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Background: It has been two centuries since Petrus Camper identified superficial fascia and over 175 years since Sir Astley Cooper wrote his book on the anatomy of the breast. In the 1990s, Ted Lockwood taught us the importance of the superficial fascia layers in body contouring procedures he pioneered. These descriptions, however, fail to explain the three-dimensional fascial system in the breast. The authors set out to discover and describe a theory of superficial fascia structures responsible for breast shape., Methods: The nature of the superficial fascia system that surrounds the breast and its attachments to the chest were studied in 12 cadaver breast dissections and in clinical cases of both cosmetic and reconstructive breast procedures., Results: The authors found a three-dimensional, closed system of fascia and fat surrounding the corpus mammae, which attaches to the skin by means of specialized vertical cutaneous ligaments, or Cooper ligaments, and which attaches to the chest wall by means of a three-dimensional zone of adherence at the breast's periphery., Conclusions: The breast is shaped by a three-dimensional, fibrofatty fascial system. Two layers of this system surround the corpus mammae and fuse together around it, and anchor it to the chest wall in a structure we have called the circummammary ligament.

Three groups of five men each were dehydrated overnight in the heat (115 degrees F) on two occasions (D1 and D2) to approximately 5.5% of their starting body weight. During the 3-week period between D1 and D2, one group (AC) was acclimatized to heat and physically conditioned, the second group (C) was physically conditioned and the third group (S) remained sedentary. The response to work after dehydration was assessed by the following criteria: pulse rate (P), rectal temperature (Tr) and maximal oxygen intake (Max. VO2). Pulse rates during and after walking and after running were elevated with dehydration. This elevation was reduced in groups AC and C at D2 as compared to D1, but not in group S. An elevation in T1 with walking also occurred with dehydration, but this elevation was not significantly different at D2 as compared with D1 in any group. Physical conditioning elicited an elevation in Max. VO2 (group AC and C), but the elevation was no greater in group AC than in group C. Dehydration was associated with an equal decrement in Max. VO2 at D1 and D2 in all groups, but the conditioned men (AC and C) maintained a relatively higher Max. VO2 than group S. Thus, physical conditioning was associated with enhanced work performance during dehydration (assessed by the above criteria), whereas acclimatization to heat did not appreciably supplement this effect.

The purpose of this investigation was to examine the effects of aging and aerobic fitness on exercise- and methylcholine-induced sweating responses during heat acclimation. Five younger [Y group-age: 23 +/- 1 (SEM) years; maximal oxygen consumption (VO2max): 47 +/- 3 ml.kg-1.min-1], four highly fit older (HO group- 63 +/- 3 years; 48 +/- 4 ml.kg-1.min-1) and five normally fit older men (NO group -67 +/- 3 years; 30 +/- 1 ml.kg-1.min-1) who were matched for height, body mass and percentage fat, were heat acclimated by daily cycle exercise (approximately 35% VO2max for 90 min) in a hot (43 degrees C, 30% RH) environment for 8 days. The heat acclimation regimen increased performance time, lowered final rectal temperature (Tre) and percentage maximal heart rate (%HRmax), improved thermal comfort and decreased sweat sodium concentration similarly in all groups. Although total body sweating rates (Msw) during acclimation were significantly greater in the Y and HO groups than in the NO group (P < 0.01) (because of the lower absolute workload in the NO group), the Msw did not change in all groups with the acclimation sessions. Neither were local sweating rates (msw) on chest, back, forearm and thigh changed in all groups by the acclimation. The HO group presented greater forearm msw (30-90 min) values and the Y group had greater back and thigh msw (early in exercise) values, compared to the other groups (P < 0.001). In a methylcholine injection test on days immediately before and after the acclimation, the order of sweat output per gland (SGO) on chest, back and thigh was Y > HO > NO, and on the forearm Y = HO > NO. No group differences were observed for activated sweat gland density at any site. The SGO at the respective sites increased in the post-acclimation test regardless of group (P < 0.01), but on the thigh the magnitude of the increase was lower in the NO (P < 0.02) and HO (P = 0.07) groups than in the Y group. These findings suggest that heat tolerance and the improvement with acclimation are little impaired not only in highly fit older but also normally fit older men, when the subjects exercised at the same relative exercise intensity. Furthermore, the changes induced by acclimation appear associated with an age-related decrease in VO2max. However methylcholine-activated SGO and the magnitude of improvement of SGO with acclimation are related not only to VO2max but also to aging, suggesting that sensitivity to cholinergic stimulation decreases with aging.

