Publications by authors named "Jong Shyan Wang"

Article Synopsis
  • Eccentric exercise training (EET) is shown to enhance physical performance with lower metabolic strain compared to concentric exercise training (CET), but its impact on bioenergetic efficiency in peripheral blood mononuclear cells (PBMCs) is not well understood.
  • In a study involving 33 sedentary males, participants were assigned to either EET, CET, or a control group, with both exercise groups demonstrating improved aerobic fitness and physiological responses post-intervention.
  • Both EET and CET increased beneficial T cell types and mitochondrial functions in PBMCs, suggesting that EET may offer similar benefits to CET while eliciting a lower cardiovascular response.
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Background: Circulating miRNAs (c-miR) have been shown to be potential biomarkers in sarcopenia, but the miRNAs response to aerobic exercise in older people remains inconclusive. We sought to examine the exercise benefits on physical fitness and miRNAs, and to explore the mediating effect of miRNAs on training-induced fitness changes.

Methods: This controlled trial recruited 58 community-dwelling older adults and randomized them into exercise group (EX) and control group (CON).

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Article Synopsis
  • The study examined the long-term effects of high-intensity interval training (HIIT) on heart failure (HF) patients over a 10-year period, indicating that those engaging in HIIT had better survival rates.
  • Among 214 heart failure patients, 96 participated in 36 sessions of HIIT, which showed that survival rates were significantly higher (80.3%) compared to those receiving standard treatment (68.6%).
  • Key findings suggested that improvements in left ventricular (LV) function and structure, particularly reduced LV end-diastolic diameter, were linked to the benefits observed in patients who underwent HIIT.
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Purpose: Adrenergic stimulation affects lymphocyte autophagy and apoptosis by activating β1-adrenergic receptor (β1-AR) and G protein-coupled receptor kinase 2 (GRK-2) downstream signaling. This study investigated how combined aerobic and resistance exercise training on the interval or continuous pattern influences aerobic/muscular fitness and β1-AR/GRK-2 signaling, and corresponding apoptosis/autophagy of lymphocytes in sedentary males.

Methods: Thirty-four sedentary males were randomized into interval training (IT, age = 22.

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  • A study investigated how high-intensity interval training (HIIT) affects DNA methylation and cardiac fibrosis in heart failure patients.
  • Twelve patients participated in HIIT sessions and underwent various tests to assess heart function and exercise capacity.
  • Results showed that HIIT significantly improved heart function, reduced left ventricle volume and myocardial fibrosis, and affected the behavior of cardiac fibroblasts.
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Objective: This study examined trajectories of social support and their relationships with health outcomes over 2 years post hip-fracture surgery for older adults with diabetes mellitus (DM).

Methods: This was a secondary analysis of data derived from a clinical trial, which included 158 hip fractured older adults with DM who had completed the Medical Outcomes Study Social Support Survey at 1-, 12-, 18-, and 24-months following hospital discharge. Health outcomes for self-care, physical and nutritional status, mental health, and depression were assessed at 3-month intervals up to 24-months after hospital discharge.

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Mitochondria dysfunction is implicated in the pathogenesis of cardiovascular diseases (CVD). Exercise training is potentially an effective non-pharmacological strategy to restore mitochondrial health in CVD. However, how exercise modifies mitochondrial functionality is inconclusive.

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Coronavirus disease 2019 (COVID-19) has been declared a pandemic by the World Health Organization; it has affected millions of people and caused hundreds of thousands of deaths. Patients with COVID-19 pneumonia may develop acute hypoxia respiratory failure and require noninvasive respiratory support or invasive respiratory management. Healthcare workers have a high risk of contracting COVID-19 while fitting respiratory devices.

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Noninvasive ventilation improves exercise performance in patients with chronic obstructive pulmonary disease (COPD). However, the effect of helmet ventilation (HV) on the short-term self-paced exercise performance of patients with COPD remains unclear. This study investigated the use of HV during a 6 min walk test (6MWT) and analyzed its short-term cardiopulmonary outcomes in patients with stable COPD.

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Peripheral arterial disease (PAD) results in insufficient flow to lower extremities. Aerobic exercise provides health benefits for individuals with PAD, but basic science behind it is still debated. Twenty-one PAD patients aged about 70 years with female/male as 7/14 were recruited.

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Introduction: Studies have demonstrated that noninvasive ventilation improves exercise intolerance in patients with chronic obstructive pulmonary disease (COPD). The role of heated humidified high-flow nasal cannula (HFNC) therapy in patients with COPD on self-paced exercise performance remains unclear. Therefore, the purpose of the present study was to determine whether HFNC-aided supplemental oxygen during a 6-minute walk test (6MWT) would change self-paced exercise performance and cardiopulmonary outcomes in patients with stable COPD.

