The spinal cord links the brain and the peripheral nervous system and has important sensory and motor functions.Impairments in the spinal cord occur in different diseases,such as spinal cord injury,multiple sclerosis,...The spinal cord links the brain and the peripheral nervous system and has important sensory and motor functions.Impairments in the spinal cord occur in different diseases,such as spinal cord injury,multiple sclerosis,pain,motor neuron diseases,and neurodegenerative diseases.Imaging of the spinal cord has been challenging,partly due to its small size and deep anatomical location.Additionally,in an animal model,motion artifacts further influence the in vivo imaging quality of the spinal cord.Recent advances have pushed boundaries for in vivo imaging in living animals(even behaving animals).展开更多
Parkinson's disease(PD)is the second most common neurodegenerative disorder.The clinical manifestations of PD include motor symptoms,such as bradykinesia,resting tremor,rigidity,and nonmotor symptoms,which include...Parkinson's disease(PD)is the second most common neurodegenerative disorder.The clinical manifestations of PD include motor symptoms,such as bradykinesia,resting tremor,rigidity,and nonmotor symptoms,which include disturbances in sleep,gastrointestinal function,and olfaction.PD misdiagnosis rates have been reported to reach approximately 30%,partly owing to the heterogeneity of parkinsonism with non-PD pathologies,and the differential diagnosis of PD from neurodegenerative diseases such as multiple systemic atrophy(MSA)and progressive supranuclear palsy poses another unmet need.展开更多
Alzheimer’s disease(AD)is the most common cause of dementia,characterized by progressive cognitive decline,and affects over 55 million people worldwide.AD is pathological featured by the aberrant accumulation of amyl...Alzheimer’s disease(AD)is the most common cause of dementia,characterized by progressive cognitive decline,and affects over 55 million people worldwide.AD is pathological featured by the aberrant accumulation of amyloid-βplaques,neurofibrillary tangles formed by hyperphosphorylated tau,synaptic loss,and dysfunction of neurotransmitter systems.Evidence from in vivo and autopsy studies has consistently shown that synaptic dysfunction and loss are strongly correlated with cognitive decline in AD,particularly in brain regions such as the hippocampus and cortex,which are critical for memory formation and processing.This perspective highlights recent histopathological findings related to synaptic dysfunction in AD,advancements in the development of imaging and fluid-based biomarkers for synaptic loss,and future studies.展开更多
Intense light diffusion and attenuation through turbid biological tissues compromise the achievable depth,resolution,and contrast in optoacoustic tomography(OAT).We propose to mitigate this limitation by exploiting ul...Intense light diffusion and attenuation through turbid biological tissues compromise the achievable depth,resolution,and contrast in optoacoustic tomography(OAT).We propose to mitigate this limitation by exploiting ultrasound waves to locally modulate the refractive index of scattering samples,effectively generating embedded light waveguides.Here,the ultrasound-induced waveguides enhanced light delivery into deep targets,achieving up to 110%improvement in contrast-to-noise ratio of OAT images at a depth of eight mean free scattering paths.Furthermore,ultrasound-mediated light focusing enables breaking through the acoustic diffraction limit by attaining 25μm spatial resolution via localization OAT without the need for external circulating contrast agents.These findings demonstrate the potential of ultrasoundinduced light guiding for enabling label-free super-resolution OAT with enhanced contrast and depth.展开更多
