108 results on '"Neunhäuserer, Daniel'
Search Results
2. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration
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Christian Gerloff, Sebastien Racinais, Mats Borjesson, Erich Müller, Hashel Al Tunaiji, Andrea Ermolao, Lars Engebretsen, Wilhelm Bloch, Richard Budgett, David Hughes, Dina Christina Janse van Rensburg, Hans Hauner, Susi Kriemler, Boris Gojanovic, Martin Scherer, Martine Duclos, Claus Reinsberger, Uğur Erdener, Mark Fulcher, Willem van Mechelen, Benedict Tan, Romain Seil, Luigi Di Luigi, Bernd Wolfarth, Jeroen Swart, Victoriya Badtieva, Theodora Papadopoulou, Maurizio Casasco, Norbert Bachl, Fabio Pigozzi, Jürgen M Steinacker, Anca Ionescu, Mike Miller, Yannis P Pitsiladis, Martin Halle, Robert Sallis, Natasha Jones, Luis B Sardinha, Matthew Payton Herring, Arno Schmidt-Trucksäss, Svitlana Drozdovska, Demitri Constantinou, Sandra Rozenštoka, Bülent Ülkar, Naama Constantini, Yiannis Koutedakis, Cheri A Blauwet, Daniel Neunhäuserer, Jasper Schipperijn, German Clénin, Janine Wendt, Anna Jegier, Sheng Zeng, Chiara Fossati, Roberto Vettor, Jane Thornton, Elin Kolle, Hans-Georg Predel, Winfried März, Dietrich Andresen, Pedro Manonelles Marqueta, Christian Kuhn, Eleanor Tillet, Melita Moore, Carolin Knoke, Olena Andrieieva, Friedhelm J Beucher, Jose-Antonio Casajus Mallen, Ju-Ho Chang, Lukas Declercq, Stephane Doutreleau, Thomas Fischbach, Anastasia N Fischer, Jeorge Franchella, Jan C Galle, Evelina Georgiades, Marcela González Gross, Andy Grote, Mikio Hiura, Kerstin Holze, Gerhard Huber, Mark R. Hutchinson, Kirsten Kappert-Gonther, Monika Kellerer, Yutaka Kimura, Agrita Kiopa, Bernd Kladny, Gerhard Koch, Greg Kolt, Stephan Kress, Jens Kröger, Roman Laszlo, Ralph Lehnert, François J Lhuissier, Kerstin Lüdtke, Shigeru Makita, Kirill Micallef-Stafrace, I. Renay Onur, Vahur Ööpik, Malgorzata Perl, Anastassios Philippou, Algirdas Raslanas, Ruediger Reer, Klaus Reinhardt, Nils Schumacher, Bernhard Schwaab, Ansgar Schwirtz, Masato Suzuki, Ralph Tiesler, Ulf Tippelt, Eve Unt, and Thomas Weikert
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Medicine (General) ,R5-920 - Abstract
Non-communicable diseases (NCDs), including coronary heart disease, stroke, hypertension, type 2 diabetes, dementia, depression and cancers, are on the rise worldwide and are often associated with a lack of physical activity (PA). Globally, the levels of PA among individuals are below WHO recommendations. A lack of PA can increase morbidity and mortality, worsen the quality of life and increase the economic burden on individuals and society. In response to this trend, numerous organisations came together under one umbrella in Hamburg, Germany, in April 2021 and signed the ‘Hamburg Declaration’. This represented an international commitment to take all necessary actions to increase PA and improve the health of individuals to entire communities. Individuals and organisations are working together as the ‘Global Alliance for the Promotion of Physical Activity’ to drive long-term individual and population-wide behaviour change by collaborating with all stakeholders in the community: active hospitals, physical activity specialists, community services and healthcare providers, all achieving sustainable health goals for their patients/clients. The ‘Hamburg Declaration’ calls on national and international policymakers to take concrete action to promote daily PA and exercise at a population level and in healthcare settings.
- Published
- 2023
- Full Text
- View/download PDF
3. Hypertensive Response to Exercise in Athletes: Unremarkable Finding or Relevant Marker for Future Cardiovascular Complications?
- Author
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Laura Würzburger, Patrick Wiech, Valentina A. Rossi, Daniel Neunhäuserer, Stefano Caselli, Christian M. Schmied, and David Niederseer
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background. In the general population, hypertensive response to exercise (HRE) predicts new-onset resting hypertension or other cardiovascular diseases. Methods. PubMed was searched for English articles published between January 1st 2000 and April 30th 2020. Additional studies were identified via reference lists of included studies. 92 papers were selected for full text analysis, finally 30 studies were included. Results. The results from 5 follow-up studies suggested an association between HRE and the risk of developing hypertension, while 10 studies reported a link with adverse cardiovascular events in the general population. Another study showed an association between HRE and future hypertension in athletes after a follow-up of 7 years. HRE in athletes was associated with left ventricular hypertrophy in three studies. Two other studies showed a link between HRE and focal myocardial fibrosis in triathletes and myocardial injury, respectively. One study found lower Apoliprotein-1 serum levels in athletes with HRE leading to a higher risk for cardiovascular disease. Only in one study no association with cardiovascular dysfunction in athletes with HRE was found. Conclusions. Based on current evidence, HRE is not a normal finding in athletes. If detected, it should be interpreted as a risk factor for future cardiovascular complications. Future research should address the adequate follow-up and management of athletes with HRE.
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- 2022
- Full Text
- View/download PDF
4. The Impact of Exercise Training and Supplemental Oxygen on Peripheral Muscles in COPD: A Randomized Controlled Trial
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Neunhäuserer, Daniel, primary, Hudelmaier, Martin, additional, Niederseer, David, additional, Vecchiato, Marco, additional, Wirth, Wolfgang, additional, Steidle-Kloc, Eva, additional, Kaiser, Bernhard, additional, Lamprecht, Bernd, additional, Ermolao, Andrea, additional, Studnicka, Michael, additional, and Niebauer, Josef, additional
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- 2023
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5. Strategies of Return-to-Play After Specific Cardiovascular Entities
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Vecchiato, Marco, primary, Mazzucato, Barbara, additional, Padoan, Laura, additional, Ermolao, Andrea, additional, and Neunhäuserer, Daniel, additional
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- 2020
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6. Cardiovascular Screening in Athletes
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Barra, Barbara, primary, Favero, Claudia, additional, Ermolao, Andrea, additional, and Neunhäuserer, Daniel, additional
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- 2020
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7. The European COPD audit: Adherence to guidelines, readmission risk and hospital care for acute exacerbations in Austria
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Breyer-Kohansal, Robab, Hartl, Sylvia, Breyer, Marie-Kathrin, Schrott, Andrea, Studnicka, Michael, Neunhäuserer, Daniel, Fülöp, Gerhard, and Burghuber, Otto Chris
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- 2019
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8. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration
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Steinacker, Jürgen M, primary, Mechelen, Willem van, additional, Bloch, Wilhelm, additional, Börjesson, Mats, additional, Casasco, Maurizio, additional, Wolfarth, Bernd, additional, Knoke, Carolin, additional, Papadopoulou, Theodora, additional, Wendt, Janine, additional, Al Tunaiji, Hashel, additional, Andresen, Dietrich, additional, Andrieieva, Olena, additional, Bachl, Norbert, additional, Badtieva, Victoriya, additional, Beucher, Friedhelm J, additional, Blauwet, Cheri A, additional, Casajus Mallen, Jose-Antonio, additional, Chang, Ju-Ho, additional, Clénin, German, additional, Constantini, Naama, additional, Constantinou, Demitri, additional, Di Luigi, Luigi, additional, Declercq, Lukas, additional, Doutreleau, Stephane, additional, Drozdovska, Svitlana, additional, Duclos, Martine, additional, Ermolao, Andrea, additional, Fischbach, Thomas, additional, Fischer, Anastasia N, additional, Fossati, Chiara, additional, Franchella, Jeorge, additional, Fulcher, Mark, additional, Galle, Jan C, additional, Gerloff, Christian, additional, Georgiades, Evelina, additional, Gojanovic, Boris, additional, González Gross, Marcela, additional, Grote, Andy, additional, Halle, Martin, additional, Hauner, Hans, additional, Herring, Matthew Payton, additional, Hiura, Mikio, additional, Holze, Kerstin, additional, Huber, Gerhard, additional, Hughes, David, additional, Hutchinson, Mark R., additional, Ionescu, Anca, additional, Janse van Rensburg, Dina Christina, additional, Jegier, Anna, additional, Jones, Natasha, additional, Kappert-Gonther, Kirsten, additional, Kellerer, Monika, additional, Kimura, Yutaka, additional, Kiopa, Agrita, additional, Kladny, Bernd, additional, Koch, Gerhard, additional, Kolle, Elin, additional, Kolt, Greg, additional, Koutedakis, Yiannis, additional, Kress, Stephan, additional, Kriemler, Susi, additional, Kröger, Jens, additional, Kuhn, Christian, additional, Laszlo, Roman, additional, Lehnert, Ralph, additional, Lhuissier, François J, additional, Lüdtke, Kerstin, additional, Makita, Shigeru, additional, Manonelles Marqueta, Pedro, additional, März, Winfried, additional, Micallef-Stafrace, Kirill, additional, Miller, Mike, additional, Moore, Melita, additional, Müller, Erich, additional, Neunhäuserer, Daniel, additional, Onur, I. Renay, additional, Ööpik, Vahur, additional, Perl, Malgorzata, additional, Philippou, Anastassios, additional, Predel, Hans-Georg, additional, Racinais, Sebastien, additional, Raslanas, Algirdas, additional, Reer, Ruediger, additional, Reinhardt, Klaus, additional, Reinsberger, Claus, additional, Rozenstoka, Sandra, additional, Sallis, Robert, additional, Sardinha, Luis B, additional, Scherer, Martin, additional, Schipperijn, Jasper, additional, Seil, Romain, additional, Tan, Benedict, additional, Schmidt-Trucksäss, Arno, additional, Schumacher, Nils, additional, Schwaab, Bernhard, additional, Schwirtz, Ansgar, additional, Suzuki, Masato, additional, Swart, Jeroen, additional, Tiesler, Ralph, additional, Tippelt, Ulf, additional, Tillet, Eleanor, additional, Thornton, Jane, additional, Ulkar, Bulent, additional, Unt, Eve, additional, Verhagen, Evert, additional, Weikert, Thomas, additional, Vettor, Roberto, additional, Zeng, Sheng, additional, Budgett, Richard, additional, Engebretsen, Lars, additional, Erdener, Ugur, additional, Pigozzi, Fabio, additional, and Pitsiladis, Yannis P, additional
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- 2023
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9. The Impact of Exercise Training and Supplemental Oxygen on Peripheral Muscles in Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial.
