Abnormalities of the Electrocardiogram in Female Carriers of Duchenne Muscular Dystrophy

The algebraic sum of the R and S waves (R-S) in the V₁ lead of the electrocardiogram has been found to be significantly greater in female carriers of X-linked Duchenne muscular dystrophy (but not in women with limb-girdle muscular dystrophy) compared with normal women of comparable age. A similar E.C.G. abnormality is found in affected boys, and possibly certain carriers have a latent cardiomyopathy and may even be predisposed to cardiac failure.     

The contribution of maximal force production to explosive movement among young collegiate athletes

Critical to multidimensional sport conditioning is a systematic knowledge of the interactions between fitness components, as well as the transference relationships to performance. The purpose of this investigation was to examine the relationships between lower body muscular strength and several fundamental explosive performance measures. Fifty-four men and women collegiate athletes were tested to determine (a) lower-body muscular strength (1 repetition maximum barbell back squat), (b) countermovement vertical jump height and peak power output, (c) standing broad jump distance, (d) agility (cone T-test time), (e) sprint acceleration (m.s(-2)), and (f) sprint velocity (m.s(-1)). Analyses were performed using Pearson r correlations to examine these relationships. Partial correlations tested for relationships between performance measures while controlling for muscular strength. T-tests were performed to assess the difference between men and women. Correlation data demonstrated that significant (p < 0.01) strong linear relationships were indicated between muscular strength and power, as well as every sport-performance field tests. However, when controlling for strength with partial correlation, each of these relationships appreciably diminished. Significant differences (p < 0.05) were found between men and women for each of the performance tests. Muscular strength, peak power output, vertical jumping ability, standing broad jump, agility, sprint acceleration, and sprint velocity were all shown to be very highly related. Further examination demonstrated that body mass-adjusted muscular strength is more highly related to performance measures than is absolute muscular strength. Current correlation data provide a quantified look at the interaction between muscular fitness components, as well as the transfer relationship to several athletic-specific performance measures.     

Arterial intima-media thickness: site-specific associations with HRT and habitual exercise

We determined the site-specific relations of hormone replacement therapy (HRT) and habitual exercise status with intima-media thickness (IMT) in both elastic (carotid) and muscular (femoral) arteries in 77 healthy postmenopausal women: 43 women were sedentary (20 no-HRT and 23 HRT users) and 34 women were endurance trained (14 no-HRT and 20 HRT users). Femoral IMT was not different among the sedentary HRT and endurance-trained no-HRT and HRT groups, but was lower (P < 0.005) in these three groups than in the sedentary no-HRT women. There were no significant group differences in carotid IMT. However, in older women (> or =65 yrs) carotid IMT was smaller (P < 0.05) in HRT compared with no-HRT women. We conclude that both endurance training and HRT status are independently associated with a smaller IMT and these effects are evident primarily in muscular arteries. These results suggest that HRT and habitual exercise may protect postmenopausal women against cardiovascular disease through influences on IMT. The site-specific relations may be due to a greater number of smooth muscle cells and plasticity of muscular arteries compared with elastic arteries and/or differences in heterogeneous influences such as metabolic requirements and hydrostatic pressures.     

The effects of Bodymax high-repetition resistance training on measures of body composition and muscular strength in active adult women

The purpose of this study was to investigate the effects of a light, high-repetition resistance-training program on skinfold thicknesses and muscular strength in women. Thirty-nine active women (mean age 38.64 +/- 4.97 years) were randomly placed into a resistance-training group (RT; n = 20) or a control group (CG; n = 19). The RT group performed a resistance-training program called Bodymax for 1 hour, 3 d.wk(-1), which incorporated the use of variable free weights and high repetitions in a group setting. The CG group continued its customary aerobic training for 1 hour 3 d.wk(-1). Five skinfold and 7 muscular strength measures were determined pretraining and after 12 weeks of training. Sum of skinfolds decreased (-17 mm; p < 0.004) and muscular strength increased (+57.4 kg; p < 0.004) in the RT group. Effect sizes for individual skinfold sites and strength measures were "medium" and "high," respectively. Bodymax is an effective resistance-training program for reducing skinfold thickness and increasing muscular strength in active women. Therefore, women with a similar or lower-activity status should consider incorporating such training into their regular fitness programs.     

