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Rothacker KM, Armstrong S, Smith GJ, Benjanuvatra N, Lay B, Adolfsson P, Jones TW, Fournier PA, Davis EA. Acute hyperglycaemia does not have a consistent adverse effect on exercise performance in recreationally active young people with type 1 diabetes: a randomised crossover in-clinic study. Diabetologia 2021; 64:1737-1748. [PMID: 33944971 DOI: 10.1007/s00125-021-05465-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Accepted: 02/18/2021] [Indexed: 10/21/2022]
Abstract
AIMS/HYPOTHESIS In individuals with type 1 diabetes, chronic hyperglycaemia impairs aerobic fitness. However, the effect of acute marked hyperglycaemia on aerobic fitness is unclear, and the impact of insulin level has not been examined. In this study, we explored if acute hyperglycaemia with higher or low insulin levels affects [Formula: see text] and other exercise performance indicators in individuals with type 1 diabetes. METHODS Eligible participants were aged 14 to 30 years, with complication-free, type 1 diabetes and HbA1c ≤ 75 mmol/mol (≤9%). Participants exercised in a clinical laboratory under three clamp (constant insulin, variable glucose infusion) conditions: euglycaemia (5 mmol/l) with 20 mU [m2 BSA]-1 min-1 insulin (where BSA is body surface area) (Eu20); hyperglycaemia (17 mmol/l) with 20 mU [m2 BSA]-1 min-1 insulin (Hyper20); and hyperglycaemia (17 mmol/l) with 5 mU [m2 BSA]-1 min-1 insulin (Hyper5) on separate days. Participants and the single testing assessor were blinded to condition, with participants allocated to randomised testing condition sequences as they were consecutively recruited. Standardised testing (in order) conducted on each of the three study days included: triplicate 6 second sprint cycling, grip strength, single leg static balance, vertical jump and modified Star Excursion Balance Test, ten simple and choice reaction times and one cycle ergometer [Formula: see text] test. The difference between conditions in the aforementioned testing measures was analysed, with the primary outcome being the difference in [Formula: see text]. RESULTS Twelve recreationally active individuals with type 1 diabetes (8 male, mean ± SD 17.9 ± 3.9 years, HbA1c 61 ± 11 mmol/mol [7.7 ± 1.0%], 7 ± 3 h exercise/week) were analysed. Compared with Eu20, [Formula: see text] was lower in Hyper20 (difference 0.17 l/min [95% CI 0.31, 0.04; p = 0.02] 6.6% of mean Eu20 level), but Hyper5 was not different (p = 0.39). Compared with Eu20, sprint cycling peak power was not different in Hyper20 (p = 0.20), but was higher in Hyper5 (64 W [95% CI 13, 115; p = 0.02] 13.1%). Hyper20 reaction times were not different (simple: p = 0.12) but Hyper5 reaction times were slower (simple: 11 milliseconds [95% CI 1, 22; p = 0.04] 4.7%) than Eu20. No differences between Eu20 and either hyperglycaemic condition were observed for the other testing measures (p > 0.05). CONCLUSIONS/INTERPRETATION Acute marked hyperglycaemia in the higher but not low insulin state impaired [Formula: see text] but to a small extent. Acute hyperglycaemia had an insulin-dependent effect on sprint cycling absolute power output and reaction time but with differing directionality (positive for sprint cycling and negative for reaction time) and no effect on the other indicators of exercise performance examined. We find that acute hyperglycaemia is not consistently adverse and does not impair overall exercise performance to an extent clinically relevant for recreationally active individuals with type 1 diabetes. FUNDING This research was funded by Diabetes Research Western Australia and Australasian Paediatric Endocrine Group grants.
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Affiliation(s)
- Karen M Rothacker
- Department of Endocrinology and Diabetes, Perth Children's Hospital, Nedlands, Western Australia, Australia.