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NEUNHÄUSERER, DANIEL, HUDELMAIER, MARTIN, NIEDERSEER, DAVID, VECCHIATO, MARCO, WIRTH, WOLFGANG, STEIDLE-KLOC, EVA, KAISER, BERNHARD, LAMPRECHT, BERND, ERMOLAO, ANDREA, STUDNICKA, MICHAEL, and NIEBAUER, JOSEF
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QUADRICEPS muscle physiology , *MEDICAL rehabilitation , *EXERCISE tests , *AEROBIC capacity , *ENDURANCE sports training , *EXERCISE tolerance , *LUNG diseases , *CARDIOPULMONARY system , *EXERCISE physiology , *STRENGTH training , *MAGNETIC resonance imaging , *PHYSIOLOGICAL adaptation , *TREATMENT effectiveness , *RANDOMIZED controlled trials , *OXYGEN therapy , *QUADRICEPS muscle , *OBSTRUCTIVE lung diseases , *BLIND experiment , *DESCRIPTIVE statistics , *MUSCLE strength , *EXERCISE therapy , *LONGITUDINAL method , *HYPEROXIA - Abstract
Objective: Exercise training is a cornerstone of the treatment of chronic obstructive pulmonary disease, whereas the related interindividual heterogeneity in skeletal muscle dysfunction and adaptations are not yet fully understood. We set out to investigate the effects of exercise training and supplemental oxygen on functional and structural peripheral muscle adaptation. Methods: In this prospective, randomized, controlled, double-blind study, 28 patients with nonhypoxemic chronic obstructive pulmonary disease (forced expiratory volume in 1 second, 45.92% ± 9.06%) performed 6 wk of combined endurance and strength training, three times a week while breathing either supplemental oxygen or medical air. The impact on exercise capacity, muscle strength, and quadriceps femoris muscle cross-sectional area (CSA) was assessed by maximal cardiopulmonary exercise testing, 10-repetition maximum strength test of knee extension, and magnetic resonance imaging, respectively. Results: After exercise training, patients demonstrated a significant increase in functional capacity, aerobic capacity, exercise tolerance, quadriceps muscle strength, and bilateral CSA. Supplemental oxygen affected significantly the training impact on peak work rate when compared with medical air (+0.20 ± 0.03 vs +0.12 ± 0.03 W·kg--1, P = 0.047); a significant increase in CSA (+3.9 ± 1.3 cm2, P = 0.013) was only observed in the training group using oxygen. Supplemental oxygen and exercise-induced peripheral desaturation were identified as significant opposing determinants of muscle gain during this exercise training intervention, which led to different adaptations of CSA between the respective subgroups. Conclusions: The heterogenous functional and structural muscle adaptations seem determined by supplemental oxygen and exercise-induced hypoxia. Indeed, supplemental oxygen may facilitate muscular training adaptations, particularly in limb muscle dysfunction, thereby contributing to the enhanced training responses on maximal aerobic and functional capacity. [ABSTRACT FROM AUTHOR]
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- 2023
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10. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration
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Steinacker, Jürgen M, Mechelen, Willem van, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane, Drozdovska, Svitlana, Duclos, Martine, Ermolao, Andrea, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Franchella, Jeorge, Fulcher, Mark, Galle, Jan C, Gerloff, Christian, Georgiades, Evelina, Gojanovic, Boris, González Gross, Marcela, Grote, Andy, Halle, Martin, Hauner, Hans, Herring, Matthew Payton, Hiura, Mikio, Holze, Kerstin, Huber, Gerhard, Hughes, David, Hutchinson, Mark R., Ionescu, Anca, Janse van Rensburg, Dina Christina, Jegier, Anna, Jones, Natasha, Kappert-Gonther, Kirsten, Kellerer, Monika, Kimura, Yutaka, Kiopa, Agrita, Kladny, Bernd, Koch, Gerhard, Kolle, Elin, Kolt, Greg, Koutedakis, Yiannis, Kress, Stephan, Kriemler, Susi, Kröger, Jens, Kuhn, Christian, Laszlo, Roman, Lehnert, Ralph, Lhuissier, François J, Lüdtke, Kerstin, Makita, Shigeru, Manonelles Marqueta, Pedro, März, Winfried, Micallef-Stafrace, Kirill, Miller, Mike, Moore, Melita, Müller, Erich, Neunhäuserer, Daniel, Onur, I. Renay, Ööpik, Vahur, Perl, Malgorzata, Philippou, Anastassios, Predel, Hans-Georg, Racinais, Sebastien, Raslanas, Algirdas, Reer, Ruediger, Reinhardt, Klaus, Reinsberger, Claus, Rozenstoka, Sandra, Sallis, Robert, Sardinha, Luis B, Scherer, Martin, Schipperijn, Jasper, Seil, Romain, Tan, Benedict, Schmidt-Trucksäss, Arno, Schumacher, Nils, Schwaab, Bernhard, Schwirtz, Ansgar, Suzuki, Masato, Swart, Jeroen, Tiesler, Ralph, Tippelt, Ulf, Tillet, Eleanor, Thornton, Jane, Ulkar, Bulent, Unt, Eve, Verhagen, Evert, Weikert, Thomas, Vettor, Roberto, Zeng, Sheng, Budgett, Richard, Engebretsen, Lars, Erdener, Ugur, Pigozzi, Fabio, Pitsiladis, Yannis P, Steinacker, Jürgen M, Mechelen, Willem van, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane, Drozdovska, Svitlana, Duclos, Martine, Ermolao, Andrea, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Franchella, Jeorge, Fulcher, Mark, Galle, Jan C, Gerloff, Christian, Georgiades, Evelina, Gojanovic, Boris, González Gross, Marcela, Grote, Andy, Halle, Martin, Hauner, Hans, Herring, Matthew Payton, Hiura, Mikio, Holze, Kerstin, Huber, Gerhard, Hughes, David, Hutchinson, Mark R., Ionescu, Anca, Janse van Rensburg, Dina Christina, Jegier, Anna, Jones, Natasha, Kappert-Gonther, Kirsten, Kellerer, Monika, Kimura, Yutaka, Kiopa, Agrita, Kladny, Bernd, Koch, Gerhard, Kolle, Elin, Kolt, Greg, Koutedakis, Yiannis, Kress, Stephan, Kriemler, Susi, Kröger, Jens, Kuhn, Christian, Laszlo, Roman, Lehnert, Ralph, Lhuissier, François J, Lüdtke, Kerstin, Makita, Shigeru, Manonelles Marqueta, Pedro, März, Winfried, Micallef-Stafrace, Kirill, Miller, Mike, Moore, Melita, Müller, Erich, Neunhäuserer, Daniel, Onur, I. Renay, Ööpik, Vahur, Perl, Malgorzata, Philippou, Anastassios, Predel, Hans-Georg, Racinais, Sebastien, Raslanas, Algirdas, Reer, Ruediger, Reinhardt, Klaus, Reinsberger, Claus, Rozenstoka, Sandra, Sallis, Robert, Sardinha, Luis B, Scherer, Martin, Schipperijn, Jasper, Seil, Romain, Tan, Benedict, Schmidt-Trucksäss, Arno, Schumacher, Nils, Schwaab, Bernhard, Schwirtz, Ansgar, Suzuki, Masato, Swart, Jeroen, Tiesler, Ralph, Tippelt, Ulf, Tillet, Eleanor, Thornton, Jane, Ulkar, Bulent, Unt, Eve, Verhagen, Evert, Weikert, Thomas, Vettor, Roberto, Zeng, Sheng, Budgett, Richard, Engebretsen, Lars, Erdener, Ugur, Pigozzi, Fabio, and Pitsiladis, Yannis P
- Abstract
Non-communicable diseases (NCDs), including coronary heart disease, stroke, hypertension, type 2 diabetes, dementia, depression and cancers, are on the rise worldwide and are often associated with a lack of physical activity (PA). Globally, the levels of PA among individuals are below WHO recommendations. A lack of PA can increase morbidity and mortality, worsen the quality of life and increase the economic burden on individuals and society. In response to this trend, numerous organisations came together under one umbrella in Hamburg, Germany, in April 2021 and signed the ‘Hamburg Declaration’. This represented an international commitment to take all necessary actions to increase PA and improve the health of individuals to entire communities. Individuals and organisations are working together as the ‘Global Alliance for the Promotion of Physical Activity’ to drive long-term individual and population-wide behaviour change by collaborating with all stakeholders in the community: active hospitals, physical activity specialists, community services and healthcare providers, all achieving sustainable health goals for their patients/clients. The ‘Hamburg Declaration’ calls on national and international policymakers to take concrete action to promote daily PA and exercise at a population level and in healthcare settings., Peer Reviewed
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- 2023
11. Standardised Exercise Prescription for Patients with Chronic Coronary Syndrome and/or Heart Failure: A Consensus Statement from the EXPERT Working Group
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Divisie Kinderen, Research UMC Utrecht, Activity&Health sectie exercise, Child Health, Hansen, Dominique, Beckers, Paul, Neunhäuserer, Daniel, Bjarnason-Wehrens, Birna, Piepoli, Massimo F., Rauch, Bernhard, Völler, Heinz, Corrà, Ugo, Garcia-Porrero, Esteban, Schmid, Jean Paul, Lamotte, Michel, Doherty, Patrick, Reibis, Rona, Niebauer, Josef, Dendale, Paul, Davos, Constantinos H., Kouidi, Evangelia, Spruit, Martijn A., Vanhees, Luc, Cornelissen, Véronique, Edelmann, Frank, Barna, Olga, Stettler, Christoph, Tonoli, Cajsa, Greco, Eugenio, Pedretti, Roberto, Abreu, Ana, Ambrosetti, Marco, Braga, Simona Sarzi, Bussotti, Maurizio, Faggiano, Pompilio, Takken, Tim, Vigorito, Carlo, Schwaab, Bernhard, Coninx, Karin, Divisie Kinderen, Research UMC Utrecht, Activity&Health sectie exercise, Child Health, Hansen, Dominique, Beckers, Paul, Neunhäuserer, Daniel, Bjarnason-Wehrens, Birna, Piepoli, Massimo F., Rauch, Bernhard, Völler, Heinz, Corrà, Ugo, Garcia-Porrero, Esteban, Schmid, Jean Paul, Lamotte, Michel, Doherty, Patrick, Reibis, Rona, Niebauer, Josef, Dendale, Paul, Davos, Constantinos H., Kouidi, Evangelia, Spruit, Martijn A., Vanhees, Luc, Cornelissen, Véronique, Edelmann, Frank, Barna, Olga, Stettler, Christoph, Tonoli, Cajsa, Greco, Eugenio, Pedretti, Roberto, Abreu, Ana, Ambrosetti, Marco, Braga, Simona Sarzi, Bussotti, Maurizio, Faggiano, Pompilio, Takken, Tim, Vigorito, Carlo, Schwaab, Bernhard, and Coninx, Karin
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- 2023
12. Respiratory gas kinetics in patients with congestive heart failure during recovery from peak exercise
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Patti, Alessandro, primary, Blumberg, Yair, additional, Hedman, Kristofer, additional, Neunhäuserer, Daniel, additional, Haddad, Francois, additional, Wheeler, Matthew, additional, Ashley, Euan, additional, Moneghetti, Kegan J., additional, Myers, Jonathan, additional, and Christle, Jeffrey W., additional
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- 2023
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13. Hypertensive Response to Exercise in Athletes: Unremarkable Finding or Relevant Marker for Future Cardiovascular Complications?
