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1.
ObjectiveThis study aimed to examine (1) the independent effects of hypoxia on cognitive function and (2) the effects of exercise on cognition while under hypoxia.MethodsDesign: Systematic review with meta-analysis. Data sources: PubMed, Scopus, Web of Science, PsychInfo, and SPORTDiscus were searched. Eligibility criteria for selecting studies: randomized controlled trials and nonrandomized controlled studies that investigated the effects of chronic or acute exercise on cognition under hypoxia were considered (Aim 2), as were studies investigating the effects of hypoxia on cognition (Aim 1).ResultsIn total, 18 studies met our inclusionary criteria for the systematic review, and 12 studies were meta-analyzed. Exposure to hypoxia impaired attentional ability (standardized mean difference (SMD) = –0.4), executive function (SMD = –0.18), and memory function (SMD = –0.26), but not information processing (SMD = 0.27). Aggregated results indicated that performing exercise under a hypoxia setting had a significant effect on cognitive improvement (SMD = 0.3, 95% confidence interval: 0.14 – 0.45, I2 = 54%, p < 0.001). Various characteristics (e.g., age, cognitive task type, exercise type, exercise intensity, training type, and hypoxia level) moderated the effects of hypoxia and exercise on cognitive function.ConclusionExercise during exposure to hypoxia improves cognitive function. This association appears to be moderated by individual and exercise/hypoxia-related characteristics.  相似文献   

2.
Purpose: Acute benefits of aerobic exercise on executive functioning have been reported frequently under laboratory conditions. However, to date, a beneficial effect on long-term memory has been less well supported and no data are available regarding nonlaboratory conditions in young adults. The aim of the current study was to investigate acute effects of aerobic exercise on cognitive functioning in a university classroom setting. Method: Using a cross-over design, 51 participants performed a bout of moderately intense running (RUN) and read an article while seated (CON). Afterwards, they completed free-recall tests, followed by a Flanker task and an n-back task. Results: Participants in the RUN condition compared with those in the CON condition showed shorter reaction time on the inhibition task, F(1, 50) = 5.59, p = .022, η2 = .101, and recalled more words in the immediate- and delayed-recall tests, F(1, 50) = 8.40, p = .006, η2 = .144. Conclusion: The present findings suggest that a moderately intense bout of aerobic exercise benefits verbal short-term and long-term memory as well as inhibitory control among students in a classroom setting.  相似文献   

3.
Abstract

The increased energy demand that occurs with incremental exercise intensity is met by increases in the oxidation of both endogenous fat and carbohydrate stores up to an intensity of ~70% V˙O2max in trained individuals. However, when exercise intensity increases beyond this workload, fat oxidation rates decline, both from a relative and absolute perspective. As endogenous glycogen use is accelerated, glycogen stores can become depleted, ultimately resulting in fatigue and the inability to maintain high intensity, submaximal exercise (>70% V˙O2max). Despite a considerable accumulation of knowledge that has been gained over the past half century, the precise mechanism(s) regulating muscle fuel selection and underpinning the aforementioned decline in fat oxidation remain largely unclear. A greater understanding would undoubtedly lead to novel strategies to increase fat utilization and, as such, improve exercise capacity. The present review primarily addresses one of the most prominent theories to explain the phenomenon of diminished fat oxidation during high intensity, submaximal exercise; a reduced availability of muscle free carnitine for mitochondrial fat translocation. This is discussed in the light of recent work in this area taking advantage of the discovery that muscle carnitine content can be increased in vivo in humans. Furthermore, the evidence supporting the recently proposed theory that reduced muscle co-enzyme A availability to several key enzymes in the fat oxidation pathway may also exert a degree of control over muscle fuel selection during exercise is also considered. Strong correlational evidence exists that muscle free carnitine availability is likely to be a key limiting factor to fat oxidation during high intensity, submaximal exercise. However, it is concluded that further intervention studies manipulating the muscle carnitine pool in humans are required to establish a direct causal role. In addition, it is concluded that while a depletion of muscle coenzyme A availability during exercise also offers a viable mechanism for impairing fat oxidation, at present, this remains speculative.  相似文献   

