic ...
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Journal articleJ Gerontol A Biol Sci Med Sci · October 2008
BACKGROUND: Many older individuals decline functionally during hospitalization, and the deleterious consequences of bed rest may be one cause. This study reports on the effect of 10 days of bed rest on multiple functional parameters in healthy older adults ...
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Journal articleMed Sci Sports Exerc · May 2008
INTRODUCTION/PURPOSE: This study investigated the effects of three different doses of caffeine on physiological responses to exercise in young children. METHODS: Forty healthy children (20 boys and 20 girls) volunteered for a random, double-blind, counterb ...
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Journal articleJ Gerontol A Biol Sci Med Sci · December 2007
BACKGROUND: Previous studies have identified relationships between subcutaneous abdominal fat (SAF), visceral fat (VF), and insulin resistance. In addition, lower muscle attenuation and decreased adiponectin have also been associated with insulin resistanc ...
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Journal articleAm J Phys Med Rehabil · January 2007
This work summarizes our knowledge of the physiological basis of fatigue and the effects of exercise and pharmacological interventions on fatigue. Fatigue may be defined as physical and/or mental weariness resulting from exertion, that is, an inability to ...
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Journal articleMov Disord · July 2006
The objective of this study was to examine the change of body weight (BW) among Parkinson's disease (PD) patients and controls over years and determine the predictors of weight loss among PD patients. Studies on weight loss in PD studies are cross-sectiona ...
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Journal articleMetabolism · April 2006
Multiple indices to assess insulin sensitivity calculated from mathematical equations based on fasting blood parameters or oral glucose tolerance data have been developed. Although these indices have frequently been validated using euglycemic-hyperinsuline ...
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Journal articleJ Gerontol A Biol Sci Med Sci · March 2006
BACKGROUND: Previous studies have demonstrated that aerobic exercise training and weight loss have independent effects on insulin-stimulated glucose disposal (ISGD). We hypothesized that ad libitum consumption of a high-carbohydrate diet would result in we ...
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Journal articleExp Gerontol · March 2006
Macrophages are involved in skeletal muscle repair through pro-inflammatory and alternative functions. We tested the hypothesis that aging alters the abundance and properties of skeletal muscle macrophages that will influence their functional response to a ...
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Journal articleMed Sci Sports Exerc · March 2006
PURPOSE: Although data suggest that physical activity is associated with decreased insulin resistance, recommendations for exercise training are not specific for age or level of obesity. Therefore, we examined the influence of moderate-intensity (50% of VO ...
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Journal articleMed Sci Sports Exerc · October 2005
PURPOSE: Determine the independent and combined effects of progressive resistance muscle strength training (PRMST) and testosterone on strength, muscle mass, and function in hypogonadal elderly male recuperative care patients. METHODS: Between 1999 and 200 ...
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Journal articleAm J Geriatr Pharmacother · September 2005
BACKGROUND: Megestrol acetate (MA) is a synthetic progestin commonly used to promote weight gain in malnourished older individuals. In small studies, MA administration has been associated with reduced serum cortisol concentrations in patients with cancer o ...
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Journal articleAge (Dordr) · June 2005
Age-related sarcopenia inhibits mobility, increasing the risk for developing many diseases, including diabetes, arthritis, osteoporosis, and heart disease. Tissue plasticity, or the ability to regenerate following stress, has been a subject of question in ...
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Journal articleAIDS Read · June 2005
Over 700 patients with HIV-associated wasting while receiving HAART were randomly assigned to double-blind treatment for 12 weeks with recombinant human growth hormone (rhGH) daily or on alternate days, or to placebo. Maximum exercise intensity increased b ...
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Journal articleAIDS Reader · January 1, 2005
Over 700 patients with HIV-associated wasting while receiving HAART were randomly assigned to double-blind treatment for 12 weeks with recombinant human growth hormone (rhGH) daily or on alternate days, or to placebo. Maximum exercise intensity increased b ...
