Effect of aerobic exercise on insulin resistance and centra1 adiposity disappeared after the discontinuation of intervention in overweight women

Purpose： This study aimed to assess whether the benefits of exercise on central adiposity and insulin resistance （HOMA-IR） are maintained after discontinuation of intervention in the overweight/obese （OWOB） women. Methods： The study subjects were from 2 independent studies with similar aerobic exercise （AE） intervention programs. In study I, I50WOB postmenopausal women with pre-diabetes （body mass index, BMI = 24-33 kg/m2, aged 52-65 years） completed an 8-month exercise intervention and were followed for 2 years after the intervention. In study lI, 12 OWOB （BM1 = 25-35 kg/m2, aged 30-50 years） premenopausal women participated in a 6-week AE and were followed for 4 years after the intervention. The exercise program consisted of progressive AE with intensity of 60%-75% of initial fitness level, 30-60 min/time and 3-5 times/week. Fat mass （FM） was assessed by Dual Energy X-ray Absorptiometry （DXA Prodigy; study I） or bioelectrical impedance device （Inbody 720; study II）. Plasma glucose and insulin were assessed by chemiluminescent immunoassay and HOMA-IR was calculated. Results： Both 8-month and 6-week moderate AE were effective in reducing HOMA-IR （-18.9%, p = 0.012 and -26.7%, p = 0.046, respectively）, and 8-month AE reduced FM at upper abdominal region （-6.2%, p = 0.021）. However, these improvements were not maintained in either study at the follow-up. Conclusion： The AE program used in these studies was effective to reduce insulin resistance and/or FM in central body region among overweight and obese women. However, when exercise intervention was discontinued, the beneficial effects following both short- and long-term intervention disappeared. Thus maintaining exercise seems to be required if one wants to reap the benefits of exercise in the long-term.

Physical activity continuum throughout the lifespan:Is exercise medicine or what?

In 2007, the American Medical Association and the Ameri- can College of Sports Medicine co-launched a health initiative called ＂Exercise is Medicine＂. It soon became a multinational collaboration, currently involving 43 national centers across the globe.1 Moreover, the slogan ＂Exercise is Medicine＂ has quickly spread outside healthcare settings and has become a popular discourse surrounding exercise. In recent years, however, some exercise scientists began to question if the medical model of exercise makes it an attractive approach for promoting exercise. In this special issue of Journal of Sport and Health Science, we present the views of leading researchers in exercise sociology, sport and exercise psychology, exercise physiology, as well as sports and exercise medicine who par- ticipated in an international symposium on Physical activity continuum throughout the lifespan： Is exercise a medicine or what？. This symposium was organized by the Shanghai Jiao Tong University and the China Sport Science Society in Shanghai on November 11-12, 2015.

Physical activity,physical fitness,diet and the health in young people

The beneficial effects of appropriate physical activity(PA), physical fitness,and diet during adult life are well-documented but the potential of appropriate PA,physical fitness,and diet to confer benefits on health and well-being during childhood and adolescence has not been explored fully.Recognizing the value of critical reviews of the extant literature in providing a foundation for future research,the Journal of Sport and Health Science(JSHS) has commissioned two Special Issues

Metabolic response to 6-week aerobic exercise training and dieting in previously sedentary overweight and obese pre-menopausal women:A randomized trial

Background： The aim of this study was to compare 6 weeks short-term moderate intensity aerobic exercise and dieting on serum metabolomics and cardio-metabolic risk factors in pre-menopausal women. Methods： Ninety previously inactive overweight and obese （BMI 25-35 kg/m2） women （age 41.5 ± 7.6 years） were randomized to either a 6-week Nordic walking exercise program （EX, n = 45） or dietary counseling group （DI, n = 45）. Body composition, serum glucose, insulin and lipids were measured. Serum low-molecular-weight metabolites and lipid constituents were analyzed by nuclear magnetic resonance spectroscopy. Measurements were done at baseline and 7 days after the last training session. Results： Six weeks aerobic exercise program yielded reductions in serum free fatty acids （-34.7%, 95% confidence interval （CI）, -50 to -18, p 〈 0.001）, glucose （-9.6%, 95%CI, -15 to -4, p 〈 0.001） and homeostasis model assessment of insulin resistance （HOMA-IR） （-28.7%, 95%CI, -48 to -10, p = 0.005） without changes in body weight or fat mass. Diet counseling resulted in loss of body weight （1.5%, 95%CI, -2.3 to -0.7, p = 0.001） but no changes in free fatty acids, fasting glucose, or HOMA-IR were found. Conclusion： Our results indicate that small weight loss does not produce measurable health benefits, whereas short-term regular aerobic exercise can improve glucose and lipid metabolism even in the absence of weight loss in previously sedentary overweight and obese women.

Children’s physical activity and health—Chronic disease in children and young adults

The previous Special Issue was devoted to physical activity (PA),physical fitness,diet,and health in young people.The content of this second Special Issue will focus on PA and chronic disease in children and young adults. The first paper written by Durstine et al.considers the problem of chronic diseases becoming a public health concern worldwide with estimates of trillions of dollais in annual health care costs and causing more than 36 million deaths a year.