Effect of step aerobics training on anaerobic performance of men and women

The purpose of this study was to investigate the effects of 10 weeks of step aerobics training on anaerobic performance of men and women. College-age volunteers (64 women and 54 men) were divided into step aerobics (33 women, 27 men) and control (31 women, 27 men) groups. Before and after the 10-week period, the subjects' body composition, muscular strength, Wingate anaerobic performance, and vertical jump anaerobic performance were determined. The step aerobics group participated in step aerobics sessions of 50 minutes per day, 3 days per week for 10 weeks, at 60-80% of their heart rate reserve. Results of 2 x 2 analysis of covariance with repeated measures indicated significant sex differences in percentage body fat, lean body mass, muscular strength, and in all of the measured indices of the Wingate Anaerobic Test. The step aerobics group showed significant improvement only in mean power relative to body weight compared with the control group and women showed significant improvement only in anaerobic power of vertical jump when compared with men. It can be concluded that 10 weeks of step aerobics was not effective in improving all of the measured anaerobic indices in men and women.     

Normative data for strength and flexibility of women throughout life

Previously established normative data for muscular strength, endurance and the flexibility of women have recently been criticized as being unreliable. Furthermore, no normative data for the muscular fitness of women over 70 years of age are established. The purpose of this study was to derive normative data for muscular fitness in women 20–70+ years old, and to compare these data to the most recently published norms of the American College of Sports Medicine (ACSM). A total of 304 independent-living women were evaluated for maximal performance of bench press, leg press, modified push-ups, grip strength, and sit-and-reach. Tables of normative values for each measurement were generated along with percentile rankings. Large discrepancies were found between these new data and those of the ACSM norms. Bench press norms from ACSM are comparatively high so that the average woman in this current sample scored below the 10th percentile of the ACSM rankings. Similarly, the average woman in our sample ranked in either the poor or fair category of the ACSM norms for modified push-ups, and in the poor ACSM category for sit-and-reach. In contrast, leg press scores for the average woman in this study fell within the good or excellent category of the ACSM norms, suggesting that the ACSM norms are too low. Grip strength for the middle-aged women in this study was higher than that in previous norms. These newly established norms are better suited for interpreting women's fitness test results than previously published norms. Accepted: 12 December 1997     

2D:4D ratios predict hand grip strength (but not hand grip endurance) in men (but not in women)

In humans, the ratio of the second digit to the fourth digit — the 2D:4D ratio — is a sexually dimorphic trait (men, on average, exhibit lower 2D:4D ratios than do women) that is influenced by prenatal testosterone exposure, but not by circulating testosterone levels in adulthood. Consequently, 2D:4D ratios are commonly used as indirect measures of prenatal testosterone exposure. Many studies have examined the associations of 2D:4D ratios with sexually dimorphic adaptations that are thought to be influenced by such exposure, including physical prowess. The existing literature, however, remains unclear as to (1) whether 2D:4D ratios are more closely linked to strength or to endurance; and (2) whether 2D:4D ratios are linked with physical prowess for both men and women. In 100 men and 122 women, the relationship of 2D:4D ratios with maximum voluntary contraction (MVC) scores (hand grip strength) and maximum endurance time (MET) scores (local muscular endurance) using a hand dynamometer was examined. Controlling for age, height, weight, and average digit length, we found that 2D:4D ratios significantly predicted MVC scores in men, but not in women. 2D:4D ratios did not significantly predict MET scores for either sex. These results suggest that prenatal testosterone exposure in this sample is significantly related to hand grip strength in men, but not in women (and to local muscular endurance in neither sex), and, therefore, that strength, rather than local muscular endurance, potentially drives the relationship between 2D:4D ratios and physical prowess.     

Genetic linkage relationships of seven DNA probes with Duchenne and Becker muscular dystrophy

Summary The inheritance of seven restriction fragment length polymorphisms detected by DNA probes has been studied in families with Duchenne and Becker muscular dystrophies (DMD and BMD). The probes used have all been mapped to the short arm of the X-chromosome, four being distal and three proximal to the disease loci located within the Xp21 region. Linkage analysis of the DNA polymorphisms in relation to the two disorders showed similar genetic distances. Data obtained from DMD and BMD families have been combined to give more precise values for the different recombination fractions. Combined use of these polymorphic DNA markers will be of practical value in the genetic counselling of women at risk for Duchenne and Becker muscular dystrophy.     

Histomorphometric study of the lower urogenital tract in pre- and post-menopausal women

In this study 22 histomorphometric parameters were used to quantify the histologic changes in the vagina, trigone of the bladder, and the proximal and distal urethra of 37 women aged between 18 and 82 years. The results of this quantitative study revealed a hormonally induced, age-independent atrophy of smooth muscle in the lamina propria of the mucosa and the longitudinal part of the muscular layer in the aforementioned anatomical sites in post-menopausal women. In the lamina propria of the mucosa of the lower urogenital tract in post-menopausal women hormonally induced quantitative changes of blood vessels were not observed. Senile atrophy of smooth muscles was only observed in the deeper part of the muscular layer of the vagina and the trigone of the urinary bladder and was less prominent than the hormonally induced smooth muscle atrophy.     

