51
|
Tuesta M, Yáñez-Sepúlveda R, Verdugo-Marchese H, Mateluna C, Alvear-Ordenes I. Near-Infrared Spectroscopy Used to Assess Physiological Muscle Adaptations in Exercise Clinical Trials: A Systematic Review. BIOLOGY 2022; 11:biology11071073. [PMID: 36101451 PMCID: PMC9312707 DOI: 10.3390/biology11071073] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 07/14/2022] [Accepted: 07/15/2022] [Indexed: 11/18/2022]
Abstract
Simple Summary In recent years, physical exercise has been used as a therapeutic strategy in various clinical conditions, with pleiotropic benefits. Near-infrared spectroscopy (NIRS) has been positioned as a tool to analyze effects on muscle oxygenation, also allowing knowledge of adaptations on microvascular levels and muscle metabolism in subjects with central and peripheral vascular alterations, as well as cardiovascular, metabolic, and/or musculoskeletal diseases. This knowledge can help to guide therapeutic exercise specialists in decision making regarding the prescription and follow up of physical exercise as a therapeutic tool in the observation of acute or chronic adaptations to improve efficiency in the treatment and recovery of these patients. This review presents an overview of the effects of exercise clinical trials on muscle oxygenation in different pathologies and the technical characteristics related to the equipment used. Abstract Using muscle oxygenation to evaluate the therapeutic effects of physical exercise in pathologies through near-infrared spectroscopy (NIRS) is of great interest. The aim of this review was to highlight the use of muscle oxygenation in exercise interventions in clinical trials and to present the technological characteristics related to the equipment used in these studies. PubMed, WOS, and Scopus databases were reviewed up to December 2021. Scientific articles that evaluated muscle oxygenation after exercise interventions in the sick adult population were selected. The PEDro scale was used to analyze the risk of bias (internal validity). The results were presented grouped in tables considering the risk of bias scores, characteristics of the devices, and the effects of exercise on muscle oxygenation. All the stages were carried out using preferred reporting items for systematic reviews and meta-analyses (PRISMA). The search strategy yielded 820 clinical studies, of which 18 met the eligibility criteria. This review detailed the characteristics of 11 NIRS devices used in clinical trials that used physical exercise as an intervention. The use of this technology made it possible to observe changes in muscle oxygenation/deoxygenation parameters such as tissue saturation, oxyhemoglobin, total hemoglobin, and deoxyhemoglobin in clinical trials of patients with chronic disease. It was concluded that NIRS is a non-invasive method that can be used in clinical studies to detect the effects of physical exercise training on muscle oxygenation, hemodynamics, and metabolism. It will be necessary to unify criteria such as the measurement site, frequency, wavelength, and variables for analysis. This will make it possible to compare different models of exercise/training in terms of time, intensity, frequency, and type to obtain more precise conclusions about their benefits for patients.
Collapse
Affiliation(s)
- Marcelo Tuesta
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile;
- Laboratory of Sport Sciences, Centro de Medicina Deportiva Sports MD, Viña del Mar 2521156, Chile;
| | - Rodrigo Yáñez-Sepúlveda
- Applied Physiology Laboratory (FISAP), Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain;
- School of Education, Pedagogy in Physical Education, Universidad Viña del Mar, Viña del Mar 2572007, Chile
| | | | - Cristián Mateluna
- Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso 2530388, Chile;
| | - Ildefonso Alvear-Ordenes
- Applied Physiology Laboratory (FISAP), Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain;
- Correspondence:
| |
Collapse
|
52
|
Desanlis J, Gordon D, Calveyrac C, Cottin F, Gernigon M. Intra- and Inter-Day Reliability of the NIRS Portamon Device after Three Induced Muscle Ischemias. SENSORS (BASEL, SWITZERLAND) 2022; 22:5165. [PMID: 35890846 PMCID: PMC9317239 DOI: 10.3390/s22145165] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Revised: 07/06/2022] [Accepted: 07/07/2022] [Indexed: 06/15/2023]
Abstract
(1) Background: Near-infrared spectroscopy (NIRS) is an innovative and non-invasive technology used to investigate muscular oxygenation. The aim of this study is to assess the within- and between-session reliability of the NIRS Portamon (Artinis, Elst, Netherlands) device following three sets of induced muscle ischemia. (2) Methods: Depending on the experimental group (G1, G2 or G3), a cuff was inflated three times on the left upper arm to 50 mmHg (G1), systolic blood pressure (SBP) + 50 mmHg (G2) or 250 mmHg (G3). Maximum, minimum and reoxygenation rate values were assessed after each occlusion phase, using a Portamon device placed on the left brachioradialis. Reliability was assessed with intraclass correlation coefficient (ICC) value and ICC 95% confidence interval (CI-95%), coefficient of variation (CV) and standard error of measurement (SEM) (3) Results: Our results showed a good to excellent reliability for maximums and minimums within-session. However, the reoxygenation rate within sessions as well as measurements between sessions cannot predominantly show good reliability. (4) Conclusions: Multiple measurements of maximums and minimums within a single session appeared to be reliable which shows that only one measurement is necessary to assess these parameters. However, it is necessary to be cautious with a comparison of maximum, minimum and reoxygenation rate values between sessions.
Collapse
Affiliation(s)
- Julien Desanlis
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
- Anglia Ruskin University, Cambridge CB1 1PT, UK;
| | - Dan Gordon
- Anglia Ruskin University, Cambridge CB1 1PT, UK;
| | - Camille Calveyrac
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
| | - François Cottin
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
| | - Marie Gernigon
- CIAMS, Université Paris-Saclay, CEDEX, 91405 Orsay, France; (C.C.); (F.C.); (M.G.)
- CIAMS, Université d’Orléans, 45067 Orléans, France
| |
Collapse
|
53
|
Valenzuela PL, Mateo-March M, Muriel X, Zabala M, Lucia A, Barranco-Gil D, Millet GP, Brocherie F, Burtscher J, Burtscher M, Ryan BJ, Gioscia-Ryan RA, Perrey S, Rodrigo-Carranza V, González-Mohíno F, González-Ravé JM, Santos-Concejero J, Denadai BS, Greco CC, Casado A, Foster C, Mazzolari R, Baldrighi GN, Pastorio E, Malatesta D, Patoz A, Borrani F, Ives SJ, DeBlauw JA, Dantas de Lucas R, Borszcz FK, Fernandes Nascimento EM, Antonacci Guglielmo LG, Turnes T, Jaspers RT, van der Zwaard S, Lepers R, Louis J, Meireles A, de Souza HLR, de Oliveira GT, dos Santos MP, Arriel RA, Marocolo M, Hunter B, Meyler S, Muniz-Pumares D, Ferreira RM, Sogard AS, Carter SJ, Mickleborough TD, Saborosa GP, de Oliveira Freitas RD, Alves dos Santos PS, de Souza Ferreira JP, de Assis Manoel F, da Silva SF, Triska C, Karsten B, Sanders D, Lipksi ES, Spindler DJ, Hesselink MKC, Zacca R, Goethel MF, Pyne DB, Wood BM, Allen PE, Gabelhausen JL, Keller AM, Lige MT, Oumsang AS, Smart GL, Paris HL, Dewolf AH, Toffoli G, Martinez-Gonzalez B, Marcora SM, Terson de Paleville D, Fernandes RJ, Soares SM, Abraldes JA, Matta G, Bossi AH, McCarthy DG, Bostad W, Gibala J, Vagula M. Commentaries on Viewpoint: Using V̇o 2max as a marker of training status in athletes - can we do better? J Appl Physiol (1985) 2022; 133:148-164. [PMID: 35819399 DOI: 10.1152/japplphysiol.00224.2022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Pedro L Valenzuela
- Grupo de Investigación en Actividad física y Salud (PaHerg), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain
| | - Manuel Mateo-March
- Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain,Sport Science Department. Universidad Miguel Hernández, Elche, Spain
| | - Xabier Muriel
- Human Performance and Sports Science Laboratory, Faculty of Sport Sciences, University of Murcia, Murcia, Spain
| | - Mikel Zabala
- Department of Physical Education & Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - Alejandro Lucia
- Grupo de Investigación en Actividad física y Salud (PaHerg), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain,Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain
| | | | - Grégoire P Millet
- Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Franck Brocherie
- Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport (INSEP), Paris, France
| | - Johannes Burtscher
- Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Martin Burtscher
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
| | - Benjamin J Ryan
- Thermal and Mountain Medicine Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts
| | | | - Stephane Perrey
- EuroMov Digital Health in Motion, University of Montpellier, Montpellier, France
| | | | - Fernando González-Mohíno
- Sport Training Lab, University of Castilla-La Mancha, Toledo, Spain,Facultad de Ciencias de la Vida y de la Naturaleza, Universidad Nebrija, Madrid, Spain
| | | | - Jordan Santos-Concejero
- Department of Physical Education and Sport, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain
| | - Benedito S Denadai
- Human Performance Laboratory, São Paulo State University, Rio Claro, Brazil
| | - Camila C Greco
- Human Performance Laboratory, São Paulo State University, Rio Claro, Brazil
| | - Arturo Casado
- Center for Sport Studies, Rey Juan Carlos University, Madrid, Spain
| | - Carl Foster
- University of Wisconsin-La Crosse, La Crosse, Wisconsin
| | - Raffaele Mazzolari
- Department of Physical Education and Sport, University of the Basque Country (UPV/EHU), Vitoria-Gasteiz, Spain,Department of Molecular Medicine, University of Pavia, Pavia, Italy
| | - Giulia Nicole Baldrighi
- Department of Brain and Behavioural Sciences − Medical and Genomic Statistics Unit, University of Pavia, Pavia, Italy
| | - Elisa Pastorio
- Department of Molecular Medicine, University of Pavia, Pavia, Italy,Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Davide Malatesta
- Institute of Sport Sciences of University of Lausanne (ISSUL), University of Lausanne, Lausanne, Switzerland
| | - Aurélien Patoz
- Institute of Sport Sciences of University of Lausanne (ISSUL), University of Lausanne, Lausanne, Switzerland
| | - Fabio Borrani
- Institute of Sport Sciences of University of Lausanne (ISSUL), University of Lausanne, Lausanne, Switzerland
| | - Stephen J Ives
- Health and Human Physiological Sciences, Skidmore College, Saratoga Springs, New York
| | - Justin A DeBlauw
- Health and Human Physiological Sciences, Skidmore College, Saratoga Springs, New York
| | | | | | | | | | - Tiago Turnes
- Physical Effort Laboratory, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Richard T Jaspers
- Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands,Laboratory for Myology, Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Stephan van der Zwaard
- Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands,Laboratory for Myology, Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands,Leiden Institute of Advanced Computer Science, Leiden University, Leiden, The Netherlands
| | - Romuald Lepers
- INSERM UMR1093 CAPS, Faculty of Sport Sciences, University of Bourgogne Franche-Comté, Dijon, France
| | - Julien Louis
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Anderson Meireles
- Physiology and Human Performance Research Group, Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Hiago L. R. de Souza
- Physiology and Human Performance Research Group, Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Géssyca T de Oliveira
- Physiology and Human Performance Research Group, Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Marcelo P dos Santos
- Physiology and Human Performance Research Group, Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Rhaí A Arriel
- Physiology and Human Performance Research Group, Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - Moacir Marocolo
- Physiology and Human Performance Research Group, Department of Physiology, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - B Hunter
- Department of Psychology, Sport, and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom
| | - S Meyler
- Department of Psychology, Sport, and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom
| | - D Muniz-Pumares
- Department of Psychology, Sport, and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom
| | - Renato M Ferreira
- Aquatic Activities Research Group, Department of Physical Education, Federal University of Ouro Preto, Ouro Preto, Brazil
| | - Abigail S Sogard
- Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana
| | - Stephen J Carter
- Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana,Indiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana
| | - Timothy D Mickleborough
- Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana
| | - Guilherme Pereira Saborosa
- Study Group and Research in Neuromuscular Responses, University of Lavras, Lavras, Brazil,Postgraduate Program in Nutrition and Health, University of Lavras, Lavras, Brazil
| | - Raphael Dinalli de Oliveira Freitas
- Study Group and Research in Neuromuscular Responses, University of Lavras, Lavras, Brazil,Postgraduate Program in Nutrition and Health, University of Lavras, Lavras, Brazil
| | - Paula Souza Alves dos Santos
- Study Group and Research in Neuromuscular Responses, University of Lavras, Lavras, Brazil,Postgraduate Program in Nutrition and Health, University of Lavras, Lavras, Brazil
| | - João Pedro de Souza Ferreira
- Study Group and Research in Neuromuscular Responses, University of Lavras, Lavras, Brazil,Postgraduate Program in Nutrition and Health, University of Lavras, Lavras, Brazil
| | | | - Sandro Fernandes da Silva
- Study Group and Research in Neuromuscular Responses, University of Lavras, Lavras, Brazil,Postgraduate Program in Nutrition and Health, University of Lavras, Lavras, Brazil
| | - Christoph Triska
- Institute of Sport Science, Centre for Sport Science and University Sports, University of Vienna, Vienna, Austria,Leistungssport Austria, Brunn am Gebirge, Austria
| | - Bettina Karsten
- European University of Applied Sciences (EUFH), Berlin, Germany
| | - Dajo Sanders
- Department of Nutrition and Movement Sciences, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University Medical Center+, Maastricht, The Netherlands
| | - Elliot S Lipksi
- Department of Nutrition and Movement Sciences, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University Medical Center+, Maastricht, The Netherlands
| | - David J Spindler
- Department of Nutrition and Movement Sciences, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University Medical Center+, Maastricht, The Netherlands
| | - Matthijs K. C. Hesselink
- Department of Nutrition and Movement Sciences, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University Medical Center+, Maastricht, The Netherlands
| | - Rodrigo Zacca
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Porto, Portugal,Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal
| | - Márcio Fagundes Goethel
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal,Centre of Research, Education, Innovation, and Intervention in Sport (CIFI2D), Faculty of Sports, University of Porto, Porto, Portugal
| | - David Bruce Pyne
- University of Canberra Research Institute for Sport and Exercise (UCRISE), University of Canberra, Canberra, Australia
| | - Brayden M Wood
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Peyton E Allen
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Jaden L Gabelhausen
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Alexandra M Keller
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Mast T Lige
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Alicia S Oumsang
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Greg L Smart
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Hunter L Paris
- Exercise Physiology Laboratory, Department of Sports Medicine, Pepperdine University, Malibu, California
| | - Arthur H Dewolf
- Laboratory of Physiology and Biomechanics of Human Locomotion, Institute of Neuroscience, Université catholique de Louvain-la-Neuve, Louvain-la-Neuve, Belgium
| | - Guillaume Toffoli
- Department for Life Quality Studies, University of Bologna, Bologna, Italy
| | | | - Samuele M Marcora
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | | | - Ricardo J Fernandes
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Porto, Portugal,Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | - Susana M Soares
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, University of Porto (FADEUP), Porto, Portugal,Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | - J. Arturo Abraldes
- Research Group MS&SPORT, Faculty of Sports Sciences, University of Murcia, Murcia, Spain
| | - Guilherme Matta
- Faculty of Science, Engineering and Social Sciences, School of Psychology and Life Sciences, Canterbury Christ Church University, Canterbury, United Kingdom
| | - Arthur Henrique Bossi
- MeFit Prehabilitation Service, Medway NHS Foundation Trust, Gillingham, United Kingdom
| | - D G McCarthy
- Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada
| | - W Bostad
- Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada
| | - J Gibala
- Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada
| | | |
Collapse
|
54
|
Manchado-Gobatto FB, Torres RS, Marostegan AB, Rasteiro FM, Hartz CS, Moreno MA, Pinto AS, Gobatto CA. Complex Network Model Reveals the Impact of Inspiratory Muscle Pre-Activation on Interactions among Physiological Responses and Muscle Oxygenation during Running and Passive Recovery. BIOLOGY 2022; 11:biology11070963. [PMID: 36101345 PMCID: PMC9311794 DOI: 10.3390/biology11070963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 06/11/2022] [Accepted: 06/14/2022] [Indexed: 12/05/2022]
Abstract
Simple Summary Different warm-ups can be used to improve physical and sports performance. Among these strategies, we can include the pre-activation of the inspiratory muscles. Our study aimed to investigate this pre-activation model in high-intensity running performance and recovery using an integrative computational analysis called a complex network. The participants in this study underwent four sessions. The first and second sessions were performed to explain the procedures, characterize them and determine the individualized pre-activation intensity (40% of the maximum inspiratory pressure). Subsequently, on different days, the subjects were submitted to high-intensity tethered runs on a non-motorized treadmill with monitoring of the physiological responses during and after this effort. To understand the impacts of the pre-activation of inspiratory muscles on the organism, we studied the centrality metrics obtained by complex networks, which help in the interpretation of data in a more integrated way. Our results revealed that the graphs generated by this analysis were altered when inspiratory muscle pre-activation was applied, emphasizing muscle oxygenation responses in the leg and arm. Blood lactate also played an important role, especially after our inspiratory muscle strategy. Our findings confirm that the pre-activation of inspiratory muscles promotes modulations in the organism, better integrating physiological responses, which could increase performance and improve recovery. Abstract Although several studies have focused on the adaptations provided by inspiratory muscle (IM) training on physical demands, the warm-up or pre-activation (PA) of these muscles alone appears to generate positive effects on physiological responses and performance. This study aimed to understand the effects of inspiratory muscle pre-activation (IMPA) on high-intensity running and passive recovery, as applied to active subjects. In an original and innovative investigation of the impacts of IMPA on high-intensity running, we proposed the identification of the interactions among physical characteristics, physiological responses and muscle oxygenation in more and less active muscle to a running exercise using a complex network model. For this, fifteen male subjects were submitted to all-out 30 s tethered running efforts preceded or not preceded by IMPA, composed of 2 × 15 repetitions (1 min interval between them) at 40% of the maximum individual inspiratory pressure using a respiratory exercise device. During running and recovery, we monitored the physiological responses (heart rate, blood lactate, oxygen saturation) and muscle oxygenation (in vastus lateralis and biceps brachii) by wearable near-infrared spectroscopy (NIRS). Thus, we investigated four scenarios: two in the tethered running exercise (with or without IMPA) and two built into the recovery process (after the all-out 30 s), under the same conditions. Undirected weighted graphs were constructed, and four centrality metrics were analyzed (Degree, Betweenness, Eigenvector, and Pagerank). The IMPA (40% of the maximum inspiratory pressure) was effective in increasing the peak and mean relative running power, and the analysis of the complex networks advanced the interpretation of the effects of physiological adjustments related to the IMPA on exercise and recovery. Centrality metrics highlighted the nodes related to muscle oxygenation responses (in more and less active muscles) as significant to all scenarios, and systemic physiological responses mediated this impact, especially after IMPA application. Our results suggest that this respiratory strategy enhances exercise, recovery and the multidimensional approach to understanding the effects of physiological adjustments on these conditions.