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Würzburger, Laura, primary, Wiech, Patrick, additional, Rossi, Valentina A., additional, Neunhäuserer, Daniel, additional, Caselli, Stefano, additional, Schmied, Christian M., additional, and Niederseer, David, additional
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- 2022
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14. Role of Breathing Conditions During Exercise Testing on Training Prescription in Chronic Obstructive Pulmonary Disease
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Neunhäuserer, Daniel, Steidle-Kloc, Eva, Bergamin, Marco, Weiss, Gertraud, Ermolao, Andrea, Lamprecht, Bernd, Studnicka, Michael, and Niebauer, Josef
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- 2017
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15. Hypertensive Response to Exercise in Athletes: Unremarkable Finding or Relevant Marker for Future Cardiovascular Complications?
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Würzburger, Laura, Wiech, Patrick, Rossi, Valentina A, Neunhäuserer, Daniel, Caselli, Stefano; https://orcid.org/0000-0002-9897-5839, Schmied, Christian M, Niederseer, David; https://orcid.org/0000-0003-3089-1222, Würzburger, Laura, Wiech, Patrick, Rossi, Valentina A, Neunhäuserer, Daniel, Caselli, Stefano; https://orcid.org/0000-0002-9897-5839, Schmied, Christian M, and Niederseer, David; https://orcid.org/0000-0003-3089-1222
- Abstract
BACKGROUND In the general population, hypertensive response to exercise (HRE) predicts new-onset resting hypertension or other cardiovascular diseases. METHODS PubMed was searched for English articles published between January 1st 2000 and April 30th 2020. Additional studies were identified via reference lists of included studies. 92 papers were selected for full text analysis, finally 30 studies were included. RESULTS The results from 5 follow-up studies suggested an association between HRE and the risk of developing hypertension, while 10 studies reported a link with adverse cardiovascular events in the general population. Another study showed an association between HRE and future hypertension in athletes after a follow-up of 7 years. HRE in athletes was associated with left ventricular hypertrophy in three studies. Two other studies showed a link between HRE and focal myocardial fibrosis in triathletes and myocardial injury, respectively. One study found lower Apoliprotein-1 serum levels in athletes with HRE leading to a higher risk for cardiovascular disease. Only in one study no association with cardiovascular dysfunction in athletes with HRE was found. CONCLUSIONS Based on current evidence, HRE is not a normal finding in athletes. If detected, it should be interpreted as a risk factor for future cardiovascular complications. Future research should address the adequate follow-up and management of athletes with HRE.
- Published
- 2022
16. A 1-Year Prospective Analysis of Ice Climbing Injuries
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Runer, Armin, Lampl, Kathrin, Neunhäuserer, Daniel, Runer, Florian, Frick, Nora, Seitlinger, Gerd, Resch, Herbert, and Moroder, Philipp
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- 2017
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17. Symptomatic chronic obstructive pulmonary disease in clinical trials and in a population-based study
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Niederseer, David, Richter, Sabine A. M., Neunhäuserer, Daniel, Lamprecht, Bernd, Buist, Sonia A., Studnicka, Michael, and Niebauer, Josef
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- 2015
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18. The European COPD audit
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Marie-Kathrin Breyer, Daniel Neunhäuserer, Otto C. Burghuber, Andrea Schrott, Sylvia Hartl, Michael Studnicka, Robab Breyer-Kohansal, and Gerhard Fülöp
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Male ,medicine.medical_specialty ,Exacerbation ,Pulmonary disease ,Comorbidity ,Audit ,COPD ,Guidelines ,Hospital care ,Treatment ,Medicine (all) ,Patient Readmission ,Cohort Studies ,Pulmonary Disease, Chronic Obstructive ,medicine ,Humans ,Prospective Studies ,Intensive care medicine ,Aged ,Retrospective Studies ,business.industry ,General Medicine ,Length of Stay ,medicine.disease ,Increased risk ,Austria ,Female ,Guideline Adherence ,Blood Gas Analysis ,business ,Readmission risk ,Respiratory care - Abstract
Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are the major reason for COPD hospitalization and increased risk for readmissions. The organizational structure of Austrian hospitals provides the opportunity to investigate the impact of specialized respiratory care compared to general care on adherence to guidelines and readmission in AECOPD.The data from the European COPD audit, a prospective observational non-interventional cohort trial were analyzed. In total, 823 patients admitted due to AECOPD in 26 hospitals (specialized respiratory care vs. general care) within Austria were included. Patients characteristics and outcomes (length of stay, readmission rate, and mortality) were analyzed in relation to hospital resources (personnel and equipment) and adherence to international guidelines.Patients admitted to general care had more comorbidities (Charlson comorbidity index: 2.6 ± 1.7 vs. 2.0 ± 1.4; p 0.05) and a shorter length of stay (10.7 ± 7.8 days vs. 12.0 ± 10.2 days; p 0.05). Patients admitted to specialized respiratory care more often underwent blood gas analysis and non-invasive ventilation (98.4% vs. 81.5% and 68.6% vs. 26.7%, p 0.01; respectively). In multivariate analysis, the risk for AECOPD readmission was lower (odds ratio, OR 0.72 [0.51;0.91]; p 0.05) in patients admitted to specialized respiratory care.A greater adherence to COPD guidelines with respect to blood gas analysis and non-invasive ventilation and decreased AECOPD readmission risk was observed for patients admitted to specialized respiratory care. Adherence to guidelines may have the potential to decrease COPD readmission rates.
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- 2019
19. Myocardial Crypt in an Asymptomatic Young Athlete: How to Interpret?
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NEUNHÄUSERER, Daniel, ERMOLAO, ANDREA, CORBETTI, FRANCESCO, NIEBAUER, JOSEF, ZACCARIA, MARCO, and GASPERETTI, ANDREA
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- 2015
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20. Impact of exercise training and supplemental oxygen on submaximal exercise performance in patients with COPD
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Andrea Ermolao, Barbara Mayr, Bernhard Kaiser, Bernhard Reich, Michael Studnicka, David Niederseer, Bernd Lamprecht, Daniel Neunhäuserer, Josef Niebauer, University of Zurich, and Niebauer, Josef
- Subjects
Male ,Chronic obstructive pulmonary disease ,cardiopulmonary exercise test ,exercise capacity ,interval training ,strength training ,medicine.medical_specialty ,Strength training ,Physical Therapy, Sports Therapy and Rehabilitation ,Blood Pressure ,610 Medicine & health ,Work rate ,High-Intensity Interval Training ,Interval training ,chronic obstructive pulmonary disease ,Pulmonary Disease, Chronic Obstructive ,Oxygen Consumption ,2732 Orthopedics and Sports Medicine ,Double-Blind Method ,Heart Rate ,Internal medicine ,Heart rate ,Activities of Daily Living ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Lactic Acid ,Prospective Studies ,3612 Physical Therapy, Sports Therapy and Rehabilitation ,Respiratory exchange ratio ,Aged ,COPD ,Cross-Over Studies ,Exercise Tolerance ,business.industry ,Pulmonary Gas Exchange ,Resistance Training ,Original Articles ,Middle Aged ,medicine.disease ,Respiration, Artificial ,Exercise Therapy ,Blood pressure ,Cardiology ,10209 Clinic for Cardiology ,Female ,Original Article ,business ,Anaerobic exercise - Abstract
Functional impairment caused by chronic obstructive pulmonary disease (COPD) impacts on activities of daily living and quality of life. Indeed, patients’ submaximal exercise capacity is of crucial importance. It was the aim of this study to investigate the effects of an exercise training intervention with and without supplemental oxygen on submaximal exercise performance. This is a secondary analysis of a randomized, controlled, double‐blind, crossover trial. 29 COPD patients (63.5 ± 5.9 years; FEV1 46.4 ± 8.6%) completed two consecutive 6‐week periods of high‐intensity interval cycling and strength training, which was performed three times/week with either supplemental oxygen or medical air (10 L/min). Submaximal exercise capacity as well as the cardiocirculatory, ventilatory, and metabolic response were evaluated at isotime (point of termination in the shortest cardiopulmonary exercise test), at physical work capacity at 110 bpm of heart rate (PWC 110), at the anaerobic threshold (AT), and at the lactate‐2 mmol/L threshold. After 12 weeks of exercise training, patients improved in exercise tolerance, shown by decreased cardiocirculatory (heart rate, blood pressure) and metabolic (respiratory exchange ratio, lactate) effort at isotime; ventilatory response was not affected. Submaximal exercise capacity was improved at PWC 110, AT and the lactate‐2 mmol/L threshold, respectively. Although supplemental oxygen seems to affect patients’ work rate at AT and the lactate‐2 mmol/L threshold, no other significant effects were found. The improved submaximal exercise capacity and tolerance might counteract patients’ functional impairment. Although cardiovascular and metabolic training adaptations were shown, ventilatory efficiency remained essentially unchanged. The impact of supplemental oxygen seems less important on submaximal training effects.
- Published
- 2021
21. Impact of exercise training and supplemental oxygen on submaximal exercise performance in patients with COPD
- Author
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Neunhäuserer, Daniel; https://orcid.org/0000-0001-9775-4260, Reich, Bernhard; https://orcid.org/0000-0002-9970-4379, Mayr, Barbara; https://orcid.org/0000-0002-2835-3938, Kaiser, Bernhard, Lamprecht, Bernd, Niederseer, David; https://orcid.org/0000-0003-3089-1222, Ermolao, Andrea; https://orcid.org/0000-0002-0546-1514, Studnicka, Michael, Niebauer, Josef, Neunhäuserer, Daniel; https://orcid.org/0000-0001-9775-4260, Reich, Bernhard; https://orcid.org/0000-0002-9970-4379, Mayr, Barbara; https://orcid.org/0000-0002-2835-3938, Kaiser, Bernhard, Lamprecht, Bernd, Niederseer, David; https://orcid.org/0000-0003-3089-1222, Ermolao, Andrea; https://orcid.org/0000-0002-0546-1514, Studnicka, Michael, and Niebauer, Josef
- Abstract
Functional impairment caused by chronic obstructive pulmonary disease (COPD) impacts on activities of daily living and quality of life. Indeed, patients' submaximal exercise capacity is of crucial importance. It was the aim of this study to investigate the effects of an exercise training intervention with and without supplemental oxygen on submaximal exercise performance. This is a secondary analysis of a randomized, controlled, double-blind, crossover trial. 29 COPD patients (63.5 ± 5.9 years; FEV1 46.4 ± 8.6%) completed two consecutive 6-week periods of high-intensity interval cycling and strength training, which was performed three times/week with either supplemental oxygen or medical air (10 L/min). Submaximal exercise capacity as well as the cardiocirculatory, ventilatory, and metabolic response were evaluated at isotime (point of termination in the shortest cardiopulmonary exercise test), at physical work capacity at 110 bpm of heart rate (PWC 110), at the anaerobic threshold (AT), and at the lactate-2 mmol/L threshold. After 12 weeks of exercise training, patients improved in exercise tolerance, shown by decreased cardiocirculatory (heart rate, blood pressure) and metabolic (respiratory exchange ratio, lactate) effort at isotime; ventilatory response was not affected. Submaximal exercise capacity was improved at PWC 110, AT and the lactate-2 mmol/L threshold, respectively. Although supplemental oxygen seems to affect patients' work rate at AT and the lactate-2 mmol/L threshold, no other significant effects were found. The improved submaximal exercise capacity and tolerance might counteract patients' functional impairment. Although cardiovascular and metabolic training adaptations were shown, ventilatory efficiency remained essentially unchanged. The impact of supplemental oxygen seems less important on submaximal training effects.
