Background:Insufficient physical activity and prolonged sedentary behavior have emerged as major global public health challenges.Short bouts(≤10 min)of accumulated exercise(SBAE)throughout the day may be a promising ...Background:Insufficient physical activity and prolonged sedentary behavior have emerged as major global public health challenges.Short bouts(≤10 min)of accumulated exercise(SBAE)throughout the day may be a promising strategy to mitigate the adverse effects of prolonged sitting and promote physical activity,ultimately promoting overall health.However,previous ambiguity in defining this concept has resulted in a fragmented and inconsistent evidence base,impeding practical applications,the development of guidelines,and policymaking.The purpose of this study is to establish an operational definition of SBAE by synthesizing systematic reviews and research trials alongside an expert consensus.Additionally,it seeks to evaluate acute and long-term efficacy and feasibility,providing evidence-based recommendations for practice and future research directions.Methods:A literature search was performed across PubMed and Web of Science,followed by systematic screening and summarization of eligible studies based on predefined inclusion criteria.Inclusion criteria encompassed various modesypes of SBAE(bouts lasting≤10 min,performed multiple times daily with≥30 min intervals);both aerobic and resistance exercise were considered.Relevant systematic reviews and research trials were included.Methodological quality,risk of bias,and evidence certainty were assessed.Expert consensus was obtained through a survey to evaluate recommendations and agreement levels on findings.Results:After analyzing 27 systematic reviews,135 research studies,and an expert consensus involving 48 researchers from 11 countries,SBAE is defined as any exercise mode of activity,regardless of intensity,that is accumulated in either continuous or intermittent bouts lasting≤10 min per session(including multiple intermittent sets)that are performed multiple times(≥2 sessions/day)per day,with intervals of≥30 min between bouts or otherwise sufficient time for recovery.When used to interrupt prolonged periods of sedentary time,SBAE mitigates the acute adverse effects of sedentary behavior on more than 10 clinical biomarkers of endocrine,cardiovascular,and brain health/function among adults of diverse ages and conditions.Moreover,SBAE was superior for improving acute glycemic control compared to a single continuous exercise session.As a long-term intervention(average of 11 weeks),SBAE can improve over 20 health outcomes,including peak oxygen uptake,resting blood pressure,and metabolic health.Additionally,SBAE might be more effective than continuous exercise for improving longer-term glycemic control and body composition.Long-term completion rates for SBAE interventions are generally high(95%),with low dropout rates(12%)and high adherence rates even without supervision(85%),and its safety has been preliminarily validated.Conclusion:An operational definition of SBAE is provided along with its classification and acute and long-term efficacy.Practical exercise prescription recommendations and evidence-based strategies for various populations and contexts are provided.Future research should focus on generating high-quality evidence for SBAE in 5 key areas:quantification and monitoring,population-specific responses,optimization of exercise prescriptions,intervention efficacy,and practical implementation.Additionally,addressing policy,environmental,and promotional barriers is crucial for transitioning from expert consensus to public consensus,and for facilitating the application of this strategy in real-world environments.展开更多
Diabetes,a leading global chronic disease,poses a significant health threat,with physical inactivity being a major risk factor for its development and progression.This guideline,developed by the Chinese Society of End...Diabetes,a leading global chronic disease,poses a significant health threat,with physical inactivity being a major risk factor for its development and progression.This guideline,developed by the Chinese Society of Endocrinology,synthesizes the latest evidence and expert insights to provide evidence-based recommendations for physical activity and exercise therapy in adults with type 2 diabetes(T2D).It is generally recommended that all adult patients with T2D engage in at least 150—300 min of moderate-intensity aerobic exercise per week,or a minimum of75—150 min of vigorous-intensity exercise,or an equivalent combination of moderate-and vigorous-intensity exercise(with a total exercise volume of at least 450 metabolic equivalent-min per week).For patients with T2D who are capable,moderate over-exercise and a combination of different forms of exercise(aerobic,resistance,flexibility,and/or balance training)are encouraged.The guideline also underscores the necessity of targeting specific subgroups of patients with T2D,including the elderly,individuals with obesity or pre-obesity,cardiovascular disease,hypertension,chronic kidney disease,metabolic dysfunction-associated steatotic liver disease,and/or diabetic foot and its high-risk populations.The guideline provides a scientific basis for clinicians to develop personalized exercise guidance and recommendations,with the goal of improving the disease prognosis of the relevant population.展开更多