Collapse
Affiliation(s)
- Fúlvia Barros Manchado-Gobatto
- Laboratory of Applied Sport Physiology, School of Applied Sciences, University of Campinas, Limeira 13484-350, Brazil; (A.B.M.); (F.M.R.); (C.A.G.)
- Correspondence:
| | - Ricardo Silva Torres
- Department of ICT and Natural Sciences, Norwegian University of Science and Technology, 6009 Ålesund, Norway;
| | - Anita Brum Marostegan
- Laboratory of Applied Sport Physiology, School of Applied Sciences, University of Campinas, Limeira 13484-350, Brazil; (A.B.M.); (F.M.R.); (C.A.G.)
| | - Felipe Marroni Rasteiro
- Laboratory of Applied Sport Physiology, School of Applied Sciences, University of Campinas, Limeira 13484-350, Brazil; (A.B.M.); (F.M.R.); (C.A.G.)
| | - Charlini Simoni Hartz
- Postgraduate Program in Human Movement Sciences, Methodist University of Piracicaba, Piracicaba 13400-000, Brazil; (C.S.H.); (M.A.M.)
| | - Marlene Aparecida Moreno
- Postgraduate Program in Human Movement Sciences, Methodist University of Piracicaba, Piracicaba 13400-000, Brazil; (C.S.H.); (M.A.M.)
| | - Allan Silva Pinto
- Department of Sport Sciences, Faculty of Physical Education, University of Campinas, Campinas 13083-851, Brazil;
- Brazilian Synchrotron Light Laboratory, Brazilian Center for Research in Energy and Materials, Campinas 13083-970, Brazil
| | - Claudio Alexandre Gobatto
- Laboratory of Applied Sport Physiology, School of Applied Sciences, University of Campinas, Limeira 13484-350, Brazil; (A.B.M.); (F.M.R.); (C.A.G.)
| |
Collapse
|
55
|
Lanka P, Yang L, Orive-Miguel D, Veesa JD, Tagliabue S, Sudakou A, Samaei S, Forcione M, Kovacsova Z, Behera A, Gladytz T, Grosenick D, Hervé L, Durduran T, Bejm K, Morawiec M, Kacprzak M, Sawosz P, Gerega A, Liebert A, Belli A, Tachtsidis I, Lange F, Bale G, Baratelli L, Gioux S, Alexander K, Wolf M, Sekar SKV, Zanoletti M, Pirovano I, Lacerenza M, Qiu L, Ferocino E, Maffeis G, Amendola C, Colombo L, Frabasile L, Levoni P, Buttafava M, Renna M, Di Sieno L, Re R, Farina A, Spinelli L, Dalla Mora A, Contini D, Taroni P, Tosi A, Torricelli A, Dehghani H, Wabnitz H, Pifferi A. Multi-laboratory performance assessment of diffuse optics instruments: the BitMap exercise. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:JBO-210373SSR. [PMID: 35701869 PMCID: PMC9199954 DOI: 10.1117/1.jbo.27.7.074716] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 05/05/2022] [Indexed: 05/06/2023]
Abstract
SIGNIFICANCE Multi-laboratory initiatives are essential in performance assessment and standardization-crucial for bringing biophotonics to mature clinical use-to establish protocols and develop reference tissue phantoms that all will allow universal instrument comparison. AIM The largest multi-laboratory comparison of performance assessment in near-infrared diffuse optics is presented, involving 28 instruments and 12 institutions on a total of eight experiments based on three consolidated protocols (BIP, MEDPHOT, and NEUROPT) as implemented on three kits of tissue phantoms. A total of 20 synthetic indicators were extracted from the dataset, some of them defined here anew. APPROACH The exercise stems from the Innovative Training Network BitMap funded by the European Commission and expanded to include other European laboratories. A large variety of diffuse optics instruments were considered, based on different approaches (time domain/frequency domain/continuous wave), at various stages of maturity and designed for different applications (e.g., oximetry, spectroscopy, and imaging). RESULTS This study highlights a substantial difference in hardware performances (e.g., nine decades in responsivity, four decades in dark count rate, and one decade in temporal resolution). Agreement in the estimates of homogeneous optical properties was within 12% of the median value for half of the systems, with a temporal stability of <5 % over 1 h, and day-to-day reproducibility of <3 % . Other tests encompassed linearity, crosstalk, uncertainty, and detection of optical inhomogeneities. CONCLUSIONS This extensive multi-laboratory exercise provides a detailed assessment of near-infrared Diffuse optical instruments and can be used for reference grading. The dataset-available soon in an open data repository-can be evaluated in multiple ways, for instance, to compare different analysis tools or study the impact of hardware implementations.
Collapse
Affiliation(s)
- Pranav Lanka
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
- Address all correspondence to Pranav Lanka, ; Heidrun Wabnitz,
| | - Lin Yang
- Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany
| | | | - Joshua Deepak Veesa
- University of Birmingham, School of Computer Science, Birmingham, United Kingdom
| | | | - Aleh Sudakou
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Saeed Samaei
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Mario Forcione
- University Hospitals Birmingham, National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Birmingham, United Kingdom
| | - Zuzana Kovacsova
- UCL, Department of Medical Physics & Biomedical Engineering, London, United Kingdom
| | - Anurag Behera
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | - Thomas Gladytz
- Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany
| | - Dirk Grosenick
- Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany
| | - Lionel Hervé
- Université Grenoble Alpes, CEA, LETI, DTBS, Grenoble, France
| | - Turgut Durduran
- The Institute of Photonic Sciences (ICFO), Castelldefels, Spain
| | - Karolina Bejm
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Magdalena Morawiec
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Michał Kacprzak
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Piotr Sawosz
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Anna Gerega
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Adam Liebert
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland
| | - Antonio Belli
- University Hospitals Birmingham, National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Birmingham, United Kingdom
| | - Ilias Tachtsidis
- UCL, Department of Medical Physics & Biomedical Engineering, London, United Kingdom
| | - Frédéric Lange
- UCL, Department of Medical Physics & Biomedical Engineering, London, United Kingdom
| | - Gemma Bale
- University of Cambridge, Department of Engineering and Department of Physics, Cambridge, United Kingdom
| | - Luca Baratelli
- University of Strasbourg, ICube Laboratory, Strasbourg, France
| | - Sylvain Gioux
- University of Strasbourg, ICube Laboratory, Strasbourg, France
| | - Kalyanov Alexander
- University Hospital Zurich, Biomedical Optics Research Laboratory, Department of Neonatology, Zurich, Switzerland
| | - Martin Wolf
- University Hospital Zurich, Biomedical Optics Research Laboratory, Department of Neonatology, Zurich, Switzerland
| | | | - Marta Zanoletti
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | - Ileana Pirovano
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | | | - Lina Qiu
- South China Normal University, School of Software, Guangzhou, China
| | | | - Giulia Maffeis
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | | | - Lorenzo Colombo
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | | | - Pietro Levoni
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | | | - Marco Renna
- Istituto di Fotonica e Nanotecnologie, Milano, Italy
| | - Laura Di Sieno
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | - Rebecca Re
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Milano, Italy
| | - Andrea Farina
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Milano, Italy
| | - Lorenzo Spinelli
- Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Milano, Italy
| | | | - Davide Contini
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | - Paola Taroni
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| | - Alberto Tosi
- Istituto di Fotonica e Nanotecnologie, Milano, Italy
| | | | - Hamid Dehghani
- University of Birmingham, School of Computer Science, Birmingham, United Kingdom
| | - Heidrun Wabnitz
- Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany
- Address all correspondence to Pranav Lanka, ; Heidrun Wabnitz,
| | - Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy
| |
Collapse
|
56
|
Gasser B, Frei A, Niederseer D, Catuogno S, Frey WO, Flück M. Variability in the Aerobic Fitness-Related Dependence on Respiratory Processes During Muscle Work Is Associated With the ACE-I/D Genotype. Front Sports Act Living 2022; 4:814974. [PMID: 35663500 PMCID: PMC9161700 DOI: 10.3389/fspor.2022.814974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Accepted: 03/31/2022] [Indexed: 11/26/2022] Open
Abstract
Background The efficiency of aerobic energy provision to working skeletal muscle is affected by aerobic fitness and a prominent insertion/deletion polymorphism in the angiotensin-converting enzyme (ACE-I/D) gene for the major modulator of tissue perfusion. We assessed whether variability in the fitness state is dependent on the contribution of multiple aspects of oxygen transport to the development of muscle power, and the respective control coefficients, are associated with the ACE-I/D genotype. Methods Twenty-five women and 19 men completed a ramp test of cycling exercise to exhaustion during which serial steps of oxygen transport [oxygen uptake (L O2 min−1) (VO2), minute ventilation in (L min−1) (VE), cardiac output in equivalents of L min−1 (Q), arterial oxygen saturation (SpO2), muscle oxygen saturation (SmO2), and total hemoglobin concentration (g dL−1) (THb) in Musculus vastus lateralis and Musculus gastrocnemius, respiration exchange ratio (RER)], blood lactate and glucose concentration, were continuously monitored. The contribution/reliance of power output (PO) on the parameters of oxygen transport was estimated based on the slopes in Pearson's moment correlations (|r| > 0.65, p < 0.05) vs. power values over the work phase of the ramp test, and for respective fractional changes per time (defining control coefficients) over the rest, work, and recovery phase of the ramp test. Associations of variability in slopes and control coefficients with the genotype and aerobic fitness were evaluated with ANOVA. Results All parameters characterizing aspects of the pathway of oxygen, except THb, presented strong linear relationships [(|r| > 0.70) to PO]. Metabolic efficiency was 30% higher in the aerobically fit subjects [peak oxygen uptake (mL O2 min−1) (VO2peak) ≥ 50 ml min−1 kg−1], and energy expenditure at rest was associated with the fitness state × ACE-I/D genotype, being highest in the fit non-carriers of the ACE D-allele. For VO2, VE, and RER the power-related slopes of linear relationships during work demonstrated an association with aerobic fitness, being 30–40% steeper in the aerobically fit than unfit subjects. For VE the power-related slope also demonstrated an association with the ACE-I/D genotype. For increasing deficit in muscle oxygen saturation (DSmO2) in Musculus vastus lateralis (DSmO2 Vas), the power-related slope was associated with the interaction between aerobic fitness × ACE-I/D genotype. Conclusion Local and systemic aspects of aerobic energy provision stand under influence of the fitness state and ACE-I/D genotype. This especially concerns the association with the index of the muscle's mitochondrial respiration (SmO2) which compares to the genetic influences of endurance training.
Collapse
Affiliation(s)
- Benedikt Gasser
- Departement für Bewegung und Sport, Universität Basel, Basel, Switzerland
- *Correspondence: Benedikt Gasser
| | - Annika Frei
- Laboratory for Muscle Plasticity, University of Zurich, Zurich, Switzerland
| | - David Niederseer
- Department of Cardiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Silvio Catuogno
- Swiss Olympic Medical Center, Balgrist University Hospital, Zurich, Switzerland
| | - Walter O. Frey
- Swiss Olympic Medical Center, Balgrist University Hospital, Zurich, Switzerland
| | - Martin Flück
- Laboratory for Muscle Plasticity, University of Zurich, Zurich, Switzerland
- Swiss Federal Institute of Sport, Macolin, Switzerland
- Martin Flück
| |
Collapse
|
57
|
Evaluating Arterial Blood Flow Limitation Using Muscle Oxygenation and Cycling Power. Clin J Sport Med 2022; 32:e268-e275. [PMID: 34009787 DOI: 10.1097/jsm.0000000000000942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 04/08/2021] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To explore the combination of measuring muscle oxygenation with near-infrared spectroscopy (NIRS) and cycling power during provocative incremental exercise for the detection of iliac arterial blood flow limitation (IAFL) in an otherwise healthy, well-trained cyclist. DESIGN Case report and methodological pilot study. SETTING University research setting. PATIENT A well-trained amateur competitive male cyclist, aged 31 years, presenting with symptoms consistent with IAFL, but in whom diagnostic imaging was equivocal. INTERVENTIONS Four ramp incremental cycling tests performed on separate days to exercise intolerance, in a randomized order, in either typical race position (RP) or modified upright position (UP). MAIN OUTCOME A novel ratio of unilateral cycling power to NIRS-derived muscle oxygenation termed "power-deoxygenation factor" was measured during provocative incremental exercise and compared with other NIRS-derived measures of vascular responsiveness and performance outcomes across the 2 body position conditions. RESULTS The power-deoxygenation factor was able to show clinically important, progressive differences between the affected and unaffected limbs, coinciding with worsening performance impairments related to the body position that were not detected with traditional measures of vascular responsiveness taken after exercise. CONCLUSIONS This method was used to detect bilateral differences consistent with IAFL in a cyclist where traditional diagnostic criteria were equivocal, but subsequent intraoperative findings confirmed the diagnosis. A similar screening test could be performed noninvasively and without requiring specialized medical care. Future work should investigate the validity and sensitivity of this methodology to improve the ability to identify and monitor athletes with IAFL.
Collapse
|
58
|
Blaney G, Bottoni M, Sassaroli A, Fernandez C, Fantini S. Broadband diffuse optical spectroscopy of two-layered scattering media containing oxyhemoglobin, deoxyhemoglobin, water, and lipids. JOURNAL OF INNOVATIVE OPTICAL HEALTH SCIENCES 2022; 15:2250020. [PMID: 35720681 PMCID: PMC9203000 DOI: 10.1142/s1793545822500201] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
We investigated the relationship between chromophore concentrations in two-layered scattering media and the apparent chromophore concentrations measured with broadband optical spectroscopy in conjunction with commonly used homogeneous medium inverse models. We used diffusion theory togenerate optical data from a two-layered distribution of relevant tissue absorbers, namely, oxyhemoglobin, deoxyhemoglobin, water, and lipids, with a top-layer thickness in the range 1-15 mm. The generated data consisted of broadband continuous-wave (CW) diffuse reflectance in the wavelength range 650-1024 nm, and frequency-domain (FD) diffuse reflectance at 690 and 830 nm; two source-detector distances of 25 and 35 mm were used to simulate a dual-slope technique. The data were inverted using diffusion theory for a semi-infinite homogeneous medium to generate reduced scattering coefficients at 690 and 830 nm (from FD data) and effective absorption spectra in the range 650-1024 nm (from CW data). The absorption spectra were then converted into effective total concentration and oxygen saturation of hemoglobin, as well as water and lipid concentrations. For absolute values, it was found that the effective hemoglobin parameters are typically representative of the bottom layer, whereas water and lipid represent some average of the respective concentrations in the two layers. For concentration changes, lipid showed a significant cross-talk with other absorber concentrations, thus indicating that lipid dynamics obtained in these conditions may not be reliable. These systematic simulations of broadband spectroscopy of two-layered media provide guidance on how to interpret effective optical properties measured with similar instrumental setups under the assumption of medium homogeneity.
