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Objective: The purpose of this study was to determine the effect of omega-3 fatty acids and policosanol supplementation on the cognitive processes involved in the control of reactivity in karateka engaged in attention tests., Methods: Eighteen karateka were randomly assigned to 2 groups. One group (10 subjects) took the supplement of omega-3 fatty acids (2.25 g) plus policosanol (10 mg) (O3 + P) for 21 days, and the other group was supplemented with placebo (oleic sunflower oil). Subjects were tested at the beginning of the experiment (Test 1), after 21 days (Test 2), and after 42 days (Test 3). The experimental procedure consisted of an Alert and a Sustained Attention (SA) reaction time test: the subject had to react by pressing a key of a computer keyboard in Alert and a sequence of 3 keys in SA in response to stimuli, activating a complex go/no-go paradigm. For each test, we recorded the reaction time and the event-related potentials by electroencephalogram and electromyography (EMG) of the forefinger flexor muscle. The Profile of Mood States (POMS) test was also administered., Results: After 21 days of supplementation, subjects who received O3 + P showed a reduced reaction time and increased vigor sensation associated with a reduction of the negative states measured with the POMS test. Analysis of the event-related brain potentials showed a reduced latency of the movement-related brain macropotentials. In particular, the potentials recorded in the premotor period and motor period occurred earlier and the latency of EMG activation was reduced. In the third test, 21 days after the last O3 + P supplementation, the positive effects on the mood state persisted, while the reaction time, EMG, and brain potential latencies increased, although their values remained lower than in the first test. The placebo group did not show any significant differences in Tests 2 and 3 compared to Test 1 for either POMS or reactivity and brain potentials., Conclusions: Supplementation with O3 + P may be effective in improving mood state and reactivity. The reaction time reduction appears to be due to a central nervous system effect, as shown by the reduced latency of movement-related brain macropotentials and EMG activation. These results are in line with previous experiments.

Heart rate and heart-rate variability (HRV) were studied through a set of different methods in high (highs) and low hypnotizable subjects (lows) not receiving any deliberate hypnotic induction in basal conditions (simple relaxation) and during nociceptive-pressor stimulation with and without suggestions of analgesia. ANOVA did not reveal any difference between highs and lows for heart rate and for the HRV indexes extracted from the series of the interbeat intervals (RR) of the ECG in the frequency (spectral analysis) and time domain (standard deviation, Poincare plot) in both basal and stimulation conditions. Factors possibly accounting for the results and likely responsible for an underestimation of group differences are discussed.

Regular exercise offers protection against all-cause mortality, primarily by protection against atherosclerosis and insulin resistance. There is evidence that physical training is effective as a treatment in patients with chronic heart diseases and type 2 diabetes. With excessive repetition of the training stimulus, local inflammation can generate a systemic inflammatory response. Cytokines play an important role in these processes. Our data confirm that cytokines that are considered to induce systemic bioactivity following exercise are not alone, but also growth factors and chemokines, which are secreted in exercise without the involvement of traditional proinflammatory cytokines, could be potent angiogenic factors.

To test the effect of imagery in the training of skilled movements, an experiment was designed in which athletes learned a new motor action and trained themselves for a month either by overt action or by mental imagery of the action. The experiment was carried out with 30 male karateka (M age = 35 yr., SD = 8.7; M years of practice = 6, SD = 3) instructed to perform an action (Ura-Shuto-Uchi) that they had not previously learned. The athletes were divided into three groups: Untrained (10 subjects who did not perform any training), Action Trained (10 subjects who performed Ura-Shuto-Uchi training daily for 16 minutes), and Mental Imagery (10 subjects who performed mental imagery training of Ura-Shuto-Uchi daily for 16 minutes). The subjects were tested five times, once every 7 days. During each test, they performed a series of 60 motor action trials. In Tests 1, 3, and 5, they also performed a series of 60 mental imagery trials. During the trials, an electroencephalogram (EEG), electromyography (EMG), muscle strength and power, and other physiological parameters were recorded. The results differed by group. Untrained subjects did not show significant effects. In the Action Trained group, training had an effect on reactivity and movement speed, with a reduction of EMG activation and reaction times. Moreover, muscle strength, power, and work increased significantly. The Mental Imagery group showed the same effects on muscle strength, power, and work, but changes in reactivity were not observed. In the Mental Imagery group, the study of Movement Related Brain Macropotentials indicated a progressive modification of the profile of the waves from Test 1 to Test 5 during imagery, showing significant variations of the amplitude of the waves related to the premotor and motor execution periods. Results show that motor imagery can influence muscular abilities such as strength and power and can modify Movement Related Brain Macropotentials, the profile of which potentially could be used to verify the effectiveness of motor imagery training.

