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Vagal Threshold Determination during Incremental Stepwise Exercise in Normoxia and Normobaric Hypoxia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17207579. [PMID: 33086469 PMCID: PMC7590016 DOI: 10.3390/ijerph17207579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 10/01/2020] [Accepted: 10/14/2020] [Indexed: 11/20/2022]
Abstract
This study focuses on the determination of the vagal threshold (Tva) during exercise with increasing intensity in normoxia and normobaric hypoxia. The experimental protocol was performed by 28 healthy men aged 20 to 30 years. It included three stages of exercise on a bicycle ergometer with a fraction of inspired oxygen (FiO2) 20.9% (normoxia), 17.3% (simulated altitude ~1500 m), and 15.3% (~2500 m) at intensity associated with 20% to 70% of the maximal heart rate reserve (MHRR) set in normoxia. Tva level in normoxia was determined at exercise intensity corresponding with (M ± SD) 45.0 ± 5.6% of MHRR. Power output at Tva (POth), representing threshold exercise intensity, decreased with increasing degree of hypoxia (normoxia: 114 ± 29 W; FiO2 = 17.3%: 110 ± 27 W; FiO2 = 15.3%: 96 ± 32 W). Significant changes in POth were observed with FiO2 = 15.3% compared to normoxia (p = 0.007) and FiO2 = 17.3% (p = 0.001). Consequentially, normoxic %MHRR adjusted for hypoxia with FiO2 = 15.3% was reduced to 39.9 ± 5.5%. Considering the convenient altitude for exercise in hypoxia, POth did not differ excessively between normoxic conditions and the simulated altitude of ~1500 m, while more substantial decline of POth occurred at the simulated altitude of ~2500 m compared to the other two conditions.
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de Oliveira GL, Marques AH, da Fonseca VF, Pozzolo BA, Panacioni F, Santos TC, Guedes AA, Mocelin AG, Bertin RL, Ulbrich AZ. Handrail support interference in cardiac autonomic modulation adjustments in young adults during maximal exercise testing. Sci Rep 2020; 10:11196. [PMID: 32641857 PMCID: PMC7343795 DOI: 10.1038/s41598-020-68155-3] [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: 10/22/2019] [Accepted: 06/18/2020] [Indexed: 11/09/2022] Open
Abstract
The aim of this study was to investigate whether the use of handrail support during maximal exercise treadmill testing (ETT) would interfere in cardiac autonomic modulation kinetics when compared to not using handrail support. The hypothesis of overestimation in cardiac autonomic dynamics when the ETT is performed using handrail was tested. Thirty-five undergraduates (21.08 ± 2.98 years old) of both sexes, volunteered to undertake two ETT under the Ellestad protocol, in non-consecutive days. The first test (T1) was performed with handrail support and, after 7 days, the second test was performed (T2) without the support. Autonomic function was measured by heart rate variability (HRV) during both tests and resting. Estimated value of peak oxygen uptake (VO2) was 22.4% (p < 0.0001) higher in T1 when compared to T2. Overall, parasympathetic pathway was deactivated earlier in T2 than in T1, with NNxx measures variating in T1 from 10.74 ± 14.59 (ms) and in T2 from 3.48 ± 3.79 (ms). In stage two, mean values of HF in T2 corresponded to 32% of values in T1. Stage three presented a difference of 60% (p < 0.014) in LF between means reached in T1 and T2. Lastly, the association of LF and VO2 persisted longer in T1 stages than in T2 and was verified in early stages (S2 and S3) of both ETTs. Our findings suggest that parasympathetic influences on HR were slightly prolonged during ETT when subjects hold onto the treadmill.