Collapse
Affiliation(s)
- Giles Blaney
- Department of Biomedical Engineering, Tufts University 4 Colby St, Medford, MA 02155, USA
| | - Martina Bottoni
- Department of Biomedical Engineering, Tufts University 4 Colby St, Medford, MA 02155, USA
- Department of Biomedical Engineering, Politecnico di Torino 24 Corso Duca degli Abruzzi, Torino, TO 10129, Italy
| | - Angelo Sassaroli
- Department of Biomedical Engineering, Tufts University 4 Colby St, Medford, MA 02155, USA
| | - Cristianne Fernandez
- Department of Biomedical Engineering, Tufts University 4 Colby St, Medford, MA 02155, USA
| | - Sergio Fantini
- Department of Biomedical Engineering, Tufts University 4 Colby St, Medford, MA 02155, USA
| |
Collapse
|
59
|
Gandia-Soriano A, Salas-Montoro JA, Javaloyes A, Lorente-Casaus C, Zabala M, Priego Quesada JI, Mateo March M. Validity and reliability of two NIRS devices to measure resting hemoglobin in elite cyclists. Int J Sports Med 2022; 43:875-880. [PMID: 35439835 DOI: 10.1055/a-1828-8499] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
A new method to monitor internal training load from muscle oxygen saturation using near-infrared spectroscopy could be of practical application for research and training purposes. This technology has been validated in different scientific fields, including sport science, and Humon Hex and Moxy are two leading brands. However, its relationship with hemoglobin has not been studied. Forty-eight professional cyclists, 19 men and 29 women, underwent a blood test to measure hemoglobin in the early morning. Immediately afterwards, hemoglobin and muscle oxygenation were monitored at rest by Moxy and Humon Hex on their right quadriceps (where the skinfold was measured). Venous blood hemoglobin was higher than the measurement for both devices (p < 0.001). Both hemoglobin (p < 0.001) and muscle oxygen saturation measurements (p < 0.05) were higher in Humon Hex than for Moxy, and there was a reasonable reproducibility (ICC=0.35 for hemoglobin and 0.26 for muscle oxygen saturation). Skinfold had an inverse relationship with hemoglobin measurement (r = -0.85 p < 0.001 for Humon Hex and r = -0.75 p < 0.001 for Moxy). These findings suggest that resting hemoglobin data provided by these devices are not coincident with those of blood sample, and skinfold has an inverse relationship with blood hemoglobin measurement.
Collapse
Affiliation(s)
- Alexis Gandia-Soriano
- Department of Physiology, University of Valencia, Biophysics and Medical Physics Group (GIFIME), Valencia, Spain
| | - José-Antonio Salas-Montoro
- Department of Physical Activity and Sport, University of Granada, Faculty of Sport Sciences, Granada, Spain
| | | | - Carlos Lorente-Casaus
- Department of Physiology, University of Valencia, Biophysics and Medical Physics Group (GIFIME), Valencia, Spain
| | - Mikel Zabala
- Department of Physical Activity and Sport, University of Granada, Faculty of Sport Sciences, Granada, Spain
| | - Jose Ignacio Priego Quesada
- Department of Physiology, University of Valencia, Biophysics and Medical Physics Group (GIFIME), Valencia, Spain.,Consejo Superior de Deportes (CSD), Red Española de Investigación del Rendimiento Deportivo en Ciclismo y Mujer (REDICYM), Madrid, Spain.,Department of Physical Education and Sports, University of Valencia, Research Group in Sport Biomechanics (GIBD), Valencia, Spain
| | - Manuel Mateo March
- BMX, Spanish Cycling Federation, Alicante, Spain.,Sports Science, Universidad Miguel Hernandez de Elche, Elche, Spain
| |
Collapse
|
60
|
Yogev A, Arnold J, Clarke D, Guenette JA, Sporer BC, Koehle MS. Comparing the Respiratory Compensation Point With Muscle Oxygen Saturation in Locomotor and Non-locomotor Muscles Using Wearable NIRS Spectroscopy During Whole-Body Exercise. Front Physiol 2022; 13:818733. [PMID: 35431982 PMCID: PMC9007235 DOI: 10.3389/fphys.2022.818733] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 02/25/2022] [Indexed: 11/13/2022] Open
Abstract
The relationship between the muscle deoxygenation breakpoint (Deoxy-BP) measured with near-infrared spectroscopy (NIRS), and the respiratory compensation point (RCP) has been well established. This relationship has also been reported using wearable NIRS, however not in locomotor and non-locomotor muscles simultaneously during whole-body cycling exercise. Our aim was to measure muscle oxygen saturation (SmO2) using wearable NIRS sensors, and to compare the Deoxy-BPs at each muscle with RCP during a ramp cycling exercise test. Twenty-two trained female and male cyclists completed a ramp exercise test to task intolerance on a cycling ergometer, at a ramp rate of 1 W every 2 s (30 W/min). SmO2 was recorded at the subjects' right vastus lateralis (VL) and right lateral deltoid. SmO2 and the Deoxy-BPs were assessed using a piecewise double-linear regression model. Ventilation (V̇E) and gas exchange were recorded, and RCP was determined from V̇E and gas exchange using a V-slope method and confirmed by two physiologists. The SmO2 profiles of both muscles and gas exchange responses are reported as V̇O2, power output (W), and time of occurrence (TO). SmO2 profiles at both muscles displayed a near-plateau or breakpoint response near the RCP. No differences were detected between the mean RCP and mean Deoxy-BP from either the locomotor or non-locomotor muscles; however, a high degree of individual variability was observed in the timing and order of occurrence of the specific breakpoints. These findings add insight into the relationships between ventilatory, locomotor, and non-locomotor muscle physiological breakpoints. While identifying a similar relationship between these breakpoints, individual variability was high; hence, caution is advised when using wearable NIRS to estimate RCP in an incremental ramp test.
Collapse
Affiliation(s)
- Assaf Yogev
- Environmental Physiology Laboratory, School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Jem Arnold
- Environmental Physiology Laboratory, School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Dave Clarke
- Department of Biomedical Physiology and Kinesiology and Centre for Cell Biology, Development and Disease, Simon Fraser University, Burnaby, BC, Canada
| | - Jordan A Guenette
- Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.,Providence Health Care Research Institute, Centre for Heart Lung Innovation, University of British Columbia, Vancouver, BC, Canada
| | - Ben C Sporer
- Vancouver Whitecaps FC, Vancouver, BC, Canada.,Division of Sport Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Michael S Koehle
- Environmental Physiology Laboratory, School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.,Division of Sport Medicine, University of British Columbia, Vancouver, BC, Canada
| |
Collapse
|
61
|
Habets LE, Bartels B, Asselman FL, Hulzebos EHJ, Stegeman DF, Jeneson JAL, van der Pol WL. Motor Unit and Capillary Recruitment During Fatiguing Arm-Cycling Exercise in Spinal Muscular Atrophy Types 3 and 4. J Neuromuscul Dis 2022; 9:397-409. [PMID: 35466947 DOI: 10.3233/jnd-210765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Exercise intolerance is an important impairment in patients with SMA, but little is known about the mechanisms underlying this symptom. OBJECTIVE To investigate if reduced motor unit- and capillary recruitment capacity in patients with SMA contribute to exercise intolerance. METHODS Adolescent and adult patients with SMA types 3 and 4 (n = 15) and age- and gender matched controls (n = 15) performed a maximal upper body exercise test. We applied respiratory gas analyses, non-invasive surface electromyography (sEMG) and continuous wave near-infrared spectroscopy (CW-NIRS) to study oxygen consumption, arm muscle motor unit- and capillary recruitment, respectively. RESULTS Maximal exercise duration was twofold lower (p < 0.001) and work of breathing and ventilation was 1.6- and 1.8-fold higher (p < 0.05) in patients compared to controls, respectively. Regarding motor unit recruitment, we found higher normalized RMS amplitude onset values of sEMG signals from all muscles and the increase in normalized RMS amplitudes was similar in the m. triceps brachii, m. brachioradialis and m. flexor digitorum in SMA compared to controls. Median frequency, onset values were similar in patients and controls. We found a similar decrease in median frequencies of sEMG recordings from the m. biceps brachii, a diminished decrease from the m. brachioradialis and m. flexor digitorum, but a larger decrease from the m. triceps brachii. With respect to capillary recruitment, CW-NIRS recordings in m. biceps brachii revealed dynamics that were both qualitatively and quantitatively similar in patients and controls. CONCLUSION We found no evidence for the contribution of motor unit- and capillary recruitment capacity of the upper arm muscles in adolescent and adult patients with SMA types 3 and 4 as primary limiting factors to premature fatigue during execution of a maximal arm-cycling task.
Collapse
Affiliation(s)
- Laura E Habets
- Center for Child Development, Exercise and Physical Literacy, Wilhelmina Children's Hospital, University Medical Center Utrecht, AB Utrecht, The Netherlands
| | - Bart Bartels
- Center for Child Development, Exercise and Physical Literacy, Wilhelmina Children's Hospital, University Medical Center Utrecht, AB Utrecht, The Netherlands
| | - Fay-Lynn Asselman
- Department of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht Brain Center, Utrecht University, GA Utrecht, The Netherlands
| | - Erik H J Hulzebos
- Center for Child Development, Exercise and Physical Literacy, Wilhelmina Children's Hospital, University Medical Center Utrecht, AB Utrecht, The Netherlands
| | - Dick F Stegeman
- Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
| | - Jeroen A L Jeneson
- Center for Child Development, Exercise and Physical Literacy, Wilhelmina Children's Hospital, University Medical Center Utrecht, AB Utrecht, The Netherlands
| | - W Ludo van der Pol
- Department of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht Brain Center, Utrecht University, GA Utrecht, The Netherlands
| |
Collapse
|
62
|
Rębiś K, Sadowska D, Starczewski M, Klusiewicz A. Usefulness of Portable Device to Establish Differences in Muscle Oxygenation Between the Wingate Test and Graded Exercise Test: Effect of Gender on Anaerobic and Aerobic Capacity in Speed Skaters. Front Physiol 2022; 13:809864. [PMID: 35350695 PMCID: PMC8957968 DOI: 10.3389/fphys.2022.809864] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 01/21/2022] [Indexed: 12/05/2022] Open
Abstract
The aim of this study was to compare the oxygenation response in the vastus lateralis muscle (SmO2) in two types of tests: supramaximal and maximal. Furthermore, gender differences in SmO2 response to test exercise were assessed and the usefulness of muscle oxygenation measurements in the assessment of anaerobic and aerobic capacity was determined. The Wingate test (WAnT) and the graded exercise test (GXT) to exhaustion were performed on a cycle ergometer to examine 13 female and 14 male speed skaters from the junior and U23 national teams. During both tests, SmO2 of the vastus lateralis muscle was recorded by near-infrared spectroscopy at baseline (at rest or post warm-up), at exercise, and during recovery. The most significant SmO2 indices (differences between baseline and post-exercise indices and half time for SmO2 to reach the maximal post-exercise value) were not significantly different between the tests. Gender was also not a differentiating factor in muscle oxygenation regardless of test type. In the GXT test, half time required for SmO2 to reach the maximal value correlated negatively with VO2max and test duration, thus confirming the usefulness of SmO2 measurements in the assessment of the aerobic capacity of speed skaters. In contrast, the WAnT test showed no significant correlations between exercise indices and muscle oxygenation indices. From the standpoint of the assessment of anaerobic capacity, SmO2 measurements showed little diagnostic value.
Collapse
Affiliation(s)
- Kinga Rębiś
- Department of Physiology, Institute of Sport - National Research Institute, Warsaw, Poland
| | - Dorota Sadowska
- Department of Physiology, Institute of Sport - National Research Institute, Warsaw, Poland
| | - Michal Starczewski
- Department of Physiology, Institute of Sport - National Research Institute, Warsaw, Poland.,Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
| | - Andrzej Klusiewicz
- Faculty of Physical Education and Health, Biała Podlaska, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
| |
Collapse
|
63
|
Contreras-Briceño F, Espinosa-Ramirez M, Keim-Bagnara V, Carreño-Román M, Rodríguez-Villagra R, Villegas-Belmar F, Viscor G, Gabrielli L, Andía ME, Araneda OF, Hurtado DE. Determination of the Respiratory Compensation Point by Detecting Changes in Intercostal Muscles Oxygenation by Using Near-Infrared Spectroscopy. Life (Basel) 2022; 12:life12030444. [PMID: 35330195 PMCID: PMC8954259 DOI: 10.3390/life12030444] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/07/2022] [Accepted: 03/15/2022] [Indexed: 11/20/2022] Open
Abstract
This study aimed to evaluate if the changes in oxygen saturation levels at intercostal muscles (SmO2-m.intercostales) assessed by near-infrared spectroscopy (NIRS) using a wearable device could determine the respiratory compensation point (RCP) during exercise. Fifteen healthy competitive triathletes (eight males; 29 ± 6 years; height 167.6 ± 25.6 cm; weight 69.2 ± 9.4 kg; V˙O2-máx 58.4 ± 8.1 mL·kg−1·min−1) were evaluated in a cycle ergometer during the maximal oxygen-uptake test (V˙O2-máx), while lung ventilation (V˙E), power output (watts, W) and SmO2-m.intercostales were measured. RCP was determined by visual method (RCPvisual: changes at ventilatory equivalents (V˙E·V˙CO2−1, V˙E·V˙O2−1) and end-tidal respiratory pressure (PetO2, PetCO2) and NIRS method (RCPNIRS: breakpoint of fall in SmO2-m.intercostales). During exercise, SmO2-m.intercostales decreased continuously showing a higher decrease when V˙E increased abruptly. A good agreement between methods used to determine RCP was found (visual vs NIRS) at %V˙O2-máx, V˙O2, V˙E, and W (Bland-Altman test). Correlations were found to each parameters analyzed (r = 0.854; r = 0.865; r = 0.981; and r = 0,968; respectively. p < 0.001 in all variables, Pearson test), with no differences (p < 0.001 in all variables, Student’s t-test) between methods used (RCPvisual and RCPNIRS). We concluded that changes at SmO2-m.intercostales measured by NIRS could adequately determine RCP in triathletes.
Collapse
Affiliation(s)
- Felipe Contreras-Briceño
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, 08028 Barcelona, Spain;
- Advanced Center for Chronic Diseases (ACCDiS), Division of Cardiovascular Diseases, Facultad de Medicina, Pontificia Universidad Católica de Chile, Marcoleta #367, Santiago 8380000, Chile
- Biomedical Imaging Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
- Correspondence: ; Tel.: +56-22-3541512
| | - Maximiliano Espinosa-Ramirez
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
- Biomedical Imaging Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
| | - Vicente Keim-Bagnara
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Matías Carreño-Román
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Rafael Rodríguez-Villagra
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Fernanda Villegas-Belmar
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Ginés Viscor
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, 08028 Barcelona, Spain;
| | - Luigi Gabrielli
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
- Advanced Center for Chronic Diseases (ACCDiS), Division of Cardiovascular Diseases, Facultad de Medicina, Pontificia Universidad Católica de Chile, Marcoleta #367, Santiago 8380000, Chile
| | - Marcelo E. Andía
- Biomedical Imaging Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
| | - Oscar F. Araneda
- Laboratory of Integrative Physiology of Biomechanics and Physiology of Effort (LIBFE), Kinesiology School, Faculty of Medicine, Universidad de los Andes, Santiago 7620001, Chile;
| | - Daniel E. Hurtado
- Department of Structural and Geotechnical Engineering, School of Engineering, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
- Schools of Engineering, Medicine and Biological Sciences, Institute for Biological and Medical Engineering, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile
| |
Collapse
|
64
|
Cornelis N, Chatzinikolaou PN, Buys R, De Wilde C, Fourneau I, Claes J, Goetschalckx K, Cornelissen V. Near infrared spectroscopy to evaluate the effect of a hybrid exercise programme on peripheral muscle metabolism in patients with intermittent claudication: an exploratory PROSECO-IC sub study. J Sports Sci 2022; 40:1031-1041. [PMID: 35271414 DOI: 10.1080/02640414.2022.2045062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Intermittent claudication (IC) is characterized by decreased blood flow and oxygen delivery to the lower-limb muscles, resulting in pain and impaired functional capacity. This study evaluated the effects of a 12-week hybrid walking intervention on muscle oxygenation and functional capacity in 38 patients with IC (Rutherford I-III). Functional capacity was evaluated by means of two different treadmill test protocols and a six-minute walk test (6MWT). Muscle oxygenation was assessed during the treadmill tests using near-infrared spectroscopy. After the intervention, maximal walking distance was significantly increased (p < 0.001) during the progressive maximal treadmill test (mean (SD): +155 (SD 177) metres) and 6MWT (+18 (SD 29) metres) metres, with concomitant improvements in muscle oxygenation measures. Deoxygenation was slower during the progressive maximal test (p < 0.001) and reoxygenation was faster during recovery (p = 0.045). During the more submaximal test, oxygenated haemoglobin was better preserved (p = 0.040). Slower deoxygenation was more pronounced in the high responders of the progressive maximal treadmill test (p = 0.002). The findings suggest that preserved oxygen availability and slower deoxygenation during exercise could partly explain the improvements in functional capacity.
