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In recent studies, oxidative stress after scuba diving has been explored by measuringurinary biomarkers in volunteers under controlled conditions. Dive depth and duration, watertemperature, and workload are all variables that can elicit metabolic responses. A controlled divingexperiment was performed in an indoor pool at 20, 30, and 40 m depths at a water temperature of32 ºC, on three different days. Samples of urine from five male scuba divers were taken before divingand at four time points after diving, and then tested for their concentration of five different oxidativestress biomarkers by means of liquid chromatography tandem mass spectrometry and by 1H nuclearmagnetic resonance metabolomics analysis. The results showed no variation in the five biomarkers after diving, but a decreasing trend was observed over the three days, with no differences among thethree depths. The lack of effect on oxidative stress biomarkers has been attributed to the comfortablewater temperature and to the absence of exercise in the divers during the experiment. Instead, anincrease in hypoxanthine excretion, which can be considered a biomarker sensitive to hyperbaric exposure, was found after diving. Finally, the results suggest a physiological mechanism of metabolicadaptation to a new condition.

Osteoarthritis (OA), the most common joint disease, shows an increasing prevalence in the aging population in industrialized countries. OA is characterized by low-grade chronic inflammation, which causes degeneration of all joint tissues, such as articular cartilage, subchondral bone, and synovial membrane, leading to pain and loss of functionality. Erythrocytes, the most abundant blood cells, have as their primary function oxygen transport, which induces reactive oxygen species (ROS) production. For this reason, the erythrocytes have several mechanisms to counteract ROS injuries, which cause damage to lipids and proteins of the cell membrane. Oxidative stress and inflammation are highly correlated and are both causes of joint disorders. In the synovial fluid and blood of osteoarthritis patients, erythrocyte antioxidant enzyme expression is decreased. To date, OA is a non-curable disease, treated mainly with non-steroidal anti-inflammatory drugs and corticosteroids for a prolonged period of time, which cause several side effects; thus, the search for natural remedies with anti-inflammatory and antioxidant activities is always ongoing. In this review, we analyze several manuscripts describing the effect of traditional remedies, such as Harpagophytum procumbens, Curcumin longa, and Boswellia serrata extracts, in the treatments of OA for their anti-inflammatory, analgesic, and antioxidant activity. The effects of such remedies have been studied both in in vitro and in vivo models, considering both joint cells and erythrocytes.

Background: Hyperbaric exposure (HE) is proven to be a stressor to several mechanisms in living cells. Even if after homeostasis restoration, harmful effects are expected, in particular a presence of free radicals. These latter are the stimulus to negative phenomenon as inflammation or cancer. In Italy, with 7500 km of sea shores, a large quantity of workers is exposed to HE during occupational activities. A deep knowledge of HE and bodily effects is not well defined; hence a multidisciplinary assessment of risk is needed. To detect one or more indicators of HE a research group is organised, under the INAIL sponsorship. The research project focused on the oxidative stress (OxS) and this paper details on the possible protocol to estimate, with a large amount of techniques on several human liquids, the relationship between OxS and HE. Specific attention will be paid to identify confounding factors and their influence. Methods: Blood and urine will be sampled. Several lab techniques will be performed on samples, both targeted, to measure the level of well-known biomarkers, and untargeted. Regard the formers: products of oxidation of DNA and RNA in urine; inflammation and temperature cytokines and protein carbonyles in blood. Untargeted evaluation will be performed for a metabolomics analysis in urine. Confounding factors: temperature, body fat, fitness, allergies and dietary habits. These factors will be assessed, directly or indirectly, prior and after HE. The final scope of the project is to determine one or more indicators that relates to HE in hits twofold nature: depth and duration. Conclusion: The relationship between OxS and HE is not deeply investigated and literature proposes diverging results. The project aims to define the time dependence of biomarkers related to OxS, to rise knowledge in risk assessment in workers exposed to HE.