Purpose: This study aimed to explore the effects of a 10-week combined exercise regimen on immobilizationinduced muscle atrophy and elucidate the possible function of Protein arginine methyltransferase 1(Prmt1) in thi...Purpose: This study aimed to explore the effects of a 10-week combined exercise regimen on immobilizationinduced muscle atrophy and elucidate the possible function of Protein arginine methyltransferase 1(Prmt1) in this process.Methods: 8-week-old male C57BL/6J mice were carried out combined exercise for 10 weeks. One week before the end of the intervention, mice underwent cast immobilization. Additionally, to investigate the potential mechanism in exercise-induced protection of skeletal muscle, mice in the exercise preconditioning group were administered TC-E-5003(an inhibitor of Prmt1 enzymatic activity). Exercise performance, muscle mass, and the cross-sectional area(CSA) of muscle fibers were analyzed. Besides, Prmt1 and Sestrin1(Sesn1) were either overexpressed or inhibited in C2C12 myotubes to elucidate the underlying mechanism.Results: Exercise preconditioning not only significantly improved muscle mass and motor ability in immobilized mice but also inhibited excessive activation of degradation pathways and enhanced protein synthesis. Importantly, Prmt1 mediated the protective effects of exercise preconditioning on muscle atrophy. Mechanistically,Prmt1 regulated the p38 mitogen-activated protein kinase(p38)/activating transcription factor 2(ATF2)pathway, which modulates Sesn1 expression. Sesn1 acts as a downstream of Prmt1 and ATF2, contributing to the myoblast differentiation and skeletal muscle regeneration through AMP-Activated protein kinase α2(AMPKα2)ranscriptional co-activator PPAR-γ co-activator-1 α(PGC-1α) signaling pathway.Conclusions: Taken together, our results highlighted the effectiveness of exercise preconditioning in preventing muscle atrophy via the Prmt1-Sesn1 pathway.展开更多
Mechanical tension is widely recognized as the primary stimulus underlying the molecular mechanisms that influence muscle hypertrophy induced by resistance training.Despite this,several outdated or overstated concepts...Mechanical tension is widely recognized as the primary stimulus underlying the molecular mechanisms that influence muscle hypertrophy induced by resistance training.Despite this,several outdated or overstated concepts continue to persist,both in the scientific literature and in the practical application of resistance training coaching and program design.Claims that acute hormonal responses,metabolic stress,cell swelling or“the pump”meaningfully contribute to hypertrophy are not supported by scientific evidence.Additionally,the concept of sarcoplasmic hypertrophy as a distinct and functionally meaningful contributor to hypertrophy lacks strong evidence.In this review,we critically evaluate several persistent misconceptions and contrast them with evidence-based mechanistic insights into load-induced hypertrophy.Specifically,we discuss the role(or lack thereof)of systemic hormones,metabolites,and cell swelling in promoting muscle hypertrophy.We also critically review the concept of sarcoplasmic hypertrophy and propose that it is not a meaningful contributor to muscle hypertrophy.Lastly,to translate knowledge for trainees and coaches,we discuss the upper limit of muscle hypertrophy and provide readers with evidence-based,reasonable expectations for muscle hypertrophy.We aimed,through this review,to use scientific evidence to enhance our understanding of what drives muscle hypertrophy and provide an evidence-based framework for resistance exercise training.展开更多
Purpose:McArdle disease(MD)is a rare(1:100000)genetic myopathy whereby the enzyme glycogen phosphorylase is not expressed in skeletal muscle,resulting in the blockage of glycogenolysis and presenting as physical activ...Purpose:McArdle disease(MD)is a rare(1:100000)genetic myopathy whereby the enzyme glycogen phosphorylase is not expressed in skeletal muscle,resulting in the blockage of glycogenolysis and presenting as physical activity intolerance.To circumvent the blockage in glycogenolysis,current clinical practice guidelines advise individuals with MD(IWMD)to ingest 37 g of sucrose 5–10 minute(min)before undertaking exercise.Methods:The current investigation undertook randomized repeated measure clinical exercise trials on five IWMD to compare exercise tolerance under different timing of sucrose ingestion before exercise.Results:Results showed significantly higher plasma glucose availability at the beginning of exercise when sucrose was ingested 25-min before exercise([7.4±0.8]mmol·L-1)compared to 5-min before exercise([5.6±0.3]mmol·L-1,p=0.024)or a placebo([5.3±0.4]mmol·L-1,p=0.017).Peak heart rates we significantly lower when sucrose was ingested 25-min before exercise([117±14]beats·min-1)compared to 5-min before exercise([129±14]beats·min-1,p=0.022)or a placebo([135±20]beats·min-1,p=0.039)which contrasts with recommendations in current clinical practice guidelines.Conclusion:While the ingestion of sucrose(carbohydrate)before exercise for IWMD may provide statistically significant improvements in exercise tolerance in lab-base settings,its clinical relevance and application to real world settings(RWS)is likely negligible based on the extremely low power outputs IWMD achieve during lab studies.Clinical practice guidelines should be updated to better reflect the magnitude of benefit ingesting carbohydrate before exercise may provide to set realistic expectations for both medical professionals and IWMD.Synopsis:The ingestion of sucrose(carbohydrate)before exercise for IWMD may provide statistically significant improvements in exercise tolerance in lab-base settings,but its clinical relevance and application to real world settings is likely negligible based on the extremely low power outputs achieved by IWMD during lab studies.展开更多