Recommendations for endpoints in clinical trials of wasting that involve exercise should involve selection that clearly identifies the effects of exercise. Broad endpoints such as morbidity and mortality must be corrected for the effects of age, smoking, hypertension, etc. in order to gain adjusted information pertinent to exercise. Selection of variables related to physiological function although more specific i.e., maximal oxygen uptake, must still be viewed from the perspective that other variables may contribute to the values measured. Nevertheless, physiological information obtained from performance tests may well provide useful endpoints. In this regard, V02 max, heartrate and pulmonary ventilation at fixed work loads, muscular strength, reaction time, flexibility, blood gases, cardiac output, stroke volume, serum lactate, and properties of skeletal muscle such as mitochondria concentration and components related to muscle energetics, e.g., adenosine triphosphate. In addition exercise will definitely impact body mass and composition as well as configuration. The latter is assessable through utilization of somatogramography. Analysis of muscle depends on muscle biopsy and magnetic resonance spectroscopy. Neither of these methods has been employed in clinical trials to the best of our knowledge. Thus, one needs evidence that exercise in the clinical trial provides a discrete effect on performance capabilities, body status and biologically important variables.

The loss of skeletal muscle mass with aging (sarcopenia), and related changes in body size and composition, may impact body temperature and thermoregulation in both hot and cold environmental conditions. Sarcopenia alters the thermal properties of the body as a passive system because of differences in water content, and thus specific heat, of muscle and adipose tissue. With respect to active thermoregulation in warm environments, differences in fat-free weight (FFW) can explain more than 80% of the variance in absolute blood volume (BV) among individuals (Allen et al., 1956) and BV, in turn, profoundly influences the cardiovascular responses to exercise and heat stress. For example, a lower BV for a given body weight may explain more than half of the variability in maximal oxygen uptake (VO2max). Thus, as VO2max declines, any absolute task represents a higher relative VO2max (% VO2max) and proportionately greater cardiovascular strain. Because BV is an important determinant of left-ventricular filling pressure, and because older individuals rely more on the Frank-Starling mechanism to increase cardiac output (Q), a lower BV may also be associated with an inability to increase Q appropriately. These effects are particularly important under conditions of heat stress, where a larger increase in Q is necessary to perfuse both skin and active muscle vascular beds. With exposure to cold, age-related changes in body composition affect the insulation provided by the peripheral tissues, especially in the limbs. This results in an increased reliance on peripheral vasoconstriction to minimize heat loss, yet this vasoconstriction is attenuated in older individuals.(ABSTRACT TRUNCATED AT 250 WORDS)

Previously, we examined the expiratory reserve volume (ERV) of the lungs as a function of percentage body fat in an adult population (age range 18-58 years). A negative correlation resulted when ERV (expressed as a percentage of vital capacity, (ERV/VC) x 100) was regressed on percentage fat for both sexes. In the present study, similar comparisons were made for 33 pre-pubertal boys and girls (aged 7-12.5 years). The regression equation for the boys ((ERV/VC) x 100 = 44.2 - 0.56%fat, r = -0.77, P = 0.002) was similar to that of the adult men ((ERV/VC) x 100 = 48.7 - 0.80 %fat, r = -78) and women ((ERV/VC) x 100 = 49.5 - 0.63 %fat, r = -0.70). However, the girls studied did not follow the same pattern. In this group of pre-pubertal girls, a significant increase in (ERV/VC) x 100 with increasing body fatness was seen ((ERV/VC) x 100 = 29.3 + 0.19 %fat, r = 0.48, P = 0.03). In all four groups, no correlation was seen with age or height. Whereas there was a significant correlation between weight and (ERV/VC) x 100 in the adults, no such relationship was evident in the younger subjects. In pre-pubertal obese girls limited upper body muscle development, perhaps as a result of limited physical activity, may explain the different relationship between ERV and body fatness.