A comparison of strength and muscle endurance in strength-trained and untrained women

Muscular strength and fatigability of strength-trained (ST) and untrained (UT) women were compared during a 6-min bout of maximal rhythmic exercise involving the elbow flexor muscles given at a rate of 30 contractions.min-1. Fifteen ST and 15 UT subjects, aged 18-34 years and pair-matched for body size, were tested for differences in initial strength, final strength, absolute endurance, relative endurance, and rate of fatigue. Results revealed a significant difference in initial strength, final strength, and absolute endurance in favor of ST subjects. No significant difference was found for relative endurance, and rates of fatigue were similar for both groups. It is concluded that muscular strength and endurance are enhanced in women engaged in a training program designed primarily to increase muscular strength and hypertrophy, but fatigability is not affected.     

Physiological and anthropometric characteristics of elite women rugby league players

This study investigated the physiological and anthropometric characteristics of elite women rugby league players and developed physical performance standards for these athletes. Thirty-two elite women rugby league players underwent measurements of standard anthropometry (body mass, height, sum of 7 skinfolds), muscular power (vertical jump), speed (10-, 20-, and 40-m sprint), agility (505 test), glycolytic capacity (glycolytic agility test), and estimated maximal aerobic power (multistage fitness test). The skinfold thickness, speed, agility, vertical jump height, glycolytic capacity, and estimated maximal aerobic power results were 6.0-38.1% poorer than previously reported for elite women team sport athletes (e.g., rugby union, soccer, and hockey). Although no significant differences (p > 0.05) were detected between selected and nonselected players for any of the physiological or anthropometric characteristics, significant differences (p < 0.05) were detected between forwards and backs for body mass, skinfold thickness, 10-, 20-, and 40-m speed, and estimated maximal aerobic power. When data were analyzed according to positional similarities, it was found that the hit-up forwards positional group were heavier, had greater skinfold thickness, and had lower 10-, 20-, and 40-m speed, muscular power, glycolytic capacity, and estimated maximal aerobic power than the adjustables and outside backs positional groups. The results of this study show that elite women rugby league players have slower speed and agility, lower muscular power, glycolytic capacity, and estimated maximal aerobic power, and greater body mass and skinfold thickness than previously reported for other elite women team sport athletes. These findings show the need to develop all physiological parameters to allow elite women rugby league players to more effectively tolerate the physiological demands of competition, reduce fatigue-related errors in skill execution, and decrease the risk of injury.     

Association between muscular strength and metabolic risk in Japanese women, but not in men

We examined whether cardiorespiratory fitness (maximal oxygen uptake, VO(2)max) and muscular strength (grip strength) are associated with individual and clustered metabolic risk factors independently of abdominal adiposity in Japanese men (n=110) and women (n=110) aged 20-69 years. Blood pressure, triglycerides (TG), HDL cholesterol, and fasting plasma glucose (FPG) were assessed and metabolic risk score was calculated, which is the sum of the z scores for each individual risk factor. Waist circumference was measured and the area of visceral fat was assessed by MRI. Multiple linear regression analysis revealed that VO(2)max was inversely associated with TG in men (p<0.05) and grip strength was negatively associated with FPG and metabolic risk score in women (p<0.001 and p<0.05, respectively), independently of waist circumference. Adjusting for visceral fat instead of waist circumference, similar results were obtained in women (p<0.01 and p<0.05, respectively), but the association between VO(2)max and TG in men was attenuated to nonsignificant. This cross-sectional study demonstrates that muscular strength is inversely associated with plasma glucose levels and clustered metabolic risk factors independently of abdominal adiposity in Japanese women, but not in men.     

Reproducibility of isokinetic leg strength and endurance characteristics of adult men and women

Day-to-day variability and single-measurement reliability of selected isokinetic knee extension-flexion strength and endurance indices were assessed in 10 adult men and 8 adult women. On three occasions separated by at least 5 days, the subjects completed 4 reciprocal maximal voluntary contractions (MVC) at different angular velocities (1.05 rad.s-1 and 3.14 rad.s-1). The men also completed a muscular endurance test consisting of 30 reciprocal, MVC at 3.14 rad.s-1. Coefficient of variation, intra-class correlation coefficient and standard error of single-measurement scores support the continued use of gravity corrected peak torque (PT) and average peak torque (APT) as indices of isokinetic leg strength. Similarly, gravity corrected APT and total work should be the recommended indices of isokinetic leg muscular endurance in men. The results suggest that these isokinetic indices must be assessed using multiple day-to-day trial protocols adequately to describe performance capacity. Composite indices such as the ratio of Knee flexion to extension PT and fatigue measurements offer considerably reduced reliability and a greater potential for misinterpretation. The reliability of knee extension indices generally exceeds that of flexion indices. Similar variability and reproducibility of responses were observed between men and women and between reciprocal contractions performed at angular velocities of 1.05 rad.s-1 and 3.14 rad.s-1.     