In this study were examined differences in attentional style of athletes engaged in two open skill sports requiring high reactivity (karate and volleyball) in groups with high or low experience. 42 healthy men, 24 volleyball players, 12 of High Experience (first division Italian League players whose M age was 28 yr. (SD=5) and 12 of Low Experience (prejunior Italian team athletes whose M age was 19 yr. (SD= 2). and 18 karateka, 9 of High Experience (3rd and 4th dan black belt athletes whose M age was 31 yr., SD=5) and 9 of Low Experience (1st and 2nd dan black belt karateka whose M age was 32 yr., SD=5). Tests involved different types of attention: Alert, Go/No-Go, Divided Attention, and Working Memory. For each one, the reaction time (RT), variability, change in RT, and number of errors were analysed. Karateka of High Experience reacted faster than those of Low Experience on the simple RT test, Alert (M RT: 204 vs 237 msec., p< .01), while on the Divided Attention test, the High Experience subjects performed more poorly and committed more errors (M errors: 4.89 vs 1.44, p <.003). Young volleyball players of Low Experience reacted faster than colleagues of High Experience on the Alert (M RT: 187 vs 210 msec., p<.01) and Divided Attention tests (M RT: 590 vs 688 msec., p<.001) but committed more errors (Divided Attention test, M errors: 6.50 vs 3.08, p<.007). For the Divided Attention and Working Memory tests, correlations were positive among errors, RT, and RT variability but only for volleyball athletes of High Experience, suggesting they showed higher attention and stability in complex reactions than the group with Low Experience. No significant correlations were noted for either group of karateka on complex reactions. Results suggested that the attentional resources were engaged in different ways in the two groups of athletes and, in each group, there were differences between persons of High and Low Experience.

Aim: Brain natriuretic peptide (BNP) is a cardioactive molecule produced in the myocardium. BNP is a sensitive marker of cardiac failure and its measurement in blood could be useful to the diagnosis and the treatment of this disease. Sporting activities, especially endurance ones, can induce cardiac problems, owing to the high workload for the myocardium during long and ultralong heavy effort. There are 2 papers describing the behavior of BNP in endurance events. BNP was elevated in marathoners, immediately after the race and also after 4 h. We studied the behavior of BNP in the triathlon, which is a complex sport characterized by 3 different activities (swimming, cycling, running)., Methods: We recruited 49 athletes, all males, except for 4 females; 2 athletes did not finish the race and were not included in the statistical analysis in 2 different competitions. In these subjects we measured BNP using an immunological method before and after a triathlon., Results: No statistical significance between BNP values, before and after the triathlon, was found., Conclusions: We found no significant differences between pre- and postcompetition BNP values. Moreover, the range of values in both the blood drawings are similar of those of the general population, representing the biological variability of the analyte. The values in regularly trained athletes,, are not different from the general population and BNP is not modified by a triathlon, a typical endurance sport performance. We can underline that BNP increases in plasma are induced by heavy pathologies and are not influenced by physical activities, even strenuous ones.

Background: It has been reported that Omega-3 fatty acids may play a role in nervous system activity and that they improve cognitive development and reference memory-related learning, increase neuroplasticity of nerve membranes, contribute to synaptogenesis and are involved in synaptic transmission. The aim of this study was to examine the effects of Omega-3 supplementation on some cognitive and physiological parameters in healthy subjects., Materials and Methods: Subjects were tested at the beginning of the experiment and after 35 days. In this period they were supplemented with Omega-3 polyunsaturated fatty acids. A group was supplemented with olive oil (placebo). Tests involving different types of attention were used, i.e. Alert, Go/No-Go, Choice and Sustained Attention. For each test, the reaction time, the event-related potentials by electroencephalogram (EEG) and the electromyography (EMG) of the forefinger flexor muscle were recorded. The Profile of Mood States test (POMS) was also administered., Results: Blood analyses showed that after Omega-3 supplementation the arachidonic acid/eicosapentaenoic acid ratio (AA/EPA) was strongly reduced. The mood profile was improved after Omega-3 with increased vigour and reduced anger, anxiety and depression states. This was associated with an effect on reactivity with a reduction of reaction time in the Go/No-Go and Sustained Attention tests. The latency of EMG activation was concomitantly reduced in the same tests plus Choice. An EEG frequency shift towards the theta and alpha band were recorded in all the tests after Omega-3., Conclusions: Omega-3 supplementation is associated with an improvement of attentional and physiological functions, particularly those involving complex cortical processing. These findings are discussed in terms of the influence of Omega-3 on the central nervous system.

