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Sports Performance Supplement

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1721. Clinical practice guidelines for the management of early breast cancer

demonstrate a reduction in DCIS recurrence and invasive breast cancer if radiotherapy is performed after local excision for DCIS (Level II). 38,41,42 Axillary lymph node dissection is not necessary in the management of most patients with DCIS. 43 Chemotherapy has never been investigated or used in the treatment of DCIS. Recent evidence indicates that the use of tamoxifen in women with DCIS in the adjuvant setting reduces the risk of DCIS recurrence and invasive breast cancer (Level II). 44 Women should (...) as the only abnormality following a surgical breast biopsy. Close surveillance, including frequent clinical examination and bilateral mammography, supplemented by ultrasound if indicated, appears to be the best management option currently available. Atypical hyperplasia (AH) refers to the proliferation of atypical cells in the breast epithelium. AH has been further sub-classified into atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH). The cells in ADH are similar to those in DCIS

2001 Cancer Australia

1722. Clinical practice guidelines for the psychosocial care of adults with cancer

especially when these pose emotional stress. Participation in communication skills training also appears to be a valuable strategy, given evidence that those health professionals who feel insufficiently trained in communication and management skills have higher levels of stress. 35 It may be necessary for health professionals to challenge unrealistic expectations of professional performance. Investing in interpersonal relationships is likely to improve coping ability, since supportive relationships

2002 Cancer Australia

1723. Evaluation of nutritional intake in Canadian high-performance athletes. (PubMed)

Evaluation of nutritional intake in Canadian high-performance athletes. To determine the nutritional intake of Canadian high-performance athletes.Prospective survey study.Canadian sport center athletes.Three hundred twenty-four high-performance athletes (114 males and 201 females; mean age 21.3 +/- 13 years) from 8 Canadian sport centers participated in the study.Subjects prospectively completed 3-day dietary records, reporting all food, fluid, and supplement consumption.Dietary records were (...) daily carbohydrate and protein intake was 5.1 +/- 1.8 and 1.8 +/- 0.6 g/kg body weight, respectively. Protein intake, but not carbohydrate intake, met recommendations. Supplementation significantly increased athletes' energy, total carbohydrate, protein, and fat intake. Of 17 micronutrients assessed, intake ranged between 120% and 366% of recommended daily intake with food alone and between 134% to 680% of recommended daily intake with supplements.Canadian high-performance athletes do not consume

2009 Clinical Journal of Sport Medicine

1724. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults

evaluation should be performed on an obese patient starting a weight loss regimen if this has not been done within the past year. The medical history and physical exam should focus on causes and complications of obesity. BMI should be calculated and waist circumference measured to better assess risk and to offer measures of outcome in addition to weight loss. Although the causes of obesity are not fully known, certain factors clearly play a role. Family history is important because of the strong (...) - stimulating hormone, or full thyroid function tests. A recent baseline electrocardiogram should be available; if not, it should be performed. Other laboratory studies should be performed on the basis of findings from the initial evaluation. Medical Evaluation, Treatment, and Monitoring of the Obese Patient on a Weight Loss Regimen— A Clinician’s Approach and Perspective40 Lifestyle, Diet, and Physical Activity If the patient is not seeing a registered dietitian or other counselor, food and exercise

2000 The Obesity Society

1725. Enhancing Healthy Adolescent Development

of information are necessary supplements to or stand-ins for research. The evidence base for a decision is the multiple forms of evidence combined to balance rigor with expedience, while privileging the former over the latter (Canadian Health Services Research Foundation, 2006, p.11). Family: Whomever the person defines as being family. Family members can include parents, children, siblings, partners, neighbours, and significant people in the community. Health Organization: Any agency, institution

2002 Registered Nurses' Association of Ontario

1726. Guidelines for the treatment of postmenopausal osteoporosis for general practitioners

, University of Adelaide, South Australia (Nominee of ANZBS). Maria Fiatarone Singh, MD, FRACP, is Professor of Medicine, John Sutton Chair of Exercise and Sport Science, University of Sydney, New South Wales. Stephen Lord, BSc, MA, PhD, is Associate Professor and Principal Research Fellow, Prince of Wales Medical Research Institute, New South Wales. Alastair MacLennan, MB, ChB, MD, FRCOG, FRANZCOG, is Professor of Obstetrics and Gynaecology, University of Adelaide, South Australia. Alex Markwell, BSc (...) ) of yoghurt contains 340 mg of calcium. For those who are unable to tolerate dairy products, calcium enriched soy milk and a large variety of calcium supplements are currently available from pharmacies and health food stores. However, patients need to understand the varying calcium content of different supplements and that the recommended daily intake relates to elemental calcium. Controlled trials have found small effects of calcium on bone Guidelines for the treatment of postmenopausal osteoporosis