Collapse
Affiliation(s)
- Nils Cornelis
- Department of Rehabilitation sciences, KU Leuven, Leuven, Belgium
| | - Panagiotis N Chatzinikolaou
- Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Roselien Buys
- Department of Rehabilitation sciences, KU Leuven, Leuven, Belgium
| | - Camille De Wilde
- Department of Rehabilitation sciences, KU Leuven, Leuven, Belgium
| | - Inge Fourneau
- Department of Cardiovascular sciences, KU Leuven, Leuven, Belgium
| | - Jomme Claes
- Department of Rehabilitation sciences, KU Leuven, Leuven, Belgium
| | | | | |
Collapse
|
65
|
Perrey S. Muscle Oxygenation Unlocks the Secrets of Physiological Responses to Exercise: Time to Exploit it in the Training Monitoring. Front Sports Act Living 2022; 4:864825. [PMID: 35321522 PMCID: PMC8936169 DOI: 10.3389/fspor.2022.864825] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 02/09/2022] [Indexed: 11/13/2022] Open
|
66
|
Gasser B, Franchi MV, Ruoss S, Frei A, Popp WL, Niederseer D, Catuogno S, Frey WO, Flück M. Accelerated Muscle Deoxygenation in Aerobically Fit Subjects During Exhaustive Exercise Is Associated With the ACE Insertion Allele. Front Sports Act Living 2022; 4:814975. [PMID: 35295536 PMCID: PMC8918772 DOI: 10.3389/fspor.2022.814975] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Accepted: 01/24/2022] [Indexed: 12/19/2022] Open
Abstract
Introduction The insertion/deletion (I/D) polymorphism in the gene for the major regulator of vascular tone, angiotensin-converting enzyme-insertion/deletion (ACE-I/D) affects muscle capillarization and mitochondrial biogenesis with endurance training. We tested whether changes of leg muscle oxygen saturation (SmO2) during exhaustive exercise and recovery would depend on the aerobic fitness status and the ACE I/D polymorphism. Methods In total, 34 healthy subjects (age: 31.8 ± 10.2 years, 17 male, 17 female) performed an incremental exercise test to exhaustion. SmO2 in musculus vastus lateralis (VAS) and musculus gastrocnemius (GAS) was recorded with near-IR spectroscopy. Effects of the aerobic fitness status (based on a VO2peak cutoff value of 50 ml O2 min−1 kg−1) and the ACE-I/D genotype (detected by PCR) on kinetic parameters of muscle deoxygenation and reoxygenation were assessed with univariate ANOVA. Results Deoxygenation with exercise was comparable in VAS and GAS (p = 0.321). In both leg muscles, deoxygenation and reoxygenation were 1.5-fold higher in the fit than the unfit volunteers. Differences in muscle deoxygenation, but not VO2peak, were associated with gender-independent (p > 0.58) interaction effects between aerobic fitness × ACE-I/D genotype; being reflected in a 2-fold accelerated deoxygenation of VAS for aerobically fit than unfit ACE-II genotypes and a 2-fold higher deoxygenation of GAS for fit ACE-II genotypes than fit D-allele carriers. Discussion Aerobically fit subjects demonstrated increased rates of leg muscle deoxygenation and reoxygenation. Together with the higher muscle deoxygenation in aerobically fit ACE-II genotypes, this suggests that an ACE-I/D genotype-based personalization of training protocols might serve to best improve aerobic performance.
Collapse
Affiliation(s)
- Benedikt Gasser
- Departement für Bewegung und Sport – Universität Basel, Basel, Switzerland
- *Correspondence: Benedikt Gasser
| | - Martino V. Franchi
- Departement für Bewegung und Sport – Universität Basel, Basel, Switzerland
| | - Severin Ruoss
- Spinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland
| | - Annika Frei
- Departement für Bewegung und Sport – Universität Basel, Basel, Switzerland
| | - Werner L. Popp
- Spinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland
| | - David Niederseer
- Department of Cardiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Silvio Catuogno
- Swiss Olympic Medical Center, Balgrist University Hospital, Zurich, Switzerland
| | - Walter O. Frey
- Swiss Olympic Medical Center, Balgrist University Hospital, Zurich, Switzerland
| | - Martin Flück
- Laboratory for Muscle Plasticity, University of Zurich, Balgrist Campus, Zurich, Switzerland
- Martin Flück
| |
Collapse
|
67
|
Comparison of Different Approaches Estimating Skeletal Muscle Oxygen Consumption Using Continuous-Wave Near-Infrared Spectroscopy at a Submaximal Contraction Level—A Comparative Study. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12052272] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
Continuous-wave near-infrared spectroscopy (CW-NIRS) is a method used to non-invasively estimate skeletal muscle oxygen consumption (mVO2). Three different signals are provided by CW-NIRS devices: (1) oxygenated hemoglobin (O2Hb); (2) deoxygenated hemoglobin (HHb); and (3) tissue saturation index (TSI). Typically, the signal’s slope is interpreted with respect to high or low mVO2 during a muscle action. What signal (or combination of signals) is used for slope interpretation differs according to what approach is used, and there are several published in literature. It is unclear if resulting mVO2 estimates can be used interchangeably. Hence, this work aimed to compare five commonly used approaches on the same set of CW-NIRS data regarding their agreement in estimated mVO2. A controlled, lab-based study setting was used for this experiment. Data are based on isometric dorsiflexion contractions of 15 subjects at 30% of voluntary maximum torque, at two different ankle angles. CW-NIRS was placed on the m. tibialis anterior and blood flow was occluded. The approaches for mVO2 estimation included calculations based on (1) TSI, (2) the difference between O2Hb and HHb (Hbdiff), (3) the mean of slopes from O2Hb and HHb (Hbmean), (4) the HHb signal, and (5) the O2Hb signal. Linear regression modelling was used to calculate respective slopes (r2 > 0.99). Repeated measures ANOVA identified significant differences between the approaches (p < 0.001, ω2 = 0.258). Post-hoc tests revealed that only TSI vs. Hbmean and Hbdiff vs. HHb gave comparable results (p > 0.271). In addition, Bland–Altman plots showed good accuracy (mean bias ~2%) but low precision (±20%) between the comparisons. Thus, the different approaches to estimate mVO2 cannot be used interchangeably. The results from different studies using different approaches should be compared with caution.
Collapse
|
68
|
Rech DA, da Silveira LS, Martins EM, de Oliveira Roque ABA, Althoff A, Maiorana AJ, Vieira AM, Karsten M. Frailty influences the vascular responsiveness of elderly individuals with chronic heart failure. Microvasc Res 2022; 141:104316. [PMID: 35038445 DOI: 10.1016/j.mvr.2022.104316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 12/23/2021] [Accepted: 01/03/2022] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Frailty is highly prevalent in heart failure (HF) patients. HF is associated with oxidative stress and chronic inflammation, which impair oxygen use by skeletal muscles. Little is known about the influence of frailty on vascular responsiveness and tissue oxygenation. OBJECTIVE Analyze the influence of frailty on vascular responsiveness and muscle oxygenation in elderly individuals with and without HF. METHODS Individuals aged ≥60 years, with or without HF, were evaluated for frailty (phenotype). Near-infrared spectroscopy (NIRS) was used to assess muscle oxygenation at rest (oxygen saturation - StO2 and deoxyhemoglobin) and during handgrip exercise (minimum StO2 and maximum deoxyhemoglobin), and oxygenation variables. STATISTICAL ANALYSIS Results were grouped according to the frailty phenotype: non-frail, pre-frail, and frail. Shapiro-Wilk test was used to assess normality. Data were compared using a two-way analysis of variance (ANOVA). Bonferroni post hoc test was applied to determine the influence of frailty or HF on NIRS variables. SPSS software was used in the analyses; p < 0.05 was considered significant. RESULTS 55 elderly participants (61.8% female; 70.4 ± 7.2 years old; 28 HF patients) participated in the study. 32.7% (n = 18) were classified as non-frail, 43.3% (n = 24) as pre-frail, and 23.6% (n = 13) as frail. The analysis of vascular responsiveness (n = 52) identified an influence (p < 0.05) of frailty on the reperfusion rate (slope 2 and ∆StO2 of nadir-peak) and desaturation during occlusion (area under the curve of StO2) in HF patients. There was no influence of frailty or HF on muscle oxygenation at rest and during exercise (n = 54; p > 0.05). CONCLUSION The coexistence of frailty and HF seems to impair vascular responsiveness, as frail elderly participants with HF presented lower reperfusion rates and higher desaturation levels during the arterial occlusion test. However, the presence of frailty or HF alone had no influence on muscle oxygenation at rest or during exercise.
Collapse
Affiliation(s)
- Daiana Aparecida Rech
- Programa de Pós-Graduação em Fisioterapia, Universidade do Estado de Santa Catarina (UDESC), Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil; Grupo de Pesquisa em Saúde Cardiovascular e Exercício - GepCardio, UDESC, Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil
| | - Lucas Santos da Silveira
- Programa de Pós-Graduação em Fisioterapia, Universidade do Estado de Santa Catarina (UDESC), Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil; Grupo de Pesquisa em Saúde Cardiovascular e Exercício - GepCardio, UDESC, Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil
| | - Edgar Manoel Martins
- Programa de Pós-Graduação em Fisioterapia, Universidade do Estado de Santa Catarina (UDESC), Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil; Grupo de Pesquisa em Saúde Cardiovascular e Exercício - GepCardio, UDESC, Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil
| | | | - Amanda Althoff
- Grupo de Pesquisa em Saúde Cardiovascular e Exercício - GepCardio, UDESC, Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil
| | - Andrew John Maiorana
- Department of Allied Health, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia 6150, Australia; School of Allied Health, Curtin University, Kent Street, Bentley, Western Australia 6102, Australia.
| | - Ariany Marques Vieira
- Programa de Pós-Graduação em Fisioterapia, Universidade do Estado de Santa Catarina (UDESC), Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil; Grupo de Pesquisa em Saúde Cardiovascular e Exercício - GepCardio, UDESC, Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil; Montreal Behavioural Medicine Centre, 5400 Boul Gouin O, Montréal, Québec, QC H4J 1C5, Canada
| | - Marlus Karsten
- Programa de Pós-Graduação em Fisioterapia, Universidade do Estado de Santa Catarina (UDESC), Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil; Grupo de Pesquisa em Saúde Cardiovascular e Exercício - GepCardio, UDESC, Rua Pascoal Simone, 358, Florianópolis, SC 88080-350, Brazil; Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Rua Sarmento Leite, 245, Porto Alegre, RS 90050-170, Brazil.
| |
Collapse
|
69
|
Salas-Montoro JA, Mateo March M, Sánchez-Muñoz C, Zabala M. Determination of second lactate threshold using near-infrared spectroscopy in elite cyclists. Int J Sports Med 2022; 43:721-728. [PMID: 35021246 DOI: 10.1055/a-1738-0252] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The use of near-infrared spectroscopy could be an interesting alternative to other invasive or expensive methods to estimate the second lactate threshold. Our objective was to compare the intensities of the muscle oxygen saturation breakpoint obtained with the Humon Hex and the second lactate threshold in elite cyclists. Ninety cyclists performed a maximal graded exercise test. Blood capillary lactate was obtained at the end of steps and muscle oxygenation was continuously monitored. There were no differences (p>0.05) between muscle oxygen oxygenation breakpoint and second lactate threshold neither in power nor in heart rate, nor when these values were relativized as a percentage of maximal aerobic power or maximum heart rate. There were also no differences when men and women were studied separately. Both methods showed a highly correlation in power (r=0.914), percentage of maximal aerobic power (r=0.752), heart rate (r=0.955), and percentage of maximum heart rate (r=0.903). Bland-Altman resulted in a mean difference of 0.05±0.27 W·kg-1, 0.91±4.93%, 0.63±3.25 bpm, and 0.32±1.69% for power, percentage of maximal aerobic power, heart rate and percentage of maximum heart rate respectively. These findings suggest that Humon may be a non-invasive and low-cost alternative to estimate the second lactate threshold intensity in elite cyclists.
Collapse
Affiliation(s)
- José-Antonio Salas-Montoro
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - Manuel Mateo March
- Health Psichology, Sport Research Centre, Miguel Hernandez University of Elche, Alicante, Spain.,BMX, Spanish Cycling Federation, Alicante, Spain
| | - Cristóbal Sánchez-Muñoz
- Department of Physical Activity and Sport, Faculty of Physical Activity and Sport Sciences (University of Granada), Granada, Spain
| | - Mikel Zabala
- Department of Physical Activity and Sport, Faculty of Physical Activity and Sport Sciences (University of Granada), Granada, Spain.,Department of Physical Education and Sport, Faculty of Physical Activity and Sport Sciences, Granada, Spain
| |
Collapse
|
70
|
Tsutsui A, Nakajima K, Sakaue T, Togo S, Matsuda Y, Takeda T, Fukuda K. Jaw-Clenching Intensity Effects on Masseter Oxygen Dynamics and Fatigue: A NIRS Oximetry Study. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2022; 1395:435-441. [PMID: 36527675 DOI: 10.1007/978-3-031-14190-4_71] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The purpose of this study was to clarify the effects of jaw-clenching intensity on masseter muscle oxygen dynamics during clenching and recovery and masseter muscle fatigue using the spatially resolved method of near-infrared spectroscopy. Pulse rate, mean power frequency from electromyography in the masseter and visual analogue scale for masseter fatigue were also examined as related items. The 25% and 50% maximum voluntary contractions were determined using electromyography before the experiment and used as visual feedback on the screen. Twenty-three healthy adult male subjects volunteered for this study. Clenching decreased oxygen and oxygenated haemoglobin, and increased deoxygenated haemoglobin in the masseter muscle. The higher the intensity of clenching, the more prominent the effect. The oxygen dynamics tended to return to normal after clenching, but the change was slower with higher clenching intensity. Pulse rate increased with clenching, and the increment was more prominent with higher clenching intensity. Clenching caused a shift of mean power frequency to a lower range, an increase in subjective fatigue, an early appearance of a breakpoint appearance time and a prolongation of a 1/2 recovery time. All of these effects were more evident with increasing clenching intensity. In conclusion, clenching intensity influenced the oxygen dynamics of the masseter muscle and fatigue state during clenching and recovery. The higher the intensity, the greater the impact.
Collapse
|
71
|
Dalamitros AA, Semaltianou E, Toubekis AG, Kabasakalis A. Muscle Oxygenation, Heart Rate, and Blood Lactate Concentration During Submaximal and Maximal Interval Swimming. Front Sports Act Living 2021; 3:759925. [PMID: 34966893 PMCID: PMC8711718 DOI: 10.3389/fspor.2021.759925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 11/08/2021] [Indexed: 11/23/2022] Open
Abstract
This study aimed to determine the relationship between three testing procedures during different intensity interval efforts in swimming. Twelve national-level swimmers of both genders executed, on different occasions and after a standardized warm-up, a swimming protocol consisting of either a submaximal (Submax: 8 efforts of 50 m) or a maximal interval (Max: 4 efforts of 15 m), followed by two series of four maximal 25 m efforts. Near-infrared spectroscopy in terms of muscle oxygen saturation (SmO2), heart rate (HR), and blood lactate concentration (BLa) were analyzed at three testing points: after the Submax or the Max protocol (TP1), after the 1st 4 × 25-m (TP2), and after the 2nd maximal 4 × 25-m set (TP3). BLa and HR showed significant changes during all testing points in both protocols (P ≤ 0.01; ES range: 0.45–1.40). SmO2 was different only between TP1 and TP3 in both protocols (P ≤ 0.05–0.01; ES range: 0.36–1.20). A large correlation during the Max protocol between SmO2 and HR (r: 0.931; P ≤ 0.01), and also between SmO2 and BLa was obtained at TP1 (r: 0.722; P ≤ 0.05). A range of moderate-to-large correlations was revealed for SmO2/HR, and BLa/HR for TP2 and TP3 after both protocols (r range: 0.595–0.728; P ≤ 0.05) were executed. SmO2 is a novel parameter that can be used when aiming for a comprehensive evaluation of competitive swimmers' acute responses to sprint interval swimming, in conjunction with HR and BLa.