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Journal articleJ Am Coll Nutr · December 2004
Aging is associated with remarkable changes in body composition. Loss of skeletal muscle, a process called sarcopenia, is a prominent feature of these changes. In addition, gains in total body fat and visceral fat content continue into late life. The cause ...
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Journal articleAm J Clin Nutr · August 2004
BACKGROUND: An increased central distribution of fat with advancing age is associated with chronic metabolic and cardiovascular abnormalities. Little is known about the magnitude or pattern of fat distribution and its association with healthy aging. OBJECT ...
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Journal articleActivities Adaptation and Aging · February 9, 2004
The primary aim of this study was to determine if resistive training would increase muscle strength and power in cognitively impaired elderly people. The secondary aim was to assess whether resistive training influenced physical functional abilities. Eight ...
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Journal articleJ Nutr · July 2003
Delayed glucose clearance after hyperglycemia may contribute to insulin resistance. Rates of glucose and insulin decay were measured after 3 h of sustained hyperglycemia (10 mmol/L) in 8 healthy older men (66 +/- 2 y) and were compared with those of 8 youn ...
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Journal articleArch Phys Med Rehabil · November 2002
OBJECTIVE: To compare whole-body fat mass and fat-free mass (FFM) in ambulatory patients with multiple sclerosis (MS) and control subjects without MS. DESIGN: Nonrandomized controlled trial or cross-sectional study. SETTING: An exercise physiology laborato ...
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Journal articleOncology (Williston Park) · September 2002
Fatigue is an extraordinarily common consequence of cancer and its treatment. Fatigue can result in diminished cognitive and physical functional capacity and may be the result of multiple causes. However, aside from psychological factors, the main physiolo ...
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Journal articleJ Am Diet Assoc · August 2002
OBJECTIVE: A narrow range of food choices may lead to dietary inadequacies, a particular concern in elderly people. We hypothesized that consumption of a more diverse diet would predict better nutritional status in frail elderly persons. SUBJECTS: Subjects ...
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Journal articleAm J Clin Nutr · August 2002
BACKGROUND: Estimates of body-composition change in older adults are mostly derived from cross-sectional data. OBJECTIVE: We examined the natural longitudinal patterns of change in fat-free mass (FFM) and fat mass (FM) in older adults and explored the effe ...
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Journal articleMetabolism · August 2002
A person's energy requirement is defined as the metabolizable energy intake (MEI) consumed over a period of body weight stability. Controversy exists regarding whether resistive exercise training (RT) influences the energy requirement of older people. The ...
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Journal articleJ Physiol · July 15, 2002
This study assessed the effects of long-term consumption of the United States Recommended Dietary Allowance (RDA) for protein by older people who were sedentary or performed resistive training (RT) on body composition, skeletal muscle size and protein meta ...
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Journal articleJ Clin Endocrinol Metab · May 2002
Megestrol acetate (MA) (Bristol-Myers Squibb Co., Princeton, NJ) increases weight gain in AIDS and cancer patients and in age-related cachexia; however, the weight gain is predominately fat. We determined if adding resistance exercise and/or testosterone ( ...
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Journal articleAm J Physiol Endocrinol Metab · March 2002
We examined the effect of two commonly consumed over-the-counter analgesics, ibuprofen and acetaminophen, on muscle protein synthesis and soreness after high-intensity eccentric resistance exercise. Twenty-four males (25 +/- 3 yr, 180 +/- 6 cm, 81 +/- 6 kg ...
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Journal articleJ Am Diet Assoc · March 2002
OBJECTIVE: To assess the nutritional status of female competitive figure skaters during preseason, competitive season, and off-season. SUBJECTS: Eighteen female competitive figure skaters, age range 14 to 16 years, from the New England region. STATISTICS: ...
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Journal articleMuscle Nerve · February 2002
We measured titin and nebulin content in muscle biopsies from the vastus lateralis before and 24 h after one bout of high-intensity eccentric knee extensor resistance exercise in seven men (26 +/- 3 years). Titin and nebulin content were significantly (P < ...
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Journal articleJournal of Aging and Physical Activity · January 1, 2002
Resistance training (RT) increases strength in older adults, but there have been few studies of long-term RT or detraining in older adults. Postmenopausal participants (51-71 years of age) were randomized to RT or a control group for Year 1. For Year 2, pa ...