- The Centre for Child Health Research, Telethon Kids Institute, The University of Western Australia, Subiaco, Western Australia, Australia.
| | - Sam Armstrong
- Department of Endocrinology and Diabetes, Perth Children's Hospital, Nedlands, Western Australia, Australia
- The Centre for Child Health Research, Telethon Kids Institute, The University of Western Australia, Subiaco, Western Australia, Australia
| | - Grant J Smith
- The Centre for Child Health Research, Telethon Kids Institute, The University of Western Australia, Subiaco, Western Australia, Australia
| | - Nat Benjanuvatra
- School of Human Sciences, Division of Sport Science, Exercise and Health, The University of Western Australia, Crawley, Western Australia, Australia
| | - Brendan Lay
- School of Human Sciences, Division of Sport Science, Exercise and Health, The University of Western Australia, Crawley, Western Australia, Australia
| | - Peter Adolfsson
- Department of Pediatrics, The Hospital of Halland, Kungsbacka, Sweden
- Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Timothy W Jones
- Department of Endocrinology and Diabetes, Perth Children's Hospital, Nedlands, Western Australia, Australia
- The Centre for Child Health Research, Telethon Kids Institute, The University of Western Australia, Subiaco, Western Australia, Australia
- School of Paediatrics and Child Health, The University of Western Australia, Crawley, Western Australia, Australia
| | - Paul A Fournier
- School of Human Sciences, Division of Sport Science, Exercise and Health, The University of Western Australia, Crawley, Western Australia, Australia
| | - Elizabeth A Davis
- Department of Endocrinology and Diabetes, Perth Children's Hospital, Nedlands, Western Australia, Australia
- The Centre for Child Health Research, Telethon Kids Institute, The University of Western Australia, Subiaco, Western Australia, Australia
- School of Paediatrics and Child Health, The University of Western Australia, Crawley, Western Australia, Australia
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Dobashi S, Matsuura F, Ando D. Listening to Fast-Tempo Music During a Post-Exercise Passive Rest Period Improved Subsequent Sprint Cycling. Percept Mot Skills 2021; 128:1747-1764. [PMID: 34078198 DOI: 10.1177/00315125211022701] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Listening to music during active recovery between exercise bouts has been found to help maintain high levels of exercise performance; however, the effect of listening to music alone with no exercise while resting passively has not been elucidated. We examined whether listening to music during static (passive) recovery affects subsequent repeated sprint performances and/or psychological and physiological responses in healthy young males. Twelve healthy young male athletes completed two consecutive sets of 7 × 7 second maximal cycling sprints with a 30-second rest interval between the sprints. During a 15-minute interval between the sets, the participants rested passively while listening to fast-tempo (Fast, 130 bpm), slow-tempo (Slow, 70 bpm) music, or no music (Con). We assessed affective valence and arousal using the Affect Grid. The valence and arousal scores immediately after listening to fast-tempo music were significantly higher than those in the no music condition. Mean and peak power outputs during the second set after listening to fast-tempo music were significantly higher compared to those after the Slow and Con conditions (both adjusted p < .05). Moreover, the changes in exercise performances between the first and second set were significantly associated with changes in the arousal score induced by the music conditions, but not with changes in the valence score. These results suggested that listening to fast-tempo songs during passive recovery between the exercises improved subsequent repeated sprint cycling performance in physically active males. This type of rapid exercise recovery might be useful for competitive athletes, such as judo, track and fields, and swimming races.
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Affiliation(s)
- Shohei Dobashi
- Institute of Health and Sports Science & Medicine, Juntendo University, Inzai, Japan.,Management Office of Education for Graduate Student, University of Yamanashi, Kofu, Japan
| | | | - Daisuke Ando
- Graduate School of Department of Interdisciplinary Research, University of Yamanashi, Kofu, Japan
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di Fronso S, Aquino A, Bondár RZ, Montesano C, Robazza C, Bertollo M. The influence of core affect on cyclo-ergometer endurance performance: Effects on performance outcomes and perceived exertion. JOURNAL OF SPORT AND HEALTH SCIENCE 2020; 9:578-586. [PMID: 33308807 PMCID: PMC7749253 DOI: 10.1016/j.jshs.2019.12.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Revised: 11/07/2019] [Accepted: 12/09/2019] [Indexed: 06/12/2023]
Abstract
BACKGROUND Core affect is defined as the most general affective construct consciously accessible that is experienced constantly. It can be experienced as free-floating (mood) or related to prototypical emotional episodes. The aim of this study was to examine the influence of pleasant and unpleasant core affect on cyclo-ergometer endurance performance. Specifically, we considered the influence of pleasant and unpleasant core affect on performance outcomes (i.e., time to task completion) and rate of perceived exertion (RPE; Borg Scale, category ratio-10) collected during the task. METHODS Thirty-one participants aged 20-28 years were recruited. Core affect was randomly elicited by 2 sets of pleasant and unpleasant pictures chosen from the international affective picture system. Pictures were displayed to participants during a cyclo-ergometer performance in 2 days in a counterbalanced order. RPE was collected every minute to detect volunteers' exhaustion. RESULTS The study sample was split into 2 groups. Group 1 comprised participants who performed better with pleasant core affect, whereas Group 2 included participants who performed better with unpleasant core affect. Mixed between-within subjects analysis of variance revealed a significant 2 (group) × 2 (condition) × 5 (isotime) interaction (p = 0.002, ηp2 = 0.158). Post hoc comparisons showed that participants who obtained better performance with pleasant core affect (pleasant pictures; Group 1) reported lower RPE values at 75% of time to exhaustion in a pleasant core affect condition compared to an unpleasant core affect condition. On the other hand, participants who obtained better performance with unpleasant core affect (unpleasant pictures; Group 2) reported lower RPE values at 75% and 100% of time to exhaustion in an unpleasant core affect condition. CONCLUSION Findings suggest differential effects of pleasant and unpleasant core affect on performance. Moreover, core affect was found to influence perceived exertion and performance according to participants' preferences for pleasant or unpleasant core affect.