Mechanical vibration, applied to single or few muscles, can be a selective stimulus for muscle spindles, able to modify neuromuscular management, inducing short and long-term effects, are now mainly employed in clinic studies. Several studies reported as treatments with focal vibratory (FVT) can influence neuromuscular parameters also in healthy people. However, the application modalities and the consequent effects are remarkably fragmented. This paper aims to review these studies and to characterize the FVT effectiveness on long-term conditional capacities in relation to FVT characteristics. A systematic search of studies published from 1985 to 2020 in English on healthcare databases was performed. Articles had to meet the following criteria: (1) treatment based on a locally applied vibration on muscle belly or tendon; (2) healthy adults involved; (3) outcomes time analysis enduring for more than 24 h. Twelve studies were found, all of them presented an excellent quality score of ≥75%. All selected papers reported positive changes, comparable with traditional long-lasting training effects. Muscle force and power were the most investigated parameters. The after-effects persisted for up to several months. Among the different FV administration modalities, the most effective seems to show a stimulus frequency of ≈100 Hz, repeated more times within three-five days on a voluntary contracted muscle.

The aim of the study was to assess the effects of a specific protocol, based on a focal muscle vibration, on mechanical parameters in an exercise composed of five repeated bouts of sprint interval tests (Wingate Anaerobic Tests, 10 seconds duration). Twenty-eight young male healthy subjects were randomized to two groups (VIB and CTRL). Peak power (PP), average peak between bouts (aP) and total exercise work (TW) were measured. In both groups, three different exercise sessions were carried out, interspersed by seven days: T0, T1 and T2. Between the baseline (T0) and T1, in the VIB group the intervention was administered on three successive days on quadriceps muscles, whereas a placebo administration was carried out in the CTRL group at the same time. At T1 (30 minutes after intervention) and T2 (7 days after) CTRL did not show any significant change, whereas VIB showed significant increases in PP (11.4%–9.3%), aP (6.6%–6.9%) and TW (5.7%–7.9%) with respect to T0. The results could be explained by an ameliorative agonist-antagonist balance, and this hypothesis is coherent with the literature. On the basis of the present findings, the investigated intervention might be usefully adopted to increase muscular power and endurance.

Occupational exposure to hyperbaric atmosphere occurs in workers who carry out their activity in environmentswhere breathing air pressure is at least 10% higher than pressure at sea level, and operations can be divided inDry or Wet activities. The increased air pressure implies the formation of reactive oxygen species (ROS) andreactive nitrogen species (RNS), consumption of antioxidants and reduction of antioxidant enzyme activity,causing lipid peroxidation, DNA and RNA damage. The present study was aimed to establish the relation betweenhyperbaric exposure and metabolic changes due to ROS unbalance, by means of the determination of urinary biomarkers of oxidatively generated damage to DNA and RNA during a controlled diving session. Theinvestigated biomarkers were 8-oxo-7,8-dihydroguanine (8-oxoGua), 8-oxo-7,8-dihydroguanosine (8-oxoGuo),and 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodGuo). The experimental session involved six experienced divers subjected to 3 atmospheres absolute for 30 minutesin two different experiments, in both dry and wet conditions. Urine samples were collected at t = 0 (beforeexposure) and 30 (end of exposure),90, 240, 480 and 720 minutes. The concentration of 8-oxoGua, 8-oxoGuo,and 8-oxodGuo was determined by isotopic dilution high performance liquid chromatography (HPLC-MS/MS). In all subjects there is an increase of the urinary excretion of 8oxo-Guo and 8oxo-dGuo, in both conditions, after1.5 - 4 hours from the start of the experiment, and that the values tend to return to the baseline after 12 hours.Besides that, also the nucleic magnetic resonance (NMR)-based untargeted metabolomics was employed for thesame objective on the same samples, confirming a different metabolic response in the subjects exposed to dry orwet conditions. In particular, the observed hypoxanthine urinary level increases during the underwater hyperbaricexposure, in agreement with the trend observed for 8-oxoGuo and 8-oxodGuo levels. Present resultsconfirmed the relationship between exposure and oxidative stress and depicted a clear temporal trend of theinvestigated biomarkers. Due to the possible negative consequences of oxidative stress on workers, presentresearch shows a new line in term of risk prevention.