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Journal articleAm J Physiol Endocrinol Metab · December 2001
Changes in tumor necrosis factor-alpha (TNF-alpha) may provide a mechanism to explain impaired glucose metabolism with advancing age. Hyperglycemic clamps (180 min, 10 mM) were performed on seven older [67 +/- 2 yr; body mass index (BMI) 24.7 +/- 1.0 kg/m( ...
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Journal articleJ Clin Endocrinol Metab · October 2001
PGs have been shown to modulate skeletal muscle protein metabolism as well as inflammation and pain. In nonskeletal muscle tissues, the over the counter analgesic drugs ibuprofen and acetaminophen function through suppression of PG synthesis. We previously ...
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Journal articleMetabolism · July 2001
The purpose of this study was to determine whether pre-exercise ingestion of meals with moderate and high glycemic indexes (GI) affects glucose availability during exercise and exercise performance time. Six male volunteers (22 +/- 1 years; 80.4 +/- 3.7 kg ...
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Journal articleJ Gerontol A Biol Sci Med Sci · May 2001
The longitudinal changes in isokinetic strength of knee and elbow extensors and flexors, muscle mass, physical activity, and health were examined in 120 subjects initially 46 to 78 years old. Sixty-eight women and 52 men were reexamined after 9.7 +/- 1.1 y ...
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Journal articleCan J Appl Physiol · 2001
Strength conditioning will result in an increase in muscle size and this increase in size is largely the result of increased contractile proteins. The mechanisms by which the mechanical events stimulate an increase in RNA synthesis and subsequent protein s ...
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Journal articleHorm Metab Res · January 2001
PURPOSE: The urinary excretions of myo-inositol and D-chiro-inositol are elevated in diabetes, and have been suggested as possible markers or effectors of insulin action. The aim of the present study was to measure the urinary excretion of these compounds, ...
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Journal articleMech Ageing Dev · December 1, 2000
The gene expression profile of skeletal muscle from healthy older (62-75 years old) compared with younger (20-34 years old) men demonstrated elevated expression of genes typical of a stress or damage response, and decreased expression of a gene encoding a ...
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Journal articleJ Appl Physiol (1985) · April 2000
The present study examines age-related changes in skeletal muscle size and function after 12 yr. Twelve healthy sedentary men were studied in 1985-86 (T1) and nine (initial mean age 65.4 +/- 4.2 yr) were reevaluated in 1997-98 (T2). Isokinetic muscle stren ...
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Journal articleAm J Physiol · July 1999
To assess muscle remodeling and functional adaptation to exercise and diet interventions, 26 men and women aged 72-98 yr underwent a vastus lateralis biopsy before and after placebo control condition, and progressive resistance training, multinutrient supp ...
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Journal articleSemin Oncol · April 1998
A common feature of human immunodeficiency virus (HIV) infection and aging is the loss of skeletal muscle mass. Although the causes of this loss of muscle are multifactorial, there may be some shared characteristics to this loss, and therefore common strat ...
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Journal articleGerodontology · 1998
Advancing age is associated with a remarkable number of changes in body composition. Reductions in lean body mass have been well characterized. This decreased lean body mass occurs primarily as a result of losses in skeletal muscle mass. This age-related l ...
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Journal articleFASEB Journal · December 1, 1997
The effects of protein restriction without energy deficit on IGF-I levels, skeletal muscle size and function were evaluated in 12 healthy sedentary elderly women over a 10-week period. Subjects were randomly assigned to one of two weight maintaining diets ...
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Journal articleMed Sci Sports Exerc · August 1997
The reproducibility of the Bruce exercise test protocol for the determination of maximal aerobic activity was evaluated in sedentary older women. Seventeen women between the ages of 51 and 68 yr performed five maximal graded exercise tests to volitional fa ...