Differences between lean (FA/?, n = 6) and obese (fa/fa, n = 6) mature male Zucker rats' energy turnover and heat storage were compared during a 24-h period when the animals were exposed to ambient temperatures of 30, 15 or 5 degrees C. Energy turnover was examined through measurements of heat production rates via indirect calorimetry and heat loss rates via direct calorimetry. Heat storage rates were calculated as the difference between heat production and heat loss rates. Predicted heat storage rates were also calculated as the product of the change in core temperature and the calculated specific heat of the animal based on body composition (carcass) analysis. A minimal heat loss rate was determined for each animal representing a period of least activity. Various comparisons were made: between groups (lean/obese), temperature (30, 15, 5 degrees C), calorimetry method (indirect/direct), period (light/dark), heat storage (experimental/predicted), and minimal heat loss. Immediately before a test, pretest weight and colonic temperature were obtained. Then, the animal was placed into the calorimeter chamber and remained there unrestrained for 24 h. Normal light/dark periods were maintained. On removal from the calorimeter, core temperature and body weight measurements were again obtained. Upon completion of all tests, body composition was analyzed and surface area determined. Energy turnover, i.e. both heat production and heat loss in the lean and obese animals differed among the 30, 15 and 5 degrees C exposures. The obese animals had relatively greater heat production rate and heat loss rate (kcal/day or kcal/kg (FFM)/day than the lean animals at 30, 15 and 5 degrees C. But, on a relative basis, the increments in heat production in the cold environments were greater for the lean animals. Both the lean and obese animals tended to be more active during the dark period when at 30 degrees C, but the difference was less at 15 degrees C and even less at 5 degrees C. Experimental heat storage rates did not differ significantly from predicted values at any of the temperatures with the possible exception of the animals at 5 degrees C. It was concluded that the mature obese Zucker rats had no major discernible defect in thermoregulation as revealed by rates of heat production and loss, although three of the obese rats did elicit a drop in colonic temperature during exposure to 5 degrees C, i.e. their excessive subcutaneous adiposity and thermal insulation did not prevent a fall in colonic temperature.(ABSTRACT TRUNCATED AT 400 WORDS)

To investigate the effect of moderate obesity on ventilatory responses to graded exercise, we compared the ventilatory responses of ten moderately obese (35 +/- 5 percent body fat) and nine leaner women (22 +/- 2 percent body fat) during walking on a treadmill with incremental increases in percent grade. Speed remained constant at 3.0 mph. In the obese women, VO2 in l/min and ml/FFW/min, fb (b/min), VE (l/min), and HR were significantly greater (P less than 0.05) at all four absolute workloads. At 10.0 and 12.5 percent grade, VO2 (ml/kg/min) was smaller and VE/VO2 was greater in the obese women. The difference in VE/VO2 suggests a lower ventilatory threshold for the obese women. Percent VO2 max and R (VCO2/VO2) were significantly different at 12.5 percent grade only. When VO2 was divided by HR (oxygen pulse), the two groups were not significantly different at any of the four workloads tested. The groups were compared further at workloads representing approximately 55, 65, 75, and 85 percent of VO2 max. HR was not significantly different at any of the four relative exercise intensities. VE was significantly greater in the obese at 85 percent of maximum only (P less than 0.05) and fb was significantly greater at 55, 75, and 85 percent of maximum. Whereas cardiorespiratory responses of moderately obese women are increased at absolute workloads when compared to that of leaner women, HR is similar at comparable intensities of exercise. VE is also similar at comparable intensities of exercise below ventilatory threshold but fb is greater. The effect of the higher fb on exercise tolerance is unknown.(ABSTRACT TRUNCATED AT 250 WORDS)