4.
Purpose: Increasing physical activity among adolescents is a public health priority. Because people are motivated to engage in activities that make them feel good, this study examined predictors of adolescents’ feelings during exercise. Method: During the 1st semester of the school year, we assessed 6th-grade students’ (N = 136) cognitive appraisals of the importance of exercise. Participants also reported their affect during a cardiovascular fitness test and recalled their affect during the fitness test later that semester. During the 2nd semester, the same participants rated their affect during a moderate-intensity exercise task. Results: Affect reported during the moderate-intensity exercise task was predicted by cognitive appraisals of the importance of exercise and by misremembering affect during the fitness test as more positive than it actually was. This memory bias mediated the association between appraising exercise as important and experiencing a positive change in affect during the moderate-intensity exercise task. Conclusion: These findings highlight the roles of both cognitive appraisals and memory as factors that may influence affect during exercise. Future work should explore whether affect during exercise can be modified by targeting appraisals and memories related to exercise experiences.  相似文献   

5.
Purpose: Brain-derived neurotrophic factor (BDNF) is well known for its potential to promote brain plasticity. It has been proposed that combining cognitive and physical exercise (CCPE) may have the potential to generate more synergistic benefits in cognitive function than either cognitive exercise (CE) or physical exercise (PE) alone. The purpose of this study was to examine acute responses of peripheral BDNF levels and cognitive performance to CE, PE, and CCPE.

Methods: Thirteen healthy adult men participated in four experimental sessions; a 30-min CE, a 30-min cycling PE at an intensity of 60% peak oxygen uptake, a 30-min CCPE at the same intensity as PE, and a 30-min session of complete rest. Plasma BDNF levels and cognitive performance were measured before and after each session.

Results: Both PE and CCPE significantly increased plasma BDNF levels (p?p?≥?.05), and there was no significant difference in peripheral BDNF levels between PE and CCPE (p?≥?.05). No session induced a significant change in cognitive performance (p?≥?.05).

Conclusions: Our study suggests that CE and PE have different responses of peripheral BDNF levels and that CCPE had no additional or synergistic effect on peripheral BDNF levels compared with PE alone. This study offers further insights into the potential mechanisms underlying the respective roles of CE, PE, and CCPE for peripheral BDNF levels and cognitive performance.  相似文献   

6.
Abstract

The purpose of this study was to investigate the influence of a warm environment on thermoregulation and energy expenditure during sub-maximal prolonged exercise in humans. Six healthy male subjects cycled for 120?min at an intensity of 60% maximal oxygen uptake (Vo2max) at three environmental temperatures (10°C, CT; 20°C, MT; and 30°C, WT). Although oxygen uptake at WT showed a significantly lower value compared to those at MT and CT, no significant differences of respiratory exchange ratio were observed among the three environmental trials. A remarkable decrease in total energy expenditure during the 120-min exercise at WT was observed in comparison with those at MT and CT (p<0.05). Changes in rectal temperature, mean skin temperature, and mean body temperature at WT were significantly higher than those at both MT and CT. Although increases in mean body temperature from rest every five minutes during exercise were not different among three environmental temperatures, mean energy expenditures every five minutes at WT were lower compared with those at MT and CT (p<0.05). These results suggest that the increase in energy expenditure for physical exertion is substantially reduced during prolonged sub-maximal exercise in a warm environment. This acute alteration in the energy metabolism may contribute to inhibition of excess heat production and enable prolonged exercise in a warm environment.  相似文献   

7.
The aim of this study was to investigate if the effects of changes in physiological arousal on timing performance can be accurately predicted by the catastrophe model. Eighteen young adults (8 males, 10 females) volunteered to participate in the study following ethical approval. After familiarisation, coincidence anticipation was measured using the Bassin Anticipation Timer under four incremental exercise conditions: Increasing exercise intensity and low cognitive anxiety, increasing exercise intensity and high cognitive anxiety, decreasing exercise intensity and low cognitive anxiety and decreasing exercise intensity and high cognitive anxiety. Incremental exercise was performed on a treadmill at intensities of 30%, 50%, 70% and 90% heart rate reserve (HRR) respectively. Ratings of cognitive anxiety were taken at each intensity using the Mental Readiness Form 3 (MRF3) followed by performance of coincidence anticipation trials at speeds of 3 and 8 mph. Results indicated significant condition × intensity interactions for absolute error (AE; p = .0001) and MRF cognitive anxiety intensity scores (p = .05). Post hoc analysis indicated that there were no statistically significant differences in AE across exercise intensities in low–cognitive anxiety conditions. In high–cognitive anxiety conditions, timing performance AE was significantly poorer and cognitive anxiety higher at 90% HRR, compared to the other exercise intensities. There was no difference in timing responses at 90% HRR during competitive trials, irrespective of whether exercise intensity was increasing or decreasing. This study suggests that anticipation timing performance is negatively affected when physiological arousal and cognitive anxiety are high.  相似文献   