Compared to monocular depth estimation,multi-view depth estimation often yields more accurate results.However,traditional multi-view depth estimation methods often fail to leverage semantic information fully and strug...Compared to monocular depth estimation,multi-view depth estimation often yields more accurate results.However,traditional multi-view depth estimation methods often fail to leverage semantic information fully and struggle to effectively fuse information from multiple views,leading to suboptimal prediction performance in challenging scenarios such as texture-less regions and reflective surfaces.To address these limitations,we present MVI-Depth,a novel framework with two core innovations:(1)a Semantic Fusion Module(SFM)that establishes semantic correspondence,and(2)a Depth Updating Module(DUM)enabling iterative depth refinement.Specifically,MVI-Depth initially establishes a main view representation that integrates single-view depth,depth features,and semantic features.Subsequent feature extraction from neighbouring views enables the construction of the original cost volume.Recognising the inherent limitations of direct cost volume utilisation in complex scenes,the proposed SFM constructs an aligned semantic cost volume to utilise the complementarity between semantic and depth information,forming an improved final cost volume.The final cost volume is updated through the proposed DUM to achieve iterative depth optimisation.Comprehensive evaluations demonstrate that MVI-Depth achieves superior performance across all standard metrics on both ScanNet and KITTI benchmarks,outperforming existing methods.Additional experiments on the 7-Scenes dataset further confirm the framework's robust generalisation capabilities in diverse environments.展开更多
Worldwide radiation records suggest that the amount of sunlight received at the Earth's surface(surface solar radiation, SSR) has not been stable over the years, but underwent significant decadal variations, popul...Worldwide radiation records suggest that the amount of sunlight received at the Earth's surface(surface solar radiation, SSR) has not been stable over the years, but underwent significant decadal variations, popularly also known as “global dimming and brightening”. These variations have been particularly evident in China, where the SSR substantially declined from the 1960s to the 1990s(dimming), with indications for a trend reversal in the 2000s and a slight recovery(brightening) in recent years. This perspective/review paper will discuss recent updates and remaining challenges regarding our knowledge of the magnitudes, causes, and implications of these variations in SSR worldwide, with a particular emphasis on the developments in China.展开更多
Aerogels are ultra-lightweight,porous materials defined by a complex network of interconnected pores and nanostructures,which effectively suppress heat transfer,making them exceptional for thermal insulation.Furthermo...Aerogels are ultra-lightweight,porous materials defined by a complex network of interconnected pores and nanostructures,which effectively suppress heat transfer,making them exceptional for thermal insulation.Furthermore,their porous architecture can trap and scatter light via multiple internal reflections,extending the optical path within the material.When combined with suitable light-absorbing materials,this feature significantly enhances light absorption(darkness).To validate this concept,mesoporous silica aerogel particles were incorporated into a resorcinol-formaldehyde(RF)sol,and the silica-to-RF ratio was optimized to achieve uniform carbon compound coatings on the silica pore walls.Notably,increasing silica loading raised the sol viscosity,enabling formulations ideal for direct ink writing processes with excellent shape fidelity for super-black topographical designs.The printed silica-RF green bodies exhibited remarkable mechanical strength and ultra-low thermal conductivity(15.8 m W m^(-1) K^(-1))prior to pyrolysis.Following pyrolysis,the composites maintained structural integrity and printed microcellular geometries while achieving super-black coloration(abs.99.56%in the 280-2500 nm range)and high photothermal conversion efficiency(94.2%).Additionally,these silica-carbon aerogel microcellulars demonstrated stable electrical conductivity and low electrochemical impedance.The synergistic combination of 3D printability and super-black photothermal features makes these composites highly versatile for multifunctional applications,including on-demand thermal management,and efficient solar-driven water production.展开更多