Because we are unsure of many of the constants that we use in the calculation of components of body composition, there is a need for a greater number of postmortem analyses in order to prepare better equations for more accurate utilization of indirect noninvasive measurements. At present, most investigators who study active people (including athletes) use techniques that only provide an approximation of body fatness. Because excess fat serves as a burden to the body during transport in the performance of many physical activities, fatness constitutes a variable of concern. Fat-free body weight is usually calculated by difference and serves as a reference for some physiological functions. Although fat-free weight and lean body mass are not the same, most investigators calculate fat-free weight and many use the terms interchangeably. Some of the assumptions and problems in utilizing hydrodensitometry in the calculation of body fatness remain unresolved, such as the true densities of the different gross components of body composition in the young, aged, physically fit, etc. A variety of body composition profiles of different athletes have been published in recent years, which substantially augment efforts initiated in the 1940s and 1950s. The regular employment of a total body water assessment along with hydrodensitometry would improve the accuracy of calculation of body fatness, but the procedure is somewhat expensive in cost and time of subject involvement. In order to extend our knowledge of body composition and to quantitatively ascertain the mass of skeletal muscle, some of the procedures for calculating cell and muscle mass are reviewed including total body potassium, total body nitrogen, creatinine excretion, and 3-methylhistidine excretion. These procedures reveal important information, but require further investigation before we are confident that we are measuring cell or muscle mass. We have focused on 3-methylhistidine excretion because preliminary investigation suggests that it may reveal differences in muscle mass not detected by densitometry.

Some of the "risk" factors implicated in the etiology of coronary atherosclerotic heart disease were investigated in sixty Quechua men living in two areas of Peru. Highland Quechua had higher serum triglycerides (mean, 122 vs. 90 mg. per deciliter) than downward migrants. There were no significant differences between the two groups in serum cholesterol (mean 150 vs. 157 mg. per deciliter), body fat (mean, 15 vs. 17%), or blood pressure (mean, 113/72 vs. 114/72 mm Hg). Both groups consumed about 2,500 kcal per man per day, while the highland Quechua consumed more carbohydrate (mean, 66 vs. 51%) and less fat (mean 19 vs. 33%). By American standards, both groups had low serum cholesterol values, as well as low blood pressure.

Fourteen healthy men underwent determinations of total body nitrogen (TBN) by prompt gamma neutron activation analysis and total body potassium (TBK) by whole body counting to estimate the muscle and nonmuscle components of the fat-free body mass (FFBM) and their protein contents. Comparison of FFBM estimated from TBN and TBK (60.6 +/- 6.9 kg, mean +/- SD), densitometry (62.3 +/- 7.1 kg), TBK alone (62.2 +/- 8.0 kg) and TBW (63.9 +/- 7.8 kg) showed no differences among the techniques. Similarly, there were neither differences in fat mass nor percent body fat among the methods. Analysis of the chemical composition of FFBM of this group showed TBK/FFBM = 62.6 +/- 2.3 mEq/kg, TBW/FFBM = 74.6 +/- 0.2%, TBN/FFBM = 32.74 +/- 1.09 g/kg, protein/FFBM = 20.5+/- 0.7%. The calculated mineral content of the FFBM was 6.4%. These values are strikingly similar to the values calculated by direct chemical analysis. It was concluded that the combined TBN-TBK method is a valid technique for estimating body composition in man.

The relationships between maximal oxygen consumption (VO2max) with fat-free mass (FFM), and with 24-h urinary excretion of 3-methylhistidine (3MH) and creatinine (Cr), were studied in 12 active men age 31.4 +/- 9 yr (mean +/- SD). FFM, VO2max and VO2maxWt-1 were 50.9 +/- 9.1 kg, 3.8 +/- 0.9 L X min-1, and 54.8 +/- 9.4 ml X kg-1 X min-1, respectively. Urinary 3MH and Cr after 3 days on a meat-free diet were 213.9 +/- 30.8 mumol X day-1 and 1.60 +/- 0.3 g X day-1, respectively. 3MH X Cr-1 was 135.3 +/- 16.8 mumol X g-1 or 15.3 +/- 1.9 molar ratio X 10(3). The strongest (p less than 0.01) associations found were 3MH versus FFM, FFM versus VO2max, and 3MH versus VO2max. Other significant (p less than 0.05) relationships were Cr versus FFM, Cr versus 3MH, and Cr versus VO2max. Nonsignificant correlations were found for 3MH X Cr-1 versus VO2max X kg-1 X min-1 versus FFM, 3MH X Cr-1 versus VO2max, and FFM versus VO2max X kg-1 X min-1. The best predictor of FFM was 3MH. It was concluded that endogenous urinary 3MH excretion is a valid method to study human body composition and that 3MH is more closely related to FFM (r = 0.93) than VO2max (r = 0.78).