8.
Abstract

The cross-sectional relationship between exercise training history and performance on a fluid intelligence test was examined. In addition, openness to experience was included as a potential trait-based contributor to predicting cognitive performance. Results supported past literature demonstrating that aerobically trained or active participants performed significantly better on the fluid intelligence task than aerobically untrained or inactive participants. Hierarchical regression analysis results revealed, as predicted, that openness to experience was a significant predictor of fluid intellectual performance. When entered into the hierarchical regression equation, openness to experience accounted for 16.0% of unique variance in Culture Fair Intelligence Test performance. By contrast, participants' exercise training history, which initially and significantly (p < . 05) accounted for approximately 12.0% of the variance in cognitive performance, accounted for 5.0% (p > .05) after openness was entered. Participants were, on average, more open than inactive participants. Results are discussed in terms of the possible mechanisms aerobic exercise training and openness to experience share in regard to brain functioning and performance of fluid intelligence tasks. Future research is suggested that examines biological factors known to influence cognitive performance in exercise settings.  相似文献   

9.
The health benefits of playing football and the importance of exercise and social contact for healthy ageing are well established, but few older adults in the UK take enough exercise. Football is popular, flexible in format and draws players into engrossing, effortful and social exercise, but the physical demands of play at full speed may make it unsustainable for some older adults. Restricted to walking pace, will play still be engaging? Will health benefits be retained? Will physical demands remain manageable? This pilot study aims to investigate: (1) the experience of older adults playing walking football every week, is it sustainable and rewarding, (2) the intensity and locomotor pattern of walking football, (3) the scale and nature of walking football health benefits and (4) possible cognitive benefits of playing walking football through measures of processing speed, selective and divided attention and updating and inhibition components of executive function. ‘Walking football’ and ‘waiting list’ groups were compared before and after 12 weeks of one-hour per week football. Walking football was found to be engaging, sustainable for older adults and moderately intensive; however, selective health and cognitive benefits were not found from this brief intervention.

Highlights

  • Walking football is a lower impact but authentic form of football that enables older players to extend their active participation.

  • Walking football is enjoyable and moderately demanding and may be a sustainable form of exercise for older adults.

  • Health and cognitive benefits to playing walking football were not found.

  相似文献   

10.
ABSTRACT

Background: School-based physical education has been associated with a multitude of potential learning outcomes. Representatives of a public health perspective suggest that promoting physical activity in and outside the context of school is an important endeavour. While the importance of behavioural skill training to improve (motor) learning is well documented in both general and physical education, the promotion of behavioural skills to foster physically active lifestyles constitutes a rather neglected area in physical education research.

Purpose: To examine whether a standardized physical education-based behavioural skill training program has the potential to positively impact on adolescents’ self-reported exercise and sport participation, as well as cognitive antecedents involved in the regulation of exercise and sport behaviour.

Research design: Cluster-randomized controlled trial.

Methods: A sample of 143 secondary school students (50% girls, aged 14–18 years) attending academic high schools in German-speaking Switzerland were assigned class-wise to the intervention (behavioural skill training) and control condition (conventional physical education lessons). Data were assessed prior and after completion of the 7-week intervention program, which was composed of four 20-min lessons and two reflection phases. Exercise and sport behaviour and cognitive antecedents (exercise/sport intention, motivation, implementation intentions, coping planning, self-efficacy) were assessed via self-reports. A multilevel mixed effects linear regression procedure was used to test the main hypotheses. The regression analyses were adjusted for clustering of school classes, and controlled for baseline levels of the outcome measure and potential confounders.

Results: Compared to a control condition, the intervention program resulted in significant improvements with regard to introjected motivation (p?<?.05), coping planning (p?<?.001) and self-efficacy (p?<?.01). The intervention also had a positive impact on adolescents’ self-reported sport/exercise behaviour (p?<?.001). Improvements in exercise/sport intention (p?<?.05), coping planning (p?<?.01), and self-efficacy (p?<?.01) were associated with increased levels of self-reported exercise/sport participation.

