Targeted exercise against osteoporosis : a systematic review and meta-analysis for optimising bone strength throughout life

Background
Exercise is widely recommended to reduce osteoporosis, falls and related fragility fractures, but its effect on whole bone strength has remained inconclusive. The primary purpose of this systematic review and meta-analysis was to evaluate the effects of long-term supervised exercise (≥6 months) on estimates of lower-extremity bone strength from childhood to older age.

Methods
We searched four databases (PubMed, Sport Discus, Physical Education Index, and Embase) up to October 2009 and included 10 randomised controlled trials (RCTs) that assessed the effects of exercise training on whole bone strength. We analysed the results by age groups (childhood, adolescence, and young and older adulthood) and compared the changes to habitually active or sedentary controls. To calculate standardized mean differences (SMD; effect size), we used the follow-up values of bone strength measures adjusted for baseline bone values. An inverse variance-weighted random-effects model was used to pool the results across studies.

Results
Our quality analysis revealed that exercise regimens were heterogeneous; some trials were short in duration and small in sample size, and the weekly training doses varied considerably between trials. We found a small and significant exercise effect among pre- and early pubertal boys [SMD, effect size, 0.17 (95% CI, 0.02-0.32)], but not among pubertal girls [-0.01 (-0.18 to 0.17)], adolescent boys [0.10 (-0.75 to 0.95)], adolescent girls [0.21 (-0.53 to 0.97)], premenopausal women [0.00 (-0.43 to 0.44)] or postmenopausal women [0.00 (-0.15 to 0.15)]. Evidence based on per-protocol analyses of individual trials in children and adolescents indicated that programmes incorporating regular weight-bearing exercise can result in 1% to8% improvements in bone strength at the loaded skeletal sites. In premenopausal women with high exercise compliance, improvements ranging from 0.5% to 2.5% have been reported.

Conclusions
The findings from our meta-analysis of RCTs indicate that exercise can significantly enhance bone strength at loaded sites in children but not in adults. Since few RCTs were conducted to investigate exercise effects on bone strength, there is still a need for further well-designed, long-term RCTs with adequate sample sizes to quantify the effects of exercise on whole bone strength and its structural determinants throughout life.

Bioinspired strategy to reinforce PVA with improved toughness and thermal properties via hydrogen-bond self-assembly

Despite the high strength and stiffness of polymer nanocomposites, they usually display lower deformability and toughness relative to their matrices. Spider silk features exceptionally high stiffness and toughness via the hierarchical architecture based on hydrogen-bond (H-bond) assembly. Inspired by this intriguing phenomenon, we here exploit melamine (MA) to reinforce poly(vinyl alcohol) (PVA) via H-bond self-assembly at a molecular level. Our results have shown that due to the formation of physical cross-link network based on H-bond assembly between MA and PVA, yield strength, Young’s modulus, extensibility, and toughness of PVA are improved by 22, 25, 144, and 200% with 1.0 wt % MA, respectively. Moreover, presence of MA can enhance the thermal stability of PVA to a great extent, even exceeding some nanofillers (e.g., graphene). This work provides a facile method to improve the mechanical properties of polymers via H-bond self-assembly.

Unilateral bicep curl hemodynamics: low-pressure continuous vs high-pressure intermittent blood flow restriction

 Light-load exercise training with blood flow restriction (BFR) increases muscle strength and size. However, the hemodynamics of BFR exercise appear elevated compared with non-BFR exercise. This questions the suitability of BFR in special/clinical populations. Nevertheless, hemodynamics of standard prescription protocols for BFR and traditional heavy-load exercise have not been compared. We investigated the hemodynamics of two common BFR exercise methods and two traditional resistance exercises. Twelve young males completed four unilateral elbow flexion exercise trials in a balanced, randomized crossover design: (a) heavy load [HL; 80% one-repetition maximum (1-RM)]; (b) light load (LL; 20% 1-RM); and two other light-load trials with BFR applied (c) continuously at 80% resting systolic blood pressure (BFR-C) or (d) intermittently at 130% resting systolic blood pressure (BFR-I). Hemodynamics were measured at baseline, during exercise, and for 60-min post-exercise. Exercising heart rate, blood pressure, cardiac output, and rate–pressure product were significantly greater for HL and BFR-I compared with LL. The magnitude of hemodynamic stress for BFR-C was between that of HL and LL. These data show reduced hemodynamics for continuous low-pressure BFR exercise compared with intermittent high-pressure BFR in young healthy populations. BFR remains a potentially viable method to improve muscle mass and strength in special/clinical populations.