Background The aim of this study was to evaluate the effects of acoustic and visual pacesetters on the energy expenditure in a steady state 30-minute long cycling. Methods Eighteen healthy male subjects (age 27.6±4.59 years; height 1.78±0.07 m; body mass 80.1±7.85 kg) performed a 30-minute submaximal exercise at a constant workload on a cycle ergometer. The imposed workload required a metabolic expenditure corresponding to 70% of ventilatory threshold for each subject. Energy expenditure - expressed as a caloric equivalent relative to the total net oxygen consumption during exercise - was evaluated using three conditions: control (CT), no external pacesetter; acoustic (AT), listening to rhythmic acoustic stimuli at 120 beat per minute; and visual (VT), seeing footage consisting of eight different images in a looped sequence at 120 frames per minute. Results All measured parameters qualified the exercise as requiring mainly an aerobic metabolism, showing no pain and no fatigue. AT and VT energy expenditure (5.0±0.44 and 4.9±0.39 MET respectively) were significantly lower compared to CT (5.5±0.49 MET), while no difference between AT and VT were recognized. Conclusions This study confirmed the ergogenic effect of the acoustic pacesetter on a 30-minute steady state rhythmic exercise. Novelty is that the visual pacesetter too was able to increase the mechanical efficiency as the same manner than the acoustic one. The present setting adopting visual pacesetter could be used in special categories, such as the deaf or in innovative technological tools as head-mounted display devices.

Introduction Walking on vibrating floor causes a complex exposure pattern and the superimposition of walk and vibration may induce early muscular fatigue.1 The problem is relevant is many field, as sea platform or railway transports. The present study studies the leg muscular activation and stride phases during walking under vibration to derive a muscle model in these circumstances. Methods Subjects walked on a treadmill positioned on a 6-DOF vibrating table. Vibration was imposed at four frequencies (4, 8, 12, 16 Hz) along vertical and transversal direction. The walking speed was set at 1.25 m/s. Surface electromyography (sEMG) of four muscles was recorded. Stride phases were recorded using accelerometers and stride length was calculated. Acceleration signals were acquired in several body districts (foot, knee and hip). All measurements were related to the walking condition without the vibration. Result Preliminary results showed that vibration does not affect stride length and step phases. The muscular activation patterns exhibit frequency related modification, in terms of sEMG bursts amplitude and timing. There is a linear correlation between 8 Hz frequency and muscular activation. Discussion Transmitted vibration triggers a tonic vibration reflex (TVR) that is related to mechanical frequencies.2 TVR is also related to the motor task because of the mechanical coupling between vibrator and biological apparatus.3 These facts could explain the modifications in leg muscle activation revealed with sEMG. References . Fattorini L, Tirabasso A, Lunghi A, Di Giovanni R, Sacco F, Marchetti E. Muscular forearm activation in hand-grip tasks with superimposition of mechanical vibrations. J Electromyogr Kinesiol2016;26:143–148. . Eklund G, Hagbarth KE. Normal variability of tonic vibration reflexes in man. Exp Neurol1966;16:80–92. . Fattorini L, Tirabasso A, Lunghi A, Di Giovanni R, Sacco F, Marchetti E. Muscular synchronisation and hand-arm fatigue. Int J Ind Ergon2017.

This research on "America's Cup" grinders investigated the effects of a specific eight-week long-arm cranking ergometer (ACE) training on upper body (UB) aerobic fitness (ventilatory threshold - Tvent, respiratory compensation point- RCP, -oxygen uptake peak - VO₂peak) and high intensity working capacity. The training consisted of sessions carried out for 20-30 mins, three times per week, at an intensity between the UB-Tvent and UB-RCP, and replaced part of a typical lower limb aerobic training whilst maintaining the usual weekly schedule of callisthenics, resistance training and sailing. Seven sailors, including four grinders and three mastmen (age 30 ± 5.5 years, height 1.9 ± 0.04 m, body mass 102 ± 3.6 kg), were evaluated through both an ACE cardiopulmonary maximal exercise test (CPET) and an ACE all-out up to exhaustion exercise test, before and after the ACE training. UB aerobic fitness improved significantly: UB-VO₂peak increased from 4.29 ± 0.442 to 4.52 ± 0.522 l·min(-1) (6.4 ± 3.66%), VO₂ at UB-Tvent from 2.42 ± 0.282 to 2.97 ± 0.328 l·min(-1) (22.8 ± 5.09%) and VO₂ at UB-RCP from 3.25 ± 0.402 to 3.75 ± 0.352 l·min(-1) (16.1 ± 10.83%). Peak power at the ACE CPET increased from 351 ± 27.5 to 387 ± 33.5 W (10.5 ± 6.93%). The all-out test total mechanical work increased from 28.9 ± 2.35 to 40.1 ± 3.76 kJ (72.1 ± 4.67%). In conclusion, a high intensity aerobic ACE training can be effective in improving grinding performance by increasing UB aerobic fitness and all-out working capacity.