The cardiovascular effects of a 12-week endurance training regimen were studied among normally active and healthy prepubertal children. Twenty-six 8- to 12-year-old children (20 boys and 6 girls) volunteered and 10 acted as control subjects. The training regimen consisted of distance running for progressively longer periods (from 10 to 35 min) 2 to 3 times per week, with 2 additional sessions per week devoted to running games. Those who were trained ran a cumulative average distance of 95.6 km (58.9 miles). Intensity of work was assessed from running pace and heart rate. The target workout intensity was 75% to 80% of aerobic capacity (Vo2 max). Growth and development accounted for increases in height, weight, body circumferences, and diameters, and fat-free body weight. Heart rate (HR) during submaximal workloads, both running and walking, decreased in the trained group (p less than 0.01) and (p less than 0.05). HRmax did not change, but Vo2 max increased significantly (average 7%) in the trained group but not in the controls. No significant change attributable to training was found for submaximal cardiac output, stroke volume, or arteriovenous oxygen difference. The Vo2 max value before conditioning was a relatively poor predictor of the magnitude of improvement in functional capacity, but those with higher initial Vo2 max logged more cumulative training mileage. It was concluded that prepubertal children respond to an endurance training regimen by improving their running capacity, which is, to a limited extent, associated with increased aerobic capacity.

A circuit was designed for integrating respiratory flow signals over time to produce volume signals. The circuit involves a simple integrator and three compensation subcircuits which control integrator drift caused by ambient temperature changes, flow signal base-line errors, and random signal errors. A functional unit built according to the circuit design requires initial adjustment, but no further adjustment before or during sustained use. Integration errors are typically less than 1%. The only flow signal requirements are that they be bidirectional and within the human physiological frequency range.

Injuries were more prevalent early in this conditioning program, but moderately obese women had no more musculoskeletal disorders than leaner women-probably because their training intensity was based on their capacities.

The energy expenditure (EE) of eight lean, eight adult-onset obese (AOO), and eight child-onset obese (COO) women was determined over three 24-h periods by the factorial method, modified by subject-keypunched and mechanically recorded activity diaries. Mean daily EE was significantly higher in the pooled obese women (2472 +/- 488 kcal) than in lean women (1979 +/- 302 kcal) due to higher energy costs of sedentary and light activity in the obese. EE during moderate-to-strenuous activity was similar between groups because lean women performed these activities more vigorously. AOO and COO differed significantly in neither mean EE nor habitual activity. Fat-free mass (FFM) was a better predictor than body weight of both mean daily EE and the energy cost of activity. These data indicate that EE is positively related to obesity. Obese women tend to limit possible EE by reducing the vigorousness of weight-supported activity.

Six essential hypertensive (resting mean arterial pressure, MAP greater than 110 mmHg) and eight normotensive (resting MAP less than 95 mmHg) men, aged 30-58 yr, were tested during 1 h of dynamic leg exercise in the heat. Environmental conditions were fixed at 38 degrees C dry-bulb temperature and 28 degrees C wet-bulb temperature; exercise intensity was preset to approximate 40% of each subject's maximal aerobic capacity (actual range 38-43%). Forearm blood flow (FBF) was measured by impedance plethysmography. The intergroup difference in arterial pressure was maintained but not increased or decreased during exercise in the heat. FBF increased in both groups, but the increase was significantly less for the hypertensive subjects. FBF showed a significant linear correlation (different from 0) with core temperature in seven of eight control subjects but in none of the hypertensive subjects. The magnitude of FBF increase was inversely proportional to resting MAP (r = -0.89). It was concluded that essential hypertensive subjects respond to exercise in the heat with a diminished FBF response related to an alteration in control relative to central (core temperature) influences. This may be due to an imbalance between thermal and nonthermal (baroreflex) mechanisms controlling cutaneous blood flow.