Organic-inorganic metal halides(OIMHs)have emerged as highly promising novel multifunctional optoelectronic materials,owing to their easily adjustable properties from a variety of combinations of different components....Organic-inorganic metal halides(OIMHs)have emerged as highly promising novel multifunctional optoelectronic materials,owing to their easily adjustable properties from a variety of combinations of different components.But it is still difficult and rare to realize highly tunable multicolor luminescence within the same material.In this work,we successfully incorporated three adjustable emission centers in OIMHs to synthesize a novel OIMH(NEA)_(2)MnBr_(4),with each emission center capable of emitting one of the primary colors—red,green,and blue.The green and red emissions originate from the tetrahedron and octahedron structures in the Mn-based frame,while the blue can be attributed to the contribution of organic components.Additionally,to achieve comparable emission intensity among the three primary colors,we enhanced the blue emission performance by optimizing the ratio of organic structure components and incorporating chirality in the OIMHs.The resulting high-quality films can be obtained by spin-coating method with a photoluminescence quantum yields of up to 96%.More interestingly,by the dual manipulation of excitation wavelength and temperature,the sample can be emitted at least seven distinct colors including a standard white luminescence at(0.33,0.33),opening up promising prospects for multicolor luminescence applications such as high-end anti-counterfeiting technology,light-emitting diodes,X-ray imaging,latent fingerprints,humidity detection,and so on.Therefore,based on application scenarios and requirements,our research on this highly tunable luminescent OIMH material lays a solid foundation for further development of various functional properties of related materials.展开更多
Stroke and traumatic brain injury lead to upper motor neuron syndrome,which is characterized by muscle spasticity or paresis of varying severity depending on the lesion’s location and extent.Current treatments are mo...Stroke and traumatic brain injury lead to upper motor neuron syndrome,which is characterized by muscle spasticity or paresis of varying severity depending on the lesion’s location and extent.Current treatments are mostly symptomatic with limited efficacy and significant side effects.Nerve transfer techniques,such as the contralateral L4 ventral root transfer in animal models and C7 root transfer in both animal and clinical studies,have been shown to reduce spasticity and improve function in upper motor neuron syndrome;however,they lack selectivity.Our hypothesis is that using a selective peripheral donor nerve from the contralateral side,rather than the entire nerve root,may represent an effective nerve transfer and provide a robust basis for future research on selective muscle reinnervation in upper motor neuron syndrome.Ten rats underwent a contralateral ulnar-to-ulnar nerve transfer procedure.Electrophysiological measurements were conducted twelve weeks post-surgery to assess successful reinnervation of the contralateral flexor carpi ulnaris muscle.Additionally,muscle biopsies of the reinnervated flexor carpi ulnaris were harvested to examine the muscle fiber type composition,cross-sectional area,and collagen content as well as compare them to naive counterparts.Axon quantification of the reinnervated nerves was also performed.All rats recovered uneventfully,maintaining the use of both paws post-surgery.Electrophysiological tests confirmed the successful reinnervation of the flexor carpi ulnaris muscle.Muscle fiber type composition,cross-sectional area,and collagen content did not show statistically significant changes.Axon counts indicated successful nerve regeneration without architectural disruption.In conclusion,we were able to demonstrate this novel contralateral nerve transfer model’s feasibility,reproducibility,and safety as well as achieve effective muscle reinnervation.This model provides a valuable tool for further research on selective muscle reinnervation and treatment of upper motor neuron syndrome,with potential implications for improving clinical outcomes in stroke and traumatic brain injury patients.展开更多
Background:Cupping therapy(CT),an ancient practice revived in modern sports medicine,offers potential benefits for athlete recovery and performance.Distinctions between wet CT(WCT)and dry CT(DCT)in sports science focu...Background:Cupping therapy(CT),an ancient practice revived in modern sports medicine,offers potential benefits for athlete recovery and performance.Distinctions between wet CT(WCT)and dry CT(DCT)in sports science focus on their effects on recovery metrics,particularly how they influence sleep quality,perceived wellness,and athletic performance.Despite anecdotal evidence of its efficacy,rigorous comparative studies are scarce.Objective:This study aimed to evaluates and compare the effects of WCT and DCT on