- Published
- 2021
22. Human skeletal muscle: transition between fast and slow fibre types
- Author
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Neunhäuserer, Daniel, Zebedin, Michaela, Obermoser, Magdalena, Moser, Gerhard, Tauber, Mark, Niebauer, Josef, Resch, Herbert, and Galler, Stefan
- Published
- 2011
- Full Text
- View/download PDF
23. Systemic Inflammation, Vascular Function, and Endothelial Progenitor Cells after an Exercise Training Intervention in COPD
- Author
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Neunhäuserer, Daniel, primary, Patti, Alessandro, additional, Niederseer, David, additional, Kaiser, Bernhard, additional, Cadamuro, Janne, additional, Lamprecht, Bernd, additional, Ermolao, Andrea, additional, Studnicka, Michael, additional, and Niebauer, Josef, additional
- Published
- 2021
- Full Text
- View/download PDF
24. Systemic Inflammation, Vascular Function, and Endothelial Progenitor Cells after an Exercise Training Intervention in COPD
- Author
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Andrea Ermolao, Michael Studnicka, David Niederseer, Daniel Neunhäuserer, Bernd Lamprecht, Josef Niebauer, Bernhard Kaiser, Janne Cadamuro, Alessandro Patti, University of Zurich, and Niebauer, Josef
- Subjects
Male ,medicine.medical_specialty ,Strength training ,Population ,Supplemental oxygen ,Inflammation ,610 Medicine & health ,2700 General Medicine ,030204 cardiovascular system & hematology ,Systemic inflammation ,03 medical and health sciences ,Pulmonary Disease, Chronic Obstructive ,0302 clinical medicine ,Double-Blind Method ,Internal medicine ,medicine ,Humans ,Endothelial dysfunction ,030212 general & internal medicine ,Prospective Studies ,Progenitor cell ,education ,Reactive hyperemia ,Aged ,Endothelial Progenitor Cells ,education.field_of_study ,COPD ,Cross-Over Studies ,business.industry ,Chronic obstructive pulmonary disease ,General Medicine ,EPC ,Middle Aged ,medicine.disease ,Eosinophilic inflammation ,Exercise Therapy ,Cardiology ,10209 Clinic for Cardiology ,Female ,Endothelium, Vascular ,medicine.symptom ,business - Abstract
Background Exercise training is a cornerstone of the treatment of chronic obstructive pulmonary disease (COPD) in all disease stages. Data about the training effects with supplemental oxygen in nonhypoxemic patients remains inconclusive. In this study we set out to investigate the training and oxygen effects on inflammatory markers, vascular function, and endothelial progenitor cells in this population of increased cardiovascular risk. Methods In this prospective, randomized, double-blind, crossover study, 29 patients with nonhypoxemic COPD performed combined endurance and strength training 3 times a week while breathing medical air or supplemental oxygen for the first 6-week period, and were then reallocated to the opposite gas for the following 6 weeks. Exercise capacity, inflammatory biomarkers, endothelial function (peripheral arterial tone analysis), and endothelial progenitor cells were assessed. Data were also analyzed for a subgroup with endothelial dysfunction (reactive hyperemia index Results Following 12 weeks of exercise training, patients demonstrated a significant improvement of peak work rate and an associated decrease of blood fibrinogen and leptin. Eosinophils were found significantly reduced after exercise training in patients with endothelial dysfunction. In this subgroup, peripheral arterial tone analysis revealed a significant improvement of reactive hyperemia index. Generally, late endothelial progenitor cells were found significantly reduced after the exercise training intervention. Supplemental oxygen during training positively influenced the effect on exercise capacity without impact on inflammation and endothelial function. Conclusions This is the first randomized controlled trial in patients with COPD to show beneficial effects of exercise training not only on exercise capacity, but also on systemic/eosinophilic inflammation and endothelial dysfunction.
- Published
- 2020
25. Strategies of Return-to-Play After Specific Cardiovascular Entities
- Author
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Barbara Mazzucato, Laura Padoan, Daniel Neunhäuserer, Andrea Ermolao, and Marco Vecchiato
- Subjects
Competition (economics) ,Gerontology ,medicine.medical_specialty ,Sports medicine ,biology ,Athletes ,Cardiovascular risk factors ,medicine ,Physical activity ,Physical exercise ,biology.organism_classification ,Psychology ,Return to play - Abstract
Engaging in physical exercise and sports is a common part of the daily life of young people and adults. For subjects and athletes with cardiovascular diseases it is fundamental to evaluate whether the clinical conditions are appropriate to come back to competition. Although the safest possible return-to-play must be determined by the physicians in charge, even the society, coaches, sponsors, or relatives could influence this crucial decision. Unfortunately, detailed guidelines regarding the correct approach for each specific pathology are lacking or heterogeneous. Thus, a general approach concerning when to restart physical activity after cardiovascular diseases is here provided, considering different general and individual issues. Furthermore, some of the most frequent cardiovascular diseases among young athletes were specifically analyzed, discussing a proper return-to-play. Although physical activity is useful in the prevention and treatment of different cardiovascular diseases, the return-to-play must be approached carefully and an adequate collaboration between physicians, athletes, and third parties must be guaranteed because safety comes first, and follow-up is needed.
- Published
- 2020
26. Cardiovascular Screening in Athletes
- Author
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Daniel Neunhäuserer, Barbara Barra, Claudia Favero, and Andrea Ermolao
- Subjects
medicine.medical_specialty ,biology ,Athletes ,business.industry ,Advanced cardiac life support ,Physical exercise ,Disease ,biology.organism_classification ,medicine.disease ,Incremental exercise ,Sudden cardiac death ,Medicine ,Medical history ,business ,Intensive care medicine ,Automated external defibrillator - Abstract
Physical activity increases life expectancy and has a strong impact on the prevention and treatment of different chronic diseases and risk factors. Thus, physical exercise and sport should a priori not be considered as potentially harmful but rather as essential for people, society and the healthcare system. However, intensive exercise training and competitive sports participation, in predisposed individuals, is associated with a higher risk of incidental adverse cardiovascular events, including sudden cardiac death (SCD). SCD in sports is a rare but devastating event, causing a strong emotional and social impact within the community, especially when young apparently healthy athletes are involved. Almost invariably, the victims carry an underlying, frequently undiagnosed, predisposing and potentially detectable cardiovascular disease. In young athletes ( 35 years of age), almost 80% of these tragic events can be ascribed to latent coronary artery disease. Accordingly, the aim of a medical pre-participation evaluation is to detect potentially life-threatening conditions, which, if timely identified, can be appropriately managed through lifestyle modifications, physical activity adaptations, pharmacotherapy and/or implantable cardioverter defibrillators (ICDs), thereby minimizing the risk of major cardiovascular adverse events. Thus, before participation in sports, every athlete may benefit from a cardiovascular screening, which in baseline consists of a focused family and personal medical history, physical examination and, according to the European Society of Cardiology Guidelines, a resting ECG. Moreover, an additional incremental exercise testing might be useful, particularly in subjects performing high-intensity exercise or those with higher cardiovascular risk. Pre-competition evaluation for safe sport activities has diverse ethical and socio-economic implications, which is the reason why medical guidelines and recommendations differ widely between countries. Despite the most accurate pre-participation evaluation, SCD on the playing field may still happen. Therefore, exercise professionals who supervise exercise and fitness programs should engage in training of basic and/or advanced cardiac life support and other emergency procedures. Moreover, appropriate resuscitation equipment and an automated external defibrillator (AED) should always be promptly available.
- Published
- 2020
27. Impact of exercise training and supplemental oxygen on submaximal exercise performance in patients with COPD
- Author
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Neunhäuserer, Daniel, primary, Reich, Bernhard, additional, Mayr, Barbara, additional, Kaiser, Bernhard, additional, Lamprecht, Bernd, additional, Niederseer, David, additional, Ermolao, Andrea, additional, Studnicka, Michael, additional, and Niebauer, Josef, additional
- Published
- 2020
- Full Text
- View/download PDF
28. A prospective study of downhill mountain biking injuries
- Author
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Becker, Johannes, Runer, Armin, Neunhäuserer, Daniel, Frick, Nora, Resch, Herbert, and Moroder, Philipp
- Published
- 2013
- Full Text
- View/download PDF
29. Supplemental Oxygen During High-Intensity Exercise Training in Nonhypoxemic Chronic Obstructive Pulmonary Disease
- Author
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Marcus Tschentscher, David Niederseer, Eva Steidle-Kloc, Michael Studnicka, Gertraud Weiss, Martin Schönfelder, Bernhard Kaiser, Sylvia Hartl, Andreas Egger, Bernd Lamprecht, Josef Niebauer, Daniel Neunhäuserer, University of Zurich, and Niebauer, Josef
- Subjects
Male ,medicine.medical_specialty ,Strength training ,610 Medicine & health ,Physical exercise ,2700 General Medicine ,Chronic obstructive pulmonary disease ,Dyspnea ,Exercise capacity ,Interval training ,Medicine (all) ,Work rate ,medicine.disease_cause ,Electrocardiography ,Pulmonary Disease, Chronic Obstructive ,03 medical and health sciences ,0302 clinical medicine ,Double-Blind Method ,Endurance training ,Forced Expiratory Volume ,medicine ,Humans ,030212 general & internal medicine ,Lead (electronics) ,Exercise ,Aged ,Cross-Over Studies ,Exercise Tolerance ,business.industry ,Oxygen Inhalation Therapy ,Resistance Training ,General Medicine ,Middle Aged ,Crossover study ,Exercise Therapy ,Surgery ,030228 respiratory system ,Anesthesia ,Exercise Test ,Physical Endurance ,10209 Clinic for Cardiology ,Female ,business ,Nasal cannula - Abstract
Physical exercise training is an evidence-based treatment in chronic obstructive pulmonary disease, and patients' peak work rate is associated with reduced chronic obstructive pulmonary disease mortality. We assessed whether supplemental oxygen during exercise training in nonhypoxemic patients with chronic obstructive pulmonary disease might lead to superior training outcomes, including improved peak work rate.This was a randomized, double-blind, controlled, crossover trial. Twenty-nine patients with chronic obstructive pulmonary disease (aged 63.5 ± 5.9 years; forced expiratory volume in 1 second percent predicted, 46.4 ± 8.6) completed 2 consecutive 6-week periods of endurance and strength training with progressive intensity, which was performed 3 times per week with supplemental oxygen or compressed medical air (flow via nasal cannula: 10 L/min). Each session of electrocardiography-controlled interval cycling lasted 31 minutes and consisted of a warm-up, 7 cycles of 1-minute intervals at 70% to 80% of peak work rate alternating with 2 minutes of active recovery, and final cooldown. Thereafter, patients completed 8 strength-training exercises of 1 set each with 8 to 15 repetitions to failure. Change in peak work rate was the primary study end point.The increase in peak work rate was more than twice as high when patients exercised with supplemental oxygen compared with medical air (0.16 ± 0.02 W/kg vs 0.07 ± 0.02 W/kg; P.001), which was consistent with all other secondary study end points related to exercise capacity. The impact of oxygen on peak work rate was 39.1% of the overall training effect, whereas it had no influence on strength gain (P.1 for all exercises).We report that supplemental oxygen in nonhypoxemic chronic obstructive pulmonary disease doubled the effect of endurance training but had no effect on strength gain.