Use of creatine kinase for detecting severe X-linked muscular dystrophy carriers.

Women thought to be at risk of being carriers of Duchenne muscular dystrophy were given "odds" against their having an affected child. These were calcuated from a combination of the genetic risk from the family history and an estimation of the biochemical risk from measuring the serum creatine kinase concentration. The women were told the actual risk estimate and it was put into perspective for them as a high, medium, or low risk. Of 25 women at high risk six have had children, all girls; the two in the medium-risk group have had no children; and the 46 women at low risk have had 19 boys and 25 girls. None of the boys has the disease. With detailed counselling most potential carriers of this disease reach decisions in child bearing that are in line with their degree of risk.     

Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women

The purpose of this study was to investigate the effects of Swiss-ball core strength training on trunk extensor (abdominal)/flexor (lower back) and lower limb extensor (quadriceps)/flexor (hamstring) muscular strength, abdominal, lower back and leg endurance, flexibility and dynamic balance in sedentary women (n = 21; age = 34 ± 8.09; height = 1.63 ± 6.91 cm; weight = 64 ± 8.69 kg) trained for 45 minutes, 3 d·wk-1 for 12 weeks. Results of multivariate analysis revealed significant difference (p ≤ 0.05) between pre and postmeasures of 60 and 90° s trunk flexion/extension, 60 and 240° s-1 lower limb flexion/extension (Biodex Isokinetic Dynamometer), abdominal endurance (curl-up test), lower back muscular endurance (modified Sorensen test), lower limb endurance (repetitive squat test), lower back flexibility (sit and reach test), and dynamic balance (functional reach test). The results support the fact that Swiss-ball core strength training exercises can be used to provide improvement in the aforementioned measures in sedentary women. In conclusion, this study provides practical implications for sedentary individuals, physiotherapists, strength and conditioning specialists who can benefit from core strength training with Swiss balls.     

Local cryostimulation acutely preserves maximum isometric handgrip strength following fatigue in young women

Several types of cryostimulation have been recently proposed to rapidly lower skin temperature therefore gaining a possible neuro/muscular recovery after strenuous exercise or, more generally, in sports. Local cryostimulation may be a viable and relatively portable tool to obtain physiological benefits in previously-efforted muscular districts. However, cohesive and standardized cryo-exposure protocols are lacking as well as the righteous procedure to efficaciously combine duration, treatments and temperature in relation to desirable effects on muscular strength. In this randomized-controlled study, fifty young women were tested for maximum isometric handgrip strength, before and after exhausting contractions.Following the fatiguing protocol, the intervention group (cryo, n = 25, 24.7 ± 2.5 years, BMI 21.7 ± 1.8 kg/m²) underwent a 6-min local cryostimulation (−160 °C) on the extensor-flexor muscles of the dominant arm, while control-matched peers sat rested in a thermo-neutral room (22 ± 0.5 °C). Handgrip tests were repeated at baseline (T0), after cryostimulation (T1), and 15 min after T1 (T2). Throughout the protocol, the AUC of the strength performance was significantly higher in the cryo- compared to control group (P = 0.006). In particular, following fatigue and cryostimulation, the cryo group preserved higher strength at T1 with respect to controls (26.8 ± 2.8 vs 23.9 ± 2.8 kg, Bonferroni's post-hoc, P < 0.01). Likewise, ventral and dorsal temperature, recorded with a thermal camera, were lower in cryo- than control group (P < 0.0001).In conclusion, a brief session of local cryostimulation may acutely preserve maximal isometric force in young women following a fatiguing protocol. These findings may have implications in orchestrating strategies of district muscular recovery.     