The aim of the present study was to investigate the possible hypnotizability-related modulation of heart activity during nociceptive stimulation (pressor pain) and during nociceptive stimulation associated with the suggestion of analgesia in not hypnotized healthy individuals with a high (Highs) and a low (Lows) hypnotic susceptibility. ECG and respirogram were recorded. Standard time and frequency domain indexes were evaluated, together with the sd1 and sd2 values of the Poincaré plot over the RR series. Results showed self reports of analgesia in Highs and a significant increase of the respiratory frequency during stimulation in both groups. Very few significant differences between groups and among conditions were detected for mean RR and heart rate variability (HRV) through spectral analysis. and through the Poincaré indexes evaluation. On the contrary, a promising approach seems to be the study of the correlations among standard and Poincaré variables. In particular, different changes in (or even lost of) correlations were enlightened in Highs and Lows, suggesting a different modulation of RR in the two groups, probably due to the very low frequency components of HRV. Different roles of sympathetic and parasympathetic activities during stimulation can be suggested.

Cognitive behavioural therapy (CBT) is the most comprehensive means of medically treating obesity, but only few data have so far been published concerning its long-term effectiveness. We here report our experience of 1068 consecutive patients (868 females) treated with CBT at a university-based obesity centre. The patients were enrolled into three different programmes: a 14-week LEARN programme (672 patients), a 16-week MOB programme for the morbidly obese (259 patients), or a 20-week BINGE programme for subjects affected by binge eating (137 patients). Eighty-five percent of the subjects completed the weekly programmes. The percentage of patients attending the scheduled control visits during the 1-year follow-up gradually decreased, being very low in the BINGE group (10%). The percentage weight loss was an average of 6% during the weekly courses, being higher in the MOB programme; by the end of the weekly sessions, it exceeded 10% of initial body weight in 22% of cases and increased to 36% during the follow-up. The cumulative probability of follow-up was higher among the patients undergoing the MOB and LEARN programmes than among the BINGE patients (p < 0.0001), and decreased with the increasing severity of obesity. Female gender and a weight loss of > 10% i.b.w. increased compliance to follow-up. The study further demonstrates the difficulty of achieving compliance to chronic management of obesity and the critical role of binge eating disorder in the medium-term treatment of obesity. Strategies are needed to improve adherence to a follow-up protocol.

A poor health-related quality of life (HRQL) has been repeatedly documented in obesity. Overweight per se and associated diseases affect physical fitness, whereas mental well-being depends on social, cultural and behavioural components. Very few studies are available on HRQL in obese persons in relation to eating behaviour. We measured HRQL by means of Short-Form-36 questionnaire in 183 obese subjects, seeking specific treatment at a University-based weight management center. Only half had a Body Mass Index exceeding 35 kg/m2. Data were compared to age- and gender-adjusted normative values of the Italian population (2031 subjects). The Binge Eating Scale (BES) and the Three-Factor Eating Questionnaire (TFEQ) were used to assess eating behaviour. Most domains of HRQL were impaired in obese subjects, more severely in younger subjects and in females. The severity of overweight progressively affected physical fitness, but had a minor effect on mental status. In over 50% of subjects, BES and TFEQ identified a binge eating pattern, more frequently in females. A positive BES, as well as lower restriction, higher disinhibition and hunger values at TFEQ, identified subjects with poorer HRQL. Logistic regression analysis identified in a positive BES the variable more closely associated with low scores in mental domains of perceived HRQL. Waist-to-hip ratio, degree of obesity, osteoarticular and respiratory diseases, but also positive BES, were selected as variables more closely associated with poor physical fitness. HRQL is variably impaired in obese persons seeking treatment for their disease, mainly in patients with binge eating. Treatment of binge eating may be as important as any weight-reducing intervention for the overall well-being of the majority of obese persons.