Seven obese women (greater than 30 per cent body fat, mean = 43 per cent) performed moderate exercise (30 to 40 per cent of maximal oxygen consumption) for 90 min during head-out immersion in cool water (17 to 22 degrees C) five times per week for eight weeks to determine if cold exposure and the attendant caloric deficit in body heat stores would lead to body weight loss. Exercise was on a cycle ergometer that was modified for underwater use. Body weight, body fat, fat-free body weight, and caloric intake did not change significantly as a result of the exercise program in cool water. The significant heat debts incurred were presumably repaid without an increase in energy expenditure. The caloric balance and the thermal data obtained suggest that body heat stores were slowly repaid during recovery by resting metabolic heat production associated with a reduced rate of body heat loss. Maximal oxygen uptake did not increase significantly. No metabolic or thermal evidence was found to support cold adaptation in the obese women. Ergometer exercise in water as well-tolerated, as evidenced by no exercise-related injuries and an adherence rate of 93 per cent. It was concluded that, while cold exposure does not increase caloric expenditure significantly in obese individuals, exercising regularly in cool water may be beneficial as it may motivate obese people to exercise at higher intensity for thermal comfort and the water environment may help prevent injuries.

There are no dietary tricks or special diets that will give athletes a competitive advantage. Appetite and satiety are sensitive regulators of food intake to meet the caloric requirements of physical conditioning, training, and athletic competition.

In order to systematically assess the effects of acute exposure to moderate hypoxia on aerobic capacity (VO2max), 12 men (regular participants in recreational distance running) performed six treadmill-graded exercise tests (GXTs) in a hypobaric chamber. GXTs 1 and 6 were performed at ambient (control) altitude (362 m, barometric pressure = 730 mmHg). GXTs 2-5 were administered during 1-2 h of exposure to barometric pressures of 681, 656, 632, and 574 mmHg simulating altitudes of 914, 1219, 1524, and 2286 m, respectively, with the order of presentation randomized and blinded for each subject. The mean VO2max for GXTs 1 and 6 (control altitude) were essentially identical with a test-retest correlation of r = 0.92. During peak exercise, HR max was unchanged by hypoxia, while VO2max was significantly lower than the control by 4,8, 6.9, and 11.9% at 1219, 1524, and 2286 m, respectively. SaO2@max percent during maximal exercise was significantly reduced from the control by 3.5, 3.6, 7.0, and 11.6% at 914, 1219, 1524, and 2286 m, respectively. It was concluded that VO2max, in physically well-conditioned persons living at 362 m, is reduced during acute exposure to 1219 m and above.

The expiratory reserve volume (ERV) of the lungs was determined in 40 women and 34 men over a wide range of age (18-58 years) and percent body fat (3.6-48.6 percent). A negative correlation with percent body fat resulted when the ERV values were expressed as a percent of the vital capacities (ERV/VC . 100). The regression equations were: for women, ERV/VC . 100 = 49.5 -0.63 %F, r = -0.70, SEE = 7.77; for men, ERV/VC . 100 = 48.7 -0.80 %F, r = -0.78, SEE = 6.05. No significant correlation with age or height was found for either sex.

Subcutaneous adipose tissue measurements, at abdomen, suprailiac, subscapular, and mid-triceps sites, made with the ultrasonic and skinfold caliper techniques were compared using data from 20 women and 17 men from a pool of subjects of 22 women and 20 men. In addition, comparisons were made between ultrasonic, soft-tissue roentgenographic and skinfold caliper techniques at the suprailiac and mid-triceps sites on 6 women and 12 men. Repeat measurements with the ultrasonic technique produced correlation coefficients of 0-87 and above. Correlations between skinfold caliper and ultrasonic measurements were generally higher among women than men over each of the four sites. A highly significant relationship, r = 0-88, was observed between the ultrasonic measurements and soft-tissue roentgenograms over the mid-triceps site. The correlation between the fat-muscle interface measured on the roentgenogram and ultrasonic measurements at the suprailiac site was 0-78. Multiple echoes and interfaces were observed at the suprailiac site on some subjects.

Because moving a player improperly can compound a head or neck injury, the authors designed and built a foldable rigid stretcher with an adjustable traction bar.

