We investigated that the relationship between body fat content and maximal muscle strength when skeletal muscle mass was matched. Muscle mass was measured from 140 preliminary selected people, and 30 males were finally selected and divided into one of four experimental groups: low body fat (group 1, ≤11.9%), low-moderate fat (group 2, 12.0%-16.9%), moderate-high fat (group 3, 17.0%-22.9%), high fat (group 4, ≥23.0%). All subjects undertook one repetition maximum (1RM) test of abdominal and back upper body's and lower body's, and bench press, squat, and back strength dynamometer was used. Repeated oneway analysis of variance and Tukey's post-hoc test was adopted to specify mean differences among groups. Statistical significance level was set at α=0.05. 1RM of bench press was not different among groups (p>0.05) even though values from group 2 was marginally higher (15.9%) than group 1 values (p=0.091). 1RM of squat was higher in group 4 compared to group 2 and group 3 (p<0.05), and maximal back muscular strength was higher in group 1 and group 3 than group 2 (p<0.05). However, total 1RM values, sum of 1RM obtained from different exercises, did not reveal any statistical differences. No notable correlation was found between percent body fat (%BF) and maximal muscular strength. Interestingly, negative correlation of muscular strength was observed between %BF and relative (per kilogram) body mass (p<0.001), but not with between %BF and relative skeletal muscle mass. Therefore, it was concluded that maximal muscular strength is influenced not by fat mass but by skeletal muscle mass.
Adipose Tissue* ; Exercise ; Humans ; Male ; Muscle Strength* ; Muscle, Skeletal

PURPOSE: The aim of this study was to investigate the changes of contraction patterns and the differences of activities in trunk muscles during dynamic balance (multidirectional tilting exercise). METHODS: Eight physically active male subjects participated in the study. Tilting exercises were included by four directions (i.e., forward, backward, left, and right side), and were undertaken at three different tilting degrees (i.e., 10°, 20°, and 30°). They performed two occasions of tilting exercise, separated by 6-week time interval. Surface electromyography system was used for record of any signals produced by muscles which normalized as percentage of maximum voluntary isometric contraction. RESULTS: There were no statistically significant different interactive effects in any of muscles between two factors (time vs. degree). However, we identified significant main effects of degrees (among 10°, 20°, and 30°) in muscle activations during maintaining with forward tilting (left and right longissimus, multifidus), backward tilting (left and right rectus abdominis, external oblique), left side tilting (right rectus abdominis, external oblique, longissimus, multifidus), right side tilting (left rectus abdominis, external oblique, longissimus, multifidus). CONCLUSION: Findings from this study allow the multidirectional tilting exercise to be considered as suitable for ameliorate muscle balance by inducing co-contraction in trunk muscles.
Electromyography ; Exercise ; Humans ; Isometric Contraction ; Male ; Muscles ; Rectus Abdominis

PURPOSE: This study analyzed the muscle activity changes induced by motions of reaching forward and chest expansion that were examined from the bilateral muscles with rectus abdominis, external oblique, multifidus, and longissimus thoracic using Pilates cadillac instrument. METHODS: Nine young adult women, who have no musculoskeletal disorder and any of chronic diseases, were participated. Surface electromyography system was used for recording of all signals produced by muscles, and then normalized as percentage of maximum voluntary isometric contraction (%MVIC). The paired t-test and repeated measures of analysis of variance was performed. RESULTS: Reaching-forward motion showed a higher muscle activity from non-dominant external oblique muscle than that of the chest-expansion motion. During both reaching-forward motion and chest-expansion motion, MVIC values collected from dominant side of external oblique muscle were shown a significantly lower than the values obtained from non-dominant side (p < 0.05). Conversely, %MVIC values in external oblique muscle collected from dominant side showed a significantly higher than the values obtained from non-dominant side of the same oblique muscle (p < 0.05). Reaching-forward motion was caused a higher %MVIC on non-dominant external oblique muscle than that of the chest-expansion motion (p < 0.05). Regardless of dominant or non-dominant sides, external oblique muscle was shown the highest activation rate of all the other muscles during reaching forward action, and longissimus thoracic muscle was shown the highest activation rate of all the other muscles during chest expansion action. CONCLUSION: Reaching-forward motion is suitable for activating an external oblique muscle, and chest-expansion motion is an effective enough in activating of longissimus thoracic muscle.
Arm* ; Chronic Disease ; Electromyography ; Female ; Humans ; Isometric Contraction ; Muscles ; Paraspinal Muscles ; Rectus Abdominis ; Thorax ; Young Adult