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Affiliation(s)
- Selenia di Fronso
- Department of Medicine and Aging Sciences, Behavioral Imaging and Neural Dynamics (BIND) Center, University "G. d' Annunzio" of Chieti-Pescara, Chieti 66100, Italy.
| | - Antonio Aquino
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d' Annunzio" of Chieti-Pescara, Chieti 66100, Italy
| | - Réka Zsanett Bondár
- Department of Medicine and Aging Sciences, Behavioral Imaging and Neural Dynamics (BIND) Center, University "G. d' Annunzio" of Chieti-Pescara, Chieti 66100, Italy
| | - Cristina Montesano
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d' Annunzio" of Chieti-Pescara, Chieti 66100, Italy
| | - Claudio Robazza
- Department of Medicine and Aging Sciences, Behavioral Imaging and Neural Dynamics (BIND) Center, University "G. d' Annunzio" of Chieti-Pescara, Chieti 66100, Italy
| | - Maurizio Bertollo
- Department of Medicine and Aging Sciences, Behavioral Imaging and Neural Dynamics (BIND) Center, University "G. d' Annunzio" of Chieti-Pescara, Chieti 66100, Italy
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Astokorki A, Flood A, Mauger A. Images depicting human pain increase exercise-induced pain and impair endurance cycling performance. J Sports Sci 2020; 39:138-146. [PMID: 32809900 DOI: 10.1080/02640414.2020.1809162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The current study investigated whether viewing images of others in pain influences exercise-induced pain (EIP) and cycling performance. Twenty-one recreational cyclists attended five laboratory visits. The first two visits involved measuring participants' maximal aerobic capacity and familiarized participants to the fixed power (FP) and 16.1 km cycling time trial (TT) tasks. The FP task required participants to cycle at 70% of their maximal aerobic power for 10-minutes. In the subsequent three visits, participants performed the FP and TT tasks after viewing pleasant, painful or neutral images. Participants rated the subset of painful images as more painful than the pleasant and neutral images; with no difference in the pain ratings of the pleasant and neutral images. In the FP task, EIP ratings were higher following painful compared to pleasant images, while no differences in EIP were observed between any other condition . In the TT, performance did not differ between the pleasant and neutral conditions. However, TT performance was reduced after viewing painful images compared to neutral or pleasant images. HR, B[La], perceived exertion and EIP did not differ between the three conditions. These results suggest that viewing painful images decreases TT performance and increases pain during fixed intensity cycling. Abbreviations: EIP: Exercise Induced Pain; FP: Fixed Power; TT: Time Trial; HR:Heart Rate; B[La]: Blood Lactate; RPE: Rating of Perceived Exertion; IAPS: International Affective Picture System; PO: Power Output.
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Affiliation(s)
- Ali Astokorki
- College of Education-Shaqlawa, Salahaddin University-Erbil , Shaqlawa, Iraq.,Department of Physiotherapy, Faculty of Health Technology, Cihan University-Erbil , Erbil, Iraq.,College of Science, Pathological Analysis, Knowledge University , Erbil, Iraq
| | - Andrew Flood
- Research Institute for Sport & Exercise, University of Canberra , Canberra, Australia.,Centre for Applied Psychology, University of Canberra , Australian Capital Territory, Canberra, Australia
| | - Alexis Mauger
- Endurance Research Group, School of Sport and Exercise Sciences, Faculty of Science, University of Kent , Chatham, UK
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