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Topic:Muscle

The topic of muscle in horses encompasses the study of equine muscle structure, function, and physiology. Muscles in horses are responsible for movement, posture, and various metabolic processes. They are composed of muscle fibers that contract and relax to produce motion and generate force. Research in this area often focuses on muscle development, adaptation to exercise, and the impact of nutrition and training on muscle performance. Conditions such as muscle fatigue, injury, and disorders like equine exertional rhabdomyolysis are also explored. This page compiles peer-reviewed research studies and scholarly articles that investigate the anatomy, physiology, and clinical aspects of muscle in equine species.
Serum creatine kinase response to exercise during dexamethasone-induced insulin resistance in Quarter Horses with polysaccharide storage myopathy.
American journal of veterinary research    November 9, 2005   Volume 66, Issue 10 1718-1723 doi: 10.2460/ajvr.2005.66.1718
Firshman AM, Valberg SJ, Karges TL, Benedict LE, Annandale EJ, Seaquist ER.To determine effects of dexamethasone on insulin sensitivity, serum creatine kinase (CK) activity 4 hours after exercise, and muscle glycogen concentration in Quarter Horses with polysaccharide storage myopathy (PSSM). Methods: 4 adult Quarter Horses with PSSM. Methods: A 2 x 2 crossover design was used with dexamethasone (0.08 mg/kg) or saline (0.9% NaCl) solution administered IV every 48 hours. Horses were exercised on a treadmill daily for 3 wk/treatment with a 2-week washout period between treatments. Serum CK activity was measured daily 4 hours after exercise. At the end of each treatment...
A pilot study on the transfer of 137Cs and 90Sr to horse milk and meat.
Journal of environmental radioactivity    November 2, 2005   Volume 85, Issue 1 84-93 doi: 10.1016/j.jenvrad.2005.06.001
Semioshkina N, Voigt G, Fesenko S, Savinkov A, Mukusheva M.The radiological assessment of the impact of nuclear weapon's testing on the Semipalatinsk Test Site (STS) on the local population requires comprehensive site-specific information on radionuclide behaviour in the environment. However, information on radionuclide behaviour in the conditions of the STS is rather sparse and, in particular, there are no data in the literature on parameters of radionuclide transfer from feed to horse products proofed to be important contributors to the internal dose to the local population. The transfer of 137Cs and 90Sr to horse milk and meat was studied under lab...
Inheritance of recurrent exertional rhabdomyolysis in thoroughbreds.
Journal of the American Veterinary Medical Association    September 24, 2005   Volume 227, Issue 5 762-767 doi: 10.2460/javma.2005.227.762
Dranchak PK, Valberg SJ, Onan GW, Gallant EM, MacLeay JM, McKenzie EC, De La Corte FD, Ekenstedt K, Mickelson JR.To develop a diagnostic test for recurrent exertional rhabdomyolysis (RER) in Thoroughbreds that relied on in vitro contracture of muscle biopsy specimens and determine whether the inheritance pattern of RER diagnosed on the basis of this contracture test was consistent with an autosomal dominant trait. Methods: Clinical trial. Methods: 8 adult horses with RER and 16 control adult horses for development of the contracture test; 23 foals for inheritance of RER. Methods: External intercostal muscle biopsy specimens from the 24 adult horses were tested for contracture in response to halothane and...
Oxygen radical absorbance capacity (ORAC) and exercise-induced oxidative stress in trotters.
European journal of applied physiology    August 31, 2005   Volume 95, Issue 5-6 550-556 doi: 10.1007/s00421-005-0034-3
Kinnunen S, Hyyppä S, Lehmuskero A, Oksala N, Mäenpää P, Hänninen O, Atalay M.Strenuous exercise is a potent inducer of oxidative stress, which has been suggested to be associated with disturbances in muscle homeostasis, fatigue and injury. There is no comprehensive or uniform view of the antioxidant status in horses. We have previously shown that moderate exercise induces protein oxidation in trotters. The aim of this study was to measure the antioxidative capacity of the horse in relation to different antioxidant components and oxidative stress markers after a single bout of moderate exercise to elucidate the mechanisms of antioxidant protection in horses. Eight clini...
Modifications of serum and cellular parameters in trotters after a race. Macrophage migration inhibitory activity reduction and serum beta-glucan elevation.