Feltability of cashmere and other rare animal fibres and the effects of nutrition and blending with wool on cashmere feltability

Felting is a unique attribute of animal fibres used for the production of a range of industrial and apparel textiles. Felting can be an adverse attribute as a consequence of dimensional shrinkage during laundering. As there is little objective information regarding the feltability of rare animal fibres or the factors which may affect felting three investigations were undertaken. A survey (n = 114) of the feltability of cashmere from different origins of production, cashgora, quivet, camel hair, llama, guanaco, bison wool, cow fibre and yak wool quantified the large variation between and within these fibre types. Cashmere from some origins and cashgora produced higher feltball density than the other fibres. Different nutritional management of cashmere goats (n = 35) showed that cashmere grown by poorly fed goats had a lower propensity to felt compared with cashmere grown by better fed goats. A consequence of the progressive blending of cashmere (n = 27) with a low propensity to felt superfine wool (high fibre curvature) increased the propensity of the blend to felt, but when the same cashmere was blended with low curvature superfine wool, there was little or no effect on feltability. The mechanisms which lead to variance in feltability of these fibres were quantified with multiple regression modelling. The mechanisms were similar to those reported for wools, namely variations in the resistance to compression, fibre curvature and mean fibre diameter, with likely effects of fibre crimp form. It is possible to source cashmere and other animal fibres which have different propensities to felt and therefore to produce textiles which are likely to have different textile properties.

Effect of temperature on mechanical behaviour of high manganese TWIP steel

The aim of the present study was to investigate the role of deformation temperature on the active deformation mechanisms in a 0.6C-18Mn-1.5Al (wt%) TWIP steel. The tensile testing was performed at different temperatures, ranging from ambient to 400°C at a constant strain rate of 10-3 S-1. The microstructure characterization was carried out using a scanning electron microscopy. The deformation temperature revealed a significant effect on the active deformation mechanisms (i.e. slip versus twinning), resulting in different microstructure evolution and mechanical properties. At the room temperature, the mechanical twinning was the dominant deformation mechanism, enhancing both the strength and ductility. Dynamic strain aging (DSA) effect was observed at different deformation temperatures, though it was more pronounced at higher temperatures. The volume fraction of deformation twins significantly reduced with an increase in the deformation temperature, deteriorating the mechanical behavior. There was a transition temperature (~300°C), above which the mechanical twinning was hardly observed in the microstructure even at fracture, resulting in low ductility and strength. The current observation can be explained through the change in the stacking fault energy with the deformation temperature. © (2014) Trans Tech Publications, Switzerland.

Continuous polyacrylonitrile nanofiber yarns: Preparation and dry-drawing treatment for carbon nanofiber production

Precursor fibers with diameters in nanometer scale and highly aligned polymer chains in fibers are highly promising for the preparation of high-performance carbon nanofibers, but are challenging to make. In this study, we demonstrate for the first time that a carbon nanofiber precursor can be prepared by the electrospinning of polyacrylonitrile into a nanofiber yarn and by the subsequent drawing treatment of the yarn in dry conditions. The yarn shows excellent drawing performance, which can be drawn evenly up to 6 times of its original length without breaking. The drawing treatment improves the yarn and fiber uniformity, polymer chain orientation within the fibers, as well as yarn tension and modules, but shows decreased yarn and fiber diameter and elongation at break. The drawing temperature and force show influences on the drawing behavior. The highest strength and modules (362 ± 37 MPa and 9.2 ± 1.4 GPa, respectively) are found on the yarn drawn by 5 times its length, which increased by 800% and 1800% when compared to the as-spun yarn. Through un-optimized stabilization and carbonization treatments, we further demonstrate that the carbonized nanofiber yarn shows comparable tensile properties as the commercial carbon fibers. Electrospun nanofiber yarns may form next generation precursors for making high performance carbon fibers. This journal is

Intrinsic tensile properties of cocoon silk fibres can be estimated by removing flaws through repeated tensile tests

 ilk fibres from silkworm cocoons have lower strength than spider silk and have received less attention as a source of high-performance fibres. In this work, we have used an innovative procedure to eliminate the flaws gradually of a single fibre specimen by retesting the unbroken portion of the fibre, after each fracture test. This was done multiple times so that the final test may provide the intrinsic fibre strength. During each retest, the fibre specimen began to yield once the failure load of the preceding test was exceeded. For each fibre specimen, a composite curve was constructed from multiple tests. The composite curves and analysis show that strengths of mass-produced Muga and Eri cocoon silk fibres increased from 446 to 618 MPa and from 337 to 452 MPa, respectively. Similarly, their toughness increased from 84 to 136 MJ m(-3) and from 61 to 104 MJ m(-3), respectively. Composite plots produced significantly less inter-specimen variations compared to values from single tests. The fibres with reduced flaws as a result of retests in the tested section have a tensile strength and toughness comparable to naturally spun dragline spider silk with a reported strength of 574 MPa and toughness of 91-158 MJ m(-3), which is used as a benchmark for developing high-performance fibres. This retesting approach is likely to provide useful insights into discrete flaw distributions and intrinsic mechanical properties of other fatigue-resistant materials.