The purpose of this paper is to evaluate the muscular activation of the forearm, with or without vibration stimuli at different frequencies while performing a grip tasks of 45s at various level of exerted force. In 16 individuals, 9 females and 7 males, the surface electromyogram (EMG) of extensor carpi radialis longus and the flexor carpi ulnari muscles were assessed. At a short latency from onset EMG, RMS and the level of MU synchronization were assessed to evaluate the muscular adaptations. Whilst a trend of decay of EMG Median frequency (MDFd) was employed as an index of muscular fatigue. Muscular tasks consists of the grip of an instrumented handle at a force level of 20%, 30%, 40%, 60% of the maximum voluntary force. Vibration was supplied by a shaker to the hand in mono-frequential waves at 20, 30, 33 and 40Hz. In relation to EMG, RMS and MU synchronization, the muscular activation does not seem to change with the superimposition of the mechanical vibrations, on the contrary a lower MDFd was observed at 33Hz than in absence of vibration. This suggests an early muscular fatigue induced by vibration due to the fact that 33Hz is a resonance frequency for the hand-arm system.

This observational prospective study analyzed the effect of an incremental cardiopulmonary exercise test (CPET) on the secretion of salivary biomarkers of the adrenergic nervous system and hypothalamus-pituitary-adrenal (HPA) axis activity by measuring salivary α-amylase and cortisol diurnal trajectories in the setting of long-term hormone replacement therapy (HRT).Fifteen healthy sedentary postmenopausal women who were current HRT users and 15 women who had never used HRT were consecutively recruited. α-Amylase and cortisol were measured in salivary samples collected on the CPET day and on a rest day. Cardiovascular and respiratory fitness parameters were recorded during the CPET challenge.The participants had very homogeneous somatic characteristics, and they were all in generally good health. The postmenopausal never-HRT users presented an abnormal diurnal pattern of α-amylase at baseline and a flattened response to CPET. In contrast, women on HRT had a physiological α-amylase diurnal pattern and increased salivary α-amylase production during the CPET-induced challenge. The CPET challenge physiologically activated the HPA axis activity, as shown by the increase in the concentration of salivary cortisol during the effort test. HPA axis activity was not affected by long-term HRT. Postmenopausal women using HRT exhibited a cardiorespiratory functional capacity that was significantly (p0.05) higher than that of non-users.Our findings show that healthy postmenopausal women present an asymmetry between adrenergic nervous system and HPA axis activities under both basal and stress conditions. HRT was able to modify the abnormal adrenergic nervous system activity, most likely by reducing the sympathetic hyperactivity that characterizes menopause.

Different and new approaches have been proposed to prevent the risk of falling of elderly people, particularly women. This study investigates the possibility that a new protocol based on the focal mechanical muscle vibration may reduce the risk of falling of elderly women. A pragmatic randomized controlled triple-blind trial with a 6-month follow-up after intervention randomized 350 women (mean age 73.4 years + 3.11), members of local senior citizen centers in Rome, into two groups: vibrated group (VG) and control group (CG). For VG participants a mechanical vibration (lasting 10 min) was focally applied on voluntary contracted quadriceps muscles, three times a day during three consecutive days. CG subjects received a placebo vibratory stimulation. Subjects were tested immediately before (T0) and 30 (T1) and 180 (T2) days after the intervention with the Performance-Oriented Mobility Assessment (POMA) test. All subjects were asked not to change their lifestyle during the study. CG underwent sham vibratory treatment. While CG did not show any statistically significant change of POMA at T1 and T2, VG revealed significant differences. At T2, ≈47 % of the subjects who completed the study obtained the full score on the POMA test and ≈59 % reached the full POMA score. The new protocol seems to be promising in reducing the risk of falling of elderly subjects.