Advances in skeletal muscle omics has expanded our understanding of exercise-induced adaptations at the molecular level.Over the past 2 decades,transcriptome studies in muscle have detailed acute and chronic responses...Advances in skeletal muscle omics has expanded our understanding of exercise-induced adaptations at the molecular level.Over the past 2 decades,transcriptome studies in muscle have detailed acute and chronic responses to resistance,endurance,and concurrent exercise,focusing on variables such as training status,nutrition,age,sex,and metabolic health profile.Multi-omics approaches,such as the integration of transcriptomic and epigenetic data,along with emerging ribosomal RNA sequencing advancements,have further provided insights into how skeletal muscle adapts to exercise across the lifespan.Downstream of the transcriptome,proteomic and phosphoproteomic studies have identified novel regulators of exercise adaptations,while single-cellucleus and spatial sequencing technologies promise to evolve our understanding of cellular specialization and communication in and around skeletal muscle cells.This narrative review highlights(a)the historical foundations of exercise omics in skeletal muscle,(b)current research at 3 layers of the omics cascade(DNA,RNA,and protein),and(c)applications of single-cell omics and spatial sequencing technologies to study skeletal muscle adaptation to exercise.Further elaboration of muscle's global molecular footprint using multi-omics methods will help researchers and practitioners develop more effective and targeted approaches to improve skeletal muscle health as well as athletic performance.展开更多
BACKGROUND Schizophrenia presents complex challenges in older patients due to cognitive and social decline.Existing drug treatments offer limited benefits and pose risks,while aerobic exercise shows promise as a nonin...BACKGROUND Schizophrenia presents complex challenges in older patients due to cognitive and social decline.Existing drug treatments offer limited benefits and pose risks,while aerobic exercise shows promise as a noninvasive intervention whose impact remains underexplored.AIM To investigate the effects of aerobic exercise on cognitive and social function in older patients with schizophrenia.METHODS A retrospective study was conducted in 158 older patients with schizophrenia treated at The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College(June 2023 and December 2024).The patients were divided into an observation group(n=86),which received 3 months of aerobic rehabilitation alongside routine treatment,and a control group(n=72),which received routine treatment alone.Cognitive function was assessed using the Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery,social function using the Inpatient Psychiatric Rehabilitation Outcome Scale(IPROS),and psychotic symptoms using the Positive and Negative Syndrome Scale.RESULTS Post-treatment,Positive and Negative Syndrome Scale total scores were lower in the observation group than in the controls(P<0.001),with significant improvements in positive,negative,and general symptoms.Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery domain scores were improved in processing speed,working memory,verbal/visual learning,and executive function(all P<0.05).IPROS total scores were decreased(P<0.001),indicating better social functioning.Longer exercise duration correlated with greater cognitive gains and lower social function deficits.Body mass index declined(P<0.001),and adverse events were mild and transient(9.3%).Multivariate linear regression confirmed that aerobic exercise was independently associated with a significant reduction in IPROS scores(Adjustedβ=-4.57,95%confidence intervals:-6.08 to-3.05,P<0.001).CONCLUSION Aerobic exercise effectively improves cognitive function,social function,and psychotic symptoms in older patients with schizophrenia,is safe,and serves as a valuable adjunctive intervention.展开更多
Free radicals(radicals)are highly reactive atoms or molecules that contain one or more unpaired electrons in their outermost shell.The first evidence that muscular exercise increases radical production and promotes ox...Free radicals(radicals)are highly reactive atoms or molecules that contain one or more unpaired electrons in their outermost shell.The first evidence that muscular exercise increases radical production and promotes oxidative damage to tissues was reported almost five decades ago.Following this milestone discovery,many studies have corroborated the finding that exercise increases the production of radicals and other reactive oxygen species(ROS)resulting in oxidative damage to macromolecules in muscles and other tissues.Although exercise-induced ROS production is associated with oxidative damage in many tissues,growing evidence reveals that ROS produced in contracting muscles act as signaling molecules to promote healthy exercise-induced adaptations in skeletal muscles and other tissues.These adaptive responses include increased mitochondrial volume,improved antioxidant capacity,and expression of cytoprotective proteins.Therefore,a key question emerges:“Is exerciseinduced ROS production a friend or foe?”This review provides a state-of-the-art discussion of both the positive and negative effects of exercise-induced ROS production by examining the consequences of both oxidative damage to cellular macromolecules and the redox signaling-induced adaptations that occur in muscle fibers.To address the question of whether exercise-induced ROS production is a friend or foe we conclude with a risk/benefit analysis of the biological effects of exercise-induced production of ROS.展开更多