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Journal articleJournal of Nutritional Biochemistry · February 1, 1997
The effect of 800 IU vitamin E (dl-α-tocopheryl acetate) supplementation for 30 days on α- and γ-tocopherol concentrations in gastrocnemius muscle and the relation between vitamin E concentrations and the distribution of Type I and II fibers was investigat ...
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Journal articleMed Sci Sports Exerc · September 1996
Nine 1972 silver-medalist oarsmen were studied before the Olympic Games and 10 and 20 yr later. Peak power, metabolic responses, and heart rate were recorded during rowing ergometry; blood lactate was measured following exercise. The skinfold equation yiel ...
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Journal articleAm J Clin Nutr · May 1996
The purpose of this study was to compare the ability of various body-composition assessment techniques to detect changes in soft tissue in older, weight-stable women (50-70 y of age) completing a 1-y randomized, controlled trial of progressive resistance t ...
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Journal articleJ Gerontol A Biol Sci Med Sci · March 1996
Relatively little is known about the influence of age on energy regulation during energy imbalance. We compared the effects of overfeeding on changes in energy expenditure, substrate oxidation, and energy deposition between young men (age 23.7 +/- 1.1 [SEM ...
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Journal articleAm J Clin Nutr · August 1995
Carbohydrate metabolism was assessed in 20 glucose-intolerant subjects before and after 12 wk on a high-carbohydrate diet (HC) or the diet combined with exercise training (HC-EX). The diet provided 60% of energy as carbohydrate and 20% as fat. Neither trea ...
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Journal articleMed Sci Sports Exerc · July 1995
This study investigated the relationship between isokinetic muscle strength and bone density (SPA and DPA) in men and women aged 45-77 yr. Regression models were adjusted for age, weight, smoking status, and calcium supplementation. Elbow extensors (but no ...
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Journal articleAm J Clin Nutr · July 1995
A 9-wk study of adaptation to marginal protein intakes was conducted in 12 elderly women. Subjects were randomly assigned to two groups fed a weight-maintenance diet containing either 1.47 (low) or 2.94 (adequate) g protein.kg body cell mass-1.d-1 (0.45 an ...
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Journal articleAm J Clin Nutr · July 1995
The metabolic mechanisms of accommodation to a low-protein diet in elderly women were studied. Diets containing 1.47 (low) or 2.94 (adequate) g protein.kg body cell mass-1.d-1 (0.45 or 0.92 g.kg body weight-1.d-1, respectively) were fed for 10 wk. Fed stat ...
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Journal articleMed Sci Sports Exerc · July 1995
Military circumference equations are used to assess compliance of military personnel with body fat (BF) standards. The purpose of the present study was to determine the ability of military equations to correctly classify 62 women aged 40-60 yr (50.9 +/- 6. ...
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Journal articleMed Sci Sports Exerc · June 1995
Thirty-nine healthy women (59.5 +/- 0.9 yr) were randomized to either a control group (CON) or a progressive resistance training group (PRT) that trained twice weekly for 12 months. PRT trained at 80% or more (average of 84%) of their most recent one repet ...
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Journal articleAmerican Journal of Physiology-Endocrinology and Metabolism · June 1, 1995
Nitrogen (N) balance, fed-state leucine kinetics, and urinary 3-methylhistidine (3-MeH) excretion were examined in 12 men and women, aged 56–80 yr, before and during 12 wk of resistance training (RT). Subjects were randomized to groups that consume ...
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Journal articleAm J Physiol · January 1995
Aging is associated with diminished immune function that may stem from alterations in arachidonic acid metabolism and lipid peroxidation. This study sought to determine if dietary modification of fatty acids influenced neutrophil and monocyte secretion aft ...
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Journal articleJAMA · December 28, 1994
OBJECTIVE: To determine how multiple risk factors for osteoporotic fractures could be modified by high-intensity strength training exercises in postmenopausal women. DESIGN: Randomized controlled trial of 1-year duration. SETTING: Exercise laboratory at Tu ...
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Journal articleJAMA · November 23, 1994
OBJECTIVE: To investigate the effects of aging on mechanisms of body energy regulation and thereby determine the causes of unexplained weight loss in older persons, a factor predisposing to premature death and disability. DESIGN: Dietary intervention study ...