endurance,perceived wellness,exertion levels,and sleep quality among young,active males,addressing the gap in the literature regarding CT's efficacy in sports performance and recovery.Methods:Thirty-two amateur runners were randomly divided into two groups:one followed WCT sessions and the other followed DCT sessions.The study assessed the interventions'impacts on endurance performance(Yo-Yo intermittent recovery test),sleep quality(Pittsburgh Sleep Quality Index),and perceived exertion(Borg CR10 Scale).Heart rate was measured using a Polar H10 sensor to gauge physiological responses during physical tests.Results:Significant improvements were observed in the WCT group for sleep latency(%change=-82.31%;interaction group×time p=0.006;Cohen's d=0.74)and sleep disturbance(%change=-68.70%;interaction group×time p<0.001;Cohen's d=1.09),suggesting enhanced sleep quality(global score;%change=-52.81;interaction group×time p=0.004;Cohen's d=0.77).However,no significant differences were found in direct performance metrics(distance,maximal heart rate,maximal oxygen uptake)between WCT and DCT groups.These findings highlight WCT's potential as a recovery aid,particularly through improved sleep,without directly influencing endurance performance outcomes.Conclusion:WCT may serve as an effective ergogenic aid for athletes by potentially improving sleep quality and reducing perceived exertion,thus contributing indirectly to performance through enhanced recovery.展开更多
Background and purpose: Lifelong endurance exercise is generally associated with cardiovascular health benefits.However, recent studies suggest that prolonged high-volume training may contribute to coronary atheroscle...Background and purpose: Lifelong endurance exercise is generally associated with cardiovascular health benefits.However, recent studies suggest that prolonged high-volume training may contribute to coronary atherosclerosis,even in athletes with low traditional cardiovascular risk. This case report aims to explore the cardiovascular status of a master endurance athlete with an exceptionally high lifetime training volume, in light of recent concerns raised in the literature.Methods: We present the case of a 60-year-old recreational male marathon runner with no history of cardiovascular disease, who completed over 500 marathons between the ages of 30 and 60 years, covering ~127 000-km running. In 2024 alone, he completed 60 marathons. Cardiovascular evaluation included clinical risk assessment and coronary computed tomography angiography(CTCA).Results: The runner was asymptomatic, had a low ESC-SCORE2(3.3%), a favorable lipid profile, and normal levels of high-sensitivity C-reactive protein and lipoprotein(a). CTCA revealed no evidence of calcified, mixed, or non-calcified coronary plaques.Conclusions: This case highlights that some master athletes may demonstrate resilience to coronary atherosclerosis despite decades of high training volume. In low-risk individuals, prolonged endurance training alone may not necessarily lead to coronary artery disease, emphasizing the need for individualized cardiovascular screening strategies.展开更多
文摘The spinal cord links the brain and the peripheral nervous system and has important sensory and motor functions.Impairments in the spinal cord occur in different diseases,such as spinal cord injury,multiple sclerosis,pain,motor neuron diseases,and neurodegenerative diseases.Imaging of the spinal cord has been challenging,partly due to its small size and deep anatomical location.Additionally,in an animal model,motion artifacts further influence the in vivo imaging quality of the spinal cord.Recent advances have pushed boundaries for in vivo imaging in living animals(even behaving animals).
基金supported by Swiss Center for Applied Human Toxicology(SCAHT AP22-01)(to RN)。
文摘Parkinson's disease(PD)is the second most common neurodegenerative disorder.The clinical manifestations of PD include motor symptoms,such as bradykinesia,resting tremor,rigidity,and nonmotor symptoms,which include disturbances in sleep,gastrointestinal function,and olfaction.PD misdiagnosis rates have been reported to reach approximately 30%,partly owing to the heterogeneity of parkinsonism with non-PD pathologies,and the differential diagnosis of PD from neurodegenerative diseases such as multiple systemic atrophy(MSA)and progressive supranuclear palsy poses another unmet need.
基金supported by Swiss Center for Applied Human Toxicology(SCAHT AP22-01)(to RN).