Bio-inspired hydrogen-bond cross-link strategy toward strong and tough polymeric materials

It remains a huge challenge to create advanced polymeric materials combining high strength, great toughness, and biodegradability so far. Despite enhanced strength and stiffness, biomimetic materials and polymer nanocomposites suffer notably reduced extensibility and toughness when compared to polymer bulk. Silk displays superior strength and toughness via hydrogen bonds (H-bonds) assembly, while cuticles of mussels gain high hardness and toughness via metal complexation cross-linking. Here, we propose a H-bonds cross-linking strategy that can simultaneously strikingly enhance strength, modulus, toughness, and hardness relative to polymer bulk. The H-bond cross-linked poly(vinyl alcohol) exhibits high yield strength (140 MPa), reduced modulus (22.5 GPa) in nanoindention tests, hardness (0.5 GPa), and great extensibility (40%). More importantly, there exist semiquantitive linear relationships between the number of effective H-bond and macroscale properties. This work suggests a promising methodology of designing advanced materials with exceptional mechanical by adding low amounts (1.0 wt %) of small molecules multiamines serving as H-bond cross-linkers.

Reinforcement and deformation behaviors of polyvinyl alcohol/graphene/montmorillonite clay composites

We report the synergistic reinforcement and deformation of polyvinyl alcohol (PVA)/graphene/montmorillonite clay (MMT) composites with the tensile properties being improved greatly. Particularly, the tensile strength and modulus of PVA composite with 0.9 wt% graphene and 0.3 wt% of MMT were improved by more than 58% and 43% when compared to the neat PVA, respectively, and were at least 10% higher than the enhanced sum of dual PVA composites with 0.9 wt% graphene and 0.3 wt% MMT. This reinforcement was resulted from the good dispersion and effective interfacial interactions as confirmed from morphology investigation, increased glass transition temperature and the shift of O-H stretching. When there were no fillers i.e. in situ reduced graphene (IRG) or MMT or their loading was low, high alignment of PVA could be observed, with increased crystallinity, melting point, lamellae thickness but narrowed crystallite size distribution. The synergistic reinforcement of PVA achieved from combined incorporation of IRG and MMT will pave the way for the development of stronger PVA composites in various applications.

Dependence of deformation behavior on grain size and strain rate in an ultrahigh strength-ductile Mn-based TRIP alloy

A novel ultra-high strength TRIP (transformation induced plasticity) steel, with ~1.5. GPa strength and good ductility of ~26% has been produced. The microstructure consists of ultrafine ferrite, and a large volume fraction of austenite. The flow stress was significantly increased by a reduction in the grain size, but the effect of strain rate on the flow stress was negligible. The formation of stress induced martensite was found to increase linearly with strain, and a reduction in the grain size correlated with an increase in the stress required to form the martensite.

Improvement of coating durability, interfacial adhesion and compressive strength of UHMWPE fiber/epoxy composites through plasma pre-treatment and polypyrrole coating

Ultra-high-molecular-weight polyethylene (UHMWPE) fibers have exceptionally higher specific strength and stiffness compared with other high-performance fibers. However, the interfacial adhesion and compressive performance of UHMWPE fiber-reinforced polymer composites (FPCs) are extremely low. The challenges are to achieve load transfer at the interface between the fiber and matrix at a molecular level. Here, we show that plasma pre-treatment of UHMWPE fibers followed by coating with polypyrrole (PPy) results in an 848% improvement in the interfacial adhesion and 54% enhancement in compressive performance. This method takes advantage of a toughening mechanism observed in spider silk and collagen, which the hydrogen bond power the load transfer. The results showed that these improvements of interfacial adhesion and compressive strength were attributed to hydrogen-bonding interactions between the plasma pre-treated UHMWPE and PPy, which improves the fiber-matrix-fiber load transfer process. In addition, the hydrogen-bonded PPy coatings also endowed durability electrical conductivity properties of the UHMWPE fiber.

