In previous assessments of body composition by whole body bioelectrical impedance (BI) analysis, electrodes have almost always been placed on the right side of the body. In fact, the most commonly used equations of Lukaski et al, were developed using BI measurements obtained on the right side of the body. However, in some individuals with traumatic injury or orthopedic problems, it would sometimes be necessary to measure BI on the right left side of the body. In the present study, we investigated the effects of electrode placement on BI and the derived percentage body fat. Subjects were 72 nontrained, healthy adult women : age ; 28.1±12.6 yr (1866), height ; 156.3±6.0cm, weight ; 50.5±7.7 kg, percentage body fat ; 24.4±5.2%. BI was measured for each subject in a supine position by use of a Selco SIF-881 plethysmograph (800 μA, 50 kHz) and ECG electrodes (Nikon Kohden) . The tetrapolar configuration was adopted in order to minimize contact impedance or skin-electrode interation. Eating and exercise were prohibited for at least 3 h prior to assessment. The effects of electrode placement were determined under four conditions: 1) the right arm and right leg (R side), 2) the right arm and left leg (R side-L side), 3) the left arm and right leg (L side-R side), 4) the left arm and left leg (L side) . Body density was predicted from the equation developed by Nagamine et al., and percentage body fat was derived from the body density according to Brozek et al. There were significant differences in BI values among the four conditions. Dominant side BI values were significantly lower than those on the non-dominant side. Percentage body fat values estimated under four different BI test conditions (i, e., R, R-L, L-R, and L) in terms of electrode placement were found to be highly correlated (r= 0.9420-0.956) with hydrodensitometrically determined percentage body fat. However, the mean percentage body fat on the dominant side of the body were significantly lower than that on the non-dominant side. We suggest that electrodes can be placed either on the dominant side or on the non-dominant side of the body for normal individuals, assuming that the lowest value from the four combinations of measurements can be used as the criterion value of BI. When the subjects are athletes, BI values obtained on the dominant side or a mean of the values measured on both sides should be adopted.

Before and after the physical fitness tests included 1000 meter endurable walking, aged males and females more than 61 to 80 years old were tested on the blood pressure, heart rate and blood components. The results were as follows.
1) The systolic and diastolic blood pressure were not varied so distinctly.
2) Heart rates were increased in all groups.
3) Serum cholesterol, GOT and GPT were not influenced.
4) Fatty acid, especially unsaturated one, was increased remarkably.
5) Fatty acid increasing observed on excellent performer of the endurable walking was higher than that of poor performer.
6) Increasing ratio of the fatty acid which was found on the subjects with abnormal ECG was higher than that of the subjects with normal ECG.
As above mentioned facts, the test of serum fatty acid seemed very important item to the aged people from the view point of security of the exercise.

This study examined if modified Wingate Anaerobic Test (Wingate method) and Evans-Quinney Anaerobic Test (Evan-Quinney method) procedures could be applied to the meas-urement of maximal anaerobic power output (POmax) which is usually determined during 8-s maximal cycling depending predominantly on alactacid energy sources. The criterion measure of POmax was either the highest power output among 5 to 7 power outputs meas-ured at different workloads (Selection method) or the peak power output estimated from quadratic regression (Peak method) . POmax and anaerobic power outputs with these four methods were measured during 8-s maximal cycling on Monark bicycle ergometer with toe-stirrups. Forty-four young athletes (25 males and 19 females) served as subjects. Analysis of the data indicated that: 1) There was a very high correlation (r=0.995, P<0.001) between POmax determined by Selection and Peak methods, with no statistical difference in their absolute means. 2) POmax determined by Wingate method correlated (r=0.937, P<0.001) significantly with POmax determined by Peak method, while mean values differed signif-icantly. 3) POmax determined by Evans-Quinney method also correlated (r=0.890, P<0001) significantly with that determined by Peak method; however, mean values differed significantly and degree of the difference in POmax was particularly greater in females. It is concluded that both Wingate and Evans-Quinney methods with a cycling duration of 8 s might be applicable for the assessment of POmax by utilizing linear regression equations developed in this study. Further studies are needed as to the feasibility of using these methods, particularly on females.