文摘Alzheimer’s disease(AD)is the most common cause of dementia,characterized by progressive cognitive decline,and affects over 55 million people worldwide.AD is pathological featured by the aberrant accumulation of amyloid-βplaques,neurofibrillary tangles formed by hyperphosphorylated tau,synaptic loss,and dysfunction of neurotransmitter systems.Evidence from in vivo and autopsy studies has consistently shown that synaptic dysfunction and loss are strongly correlated with cognitive decline in AD,particularly in brain regions such as the hippocampus and cortex,which are critical for memory formation and processing.This perspective highlights recent histopathological findings related to synaptic dysfunction in AD,advancements in the development of imaging and fluid-based biomarkers for synaptic loss,and future studies.
基金supported by the European Research Council(ERC)under the European Union’s Horizon 2020 research and innovation program(Grant No.101002460)。
文摘Intense light diffusion and attenuation through turbid biological tissues compromise the achievable depth,resolution,and contrast in optoacoustic tomography(OAT).We propose to mitigate this limitation by exploiting ultrasound waves to locally modulate the refractive index of scattering samples,effectively generating embedded light waveguides.Here,the ultrasound-induced waveguides enhanced light delivery into deep targets,achieving up to 110%improvement in contrast-to-noise ratio of OAT images at a depth of eight mean free scattering paths.Furthermore,ultrasound-mediated light focusing enables breaking through the acoustic diffraction limit by attaining 25μm spatial resolution via localization OAT without the need for external circulating contrast agents.These findings demonstrate the potential of ultrasoundinduced light guiding for enabling label-free super-resolution OAT with enhanced contrast and depth.
基金supported by the National Natural Science Foundation of China(Nos.62373009 and 62073004).
文摘Compared to monocular depth estimation,multi-view depth estimation often yields more accurate results.However,traditional multi-view depth estimation methods often fail to leverage semantic information fully and struggle to effectively fuse information from multiple views,leading to suboptimal prediction performance in challenging scenarios such as texture-less regions and reflective surfaces.To address these limitations,we present MVI-Depth,a novel framework with two core innovations:(1)a Semantic Fusion Module(SFM)that establishes semantic correspondence,and(2)a Depth Updating Module(DUM)enabling iterative depth refinement.Specifically,MVI-Depth initially establishes a main view representation that integrates single-view depth,depth features,and semantic features.Subsequent feature extraction from neighbouring views enables the construction of the original cost volume.Recognising the inherent limitations of direct cost volume utilisation in complex scenes,the proposed SFM constructs an aligned semantic cost volume to utilise the complementarity between semantic and depth information,forming an improved final cost volume.The final cost volume is updated through the proposed DUM to achieve iterative depth optimisation.Comprehensive evaluations demonstrate that MVI-Depth achieves superior performance across all standard metrics on both ScanNet and KITTI benchmarks,outperforming existing methods.Additional experiments on the 7-Scenes dataset further confirm the framework's robust generalisation capabilities in diverse environments.
基金supported by a sequence of Swiss National Science Foundation Grants (Grant Nos.200021_135395,200020_159938,200020_188601)funding from the Federal Office of Meteorology and Climatology Meteo Swiss within the framework of GCOS Switzerland in support of the Global Energy Balance Archive (GEBA) hosted at ETH Zurich。
文摘Worldwide radiation records suggest that the amount of sunlight received at the Earth's surface(surface solar radiation, SSR) has not been stable over the years, but underwent significant decadal variations, popularly also known as “global dimming and brightening”. These variations have been particularly evident in China, where the SSR substantially declined from the 1960s to the 1990s(dimming), with indications for a trend reversal in the 2000s and a slight recovery(brightening) in recent years. This perspective/review paper will discuss recent updates and remaining challenges regarding our knowledge of the magnitudes, causes, and implications of these variations in SSR worldwide, with a particular emphasis on the developments in China.