Immunopharmacology and immunotoxicology    August 24, 2005   Volume 27, Issue 2 299-314 doi: 10.1081/iph-200067945
Passantino L, Amati L, Cianciotta A, Passantino G, Perillo A, Ribaud MR, Venezia P, Jirillo E.Trotters are exposed to a chronic prolonged stress, such as daily training and frequent races during their active lifespans. There is evidence that trotters undergo very often lethal lung infections after a race, and therefore, is likely that modifications of certain physiologic cellular parameters could account for the increased susceptibility to microbial diseases. Here, we demonstrate that in 7 trotters after a race either serum values (e.g., glycaemia, triglycerides, transaminases, gamma-glutamyltransferase, cholinesterase, amylase, alkaline phosphatase, total proteins, serum albumin, sodi...
Characterization of the in vitro responses of equine cecal longitudinal smooth muscle to endothelin-1.
American journal of veterinary research    August 23, 2005   Volume 66, Issue 7 1202-1208 doi: 10.2460/ajvr.2005.66.1202
Chidambaram RM, Eades SC, Moore RM, Hosgood G, Venugopal CS.To characterize the in vitro response of equine cecal longitudinal smooth muscle (CLSM) to endothelin (ET)-1 and assess the role of ETA and ETB receptors in those ET-1-induced responses. Methods: 36 horses without gastrointestinal tract disease. Methods: To determine cumulative concentration-response relationships, CLSM strips were suspended in tissue baths containing graded concentrations of ET-1 (10(-9) to 10(-6)M) with or without BQ-123 (ETA receptor antagonist); with or without IRL-1038 (ETB receptor antagonist); or with both antagonists at concentrations of 10(-9), 10(-7), and 10(-5)M. To...
In vitro evaluation of the effect of the opioid antagonist N-methylnaltrexone on motility of the equine jejunum and pelvic flexure.
Equine veterinary journal    July 21, 2005   Volume 37, Issue 4 325-328 doi: 10.2746/0425164054529346
van Hoogmoed LM, Boscan PL.Although potent analgesics, opioids decrease intestinal activity, leading to ileus in many species. N-methylnaltrexone (MNTX), an opioid antagonist which does not cross the blood-brain barrier and antagonises the morphine effect on the intestine, directly stimulates motility and restores function without affecting analgesic properties. While its use has been reported in human subjects, there is no information with regard to its usage in the horse. Objective: To determine whether MNTX has an effect on contractile activity of the equine jejunum and pelvic flexure. Methods: Using circular smooth ...
Hereditary skeletal muscle diseases in the horse. A review.
The veterinary quarterly    July 19, 2005   Volume 27, Issue 2 65-75 doi: 10.1080/01652176.2005.9695187
Nollet H, Deprez P.Since riders nowadays are expecting the highest level of performance from their horses, muscular disorders therefore represent a major problem for the equine athlete. A lot of research has been done to identify muscular disorders and their etiopathogenesis. Both acquired and inherited forms of muscle diseases have been described. In this review only the latter forms will be mentioned. Major signs of all muscle disorders are muscular stiffness, cramping or pain, muscular fasciculations, muscular atrophy and exercise intolerance. Muscle biopsies can help to identify the cause of rhabdomyolysis o...
In vitro evaluation of the contractile response to endothelin-1 of the circular and longitudinal myometrial layers of the uterine horn of nongravid mares.
American journal of veterinary research    July 13, 2005   Volume 66, Issue 6 1094-1100 doi: 10.2460/ajvr.2005.66.1094
Walesby HA, Venugopal CS, Hosgood G, Eades SC, Moore RM.To characterize the in vitro response of circular and longitudinal myometrial layers of the uterine horn (CMLH and LMLH, respectively) of horses to endothelin (ET)-1 by use of specific ETA (BQ-123) and ETB (IRL-1038) receptor antagonists. Methods: Uteruses from 10 nongravid mares in anestrus. Methods: Muscle strips from the CMLH and LMLH were suspended in tissue baths and connected to force-displacement transducers interfaced with a polygraph. Strips were incubated for 45-minute intervals with no antagonist (control specimens), and 3 concentrations (10(-9), 10(-7), and 10(-5)M) of BQ-123, IRL-...
An in vitro study on spontaneous myometrial contractility in the mare during estrus and diestrus.