The purpose of this study was to measure the effectiveness of RPE on exercise intensity for senior citizens. A maximum workload test was administered with the use of a bicycle ergometer on older male and female subjects. The results of our study can be summarized as follows:
1. Two trials were performed on separate days. A high correlation coefficient for the first trial and the second trial was found. The reliability for the male group was r=0.76 (p<0.01) and that for the female group r=0.90 (p<0.01) .
2. A correlation range of r=0.55-0.79 (p (0.01) was found for RPE and physiological exercise intensity (which includes oxygen intake and heart rate) . A higher result was found when the relative value was used in the analysis of the oxygen intake and the heart rate instead of the absolute value.
3. Significant correlation coefficients of r=0.63-0.64 (p<0.01) were found for RPE and the work load in terms of watt units.
4. The majority of the physiological variables were statistically determined ; however, there were no correlations between RPE and systolic blood pressure.
In conclusion, based on our study, we have found that RPE and HR ; RPE and %Vo₂max: RPE and watts grouped individually had a high correlation for effectiveness. The only exception in our study was the RPE and the blood pressure group because no correlation was found overall. Therefore, the overall effectiveness of RPE was proven to be quite sensitive even for senior citizens, and as a result RPE can be utilized when exercise is prescribed for evaluatory measurement in senior citizens.

Several prediction equations for estimating body composition of Japanese men and women have recently been developed using a linear regression model with a combination of impedance and anthropometric measurements as independent variables. The purpose of this study was to determine the cross-validity of body density (Db) estimated from bioelectrical impedance (BI) and skinfold thickness (ST) methods in comparison with underwater weighing (UW) as a criterion reference method. Percentage body fat (%BF) was derived from Db according to the equation Brozek et al. Fifty-seven healthy Japanese women, aged 19 to 57 years, volunteered to participate in the study. Impedance was measured by use of a portable four-terminal impedance plethysmograph (Selco, SIF-891) . %BF derived from the BI method (r=0.860-0.875) was correlated with hydrodensitometrically determined %BF to a greater extent than %BF obtained using the ST method (r=0.7330.758) or ultrasound method (r=0.536-0.721) . Correlations of various anthropometric indices (r=0.655-0.691) with hydrodensitometrically determined %BF were even lower. It was noteworthy, however, that mean %BF derived from existing BI equations differed significantly from hydrodensitometrically determined mean %BF. Therefore, we attempted to develop a new equation that was applicable to Japanese adult women as follows: Db=1.1613-0.1038 (Wt⋅Z ) /Ht², where Wt=weight in kg, Z=impedance in ohms, and Ht=height in cm. The prediction accuracy of this equation was r=0.866 or SEE=0.0077 g/ml. Cross-validation of this equation on a different sample (122 Japanese women, aged 18 to 59 years) revealed a correlation of r=0.869 in terms of %BF, SEE=3.2%, and no significant difference between estimated %BF and the criterion. We suggest that the BI method is one of the most convenient, valid means of assessing human body composition, and that the newly developed BI equation could be useful particularly when the subjects are Japanese adult women in their late teens to fifties.

A study was conducted to investigate the validity of skinfold-based prediction equations for body density (Db, g/ml) developed by Nagamine et al. (1974), and to formulate convenient, useful equations for predicting Db by the skinfold thickness (ST) method in junior high school boys and girls. The subjects of the study were 269 healthy boys and girls, aged 12-15 years. The dependent variable, Db, was determined by underwater weighing (UW) . Independent variables included single skinfold thickness at three sites (triceps, subscapular and abdomen) and the sum of two skinfolds. Db by the ST method was estimated from the equations developed by Nagamine et al. (1974) for boys and girls, using the sum of skinfold thickness at the triceps and subscapular area. Skinfold thickness was measured on the right side of the body with an Eiken-type skinfold caliper. Db estimated by the ST method was correlated significantly with Db determined by UW (r=0.873 for boys and r=0.723 for girls) . However, average Db values estimated by the ST method were significantly lower than those deter-mined by UW (differences in Db values when predicted by the Nagamine equations: 0.0099 for boys and 0, 0114 for girls) . Therefore, we developed linear regression equations for predicting Db. The best-fitting prediction equation for Db was Db=1.0881-0.0010·X for boys, and Db=1.0715-0.0007·X for girls, where X is the sum of the triceps and subscapular skinfold thickness (mm) for boys and girls. Db estimated from the respective equation was correlated significantly with hydrodensitometrically determined Db (r=0.872, SEE=0.0089 for boys; r=0.722, SEE=0.0104 for girls) .
Furthermore, in a cross-validation analysis of prediction equations for Db developed in the present study, Db estimated from the respective equation was correlated highly with hydrodensitometrically determined Db (r=0.887 for boys and r=0.740 for girls) . There were no significant differences between the Db values predicted by the ST method against hydrodensitometrically determined Db values (difference values: 0.0012 for boys and 0.0013 for girls) . The final phase of this study was to develop more stable equations, combining validation and cross-validation samples. On the basis of the final analyses, we recommend the equations Y=1.0875-0.0010X and Y=1.0716-0.0007X, with SEE of 0.0088g/ml for boys and 0.0105g/ml for girls, respectively. It is suggested that the prediction equations finally developed in the present study will be applicable to junior high school boys and girls.