Seven lean and five obese boys, aged 9-12 yr, exercised in four environments: 21.1, 26.7, 29.4, and 32.2 degrees C Teff. Subjects walked on a treadmill at 4.8 km/h, 5% grade for three 20-min exercise bouts separated by 5-min rest periods. Rectal temperature (Tre), skin temperature (Tsk), heart rate (HR), sweat rate, and oxygen uptake (VO2) were measured periodically throughout the session. Lean boys had lower Tre and HR than obese boys in each of the environments. Increases in Tre were significantly greater for the obese at 26.7 and 29.4 degrees C Teff. No significant differences in Tsk and sweat rate (g-m-2-h-1) were observed between lean and obese boys. Obese boys had significantly lower oxygen consumptions per kg but worked at a significantly higher percentage of VO2max than lean boys when performing submaximal work. Responses of the obese boys to exercise in the heat were similar to those of heavy prepubertal girls studied previously, except that the boys were more tolerant of exercise at 32.2 degrees C Teff than the girls. Lean boys had lower HR than lean girls in each environment, but lower Tre only at 32.2 degrees C Teff.

Previous research in this laboratory demonstrated a reduction in expiratory reserve volume of the lungs (ERV) with increasing body fatness (%F, by densitometry). The present study was done to determine if smaller ERV values could be demonstrated in lean female athletes with greater than normal upper-body muscle development. Expiratory reserve volume, vital capacity (VC), and segmental body volumes by densitometry were measured in members of two collegiate women's teams--gymnastics (G) (N = 10) and track (R) (N = 10). The runners provided a control group by being similar to gymnasts in age, weight, and body fatness, but they did not engage in upper-body weight training or gymnastic exercises. The two groups were not significantly different in body weight (means G +/- SD = 53.0 +/- 6.1 kg; means R = 50.8 +/- 4.6 kg) or %F (means G = 16.8 +/- 3.2%; means R = 14.8 +/- 3.8%), but R subjects were taller (means = 165.4 +/- 5.5 cm vs 158.7 +/- 4.8 cm, P less than 0.01). Expiratory reserve volume, expressed as a percent of VC, (ERV X VC-1) 100, was significantly (P less than 0.001) less in the gymnasts (means +/- SD = 29.7 +/- 7.1) as compared to the runners (43.1 +/- 6.4). All other lung capacities as volumes were comparable in both groups. Arm and thorax volumes indicated greater upper-body size in the G subjects (arm volume, means +/- SD of G = 4.8 +/- 0.6 liters, of R = 4.0 +/- 0.6 liters, P less than 0.01; thorax volume, means +/- SD of G = 7.8 +/- 1.4 liters, or R = 5.6 +/- 1.0 liters, P less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

Thirty-six sedentary women (29-47 yr) participated in a 12-week, 4-d/week physical conditioning program (CP) involving 15-25 min/d of walking/jogging at a heart rate corresponding to 75 percent of aerobic capacity (VO2max). Twenty-three were classified obese (O, greater than 30 percent body fat, mean = 38 percent) and 13 normal (N, less than 30 percent body fat, mean = 25 percent). Significant post-CP changes included increased VO2max and decreased body fat. At 18 months post-CP a volunteer subgroup of the original 36 subjects (Ss) were re-evaluated, 19 being hydrostatically weighed, 21 exercise-tested and 28 interviewed to assess physical activity over the preceding eight quarterly periods. At CP termination 80 percent of N and 78 percent of O had intended to continue jogging, but by follow-up only 40 percent of N and 33 percent of O were so engaged, none at CP frequency, many at reduced duration and intensity. There was no significant difference between follow-up and pre-CP mean h/week of jogging for the entire follow-up group, even though eight of them (28 percent) increased their jogging over pre-CP levels. Follow-up VO2max and percent body fat means were also not significantly different from pre-CP values. It is suggested that the majority of middle-aged women participating in supervised walk-jog conditioning interventions may regress to pre-program physiologic status when left to exercise ad libitum.

The effects of rapid smoking, casual smoking, and rapid breathing on heart rate, blood pressure, cardiac output, and rectal-forearm-finger temperatures were compared. Carboxyhemoglobin, end-tidal carbon monoxide, plasma nicotine, electrocardiogram, and subjective symptom data were also obtained during these conditions as an older subject group smoked low nicotine cigarettes and younger subject groups smoked either high or low nicotine cigarettes. The authors concluded that the physiological changes produced by rapid smoking are greater than those produced by casual smoking and are not an artifact of rapid breathing. The controversy concerning the hazard potential of rapid smoking for either young or older subjects, however, is not fully resolved.