- Published
- 2016
30. Horsepower of Doctors’ Cars Correlates with Cardiovascular Risk and Sedentary Lifestyle but Not with Sexual Dysfunction or Sexual Satisfaction
- Author
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Hans Peter Colvin, Christian Dankl, Thomas Gilhofer, Christian Schmied, Josef Rieder, Josef Niebauer, Daniel Neunhäuserer, David Niederseer, Christian Datz, Bernhard Steger, University of Zurich, and Niederseer, David
- Subjects
Male ,Health, Toxicology and Mutagenesis ,Physical fitness ,lcsh:Medicine ,Body Mass Index ,0302 clinical medicine ,Risk Factors ,Medicine ,030212 general & internal medicine ,education.field_of_study ,physician ,Age Factors ,Middle Aged ,Cardiovascular Diseases ,sexual dysfunction ,Austria ,Income ,10209 Clinic for Cardiology ,Female ,medicine.symptom ,0305 other medical science ,Social status ,Adult ,lifestyle ,Sexual Behavior ,Population ,610 Medicine & health ,Article ,03 medical and health sciences ,Personal income ,Physicians ,2307 Health, Toxicology and Mutagenesis ,sexual activity ,Humans ,education ,Orgasm ,Sedentary lifestyle ,Aged ,030505 public health ,business.industry ,automobile ,lcsh:R ,Public Health, Environmental and Occupational Health ,2739 Public Health, Environmental and Occupational Health ,Horsepower ,sexual satisfaction ,Sexual dysfunction ,Cross-Sectional Studies ,Self Report ,Sedentary Behavior ,business ,Body mass index ,Automobiles ,Demography - Abstract
Background: The horsepower not only of doctors&rsquo, cars correlates with personal income and social status. However, no clear relationship has previously been described between the horsepower of doctors&rsquo, cars and cardiovascular health or sexual dysfunction and/or satisfaction. Objective: Cross-sectional online survey to evaluate associations between self-reported horsepower of physicians&rsquo, cars and health aspects. Methods: Of 1877 physicians from the two University-Hospitals in Austria that were asked to participate in the study, 363 (37.7 ±, 8.0 years, 208 (57.3%) men) were included into the final analysis. Results: Physicians that own a car with a stronger engine were significantly older, were more often male, had more often a leading position, had a higher monthly income (all p <, 0.001), had a higher scientific output (p = 0.030), and had hypercholesteremia more often (p = 0.009). They also tended to have a higher body mass index (p = 0.088), reported a higher maximum weight in previous years (p = 0.004) and less often reported regular healthy commuting to and from work (p = 0.010). No significant associations were found for self-reported physical fitness, smoking status, and arterial hypertension. In addition, sexual satisfaction and sexual dysfunction were also not related to horsepower in the whole population and the male subgroup. The findings essentially persisted after controlling for age. Conclusion: The horsepower of Austrian physicians&rsquo, cars correlates with senior position and increased cardiovascular risk. However, our data shows no relationship between sexual dysfunction or lack of sexual satisfaction and the horsepower of doctors&rsquo, cars.
- Published
- 2019
31. Horsepower of Doctors' Cars Correlates with Cardiovascular Risk and Sedentary Lifestyle but Not with Sexual Dysfunction or Sexual Satisfaction
- Author
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Niederseer, David, Gilhofer, Thomas, Schmied, Christian, Steger, Bernhard, Dankl, Christian, Colvin, Hans Peter, Rieder, Josef, Neunhäuserer, Daniel, Niebauer, Josef, Datz, Christian; https://orcid.org/0000-0001-7838-4532, Niederseer, David, Gilhofer, Thomas, Schmied, Christian, Steger, Bernhard, Dankl, Christian, Colvin, Hans Peter, Rieder, Josef, Neunhäuserer, Daniel, Niebauer, Josef, and Datz, Christian; https://orcid.org/0000-0001-7838-4532
- Abstract
Background: The horsepower not only of doctors' cars correlates with personal income and social status. However, no clear relationship has previously been described between the horsepower of doctors' cars and cardiovascular health or sexual dysfunction and/or satisfaction. Objective: Cross-sectional online survey to evaluate associations between self-reported horsepower of physicians' cars and health aspects. Methods: Of 1877 physicians from the two University-Hospitals in Austria that were asked to participate in the study, 363 (37.7 ± 8.0 years, 208 (57.3%) men) were included into the final analysis. Results: Physicians that own a car with a stronger engine were significantly older, were more often male, had more often a leading position, had a higher monthly income (all p < 0.001), had a higher scientific output (p = 0.030), and had hypercholesteremia more often (p = 0.009). They also tended to have a higher body mass index (p = 0.088), reported a higher maximum weight in previous years (p = 0.004) and less often reported regular healthy commuting to and from work (p = 0.010). No significant associations were found for self-reported physical fitness, smoking status, and arterial hypertension. In addition, sexual satisfaction and sexual dysfunction were also not related to horsepower in the whole population and the male subgroup. The findings essentially persisted after controlling for age. Conclusion: The horsepower of Austrian physicians' cars correlates with senior position and increased cardiovascular risk. However, our data shows no relationship between sexual dysfunction or lack of sexual satisfaction and the horsepower of doctors' cars.
- Published
- 2019
32. Exercise prescription in patients with different combinations of cardiovascular disease risk factors : a consensus statement from the EXPERT working group
- Author
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Paul Dendale, Simona Sarzi Braga, Robert Fagard, Carlo Vigorito, Paul Beckers, Véronique Cornelissen, Patrick Doherty, Christoph Stettler, Tim Takken, Roberto F E Pedretti, Dominique Hansen, Marco Ambrosetti, Bernhard H. Rauch, Luc Vanhees, Ugo Corrà, Jean-Paul Schmid, Massimo F Piepoli, Olga Barna, Ana Abreu, Esteban Garcia-Porrero, Michel Lamotte, Maurizio Bussotti, Heinz Völler, Martijn A. Spruit, Josef Niebauer, Karin Coninx, Daniel Neunhäuserer, Constantinos H. Davos, Frank T. Edelmann, Evangelia Kouidi, Eugenio Greco, Rona Reibis, Gustavo Rovelo Ruiz, Cajsa Tonoli, and Pompilio Faggiano
- Subjects
Male ,Sports medicine ,Statement (logic) ,Physical Therapy ,Economics ,Physical fitness ,RESTING BLOOD-PRESSURE ,030204 cardiovascular system & hematology ,0302 clinical medicine ,Sociology ,Risk Factors ,GLYCEMIC CONTROL ,Preventive Health Services ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,610 Medicine & health ,RESISTANCE EXERCISE ,Cardiac Rehabilitation ,Hand Strength ,Physical Therapy, Sports Therapy and Rehabilitation ,INTENSITY EXERCISE ,Exercise Therapy ,Treatment Outcome ,Systematic review ,Cardiovascular Diseases ,Female ,AEROBIC EXERCISE ,Exercise prescription ,medicine.medical_specialty ,Consensus ,ENDOTHELIAL FUNCTION ,MEDLINE ,TYPE-2 DIABETES-MELLITUS ,Sports Therapy and Rehabilitation ,03 medical and health sciences ,medicine ,Humans ,Aerobic exercise ,In patient ,Exercise physiology ,Medical prescription ,Exercise ,business.industry ,Exercise therapy ,OUTPATIENT CARDIAC REHABILITATION ,Regimen ,PHYSICAL-ACTIVITY ,Diabetes Mellitus, Type 1 ,Diabetes Mellitus, Type 2 ,Disease risk ,Physical therapy ,business ,CONTINUOUS MODERATE EXERCISE - Abstract
Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient. ispartof: SPORTS MEDICINE vol:48 issue:8 pages:1781-1797 ispartof: location:New Zealand status: published
- Published
- 2018
33. Inter-arm Systolic Blood Pressure Difference in Physically Active, Adult Subjects
- Author
-
Marco Zaccaria, Andrea Gasperetti, Francesca Battista, Sara Ortolan, Andrea Ermolao, Marco Bergamin, Daniel Neunhäuserer, and Pietro Pettenella
- Subjects
Adult ,Male ,medicine.medical_specialty ,Population ,Ankle brachial pressure index ,Blood Pressure ,030204 cardiovascular system & hematology ,Upper Extremity ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Predictive Value of Tests ,IPAQ ,Surveys and Questionnaires ,Internal medicine ,Internal Medicine ,medicine ,Humans ,Ankle Brachial Index ,030212 general & internal medicine ,Photoplethysmography ,education ,Cardiovascular risk ,Framingham risk score ,Inter-arm blood pressure difference ,Exercise ,Aged ,education.field_of_study ,Microlife ,Framingham Risk Score ,business.industry ,Healthy subjects ,Reproducibility of Results ,Blood Pressure Determination ,Middle Aged ,Individual level ,Healthy Volunteers ,Physical activity level ,Blood pressure ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,Ankle–brachial pressure index - Abstract
Increased inter-arm systolic blood pressure difference (ΔPsys) has been associated with cardiovascular (CV) disease in elderly patients with CV risk factors. However, its significance in healthy subjects is unclear. To determine the relationship between ΔPsys, the individual level of physical activity and the global CV risk in apparently healthy adults. Systolic blood pressure was measured in both arms in 400 subjects aged 46.5 ± 12.2 years, using a simultaneous oscillometric device (WatchBP Office, Microlife, Widnau, Switzerland). In the subjects with ΔPsys ≥ 10 mmHg (Cases n = 20) and in a Control group (20 subjects without ΔPsys ≥ 10 mmHg), another simultaneous measurement was repeated during a second visit. The physical activity level was assessed via the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the ankle brachial pressure index (ABPI) with a photoplethysmographic method (Angioflow-Microlab, Padova, Italy) and the CV risk via the Framingham Risk Score (FRS). The prevalence of ΔPsys ≥ 10 mmHg in the whole population was 5% (95% CI 3.24–8.01%). Cases and Controls were comparable in gender, age, and BMI. ΔPsys ≥ 10 mmHg was only confirmed in 17.6% of the Cases. No statistically significant differences were found between groups for IPAQ-SF, ABPI, or FRS. The prevalence of ΔPsys ≥ 10 mmHg in this population was only slightly lower than what observed in older, hypertensive or diabetic patients. Cases and Controls did not differ in physical activity level, ankle brachial pressure index and CV risk. However, low test–retest reliability might limit the use of ΔPsys as a reliable marker for CV screening in this population.