Collapse
Affiliation(s)
- Athanasios A Dalamitros
- Laboratory of Evaluation of Human Biological Performance, School of Physical Education and Sport Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Eleni Semaltianou
- Laboratory of Evaluation of Human Biological Performance, School of Physical Education and Sport Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Argyris G Toubekis
- School of Physical Education and Sport Science, National and Kapodistrian University of Athens, Athens, Greece
| | - Athanasios Kabasakalis
- Laboratory of Evaluation of Human Biological Performance, School of Physical Education and Sport Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| |
Collapse
|
72
|
The use of muscle near-infrared spectroscopy (NIRS) to assess the aerobic training loads of world-class rowers. Biol Sport 2021; 38:713-719. [PMID: 34937982 PMCID: PMC8670802 DOI: 10.5114/biolsport.2021.103571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 01/13/2021] [Accepted: 04/28/2021] [Indexed: 11/21/2022] Open
Abstract
The objectives of this study were (1) to characterize the changes in oxygenation derived from muscle near-infrared spectroscopy (NIRS) during aerobic constant-load exercise with intensities close to Maximal Lactate Steady-State (MLSS) and (2) to establish reference values in the world-class rowers, for such workload often included in rowing training programs. Eight senior world-class rowers performed an incremental progressive submaximal exercise test and a 30-minute test on a rowing ergometer. The power corresponding to intensive aerobic training (84±1% of the anaerobic threshold) was adopted as an exercise load in the 30-minute test. The NIRS device was fixed on the vastus lateralis muscle which was active during rowing to record muscle O2 saturation (SmO2) and total hemoglobin concentration (THb) at rest and during exercise. Statistically significant increments in blood lactate (LA) and heart rate (HR) were observed, with 1.18±0.61 mmol/l and 10±5 beats/min, respectively, in 30th minute compared to 10th minute in 30-minute test. SmO2 decreased significantly by 2.9±1.4%, whereas THb did not change. The examinations may suggested the low diagnostic value of THb in constant-load exercise. In each subject, SmO2 was gradually reduced during the intense aerobic exercise. During workload close to MLSS, the SmO2 of the vastus lateralis ranged from 14.0±3.13 to 11.1±2.81% in 10 and 30 minutes respectively, with a reduction in muscle oxygenation (ΔSmO2) exceeding 50%. The non-invasive nature of the NIRS measurement and the continuous monitoring of SmO2 values are useful in the practice of monitoring training in terms of aerobic training loads.
Collapse
|
73
|
Caterini JE, Ratjen F, Barker AR, Williams CA, Rendall K, Schneiderman JE, Wells GD. Exercise intolerance in cystic fibrosis-the role of CFTR modulator therapies. J Cyst Fibros 2021; 21:282-292. [PMID: 34955387 DOI: 10.1016/j.jcf.2021.11.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 10/18/2021] [Accepted: 11/20/2021] [Indexed: 12/11/2022]
Abstract
Exercise intolerance is common in people with CF (pwCF), but not universal among all individuals. While associated with disease prognosis, exercise intolerance is not simply a reflection of the degree of lung disease. In people with severe CF, respiratory limitations may contribute more significantly to impaired exercise capacity than in those with mild-moderate CF. At all levels of disease severity, there are peripheral factors e.g., abnormal macro- and micro-vascular function that impair blood flow and reduce oxygen extraction, and mitochondrial defects that diminish metabolic efficiency. We discuss advances in understanding the central and peripheral mechanisms underlying exercise intolerance in pwCF. Exploring both the central and peripheral factors that contribute to exercise intolerance in CF can help inform the development of new therapeutic targets, as well as help define prognostic criteria.
Collapse
Affiliation(s)
- Jessica E Caterini
- Translational Medicine Program, SickKids Research Institute, Toronto, ON M5G 0A4, Canada; Queen's Medical School, Kingston, ON K7L 3N6, Canada
| | - Felix Ratjen
- Translational Medicine Program, SickKids Research Institute, Toronto, ON M5G 0A4, Canada; Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1X8, Canada; Division of Respiratory Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1X8, Canada
| | - Alan R Barker
- Children's Health and Exercise Research Centre, Sport and Health Sciences, University of Exeter, Exeter EX1 2LU, UK
| | - Craig A Williams
- Children's Health and Exercise Research Centre, Sport and Health Sciences, University of Exeter, Exeter EX1 2LU, UK
| | - Kate Rendall
- Translational Medicine Program, SickKids Research Institute, Toronto, ON M5G 0A4, Canada
| | - Jane E Schneiderman
- Division of Respiratory Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1X8, Canada; Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, ON M5S 1A1, Canada
| | - Greg D Wells
- Translational Medicine Program, SickKids Research Institute, Toronto, ON M5G 0A4, Canada.
| |
Collapse
|
74
|
Dutta A, Zhao F, Cheung M, Das A, Tomita M, Chatterjee K. Cerebral and muscle near-infrared spectroscopy during lower-limb muscle activity - volitional and neuromuscular electrical stimulation. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:6577-6580. [PMID: 34892616 DOI: 10.1109/embc46164.2021.9629721] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Chronic venous insufficiency (CVI) can lead to blood clotting in the deep veins of the legs, a disease known as deep vein thrombosis. An estimated 40 percent of people in the United States have venous insufficiency that may be ameliorated with neuromuscular electrical stimulation (NMES). Near-infrared spectroscopy (NIRS) is a non-invasive optical imaging method for monitoring hemodynamics. NIRS, being an optical technique has no stimulation artefact, can be combined with NMES for theranostics application. In this study, we combined muscle NIRS (mNIRS) with electromyogram (EMG) of the calf muscles to detect blood volume changes (based on total hemoglobin concentration) in the muscle during volitional tiptoe movements at different frequencies. Also, blood volume changes were measured during NMES (using the geko™ device) at different device settings. In the mNIRS+NMES study, we also measured the cerebral hemodynamics using functional NIRS (fNIRS). The mNIRS was conducted using a frequency domain (FD) method (called FDNIRS) that used a multi-distance method to isolate muscle hemodynamics. FDNIRS-EMG study in ten healthy humans found a statistically significant (p<0.05) effect of the tiptoe frequencies on the EMG magnitude (and power) that increased with tiptoe frequency. Also, the muscle blood volume (standing/rest) decreased (p<0.01) with increasing tiptoe frequency and increasing NMES intensity that was statistically significantly (p<0.05) different between males and females. Moreover, increasing NMES intensity led to a statistically significant (p<0.01) increase in the cerebral blood volume - measured with fNIRS. Therefore, combined mNIRS and fNIRS with NMES can provide a theranostics application for brain+muscle in CVI.
Collapse
|
75
|
Espinosa-Ramírez M, Moya-Gallardo E, Araya-Román F, Riquelme-Sánchez S, Rodriguez-García G, Reid WD, Viscor G, Araneda OF, Gabrielli L, Contreras-Briceño F. Sex-Differences in the Oxygenation Levels of Intercostal and Vastus Lateralis Muscles During Incremental Exercise. Front Physiol 2021; 12:738063. [PMID: 34658921 PMCID: PMC8517227 DOI: 10.3389/fphys.2021.738063] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 09/10/2021] [Indexed: 01/04/2023] Open
Abstract
This study aimed to examine sex differences in oxygen saturation in respiratory (SmO2-m.intercostales) and locomotor muscles (SmO2-m.vastus lateralis) while performing physical exercise. Twenty-five (12 women) healthy and physically active participants were evaluated during an incremental test with a cycle ergometer, while ventilatory variables [lung ventilation ( V . E), tidal volume (Vt), and respiratory rate (RR)] were acquired through the breath-by-breath method. SmO2 was acquired using the MOXY® devices on the m.intercostales and m.vastus lateralis. A two-way ANOVA (sex × time) indicated that women showed a greater significant decrease of SmO2-m.intercostales, and men showed a greater significant decrease of SmO2-m.vastus lateralis. Additionally, women reached a higher level of ΔSmO2-m.intercostales normalized to V . E (L⋅min-1) (p < 0.001), whereas men had a higher level of ΔSmO2-m.vastus lateralis normalized to peak workload-to-weight (watts⋅kg-1, PtW) (p = 0.049), as confirmed by Student's t-test. During an incremental physical exercise, women experienced a greater cost of breathing, reflected by greater deoxygenation of the respiratory muscles, whereas men had a higher peripheral load, indicated by greater deoxygenation of the locomotor muscles.
Collapse
Affiliation(s)
- Maximiliano Espinosa-Ramírez
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Eduardo Moya-Gallardo
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Felipe Araya-Román
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Santiago Riquelme-Sánchez
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Guido Rodriguez-García
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - W Darlene Reid
- Physical Therapy, Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.,KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
| | - Ginés Viscor
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, Barcelona, Spain
| | - Oscar F Araneda
- Laboratory of Integrative Physiology of Biomechanics and Physiology of Effort (LIBFE), Faculty of Medicine, Kinesiology School, Universidad de los Andes, Santiago, Chile
| | - Luigi Gabrielli
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.,Division of Cardiovascular Diseases, Faculty of Medicine, Advanced Center for Chronic Diseases (ACCDiS), Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Felipe Contreras-Briceño
- Laboratory of Exercise Physiology, Department of Health Science, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.,Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, Barcelona, Spain.,Division of Cardiovascular Diseases, Faculty of Medicine, Advanced Center for Chronic Diseases (ACCDiS), Pontificia Universidad Católica de Chile, Santiago, Chile
| |
Collapse
|
76
|
Szucs B, Petrekanits M, Fekete M, Varga JT. The use of near-infrared spectroscopy for the evaluation of a 4-week rehabilitation program in patients with COPD. Physiol Int 2021; 108:427-439. [PMID: 34662293 DOI: 10.1556/2060.2021.00185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 08/28/2021] [Indexed: 11/19/2022]
Abstract
BACKGROUND Near-infrared spectroscopy (NIRS) technology can evaluate muscle metabolism and oxygenation. NIRS-based oximeters can measure skeletal muscle oxygen delivery and utilization during static and dynamic work non-invasively. Our goal was to assess the value and usability of NIRS technology in chronic obstructive pulmonary disease (COPD) rehabilitation program. METHODS Forty patients with COPD participated in a 4-week inpatient rehabilitation program that included breathing exercises and personalized cycle/treadmill training adjusted to the functional capacity, physical activity and comorbidities of the patients. A NIRS muscle oxygen monitor was used to measure tissue oxygenation and hemoglobin levels. Total hemoglobin index, average muscle oxygenation, minimal and maximal muscle oxygenation were recorded before and after the rehabilitation program. RESULTS Rehabilitation resulted improvement in 6 min walking distance (6MWD:335.3 ± 110. vs. 398.3 ± 126.2 m; P < 0.01), maximal inspiratory pressure (MIP: 57.7 ± 22.7 vs. 63.6 ± 18.0 cmH2O; P < 0.01), chest wall expansion (CWE: 2.84 ± 1.26 vs, 4.00 ± 1.76 cm; P < 0.01), breath hold time (BHT: 25.8 ± 10.6 vs. 29.2 ± 11.6 s; P < 0.01) and grip strength (GS: 24.9 ± 11.9 vs. 27.0 ± 11.4 kg; P < 0.01). Quality of life improvement was monitored by COPD Assessment Test (CAT: 17.00 ± 8.49 vs. 11.89 ± 7.3, P < 0.05). Total hemoglobin index (tHb: 12.8 ± 1.3% vs. 12.8 ± 1.4), average muscle oxygenation (SmO2: 67.5 ± 14.4% vs. 65.2 ± 20.4%) showed a tendency for improvement. Maximal muscle oxygenation decreased (SmO2 max: 98.0 ± 20.5% vs. 90.1 ± 14.3%; P < 0.01). Minimal muscle oxygenation increased (SmO2 min: 42.6 ± 12.6% vs. 54.8 ± 14.3%; P < 0.01). CONCLUSIONS NIRS results showed that muscle oxygenation and microcirculation can be described as a high-risk factor in COPD patients. The 4-week rehabilitation improves functional parameters, quality of life and tissue oxygenation levels in COPD patients.
Collapse
Affiliation(s)
- Botond Szucs
- 1 PharmaFlight Research and Training Center, Debrecen, Hungary
| | - Mate Petrekanits
- 2 Institute of Exercise Physiology and Sport Medicine, University of Physical Education, Budapest, Hungary
| | - Monika Fekete
- 3 Department of Public Health, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Janos T Varga
- 4 Department of Pulmonology, Semmelweis University, Budapest, Hungary
| |
Collapse
|
77
|
Theodorou AA, Zinelis PT, Malliou VJ, Chatzinikolaou PN, Margaritelis NV, Mandalidis D, Geladas ND, Paschalis V. Acute L-Citrulline Supplementation Increases Nitric Oxide Bioavailability but Not Inspiratory Muscle Oxygenation and Respiratory Performance. Nutrients 2021; 13:nu13103311. [PMID: 34684312 PMCID: PMC8537281 DOI: 10.3390/nu13103311] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 09/17/2021] [Accepted: 09/20/2021] [Indexed: 11/16/2022] Open
Abstract
The present study aimed to investigate whether acute L-citrulline supplementation would affect inspiratory muscle oxygenation and respiratory performance. Twelve healthy males received 6 g of L-citrulline or placebo in a double-blind crossover design. Pulmonary function (i.e., forced expired volume in 1 s, forced vital capacity and their ratio), maximal inspiratory pressure (MIP), fractional exhaled nitric oxide (NO•), and sternocleidomastoid muscle oxygenation were measured at baseline, one hour post supplementation, and after an incremental resistive breathing protocol to task failure of the respiratory muscles. The resistive breathing task consisted of 30 inspirations at 70% and 80% of MIP followed by continuous inspirations at 90% of MIP until task failure. Sternocleidomastoid muscle oxygenation was assessed using near-infrared spectroscopy. One-hour post-L-citrulline supplementation, exhaled NO• was significantly increased (19.2%; p < 0.05), and this increase was preserved until the end of the resistive breathing (16.4%; p < 0.05). In contrast, no difference was observed in the placebo condition. Pulmonary function and MIP were not affected by the L-citrulline supplementation. During resistive breathing, sternocleidomastoid muscle oxygenation was significantly reduced, with no difference noted between the two supplementation conditions. In conclusion, a single ingestion of 6 g L-citrulline increased NO• bioavailability but not the respiratory performance and inspiratory muscle oxygenation.
Collapse
Affiliation(s)
- Anastasios A. Theodorou
- Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus
- Correspondence:
| | - Panagiotis T. Zinelis
- School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece; (P.T.Z.); (V.J.M.); (D.M.); (N.D.G.); (V.P.)
| | - Vassiliki J. Malliou
- School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece; (P.T.Z.); (V.J.M.); (D.M.); (N.D.G.); (V.P.)
| | - Panagiotis N. Chatzinikolaou
- Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, 61122 Serres, Greece; (P.N.C.); (N.V.M.)
| | - Nikos V. Margaritelis
- Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, 61122 Serres, Greece; (P.N.C.); (N.V.M.)
- Dialysis Unit, 424 General Military Hospital of Thessaloniki, 56429 Thessaloniki, Greece
| | - Dimitris Mandalidis
- School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece; (P.T.Z.); (V.J.M.); (D.M.); (N.D.G.); (V.P.)
| | - Nickos D. Geladas
- School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece; (P.T.Z.); (V.J.M.); (D.M.); (N.D.G.); (V.P.)
| | - Vassilis Paschalis
- School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece; (P.T.Z.); (V.J.M.); (D.M.); (N.D.G.); (V.P.)
| |
Collapse
|
78
|
Blaney G, Curtsmith P, Sassaroli A, Fernandez C, Fantini S. Broadband absorption spectroscopy of heterogeneous biological tissue. APPLIED OPTICS 2021; 60:7552-7562. [PMID: 34613221 DOI: 10.1364/ao.431013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 07/14/2021] [Indexed: 05/11/2023]
Abstract
Absorption spectra (∼600 to 1064 nm) of six tissues in three healthy volunteers were measured by combining dual-slope continuous-wave broadband spectroscopy with self-calibrated frequency-domain measurements of scattering at two wavelengths (690 and 830 nm). The spectral fit with a linear combination of oxy- and deoxyhemoglobin, water, and lipids extinction spectra is improved by a wavelength-independent absorption background. The need to introduce this background is assigned to the inhomogeneous distribution of absorbers in tissue. By using a two-layer model, the relationship between recovered concentrations and their two-layer values was investigated, and the implications for non-invasive tissue spectroscopy are discussed.
