There are currently no guidelines regarding the carbohydrate (CHO) dosage required to prevent exercise-induced hypoglycemia in children with insulin-dependent diabetes mellitus (IDDM). To prevent hypoglycemia by matching glucose ingestion with total-CHO utilization, 20 adolescents with IDDM attended 2 trials: control (CT; drinking water) and glucose (GT; drinking 6-8% glucose). Participants performed 60 min of moderate-intensity cycling 100 min after insulin injection and breakfast. CT's total-CHO utilization during exercise was determined using indirect calorimetry. In GT, participants ingested glucose in the amount equal to total CHO utilization in the CT. A total of 9 participants had BG <4.0 mmol/L in CT compared to 3 in GT (p < .05). In conclusion, glucose ingestion equal to total-CHO utilization attenuates the drop in blood glucose and reduces the likelihood of hypoglycemia during exercise in adolescents with IDDM.
Michael C. Riddell, Oded Bar-Or, Beatriz V. Ayub, Randolph E. Calvert and George J.F. Heigenhauser
Scott A. Conger and David R. Bassett Jr.
The purpose of this study was to develop a compendium of wheelchair-related physical activities. To accomplish this, we conducted a systematic review of the published energy costs of activities performed by individuals who use wheelchairs. A total of 266 studies were identified by a literature search using relevant keywords. Inclusion criteria were studies utilizing individuals who routinely use a manual wheelchair, indirect calorimetry as the criterion measurement, energy expenditure expressed as METs or VO2, and physical activities typical of wheelchair users. Eleven studies met the inclusion criteria. A total of 63 different wheelchair activities were identified with energy expenditure values ranging from 0.8 to 12.5 kcal·kg-1·hr-1. The energy requirements for some activities differed between individuals who use wheelchairs and those who do not. The compendium of wheelchair-related activities can be used to enhance scoring of physical activity surveys and to promote the benefits of activity in this population.
Lesley J. White, Rudolph H. Dressendorfer, Eric Holland, Sean C. McCoy and Michael A. Ferguson
We examined the acute effect of cold-water temperature on post-exercise energy intake (EI) for 1 h. In a randomized, crossover design, 11 men (25.6 ± 5 y) exercised for 45 min on a submersed cycle ergometer at 60 ± 2% VO2max in 33°C (neutral) and 20° (cold) water temperatures, and also rested for 45 min (control). Energy expenditure (EE) was determined using indirect calorimetry before, during, and after each condition. Following exercise or rest, subjects had free access to a standard assortment of food items of known caloric value. EE was similar for the cold and neutral water conditions, averaging 505 ± 22 (± standard deviation) and 517 ± 42 kcal, respectively (P = NS). EI after the cold condition averaged 877 ± 457 kcal, 44% and 41% higher (P < 0.05) than for the neutral and resting conditions, respectively. Cold-water temperature thus stimulated post-exercise EI. Water temperature warrants consideration in aquatic programs designed for weight loss.
Jennifer Gornall and Rudolph G. Villani
The primary aim was to investigate whether the reduction in resting metabolic rate (RMR) and fat free mass (FFM) associated with a short-term very low kilojoule diet (VLKD) is altered by concurrent resistance exercise. Twenty overweight, premenopausal women were pair matched on body surface area and randomly assigned to either diet only (3,400 kJ/day) or diet combined with resistance training. Before and after 4 weeks of treatment, RMR was assessed by indirect calorimetry; total body mass (TBM), FFM, and fat mass (FM) by dual energy x-ray absorptiometry; total body water (TBW) by bioelectrical impedance; and strength by a weight-lifting test. Both groups had significantly lower TBM, FFM, FM, TBW, absolute RMR, and RMR, with FFM as the covariate, in the posttests than the pretests with no significant differences between groups. It was concluded that 4 weeks of resistance training did not prevent or reduce the decline in FFM and RMR observed with a VLKD.
Gianluca Vernillo, Aldo Savoldelli, Barbara Pellegrini and Federico Schena
The current study aimed to show the validity of a portable motion sensor, the SenseWear Armband (SWA), for the estimation of energy expenditure during pole walking. Twenty healthy adults (mean ± SD: age 30.1 ± 7.2 year, body mass 66.1 ± 10.6 kg, height 172.4 ± 8.0 cm, BMI 22.1 ± 2.4 kg·m−2) wore the armband during randomized pole walking activities at a constant speed (1.25 m·s−1) and at seven grades (0%, ±5%, ±15% and ±25%). Estimates of total energy expenditure from the armband were compared with values derived from indirect calorimetry methodology (IC) using a 2–way mixed model ANOVA (Device × Slope), correlation analyses and Bland-Altman plots. Results revealed significant main effects for device, and slope (p < .025) as well as a significant interaction (p < .001). Significant differences between IC and SWA were observed for all conditions (p < .05). SWA generally underestimate the EE values during uphill PW by 0.04 kcal·kg−1·min−1 (p < .05). Whereas, a significant overestimation has been detected during flat and downhill PW by 0.01 and 0.03 kcal·kg−1·min−1 (p < .05), respectively. The Bland-Altman plots revealed bias of the armband compared with the indirect calorimetry at any condition examined. The present data suggest that the armband is not accurate to correctly detect and estimate the energy expenditure during pole walking activities. Therefore, the observed over- and under-estimations warrants more work to improve the ability of SWA to accurately measure EE for these activities.