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Affiliation(s)
- Giovanna Lima de Oliveira
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Adriana Hernandez Marques
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Vanessa Ferrari da Fonseca
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Beatriz Augusta Pozzolo
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Fernanda Panacioni
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Taís Capucho Santos
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Amanda Archeleiga Guedes
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Aurenzo Gonçalves Mocelin
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil
| | - Renata Labronici Bertin
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil.,Department of Nutrition, Center for Health Sciences, Federal University of Parana (UFPR), Curitiba, PR, Brazil
| | - Anderson Zampier Ulbrich
- Research Group of Exercise Medicine (MedEx), Federal University of Parana (UFPR), Padre Camargo Street, 280 - Alto da Gloria, Curitiba, PR, 80060-240, Brazil. .,Department of Integrative Medicine, Center for Health Sciences, Federal University of Parana (UFPR), Curitiba, PR, Brazil.
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Schmidt T, Wulff S, Braumann KM, Reer R. Determination of the Maximal Lactate Steady State by HRV in Overweight and Obese Subjects. Sports Med Int Open 2019; 3:E58-E64. [PMID: 31312716 PMCID: PMC6629995 DOI: 10.1055/a-0883-5473] [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: 07/12/2018] [Revised: 02/15/2019] [Accepted: 03/16/2019] [Indexed: 11/04/2022] Open
Abstract
The study assessed if the maximal lactate steady state (MLSS) may be determined by HRV in overweight and obese individuals. Fourteen obese (OB) and 14 overweight (OW) participants performed an incremental exercise test and several constant-load tests on a bicycle ergometer to determine the MLSS. HRV was analysed by using time domain and non-linear parameters of the Poincaré plot. Various HRV thresholds (HRVt) were detected and compared with the MLSS. Overall, Bland-Altman plots demonstrated moderate to strong agreements between the power at the MLSS and the power at HRVt, with all HRVt overestimating the MLSS (range: − 14.6 to−19.8 W). All HRVt were detected at higher intensities (69.2–78.8%P
max
) compared to the MLSS (62.6–66.8%P
max
). The primarily vagally modulated parameter HRVt
SD1
revealed higher correlations (r=0.66–0.76) and lower differences (16.8–19.9%) compared to the parameter HRVt
SD2
(r=0.56–r=0.66; 22.4–22.9%). The data suggest a delayed vagal withdrawal during incremental exercise in obese and overweight individuals. For this population, the use of HRV to determine the MLSS seems questionable.
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Affiliation(s)
- Tobias Schmidt
- Institute of General Practice, University Medical Center Göttingen.,Department of Sports and Exercise Medicine, Institute of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Sarah Wulff
- Department of Sports and Exercise Medicine, Institute of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Klaus-Michael Braumann
- Department of Sports and Exercise Medicine, Institute of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Ruediger Reer
- Department of Sports and Exercise Medicine, Institute of Human Movement Science, University of Hamburg, Hamburg, Germany
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Heart rate variability estimates ventilatory threshold regardless body mass index in young people. Sci Sports 2018. [DOI: 10.1016/j.scispo.2017.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Michael S, Graham KS, Davis GM. Cardiac Autonomic Responses during Exercise and Post-exercise Recovery Using Heart Rate Variability and Systolic Time Intervals-A Review. Front Physiol 2017; 8:301. [PMID: 28611675 PMCID: PMC5447093 DOI: 10.3389/fphys.2017.00301] [Citation(s) in RCA: 304] [Impact Index Per Article: 43.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2017] [Accepted: 04/25/2017] [Indexed: 12/19/2022] Open
Abstract
Cardiac parasympathetic activity may be non-invasively investigated using heart rate variability (HRV), although HRV is not widely accepted to reflect sympathetic activity. Instead, cardiac sympathetic activity may be investigated using systolic time intervals (STI), such as the pre-ejection period. Although these autonomic indices are typically measured during rest, the “reactivity hypothesis” suggests that investigating responses to a stressor (e.g., exercise) may be a valuable monitoring approach in clinical and high-performance settings. However, when interpreting these indices it is important to consider how the exercise dose itself (i.e., intensity, duration, and modality) may influence the response. Therefore, the purpose of this investigation was to review the literature regarding how the exercise dosage influences these autonomic indices during exercise and acute post-exercise recovery. There are substantial methodological variations throughout the literature regarding HRV responses to exercise, in terms of exercise protocols and HRV analysis techniques. Exercise intensity is the primary factor influencing HRV, with a greater intensity eliciting a lower HRV during exercise up to moderate-high intensity, with minimal change observed as intensity is increased further. Post-exercise, a greater preceding intensity is associated with a slower HRV recovery, although the dose-response remains unclear. A longer exercise duration has been reported to elicit a lower HRV only during low-moderate intensity and when accompanied by cardiovascular drift, while a small number of studies have reported conflicting results regarding whether a longer duration delays HRV recovery. “Modality” has been defined multiple ways, with limited evidence suggesting exercise of a greater muscle mass and/or energy expenditure may delay HRV recovery. STI responses during exercise and recovery have seldom been reported, although limited data suggests that intensity is a key determining factor. Concurrent monitoring of HRV and STI may be a valuable non-invasive approach to investigate autonomic stress reactivity; however, this integrative approach has not yet been applied with regards to exercise stressors.