Walking is the most natural physical activity to maintain and improve fitness and health. Walking downhill is usefully adopted to plan training programmes to improve the strength, particularly in older adults. The present research was aimed to evaluate the influence of downhill walking on leg strength in young adult. A total of 32 females (age 26 ± 4 years; height 1.64 ± 0.05 m; body mass 57.6 ± 5.6 kg) were divided into four groups and they carried out an exercise intervention consisting of three sessions per week for 6 weeks, each lasting 30 minutes. Groups were defined at several workloads characterised by treadmill inclination (%) and walking speed (m · s(-1)): Level Walking at treadmill inclination 0% and walking speed 1.0; Uphill Walking at +20%, 0.75; Downhill Walking (DW) at -20%, 1.36; and Mixed Walking at +20%, 0.75 and -20%, 1.36 each lasting 15 minutes. Maximum voluntary contraction (MVC) developed by the Quadriceps Femoris and Endurance Time at 60% MVC were evaluated before and after experimental period. At the end of each session, Borg's scale and Visual Analogue Scale (VAS) were adopted in order to evaluate perception of rate exertion and pain. Statistical analysis showed significant only in MVC for DW in both right and left legs. Borg's scale and VAS described light activity free of pain. Present findings showed how an eccentric exercise, short lasting and at a low workload, can be useful in inducing improvements in leg strength.

Objective: This research aims to: a) assess the energy expenditure during typical forestry activities; b) assess the actual workload of forestry work; c) define the eventual relationship between oxygen uptake ( ) and heart rate during the studied working phases.Methods: Eleven healthy skilled forestry workers were studied. Using a portable device, oxygen uptake ( ), carbon dioxide output ( ), pulmonary ventilation ( ) and heart rate (HR) were measured. The forestry work was divided into four phases: walking uphill, felling, limbing & chain-sawing and complementary activities. A work time report was kept and in each phase a weighted average (WA) of all parameters was obtained.Results:Walking uphill, felling, limbing & chain-sawing activities did not show significant statistical differences between each other and were classified as heavy activities (mean 2.17 lmin-1,mean HR 157 beatmin-1). The complementary activity was found to be less demanding and statistically differed in respect to the others ( 0.55 l min-1, HR 98 beat min-1). By theWA, the actual workload of forestry work resulted in a moderate to heavyoptimal job ( and HR being 1.51 l min-1 and 133.5 beat min-1 respectively in a typical working day). Furthermore it was possible to set up a relationship between and HR for the forestry work.Conclusions: Forestry activity can be classified as moderate to heavy-optimal. Finally, a good and linear correlation between and HR proved to be an easy tool to evaluate the metabolic demand.

The present investigation aimed to establish whether noncompetitive rock climbing fulfills sports medicine recommendations for maintaining a good level of aerobic fitness. The physiological profile of 13 rock climbers, 8 men (age, 43 ± 8 years) and 5 women (age, 31 -!- 8 years) was assessed by means of laboratory tests. Maximal aerobic power (Vo2peak) and ventilatory threshold (VT) were assessed using a cycloergometer incremental test. During outdoor rock face climbing, Vo2 and heart rate (HR) were measured with a portable metabolimeter and the relative steady-state values (Vo2 and HR during rock climbing) were computed. Blood lactate was measured during recovery. All data are presented as mean ± SD. Vo2peak was 39.1 ± 4.3 mL?kg-'?min ' in men and 39.7 ± 5 mL kg-' ?min_' in women, while VT was 29.4 ± 3.0 mL?kg-'?min ' in men and 28.8 ± 4.6 mL?kg-'?min in women. The Vol during rock climbing was 28.3 ± 1.5 mL?kg-'?min-1 in men and 27.5 ± 3.7 mL kg 'min' in women. The HR during rock climbing was 144 ± 16 b?min-' in men and 164 ± 13 b?min' in women. The aerobic profile was classified from excellent to superior in accordance with the standards of the American College of Sports Medicine (AGSM). The exercise intensity (Vo2 during rock climbing expressed as a percentage of Vo2peak) was 70 ± 6% in men and 72 ± 8% in women. Moreover, the energy expenditure was 1000-1500 kcal per week. In conclusion, noncompetitive rock climbing has proved to be a typical aerobic activity. The intensity of exercise is comparable to that recommended by the American College of Sports Medicine to maintain good cardiorespiratory fitness.

