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Physiologia

Physiologia is an international, peer-reviewed, open access journal on physiology published quarterly online by MDPI.

Quartile Ranking JCR - Q2 (Physiology)

All Articles (159)

The Significant Role of Physical Activity and Exercise in Health and Metabolic Diseases

  • George D. Dimitriadis,
  • Costas Chryssanthopoulos and
  • Anastassios Philippou
  • + 1 author

Physical inactivity, which currently dominates the lifestyles of most people, is linked to chronic metabolic diseases such as obesity, type 2 diabetes (T2D), hypertension, metabolic syndrome, and cardiovascular disease, all of which share insulin resistance as a common pathogenic mechanism. Both epidemiological and experimental intervention studies have consistently shown that physical activity and exercise can reduce the incidence of these diseases and significantly improve their clinical outcomes, resulting in enhanced quality of life and well-being. This approach includes various forms of aerobic and anaerobic/resistance training, either individually or in combination, leading to reduced insulin resistance and visceral fat, regardless of the weight loss achieved through diet. It also lowers inflammatory responses and oxidative stress, a harmful mechanism that leads to cellular damage, and positively impacts immunological regulation. Regarding timing, physical activity/exercise appears to produce better outcomes for metabolic control, particularly in individuals with T2D, when performed after dinner compared to other times of the day. In addition to organized physical activity/exercise sessions, practices such as interrupting prolonged sitting with frequent breaks every 30 min that involve muscular contractions and increased energy expenditure may also benefit metabolic health. Minimizing physical inactivity, prolonged sitting at work or during leisure time, can decrease the frequency of metabolic illness, enhance health and quality of life, and avert premature death. However, intense exercise may not always be the most beneficial option for health, and the relationship between adverse events and the intensity of physical activity or exercise resembles a U-shaped or J-shaped curve. Physical activity/exercise should be performed at a suitable intensity that aligns with personal capability. In this primarily clinically focused review, we discuss the effects of insulin on target tissues, the significance of insulin sensitivity in metabolic regulation, how physical inactivity contributes to insulin resistance, the different types of exercise and their impact on insulin effectiveness, and the importance of physical activity and exercise in managing metabolic diseases.

15 December 2025

Effects of insulin to decrease endogenous glucose production and increase glycogen storage in the liver, increase glucose uptake and glycogen synthesis in muscle, increase lipid synthesis and decrease lipolysis in adipose tissue (Metabolic effects), and increase vasodilation and blood flow rates in muscle and adipose tissue (Vascular effects). Upward arrows indicate an increase; downward arrows indicate a decrease.

Height, Sex, and Sport as Correlates of Tendon Stiffness in Elite Athletes

  • Alejandro Bustamante-Garrido,
  • Sebastián Sepúlveda González and
  • Felipe Inostroza-Ríos
  • + 6 authors

Background/Objectives: Understanding the factors that influence tendon mechanical properties is essential for optimizing performance and preventing injuries in elite athletes. This study aimed to identify the strongest correlates of the biomechanical properties (frequency, stiffness, logarithmic decrement, relaxation, and creep) in the Achilles and patellar tendons in elite international athletes. Methods: A cross-sectional study was conducted with 111 elite athletes from 11 sports disciplines assessed at a high-performance training center. Tendon properties were measured bilaterally using MyotonPRO. Anthropometric (height, weight, age), demographic (sex, limb dominance defined as the preferred limb for sport-specific activities), and sport-specific variables were analyzed using correlation, multiple regression, and machine learning approaches. Results: Height showed the strongest correlations with tendon frequency and stiffness, particularly for the Achilles tendon (r = 0.52 for frequency; r = 0.53 for stiffness; p ≤ 0.001, large effects). Sex differences were evident across all measures, with men showing higher stiffness and frequency, and women greater relaxation and creep (partial η2 = 0.35–0.48, Cohen’s d = 0.84–1.16). Sports discipline explained substantial variance in tendon properties (η2 > 0.40), and limb dominance influenced Achilles stiffness, with left-dominant athletes showing higher values (p < 0.05). Age showed minimal associations (r < 0.10). Conclusions: Height, sex, and sports discipline were the strongest correlates of Achilles and patellar tendon mechanical properties in elite athletes, with large and practically meaningful effects across sports. This comprehensive analysis, utilizing multivariate and machine learning approaches, provides insights that can inform individualized training, injury prevention, and performance optimization strategies in high-performance sports.