Conclusion: Behavioural skill training as part of compulsory physical education has the potential to improve cognitive antecedents of exercise and sport behaviour and to foster adolescents’ exercise and sport participation. Enhancing behavioural skills might be one way in which school physical education can contribute to the creation of more physically active lifestyles among adolescents.  相似文献   

11.
The study tested the effect of aerobic exercise training on executive function in overweight children. Ninety-four sedentary, overweight but otherwise healthy children (mean age = 9.2 years, body mass index ? 85th percentile) were randomized to a low-dose (20 min/day exercise), high-dose (40 min/day exercise), or control condition. Exercise sessions met 5 days/week for 15 weeks. The Cognitive Assessment System (CAS), a standardized test of cognitive processes, was administered individually before and following intervention. Analysis of covariance on posttest scores revealed effects on executive function. Group differences emerged for the CAS Planning scale (p = .03). Planning scores for the high-dose group were significantly greater than those of the control group. Exercise may prove to be a simple, yet important, method of enhancing aspects of children's mental functioning that are central to cognitive and social development.  相似文献   

12.
The study tested the effect of aerobic exercise training on executive function in overweight children. Ninety-four sedentary, overweight but otherwise healthy children (mean age = 9.2 years, body mass index 85th percentile) were randomized to a low-dose (20 min/day exercise), high-dose (40 min/day exercise), or control condition. Exercise sessions met 5 days/week for 15 weeks. The Cognitive Assessment System (CAS), a standardized test of cognitive processes, was administered individually before and following intervention. Analysis of covariance on posttest scores revealed effects on executive function. Group differences emerged for the CAS Planning scale (p = .03). Planning scores for the high-dose group were significantly greater than those of the control group. Exercise may prove to be a simple, yet important, method of enhancing aspects of children's mental functioning that are central to cognitive and social development.  相似文献   

13.
ObjectiveResearch on methods of improving the affective experience of exercise remains limited, especially for low-active overweight adults. We investigated the effectiveness of a virtual-reality headset and headphones in improving affective responses over conventionally delivered audiovisual stimulation.MethodsLow-active, overweight adults (16 women, 5 men; age: 34.67 ± 9.62 years; body mass index: 28.56 ± 4.95 kg/m²; peak oxygen uptake for men: 29.14 ± 6.56 mL/kg/min, for women: 22.67 ± 4.52 mL/kg/min, mean ± SD) completed 15-min sessions of recumbent cycling at the ventilatory threshold: (a) high immersion (HI, virtual reality headset and headphones), (b) low immersion (LI, television screen and speakers), and (c) Control. During-exercise pleasure and post-exercise enjoyment were self-reported. Oxygenation of the right dorsolateral prefrontal cortex (dlPFC) was assessed with near infrared spectroscopy.ResultsHigher pleasure was reported during HI than during LI and Control (Condition × Time interaction; p < 0.001, ηp2 = 0.43). Participants who reported a preference for low exercise intensity showed higher dlPFC oxygenation during Control, but this difference diminished during LI and HI (Condition × Time × Preference interaction; p = 0.036, ηp2 = 0.10).ConclusionCompared with conventionally delivered audiovisual stimulation, using a virtual-reality headset strengthens the dissociative effect, further improving affective responses to exercise at the ventilatory threshold among overweight, low-active adults. Presumably by competing with interoceptive afferents at the level of sensory input, audiovisual stimulation may lessen reliance on cognitive efforts to attenuate declining affect, as indicated by lower right dlPFC activity, particularly among participants disinclined toward high exercise intensity.  相似文献   

14.
Abstract

The objective of this study was to investigate the effects of wearing compression socks (CS) on performance indicators and physiological responses during prolonged trail running. Eleven trained runners completed a 15.6 km trail run at a competition intensity whilst wearing or not wearing CS. Counter movement jump, maximal voluntary contraction and the oxygenation profile of vastus lateralis muscle using near-infrared spectroscopy (NIRS) method were measured before and following exercise. Run time, heart rate (HR), blood lactate concentration and ratings of perceived exertion were evaluated during the CS and non-CS sessions. No significant difference in any dependent variables was observed during the run sessions. Run times were 5681.1±503.5 and 5696.7±530.7 s for the non-CS and CS conditions, respectively. The relative intensity during CS and non-CS runs corresponded to a range of 90.5–91.5% HRmax. Although NIRS measurements such as muscle oxygen uptake and muscle blood flow significantly increased following exercise (+57.7% and + 42.6%,+59.2% and + 32.4%, respectively for the CS and non-CS sessions, P<0.05), there was no difference between the run conditions. The findings suggest that competitive runners do not gain any practical or physiological benefits from wearing CS during prolonged off-road running.  相似文献   