2002 The Royal Australian College of General Practitioners

1727. Cholestagel - colesevelam

development, sensory/ reflex development, behaviour, and reproductive performance. 1 ) gp 1 received basal diet, gp2 received cellulose at 2 g/kg/day (cellulose control) 2 ) gp 1 received basal diet and gp 2 received cellulose at 3 g/kg/day (cellulose control) 3 ) dose depicted is the total daily dose. Dams were dosed twice a day with half of the total daily dose. No treatment-related adverse effects were found in the reproductive toxicity studies. This is not surprising as colesevelam does not reach (...) the plasma. The only effect observed is the known effect on food consumption and body weight gain when colesevelam was administered to the animals via the diet. Local tolerance No local tolerance studies have been performed by the applicant. By virtue of its route of administration, colesevelam might induce local adverse effects in the (gastro)intestinal tract. However, macroscopic and histopathological evaluation of the gastrointestinal tract of animals after repeated dosing with colesevelam revealed

2005 European Medicines Agency - EPARs

1728. Potassium

supplements such as Sando K and increasing the amount of potassium-rich foods in the diet, such as bananas, beef, or spinach. Treatment for is usually based on treatment of the underlying cause and may include the use of , kidney dialysis, or insulin injections. A number of fruits, vegetables, and meats are good sources of potassium. Examples are bananas, melons, orange juice, potatoes, spinach, broccoli, milk, yoghurt, turkey and beef. No. tests are performed by trained, highly skilled, healthcare (...) age, gender, sample population, and test method, and numeric test results can have different meanings in different laboratories. For these reasons, you will not find reference ranges for the majority of tests described on this web site. The lab report containing your test results should include the relevant reference range for your test(s). Please consult your doctor or the laboratory that performed the test(s) to obtain the reference range if you do not have the lab report. For more information

2004 Lab Tests Online UK

1729. Healthy Eating Aerobic and Resistance Training in Youth (HEARTY) Trial

week for at least 20 minutes per session. Diabetes mellitus. Body weight over 159 kg, and/or BMI>45 kg/m2, exceeding capacity of DEXA and CT machines. Use of any performance-enhancing medication. Use of any medication or herbal supplement that is likely to affect body composition, lipids or glucose metabolism. Significant weight change (increase of ≥10%, or decrease≥5% of body weight during the two months before enrollment). Uncontrolled hypertension: BP >150 mm Hg systolic or >95 mm Hg diastolic (...) percentile for age, and gender AND/OR ≥85th percentile for age/gender with any of: Fasting glucose ≥6.0 fasting, 2-hour plasma glucose 7.8-11 mmol/L after 75 G oral glucose, fasting triglycerides > 1.7 mmol/L, fasting plasma insulin >105 pmol/L, HDL-C<0.9 mmol/L, LDL-C>3.0 mmol/L, total cholesterol/HDL-C >90th percentile, or first-degree relative with type 2 diabetes Exclusion Criteria: Participation during the previous 4 months in a regular program of exercise or aerobic sports greater than 2 times per

2005 Clinical Trials

1730. Effects of Regular and Consequent Citrus Fruits Consumption on Vascular Protection

or hepatic failure Thyroid disease Autoimmune disease Inflammatory, infectious, or surgical event in the last three months Antibiotics, laxative, diuretics Vitamins, minerals, polyphenol, carotenoid supplementation in the last three months Vegetarian Sport : > 5h/week High consumption of beverage rich in polyphenols (coffee, wine, fruit juice,...) Intestinal disease Alcoholism Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor (...) contain vitamin C associated with various phytomicronutrients i.e. carotenoids (essentially -cryptoxanthin) and polyphenols. Each fruit contains specific compounds: hesperetin in orange, naringenin in grapefruit, eriodyctiol in lemon. Some scientific studies performed either in vitro or in animal models demonstrated properties of these micronutrients which could contribute to a positive health effect of citrus fruits on vascular protection. However data are still missing. The main goal of this project

2007 Clinical Trials

1731. HORMA: Hormonal Regulators of Muscle and Metabolism in Aging

randomization in which 108 study participants will first be randomized to either the low or high eugonadal level of testosterone using a novel Leydig cell clamp method (GnRH (gonadotropin-releasing hormone) agonist plus topical testosterone supplementation) to achieve target levels of testosterone. Low gonadal status (150-550 ng/dL) will be maintained with 5 g daily doses of topical testosterone, whereas high gonadal status (650-950 ng/dL) will be achieved with 10 g daily doses. Within these two groups (...) synthesis (e.g. IGF-1, IGFBP4, myostatin). Secondary Outcome Measures : change in skeletal muscle strength, muscle mass, power and fatigability (endurance), physical performance, and markers of safety. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study