Aerobic(endurance)exercise training protects from age-related neurological and psychiatric diseases.The bidirectional signaling between tissues directly involved in aerobic exercise,such as skeletal muscle and the bra...Aerobic(endurance)exercise training protects from age-related neurological and psychiatric diseases.The bidirectional signaling between tissues directly involved in aerobic exercise,such as skeletal muscle and the brain,is well established;however,the precise mechanisms by which exercise benefits the brain remain elusive.We summarize the role of hypoxia(reduced oxygen availability)signaling as a potential mediator of exercise outcomes on the brain.The increased oxygen demand in organs such as skeletal muscle and heart during aerobic exercise induces hypoxia responses,including the activation of hypoxia-inducible factor pathways.These responses promote adaptations leading to improved oxygen transport,mitochondrial functions,and oxidative stress management in the brain and thereby counteract central pathological developments associated with neuropsychiatric and neurodegenerative diseases.Passive hypoxia exposures can similarly improve brain functions;we provide an extensive overview of the existent literature on that topic.We conclude that the combination of aerobic exercise and ambient hypoxia can result in synergistic and/or additive positive outcomes in the brain.However,the dose of either stimulus and individual resilience/vulnerabilities determines if the induced stress responses are successful and safe.If the stress management capacities are insufficient,the different stimuli may have antagonistic effects or inhibit beneficial adaptations.The selection of combinations for optimal adaptation is an important challenge for future research.展开更多
Overweight and obesity are significant public health concerns worldwide due to their association with many chronic health conditions.This has resulted in the development of various interventions focused on weight loss...Overweight and obesity are significant public health concerns worldwide due to their association with many chronic health conditions.This has resulted in the development of various interventions focused on weight loss to reduce the associated health burden.Physical activity is an important lifestyle behavior associated with enhanced health.Evidence supports that many of the benefits of physical activity are realized independent of initial weight status or whether weight loss is achieved,with some benefits additive to what is achieved with weight loss alone.These benefits include enhanced cardiometabolic,brain,cognitive and psychological health,and others.Moreover,in adults with overweight or obesity,physical activity has independent effects on cardiorespiratory fitness,muscular strength,physical function,and mobility.There are also benefits to body composition,with physical activity improving the quality of key tissues,such as skeletal muscle,which may not occur with diet-induced weight loss.Therefore,physical activity is an important public health target for adults with overweight or obesity to provide a wide range of health benefits that extend beyond those of weight loss alone.However,physical activity recommendations and programming efforts should consider the unique characteristics of adults with overweight or obesity to be most effective,and should support a focus on mobility,physical function,and other health outcomes.展开更多
Purpose:The purpose of this study was to examine the associations between adherence to the 24-Hour Movement Guidelines and all-cause and cause-specific mortality in a large Spanish prospective cohort.Methods:We analyz...Purpose:The purpose of this study was to examine the associations between adherence to the 24-Hour Movement Guidelines and all-cause and cause-specific mortality in a large Spanish prospective cohort.Methods:We analyzed data from 14,288 participants of the Seguimiento Universidad de Navarra(SUN)Project,followed for a mean of 12.8 years(mean baseline age=38.3 years;60.1%women).Data were collected at baseline and through biennial follow-up questionnaires(up to 10 waves,depending on year of entry).The participants self-reported 24-h movement behaviors at baseline and were categorized based on the number of guidelines met(0-3).Behaviors were assessed at baseline only;changes in adherence during follow-up were not accounted for.Cox proportional hazards models were used to estimate hazard ratios(HRs)for all-cause and cause-specific mortality,adjusting for sociodemographic,lifestyle,and clinical covariates.Results:Meeting a greater number of 24-Hour Movement Guidelines at baseline was associated with a progressively lower risk of all-cause mortality.Compared with those meeting none,the multivariable-adjusted HRs were 0.52(95%confidence interval(95%CI):0.33-0.82)for meeting 1 guideline,0.47(95%CI:0.30-0.73)for meeting 2 guidelines,and 0.44(95%CI:0.28-0.71)for meeting all 3 guidelines.Only adherence to the physical activity guidelines was independently associated with a significantly lower mortality risk(HR=0.70;95%CI:0.55-0.89).A reduced risk was also observed for cancer and other-cause mortality among those meeting 2 or more guidelines.Conclusion:Adherence to the 24-Hour Movement Guidelines at baseline,particularly physical activity,was associated with a lower risk of mortality.Promoting an integrated approach to movement behaviors may be an effective strategy for improving population health and longevity.展开更多
Purpose:To investigate the dose—response associations of self-reported and device-measured physical activity with major adverse cardiovascular events(MACE)and cardiovascular disease(CVD)mortality in individuals with ...Purpose:To investigate the dose—response associations of self-reported and device-measured physical activity with major adverse cardiovascular events(MACE)and cardiovascular disease(CVD)mortality in individuals with a history of CVD,type 2 diabetes mellitus(T2DM),or cancer.Methods:We analyzed data from 34,183 UK Biobank participants(CVD:n=8703;T2DM:n=11,623;cancer:n=13,857;age=60.0±7.1 years,mean±SD;45.3%women).Physical activity was assessed using self-reports and wrist-worn accelerometers in a subsample(n=6077).Dose-response associations with MACE and CVD mortality were evaluated using Fine-Gray competing-risk models with penalized splines,adjusting for confounders.Results:During a median follow-up of 13.1 years,8729 MACE and 982 CVD deaths were recorded.Self-reported physical activity showed nonlinear inverse associations with MACE,with the optimal dose(nadir)observed