15.
Despite accumulating evidence that regular exercise improves executive functioning, the underlying neurophysiological mechanisms have rarely been investigated. The present study aimed to compare cognitive performance as well as task-specific concentration changes in oxygenated haemoglobin in the prefrontal cortex between children with higher and lower moderate-to-vigorous physical activity (MVPA). Physical activity was measured over 7 consecutive days using actigraphy. Afterwards, participants (N = 50) completed verbal fluency tests (VFTs) and mental arithmetic (MA) for the assessment of cognitive flexibility and working memory capacity. During the tasks, changes of oxygenated haemoglobin were measured with functional near-infrared spectroscopy. Using average MVPA of 11-year-old children as cut-point, the sample was divided into children with lower and higher MVPA. Analyses of variance revealed no significant differences in correct and false responses on the cognitive tests between groups. With regard to oxygenated haemoglobin, no group differences were found for concentration changes in response to the cognitive tasks. In conclusion, VFTs and MA increased children’s activation in prefrontal regions associated with cognitive flexibility and working memory, respectively. However, these executive functions and cortical activation were not different between children with lower and higher MVPA.  相似文献   

16.
Abstract

Recovery from a bout of exercise is associated with an elevation in metabolism referred to as the excess post-exercise oxygen consumption (EPOC). A number of investigators in the first half of the last century reported prolonged EPOC durations and that the EPOC was a major component of the thermic effect of activity. It was therefore thought that the EPOC was a major contributor to total daily energy expenditure and hence the maintenance of body mass. Investigations conducted over the last two or three decades have improved the experimental protocols used in the pioneering studies and therefore have more accurately characterized the EPOC. Evidence has accumulated to suggest an exponential relationship between exercise intensity and the magnitude of the EPOC for specific exercise durations. Furthermore, work at exercise intensities ≥50 – 60% [Vdot]O2max stimulate a linear increase in EPOC as exercise duration increases. The existence of these relationships with resistance exercise at this stage remains unclear because of the limited number of studies and problems with quantification of work intensity for this type of exercise. Although the more recent studies do not support the extended EPOC durations reported by some of the pioneering investigators, it is now apparent that a prolonged EPOC (3 – 24 h) may result from an appropriate exercise stimulus (submaximal: ≥50 min at ≥70% [Vdot]O2max; supramaximal: ≥6 min at ≥105% [Vdot]O2max). However, even those studies incorporating exercise stimuli resulting in prolonged EPOC durations have identified that the EPOC comprises only 6 – 15% of the net total oxygen cost of the exercise. But this figure may need to be increased when studies utilizing intermittent work bouts are designed to allow the determination of rest interval EPOCs, which should logically contribute to the EPOC determined following the cessation of the last work bout. Notwithstanding the aforementioned, the earlier research optimism regarding an important role for the EPOC in weight loss is generally unfounded. This is further reinforced by acknowledging that the exercise stimuli required to promote a prolonged EPOC are unlikely to be tolerated by non-athletic individuals. The role of exercise in the maintenance of body mass is therefore predominantly mediated via the cumulative effect of the energy expenditure during the actual exercise.  相似文献   