2005 Clinical Trials

1732. Creatine Treatment in Psychiatric Disorders

Study Details Study Description Go to Brief Summary: Creatine plays a pivotal role in brain energy homeostasis. Creatine supplementation is widely used in enhancing sports performance, and has been tried in the treatment of neurological, neuromuscular and atherosclerotic disease with a paucity of side effects. Dechent et al (1999) studied the effect of oral creatine supplementation for 4 wk demonstrating a statistically significant increase of mean concentration of total creatine across brain (...) regions. These findings suggest the possibility of using oral creatine supplementation to modify brain high-energy phosphate metabolism in subjects with various brain disorders, including schizophrenia and major depression. Recently, Rae et al (2003) reported that creatine supplementation for 6 weeks had a significant positive effect on both working memory and Raven matrices. Several independent lines of evidence suggest the possible involvement of altered cerebral energy metabolism in schizophrenia

2005 Clinical Trials

1733. TREAD-20: Trial of Hyalgan Three Injection-Regimen for the Treatment of Knee Pain Due to Osteoarthritis

of age and of sufficient good health that they will be able to complete the 6-month follow-up. Patients with signs and symptoms of osteoarthritis of at least one knee: Diagnosed according to ACR criteria. Based upon a knee X-ray performed within 6 months prior to Screening, the radiograms must be classified as a Grade II or III for osteoarthritis of the knee according to the Kellgren & Lawrence grading system based upon a radiologist's written report or individual certified for reading knee (...) ). Patients who can perform the 50-foot walk test without the support of crutches or other assistive devices, except for canes. If patient uses a cane routinely in daily activities, then they can use it for their assessments. However, this use must remain stable for all assessments. Minimum flexion of 90 degrees in both knees. Patients who are willing to discontinue all non-steroidal anti-inflammatory drugs (NSAIDs) or other analgesic medication taken for any condition, including their knee pain

2005 Clinical Trials

1734. Role of Nutrition and Hormones in Boys With Disordered Growth

by: National Institutes of Health Clinical Center (CC) Study Details Study Description Go to Brief Summary: This study will determine whether adding more calories to the diet helps boys with growth problems grow better while being treated with Nutropin, a growth hormone that is used to help children grow taller. The Food and Drug Administration has approved Nutropin for use in children who are very short. This study will examine whether giving nutritional supplements in addition to Nutropin can help (...) ), ages 7-10 years, who are otherwise healthy, but have significant short stature (height SDS less than -2.25 = the current FDA approved indication for the use of GH in idiopathic short stature), delayed bone age (greater than 12 months below chronologic age), and low BMI and weight-for-height (less than 25th percentile). Ten boys will be randomized to receive observation for 6 months, followed by GH therapy for 12 months. Ten boys will be randomized to receive daily liquid nutritional supplementation

2005 Clinical Trials

1735. Creatine use and exercise heat tolerance in dehydrated men. (Full text)

Creatine use and exercise heat tolerance in dehydrated men. Creatine monohydrate (CrM) use is highly prevalent in team sports (eg, football, lacrosse, ice hockey) and by athletes at the high school, college, professional, and recreational levels. Concerns have been raised about whether creatine use is associated with increased cramping, muscle injury, heat intolerance, and risk of dehydration.To assess whether 1 week of CrM supplementation would compromise hydration status, alter (...) thermoregulation, or increase the incidence of symptoms of heat illness in dehydrated men performing prolonged exercise in the heat.Double-blind, randomized, crossover design.Human Performance Laboratory.Twelve active males, age = 22 +/- 1 year, height = 180 +/- 3 cm, mass = 78.8 +/- 1.2 kg, body fat = 9 +/- 1%, V(O2)peak = 50.9 +/- 1 ml.kg(-1).min(-1).Subjects consumed 21.6 g.d(-1) of CrM or placebo for 7 days, underwent 48 +/- 10 days of washout between treatments, and then crossed over to the alternate

2006 Journal of athletic training PubMed

1736. An exercise protocol that simulates the activity patterns of elite junior squash. (PubMed)

An exercise protocol that simulates the activity patterns of elite junior squash. Squash is a popular racket sport that requires intermittent activity with frequent bursts of near maximal-intensity exercise. Consequently, effective physiological and thermoregulatory responses are important contributors to performance during squash match-play. Controlled field-based simulation protocols have been introduced in a growing number of sports, which allow sports scientists to investigate changes (...) in physiology and the efficacy of various interventions in sport-specific contexts. This study aimed to develop an exercise protocol that simulates the physiological requirements of elite squash match-play. Eight elite junior squash players (age 16.2+/-0.8 years, height 1.76+/-0.06 m, body mass 61.3+/-5.9 kg; mean+/-s) completed the following in a randomized order: (1) a squash match against a player of similar standard and (2) a squash-specific incremental exercise protocol (multistage squash test [MST