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Affiliation(s)
- Scott Michael
- Discipline of Exercise and Sports Science, Faculty of Health Sciences, University of SydneySydney, NSW, Australia
| | - Kenneth S Graham
- Discipline of Exercise and Sports Science, Faculty of Health Sciences, University of SydneySydney, NSW, Australia.,New South Wales Institute of SportSydney, NSW, Australia
| | - Glen M Davis
- Discipline of Exercise and Sports Science, Faculty of Health Sciences, University of SydneySydney, NSW, Australia
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Sales MM, Campbell CSG, Morais PK, Ernesto C, Soares-Caldeira LF, Russo P, Motta DF, Moreira SR, Nakamura FY, Simões HG. Noninvasive method to estimate anaerobic threshold in individuals with type 2 diabetes. Diabetol Metab Syndr 2011; 3:1. [PMID: 21226946 PMCID: PMC3033241 DOI: 10.1186/1758-5996-3-1] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2010] [Accepted: 01/12/2011] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND While several studies have identified the anaerobic threshold (AT) through the responses of blood lactate, ventilation and blood glucose others have suggested the response of the heart rate variability (HRV) as a method to identify the AT in young healthy individuals. However, the validity of HRV in estimating the lactate threshold (LT) and ventilatory threshold (VT) for individuals with type 2 diabetes (T2D) has not been investigated yet. AIM To analyze the possibility of identifying the heart rate variability threshold (HRVT) by considering the responses of parasympathetic indicators during incremental exercise test in type 2 diabetics subjects (T2D) and non diabetics individuals (ND). METHODS Nine T2D (55.6 ± 5.7 years, 83.4 ± 26.6 kg, 30.9 ± 5.2 kg.m2(-1)) and ten ND (50.8 ± 5.1 years, 76.2 ± 14.3 kg, 26.5 ± 3.8 kg.m2(-1)) underwent to an incremental exercise test (IT) on a cycle ergometer. Heart rate (HR), rate of perceived exertion (RPE), blood lactate and expired gas concentrations were measured at the end of each stage. HRVT was identified through the responses of root mean square successive difference between adjacent R-R intervals (RMSSD) and standard deviation of instantaneous beat-to-beat R-R interval variability (SD1) by considering the last 60 s of each incremental stage, and were known as HRVT by RMSSD and SD1 (HRVT-RMSSD and HRVT-SD1), respectively. RESULTS No differences were observed within groups for the exercise intensities corresponding to LT, VT, HRVT-RMSSD and HHVT-SD1. Furthermore, a strong relationship were verified among the studied parameters both for T2D (r = 0.68 to 0.87) and ND (r = 0.91 to 0.98) and the Bland & Altman technique confirmed the agreement among them. CONCLUSION The HRVT identification by the proposed autonomic indicators (SD1 and RMSSD) were demonstrated to be valid to estimate the LT and VT for both T2D and ND.