at≈4000 MET-min/week in CVD(hazard ratio(HR)=0.95)and cancer(HR=0.92)and≈6000 MET-min/week in T2DM(HR=0.91),compared to participants in the 5th centiles of activity.For CVD mortality,the optimal dose was observed at≈5000 MET-min/week in CVD(HR=0.86)and cancer(HR=0.62),respectively.Device-measured moderate-to-vigorous intensity physical activity showed stronger dose-response associations with MACE for T2DM(optimal dose observed at≈200 min/week,HR=0.88)and cancer(optimal dose at≈700 min/week,HR=0.27,wide confidence intervals).Conclusion:Physical activity could reduce MACE risk in people with a history of CVD,T2DM,or cancer.While a similar shape of doseresponse patterns was observed across these groups,self-reported data suggested the minimal effective dose might exceed current World Health Organization recommendations.However,device-measured data supported existing guidelines for people with T2DM and cancer survivors.展开更多
摘要Background:Insufficient physical activity and prolonged sedentary behavior have emerged as major global public health challenges.Short bouts(≤10 min)of accumulated exercise(SBAE)throughout the day may be a promising strategy to mitigate the adverse effects of prolonged sitting and promote physical activity,ultimately promoting overall health.However,previous ambiguity in defining this concept has resulted in a fragmented and inconsistent evidence base,impeding practical applications,the development of guidelines,and policymaking.The purpose of this study is to establish an operational definition of SBAE by synthesizing systematic reviews and research trials alongside an expert consensus.Additionally,it seeks to evaluate acute and long-term efficacy and feasibility,providing evidence-based recommendations for practice and future research directions.Methods:A literature search was performed across PubMed and Web of Science,followed by systematic screening and summarization of eligible studies based on predefined inclusion criteria.Inclusion criteria encompassed various modesypes of SBAE(bouts lasting≤10 min,performed multiple times daily with≥30 min intervals);both aerobic and resistance exercise were considered.Relevant systematic reviews and research trials were included.Methodological quality,risk of bias,and evidence certainty were assessed.Expert consensus was obtained through a survey to evaluate recommendations and agreement levels on findings.Results:After analyzing 27 systematic reviews,135 research studies,and an expert consensus involving 48 researchers from 11 countries,SBAE is defined as any exercise mode of activity,regardless of intensity,that is accumulated in either continuous or intermittent bouts lasting≤10 min per session(including multiple intermittent sets)that are performed multiple times(≥2 sessions/day)per day,with intervals of≥30 min between bouts or otherwise sufficient time for recovery.When used to interrupt prolonged periods of sedentary time,SBAE mitigates the acute adverse effects of sedentary behavior on more than 10 clinical biomarkers of endocrine,cardiovascular,and brain health/function among adults of diverse ages and conditions.Moreover,SBAE was superior for improving acute glycemic control compared to a single continuous exercise session.As a long-term intervention(average of 11 weeks),SBAE can improve over 20 health outcomes,including peak oxygen uptake,resting blood pressure,and metabolic health.Additionally,SBAE might be more effective than continuous exercise for improving longer-term glycemic control and body composition.Long-term completion rates for SBAE interventions are generally high(95%),with low dropout rates(12%)and high adherence rates even without supervision(85%),and its safety has been preliminarily validated.Conclusion:An operational definition of SBAE is provided along with its classification and acute and long-term efficacy.Practical exercise prescription recommendations and evidence-based strategies for various populations and contexts are provided.Future research should focus on generating high-quality evidence for SBAE in 5 key areas:quantification and monitoring,population-specific responses,optimization of exercise prescriptions,intervention efficacy,and practical implementation.Additionally,addressing policy,environmental,and promotional barriers is crucial for transitioning from expert consensus to public consensus,and for facilitating the application of this strategy in real-world environments.
摘要Diabetes,a leading global chronic disease,poses a significant health threat,with physical inactivity being a major risk factor for its development and progression.This guideline,developed by the Chinese Society of Endocrinology,synthesizes the latest evidence and expert insights to provide evidence-based recommendations for physical activity and exercise therapy in adults with type 2 diabetes(T2D).It is generally recommended that all adult patients with T2D engage in at least 150—300 min of moderate-intensity aerobic exercise per week,or a minimum of75—150 min of vigorous-intensity exercise,or an equivalent combination of moderate-and vigorous-intensity exercise(with a total exercise volume of at least 450 metabolic equivalent-min per week).For patients with T2D who are capable,moderate over-exercise and a combination of different forms of exercise(aerobic,resistance,flexibility,and/or balance training)are encouraged.The guideline also underscores the necessity of targeting specific subgroups of patients with T2D,including the elderly,individuals with obesity or pre-obesity,cardiovascular disease,hypertension,chronic kidney disease,metabolic dysfunction-associated steatotic liver disease,and/or diabetic foot and its high-risk populations.The guideline provides a scientific basis for clinicians to develop personalized exercise guidance and recommendations,with the goal of improving the disease prognosis of the relevant population.