Dac Minh Tuan Nguyen, Virgile Lecoultre, Yoshiyuki Sunami and Yves Schutz
Physical activity (PA) and related energy expenditure (EE) is often assessed by means of a single technique. Because of inherent limitations, single techniques may not allow for an accurate assessment both PA and related EE. The aim of this study was to develop a model to accurately assess common PA types and durations and thus EE in free-living conditions, combining data from global positioning system (GPS) and 2 accelerometers.
Forty-one volunteers participated in the study. First, a model was developed and adjusted to measured EE with a first group of subjects (Protocol I, n = 12) who performed 6 structured and supervised PA. Then, the model was validated over 2 experimental phases with 2 groups (n = 12 and n = 17) performing scheduled (Protocol I) and spontaneous common activities in real-life condition (Protocol II). Predicted EE was compared with actual EE as measured by portable indirect calorimetry.
In protocol I, performed PA types could be recognized with little error. The duration of each PA type could be predicted with an accuracy below 1 minute. Measured and predicted EE were strongly associated (r = .97, P < .001).
Combining GPS and 2 accelerometers allows for an accurate assessment of PA and EE in free-living situations.
Benjamin J. Darter, Kathleen F. Janz, Michael L. Puthoff, Barbara Broffitt and David H. Nielsen
A new triaxial accelerometer (AMP 331) provides a novel approach to understanding free-living activity through its ability to measure real time speed, cadence, and step length. This study examined the reliability and accuracy of the AMP 331, along with construction of prediction equations for oxygen consumption and energy cost.
Young adult volunteers (n = 41) wearing two AMP units walked and ran on a treadmill with energy cost data simultaneously collected through indirect calorimetry.
Statistically significant differences exist in inter-AMP unit reliability for speed and step length and in accuracy between the AMP units and criterion measures for speed, oxygen consumption, and energy cost. However, the differences in accuracy for speed were very small during walking (≤ 0.16 km/h) and not clinically relevant. Prediction equations constructed for walking oxygen uptake and energy expenditure demonstrated R 2 between 0.76 to 0.90 and between subject deviations were 1.53 mL O2 · kg-1 · min−1 and 0.43 kcal/min.
In young adults, the AMP 331 is acceptable for monitoring walking speeds and the output can be used in predicting energy cost during walking but not running.
W. Daniel Schmidt, Gerald C. Hyner, Roseann M. Lyle, Donald Corrigan, Gerald Bottoms and Christopher L. Melby
This study examined resting metabolic rate (RMR) and thermic effect of a meal (TEM) among athletes who had participated in long-term anaerobic or aerobic exercise. Nine collegiate wrestlers were matched for age, weight, and fat-free weight with 9 collegiate swimmers. Preliminary testing included maximal oxygen consumption, maximal anaerobic capacity (MAnC) for both the arms and the legs, and percent body fat. On two separate occasions, RMR and TEM were measured using indirect calorimetry.
Jennie A. Gilbert and James E. Misner
This study examined the metabolic response to a 763-kcal mixed meal at rest and during 30 min of exercise at 50% maximal oxygen consumption (
Deirdre M. Harrington, Kieran P. Dowd, Catrine Tudor-Locke and Alan E. Donnelly
The number of steps/minute (i.e., cadence) that equates to moderate intensity in adolescents is not known. To that end, 31 adolescent females walked on a treadmill at 5 different speeds while wearing an ActivPAL accelerometer and oxygen uptake was recorded by indirect calorimetry. The relationship between metabolic equivalents (METs) and cadence was explored using 3 different analytical approaches. Cadence was a significant predictor of METs (r=.70; p<.001). Moderate intensity (3 METs) corresponded to 94 or 114 steps/minute based on the mixed model and ROC analysis, respectively. These two values, and a practical value of 100 steps/minute, were cross-validated on an independent sample of 33 adolescent females during over-ground walking at 3 speeds. The sensitivity and specificity of each value correctly identifying 3 METs were 98.5% and 87.2% for 94 steps/minute, 72.9% and 98.8 for 114 steps/minute and 96.5% and 95.7% for 100 steps/minute. Compromising on a single cadence of 100 steps/minute would be a practical value that approximates moderate intensity in adolescent females and can be used for physical activity interpretation and promotion.