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Affiliation(s)
- Marcelo M Sales
- Graduate program in Physical Education of the Catholic University of Brasilia, Águas Claras, Taguatinga-DF, 72022-900, Brazil
| | - Carmen Sílvia G Campbell
- Graduate program in Physical Education of the Catholic University of Brasilia, Águas Claras, Taguatinga-DF, 72022-900, Brazil
| | - Pâmella K Morais
- Graduate program in Physical Education of the Catholic University of Brasilia, Águas Claras, Taguatinga-DF, 72022-900, Brazil
| | - Carlos Ernesto
- Graduate program in Physical Education of the Catholic University of Brasilia, Águas Claras, Taguatinga-DF, 72022-900, Brazil
| | - Lúcio F Soares-Caldeira
- Physical Education Faculty of the North University of Parana, Paris avenue, 675, Jardim Piza - Londrina - Paraná, 86041-120, Brazil
| | - Paulo Russo
- Physical Education Faculty of the Federal Institute of Roraima, Capitão Júlio Bezerra avenue, 1392, Aparecida, Boa Vista - Roraíma, 69303-340, Brazil
| | - Daisy F Motta
- Departament of Physiology and Biophysics - Federal University of Minas Gerais, Antônio Carlos avenue, 6627, Pampulha, Belo Horizonte - Minas Gerais, 31270-901, Brazil
| | - Sérgio R Moreira
- Physical Education Faculty of the Federal University of Vale do São Francisco, José de Sá Maniçoba avenue, Center, Petrolina - Pernambuco, 56304-205, Brazil
| | - Fábio Y Nakamura
- Graduate program in Physical Education of the State University of Londrina, Celso Garcia Cid highway, 380 kilometer, Londrina - Paraná, 86051-980, Brazil
| | - Herbert G Simões
- Graduate program in Physical Education of the Catholic University of Brasilia, Águas Claras, Taguatinga-DF, 72022-900, Brazil
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Abstract
Differences in the duration of the cycles reflects the balance of the sympathetic and parasympathetic influence on the heart. Variance in the heart rate correlates to the breathing cycle, to baroreflex sensitivity, to day and night alternations and to changes in the vegetative tone evoked by physical exercises. Analysis of the time and/or frequency power domain of the heart rate variance is expected to have diagnostic value in physiological and pathological situations as adaptation to training, overtraining, heart disease etc. Both time- and frequency domains reflect the same physiological phenomenon but from different point of view. Vagus tonus is reflected in the high frequency part of the range of variance, while an increased sympathetic tone enriches the low frequency part of the variations of the duration of the consecutive heart cycles. This technically simple and relatively inexpensive method has inspired a couple of clinical and sports medical studies. Certain tendencies seem to be clear, but for individual diagnosis or for prognosis the data must be treated very carefully.
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Affiliation(s)
- Péter Apor
- Semmelweis Egyetem, Testnevelési és Sporttudományi Kar, Budapest, Czakó u. 9., 1016.
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Brunetto AF, Roseguini BT, Silva BM, Hirai DM, Ronque EV, Guedes DP. Limiar de variabilidade da freqüência cardíaca em adolecentes obesos e não-obesos. REV BRAS MED ESPORTE 2008. [DOI: 10.1590/s1517-86922008000200012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A obesidade na adolescência está associada à disfunção simpato-vagal cardíaca em repouso, embora existam poucas informações sobre a resposta autonômica durante o exercício nestes adolescentes. OBJETIVO: Comparar a modulação autonômica durante teste de esforço físico dinâmico incremental em amostras de adolescentes obesos e não-obesos, e analisar a relação entre o limiar de variabilidade da freqüência cardíaca (LiVFC) e o limar ventilatório (LV). MÉTODOS: Dez adolescentes obesos e 19 adolescentes não-obesos do sexo masculino com idades entre 13 e 18 anos foram submetidos à teste de esforço físico progressivo máximo em esteira rolante para estudo da variabilidade da freqüência cardíaca (VFC) e para identificação do LV. A VFC foi estudada mediante análise do desvio-padrão da variabilidade instantânea batimento-a-batimento (SD1) da Plotagem de Poincaré. O LiVFC foi identificado na intensidade de esforço físico em que o SD1 atingiu valor menor que 3 ms. RESULTADOS: O índice SD1 diminuiu progressivamente em ambos os grupos até aproximadamente 50-60% do VO2pico, sendo que os adolescentes obesos apresentaram valores significativamente menores (p<0,001) somente na intensidade relativa a 20% do VO2pico, Os adolescentes obesos apresentaram valores relativos (mL.kg-1.min-1) de VO2pico e LV significativamente menores (p<0,05) que os adolescentes não-obesos. Em ambos os grupos, não foram observadas diferenças significativas entre o ponto de ocorrência do LV e do LiVFC, expressos em valores relativos e absolutos de VO2. Contudo, não foram encontradas correlações significativas entre o ponto de ocorrência do LV e do LiVFC, tanto em valores relativos quanto em valores absolutos de VO2. CONCLUSÕES: A obesidade na adolescência parece não estar associada à alteração da modulação autonômica durante o exercício físico. Torna-se possível determinar o LiVFC mediante análise da Plotagem de Poincaré em adolescentes obesos e não-obesos. Entretanto, a ausência de associação estatística entre o LiVFC e o LV demonstra que parece não haver relação causal entre estes eventos.