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Journal articleAm J Clin Nutr · October 1994
Dietary protein requirements of elderly people were determined by short-term nitrogen-balance techniques and using calculations recommended by the 1985 Joint FAO/WHO/UNU Expert Consultation. Twelve men and women aged 56-80 y were randomly assigned to group ...
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Journal articleAm J Clin Nutr · August 1994
Body composition and the components of energy metabolism were examined in 12 men and women, aged 56-80 y, before and after 12 wk of resistance training. Subjects were randomly assigned to groups that consumed diets that providing either 0.8 or 1.6 g protei ...
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Journal articleN Engl J Med · June 23, 1994
BACKGROUND: Although disuse of skeletal muscle and undernutrition are often cited as potentially reversible causes of frailty in elderly people, the efficacy of interventions targeted specifically at these deficits has not been carefully studied. METHODS: ...
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Journal articleJ Appl Physiol (1985) · June 1994
We measured the extent of complement activation and neutrophil mobilization after eccentric exercise to determine whether these responses were age dependent and whether they were associated with changes in plasma creatine kinase (CK), a marker for muscle m ...
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Journal articleAm J Clin Nutr · April 1994
The purpose of this study was to determine the effect of aerobic exercise training (Ex), a low-fat diet (LF, 19% fat), or combined interventions (LF-Ex) on lipoprotein cholesterol (LDL, HDL, and VLDL) and triglyceride (TG) concentrations in glucose-intoler ...
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Journal articleArch Phys Med Rehabil · November 1993
The test-retest reliability of isokinetic muscle strength testing was determined in 45- to 78-year-old men (N = 71; mean age = 60.2 years) and women (N = 107; mean age = 60.0 years). The dynamic muscle strength of the knee and elbow extensor (KE, EE) and f ...
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Journal articleJ Gerontol · September 1993
Muscle weakness in the elderly is prevalent and morbid, closely linked to the frailty, functional decline, immobility, falls, and injuries in this population. The marked decrease in skeletal muscle strength and size with aging is a multifactorial syndrome ...
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Journal articleJ Appl Physiol (1985) · August 1993
This study compared in vivo measurements of muscle metabolism in humans with magnetic resonance spectroscopy (MRS) and in vitro analysis of biopsies. Healthy subjects [4 young males, 28.2 +/- 6.8 (SD) yr, and 6 older subjects (5 males, 1 female), 66 +/- 6. ...
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Journal articleAm J Physiol · July 1993
Nine untrained men (22-29 yr) performed 45 min of downhill running (16% incline, 70% of maximum heart rate). Needle biopsies of the vastus lateralis were performed before, 45 min after, and 5 days after exercise. Immunohistochemical staining of muscle cros ...
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Journal articleAm J Physiol · June 1993
A decline in insulin sensitivity is associated with aging, inactivity, and obesity. The effects of exercise training on glucose homeostasis independent of weight loss in older glucose-intolerant individuals are not well established. We examined the effects ...
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Journal articleAm J Physiol · May 1993
The protective effect of vitamin E supplementation on exercise-induced oxidative damage was tested in 21 male volunteers. Nine young (22-29 yr) and 12 older (55-74 yr) sedentary male subjects participated in a double-blind protocol and received either 800 ...
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Journal articleJ Appl Physiol (1985) · April 1993
The doubly labeled water method is a noninvasive technique for measurement of rates of CO2 production and total energy expenditure in free-living human subjects. The experimental protocol used in validation studies usually involves prolonged fasting before ...
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Journal articleJ Am Geriatr Soc · March 1993
Research indicates that lower extremity muscle weakness in the elderly is consistently related to impaired mobility and fall risk. Reversible components of the muscle weakness of aging include underuse syndromes and undernutrition, both of which are preval ...
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Journal articleAmerican Journal of Physiology Regulatory Integrative and Comparative Physiology · January 1, 1993
Nine untrained men (22-29 yr) performed 45 min of downhill running (16% incline, 70% of maximum heart rate). Needle biopsies of the vastus lateralis were performed before, 45 min after, and 5 days after exercise. Immunohistochemical staining of muscle cros ...