基金funded by research grants from the National Natural Science Foundation of China (32171135 and 32371168)。
摘要Purpose: This study aimed to explore the effects of a 10-week combined exercise regimen on immobilizationinduced muscle atrophy and elucidate the possible function of Protein arginine methyltransferase 1(Prmt1) in this process.Methods: 8-week-old male C57BL/6J mice were carried out combined exercise for 10 weeks. One week before the end of the intervention, mice underwent cast immobilization. Additionally, to investigate the potential mechanism in exercise-induced protection of skeletal muscle, mice in the exercise preconditioning group were administered TC-E-5003(an inhibitor of Prmt1 enzymatic activity). Exercise performance, muscle mass, and the cross-sectional area(CSA) of muscle fibers were analyzed. Besides, Prmt1 and Sestrin1(Sesn1) were either overexpressed or inhibited in C2C12 myotubes to elucidate the underlying mechanism.Results: Exercise preconditioning not only significantly improved muscle mass and motor ability in immobilized mice but also inhibited excessive activation of degradation pathways and enhanced protein synthesis. Importantly, Prmt1 mediated the protective effects of exercise preconditioning on muscle atrophy. Mechanistically,Prmt1 regulated the p38 mitogen-activated protein kinase(p38)/activating transcription factor 2(ATF2)pathway, which modulates Sesn1 expression. Sesn1 acts as a downstream of Prmt1 and ATF2, contributing to the myoblast differentiation and skeletal muscle regeneration through AMP-Activated protein kinase α2(AMPKα2)ranscriptional co-activator PPAR-γ co-activator-1 α(PGC-1α) signaling pathway.Conclusions: Taken together, our results highlighted the effectiveness of exercise preconditioning in preventing muscle atrophy via the Prmt1-Sesn1 pathway.
基金funding from the Canadian Institutes of Health Research,the National Science and Engineering Research Council of Canada,the US National Institutes of Health,Roquette Freres,Nestle Health Sciences,Friesland Campina,the US National Dairy Council,Dairy Farmers of Canada,Myos,and Cargillsupport from the Canada Research Chairs Program(CRC-2021-00495)supported by a Canadian Institutes of Health Research(CIHR)Postdoctoral Fellowship award(Funding Reference No.187773).
摘要Mechanical tension is widely recognized as the primary stimulus underlying the molecular mechanisms that influence muscle hypertrophy induced by resistance training.Despite this,several outdated or overstated concepts continue to persist,both in the scientific literature and in the practical application of resistance training coaching and program design.Claims that acute hormonal responses,metabolic stress,cell swelling or“the pump”meaningfully contribute to hypertrophy are not supported by scientific evidence.Additionally,the concept of sarcoplasmic hypertrophy as a distinct and functionally meaningful contributor to hypertrophy lacks strong evidence.In this review,we critically evaluate several persistent misconceptions and contrast them with evidence-based mechanistic insights into load-induced hypertrophy.Specifically,we discuss the role(or lack thereof)of systemic hormones,metabolites,and cell swelling in promoting muscle hypertrophy.We also critically review the concept of sarcoplasmic hypertrophy and propose that it is not a meaningful contributor to muscle hypertrophy.Lastly,to translate knowledge for trainees and coaches,we discuss the upper limit of muscle hypertrophy and provide readers with evidence-based,reasonable expectations for muscle hypertrophy.We aimed,through this review,to use scientific evidence to enhance our understanding of what drives muscle hypertrophy and provide an evidence-based framework for resistance exercise training.
基金support from Mater Hospital Brisbane throughout the project and their ongoing collaborative supportsupplied by a grant from the International Association for Muscle Glycogen Storage Disease(IamGSD).
摘要Purpose:McArdle disease(MD)is a rare(1:100000)genetic myopathy whereby the enzyme glycogen phosphorylase is not expressed in skeletal muscle,resulting in the blockage of glycogenolysis and presenting as physical activity intolerance.To circumvent the blockage in glycogenolysis,current clinical practice guidelines advise individuals with MD(IWMD)to ingest 37 g of sucrose 5–10 minute(min)before undertaking exercise.Methods:The current investigation undertook randomized repeated measure clinical exercise trials on five IWMD to compare exercise tolerance under different timing of sucrose ingestion before exercise.Results:Results showed significantly higher plasma glucose availability at the beginning of exercise when sucrose was ingested 25-min before exercise([7.4±0.8]mmol·L-1)compared to 5-min before exercise([5.6±0.3]mmol·L-1,p=0.024)or a placebo([5.3±0.4]mmol·L-1,p=0.017).Peak heart rates we significantly lower when sucrose was ingested 25-min before exercise([117±14]beats·min-1)compared to 5-min before exercise([129±14]beats·min-1,p=0.022)or a placebo([135±20]beats·min-1,p=0.039)which contrasts with recommendations in current clinical practice guidelines.Conclusion:While the ingestion of sucrose(carbohydrate)before exercise for IWMD may provide statistically significant improvements in exercise tolerance in lab-base settings,its clinical relevance and application to real world settings(RWS)is likely negligible based on the extremely low power outputs IWMD achieve during lab studies.Clinical practice guidelines should be updated to better reflect the magnitude of benefit ingesting carbohydrate before exercise may provide to set realistic expectations for both medical professionals and IWMD.Synopsis:The ingestion of sucrose(carbohydrate)before exercise for IWMD may provide statistically significant improvements in exercise tolerance in lab-base settings,but its clinical relevance and application to real world settings is likely negligible based on the extremely low power outputs achieved by IWMD during lab studies.
基金supported by National Institutes of Health(NIH)Grants AG063944 and AG080047 to KAM.