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Kasahara Y, Izawa K, Omiya K, Osada N, Watanabe S, Saitoh M, Matsunaga A, Masuda T. Influence of Autonomic Nervous Dysfunction Characterizing Effect of Diabetes Mellitus on Heart Rate Response and Exercise Capacity in Patients Undergoing Cardiac Rehabilitation for Acute Myocardial Infarction. Circ J 2006; 70:1017-25. [PMID: 16864935 DOI: 10.1253/circj.70.1017] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND The aim of this study was to clarify the influence of sympathetic and parasympathetic nerve (SN and PN) dysfunction on the heart rate (HR) response to exercise and the exercise capacity of patients with acute myocardial infarction (AMI) and diabetes mellitus (DM). METHODS AND RESULTS Fifty-two male patients who underwent cardiopulmonary exercise testing (CPX) 1 month after onset of AMI were divided into 2 groups: (DM (+) group, n=20; DM (-) group, n=32). HR, peak oxygen uptake (VO2peak), and plasma norepinephrine (NE) levels were measured during CPX. The high-frequency power (HF) was analyzed by HR variability. The DeltaHR/logDeltaNE obtained from changes of HR and NE from rest to peak exercise and HR change from baseline to the minimum HF (DeltaHRHF) were calculated as parameters of HR response derived from SN and PN activities, respectively. DeltaHR, VO2peak, DeltaHR/logDeltaNE, and DeltaHRHF were significantly lower in the DM (+) group than in the DM (-) group, and both of them showed positive correlations with VO2peak. CONCLUSION An inadequate HR response to exercise is a major factor causing a decline of exercise capacity, which is derived from both of SN and PN dysfunction, in AMI patients with DM.
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Affiliation(s)
- Yusuke Kasahara
- Department of Rehabilitation Medicine, St Marianna University School of Medicine, Yokohama City Seibu Hospital, Japan
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Moritani T, Kimura T, Hamada T, Nagai N. Electrophysiology and kinesiology for health and disease. J Electromyogr Kinesiol 2005; 15:240-55. [PMID: 15763671 DOI: 10.1016/j.jelekin.2005.01.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
This paper summarizes my Basmajian keynote presentation at the 2004 International Society of Electrophysiology and Kinesiology Conference. I dedicate this paper to Dr. Herbert A. deVries, the mentor of my research career. The following topics will be covered from the standpoint of Electrophysiology and Kinesiology for health and disease: (1) electromechanical manifestations of neuromuscular fatigue and muscle soreness, (2) cardiac depolarization-repolarization characteristics of normal and patients, (3) etiology of obesity and diabetes and autonomic nervous system, and (4) functional electrical stimulation for health and disease, respectively.
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Affiliation(s)
- Toshio Moritani
- Laboratory of Applied Physiology, Graduate School of Human and Environmental Studies, Kyoto University, Kyoto 606-8501, Japan.
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