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Journal articleInt J Obes Relat Metab Disord · December 1992
The energy requirements of healthy elderly men were investigated by measuring total energy expenditure (TEE), body composition and resting energy expenditure (REE), using 2H2(18)O techniques and indirect calorimetry during ten days when a weight maintainin ...
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Journal articleClin Sci (Lond) · March 1992
1. Residents of a chronic care hospital (13 men of mean age 88.5 +/- 6 SD years and 13 women of mean age 86.5 +/- 6 SD years) who had multiple pathologies were assessed for leg extensor capability in several ways. 2. A custom-built rig was used to assess l ...
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Journal articleJ Gerontol · March 1992
Normal aging is associated with an impairment in early left ventricular diastolic filling. To test the hypothesis that long-term endurance exercise training is associated with enhanced ventricular diastolic filling indices, we compared transmitral pulsed D ...
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Journal articleJ Am Geriatr Soc · February 1992
OBJECTIVE: To assess how dietary change affects gain in strength and muscle mass during heavy resistance training of elderly men. DESIGN: Randomized controlled trial. INTERVENTION: During 12 weeks of resistance training of knee extensors and flexors, a dai ...
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Journal articleAm J Clin Nutr · September 1991
We examined the hypothesis that current recommendations on dietary energy requirements may underestimate the total energy needs of young adult men, by measuring total energy expenditure (TEE) and resting energy expenditure (REE) in 14 weight-maintaining he ...
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Journal articleMed Sci Sports Exerc · September 1991
Plasma creatine kinase (CK) activity has often been used as a marker of exercise-induced skeletal muscle damage. While the pattern of muscle damage following eccentric exercise has been established in young adults, there is little data available on eccentr ...
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Journal articleInt J Sport Nutr · September 1991
Most exercise results in some skeletal muscle damage. However, unaccustomed exercise and/or eccentric exercise can cause extensive damage. This exercise-induced muscle damage causes a response that can be characterized by a cascade of metabolic events. Wit ...
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Journal articleJ Appl Physiol (1985) · August 1991
The isokinetic strength of the elbow and knee extensors and flexors was measured in 200 healthy 45- to 78-yr-old men and women to examine the relationship between muscle strength, age, and body composition. Peak torque was measured at 60 and 240 degrees/s ...
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Journal articleJ Appl Physiol (1985) · August 1991
The effects of eccentric exercise on whole body protein metabolism were compared in five young untrained [age 24 +/- 1 yr, maximal O2 uptake (VO2max) = 49 +/- 6 ml.kg-1.min-1] and five older untrained men (age 61 +/- 1 yr, VO2max = 34 +/- 2 ml.kg-1.min-1). ...
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Journal articleAm J Physiol · June 1991
Cytokines such as interleukin 1 (IL-1), tumor necrosis factor-alpha (TNF-alpha), and interleukin 6 (IL-6) mediate a variety of host responses to trauma and infection, including skeletal muscle proteolysis. This investigation assesses the influence of damag ...
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Journal articleAm J Clin Nutr · May 1991
The effects of a supervised 1-y walking program and increased dietary calcium (milk supplement, 831 mg/d, vs placebo drink, 41 mg/d) on bones were examined in 36 postmenopausal women (60.2 +/- 6.5 y). Trabecular bone-mineral density (BMD) of the lumbar spi ...
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Journal articleEur J Appl Physiol Occup Physiol · 1991
This study characterized changes in the protein composition of human muscle tissue after eccentric exercise. Four subjects performed 70 maximum eccentric, isokinetic actions of the forearm flexors with one arm. The other arm served as control. A biopsy of ...
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Journal articleJ Appl Physiol (1985) · January 1991
Whole body leucine kinetics were examined in seven healthy young men while in a 14-h postabsorptive state (PAS) and after a 3.5-day fast (FS). Subjects received a primed constant intravenous infusion of L-[1-13C]leucine while resting for 3 h and then while ...
