Adjusting athletes' body mass index to better reflect adiposity in epidemiological research

Abstract

The aim of the present study was to identify when body mass index (BMI) is unlikely to be a valid measure of adiposity in athletic populations and to propose a simple adjustment that will allow the BMI of athletes to reflect the adiposity normally associated with non-athletic populations. Using data from three previously published studies containing 236 athletes from seven sports and 293 age-matched controls, the association between adiposity (sum of 4 skinfold thicknesses, in millimetres) and BMI was explored using correlation, linear regression, and analysis of covariance (ANCOVA). As anticipated, there were strong positive correlations (r = 0.83 for both men and women) and slope parameters between adiposity and BMI in age-matched controls from Study 1 (all P < 0.001). The standard of sport participation reduced these associations. Of the correlations and linear-regression slope parameters between adiposity and BMI in the sports from Studies 2 and 3, although still positive in most groups, less than half of the correlations and slope parameters were statistically significant. When data from the three studies were combined, the ANCOVA identified that the BMI slope parameter of controls (5.81 mm · (kg · m^?2)^?1) was greater than the BMI slope parameter for sports (2.62 mm · (kg · m^?2)^?1) and middle-distance runners (0.94 mm · (kg · m^?2)^?1) (P < 0.001). Based on these contrasting associations, we calculated how the BMI of athletes can be adjusted to reflect the same adiposity associated with age-matched controls. This simple adjustment allows the BMI of athletes and non-athletes to be used with greater confidence when investigating the effect of BMI as a risk factor in epidemiological research.     

Validation of a single-stage submaximal treadmill walking test

Abstract

The single-stage treadmill walking test of Ebbeling et al. is commonly used to predict maximal oxygen consumption ([Vdot]O_2max) from a submaximal effort between 50% and 70% of the participant's age-predicted maximum heart rate. The purpose of this study was to determine if this submaximal test correctly predicts [Vdot]O_2max at the low (50% of maximum heart rate) and high (70% of maximum heart rate) ends of the specified heart rate range for males and females aged 18 – 55 years. Each of the 34 participants completed one low-intensity and one high-intensity trial. The two trials resulted in significantly different estimates of [Vdot]O_2max (low-intensity trial: mean 40.5 ml · kg^?1 · min^?1, s = 9.3; high-intensity trial: 47.5 ml · kg^?1 · min^?1, s = 8.8; P < 0.01). A subset of 22 participants concluded their second trial with a [Vdot]O_2max test (mean 47.9 ml · kg^?1 · min^?1, s = 8.9). The low-intensity trial underestimated (mean difference = ?3.5 ml · kg^?1 · min^?1; 95% CI = ?6.4 to ?0.6 ml · kg^?1 · min^?1; P = 0.02) and the high-intensity trial overestimated (mean difference = 3.5 ml · kg^?1 · min^?1; 95% CI = 1.1 to 6.0 ml · kg^?1 · min^?1; P = 0.01) the measured [Vdot]O_2max. The predictive validity of Ebbeling and colleagues' single-stage submaximal treadmill walking test is diminished when performed at the extremes of the specified heart rate range.     

Lower limb joint kinetics during the first stance phase in athletics sprinting: three elite athlete case studies

Abstract

This study analysed the first stance phase joint kinetics of three elite sprinters to improve the understanding of technique and investigate how individual differences in technique could influence the resulting levels of performance. Force (1000 Hz) and video (200 Hz) data were collected and resultant moments, power and work at the stance leg metatarsal-phalangeal (MTP), ankle, knee and hip joints were calculated. The MTP and ankle joints both exhibited resultant plantarflexor moments throughout stance. Whilst the ankle joint generated up to four times more energy than it absorbed, the MTP joint was primarily an energy absorber. Knee extensor resultant moments and power were produced throughout the majority of stance, and the best-performing sprinter generated double and four times the amount of knee joint energy compared to the other two sprinters. The hip joint extended throughout stance. Positive hip extensor energy was generated during early stance before energy was absorbed at the hip as the resultant moment became flexor-dominant towards toe-off. The generation of energy at the ankle appears to be of greater importance than in later phases of a sprint, whilst knee joint energy generation may be vital for early acceleration and is potentially facilitated by favourable kinematics at touchdown.     

Clinical features of chronic hepatitis B patients with YMDD mutation after lamivudine therapy

INTRODUCTION Chronic hepatitis B(CHB)remains a major public health problem,affecting more than350mil-lion people worldwide.Cirrhosis,liver failure,or hepatocellular carcinoma will develop in approxi-mately15to40percent of infected patients(Ganem and Prince,2004).Lamivudine,an oral nucleoside analogue,inhibits HBV replication(de Clercq,2001;2004;Lai et al.,1997;1998;Marcellin et al.,2004).It can markedly reduce serum HBV DNA levels and normalize alanine aminotransferase(ALT)levels …     

A Discussion on Community Colleges and Global Counterparts Completion Policies

This article is a comparative study of community colleges and global counterparts at 41 institutions in 25 countries. Policies from each country link completion of a college program to career entry and to advancement opportunities. National and institutional policies are being defined, benchmark data is being collected on goals in the process, and specific programs are being offered to increase the likelihood that students finish their educational programs. This article examined the emerging trajectories as defined by those who work in these institutions; and in so doing, it provided a discussion of completion in an international context.     

Infant Affective Reactions to the Resumption of Maternal Interaction after the Still-Face

To investigate infants' reactions to the Face-to-Face Still-Face Paradigm and in particular the reunion episode, 50 6-month-olds' affective, behavioral, and physiologic reactions were recorded and analyzed. Infants reacted to the still-face with negative affect, a drop in vagal tone, and an increase in heart rate. By contrast, they reacted to the reunion episode with a mixed pattern of positive and negative affect. There was a carryover of negative affect from the still-face, an increase in fussiness and crying, and a rebound of positive affect. During this episode, the infants' heart rate and vagal tone returned to initial levels. The data indicate that infant affective displays are specifically related to different interactive events, but that their physiologic reactions do not show the same level of specificity. The findings also highlight the complexity of the affective and reparatory processes that take place in mother-infant interactions.     

Time-course of control by specific stimulus features and relational cues during same-different discrimination training

We trained 7 pigeons to discriminate visual displays of 16same items from displays of 16different items. The specific stimulus features of the items and the relations among the items could serve as discriminative stimuli. Unlike in most studies of same-different discrimination behavior, we gave a small number of probe tests during each session of acquisition to measure the time-course of control by the learning of specific stimulus features and relational cues. Both the specific stimulus features and relational cues exerted reliable stimulus control, with the specific stimulus features exerting more control during the final three fourths of same-different learning. These findings replicate research suggesting that pigeons encode both the specific stimulus features and relational cues, and for the first time document the time-course of control by each kind of cue.