Purpose: We investigated the effects of cold water immersion (CWI) treatment during half-time break on performance related physiological indices during second half soccer match. Methods: Twenty-two collegiate soccer players participated in the study. Subjects undertook 3 minutes head out seated with whole body immersion at 19 o C to 21 o C. Total four venous blood samples were collected and analyzed for markers of ionic regulations and inflammatory (interleukin [IL]-1b, IL-6, IL-8, IL-10, tumor necrosis factor-α , and vascular endothelial growth factor) and immune functions (immunoglobulin [Ig] G, IgG2, IgG2, IgG3, IgG4, IgA, and IgM). Results: Partial oxygen concentration and %SO 2 level was lowered in CWI. Hemoglobin and hematocrit values were not significantly different between experimental groups. While there was no notable effect was shown in Na ＋ and Ca 2＋ , K ＋ concentration was higher in CWI during second half match. There were no effects in any of inflammatory and/or anti-inflammatory cytokines and Ig. Conclusion These results suggest that CWI during half time break exert positively affects in buffering capacity and promote oxygen delivery to the actively recruited skeletal muscle, possibly results in improve soccer performance during second half match.

BACKGROUND: Successful therapy for community-acquired pneumonia (CAP) requires appropriate empirical antimicrobial therapy based on the local microbe and resistance patterns. However, the available data on the bacterial etiology and antimicrobial susceptibility of CAP in Korea is very limited. MATERIALS AND METHODS: A nationwide prospective multicenter study of CAP in adult patients was carried out between March 2009 and February 2010. Most patients underwent detailed assessment for bacterial and viral pathogens (cultures, urinary antigen testing, serological methods and polymerase chain reaction). RESULTS: A total of 619 patients were studied. More than half (50.4%) of the patients were > or =65 years, 59.3% were males and 48.1% had underlying illness. The etiology was identified in 246 (39.7%) of the patients. The most common etiologic agent was Streptococcus pneumoniae (52 episodes, 21.1%), and the majority (36/52) of which were diagnosed by a positive urinary antigen test alone. The other common bacterial agents included Mycoplasma pneumoniae (41, 16.7%), Klebsiella pneumoniae (26, 10.6%), Chlamydia pneumoniae (13, 5.3%), Pseudomonas aeruginosa (11, 4.3%) and Staphylococcus aureus (8, 3.1%). All S. pneumoniae isolates were susceptible to penicillin with MIC of 2 microg/mL or less, only 1/16 (6.2%) was resistant to levofloxacin and 10/16 (62.5%) were resistant to erythromycin. Of the 26 K. pneumoniae isolates, 25 (96.2%) were susceptible to cefotaxime and ciprofloxacin. CONCLUSIONS: S. pneumoniae remains the most frequent pathogen in adults with CAP and this should be covered with empirical antimicrobial treatment. Atypical pathogens such as M. pneumoniae and C. pneumoniae were the second most common etiologic agents and they should be tested for. The rate of CAP caused by gram-negative bacilli such as K. pneumoniae and P. aeruginosa was high, which is similar to that of the previous Korean studies. Further study, with excluding healthcare-associated pneumonia, is needed to clarify the etiology of CAP in Korea.
Adult ; Cefotaxime ; Chlamydophila pneumoniae ; Erythromycin ; Humans ; Klebsiella pneumoniae ; Korea ; Male ; Mycoplasma pneumoniae ; Ofloxacin ; Penicillins ; Pneumonia ; Pneumonia, Bacterial ; Pneumonia, Mycoplasma ; Prospective Studies ; Pseudomonas aeruginosa ; Staphylococcus aureus ; Streptococcus pneumoniae

BACKGROUND: No outbreak of Enterohemorrhagic Escherichia coli (EHEC) infection has occurred as a group in Korea. On July 2004, an outbreak of EHEC infection occurred in an elementary school in Gwangju metropolitan city. Epidemic investigation was undertaken to track the source of infection and the mode of transmission of EHEC. METHODS: All students and staffs of the elementary school were interviewed and completed questionnaires. We surveyed their clinical symptoms and the foods that they ate. Microbiologic examinations were also carried out on the above school-related persons and many environmental specimens. We also investigated the facilities of the school, some suppliers of food materials, and other associated institutions. All the EHEC-positive persons were isolated in 5 hospitals and tested everyday for verotoxin until they turned out to be negative twice in succession, and their family were also interviewed and tested for EHEC. Pulsed-field gel electrophoresis (PFGE) was performed to find out the genetic relationship between isolates. RESULTS: Of the 1,643 school-related persons, 77 persons (4.7%) were positive for EHEC. Most of them were asymptomatic. All the isolated strains were non-O157 EHEC. Serotype O91 was the most frequent serotype (68 isolates), and the isolates revealing O91 serotypes showed identical PFGE patterns. The school meal was significantly associated with this outbreak (relative risk=13.29, p=0.00). CONCLUSIONS: This is the first EHEC outbreak occurred as a group in Korea, All the isolated strains were non-O157 serotypes and the mode of transmission was most likely by school meal.
Electrophoresis, Gel, Pulsed-Field ; Enterohemorrhagic Escherichia coli* ; Gwangju ; Humans ; Korea ; Meals ; Shiga Toxins ; Surveys and Questionnaires