Theriogenology    July 1, 2005   Volume 65, Issue 3 517-527 doi: 10.1016/j.theriogenology.2005.05.048
Hirsbrunner G, Reist M, Couto SS, Steiner A, Snyder J, Vanleeuwen E, Liu I.Uterine smooth muscle specimens were collected from euthanatized mares in estrus and diestrus. Longitudinal and circular specimens were mounted in organ baths and the signals transcribed to a Grass polygraph. After equilibration time and 2 g preload, their physiologic isometric contractility was recorded for a continuous 2.0 h. Area under the curve, frequency and time occupied by contractions were studied. Differences between cycle phases, between muscle layers, and over the recorded time periods were statistically evaluated using linear mixed-effect models. In the mare, physiologic contractil...
Recruitment pattern of muscle fibre type during high intensity exercise (60-100% VO2max) in thoroughbred horses.
Research in veterinary science    June 29, 2005   Volume 80, Issue 1 109-115 doi: 10.1016/j.rvsc.2005.04.006
Yamano S, Eto D, Hiraga A, Miyata H.To consider the optimal training programme for Thoroughbred horses, we examined the recruitment pattern of muscle fibres including hybrid muscle fibres in well-trained Thoroughbred horses. The horses performed exercise at three different intensities and durations; i.e., 100% VO2max for 4 min, 80% and 60% VO2max for 8 min on a treadmill with 10% incline. Muscle samples were obtained from the middle gluteal muscle before, during (4 min at 80% and 60% VO2max), and after exercise. Four muscle fibre types (types I, IIA, IIA/IIX, and IIX) were immunohistochemically identified, and optical density of...
Myosin heavy chain isoforms in equine gluteus medius muscle: comparison of mRNA and protein expression profiles.
The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society    June 27, 2005   Volume 53, Issue 11 1383-1390 doi: 10.1369/jhc.4A6609.2005
Eizema K, van den Burg MM, de Jonge HW, Dingboom EG, Weijs WA, Everts ME.The major structural protein in skeletal muscle, myosin heavy chain (MyHC), is primarily transcriptionally controlled. We compared the expression of MyHC isoforms on the mRNA and protein level in biopsies from the m. gluteus medius from adult untrained horses. In transverse sections, the majority of fibers showed qualitatively identical mRNA and protein expression patterns. However, coexpression of 2a and 2d/x MyHCs was substantially more common at the protein than at the mRNA level, suggesting a fine-tuning of these two genes in normal muscle not subjected to any training protocol. Because tr...
Functional specialisation of pelvic limb anatomy in horses (Equus caballus).
Journal of anatomy    June 18, 2005   Volume 206, Issue 6 557-574 doi: 10.1111/j.1469-7580.2005.00420.x
Payne RC, Hutchinson JR, Robilliard JJ, Smith NC, Wilson AM.We provide quantitative anatomical data on the muscle-tendon units of the equine pelvic limb. Specifically, we recorded muscle mass, fascicle length, pennation angle, tendon mass and tendon rest length. Physiological cross sectional area was then determined and maximum isometric force estimated. There was proximal-to-distal reduction in muscle volume and fascicle length. Proximal limb tendons were few and, where present, were relatively short. By contrast, distal limb tendons were numerous and long in comparison to mean muscle fascicle length, increasing potential for elastic energy storage. W...
Incidence and risk factors associated with exertional rhabdomyolysis syndrome in National Hunt racehorses in Great Britain.
The Veterinary record    June 14, 2005   Volume 156, Issue 24 763-766 doi: 10.1136/vr.156.24.763
Upjohn MM, Archer RM, Christley RM, McGowan CM.A telephone survey of 51 National Hunt racing yards with 1140 horses in training was made in April and May 2003 to establish the incidence of exertional rhabdomyolysis syndrome during the previous year. A case-control study was used to investigate the risk factors for the syndrome in eight yards selected on the basis that cases had been confirmed by the analysis of serum muscle enzymes. The overall incidence of syndrome was 6.1 cases per 100 horses per year, and 55 per cent of the yards reported at least one case. The risk factors identified were sex, the average length of the training gallop,...
Infarctive purpura hemorrhagica in five horses.