The possibility that mechanical stimulation of selected muscles can act directly on the nervous system inducing persistent changes of motor performances was explored. On the basis of literature, stimulating parameters were chosen to stimulate the central nervous system and to avoid muscle fibre injuries. A sinusoidal mechanical vibration was applied, for three consecutive days, on the quadriceps muscle in seven subjects that performed a muscular contraction (VC). The same stimulation paradigm was applied on seven subjects in relaxed muscle condition (VR) and seven subjects were not treated at all (NV). Two sessions (PRE and POST) of isometric and isotonic tests were performed separated for 21 days, in all studied groups 7 days before and 15 days after stimulation, whilst an isokinetic test was performed on VC only. In the isometric test, the time of force development showed a significant decrease only in VC (POST vs PRE mean 27.8%, P

The aim of the present study was to ascertain if in six young (23–35 years) and in six older (70–72 years) healthy men matched for comparable absolute and specific maximal force of the dominant elbow flexors, differences in isometric endurance, myoelectrical fatigability, and shortening velocity are still recognizable. To assess the specific force, the muscle cross sectional area (CSA) was determined from magnetic resonance imaging (MRI) scans. The performance of the elbow flexors was studied by assessing the isometric endurance times (ET) at different percentages of maximal isometric contraction (MVC), the average muscle fibre conduction velocity of action potentials (CV), and the median frequency (MDF) of the surface electromyogram (sEMG) of the biceps brachii. Finally, the torque-velocity curve was assessed by means of maximal isokinetic contractions at six fixed angular velocities. All data were expressed as the mean (SD). The results showed that: (1) the ET was longer in the older subjects at the highest levels of isometric contraction, independently from the absolute force; (2) the modifications of muscle fibre CV during isometric effort progressed less rapidly in the older than the younger groups, as did those of MDF; and (3) at the same angular velocity, the older subjects exerted less absolute force than the younger subjects. These results suggest an impairment of the neuromuscular system of older men, which is less powerful and less fatigable than that of young men.

A nonlinear dynamical system is proposed as a qualitative mathematical model with the twofold aim to reasonably describe the force behavior in a fatiguing sub-maximal contraction and to be possibly employed in assessing muscular activation indexes. The model's properties are studied in terms of its equilibria and their stability properties and the existence of the fatigue equilibrium is ensured as the only system's attractor in the feasibility range of the parameters. Suitable mathematical indicators — related to the dynamical properties of resilience and reactivity — are introduced to characterize the asymptotic and the transient system's behavior. The practical impact of the analytical results is elucidated and a connection is established between the introduced mathematical indicators and muscle functionality indexes as rate of force development, task failure time and complete restore time. Experimental validation with handgrip force signal at high load and possible practical applications are also presented.

The present research was aimed at investigating the peculiarities of surface electromyogram (sEMG) signals in 12 weightlifting athletes (WLA) and 9 control subjects (control group, CG) The sEMG signals were recorded from both vastus lateralis muscles during 20 s isometric contractions made at 30% and 60% of the maximal voluntary contraction (MVC). Ground reaction force (vertical component) was recorded using a force plate. The sEMG was analysed in the frequency domain and the median frequency (MDF) was computed over successive 1 s epochs. A non-linear technique, recurrence quantification analysis was also applied to assess the presence and time course of deterministic structures in sEMG. The percentage of determinism (%DET) was used as a synthetic parameter to quantify the amount of regularly repeating sEMG waves within the signal itself (bursts). In 5 WLA the sEMG displayed a clear burst activity centred at 11 Hz. These bursts were correlated with force output oscillations and were evident both at 30% and 60% MVC. The MDF decay with time was more evident in WLA than in CG subjects. The %DET increased in WLA, this increase being more evident during 60% MVC contractions. Our results seemed to suggest a special disposition among WLA for the development of long-term changes in firing probability during sub-maximal isometric exercise. The MDF and %DET data provided indications of a greater involvement of fast twitch muscle fibres in WLA than in CG.