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Journal articleAm J Physiol · December 1990
Several host defense responses and metabolic reactions that occur during infection have been observed after exercise. We hypothesized that these reactions, known as the "acute phase response," contribute to the breakdown and clearance of damaged tissue aft ...
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Journal articleAm J Physiol · September 1990
We investigated the mechanisms of body weight regulation in young men of normal body weight leading unrestricted lives. Changes in total and resting energy expenditure, body composition, and subsequent voluntary nutrient intakes in response to overeating b ...
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Journal articleJ Appl Physiol (1985) · September 1990
Pain, stiffness, and indicators of muscle damage occur at different times after eccentric muscle action. After a single bout of maximal resisted lengthening of the elbow flexors, elbow position, pain perception, and indicators of cellular damage were measu ...
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Journal articleJAMA · June 13, 1990
Muscle dysfunction and associated mobility impairment, common among the frail elderly, increase the risk of falls, fractures, and functional dependency. We sought to characterize the muscle weakness of the very old and its reversibility through strength tr ...
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Journal articleAm J Clin Nutr · March 1990
A new method is described for simultaneously monitoring compliance with prescribed-diet and urine-collection regimens during metabolic balance studies. It involves incorporation of the potassium salt of p-aminobenzoic acid (PABA) into provided foods and me ...
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Journal articleJ Appl Physiol (1985) · January 1990
The effects of strength training on maximal aerobic power (VO2max) and some of its determinants were studied in 12 healthy older men (60-72 yr). They underwent 12 wk of strength conditioning of extensors and flexors of each knee with eight repetitions per ...
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Journal articleAm J Physiol · August 1989
Interleukin 1 beta (IL-1 beta) is a protein released from blood monocytes and related cells in response to infectious or inflammatory stimuli. Although IL-1 beta is elevated in the circulation for only a few hours after an acute inflammatory challenge or e ...
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Journal articleJ Appl Physiol (1985) · June 1989
The effects of regular submaximal exercise on dietary protein requirements, whole body protein turnover, and urinary 3-methylhistidine were determined in six young (26.8 +/- 1.2 yr) and six middle-aged (52.0 +/- 1.9 yr) endurance-trained men. They consumed ...
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Journal articleJ Appl Physiol (1985) · June 1989
The effects of 12 wk of endurance training at 70% peak O2 consumption (VO2) were studied in 10 elderly (65.1 +/- 2.9 yr) and 10 young (23.6 +/- 1.8 yr) healthy men and women. Training had no effect on weight or body composition in either group. The elderly ...
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Journal articleJ Clin Endocrinol Metab · January 1989
Habitual physical exercise has been reported to have beneficial effects on plasma lipoproteins. To examine this question in women, plasma cholesterol, triglyceride, and apolipoprotein (apo) A-I and B levels, and low density lipoprotein (LDL) particle size ...
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Journal articlePeptides · 1989
Neurotensin (NT) levels were examined in five aerobically untrained females aged 20-36 engaged in acute graded exercise testing. In addition to radioimmunoassay measurements, high pressure liquid chromatography was performed to further characterize plasma ...
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Journal articleAmerican Journal of Physiology Regulatory Integrative and Comparative Physiology · January 1, 1989
Interleukin 1β (IL-1β) is a protein released from blood monocytes and related cells in response to infectious or inflammatory stimuli. Although IL-1β is elevated in the circulation for only a few hours after an acute inflammatory challenge or exercise, it ...
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Journal articleJ Clin Endocrinol Metab · May 1988
Serum hormone levels and bone mineral status were studied in 18 sedentary and 15 endurance-trained postmenopausal women (mean age, 62 yr). The endurance-trained women had lower body weight, lower body fat, and higher aerobic capacity than the sedentary wom ...
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Journal articleJ Appl Physiol (1985) · May 1988
Metabolic effects of an overnight fast (postabsorptive state, PA) or a 3.5-day fast (fasted state, F) were compared in eight healthy young men at rest and during exercise to exhaustion at 45% maximum O2 uptake. Glucose rate of appearance (Ra) and disappear ...