Collapse
|
79
|
Intercostal Muscles Oxygenation and Breathing Pattern during Exercise in Competitive Marathon Runners. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168287. [PMID: 34444039 PMCID: PMC8393870 DOI: 10.3390/ijerph18168287] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 07/30/2021] [Accepted: 08/03/2021] [Indexed: 01/24/2023]
Abstract
The study aimed to evaluate the association between the changes in ventilatory variables (tidal volume (Vt), respiratory rate (RR) and lung ventilation (V.E)) and deoxygenation of m.intescostales (∆SmO2-m.intercostales) during a maximal incremental exercise in 19 male high-level competitive marathon runners. The ventilatory variables and oxygen consumption (V.O2) were recorded breath-by-breath by exhaled gas analysis. A near-infrared spectroscopy device (MOXY®) located in the right-hemithorax allowed the recording of SmO2-m.intercostales. To explore changes in oxygen levels in muscles with high demand during exercise, a second MOXY® records SmO2-m.vastus laterallis. The triphasic model of exercise intensity was used for evaluating changes in SmO2 in both muscle groups. We found that ∆SmO2-m.intercostales correlated with V.O2-peak (r = 0.65; p = 0.002) and the increase of V.E (r = 0.78; p = 0.001), RR (r = 0.54; p = 0.001), but not Vt (p = 0.210). The interaction of factors (muscles × exercise-phases) in SmO2 expressed as an arbitrary unit (a.u) was significant (p = 0.005). At VT1 there was no difference (p = 0.177), but SmO2-m.intercostales was higher at VT2 (p < 0.001) and V.O2-peak (p < 0.001). In high-level competitive marathon runners, the m.intercostales deoxygenation during incremental exercise is directly associated with the aerobic capacity and increased lung ventilation and respiratory rate, but not tidal volume. Moreover, it shows less deoxygenation than m.vastus laterallis at intensities above the aerobic ventilatory threshold.
Collapse
|
80
|
Hawkes LA, Fahlman A, Sato K. Introduction to the theme issue: Measuring physiology in free-living animals. Philos Trans R Soc Lond B Biol Sci 2021; 376:20200210. [PMID: 34121463 PMCID: PMC8200652 DOI: 10.1098/rstb.2020.0210] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/19/2021] [Indexed: 12/18/2022] Open
Abstract
By describing where animals go, biologging technologies (i.e. animal attached logging of biological variables with small electronic devices) have been used to document the remarkable athletic feats of wild animals since the 1940s. The rapid development and miniaturization of physiologging (i.e. logging of physiological variables such as heart rate, blood oxygen content, lactate, breathing frequency and tidal volume on devices attached to animals) technologies in recent times (e.g. devices that weigh less than 2 g mass that can measure electrical biopotentials for days to weeks) has provided astonishing insights into the physiology of free-living animals to document how and why wild animals undertake these extreme feats. Now, physiologging, which was traditionally hindered by technological limitations, device size, ethics and logistics, is poised to benefit enormously from the on-going developments in biomedical and sports wearables technologies. Such technologies are already improving animal welfare and yield in agriculture and aquaculture, but may also reveal future pathways for therapeutic interventions in human health by shedding light on the physiological mechanisms with which free-living animals undertake some of the most extreme and impressive performances on earth. This article is part of the theme issue 'Measuring physiology in free-living animals (Part I)'.
Collapse
Affiliation(s)
- L. A. Hawkes
- Hatherly Laboratories, University of Exeter, Prince of Wales Road Exeter EX4 4PS, UK
| | - A. Fahlman
- Global Diving Research Inc, Ottawa, Ontario, Canada
- Fundación Oceanogràfic de la Comunitat Valencia, Valencia, 46005 Spain
| | - K. Sato
- Atmosphere and Ocean Research Institute, University of Tokyo, 5-1-5 Kashiwanoha, Kashiwa, Chiba Prefecture 277-8564, Japan
| |
Collapse
|
81
|
Lagerwaard B, Janssen JJE, Cuijpers I, Keijer J, de Boer VCJ, Nieuwenhuizen AG. Muscle mitochondrial capacity in high- and low-fitness females using near-infrared spectroscopy. Physiol Rep 2021; 9:e14838. [PMID: 33991439 PMCID: PMC8123566 DOI: 10.14814/phy2.14838] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 03/09/2021] [Accepted: 03/12/2021] [Indexed: 11/24/2022] Open
Abstract
The recovery of muscle oxygen consumption (m V ˙ O2 ) after exercise measured using near-infrared spectroscopy (NIRS) provides a measure of skeletal muscle mitochondrial capacity. Nevertheless, due to sex differences in factors that can influence scattering and thus penetration depth of the NIRS signal in the tissue, e.g., subcutaneous adipose tissue thickness and intramuscular myoglobin and hemoglobin, it is unknown whether results in males can be extrapolated to a female population. Therefore, the aim of this study was to measure skeletal muscle mitochondrial capacity in females at different levels of aerobic fitness to test whether NIRS can measure relevant differences in mitochondrial capacity. Mitochondrial capacity was analyzed in the gastrocnemius muscle and the wrist flexors of 32 young female adults, equally divided in relatively high ( V ˙ O2 peak ≥ 47 ml/kg/min) and relatively low aerobic fitness group ( V ˙ O2 peak ≤ 37 ml/kg/min). m V ˙ O2 recovery was significantly faster in the high- compared to the low-fitness group in the gastrocnemius, but not in the wrist flexors (p = 0.009 and p = 0.0528, respectively). Furthermore, V ˙ O2 peak was significantly correlated to m V ˙ O2 recovery in both gastrocnemius (R2 = 0.27, p = 0.0051) and wrist flexors (R2 = 0.13, p = 0.0393). In conclusion, NIRS measurements can be used to assess differences in mitochondrial capacity within a female population and is correlated to V ˙ O2 peak. This further supports NIRS assessment of muscle mitochondrial capacity providing additional evidence for NIRS as a promising approach to monitor mitochondrial capacity, also in an exclusively female population.
Collapse
Affiliation(s)
- Bart Lagerwaard
- Human and Animal Physiology, Wageningen University and Research, Wageningen, The Netherlands.,TI Food and Nutrition, Wageningen, The Netherlands
| | - Joëlle J E Janssen
- Human and Animal Physiology, Wageningen University and Research, Wageningen, The Netherlands
| | - Iris Cuijpers
- Human and Animal Physiology, Wageningen University and Research, Wageningen, The Netherlands
| | - Jaap Keijer
- Human and Animal Physiology, Wageningen University and Research, Wageningen, The Netherlands
| | - Vincent C J de Boer
- Human and Animal Physiology, Wageningen University and Research, Wageningen, The Netherlands
| | - Arie G Nieuwenhuizen
- Human and Animal Physiology, Wageningen University and Research, Wageningen, The Netherlands
| |
Collapse
|
82
|
Changes in Muscle Oxygen Saturation Measured Using Wireless Near-Infrared Spectroscopy in Resistance Training: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18084293. [PMID: 33919532 PMCID: PMC8074101 DOI: 10.3390/ijerph18084293] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 04/12/2021] [Accepted: 04/14/2021] [Indexed: 12/19/2022]
Abstract
Background: This study aimed to report, through a systematic review of the literature, the baseline and final reference values obtained by near-infrared spectroscopy (NIRS) of muscle oxygen saturation (SmO2) during resistance training in healthy adults. Methods: Original research studies were searched from four databases (Scopus, PubMed, WOS, and SportDiscus). Subsequently, three independent reviewers screened the titles and abstracts, followed by full-text reviews to assess the studies’ eligibility. Results: Four studies met the inclusion criteria, data were extracted and methodological quality was assessed using the Downs and Black scale. Muscle oxygen saturation (% SmO2) during reported muscle strength exercises showed a decreasing trend after a muscle strength protocol; that is, before the protocol (range = 68.07–77.9%) and after (range = 9.50–46.09%). Conclusions: The trend of the SmO2 variables is to decrease after a muscle strength protocol. Studies are lacking that allow expanding the use of these devices during this type of training.
Collapse
|
83
|
Feldmann A, Erlacher D. Critical oxygenation: Can muscle oxygenation inform us about critical power? Med Hypotheses 2021; 150:110575. [PMID: 33857860 DOI: 10.1016/j.mehy.2021.110575] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 02/17/2021] [Accepted: 03/14/2021] [Indexed: 11/19/2022]
Abstract
The power-duration relationship is well documented for athletic performance and is formulated out mathematically in the critical power (CP) model. The CP model, when applied properly, has great predictive power, e.g. pedaling at a specific power output on an ergometer the model precisely calculates the time over which an athlete can sustain this power. However, CP presents physiological inconsistencies and process-oriented problems. The rapid development of near-infrared spectroscopy (NIRS) to measure muscle oxygenation (SmO2) dynamics provides a physiological exploration of the CP model on a conceptual and empirical level. Conceptually, the CP model provides two components: first CP is defined as the highest metabolic rate that can be achieved through oxidative means. And second, work capacity above CP named W'. SmO2 presents a steady-state in oxygen supply and demand and thereby represents CP specifically at a local level of analysis. Empirically, exploratory data quickly illustrates the relationship between performance and SmO2, as shown during 3-min all-out cycling tests to assess CP. During these tests, performance and SmO2 essentially mirror each other, and both CP and W' generate solid correlation with what would be deemed their SmO2 counterparts: first, the steady-state of SmO2 correlates with CP. And second, the tissue oxygen reserve represented in SmO2, when calculated as an integral corresponds to W'. While the empirical data presented is preliminary, the proposition of a concurring physiological model to the current CP model is a plausible inference. Here we propose that SmO2 steady-state representing CP as critical oxygenation or CO. And the tissue oxygen reserve above CO would then be identified as O'. This new CO model could fill in the physiological gap between the highly predictive CP model and at times its inability to track human physiology consistently. For simplicity's sake, this would include acute changes in physiology as a result of changing climate or elevation with travel, which can affect performance. These types of acute fluctuations, but not limited to, would be manageable when applying a CO model in conjunction with the CP model. Further, modeling is needed to investigate the true potential of NIRS to model CP, with a focus on repeatability, recovery, and systemic vs local workloads.
Collapse
Affiliation(s)
- Andri Feldmann
- Institute of Sport Science, University of Bern, Bern Bremgartenstrasse 145, 3012 Bern, Switzerland.
| | - Daniel Erlacher
- Institute of Sport Science, University of Bern, Bern Bremgartenstrasse 145, 3012 Bern, Switzerland
| |
Collapse
|
84
|
Arend M, Kivastik J, Talts J, Mäestu J. The Effect of Inspiratory Muscle Warm-Up on VO 2 Kinetics during Submaximal Rowing. Sports (Basel) 2021; 9:sports9030042. [PMID: 33809874 PMCID: PMC8004257 DOI: 10.3390/sports9030042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 03/15/2021] [Accepted: 03/18/2021] [Indexed: 11/17/2022] Open
Abstract
The aim of the study was to investigate the effect of an inspiratory muscle warm-up on the VO2 kinetics during submaximal intensity ergometer rowing. Ten competitive male rowers (age 23.1 ± 3.8 years; height 188.1 ± 6.3 cm; body mass 85.6 ± 6.6 kg) took part in this investigation. A submaximal constant intensity (90% PVO2max) rowing test to volitional exhaustion was carried out twice with the standard rowing warm-up (Test 1) and with the standard rowing warm-up with additional specific inspiratory muscle warm-up of two sets of 30 repetitions at 40% maximal inspiratory pressure (Test 2). We found a significant correlation between time constant (τ1) and the VO2 value at 400 s in Test 1 (r = 0.78; p < 0.05); however, no correlation was found between those parameters in Test 2. In addition, we found a positive association between VO2max from the incremental rowing test and τ1 from Test 1 (r = 0.71; p < 0.05), whereas VO2 did not correlate with τ1 from Test 2. Adding inspiratory muscle warm-up of 40% maximal inspiratory pressure to regular rowing warm-up had no significant effect on oxygen consumption kinetics during submaximal rowing tests.
Collapse
Affiliation(s)
- Mati Arend
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, 51014 Tartu, Estonia;
- Sports Medicine and Rehabilitation Clinic, Tartu University Hospital, 50406 Tartu, Estonia
- Correspondence: ; Tel.: +372-737-5364
| | - Jana Kivastik
- Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, 50411 Tartu, Estonia; (J.K.); (J.T.)
| | - Jaak Talts
- Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, 50411 Tartu, Estonia; (J.K.); (J.T.)
| | - Jarek Mäestu
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, 51014 Tartu, Estonia;
| |
Collapse
|
85
|
Fan JL, Wu TY, Lovering AT, Nan L, Bang WL, Kayser B. Differential Brain and Muscle Tissue Oxygenation Responses to Exercise in Tibetans Compared to Han Chinese. Front Physiol 2021; 12:617954. [PMID: 33716766 PMCID: PMC7943468 DOI: 10.3389/fphys.2021.617954] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 01/18/2021] [Indexed: 11/13/2022] Open
Abstract
The Tibetans’ better aerobic exercise capacity at altitude remains ill-understood. We tested the hypothesis that Tibetans display better muscle and brain tissue oxygenation during exercise in hypoxia. Using near-infrared spectrometry (NIRS) to provide indices of tissue oxygenation, we measured oxy- and deoxy-hemoglobin ([O2Hb] and [HHb], respectively) responses of the vastus lateralis muscle and the right prefrontal cortex in ten Han Chinese and ten Tibetans during incremental cycling to exhaustion in a pressure-regulated chamber at simulated sea-level (air at 1 atm: normobaric normoxia) and 5,000 m (air at 0.5 atm: hypobaric hypoxia). Hypoxia reduced aerobic capacity by ∼22% in both groups (d = 0.8, p < 0.001 vs. normoxia), while Tibetans consistently outperformed their Han Chinese counterpart by ∼32% in normoxia and hypoxia (d = 1.0, p = 0.008). We found cerebral [O2Hb] was higher in Tibetans at normoxic maximal effort compared Han (p = 0.001), while muscle [O2Hb] was not different (p = 0.240). Hypoxic exercise lowered muscle [O2Hb] in Tibetans by a greater extent than in Han (interaction effect: p < 0.001 vs. normoxic exercise). Muscle [O2Hb] was lower in Tibetans when compared to Han during hypoxic exercise (d = 0.9, p = 0.003), but not during normoxic exercise (d = 0.4, p = 0.240). Muscle [HHb] was not different between the two groups during normoxic and hypoxic exercise (p = 0.778). Compared to Han, our findings revealed a higher brain tissue oxygenation in Tibetans during maximal exercise in normoxia, but lower muscle tissue oxygenation during exercise in hypoxia. This would suggest that the Tibetans privileged oxygenation of the brain at the expense of that of the muscle.
Collapse
Affiliation(s)
- Jui-Lin Fan
- Department of Physiology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Tian Yi Wu
- Research Center for High Altitude Medicine, Tibet University Medical College, Lhasa, China.,National Key Laboratory of High Altitude Medicine, Xining, China
| | - Andrew T Lovering
- Department of Human Physiology, University of Oregon, Eugene, OR, United States
| | - Liya Nan
- National Key Laboratory of High Altitude Medicine, Xining, China
| | - Wang Liang Bang
- National Key Laboratory of High Altitude Medicine, Xining, China
| | - Bengt Kayser
- Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| |
Collapse
|
86
|
Comparison of Physiological Parameters During On-Water and Ergometer Kayaking and Their Relationship to Performance in Sprint Kayak Competitions. Int J Sports Physiol Perform 2021; 16:958-964. [PMID: 33626508 DOI: 10.1123/ijspp.2019-0912] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Revised: 07/27/2020] [Accepted: 07/31/2020] [Indexed: 11/18/2022]
Abstract
PURPOSE (1) To compare various physiological indicators of performance during a 5 × 1500-m incremental kayak test performed on an ergometer and on-water and (2) to analyze the relationships between these indicators and the actual competition performance of elite sprint kayakers, aiming to provide information to coaches for evaluating and planning training on-water. METHODS A total of 14 male and female German elite sprint kayakers performed an incremental test both on an ergometer and on-water. The tissue saturation index of the musculus (m.) biceps brachii, oxygen consumption, ratings of perceived exertion, and levels of blood lactate were measured and compared with actual racing times. In addition, power output was monitored during ergometer testing only. RESULTS Oxygen consumption during the fourth (P = .02; d = 0.32) and final (fifth; P < .001; d = 0.32) steps of incremental testing was higher on-water than on the ergometer. The tissue saturation index of the m. biceps brachii was approximately 21% higher at the end of the ergometer test (P = .002; d = 1.14). During the second (P = .01; d = 0.78), third (P = .005; d = 0.93), and fourth stages (P = .005; d = 1.02), the ratings of perceived exertion for ergometer kayaking was higher. During the final step, power output was most closely correlated to 200- (r = .88), 500- (r = .93), and 1000-m (r = .86) racing times (all Ps < .01). CONCLUSIONS During high-intensity kayaking on an ergometer or on-water, the oxygen consumption and tissue saturation index of the m. biceps brachii differ. Furthermore, at moderate to submaximal intensities, the ratings of perceived exertion were higher for ergometer than for on-water kayaking. Finally, of all parameters assessed, the power output during ergometer kayaking exhibited the strongest correlation with actual racing performance.