摘要Advances in skeletal muscle omics has expanded our understanding of exercise-induced adaptations at the molecular level.Over the past 2 decades,transcriptome studies in muscle have detailed acute and chronic responses to resistance,endurance,and concurrent exercise,focusing on variables such as training status,nutrition,age,sex,and metabolic health profile.Multi-omics approaches,such as the integration of transcriptomic and epigenetic data,along with emerging ribosomal RNA sequencing advancements,have further provided insights into how skeletal muscle adapts to exercise across the lifespan.Downstream of the transcriptome,proteomic and phosphoproteomic studies have identified novel regulators of exercise adaptations,while single-cellucleus and spatial sequencing technologies promise to evolve our understanding of cellular specialization and communication in and around skeletal muscle cells.This narrative review highlights(a)the historical foundations of exercise omics in skeletal muscle,(b)current research at 3 layers of the omics cascade(DNA,RNA,and protein),and(c)applications of single-cell omics and spatial sequencing technologies to study skeletal muscle adaptation to exercise.Further elaboration of muscle's global molecular footprint using multi-omics methods will help researchers and practitioners develop more effective and targeted approaches to improve skeletal muscle health as well as athletic performance.
摘要BACKGROUND Schizophrenia presents complex challenges in older patients due to cognitive and social decline.Existing drug treatments offer limited benefits and pose risks,while aerobic exercise shows promise as a noninvasive intervention whose impact remains underexplored.AIM To investigate the effects of aerobic exercise on cognitive and social function in older patients with schizophrenia.METHODS A retrospective study was conducted in 158 older patients with schizophrenia treated at The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College(June 2023 and December 2024).The patients were divided into an observation group(n=86),which received 3 months of aerobic rehabilitation alongside routine treatment,and a control group(n=72),which received routine treatment alone.Cognitive function was assessed using the Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery,social function using the Inpatient Psychiatric Rehabilitation Outcome Scale(IPROS),and psychotic symptoms using the Positive and Negative Syndrome Scale.RESULTS Post-treatment,Positive and Negative Syndrome Scale total scores were lower in the observation group than in the controls(P<0.001),with significant improvements in positive,negative,and general symptoms.Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery domain scores were improved in processing speed,working memory,verbal/visual learning,and executive function(all P<0.05).IPROS total scores were decreased(P<0.001),indicating better social functioning.Longer exercise duration correlated with greater cognitive gains and lower social function deficits.Body mass index declined(P<0.001),and adverse events were mild and transient(9.3%).Multivariate linear regression confirmed that aerobic exercise was independently associated with a significant reduction in IPROS scores(Adjustedβ=-4.57,95%confidence intervals:-6.08 to-3.05,P<0.001).CONCLUSION Aerobic exercise effectively improves cognitive function,social function,and psychotic symptoms in older patients with schizophrenia,is safe,and serves as a valuable adjunctive intervention.
摘要Free radicals(radicals)are highly reactive atoms or molecules that contain one or more unpaired electrons in their outermost shell.The first evidence that muscular exercise increases radical production and promotes oxidative damage to tissues was reported almost five decades ago.Following this milestone discovery,many studies have corroborated the finding that exercise increases the production of radicals and other reactive oxygen species(ROS)resulting in oxidative damage to macromolecules in muscles and other tissues.Although exercise-induced ROS production is associated with oxidative damage in many tissues,growing evidence reveals that ROS produced in contracting muscles act as signaling molecules to promote healthy exercise-induced adaptations in skeletal muscles and other tissues.These adaptive responses include increased mitochondrial volume,improved antioxidant capacity,and expression of cytoprotective proteins.Therefore,a key question emerges:“Is exerciseinduced ROS production a friend or foe?”This review provides a state-of-the-art discussion of both the positive and negative effects of exercise-induced ROS production by examining the consequences of both oxidative damage to cellular macromolecules and the redox signaling-induced adaptations that occur in muscle fibers.To address the question of whether exercise-induced ROS production is a friend or foe we conclude with a risk/benefit analysis of the biological effects of exercise-induced production of ROS.
摘要Aerobic(endurance)exercise training protects from age-related neurological and psychiatric diseases.The bidirectional signaling between tissues directly involved in aerobic exercise,such as skeletal muscle and the brain,is well established;however,the precise mechanisms by which exercise benefits the brain remain elusive.We summarize the role of hypoxia(reduced oxygen availability)signaling as a potential mediator of exercise outcomes on the brain.The increased oxygen demand in organs such as skeletal muscle and heart during aerobic exercise induces hypoxia responses,including the activation of hypoxia-inducible factor pathways.These responses promote adaptations leading to improved oxygen transport,mitochondrial functions,and oxidative stress management in the brain and thereby counteract central pathological developments associated with neuropsychiatric and neurodegenerative diseases.Passive hypoxia exposures can similarly improve brain functions;we provide an extensive overview of the existent literature on that topic.We conclude that the combination of aerobic exercise and ambient hypoxia can result in synergistic and/or additive positive outcomes in the brain.However,the dose of either stimulus and individual resilience/vulnerabilities determines if the induced stress responses are successful and safe.If the stress management capacities are insufficient,the different stimuli may have antagonistic effects or inhibit beneficial adaptations.The selection of combinations for optimal adaptation is an important challenge for future research.
