During the French 1980 Mount Pabil (7,102 m) Expedition, a study was made of four altitude-acclimatised climbers (age 36.5 +/- 3.6 years; VO2max 50.5 +/- 3.1 ml X kg-1). Intake of various nutrients, body weight, skinfold thicknesses as indices of body composition, and water and nitrogen balances, were recorded before, and during high altitude exposure, and again after the return to low altitude. There was a significant (35-57%) reduction in total caloric intake at high altitude. Body weight decreased progressively, mainly due to a reduction in body fat. The subjects apparently remained in water balance, while the nitrogen balance was always negative during high altitude exposure. The significant nutritional alterations were mainly observed above 6,000 m. They are discussed with respect to changes in feeding patterns and in hormonal status of the climbers accompanying hypoxia and other stressors proper to high altitude.

This study was conducted to determine the nutritional status with respect to fatty acids of 53 institutionalized elderly subjects (group A). Seven-day food records and biochemical determinations were used. The same protocol was applied to 25 healthy young adults (group B). The 1981 French Recommended Dietary Allowances were used to assess adequacy of intake. Total fat intake was found to be too high in both groups. Higher intakes of animal fats and saturated fatty acids and lower intakes of polyunsaturated fatty acids and linoleic acid were documented in group A than in group B. Elderly subjects exhibited decreased 18:2 omega 6 and 20:4 omega 6 in serum phospholipids and triglycerides. Other indicators of essential fatty acid status in group A differed from group B in the direction of deficiency (double-bond index [DBI], 0.93 +/- 0.01 vs 1.13 +/- 0.04, p less than 0.001; total omega 6, 25.07 +/- 0.46% vs 32.49 +/- 0.89%, p less than 0.001). These findings indicate that institutionalized elderly people are deficient in circulating essential fatty acids, which appears to be caused by both diet and metabolism.

We have evaluated whether vitamin B₆ and C metabolism may be altered by infection in the elderly. Vitamin B₆ and C biochemical status has been assessed for times over a period of 21 days (days 0, 7, 14, and 21) in 18 subjects ≧75 years. The subjects were divided into 3 groups: group I (8 subjects with acute infection), group II (4 malnourished subjects), and group III (6 control subjects). Vitamin B₆ status was determined by plasma pyridoxal-5’-phosphate (PLP) and erythrocyte aspartate aminotransferase activation coefficient (α-EAST), and vitamin C status by plasma ascorbic acid. During the 3 weeks, vitamins Be and C values were significantly different between groups: at days 7 and 14, PLP values were significantly higher in group III than in both groups I and II, and α-EAST values were significantly higher in group I than in both groups II and III. Plasma ascorbate values were significantly lower in group I than in both groups II and III. These data suggest that an acute catabolic state like infection may influence vitamin B₆ and C metabolism. Nevertheless, more work is needed to assert that vitamin B₆ and C supplementation may be useful during infection.

Electromyostimulation (EMS) is known to develop muscular strength and hypertrophy. The aim of this study was to compare EMS exercise-induced damage with concentric (CONC) exercise-induced damage. Twelve male athletes were randomly assigned to concentric exercise (five sets of 6 voluntary contractions) or to EMS (30 contractions of 6 s duration, 20 s rest between contractions) on day 0 (D0). The load was 80% of the maximal isometric force. Criterion measures of plasma creatine kinase (CK) activity and lactate dehydrogenase (LDH) activity, and subjective ratings of muscle soreness and urinary catecholamines, were assessed 1 day before and for 3 days after exercise. Among the members of the EMS group, there were significant increases in catecholamine urinary excretion, especially adrenaline (on days D+2 and D+3), plasma CK activity (on day D+2) and plasma LDH activity (on days D+1 and D+2). The changes among the members of the CONC group were smaller and no significant difference was noted. Muscular soreness was greatest in the EMS group, with the peak occurring on day D+2. Comparisons of enzyme release, muscular soreness and urinary catecholamines suggest that EMS induces myofibre membrane damage and a significant increase in sympathetic nervous activity.