Muscular strength and jumping performance relationships in young women athletes

The relationships between muscular strength and vertical jumping performance were examined in young women (14-19 years) track and field jumpers (n = 20) and volleyball players (n = 21). The knee extensor muscular strength measured at 9 knee angles was correlated with jumping height and peak power at the squat (SJ) and the countermovement (CMJ) vertical jump tests. Pearson product coefficient of correlation was used to test the significance of these relationships (p 0.80). Specifically, in the volleyball players, the strong relationships were noted for muscular strength at the knee angle range of 40 degrees to 90 degrees and CMJ jumping height as well as SJ peak power. Results indicate the dissimilarity in the relationships between the knee extensor muscular strength and jumping performance in the young female track and field jumpers and volleyball players. In addition, it appears that the measure selected to evaluate jumping performance alters the correlational results.     

Father's physique influences mate preferences but not the actual choice of male somatotype in heterosexual women and homosexual men

Body constitution plays an important role in human mate choice. Cross-cultural research reports that women on average prefer men with muscular physique. It is still unclear, however, what mechanisms influence the inter-individual variation in mate preferences and choices of partner's physique. In this study, we tested the mechanisms of an imprinting-like effect (similarity between father and an ideal and actual partner) and of homogamy (similarity between self and an ideal and actual partner) for male physique in heterosexual women and homosexual men. To assess the variation in male physique, we employed somatotype paradigm which characterizes body constitution using three components: endomorphic (heavy-set), mesomorphic (muscular), and ectomorphic (lean). In total, 149 homosexual men and 769 heterosexual women from the Czech Republic indicated the somatotype of their father, ideal and actual partner, and in homosexual men also their own somatotype. In line with previous research, the somatotype most preferred by both men and women was the mesomorphic, followed by the ectomorphic and the endomorphic one. Women's preferences for an ideal partner somatotype weakly correlated with their fathers' somatotype, especially in women who reported a positive relationship with their fathers during childhood. Among homosexual men, we found imprinting-like preferences only for the ectomorphic somatotype component and no significant association with the quality of their relationships with their fathers. We also found no significant relationship between the fathers' and actual partners' somatotype in either heterosexual women or homosexual men. Our research indicates that fathers have a rather weak influence on mate preference for somatotypes and no influence on actual mate choice.     

Strength and skeletal muscle adaptations in heavy-resistance-trained women after detraining and retraining.

Six women who had participated in a previous 20-wk strength training study for the lower limb detrained for 30-32 wk and subsequently retrained for 6 wk. Seven untrained women also participated in the 6-wk "retraining" phase. In addition, four women from each group volunteered to continue training an additional 7 wk. The initial 20-wk training program caused an increase in maximal dynamic strength, hypertrophy of all three major fiber types, and a decrease in the percentage of type IIb fibers. Detraining had relatively little effect on fiber cross-sectional area but resulted in an increased percentage of type IIb fibers with a concomitant decrease in IIa fibers. Maximal dynamic strength decreased but not to pretraining levels. Retraining for 6 wk resulted in significant increases in the cross-sectional areas of both fast fiber types (IIa and IIab + IIb) compared with detraining values and a decrease in the percentage of type IIb fibers. The 7-wk extension accentuated these trends such that cross-sectional areas continued to increase (nonsignificant) and no IIb fibers could be found. Similar results were found for the nonpreviously trained women. These data suggest that rapid muscular adaptations occur as a result of strength training in previously trained as well as non-previously trained women. Some adaptations (fiber area and maximal dynamic strength) may be retained for long periods during detraining and may contribute to a rapid return to "competitive" form.     

The effect of strength training combined with bisphosphonate (etidronate) therapy on bone mineral,lean tissue,and fat mass in postmenopausal women

The combined and separate effects of exercise training and bisphosphonate (etidronate) therapy on bone mineral in postmenopausal women were compared. Forty-eight postmenopausal women were randomly assigned (double blind) to groups that took intermittent cyclical etidronate; performed strength training (3 d/week) and received matched placebo; combined strength training with etidronate; or took placebo and served as nonexercising controls. Bone mineral, lean tissue, and fat mass were assessed by dual-energy X-ray absorptiometry before and after 12 months of intervention. After removal of outlier results, changes in bone mineral density (BMD) of the lumbar spine and bone mineral content (BMC) of the whole body were greater in the subjects given etidronate (+2.5 and +1.4%, respectively) compared with placebo (-0.32 and 0%, respectively) (p < 0.05), while exercise had no effect. There was no effect of etidronate or exercise on the proximal femur and there was no interaction between exercise and etidronate at any bone site. Exercise training resulted in significantly greater increases in muscular strength and lean tissue mass and greater loss of fat mass compared with controls. We conclude that etidronate significantly increases lumbar spine BMD and whole-body BMC and that strength training has no additional effect. Strength training favourably affects body composition and muscular strength, which may be important for prevention of falls.