- Published
- 2018
34. Horsepower of Doctors’ Cars Correlates with Cardiovascular Risk and Sedentary Lifestyle but Not with Sexual Dysfunction or Sexual Satisfaction
- Author
-
Niederseer, David, primary, Gilhofer, Thomas, additional, Schmied, Christian, additional, Steger, Bernhard, additional, Dankl, Christian, additional, Colvin, Hans Peter, additional, Rieder, Josef, additional, Neunhäuserer, Daniel, additional, Niebauer, Josef, additional, and Datz, Christian, additional
- Published
- 2019
- Full Text
- View/download PDF
35. Impact of exercise training and supplemental oxygen on submaximal exercise performance in patients with COPD.
- Author
-
Neunhäuserer, Daniel, Reich, Bernhard, Mayr, Barbara, Kaiser, Bernhard, Lamprecht, Bernd, Niederseer, David, Ermolao, Andrea, Studnicka, Michael, and Niebauer, Josef
- Subjects
- *
OBSTRUCTIVE lung disease treatment , *RESISTANCE training , *EXERCISE tests , *AEROBIC capacity , *RESPIRATORY quotient , *CARDIOPULMONARY system , *EXERCISE physiology , *CYCLING , *OXYGEN therapy , *BODY movement , *HEART beat , *LACTATES , *EXERCISE intensity , *DESCRIPTIVE statistics , *HIGH-intensity interval training , *SECONDARY analysis - Abstract
Functional impairment caused by chronic obstructive pulmonary disease (COPD) impacts on activities of daily living and quality of life. Indeed, patients' submaximal exercise capacity is of crucial importance. It was the aim of this study to investigate the effects of an exercise training intervention with and without supplemental oxygen on submaximal exercise performance. This is a secondary analysis of a randomized, controlled, double‐blind, crossover trial. 29 COPD patients (63.5 ± 5.9 years; FEV1 46.4 ± 8.6%) completed two consecutive 6‐week periods of high‐intensity interval cycling and strength training, which was performed three times/week with either supplemental oxygen or medical air (10 L/min). Submaximal exercise capacity as well as the cardiocirculatory, ventilatory, and metabolic response were evaluated at isotime (point of termination in the shortest cardiopulmonary exercise test), at physical work capacity at 110 bpm of heart rate (PWC 110), at the anaerobic threshold (AT), and at the lactate‐2 mmol/L threshold. After 12 weeks of exercise training, patients improved in exercise tolerance, shown by decreased cardiocirculatory (heart rate, blood pressure) and metabolic (respiratory exchange ratio, lactate) effort at isotime; ventilatory response was not affected. Submaximal exercise capacity was improved at PWC 110, AT and the lactate‐2 mmol/L threshold, respectively. Although supplemental oxygen seems to affect patients' work rate at AT and the lactate‐2 mmol/L threshold, no other significant effects were found. The improved submaximal exercise capacity and tolerance might counteract patients' functional impairment. Although cardiovascular and metabolic training adaptations were shown, ventilatory efficiency remained essentially unchanged. The impact of supplemental oxygen seems less important on submaximal training effects. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
36. Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group
- Author
-
Hansen, Dominique, Niebauer, Josef, Cornelissen, Veronique, Barna, Olga, Neunhäuserer, Daniel, Stettler, Christoph, Tonoli, Cajsa, Greco, Eugenio, Fagard, Robert, Coninx, Karin, Vanhees, Luc, Piepoli, Massimo, Pedretti, Roberto, Ruiz, Gustavo Rovelo, Corrà, Ugo, Schmid, Jean Paul, Davos, Constantinos C.H., Edelmann, Frank, Abreu, Ana, Rauch, Bernhard, Ambrosetti, Marco, Braga, Simona Sarzi, Beckers, Paul, Bussotti, Maurizio, Faggiano, Pompilio, Garcia-Porrero, Esteban, Kouidi, Evangelia, Lamotte, Michel, Reibis, Rona, Spruit, Martijn M.A., Takken, Tim, Vigorito, Carlo, Völler, Heinz, Doherty, Patrick, Dendale, Paul, Hansen, Dominique, Niebauer, Josef, Cornelissen, Veronique, Barna, Olga, Neunhäuserer, Daniel, Stettler, Christoph, Tonoli, Cajsa, Greco, Eugenio, Fagard, Robert, Coninx, Karin, Vanhees, Luc, Piepoli, Massimo, Pedretti, Roberto, Ruiz, Gustavo Rovelo, Corrà, Ugo, Schmid, Jean Paul, Davos, Constantinos C.H., Edelmann, Frank, Abreu, Ana, Rauch, Bernhard, Ambrosetti, Marco, Braga, Simona Sarzi, Beckers, Paul, Bussotti, Maurizio, Faggiano, Pompilio, Garcia-Porrero, Esteban, Kouidi, Evangelia, Lamotte, Michel, Reibis, Rona, Spruit, Martijn M.A., Takken, Tim, Vigorito, Carlo, Völler, Heinz, Doherty, Patrick, and Dendale, Paul
- Abstract
Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient., SCOPUS: re.j, info:eu-repo/semantics/published
- Published
- 2018
37. Role of Breathing Conditions During Exercise Testing on Training Prescription in Chronic Obstructive Pulmonary Disease
- Author
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Bernd Lamprecht, Gertraud Weiss, Marco Bergamin, Josef Niebauer, Eva Steidle-Kloc, Andrea Ermolao, Daniel Neunhäuserer, and Michael Studnicka
- Subjects
medicine.medical_specialty ,Physical Therapy, Sports Therapy and Rehabilitation ,030204 cardiovascular system & hematology ,Work rate ,medicine.disease_cause ,Severity of Illness Index ,03 medical and health sciences ,Pulmonary Disease, Chronic Obstructive ,0302 clinical medicine ,Oxygen Consumption ,Reference Values ,Internal medicine ,Forced Expiratory Volume ,Heart rate ,medicine ,Humans ,Exertion ,Medical prescription ,Aged ,Rating of perceived exertion ,Exercise Tolerance ,business.industry ,Respiration ,Rehabilitation ,Oxygen Inhalation Therapy ,Middle Aged ,Respiratory Function Tests ,Treatment Outcome ,030228 respiratory system ,Breathing ,Cardiology ,Room air distribution ,business ,Nasal cannula ,Follow-Up Studies - Abstract
This study investigated whether different breathing conditions during exercise testing will influence measures of exercise capacity commonly used for training prescription in chronic obstructive pulmonary disease. Twenty-seven patients with chronic obstructive pulmonary disease (forced expiratory volume in 1 sec = 45.6 [9.4]%) performed three maximal exercise tests within 8 days, but at least 48 hrs apart. Subjects were thereby breathing either room air through a tightly fitting face mask like during any cardiopulmonary exercise test (MASK), room air without mask (No-MASK), or 10 l/min of oxygen via nasal cannula (No-MASK + O2). Cycling protocols were identical for all tests (start = 20 watts, increment = 10 males/5 females watts/min). Maximal work rate (90.4 [33.8], 100.3 [34.8], 107.4 [35.9] watts, P < 0.001) and blood lactate at exhaustion (4.3 [1.5], 5.2 [1.6], 5.0 [1.4] mmol/l, P < 0.001) were lowest for MASK when compared with No-MASK and No-MASK + O2, respectively, whereas maximal heart rate did not differ significantly. Submaximal exertion (Borg rating of perceived exertion = 12-14) was perceived at lower intensity (P = 0.008), but higher heart rate (P = 0.005) when MASK was compared with No-MASK and No-MASK + O2. Different breathing conditions during exercise testing resulted in an 18.8% difference in maximal work rate, likely causing underdosing or overdosing of exercise in chronic obstructive pulmonary disease. Face masks reduced whereas supplemental oxygen increased patients' exercise capacity. For accurate prescription of exercise in chronic obstructive pulmonary disease, breathing conditions during testing should closely match training conditions.
- Published
- 2017
38. The European Association of Preventive Cardiology Exercise Prescription in Everyday Practice and Rehabilitative Training (EXPERT) tool: A digital training and decision support system for optimized exercise prescription in cardiovascular disease. Concept, definitions and construction methodology
- Author
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Olga Barna, Bernhard H. Rauch, Frank T. Edelmann, Simona Sarzi Braga, Massimo F Piepoli, Roberto F E Pedretti, Maurizio Bussotti, Véronique Cornelissen, Rona Reibis, Paul Dendale, Gustavo Rovelo Ruiz, Daniel Neunhäuserer, Heinz Völler, Jean Paul Schmid, Ana Abreu, Marco Ambrosetti, Patrick Doherty, Evangelia Kouidi, Dominique Hansen, Esteban Garcia-Porrero, Josef Niebauer, Eugenio Greco, Robert Fagard, Christoph Stettler, Michel Lamotte, Constantinos H. Davos, Carlo Vigorito, Karin Coninx, Luc Vanhees, Martijn A. Spruit, Pompilio Faggiano, Eva Geurts, Cajsa Tonoli, Ugo Corrà, Paul Beckers, Tim Takken, RS: NUTRIM - R3 - Respiratory & Age-related Health, Pulmonologie, and RS: NUTRIM - R3 - Chronic inflammatory disease and wasting
- Subjects
Epidemiology ,medicine.medical_treatment ,Disease ,030204 cardiovascular system & hematology ,HSM CAR ,Health informatics ,0302 clinical medicine ,Risk Factors ,Telerehabilitation ,Preventive Health Services ,Medicine ,030212 general & internal medicine ,ESC GUIDELINES ,MODALITIES ,Cardiovascular Diseases / physiopathology ,Exercise Tolerance ,Rehabilitation ,cardiovascular disease ,rehabilitation ,exercise training ,training and decision support system ,Cardiovascular disease ,Exercise Therapy ,Preventive Health Services / standards ,3. Good health ,Cardiovascular Diseases / diagnosis ,Treatment Outcome ,Cardiovascular Diseases ,HEART-FAILURE ,JOINT TASK-FORCE ,Cardiology and Cardiovascular Medicine ,Exercise prescription ,Risk assessment ,medicine.medical_specialty ,SOCIETY ,Exercise Therapy / standards ,DIAGNOSIS ,Risk Assessment ,Decision Support Techniques ,03 medical and health sciences ,Predictive Value of Tests ,MANAGEMENT ,Department Sport- und Gesundheitswissenschaften ,Humans ,Cardiac Rehabilitation / adverse effects ,Medical prescription ,Cardiac Rehabilitation / standards ,CARDIAC REHABILITATION ,Cardiovascular Diseases / epidemiology ,Modalities ,business.industry ,Exercise Therapy / adverse effects ,NATIONAL-SURVEY ,PHYSICAL-ACTIVITY ,Physical therapy ,Human medicine ,business ,Cardiovascular Diseases / prevention & control - Abstract
Background Exercise rehabilitation is highly recommended by current guidelines on prevention of cardiovascular disease, but its implementation is still poor. Many clinicians experience difficulties in prescribing exercise in the presence of different concomitant cardiovascular diseases and risk factors within the same patient. It was aimed to develop a digital training and decision support system for exercise prescription in cardiovascular disease patients in clinical practice: the European Association of Preventive Cardiology Exercise Prescription in Everyday Practice and Rehabilitative Training (EXPERT) tool. Methods EXPERT working group members were requested to define (a) diagnostic criteria for specific cardiovascular diseases, cardiovascular disease risk factors, and other chronic non-cardiovascular conditions, (b) primary goals of exercise intervention, (c) disease-specific prescription of exercise training (intensity, frequency, volume, type, session and programme duration), and (d) exercise training safety advices. The impact of exercise tolerance, common cardiovascular medications and adverse events during exercise testing were further taken into account for optimized exercise prescription. Results Exercise training recommendations and safety advices were formulated for 10 cardiovascular diseases, five cardiovascular disease risk factors (type 1 and 2 diabetes, obesity, hypertension, hypercholesterolaemia), and three common chronic non-cardiovascular conditions (lung and renal failure and sarcopaenia), but also accounted for baseline exercise tolerance, common cardiovascular medications and occurrence of adverse events during exercise testing. An algorithm, supported by an interactive tool, was constructed based on these data. This training and decision support system automatically provides an exercise prescription according to the variables provided. Conclusion This digital training and decision support system may contribute in overcoming barriers in exercise implementation in common cardiovascular diseases. The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: The realisation of the proof of concept of the EXPERT tool was supported by a UHasselt Industrial Research Fund (IOF) proof of concept (PoC) project.