Comparison of heart rate monitoring with indirect calorimetry for energy expenditure evaluation

Purpose:The purpose of this study was to compare established methods with newly-developed methods for estimating the total energy expenditure(TEE). Methods:The study subjects comprised 46 individuals,including 16 middle-aged men(mean age 51.4 years),14 middle-aged women(mean age 49.9 years) and 16 young women(mean age 19.1 years).The TEE was estimated from 24-h heart rate(HR) data using newly-developed software (MoveSense HRAnalyzer 201 la,RC1.Suunto Oy,Vantaa,Finland),and was compared against the TEE determined using doubly labeled water (DLW).Agreement between the two methods was analyzed using Bland and Altman plots. Results:The HR method yielded similar TEE values as the DLW method at the group level,with an average of 8.6 kcal/day in the difference in the mean,but with large individual variations.Forty-four(96%) out of 46 subjects fell within±2SD of the mean difference in TEE comparisons, and there was no tendency towards under- or over-estimation. Conclusion:Our results indicate that the current software using HR analysis for the estimation of daily TEE needs further development for use with free-living individuals.

Exercise,the endocannabinoid system and metabolic health

1.The endocannabinoid system in obesity and metabolic disorders As obesity and associated metabolic disorders,such as type 2 diabetes and dyslipidemia,are becoming one of the most serious health problems worldwide,development of effective therapies is a high priority.In the search for treatments,the recently discovered endocannabinoid system(ECS) has begun to garner attention,and a wealth of research is now

Exercise in type 2 diabetes:The mechanisms of resistance and endurance training

This highlight article focuses on the effects of different types of exercise on the prevention and treatment of type 2 diabetes and on future challenges in developing effective preventive strategies. 1.Current prevalence of diabetes in China Cardiovascular diseases have become the leading cause of death in China.Diabetes is a major risk factor for cardiovascular diseases and the rapid change in lifestyle is the main reason for the increased risk for cardiovascular diseases in China.The

Exercise precision medicine for type 2 diabetes:Targeted benefit or risk?

Concurrent exercise and metformin administration may reduce the acute and chronic effects of exercise on glucose metabolism in the patients with type 2 diabetes(T2D).However,several studies suggest that combing metformin and exercise treatment may have neither additive effect nor even cause adverse effects in T2D patients.This case report aimed to highlight the challenges associated with prescribing exercise to type 2 diabetes patients undergoing metformin treatment.A 67-years old woman was followed-up for five months,including assessment of the acute and chronic glucose and lactate metabolism induced by concomitant exercise and metformin.The findings were four-fold:1)During a high-intensity interval training bout,blood glucose systematically decreased,while blood lactate concentrations fluctuated randomly;2)Basal blood lactate levels were well above 2 mmol/L on days with medication only;3)Combined exercise and metformin administration induced additive effects on the normalization of glucose and 4)high levels of physical activity had a positive impact on the continuous glucose fluctuations,while decreased levels of physical activity induced a large fluctuation of glucose due to home confinement of an infectious disease caused by the SARS-CoV-2 virus.Our findings showed that when combined with exercise and metformin treatment for T2D patients,exercise may contribute to improving glycemic control while metformin may elevate lactate levels in the long term.The observed results underline the need to prescribe exercise and monitor lactate levels for reducing possible risks associated with metformin treatment and reinforce the importance of tailoring exercise therapy.

Assessment of sleep disturbances with the athlete sleep screening questionnaire in Chinese athletes

This study investigated the factors that are associated with sleep disturbances among Chinese athletes.Sleep quality and associated factors were assessed by the Athlete Sleep Screening Questionnaire(ASSQ,n?394,aged 18–32 years,47.6%female).Sleep difficulty score(SDS)and level of sleep problem(none,mild,moderate,or severe)were used to classify participants'sleep quality.Categorical variables were analyzed by Chi-square or fisher's exact tests.An ordinal logistic regression analysis was used to explore factors with poor sleep(SDS8).Approximately 14.2%of participants had moderate to severe sleep problem(SDS8).Fifty-nine percent of the athletes reported sleep disturbance during travel,while 43.3%experienced daytime dysfunction when travelling for competition.No significant difference was found in the SDS category between gender,sports level and events.Athletes with evening chronotype were more likely to report worse sleep than athletes with morning and intermediate chronotype(OR,2.25;95%CI,1.44–3.52;p<0.001).For each additional year of age,there was an increase of odds ratio for poor sleep quality(OR,1.15;95%CI,1.04–1.26;p?0.004),while each additional year of training reduced the odds ratio(OR,0.95;95%CI,0.91–0.99;p?0.044).To improve sleep health in athletes,chronotype,travel-related issues,age and years of training should be taken into consideration.

Effects of exercise and dietary interventions on serum metabolites in men with insomnia symptoms:A 6-month randomized controlled trial

Accumulating evidence show that exercise and diet interventions are associated with improved sleep quality.Studies investigating the effects of exercise and dieting on circulating metabolomics in people with sleep disorders,particularly insomnia,are scarce.This 6-month randomized study aimed to assess the effects of exercise and dietary interventions on serum metabolites in men with insomnia symptoms.Seventy-two Finnish men(age:51.6±10.1 years)with chronic insomnia symptoms who were assigned to different intervention groups completed this study(exercise,n=24;diet,n=27;and control,n=21).The Shapiro-Wilk W-test,Levene test,Spearman correlation analysis,and analysis of variance were used for data analysis.We found that exercise and diet intervention were associated with improved sleep quality and with a number of metabolites across different biochemical pathways.Although we could not show causality,our findings provide new insight into the biological mechanisms underlying the health effects of physical activity,diet,and sleep quality.Further investigation is needed to better understand the link among lifestyle,sleep quality,and metabolic health.