Five obese (% body fat greater than or equal to 27%) and five relatively lean (% body fat less than 20%) men performed upright exercise on a cycle ergometer at intensities of 30, 50, and 70% of their maximal aerobic power [VO2max (ml X kg fat-free wt-1 X min-1)] in both a thermoneutral [dry bulb temperature (Tdb) = 22 degrees C, wet bulb temperature (Twb) = 14 degrees C] and a hot (Tdb = 38 degrees C, Twb = 20 degrees C) ambient environment. Cardiac output (Q) was measured by CO2 rebreathing and forearm blood flow (FBF) was measured by venous occlusion plethysmography. Esophageal temperature (Tes) was measured by a thermocouple placed in the esophagus at approximately heart level, and mean skin temperature (Tsk) was calculated from the average of thermocouple readings from six skin sites. When the exercise intensity was normalized for metabolic body mass by dividing by fat-free weight, Q was similar between lean and obese at all exercise intensities and in both ambient environments. No differences between the two groups were found in Tes and Tsk under all conditions. The obese had significantly lower FBF compared with the lean during the higher exercise intensities in the hot ambient environment. In both ambient environments, the slope of the FBF-Tes relationship was significantly less in the obese group. It was concluded that body composition may alter the balance between the two opposing sets of cutaneous vascular reflexes (baroreceptor-induced vasoconstriction and thermoregulatory vasodilation) that regulate the competition for blood flow between the skin and working muscle during exercise in the heat.

Fourteen healthy men (aged 20-30 yr) consumed two isocaloric, isonitrogenous diets in the sequence of a 4-day meat diet (MD) followed by a 7-day meal-free diet (MFD). Urinary 3-methylhistidine (3MH) excretion during the MD (513 +/- 21 mumol . day-1, mean +/- SE) was significantly higher (P less than 0.01) than day 3 of the MFD (230 +/- 10 mumol . day-1), after which the mean daily 3MH output was constant with a mean coefficient of variation of 4.5%. There was no change in fat-free body mass (FFBM) determined by densitometry at the start (62.3 +/- 1.8 kg) and the end (62.2 +/- 1.9 kg) of the 11-day dietary period. Mean muscle mass (MM) calculated from measurements of total-body potassium and nitrogen was 23.4 +/- 1.3 kg. Endogenous 3MH excretion was related more closely to MM (r = 0.91, P less than 0.001) than to FFBM measured by densitometry (r = 0.81, P less than 0.001). Only a low correlation coefficient (r = 0.33, P less than 0.05) was observed between 3MH and the nonmuscle component of FFBM. Urinary creatinine output also was correlated significantly with 3MH (r = 0.87; P less than 0.001) and MM (r = 0.79; P less than 0.01). It is concluded that because endogenous 3MH is significantly related to MM in man, it can be used as a marker to study in vivo total-body muscle protein degradation provided that the necessary dietary restrictions are observed.

End-expiratory lung volumes (EELV) and expiratory flow rates were determined in 10 moderately obese (mean, 35 percent fat) and 10 relatively lean women (22 percent fat) at rest and during exercise on a treadmill at 55 and 85 percent of VO2max. Expiratory reserve volume (ERV) as a percentage of forced vital capacity (FVC) was used as an index of EELV. Differences in body weight, body fatness, and VO2max were significant (P less than 0.05). The resting EELV in the obese women was less than (P less than 0.01) that in the leaner women (32 vs 37 percent). During exercise at the two intensities, the EELV remained near the resting value in the obese women (approximately 30 percent). In contrast, the leaner women experienced an initial decrease in EELV during exercise at 55 percent of VO2max (i.e., from 37 to 32 percent) (P less than 0.01); thereafter, the EELV changed no further during exercise at 85 percent of VO2max. There were no significant differences in relative expiratory flow rates at rest or during exercise between the obese and lean women. In conclusion, moderately obese women fail to decrease their EELV during exercise in contrast to leaner women who do. A non-linear respiratory system pressure-volume curve, plus increased resistance as maximal flow is approached may combine to determine a lower limit of EELV during exercise.