Journal of the American Veterinary Medical Association    June 7, 2005   Volume 226, Issue 11 1893-1845 doi: 10.2460/javma.2005.226.1893
Kaese HJ, Valberg SJ, Hayden DW, Wilson JH, Charlton P, Ames TR, Al-Ghamdi GM.Five horses were examined because of signs of muscle stiffness, colic, or both. All 5 had been exposed to Streptococcus equi within 3 weeks prior to examination or had high serum titers of antibodies against the M protein of S equi. Horses had signs of unrelenting colic-like pain and focal areas of muscle swelling. Four horses were euthanatized. The fifth responded to treatment with penicillin and dexamethasone; after 3 weeks of treatment with dexamethasone, prednisolone was administered for an additional 10 weeks. Common hematologic and serum biochemical abnormalities included neutrophilia wi...
Electromyographic activity of the stylopharyngeus muscle in exercising horses.
Equine veterinary journal    May 17, 2005   Volume 37, Issue 3 232-235 doi: 10.2746/0425164054530759
Tessier C, Holcombe SJ, Stick JA, Derksen FJ, Boruta D.There is a need to understand the process which leads to failure of recruitment of the stylopharyngeus muscle in clinical cases of nasopharygeal collapse. We therefore studied the timing and intensity of stylopharyngeus muscle activity during exercise in horses. Objective: To measure the electromyographic (EMG) activity of the stylopharyngeus muscle in exercising horses and correlate it with the breathing pattern. Methods: Five horses were equipped with a bipolar fine wire electrode placed on the stylopharyngeus muscle and a pharyngeal catheter. The horses exercised on a treadmill at speeds co...
Masseter myodegeneration as a cause of trismus or dysphagia in adult horses.
The Veterinary record    May 17, 2005   Volume 156, Issue 20 642-646 doi: 10.1136/vr.156.20.642
Pearson EG, Snyder SP, Saulez MN.The medical records of eight horses with histological evidence of myodegeneration of the masseter muscles were examined. While they were alive their most common clinical signs had included difficulty in eating or opening their mouths, weight loss, difficulty in moving, and noticeable atrophy of the masseter muscles. The serum activities of muscle enzymes were abnormally high in all of the horses. Whole blood and/or liver selenium and vitamin E concentrations were less than the reference ranges in some of the horses. The lesions varied with the stage of the disease and consisted of swelling and...
The opioid haemorphin-7 in horses during low-speed and high-speed treadmill exercise to fatigue.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    May 11, 2005   Volume 52, Issue 4 162-165 doi: 10.1111/j.1439-0442.2005.00712.x
Collinder E, Nyberg F, Sanderson-Nydahl K, Gottlieb-Vedi M, Lindholm A.The opioid neuropeptide haemorphin-7 was measured, by immunoreactivity, in Standardbred horses during low-speed (7 m/s) and high-speed (10 m/s) endurance exercises, lasting 49-58 and 12-16 min respectively. In parallel, heart rate, muscle temperature and plasma lactate concentrations were measured. The profile of the low-speed exercise showed significantly increased heart rate after 10 min [154 beats per minute (bpm)]. After the exercise, muscle temperature (42.1 degrees C) and plasma lactate (4.8 mmol/l) were significantly increased. The profile of the high-speed exercise was comparatively ch...
The effects of spontaneous and mechanical ventilation on central cardiovascular function and peripheral perfusion during isoflurane anaesthesia in horses.
Veterinary anaesthesia and analgesia    May 10, 2005   Volume 32, Issue 3 136-146 doi: 10.1111/j.1467-2995.2005.00190.x
Edner A, Nyman G, Essén-Gustavsson B.To compare the effects of spontaneous breathing and mechanical ventilation on haemodynamic variables, including muscle and skin perfusion measured with laser Doppler flowmetery, in horses anaesthetized with isoflurane. Methods: Prospective controlled study. Methods: Ten warm-blood trotter horses (five males, five females). Mean mass was 492 kg (range 420-584 kg) and mean age was 5 years (range 4-8 years). Methods: After pre-anaesthetic medication with detomidine (10 microg kg(-1)) anaesthesia was induced with intravenous (IV) guaifenesin and thiopental (4-5 mg kg(-1) IV) and maintained using i...
Age-related changes in metabolic properties of equine skeletal muscle associated with muscle plasticity.