- Published
- 2017
39. Inter-arm Systolic Blood Pressure Difference in Physically Active, Adult Subjects
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Neunhäuserer, Daniel, primary, Gasperetti, Andrea, additional, Ortolan, Sara, additional, Battista, Francesca, additional, Pettenella, Pietro, additional, Zaccaria, Marco, additional, Bergamin, Marco, additional, and Ermolao, Andrea, additional
- Published
- 2018
- Full Text
- View/download PDF
40. Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group
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Hansen, Dominique, primary, Niebauer, Josef, additional, Cornelissen, Veronique, additional, Barna, Olga, additional, Neunhäuserer, Daniel, additional, Stettler, Christoph, additional, Tonoli, Cajsa, additional, Greco, Eugenio, additional, Fagard, Robert, additional, Coninx, Karin, additional, Vanhees, Luc, additional, Piepoli, Massimo F., additional, Pedretti, Roberto, additional, Ruiz, Gustavo Rovelo, additional, Corrà, Ugo, additional, Schmid, Jean-Paul, additional, Davos, Constantinos H., additional, Edelmann, Frank, additional, Abreu, Ana, additional, Rauch, Bernhard, additional, Ambrosetti, Marco, additional, Braga, Simona Sarzi, additional, Beckers, Paul, additional, Bussotti, Maurizio, additional, Faggiano, Pompilio, additional, Garcia-Porrero, Esteban, additional, Kouidi, Evangelia, additional, Lamotte, Michel, additional, Reibis, Rona, additional, Spruit, Martijn A., additional, Takken, Tim, additional, Vigorito, Carlo, additional, Völler, Heinz, additional, Doherty, Patrick, additional, and Dendale, Paul, additional
- Published
- 2018
- Full Text
- View/download PDF
41. Hiking in Suicidal Patients: Neutral Effects on Markers of Suicidality
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Martin Plöderl, Josef Niebauer, Mira M. Baumgartlinger, E. Ledl-Kurkowski, Clemens Fartacek, Daniel Neunhäuserer, Karl Kralovec, Eva Steidle, David Niederseer, Josef Sturm, and Reinhold Fartacek
- Subjects
Adult ,Male ,medicine.medical_specialty ,Poison control ,Walking ,Suicidal Ideation ,Oxygen Consumption ,Endurance training ,Depression Endurance training Hiking Hopelessness Physical exercise training Suicide prevention ,Cross-Over Studies ,Cytokines ,Exercise ,Exercise Therapy ,Female ,Humans ,Middle Aged ,Physical Endurance ,Prospective Studies ,Medicine (all) ,medicine ,Prospective cohort study ,Suicidal ideation ,Sedentary lifestyle ,Watt ,business.industry ,General Medicine ,Crossover study ,Concomitant ,Physical therapy ,medicine.symptom ,business - Abstract
Background Regular physical activity promotes physical and mental health. Psychiatric patients are prone to a sedentary lifestyle, and accumulating evidence has identified physical activity as a supplemental treatment option. Methods This prospective, randomized, crossover study evaluated the effects of hiking in high-risk suicidal patients (n = 20) who performed 9 weeks of hiking (2-3 hikes/week, 2-2.5 hours each) and a 9-week control period. Results All patients participated in the required 2 hikes per week and thus showed a compliance of 100%. Regular hiking led to significant improvement in maximal exercise capacity (hiking period Δ: +18.82 ± 0.99 watt, P P = .134) and in aerobic capability at 70% of the individual heart rate reserve (hiking period Δ: +8.47 ± 2.22 watt; P = .010; control period: P = .183). Cytokines, associated previously with suicidality (tumor necrosis factor-α, interleukin-6, S100), remained essentially unchanged. Conclusions Hiking is an effective and safe form of exercise training even in high-risk suicidal patients. It leads to a significant improvement in maximal exercise capacity and aerobic capability without concomitant deterioration of markers of suicidality. Offering this popular mode of exercise to these patients might help them to adopt a physically more active lifestyle.
- Published
- 2013
42. A 1-year prospective analysis of injuries in amateur and elite fistball
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F. Runer, Daniel Neunhäuserer, Herbert Resch, Philipp Moroder, Susanne Ring-Dimitriou, and Armin Runer
- Subjects
medicine.medical_specialty ,business.industry ,Elbow ,Poison control ,Physical Therapy, Sports Therapy and Rehabilitation ,medicine.disease ,Occupational safety and health ,medicine.anatomical_structure ,Injury prevention ,Epidemiology ,Sprains and strains ,medicine ,Physical therapy ,Orthopedics and Sports Medicine ,Joint dislocation ,Ankle ,business ,human activities - Abstract
The purpose of this study was to examine the incidence and mechanisms of acute injuries in the sport of fistball. No scientific studies on injury characteristics have yet been conducted in this traditional sport game. The study was conducted prospectively over the course of 12 months. During a total of 40.308 h of sport-specific exposure, 240 players reported 492 injuries, representing an overall injury rate of 12.2 injuries/1000 h of exposure. Most injuries were classified as bagatelle injuries (67.8%). The majority of the injuries were located in the knee (23.5%) followed by the elbow (11.9%) and the hip (11.5%). Ankle injuries resulted in the longest impairment from sports participation. The most common types of injury were abrasions (38.2%), contusions (21.1%), distortions (7.5%) and muscle strains (6.9%). Wrong or insufficient equipment (15.0%) was the most commonly mentioned causes of injury. The data indicate that the injury risk in fistball is rather high; however, the sport should not be considered a high-risk sport because most of the injuries are slight and do not prevent the players from training or competition. Injury prevention strategies should include the development of fistball-specific protective equipment with focus on the knee and elbow joint.
- Published
- 2013
43. A 1-Year Prospective Analysis of Ice Climbing Injuries
- Author
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Daniel Neunhäuserer, Armin Runer, Herbert Resch, Kathrin Lampl, Florian Runer, Philipp Moroder, Nora Frick, and Gerd Seitlinger
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Poison control ,Physical Therapy, Sports Therapy and Rehabilitation ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Climbing injuries ,Injury prevention ,medicine ,Humans ,Orthopedics and Sports Medicine ,Ice Cover ,030212 general & internal medicine ,Prospective Studies ,Prospective cohort study ,business.industry ,Head injury ,030229 sport sciences ,Odds ratio ,Middle Aged ,medicine.disease ,Surgery ,Mountaineering ,Falling (accident) ,Climbing ,Athletic Injuries ,Physical therapy ,Female ,medicine.symptom ,business ,human activities - Abstract
OBJECTIVE: To describe rates, patterns, and causes of acute injuries in an increasingly popular outdoor sport. DESIGN: Prospective cohort study. SETTING: One winter season ranging from November 2011 to March 2011. PARTICIPANTS: Seventy ice climbers from 13 different countries and various performance levels. MAIN OUTCOME MEASURES: Participants were asked to complete a monthly Internet-based survey regarding their completed hours of training and competitions and eventual sustained injuries. RESULTS: During 4275 hours of ice climbing, 42 injuries occurred, of which 81.0% were defined as mild, 16.6% as moderate, and 2.4% as severe. The calculated injury rate was 9.8 injuries per 1000 hours of sports exposure. Intermediate ice climbers had a significantly higher injury risk compared with advanced ice climbers (odds ratio, 2.55; 95% confidence intervals, 1.17-5.54; P = 0.018). About 73.8% of all injuries occurred on a frozen waterfall, icicles, or icefalls, whereas 4.8% occurred on artificial ice walls. The head was the most injured body part (47.6%), followed by the knee (14.3%) and the shoulder (11.9%). The most common types of injuries were abrasions (38.1%), contusions (35.7%), and joint sprains (7.1%). Falling ice was the main circumstance leading to injury (59.5%). All athletes with a head injury wore a helmet; however, only 35.0% mentioned they used protective goggles. CONCLUSION: Ice climbing is a sport with moderate risk for injury with most of the reported injuries being of minor severity. However, severe and fatal injuries, although less common, also occur. Advanced ice climbers with greater experience and skill level have a lower overall injury risk. Language: en
- Published
- 2016
44. Verletzungsmuster im Freestyle Motocross (FMX): Eine retrospektive Studie
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P Siegert, Daniel Neunhäuserer, Armin Runer, Philipp Moroder, Herbert Resch, and Lukas Ernstbrunner
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Adult ,Male ,Engineering ,medicine.medical_specialty ,Soft Tissue Injuries ,injury prevention ,Contusions ,injury pattern ,Poison control ,Suicide prevention ,Occupational safety and health ,Risk Factors ,Injury prevention ,extreme sports ,medicine ,Prevalence ,freestyle Motocross ,Accidents, Traffic ,Athletic Injuries ,Austria ,Fractures, Bone ,Humans ,Motorcycles ,Multiple Trauma ,Retrospective Studies ,Orthopedics and Sports Medicine ,Traffic ,Bone ,biology ,Athletes ,business.industry ,Attendance ,Human factors and ergonomics ,biology.organism_classification ,Surgery ,Accidents ,Physical therapy ,Body region ,business ,human activities ,Fractures - Abstract
INTRODUCTION: Freestyle Motocross (FMX) is an emerging extreme sport in which motocross riders perform risky jumps and tricks, which are graded by judges for their degree of difficulty, originality, and style. To this date, injury, patterns and causes in Freestyle Motocross have not been determined. METHODS: Over the time period from January 2006 to December 2012, 19 professional FMX riders of an internationally active FMX team were retrospectively surveyed by means of a questionnaire and questionnaire-based interviews regarding injuries sustained during training, shows, or competition. The questionnaire collected information regarding injury type, circumstances, causes, and treatment. In addition, general information was obtained on body dimensions, experience, training, and equipment used. RESULTS: A total of 54 accidents resulting in 78 severe injuries were registered. The most common types of injuries were fractures (66.6 %), ligament ruptures (7.7 %), and contusions (6.4 %). Most frequently affected body regions were foot/ankle (20.5 %), shoulder (12.8 %), and back (10.3 %). The Backflip was the trick during which most of the injuries occurred (35.2 %). Incorrect execution of jumps (25.9 %) was the leading cause of accidents. CONCLUSION: Based on our data, FMX is a high-risk sport. To avoid injuries, ramps, motorcycles, and equipment should be in the best possible shape and the athletes themselves in good physical and mental condition. Attendance of medical staff during FMX activity is advised at all time. Language: de
- Published