Collapse
|
87
|
Blaney G, Donaldson R, Mushtak S, Nguyen H, Vignale L, Fernandez C, Pham T, Sassaroli A, Fantini S. Dual-Slope Diffuse Reflectance Instrument for Calibration-Free Broadband Spectroscopy. APPLIED SCIENCES (BASEL, SWITZERLAND) 2021; 11. [PMID: 35719895 PMCID: PMC9204805 DOI: 10.3390/app11041757] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
This work presents the design and validation of an instrument for dual-slope broadband diffuse reflectance spectroscopy. This instrument affords calibration-free, continuous-wave measurements of broadband absorbance of optically diffusive media, which may be translated into absolute absorption spectra by adding frequency-domain measurements of scattering at two wavelengths. An experiment on a strongly scattering liquid phantom (milk, water, dyes) confirms the instrument’s ability to correctly identify spectral features and measure absolute absorption. This is done by sequentially adding three dyes, each featuring a distinct spectral absorption, to the milk/water phantom. After each dye addition, the absorption spectrum is measured, and it is found to reproduce the spectral features of the added dye. Additionally, the absorption spectrum is compared to the absorption values measured with a commercial frequency-domain instrument at two wavelengths. The measured absorption of the milk/water phantom quantitatively agrees with the known water absorption spectrum (R2 = 0.98), and the measured absorption of the milk/water/dyes phantom quantitatively agrees with the absorption measured with the frequency-domain instrument in six of eight cases. Additionally, the measured absorption spectrum correctly recovers the concentration of one dye, black India ink, for which we could accurately determine the extinction spectrum (i.e., the specific absorption per unit concentration). The instrumental methods presented in this work can find applications in quantitative spectroscopy of optically diffusive media, and particularly in near-infrared spectroscopy of biological tissue.
Collapse
|
88
|
Rodrigo-Carranza V, González-Mohíno F, Turner AP, Rodriguez-Barbero S, González-Ravé JM. Using a Portable Near-infrared Spectroscopy Device to Estimate The Second Ventilatory Threshold. Int J Sports Med 2021; 42:905-910. [PMID: 33525000 DOI: 10.1055/a-1343-2127] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A breakpoint in a portable near-infrared spectroscopy (NIRS) derived deoxygenated haemoglobin (deoxy[Hb]) signal during an incremental VO2max running test has been associated with the second ventilatory threshold (VT2) in healthy participants. Thus, the aim was to examine the association between this breakpoint (NIRS) and VT2 in well-trained runners. Gas exchange and NIRS data were collected during an incremental VO2max running test for 10 well-trained runners. The breakpoint calculated in oxygen saturation (StO2) and the VT2 were determined and compared in terms relative to %VO2max, absolute speed, VO2, and maximum heart rate (HRmax). There were no significant differences (p>0.05) between the breakpoint in StO2 and VT2 relative to %VO2max (87.00±6.14 and 88.28 ± 3.98 %), absolute speed (15.70±1.42 and 16.10±1.66 km·h-1), VO2 (53.71±15.17 and 54.66±15.57 ml·kg-1·min-1), and%HRmax (90.90±4.17 and 91.84±3.70%). There were large and significant correlations between instruments relative to%VO2max (r=0.68, p<0.05), absolute speed (r=0.86, p<0.001), VO2 (r=0.86, p<0.001), and %HRmax (r=0.69; p<0.05). A Bland and Altman analysis of agreement between instruments resulted in a mean difference of - 1.27±4.49%, -0.40±0.84 km·h-1,-0.90±3.07 ml·kg-1·min-1, and - 0.94±3.14 for %VO2max, absolute speed, VO2, and %HRmax, respectively. We conclude that a portable NIRS determination of the StO2 breakpoint is comparable with VT2 using gas exchange and therefore appropriate for use in determining exercise training above VT2 intensity. This is the first study to analyze the validity with the running mode using a NIRS portable device.
Collapse
Affiliation(s)
- Víctor Rodrigo-Carranza
- Department of Physical Activity and Sports Sciences, Sport Training Lab, University of Castilla-La Mancha, Toledo, Spain
| | - Fernando González-Mohíno
- Facultad de Educación y Lenguas, Universidad Nebrija, Madrid, Spain.,Department of Sport, PE and Health Sciences, University of Edinburgh, Edinburgh, United Kingdom
| | - Anthony P Turner
- Department of Sport, PE and Health Sciences, University of Edinburgh, Edinburgh, United Kingdom
| | - Sergio Rodriguez-Barbero
- Department of Physical Activity and Sports Sciences, Sport Training Lab, University of Castilla-La Mancha, Toledo, Spain
| | - José María González-Ravé
- Department of Physical Activity and Sports Sciences, Sport Training Lab, University of Castilla-La Mancha, Toledo, Spain
| |
Collapse
|
89
|
Pirovano I, Porcelli S, Re R, Spinelli L, Contini D, Marzorati M, Torricelli A. Effect of adipose tissue thickness and tissue optical properties on the differential pathlength factor estimation for NIRS studies on human skeletal muscle. BIOMEDICAL OPTICS EXPRESS 2021; 12:571-587. [PMID: 33659090 PMCID: PMC7899498 DOI: 10.1364/boe.412447] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 12/04/2020] [Accepted: 12/13/2020] [Indexed: 06/12/2023]
Abstract
We propose a quantitative and systematic investigation of the differential pathlength factor (DPF) behavior for skeletal muscles and its dependence on different factors, such as the subcutaneous adipose tissue thickness (ATT), the variations of the tissue absorption (µa ) and reduced scattering (µ's ) coefficients, and the source-detector distance. A time domain (TD) NIRS simulation study is performed in a two-layer geometry mimicking a human skeletal muscle with an overlying adipose tissue layer. The DPF decreases when µa increases, while it increases when µ's increases. Moreover, a positive correlation between DPF and ATT is found. These results are supported by an in-vivo TD NIRS study on vastus lateralis and biceps brachii muscles of eleven subjects at rest, showing a high inter-subject and inter-muscle variability.
Collapse
Affiliation(s)
| | - Simone Porcelli
- Istituto di Tecnologie Biomediche, Consiglio Nazionale delle Ricerche, Segrate, Milan, Italy
- Dipartimento di Medicina Molecolare, Università di Pavia, Pavia, Italy
| | - Rebecca Re
- Dipartimento di Fisica, Politecnico di Milano, Milan, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Milan, Italy
| | - Lorenzo Spinelli
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Milan, Italy
| | - Davide Contini
- Dipartimento di Fisica, Politecnico di Milano, Milan, Italy
| | - Mauro Marzorati
- Istituto di Tecnologie Biomediche, Consiglio Nazionale delle Ricerche, Segrate, Milan, Italy
| | - Alessandro Torricelli
- Dipartimento di Fisica, Politecnico di Milano, Milan, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Milan, Italy
| |
Collapse
|
90
|
Scano A, Pirovano I, Manunza ME, Spinelli L, Contini D, Torricelli A, Re R. Sustained fatigue assessment during isometric exercises with time-domain near infrared spectroscopy and surface electromyography signals. BIOMEDICAL OPTICS EXPRESS 2020; 11:7357-7375. [PMID: 33409002 PMCID: PMC7747893 DOI: 10.1364/boe.403976] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/18/2020] [Accepted: 11/18/2020] [Indexed: 06/12/2023]
Abstract
The effect of sustained fatigue during an upper limb isometric exercise is presented to investigate a group of healthy subjects with simultaneous time-domain (TD) NIRS and surface electromyography (sEMG) recordings on the deltoid lateralis muscle. The aim of the work was to understand which TD-NIRS parameters can be used as descriptors for sustained muscular fatigue, focusing on the slow phase of this process and using median frequency (MF) computed from sEMG as gold standard measure. It was found that oxygen saturation and deoxy-hemoglobin are slightly better descriptors of sustained fatigue, than oxy-hemoglobin, since they showed a higher correlation with MF, while total-hemoglobin correlation with MF was lower.
Collapse
Affiliation(s)
- A. Scano
- Istituto di Sistemi e Tecnologie Industriali Intelligenti per il Manifatturiero Avanzato (STIIMA), Consiglio Nazionale delle Ricerche, Via Previati 1/E Lecco, Italy e Via Alfonso Corti 12, Milan, Italy
| | - I. Pirovano
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, Milan, Italy
| | - M. E. Manunza
- Istituto di Sistemi e Tecnologie Industriali Intelligenti per il Manifatturiero Avanzato (STIIMA), Consiglio Nazionale delle Ricerche, Via Previati 1/E Lecco, Italy e Via Alfonso Corti 12, Milan, Italy
| | - L. Spinelli
- Istituto di Fotonica e Nanotecnologie (IFN), Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan, Italy
| | - D. Contini
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, Milan, Italy
| | - A. Torricelli
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, Milan, Italy
- Istituto di Fotonica e Nanotecnologie (IFN), Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan, Italy
| | - R. Re
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, Milan, Italy
- Istituto di Fotonica e Nanotecnologie (IFN), Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan, Italy
| |
Collapse
|
91
|
Reliability of Low-Cost Near-Infrared Spectroscopy in the Determination of Muscular Oxygen Saturation and Hemoglobin Concentration during Rest, Isometric and Dynamic Strength Activity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238824. [PMID: 33261036 PMCID: PMC7730940 DOI: 10.3390/ijerph17238824] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 11/23/2020] [Accepted: 11/25/2020] [Indexed: 02/07/2023]
Abstract
Background: The objective of this study was to establish the reliability of the Humon Hex near-infrared reflectance spectroscopy (NIRS) in determining muscle oxygen saturation (SmO2) and hemoglobin concentration (Hgb) at rest and during isometric and dynamic strength exercises using a functional electromechanical dynamometer (FEMD). Methods: The SmO2 and Hgb values of sixteen healthy adults (mean ± standard deviation (SD): Age = 36.1 ± 6.4 years) were recorded at rest and during isometry (8 s), dynamic strength I (initial load of 40% of the average isometric load, with 2 kg increments until muscle failure) and dynamic strength II (same as I, but with an initial load of 40% of the maximum isometric load) activity. To evaluate the reliability in the determination of SmO2 and Hgb of this device, intraclass correlation coefficient (ICC), standard error of measurement (SEM) and coefficient of variation (CV) were obtained. Results: The main results obtained are SmO2 at rest (CV = 5.76%, SEM = 3.81, ICC = 0.90), isometric strength (CV = 3.03%, SEM = 2.08, ICC = 0.92), dynamic strength I (CV = 10.6, SEM = 7.17, ICC = 0.22) and dynamic strength II (CV = 9.69, SEM = 6.75, ICC = 0.32); Hgb at rest (CV = 1.97%, SEM = 0.24, ICC = 0.65), isometric strength (CV = 0.98%, SEM = 0.12, ICC = 0.96), dynamic strength I (CV = 3.25, SEM = 0.40, ICC = 0.54) and dynamic strength II (CV = 2.74, SEM = 0.34, ICC = 0.65). Conclusions: The study shows that Humon Hex is a reliable device to obtain SmO2 and Hgb data in healthy adult subjects at rest and during isometric strength, providing precision for measurements made with this device.
Collapse
|
92
|
Bascuas PJ, Bataller-Cervero AV, Gutierrez H, Berzosa C. Modifications of viscoelastic properties and physiological parameters after performing uphill and downhill running trials. J Sports Med Phys Fitness 2020; 61:625-635. [PMID: 33146488 DOI: 10.23736/s0022-4707.20.11131-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Trail running performance depends on many factors, including energy cost of running, biomechanical parameters and stiffness. The aim of this study was to examine the influence of different positive and negative slopes on metabolic cost, tight hemoglobin saturation, viscoelastic properties, and vertical peak impacts in physically active young runners. METHODS Nine healthy male volunteers (26±5 years) performed two separate uphill and downhill sessions on an instrumented treadmill; both sessions were completed in a random order at a constant running speed with variable slopes from 0% to ±20%. Oxygen uptake (V̇O<inf>2</inf>), carbon dioxide production (V̇CO<inf>2</inf>), pulmonary ventilation (V̇E), respiratory exchange ratio, heart rate (HR), muscle oxygen saturation, vertical impacts, and muscle tone and stiffness were assessed. RESULTS During downhill running, V̇O<inf>2peak</inf> and V̇CO<inf>2</inf> significantly decreased, and impacts higher than 6G significantly increased with a negative slope. During uphill running, V̇O<inf>2peak</inf>, V̇CO<inf>2</inf>, V̇E, and maximum HR significantly increased. Minimum values of oxygen saturation and the vastus medialis tone significantly decreased and impacts of 4-5 G significantly increased with a positive slope. CONCLUSIONS Metabolic demand increased proportionally with the uphill slope and showed a linear negative relationship with a light and moderate downhill slope. Vertical impacts of high G-forces increased during downhill running, data that indicate the importance of our ability to attenuate impacts. Finally, muscle tone and stiffness remained stable at all times, results that demonstrated their acute adaptation to running in the absence of extreme fatigue.
Collapse
Affiliation(s)
- Pablo J Bascuas
- San Jorge University, Campus Universitario, Villanueva de Gállego, Spain
| | | | - Héctor Gutierrez
- San Jorge University, Campus Universitario, Villanueva de Gállego, Spain
| | - César Berzosa
- San Jorge University, Campus Universitario, Villanueva de Gállego, Spain
| |
Collapse
|
93
|
Di Giminiani R, Cardinale M, Ferrari M, Quaresima V. Validation of Fabric-Based Thigh-Wearable EMG Sensors and Oximetry for Monitoring Quadriceps Activity during Strength and Endurance Exercises. SENSORS 2020; 20:s20174664. [PMID: 32824976 PMCID: PMC7506815 DOI: 10.3390/s20174664] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 08/13/2020] [Accepted: 08/17/2020] [Indexed: 12/19/2022]
Abstract
Muscle oximetry based on near-infrared spectroscopy (NIRS) and electromyography (EMG) techniques in adherent clothing might be used to monitor the muscular activity of selected muscle groups while exercising. The fusion of these wearable technologies in sporting garments can allow the objective assessment of the quality and the quantity of the muscle activity as well as the continuous monitoring of exercise programs. Several prototypes integrating EMG and NIRS have been developed previously; however, most devices presented the limitations of not measuring regional muscle oxyhemoglobin saturation and did not embed textile sensors for EMG. The purpose of this study was to compare regional muscle oxyhemoglobin saturation and surface EMG data, measured under resting and dynamic conditions (treadmill run and strength exercises) by a recently developed wearable integrated quadriceps muscle oximetry/EMG system adopting smart textiles for EMG, with those obtained by using two "gold standard" commercial instrumentations for EMG and muscle oximetry. The validity and agreement between the wearable integrated muscle oximetry/EMG system and the "gold standard" instrumentations were assessed by using the Bland-Altman agreement plots to determine the bias. The results support the validity of the data provided by the wearable electronic garment developed purposely for the quadriceps muscle group and suggest the potential of using such device to measure strength and endurance exercises in vivo in various populations.
