Physiotherapy

Manila, PHILIPPINES


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Frederick Agustin, PTRP

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The table featured last time shows a simple concept on hormone reactions during exercise. As seen in the table glucose and glycogen breakdown during exercise is mainly the role of the catecholamines- the epinephrine and the norepinephrine. They ensure that these energy sources are available in the blood during activities. However one of the catecholamines, the norepinephrine also contributes to lipolysis or fat metabolism, transforming it to another consumable energy. Free fatty acid (FFA) mobilization that leads to lipolysis is being triggered by the GH. Protein synthesis on the other hand, has been shown to be stimulated again by the GH and others like testosterone, cortisol, and IGF-1. These hormones create and break down protein to provide growth and energy as well (gluconeogenesis).

It is also notable from the table above that each hormone has its own stimulant for release. As mentioned earlier, hormone response depends on the type of activities an individual is performing. As with this discourse, we focus on the reactions of the hormones to the different forms of exercise. And we shall see that the catecholamines are stimulated by performance of moderate to intense exercise. But later on we shall see that the release of these hormones is more sensitive when the body does an intense type of activity (anaerobic). On the other hand, prolonged exercise triggers cortisol release while light to moderate exercises stimulate estrogen release (aerobic). In addition, GH, testosterone, and IGF-1 are activated with any type of exercise but more of the aerobic (Marks and Kravitz, 2000).

What should be understood from the above concepts? We have to understand that upon anaerobic activities, when the body gets its energy from glucose and glycogen (needless of oxidative process), the catecholamines mainly come into play. But for aerobic activities, catecholamines partially affect energy production, and other hormones more dominantly act into the scene. These hormones include cortisol, GH, IGF-1, estrogen and testosterone. The reason for this is that aerobic activities require more complex sources of energy other than glucose and glycogen, namely fats and proteins. And fat-protein utilization is being handled by the hormones previously discussed.

Catecholamine and Glucose Response to Intense/ Anaerobic Exercise
During an intense exercise, when there is a huge demand for glycogen and glucose, rapid muscular and hepatic glycogenolysis takes place. This induces a seven- to eight-fold increase in glucose production as manifested by its concentration in the blood (Figure 1). The reason for this tremendous glucose production is the marked 14- to 18-fold increase in both epinephrine and norepinephrine (Figure 2; A and B). And from the figures below (1 and 2), we can observe the direct relationship between glucose and catecholamine production.

To further emphasize the major role that glucose and catecholamine play in anaerobic activities, we can refer to the works of Marliss and Vranic (2002). In their discourse, they discussed the huge difference between plasma catecholamine concentration during aerobic exercise and plasma catecholamine concentration during anaerobic exercise (Figure 2). If in anaerobic activities, catecholamines respond largely as stated above, in aerobic the plasma concentration of these hormones only increases by two- to four-fold.

What can we infer from these findings? Two points can be conceptualized from the above facts: (1) that though aerobic exercise is more of a fat and protein burner, we cannot elude from the idea that small percentage of energy used also comes from glucose as manifested by increase in glucose production and catecholamine level; but (2) since anaerobic exercise is more of a glycogen/glucose burner, more catecholamines are utilized by such exercise than aerobic to produce a greater amount of plasma glucose.

GP
Figure1. Comparison of responses during 40 minutes of moderate intensity exercise (aerobic/boxes) and 15 minutes of intense exercise in normal young male subjects (anaerobic/circles); Y-axis- GP for glucose production; X-axis- min for minutes of exercise.


cate2


cate3
Figure2. Comparison of responses during 40 minutes of moderate intensity exercise (aerobic/boxes) and 15 minutes of intense exercise in normal young male subjects (anaerobic/circles); Y-axis- catecholamines (A-Norepinephrine; B-Epinephrine); X-axis- min for minutes of exercise.


Dominating Hormones during Aerobic Exercise
First, let us discuss another possible reason why the catecholamine plasma concentration also increases up to a certain extent in aerobic exercise. Aside from the reason stated earlier, we also have to remember that catecholamines, especially the norepinephrine (Figure 2 showing norepinephrine level is greater than epinephrine level during aerobic activity), play an important role in lipolysis. And in aerobic exertion, lipolysis is one of the important processes needed to utilize fat as one of the energy sources. And so it would be justifiable for the body to somehow increase its catecholamine production in anticipation for lipid/ fatty acid use.

But again as discussed in the previous parts, this catecholamine production during aerobic exercise is no match to the catecholamine production during anaerobic exercise. This is because during aerobic exercise, the body shifts from usage of glucose as energy source to utilization of fats and proteins with aid of oxidation.

How does the body carry out this utilization shift? The body is able to manage such shift with the aid of the following hormones: cortisol, GH, estrogen, testosterone, and IGF-1. As the endocrine system senses that the body is into aerobic activity, it all the more stimulates GH, estrogen, and cortisol to be secreted to decrease glucose uptake. This mechanism would then possibly decrease glycogenolysis and so glucose level in the blood will not increase as much as in anaerobic exercise. And as glucose uptake is decreased, GH, estrogen, and cortisol continue their roles as they promote fatty acid mobilization and protein utilization (gluconeogenesis). These hormones are being supported by other hormones like testosterone, and IGF-1.