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Journal articleJ Appl Physiol (1985) · March 1988
The effects of strength conditioning on skeletal muscle function and mass were determined in older men. Twelve healthy untrained volunteers (age range 60-72 yr) participated in a 12-wk strength training program (8 repetitions/set; 3 sets/day; 3 days/wk) at ...
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Journal articlePhysician and Sportsmedicine · January 1, 1988
Suboptimal nutrition practices that may limit performance and promote injury prevail even among informed top competitors. A survey of the dietary habits of elite female runners showed that while most do fuel themselves with nutritious foods, others in the ...
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Journal articleMed Sci Sports Exerc · December 1987
Aging is associated with increased body fat, decreased muscle mass, lower maximal O2 uptake, and lower energy intake. It has been asserted that these changes are caused in part by decreased activity. In order to determine the effects of aging in men who ar ...
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Journal articleJ Appl Physiol (1985) · July 1987
Five healthy untrained young male subjects were studied before, immediately after, and 10 days after a 45-min bout of eccentric exercise on a cycle ergometer (201 W). The subjects were sedentary at all other times and consumed a eucaloric meat-free diet. N ...
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Journal articleEur J Appl Physiol Occup Physiol · 1987
Eight young men were tested for strength, anaerobic capacity and aerobic endurance in a post absorptive state and after a 3.5 day fast. Strength was tested both isokinetically (elbow flexors, 0.52 rad x s-1 and 3.14 rad x s-1) and isometrically. Anaerobic ...
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Journal articleJ Appl Physiol (1985) · November 1986
Interleukin-1 (IL-1) is a monocyte-derived polypeptide that mediates many host defense adaptations to environmental and infectious stresses. This investigation was intended to characterize further IL-1 activity found in human plasma following exercise (3) ...
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Journal articleJ Appl Physiol (1985) · November 1986
The effects of one 45-min bout of high-intensity eccentric exercise (250 W) were studied in four male runners and five untrained men. Plasma creatine kinase (CK) activity in these runners was higher (P less than 0.001) than in the untrained men before exer ...
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Journal articleAm J Clin Nutr · June 1986
Our purpose was to determine the relationship of diet, exercise, and amenorrhea with bone mineral status in trained young women. Bone mineral density of the lumbar spine was significantly lower in amenorrheic compared to normally menstruating runners. Circ ...
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Journal articleJ Clin Endocrinol Metab · June 1986
Serum gonadotropin and estrogen levels and their relationship to bone mineral content in exercise-related amenorrhea were studied in 11 amenorrheic women and 24 eumenorrheic women, all of whom were runners. Serum estradiol, LH, FSH, estrone, and testostero ...
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Journal articleEur J Appl Physiol Occup Physiol · 1986
Alpha-ketoisocaproic acid (KIC) is the product of the transamination of the indispensable amino acid leucine, which is the first step in the complete degradation of leucine. To determine the effects of intense exercise on muscle and blood levels of KIC, 7 ...
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Journal articleEur J Appl Physiol Occup Physiol · 1986
The metabolic and ventilatory responses to steady state submaximal exercise on the cycle ergometer were compared at four intensities in 8 healthy subjects. The trials were performed so that, after a 10 min adaptation period, power output was adjusted to ma ...
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Journal articleAm J Clin Nutr · May 1985
Antecedent diet can greatly influence both substrate utilization during exercise and exercise performance itself. A number of studies have convincingly demonstrated that short-term (three to seven days) adaptation to a low carbohydrate diet results in grea ...
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Journal articleAm J Pathol · February 1985
Elevated serum creatine kinase MB isoenzyme (CK-MB) activity in marathon runners after competition may arise from injury to skeletal muscle, myocardium, or a combined tissue source. Normal radionuclide myocardial scintigraphy and the selective increase in ...
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Journal articleJAMA · November 25, 1983
Mean serum creatine kinase MB isoenzyme (CK-MB) activity in 108 trained marathon runners after competition was 98 +/- 66 (SD) units/L measured by a quantitative electrophoretic technique (normal, less than 5 units/L), or 7.9% of total CK activity. These le ...
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