The tetrapolar bioelectrical impedance (BI) method has been proposed as a convenient, valid approach for estimating the body composition of normal healthy adults. However, the validity of the BI method has not yet been confirmed for Japanese junior high school boys and girls. The purpose of this study was to develop convenient and useful equations for predicting the body composition in junior high school boys and girls by the BI method. The subjects were 297 healthy boys and girls, aged 12.15 years, all of whom were Japanese. Impedance was measured using a tetrapolar bioelectrical impedance plethysmograph (800 pA, 50 kHz SIF-891) manufactured by Selco. Multiple regression analysis was used to derive prediction equations for Db that were specifically applicable to boys and girls. The effective prediction equations for Db were as follows : 1) Db=1.1860-0.1282 (Wt·Z) /Ht², and 2) Db=1.1402-0.0706 (Wt·Z) /Ht²-0.0007· (abdomen) for boys. 1) Db=1.1337-0.0778 (Wt·Z) /Ht², and 2) Db=1.1124-0.0498 (Wt·Z) /Ht²-0.0006· (subscapular) for girls, where Db=body density (g/ml), Wt=weight (kg), Z =impedance (ohms), Ht=height (cm) . Db estimated by each respective equation was highly correlated with body density measured by underwater weighing (UW-Db) : 1) r=0.881, SEE=0.00868/ml, 2) r=0.902, SEE=0.00788/nil for boys and 1) r= 0.741, SEE=0.0101 g/ml, 2) r=0.775, SEE =0.0095g/ml for girls. Furthermore, in a cross-validation analysis of prediction equations for Db, another sample consisting of 40 boys and 66 girls was used. Db estimated from each respective equation was correlated highly with UW-Db : 1) r=0.856, 2) r=0.887 for boys and 1) r=0.837, 2) r=0.860 for girls. There were no significant differences between the mean Db obtained by the BI method and that by the criterion method. We suggest that the prediction equations proposed in this study are useful for valid assessment of body composition of Japanese junior high school boys and girls aged 12 through 15 years.

The purpose of this investigation was to determine the effects of daily walking on aerobic work capacity, vital age and other fitness components in middle-aged and elderly walkers. The subjects were thirty-six walkers (average 65.0±8.0 yr, 51-80 yr), whose training period averaged 13.5±9.0 yr. The walkers were significantly greater in maximal oxygen uptake (VO₂max), and oxygen uptake at the lactate threshold (VO₂LT), and were 6.5 yr younger in vital age (VA) than sedentary middle-aged and elderly. These findings suggest that middle-aged and elderly walkers have more favorable profile of aerobic work capacity and of health status when compared to sedentary persons.

We studied 90 consecutive cases undergoing open heart surgery with preoperative collection of autologous blood and ultrafiltration during extracorporeal circulation. Among the 58 out of 90 patients (64.4%), open heart surgeries were achieved without homologous blood. We evaluated 13 factors (age, height, weight, body surface area, cardiopulmonary bypass time, aortic cross clamping time, dilutional rate, Hct before predonation, lowest Hct during cardiopulmonary bypass, amount of predonated autologous blood, term of autologous blood predonation, amount of bleeding during surgery, amount of bleeding after surgery) in connection with open heart surgery without homologous blood. Among these factors, age, body surface area, cardiopulmonary bypass time, aortic cross clamping time, lowest Hct during cardiopulmonary bypass, amount of predonated autologous blood, amount of bleeding during surgery and amount of bleeding after surgery demonstrated differed significantly between the only autologous blood transfusion group and the homologous blood transfusion group. According to the evaluation by multivariate regression analysis of these factors, the amount of bleeding after surgery was the most contributor to open heart surgery without homologous blood, followed by amount of bleeding during surgery and body surface area. We concluded that open heart surgery without homologous blood may be achieved in more patients by understanding these factors. Autologous blood predonation by the “leapfrog” method, control of the dilution rate by ultrafiltration during extracorporeal circulation and fresh autologous blood transfusion after extracorporeal circulation were effective to achieve open heart surgery without homologous blood.

The remarkable increase of branched amino acid and pretty decrease of lysine venous concentration were observed in healthy nine male and female adults by the brief fast.
The increase of branched amino acid wasn't able to find by the various exercise generally. The increase of lysine venous concentration was found after the running more than 10km frequently.
Only on the subjects of 44 and 55 years of age, the increase of branched chain amino acid and lysine were observed by the running. It looks like have to take precautions that aged people run under the conditions of empty stomach.