But does this mean that during anaerobic exercise cortisol, GH, estrogen, testosterone, and IGF-1 are not being activated? No. In fact both aerobic and anaerobic exercises are shown to stimulate these hormones (Table 2). And what we have to understand now is that if in anaerobic exertion, the more dominant hormones are the catecholamines, in aerobic they are cortisol, GH, estrogen, testosterone, and IGF-1 (Marks and Kravitz, 2000; Robergs and Roberts, 1997).

Figure 3 shows cortisol and GH behavior during prolonged/ aerobic exercise. And as we shall see, the group under the exercise condition was noted to have an increased plasma cortisol and GH concentration within the exercise, compared to the group under resting condition. These increases again mean that the body anticipates cortisol and GH usage by the cells.

Figure 3. Mean profiles of plasma cortisol and GH secretory rates in the resting position (unshaded) and in the exercise (shaded).


Unfortunately we failed to gain clear sample graphs that compare plasma concentration of cortisol and GH in aerobic and anaerobic exercise. We are also unable to search graphs that examine testosterone, estrogen, and IGF-1 behavior during exercise. But despite of these, most researchers agree to the fact that these hormones do really increase their activities especially during aerobic exertion.

TO BE CONTINUED...
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Effects of Exercise on Endocrine Secretions

Physical exercise is associated with marked metabolic changes and elicits a variety of neuroendocrine response (Scheen et al., 1998). These endocrine responses primarily aim to provide energy and growth needed by the body in order to keep up with the metabolic demands of a specific activity or exercise. And the endocrine system does this by controlling the metabolism of different energy sources like carbohydrates, fats, and proteins.

However the said responses would present themselves in varied forms depending on the type of activity or exercise an individual is performing-as for example, whether anaerobic or aerobic in nature. The reason for this is that different types of activities require different resources for energy and growth. And the fuel that energizes the body in anaerobic exercises is different from that which energizes the body in aerobic exercises.

Anaerobic Exercise versus Aerobic Exercise

If an individual is involved in sports or exercise with repeated short bouts such as baseball and sprint, the said individual is performing varieties of an intense exercise or anaerobic exercise. And intense exercise utilizes an energy system that refrains from using oxygen.

Ironically anaerobic or intense exercise is characterized by maximum oxygen consumption (VO2 max) of greater than 80 %. But despite of the huge accompanying increase in VO2, this type of exercise is almost entirely dependent on glucose and glycogen (coming from carbohydrates) for energy, which do not require reaction with oxygen for them to be utilized. The processes by which glucose and glycogen are transformed into energy are known as glycolysis and glycogenolysis, respectively.

In contrast, low- to- moderate intensity exercises like marathon or jogging, with 80 % or less VO2, greatly consume energy from system in which oxygen is of great importance. These low –to- moderate intensity exercises are therefore classified as aerobic.

In an aerobic type of exercise, glucose from carbohydrates are still used to produce energy, but not for long. Early glucose use is progressively supplanted by fatty acids use (from lypolysis) and at times glucose utilization from protein metabolism (known as gluconeogenesis). These energy sources necessitate oxygen reaction in order to produce the needed energy (Marliss and Vranic, 2002).

Endocrine Response Proper

Table 2 summarizes the major hormonal responses during exercise. It also describes the events that trigger the release of such hormones and the tissues in which they will be reacting with.



TO BE CONTINUED...
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Introduction

Exercise, as we all know, refers to bodily exertion for the sake of training or improvement of health (de Lisa et al., 1998). This improvement has been brought about by various adaptations by the body, including increased muscular strength, better blood circulation and blood pressure management, and other systemic responses. Aside from this, the body’s ability to provide energy is also continuously modified with sustained training in order to keep up with the energy demands of the activities involved. And in order to do these, all of the systems must work synergistically. One of the systems that contribute in the process is the endocrine system.

The Endocrine System

The endocrine system is one of the several types of communication systems in the body interplaying to coordinate the multiple activities of cells, tissues, and body organs. This system is composed of glands or specialized cells that release into the circulating blood, chemicals known as hormones that influence the functions of cells at another location in the body (Guyton and Hall, 2000). Through various hormones, the endocrine system is able to provide stability to the body’s internal environment, since these substances exert biological response affecting human’s growth, development, reproduction, and even augmenting the body’s capacity for handling physical and psychological stress (Marks and Kravitz, 2000).

Classifications of Hormones

According to John Scott (Scott Fitness Personal Training), there are four general classes of hormones: (1) proteins and polypeptides, (2) steroids, (3) biogenic amines, and (4) eicosanoids. These classifications are based on their chemical structures or organizations.