2006 Journal of sports sciences

1737. Aerobic exercise training programmes for improving physical and psychosocial health in adults with Down syndrome. (Full text)

with Down syndrome.Search terms and synonyms for "aerobic exercise" and "Down syndrome" were used within the following databases:CENTRAL (2005, Issue 2); MEDLINE (1966 to March 2005); EMBASE (2005 to April 2005); CINAHL (1982 to March 2005); LILACS (1982 to March 2005); PsycINFO (1887 to March 2005); ERIC (1966 to March 2005); CCT (March 2005); Academic Search Elite (to March 2005), C2- SPECTR (to March 2005 ), NRR (2005 Issue 1), ClinicalTrials.gov (accessed March 2005)and within supplements (...) of Medicine and Science in Sports and Exercise.Randomised or quasi-randomised controlled trials using supervised aerobic exercise training programmes with behavioral components accepted as co-interventions.Two reviewers selected relevant trials, assessed methodological quality and extracted data. Where appropriate, data was pooled using meta-analysis with a random effects modelThe two studies included in this trial used different kinds of aerobic activity: walking/jogging and rowing training. One included

2005 Cochrane database of systematic reviews (Online) PubMed

1738. Tricarboxylic-acid-cycle intermediates and cycle endurance capacity. (PubMed)

at 20-min intervals; blood lactate and plasma glucose before, after, and at 30-min intervals during exercise; perceived exertion at 20-min intervals during exercise; or time to fatigue after the 30-min recovery (KI = 16.1 +/- 3.2, P = 15 +/- 2 min). Taking a dietary sport supplement containing several TCAIs and supporting substances for 3 wk does not improve cycling performance at 75 % VO2peak or speed recovery from previously fatiguing exercise. (...) Tricarboxylic-acid-cycle intermediates and cycle endurance capacity. The purpose of this study was to determine whether ingestion of a multinutrient supplement containing 3 tricarboxylic-acid-cycle intermediates (TCAIs; pyridoxine-alpha-ketoglutarate, malate, and succinate) and other substances potentially supporting the TCA cycle (such as aspartate and glutamate) would improve cyclists' time to exhaustion during a submaximal endurance-exercise test (approximately 70 % to 75 % VO2peak) and rate

2004 International journal of sport nutrition and exercise metabolism

1739. Preventing substance use and disordered eating: initial outcomes of the ATHENA (athletes targeting healthy exercise and nutrition alternatives) program. (Full text)

from 40 participating sport teams. Mean age was 15.4 years, 92.2% were white, and follow-up retention was 72%.The ATHENA (Athletes Targeting Healthy Exercise and Nutrition Alternative) curriculum's 8 weekly 45-minute sessions were incorporated into a team's usual practice activities. Content was gender-specific, peer-led, and explicitly scripted. Topics included healthy sport nutrition, effective exercise training, drug use and other unhealthy behaviors' effects on sport performance, media images (...) of females, and depression prevention.We assessed participants by confidential questionnaire prior to and following their sport season. We determined program effects using an analysis of covariance-based approach within the Generalized Estimating Equation framework.Experimental athletes reported significantly less ongoing and new use of diet pills and less new use of athletic-enhancing substances (amphetamines, anabolic steroids, and sport supplements) (P<.05 for each). Other health-harming actions also

2004 Archives of Pediatrics & Adolescent Medicine PubMed

1740. The Role of Tea Catechins and Caffeine in Relation to Energy Metabolism

Criteria Inclusion Criteria: Healthy men Age 18-40 years BMI 18,5-25 kg/m2 Exclusion Criteria: Diabetes or any other endocrinological disease Hypertensive medication Increased Blood Pressure > 140/85 Hyperlpidimia Chronic disease (i.e. HIV) Use of any diet supplements including vitamins (during and 3 months prior to the study). High alcohol intake (>21 units a week) High caffeine intake (>250 mg/day) or high catechin intake (>200 mg/day) Smoking Elite sports performer Use of any regular medication (...) by: University of Copenhagen Study Details Study Description Go to Brief Summary: The aim of this study is to elucidate the role of specific catechins, a mixture of catechins and caffeine in relation to weight control with particular emphasis on energy metabolism and fat oxidation. Condition or disease Intervention/treatment Phase Obesity Dietary Supplement: green tea Dietary Supplement: Mix of catechins and caffeine Dietary Supplement: EGCG Dietary Supplement: EGC Dietary Supplement: Caffeine Dietary

2007 Clinical Trials

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