12 December 2025

Correlations between height (cm) and biomechanical properties of Achilles and patellar tendons. Y-axes show frequency (Hz), stiffness (N/m), logarithmic decrement (dimensionless), relaxation (ms), and creep (mm). Sample size: n = 111 elite athletes. Scatter plots show individual data points colored by sex (blue = male, red = female) with regression lines (black). Gray area represents the confidence interval of the regression line. Correlation coefficients (r) and p-values are displayed for each relationship.

This narrative review of rapid eye movement (REM) focuses on its primary etiology and how it fits into the larger framework of neurophysiology and general physiology. Arterial blood flow in the retina may be sensitive to the full overlying ‘weight’ of its adjacent and contiguous vitreous humor caused by the humoral mass effect in the Earth’s gravitational field. During waking hours of the day, this ‘weight’ is continuously shifted in position due to changing head position and eye movements associated with ordinary environmental observations. This reduces its impact on any one point on the retinal field. However, during sleep, the head may maintain a relatively constant position (often supine), and observational eye movements are minimal, leaving essentially one retinal area exposed at the ‘bottom’ of each eye, relative to gravity. During sleep, REM may provide a mechanism for frequently repositioning the retina with respect to the weight it incurs from its adjacent (overlying) vitreous humor. Our findings were consistent with the intermittent terrestrial nocturnal development of ‘gravitational ischemia’ in the retina, wherein the decreased blood flow is accompanied metabolically by decreased oxygen tension, a critically important metric, with a detrimental influence on nerve-related tissue generally. However, the natural mechanisms for releasing and resolving gravitational ischemia, which likely involve glymphatics and cerebrospinal fluid shifts, as well as REM, may gradually fail in old age. Concurrently associated with old age in some individuals is the deposition of alpha-synuclein and/or tau in the retina, together with similar deposition in the brain, and it is also associated with the development of Parkinson’s disease and/or Alzheimer’s disease, possibly as a maladaptive attempt to release and resolve gravitational ischemia. This suggests that a key metabolic parameter of Parkinson’s disease and Alzheimer’s disease may be a lack of oxygen in some neural tissues. There is some evidence that oxygen therapy (hyperbaric oxygen) may be an effective supplemental treatment. Many of the cardinal features of spaceflight-associated neuro-ocular syndrome (SANS) may potentially be explained as features of gravity opposition physiology, which becomes unopposed by gravity during spaceflight. Gravity opposition physiology may, in fact, create significant challenges for humans involved in long-duration space travel (long-term microgravity). Possible solutions may include the use of artificial gravitational fields in space, such as centrifuges.

12 December 2025

Astronauts who developed Parkinson’s disease [3,4,5,6,7]. During the Space Shuttle era (1981–2011), five participating US/Australian astronauts, initially active before the mid-1990s, later announced publicly [3,4,5,6,7] that they had been diagnosed with Parkinson’s disease (astronauts Clifford, Durrance, Thomas, Truly, and Cooper), anecdotally suggesting a significantly higher incidence of Parkinson’s disease in astronauts than in the general population.

Purpose: We aimed to assess the effects of one-week betalain-rich beetroot concentrate (BRC) supplementation on high-intensity cycling performance in trained cyclists. Methods: Eighteen male (n = 15) and female (n = 3) cyclists (age: 38.83 ± 8.09; weight: 73.23 ± 10.95 kg; height: 176.86 ± 9.60 cm) were supplemented with a BRC or a placebo (PLA) for six days prior to the experimental trials. On the seventh day, a final dose was administered, and participants completed three all-out 15 s cycling sprints back-to-back, followed by a 4 km cycling time trial (TT). Physiological indicators related to performance were measured throughout the 4 km TT. Results: Sprint performance remained unchanged following PLA treatment. However, BRC treatment led to significant reductions in sprint performance during sprints 2 and 3 compared to sprint 1 (p < 0.05). Time trial performance did not differ between treatments (p > 0.05). Significant increases in physiological and psychological responses during the 4-km time trial were observed following both treatments (p < 0.05). However, heart rate was higher at 2 km compared to 1 km, the respiratory exchange ratio was slightly elevated at 2 km and 4 km relative to 1 km, and VO2 was slightly higher at 3 km and 4 km compared to pre-TT following BRC treatment only (p < 0.05). Conclusions: One week of a BRC does not enhance 4 km TT performance but may impair repeated-sprint performance in trained cyclists.

5 December 2025

Mean individual repeated measures of peak power (A), relative peak power (B), mean power (C), relative mean power (D), and fatigue index (E) during RSE. * Denotes a significant difference between sprints for BRC treatment only. Note, purple bars are BRC treatment and grey bars are the placebo.

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Physiologia - ISSN 2673-9488