Peptides are short chains of amino acids while proteins are much larger and more complex arrangements of amino acids or peptides. Examples of which are insulin secreted by the beta cells of the pancreas, somatotropin or the human growth hormone and the thyroid stimulating hormone released by the anterior pituitary gland, parathormone from the parathyroid gland, antidiuretic hormone by the posterior pituitary gland, and many more.

Steroids, on the other hand, are distinguished structurally by their basic four-carbon ring backbone. Examples are cortisol coming from the adrenal cortex, estrogen and progesterone secreted by the ovaries and placenta, and testosterone from the testicles.

Biogenic amines are structurally the simplest hormones. Modifying single amino acid forms these hormones. Some of the variations include the catecholamines (epinephrine and norepinephrine) released by the adrenal medulla, triiodothyronine secreted by the thyroid glands, and histamine secreted by platelets and mast cells.

Eicosanoids are primarily synthesized in cell membranes of almost all cells by adding oxygen atoms to arachadonic acid. They include prostaglandins, thromboxanes, leukotrienes, and lipoxins.

Endocrine Glands, Hormones, and their Functions and Structures

Table 1 briefly discusses the functions of each of the endocrine glands and how their hormones contribute in maintaining the body’s homeostasis or internal balance. It would be advantageous if we take note of those endocrine glands and hormones that control glucose, fat, and protein metabolism, since knowledge of those could be helpful when we discuss endocrine responses to exercise.


Table 1a


Table 1B


Table 1c


TO BE CONTINUED...

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On Knee Pain II

June 25th 2009 13:43
Here are some exercises we can do:
1. Place a pillow in between knees, while your back lies flat on a surface and both knees are bent. Try to squeeze the pillow using both knees and hold it for 10 seconds. repeat the procedure initially for ten times, gradually increasing repititions depending on your capability.

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On Knee Pain

June 22nd 2009 16:54
E.W., from HongKong asks:
"I am a 16 year old student. And I need to go to my classroom on the second floor every weekday morning. But as I climb the stairs, I usually feel pain on my right knee- after two or three steps. What may be the possible problem on my knee? Thank you!"

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Multiple sclerosis

June 20th 2009 14:24
multiple sclerosis
Multiple Sclerosis- from www.ahealthyme.com



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What is Multiple Sclerosis?

June 18th 2009 09:41
Multiple Sclerosis (MS) is a problem on the body's central nervous sytem. We probably hear this condition less frequently as other CNS diseases, but this is somehow degenerative, progressive, and debilitating.

Some say that MS is an auto-immune disease, very much similar to Rheumatoid Arthritis (RA)... Auto-immune diseases are those characterized by the activation of our white blood cells and immune responses against our own body parts.

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Issues on Adolescence (Part 3)

June 17th 2009 14:19
Physical Changes

Puberty is a physical process of change characterized by the development of secondary sex characteristics. We must understand that puberty differs from adolescence. Puberty happens synchronous with adolescence, but adolescence does not only highlight physical changes, but (largely) also psychological ones


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Issues on Adolescence Continued

June 14th 2009 12:26
Adolescence is commonly divided into three periods: early (11 to 14 years of age), middle (14 to 17 years old), and late (17 to 20 years). These divisions may overlap each other. And development taking place in each phase varies from one individual to another. And so this discourse shall discuss the typical growth and development an individual goes through along adolescence as a whole. Discussion of such will be two-fold: physical and psychosocial.

Before we proceed, it is nice to know that societies have their own ways, rites, or icons that mark an individual’s entry to adolescence. As adolescence is a transition between being a child and assuming the duties and responsibilities of an adult, some societies would test an adolescent’s (especially male) bravery and endurance by providing a challenge or activity (Atkinson). In Jewish rites, the bar mitzvah would entitle an adolescent into engaging in early marriage (Jewish Encyclopedia, 1901-1906). In the Philippines, one of important markers of adolescence among male is circumcision. Nevertheless, almost all societies in the world would unquestionably associate adolescence with puberty. As a matter of fact, puberty may somehow summarize all the significant physical changes an adolescent may undergo


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Van Gundy, being too stubborn to play Nelson and sit Alston out, cost them Game 4. Yes, Jameer Nelson is an All-star, but he has not played for four months. Has this coach understood the term "DECONDITIONED"?

They are playing at the Finals stage, not at any regular season or play-offs stage. We saw Rafer Alston having the hot hands in the first half, but what did Stan Van Gundy decided in exchange? He decided to play Nelson at the majority of the second half. Yes, Nelson has dished out couple of assists, but he doesn't have the foot yet, to match the speed of the Lakers guards.

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Recent Comments

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Thanks Techno! hi Wilson...you are right...we have to maintain good lifestyle though so as not to acquire those terrifying conditions...

Comment by Physiotherapy
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hi katyzzz! thank you!

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probably that's another factor chuck...poor foul shouting...

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wow...this article moved me...often times we forget the most important things because we are too consumed by work...oh this is really heart-warming...i have to get a personal copy of your article...