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3+ 4/2002 - Společnost pro pojivové tkáně

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THE EFFECT OF POST-EXERCISE<br />

NUTRITION ON SKELETAL MUSCLE<br />

TRAINING ADAPTATIONS IN THE<br />

ELDERLY<br />

B. Esmarck, L. Diederichsen, M. J. Rennie1 ,M.Kjaer<br />

Sports Medicine Research Unit, Copenhagen University<br />

Hospital at Bispebjerg, DK-2400 Copenhagen NV, Denmark<br />

1Division of Molecular Physiology, School of Life<br />

Sciences, University of Dundee, Dundee DDl 4HN,<br />

Scotland<br />

Resistance exercise is known to be able<br />

to counteract the age-related muscle atrophy<br />

by increasing the net <strong>pro</strong>tein synthesis<br />

of the exercised skeletal muscles in the<br />

elderly. Further, muscle <strong>pro</strong>tein metabolism<br />

is also affected by nutritional intake during<br />

rest.Thus, if <strong>pro</strong>tein is ingested in the postabsorptive<br />

state it will create a positive <strong>pro</strong>tein<br />

balance whereas a carbohydrate-intake<br />

only reduces the negative <strong>pro</strong>tein balance.<br />

Further, an additive response in net <strong>pro</strong>tein<br />

synthesis has been observed in young subjects<br />

with administration of <strong>pro</strong>tein after<br />

a bout of resistance exercise. Yet, controversy<br />

exists whether a daily nutritional supplementation<br />

has an additional effect on<br />

hypertrophy of the trained muscles in the<br />

elderly when evaluated over 10-12 weeks<br />

of resistance exercise. However,this may be<br />

explained by the timing of the nutritional<br />

intake. Accordingly, it was found in a group<br />

of the elderly that an immediate post-exercise<br />

intake of a <strong>pro</strong>tein supplementation<br />

resulted in muscle hypertrophy evaluated<br />

over a 12-week training period, whereas<br />

a matched group receiving the same supplementation<br />

but two hours post-exercise<br />

had no change in. muscle mass. Evidently,<br />

amino acid availability plays an essential<br />

role in the regulation of the muscle <strong>pro</strong>tein<br />

metabolism following resistance exercise<br />

100<br />

and apparently is the anabolic state affected<br />

by ingestion of small amounts of <strong>pro</strong>tein. In<br />

order to <strong>pro</strong>vide valuable recommendations<br />

of post-exercise <strong>pro</strong>tein intake in the<br />

elderly knowledge on the first-pass splanchnic<br />

extraction of amino acids and the<br />

potential decrease in amino acid sensitivity<br />

of muscle with aging must be taken into<br />

account as well as the information of the<br />

fate of circulating amino acids.<br />

PC – SIMULATION OF SCOLIOSIS<br />

TREATMENT BY BRACING<br />

LOCOMOTOR SYSTEM vol. 9, <strong>2002</strong>, No. <strong>3+</strong>4<br />

J. Čulík, I. Mařík, P. Černý, P. Zubina<br />

Czech Technical University of Prague, Faculty of Civil<br />

Engineering, Dept. of Structural Mechanics,<br />

Thákurova 7, 166 29 Prague, Czech Republic<br />

Aim of the study: In childhood scoliosis<br />

of the spine is usually treated by brace<br />

(when the degree of scoliosis according to<br />

Cobb is above 20). The shape of brace; and<br />

the time of its use is determined according<br />

to orthopaedist and/or orthopaedic <strong>pro</strong>sthetics<br />

experiences. The laminate brace<br />

made according to plaster form pushes to<br />

child trunk as a small shoe with aim to correct<br />

the scoliosis curves. There is no science<br />

theory how a brace influences the<br />

stress state of spine and curve remodelling<br />

in time. The aim is to show the computer<br />

algorithms for determine a stress states at<br />

vertebras, intervertebral discs and ligaments<br />

under brace force effects. The stress<br />

state has effect on correction of pathologic<br />

spine curves. The spine curve corrections<br />

have two components. The first is elastic<br />

effect and it disappears after the orthosis is<br />

put off. If the orthosis has been putting on<br />

trunk for a long time than the second part<br />

of correction can be observed – it is permanent<br />

effect.

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