Veterinary journal (London, England : 1997)    April 26, 2005   Volume 169, Issue 3 397-403 doi: 10.1016/j.tvjl.2004.03.016
Kim JS, Hinchcliff KW, Yamaguchi M, Beard LA, Markert CD, Devor ST.The purpose of the present study was to determine the age-related changes in myosin heavy chain (MHC) composition and muscle oxidative and glycolytic capacity in 18 horses ranging in age from two to 30 years. Muscle samples were collected by excisional biopsy of the semimebranosus muscle. MHC expression and the key enzymatic activities were measured. There was no significant correlation between horse age and the proportions of type-IIA and type-IIX MHC isoforms. The percentage of type-I MHC isoforms decreased with advancing age. Muscle citrate synthase activity decreased, whereas lactate dehyd...
Equine polysaccharide storage myopathy.
The Veterinary record    April 19, 2005   Volume 156, Issue 16 523 doi: 10.1136/vr.156.16.523-a
Hahn C.No abstract available
Evaluation of the passive function of the biceps brachii muscle-tendon unit in limitation of shoulder and elbow joint ranges of motion in horses.
American journal of veterinary research    April 13, 2005   Volume 66, Issue 3 391-400 doi: 10.2460/ajvr.2005.66.391
Nevens AL, Stover SM, Hawkins DA.To quantify the passive contribution of the biceps brachii muscle-tendon unit to the limits of elbow joint extension during shoulder joint flexion in horses. Methods: Normal right forelimb specimens from 6 Thoroughbred cadavers. Methods: Specimens included the scapula, humerus, radius-ulna, biceps brachii muscle-tendon unit, and stabilizers of the shoulder and elbow joints. Specimens were mounted to a rigid board by transfixation pins through the humerus and instrumented for mechanical manipulation of the limb and joint angle and load measurements. Flexion and extension limits of shoulder and ...
In vivo muscle function vs speed. II. Muscle function trotting up an incline.
The Journal of experimental biology    March 16, 2005   Volume 208, Issue Pt 6 1191-1200 doi: 10.1242/jeb.01485
Wickler SJ, Hoyt DF, Biewener AA, Cogger EA, De La Paz KL.Different locomotor tasks, such as moving up or down grades or changing speed, require that muscles adjust the amount of work they perform to raise or lower, accelerate or decelerate the animal's center of mass. During level trotting in the horse, the triceps had shortening strains of around 10.6% while the vastus shortened 8.1% during the stance phase. Because of the 250% increase in metabolic rate in horses trotting up a 10% incline which is, presumably, a result of the increased requirement for mechanical work, we hypothesized that muscle strain during trotting would be increased in both th...
In vivo muscle function vs speed. I. Muscle strain in relation to length change of the muscle-tendon unit.
The Journal of experimental biology    March 16, 2005   Volume 208, Issue Pt 6 1175-1190 doi: 10.1242/jeb.01486
Hoyt DF, Wickler SJ, Biewener AA, Cogger EA, De La Paz KL.The activity of muscles can be concentric (shortening), eccentric (lengthening) or isometric (constant length). When studying muscle function it is important to know what the muscle fascicles are actually doing because the performance of muscle is strongly influenced by the type of activity: force decreases as a function of shortening velocity during concentric contractions; force produced during eccentric contractions can be stronger than maximum isometric force, and force production is enhanced if a concentric contraction follows an eccentric phase. It is well known that length changes of mu...
Muscle metabolic changes associated with long-term inhalation anaesthesia in the horse analysed by muscle biopsy and microdialysis techniques.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    March 2, 2005   Volume 52, Issue 2 99-107 doi: 10.1111/j.1439-0442.2004.00685.x
Edner A, Essén-Gustavsson B, Nyman G.During anaesthesia in the horse, muscle blood flow has been found to be reduced, possibly leading to hypoxia or ischaemia in the muscle. The aim of this study was to use the muscle biopsy and microdialysis techniques to determine whether long-term inhalation anaesthesia in laterally recumbent horses induces metabolic changes in gluteal muscle indicative of anaerobic metabolism. Muscle biopsies and plasma samples were taken from seven horses at the start and end of halothane anaesthesia. In six isoflurane-anaesthetised horses, given three pharmacological provocations (dobutamine, detomidine, ac...