Collapse
Affiliation(s)
- Riccardo Di Giminiani
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
- Correspondence: ; Tel.: +39-347-6245514
| | - Marco Cardinale
- Aspetar Orthopaedic and Sports Medicine Hospital, Doha PO Box 29222, Qatar;
- Department of Computer Science and Institute of Sport, Exercise and Health, University College London, London WC1E 6BS, UK
| | - Marco Ferrari
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (M.F.); (V.Q.)
| | - Valentina Quaresima
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (M.F.); (V.Q.)
| |
Collapse
|
94
|
Manfredini F, Lamberti N, Ficarra V, Tsolaki E, Straudi S, Zamboni P, Basaglia N, Gasbarro V. Biomarkers of Muscle Metabolism in Peripheral Artery Disease: A Dynamic NIRS-Assisted Study to Detect Adaptations Following Revascularization and Exercise Training. Diagnostics (Basel) 2020; 10:diagnostics10050312. [PMID: 32429406 PMCID: PMC7277989 DOI: 10.3390/diagnostics10050312] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 05/11/2020] [Accepted: 05/14/2020] [Indexed: 12/12/2022] Open
Abstract
We assessed whether muscle metabolism biomarkers (MMb) identified by near-infrared spectroscopy (NIRS) are valid for determining adaptations following revascularization or exercise training in peripheral artery disease (PAD). Eighteen patients (males n = 13; 69 ± 7 years) were randomized to receive revascularization (Rev = 6) or pain-free home-based exercise (Ex = 12). MMb were safely collected via a NIRS-assisted treadmill test as area-under-curve for the spectra of oxygenated (-oxy), deoxygenated (-deoxy), differential (-diff) and total (-tot) hemoglobin traces. MMb, ankle–brachial index (ABI), pain-free (PFWD) and 6-min (6MWD) walking distances were assessed at baseline and after four months. MMb were correlated at baseline with ABI (MMb-oxy r = 0.46) and 6MWD (MMb-tot r = 0.51). After treatments, MMb-oxy showed an expected increase, which was more relevant for Rev group than the Ex (56% vs. 20%), with trends towards normalization for the other MMb. These changes were significantly correlated with variations in ABI (MMb-oxy r = 0.71; p = 0.002) and 6MWD (MMb-tot r = 0.58; p = 0.003). The MMb-diff in Rev group and MMb-deoxy in Ex group at baseline predicted clinical outcomes being correlated with PFWD improvements after 4-month (r = −0.94; p = 0.005 and r = −0.57; p = 0.05, respectively). A noninvasive NIRS-based test, feasible in a clinical setting, identified muscle metabolism biomarkers in PAD. The novel MMb were associated with validated outcome measures, selectively modified after different interventions and able to predict long-term functional improvements after surgery or exercise training.
Collapse
Affiliation(s)
- Fabio Manfredini
- Section of Sports Sciences, Department of Biomedical and Surgical Specialties Sciences, University of Ferrara, Italy–Via Luigi Borsari 46, 44121 Ferrara, Italy;
- Unit of Physical Medicine and Rehabilitation, Department of Neurosciences/Rehabilitation, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy; (S.S.); (N.B.)
- Correspondence: ; Tel.: +39-0532-236187
| | - Nicola Lamberti
- Section of Sports Sciences, Department of Biomedical and Surgical Specialties Sciences, University of Ferrara, Italy–Via Luigi Borsari 46, 44121 Ferrara, Italy;
| | - Valentina Ficarra
- Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy; (V.F.); (E.T.); (V.G.)
| | - Elpiniki Tsolaki
- Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy; (V.F.); (E.T.); (V.G.)
| | - Sofia Straudi
- Unit of Physical Medicine and Rehabilitation, Department of Neurosciences/Rehabilitation, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy; (S.S.); (N.B.)
| | - Paolo Zamboni
- Vascular Diseases Center, University of Ferrara, Italy–Via Aldo Moro 8, 44124 Ferrara, Italy;
| | - Nino Basaglia
- Unit of Physical Medicine and Rehabilitation, Department of Neurosciences/Rehabilitation, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy; (S.S.); (N.B.)
| | - Vincenzo Gasbarro
- Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy; (V.F.); (E.T.); (V.G.)
| |
Collapse
|
95
|
New Insights into Mechanical, Metabolic and Muscle Oxygenation Signals During and After High-Intensity Tethered Running. Sci Rep 2020; 10:6336. [PMID: 32286408 PMCID: PMC7156678 DOI: 10.1038/s41598-020-63297-w] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Accepted: 03/26/2020] [Indexed: 01/13/2023] Open
Abstract
High-intensity exercises including tethered efforts are commonly used in training programs for athletes, active and even sedentary individuals. Despite this, the knowledge about the external and internal load during and after this effort is scarce. Our study aimed to characterize the kinetics of mechanical and physiological responses in all-out 30 seconds (AO30) tethered running and up to 18 minutes of passive recovery. Additionally, in an innovative way, we investigated the muscle oxygenation in more or less active muscles (vastus lateralis and biceps brachii, respectively) during and after high-intensity tethered running by near-infrared spectroscopy – NIRS. Twelve physically active young men were submitted to AO30 on a non-motorized treadmill to determine the running force, velocity and power. We used wearable technologies to monitor the muscle oxygenation and heart rate responses during rest, exercise and passive recovery. Blood lactate concentration and arterial oxygen saturation were also measured. In a synchronized analysis by high capture frequency of mechanical and physiological signals, we advance the understanding of AO30 tethered running. Muscle oxygenation responses showed rapid adjustments (both, during and after AO30) in a tissue-dependence manner, with very low tissue saturation index observed in biceps brachii during exercise when compared to vastus lateralis. Significant correlations between peak and mean blood lactate with biceps brachii oxygenation indicate an important participation of less active muscle during and after high-intensity AO30 tethered running.
Collapse
|
96
|
Schober P, Schwarte LA. Thinking Out of the (Big) Box: A Wearable Near-Infrared Spectroscopy Monitor for the Helicopter Emergency Medical Service. Air Med J 2020; 39:120-123. [PMID: 32197689 DOI: 10.1016/j.amj.2019.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Revised: 09/26/2019] [Accepted: 10/09/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE In prehospital helicopter emergency medical service (HEMS) settings, the medical team has limited monitoring options, usually restricted to systemic variables. Regional tissue oxygenation (rO2) can be assessed by near-infrared spectroscopy (NIRS), but clinical NIRS monitors are unpractical ("big boxes" and additional cables) in HEMS. As an alternative, we identified a wearable, athlete training NIRS device (Moxy; Idiag, Fehraltorf, Switzerland) and hypothesized that it would be applicable in our HEMS setting. METHODS This feasibility study was performed at the Dutch HEMS Lifeliner 1. The Moxy sensor was tested in-flight and on ground. We tested various anatomic measurement spots, and multiple conditions and interventions were imposed to track rO2. RESULTS The rO2 measurements with the wearable Moxy NIRS device are both feasible and practical in an HEMS setting. Multiple conditions and interventions were tested successfully (eg, tourniquet placement [rO2↓], muscle compression [rO2↓], reperfusion [rO2↑], oxygen administration [rO2↑], hyperemia [rO2↑], and venous congestion [rO2↓]). CONCLUSION Our results suggest that rO2 measurements with the wearable Moxy NIRS device are both feasible and practical in HEMS, and Moxy allows the tracking of simulated pathophysiologic effects on rO2. Future studies will have to verify our preliminary data and elucidate if and how wearable NIRS monitoring may support treatment in HEMS and improve patient outcome.
Collapse
Affiliation(s)
- Patrick Schober
- Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The Netherlands; Helicopter Emergency Medical Service Lifeliner 1, Amsterdam University Medical Center, The Netherlands
| | - Lothar A Schwarte
- Department of Anesthesiology, Amsterdam University Medical Center, Amsterdam, The Netherlands; Helicopter Emergency Medical Service Lifeliner 1, Amsterdam University Medical Center, The Netherlands.
| |
Collapse
|
97
|
Pinti P, Tachtsidis I, Hamilton A, Hirsch J, Aichelburg C, Gilbert S, Burgess PW. The present and future use of functional near-infrared spectroscopy (fNIRS) for cognitive neuroscience. Ann N Y Acad Sci 2020; 1464:5-29. [PMID: 30085354 PMCID: PMC6367070 DOI: 10.1111/nyas.13948] [Citation(s) in RCA: 411] [Impact Index Per Article: 102.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 07/10/2018] [Accepted: 07/13/2018] [Indexed: 01/11/2023]
Abstract
The past few decades have seen a rapid increase in the use of functional near-infrared spectroscopy (fNIRS) in cognitive neuroscience. This fast growth is due to the several advances that fNIRS offers over the other neuroimaging modalities such as functional magnetic resonance imaging and electroencephalography/magnetoencephalography. In particular, fNIRS is harmless, tolerant to bodily movements, and highly portable, being suitable for all possible participant populations, from newborns to the elderly and experimental settings, both inside and outside the laboratory. In this review we aim to provide a comprehensive and state-of-the-art review of fNIRS basics, technical developments, and applications. In particular, we discuss some of the open challenges and the potential of fNIRS for cognitive neuroscience research, with a particular focus on neuroimaging in naturalistic environments and social cognitive neuroscience.
Collapse
Affiliation(s)
- Paola Pinti
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
- Institute of Cognitive NeuroscienceUniversity College LondonLondonUK
| | - Ilias Tachtsidis
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
| | - Antonia Hamilton
- Institute of Cognitive NeuroscienceUniversity College LondonLondonUK
| | - Joy Hirsch
- Department of Medical Physics and Biomedical EngineeringUniversity College LondonLondonUK
- Department of PsychiatryYale School of MedicineNew HavenConnecticut
- Department of NeuroscienceYale School of MedicineNew HavenConnecticut
- Comparative MedicineYale School of MedicineNew HavenConnecticut
| | | | - Sam Gilbert
- Institute of Cognitive NeuroscienceUniversity College LondonLondonUK
| | - Paul W. Burgess
- Institute of Cognitive NeuroscienceUniversity College LondonLondonUK
| |
Collapse
|
98
|
Freitag N, Böttrich T, Weber PD, Manferdelli G, Bizjak DA, Grau M, Sanders TC, Bloch W, Schumann M. Acute Low-Dose Hyperoxia during a Single Bout of High-Intensity Interval Exercise Does Not Affect Red Blood Cell Deformability and Muscle Oxygenation in Trained Men-A Randomized Crossover Study. Sports (Basel) 2020; 8:sports8010004. [PMID: 31947980 PMCID: PMC7023206 DOI: 10.3390/sports8010004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 12/30/2019] [Accepted: 01/02/2020] [Indexed: 11/16/2022] Open
Abstract
Recent technological developments provide easy access to use an artificial oxygen supply (hyperoxia) during exercise training. The aim of this study was to assess the efficacy of a commercially available oxygen compressor inducing low-dose hyperoxia, on limiting factors of endurance performance. Thirteen active men (age 24 ± 3 years) performed a high-intensity interval exercise (HIIE) session (5 × 3 min at 80% of Wmax, separated by 2 min at 40% Wmax) on a cycle ergometer, both in hyperoxia (4 L∙min−1, 94% O2, HYP) or ambient conditions (21% O2, NORM) in randomized order. The primary outcome was defined as red blood cell deformability (RBC-D), while our secondary interest included changes in muscle oxygenation. RBC-D was expressed by the ratio of shear stress at half-maximal deformation (SS1/2) and maximal deformability (EImax) and muscle oxygenation of the rectus femoris muscle was assessed by near-infrared spectroscopy. No statistically significant changes occurred in SS1/2 and EImax in either condition. The ratio of SS1/2 to EImax statistically decreased in NORM (p < 0.01; Δ: −0.10; 95%CI: −0.22, 0.02) but not HYP (p > 0.05; Δ: −0.16; 95%CI: −0.23, −0.08). Muscle oxygenation remained unchanged. This study showed that low-dose hyperoxia during HIIE using a commercially available device with a flow rate of only 4 L·min−1 may not be sufficient to induce acute ergogenic effects compared to normoxic conditions.
Collapse
Affiliation(s)
- Nils Freitag
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (T.B.); (P.D.W.); (D.A.B.); (M.G.); (W.B.)
| | - Tim Böttrich
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (T.B.); (P.D.W.); (D.A.B.); (M.G.); (W.B.)
| | - Pia D. Weber
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (T.B.); (P.D.W.); (D.A.B.); (M.G.); (W.B.)
| | - Giorgio Manferdelli
- Department of Biomedical Sciences for Health, School of Exercise Sciences, Università degli Studi di Milano, 20122 Milan, Italy;
| | - Daniel A. Bizjak
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (T.B.); (P.D.W.); (D.A.B.); (M.G.); (W.B.)
| | - Marijke Grau
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (T.B.); (P.D.W.); (D.A.B.); (M.G.); (W.B.)
| | - Tanja C. Sanders
- Department of Preventive and Rehabilitative Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany;
| | - Wilhelm Bloch
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (T.B.); (P.D.W.); (D.A.B.); (M.G.); (W.B.)
| | - Moritz Schumann
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany; (N.F.); (T.B.); (P.D.W.); (D.A.B.); (M.G.); (W.B.)
- Correspondence: ; Tel.: +49-221-4982-4821
| |
Collapse
|
99
|
Lutz J, Memmert D, Raabe D, Dornberger R, Donath L. Wearables for Integrative Performance and Tactic Analyses: Opportunities, Challenges, and Future Directions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 17:ijerph17010059. [PMID: 31861754 PMCID: PMC6981928 DOI: 10.3390/ijerph17010059] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 12/13/2019] [Accepted: 12/15/2019] [Indexed: 01/18/2023]
Abstract
Micro-electromechanical systems (MEMS) have reduced drastically in size, cost, and power consumption, while improving accuracy. The combination of different sensor technologies is considered a promising step in the monitoring of athletes. Those "wearables" enable the capturing of relevant physiological and tactical information in individual and team sports and thus replacing subjective, time-consuming and qualitative methods with objective, quantitative ones. Prior studies mainly comprised sports categories such as: targeting sports, batting and fielding games as well as net and wall games, focusing on the detection of individual, non-locomotive movements. The increasing capabilities of wearables allow for more complex and integrative analysis expanding research into the last category: invasion sports. Such holistic approaches allow the derivation of metrics, estimation of physical conditions and the analysis of team strategic behavior, accompanied by integrative knowledge gains in technical, tactical, physical, and mental aspects of a sport. However, prior and current researchers find the precise measurement of the actual movement within highly dynamic and non-linear movement difficult. Thus, the present article showcases an overview of the environments in which the wearables are employed. It elaborates their use in individual as well as team-related performance analyses with a special focus on reliability and validity, challenges, and future directions.
Collapse
Affiliation(s)
- Jonas Lutz
- Institute for Information Systems, University of Applied Sciences and Arts Northwestern Switzerland, Peter Merian-Strasse, 86 4052 Basel, Switzerland;
- Correspondence:
| | - Daniel Memmert
- Institute of Exercise Training and Sport Informatics, German Sport University Cologne, 50933 Cologne, Germany; (D.M.); (D.R.); (L.D.)
| | - Dominik Raabe
- Institute of Exercise Training and Sport Informatics, German Sport University Cologne, 50933 Cologne, Germany; (D.M.); (D.R.); (L.D.)
| | - Rolf Dornberger
- Institute for Information Systems, University of Applied Sciences and Arts Northwestern Switzerland, Peter Merian-Strasse, 86 4052 Basel, Switzerland;
| | - Lars Donath
- Institute of Exercise Training and Sport Informatics, German Sport University Cologne, 50933 Cologne, Germany; (D.M.); (D.R.); (L.D.)
| |
Collapse
|
100
|
Van Hooren B, Goudsmit J, Restrepo J, Vos S. Real-time feedback by wearables in running: Current approaches, challenges and suggestions for improvements. J Sports Sci 2019; 38:214-230. [PMID: 31795815 DOI: 10.1080/02640414.2019.1690960] [Citation(s) in RCA: 47] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Injuries and lack of motivation are common reasons for discontinuation of running. Real-time feedback from wearables can reduce discontinuation by reducing injury risk and improving performance and motivation. There are however several limitations and challenges with current real-time feedback approaches. We discuss these limitations and challenges and provide a framework to optimise real-time feedback for reducing injury risk and improving performance and motivation. We first discuss the reasons why individuals run and propose that feedback targeted to these reasons can improve motivation and compliance. Secondly, we review the association of running technique and running workload with injuries and performance and we elaborate how real-time feedback on running technique and workload can be applied to reduce injury risk and improve performance and motivation. We also review different feedback modalities and motor learning feedback strategies and their application to real-time feedback. Briefly, the most effective feedback modality and frequency differ between variables and individuals, but a combination of modalities and mixture of real-time and delayed feedback is most effective. Moreover, feedback promoting perceived competence, autonomy and an external focus can improve motivation, learning and performance. Although the focus is on wearables, the challenges and practical applications are also relevant for laboratory-based gait retraining.
Collapse
Affiliation(s)
- Bas Van Hooren
- School of Sport Studies, Fontys University of Applied Sciences, Eindhoven, The Netherlands.,Department of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Jos Goudsmit
- School of Sport Studies, Fontys University of Applied Sciences, Eindhoven, The Netherlands.,Department of Industrial Design, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - Juan Restrepo
- Department of Industrial Design, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - Steven Vos
- School of Sport Studies, Fontys University of Applied Sciences, Eindhoven, The Netherlands.,Department of Industrial Design, Eindhoven University of Technology, Eindhoven, The Netherlands
| |
Collapse
|