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Introduction: Mitochondrial bioenergetics is critical for immune function in natural killer (NK) cell. Physical exercise modulates NK cell functionality, depending on the intensity and type of exercise. This study elucidates how interval and continuous exercise regimens affect the phenotypes and mitochondrial bioenergetics of NK cells.

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Article Synopsis
  • This study explores how stepper-based exercise training affects the fitness and health of nonambulatory hemiplegic stroke patients, as most existing data focuses on those who can walk.
  • A total of 38 patients participated, with one group doing supervised exercise for 36 sessions, while the other group received usual care; various blood and fitness markers were tracked before and after the intervention.
  • Results showed significant improvements in aerobic fitness and reductions in harmful blood components in the exercise group, suggesting that this type of exercise could be included in stroke rehabilitation programs for better outcomes.
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To evaluate the real aerobic capacity is difficult due to impaired limbs function in stroke patients. Oxygen uptake efficiency slope (OUES) could represent the aerobic capacity in submaximal exercise test. Hence, we designed this observational study to investigate the application of the OUES for evaluating aerobic capacity in these patients.

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It is important to use short breaks to accelerate post-exercise recovery in sports. Previous studies have revealed that vibration can reduce post-exercise muscle soreness. However, there is still high heterogeneity in the effects of vibration on cardiovascular autonomic activities, and most studies to date have focused on high-frequency vibration.

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Hypoxic exposure increases right ventricular (RV) afterload by triggering pulmonary hypertension, with consequent effects on the structure and function of the RV. Improved myocardial contractility is a critical circulatory adaptation to exercise training. However, the types of exercise that enhance right cardiac mechanics during hypoxic stress have not yet been identified.

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The antioxidant capacity of erythrocytes protects individuals against the harmful effects of oxidative stress. Despite improved hemodynamic efficiency, the effect of eccentric cycling training (ECT) on erythrocyte antioxidative capacity remains unclear. This study investigates how ECT affects erythrocyte antioxidative capacity and metabolism in sedentary males.

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Background: Age-related sarcopenia meaningfully increases the risks of functional limitations and mortality in the older adults. Although circulating microRNAs (c-miRNAs) are associated with aging-related cellular senescence and inflammation, the relationships between c-miRNAs and sarcopenia in the older adults remain unclear. This study investigates whether circulating myo-miRNAs and inflammation-related miRNAs are associated with sarcopenia in the older adults.

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Exercise training influences the risk of vascular thrombosis in patients with peripheral arterial disease (PAD). Mitochondrial functionalities in platelets involve the cellular bioenergetics and thrombogenesis. This study aimed to elucidate the effect of cycling exercise training (CET) on platelet mitochondrial bioenergetics in PAD patients.

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Background: Knee osteoarthritis (OA) affects mostly older adults and its primary risk factor is obesity. This study sought to understand weight-control strategies, facilitators of and barriers toward weight control in older adults with knee OA who preferred not to undergo physician-recommended total knee arthroplasty.

Methods: For this qualitative descriptive study, older outpatients (N = 118) were recruited from orthopedic clinics at three hospitals.

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A method to perform exercise testing for patients with hemiplegia is unavailable though over half of them have cardio-pulmonary disorders. We aimed to assess the reliability and validity of using a stepper in cardiopulmonary exercise testing (CPET) in this population.14 stroke patients with hemiplegia who failed to ride the stationary bike were included.

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Article Synopsis
  • - This study explored whether near-infrared spectroscopy (NIRS) can accurately determine the first and second ventilatory thresholds (VT) using raw data from exercise tests involving 100 male students.
  • - The researchers found that the measurements of VT using a polynomial regression model were highly reproducible and correlated with traditional methods, indicating that NIRS is a reliable technique for assessing ventilatory thresholds.
  • - It was concluded that NIRS raw data effectively reflect changes in muscle oxygenation, providing valuable insights into the timing and causes of ventilatory thresholds in healthy males during maximal exercise.
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Background: Physiological adaptations of stroke patients after high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) remain unclear.

Objective: This study determined the HIIT and MICT effects on aerobic capacity, cerebral oxygenation, peak cardiac output (CO), and serum brain-derived neurotrophic factor (BDNF) in stroke patients.

Methods: We included 23 stroke patients with age about 55 years and stroke duration>24 months; participants completed 36 sessions of exercise training for 30min; 13 were randomly assigned to perform MICT at 60% of peak oxygen consumption (VO) and 10 to perform HIIT at alternating 80% (3min) and 40% (3min) VO.

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Objective: Consumptive coagulopathy is associated with increased mortality in patients with heart failure (HF). Physical activity influences the risk of major vascular thrombotic events. This study investigates how high-intensity interval training (HIIT) affects the capacity of endogenous thrombin generation (TG) by modulating circulatory procoagulant microparticles (MPs) in HF patients.

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