- 2016
45. Physical exercise through mountain hiking in high-risk suicide patients. A randomized crossover trial
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Clemens Fartacek, Daniel Neunhäuserer, Wolfgang Hitzl, Martin Plöderl, Günter Schiepek, Josef Niebauer, David Niederseer, Josef Sturm, Karl Kralovec, and Reinhold Fartacek
- Subjects
medicine.medical_specialty ,Beck Depression Inventory ,Poison control ,Physical exercise ,Suicide prevention ,Crossover study ,humanities ,law.invention ,Psychiatry and Mental health ,Randomized controlled trial ,law ,Endurance training ,Beck Hopelessness Scale ,Physical therapy ,medicine ,Psychology ,Clinical psychology - Abstract
Objective: The following crossover pilot study attempts to prove the effects of endurance training through mountain hiking in high-risk suicide patients. Method: Participants (n = 20) having attempted suicide at least once and clinically diagnosed with hopelessness were randomly distributed among two groups. Group 1 (n = 10) began with a 9-week hiking phase followed by a 9-week control phase. Group 2 (n = 10) worked vice versa. Assessments included the Beck Hopelessness Scale (BHS), Beck Depression Inventory (BDI), Beck Scale of Suicide Ideation (BSI), and maximum physical endurance. Results: Ten participants of Group 1 and seven participants of Group 2 completed the study. A comparison between conditions showed that, in the hiking phase, there was a significant decrease in hopelessness (P Language: en
- Published
- 2012
46. The European Association of Preventive Cardiology Exercise Prescription in Everyday Practice and Rehabilitative Training (EXPERT) tool: A digital training and decision support system for optimized exercise prescription in cardiovascular disease. Concept, definitions and construction methodology
- Author
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Hansen, Dominique, primary, Dendale, Paul, additional, Coninx, Karin, additional, Vanhees, Luc, additional, Piepoli, Massimo F, additional, Niebauer, Josef, additional, Cornelissen, Veronique, additional, Pedretti, Roberto, additional, Geurts, Eva, additional, Ruiz, Gustavo R, additional, Corrà, Ugo, additional, Schmid, Jean-Paul, additional, Greco, Eugenio, additional, Davos, Constantinos H, additional, Edelmann, Frank, additional, Abreu, Ana, additional, Rauch, Bernhard, additional, Ambrosetti, Marco, additional, Braga, Simona S, additional, Barna, Olga, additional, Beckers, Paul, additional, Bussotti, Maurizio, additional, Fagard, Robert, additional, Faggiano, Pompilio, additional, Garcia-Porrero, Esteban, additional, Kouidi, Evangelia, additional, Lamotte, Michel, additional, Neunhäuserer, Daniel, additional, Reibis, Rona, additional, Spruit, Martijn A, additional, Stettler, Christoph, additional, Takken, Tim, additional, Tonoli, Cajsa, additional, Vigorito, Carlo, additional, Völler, Heinz, additional, and Doherty, Patrick, additional
- Published
- 2017
- Full Text
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47. Supplemental Oxygen During High-Intensity Exercise Training in Nonhypoxemic Chronic Obstructive Pulmonary Disease
- Author
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Neunhäuserer, Daniel, primary, Steidle-Kloc, Eva, additional, Weiss, Gertraud, additional, Kaiser, Bernhard, additional, Niederseer, David, additional, Hartl, Sylvia, additional, Tschentscher, Marcus, additional, Egger, Andreas, additional, Schönfelder, Martin, additional, Lamprecht, Bernd, additional, Studnicka, Michael, additional, and Niebauer, Josef, additional
- Published
- 2016
- Full Text
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48. Symptomatic chronic obstructive pulmonary disease in clinical trials and in a population-based study
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Sabine A. M. Richter, David Niederseer, Michael Studnicka, Sonia Buist, Josef Niebauer, Daniel Neunhäuserer, and Bernd Lamprecht
- Subjects
Male ,medicine.medical_specialty ,Chronic Obstructive ,Population ,Exercise training ,External validity ,Rehabilitation ,Aged ,Case-Control Studies ,Clinical Trials as Topic ,Comorbidity ,Evidence-Based Medicine ,Female ,Humans ,Middle Aged ,Pulmonary Disease, Chronic Obstructive ,Reproducibility of Results ,Sex Factors ,Tiotropium Bromide ,Data Accuracy ,Exercise Therapy ,Otorhinolaryngology2734 Pathology and Forensic Medicine ,Neurology (clinical) ,Pulmonary Disease ,FEV1/FVC ratio ,Internal medicine ,Medicine ,education ,COPD ,education.field_of_study ,business.industry ,Case-control study ,Tiotropium bromide ,medicine.disease ,Obstructive lung disease ,respiratory tract diseases ,Clinical trial ,Otorhinolaryngology ,Physical therapy ,business ,medicine.drug - Abstract
Evidence-based medicine promotes the current best evidence from clinical trials to guide decisions for individual patients. We assessed whether chronic obstructive pulmonary disease (COPD) patients included in exercise training studies and pharmacologic trials match those from a non-selected COPD target population sample. Exercise training studies were identified in a literature search. Towards a Revolution in COPD Health (TORCH) and Understanding Potential Long-Term Impacts on Function with Tiotropium (UPLIFT) were chosen to represent pharmacologic trials. Burden of Obstructive Lung Disease (BOLD) data were used to characterize target COPD population (BOLD target), defined as the presence of dyspnea (modified Medical Research Council ≥2) and non-reversible airway obstruction (post-bronchodilator FEV1/FVC ≤0.7 and FEV1% predicted ≤70 %). Overall 240 exercise training studies with 13,901, TORCH and UPLIFT with 12,105, and BOLD with 16,218 participants were evaluated. Males were overrepresented in exercise training studies (67.5 %) and pharmacologic trials (TORCH 75.8 %; UPLIFT 74.6 %), whereas in BOLD target 55.8 % were males (p
- Published
- 2015
49. A prospective study of downhill mountain biking injuries
- Author
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Nora Frick, Armin Runer, Philipp Moroder, Daniel Neunhäuserer, Johannes Becker, and Herbert Resch
- Subjects
medicine.medical_specialty ,Torsion Abnormality ,Physical Therapy ,Mountain biking ,Contusions ,Poison control ,Physical Therapy, Sports Therapy and Rehabilitation ,Sports Therapy and Rehabilitation ,Suicide prevention ,Occupational safety and health ,Fractures, Bone ,Young Adult ,Risk Factors ,Injury prevention ,Absenteeism ,medicine ,Humans ,Orthopedics and Sports Medicine ,Prospective Studies ,Geography, Medical ,Prospective cohort study ,Protective Devices ,Human factors and ergonomics ,Forearm Injuries ,General Medicine ,Equipment Design ,Bicycling ,Summer season ,Physical therapy ,Leg Injuries - Abstract
Background Downhill mountain biking (DMB) has become an increasingly popular extreme sport in the last few years with high velocities and bold manoeuvres. The goal of this study was to provide information on the pattern and causes of injuries in order to provide starting points for injury prevention measures. Methods We performed a monthly e-mail-based prospective survey of 249 riders over one summer season ranging from April until September 2011. Results A total of 494 injuries occurred during the 29 401 h of downhill exposure recorded, of these 65% were mild, 22% moderate and 13% severe, of which 41% led to a total restriction greater than 28 days. The calculated overall injury rate was 16.8 injuries per 1000 h of exposure. For experts it was 17.9 injuries per 1000 h of exposure, which is significantly higher than the 13.4 for professional riders (OR 1.34; 95% CI, 1.02 to 1.75; p=0.03). A significantly higher rate of injury was reported during competition (20 per 1000 h) than during practice (13 per 1000 h) (OR 1.53; 95% CI, 1.16 to 2.01; p=0.0022). The most commonly injured body site was the lower leg (27%) followed by the forearm (25%). Most frequent injury types were abrasions (64%) and contusions (56%). Main causes of injury reported by the riders were riding errors (72%) and bad trail conditions (31%). Conclusions According to our data DMB can be considered an extreme sport conveying a high risk of serious injury. Strategies of injury prevention should focus on improvements in riders’ technique, checking of local trail conditions and protective equipment design.
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- 2013
50. Human skeletal muscle: transition between fast and slow fibre types
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Josef Niebauer, Daniel Neunhäuserer, Magdalena Obermoser, Herbert Resch, Michaela Zebedin, Gerhard Moser, Mark Tauber, and Stefan Galler
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Gene isoform ,Adult ,Muscle mechanics ,Adolescent ,Physiology ,Clinical Biochemistry ,Kinetics ,Muscle Fibers, Skeletal ,Skeletal muscle ,Slow-Twitch ,Muscle Fibers ,Physiology (medical) ,Myosin ,medicine ,Humans ,Muscle fibre types ,Fast-Twitch ,Muscle fiber ,Aged ,Transition (genetics) ,Myosin Heavy Chains ,Human muscle fibres ,Myosin heavy chain ,Skeletal muscle fiber ,Stretch activation ,Middle Aged ,Muscle Contraction ,Muscle Fibers, Fast-Twitch ,Muscle Fibers, Slow-Twitch ,Continuous transition ,Chemistry ,Skeletal ,medicine.anatomical_structure ,Biochemistry ,Biophysics ,medicine.symptom ,Myofibril ,Muscle contraction - Abstract
Human skeletal muscles consist of different fibre types: slow fibres (slow twitch or type I) containing the myosin heavy chain isoform (MHC)-I and fast fibres (fast twitch or type II) containing MHC-IIa (type IIA) or MHC-IId (type IID). The following order of decreasing kinetics is known: type IID > type IIA >> type I. This order is especially based on the kinetics of stretch activation, which is the most discriminative property among fibre types. In this study we tested if hybrid fibres containing both MHC-IIa and MHC-I (type C fibres) provide a transition in kinetics between fast (type IIA) and slow fibres (type I). Our data of stretch activation kinetics suggest that type C fibres, with different ratios of MHC-IIa and MHC-I, do not provide a continuous transition. Instead, a specialized group of slow fibres, which we called “transition fibres”, seems to provide a transition. Apart of their kinetics of stretch activation, which is most close to that of type IIA, the transition fibres are characterized by large cross-sectional areas and low maximal tensions. The molecular cause for the mechanical properties of the transition fibres is unknown. It is possible that the transition fibres contain an unknown slow MHC isoform, which cannot be separated by biochemical methods. Alternatively, or in addition, isoforms of myofibrillar proteins, other than MHC, and posttranslational modifications of myofibrillar proteins could play a role regarding the characteristics of the transition fibres.
- Published
- 2011
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