基金financially supported by the Swiss National Science Foundation(grant number IZLRZ2_164058)the China Scholarship Council Ph.D.student exchange programthe Priority Academic Program Development of Jiangsu Higher Education Institution(PAPD)。
文摘Aerogels are ultra-lightweight,porous materials defined by a complex network of interconnected pores and nanostructures,which effectively suppress heat transfer,making them exceptional for thermal insulation.Furthermore,their porous architecture can trap and scatter light via multiple internal reflections,extending the optical path within the material.When combined with suitable light-absorbing materials,this feature significantly enhances light absorption(darkness).To validate this concept,mesoporous silica aerogel particles were incorporated into a resorcinol-formaldehyde(RF)sol,and the silica-to-RF ratio was optimized to achieve uniform carbon compound coatings on the silica pore walls.Notably,increasing silica loading raised the sol viscosity,enabling formulations ideal for direct ink writing processes with excellent shape fidelity for super-black topographical designs.The printed silica-RF green bodies exhibited remarkable mechanical strength and ultra-low thermal conductivity(15.8 m W m^(-1) K^(-1))prior to pyrolysis.Following pyrolysis,the composites maintained structural integrity and printed microcellular geometries while achieving super-black coloration(abs.99.56%in the 280-2500 nm range)and high photothermal conversion efficiency(94.2%).Additionally,these silica-carbon aerogel microcellulars demonstrated stable electrical conductivity and low electrochemical impedance.The synergistic combination of 3D printability and super-black photothermal features makes these composites highly versatile for multifunctional applications,including on-demand thermal management,and efficient solar-driven water production.
基金supported by supported by the Basic Research Project of State Key Laboratory of Photovoltaic Science and Technology(No.202401020302)funding support from the National Natural Science Foundation of China(No.62274040 and No.62304046)Shanghai science and technology innovation action plan(No.24DZ3001200)。
文摘Organic-inorganic metal halides(OIMHs)have emerged as highly promising novel multifunctional optoelectronic materials,owing to their easily adjustable properties from a variety of combinations of different components.But it is still difficult and rare to realize highly tunable multicolor luminescence within the same material.In this work,we successfully incorporated three adjustable emission centers in OIMHs to synthesize a novel OIMH(NEA)_(2)MnBr_(4),with each emission center capable of emitting one of the primary colors—red,green,and blue.The green and red emissions originate from the tetrahedron and octahedron structures in the Mn-based frame,while the blue can be attributed to the contribution of organic components.Additionally,to achieve comparable emission intensity among the three primary colors,we enhanced the blue emission performance by optimizing the ratio of organic structure components and incorporating chirality in the OIMHs.The resulting high-quality films can be obtained by spin-coating method with a photoluminescence quantum yields of up to 96%.More interestingly,by the dual manipulation of excitation wavelength and temperature,the sample can be emitted at least seven distinct colors including a standard white luminescence at(0.33,0.33),opening up promising prospects for multicolor luminescence applications such as high-end anti-counterfeiting technology,light-emitting diodes,X-ray imaging,latent fingerprints,humidity detection,and so on.Therefore,based on application scenarios and requirements,our research on this highly tunable luminescent OIMH material lays a solid foundation for further development of various functional properties of related materials.
基金supported by the European Research Council(ERC)under the European Union’s Horizon 2020 Research and Innovation Programme,No.810346.
文摘Stroke and traumatic brain injury lead to upper motor neuron syndrome,which is characterized by muscle spasticity or paresis of varying severity depending on the lesion’s location and extent.Current treatments are mostly symptomatic with limited efficacy and significant side effects.Nerve transfer techniques,such as the contralateral L4 ventral root transfer in animal models and C7 root transfer in both animal and clinical studies,have been shown to reduce spasticity and improve function in upper motor neuron syndrome;however,they lack selectivity.Our hypothesis is that using a selective peripheral donor nerve from the contralateral side,rather than the entire nerve root,may represent an effective nerve transfer and provide a robust basis for future research on selective muscle reinnervation in upper motor neuron syndrome.Ten rats underwent a contralateral ulnar-to-ulnar nerve transfer procedure.Electrophysiological measurements were conducted twelve weeks post-surgery to assess successful reinnervation of the contralateral flexor carpi ulnaris muscle.Additionally,muscle biopsies of the reinnervated flexor carpi ulnaris were harvested to examine the muscle fiber type composition,cross-sectional area,and collagen content as well as compare them to naive counterparts.Axon quantification of the reinnervated nerves was also performed.All rats recovered uneventfully,maintaining the use of both paws post-surgery.Electrophysiological tests confirmed the successful reinnervation of the flexor carpi ulnaris muscle.Muscle fiber type composition,cross-sectional area,and collagen content did not show statistically significant changes.Axon counts indicated successful nerve regeneration without architectural disruption.In conclusion,we were able to demonstrate this novel contralateral nerve transfer model’s feasibility,reproducibility,and safety as well as achieve effective muscle reinnervation.This model provides a valuable tool for further research on selective muscle reinnervation and treatment of upper motor neuron syndrome,with potential implications for improving clinical outcomes in stroke and traumatic brain injury patients.