The role of the extrinsic thoracic limb muscles in equine locomotion.
Journal of anatomy    February 26, 2005   Volume 206, Issue 2 193-204 doi: 10.1111/j.1469-7580.2005.00353.x
Payne RC, Veenman P, Wilson AM.Muscles have two major roles in locomotion: to generate force and to absorb/generate power (do work). Economical force generation is achieved by short-fibred pennate muscle while the maximum power output of a muscle is architecture independent. In this study we tested the hypothesis that there is an anatomical and structural separation between the force-generating anti-gravity muscles and the propulsive (limb/trunk moving) muscles of the equine forelimb. Muscle mass and fascicle length measurements were made on the thoracic limb extrinsic muscles of six fresh horse cadavers. Physiological cros...
Aerobic training, but not creatine supplementation, alters the gluteus medius muscle.
Journal of animal science    February 12, 2005   Volume 83, Issue 3 579-585 doi: 10.2527/2005.833579x
D'Angelis FH, Ferraz GC, Boleli IC, Lacerda-Neto JC, Queiroz-Neto A.The aim of the present study was to investigate the effect of oral supplementation of creatine on the muscular responses to aerobic training. Twelve purebred Arabian horses were submitted to aerobic training for 90 d, with and without creatine supplementation, and evaluated with respect to BW and BCS and to the area and frequency of the different types of muscle fibers in the gluteus medius. Supplementation consisted of the daily administration of 75 g of creatine monohydrate mixed into the ration for the 90 d of training. Physical conditioning was conducted on a high-performance treadmill, an...
Systemic AL amyloidosis associated with multiple myeloma in a horse.
Veterinary pathology    January 20, 2005   Volume 42, Issue 1 81-84 doi: 10.1354/vp.42-1-81
Kim DY, Taylor HW, Eades SC, Cho DY.AL amyloidosis is the most common type of systemic amyloidosis in humans, and it is frequently associated with multiple myeloma. But, AL amyloidosis is very rare in domestic animals. A 16-year-old Quarter horse gelding was diagnosed with systemic AL amyloidosis associated with multiple myeloma. Clinical problems were rapid weight loss, muscle atrophy, soft unformed stool, and ventral edema. Grossly, diffuse gastrointestinal hemorrhage, markedly thickened jejunal mucosa, and splenomegaly were present. Microscopically, diffuse severe amyloid deposits were present in the lamina propria of glandul...
Passive and active mechanical properties of the superficial and deep digital flexor muscles in the forelimbs of anesthetized Thoroughbred horses.
Journal of biomechanics    January 18, 2005   Volume 38, Issue 3 579-586 doi: 10.1016/j.jbiomech.2004.03.030
Swanstrom MD, Zarucco L, Stover SM, Hubbard M, Hawkins DA, Driessen B, Steffey EP.The superficial (SDF) and deep digital flexor (DDF) muscles are critical for equine forelimb locomotion. Knowledge of their mechanical properties will enhance our understanding of limb biomechanics. Muscle contractile properties derived from architectural-based algorithms may overestimate real forces and underestimate shortening capacity because of simplistic assumptions regarding muscle architecture. Therefore, passive and active (=total - passive) force-length properties of the SDF and DDF muscles were measured directly in vivo. Muscles from the right forelimbs of four Thoroughbred horses we...
The effect of varying dietary starch and fat content on serum creatine kinase activity and substrate availability in equine polysaccharide storage myopathy.
Journal of veterinary internal medicine    January 11, 2005   Volume 18, Issue 6 887-894 doi: 10.1892/0891-6640(2004)182.0.co;2
Ribeiro WP, Valberg SJ, Pagan JD, Gustavsson BE.The effect of dietary starch and fat content on serum creatine kinase (CK) activity and substrate availability was evaluated in 4 mares of Quarter Horse-related breeds with polysaccharide storage myopathy (PSSM). Four isocaloric diets ranging in digestible energy (DE) from 21.2% (diet A), 14.8% (B), 8.4% (C), to 3.9% (D) for starch, and 7.2% DE (diet A), 9.9% (B), to 12.7% DE (diet C and D) for fat were fed for 6-week periods (4 weeks with exercise) using a 4 X 4 Latin square design. Postprandial glucose and insulin responses were measured, and 4 hours postexercise, serum CK activity, glucose,...
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