基金supported by the National Institutes of Health for the Kansas Center for Metabolism and Obesity Research(award No.P20GM144269)support from the Center for Advancing Translational Sciences of the National Institutes of Health(award No.KL2TR002367)supported by the National Center for Advancing Translational Sciences of the National Institutes of Health(award No.TL1TR002368)。
摘要Overweight and obesity are significant public health concerns worldwide due to their association with many chronic health conditions.This has resulted in the development of various interventions focused on weight loss to reduce the associated health burden.Physical activity is an important lifestyle behavior associated with enhanced health.Evidence supports that many of the benefits of physical activity are realized independent of initial weight status or whether weight loss is achieved,with some benefits additive to what is achieved with weight loss alone.These benefits include enhanced cardiometabolic,brain,cognitive and psychological health,and others.Moreover,in adults with overweight or obesity,physical activity has independent effects on cardiorespiratory fitness,muscular strength,physical function,and mobility.There are also benefits to body composition,with physical activity improving the quality of key tissues,such as skeletal muscle,which may not occur with diet-induced weight loss.Therefore,physical activity is an important public health target for adults with overweight or obesity to provide a wide range of health benefits that extend beyond those of weight loss alone.However,physical activity recommendations and programming efforts should consider the unique characteristics of adults with overweight or obesity to be most effective,and should support a focus on mobility,physical function,and other health outcomes.
摘要Purpose:The purpose of this study was to examine the associations between adherence to the 24-Hour Movement Guidelines and all-cause and cause-specific mortality in a large Spanish prospective cohort.Methods:We analyzed data from 14,288 participants of the Seguimiento Universidad de Navarra(SUN)Project,followed for a mean of 12.8 years(mean baseline age=38.3 years;60.1%women).Data were collected at baseline and through biennial follow-up questionnaires(up to 10 waves,depending on year of entry).The participants self-reported 24-h movement behaviors at baseline and were categorized based on the number of guidelines met(0-3).Behaviors were assessed at baseline only;changes in adherence during follow-up were not accounted for.Cox proportional hazards models were used to estimate hazard ratios(HRs)for all-cause and cause-specific mortality,adjusting for sociodemographic,lifestyle,and clinical covariates.Results:Meeting a greater number of 24-Hour Movement Guidelines at baseline was associated with a progressively lower risk of all-cause mortality.Compared with those meeting none,the multivariable-adjusted HRs were 0.52(95%confidence interval(95%CI):0.33-0.82)for meeting 1 guideline,0.47(95%CI:0.30-0.73)for meeting 2 guidelines,and 0.44(95%CI:0.28-0.71)for meeting all 3 guidelines.Only adherence to the physical activity guidelines was independently associated with a significantly lower mortality risk(HR=0.70;95%CI:0.55-0.89).A reduced risk was also observed for cancer and other-cause mortality among those meeting 2 or more guidelines.Conclusion:Adherence to the 24-Hour Movement Guidelines at baseline,particularly physical activity,was associated with a lower risk of mortality.Promoting an integrated approach to movement behaviors may be an effective strategy for improving population health and longevity.
基金funded by the Spanish Ministry of Universities under application 33.50.460A.752the European Union Next Generation EU/PRTR through a Margarita Salas contract of the University of Vigofunded by a National Health and Medical Research Council Emerging Leader Grant。
摘要Purpose:To investigate the dose—response associations of self-reported and device-measured physical activity with major adverse cardiovascular events(MACE)and cardiovascular disease(CVD)mortality in individuals with a history of CVD,type 2 diabetes mellitus(T2DM),or cancer.Methods:We analyzed data from 34,183 UK Biobank participants(CVD:n=8703;T2DM:n=11,623;cancer:n=13,857;age=60.0±7.1 years,mean±SD;45.3%women).Physical activity was assessed using self-reports and wrist-worn accelerometers in a subsample(n=6077).Dose-response associations with MACE and CVD mortality were evaluated using Fine-Gray competing-risk models with penalized splines,adjusting for confounders.Results:During a median follow-up of 13.1 years,8729 MACE and 982 CVD deaths were recorded.Self-reported physical activity showed nonlinear inverse associations with MACE,with the optimal dose(nadir)observed at≈4000 MET-min/week in CVD(hazard ratio(HR)=0.95)and cancer(HR=0.92)and≈6000 MET-min/week in T2DM(HR=0.91),compared to participants in the 5th centiles of activity.For CVD mortality,the optimal dose was observed at≈5000 MET-min/week in CVD(HR=0.86)and cancer(HR=0.62),respectively.Device-measured moderate-to-vigorous intensity physical activity showed stronger dose-response associations with MACE for T2DM(optimal dose observed at≈200 min/week,HR=0.88)and cancer(optimal dose at≈700 min/week,HR=0.27,wide confidence intervals).Conclusion:Physical activity could reduce MACE risk in people with a history of CVD,T2DM,or cancer.While a similar shape of doseresponse patterns was observed across these groups,self-reported data suggested the minimal effective dose might exceed current World Health Organization recommendations.However,device-measured data supported existing guidelines for people with T2DM and cancer survivors.