Validity of a wearable accelerometer device to measure average acceleration values during high speed running

The aim of this study was to determine the validity of an accelerometer to measure average acceleration values during high speed running. Thirteen subjects performed three sprint efforts over a 40 m distance (n = 39). Acceleration was measured using a 100 Hz tri-axial accelerometer integrated within a wearable tracking device (SPI-HPU, GPSports, Canberra). To provide a concurrent measure of acceleration, timing gates were positioned at 10 m intervals (0 m - 40 m). Accelerometer data collected during 0 m - 10 m and 10 m - 20 m provided a measure of average acceleration values. Accelerometer data was recorded as the raw output and filtered by applying a 3 point moving average and a 10 point moving average. The accelerometer could not measure average acceleration values during high speed running. The accelerometer significantly overestimated average acceleration values during both 0 m - 10 m and 10 m - 20 m, regardless of the data filtering technique (p < 0.001). Body mass significantly affected all accelerometer variables (p < 0.10, partial η = 0.091 - 0.219). Body mass and the absence of a gravity compensation formula affect the accuracy and practicality of accelerometers. Until GPSports integrated accelerometers incorporate a gravity compensation formula the usefulness of any accelerometer derived algorithms is questionable.

Transmission electron microscopy characterization of the bake-hardening behavior of transformation-induced plasticity and dual-phase steels

The effect of prestraining (PS) and bake hardening (BH) on the microstructures and mechanical properties has been studied in transformation-induced plasticity (TRIP) and dual-phase (DP) steels after intercritical annealing. The DP steel showed an increase in the yield strength and the appearance of the upper and lower yield points after a single BH treatment as compared with the as-received condition, whereas the mechanical properties of the TRIP steel remained unchanged. This difference appears to be because of the formation of plastic deformation zones with high dislocation density around the “as-quenched” martensite in the DP steel, which allowed carbon to pin these dislocations, which, in turn, increased the yield strength. It was found for both steels that the BH behavior depends on the dislocation rearrangement in ferrite with the formation of cell, microbands, and shear band structures after PS. The strain-induced transformation of retained austenite to martensite in the TRIP steel contributes to the formation of a complex dislocation structure.

Anthropometric and biochemical markers for nutritional risk among residents within an Australian residential care facility

The risk of malnutrition is high among elderly population, yet few studies have measured indicators of nutritional status among Australian aged-care residents. To determine the relationship between nutritional status and bone density, hand grip strength, and the timed-up and go test, in a group of Australian aged-care residents. Anthropometric and biochemical analysis measured in subjects recruited to be part of a six month multivitamin supplementation study. One hundred and fifteen subjects participated (68% female). The mean (SD) age and body weight was 80.2(10.6) years, and 66.5(15.0) kg, respectively. Eleven percent were underweight (body mass index, BMI, <or =20.0 kg/m(2)), and 20% were obese BMI >or =30 kg/m(2)). Low serum 25-hydroxy-vitamin D (25(OH)D, <or =50 nmol/L) concentrations were found among 79% of subjects. After adjustment for body weight, there was an association between serum 25(OH)D and bone density (heel ultrasound) (r=.204, p=.027). Low serum zinc <or =10.7 micromol/L) concentrations were found among 46% of subjects; this group had a slower timed up and go time compared with those with higher zinc concentrations (n=19, 44.6 +/- 5.6 seconds vs. n=27, 30.0 +/- 3.3 seconds, p=.020). There were no associations between nutritional markers and hand grip strength. In this group, more than (3/4) of subjects had low serum 25(OH)D, and 46% had low zinc concentrations. Serum 25(OH)D was associated a lower bone density and zinc with a slower walking time. This indicates that the elderly in long term residential care facilities are at high risk for poor nutritional status, potentially increasing morbidity and mortality.

Numerical investigation of ramp and constant pressurization system during tube crushing process

The requirement for the automotive industry at present and even more so in the future is to simultaneously develop materials, economic forming processes and techniques for weight reduction of the component. To fulfil this need steel manufacturers have developed Advanced High Strength Steels which have high strength and good formability. Due to high strength, material thickness can be reduced without compromising the function of the component. High pressure hydro forming is one process that can be used to produce complex components from these materials. However, reduction in material thickness of these steels does not result in a large decrease of internal fluid pressure and die closing force during tube hydro forming and hence the higher strengths of these steels will require higher pressures. Tube crushing is a process in which the component can be formed with low pressures. In this paper numerical comparison of ramp and constant pressurization system during tube crushing for a TRIP steel is studied. It is proposed that ramp pressure is the best option to obtain a part with accurate geometrical shape from tube crushing with less die closing force. The stress and thickness distribution of the part during tube crushing were critically analysed.