文摘Background:Cupping therapy(CT),an ancient practice revived in modern sports medicine,offers potential benefits for athlete recovery and performance.Distinctions between wet CT(WCT)and dry CT(DCT)in sports science focus on their effects on recovery metrics,particularly how they influence sleep quality,perceived wellness,and athletic performance.Despite anecdotal evidence of its efficacy,rigorous comparative studies are scarce.Objective:This study aimed to evaluates and compare the effects of WCT and DCT on endurance,perceived wellness,exertion levels,and sleep quality among young,active males,addressing the gap in the literature regarding CT's efficacy in sports performance and recovery.Methods:Thirty-two amateur runners were randomly divided into two groups:one followed WCT sessions and the other followed DCT sessions.The study assessed the interventions'impacts on endurance performance(Yo-Yo intermittent recovery test),sleep quality(Pittsburgh Sleep Quality Index),and perceived exertion(Borg CR10 Scale).Heart rate was measured using a Polar H10 sensor to gauge physiological responses during physical tests.Results:Significant improvements were observed in the WCT group for sleep latency(%change=-82.31%;interaction group×time p=0.006;Cohen's d=0.74)and sleep disturbance(%change=-68.70%;interaction group×time p<0.001;Cohen's d=1.09),suggesting enhanced sleep quality(global score;%change=-52.81;interaction group×time p=0.004;Cohen's d=0.77).However,no significant differences were found in direct performance metrics(distance,maximal heart rate,maximal oxygen uptake)between WCT and DCT groups.These findings highlight WCT's potential as a recovery aid,particularly through improved sleep,without directly influencing endurance performance outcomes.Conclusion:WCT may serve as an effective ergogenic aid for athletes by potentially improving sleep quality and reducing perceived exertion,thus contributing indirectly to performance through enhanced recovery.
文摘Background and purpose: Lifelong endurance exercise is generally associated with cardiovascular health benefits.However, recent studies suggest that prolonged high-volume training may contribute to coronary atherosclerosis,even in athletes with low traditional cardiovascular risk. This case report aims to explore the cardiovascular status of a master endurance athlete with an exceptionally high lifetime training volume, in light of recent concerns raised in the literature.Methods: We present the case of a 60-year-old recreational male marathon runner with no history of cardiovascular disease, who completed over 500 marathons between the ages of 30 and 60 years, covering ~127 000-km running. In 2024 alone, he completed 60 marathons. Cardiovascular evaluation included clinical risk assessment and coronary computed tomography angiography(CTCA).Results: The runner was asymptomatic, had a low ESC-SCORE2(3.3%), a favorable lipid profile, and normal levels of high-sensitivity C-reactive protein and lipoprotein(a). CTCA revealed no evidence of calcified, mixed, or non-calcified coronary plaques.Conclusions: This case highlights that some master athletes may demonstrate resilience to coronary atherosclerosis despite decades of high training volume. In low-risk individuals, prolonged endurance training alone may not necessarily lead to coronary artery disease, emphasizing the need for individualized cardiovascular screening strategies.