17.
This study aimed to describe the effect of compression garments on middle cerebral artery blood flow velocity (MCAv) in relation to cognitive and exercise performance whilst cycling. In a randomised-controlled-cross-over design, 15 well-trained male cyclists were recruited to participate in three identical trials wearing loose fitting shorts (control), low-grade, or medium-grade compression garments. The protocol involved four 8?min increments of cycling at 30%, 50%, 70%, and 85% maximal power output and a 4?km time-trial. Participants undertook a cognitive Stroop task at baseline and at the midpoint of each increment. MCAv was monitored with Transcranial Doppler Ultrasonography. Mean arterial pressure (MAP) and partial pressure of end-tidal CO2 (PetCO2) were measured throughout. MCAv, MAP, PetCO2, and reaction time of the complex Stroop task were influenced by exercise intensity, but not compression garments. Compression garments significantly affected cognitive accuracy in the complex Stroop task such that low-grade compression appeared to enhance cognitive accuracy in comparison to the control condition at the highest intensity (p?=?.010). Time-trial performance did not differ between the control (338.0?±?17.3 s), low-grade (338.7?±?18.7 s), or medium-grade (342.2?±?19.3 s) conditions (p?=?.114). Compression garments did not affect MCAv during exercise or time-trial performance, but compression may be beneficial for improved cognitive accuracy during high-intensity exercise. Further research is required to elucidate the potential impact on cognitive performance.  相似文献   

18.
Abstract

In this study we determined the exercise intensity that elicits the highest fat oxidation rate in 15 obese women and 13 obese men. Furthermore the relationship between this intensity with the lactate (LT) and ventilatory thresholds (VT) was investigated in order to give training recommendation for maximal fat utilization during endurance exercise. After an incremental exercise test until exhaustion on a cycle ergometer, subjects performed six 20-min exercise bouts of 25, 35, 45, 55, 65 and 75% VO2peak. The 20 min stages were randomly assigned and spread over two separate occasions (three bouts per occasion). Substrate oxidation was measured with indirect calorimetry and was calculated using stochiometric equations. In both, women and men the highest fat oxidation rate occurred at 65% VO2peak and this did not coincide with either the VT or LT. A significant correlation between VT and LT could not be found in women (r=0.33) nor men (r=0.277). In obese women and men training recommendation for maximal fat utilization should not only be given by the intensity at which AnT occurs.  相似文献   

19.
The present study explored the effects of three different activity conditions on three attentional functions: alerting, orienting, and executive control. A group of highly experienced cyclists performed the Attention Network Test-Interactions (Callejas, Lupiá?ez, & Tudela, 2004) at rest, during moderate aerobic exercise, and during intense aerobic exercise. Results indicated that aerobic exercise accelerated reaction time and reduced the alerting effect compared with the rest condition. However, aerobic exercise did not modulate the functioning of either the orienting or the executive control attentional networks. No differences in reaction time or attentional functioning were observed between the two aerobic exercise workloads. The present results suggest that moderate aerobic exercise modulates the functioning of phasic alertness by increasing the general state of tonic vigilance.  相似文献   

20.
Abstract

The aim of this study was to compare the ‘anaerobic threshold’ (AnT) of subjects determined during a continuous 2‐min incremental exercise test until exhaustion and the ‘maximal lactate steady‐state’ (BLaSsmax) determined during prolonged exercise at constant loads corresponding to the subjects’ AnT and/or 5–25% above and below it. Seventeen subjects performed an incremental exercise test and 1–5 prolonged exercise tests on a cycle ergometer until exhaustion at intervals of 1 week, and work rates, oxygen uptake (VO2) values and brachial venous blood lactate (BLa) levels were measured. It was proposed that when exercising at a constant workload below AnT, BLa would fall after having reached its peak; at the level of AnT, BLa reaches maximal steady‐state (BLaSsmax); and above AnT, BLa increases continuously. Altogether, in 34 of 45 tests with a constant workload between 80 and 125% AnT, BLa values were as expected. In those cases in which BLaSsmax was reached, BLa increased on average by 3.8 mM from resting levels. This increase was 2.0 mM greater than that seen between resting levels and AnT during incremental exercise. There was no correlation between BLa values at BLaSsmax and at AnT, both when expressed as an increase in BLa (ABLa) and absolute BLa concentration. Altogether, 81% of the variation in BLa concentration at BLaSsmax could be explained by the subjects’ age, the percentage of slow‐twitch fibres and BLa levels at rest. The AnT and BLaSsmax did not differ significantly, and these values were correlated (r = 0.83). Together, AnT and age accounted for 85% of the variation seen in BLaSsmax. The BLaSsmax did not correlate with AnT when fixed at a BLa concentration of 4 mM (AnT4mM). The three hypotheses tested in this study were confirmed, and the present results demonstrate that AnT correlates with BLaSsmax. The few exceptions to anticipated BLa kinetics were small in magnitude and could be explained by physiological variations.  相似文献   

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